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US3854473A - Stilet for endoscopes - Google Patents

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Publication number
US3854473A
US3854473A US36425873A US3854473A US 3854473 A US3854473 A US 3854473A US 36425873 A US36425873 A US 36425873A US 3854473 A US3854473 A US 3854473A
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Prior art keywords
spring
coil
adjusting
member
stilet
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Expired - Lifetime
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K Matsuo
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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
    • A61B1/31Instruments 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 the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • 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
    • A61B1/012Instruments 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 characterised by internal passages or accessories therefor
    • A61B1/018Instruments 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 characterised by internal passages or accessories therefor for receiving instruments
    • 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
    • A61B1/273Instruments 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 the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736Gastroscopes

Abstract

A stilet for endoscopes includes an elongated coil spring to be inserted in the flexible tube of the endoscope. The coil spring may be compressed or extended by operating a mechanism outside of the human body so that the flexibilility of the coil spring and thus the flexible tube may be adjusted.

Description

United States Patent 1 1111 3,854,473 Matsuo Dec. 17, 1974 [54] STILET FOR ENDOSCOPES 3,572,325 3/1971 Bazell et al. .t 128/6 [75] Inventor: Kazumasa Matsuo, Tokyo, Japan FOREIGN PATENTS OR APPLICATIONS Assignee: Olympus C() Ltd. Tokyo Switzerland Japan Primary ExaminerLucie H. Laudenslager 9o 1 [n] Flled' May 1973 Attorney, Agent, or Firm-Flynn & Frishauf [21] Appl. No.: 364,258

[57] ABSTRACT 2? A stilet for endoscopes includes an elongated coil 158/8 6 4 5 spring to be inserted in the flexible tube of the endo- 1 0 can scope. The coil spring may be compressed or extended by operating a mechanism outside of the human body [56] References Cited so that the flexibilility of the coil spring and thus the UNITED STATES PATENTS flexible tube may be adjusted.

616.672 12/1898 Kelling 128/8 944.830 12/1909 Sussmann 128/8 9 Clalms, 3 Drawing Flgures l2 3 l 2(2 l STILET FOR ENDOSCOPES BACKGROUND OF THE INVENTION This invention relates to a stilet to be inserted in an endoscope for adjusting the flexibility of the endoscope to assist in smooth insertion of the scop into the cavity of a human body.

In recent years, the development of an endoscope has been remarkable in permitting the device to be inserted through the mouth as far as the stomach, duodenum and the small intestine, and through the anus as far as the rectum, sigmoid colon, descending colon, transverse colon and the ascending colon, for medical observation of these organs.

It is required than an endoscope operative for deep observation be sufficiently flexible and bendable so that the forward end thereof may smoothly reach a position of predetermined depth. It has heretofore been difficult to insert the device deeply because of the fact that it tends to be unnecessarily bent concentratedly at a relatively shallow portion of the human body such as the stomach to disturb advancement of the forward end of the device or because of its insufficient overall available length.

In an attempt to obviate this defect, a device has been proposed in which the flexibility of the flexible tube of the endoscope is progressively varied in such a manner that the tube is made relatively soft at its forward end and is made gradually harder at portions closer to the operation section. The endoscope of the arrangement in which the rigidity or flexibility of the tube is predetermined does not assist' to positively solve the above problem. The defect may be eliminated if the flexibility of the flexible tube is made adjustable, but with the prior art device, the construction of the tube to make it adjustable becomes complex, thereby resulting in a tube of an inconveniently increased diameter.

SUMMARY OF THE INVENTION Accordingly the object of the invention is to provide a stilet of simple construction and capable of being externally operated to optionally adjust the flexibility of a flexible tube of an endoscope by being inserted into the endoscope prior to the insertion of the device into the cavity of a human body.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a cross sectional elevation of a stilet embodying this invention;

FIG. 2 is a cross section taken along the line 22 in FIG. 1; and

FIG. 3 is a schematic view illustrating an endoscope employing the stilet of FIG. 1 as being in an operative inserted position.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS OF THE INVENTION bore 13. The connecting ring 14 is attached to an adjusting cylinder 15 at its rear end so that the central bore 13 of the former is coaxially connected to the central bore of the latter. On the upper side of the front half portion of the adjusting cylinder 15 there is formed a row of triangular teeth 16 along the longitudinal direction thereof. On the lower side of the rear half portion of the adjusting cylinder 15 there is perforated a long slit 17 extending along the longitudinal direction and communicatingwith the central bore thereof. The triangular teeth 16 each may be in the shape of a rightangled triangle with the hypotenuse and vertical side respectively corresponding to the front and rear sides of the tooth. A sliding ring l8is fitted on the periphery of the adjusting cylinder 15 so as to slide along the rear half portion thereof. From the upper outer side of the ring 18 there is radially extended a projection 20 with its forked top portion forming a bearing 19. On the lower inner side of the ring 18 there is fixed a supporting plate 21 (see FIG. 2) extending into the central bore through the slit 17 of the adjusting cylinder 15. By means of this supporting plate 21, the sliding ring 18 may be supported on the adjusting cylinder to be slidable therealong without rotation of the sliding ring 18. A retracting vwire 22 is inserted through the central bores of the coil spring 11, connecting member 14 and adjusting ring which are'arranged in a coaxial relationship. The wire 22 is connected to the rear end of the guide member 12 and the forward side of the supporting plate 21 at its both ends to be stretched therebetween.

