WO2019003613A1 - Endoscope device, endoscope system, light projection device, and fluid treatment device - Google Patents

Endoscope device, endoscope system, light projection device, and fluid treatment device Download PDF

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Publication number
WO2019003613A1
WO2019003613A1 PCT/JP2018/016797 JP2018016797W WO2019003613A1 WO 2019003613 A1 WO2019003613 A1 WO 2019003613A1 JP 2018016797 W JP2018016797 W JP 2018016797W WO 2019003613 A1 WO2019003613 A1 WO 2019003613A1
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WO
WIPO (PCT)
Prior art keywords
endoscope apparatus
adjustment tool
position adjustment
housing
endoscope
Prior art date
Application number
PCT/JP2018/016797
Other languages
French (fr)
Japanese (ja)
Inventor
真澄 前川
仁志 青木
和則 盛田
森 淳
忠彦 佐藤
Original Assignee
シャープ株式会社
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 シャープ株式会社 filed Critical シャープ株式会社
Priority to JP2019526184A priority Critical patent/JP6818142B2/en
Publication of WO2019003613A1 publication Critical patent/WO2019003613A1/en

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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
    • 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
    • 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
    • A61B1/04Instruments 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 combined with photographic or television appliances
    • A61B1/05Instruments 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 combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B23/00Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
    • G02B23/24Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes

Definitions

  • the present invention relates to an endoscope apparatus and the like which are inserted into an observation target space and imaged.
  • An endoscope used in this laparoscopic surgery is generally referred to as a rigid endoscope, and includes a main body and an insertion portion extending in the distal direction from the main body.
  • Patent Document 1 discloses a medical device in which an axially movable endoscope is inserted into the lumen of a puncture needle to be punctured in a body wall. Since the preferable outer diameter of the endoscope main body is 0.5 to 2.0 mm, it can be said that the endoscope is a narrow diameter endoscope.
  • Patent Document 2 discloses, in addition to a rigid endoscope, a technique using a camera for looking over a wide range so as to eliminate blind spots of the rigid endoscope. From the viewpoint of improving the safety of laparoscopic surgery, it is useful to set up a secondary endoscope separately from the rigid scope that observes the operation field, but from the viewpoint of dull pain reduction and early recovery, the increase of wounds is preferable Absent. In particular, when a rigid endoscope with an outer diameter of about 5 mm is used as it is, the degree of invasiveness is high, and it is therefore necessary to close the hole by performing a suture procedure after the insertion part is removed from the body cavity.
  • Patent Document 2 uses the technique of Patent Document 2 to produce only a small wound that does not require suturing, so the impact on the patient is minor.
  • the installation work in the body hole which can not be seen directly is needed, handling is somewhat complicated, and the influence on the operation time extension and the burden on the doctor can not be ignored.
  • the narrow diameter endoscope of Patent Document 1 can be observed only by piercing, it is easy to handle and can be easily installed and used as an auxiliary endoscope.
  • JP-A-2012-110469 Japanese Published Patent Publication "JP-A-2012-110469” (published on June 14, 2012) Japanese Patent Publication "Japanese Patent Application Laid-Open No. 2008-307224" (December 25, 2008)
  • the endoscope of Patent Document 1 has a problem that it can not be fixed at a desired position and angle only with the configuration of the endoscope itself after being inserted into the body. For this reason, the endoscope of Patent Document 1 needs to be always supported by hand at the time of use or fixed to an endoscope holder or the like, and the endoscope itself or the finger of an assistant who supports the endoscope And the like may have been a hindrance to surgery and the like. Therefore, one aspect of the present invention is to provide an endoscope device and the like which can be easily fixed.
  • the above-mentioned problems are not limited to the endoscope used for surgery etc., but are common problems in various instruments used by inserting and fixing a columnar part in the observation target space. is there.
  • the other aspect of this invention aims at providing the light projection apparatus which is easy to fix.
  • Yet another aspect of the present invention is to provide a fluid processing apparatus that is easy to fix.
  • an endoscope apparatus is an endoscope apparatus for imaging an observation target space, and an imaging unit for imaging the observation target space is provided, and the imaging is performed.
  • a column-shaped casing inserted into the observation target space from the first end on the side where the unit is provided, and the housing is placed on the housing along the insertion direction in which the casing is inserted into the observation target space
  • the position adjustment tool capable of changing the position on the housing is provided.
  • a light projecting device is a light projecting device which is inserted into a target space and projected onto the target space, and includes a columnar body having a light emitting portion, and the columnar body
  • the position adjustment tool capable of changing the position on the columnar body is provided on the upper side along the insertion direction in which the columnar body is inserted into the target space.
  • a fluid processing apparatus is a fluid processing apparatus which inserts a nozzle into a target space and sucks or discharges fluid, and includes a columnar body having the above-mentioned nozzle.
  • the position adjustment tool capable of changing the position on the columnar body is provided on the columnar body along the insertion direction in which the nozzle portion and the columnar body are inserted into the target space. .
  • the endoscope apparatus when installing the endoscope apparatus, the endoscope apparatus can be easily installed and fixed.
  • FIG. 14 is a view showing an example of use of the endoscope apparatus described in the second embodiment. It is a figure which shows the example which installed the endoscope apparatus via the trocar. It is a figure which shows the structure of the light projector which concerns on Embodiment 11 of this invention. It is a figure which shows the structure of the fluid processing apparatus which concerns on Embodiment 12 of this invention. It is a figure which shows the structure of the endoscope apparatus provided with the illumination function, and the endoscope apparatus provided with the fluid processing function.
  • Embodiment 1 An endoscope apparatus according to an embodiment of the present invention will be described based on FIG.
  • FIG. 1 is a view showing a configuration and an example of use of the endoscope apparatus 1.
  • the endoscope apparatus 1 is an instrument for observing a body cavity or a visceral lumen.
  • the observation target is not particularly limited.
  • the endoscope apparatus 1 can be used to observe an arbitrary observation target space.
  • the endoscope apparatus 1 includes an end portion 10, a housing 11, a position adjustment tool 12, and an imaging unit 13. Further, the end 10 side of the housing 11 is a variable portion 111, and the imaging portion 13 side is a puncturing portion 112. Furthermore, the communication unit 14 is disposed inside the end portion 10.
  • the end portion 10 is a structure provided at one end of the housing 11, and as described above, the communication unit 14 and the power supply unit (not shown) are disposed therein.
  • the inner cavity of the end 10 is in communication with the inner cavity of the housing 11, and a wire (not shown) extending from the imaging unit 13 is connected to the communication unit 14 through the communication portion.
  • the shape and size of the end 10 are not particularly limited, but the end 10 functions as a stopper for preventing the position adjustment tool 12 from falling off by making the size larger than the diameter of the housing 11 as in the illustrated example. It is preferable to
  • the communication unit 14 and the power supply unit may be provided inside the housing 11 and the position adjustment tool 12.
  • the housing 11 is a columnar housing that is inserted into the observation target space.
  • the casing 11 is provided with an imaging unit 13 for imaging the observation target space, and is inserted into the observation target space from the end on the side where the imaging unit 13 is provided.
  • the observation target space in the present embodiment is the abdominal cavity.
  • the housing 11 includes a puncturing unit 112 provided with the imaging unit 13 and a variable unit 111 to which the end unit 10 is connected.
  • variable portion 111 is a columnar member that constitutes a portion on the end 10 side of the housing 11. Although the details will be described later, the variable portion 111 is deformed by an external force, and the shape after the deformation is maintained even after the external force is removed.
  • the puncturing unit 112 is a columnar member that constitutes a portion of the housing 11 on the imaging unit 13 side.
  • the puncturing portion 112 is slightly thinner in the vicinity of the tip where the imaging unit 13 is provided than in the variable portion 111 side. More specifically, the puncture portion 112 has a needle-like outer shape that narrows toward the tip. Thereby, the abdominal cavity can be punctured by the puncturing part 112, and the inside of the abdominal cavity can be photographed.
  • the position adjustment tool 12 is provided on the housing 11 and is a member capable of changing the position on the housing 11 along the insertion direction in which the housing 11 is inserted into the body.
  • the position adjustment tool 12 of the present embodiment is configured to slide and move the surface of the housing 11 along the insertion direction of the housing 11, and within the range R shown in (a) of FIG. The position can be changed.
  • the range R is a range from the upper end of the variable portion 111 to the vicinity of the upper end of the puncture portion 112.
  • the portion of the housing 11 closer to the imaging unit 13 than the position adjustment tool 12 is inserted into the observation area (in the present embodiment, the abdominal cavity), so the extent to which the range R is to be determined is within the observation area. It may be determined according to how far the housing 11 is inserted and the endoscope apparatus 1 is used. With the configuration in which the position adjustment tool 12 does not move out of the range R, the position adjustment tool 12 can be prevented from falling off the housing 11.
  • the position adjuster 12 is a fulcrum of the endoscope apparatus 1 inserted into the abdominal wall, and thus has a width (a width in a direction perpendicular to the insertion direction) that can stably support the endoscope apparatus 1. Is preferred.
  • the manner in which the position adjustment tool 12 and the housing 11 are connected is not particularly limited.
  • the position adjustment tool 12 may be wrapped around the housing 11 by sandwiching the case 11 with the position adjustment tool 12. It may be connected.
  • casing 11 in the penetration part provided in the position adjustment tool 12 is preferable. Details of this will be described later.
  • the position adjustment tool 12 is provided with a switching unit 121.
  • the switching unit 121 is a member for switching between a state in which the position fixing mechanism functions and a state in which the position fixing mechanism does not function.
  • the switching unit 121 can be easily operated with one hand. Details of the switching unit 121 will be described later.
  • the imaging unit 13 is a module for capturing an image.
  • the image captured by the imaging unit 13 may be a moving image or a still image.
  • the imaging unit 13 is disposed such that the imaging lens is positioned at or near the tip of the housing 11. Therefore, by puncturing the puncturing portion 112 of the housing 11 in the observation area, the imaging unit 13 can pick up an image in the observation area.
  • the communication unit 14 transmits the image captured by the imaging unit 13 to the outside of the endoscope apparatus 1.
  • a predetermined transmission destination for example, a terminal device such as a computer including a display device for displaying the image
  • the endoscope apparatus 1 may include a recording unit that records an image captured by the imaging unit 13. Note that transmission of the image captured by the imaging unit 13 to the outside of the endoscope apparatus 1 may be performed by wired communication, and in this case, the output signal line and the power supply line of the imaging unit 13 The communication unit 14 and the power supply unit may be omitted.
  • the puncture section 112 is punctured at a desired position on the abdominal wall.
  • an insertion range (depth) is adjusted so that the imaging part 13 may become a desired position in the abdominal cavity.
  • the position adjustment tool 12 is moved to a position in contact with the body surface as the position fixing mechanism does not function by operating the switching unit 121. .
  • the switching unit 121 is operated to function the position fixing mechanism, and the positional relationship between the position adjusting tool 12 and the housing 11 is fixed.
  • the endoscope apparatus 1 is fixed to the abdomen with the position adjustment tool 12 as a fulcrum, after that, even if the hand is released from the endoscope apparatus 1, the inside of the abdominal cavity is stably imaged by the imaging unit 13 it can.
  • FIG. 2 is a diagram for explaining the function of the variable unit 111.
  • the puncture portion 112 is pierced at a desired position on the abdominal wall, and after fixing the positional relationship between the position adjustment tool 12 and the housing 11, the same figure.
  • the variable part 111 is bent along an abdominal wall. At this time, the user can bend the variable portion 111 with the position adjustment tool 12 as a fulcrum while using the position adjustment tool 12 as a handle portion, whereby the variable portion 111 can be easily directly above the position adjustment tool 12 Can be bent.
  • the direction of the puncture portion 112 by adjusting the angle at which the bending is performed, thereby adjusting the observation direction.
  • the viewing direction of the endoscope apparatus 1 takes a slightly inclined posture directly below or in the direction opposite to the bending direction of the variable portion 111.
  • the end part 10 can also be made into the shape which presses an abdominal wall by making the variable part 111 whole bend in U shape. By further bending the variable part 111 from this shape, it is possible to change the viewing direction of the endoscope apparatus 1 to a desired direction while the end 10 presses the abdominal wall.
  • the user's operation required for deformation is preferably several steps or less, and deformation does not require a large force (for example, a force that requires a combination of other instruments). Is preferred. By being able to be deformed by a simple operation, it is also possible to deform simultaneously with the position adjustment of the position adjustment tool 12.
  • variable portion 111 be made of a material that holds the deformed shape.
  • the variable portion 111 may be made of a resin material or a metal material that is deformed by an external force and the shape after deformation is maintained.
  • the variable portion 111 may be made of a material whose hardness changes with heat or a material whose hardness changes with light.
  • the variable portion 111 may be bendable by forming a bellows structure.
  • variable part 111 is bent near the end on the side of the puncture part 112, but the bending position of the variable part 111 is arbitrary.
  • the variable part 111 is near the central part in its longitudinal direction It may be bent by the upper part of position adjustment tool 12).
  • variable part 111 may be fixed in a bent state using a fixing aid.
  • FIG. 2F shows an example in which the variable part 111 in a bent state is fixed by using the fixing aid 2.
  • the fixing aid 2 is, for example, a planar body in which the surface in contact with the variable portion 111 is an adhesive surface.
  • the fixing aid 2 may be made of, for example, a thick tape or a plate having a certain degree of rigidity.
  • the adhesive surface can be made of an adhesive or the like.
  • FIG. 3 is a view for explaining the internal structure of the endoscope apparatus 1.
  • FIG. 3 (b) shows an XX ′ cross section of the endoscope apparatus 1 shown in FIG. 3 (a).
  • illustration of wiring etc. is abbreviate
  • the puncture portion 112 is preferably formed of a rigid material (rigid body) so as to facilitate puncture of the abdominal wall.
  • the imaging unit 13 is disposed at the lower end in the puncture unit 112.
  • the imaging unit 13 includes an imaging lens 131 and an imaging element 132, and the light entering the imaging lens 131 forms an image on the imaging element 132.
  • the imaging unit 13 can also be expressed as an imaging unit including an imaging optical system and an imaging element.
  • the imaging lens 131 is disposed perpendicularly to the extending direction of the puncture part 112 so as to close the opening at the lower end of the puncture part 112. According to the imaging unit 13, an image in the extension direction of the puncture unit 112 can be taken.
  • the shape of the end of the puncturing portion 112 is not particularly limited. For example, as shown in (c) of FIG. By making the end of the puncture part 112 a blade surface, it is easy to puncture the abdominal wall or the like. Even when the end of the puncturing portion 112 is a blade surface, the imaging unit 13 can be disposed in the same manner as (a) and (b) in the same figure, and an image in the extending direction of the puncturing portion 112 can be captured.
  • the imaging direction of the imaging unit 13 is not limited to this example. For example, the imaging unit 13 may pick up a direction perpendicular to the extending direction of the puncturing part 112 or may pick up another direction, and picks up a plurality of directions simultaneously. It may be one.
  • the endoscope apparatus of the present embodiment includes an expansion and contraction mechanism that expands and contracts the housing along the insertion direction.
  • symbol is appended and the description is abbreviate
  • FIG. 4 is a view showing a configuration of an endoscope apparatus 1B provided with a telescopic mechanism.
  • the endoscope apparatus 1B includes a housing 11B instead of the housing 11 of the endoscope apparatus 1 of the first embodiment.
  • the housing 11B includes a variable part 111B and a puncture part 112B.
  • the variable part 111 ⁇ / b> B and the puncture part 112 ⁇ / b> B constitute an expansion and contraction mechanism.
  • the variable portion 111B does not have to be flexible.
  • variable section 111B intrudes into the inside of the puncture section 112B. That is, in terms of appearance, in the endoscope device 1B, the variable part 111B expands and contracts.
  • all or part of the variable portion 111B protruding to the body surface is accommodated inside the puncture portion 112B, and the variable portion 111B and the end 10 Can be prevented from getting in the way of surgery and the like.
  • the endoscope apparatus 1B can be held more stably on the body surface.
  • variable part 111B and the puncturing part 112B are connected by a screw structure as shown in the cross-sectional views of (c) and (d) of FIG. More specifically, the variable portion 111B is spirally threaded on the outer surface thereof to form an external thread, and the puncture portion 112B has a thread formed on the inner surface thereof to be engaged with the threaded groove. Is a female screw. By this screw mechanism, the end 10 and the variable part 111B can be rotated to enlarge or reduce the exposed part of the variable part 111B from the puncture part 112B.
  • variable part 111B and the puncture part 112B are not separated even if the exposed part from the puncture part 112B is rotated too large.
  • the retaining mechanism is, for example, a mechanism that rotates the variable portion 111B and the puncturing portion 112B, and at the stage where they are in a predetermined positional relationship, the screw idles even if it is further rotated in the same direction. It may be
  • FIG. 5 is a view showing the configuration of an endoscope apparatus provided with another extension and contraction mechanism.
  • the endoscope apparatus 1C includes a variable part 111C and a puncturing part 112C.
  • the upper end of the puncture portion 112C is bent inward in a key shape.
  • the lower end of the variable portion 111C is bent outward in a key shape.
  • the hooked portion of the puncture portion 112C and the hooked portion of the variable portion 111C are engaged with each other, so that the variable portion 111C and the punctured portion 112C are not separated, and variable to a position where these hooked portions abut.
  • the portion 111C can be extended.
  • the tip of the key-like portion of the variable portion 111C is in contact with the inner surface of the puncture portion 112C, the positional relationship between the variable portion 111C and the puncture portion 112C can be maintained by frictional force.
  • the endoscope apparatus 1 ⁇ / b> C may be provided with a lock mechanism (not shown) that switches between an expandable state and an unexpandable state.
  • FIG. 6 is a view showing a configuration of an endoscope apparatus provided with a variable part that can expand and contract.
  • An endoscope apparatus 1D illustrated in FIG. 6 includes a housing 11D instead of the housing 11 of the endoscope apparatus 1 of the first embodiment.
  • the housing 11D includes a variable part 111D and a puncturing part 112D. As shown in (a) and (b) of FIG. 6, the length of the variable portion 111D expands and contracts.
  • variable portion 111D connects the three cylinders of the first cylinder 1111D, the second cylinder 1112D, and the third cylinder 1113D in this order. Configuration. These cylinders are an expansion and contraction mechanism.
  • the variable portion 111D is configured by combining these cylinders so that the second cylinder 1112D is accommodated inside the first cylinder 1111D, and the outer diameter of the third cylinder 1113D is accommodated inside the second cylinder 1112D. is there. And the end part of each cylinder becomes a key shape for preventing a connection with another cylinder from falling off.
  • a locking mechanism (not shown) may be further provided to prevent the variable portion 111D from expanding and contracting so that it does not expand and contract unintentionally at the time of piercing or the like of the endoscope device 1D.
  • the number of the cylinders which comprise variable part 111D is not limited to three.
  • FIG. 7 is a diagram showing a configuration and an example of use of the endoscope apparatus 1E according to the present embodiment.
  • the endoscope apparatus 1E includes an end 10E and a variable unit 111E.
  • the variable portion 111 ⁇ / b> E is formed of a material that bends in the same manner as the variable portion 111 of the first embodiment.
  • the V-shaped cut part 101E is provided in the top part of the edge part 10E.
  • a tearing portion 102E is formed from the lowermost end of the cut portion 101E toward the variable portion 111E.
  • the fractured portion 102E is also formed on the variable portion 111E.
  • the endoscope apparatus 1E pierces the abdominal wall to fix the positional relationship between the position adjustment tool 12 and the housing 11 Do.
  • the user pinches and pulls the end 10E with a finger or the like to divide the variable portion 111E into two along the tearing portion 102E from the incision 101E.
  • the user fixes the variable portion 111 ⁇ / b> E bent by splitting along the abdominal wall.
  • the variable portion 111 ⁇ / b> E can bend and fix the split portions in different directions, so that more stable fixing than the variable portion 111 is possible.
  • the viewing direction of the endoscope apparatus 1E is in the vicinity immediately below since the bending state of the divided parts is the same, but the bending states of the divided parts should be different from each other. Therefore, it is also possible to tilt the viewing direction in directions other than directly below.
  • Embodiment 4 The position adjuster does not have to be disposed directly on the housing, but may be disposed on the housing via another member. This will be described based on FIG.
  • FIG. 8 is a view showing the configuration of an endoscope apparatus 1F provided with a position adjustment tool via an outer sheath.
  • the side surface of the endoscope apparatus 1F is shown to (a) of the figure, the upper surface to (b), and the lower surface to (c). Further, (d) shows a cross section of the position adjusting tool 12 in the non-holding state, and (e) shows a cross section of the position adjusting tool 12 in the holding state.
  • the endoscope apparatus 1F is provided with the outer collar part 14 which covers the outer periphery of the variable part 111.
  • the position adjustment tool 12 is disposed on the mantle portion 14.
  • a penetrating portion (not shown) is provided in the vicinity of the center of the position adjustment tool 12, and the variable portion covered by the outer collar portion 14 is inserted through the penetrating portion.
  • the outer collar portion 14 has a rectangular parallelepiped outer shape.
  • the position adjustment tool 12 is also a rectangular parallelepiped external shape similarly.
