WO2006129359A1 - Rotary self-traveling endoscope instrument - Google Patents

Rotary self-traveling endoscope instrument Download PDF

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Publication number
WO2006129359A1
WO2006129359A1 PCT/JP2005/010162 JP2005010162W WO2006129359A1 WO 2006129359 A1 WO2006129359 A1 WO 2006129359A1 JP 2005010162 W JP2005010162 W JP 2005010162W WO 2006129359 A1 WO2006129359 A1 WO 2006129359A1
Authority
WO
WIPO (PCT)
Prior art keywords
generating means
rotating
force generating
rotation
distal end
Prior art date
Application number
PCT/JP2005/010162
Other languages
French (fr)
Japanese (ja)
Inventor
Yasuhito Kura
Shigeki Matsuo
Original Assignee
Olympus Medical Systems Corp.
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 Medical Systems Corp. filed Critical Olympus Medical Systems Corp.
Priority to JP2007518831A priority Critical patent/JP4584997B2/en
Priority to PCT/JP2005/010162 priority patent/WO2006129359A1/en
Publication of WO2006129359A1 publication Critical patent/WO2006129359A1/en

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Classifications

    • 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
    • A61B1/00147Holding or positioning arrangements
    • A61B1/00156Holding or positioning arrangements using self propulsion
    • 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • 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
    • A61B1/00147Holding or positioning arrangements
    • A61B1/00148Holding or positioning arrangements using anchoring means
    • 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
    • A61B1/00147Holding or positioning arrangements
    • A61B1/0016Holding or positioning arrangements using motor drive units
    • 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
    • A61B1/005Flexible endoscopes