A lever 26 is rockably supported on the bearing 19 of the projection 20 by means of a pin 23. On the forward lower side of the lever 26 there are formed a plurality of teeth 24 engageable with the teeth 16 of the adjusting cylinder 15. The rear portion of the lever constitutes a handle 25. Between the sliding ring 18 and lever 26 there is connected a wire spring 27 so that, in the normal condition, the lever 26 is urged in the rotating direction of an arrow a to allow the teeth of the lever 26 to engage the teeth of the adjusting cylinder 15 thereby preventing the sliding of the sliding ring 18 in the backward direction by the coil spring 11.

With the stilet constructed above, when the sliding ring 18 is slid against the adjusting cylinder 15, so that the teeth 24 of the lever 26 pivoted on the sliding ring 18 are engaged with the extremely forward portion of the row of teeth, the retracting wire 22 takes the most loose condition in which the coil spring 1 l is most flexible. In this situation, as the sliding ring 18 is moved rearwards along the adjusting cylinder 15, the clearance between the adjacent turns of coil spring 11 is gradually made shorter, that is the coil spring is compressed to decrease its flexibility. When the desired flexibility is obtained, the ring 18 is stopped, so that its flexibility is maintained due to the engagement of the teeth of the lever 26 and adjusting cylinder 15. Alternatively, if it is desired to increase the flexibility of the coil spring 11, the lever 26 is rocked by operating the handle 25 to release the engagement of the teeth 16 and 24 so that the sliding ring 18 may be retracted forwards by the coil spring 11.

In the using of the stilet, the coil spring of the stilet is inserted into the flexible tube 30 of an endoscope from its forward end, thereby being located in the flexible tube in a substantially coaxial relationship there with as shown in FIG. 3. Then, the endoscope is inserted. into the deep portion of the cavity of the human body while the flexibility of the coil spring and thus the flexible tube 30 is adjusted by operating the lever outside the human body. Accordingly, the insertion of the flexible tube of the endoscope whose flexibility is adjusted as the endoscope is deeply inserted prevents the flexible tube from the unnecessarily concentrated bending in a cavity located on the way to the observed portion.

What is claimed is:

1. A stilet for varying the flexibility of an endoscope comprising: I

a coil spring having a central axis, said coil spring being adapted to be inserted in the flexible tube of an endoscope,

a retracting wire inserted throughthe coil spring substantially along said central axis, one end of the wire being operatively connected to one end of the coil spring, and

adjusting means provided on the other end of the coil spring and coupled to the other end of the wire to selectively tighten said wire relative to the coil spring to compress adjacent turns thereof closer to each other to stiffen the coil spring, or to retract and loosen the wire relative to the coil spring to render the spring more flexible, thereby selectively adjusting the flexibility of the coil spring and of the flexible endoscope tube in which the coil spring is inserted.

2. A stilet according to claim 1 wherein said adjusting means includes a cylindrical adjusting member in which said other end portion of the retracting wire is inserted and which is coaxial with the coil spring, a sliding ring mounted on the periphery of said cylindrical adjusting member so as to be slidable along its longitudinal direction and connected to said other end of the retracting wire, and a keeping mechanism operatively coupled with the sliding ring to maintain the sliding ring at the desired position.

3. A stilet according to claim 2 wherein said cylindrical adjusting member has at one end a connecting member to receive said other end of said coil spring and at one side of the other end a slit extending in a longitudinal direction of the adjusting cylindrical member, and said sliding ring has a guide plate extending to the internal bore of said cylindrical adjusting member through the slit.

4. A stilet according to claim 3 wherein said keeping mechanism includes a row of teeth formed on one side of said cylindrical adjusting member near the connecting ring along the longitudinal direction thereof and a lever pivotally mounted on the sliding ring and having at least one tooth engageable with the teeth of said cylindrical adjusting member.

5. A stillet according to claim 4 wherein said lever has a plurality of teeth thereon which are engageable with the teeth of said cylindrical adjusting member.