  • these external shapes are an example, for example, cylindrical shape, polygonal columnar shape, etc. may be sufficient.
  • the position fixing mechanism in the present embodiment is a mechanism having the switching portion 121 and the position adjusting tool 12 as components, and a part (inner wall portion) of the position adjusting tool 12 can be changed via the outer collar portion 14 By pressing on the portion 111, the movement of the position adjustment tool 12 is impeded. Then, the switching unit 121 switches between a state in which the position adjustment tool 12 is pressed against the variable unit 111 and a state in which the pressing is released. As a result, the position fixing and fixing release of the position adjusting tool 12 can be realized with a simple configuration, and switching between position fixing and fixing release can be performed by a simple operation of pushing and pulling the switching unit 121.
  • FIG. 9 is a view for explaining the configuration of the mantle portion 14.
  • A) of the figure is a top view of the mantle portion 14,
  • (b) is a cross-sectional view, and
  • (c) is a side view.
  • (d) is a side view of the mantle portion 14 in a state where the variable portion 111 is bent.
  • the mantle part 14 is comprised by connecting the connection body 141 in multiple steps
  • connection receiving part 143 is provided in the upper surface of the connection body 141 as shown to (a) of the figure, and the connection convex part is shown on the lower surface of the connection body 141 as shown to (c) of the same figure.
  • the part 144 is provided.
  • the connection receiving portion 143 is a recess that fits with the connection protrusion 144.
  • the coupling body 141 of each stage is fitted with the coupling receiving portion 143 in the coupling body 141 of that stage and the coupling convex portion 144 in the coupling body 141 of the upper stage thereof. It is connected.
  • the connection receiving portion 143 and the connection convex portion 144 can maintain the connection state even if the connection receiving portion 143 and the connection convex portion 144 are separated to some extent so that bending as shown in (d) of the same figure is possible. It shall be. Thereby, the variable part 111 covered by the mantle part 14 can be bent.
  • FIG. 10 is a diagram showing a configuration and an example of use of an endoscope apparatus 1G provided with a severable variable part.
  • the endoscope apparatus 1G is provided with the variable part 111G.
  • the variable portion 111G is configured to be cut off halfway as shown in FIG. Therefore, when using the endoscope apparatus 1G, after the puncture device is inserted into the abdominal wall to fix the positional relationship between the position adjustment tool 12 and the housing 11, a variable portion 111G which protrudes above the position adjustment tool 12 Is cut, and the portion above the cutting position is cut out together with the end 10.
  • the variable portion 111G and the end 10 protruding to the body surface can be prevented from interfering with surgery and the like.
  • the cutting portion 1111G for cutting the variable portion 111G in the direction perpendicular to the insertion direction is changed to the variable portion 111G.
  • the cutting portion 1111G is a notch provided along the outer periphery of the variable portion 111G.
  • the output of the image is maintained even after the cut-out by providing the communication unit 14 inside the puncturing portion 112 or by using wired communication. It is desirable to have
  • FIG. 11 is a diagram showing a configuration of an endoscope apparatus 1H according to the present embodiment.
  • A of the figure is a side view of the endoscope apparatus 1H
  • (b) is a cross-sectional view taken along the line AA '
  • (c) is a cross-sectional view taken along the line BB'.
  • (d) and (e) are enlarged views in the vicinity of the connecting portion of the variable portion 111H and the puncturing portion 112H.
  • the endoscope apparatus 1H includes a variable unit 111H and a puncturing unit 112H, and includes a position adjustment tool 12H.
  • the variable portion 111H has a cross-sectional shape in which a part of a circle is cut away at a straight line.
  • the puncturing portion 112H has a circular cross-sectional shape as shown in FIG.
  • the upper end portion of the puncture portion 112H has a cross-sectional shape in which a part of a circle is cut away in a straight line, as in the variable portion 111H.
  • the position adjustment tool 12H has a penetrating portion having a shape in which a part of a circle is cut out in a straight line in order to insert the variable portion 111H. For this reason, the position adjustment tool 12H can be moved to any position on the variable portion 111H.
  • the cross-sectional shape of the puncturing portion 112H changes in the vicinity of the upper end, and therefore, as shown in (d) of the figure, a step is generated in the vicinity of the upper end. Therefore, as shown to (e) of the same figure, the position adjustment tool 12H is caught on this level
  • step difference As described above, by providing the movement range restricting portion for restricting the downward movement of the position adjustment tool 12H, the position adjustment tool 12H does not fall off from the distal end side (the imaging unit 13 side) of the puncture section 112H.
  • the cross-sectional shape of the variable part 111H and the puncture part 112H is not restricted to said example.
  • the cross section of the variable portion 111H may have an elliptical shape or a polygonal shape, or may have a shape in which a part of the shape is cut away.
  • the puncture portion 112H preferably has a smooth surface shape so as not to damage the abdominal wall when puncturing the abdominal cavity, in which case the cross section becomes circular or substantially circular.
  • a step is provided on the puncture portion 112H, but the shapes of these surfaces are adjusted so that a step is generated between the upper surface of the puncture portion 112H and the lower surface of the variable portion 111H. It is also good. Also, the downward movement of the position adjustment tool 12H can be restricted by providing a projection as the movement range restricting part on the puncture part 112H or the variable part 111H instead of providing the step.
  • FIG. 12 is a diagram showing the configuration of the position adjustment tool 12H.
  • (A) of the figure is a top view of the position adjustment tool 12H
  • (b) and (c) of the figure are X-X 'sectional views of the figure (a).
  • the position adjustment tool 12H is square shape by top view, and the penetration part 145 is formed in the center vicinity.
  • an anti-slip member 122H is provided along the outer edge of the penetrating portion 145.
  • the penetrating portion 145 is a hole for inserting the variable portion 111H, and preferably has the same shape as the cross section of the variable portion 111H.
  • the non-slip member 122H is provided along the outer edge of the through portion 145 so as to abut on the variable portion 111H inserted into the through portion 145.
  • the anti-slip members 122H are disposed at two positions near the upper end and the lower end of the position adjustment tool 12H.
  • the anti-slip member 122H abuts from both sides of the variable portion 111H, and a frictional force works therebetween.
  • the position adjustment tool 12H is at rest if no force is applied, but the position adjustment tool 12H is either above or below (b) on the variable portion 111H by applying a certain force or more. Also move in the direction. That is, the anti-slip member 122H functions as a holding mechanism that holds the position of the position adjustment tool 12H in a state where the position fixing mechanism that prevents movement of the position adjustment tool 12H along the insertion direction is not functioning.
  • the switching portion 121 when the switching portion 121 is pushed into the inside of the position adjustment tool 12H, the variable portion 111H is strongly pressed against the anti-slip member 122H. As a result, it becomes more difficult for the position adjustment tool 12H to move on the variable portion 111H than in the state of FIG. That is, the position fixing mechanism including the switching portion 121 and the anti-slip member 122H as components functions.
  • the switching unit 121 and the position adjustment tool 12H may be connected by a screw mechanism in which the switching unit 121 is a male screw and the position adjustment tool 12H is a female screw so as to be held in a pushed-in state.
  • an angle changing unit may be provided to change the angle at which the position adjusting tool 12H and the variable unit 111H intersect. It is possible to change the viewing direction of the endoscope apparatus 1H by changing the angle at which the position adjustment tool 12H and the variable unit 111H intersect by the angle changer.
  • the angle changing unit may be configured to accompany the switching unit 121.
  • a convex portion for changing the angle at which the position adjustment tool 12H intersects the variable portion 111H may be provided as the angle change portion on the surface of the switching portion 121 in contact with the variable portion 111H.
  • the angle changer may be a mechanism incorporated in the position adjustment tool 12H.
  • the shape of the position adjustment tool 12H is not limited to a square shape in top view, and may be a circle, a substantially circle, a polygon, or the like. Moreover, since it is a member in contact with the position adjustment tool 12H and a human body, a structure without a corner is desirable. The same applies to the structure of a position adjustment tool according to another embodiment.
  • FIG. 13 is a diagram showing a configuration of a position adjustment tool 12Ha provided with a position fixing mechanism that allows movement in one direction and prevents movement in the other direction.
  • A) of the figure is a partially transparent top view of the position adjustment tool 12Ha
  • (b) and (c) of the figure are XX 'cross-sectional views.
  • the switch part 121 is connected to position adjustment tool 12Ha.
  • two ratchets 122Ha, a first support 123Ha, a second support 124Ha, a third support 125Ha, and an elastic member 126Ha are accommodated in the position adjustment tool 12Ha.
  • a position fixing mechanism is realized by the internal configuration of the switching unit 121 and the position adjustment tool 12Ha.
  • the ratchet 122Ha is a gear provided with a claw, and the claw allows rotation of the gear in one direction and prevents rotation in the other direction.
  • the ratchet 122Ha is disposed so as to sandwich the variable portion 111H from both sides, as shown in FIG. More specifically, as shown in (b) of the figure, the ratchet 122Ha is arranged such that the tooth portion meshes with the variable portion 111H.
  • the illustrated left ratchet 122Ha is counterclockwise rotatable, and the right ratchet 122Ha is rotatable clockwise.
  • the position adjuster 12H can move downward on the variable part 111H in the same figure while rotating the ratchet 122Ha.
  • the position adjustment tool 12H moves downward on the variable portion 111H, it does not easily move upward. That is, the position fixing mechanism of the position adjustment tool 12Ha allows the downward movement of the position adjustment tool 12Ha, but prevents the upward movement.
  • the position adjustment tool 12Ha is moved upward, the length of the puncture part 112H inserted into the body cavity becomes long. That is, according to the above configuration that prevents the upward movement of the position adjustment tool 12H, it is possible to prevent occurrence of a situation such as damaging the body cavity by unintentionally puncturing the puncture portion 112H unintentionally. .
  • the first support portion 123Ha is a member for supporting and moving the ratchet 122Ha.
  • the first support portion 123Ha is directly connected to the ratchet 122Ha on the side far from the switching portion 121, and is connected to the ratchet 122Ha on the side closer to the switching portion 121 via the third support portion 125Ha.
  • the first support portion 123Ha is L-shaped in side view, one end of the L-shape is connected to the switching portion 121, and the corner portion of the L-shape is an elastic member The other end of the L-shape is in contact with the ratchet 122Ha on the side far from the switching unit 121.
  • the second support portion 124Ha is a member serving as a rotation axis for rotating the third support portion 125Ha, extends in the rotation axis direction of the ratchet 122Ha, and is disposed at a middle position of the third support portion 125Ha. It is connected with 125Ha.
  • the third support portion 125Ha is a member for supporting and moving the ratchet 122Ha on the side closer to the switching portion 121.
  • One end of the third support portion 125Ha is connected to the first support portion 123Ha, and the other end is connected to the ratchet 122Ha closer to the switching portion 121. Further, as described above, the third support 125Ha is also connected to the second support 124Ha.
  • the elastic member 126Ha is a member that applies an elastic force to the first support portion 123Ha. As described above, the elastic member 126Ha is in contact with the L-shaped corner of the first support 123Ha.
  • the end of the third support 125Ha connected to the first support 123Ha also moves in the left direction.
  • the third support portion 125Ha rotates counterclockwise about the second support portion 124Ha, and the ratchet 122Ha moves in the right direction and separates from the variable portion 111H.
  • the switching portion 121 By pushing the switching portion 121 into the position adjustment tool 12Ha, the two ratchets 122Ha and the variable portion 111H can be separated to make the position fixing mechanism in a non-functioning state.
  • the position adjustment tool 12Ha can be moved in any direction up and down on the variable portion 111H.
  • the switching unit 121 and the position adjusting tool 12Ha may be connected by a screw mechanism so as to hold the pushed-in state.
  • FIG. 14 is a diagram showing a configuration of an endoscope apparatus 1J according to the present embodiment.
  • (A) of the figure is a side view of the endoscope apparatus 1J.
  • the endoscope apparatus 1J includes a variable part 111J and a puncturing part 112J, and includes a position adjustment tool 12J.
  • the configurations of the variable part 111J and the puncture part 112J are the same as those of the variable part 111H and the puncture part 112H of the sixth embodiment, respectively.
  • the top view and the side sectional view of the position adjustment tool 12J and the switching unit 121J are shown in (b) of the same figure.
  • a penetrating portion 145 is formed in the vicinity of the center of the position adjustment tool 12J, and a non-slip member 122J is provided along the outer edge of the penetrating portion 145.
  • the space by which the opening part which inserts the switching part 121J in the side was formed is provided in the inside of the position adjustment tool 12J.
  • An elastic member 123J is disposed at an end of the space opposite to the opening so as to abut on the switching portion 121J inserted from the opening.
  • a penetrating portion 146 is formed in the vicinity of the center of the switching portion 121J.
  • the penetration part 146 is formed in the position and shape which overlap with the penetration part 145 in the state which inserted the switching part 121J in the space inside the position adjustment tool 12J.
  • the variable portion 111J is inserted into both the penetrating portion 145 and the penetrating portion 146 can do.
  • the size of the through portion 146 may be larger than that of the through portion 145.
  • the switching portion 121J In the state where the switching portion 121J is inserted into the space inside the position adjustment tool 12J, when the variable portion 111J is inserted into both the penetrating portion 145 and the penetrating portion 146, the switching portion 121J is pushed out of the space by the elastic member 123J. It is urged to. And as shown to (c) of FIG. 14, the variable part 111J is also urged
  • the switching unit 121J When the switching unit 121J is released from being pushed, the switching unit 121J moves in the direction of being pushed out of the space inside the position adjustment tool 12J by the elastic force of the elastic member 123J, and returns to the state of (c) in FIG.
  • FIG. 15 is a diagram showing a configuration of a position adjustment tool 12Ja having a position fixing mechanism that allows movement in one direction and prevents movement in the other direction.
  • the top view and the side sectional view of the position adjustment tool 12 Ja and the switching unit 121 Ja are shown in FIG.
  • the main difference between the position adjuster 12 Ja and the position adjuster 12 J is that the position adjuster 12 Ja does not have the anti-slip member 122 J.
  • the main difference between the switching unit 121Ja and the switching unit 121J is that the ratchet 122Ja is disposed inside the switching unit 121Ja.
  • the ratchet 122 Ja is disposed on the back side of the penetration portion 146 (at the back side when the switching portion 121 Ja is inserted into the position adjustment tool 12 Ja) so that the end of the tooth protrudes to the penetration portion 146.
  • a position fixing mechanism is realized by the switching unit 121 Ja and each configuration inside the position adjusting tool 12 Ja.
  • the switching portion 121Ja When the variable portion 111J is inserted through both the penetrating portion 145 and the penetrating portion 146 in a state where the switching portion 121Ja is inserted into the space inside the position adjustment tool 12Ja, the switching portion 121Ja is pushed out of the space by the elastic member 123J. It is urged to. As a result, as shown in (b) of FIG. 15, the ratchet 122Ja is pressed against the variable portion 111J, and the teeth of the ratchet 122Ja mesh with the variable portion 111J. In this state, the position fixing mechanism is functioning.
  • the position adjuster 12Ja moves downward on the variable part 111J in the figure. , Difficult to move upwards. That is, the position fixing mechanism of the position adjustment tool 12Ja allows the downward movement of the position adjustment tool 12Ja but prevents the upward movement. Therefore, it is possible to prevent in advance occurrence of a situation in which the puncture section 112J is punctured deeply without intention and the body cavity is damaged.
  • the method of switching to the state where the position fixing mechanism does not function is the same as the example of FIG. 14 and, as shown in (c) of FIG. 15, the switching unit 121Ja is pushed toward the inside of the position adjustment tool 12Ja.
  • the ratchet 122 Ja separates from the variable part 111 J, and the position adjustment tool 12 Ja can be moved on the variable part 111 J in either the upper or lower direction in FIG.
  • the switching unit 121Ja when the switching unit 121Ja is released from being pushed, the switching unit 121Ja moves in a direction of being pushed out of the space inside the position adjustment tool 12Ja by the elastic force of the elastic member 123J, as shown in FIG. Return to the state.
  • FIG. 16 is a diagram showing a configuration of an endoscope apparatus 1K according to the present embodiment.
  • (A) of the figure is a side view of the endoscope apparatus 1K.
  • the endoscope apparatus 1K includes an end 10K and a variable portion 111K, and includes a position adjustment tool 12K.
  • the endoscope apparatus 1K has a wire 15 connected to the imaging unit 13 extending from the end 10K to the outside of the endoscope apparatus 1K.
  • variable unit 111K can have the same configuration as the variable unit of each of the above embodiments. However, as for variable part 111K, it is preferred that unevenness as shown in (e) and (f) of Drawing 16 is formed in the outside surface.
  • the endoscope apparatus 1K may include a puncture part (for example, the puncture part 112H in FIG. 11 having a step) having a configuration for preventing the position adjustment tool 12K from falling off, instead of the puncture part 112.
  • the endoscope apparatus 1K may perform wireless communication, and in this case, the communication unit 14 may be provided inside the end portion 10 or the like.
  • the configuration of the position adjustment tool 12K will be described based on (b) to (f) of FIG. (B) and (c) of the figure are side views of the position adjustment tool 12K, (d) is a top view, and (e) and (f) are cross-sectional views taken along the line X-X 'of FIG. As shown to (d) and (e) of the figure, the variable part 111K is penetrated by the penetration part 145 provided in the position adjustment tool 12K.
  • the position adjustment tool 12K includes the first portion 121K and the second portion 122K, and the first marker 123K is on the surface of the first portion 121K, and the second portion Second markers 124K are drawn on the surface of 122K.
  • the lower end of the first portion 121K is a threaded portion 1211K which is a male screw
  • the upper end of the second portion 122K is a threaded portion 1221K which is a female screw.
  • the first portion 121K can be screwed into the second portion 122K by rotating in a direction in which the first marker 123K and the second marker 124K are aligned. Is configured.
  • a state in which the first portion 121K is screwed into the second portion 122K (state of (c) in the same drawing) is referred to as a fastening state.
  • the position fixing mechanism functions, and the position on the variable portion 111K of the position adjusting tool 12K is fixed. That is, the first portion 121K and the second portion 122 function as a switching unit that switches from the non-engaged state in which the position fixing mechanism is not functioning to the engaged state in which the position fixing mechanism functions.
  • the position of the position adjustment tool 12K is hold
  • the position adjustment tool 12K can be moved on the variable portion 111K by applying a predetermined force or more to the position adjustment tool 12K. That is, the non-slip member 128K functions as a holding mechanism that holds the position of the position adjustment tool 12K when the position fixing mechanism is not functioning.
  • the position adjustment tool 12K includes a protrusion 126K, a carrying mechanism 127K, and a non-slip member 128K.
  • the convex portion 126 ⁇ / b> K presses the holding mechanism 127 ⁇ / b> K against the variable portion 111 ⁇ / b> K in the fastening state, and is provided on the inner surface of the first portion 121 ⁇ / b> K.
  • the carrying mechanism 127K is a member that deforms so as to sandwich the variable portion 111K by application of an external force, thereby carrying the variable portion 111K. That is, the carrying mechanism 127K is an element of the position fixing mechanism that prevents the movement of the position adjustment tool 12K.
  • One end of the carrying mechanism 127K is fixed to the inner wall of the second portion 122K. Further, the other end portion of the carrying mechanism 127K is disposed at a position where it is sandwiched between the convex portion 126K and the variable portion 111K in the fastening state.
  • the carrying mechanism 127K is pressed by the convex portion 126K and falls to the variable portion 111K side by being in the fastening state. Then, the end of the carrying mechanism 127K on the side pressed by the convex part 126K and pressed against the variable part 111K is deformed so as to engage with the unevenness formed on the outer surface of the variable part 111K. Thereby, the position on the variable part 111K of the position adjustment tool 12K is fixed.
  • FIG. 17 is a diagram showing an example of an imaging unit provided with a hemispherical lens.
  • illustration of wiring etc. is abbreviate
  • FIG. 17A shows a cross-sectional view of the imaging unit 13A.
  • the imaging unit 13A is different from the imaging unit 13 of FIG. 3 in that a hemispherical lens 133 is provided on the outer side of the imaging lens 131 (the tip of the puncturing unit 112).
  • the hemispherical lens 133 is, as the name suggests, a lens in the shape of a hemisphere. By providing the hemispherical lens 133, it is possible to image a wide range of hemispheric spheres.
  • the hemispherical lens 133 may be provided on the side of the puncture part as shown in (b) and (c) of FIG. (B) of FIG. 17 is a cross-sectional view of the imaging unit 13B in which the hemispherical lens 133 is provided on the side of the puncture part 112L, and (c) of the same figure is a cross section along XX 'of (b) of the same figure.
  • the puncturing portion 112 L is different from the puncturing portion 112 in that the tip end is a blade surface that is cut up obliquely and that the puncturing portion 112 L has an opening on the side.
  • the hemispherical lens 133 is disposed on the outer surface of the puncture portion 112L so as to cover the opening of the puncture portion 112L. Further, the imaging lens 131 is provided in parallel with the opening so as to condense the light incident from the opening, and the imaging element 132 is disposed at a position where the light condensed by the imaging lens 131 is imaged. It is done.