Definitions

  • the present invention relates to a rotating self-propelled endoscope apparatus that self-propels in a body cavity by rotation of a rotating cylinder.
  • endoscopes are widely used in various fields such as medical care and industry for the purpose of observing a site that cannot be directly visually observed, such as in a tube, and are generally inserted into a test site. It is configured with an elongated insertion portion.
  • endoscopes are known as such endoscopes.
  • a rotating cylindrical body that is rotatable around an axis having a spiral part is provided on the outer periphery of the insertion part, and the rotation is performed.
  • the insertion of the insertion portion into the large intestine can be automatically performed by the screw action using the friction generated between the spiral-shaped portion and the intestinal wall.
  • a rotating self-propelled endoscope device is known.
  • endoscopes there are various types of such endoscopes.
  • an endoscope that is designed to be inserted into the large intestine by the transanus, on the outer peripheral side of the insertion portion, A rotating self-propelled interior that is provided with a flexible rotating cylinder that can rotate around an axis, and that can be automatically inserted into a body cavity by rotating the rotating cylinder.
  • a rotating self-propelled interior that is provided with a flexible rotating cylinder that can rotate around an axis, and that can be automatically inserted into a body cavity by rotating the rotating cylinder.
  • This rotary self-propelled endoscope incorporates an electric device such as the above-described motor for rotating a rotating cylinder as a propulsive force generating means around a predetermined axis, and is connected to an insertion portion. It has a rotating device.
  • the distal end portion of the rotating self-propelled endoscope incorporates an imaging device for taking an image of the body cavity and a lighting device for the body cavity without natural light.
  • the rotating cylindrical body is long for insertion into a body cavity, and its material has a rotational transmission property. Good metal is used.
  • the rotating cylinder is passed through a flexible non-metallic tube, and is rotatable about the axis of the tube.
  • the present invention has been made in view of the above circumstances, and is electrically responsive to the operation of various electrical devices in the distal end without hindering the rotation of the rotating cylinder, which is a rotating thrust generating means. It aims at providing the rotation self-propelled endoscope apparatus which does not give interference.
  • the rotary self-propelled endoscope apparatus of the present invention includes an electrical element and an electrical component, and forms a long insertion portion having a distal end portion to which a ground wire is connected and an outer surface of the insertion portion. And at least the outer surface is formed of a conductive member, and is disposed at a proximal end portion of the distal end portion, and is provided with a tubular propulsion force generating means rotatable around an axis with respect to the insertion portion, A first contact portion made of a conductive member that electrically connects the propulsive force generating means and the insertion portion, and incorporates various electric devices and a housing ground, and rotates the propulsive force generating means.
  • FIG. 1 is a diagram showing a configuration of a rotary self-propelled endoscope according to a first embodiment of the present invention.
  • FIG. 2 is a partial cross-sectional view along the insertion axis direction showing the configuration of the distal end portion and the distal end side of the insertion portion.
  • FIG. 3 is a perspective view showing the entire insertion portion.
  • FIG. 4 is a cross-sectional view showing the inside of the rotation drive unit.
  • FIG. 5 is a block diagram showing an electrical connection state of each part of the rotary self-propelled endoscope.
  • FIG. 6 is a block diagram showing an electrical connection state of each part of the rotary self-propelled endoscope showing a modification of FIG. 5.
  • FIG. 7 is a cross-sectional view showing the insertion portion cut along the line V-V in FIG.
  • FIG. 8 is a cross-sectional view showing the inside of the rotary drive section cut along the line VI-VI in FIG.
  • FIG. 9 is a perspective view showing the first and second conductive panels.
  • FIG. 10 is a cross-sectional view showing a distal end portion of an insertion portion of a rotary self-propelled endoscope according to a second embodiment of the present invention.
  • FIG. 11 is a cross-sectional view showing the middle part of the front holder in the rotary drive unit.
  • FIG. 12 is a perspective view showing the first and second conductive rollers.
  • FIG. 13 is a perspective view of the distal end portion of the insertion portion showing a modification of the rotating cylinder.
  • FIG. 14 is a partial cross-sectional view of the distal end portion of the insertion portion showing a modification.
  • FIG. 1 is a diagram showing a configuration of a rotary self-propelled endoscope device
  • FIG. 2 is a diagram showing a configuration of a distal end portion and a distal end side of an insertion portion in an insertion axis direction
  • FIG. 3 is a perspective view showing the entire insertion portion.
  • a rotary self-propelled endoscope apparatus 1 includes an elongated insertion portion 2 to be inserted into a body cavity, and a rotational force generating means provided on the proximal end side of the insertion portion 2 Rotation drive part 3 and operation part 4 which are the universal cable 5 extended from this operation part 4 force, universal connector 6 provided on the distal end side of this universal cable 5, and from this universal connector 6
  • the extended control cable 7, the control device 8 to which the control cable 7 is detachably attached, the foot switch 9 detachably connected to the control device 8, and the universal connector 6 are connected.
  • the insertion portion 2 is configured to include a distal end portion 11 and a rotating cylindrical body 12 that is a propulsion force generating means that is connected to the proximal end side of the distal end portion 11.
  • the configuration of the insertion portion 2 having the distal end portion 11 will be described in more detail with reference to FIG.
  • an objective optical system 21 is disposed on the distal end surface of the distal end portion 11.
  • An image pickup unit 22 which is an image pickup unit composed of, for example, a CCD, a CMOS, or the like is disposed on the image forming surface of the objective optical system 21.
  • the distal end surface of the distal end portion 11 is an illumination light source for illuminating a subject to be imaged by the objective optical system 21 and the image sensor 22, and is provided with an LED 23 that is an electrical component.
  • a signal line 22 a extending from the image sensor 22 and a signal line 23 a serving as a power line extending from the LED 23 are combined together in the middle and extended to the base end side as a signal cable 26.
  • the tip surface of the tip portion 11 is supplied with water for cleaning the objective optical system 21, and is supplied with air for wiping off water droplets adhering to the objective optical system 21.
  • Air supply nozzle 24a is provided.
  • the air / water supply nozzle 24a is connected to an air / water supply tube 24 which is a fluid line, and the air / water supply tube 24 is extended to the base end side.
  • an opening 25a of a channel 25 that is a fluid system conduit used for suction or the like is exposed on the distal end surface of the distal end portion 11, and the channel 25 is extended to the proximal end side.
  • a rigid member for abutting the distal end side of the rotating cylinder 12 is provided on the proximal end side of the distal end portion 11, for example, an abutting portion 11a which is a metal thrust receiving portion.
  • the entire insertion portion 2 including the distal end portion 11 advances in the depth direction of the body cavity by contacting the distal end portion of the rotating cylindrical body 12 where the propulsive force is generated against the abutting portion 11a.
  • a ground wire l ib that is a ground wire is connected to the base end of the abutting portion 11a, and this ground wire 1 lb extends to the base end side.
  • the rotating cylinder 12 has excellent panel characteristics and improves rotation transmission, so that the metal strand is wound in a spiral shape, and a spiral convex portion (or alternatively on the outer peripheral surface).
  • the rotating cylinder 12 is a spiral tube that allows for insertion into a body cavity.
  • the rotating cylinder 12 is made of stainless steel and spirally wound in a single layer with a predetermined diameter. It is formed so as to have flexibility.
  • the metal wire may be wound in multiple lines (for example, 2, 3, 4, etc.), not limited to one layer.
  • the rotating cylinder 12 has a metal wire spirally wound. As you go, you can increase the degree of adhesion between the metal strands and set various spiral angles.
  • the rotary cylinder 12 is configured to be rotatable around an axis in the insertion direction. Then, when the rotating cylinder 12 rotates, the spiral-shaped portion on the outer peripheral surface comes into contact with the body cavity inner wall of the subject to generate thrust, and the rotating cylinder 12 itself tends to advance in the insertion direction. At this time, the distal end portion of the rotating cylinder 12 abuts against the abutting portion 11a and presses the distal end portion 11, and the entire insertion portion 2 including the distal end portion 11 advances toward the deep portion in the body cavity. Propulsive force to be applied.
  • the rotating cylinder 12 has a base 12a at the tip. Between the base 12a and the abutting portion 1 lb, a first conduction panel 18a which is a contact portion described later is interposed.
  • a flexible tube 27 made of a non-metallic material such as synthetic resin is disposed on the inner peripheral surface side of the rotating cylinder 12.
  • the tube 27 is configured such that the air / water supply tube 24, the channel 25, the signal cable 26, and the ground wire l ib are passed through and protected inside, and on the outer peripheral surface side thereof.
  • the rotation of the rotating cylinder 12 is not hindered.
  • the tube 27 has a distal end portion connected to the base end of the abutting portion 11a, and a fixed tube 17 that is a rigid fixing portion is connected to the base end portion.
  • the tube 27 includes an air / water supply tube 24, a channel 25, and a signal cable that remove the ground wire ib from the fixed tube 17 that is connected to the base end whose longitudinal length is longer than that of the rotating cylinder 12. Bull 26 extends.
  • the air / water supply tube 24, the channel 25 and the signal cable 26 passed through the insertion section 2 are passed through the rotary drive section 3 and then externally again from the rotary drive section 3 (see FIG. 1). It is extended to.
  • An air / water connection 24b is provided at the end of the air / water supply tube 24, a suction connection 25b is provided at the end of the channel 25, and a signal connection 26b is provided at the end of the signal cable 26. These are connected to a connection portion 31 (see FIG. 1) provided on the side surface of the operation portion 4.
  • the insertion portion 2 is connected to a rotation transmission portion 14 provided in the rotation drive portion 3, and this connection causes the inside of the rotation drive portion 3.
  • the driving force of a motor provided later is transmitted to the rotating cylinder 12 so that the rotating cylinder 12 is rotated.
  • the rotation transmitting unit 14 is connected to the front retaining member 13 as described later.
  • the insertion portion 2 is detachable by screwing.
  • the operation unit 4 is provided with a grip part 4a for gripping by hand, and an air supply / water supply button 4b for operating air supply and water supply via the air supply / water supply tube 24, and Various operation buttons are provided, such as the arch I button 4c for operating the arch I through channel 25.
  • an air / water supply line connected to the air / water supply tube 24, a suction line connected to the channel 25, or a signal cable 26 is connected.
  • Signal wires, grounding aluminum sheaths, etc. are provided.
  • the universal connector 6 provided on the distal end side of the universal cable 5 receives the image signal from the connection part to the air supply device, the connection part to the water supply tank, the connection part to the suction pump, and the image sensor 22.
  • a connection portion to the connection terminal portion 10c of the patient monitor device 10 having a video processor for processing is provided.
  • control cable 7 extending from the universal connector 6, a signal line to the rotation drive unit 3 and a signal line to the LED 23 arranged in the distal end part 11 are arranged.
  • the control device 8 to which the control cable 7 is connected is for controlling a motor disposed in the rotation drive unit 3 or for controlling the light emission state of the LED 23.
  • a power switch and various volume dials are provided.
  • the foot switch 9 is for controlling the motor of the rotation drive unit 3. However, this foot switch 9 may be used to control the light emission state of the LED 23.
  • the patient monitor device 10 includes a monitor unit 10a that displays an endoscopic image, a display unit 10b that displays a patient's heart rate, blood pressure, and the like in a waveform or numerical value, and the connection terminal unit 10c described above.
  • the rotating self-propelled endoscope apparatus 1 can be grounded from the casing by a current caused by a short circuit of various electrical devices.
  • the switch 9 constitutes a fluid supply device.
  • the supply device may include an air supply device, a water supply tank, a suction pump, and the like, and may further include a patient monitor device 10. Therefore, the rotary self-propelled endoscope device 1 includes at least a part of the fluid supply device and the insertion portion 2.
  • leg portions 15 that are used when the rotation drive unit 3 is placed are provided on the lower surface of the rotation drive unit 3.
  • FIG. 4 is a cross-sectional view showing the inside of the rotation drive unit 3.
  • the rotation driving unit 3 includes a case 3a that forms an exterior.
  • this case 3a two holes are provided at the front and rear (the direction in which the insertion portion 2 extends is the front) so that the insertion portion 2 can be inserted.
  • a substantially cylindrical front holder 33 having an outward flange formed in the middle is disposed in the hole on the front side of the case 3a.
  • the front holder 33 is inserted into the hole until the outward flange comes into contact with the inner surface near the hole on the front side of the case 3a, and the portion protruding forward from the case 3a is screwed with the front holder retaining ring 35. Therefore, it is fixed to case 3a.
  • a substantially cylindrical rear holder 34 having an outward flange formed at one end is disposed in the hole on the rear side of the case 3a.
  • the rear holder 34 is inserted into the hole until the outward flange comes into contact with the inner surface near the hole on the rear side of the case 3a, and the portion protruding rearward from the case 3a is screwed with the rear holder retaining ring 36. Therefore, it is fixed to case 3a.
  • Each of these holders 33 and 34 is formed with a total of three peripheral grooves, one at a position where it abuts against the inner peripheral surface of each hole of the case 3a and two on the inner peripheral surface in the vicinity thereof.
  • waterproof O-rings 33a and 34a are provided in each circumferential groove.
  • a rotating pipe 37 is passed through the holders 33 and 34.
  • the rotary pipe 37 is pivotally held by two bearings 39 provided on a frame 38 that fixes the front holder 33, and the opening force of the front holder 33 projects forward.
  • a second conduction panel 18b which is a contact portion described later, is interposed between the rotary pipe 37 and the front holder 33.
  • a fixed pipe 47 having a rear end 48 connected as a connecting means at the rear end is threaded inside the rotating pipe 37.
  • the rear cap 48 is formed with a hole through which the fixed tube 17 connected to the tube 27 of the insertion portion 2 is inserted in the central axis. Further, a screw 50 to be engaged with a notch 34b forming a space formed in the rear holder 34 is screwed to the rear base 48 from the outer peripheral direction.
  • the screw 50 is formed with a hole through which the screw 51 passes through the central axis.
  • the screw 51 is screwed to the rear cap 48 and also presses and fixes the fixed tube 17 inserted through the rear cap 48 at the end face.
  • a substantially annular rear slip-off preventing member 49 is screwed to the rear end portion of the rear holder 34 so as to cover the cut end of the notch 34b.
  • the rear base 48, the fixed tube 17 and the tube 27 are configured as described above, so that rotation around the axis is restricted. At the same time, it can easily move back and forth in the axial direction. That is, the screw 50 to be screwed to the rear cap 48 connects a direction perpendicular to the axial direction in the space formed by the notch 34b of the rear holder 34 and the rear removal prevention member 49 (the front and rear of the rotation drive unit 3). The rotation around the axial direction (that is, the insertion axis direction of the insertion portion 2) is restricted, and it can be moved back and forth of the rotation drive portion 3.
  • the tube 27 is restricted from rotating around the axis without following the rotation of the rotating cylinder 12.
  • the air / water tube 24, the channel 25, the signal cable 26, and the ground wire l ib inserted through the tube 27 are prevented from being damaged by twisting.
  • the rotation transmitting portion 14 is fixed to a portion protruding forward by a screw 14b. As a result, the rotation transmission unit 14 rotates together with the rotary pipe 37.
  • the rotation transmitting portion 14 is formed with an engaging groove 14a along the axial direction from the end force on the front side.
  • a front cap 16 of the insertion portion 2 is engaged with the rotation transmitting portion 14, and the insertion portion 2 is connected by screwing the front retaining member 13 into place. At this time, the engaging projection 16a formed on the front cap 16 is
  • the engagement convex portion 16a of the front cap 16 has a side surface with respect to the axial direction of the rotation transmitting portion 1
  • the rotational force of the rotation transmitting unit 14 is reliably transmitted to the front cap 16.
  • the rotational force of the rotation transmitting portion 14 is reliably transmitted to the rotating cylinder 12 of the insertion portion 2 via the front cap 16.
  • the fixed pipe 47 whose rotation is restricted has a tip portion protruding forward to the rotation transmitting portion 14, and a sliding ring 47a is disposed on the tip surface.
  • the sliding ring 47a is a member for reducing frictional resistance due to contact with the base end surface of the front cap 16 on which the front end surface of the fixed pipe 47 rotates.
  • the rotation drive unit 3 of the present embodiment is provided with a protective device grounding unit (housing ground) (not shown). Further, the ground wire l ib passing through the tube 27 of the insertion portion 2 is electrically connected to the fixed tube 17. This ground wire l ib is connected to the above-mentioned housing ground (not shown) via the fixed tube 17, the rear cap 48, the rear holder 34, the case 3a, etc. in a state where the insertion portion 2 is assembled to the rotation drive portion 3. Electrically connected).
  • the rotating cylinder 12 is electrically connected to the metal base front cap 16, the rotation transmitting portion 14, and the rotating pipe 37 at the base end, and the second conductive panel 18b and the front holder are described later. 33, electrically connected to the above-mentioned chassis ground (not shown) via the case 3a.
  • the housing ground of the rotary drive unit 3 is provided with an aluminum sheath 5a disposed in the universal cable 5, and a universal connector 6 connected to the aluminum sheath 5a.
  • the image sensor 22 of the distal end portion 11 provided in the patient monitor device 10 and the electric circuit 10A for supplying driving power to the LED 23 are electrically connected to the outside.
  • the distal end portion 11, the rotation driving portion 3, the universal cable 5, and the electric circuit 10A are in an electrically connected state and are at the same potential. This electric potential is grounded via the housing of the patient monitor device 10.
  • the casing ground of the rotation driving unit 3 is not directly connected to the outside via the casing of the patient monitor device 10 but directly via the casing 10 of the patient monitor device 10. It may be configured to be grounded. In this state, the tip 11, the rotation drive unit 3, the universal cable 5, and the patient monitor device 10 have the same potential and are grounded.
  • 5 is a block diagram showing an electrical connection state of each part of the rotary self-propelled endoscope 1.
  • FIG. 6 is an electrical diagram of each part of the rotary self-propelled endoscope 1 showing a modification of FIG.
  • FIG. 11 is a block diagram showing a proper connection state.
  • FIG. 7 is a cross-sectional view showing the insertion portion 2 cut along the line V-V in FIG. 2
  • FIG. 8 is a cross-sectional view showing the inside of the rotary drive portion 3 cut along the line VI-VI in FIG.
  • FIG. 9 is a perspective view showing the first and second contact portions.
  • a plurality of the abutting portions 11a of the distal end portion 11 are provided on the outer peripheral surface of the proximal end portion, and in the present embodiment, the three first conduction panels 18a that are contact portions are substantially provided. Welded at equal intervals.
  • a plurality of rotating pipes 37 are provided on the outer peripheral surface of the rotating pipe 37 at a position where the rotating pipe 37 is overlapped with the front holder 33, and in this embodiment, three second conductive panels which are contact portions. 18b are welded at substantially equal intervals.
  • These conductive panels 18a and 18b are formed of a metal plate or the like, and are abutting portions llb or a welding portion 18A welded to the rotating pipe 37, and a base disposed at the tip of the rotating cylinder 12. 12a, or a plate panel member having an arc portion 18B which is a pressing portion having a substantially semicircular cross section so as to contact the front holder 33.
  • the arc portion 18B is set so as to always contact the inner peripheral surface of the base 12a or the front holder 33 between the abutting portion l lb or the rotary pipe 37 and the base 12a or the front holder 33. It is. Specifically, the conduction panels 18a and 18b are such that the circular arc part 18B is elastically deformed more than the gap in the gap formed by the abutting part l lb or the rotary knob 37 and the base 12a or the front holder 33. A large semi-circular shape is set, and the inner surface of the base 12a or the front holder 33 is always pressed and contacted! Speak.
  • the abutting portion 11a of the distal end portion 11 and the rotary cylinder 12 are electrically connected via the base 12a and the first conductive panel 18a (see FIG. 2). . Therefore, even if the rotating cylindrical body 12 generates static electricity due to friction with the body cavity wall and the tube 27 of the insertion portion 2 due to its rotation, the rotating cylindrical body 12 does not charge and is struck through the base 12a and the first conductive panel 18a. Static electricity flows through section 11a. And then. This static electricity travels along the ground wire l ib connected to the abutting portion 11a and is dropped to the housing ground in the rotation drive unit 3. Since the ground wire l ib is connected to the fixed tube 17 (see FIG. 3) as described above, static electricity is dropped to the chassis ground via the rear cap 48, the rear holder 34, the case 3a, and the like. It is.
  • the rotary pipe 37 and the front holder 33 are electrically connected via the second conductive panel 18b. Therefore, the rotating cylinder 12 is not charged even when static electricity is generated as described above, and the front holder 33 is not charged through the front cap 16, the rotation transmitting portion 14, the rotating pipe 37, and the second conductive panel 18a. Static electricity flows through And then. This static electricity is dropped from the front holder 33 to the housing ground in the rotary drive unit 3 through the case 3a and the like.
  • the static electricity dropped on the casing ground of the rotary drive unit 3 as described above passes through the aluminum sheath 5a of the universal cable 5 and the universal connector 6 as shown in FIG. 5 or FIG.
  • the patient monitor device 10 is grounded to the outside. That is, the rotating cylinder 12 is maintained in an electrical connection state with the abutting portion l la of the tip end portion 11 and the rotating pipe 37 of the rotation driving portion 3.
  • the static electricity generated in the rotating cylinder 12 is dropped by the conductive panels 18a and 18b to the casing ground of the rotary drive unit 3 via the abutting portion lla and the ground wire llb or the rotating pipe 37.
  • the patient monitor device 10 is grounded to the outside through the aluminum sheath 5a of the universal cable 5 and the universal connector 6.
  • the rotary self-propelled endoscope apparatus 1 has a configuration in which, even if static electricity is generated in the rotating cylinder 12, the static electricity is prevented from being charged in the rotating cylinder 12. It has become. Therefore, the rotating cylinder 12 loses its ability to rotate without adsorbing dust in the treatment room. It is prevented.
  • the rotating self-propelled endoscope device 1 discharges static electricity from the rotating cylinder 12 to the tip portion 11 and causes electric interference to the image pickup device 22 and the LED 23 which are electrical devices in the tip portion 11. This prevents the generation of noise in the endoscopic image due to static electricity.
  • FIG. 10 is a cross-sectional view showing the distal end portion of the insertion portion 2
  • FIG. 11 is a cross-sectional view showing the middle portion of the front holder in the rotation drive portion
  • FIG. 12 is a perspective view showing the first and second conductive rollers.
  • the rotary self-propelled endoscope apparatus 1 of the present embodiment is replaced with the first and second conductive panels 18a and 18b of the first embodiment.
  • the first and second conductive rollers 19a and 19b which are roller members serving as contact portions, are provided.
  • the first and second conductive rollers 19a and 19b are formed of a welded portion 19A in which a metal wire is formed in a substantially U shape, and a metallic property through which the welded portion 19A is inserted. And a rotatable roller body 19B.
  • the welding portion 19A is welded to the abutting portion l lb or the rotating pipe 37.
  • the first and second conductive rollers 19a and 19b are configured such that the roller body 19B always contacts the base 12a or the inner peripheral surface of the front holder 33. Therefore, even if the rotating pipe 37 and the rotating cylinder 12 are rotated, the roller body 19B contacts the base 12a or the inner peripheral surface of the front holder 33 while rotating.
  • the rotary self-propelled endoscope apparatus 1 of the present embodiment rotates by providing the first and second conductive rollers 19a and 19b in addition to the effects of the first embodiment.
  • the pipe 37 and the rotating cylinder 12 can be smoothly rotated.
  • the rotary self-propelled endoscope device 1 in the first and second embodiments has the second conduction panel 18b or the second conduction panel which is a contact portion provided in the rotation drive unit 3.
  • the roller 19b may not be provided, and the bearing 39 for rotating and holding the rotating pipe 37 may be made of metal so that the casing ground and the rotating cylinder 12 are electrically connected to each other.
  • the rotary cylinder 12 is formed of a non-conductive material, it is preferable to use a conductive member as a part thereof in order to prevent electrostatic charging. For example, as shown in FIG.
  • the rotating cylindrical body 12 of the insertion portion 2 has a spiral-shaped portion formed on the outer periphery, and a convex portion 12b that also serves as a metal member is spirally spaced at a predetermined interval.
  • the projecting portion 12b has a configuration in which the front end is electrically connected to the base 12a and the base end is electrically connected to the front base 16 (not shown in FIG. 13).
  • a conductive substance 20 such as grease is applied between the base 12a and the abutting portion 11a of the rotating cylinder 12 at the distal end portion of the insertion portion 2.
  • the conductive material 20 may be applied to the outer peripheral surface of the rotary pipe 37 in the rotary drive unit 3 so that the rotary cylinder 12 can maintain continuity to the housing ground.