6. A stilet according to claim 5 wherein the lever further includes an urging member for urging the lever so that in an normal condition the teeth of the lever engage the teeth of the adjusting cylindrical member, and a handle to release the engagement of the teeth of the lever and adjusting cylindrical member against the operation of the urging member.

7. A stilet according to claim 1 wherein the coil spring includes a guide member coaxially attached to said one end thereof and having a curved surface, said one end of said retracting wire being connected to said guide member.

8. A stilet according to claim 7 wherein said curved surface of said guide member is at the forward edge of said stilet.

9. A stilet according to claim 1 wherein said coil spring is adapted to extend along the whole length of the flexible tube of the endoscope.

Claims (9)

1. A stilet for varying the flexibility of an endoscope comprising: a coil spring having a central axis, said cOil spring being adapted to be inserted in the flexible tube of an endoscope, a retracting wire inserted through the coil spring substantially along said central axis, one end of the wire being operatively connected to one end of the coil spring, and adjusting means provided on the other end of the coil spring and coupled to the other end of the wire to selectively tighten said wire relative to the coil spring to compress adjacent turns thereof closer to each other to stiffen the coil spring, or to retract and loosen the wire relative to the coil spring to render the spring more flexible, thereby selectively adjusting the flexibility of the coil spring and of the flexible endoscope tube in which the coil spring is inserted.
2. A stilet according to claim 1 wherein said adjusting means includes a cylindrical adjusting member in which said other end portion of the retracting wire is inserted and which is coaxial with the coil spring, a sliding ring mounted on the periphery of said cylindrical adjusting member so as to be slidable along its longitudinal direction and connected to said other end of the retracting wire, and a keeping mechanism operatively coupled with the sliding ring to maintain the sliding ring at the desired position.
3. A stilet according to claim 2 wherein said cylindrical adjusting member has at one end a connecting member to receive said other end of said coil spring and at one side of the other end a slit extending in a longitudinal direction of the adjusting cylindrical member, and said sliding ring has a guide plate extending to the internal bore of said cylindrical adjusting member through the slit.
4. A stilet according to claim 3 wherein said keeping mechanism includes a row of teeth formed on one side of said cylindrical adjusting member near the connecting ring along the longitudinal direction thereof and a lever pivotally mounted on the sliding ring and having at least one tooth engageable with the teeth of said cylindrical adjusting member.
5. A stillet according to claim 4 wherein said lever has a plurality of teeth thereon which are engageable with the teeth of said cylindrical adjusting member.
6. A stilet according to claim 5 wherein the lever further includes an urging member for urging the lever so that in an normal condition the teeth of the lever engage the teeth of the adjusting cylindrical member, and a handle to release the engagement of the teeth of the lever and adjusting cylindrical member against the operation of the urging member.
7. A stilet according to claim 1 wherein the coil spring includes a guide member coaxially attached to said one end thereof and having a curved surface, said one end of said retracting wire being connected to said guide member.
8. A stilet according to claim 7 wherein said curved surface of said guide member is at the forward edge of said stilet.
9. A stilet according to claim 1 wherein said coil spring is adapted to extend along the whole length of the flexible tube of the endoscope.
US3854473A 1973-05-29 1973-05-29 Stilet for endoscopes Expired - Lifetime US3854473A (en)