  • FIG. 18 is a view showing an example of an imaging unit provided with a plurality of hemispherical lenses 133.
  • FIG. (A) of the figure is a cross-sectional view of the imaging unit 13C provided with two hemispherical lenses 133
  • (b) of the figure is a cross-sectional view of X-X 'of (a) of the figure.
  • the puncture section 112M provided with the imaging unit 13C has an opening similar to the puncture section 112L of (b) in FIG. 17 and faces the opening as shown in (b) of the same figure. It also has an opening at the position where The hemispherical lens 133 of the imaging unit 13C is disposed on the outer surface of the puncturing unit 112M so as to cover these openings.
  • the imaging unit 13C includes two sets of the imaging lens 131 and the imaging device 132 in combination. Each set corresponds to one hemispherical lens 133, respectively. That is, the light collected by the hemispherical lens 133 located on the left side in FIG. 18 passes through the imaging lens 131 located on the left side and forms an image on the imaging element 132 located on the left side. The same applies to the hemispherical lens 133, the imaging lens 131, and the imaging element 132 located on the right side in the same figure. According to the imaging unit 13C, it is possible to capture a left hemispheric image and a right hemispheric image. In other words, it is possible to capture an all-sky spherical image in all directions around the imaging unit 13C.
  • the puncture section 112N shown in (c) of FIG. 18 has two openings on the side similarly to the puncture section 112M shown in FIG. 17, and also has an opening at the tip.
  • the imaging unit 13D shown in (c) of FIG. 18 includes two sets of the imaging lens 131 and the imaging element 132 facing sideward as in the case of the imaging unit 13C shown in (a) of FIG.
  • an imaging lens 131 and an imaging element 132 facing the tip end side of the puncture part 112N a set of an imaging lens 131 and an imaging element 132 facing the tip end side of the puncture part 112N.
  • the imaging unit 13D it is possible to capture an omnidirectional spherical image in all directions around the imaging unit 13D, and at the same time, it is possible to capture an image without distortion in the extending direction of the puncturing unit 112N.
  • FIG. 19 is a view showing an example of a puncture unit provided with an observation window on the side, and an example of an imaging unit disposed in the inside thereof.
  • (A) of the same figure is a cross-sectional view of the puncturing section 112P and the imaging unit 13E provided with the observation window 113
  • (b) of the same figure is a cross-sectional view of XX 'of (a) of the same figure.
  • An observation window 113 formed of a translucent material is provided on the side surface of the puncture portion 112P.
  • the imaging lens 131 and the imaging element 132 are disposed toward the observation window 113. According to the imaging unit 13E, an image in a direction perpendicular to the extending direction of the puncture unit 112P can be taken.
  • the imaging unit 13F illustrated in (c) of FIG. 19 includes a reflecting mirror 134.
  • the imaging unit 13F light entering in the right direction in the figure from the observation window 113 is reflected by the reflecting mirror 134, travels upward in the figure, and enters the imaging lens 131 located above the reflecting mirror 134.
  • the light incident on the imaging lens 131 forms an image on the imaging element 132 located further above the imaging lens 131.
  • the image pickup unit 13F can also pick up an image similar to the image pickup unit 13E shown in (a) and (b) of FIG.
  • FIG. 20 is a view showing an example of a puncturing portion 112Q provided with an observation window 113 on a blade surface, and an imaging unit 13G disposed inside thereof.
  • A) of the figure is a cross-sectional view of the puncturing section 112Q and the imaging section 13G provided with the observation window 113 on the blade surface
  • (b) of the figure is a bottom view of the puncturing section 112Q.
  • the tip end of the puncturing portion 112Q is a blade surface which is obliquely cut up, and the observation window 113 is provided on the blade surface.
  • the imaging unit 13G is disposed such that the imaging lens 131 and the imaging element 132 face the observation window 113. According to the imaging unit 13G, an image in a direction perpendicular to the blade surface can be captured.
  • An imaging unit 13H illustrated in (c) of FIG. 20 includes an optical element 135.
  • light entering from the observation window 113 toward the upper right direction in the figure is refracted by the optical element 135, travels upward in the figure, and enters the imaging lens 131 located above the optical element 135 .
  • the light incident on the imaging lens 131 forms an image on the imaging element 132 located further above the imaging lens 131.
  • the optical system of the imaging unit of the endoscope apparatus according to the present invention may be any suitable one according to the object to be observed, the mode of use, etc., and is not limited to the above examples.
  • FIG. 21 is a view showing an example of use of the endoscope apparatus 1B described in the second embodiment.
  • the endoscope apparatus which concerns on other embodiment can be used similarly.
  • the example which performs surgery using one endoscope apparatus 1B is shown.
  • the endoscope apparatus 1B is punctured by adjusting the position on the abdominal wall and the puncture angle so that the surgical site falls within the imaging range.
  • the length of the part to be punctured is adjusted according to the thickness of the abdominal wall and the like. This adjustment is performed by the position adjustment tool 12 as described above.
  • the endoscope apparatus 1B can be quickly fixed in two simple steps of puncturing and adjusting the position of the position adjustment tool 12.
  • the length of the portion of the endoscope apparatus 1B that protrudes outside the body can be shortened by housing the variable part 111B inside the puncture part 112B. .
  • the interference between the endoscope apparatus 1B and the instrument such as the trocar or the forceps used for the operation is minimized, and the endoscope apparatus 1B is unlikely to interfere with the operation.
  • the endoscope apparatus 1B is less likely to interfere with the operation, as shown in (b) of FIG.
  • six endoscopic devices 1B are punctured so as to surround the surgical site. This makes it possible to observe the surgical site in detail from various angles. In addition, even if the surgical site is extensive, it is possible to observe the whole.
  • the image captured by each of the endoscope devices 1B is transmitted to the image processing device 3.
  • the image processing device 3 is a device that combines and outputs the received image.
  • an endoscope joint system including a plurality of endoscope apparatuses and an image processing apparatus
  • a user can observe an observation target space imaged by the plurality of endoscope apparatuses 1B (this example The entire abdominal cavity can be viewed as a single image.
  • FIG. 22 is a diagram showing an example in which the endoscope apparatus 1B is installed via a trocker.
  • the imaging unit 13 of the endoscope apparatus 1B is inserted into the abdominal wall by piercing the trocker in the abdominal wall and inserting the endoscope apparatus 1B through the trocker.
  • the length of the part protruding to the outside (outside the body) of the trocker can be shortened, so the endoscopic device 1B is used for surgery It is hard to get in the way.
  • the device that enables the imaging unit 13 to be inserted into the observation site may be a tubular device, and may be, for example, a sheath or the like.
  • the endoscope apparatus can be used in the same manner, the endoscope apparatus 1B, 1C, 1D according to the second embodiment, or the endoscope apparatus 1G according to the fifth embodiment capable of cutting the variable part It is suitable for this usage aspect. Further, in the case of the usage mode as in the present embodiment, since it is not necessary to puncture, it is not necessary to form the tip of the housing 11 with a rigid body or to make the outer shape into a needle shape. That is, the housing 11 having no puncturing portion can be employed.
  • the technique of the present invention is not limited to an endoscope apparatus, and can be applied to various instruments used by inserting and fixing a columnar part in an observation target space.
  • the present invention can be applied to a light projecting device which is inserted into a target space and emits light to the target space.
  • a light projecting device to which the technology of the present invention is applied will be described based on FIG.
  • FIG. 23 is a view showing the configuration of a light projecting device according to an embodiment of the present invention.
  • the light projecting device 4 includes an end 40, a housing 41, a position adjustment tool 42, a switching unit 421, and a light emitting unit 43.
  • the end 40 side of the housing 41 is a variable portion 411
  • the light emitting portion 43 side is a puncturing portion 412.
  • the light emitting unit 43 is provided at the tip end 4121 of the puncture unit 412.
  • the same members as the members having the same name in the endoscope apparatus described in the above embodiments can be used.
  • FIG. 23 shows an X-X 'cross section of the light projecting device 4 shown in (a) of FIG.
  • a power supply 44 is disposed inside the end 40.
  • the power supply unit 44 is connected to the light emitting unit 43 by the power supply line 45, and supplies power to the light emitting unit 43 via the power supply line 45.
  • the light emitting element 431 included in the light emitting unit 43 emits light, and this light is emitted from the tip of the puncture unit 412.
  • the light emitting element 431 may be any as long as it emits light by energization, and may be, for example, a light emitting diode (LED).
  • the light emitting unit of the light projecting device 4 may be configured to guide light emitted from the light source by a light guiding unit (for example, an optical fiber) and emit the light from the vicinity of the end of the puncturing unit 412.
  • a light guiding unit for example, an optical fiber
  • the power supply unit 44 may be provided in the end 40 in the illustrated example, the power supply unit 44 may be provided inside the housing 41 or inside the position adjustment tool 42. Also, power may be supplied to the light emitting unit 43 from an external power source, and in this case, the power source unit 44 can be omitted.
  • the light projecting device 4 includes the columnar body (the housing 41) having the light emitting unit 43. Further, on the columnar body, a position adjustment tool 42 capable of changing the position on the columnar body is provided along the insertion direction in which the columnar body is inserted into the target space. According to this light projection device 4, the position of the light projection device 4 can be fixed by a simple user operation of inserting the columnar body into the target space and changing the position of the position adjustment tool 42. In addition, it is possible to prevent the work from being disturbed by deforming the variable portion 411 which is out of the target space.
  • the target space may be, for example, the abdominal cavity, as in the above embodiments.
  • the light projecting device 4 is referred to as a lighting device for projecting light into the abdominal cavity.
  • the technology of the present invention can also be applied to, for example, a fluid processing apparatus provided with a nozzle for sucking or discharging a fluid.
  • a fluid processing apparatus to which the technology of the present invention is applied will be described based on FIG.
  • the fluid may be liquid or gas.
  • the gas may be carbon dioxide which is an insufflation gas.
  • the liquid may be a cleaning solution for removing dirt on the tip of the endoscope.
  • FIG. 24 is a view showing the configuration of a fluid processing apparatus according to an embodiment of the present invention.
  • the fluid processing device 5 includes an end portion 50, a housing 51, a position adjustment tool 52, a switching portion 521, and a nozzle portion 53.
  • the end 50 side of the housing 51 is a variable portion 511
  • the nozzle portion 53 side is a puncturing portion 512.
  • the nozzle unit 53 is provided at the distal end 5121 of the puncturing unit 512.
  • the fluid processing device 5 sucks or discharges the fluid in a state where the nozzle portion 53 and the puncturing portion 512 are inserted into the target space.
  • the same members as the members having the same names in the endoscope apparatus described in the above embodiments can be used as the end 50, the housing 51, the position adjustment tool 52, and the switching unit 521.
  • a fluid control unit 54 that controls fluid discharge and / or suction is disposed inside the end 50.
  • the fluid control unit 54 is connected to the nozzle unit 53 by a flow passage 55, and supplies the fluid to the nozzle unit 53 via the flow passage 55 or suctions the fluid from the nozzle unit 53.
  • the fluid is supplied to the nozzle portion 53, the fluid is discharged from the nozzle port 531. Further, when suction is performed, the fluid in the vicinity of the nozzle port 531 flows into the nozzle portion 53.
  • the fluid control unit 54 is provided inside the end 40 in the illustrated example, it may be provided inside the housing 51 or inside the position adjustment tool 52. Further, the flow path 55 may be extended to the outside of the fluid processing device 5, and the discharge and / or suction of the fluid may be controlled by an external device of the fluid processing device 5. In this case, the fluid control unit 54 can be omitted. is there.
  • the fluid processing device 5 may also include a plurality of flow channels 55.
  • the simple user of inserting the columnar body (puncture portion 512) and the nozzle portion 53 into the target space and changing the position of the position adjustment tool 52 on the columnar body The position of the fluid processing device 5 can be fixed by the operation. In addition, it is possible to prevent the work from being disturbed by deforming the variable portion 511 which is out of the target space.
  • the fluid processing device 5 can be used for surgery or the like in the abdominal cavity, as in the endoscope device of each of the above embodiments.
  • the light projecting device 4 of Embodiment 11 can also be used in combination.
  • the outer diameter of the columnar body (housing) of each device can be reduced, and less invasive surgery can be performed. it can.
  • the endoscope apparatus of each of the above embodiments may further include an illumination function for projecting light to the observation target space, and a function for suctioning a fluid in the observation target space or discharging a fluid to the observation target space .
  • imaging can be performed while illuminating the observation target space, or suction or discharge of fluid can be performed according to the captured image to perform surgery or treatment.
  • FIG. 25 is a view showing the configuration of an endoscope apparatus having an illumination function and an endoscope apparatus having a fluid processing function.
  • the cross-sectional view of the endoscope apparatus 6 provided with the illumination function is shown in (a) of the figure, and the cross-sectional view of the endoscope apparatus 7 provided with the fluid processing function is shown in (b) of the same figure. ing.
  • illustration of wiring etc. is abbreviate
  • the position adjuster described in each of the above embodiments is provided on the housings of the endoscope apparatuses 6 and 7.
  • the appearance of the endoscope apparatuses 6 and 7 is the same as that of the endoscope apparatus of each of the above embodiments.
  • the endoscope apparatus 6 includes an end portion 60 and a housing 61 including a variable portion 611 and a puncture portion 612.
  • the endoscope device 6 also includes an imaging unit 13 including an imaging lens 131 and an imaging element 132.
  • the same members as the members having the same names in the endoscope apparatus described in the above embodiments can be used.
  • the endoscope apparatus 6 includes a light emitting unit 62.
  • the light projecting unit 62 includes a light source unit 621 and a light guiding unit 622, guides light emitted from the light source unit 621 by the light guiding unit 622, and emits the light from the vicinity of the end of the puncture unit 612.
  • the light guide 622 may be, for example, an optical fiber.
  • the light projector 62 may emit light to emit light from the light emitting element.
  • the endoscope apparatus 6 while projecting light in the extending direction of the puncturing unit 612 by the light emitting unit 62, an image of the direction can be captured by the imaging unit 13.
  • the light source 621 is provided inside the end 60 in the illustrated example, the light source 621 may be provided inside the housing 61 or inside a position adjustment tool not shown.
  • the light guide 622 may be extended to the outside of the endoscope 6, and light from a light source outside the endoscope 6 may be emitted from the vicinity of the end of the puncturing unit 612. In this case, the light source 621 can be omitted.
  • the endoscope device 7 includes an end portion 70 and a housing 71 including a variable portion 711 and a puncture portion 712.
  • the endoscope device 7 also includes an imaging unit 13 including an imaging lens 131 and an imaging element 132.
  • the same members as the members having the same names in the endoscope apparatus described in the above embodiments can be used.
  • the endoscope device 7 further includes a fluid processing unit 72.
  • the fluid processing unit 72 includes a fluid control unit 721, a flow passage 722, and a nozzle unit 723. Under the control of the fluid control unit 721, the fluid processing unit 72 supplies a fluid to the nozzle unit 723 via the flow passage 722, or Aspirate fluid from the
  • the imaging unit 13 can capture an image of the direction.
  • the fluid control unit 721 is provided inside the end portion 70.
  • the fluid control unit 721 may be provided inside the casing 71 or inside a position adjustment tool (not shown).
  • the flow path 722 may be extended to the outside of the endoscope apparatus 7, and the discharge and / or suction of the fluid may be controlled by the device outside the endoscope apparatus 7. In this case, the fluid control unit 721 is omitted. It is possible.
  • the fluid processing unit 72 may also include a plurality of flow channels 722.
  • the endoscope apparatus may be provided with both the light emitting unit and the fluid processing unit. The configuration of each part is as described above.
  • An endoscope apparatus is an endoscope apparatus for imaging an observation target space, and an imaging unit for imaging the observation target space is provided, and a side provided with the imaging unit A columnar housing inserted into the observation target space from the first end of the housing, and the housing is mounted on the housing along the insertion direction in which the housing is inserted into the observation target space.
  • the position adjustment tool which can change the position in is provided.
  • the position adjustment tool capable of changing the position along the insertion direction of the housing is provided on the housing. Since the position adjuster is provided on the housing, the diameter is larger than that of the housing, and therefore, the position adjuster comes in contact with the entrance portion of the observation target space, and the contact brings the entire endoscope apparatus including the housing The position of the object relative to the observation target space is fixed. Therefore, according to the above configuration, when the endoscope apparatus is used, the housing is inserted into the observation target space, and the position of the position adjustment tool is changed by a simple user operation of the user. The effect is that the position can be fixed.
  • the position fixing mechanism that prevents the movement of the position adjusting tool along the insertion direction, and the state in which the position fixing mechanism does not function. It is good also as composition provided with the switching part which switches to. According to this configuration, after moving the position adjusting tool to a desired position in a state where the position fixing mechanism does not function, the position of the position adjusting tool is fixed by switching to a state where the position fixing mechanism functions by the switching unit. be able to.
  • the position fixing mechanism allows movement of the position adjustment tool toward the first end, and It may be configured to prevent movement toward the opposite second end. According to this configuration, since the movement toward the first end side of the position adjustment tool is permitted, the position adjustment tool is moved toward the first end side even when the position fixing mechanism functions, and the position adjustment is performed. The position of the tool can be adjusted. When the position adjustment tool is moved to the first end side, the length of the housing portion inserted into the observation target space becomes short, so that the tip of the housing may damage the inside of the observation target space by this movement, etc. Nothing happens.
  • the position fixing mechanism is a mechanism that prevents the movement of the position adjusting tool by pressing a part of the position adjusting tool against the housing.
  • the switching unit may switch between the state in which the position adjustment tool is pressed against the housing and the state in which the pressing is released. According to this configuration, it is possible to prevent the movement of the position adjustment tool by a simple mechanism of pressing a part of the position adjustment tool onto the housing, thereby fixing the position of the position adjustment tool on the housing.
  • the switching unit can also be a simple mechanism that switches between the pressing state and the state in which the pressing is released.
  • the position adjustment tool in any one of the aspects 1 to 4, can change the position within a predetermined range along the insertion direction on the housing. It is good also as composition. According to this configuration, the range in which the position of the position adjustment tool can be changed is limited to the predetermined range. As a result, the position adjustment tool may come off from the case, or the case portion on the first end side of the position adjustment tool may become too long and the tip of the case may damage the observation target space. Absent.
  • the position fixing mechanism for preventing the movement of the position adjusting tool along the insertion direction is not functioning, It is good also as composition provided with the retention mechanism which holds the position of the above-mentioned position adjustment implement. According to this configuration, since the position of the position adjustment tool is held in a state where the position fixing mechanism is not functioning, the position adjustment tool is prevented from moving at a timing unintended by the user, and the endoscope can be more safely It becomes possible to use the device.
  • the housing in any one of the above aspects 1 to 6, the housing may be inserted into a through portion provided in the position adjustment tool.
  • the position adjustment tool can be disposed on the housing with a simple configuration in which the housing is inserted into the penetration portion of the position adjustment tool.
  • the structure is stable because the position adjustment tool and the case can not be separated if the position adjustment tool does not come off the case.
  • the first end of the housing has rigidity, and at least a part of the housing
  • the variable portion may be deformed by an external force, and may be configured as a variable portion that maintains the shape after the external force is removed.
  • the puncture is stabilized when the endoscope apparatus is used by piercing the wall covering the observation target space. Can be done.
  • the housing since the housing is provided with the variable portion, by deforming the deformation portion, the housing portion outside the observation target space can be prevented from interfering with the user's work. .
  • the variable portion may be configured to be bent by an external force and to maintain the shape after bending even after removing the external force.
  • the variable part since the variable part is bent by an external force, the variable part can be bent so that the housing portion outside the observation target space does not interfere with the work of the user.
  • the variable part can be bent along, for example, a wall covering the observation target space, whereby the endoscope apparatus can be more stably fixed by the position adjustment tool and the bent deformation part. can do.
  • by adjusting the bending direction of the variable part it is also possible to adjust the viewing direction of the imaging part.
  • the endoscope apparatus according to aspect 10 of the present invention may be configured to include an expansion and contraction mechanism for expanding and contracting the housing along the insertion direction in any one of the above-described aspects 1 to 7. According to this configuration, since the housing can be expanded and contracted, the length of the housing portion outside the observation target space can be shortened so that this portion does not interfere with the work of the user.
  • the housing in any one of the aspects 1 to 7, may be configured to have a cutting unit for cutting the housing. According to this configuration, since the housing can be cut from the cutting portion, the housing portion outside the observation target space is cut from the cutting portion so that this portion does not disturb the user's work. Can.
  • the first end may have a needle-like outer shape that is tapered toward the tip. According to this configuration, it is possible to observe the inside of the observation object space by puncturing the wall part covering the observation object space by the first end.
  • the endoscope apparatus according to aspect 13 of the present invention is also configured as having the optical system according to any one of aspects 1 to 12, wherein the observation area in the observation target space is semispherical or wholly spherical. Good. According to this configuration, a wide range of the observation target space can be observed.
  • An endoscope system is the endoscope apparatus according to any one of the first to thirteenth aspects, and the endoscope apparatus transmitted via a communication unit included in the endoscope apparatus.