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Abstract

A rotary self-traveling endoscope instrument, comprising a long insertion part (2) having an electric element (22) and an electric part (23) and a tip part (11) to which a ground cable (11b) is connected, a tubular driving force generating means (12) having the outer surface of the insertion part at least formed of a conductive member and rotatable about the axis of the insertion part, a first contact part (18a) disposed at the base end portion of the tip part and formed of a conductive member electrically conducting the tip part to the driving force generating means, a rotating force generating means (3) connected to the insertion part, incorporating various types of electrical devices and a casing earth, and rotating the driving force generating means, and a second contact part (18b) disposed in the rotating force generating means and formed of a conductive material electrically conducting the rotating force generating means to the driving force generating means.

Description

明 細 書  Specification
回転自走式内視鏡装置  Rotating self-propelled endoscope device
技術分野  Technical field
[0001] 本発明は、回転筒体の回転により体腔内を自走する回転自走式内視鏡装置に関 する。  The present invention relates to a rotating self-propelled endoscope apparatus that self-propels in a body cavity by rotation of a rotating cylinder.
背景技術  Background art
[0002] 周知のように、内視鏡は、医療や工業等の各種分野において、管内等の直接目視 することができない部位を観察する目的で広く用いられており、一般に、被検部位へ 挿入する細長の挿入部を備えて構成されて 、る。  [0002] As is well known, endoscopes are widely used in various fields such as medical care and industry for the purpose of observing a site that cannot be directly visually observed, such as in a tube, and are generally inserted into a test site. It is configured with an elongated insertion portion.
[0003] このような内視鏡には、種々多様な構造のものが知られている。一例を挙げると、経 肛門により大腸内へ挿入部の挿入を行う内視鏡において、挿入部の外周に、螺旋形 状部を備えた軸周りに回動自在な回転筒体を設け、該回転筒体をモータ等で回転さ せることにより、螺旋形状部と腸壁との間に発生する摩擦を利用して、大腸内への挿 入部の挿入を、ねじ作用により自動的に行うことができる回転自走式内視鏡装置が 知られている。  [0003] Various types of endoscopes are known as such endoscopes. For example, in an endoscope in which the insertion part is inserted into the large intestine by the transanus, a rotating cylindrical body that is rotatable around an axis having a spiral part is provided on the outer periphery of the insertion part, and the rotation is performed. By rotating the cylinder with a motor or the like, the insertion of the insertion portion into the large intestine can be automatically performed by the screw action using the friction generated between the spiral-shaped portion and the intestinal wall. A rotating self-propelled endoscope device is known.
このように、回転部材と体腔内の組織との摩擦を利用して、内視鏡等の医療用具を 体腔内に挿入して ヽく技術は、例えば特開平 10— 113396号公報に開示されて ヽ る。  As described above, a technique for inserting a medical device such as an endoscope into a body cavity using friction between the rotating member and tissue in the body cavity is disclosed in, for example, Japanese Patent Laid-Open No. 10-113396.ヽ.
[0004] このような内視鏡には種々のタイプのものがあるが、一例を挙げれば、経肛門により 大腸内へ挿入を行うようになされた内視鏡において、挿入部の外周側に、軸周りに 回動可能な可撓性を有する回転筒体を設けて、該回転筒体を回転させることにより、 体腔内への挿入を自動的に行うことができるようにした回転自走式内視鏡がある。  [0004] There are various types of such endoscopes. For example, in an endoscope that is designed to be inserted into the large intestine by the transanus, on the outer peripheral side of the insertion portion, A rotating self-propelled interior that is provided with a flexible rotating cylinder that can rotate around an axis, and that can be automatically inserted into a body cavity by rotating the rotating cylinder. There is a scope.
[0005] この回転自走式内視鏡は、推進力発生手段である回転筒体を所定の軸回りに回 転させるための上述のモータ等の電気機器が内蔵され、挿入部に連結される回転装 置を有している。また、回転自走式内視鏡の先端部には、体腔内の画像を撮影する ための撮像装置、自然光の入らな 、体腔内への照明装置が内蔵されて 、る。  [0005] This rotary self-propelled endoscope incorporates an electric device such as the above-described motor for rotating a rotating cylinder as a propulsive force generating means around a predetermined axis, and is connected to an insertion portion. It has a rotating device. In addition, the distal end portion of the rotating self-propelled endoscope incorporates an imaging device for taking an image of the body cavity and a lighting device for the body cavity without natural light.
[0006] また、回転筒体は、体腔内に挿入するために長尺であり、その材質に回転伝達性 の良い金属が用いられる。この回転筒体は、可撓性を有する非金属製のチューブ体 が揷通され、このチューブ体の軸回りに回動自在となって 、る。 [0006] In addition, the rotating cylindrical body is long for insertion into a body cavity, and its material has a rotational transmission property. Good metal is used. The rotating cylinder is passed through a flexible non-metallic tube, and is rotatable about the axis of the tube.
[0007] この回転筒体には、回転により体腔壁及びチューブ体との摩擦により静電気が発 生する虞がある。この静電気は、回転筒体に帯電し、施術室内のゴミなどを回転筒体 に吸着させることが考えられる。そのため、回転筒体は、ゴミなどの付着により回転性 が損なわれる可能性がある。また、回転筒体から先端部に静電気が放電して、先端 部内の電気機器である撮像素子及び照明装置に電気的な干渉を与え、特に、内視 鏡画像にノイズを発生する可能性もある。  [0007] In this rotating cylinder, there is a possibility that static electricity is generated due to friction between the body cavity wall and the tube body by rotation. This static electricity can be charged in the rotating cylinder, causing dust in the treatment room to be attracted to the rotating cylinder. For this reason, the rotation of the rotating cylinder may be impaired due to adhesion of dust or the like. In addition, static electricity may discharge from the rotating cylinder to the tip, causing electrical interference to the imaging device and lighting device, which are electrical equipment in the tip, and in particular, noise may be generated in the endoscopic image. .
[0008] そこで、本発明は上記事情に鑑みてなされたものであり、回転する推進力発生手段 である回転筒体の回動を阻害することなぐ先端部内の各種電気機器の動作に電気 的な干渉を与えることのない回転自走式内視鏡装置の提供を目的とする。  [0008] Therefore, the present invention has been made in view of the above circumstances, and is electrically responsive to the operation of various electrical devices in the distal end without hindering the rotation of the rotating cylinder, which is a rotating thrust generating means. It aims at providing the rotation self-propelled endoscope apparatus which does not give interference.
発明の開示  Disclosure of the invention
課題を解決するための手段  Means for solving the problem
[0009] 本発明の回転自走式内視鏡装置は、電気素子及び電気部品を備え、接地線が接 続された先端部を有する長尺な挿入部と、該揷入部の外表面を形成し、少なくとも該 外表面が導電性部材により形成され、前記挿入部に対して軸回りに回動自在な管状 の推進力発生手段と、前記先端部の基端部分に配設され、前記先端部と前記推進 力発生手段とを電気的に導通させる導電性部材からなる第 1の接触部と、前記挿入 部と連結され、各種電気装置及び筐体アースを内蔵し、前記推進力発生手段を回 動させる回動力発生手段と、該回動力発生手段内に配設され、前記回動力発生手 段と前記推進力発生手段とを電気的に導通させる導電性部材からなる第 2の接触部 と、を具備する。 [0009] The rotary self-propelled endoscope apparatus of the present invention includes an electrical element and an electrical component, and forms a long insertion portion having a distal end portion to which a ground wire is connected and an outer surface of the insertion portion. And at least the outer surface is formed of a conductive member, and is disposed at a proximal end portion of the distal end portion, and is provided with a tubular propulsion force generating means rotatable around an axis with respect to the insertion portion, A first contact portion made of a conductive member that electrically connects the propulsive force generating means and the insertion portion, and incorporates various electric devices and a housing ground, and rotates the propulsive force generating means. A rotating power generating means to be moved, and a second contact portion made of a conductive member disposed in the rotating power generating means and electrically conducting the rotating power generating means and the propulsive force generating means; It comprises.
図面の簡単な説明  Brief Description of Drawings
[0010] [図 1]本発明に係る第 1の実施の形態の回転自走式内視鏡の構成を示す図である。  FIG. 1 is a diagram showing a configuration of a rotary self-propelled endoscope according to a first embodiment of the present invention.
[図 2]同、先端部及び挿入部先端側の構成を示す挿入軸方向に沿った部分断面図 である。  FIG. 2 is a partial cross-sectional view along the insertion axis direction showing the configuration of the distal end portion and the distal end side of the insertion portion.
[図 3]同、挿入部の全体を示す斜視図である。  FIG. 3 is a perspective view showing the entire insertion portion.
[図 4]同、回転駆動部の内部を示す断面図である。 [図 5]同、回転自走式内視鏡の各部の電気的な接続状態を示すブロック図である。 FIG. 4 is a cross-sectional view showing the inside of the rotation drive unit. FIG. 5 is a block diagram showing an electrical connection state of each part of the rotary self-propelled endoscope.
[図 6]同、図 5の変形例を示す回転自走式内視鏡の各部の電気的な接続状態を示す ブロック図である。  6 is a block diagram showing an electrical connection state of each part of the rotary self-propelled endoscope showing a modification of FIG. 5. FIG.
[図 7]同、図 2の V—V線に沿って切断した挿入部を示す断面図である。  7 is a cross-sectional view showing the insertion portion cut along the line V-V in FIG.
[図 8]同、図 4の VI— VI線に沿って切断した回転駆動部内を示す断面図である。  8 is a cross-sectional view showing the inside of the rotary drive section cut along the line VI-VI in FIG.
[図 9]同、第 1、第 2の導電パネを示す斜視図である。  FIG. 9 is a perspective view showing the first and second conductive panels.
[図 10]本発明に係る第 2の実施の形態の回転自走式内視鏡の挿入部の先端部分を 示す断面図である。  FIG. 10 is a cross-sectional view showing a distal end portion of an insertion portion of a rotary self-propelled endoscope according to a second embodiment of the present invention.
[図 11]同、回転駆動部内の前ホルダの中途部分を示す断面図である。  FIG. 11 is a cross-sectional view showing the middle part of the front holder in the rotary drive unit.
[図 12]同、第 1、第 2の導通ローラを示す斜視図である。  FIG. 12 is a perspective view showing the first and second conductive rollers.
[図 13]回転筒体の変形例を示す、挿入部の先端部分の斜視図である。  FIG. 13 is a perspective view of the distal end portion of the insertion portion showing a modification of the rotating cylinder.
[図 14]変形例を示す、挿入部先端部分の部分断面図である。  FIG. 14 is a partial cross-sectional view of the distal end portion of the insertion portion showing a modification.
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0011] 以下、図面を参照して本発明の実施の形態を説明する。  Hereinafter, embodiments of the present invention will be described with reference to the drawings.
図 1から図 3は本発明の実施の形態に係り、図 1は回転自走式内視鏡装置の構成 を示す図、図 2は先端部及び挿入部先端側の構成を示す挿入軸方向に沿った部分 断面図、図 3は挿入部の全体を示す斜視図である。  1 to 3 relate to an embodiment of the present invention, FIG. 1 is a diagram showing a configuration of a rotary self-propelled endoscope device, and FIG. 2 is a diagram showing a configuration of a distal end portion and a distal end side of an insertion portion in an insertion axis direction. FIG. 3 is a perspective view showing the entire insertion portion.