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US4043323A (en) * 1974-12-27 1977-08-23 Olympus Optical Co., Ltd. Medical instrument attached to an endoscope
US4329980A (en) * 1979-03-06 1982-05-18 Olympus Optical Co., Ltd. Flexible sheath for an endoscope
US4586923A (en) * 1984-06-25 1986-05-06 Cordis Corporation Curving tip catheter
US4732163A (en) * 1985-11-21 1988-03-22 Sarcem S.A. Remote controlled guide for a catheter
US4742817A (en) * 1985-05-15 1988-05-10 Olympus Optical Co., Ltd. Endoscopic apparatus having a bendable insertion section
US4765331A (en) * 1987-02-10 1988-08-23 Circon Corporation Electrosurgical device with treatment arc of less than 360 degrees
US4787399A (en) * 1986-07-29 1988-11-29 Sarcem S.A. Remote controlled catheter guide
US4799496A (en) * 1987-06-03 1989-01-24 Lake Region Manufacturing Company, Inc. Guide wire handle
US4834709A (en) * 1986-03-26 1989-05-30 Sherwood Medical Company Preformable catheter
US4928669A (en) * 1989-06-26 1990-05-29 Sullivan Michael J Straightening device for flexible tubular structures
US5047018A (en) * 1989-08-14 1991-09-10 Minnesota Mining And Manufacturing Company Catheter and stylet assembly having dual position stylet
US5058577A (en) * 1989-05-09 1991-10-22 Gary Six Flexible tip stylet for use with an endotracheal intubation device
US5163912A (en) * 1989-08-14 1992-11-17 Minnesota Mining And Manufacturing Company Catheter and stylet assembly having dual position stylet
US5190050A (en) * 1991-11-08 1993-03-02 Electro-Catheter Corporation Tip deflectable steerable catheter
US5197457A (en) * 1990-09-12 1993-03-30 Adair Edwin Lloyd Deformable and removable sheath for optical catheter
US5259377A (en) * 1992-03-30 1993-11-09 Stephen M. Daugherty Endotracheal tube stylet
US5401244A (en) * 1992-11-19 1995-03-28 Minnesota Mining And Manufacturing Company Method of, and stylet apparatus for, installing a retrograde coronary cannula
US5562619A (en) * 1993-08-19 1996-10-08 Boston Scientific Corporation Deflectable catheter
US5571085A (en) * 1995-03-24 1996-11-05 Electro-Catheter Corporation Steerable open lumen catheter
US5733245A (en) * 1995-12-19 1998-03-31 Fuji Photo Optical Co., Ltd. Endoscope provided with curved portion protecting mechanism
US5762615A (en) * 1996-06-04 1998-06-09 Cordis Corporation Guideware having a distal tip with variable flexibility
US5807326A (en) * 1992-04-27 1998-09-15 Minnesota Mining And Manufacturing Company Retrograde coronary sinus catheter
US6572538B2 (en) * 2000-07-28 2003-06-03 Olympus Optical Co., Ltd. Flexible endoscope
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US20070149951A1 (en) * 2005-12-27 2007-06-28 Mina Wu Variable stiffness guidewire
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US20080262300A1 (en) * 2007-04-20 2008-10-23 Usgi Medical, Inc. Endoscopic system with disposable sheath
US20100108060A1 (en) * 2006-06-01 2010-05-06 Truphatek International Ltd Hand operated articulated intubation stylet
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Cited By (93)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4043323A (en) * 1974-12-27 1977-08-23 Olympus Optical Co., Ltd. Medical instrument attached to an endoscope
US4329980A (en) * 1979-03-06 1982-05-18 Olympus Optical Co., Ltd. Flexible sheath for an endoscope
US4586923A (en) * 1984-06-25 1986-05-06 Cordis Corporation Curving tip catheter
US4742817A (en) * 1985-05-15 1988-05-10 Olympus Optical Co., Ltd. Endoscopic apparatus having a bendable insertion section
US4732163A (en) * 1985-11-21 1988-03-22 Sarcem S.A. Remote controlled guide for a catheter
US4834709A (en) * 1986-03-26 1989-05-30 Sherwood Medical Company Preformable catheter
US4787399A (en) * 1986-07-29 1988-11-29 Sarcem S.A. Remote controlled catheter guide
US4765331A (en) * 1987-02-10 1988-08-23 Circon Corporation Electrosurgical device with treatment arc of less than 360 degrees
US4799496A (en) * 1987-06-03 1989-01-24 Lake Region Manufacturing Company, Inc. Guide wire handle
US5058577A (en) * 1989-05-09 1991-10-22 Gary Six Flexible tip stylet for use with an endotracheal intubation device
USRE35595E (en) * 1989-05-09 1997-08-26 Six; Gary Flexible tip stylet for use with an endotracheal intubation device
US4928669A (en) * 1989-06-26 1990-05-29 Sullivan Michael J Straightening device for flexible tubular structures
US5047018A (en) * 1989-08-14 1991-09-10 Minnesota Mining And Manufacturing Company Catheter and stylet assembly having dual position stylet
US5163912A (en) * 1989-08-14 1992-11-17 Minnesota Mining And Manufacturing Company Catheter and stylet assembly having dual position stylet
US5197457A (en) * 1990-09-12 1993-03-30 Adair Edwin Lloyd Deformable and removable sheath for optical catheter
US5190050A (en) * 1991-11-08 1993-03-02 Electro-Catheter Corporation Tip deflectable steerable catheter
US5259377A (en) * 1992-03-30 1993-11-09 Stephen M. Daugherty Endotracheal tube stylet
US5807326A (en) * 1992-04-27 1998-09-15 Minnesota Mining And Manufacturing Company Retrograde coronary sinus catheter
US5401244A (en) * 1992-11-19 1995-03-28 Minnesota Mining And Manufacturing Company Method of, and stylet apparatus for, installing a retrograde coronary cannula
US5562619A (en) * 1993-08-19 1996-10-08 Boston Scientific Corporation Deflectable catheter
US5865800A (en) * 1993-08-19 1999-02-02 Boston Scientific Corporation Deflectable catheter
US5571085A (en) * 1995-03-24 1996-11-05 Electro-Catheter Corporation Steerable open lumen catheter
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