  • An endoscope system including an image processing apparatus for receiving the captured image, wherein the image processing apparatus combines and outputs the images received from the plurality of endoscope apparatuses for capturing the observation target space Do. According to this configuration, it is possible to present the user with images imaged using a plurality of endoscope apparatuses as one image indicating one observation target space.
  • a light projecting device is a light projecting device which is inserted into a target space and emits light to the target space, and includes a columnar body having a light emitting portion, and the columnar body is provided on the columnar body. It is the structure provided with the position adjustment tool which can change the position on the said columnar body along the insertion direction in which a body is inserted in the said object space.
  • the position of the light projecting device is fixed by a simple user operation of inserting the columnar body into the target space and changing the position of the position adjusting tool when using the light projecting device.
  • a fluid processing apparatus is a fluid processing apparatus which inserts a nozzle into a target space and sucks or discharges a fluid, and includes a columnar body having the nozzle, and Is a configuration provided with a position adjuster that can change the position on the columnar body along the insertion direction in which the nozzle unit and the columnar body are inserted into the target space.
  • the position of the fluid processing device is inserted by inserting the columnar body having the nozzle portion into the target space and changing the position of the position adjustment tool.

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Abstract

Provided is an endoscope device which can be easily anchored. An endoscope device (1) is provided with a columnar case (11) which is equipped with an imaging unit (13) for capturing an image of the inside of a body and which is inserted into the body from an end on the side equipped with the imaging unit (13), wherein a position adjustment tool (12), the position of which can be changed along the insertion direction in which the case (11) is inserted into the body, is provided on the case (11).

Description

内視鏡装置、内視鏡システム、投光装置、および流体処理装置Endoscope apparatus, endoscope system, light projecting apparatus, and fluid processing apparatus
 本発明は、観察対象空間内に挿入して撮像する内視鏡装置等に関する。 The present invention relates to an endoscope apparatus and the like which are inserted into an observation target space and imaged.
 近年、患者への侵襲を小さくするために、開腹することなく、術野観察用の内視鏡や処置具を処置部位に導くトロッカーを患者の腹壁に穿刺して、内視鏡で処置具と処置部位を観察しながら治療を行う腹腔鏡下外科手術が行われている。この腹腔鏡下外科手術に使われる内視鏡は、一般的に硬性鏡と言われており、本体部と、本体部から先端方向に延設される挿入部を備える。 In recent years, in order to reduce the invasiveness to the patient, a trocker which guides the endoscope for observation of the operation area and the treatment tool to the treatment site without being open is punctured into the abdominal wall of the patient, and the treatment tool is Laparoscopic surgery has been performed to treat while observing the treatment site. An endoscope used in this laparoscopic surgery is generally referred to as a rigid endoscope, and includes a main body and an insertion portion extending in the distal direction from the main body.
 また、1mm角程の超小型固体撮像素子の開発や、高性能光ファイバーの実現により、数mm径の細径内視鏡が実現されている。このような細径内視鏡を用いることにより、血管や関節部など、狭い部分の内部を観察できる。例えば、下記特許文献1には、体壁に穿刺される穿刺針の内腔に、軸方向に移動可能な内視鏡を挿入した医療器具が開示されている。この内視鏡本体の好ましい外径は0.5~2.0mmであるとされていることから、上記内視鏡は細径内視鏡であると言える。 In addition, a small-diameter endoscope with a diameter of several millimeters has been realized by the development of ultra-small solid-state imaging devices of about 1 mm square and the realization of high-performance optical fibers. By using such a narrow-diameter endoscope, the inside of a narrow portion such as a blood vessel or a joint can be observed. For example, Patent Document 1 below discloses a medical device in which an axially movable endoscope is inserted into the lumen of a puncture needle to be punctured in a body wall. Since the preferable outer diameter of the endoscope main body is 0.5 to 2.0 mm, it can be said that the endoscope is a narrow diameter endoscope.
 一方、腹腔鏡下外科手術では、内視鏡で実際に観察できる視野の範囲が比較的狭いため、腹腔内の治療部位全体を広範囲に観察することが困難であり、処置具と臓器との位置関係等を的確に把握することが難しいという問題がある。 On the other hand, in the case of laparoscopic surgery, it is difficult to observe the entire treatment site in the abdominal cavity widely because the range of the field of view that can actually be observed with an endoscope is relatively narrow, and the position of the treatment tool and the organ There is a problem that it is difficult to accurately grasp the relationship etc.
 この問題を解決する手法の一つとして、例えば下記特許文献2には、硬性鏡に加えて、該硬性鏡の死角をなくすよう広範囲を見渡すためのカメラを用いる技術が開示されている。腹腔鏡手術の安全性向上の観点では、術野を観察する硬性鏡とは別の、副内視鏡を設置することは有用であるが、鈍痛低減や早期回復の観点では創傷の増加は好ましくない。特に、挿入部の外径が5mm程度の硬性鏡をそのまま使用した場合、侵襲度が高くなるため、挿入部を体腔内から抜いた後、縫合処置を行うことにより、孔を塞ぐ必要がある。その点、特許文献2の技術を用いれば縫合の必要が無い小さな傷のみができるため、患者への影響は軽微である。ただし、直視できない体孔内での設置作業が必要になるため、取り扱いがやや煩雑であり、手術時間延長への影響、および医師の負担は無視できない。他方、特許文献1の細径内視鏡は刺突するだけで観察できるため、取り扱いは容易であり、副内視鏡として簡単に設置、利用できる。 As one of the methods for solving this problem, for example, Patent Document 2 below discloses, in addition to a rigid endoscope, a technique using a camera for looking over a wide range so as to eliminate blind spots of the rigid endoscope. From the viewpoint of improving the safety of laparoscopic surgery, it is useful to set up a secondary endoscope separately from the rigid scope that observes the operation field, but from the viewpoint of dull pain reduction and early recovery, the increase of wounds is preferable Absent. In particular, when a rigid endoscope with an outer diameter of about 5 mm is used as it is, the degree of invasiveness is high, and it is therefore necessary to close the hole by performing a suture procedure after the insertion part is removed from the body cavity. In that respect, using the technique of Patent Document 2 produces only a small wound that does not require suturing, so the impact on the patient is minor. However, since the installation work in the body hole which can not be seen directly is needed, handling is somewhat complicated, and the influence on the operation time extension and the burden on the doctor can not be ignored. On the other hand, since the narrow diameter endoscope of Patent Document 1 can be observed only by piercing, it is easy to handle and can be easily installed and used as an auxiliary endoscope.
日本国公開特許公報「特開2012‐110469号公報」(2012年6月14日公開)Japanese Published Patent Publication "JP-A-2012-110469" (published on June 14, 2012) 日本国公開特許公報「特開2008‐307224号公報」(2008年12月25日公開)Japanese Patent Publication "Japanese Patent Application Laid-Open No. 2008-307224" (December 25, 2008)
 しかしながら、特許文献1の内視鏡は、体内に挿入した後、該内視鏡自身の構成のみで、該内視鏡を所望の位置および角度で固定しておくことができないという問題がある。このため、特許文献1の内視鏡は、使用時に常に手で支えておくか、内視鏡ホルダーなどに固定する必要があり、内視鏡自体や、内視鏡を支持する補助者の手指などが手術等の妨げとなるおそれがあった。そこで、本発明の一態様は、固定が容易な内視鏡装置等を提供することを目的とする。 However, the endoscope of Patent Document 1 has a problem that it can not be fixed at a desired position and angle only with the configuration of the endoscope itself after being inserted into the body. For this reason, the endoscope of Patent Document 1 needs to be always supported by hand at the time of use or fixed to an endoscope holder or the like, and the endoscope itself or the finger of an assistant who supports the endoscope And the like may have been a hindrance to surgery and the like. Therefore, one aspect of the present invention is to provide an endoscope device and the like which can be easily fixed.
 また、上記の問題点は、手術等に用いる内視鏡に限られず、観察対象空間内に柱状の部分を挿入し、挿入した状態で固定して使用する各種器具に共通して生じる問題点である。そこで、本発明の他の態様は、固定が容易な投光装置を提供することを目的とする。また、本発明のさらに他の態様は、固定が容易な流体処理装置を提供することを目的とする。 In addition, the above-mentioned problems are not limited to the endoscope used for surgery etc., but are common problems in various instruments used by inserting and fixing a columnar part in the observation target space. is there. Then, the other aspect of this invention aims at providing the light projection apparatus which is easy to fix. Yet another aspect of the present invention is to provide a fluid processing apparatus that is easy to fix.
 上記の課題を解決するために、本発明に係る内視鏡装置は、観察対象空間を撮像する内視鏡装置であって、上記観察対象空間を撮像する撮像部が設けられており、該撮像部が設けられた側の第1端部から上記観察対象空間に挿入される柱状の筐体を備え、上記筐体上には、該筐体が上記観察対象空間に挿入される挿入方向に沿って、当該筐体上における位置を変更可能な位置調節具が設けられている構成である。 In order to solve the above problems, an endoscope apparatus according to the present invention is an endoscope apparatus for imaging an observation target space, and an imaging unit for imaging the observation target space is provided, and the imaging is performed. A column-shaped casing inserted into the observation target space from the first end on the side where the unit is provided, and the housing is placed on the housing along the insertion direction in which the casing is inserted into the observation target space Thus, the position adjustment tool capable of changing the position on the housing is provided.
 上記の課題を解決するために、本発明に係る投光装置は、対象空間に挿入して該対象空間に投光する投光装置であって、発光部を有する柱状体を備え、上記柱状体上には、上記柱状体が上記対象空間に挿入される挿入方向に沿って、当該柱状体上における位置を変更可能な位置調節具が設けられている構成である。 In order to solve the above problems, a light projecting device according to the present invention is a light projecting device which is inserted into a target space and projected onto the target space, and includes a columnar body having a light emitting portion, and the columnar body The position adjustment tool capable of changing the position on the columnar body is provided on the upper side along the insertion direction in which the columnar body is inserted into the target space.
 上記の課題を解決するために、本発明に係る流体処理装置は、ノズル部を対象空間内に挿入して流体を吸引または吐出する流体処理装置であって、上記ノズル部を有する柱状体を備え、上記柱状体上には、上記ノズル部および上記柱状体が上記対象空間に挿入される挿入方向に沿って、当該柱状体上における位置を変更可能な位置調節具が設けられている構成である。 In order to solve the above problems, a fluid processing apparatus according to the present invention is a fluid processing apparatus which inserts a nozzle into a target space and sucks or discharges fluid, and includes a columnar body having the above-mentioned nozzle. The position adjustment tool capable of changing the position on the columnar body is provided on the columnar body along the insertion direction in which the nozzle portion and the columnar body are inserted into the target space. .
 本発明の一態様によれば、内視鏡装置の設置時において、該内視鏡装置を容易に設置および固定することができるという効果を奏する。 According to one aspect of the present invention, when installing the endoscope apparatus, the endoscope apparatus can be easily installed and fixed.
本発明の実施形態1に係る内視鏡装置の構成および使用例を示す図である。It is a figure which shows the structure and usage example of the endoscope apparatus which concern on Embodiment 1 of this invention. 上記内視鏡装置が有する可変部の機能を説明する図である。It is a figure explaining the function of the variable part which the said endoscope apparatus has. 上記内視鏡装置の内部構造を説明する図である。It is a figure explaining the internal structure of the said endoscope apparatus. 伸縮機構を備えた内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus provided with the expansion-contraction mechanism. 他の伸縮機構を備えた内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus provided with the other expansion-contraction mechanism. 伸縮する可変部を備えた内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus provided with the variable part to expand-contract. 本発明の実施形態3に係る内視鏡装置の構成および使用例を示す図である。It is a figure which shows the structure and usage example of the endoscope apparatus which concern on Embodiment 3 of this invention. 外套部を介して位置調節具が設けられた内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus in which the position adjustment tool was provided via the mantle. 上記外套部の構成を説明する図である。It is a figure explaining the composition of the above-mentioned coat part. 切断可能な可変部を備えた内視鏡装置の構成および使用例を示す図である。It is a figure which shows the structure and usage example of an endoscope apparatus provided with the variable part which can be cut | disconnected. 本発明の実施形態6に係る内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus which concerns on Embodiment 6 of this invention. 上記内視鏡装置が備える位置調節具の構成を示す図である。It is a figure which shows the structure of the position adjustment tool with which the said endoscope apparatus is provided. 一方向への移動を許容し、他方向への移動は妨げる位置固定機構を備えた位置調節具の構成を示す図である。It is a figure which shows the structure of the position adjustment tool provided with the position fixing mechanism which permits the movement to one direction, and prevents the movement to the other direction. 本発明の実施形態7に係る内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus which concerns on Embodiment 7 of this invention. 一方向への移動を許容し、他方向への移動は妨げる位置固定機構を備えた位置調節具の構成を示す図である。It is a figure which shows the structure of the position adjustment tool provided with the position fixing mechanism which permits the movement to one direction, and prevents the movement to the other direction. 本発明の実施形態8に係る内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus which concerns on Embodiment 8 of this invention. 半球レンズを備えた撮像部の例を示す図である。It is a figure which shows the example of the imaging part provided with the hemispherical lens. 半球レンズを複数備えた撮像部の例を示す図である。It is a figure which shows the example of the imaging part provided with two or more hemispherical lenses. 側方に観察窓を備えた穿刺部の例と、その内部に配置された撮像部の例を示す図である。It is a figure which shows the example of the puncture part which equipped the side with the observation window, and the example of the imaging part arrange | positioned to the inside. 刃面に観察窓を設けた穿刺部と、その内部に配置する撮像部の例を示す図である。It is a figure which shows the example of the puncture part which provided the observation window in the blade surface, and the imaging part arrange | positioned to the inside. 実施形態2で説明した内視鏡装置の使用例を示す図である。FIG. 14 is a view showing an example of use of the endoscope apparatus described in the second embodiment. トロッカーを介して内視鏡装置を設置した例を示す図である。It is a figure which shows the example which installed the endoscope apparatus via the trocar. 本発明の実施形態11に係る投光装置の構成を示す図である。It is a figure which shows the structure of the light projector which concerns on Embodiment 11 of this invention. 本発明の実施形態12に係る流体処理装置の構成を示す図である。It is a figure which shows the structure of the fluid processing apparatus which concerns on Embodiment 12 of this invention. 照明機能を備えた内視鏡装置と、流体処理機能を備えた内視鏡装置の構成を示す図である。It is a figure which shows the structure of the endoscope apparatus provided with the illumination function, and the endoscope apparatus provided with the fluid processing function.
 〔実施形態1〕
 本発明の一実施形態に係る内視鏡装置について、図1に基づいて説明する。図1は、内視鏡装置1の構成および使用例を示す図である。内視鏡装置1は、体腔または内臓の内腔を観察するための器具である。本実施形態では、内視鏡装置1を腹腔の観察に使用する例を説明するが、観察対象は特に限定されない。内視鏡装置1は、任意の観察対象空間の観察に利用できる。
Embodiment 1
An endoscope apparatus according to an embodiment of the present invention will be described based on FIG. FIG. 1 is a view showing a configuration and an example of use of the endoscope apparatus 1. The endoscope apparatus 1 is an instrument for observing a body cavity or a visceral lumen. In the present embodiment, an example in which the endoscope apparatus 1 is used to observe the abdominal cavity will be described, but the observation target is not particularly limited. The endoscope apparatus 1 can be used to observe an arbitrary observation target space.
 図1の(a)に示すように、内視鏡装置1は、端部10、筐体11、位置調節具12、および撮像部13を備えている。また、筐体11の端部10側は可変部111となっており、撮像部13側は穿刺部112となっている。さらに、端部10の内部には、通信部14が配置されている。 As shown in (a) of FIG. 1, the endoscope apparatus 1 includes an end portion 10, a housing 11, a position adjustment tool 12, and an imaging unit 13. Further, the end 10 side of the housing 11 is a variable portion 111, and the imaging portion 13 side is a puncturing portion 112. Furthermore, the communication unit 14 is disposed inside the end portion 10.
 端部10は、筐体11の一端に設けられた構造体であり、上記の通り、その内部には通信部14や電源部(図示せず)が配置されている。端部10の内腔は、筐体11の内腔と連通しており、撮像部13から延びる配線(図示せず)が、この連通部分を通って通信部14と接続されている。端部10の形状およびサイズは特に限定されないが、図示の例のように、筐体11の径よりも大きいサイズとすることにより、端部10が位置調節具12の脱落を防止するストッパーとして機能するため好ましい。なお、通信部14や電源部は筐体11や位置調節具12の内部に設けてもよい。 The end portion 10 is a structure provided at one end of the housing 11, and as described above, the communication unit 14 and the power supply unit (not shown) are disposed therein. The inner cavity of the end 10 is in communication with the inner cavity of the housing 11, and a wire (not shown) extending from the imaging unit 13 is connected to the communication unit 14 through the communication portion. The shape and size of the end 10 are not particularly limited, but the end 10 functions as a stopper for preventing the position adjustment tool 12 from falling off by making the size larger than the diameter of the housing 11 as in the illustrated example. It is preferable to The communication unit 14 and the power supply unit may be provided inside the housing 11 and the position adjustment tool 12.
 筐体11は、観察対象空間に挿入される柱状の筐体である。筐体11には、観察対象空間を撮像する撮像部13が設けられ、該撮像部13が設けられた側の端部から観察対象空間に挿入される。上述のように、本実施形態における観察対象空間は腹腔である。筐体11は、撮像部13が設けられている穿刺部112と、端部10が接続されている可変部111とを含む。 The housing 11 is a columnar housing that is inserted into the observation target space. The casing 11 is provided with an imaging unit 13 for imaging the observation target space, and is inserted into the observation target space from the end on the side where the imaging unit 13 is provided. As described above, the observation target space in the present embodiment is the abdominal cavity. The housing 11 includes a puncturing unit 112 provided with the imaging unit 13 and a variable unit 111 to which the end unit 10 is connected.
 可変部111は、筐体11の端部10側の部分を構成する柱状の部材である。詳細は後述するが、可変部111は、外力により変形し、外力を除いた後も変形後の形状が維持される。 The variable portion 111 is a columnar member that constitutes a portion on the end 10 side of the housing 11. Although the details will be described later, the variable portion 111 is deformed by an external force, and the shape after the deformation is maintained even after the external force is removed.
 穿刺部112は、筐体11の撮像部13側の部分を構成する柱状の部材である。穿刺部112は、可変部111側に比べて、撮像部13が設けられている先端付近がやや細くなっている。より詳細には、穿刺部112は、先端に向けて細くなる針状の外形を有している。これにより、穿刺部112により腹腔に穿刺して、腹腔内を撮影することができる。 The puncturing unit 112 is a columnar member that constitutes a portion of the housing 11 on the imaging unit 13 side. The puncturing portion 112 is slightly thinner in the vicinity of the tip where the imaging unit 13 is provided than in the variable portion 111 side. More specifically, the puncture portion 112 has a needle-like outer shape that narrows toward the tip. Thereby, the abdominal cavity can be punctured by the puncturing part 112, and the inside of the abdominal cavity can be photographed.
 位置調節具12は、筐体11上に設けられており、筐体11が体内に挿入される挿入方向に沿って、当該筐体11上における位置を変更可能な部材である。本実施形態の位置調節具12は、筐体11の表面を、筐体11の挿入方向に沿ってスライドして移動するように構成されており、図1の(a)に示す範囲R内で位置を変更可能である。 The position adjustment tool 12 is provided on the housing 11 and is a member capable of changing the position on the housing 11 along the insertion direction in which the housing 11 is inserted into the body. The position adjustment tool 12 of the present embodiment is configured to slide and move the surface of the housing 11 along the insertion direction of the housing 11, and within the range R shown in (a) of FIG. The position can be changed.
 範囲Rは、可変部111の上端から穿刺部112の上端付近までの範囲である。筐体11のうち位置調節具12よりも撮像部13側の部分が観察領域(本実施形態では腹腔)内に挿入されるから、範囲Rをどの程度の範囲とするかは、観察領域内に筐体11のどの程度まで挿入して内視鏡装置1を使用するかに応じて決定すればよい。位置調節具12が範囲R外に移動しない構成とすることにより、位置調節具12が筐体11から脱落することを防ぐことができる。位置調節具12は、腹壁に挿入した内視鏡装置1の支点となるので、内視鏡装置1を安定して支持できる程度の広さ(挿入方向と垂直な方向における広さ)を有していることが好ましい。 The range R is a range from the upper end of the variable portion 111 to the vicinity of the upper end of the puncture portion 112. The portion of the housing 11 closer to the imaging unit 13 than the position adjustment tool 12 is inserted into the observation area (in the present embodiment, the abdominal cavity), so the extent to which the range R is to be determined is within the observation area. It may be determined according to how far the housing 11 is inserted and the endoscope apparatus 1 is used. With the configuration in which the position adjustment tool 12 does not move out of the range R, the position adjustment tool 12 can be prevented from falling off the housing 11. The position adjuster 12 is a fulcrum of the endoscope apparatus 1 inserted into the abdominal wall, and thus has a width (a width in a direction perpendicular to the insertion direction) that can stably support the endoscope apparatus 1. Is preferred.