[0012] 図 1に示すように、回転自走式内視鏡装置 1は、体腔内に挿入される細長の挿入部 2と、この挿入部 2の基端側に設けられた回動力発生手段である回転駆動部 3及び 操作部 4と、この操作部 4力 延出されるユニバーサルケーブル 5と、このュ-バーサ ルケーブル 5の先端側に設けられたユニバーサルコネクタ 6と、このユニバーサルコ ネクタ 6から延出される制御用ケーブル 7と、この制御用ケーブル 7が例えば着脱自 在に接続される制御装置 8と、この制御装置 8に着脱自在に接続されるフットスィッチ 9と、ユニバーサルコネクタ 6が接続される患者モニタ装置 10と、を備えている。  As shown in FIG. 1, a rotary self-propelled endoscope apparatus 1 includes an elongated insertion portion 2 to be inserted into a body cavity, and a rotational force generating means provided on the proximal end side of the insertion portion 2 Rotation drive part 3 and operation part 4 which are the universal cable 5 extended from this operation part 4 force, universal connector 6 provided on the distal end side of this universal cable 5, and from this universal connector 6 The extended control cable 7, the control device 8 to which the control cable 7 is detachably attached, the foot switch 9 detachably connected to the control device 8, and the universal connector 6 are connected. A patient monitoring device 10.
[0013] 挿入部 2は、先端部 11と、この先端部 11の基端側に連設される推進力発生手段で ある回転筒体 12を有して構成されている。この先端部 11を備えた挿入部 2の構成に ついて、図 2を参照して、より詳細に説明する。  The insertion portion 2 is configured to include a distal end portion 11 and a rotating cylindrical body 12 that is a propulsion force generating means that is connected to the proximal end side of the distal end portion 11. The configuration of the insertion portion 2 having the distal end portion 11 will be described in more detail with reference to FIG.
[0014] 図 2に示すように、先端部 11の先端面には、対物光学系 21が配設されており、この 対物光学系 21の結像面に例えば CCD、 CMOS等で構成される撮像手段であり、電 気素子である撮像素子 22が配設されている。さらに、先端部 11の先端面には、対物 光学系 21及び撮像素子 22による撮影の対象となる被検体を照明するための照明用 光源であり、電気部品である LED23が設けられている。撮像素子 22から延出される 信号線 22aと、 LED23から延出される電力線たる信号線 23aとは、途中で一本にま とめられて、信号ケーブル 26として基端側へ延長されている。 As shown in FIG. 2, an objective optical system 21 is disposed on the distal end surface of the distal end portion 11. An image pickup unit 22 which is an image pickup unit composed of, for example, a CCD, a CMOS, or the like is disposed on the image forming surface of the objective optical system 21. Further, the distal end surface of the distal end portion 11 is an illumination light source for illuminating a subject to be imaged by the objective optical system 21 and the image sensor 22, and is provided with an LED 23 that is an electrical component. A signal line 22 a extending from the image sensor 22 and a signal line 23 a serving as a power line extending from the LED 23 are combined together in the middle and extended to the base end side as a signal cable 26.
[0015] また、先端部 11の先端面には、対物光学系 21を洗浄するための送水を行ったり、 該対物光学系 21に付着した水滴等を払拭する送気を行ったりするための送気送水 ノズル 24aが配設されている。この送気送水ノズル 24aは、流体系管路である送気送 水チューブ 24に接続されていて、該送気送水チューブ 24は基端側へ延長されてい る。 [0015] In addition, the tip surface of the tip portion 11 is supplied with water for cleaning the objective optical system 21, and is supplied with air for wiping off water droplets adhering to the objective optical system 21. Air supply nozzle 24a is provided. The air / water supply nozzle 24a is connected to an air / water supply tube 24 which is a fluid line, and the air / water supply tube 24 is extended to the base end side.
さらに、先端部 11の先端面には、例えば吸引等に用いられる流体系管路であるチ ヤンネル 25の開口 25aが露呈しており、このチャンネル 25は、基端側へ延長されて いる。  Further, an opening 25a of a channel 25 that is a fluid system conduit used for suction or the like is exposed on the distal end surface of the distal end portion 11, and the channel 25 is extended to the proximal end side.
[0016] また、先端部 11の基端側には、回転筒体 12の先端側を突き当てるための硬質な 部材、例えば、金属製の推進力受け部である突当部 11aが設けられている。すなわ ち、後述するように、突当部 11aに推進力が発生した回転筒体 12の先端部分が当接 することで、先端部 11を含めた挿入部 2全体が体腔の深部方向へ前進する。尚、突 当部 11aの基端には、接地線であるアース線 l ibが接続されており、このアース線 1 lbが基端側へ延出されている。  [0016] Further, a rigid member for abutting the distal end side of the rotating cylinder 12 is provided on the proximal end side of the distal end portion 11, for example, an abutting portion 11a which is a metal thrust receiving portion. Yes. That is, as will be described later, the entire insertion portion 2 including the distal end portion 11 advances in the depth direction of the body cavity by contacting the distal end portion of the rotating cylindrical body 12 where the propulsive force is generated against the abutting portion 11a. To do. A ground wire l ib that is a ground wire is connected to the base end of the abutting portion 11a, and this ground wire 1 lb extends to the base end side.
[0017] 回転筒体 12は、本実施の形態において、パネ特性に優れ、回転伝達性を向上す るため、金属素線を螺旋状に卷回し、その外周面に螺旋状凸部 (あるいは、螺旋状 凹部、さらにあるいは、螺旋に沿って連設されるように突設される凸部、など)となる螺 旋形状部が形成された部材である。  [0017] In the present embodiment, the rotating cylinder 12 has excellent panel characteristics and improves rotation transmission, so that the metal strand is wound in a spiral shape, and a spiral convex portion (or alternatively on the outer peripheral surface). A spiral-shaped concave portion, or a spiral-shaped portion that forms a convex portion protruding so as to be continuously provided along the spiral, or the like.
[0018] 詳しくは、回転筒体 12は、体腔内への挿通性を考慮した螺旋管であり、例えばステ ンレス製で所定の径寸法の金属素線を螺旋状に 1層に卷回して所定の可撓性を有 するように形成したものである。また、金属素線は、 1層に限ることなぐ多条 (例えば 2 条、 3条、 4条など)に巻いても良い。さら〖こ、回転筒体 12は、金属素線を螺旋状に卷 いていくときに、金属素線間の密着度を高めることができたり、螺旋の角度を種々設 定できたりする。 [0018] Specifically, the rotating cylinder 12 is a spiral tube that allows for insertion into a body cavity. For example, the rotating cylinder 12 is made of stainless steel and spirally wound in a single layer with a predetermined diameter. It is formed so as to have flexibility. In addition, the metal wire may be wound in multiple lines (for example, 2, 3, 4, etc.), not limited to one layer. Furthermore, the rotating cylinder 12 has a metal wire spirally wound. As you go, you can increase the degree of adhesion between the metal strands and set various spiral angles.
[0019] この回転筒体 12は、挿入方向の軸周りに回動可能となるように構成されている。そ して、この回転筒体 12が回転すると、外周面の螺旋形状部が被検体の体腔内壁と接 触して推力が発生し、該回転筒体 12自体が挿入方向へ進行しょうとする。このとき、 回転筒体 12の先端部が、前記突当部 11aに当接して先端部 11を押圧し、先端部 1 1を含めた挿入部 2全体が体腔内の深部に向カゝつて前進する推進力が付与される。  The rotary cylinder 12 is configured to be rotatable around an axis in the insertion direction. Then, when the rotating cylinder 12 rotates, the spiral-shaped portion on the outer peripheral surface comes into contact with the body cavity inner wall of the subject to generate thrust, and the rotating cylinder 12 itself tends to advance in the insertion direction. At this time, the distal end portion of the rotating cylinder 12 abuts against the abutting portion 11a and presses the distal end portion 11, and the entire insertion portion 2 including the distal end portion 11 advances toward the deep portion in the body cavity. Propulsive force to be applied.
[0020] また、この回転筒体 12は、先端部分に口金 12aを有している。口金 12aと突当部 1 lbとの間には、後述する接触部である第 1の導通パネ 18aが介装されている。  [0020] Further, the rotating cylinder 12 has a base 12a at the tip. Between the base 12a and the abutting portion 1 lb, a first conduction panel 18a which is a contact portion described later is interposed.
[0021] 回転筒体 12の内周面側には、非金属性の例えば、合成樹脂からなる可撓性を有 するチューブ 27が配設されている。このチューブ 27は、上述したような送気送水チュ ーブ 24、チャンネル 25、信号ケーブル 26及びアース線 l ibが内部に揷通されて保 護するようになっているとともに、その外周面側において回転筒体 12の回転を妨げる ことがないようになつている。また、チューブ 27は、先端部分が突当部 11aの基端と 連結されており、基端部分に硬質な固定部である固定管 17が連結されている。  [0021] On the inner peripheral surface side of the rotating cylinder 12, a flexible tube 27 made of a non-metallic material such as synthetic resin is disposed. The tube 27 is configured such that the air / water supply tube 24, the channel 25, the signal cable 26, and the ground wire l ib are passed through and protected inside, and on the outer peripheral surface side thereof. The rotation of the rotating cylinder 12 is not hindered. Further, the tube 27 has a distal end portion connected to the base end of the abutting portion 11a, and a fixed tube 17 that is a rigid fixing portion is connected to the base end portion.
[0022] チューブ 27は、長手方向の長さが回転筒体 12よりも長ぐ基端に連結された固定 管 17からアース線 l ibを除ぐ送気送水チューブ 24、チャンネル 25、及び信号ケー ブル 26が延出している。これら揷入部 2内に揷通されている送気送水チューブ 24、 チャンネル 25及び信号ケーブル 26は、回転駆動部 3内を揷通された後に、再びこの 回転駆動部 3 (図 1参照)から外部に延出される。  The tube 27 includes an air / water supply tube 24, a channel 25, and a signal cable that remove the ground wire ib from the fixed tube 17 that is connected to the base end whose longitudinal length is longer than that of the rotating cylinder 12. Bull 26 extends. The air / water supply tube 24, the channel 25 and the signal cable 26 passed through the insertion section 2 are passed through the rotary drive section 3 and then externally again from the rotary drive section 3 (see FIG. 1). It is extended to.
[0023] 送気送水チューブ 24の端部には送気送水接続部 24bが、チャンネル 25の端部に は吸引接続部 25bが、信号ケーブル 26の端部には信号接続部 26bが、それぞれ設 けられていて、これらは、操作部 4の側面に設けられた接続部 31 (図 1参照)に対して 接続されるようになっている。  [0023] An air / water connection 24b is provided at the end of the air / water supply tube 24, a suction connection 25b is provided at the end of the channel 25, and a signal connection 26b is provided at the end of the signal cable 26. These are connected to a connection portion 31 (see FIG. 1) provided on the side surface of the operation portion 4.
[0024] 再び、図 1の説明に戻って、挿入部 2は、回転駆動部 3に設けられた回動伝達部 14 に接続されるようになっていて、この接続により、回転駆動部 3内に設けられている後 述するモータの駆動力が回転筒体 12に伝達されて、該回転筒体 12の回転が行わ れるようになっている。尚、回動伝達部 14は、後述するように、前抜け止め部材 13と の螺合により、挿入部 2が着脱自在となっている。 Returning again to the description of FIG. 1, the insertion portion 2 is connected to a rotation transmission portion 14 provided in the rotation drive portion 3, and this connection causes the inside of the rotation drive portion 3. The driving force of a motor provided later is transmitted to the rotating cylinder 12 so that the rotating cylinder 12 is rotated. The rotation transmitting unit 14 is connected to the front retaining member 13 as described later. The insertion portion 2 is detachable by screwing.
[0025] 操作部 4には、手で把持するための把持部 4aが設けられており、さらに、送気送水 チューブ 24を介しての送気や送水を操作するための送気送水ボタン 4bや、チャンネ ル 25を介しての吸弓 Iを操作するための吸弓 Iボタン 4cなどの、各種の操作ボタンが設 けられている。 [0025] The operation unit 4 is provided with a grip part 4a for gripping by hand, and an air supply / water supply button 4b for operating air supply and water supply via the air supply / water supply tube 24, and Various operation buttons are provided, such as the arch I button 4c for operating the arch I through channel 25.