 なお、位置調節具12と筐体11をどのように接続するかは特に限定されず、例えば筐体11を位置調節具12で挟み込む、筐体11に位置調節具12を巻きつける等の態様で接続してもよい。ただし、位置調節具12と筐体11の接続については、筐体11を位置調節具12に設けられた貫通部に挿通することによって接続する態様が好ましい。これについて詳細は後述する。 The manner in which the position adjustment tool 12 and the housing 11 are connected is not particularly limited. For example, the position adjustment tool 12 may be wrapped around the housing 11 by sandwiching the case 11 with the position adjustment tool 12. It may be connected. However, about the connection of the position adjustment tool 12 and the housing | casing 11, the aspect connected by penetrating the housing | casing 11 in the penetration part provided in the position adjustment tool 12 is preferable. Details of this will be described later.
 また、位置調節具12には、切替部121が設けられている。切替部121は、位置調節具12の移動を妨げる図示しない位置固定機構について、該位置固定機構が機能する状態と、機能しない状態とを切り替えるための部材である。切替部121は、片手で簡易に操作できるものとすることが好ましい。切替部121の詳細は後述する。 Further, the position adjustment tool 12 is provided with a switching unit 121. The switching unit 121 is a member for switching between a state in which the position fixing mechanism functions and a state in which the position fixing mechanism does not function. Preferably, the switching unit 121 can be easily operated with one hand. Details of the switching unit 121 will be described later.
 撮像部13は、画像を撮像するためのモジュールである。撮像部13が撮像する画像は動画像であってもよいし、静止画像であってもよい。撮像部13は、筐体11の先端または先端付近に撮像レンズが位置するように配置されている。このため、筐体11の穿刺部112を観察領域内に穿刺することにより、撮像部13にて観察領域内の画像を撮像することができる。 The imaging unit 13 is a module for capturing an image. The image captured by the imaging unit 13 may be a moving image or a still image. The imaging unit 13 is disposed such that the imaging lens is positioned at or near the tip of the housing 11. Therefore, by puncturing the puncturing portion 112 of the housing 11 in the observation area, the imaging unit 13 can pick up an image in the observation area.
 通信部14は、撮像部13が撮像した画像を内視鏡装置1の外部に送信する。本実施形態では、通信部14が、無線通信により、所定の送信先(例えば上記画像を表示させる表示装置を備えたコンピュータ等の端末装置)と通信する例を説明する。また、図示していないが、内視鏡装置1は、撮像部13が撮像した画像を記録する記録部を備えていてもよい。なお、撮像部13が撮像した画像の内視鏡装置1の外部への送信は有線通信にて行ってもよく、この場合は、撮像部13の出力信号線および電源線を内視鏡装置1の外部まで引き出して、通信部14および電源部を省略してもよい。 The communication unit 14 transmits the image captured by the imaging unit 13 to the outside of the endoscope apparatus 1. In the present embodiment, an example will be described in which the communication unit 14 communicates with a predetermined transmission destination (for example, a terminal device such as a computer including a display device for displaying the image) by wireless communication. Although not illustrated, the endoscope apparatus 1 may include a recording unit that records an image captured by the imaging unit 13. Note that transmission of the image captured by the imaging unit 13 to the outside of the endoscope apparatus 1 may be performed by wired communication, and in this case, the output signal line and the power supply line of the imaging unit 13 The communication unit 14 and the power supply unit may be omitted.
 内視鏡装置1を腹腔内の観察に使用する際には、図1の(b)に示すように、穿刺部112を腹壁上の所望の位置に刺突する。続いて、同図の(c)に示すように、撮像部13が腹腔内の所望の位置となるように、挿入範囲(深さ)を調整する。そして、挿入範囲が決まった段階で、同図の(d)に示すように、切替部121を操作して位置固定機構が機能しない状態として、位置調節具12を体表面と接する位置に移動させる。この状態で切替部121を操作して位置固定機構を機能させ、位置調節具12と筐体11との位置関係を固定する。これにより、内視鏡装置1が、位置調節具12を支点として腹部に固定されるので、この後は内視鏡装置1から手を離しても、腹腔内を撮像部13により安定して撮像できる。 When the endoscope apparatus 1 is used for observation in the abdominal cavity, as shown in (b) of FIG. 1, the puncture section 112 is punctured at a desired position on the abdominal wall. Then, as shown to (c) of the figure, an insertion range (depth) is adjusted so that the imaging part 13 may become a desired position in the abdominal cavity. Then, when the insertion range is determined, as shown in (d) of the figure, the position adjustment tool 12 is moved to a position in contact with the body surface as the position fixing mechanism does not function by operating the switching unit 121. . In this state, the switching unit 121 is operated to function the position fixing mechanism, and the positional relationship between the position adjusting tool 12 and the housing 11 is fixed. Thereby, since the endoscope apparatus 1 is fixed to the abdomen with the position adjustment tool 12 as a fulcrum, after that, even if the hand is released from the endoscope apparatus 1, the inside of the abdominal cavity is stably imaged by the imaging unit 13 it can.
 〔可変部の機能〕
 可変部111の機能について図2に基づいて説明する。図2は、可変部111の機能を説明する図である。同図の(a)に示すように、可変部111は、外力を加えることによって変形する。より詳細には、可変部111は、一定以上の大きさの外力を加えることによって屈曲する。これにより、体表面に突き出した可変部111および端部10が手術等の邪魔にならないようにすることができる。また、内視鏡装置1を体表面上でより安定的に保持することができる。
[Function of variable part]
The function of the variable unit 111 will be described based on FIG. FIG. 2 is a diagram for explaining the function of the variable unit 111. As shown in FIG. As shown to (a) of the figure, the variable part 111 deform | transforms by applying external force. More specifically, the variable part 111 bends by applying an external force of a certain size or more. Thereby, the variable part 111 and the end part 10 which protruded to the body surface can be prevented from becoming obstructive for surgery etc. In addition, the endoscope apparatus 1 can be held more stably on the body surface.
 具体的には、図2の(b)に示すように、穿刺部112を腹壁上の所望の位置に刺突し、位置調節具12と筐体11との位置関係を固定した後、同図の(c)に示すように、可変部111を腹壁に沿うように屈曲させる。このとき、ユーザは、位置調節具12を持ち手部分として利用しながら、位置調節具12を支点として可変部111屈曲させることができ、これにより可変部111を位置調節具12の直上部で容易に屈曲させることができる。 Specifically, as shown in (b) of FIG. 2, the puncture portion 112 is pierced at a desired position on the abdominal wall, and after fixing the positional relationship between the position adjustment tool 12 and the housing 11, the same figure. As shown to (c) of, the variable part 111 is bent along an abdominal wall. At this time, the user can bend the variable portion 111 with the position adjustment tool 12 as a fulcrum while using the position adjustment tool 12 as a handle portion, whereby the variable portion 111 can be easily directly above the position adjustment tool 12 Can be bent.
 また、屈曲時において、屈曲させる角度を調整することにより、穿刺部112の向きを調整し、これにより観察方向を調整することもできる。例えば、位置調節具12を支点としておよそ90°屈曲するように曲げることで、内視鏡装置1の視野方向は直下、又は可変部111の屈曲方向と反対方向にやや傾いた姿勢をとることになる。また、可変部111全体をU字に屈曲させることで、端部10が腹壁を押さえる形状にすることもできる。そして、この形状からさらに可変部111を屈曲させることにより、端部10が腹壁を押さえた状態で内視鏡装置1の視野方向を所望の方向に変更することも可能となる。手術等の作業性を向上させるため、変形に要するユーザの操作は数ステップ以下であることが好ましく、変形には大きな力(例えば他の器具の併用が必要となるような力)を要さないことが好ましい。簡易な操作で変形できるようにすることにより、位置調節具12の位置調整と同時に変形することも可能になる。 Further, at the time of bending, it is also possible to adjust the direction of the puncture portion 112 by adjusting the angle at which the bending is performed, thereby adjusting the observation direction. For example, by bending so that the position adjustment tool 12 is bent by about 90 °, the viewing direction of the endoscope apparatus 1 takes a slightly inclined posture directly below or in the direction opposite to the bending direction of the variable portion 111. Become. Moreover, the end part 10 can also be made into the shape which presses an abdominal wall by making the variable part 111 whole bend in U shape. By further bending the variable part 111 from this shape, it is possible to change the viewing direction of the endoscope apparatus 1 to a desired direction while the end 10 presses the abdominal wall. In order to improve workability such as surgery, the user's operation required for deformation is preferably several steps or less, and deformation does not require a large force (for example, a force that requires a combination of other instruments). Is preferred. By being able to be deformed by a simple operation, it is also possible to deform simultaneously with the position adjustment of the position adjustment tool 12.
 ここで、可変部111は、変形後の形状を保持するような材質とすることが好ましい。これにより、同図の(d)に示すように、可変部111に外力を加えるのを終えた後も、可変部111を腹壁に沿って屈曲した形状とすることができる。例えば、外力により変形し、変形後の形状が維持されるような樹脂材料や金属材料で可変部111を構成してもよい。また、例えば、熱によって硬度が変化する材料、あるいは光によって硬度が変化する材料で可変部111を構成してもよい。さらに、例えば可変部111を蛇腹構造とすることにより屈曲可能としてもよい。 Here, it is preferable that the variable portion 111 be made of a material that holds the deformed shape. As a result, as shown in (d) of the figure, even after the application of external force to the variable portion 111 is finished, the variable portion 111 can be bent along the abdominal wall. For example, the variable portion 111 may be made of a resin material or a metal material that is deformed by an external force and the shape after deformation is maintained. Also, for example, the variable portion 111 may be made of a material whose hardness changes with heat or a material whose hardness changes with light. Furthermore, for example, the variable portion 111 may be bendable by forming a bellows structure.
 なお、図2の(a)(c)(d)には、可変部111を穿刺部112側の端部付近で屈曲した例を示しているが、可変部111の屈曲位置は任意である。例えば、同図の(e)に示すように、穿刺部112を深く穿刺し、位置調節具12を可変部111の中央部付近で固定した場合、可変部111はその長手方向の中央部付近(位置調節具12の直上部)で屈曲させてもよい。 Note that (a), (c) and (d) in FIG. 2 show an example in which the variable part 111 is bent near the end on the side of the puncture part 112, but the bending position of the variable part 111 is arbitrary. For example, as shown in (e) of the figure, when the punctured part 112 is deeply punctured and the position adjustment tool 12 is fixed near the central part of the variable part 111, the variable part 111 is near the central part in its longitudinal direction It may be bent by the upper part of position adjustment tool 12).
 また、固定補助具を用いて、可変部111を屈曲した状態で固定してもよい。図2の(f)には、固定補助具2を用いて屈曲した状態の可変部111を固定した例を示している。固定補助具2は、例えば、可変部111と当接する側の面が接着面となっている面状体である。このように、固定補助具2により、屈曲した状態の可変部111を上方から腹壁に向けて抑え込むように接着固定することにより、体表面に突き出した可変部111および端部10が手術等の邪魔にならないようにすることができる。また、内視鏡装置1を体表面上でより安定的に保持することができる。固定補助具2は、例えば厚みのあるテープや、ある程度剛性のあるプレート等で構成してもよい。また、接着面は接着剤等で構成することができる。 Further, the variable part 111 may be fixed in a bent state using a fixing aid. FIG. 2F shows an example in which the variable part 111 in a bent state is fixed by using the fixing aid 2. The fixing aid 2 is, for example, a planar body in which the surface in contact with the variable portion 111 is an adhesive surface. As described above, by fixing and fixing the bent variable portion 111 from the upper side toward the abdominal wall with the fixing aid 2, the variable portion 111 and the end portion 10 protruding to the body surface interfere with surgery and the like. It can be avoided. In addition, the endoscope apparatus 1 can be held more stably on the body surface. The fixing aid 2 may be made of, for example, a thick tape or a plate having a certain degree of rigidity. Further, the adhesive surface can be made of an adhesive or the like.
 〔内視鏡装置の内部構造〕
 内視鏡装置1の内部構造について図3に基づいて説明する。図3は、内視鏡装置1の内部構造を説明する図である。図3の(b)には、同図の(a)に示す内視鏡装置1のX-X’断面を示している。なお、配線等の図示は省略している。
[Internal structure of endoscope apparatus]
The internal structure of the endoscope apparatus 1 will be described based on FIG. FIG. 3 is a view for explaining the internal structure of the endoscope apparatus 1. FIG. 3 (b) shows an XX ′ cross section of the endoscope apparatus 1 shown in FIG. 3 (a). In addition, illustration of wiring etc. is abbreviate | omitted.
 図3の(b)に示すように、可変部111および穿刺部112の内部は一部が空洞になっている。穿刺部112は、腹壁への穿刺が容易になるように、剛性を有する素材(剛体)で形成することが好ましい。 As shown in (b) of FIG. 3, the inside of the variable part 111 and the puncture part 112 is partially hollow. The puncture portion 112 is preferably formed of a rigid material (rigid body) so as to facilitate puncture of the abdominal wall.
 また、穿刺部112内の下端には撮像部13が配置されている。撮像部13は、撮像レンズ131と撮像素子132を含み、撮像レンズ131に入った光が撮像素子132上で結像する構成となっている。撮像部13は、撮像光学系と撮像素子とを含む撮像ユニットと表現することもできる。撮像レンズ131は、穿刺部112の下端の開口部を塞ぐように、穿刺部112の延在方向と垂直に配置されている。撮像部13によれば、穿刺部112の延在方向の画像を撮像することができる。 In addition, the imaging unit 13 is disposed at the lower end in the puncture unit 112. The imaging unit 13 includes an imaging lens 131 and an imaging element 132, and the light entering the imaging lens 131 forms an image on the imaging element 132. The imaging unit 13 can also be expressed as an imaging unit including an imaging optical system and an imaging element. The imaging lens 131 is disposed perpendicularly to the extending direction of the puncture part 112 so as to close the opening at the lower end of the puncture part 112. According to the imaging unit 13, an image in the extension direction of the puncture unit 112 can be taken.
 穿刺部112の端部形状は特に限定されず、例えば図3の(c)に示すように、斜めに切れ上がった刃面としてもよい。穿刺部112の端部を刃面とすることにより、腹壁等への刺突が容易になる。穿刺部112の端部を刃面とした場合も、同図の(a)(b)と同様にして撮像部13を配置し、穿刺部112の延在方向の画像を撮像することができる。なお、撮像部13の撮像方向はこの例に限られない。例えば、撮像部13は、穿刺部112の延在方向に垂直な方向を撮像するものであってもよいし、その他の方向を撮像するものであってもよく、また複数の方向を同時に撮像するものであってもよい。 The shape of the end of the puncturing portion 112 is not particularly limited. For example, as shown in (c) of FIG. By making the end of the puncture part 112 a blade surface, it is easy to puncture the abdominal wall or the like. Even when the end of the puncturing portion 112 is a blade surface, the imaging unit 13 can be disposed in the same manner as (a) and (b) in the same figure, and an image in the extending direction of the puncturing portion 112 can be captured. The imaging direction of the imaging unit 13 is not limited to this example. For example, the imaging unit 13 may pick up a direction perpendicular to the extending direction of the puncturing part 112 or may pick up another direction, and picks up a plurality of directions simultaneously. It may be one.
 〔実施形態2〕
 本発明の他の実施形態について、図4~図6に基づいて説明する。本実施形態の内視鏡装置は、筐体を挿入方向に沿って伸縮させる伸縮機構を備えている。なお、説明の便宜上、前記実施形態にて説明した部材と同じ機能を有する部材については、同じ符号を付記し、その説明を省略する。実施形態3以降についても同様である。
Second Embodiment
Another embodiment of the present invention will be described based on FIG. 4 to FIG. The endoscope apparatus of the present embodiment includes an expansion and contraction mechanism that expands and contracts the housing along the insertion direction. In addition, about the member which has the same function as the member demonstrated in the said embodiment for convenience of explanation, the same code | symbol is appended and the description is abbreviate | omitted. The same applies to the third and subsequent embodiments.
 本実施形態の内視鏡装置1Bについて、図4に基づいて説明する。図4は、伸縮機構を備えた内視鏡装置1Bの構成を示す図である。内視鏡装置1Bは、実施形態1の内視鏡装置1の筐体11の代わりに筐体11Bを備えている。筐体11Bは、可変部111Bと穿刺部112Bとを含む。可変部111Bと穿刺部112Bにより伸縮機構が構成されている。可変部111Bは必ずしも屈曲性を有している必要はない。 An endoscope apparatus 1B of the present embodiment will be described based on FIG. FIG. 4 is a view showing a configuration of an endoscope apparatus 1B provided with a telescopic mechanism. The endoscope apparatus 1B includes a housing 11B instead of the housing 11 of the endoscope apparatus 1 of the first embodiment. The housing 11B includes a variable part 111B and a puncture part 112B. The variable part 111 </ b> B and the puncture part 112 </ b> B constitute an expansion and contraction mechanism. The variable portion 111B does not have to be flexible.
 図4の(a)(b)に示すように、可変部111Bは、穿刺部112Bの内部に陥入する。つまり、外観上、内視鏡装置1Bでは、可変部111Bが伸縮する。これにより、位置調節具12と筐体11Bとの位置関係を固定した後、体表面に突き出した可変部111Bの全部または一部を穿刺部112Bの内部に収容し、可変部111Bおよび端部10が手術等の邪魔にならないようにすることができる。また、内視鏡装置1Bを体表面上でより安定的に保持することができる。 As shown in (a) and (b) of FIG. 4, the variable section 111B intrudes into the inside of the puncture section 112B. That is, in terms of appearance, in the endoscope device 1B, the variable part 111B expands and contracts. Thus, after fixing the positional relationship between the position adjustment tool 12 and the housing 11B, all or part of the variable portion 111B protruding to the body surface is accommodated inside the puncture portion 112B, and the variable portion 111B and the end 10 Can be prevented from getting in the way of surgery and the like. In addition, the endoscope apparatus 1B can be held more stably on the body surface.
 可変部111Bと穿刺部112Bは、図4の(c)(d)の断面図に示すように、ネジ構造により連結されている。より詳細には、可変部111Bは、その外表面にらせん状にネジ溝が切られて雄ネジとなっており、穿刺部112Bは、その内表面に上記ネジ溝と嵌合するネジ溝が切られて雌ネジとなっている。このネジ機構により、端部10および可変部111Bを回転させて、可変部111Bの穿刺部112Bからの露出部分を大きくしたり、小さくしたりすることができる。なお、穿刺部112Bからの露出部分を大きくする方向へ回転させすぎても、可変部111Bと穿刺部112Bとが外れてしまわないように、図示しない抜け止め機構を設けておくことが好ましい。抜け止め機構は、例えば、可変部111Bと穿刺部112Bとを回転させて、それらが所定の位置関係となった段階で、それ以上同じ方向に回転させても、ネジが空回りするようにした機構であってもよい。 The variable part 111B and the puncturing part 112B are connected by a screw structure as shown in the cross-sectional views of (c) and (d) of FIG. More specifically, the variable portion 111B is spirally threaded on the outer surface thereof to form an external thread, and the puncture portion 112B has a thread formed on the inner surface thereof to be engaged with the threaded groove. Is a female screw. By this screw mechanism, the end 10 and the variable part 111B can be rotated to enlarge or reduce the exposed part of the variable part 111B from the puncture part 112B. In addition, it is preferable to provide a detachment prevention mechanism (not shown) so that the variable part 111B and the puncture part 112B are not separated even if the exposed part from the puncture part 112B is rotated too large. The retaining mechanism is, for example, a mechanism that rotates the variable portion 111B and the puncturing portion 112B, and at the stage where they are in a predetermined positional relationship, the screw idles even if it is further rotated in the same direction. It may be
  〔他の例1〕
 図5は、他の伸縮機構を備えた内視鏡装置の構成を示す図である。図5の(a)(b)の断面図に示すように、内視鏡装置1Cは、可変部111Cと穿刺部112Cとを含む。穿刺部112Cの上端は内側に向かってカギ状に折れ曲がっている。一方、可変部111Cの下端は外側に向かってカギ状に折れ曲がっている。そして、穿刺部112Cのカギ状部分と、可変部111Cのカギ状部分が噛み合うようになっており、これにより可変部111Cと穿刺部112Cが分離せず、これらカギ状部分が当接する位置まで可変部111Cを伸長させることができる。また、可変部111Cのカギ状部分の先端と、穿刺部112Cの内表面とが当接しているから、摩擦力により可変部111Cと穿刺部112Cの位置関係を維持することができる。なお、内視鏡装置1Cは、伸縮できる状態と伸縮できない状態を切り替える図示しないロック機構を備えていてもよい。
[Other Example 1]
FIG. 5 is a view showing the configuration of an endoscope apparatus provided with another extension and contraction mechanism. As shown in the cross-sectional views of (a) and (b) of FIG. 5, the endoscope apparatus 1C includes a variable part 111C and a puncturing part 112C. The upper end of the puncture portion 112C is bent inward in a key shape. On the other hand, the lower end of the variable portion 111C is bent outward in a key shape. The hooked portion of the puncture portion 112C and the hooked portion of the variable portion 111C are engaged with each other, so that the variable portion 111C and the punctured portion 112C are not separated, and variable to a position where these hooked portions abut. The portion 111C can be extended. In addition, since the tip of the key-like portion of the variable portion 111C is in contact with the inner surface of the puncture portion 112C, the positional relationship between the variable portion 111C and the puncture portion 112C can be maintained by frictional force. The endoscope apparatus 1 </ b> C may be provided with a lock mechanism (not shown) that switches between an expandable state and an unexpandable state.
  〔他の例2〕
 また、可変部111自体を伸縮させる構成としてもよい。可変部111を伸縮させる例を図6に基づいて説明する。図6は、伸縮する可変部を備えた内視鏡装置の構成を示す図である。図6に示す内視鏡装置1Dは、実施形態1の内視鏡装置1の筐体11の代わりに筐体11Dを備えている。筐体11Dは、可変部111Dと穿刺部112Dとを含む。図6の(a)(b)に示すように、可変部111Dの長さは伸縮する。
[Other Example 2]
Further, the variable part 111 itself may be extended and contracted. An example of expanding and contracting the variable portion 111 will be described based on FIG. FIG. 6 is a view showing a configuration of an endoscope apparatus provided with a variable part that can expand and contract. An endoscope apparatus 1D illustrated in FIG. 6 includes a housing 11D instead of the housing 11 of the endoscope apparatus 1 of the first embodiment. The housing 11D includes a variable part 111D and a puncturing part 112D. As shown in (a) and (b) of FIG. 6, the length of the variable portion 111D expands and contracts.
 可変部111Dは、図6の(c)(d)の断面図に示すように、第1筒体1111D、第2筒体1112D、および第3筒体1113Dの3つの筒体をこの順番で連結した構成である。これらの筒体が伸縮機構である。 As shown in the cross-sectional views of (c) and (d) of FIG. 6, the variable portion 111D connects the three cylinders of the first cylinder 1111D, the second cylinder 1112D, and the third cylinder 1113D in this order. Configuration. These cylinders are an expansion and contraction mechanism.
 可変部111Dは、第1筒体1111Dの内側に第2筒体1112Dが収まり、第2筒体1112Dの内側に第3筒体1113Dの外径が収まるようにこれらの筒体を組み合わせた構成である。そして、各筒体の端部は、他の筒体との連結が外れないようにするためのカギ状となっている。このように、直径の異なる部材を段違いで連結する節構造を採用することにより、伸縮可能な可変部111Dを実現できる。なお、内視鏡装置1Dの刺突時等に意図せず伸縮してしまうことがないように、可変部111Dを伸縮しない状態とするための図示しないロック機構をさらに設けてもよい。なお、可変部111Dを構成する筒体の数は3個に限定されない。 The variable portion 111D is configured by combining these cylinders so that the second cylinder 1112D is accommodated inside the first cylinder 1111D, and the outer diameter of the third cylinder 1113D is accommodated inside the second cylinder 1112D. is there. And the end part of each cylinder becomes a key shape for preventing a connection with another cylinder from falling off. As described above, by adopting a node structure in which members having different diameters are connected in a staggered manner, it is possible to realize an expandable variable portion 111D. A locking mechanism (not shown) may be further provided to prevent the variable portion 111D from expanding and contracting so that it does not expand and contract unintentionally at the time of piercing or the like of the endoscope device 1D. In addition, the number of the cylinders which comprise variable part 111D is not limited to three.
 〔実施形態3〕
 本実施形態では、屈曲する可変部の他の例を図7に基づいて説明する。図7は、本実施形態に係る内視鏡装置1Eの構成および使用例を示す図である。内視鏡装置1Eは、端部10Eと可変部111Eを備えている。可変部111Eは、実施形態1の可変部111と同様に屈曲する材料で形成されている。図7の(a)に示すように、端部10Eの頂部にはV字状の切れ込み部101Eが設けられている。また、切れ込み部101Eの最下端から可変部111Eに向けて断裂部102Eが形成されている。断裂部102Eは、可変部111Eにも形成されている。
Third Embodiment
In this embodiment, another example of the bending variable part will be described based on FIG. FIG. 7 is a diagram showing a configuration and an example of use of the endoscope apparatus 1E according to the present embodiment. The endoscope apparatus 1E includes an end 10E and a variable unit 111E. The variable portion 111 </ b> E is formed of a material that bends in the same manner as the variable portion 111 of the first embodiment. As shown to (a) of FIG. 7, the V-shaped cut part 101E is provided in the top part of the edge part 10E. Further, a tearing portion 102E is formed from the lowermost end of the cut portion 101E toward the variable portion 111E. The fractured portion 102E is also formed on the variable portion 111E.
 内視鏡装置1Eも上述の内視鏡装置1等と同様に、図7の(b)に示すように、腹壁に刺突して、位置調節具12と筐体11との位置関係を固定する。ここで、内視鏡装置1Eの使用時には、ユーザは、端部10Eを指で摘んで引っ張るなどして、切れ込み部101Eから断裂部102Eに沿って、可変部111Eを2つに割く。そして、ユーザは、図7の(c)(d)に示すように、割くことで屈曲した可変部111Eを腹壁に沿って固定する。可変部111Eは、割けた各部分をそれぞれ異なる方向に屈曲させ、固定することができるので、可変部111よりも安定した固定が可能になる。また、図7の(d)では、割いた各部の屈曲状態が同じであるために内視鏡装置1Eの視野方向は直下近辺となるが、割いた各部の屈曲状態をそれぞれ異なる状態にすることで、直下以外の方向に視野方向を傾けることも可能になる。なお、図7の(e)に示すように、内視鏡装置1Eについても、図2の例と同様に固定補助具2で固定してもよい。 Similarly to the above-described endoscope apparatus 1 and the like, as shown in FIG. 7B, the endoscope apparatus 1E pierces the abdominal wall to fix the positional relationship between the position adjustment tool 12 and the housing 11 Do. Here, when using the endoscope apparatus 1E, the user pinches and pulls the end 10E with a finger or the like to divide the variable portion 111E into two along the tearing portion 102E from the incision 101E. Then, as shown in (c) and (d) of FIG. 7, the user fixes the variable portion 111 </ b> E bent by splitting along the abdominal wall. The variable portion 111 </ b> E can bend and fix the split portions in different directions, so that more stable fixing than the variable portion 111 is possible. Further, in (d) of FIG. 7, the viewing direction of the endoscope apparatus 1E is in the vicinity immediately below since the bending state of the divided parts is the same, but the bending states of the divided parts should be different from each other. Therefore, it is also possible to tilt the viewing direction in directions other than directly below. In addition, as shown to (e) of FIG. 7, you may fix with the fixing aid 2 similarly to the example of FIG. 2 also about the endoscope apparatus 1E.
 〔実施形態4〕
 位置調節具は、筐体上に直接配置されている必要はなく、他の部材を介して筐体上に配置されていてもよい。これについて図8に基づいて説明する。図8は、外套部を介して位置調節具が設けられた内視鏡装置1Fの構成を示す図である。同図の(a)には内視鏡装置1Fの側面、(b)には上面、(c)には下面を示している。また、(d)には非保持状態の位置調節具12の断面を、(e)には保持状態の位置調節具12の断面を示している。
Embodiment 4
The position adjuster does not have to be disposed directly on the housing, but may be disposed on the housing via another member. This will be described based on FIG. FIG. 8 is a view showing the configuration of an endoscope apparatus 1F provided with a position adjustment tool via an outer sheath. The side surface of the endoscope apparatus 1F is shown to (a) of the figure, the upper surface to (b), and the lower surface to (c). Further, (d) shows a cross section of the position adjusting tool 12 in the non-holding state, and (e) shows a cross section of the position adjusting tool 12 in the holding state.
 図8の(a)に示すように、内視鏡装置1Fは、可変部111の外周を覆う外套部14を備えている。内視鏡装置1Fでは、位置調節具12は、外套部14上に配置されている。位置調節具12の中央付近には図示しない貫通部が設けられており、この貫通部に外套部14に覆われた可変部が挿通されている。同図の(a)~(c)に示すように、外套部14は直方体状の外形形状である。また、位置調節具12も同様に直方体状の外形形状である。なお、これらの外形形状は一例であり、例えば円筒状や多角柱状等であってもよい。 As shown to (a) of FIG. 8, the endoscope apparatus 1F is provided with the outer collar part 14 which covers the outer periphery of the variable part 111. As shown to (a) of FIG. In the endoscope apparatus 1F, the position adjustment tool 12 is disposed on the mantle portion 14. A penetrating portion (not shown) is provided in the vicinity of the center of the position adjustment tool 12, and the variable portion covered by the outer collar portion 14 is inserted through the penetrating portion. As shown in (a) to (c) of the figure, the outer collar portion 14 has a rectangular parallelepiped outer shape. Moreover, the position adjustment tool 12 is also a rectangular parallelepiped external shape similarly. In addition, these external shapes are an example, for example, cylindrical shape, polygonal columnar shape, etc. may be sufficient.
 図8の(d)に示すように、切替部121を位置調節具12の外側に向けて引き出す操作を行うことにより、位置調節具12の内壁と外套部14の外壁とが離れる。この状態では、位置調節具12と切替部121による位置固定が機能しておらず、位置調節具12の外套部14上における位置を変更することができる。 As shown in (d) of FIG. 8, when the switching portion 121 is pulled out toward the outside of the position adjustment tool 12, the inner wall of the position adjustment tool 12 and the outer wall of the outer collar portion 14 are separated. In this state, the position fixing by the position adjustment tool 12 and the switching unit 121 does not function, and the position of the position adjustment tool 12 on the outer collar portion 14 can be changed.
 一方、同図の(e)に示すように、切替部121を位置調節具12の内側に向けて押し込むことにより、位置調節具12の内壁と外套部14の外壁とが当接する。この状態では、位置調節具12と切替部121による位置固定が機能しており、位置調節具12の外套部14上における位置は固定されている。よって、外套部14内に保持されている可変部111と位置調節具12の位置関係も固定されている。 On the other hand, as shown to (e) of the figure, by pushing the switching part 121 toward the inside of the position adjustment tool 12, the inner wall of the position adjustment tool 12 and the outer wall of the outer collar part 14 contact | abut. In this state, the position fixing by the position adjusting tool 12 and the switching unit 121 functions, and the position of the position adjusting tool 12 on the outer collar 14 is fixed. Therefore, the positional relationship between the variable portion 111 held in the outer collar portion 14 and the position adjustment tool 12 is also fixed.
 このように、本実施形態における位置固定機構は、切替部121と位置調節具12を構成要素とする機構であり、位置調節具12の一部(内壁部分)を、外套部14を介して可変部111に押し付けることによって位置調節具12の移動を妨げる。そして、切替部121は、位置調節具12が可変部111に押し付けられた状態と、該押し付けが解除された状態とを切り替える。これにより、簡易な構成により位置調節具12の位置固定と固定解除を実現することができると共に、位置固定と固定解除の切り替えを切替部121の押し込みと引き出しという簡易な操作で行うことができる。 As described above, the position fixing mechanism in the present embodiment is a mechanism having the switching portion 121 and the position adjusting tool 12 as components, and a part (inner wall portion) of the position adjusting tool 12 can be changed via the outer collar portion 14 By pressing on the portion 111, the movement of the position adjustment tool 12 is impeded. Then, the switching unit 121 switches between a state in which the position adjustment tool 12 is pressed against the variable unit 111 and a state in which the pressing is released. As a result, the position fixing and fixing release of the position adjusting tool 12 can be realized with a simple configuration, and switching between position fixing and fixing release can be performed by a simple operation of pushing and pulling the switching unit 121.
 続いて外套部14のより詳細な構成を図9に基づいて説明する。図9は、外套部14の構成を説明する図である。同図の(a)は外套部14の上面図、(b)は断面図、(c)は側面図である。また、(d)は、可変部111を屈曲させた状態における外套部14の側面図である。 Subsequently, a more detailed configuration of the mantle portion 14 will be described based on FIG. FIG. 9 is a view for explaining the configuration of the mantle portion 14. (A) of the figure is a top view of the mantle portion 14, (b) is a cross-sectional view, and (c) is a side view. Further, (d) is a side view of the mantle portion 14 in a state where the variable portion 111 is bent.
 図9の(d)に示すように、外套部14は、連結体141を複数段連結することにより構成されている。図示の例では4段連結しているが、連結段数は可変部111の屈曲の妨げにならない程度の任意の段数とすればよい。 As shown to (d) of FIG. 9, the mantle part 14 is comprised by connecting the connection body 141 in multiple steps | stages. Although four stages are connected in the illustrated example, the number of connection stages may be an arbitrary number of stages that does not prevent the bending of the variable portion 111.
 また、同図の(a)~(d)に示すように、各段には2つの連結体141が配置されており、それら連結体141の間に筐体支持筒142が挟み込まれている。筐体支持筒142は、筐体11を挿通する貫通部145を有する筒状体である。そして、連結体141の上面には、同図の(a)に示すように連結受部143が設けられており、連結体141の下面には、同図の(c)に示すように連結凸部144が設けられている。連結受部143は、連結凸部144と嵌合する凹部である。同図の(d)に示すように、各段の連結体141は、その段の連結体141における連結受部143と、その上段の連結体141における連結凸部144とを嵌合させることにより連結されている。連結受部143と連結凸部144は、同図の(d)に示すような屈曲が可能であるように、連結受部143と連結凸部144とがある程度離れても連結状態が維持できるようなものとする。これにより、外套部14に覆われた可変部111を屈曲させることができる。 Further, as shown in (a) to (d) of the same figure, two coupling bodies 141 are arranged in each stage, and a casing support cylinder 142 is sandwiched between the coupling bodies 141. The housing support cylinder 142 is a cylindrical body having a through portion 145 through which the housing 11 is inserted. And the connection receiving part 143 is provided in the upper surface of the connection body 141 as shown to (a) of the figure, and the connection convex part is shown on the lower surface of the connection body 141 as shown to (c) of the same figure. The part 144 is provided. The connection receiving portion 143 is a recess that fits with the connection protrusion 144. As shown in (d) of the same figure, the coupling body 141 of each stage is fitted with the coupling receiving portion 143 in the coupling body 141 of that stage and the coupling convex portion 144 in the coupling body 141 of the upper stage thereof. It is connected. The connection receiving portion 143 and the connection convex portion 144 can maintain the connection state even if the connection receiving portion 143 and the connection convex portion 144 are separated to some extent so that bending as shown in (d) of the same figure is possible. It shall be. Thereby, the variable part 111 covered by the mantle part 14 can be bent.
 〔実施形態5〕
 本実施形態では、可変部を中途で切断可能とした例を図10に基づいて説明する。図10は、切断可能な可変部を備えた内視鏡装置1Gの構成および使用例を示す図である。同図の(a)に示すように、内視鏡装置1Gは、可変部111Gを備えている。可変部111Gは、同図の(b)に示すように、中途で切断可能な構成となっている。よって、内視鏡装置1Gを使用する場合、腹壁に刺突して、位置調節具12と筐体11との位置関係を固定した後、位置調節具12よりも上方に突き出している可変部111Gを切断し、切断位置より上の部分を端部10ごと切除する。これにより、体表面に突き出した可変部111Gおよび端部10が手術等の邪魔にならないようにすることができる。
Fifth Embodiment
In the present embodiment, an example in which the variable part can be cut off halfway will be described based on FIG. FIG. 10 is a diagram showing a configuration and an example of use of an endoscope apparatus 1G provided with a severable variable part. As shown to (a) of the figure, the endoscope apparatus 1G is provided with the variable part 111G. The variable portion 111G is configured to be cut off halfway as shown in FIG. Therefore, when using the endoscope apparatus 1G, after the puncture device is inserted into the abdominal wall to fix the positional relationship between the position adjustment tool 12 and the housing 11, a variable portion 111G which protrudes above the position adjustment tool 12 Is cut, and the portion above the cutting position is cut out together with the end 10. As a result, the variable portion 111G and the end 10 protruding to the body surface can be prevented from interfering with surgery and the like.
 可変部111Gを切断するために、例えば同図の(c)の断面拡大図に示すように、可変部111Gを、その挿入方向と垂直な方向に切断するための切断部1111Gを可変部111Gに設けてもよい。切断部1111Gは、可変部111Gの外周に沿って設けられた切れ込みである。このような切断部1111Gを、可変部111Gの長手方向に沿って複数設けておくことによって、可変部111Gの長手方向に沿った所望の位置で可変部111Gを容易に切断することができる。つまり、同図の(d)に示すように、可変部111Gの長手方向に垂直な方向に一定以上の力を加えることにより、可変部111Gにおける、力を加えた位置の切断部1111Gよりも端部10側の部分を、端部10と共に折り取ることができる。 In order to cut the variable portion 111G, for example, as shown in the enlarged cross-sectional view of (c) in the same figure, the cutting portion 1111G for cutting the variable portion 111G in the direction perpendicular to the insertion direction is changed to the variable portion 111G. You may provide. The cutting portion 1111G is a notch provided along the outer periphery of the variable portion 111G. By providing a plurality of such cutting portions 1111G along the longitudinal direction of the variable portion 111G, the variable portion 111G can be easily cut at a desired position along the longitudinal direction of the variable portion 111G. That is, as shown in (d) of the same figure, by applying a force of a certain level or more in the direction perpendicular to the longitudinal direction of the variable portion 111G, the end of the variable portion 111G at the end where the force is applied The part on the part 10 side can be broken off together with the end 10.
 なお、内視鏡装置1Gは、端部10が切除されるので、通信部14を穿刺部112の内部に設けるか、または有線通信とする等により、切除後も画像の出力が維持されるようにすることが望ましい。 In the endoscope apparatus 1G, since the end portion 10 is cut off, the output of the image is maintained even after the cut-out by providing the communication unit 14 inside the puncturing portion 112 or by using wired communication. It is desirable to
 〔実施形態6〕
 本実施形態では、位置調節具の構成例を説明する。図11は、本実施形態に係る内視鏡装置1Hの構成を示す図である。同図の(a)は、内視鏡装置1Hの側面図、(b)はA-A’断面図、(c)はB-B’断面図である。また、(d)(e)は、可変部111Hと穿刺部112Hの接続部付近の拡大図である。
Sixth Embodiment
In this embodiment, a configuration example of the position adjustment tool will be described. FIG. 11 is a diagram showing a configuration of an endoscope apparatus 1H according to the present embodiment. (A) of the figure is a side view of the endoscope apparatus 1H, (b) is a cross-sectional view taken along the line AA ', and (c) is a cross-sectional view taken along the line BB'. Further, (d) and (e) are enlarged views in the vicinity of the connecting portion of the variable portion 111H and the puncturing portion 112H.
 内視鏡装置1Hは、可変部111Hと穿刺部112Hを含み、位置調節具12Hを備えている。可変部111Hは、図11の(b)に示すように、円の一部を直線で切り欠いた断面形状を有している。一方、穿刺部112Hは、同図の(c)に示すように、円形の断面形状を有している。ただし、穿刺部112Hの上端部は、同図の(d)に示すように、可変部111Hと同様に、円の一部を直線で切り欠いた断面形状を有している。 The endoscope apparatus 1H includes a variable unit 111H and a puncturing unit 112H, and includes a position adjustment tool 12H. As shown in (b) of FIG. 11, the variable portion 111H has a cross-sectional shape in which a part of a circle is cut away at a straight line. On the other hand, the puncturing portion 112H has a circular cross-sectional shape as shown in FIG. However, as shown in (d) of the figure, the upper end portion of the puncture portion 112H has a cross-sectional shape in which a part of a circle is cut away in a straight line, as in the variable portion 111H.
 詳細は図12に基づいて後述するが、位置調節具12Hは、可変部111Hを挿通するために、円の一部を直線で切り欠いた形状の貫通部を有している。このため、位置調節具12Hは、可変部111H上の任意の位置に移動させることができる。一方、穿刺部112Hは、その上端部付近で断面形状が変化しており、このため同図の(d)に示すように、上端部付近に段差が生じている。よって、同図の(e)に示すように、位置調節具12Hは、この段差に引っ掛かり、それ以上下方には移動しない。このように、位置調節具12Hの下方への移動を制限する移動範囲制限部を設けることにより、位置調節具12Hが穿刺部112Hの先端側(撮像部13側)から脱落することがない。 Although the details will be described later based on FIG. 12, the position adjustment tool 12H has a penetrating portion having a shape in which a part of a circle is cut out in a straight line in order to insert the variable portion 111H. For this reason, the position adjustment tool 12H can be moved to any position on the variable portion 111H. On the other hand, the cross-sectional shape of the puncturing portion 112H changes in the vicinity of the upper end, and therefore, as shown in (d) of the figure, a step is generated in the vicinity of the upper end. Therefore, as shown to (e) of the same figure, the position adjustment tool 12H is caught on this level | step difference, and does not move downward further. As described above, by providing the movement range restricting portion for restricting the downward movement of the position adjustment tool 12H, the position adjustment tool 12H does not fall off from the distal end side (the imaging unit 13 side) of the puncture section 112H.