[0026] 操作部 4から延出されるユニバーサルケーブル 5内には、送気送水チューブ 24に 接続される送気送水管路、チャンネル 25に接続される吸引管路、或いは信号ケープ ル 26に接続される信号線、アース用のアルミシースなどが配設されて 、る。  [0026] In the universal cable 5 extended from the operation unit 4, an air / water supply line connected to the air / water supply tube 24, a suction line connected to the channel 25, or a signal cable 26 is connected. Signal wires, grounding aluminum sheaths, etc. are provided.
[0027] ユニバーサルケーブル 5の先端側に設けられたユニバーサルコネクタ 6は、送気装 置への接続部や、送水タンクへの接続部、吸引ポンプへの接続部、撮像素子 22から の画像信号を処理するためのビデオプロセッサを備えた患者モニタ装置 10の接続 端子部 10cへの接続部などを備えている。  [0027] The universal connector 6 provided on the distal end side of the universal cable 5 receives the image signal from the connection part to the air supply device, the connection part to the water supply tank, the connection part to the suction pump, and the image sensor 22. A connection portion to the connection terminal portion 10c of the patient monitor device 10 having a video processor for processing is provided.
このユニバーサルコネクタ 6から延出される制御用ケーブル 7内には、回転駆動部 3 への信号線と、先端部 11内に配設されている LED23への信号線と、が配設されて いる。  In the control cable 7 extending from the universal connector 6, a signal line to the rotation drive unit 3 and a signal line to the LED 23 arranged in the distal end part 11 are arranged.
[0028] 制御用ケーブル 7が接続される制御装置 8は、回転駆動部 3内に配設されているモ ータを制御したり、あるいは LED23の発光状態を制御したりするためのものであり、 電源スィッチや各種のボリュームダイアル等が設けられたものとなっている。  [0028] The control device 8 to which the control cable 7 is connected is for controlling a motor disposed in the rotation drive unit 3 or for controlling the light emission state of the LED 23. A power switch and various volume dials are provided.
[0029] フットスィッチ 9は、回転駆動部 3のモータを制御するためのものである。ただし、こ のフットスィッチ 9を、 LED23の発光状態を制御するのにも用い得るようにしても構わ ない。  The foot switch 9 is for controlling the motor of the rotation drive unit 3. However, this foot switch 9 may be used to control the light emission state of the LED 23.
[0030] 患者モニタ装置 10は、内視鏡画像を表示するモニタ部 10aと、患者の心拍数、血 圧などを波形、或いは数値表示する表示部 10bと、上述の接続端子部 10cを備えて おり、回転自走式内視鏡装置 1の各種電気機器の短絡などによる電流を筐体より接 地可能な構成となっている。  [0030] The patient monitor device 10 includes a monitor unit 10a that displays an endoscopic image, a display unit 10b that displays a patient's heart rate, blood pressure, and the like in a waveform or numerical value, and the connection terminal unit 10c described above. The rotating self-propelled endoscope apparatus 1 can be grounded from the casing by a current caused by a short circuit of various electrical devices.
[0031] なお、上述したような構成において、挿入部 2以外の部分、つまり、回転駆動部 3、 操作部 4、ユニバーサルケーブル 5、ユニバーサルコネクタ 6、制御用ケーブル 7、制 御装置 8、及びフットスィッチ 9は、流体供給装置を構成するものである。さら〖こ、流体 供給装置としては、送気装置、送水タンク、吸引ポンプなどを含んでも良いし、加えて 患者モニタ装置 10を含んでも構わない。従って、この回転自走式内視鏡装置 1は、 流体供給装置の少なくとも一部と、挿入部 2と、を含んで構成されている。 [0031] Note that, in the configuration as described above, portions other than the insertion portion 2, that is, the rotation drive portion 3, the operation portion 4, the universal cable 5, the universal connector 6, the control cable 7, the control device 8, and the foot The switch 9 constitutes a fluid supply device. Sarako, fluid The supply device may include an air supply device, a water supply tank, a suction pump, and the like, and may further include a patient monitor device 10. Therefore, the rotary self-propelled endoscope device 1 includes at least a part of the fluid supply device and the insertion portion 2.
また、回転駆動部 3の下面には、該回転駆動部 3を載置する際に用いる脚部 15が 複数設けられている。  In addition, a plurality of leg portions 15 that are used when the rotation drive unit 3 is placed are provided on the lower surface of the rotation drive unit 3.
[0032] 次に、図 4を参照して、着脱自在となって ヽる揷入部 2の基端部分が挿通して ヽる 状態の回転駆動部 3の内部構成について、詳しく説明する。尚、図 4は、回転駆動部 3の内部を示す断面図である。  Next, with reference to FIG. 4, the internal configuration of the rotation drive unit 3 in a state in which the base end portion of the insertion unit 2 that can be detached is inserted will be described in detail. FIG. 4 is a cross-sectional view showing the inside of the rotation drive unit 3.
[0033] 図 4に示すように、回転駆動部 3は、外装を形成するケース 3aを有して 、る。このケ ース 3aには、挿入部 2が挿通できるように、前後(挿入部 2が延出する方向を前方と する。 )に 2つの孔部が設けられている。  As shown in FIG. 4, the rotation driving unit 3 includes a case 3a that forms an exterior. In this case 3a, two holes are provided at the front and rear (the direction in which the insertion portion 2 extends is the front) so that the insertion portion 2 can be inserted.
[0034] このケース 3aの前方側の孔部には、中途に外向フランジが形成された略円筒状の 前ホルダ 33が配設されている。この前ホルダ 33は、外向フランジがケース 3aの前方 側の孔部近傍の内面と当接するまで前記孔部に挿通され、ケース 3aから前方側へ 突出した部分が前ホルダ止めリング 35との螺合により、ケース 3aに固定されている。  [0034] In the hole on the front side of the case 3a, a substantially cylindrical front holder 33 having an outward flange formed in the middle is disposed. The front holder 33 is inserted into the hole until the outward flange comes into contact with the inner surface near the hole on the front side of the case 3a, and the portion protruding forward from the case 3a is screwed with the front holder retaining ring 35. Therefore, it is fixed to case 3a.
[0035] また、ケース 3aの後方側の孔部には、一端に外向フランジが形成された略円筒状 の後ホルダ 34が配設されている。この後ホルダ 34は、外向フランジがケース 3aの後 方側の孔部近傍の内面と当接するまで前記孔部に挿通され、ケース 3aから後方へ 突出した部分が後ホルダ止めリング 36との螺合により、ケース 3aに固定されている。  [0035] Also, a substantially cylindrical rear holder 34 having an outward flange formed at one end is disposed in the hole on the rear side of the case 3a. The rear holder 34 is inserted into the hole until the outward flange comes into contact with the inner surface near the hole on the rear side of the case 3a, and the portion protruding rearward from the case 3a is screwed with the rear holder retaining ring 36. Therefore, it is fixed to case 3a.
[0036] これら各ホルダ 33, 34には、ケース 3aの各孔部の内周面と当接する箇所に 1つ、 及びその近傍の内周面に 2つの合計 3つの周溝が形成されており、各周溝に防水用 の Oリング 33a, 34aが配設されている。  [0036] Each of these holders 33 and 34 is formed with a total of three peripheral grooves, one at a position where it abuts against the inner peripheral surface of each hole of the case 3a and two on the inner peripheral surface in the vicinity thereof. In addition, waterproof O-rings 33a and 34a are provided in each circumferential groove.
[0037] これら各ホルダ 33, 34内には、各ホルダ 33, 34を掛け渡すように回転パイプ 37が 揷通されている。この回転パイプ 37は、前ホルダ 33を固定しているフレーム 38に設 けられる 2つのベアリング 39によって回動保持され、前ホルダ 33の開口部力も前方 へ突出している。また、回転パイプ 37と前ホルダ 33との間には、後述する接触部で ある第 2の導通パネ 18bが介装されて 、る。  [0037] In each of the holders 33 and 34, a rotating pipe 37 is passed through the holders 33 and 34. The rotary pipe 37 is pivotally held by two bearings 39 provided on a frame 38 that fixes the front holder 33, and the opening force of the front holder 33 projects forward. In addition, a second conduction panel 18b, which is a contact portion described later, is interposed between the rotary pipe 37 and the front holder 33.
[0038] 回転パイプ 37の基端側の中途 (ベアリング 39と後ホルダ 34の間)には、固定螺子 4 laによってパイプ側プーリ 41が固設されている。このパイプ側プーリ 41は、フレーム 38に設けられたモータ 45のモータ側プーリ 46の回動によりプーリベルト 42を介して 回動される。これにより、パイプ側プーリ 41が固設された回転パイプ 37は、パイプ側 プーリ 41の回動に伴って回動される。尚、回転駆動部 3のケース 3a内は、回転パイ プ 37の回動時でも、上述した各ホルダ 33, 34の内周面に配設された各 Oリング 33a , 34aにより、外部からの水密が保持されている。 [0038] In the middle of the proximal end of the rotary pipe 37 (between the bearing 39 and the rear holder 34), there is a fixing screw 4 The pipe side pulley 41 is fixed by la. The pipe-side pulley 41 is rotated via the pulley belt 42 by the rotation of the motor-side pulley 46 of the motor 45 provided on the frame 38. Thereby, the rotating pipe 37 to which the pipe-side pulley 41 is fixed is rotated as the pipe-side pulley 41 is rotated. Note that the inside of the case 3a of the rotation drive unit 3 is watertight from the outside by the O-rings 33a and 34a disposed on the inner peripheral surfaces of the holders 33 and 34, even when the rotary pipe 37 is rotated. Is held.
[0039] この回転パイプ 37内には、後端に連結手段である後口金 48が連結された固定パ ィプ 47が揷通している。後口金 48には、中心軸に揷入部 2のチューブ 27と連結され ている固定管 17を挿通する孔が形成されている。また、後口金 48には、後ホルダ 34 に形成された空間を形成する切り欠き 34bに係入される螺子 50が外周方向から螺着 されている。 [0039] Inside the rotating pipe 37, a fixed pipe 47 having a rear end 48 connected as a connecting means at the rear end is threaded. The rear cap 48 is formed with a hole through which the fixed tube 17 connected to the tube 27 of the insertion portion 2 is inserted in the central axis. Further, a screw 50 to be engaged with a notch 34b forming a space formed in the rear holder 34 is screwed to the rear base 48 from the outer peripheral direction.
[0040] 螺子 50には、中心軸にビス 51を揷通する孔が形成されている。このビス 51は、後 口金 48と螺着すると共に、後口金 48に挿通する固定管 17を端面で押圧固定してい る。また、後ホルダ 34の後端部分には、切り欠き 34bの切り口を覆うように、略円環状 の後抜け防止部材 49が螺着されて 、る。  [0040] The screw 50 is formed with a hole through which the screw 51 passes through the central axis. The screw 51 is screwed to the rear cap 48 and also presses and fixes the fixed tube 17 inserted through the rear cap 48 at the end face. Further, a substantially annular rear slip-off preventing member 49 is screwed to the rear end portion of the rear holder 34 so as to cover the cut end of the notch 34b.
[0041] 従って、体腔内の各屈曲部を通過する挿入部 2において、後口金 48、固定管 17及 びチューブ 27は、上述のような構成とすることで、軸回りの回転が規制されると共に、 軸方向の前後の移動が容易に可能となる。すなわち、後口金 48に螺着される螺子 5 0は、後ホルダ 34の切り欠き 34bと後抜け防止部材 49によって形成された空間内で 軸方向と直交する方向(回転駆動部 3の前後を結んだ軸方向、つまり挿入部 2の挿 入軸方向)回りの回転が規制されると共に、回転駆動部 3の前後に遊動可能となる。  [0041] Therefore, in the insertion portion 2 that passes through each bent portion in the body cavity, the rear base 48, the fixed tube 17 and the tube 27 are configured as described above, so that rotation around the axis is restricted. At the same time, it can easily move back and forth in the axial direction. That is, the screw 50 to be screwed to the rear cap 48 connects a direction perpendicular to the axial direction in the space formed by the notch 34b of the rear holder 34 and the rear removal prevention member 49 (the front and rear of the rotation drive unit 3). The rotation around the axial direction (that is, the insertion axis direction of the insertion portion 2) is restricted, and it can be moved back and forth of the rotation drive portion 3.