 なお、可変部111Hと穿刺部112Hの断面形状は上記の例に限られない。例えば、可変部111Hの断面は、楕円状や多角形状であってもよく、それらの形状から一部を切り欠いた形状であってもよい。穿刺部112Hも同様である。ただし、穿刺部112Hは、腹腔に穿刺する際に腹壁を傷つけたりすることがないように、滑らかな表面形状であることが好ましく、その場合断面は円形または略円形となる。 In addition, the cross-sectional shape of the variable part 111H and the puncture part 112H is not restricted to said example. For example, the cross section of the variable portion 111H may have an elliptical shape or a polygonal shape, or may have a shape in which a part of the shape is cut away. The same applies to the puncture section 112H. However, the puncture portion 112H preferably has a smooth surface shape so as not to damage the abdominal wall when puncturing the abdominal cavity, in which case the cross section becomes circular or substantially circular.
 また、上記の例では、穿刺部112H上に段差を設けているが、穿刺部112Hの上面と、可変部111Hの下面との間に段差が生じるように、これらの面の形状を調整してもよい。また、段差を設ける代わりに、穿刺部112Hあるいは可変部111H上に上記移動範囲制限部として凸部を設けることによっても、位置調節具12Hの下方への移動を制限することができる。 In the above example, a step is provided on the puncture portion 112H, but the shapes of these surfaces are adjusted so that a step is generated between the upper surface of the puncture portion 112H and the lower surface of the variable portion 111H. It is also good. Also, the downward movement of the position adjustment tool 12H can be restricted by providing a projection as the movement range restricting part on the puncture part 112H or the variable part 111H instead of providing the step.
 続いて図12に基づいて位置調節具12Hの構成を説明する。図12は、位置調節具12Hの構成を示す図である。同図の(a)は位置調節具12Hの上面図、同図の(b)(c)は、同図(a)のX-X’断面図である。同図の(a)に示すように、位置調節具12Hは、上面視で正方形状であり、その中央付近に貫通部145が形成されている。また、貫通部145の外縁に沿って滑り止め部材122Hが設けられている。貫通部145は、可変部111Hを挿通するための穴部であり、可変部111Hの断面と同じ形状であることが好ましい。 Subsequently, the configuration of the position adjustment tool 12H will be described based on FIG. FIG. 12 is a diagram showing the configuration of the position adjustment tool 12H. (A) of the figure is a top view of the position adjustment tool 12H, (b) and (c) of the figure are X-X 'sectional views of the figure (a). As shown to (a) of the same figure, the position adjustment tool 12H is square shape by top view, and the penetration part 145 is formed in the center vicinity. In addition, an anti-slip member 122H is provided along the outer edge of the penetrating portion 145. The penetrating portion 145 is a hole for inserting the variable portion 111H, and preferably has the same shape as the cross section of the variable portion 111H.
 同図の(b)に示すように、滑り止め部材122Hは、貫通部145に挿通された可変部111Hに当接するように、貫通部145の外縁に沿って設けられている。図12の例では、滑り止め部材122Hは、位置調節具12Hの上端付近と下端付近の2か所に配置されている。 As shown in (b) of the figure, the non-slip member 122H is provided along the outer edge of the through portion 145 so as to abut on the variable portion 111H inserted into the through portion 145. In the example of FIG. 12, the anti-slip members 122H are disposed at two positions near the upper end and the lower end of the position adjustment tool 12H.
 同図の(b)に示すように、切替部121を位置調節具12Hの外側に引き出した状態では、滑り止め部材122Hが可変部111Hの両側から当接し、それらの間に摩擦力が働く。この状態では、力を加えなければ位置調節具12Hは静止しているが、一定以上の力を加えることにより、位置調節具12Hは可変部111H上で、同図の(b)の上下何れの方向にも移動する。つまり、滑り止め部材122Hは、位置調節具12Hの挿入方向に沿った移動を妨げる位置固定機構が機能していない状態において、位置調節具12Hの位置を保持する保持機構として機能する。 As shown in (b) of the figure, in the state where the switching portion 121 is pulled out to the outside of the position adjustment tool 12H, the anti-slip member 122H abuts from both sides of the variable portion 111H, and a frictional force works therebetween. In this state, the position adjustment tool 12H is at rest if no force is applied, but the position adjustment tool 12H is either above or below (b) on the variable portion 111H by applying a certain force or more. Also move in the direction. That is, the anti-slip member 122H functions as a holding mechanism that holds the position of the position adjustment tool 12H in a state where the position fixing mechanism that prevents movement of the position adjustment tool 12H along the insertion direction is not functioning.
 ここで、同図の(c)に示すように、切替部121を位置調節具12Hの内側に押し込むと、可変部111Hは滑り止め部材122Hに強く押し当てられる。これにより、同図の(b)の状態よりも位置調節具12Hを可変部111H上で移動させ難くなる。つまり、切替部121と滑り止め部材122Hを構成要素として含む位置固定機構が機能する。なお、押し込んだ状態で保持されるように、切替部121と位置調節具12Hは、切替部121を雄ネジ、位置調節具12Hを雌ネジとするネジ機構により接続されていてもよい。
 また、位置調節具12Hと可変部111Hが交わる角度を変更させる角度変更部を設けてもよい。角度変更部によって、位置調節具12Hと可変部111Hが交わる角度を変更させることにより、内視鏡装置1Hの視野方向を変更することが可能である。角度変更部は、切替部121に付随した構成としてもよい。例えば、切替部121における、可変部111Hと接する面に、位置調節具12Hと可変部111Hが交わる角度を変更させる凸部を上記角度変更部として設けてもよい。また、角度変更部は、位置調節具12Hに内蔵された機構であってもよい。
Here, as shown in (c) of the same figure, when the switching portion 121 is pushed into the inside of the position adjustment tool 12H, the variable portion 111H is strongly pressed against the anti-slip member 122H. As a result, it becomes more difficult for the position adjustment tool 12H to move on the variable portion 111H than in the state of FIG. That is, the position fixing mechanism including the switching portion 121 and the anti-slip member 122H as components functions. Note that the switching unit 121 and the position adjustment tool 12H may be connected by a screw mechanism in which the switching unit 121 is a male screw and the position adjustment tool 12H is a female screw so as to be held in a pushed-in state.
In addition, an angle changing unit may be provided to change the angle at which the position adjusting tool 12H and the variable unit 111H intersect. It is possible to change the viewing direction of the endoscope apparatus 1H by changing the angle at which the position adjustment tool 12H and the variable unit 111H intersect by the angle changer. The angle changing unit may be configured to accompany the switching unit 121. For example, a convex portion for changing the angle at which the position adjustment tool 12H intersects the variable portion 111H may be provided as the angle change portion on the surface of the switching portion 121 in contact with the variable portion 111H. The angle changer may be a mechanism incorporated in the position adjustment tool 12H.
 なお、位置調節具12Hの形状は、上面視で正方形状に限定されるものではなく、円形、略円形、あるいは多角形等であってもよい。また、位置調節具12H、人体に接する部材であるため、角が無い構造が望ましい。他の実施形態に係る位置調節具の構造においても同様である。 In addition, the shape of the position adjustment tool 12H is not limited to a square shape in top view, and may be a circle, a substantially circle, a polygon, or the like. Moreover, since it is a member in contact with the position adjustment tool 12H and a human body, a structure without a corner is desirable. The same applies to the structure of a position adjustment tool according to another embodiment.
  〔移動方向の制限〕
 次に、位置調節具12Hの、可変部111H上における移動方向が一方向に制限されるように変形した位置調節具12Haについて図13に基づいて説明する。図13は、一方向への移動を許容し、他方向への移動は妨げる位置固定機構を備えた位置調節具12Haの構成を示す図である。同図の(a)は位置調節具12Haの一部透過上面図、同図の(b)(c)は、X-X’断面図である。
[Restriction of movement direction]
Next, a position adjusting tool 12Ha which is deformed so that the moving direction of the position adjusting tool 12H on the variable portion 111H is limited to one direction will be described based on FIG. FIG. 13 is a diagram showing a configuration of a position adjustment tool 12Ha provided with a position fixing mechanism that allows movement in one direction and prevents movement in the other direction. (A) of the figure is a partially transparent top view of the position adjustment tool 12Ha, and (b) and (c) of the figure are XX 'cross-sectional views.
 同図の(a)(b)に示すように、位置調節具12Haには切替部121が接続されている。また、位置調節具12Haの内部には、2つのラチェット122Ha、第1支持部123Ha、第2支持部124Ha、第3支持部125Ha、および弾性部材126Haが収容されている。切替部121および位置調節具12Haの内部の各構成により位置固定機構が実現されている。 As shown to (a) and (b) of the figure, the switch part 121 is connected to position adjustment tool 12Ha. In addition, two ratchets 122Ha, a first support 123Ha, a second support 124Ha, a third support 125Ha, and an elastic member 126Ha are accommodated in the position adjustment tool 12Ha. A position fixing mechanism is realized by the internal configuration of the switching unit 121 and the position adjustment tool 12Ha.
 ラチェット122Haは、爪を備えた歯車であり、爪が歯車の一方向への回転を許容し、他方向への回転を防ぐ構成となっている。ラチェット122Haは、同図の(a)に示すように、可変部111Hを両側から挟み込むように配置されている。より詳細には、ラチェット122Haは、同図の(b)に示すように、歯の部分が可変部111Hと噛み合うように配置されている。 The ratchet 122Ha is a gear provided with a claw, and the claw allows rotation of the gear in one direction and prevents rotation in the other direction. The ratchet 122Ha is disposed so as to sandwich the variable portion 111H from both sides, as shown in FIG. More specifically, as shown in (b) of the figure, the ratchet 122Ha is arranged such that the tooth portion meshes with the variable portion 111H.
 図示の左側のラチェット122Haは反時計回りに、右側のラチェット122Haは時計回りに回転可能である。これにより、位置調節具12Hは、ラチェット122Haを回転させながら、可変部111H上を同図の下方に移動することができる。他方、各ラチェット122Haは、上記と反対周りには回転しないので、位置調節具12Hを同図の上方に移動させることは困難である。 The illustrated left ratchet 122Ha is counterclockwise rotatable, and the right ratchet 122Ha is rotatable clockwise. Thus, the position adjuster 12H can move downward on the variable part 111H in the same figure while rotating the ratchet 122Ha. On the other hand, it is difficult to move the position adjuster 12H to the upper side in the figure because each ratchet 122Ha does not rotate in the opposite direction to the above.
 このように、位置調節具12Hは、可変部111H上で下方には移動するが、上方には移動し難い。つまり、位置調節具12Haの位置固定機構は、位置調節具12Haが下方に向かう移動は許容し、上方に向かう移動は妨げる。ここで、位置調節具12Haを上方に移動させる場合、体腔内に挿入される穿刺部112Hの長さが長くなる。つまり、位置調節具12Hの上方への移動を妨げる上記構成によれば、意図せず穿刺部112Hを深く穿刺してしまって体腔内を傷付ける等の事態が発生することを未然に防ぐことができる。 Thus, although the position adjustment tool 12H moves downward on the variable portion 111H, it does not easily move upward. That is, the position fixing mechanism of the position adjustment tool 12Ha allows the downward movement of the position adjustment tool 12Ha, but prevents the upward movement. Here, when the position adjustment tool 12Ha is moved upward, the length of the puncture part 112H inserted into the body cavity becomes long. That is, according to the above configuration that prevents the upward movement of the position adjustment tool 12H, it is possible to prevent occurrence of a situation such as damaging the body cavity by unintentionally puncturing the puncture portion 112H unintentionally. .
 第1支持部123Haは、ラチェット122Haを支持し、移動させるための部材である。第1支持部123Haは、切替部121から遠い側のラチェット122Haと直接接続されていると共に、切替部121に近い側のラチェット122Haには第3支持部125Haを介して接続されている。第1支持部123Haは、図13の(b)に示すように、側面視でL字状であり、L字の一端が切替部121と接続されており、L字の角の部分が弾性部材126Haに当接しており、L字の他端が切替部121から遠い側のラチェット122Haと接続されている。 The first support portion 123Ha is a member for supporting and moving the ratchet 122Ha. The first support portion 123Ha is directly connected to the ratchet 122Ha on the side far from the switching portion 121, and is connected to the ratchet 122Ha on the side closer to the switching portion 121 via the third support portion 125Ha. As shown in (b) of FIG. 13, the first support portion 123Ha is L-shaped in side view, one end of the L-shape is connected to the switching portion 121, and the corner portion of the L-shape is an elastic member The other end of the L-shape is in contact with the ratchet 122Ha on the side far from the switching unit 121.
 第2支持部124Haは、第3支持部125Haを回動させる回転軸となる部材であり、ラチェット122Haの回転軸方向に延在し、第3支持部125Haの中ほどの位置で第3支持部125Haと接続されている。 The second support portion 124Ha is a member serving as a rotation axis for rotating the third support portion 125Ha, extends in the rotation axis direction of the ratchet 122Ha, and is disposed at a middle position of the third support portion 125Ha. It is connected with 125Ha.
 第3支持部125Haは、切替部121に近い側のラチェット122Haを支持し、移動させるための部材である。第3支持部125Haの一端は第1支持部123Haに接続されており、他端は切替部121に近い側のラチェット122Haに接続されている。また、上述のように、第3支持部125Haは、第2支持部124Haとも接続されている。 The third support portion 125Ha is a member for supporting and moving the ratchet 122Ha on the side closer to the switching portion 121. One end of the third support portion 125Ha is connected to the first support portion 123Ha, and the other end is connected to the ratchet 122Ha closer to the switching portion 121. Further, as described above, the third support 125Ha is also connected to the second support 124Ha.
 弾性部材126Haは、第1支持部123Haに弾性力を付与する部材である。上述のように、弾性部材126Haは、第1支持部123HaのL字の角の部分と当接している。 The elastic member 126Ha is a member that applies an elastic force to the first support portion 123Ha. As described above, the elastic member 126Ha is in contact with the L-shaped corner of the first support 123Ha.
 以上の構成を備える位置調節具12Haにおいて、図13の(c)に示すように、切替部121を左向きに押し込むと、第1支持部123Haが左方向に移動する。また、これに伴って、切替部121から遠い側のラチェット122Haは、左方向に移動して可変部111Hから離れる。またこの際、第1支持部123Haに押された弾性部材126Haが圧縮される。 In the position adjuster 12Ha having the above configuration, as shown in FIG. 13C, when the switching unit 121 is pushed leftward, the first support part 123Ha moves leftward. Further, along with this, the ratchet 122Ha far from the switching unit 121 moves leftward and separates from the variable unit 111H. At this time, the elastic member 126Ha pressed by the first support portion 123Ha is compressed.
 また、第1支持部123Haが左方向に移動すると、第3支持部125Haの第1支持部123Haと接続されている側の端部も左方向に移動する。これにより、第3支持部125Haは、第2支持部124Haを軸として反時計回りに回動し、ラチェット122Haは右方向に移動して可変部111Hから離れる。 In addition, when the first support 123Ha moves in the left direction, the end of the third support 125Ha connected to the first support 123Ha also moves in the left direction. As a result, the third support portion 125Ha rotates counterclockwise about the second support portion 124Ha, and the ratchet 122Ha moves in the right direction and separates from the variable portion 111H.
 このように、切替部121を位置調節具12Haに押し込むことにより、2つのラチェット122Haと可変部111Hを離間させ、位置固定機構が機能しない状態とすることができる。これにより、位置調節具12Haは、可変部111H上で上下何れの方向にも移動させることができる。この場合も図12の位置調節具1Hと同様に、押し込んだ状態が保持されるように、切替部121と位置調節具12Haは、ネジ機構により接続されていてもよい。 As described above, by pushing the switching portion 121 into the position adjustment tool 12Ha, the two ratchets 122Ha and the variable portion 111H can be separated to make the position fixing mechanism in a non-functioning state. Thus, the position adjustment tool 12Ha can be moved in any direction up and down on the variable portion 111H. Also in this case, as in the position adjusting tool 1H of FIG. 12, the switching unit 121 and the position adjusting tool 12Ha may be connected by a screw mechanism so as to hold the pushed-in state.
 なお、切替部121を位置調節具12Haから引き出す方向に移動させた場合、弾性部材126Haの弾性力によって、第1支持部123Haは、図13の(b)に示す位置に戻る。これにより、2つのラチェット122Haも可変部111Hに当接する位置に戻る。 In addition, when moving the switching part 121 in the direction pulled out from position adjustment tool 12Ha, 1st support part 123Ha returns to the position shown to (b) of FIG. 13 with the elastic force of elastic member 126Ha. As a result, the two ratchets 122Ha also return to a position where they abut on the variable part 111H.
 〔実施形態7〕
 本実施形態では、位置調節具の他の例を説明する。図14は、本実施形態に係る内視鏡装置1Jの構成を示す図である。同図の(a)は、内視鏡装置1Jの側面図である。図示のように、内視鏡装置1Jは、可変部111Jと穿刺部112Jを含み、位置調節具12Jを備えている。なお、可変部111Jおよび穿刺部112Jの構成は、実施形態6の可変部111Hおよび穿刺部112Hとそれぞれ同様である。
Seventh Embodiment
In the present embodiment, another example of the position adjustment tool will be described. FIG. 14 is a diagram showing a configuration of an endoscope apparatus 1J according to the present embodiment. (A) of the figure is a side view of the endoscope apparatus 1J. As illustrated, the endoscope apparatus 1J includes a variable part 111J and a puncturing part 112J, and includes a position adjustment tool 12J. The configurations of the variable part 111J and the puncture part 112J are the same as those of the variable part 111H and the puncture part 112H of the sixth embodiment, respectively.
 同図の(b)には、位置調節具12Jおよび切替部121Jの上面図と側断面図を示している。図示のように、位置調節具12Jの中央付近には貫通部145が形成されており、貫通部145の外縁に沿って滑り止め部材122Jが設けられている。また、位置調節具12Jの内部には、切替部121Jを挿入する開口部が側方に形成された空間が設けられている。そして、この空間内における、開口部と反対側の端部には、上記開口部から挿入された切替部121Jと当接するように弾性部材123Jが配置されている。 The top view and the side sectional view of the position adjustment tool 12J and the switching unit 121J are shown in (b) of the same figure. As shown, a penetrating portion 145 is formed in the vicinity of the center of the position adjustment tool 12J, and a non-slip member 122J is provided along the outer edge of the penetrating portion 145. Moreover, the space by which the opening part which inserts the switching part 121J in the side was formed is provided in the inside of the position adjustment tool 12J. An elastic member 123J is disposed at an end of the space opposite to the opening so as to abut on the switching portion 121J inserted from the opening.
 また、切替部121Jの中央付近にも貫通部146が形成されている。貫通部146は、切替部121Jを位置調節具12Jの内部の空間に挿入した状態において、貫通部145と重畳する位置および形状で形成されている。これにより、図14の(c)(d)に示すように、切替部121Jを位置調節具12Jの内部の空間に挿入した状態において、貫通部145と貫通部146の両方に可変部111Jを挿通することができる。なお、貫通部146のサイズは貫通部145よりも大きくしてもよい。 In addition, a penetrating portion 146 is formed in the vicinity of the center of the switching portion 121J. The penetration part 146 is formed in the position and shape which overlap with the penetration part 145 in the state which inserted the switching part 121J in the space inside the position adjustment tool 12J. Thereby, as shown in (c) and (d) of FIG. 14, in the state in which the switching portion 121J is inserted into the space inside the position adjustment tool 12J, the variable portion 111J is inserted into both the penetrating portion 145 and the penetrating portion 146 can do. Note that the size of the through portion 146 may be larger than that of the through portion 145.
 切替部121Jを位置調節具12Jの内部の空間に挿入した状態において、貫通部145と貫通部146の両方に可変部111Jを挿通すると、切替部121Jは弾性部材123Jによって、上記空間から押し出される方向に付勢される。そして、図14の(c)に示すように、可変部111Jも切替部121Jによって上記空間から押し出される方向に付勢され、位置調節具12Jの滑り止め部材122Jに押し付けられる。これにより、滑り止め部材122Jと切替部121Jを構成要素とする位置固定機構が機能した状態となり、位置調節具12Jは、可変部111J上において、同図の上下何れの方向への移動も妨げられる。 In the state where the switching portion 121J is inserted into the space inside the position adjustment tool 12J, when the variable portion 111J is inserted into both the penetrating portion 145 and the penetrating portion 146, the switching portion 121J is pushed out of the space by the elastic member 123J. It is urged to. And as shown to (c) of FIG. 14, the variable part 111J is also urged | biased by the switching part 121J in the direction extruded from the said space, and is pressed on the non-slip member 122J of the position adjustment tool 12J. As a result, the position fixing mechanism including the anti-slip member 122J and the switching portion 121J functions, and the position adjuster 12J is prevented from moving in the upper or lower direction in the figure on the variable portion 111J. .