[0042] このような構成とすることで、チューブ 27は、回転筒体 12の回動に追従することなく 軸回りの回転が規制される。その結果、チューブ 27内部に挿通する送気送水チュー ブ 24、チャンネル 25、信号ケーブル 26及びアース線 l ibは、捩れによる損傷が防止 される。  With such a configuration, the tube 27 is restricted from rotating around the axis without following the rotation of the rotating cylinder 12. As a result, the air / water tube 24, the channel 25, the signal cable 26, and the ground wire l ib inserted through the tube 27 are prevented from being damaged by twisting.
[0043] また、送気送水チューブ 24、チャンネル 25及び信号ケーブル 26には、例えば、揷 入部 2の湾曲状態に応じて、チューブ 27が回転筒体 12に対して、挿入軸方向の前 後に動いた際に起こる牽引弛緩などの無理な負荷の発生が防止される。 [0044] 回転パイプ 37は、前方側へ突出している部分に回動伝達部 14が螺子 14bにより 固着されている。これにより、回動伝達部 14は、回転パイプ 37と共に回転する。この 回動伝達部 14には、前方側の端部力ゝら軸方向に沿った係合溝 14aが形成されて ヽ る。 [0043] Further, in the air / water supply tube 24, the channel 25, and the signal cable 26, for example, the tube 27 moves forward and backward in the insertion axis direction with respect to the rotating cylinder 12 in accordance with the curved state of the insertion portion 2. Generation of unreasonable loads such as traction / relaxation that occurs in the event of an accident is prevented. [0044] In the rotating pipe 37, the rotation transmitting portion 14 is fixed to a portion protruding forward by a screw 14b. As a result, the rotation transmission unit 14 rotates together with the rotary pipe 37. The rotation transmitting portion 14 is formed with an engaging groove 14a along the axial direction from the end force on the front side.
[0045] 回動伝達部 14には、挿入部 2の前口金 16が係合され、前抜け止め部材 13が螺着 することで挿入部 2が接続される。このとき、前口金 16に形成された係合凸部 16aは [0045] A front cap 16 of the insertion portion 2 is engaged with the rotation transmitting portion 14, and the insertion portion 2 is connected by screwing the front retaining member 13 into place. At this time, the engaging projection 16a formed on the front cap 16 is
、回動伝達部 14の係合溝 14aと係合する。これにより、回転パイプ 37の回転力は、 回動伝達部 14を介して、挿入部 2に確実に伝達される。 Then, it engages with the engaging groove 14a of the rotation transmitting portion 14. As a result, the rotational force of the rotary pipe 37 is reliably transmitted to the insertion portion 2 via the rotation transmission portion 14.
[0046] 詳しくは、前口金 16の係合凸部 16aは、その軸方向に対する側面が回動伝達部 1[0046] Specifically, the engagement convex portion 16a of the front cap 16 has a side surface with respect to the axial direction of the rotation transmitting portion 1
4の係合溝 14aの軸方向に対する側面と当接する。そのため、前口金 16は、回動伝 達部 14に対する軸方向の回動が規制される。 4 abuts against the side surface of the engagement groove 14a in the axial direction. For this reason, the front cap 16 is restricted from pivoting in the axial direction with respect to the pivot transfer portion 14.
従って、回動伝達部 14の回転力は、確実に前口金 16に伝達される。その結果、挿 入部 2の回転筒体 12は、前口金 16を介して、確実に回動伝達部 14の回転力が伝 達される。  Accordingly, the rotational force of the rotation transmitting unit 14 is reliably transmitted to the front cap 16. As a result, the rotational force of the rotation transmitting portion 14 is reliably transmitted to the rotating cylinder 12 of the insertion portion 2 via the front cap 16.
[0047] また、回転が規制されている固定パイプ 47は、その先端部分が回動伝達部 14まで 前方側へ突出しており、その先端面に摺動リング 47aが配設されている。この摺動リ ング 47aは、固定パイプ 47の先端面が回転する前口金 16の基端面との当接による 摩擦抵抗を軽減するための部材である。  [0047] Further, the fixed pipe 47 whose rotation is restricted has a tip portion protruding forward to the rotation transmitting portion 14, and a sliding ring 47a is disposed on the tip surface. The sliding ring 47a is a member for reducing frictional resistance due to contact with the base end surface of the front cap 16 on which the front end surface of the fixed pipe 47 rotates.
[0048] 尚、本実施の形態の回転駆動部 3には、図示しないが保護機器接地部(筐体ァー ス)が配設されている。また、挿入部 2のチューブ 27に揷通するアース線 l ibは、固 定管 17に電気的に接続されている。このアース線 l ibは、挿入部 2が回転駆動部 3 に組みつけられた状態において、固定管 17、後口金 48、後ホルダ 34、ケース 3aな どを介して、上述の筐体アース (不図示)と電気的に接続される。  [0048] It should be noted that the rotation drive unit 3 of the present embodiment is provided with a protective device grounding unit (housing ground) (not shown). Further, the ground wire l ib passing through the tube 27 of the insertion portion 2 is electrically connected to the fixed tube 17. This ground wire l ib is connected to the above-mentioned housing ground (not shown) via the fixed tube 17, the rear cap 48, the rear holder 34, the case 3a, etc. in a state where the insertion portion 2 is assembled to the rotation drive portion 3. Electrically connected).
[0049] また、回転筒体 12は、基端が金属性の前口金 16、回動伝達部 14、回転パイプ 37 と電気的に導通し、後述するように第 2の導通パネ 18b、前ホルダ 33、ケース 3aなど を介して、上述の筐体アース (不図示)と電気的に接続される。  [0049] The rotating cylinder 12 is electrically connected to the metal base front cap 16, the rotation transmitting portion 14, and the rotating pipe 37 at the base end, and the second conductive panel 18b and the front holder are described later. 33, electrically connected to the above-mentioned chassis ground (not shown) via the case 3a.
[0050] 尚、図 5に示すように、回転駆動部 3の筐体アースは、ユニバーサルケーブル 5に 配設されるアルミシース 5a、このアルミシース 5aに接続されたユニバーサルコネクタ 6 を介して、患者モニタ装置 10内に設けられる先端部 11の撮像素子 22、及び LED2 3に駆動電力を供給する電気回路 10Aと電気的に接続され、外部に接地される。 [0050] As shown in FIG. 5, the housing ground of the rotary drive unit 3 is provided with an aluminum sheath 5a disposed in the universal cable 5, and a universal connector 6 connected to the aluminum sheath 5a. Via, the image sensor 22 of the distal end portion 11 provided in the patient monitor device 10 and the electric circuit 10A for supplying driving power to the LED 23 are electrically connected to the outside.
[0051] すなわち、先端部 11、回転駆動部 3、ユニバーサルケーブル 5、及び電気回路 10 Aは、夫々が電気的に接続された状態となり、同電位となっている。そして、この電位 は、患者モニタ装置 10の筐体を介して接地されている。  That is, the distal end portion 11, the rotation driving portion 3, the universal cable 5, and the electric circuit 10A are in an electrically connected state and are at the same potential. This electric potential is grounded via the housing of the patient monitor device 10.
[0052] また、図 6に示すように、回転駆動部 3の筐体アースは、患者モニタ装置 10の電気 回路 10Aを介さず、直接的に患者モニタ装置 10の筐体を介して、外部に接地される 構成にしても良い。この状態では、先端部 11、回転駆動部 3、ユニバーサルケープ ル 5、及び患者モニタ装置 10の筐体が同電位となっており、接地されている。尚、図 5は、回転自走式内視鏡 1の各部の電気的な接続状態を示すブロック図、図 6は図 5 の変形例を示す回転自走式内視鏡 1の各部の電気的な接続状態を示すブロック図 である。  Further, as shown in FIG. 6, the casing ground of the rotation driving unit 3 is not directly connected to the outside via the casing of the patient monitor device 10 but directly via the casing 10 of the patient monitor device 10. It may be configured to be grounded. In this state, the tip 11, the rotation drive unit 3, the universal cable 5, and the patient monitor device 10 have the same potential and are grounded. 5 is a block diagram showing an electrical connection state of each part of the rotary self-propelled endoscope 1. FIG. 6 is an electrical diagram of each part of the rotary self-propelled endoscope 1 showing a modification of FIG. FIG. 11 is a block diagram showing a proper connection state.
[0053] 次に、図 7から図 9を参照して、先端部 11の突当部 11aに設けられる第 1の導通バ ネと、回転駆動部 3内の固定パイプに設けられる第 2の導通パネについて詳しく説明 する。尚、図 7は、図 2の V—V線に沿って切断した挿入部 2を示す断面図、図 8は図 4の VI— VI線に沿って切断した回転駆動部 3内を示す断面図、図 9は第 1、第 2の接 触部を示す斜視図である。  Next, referring to FIG. 7 to FIG. 9, the first conduction spring provided in the abutting portion 11a of the tip end portion 11 and the second conduction conduction provided in the fixed pipe in the rotation drive portion 3 Explain in detail about the panel. 7 is a cross-sectional view showing the insertion portion 2 cut along the line V-V in FIG. 2, and FIG. 8 is a cross-sectional view showing the inside of the rotary drive portion 3 cut along the line VI-VI in FIG. FIG. 9 is a perspective view showing the first and second contact portions.
[0054] 図 7に示すように、先端部 11の突当部 11aは、その基端部分の外周面に複数、本 実施の形態においては接触部である 3つの第 1の導通パネ 18aが略等間隔で溶着さ れている。また、図 6に示すように、回転パイプ 37は、前ホルダ 33とラップする位置に おいて、その部分の外周面に複数、本実施の形態においては接触部である 3つの第 2の導通パネ 18bが略等間隔で溶着されている。  As shown in FIG. 7, a plurality of the abutting portions 11a of the distal end portion 11 are provided on the outer peripheral surface of the proximal end portion, and in the present embodiment, the three first conduction panels 18a that are contact portions are substantially provided. Welded at equal intervals. In addition, as shown in FIG. 6, a plurality of rotating pipes 37 are provided on the outer peripheral surface of the rotating pipe 37 at a position where the rotating pipe 37 is overlapped with the front holder 33, and in this embodiment, three second conductive panels which are contact portions. 18b are welded at substantially equal intervals.
[0055] これら導通パネ 18a, 18bは、金属板などから形成され、突当部 l lb、或いは回転パ イブ 37に溶着される溶着部 18Aと、回転筒体 12の先端に配設される口金 12a、或い は前ホルダ 33に接触するように横断面が略半円状に形成された押圧部である円弧 部 18Bとを有する板パネ部材である。  [0055] These conductive panels 18a and 18b are formed of a metal plate or the like, and are abutting portions llb or a welding portion 18A welded to the rotating pipe 37, and a base disposed at the tip of the rotating cylinder 12. 12a, or a plate panel member having an arc portion 18B which is a pressing portion having a substantially semicircular cross section so as to contact the front holder 33.
[0056] 円弧部 18Bは、突当部 l lb、或いは回転パイプ 37と口金 12a、或いは前ホルダ 33 の間において、口金 12a、或いは前ホルダ 33の内周面に常に接触するように設定さ れている。詳しくは、導通パネ 18a, 18bは、円弧部 18Bが突当部 l lb、或いは回転 ノィプ 37と、口金 12a、或いは前ホルダ 33とによって形成される隙間において、この 隙間よりも弾性変形するような大きな略半円状が設定されており、口金 12a、或いは 前ホルダ 33の内周面を常に押圧して接触するように構成されて!ヽる。 [0056] The arc portion 18B is set so as to always contact the inner peripheral surface of the base 12a or the front holder 33 between the abutting portion l lb or the rotary pipe 37 and the base 12a or the front holder 33. It is. Specifically, the conduction panels 18a and 18b are such that the circular arc part 18B is elastically deformed more than the gap in the gap formed by the abutting part l lb or the rotary knob 37 and the base 12a or the front holder 33. A large semi-circular shape is set, and the inner surface of the base 12a or the front holder 33 is always pressed and contacted! Speak.
[0057] 従って、挿入部 2の先端部分においては、先端部 11の突当部 11aと回転筒体 12が 口金 12a及び第 1の導通パネ 18aを介して電気的に導通する(図 2参照)。従って、 回転筒体 12は、その回転により、体腔壁及び挿入部 2のチューブ 27との摩擦により 静電気が発生しても、帯電することなく口金 12a及び第 1の導通パネ 18aを介して突 当部 11aに静電気が流れる。そして。この静電気は、突当部 11aに接続されたアース 線 l ibを伝って、回転駆動部 3内の筐体アースに落とされる。尚、アース線 l ibは、 上述したように、固定管 17 (図 3参照)と接続されているため、静電気が後口金 48、 後ホルダ 34、ケース 3aなどを介して、筐体アースに落とされる。  Accordingly, at the distal end portion of the insertion portion 2, the abutting portion 11a of the distal end portion 11 and the rotary cylinder 12 are electrically connected via the base 12a and the first conductive panel 18a (see FIG. 2). . Therefore, even if the rotating cylindrical body 12 generates static electricity due to friction with the body cavity wall and the tube 27 of the insertion portion 2 due to its rotation, the rotating cylindrical body 12 does not charge and is struck through the base 12a and the first conductive panel 18a. Static electricity flows through section 11a. And then. This static electricity travels along the ground wire l ib connected to the abutting portion 11a and is dropped to the housing ground in the rotation drive unit 3. Since the ground wire l ib is connected to the fixed tube 17 (see FIG. 3) as described above, static electricity is dropped to the chassis ground via the rear cap 48, the rear holder 34, the case 3a, and the like. It is.
[0058] また、回転駆動部 3の内部においては、回転パイプ 37と前ホルダ 33が第 2の導通 パネ 18bを介して電気的に導通する。従って、回転筒体 12は、上述のように静電気 が発生しても、帯電することなく前口金 16、回動伝達部 14、回転パイプ 37、第 2の導 通パネ 18aを介して前ホルダ 33に静電気が流れる。そして。この静電気は、前ホルダ 33から、ケース 3aなどを介して回転駆動部 3内の筐体アースに落とされる。  [0058] In addition, in the rotation driving unit 3, the rotary pipe 37 and the front holder 33 are electrically connected via the second conductive panel 18b. Therefore, the rotating cylinder 12 is not charged even when static electricity is generated as described above, and the front holder 33 is not charged through the front cap 16, the rotation transmitting portion 14, the rotating pipe 37, and the second conductive panel 18a. Static electricity flows through And then. This static electricity is dropped from the front holder 33 to the housing ground in the rotary drive unit 3 through the case 3a and the like.
[0059] 尚、上述の如ぐ回転駆動部 3の筐体アースに落とされた静電気は、図 5、或いは 図 6に示したように、ユニバーサルケーブル 5のアルミシース 5a、及びユニバーサル コネクタ 6を介して、患者モニタ装置 10から外部へ接地される。すなわち、回転筒体 1 2は、先端部 11の突当部 l la、及び回転駆動部 3の回転パイプ 37と電気的な接続 状態が保持されている。そして、回転筒体 12で発生した静電気は、各導通パネ 18a, 18bによって、突当部 l la、及びアース線 l lb、或いは回転パイプ 37を介して回転 駆動部 3の筐体アースに落とされ、ユニバーサルケーブル 5のアルミシース 5a、及び ユニバーサルコネクタ 6を介して、患者モニタ装置 10から外部へ接地される。  [0059] The static electricity dropped on the casing ground of the rotary drive unit 3 as described above passes through the aluminum sheath 5a of the universal cable 5 and the universal connector 6 as shown in FIG. 5 or FIG. Thus, the patient monitor device 10 is grounded to the outside. That is, the rotating cylinder 12 is maintained in an electrical connection state with the abutting portion l la of the tip end portion 11 and the rotating pipe 37 of the rotation driving portion 3. Then, the static electricity generated in the rotating cylinder 12 is dropped by the conductive panels 18a and 18b to the casing ground of the rotary drive unit 3 via the abutting portion lla and the ground wire llb or the rotating pipe 37. The patient monitor device 10 is grounded to the outside through the aluminum sheath 5a of the universal cable 5 and the universal connector 6.
[0060] 以上の結果、本実施の回転自走式内視鏡装置 1は、回転筒体 12に静電気が発生 しても、この静電気が回転筒体 12に帯電することが防止された構成となっている。従 つて、回転筒体 12は、施術室内のゴミなどが吸着することなぐ回転性が損なわれる ことが防止される。また、回転自走式内視鏡装置 1は、回転筒体 12から先端部 11に 静電気が放電して、先端部 11内の電気機器である撮像素子 22及び LED23に電気 的な干渉を与えることが防止され、特に、静電気による内視鏡画像へのノイズの発生 を防止することができる構成となって!/、る。 As a result of the above, the rotary self-propelled endoscope apparatus 1 according to the present embodiment has a configuration in which, even if static electricity is generated in the rotating cylinder 12, the static electricity is prevented from being charged in the rotating cylinder 12. It has become. Therefore, the rotating cylinder 12 loses its ability to rotate without adsorbing dust in the treatment room. It is prevented. In addition, the rotating self-propelled endoscope device 1 discharges static electricity from the rotating cylinder 12 to the tip portion 11 and causes electric interference to the image pickup device 22 and the LED 23 which are electrical devices in the tip portion 11. This prevents the generation of noise in the endoscopic image due to static electricity.
[0061] (第 2の実施の形態) [0061] (Second embodiment)
以下、図 10から図 12を参照して本発明の第 2の実施の形態を説明する。尚、本実 施の形態において、第 1の実施の形態にて既に記述した回転自走式内視鏡装置 1と 同じ構成には、同じ符号を付して説明を省略し、異なる構成、作用及び効果のみを 主に説明する。  Hereinafter, a second embodiment of the present invention will be described with reference to FIGS. In the present embodiment, the same components as those of the rotary self-propelled endoscope device 1 already described in the first embodiment are denoted by the same reference numerals and description thereof is omitted, and different configurations and operations are performed. Only the effects will be explained.
図 10は、挿入部 2の先端部分を示す断面図、図 11は回転駆動部内の前ホルダの 中途部分を示す断面図、図 12は第 1、第 2の導通ローラを示す斜視図である。  FIG. 10 is a cross-sectional view showing the distal end portion of the insertion portion 2, FIG. 11 is a cross-sectional view showing the middle portion of the front holder in the rotation drive portion, and FIG. 12 is a perspective view showing the first and second conductive rollers.
[0062] 図 10及び図 11に示すように、本実施の形態の回転自走式内視鏡装置 1は、第 1の 実施の形態の第 1、第 2の導通パネ 18a,18bに代えて、接触部となるローラ部材であ る第 1、第 2の導通ローラ 19a,19bを有している。  As shown in FIGS. 10 and 11, the rotary self-propelled endoscope apparatus 1 of the present embodiment is replaced with the first and second conductive panels 18a and 18b of the first embodiment. The first and second conductive rollers 19a and 19b, which are roller members serving as contact portions, are provided.
[0063] これらの第 1、第 2の導通ローラ 19a, 19bは、図 12に示すように、金属線を略コの字 状に形成した溶着部 19Aと、この溶着部 19Aが挿通する金属性の回転自在なローラ 体 19Bとを有して構成されている。溶着部 19Aは、突当部 l lb、或いは回転パイプ 3 7に溶着される。この状態において、第 1、第 2の導通ローラ 19a, 19bは、ローラ体 19 Bが口金 12a、或いは前ホルダ 33の内周面に常に接触するように構成されている。 そのため、ローラ体 19Bは、回転パイプ 37及び回転筒体 12が回転しても、その回転 に伴って、口金 12a、或いは前ホルダ 33の内周面に回転しながら接触する。  [0063] As shown in Fig. 12, the first and second conductive rollers 19a and 19b are formed of a welded portion 19A in which a metal wire is formed in a substantially U shape, and a metallic property through which the welded portion 19A is inserted. And a rotatable roller body 19B. The welding portion 19A is welded to the abutting portion l lb or the rotating pipe 37. In this state, the first and second conductive rollers 19a and 19b are configured such that the roller body 19B always contacts the base 12a or the inner peripheral surface of the front holder 33. Therefore, even if the rotating pipe 37 and the rotating cylinder 12 are rotated, the roller body 19B contacts the base 12a or the inner peripheral surface of the front holder 33 while rotating.
[0064] その結果、本実施の形態の回転自走式内視鏡装置 1は、第 1の実施の形態の効果 に加え、第 1、第 2の導通ローラ 19a,19bを設けることで、回転パイプ 37及び回転筒 体 12の回転をスムーズに行うことができる構成とすることができる。  As a result, the rotary self-propelled endoscope apparatus 1 of the present embodiment rotates by providing the first and second conductive rollers 19a and 19b in addition to the effects of the first embodiment. The pipe 37 and the rotating cylinder 12 can be smoothly rotated.
[0065] 尚、第 1、第 2の実施の形態における回転自走式内視鏡装置 1は、回転駆動部 3内 に設けられる接触部である第 2の導通パネ 18b、或いは第 2の導通ローラ 19bを設け ず、回転パイプ 37を回動保持するベアリング 39を金属性にして筐体アースと回転筒 体 12を電気的に導通させる接触部とした構成にしても良!ヽ。 [0066] また、回転筒体 12は、非導通性の材質により形成されている場合、静電気の帯電 を防止するため、その一部に導電性の部材を採用することが好ましい。例えば、図 1 3に示すように、挿入部 2の回転筒体 12は、外周に螺旋形状部を形成し、金属の部 材カもなる凸部 12bを螺旋状に所定の間隔を空けて卷回したような構成にし、この凸 部 12bの先端が口金 12aと、基端が前口金 16 (図 13においては不図示)と電気的に 接続された構成となって ヽる。 It should be noted that the rotary self-propelled endoscope device 1 in the first and second embodiments has the second conduction panel 18b or the second conduction panel which is a contact portion provided in the rotation drive unit 3. The roller 19b may not be provided, and the bearing 39 for rotating and holding the rotating pipe 37 may be made of metal so that the casing ground and the rotating cylinder 12 are electrically connected to each other. [0066] Further, when the rotary cylinder 12 is formed of a non-conductive material, it is preferable to use a conductive member as a part thereof in order to prevent electrostatic charging. For example, as shown in FIG. 13, the rotating cylindrical body 12 of the insertion portion 2 has a spiral-shaped portion formed on the outer periphery, and a convex portion 12b that also serves as a metal member is spirally spaced at a predetermined interval. The projecting portion 12b has a configuration in which the front end is electrically connected to the base 12a and the base end is electrically connected to the front base 16 (not shown in FIG. 13).
[0067] これ〖こより、回転筒体 12と体腔壁及び挿入部 2のチューブ 27との摩擦により発生し た静電気は、回転筒体 12に帯電することがなぐ凸部 12bを伝って、口金 12a及び 前口金 16に伝わり、各導通パネ 18a, 18b、各導通ローラ 19al9b、或いは各べァリ ング 39を介して、回転駆動部 3の筐体アースへ導通して 、る各部材に流れ接地され る。  [0067] From this, static electricity generated by friction between the rotating cylinder 12 and the body cavity wall and the tube 27 of the insertion portion 2 is transmitted along the convex portion 12b that is not charged to the rotating cylinder 12, and the base 12a. Then, it is transmitted to the front cap 16 and is connected to the ground of the rotary drive unit 3 through the conductive panels 18a, 18b, the conductive rollers 19al9b, or the bearings 39, and flows to and grounded to each member. The
[0068] また、例えば、挿入部 2の先端部分において、図 14に示すように、回転筒体 12の 口金 12aと突当部 11aの間に、例えば、グリスなどの導電性物質 20を塗布して、回転 筒体 12と突当部 11aの導通を維持しても良い。尚、この導電性物質 20は、回転筒体 12が筐体アースへの導通を維持できるように、回転駆動部 3内の回転パイプ 37の外 周面に塗布しても良い。  [0068] Further, for example, as shown in FIG. 14, a conductive substance 20 such as grease is applied between the base 12a and the abutting portion 11a of the rotating cylinder 12 at the distal end portion of the insertion portion 2. Thus, the continuity between the rotating cylinder 12 and the abutting portion 11a may be maintained. The conductive material 20 may be applied to the outer peripheral surface of the rotary pipe 37 in the rotary drive unit 3 so that the rotary cylinder 12 can maintain continuity to the housing ground.
[0069] 尚、本発明は上述した実施形態に限定されるものではなぐ発明の主旨を逸脱しな V、範囲内にお 、て種々の変形や応用が可能であることは勿論である。  [0069] It should be noted that the present invention is not limited to the above-described embodiments, and it is needless to say that various modifications and applications are possible within the scope of V and the scope of the invention.

Claims

請求の範囲 The scope of the claims
[1] 電気素子及び電気部品を備え、接地線が接続された先端部を有する長尺な挿入 部と、  [1] a long insertion portion having a tip portion including an electric element and an electric component and having a ground wire connected thereto;
該揷入部の外表面を形成し、少なくとも該外表面が導電性部材により形成され、前 記挿入部に対して軸回りに回動自在な管状の推進力発生手段と、  A tubular thrust generating means that forms an outer surface of the insertion portion, at least the outer surface is formed of a conductive member, and is rotatable about an axis with respect to the insertion portion;
前記先端部の基端部分に配設され、前記先端部と前記推進力発生手段とを電気 的に導通させる導電性部材からなる第 1の接触部と、  A first contact portion that is disposed at a proximal end portion of the distal end portion and is made of a conductive member that electrically connects the distal end portion and the propulsive force generating means;
前記挿入部と連結され、各種電気装置及び筐体アースを内蔵し、前記推進力発生 手段を回動させる回動力発生手段と、  Rotation power generating means coupled to the insertion portion, incorporating various electric devices and housing grounds, and rotating the propulsive force generating means;
該回動力発生手段内に配設され、前記回動力発生手段と前記推進力発生手段と を電気的に導通させる導電性部材からなる第 2の接触部と、  A second contact portion made of a conductive member disposed in the rotating power generating means and electrically conducting the rotating power generating means and the propulsive force generating means;
を具備することを特徴とする回転自走式内視鏡装置。  A rotary self-propelled endoscope apparatus comprising:
[2] 前記第 1の接触部及び前記第 2の接触部は、前記推進力発生手段と摺動しながら 接触する金属製の板パネ部材であることを特徴とする請求項 1に記載の回転自走式 内視鏡装置。 [2] The rotation according to claim 1, wherein the first contact portion and the second contact portion are metal plate panel members that are in sliding contact with the propulsive force generating means. Self-propelled endoscope device.
[3] 前記板パネ部材は、前記推進力発生手段との電気的な導通を保つように、前記推 進力発生手段を押圧する押圧部を有していることを特徴とする請求項 2に記載の回 転自走式内視鏡装置。  [3] The plate panel member according to claim 2, wherein the plate panel member has a pressing portion that presses the thrust generation means so as to maintain electrical continuity with the thrust generation means. The rotary self-propelled endoscope apparatus described.
[4] 前記第 1の接触部及び前記第 2の接触部は、前記推進力発生手段の回転に伴つ て回転しながら接触する金属製のローラ部材であることを特徴とする請求項 1に記載 の回転自走式内視鏡装置。  [4] The first contact portion and the second contact portion are metal roller members that are in contact with each other while rotating as the propulsive force generating means rotates. The rotation self-propelled endoscope device according to the description.
[5] 前記回動力発生手段は、前記電気装置からの回転力が与えられる回転パイプと、 該回転パイプを回動保持するベアリングを有し、 [5] The rotational force generating means includes a rotating pipe to which a rotational force from the electric device is applied, and a bearing for rotating and holding the rotating pipe,
前記ベアリングは、前記第 2の接触部となって、前記回動力発生手段と前記推進力 発生手段とを電気的に導通させることを特徴とする請求項 1に記載の回転自走式内 視鏡装置。  2. The rotary self-propelled endoscope according to claim 1, wherein the bearing serves as the second contact portion to electrically connect the rotational force generating means and the propulsive force generating means. apparatus.
PCT/JP2005/010162 2005-06-02 2005-06-02 Rotary self-traveling endoscope instrument WO2006129359A1 (en)

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JP2008188360A (en) * 2007-02-07 2008-08-21 Olympus Medical Systems Corp Rotary self-traveling endoscope apparatus
JP2011206419A (en) * 2010-03-30 2011-10-20 Fujifilm Corp Piping structure of endoscope
JP2013158571A (en) * 2012-02-07 2013-08-19 Olympus Medical Systems Corp Medical instrument
WO2014045795A1 (en) * 2012-09-19 2014-03-27 オリンパスメディカルシステムズ株式会社 Insertion aid, insertion body, and insertion device

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JPS5478883A (en) * 1977-12-07 1979-06-23 Hattori Norikazu Large intestine fiberscope
JPH10113396A (en) * 1996-10-14 1998-05-06 Takeshi Ikeuchi Propelling device of medical appliance
JP2003135386A (en) * 2001-11-06 2003-05-13 Masazumi Takada Self-propelled endoscope for colon

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Publication number Priority date Publication date Assignee Title
JPS5478883A (en) * 1977-12-07 1979-06-23 Hattori Norikazu Large intestine fiberscope
JPH10113396A (en) * 1996-10-14 1998-05-06 Takeshi Ikeuchi Propelling device of medical appliance
JP2003135386A (en) * 2001-11-06 2003-05-13 Masazumi Takada Self-propelled endoscope for colon

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2008188360A (en) * 2007-02-07 2008-08-21 Olympus Medical Systems Corp Rotary self-traveling endoscope apparatus
JP2011206419A (en) * 2010-03-30 2011-10-20 Fujifilm Corp Piping structure of endoscope
JP2013158571A (en) * 2012-02-07 2013-08-19 Olympus Medical Systems Corp Medical instrument
WO2014045795A1 (en) * 2012-09-19 2014-03-27 オリンパスメディカルシステムズ株式会社 Insertion aid, insertion body, and insertion device

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