 一方、図14の(d)に示すように、切替部121Jを位置調節具12Jの内部に向けて押し込むと、可変部111Jは切替部121Jからの付勢力から解放される。これにより、位置固定機構は機能しない状態となり、可変部111Jは、これに当接する滑り止め部材122Jとの摩擦力でのみ保持される状態となる。この状態は、位置調節具12Jに一定以上の力を加えることで、位置調節具12Jを可変部111J上で同図の上下何れの方向へも移動させることのできる状態である。つまり、滑り止め部材122Jは、位置調節具12Jの挿入方向に沿った移動を妨げる位置固定機構が機能していない状態において、位置調節具12Jの位置を保持する保持機構として機能する。 On the other hand, as shown in (d) of FIG. 14, when the switching portion 121J is pushed toward the inside of the position adjustment tool 12J, the variable portion 111J is released from the biasing force from the switching portion 121J. As a result, the position fixing mechanism does not function, and the variable portion 111J is held only by the frictional force with the anti-slip member 122J in contact with the variable portion 111J. This state is a state in which the position adjuster 12J can be moved on the variable portion 111J in any of the upper and lower directions in the figure by applying a fixed force or more to the position adjuster 12J. That is, the anti-slip member 122J functions as a holding mechanism that holds the position of the position adjustment tool 12J in a state where the position fixing mechanism that prevents movement of the position adjustment tool 12J along the insertion direction is not functioning.
 なお、切替部121Jの押し込みを解除すると、切替部121Jは弾性部材123Jの弾性力によって、位置調節具12Jの内部の空間から押し出される方向に移動し、図14の(c)の状態に戻る。 When the switching unit 121J is released from being pushed, the switching unit 121J moves in the direction of being pushed out of the space inside the position adjustment tool 12J by the elastic force of the elastic member 123J, and returns to the state of (c) in FIG.
  〔移動方向の制限〕
 次に、位置調節具12Jの、可変部111J上における移動方向が一方向に制限されるように変形した位置調節具12Jaについて図15に基づいて説明する。図15は、一方向への移動を許容し、他方向への移動は妨げる位置固定機構を備えた位置調節具12Jaの構成を示す図である。
[Restriction of movement direction]
Next, a position adjuster 12Ja deformed so that the moving direction of the position adjuster 12J on the variable portion 111J is limited to one direction will be described based on FIG. FIG. 15 is a diagram showing a configuration of a position adjustment tool 12Ja having a position fixing mechanism that allows movement in one direction and prevents movement in the other direction.
 同図の(a)には、位置調節具12Jaおよび切替部121Jaの上面図と側断面図を示している。位置調節具12Jaと位置調節具12Jの主な相違点は、位置調節具12Jaが滑り止め部材122Jを備えていない点である。また、切替部121Jaと切替部121Jの主な相違点は、切替部121Jaの内部にラチェット122Jaが配置されている点である。ラチェット122Jaは、貫通部146よりも奥側(切替部121Jaを位置調節具12Jaの内部に挿入したときの奥側)に、歯の端部が貫通部146にはみ出すように配置されている。切替部121Jaと位置調節具12Jaの内部の各構成とにより位置固定機構が実現されている。 The top view and the side sectional view of the position adjustment tool 12 Ja and the switching unit 121 Ja are shown in FIG. The main difference between the position adjuster 12 Ja and the position adjuster 12 J is that the position adjuster 12 Ja does not have the anti-slip member 122 J. Further, the main difference between the switching unit 121Ja and the switching unit 121J is that the ratchet 122Ja is disposed inside the switching unit 121Ja. The ratchet 122 Ja is disposed on the back side of the penetration portion 146 (at the back side when the switching portion 121 Ja is inserted into the position adjustment tool 12 Ja) so that the end of the tooth protrudes to the penetration portion 146. A position fixing mechanism is realized by the switching unit 121 Ja and each configuration inside the position adjusting tool 12 Ja.
 切替部121Jaを位置調節具12Jaの内部の空間に挿入した状態において、貫通部145と貫通部146の両方に可変部111Jを挿通すると、切替部121Jaは弾性部材123Jによって、上記空間から押し出される方向に付勢される。これにより、図15の(b)に示すように、ラチェット122Jaが可変部111Jに押し付けられ、ラチェット122Jaの歯の部分が可変部111Jと噛み合う状態となる。この状態は、位置固定機構が機能した状態である。 When the variable portion 111J is inserted through both the penetrating portion 145 and the penetrating portion 146 in a state where the switching portion 121Ja is inserted into the space inside the position adjustment tool 12Ja, the switching portion 121Ja is pushed out of the space by the elastic member 123J. It is urged to. As a result, as shown in (b) of FIG. 15, the ratchet 122Ja is pressed against the variable portion 111J, and the teeth of the ratchet 122Ja mesh with the variable portion 111J. In this state, the position fixing mechanism is functioning.
 ラチェット122Jaは、同図において反時計回りには回転し、時計回りには回転しない向きで配置されているから、位置調節具12Jaは、可変部111J上において、同図の下方には移動するが、上方には移動し難い。つまり、位置調節具12Jaの位置固定機構は、位置調節具12Jaが下方に向かう移動は許容し、上方に向かう移動は妨げる。よって、意図せず穿刺部112Jを深く穿刺してしまって体腔内を傷付ける等の事態が発生することを未然に防ぐことができる。 Since the ratchet 122Ja is arranged in a direction that rotates counterclockwise in the figure and does not rotate clockwise, the position adjuster 12Ja moves downward on the variable part 111J in the figure. , Difficult to move upwards. That is, the position fixing mechanism of the position adjustment tool 12Ja allows the downward movement of the position adjustment tool 12Ja but prevents the upward movement. Therefore, it is possible to prevent in advance occurrence of a situation in which the puncture section 112J is punctured deeply without intention and the body cavity is damaged.
 位置固定機構が機能しない状態に切り替える方法は、図14の例と同様であり、図15の(c)に示すように、切替部121Jaを位置調節具12Jaの内部に向けて押し込む。これにより、ラチェット122Jaが可変部111Jから離れて、位置調節具12Jaを可変部111J上で同図の上下何れの方向へも移動させることのできる状態となる。また、この状態において、切替部121Jaの押し込みを解除すると、切替部121Jaは弾性部材123Jの弾性力によって、位置調節具12Jaの内部の空間から押し出される方向に移動し、図15の(b)の状態に戻る。 The method of switching to the state where the position fixing mechanism does not function is the same as the example of FIG. 14 and, as shown in (c) of FIG. 15, the switching unit 121Ja is pushed toward the inside of the position adjustment tool 12Ja. As a result, the ratchet 122 Ja separates from the variable part 111 J, and the position adjustment tool 12 Ja can be moved on the variable part 111 J in either the upper or lower direction in FIG. Further, in this state, when the switching unit 121Ja is released from being pushed, the switching unit 121Ja moves in a direction of being pushed out of the space inside the position adjustment tool 12Ja by the elastic force of the elastic member 123J, as shown in FIG. Return to the state.
 〔実施形態8〕
 本実施形態では、位置調節具のさらに他の例を説明する。図16は、本実施形態に係る内視鏡装置1Kの構成を示す図である。同図の(a)は、内視鏡装置1Kの側面図である。図示のように、内視鏡装置1Kは、端部10Kおよび可変部111Kを含み、位置調節具12Kを備えている。内視鏡装置1Kは、有線で画像を出力するため、撮像部13に接続された配線15が、端部10Kから内視鏡装置1Kの外部に延びている。
[Embodiment 8]
In the present embodiment, still another example of the position adjustment tool will be described. FIG. 16 is a diagram showing a configuration of an endoscope apparatus 1K according to the present embodiment. (A) of the figure is a side view of the endoscope apparatus 1K. As illustrated, the endoscope apparatus 1K includes an end 10K and a variable portion 111K, and includes a position adjustment tool 12K. In order to output an image by wire, the endoscope apparatus 1K has a wire 15 connected to the imaging unit 13 extending from the end 10K to the outside of the endoscope apparatus 1K.
 可変部111Kは、上記各実施形態の可変部と同様の構成とすることができる。ただし、可変部111Kは、外表面に図16の(e)(f)に示すような凹凸が形成されていることが好ましい。また、内視鏡装置1Kは、穿刺部112の代わりに、位置調節具12Kの脱落を防ぐための構成を有する穿刺部(例えば段差を有する図11の穿刺部112H)を備えていてもよい。また、内視鏡装置1Kは、無線通信するものであってもよく、この場合、端部10の内部等に通信部14を設ければよい。 The variable unit 111K can have the same configuration as the variable unit of each of the above embodiments. However, as for variable part 111K, it is preferred that unevenness as shown in (e) and (f) of Drawing 16 is formed in the outside surface. In addition, the endoscope apparatus 1K may include a puncture part (for example, the puncture part 112H in FIG. 11 having a step) having a configuration for preventing the position adjustment tool 12K from falling off, instead of the puncture part 112. In addition, the endoscope apparatus 1K may perform wireless communication, and in this case, the communication unit 14 may be provided inside the end portion 10 or the like.
 位置調節具12Kの構成を図16の(b)~(f)に基づいて説明する。同図の(b)(c)は位置調節具12Kの側面図、(d)は上面図、(e)(f)は同図(d)のX-X’断面図である。同図の(d)(e)に示すように、可変部111Kは、位置調節具12Kに設けられた貫通部145に挿通されている。 The configuration of the position adjustment tool 12K will be described based on (b) to (f) of FIG. (B) and (c) of the figure are side views of the position adjustment tool 12K, (d) is a top view, and (e) and (f) are cross-sectional views taken along the line X-X 'of FIG. As shown to (d) and (e) of the figure, the variable part 111K is penetrated by the penetration part 145 provided in the position adjustment tool 12K.
 同図の(b)(c)に示すように、位置調節具12Kは、第1部分121Kと第2部分122Kとを含み、第1部分121Kの表面には第1マーカ123Kが、第2部分122Kの表面には第2マーカ124Kがそれぞれ描かれている。第1部分121Kの下端は雄ネジであるねじ切り部1211Kとなっており、第2部分122Kの上端は雌ネジであるねじ切り部1221Kとなっている。 As shown in (b) and (c) of the figure, the position adjustment tool 12K includes the first portion 121K and the second portion 122K, and the first marker 123K is on the surface of the first portion 121K, and the second portion Second markers 124K are drawn on the surface of 122K. The lower end of the first portion 121K is a threaded portion 1211K which is a male screw, and the upper end of the second portion 122K is a threaded portion 1221K which is a female screw.
 図16の(b)~(d)に示すように、第1部分121Kは、第1マーカ123Kと第2マーカ124Kが一直線に並ぶ方向に回転させて、第2部分122Kにねじ込むことができるように構成されている。以下では、第1部分121Kを第2部分122Kにねじ込んだ状態(同図の(c)の状態)を締結状態と呼ぶ。 As shown in (b) to (d) of FIG. 16, the first portion 121K can be screwed into the second portion 122K by rotating in a direction in which the first marker 123K and the second marker 124K are aligned. Is configured. Hereinafter, a state in which the first portion 121K is screwed into the second portion 122K (state of (c) in the same drawing) is referred to as a fastening state.
 締結状態とすることにより、位置固定機構が機能し、位置調節具12Kの可変部111K上の位置が固定される。つまり、第1部分121Kと第2部分122は、位置固定機構が機能していない非締結状態から、位置固定機構が機能する締結状態に切り替える切替部として機能する。 By setting it in the fastening state, the position fixing mechanism functions, and the position on the variable portion 111K of the position adjusting tool 12K is fixed. That is, the first portion 121K and the second portion 122 function as a switching unit that switches from the non-engaged state in which the position fixing mechanism is not functioning to the engaged state in which the position fixing mechanism functions.
 なお、締結状態とする前の状態では、貫通部145の内周に沿って設けられた滑り止め部材128Kと可変部111Kの間の摩擦力により、位置調節具12Kの位置が保持される。この状態では、位置調節具12Kに一定以上の力を加えることにより、位置調節具12Kを可変部111K上で移動させることができる。つまり、滑り止め部材128Kは、位置固定機構が機能していない状態において、位置調節具12Kの位置を保持する保持機構として機能する。 In addition, in the state before setting it as a fastening state, the position of the position adjustment tool 12K is hold | maintained by the frictional force between the non-slip member 128K provided along the inner periphery of the penetration part 145 and the variable part 111K. In this state, the position adjustment tool 12K can be moved on the variable portion 111K by applying a predetermined force or more to the position adjustment tool 12K. That is, the non-slip member 128K functions as a holding mechanism that holds the position of the position adjustment tool 12K when the position fixing mechanism is not functioning.
 図16の(e)に示すように、位置調節具12Kの内部には、凸部126K、担持機構127K、および滑り止め部材128Kが含まれている。凸部126Kは、締結状態とする際に、担持機構127Kを可変部111Kに押し付けるものであり、第1部分121Kの内表面に設けられている。担持機構127Kは、外力の印可により、可変部111Kを挟み込むように変形し、これにより可変部111Kを担持する部材である。つまり、担持機構127Kは、位置調節具12Kの移動を妨げる位置固定機構の一要素である。担持機構127Kの一端部は第2部分122Kの内壁に固定されている。また、担持機構127Kの他端部は、締結状態とする際に凸部126Kと可変部111Kとで挟み込まれる位置に配置されている。 As shown in FIG. 16E, the position adjustment tool 12K includes a protrusion 126K, a carrying mechanism 127K, and a non-slip member 128K. The convex portion 126 </ b> K presses the holding mechanism 127 </ b> K against the variable portion 111 </ b> K in the fastening state, and is provided on the inner surface of the first portion 121 </ b> K. The carrying mechanism 127K is a member that deforms so as to sandwich the variable portion 111K by application of an external force, thereby carrying the variable portion 111K. That is, the carrying mechanism 127K is an element of the position fixing mechanism that prevents the movement of the position adjustment tool 12K. One end of the carrying mechanism 127K is fixed to the inner wall of the second portion 122K. Further, the other end portion of the carrying mechanism 127K is disposed at a position where it is sandwiched between the convex portion 126K and the variable portion 111K in the fastening state.
 図16の(e)に示すように、締結状態とすることにより、担持機構127Kは凸部126Kに押圧されて、可変部111K側に倒れ込む。そして、担持機構127Kにおける、凸部126Kに押圧されて可変部111Kに押し付けられた側の端部は、可変部111Kの外表面に形成されている凹凸と噛み合うように変形する。これにより、位置調節具12Kの可変部111K上における位置は固定される。 As shown in (e) of FIG. 16, the carrying mechanism 127K is pressed by the convex portion 126K and falls to the variable portion 111K side by being in the fastening state. Then, the end of the carrying mechanism 127K on the side pressed by the convex part 126K and pressed against the variable part 111K is deformed so as to engage with the unevenness formed on the outer surface of the variable part 111K. Thereby, the position on the variable part 111K of the position adjustment tool 12K is fixed.
 〔実施形態9〕
 本実施形態では、観察対象空間における観察領域を半天球状または全天球状とする光学系をさらに備えた撮像部の構成例を説明する。図17は、半球レンズを備えた撮像部の例を示す図である。なお、配線等の図示は省略している。図18~図20についても同様である。
[Embodiment 9]
In the present embodiment, a configuration example of an imaging unit further provided with an optical system in which the observation region in the observation target space is semispherical or totally spherical will be described. FIG. 17 is a diagram showing an example of an imaging unit provided with a hemispherical lens. In addition, illustration of wiring etc. is abbreviate | omitted. The same applies to FIGS. 18 to 20.
 図17の(a)には、撮像部13Aの断面図を示している。撮像部13Aは、撮像レンズ131の外側(穿刺部112の先端)に半球レンズ133が設けられている点で、図3の撮像部13と相違している。半球レンズ133は、その名称の通り、半球の形状のレンズである。半球レンズ133を設けることにより、半天球状の広い範囲を撮像することができる。 FIG. 17A shows a cross-sectional view of the imaging unit 13A. The imaging unit 13A is different from the imaging unit 13 of FIG. 3 in that a hemispherical lens 133 is provided on the outer side of the imaging lens 131 (the tip of the puncturing unit 112). The hemispherical lens 133 is, as the name suggests, a lens in the shape of a hemisphere. By providing the hemispherical lens 133, it is possible to image a wide range of hemispheric spheres.
 また、半球レンズ133は、図17の(b)(c)に示すように、穿刺部の側方に設けてもよい。図17の(b)は、穿刺部112Lの側方に半球レンズ133を設けた撮像部13Bの断面図であり、同図の(c)は、同図の(b)のX-X’断面図である。穿刺部112Lは、先端が斜めに切れ上がった刃面となっている点と、側方に開口部を有している点が、穿刺部112との相違点である。 In addition, the hemispherical lens 133 may be provided on the side of the puncture part as shown in (b) and (c) of FIG. (B) of FIG. 17 is a cross-sectional view of the imaging unit 13B in which the hemispherical lens 133 is provided on the side of the puncture part 112L, and (c) of the same figure is a cross section along XX 'of (b) of the same figure. FIG. The puncturing portion 112 L is different from the puncturing portion 112 in that the tip end is a blade surface that is cut up obliquely and that the puncturing portion 112 L has an opening on the side.
 図17の(b)(c)に示すように、半球レンズ133は、穿刺部112Lの開口部を覆うように、穿刺部112Lの外表面上に配置されている。また、撮像レンズ131は、上記開口部から入射した光を集光できるように、該開口と平行に設けられており、撮像レンズ131で集光した光を結像させる位置に撮像素子132が配置されている。 As shown in (b) and (c) of FIG. 17, the hemispherical lens 133 is disposed on the outer surface of the puncture portion 112L so as to cover the opening of the puncture portion 112L. Further, the imaging lens 131 is provided in parallel with the opening so as to condense the light incident from the opening, and the imaging element 132 is disposed at a position where the light condensed by the imaging lens 131 is imaged. It is done.
 また、半球レンズ133を複数設けてもよい。これについて、図18に基づいて説明する。図18は、半球レンズ133を複数備えた撮像部の例を示す図である。同図の(a)は、2つの半球レンズ133を備えた撮像部13Cの断面図であり、同図の(b)は、同図の(a)のX-X’断面図である。撮像部13Cが設けられた穿刺部112Mは、同図の(b)に示すように、図17の(b)の穿刺部112Lと同様の開口部を有していると共に、その開口部と対向する位置にも開口部を有している。撮像部13Cの半球レンズ133は、これらの開口部を覆うように、穿刺部112Mの外表面上に配置されている。 Also, a plurality of hemispherical lenses 133 may be provided. This will be described based on FIG. FIG. 18 is a view showing an example of an imaging unit provided with a plurality of hemispherical lenses 133. As shown in FIG. (A) of the figure is a cross-sectional view of the imaging unit 13C provided with two hemispherical lenses 133, and (b) of the figure is a cross-sectional view of X-X 'of (a) of the figure. The puncture section 112M provided with the imaging unit 13C has an opening similar to the puncture section 112L of (b) in FIG. 17 and faces the opening as shown in (b) of the same figure. It also has an opening at the position where The hemispherical lens 133 of the imaging unit 13C is disposed on the outer surface of the puncturing unit 112M so as to cover these openings.
 そして、撮像部13Cは、撮像レンズ131と撮像素子132の組み合わせを2組備えている。各組は、1つの半球レンズ133にそれぞれ対応している。つまり、図18において左側に位置する半球レンズ133が集光した光は、同じく左側に位置する撮像レンズ131を通り、同じく左側に位置する撮像素子132上で結像する。同図において右側に位置する半球レンズ133、撮像レンズ131、および撮像素子132も同様である。撮像部13Cによれば、左方の半天球状の画像と、右方の半天球状の画像を撮像することができる。つまり、撮像部13Cの周囲全方位にわたる全天球状の画像を撮像することができる。 The imaging unit 13C includes two sets of the imaging lens 131 and the imaging device 132 in combination. Each set corresponds to one hemispherical lens 133, respectively. That is, the light collected by the hemispherical lens 133 located on the left side in FIG. 18 passes through the imaging lens 131 located on the left side and forms an image on the imaging element 132 located on the left side. The same applies to the hemispherical lens 133, the imaging lens 131, and the imaging element 132 located on the right side in the same figure. According to the imaging unit 13C, it is possible to capture a left hemispheric image and a right hemispheric image. In other words, it is possible to capture an all-sky spherical image in all directions around the imaging unit 13C.
 ここで、半球レンズ133を用いて天球状の画像を撮像した場合、撮像された画像は端部に近付くほど歪んでしまう。そこで、図18の(c)に示すように、半球レンズ133を介した画像と、半球レンズ133を介さない画像の両方を撮像できる構成としてもよい。図18の(c)に示す穿刺部112Nは、図17に示した穿刺部112Mと同様に側方に2つの開口部を有していると共に、先端にも開口部を有している。そして、図18の(c)に示す撮像部13Dは、同図の(a)に示す撮像部13Cと同様に側方に向いた撮像レンズ131と撮像素子132の組を2組備えていると共に、穿刺部112Nの先端側を向いた撮像レンズ131と撮像素子132の組を備えている。撮像部13Dによれば、撮像部13Dの周囲全方位にわたる全天球状の画像を撮像することができると同時に、穿刺部112Nの延在方向の歪みのない画像を撮像することができる。 Here, when a spherical image is taken using the hemispherical lens 133, the taken image is distorted as it approaches the end. Therefore, as shown in (c) of FIG. 18, it may be configured to be able to pick up both an image through the hemispherical lens 133 and an image without the hemispherical lens 133. The puncture section 112N shown in (c) of FIG. 18 has two openings on the side similarly to the puncture section 112M shown in FIG. 17, and also has an opening at the tip. The imaging unit 13D shown in (c) of FIG. 18 includes two sets of the imaging lens 131 and the imaging element 132 facing sideward as in the case of the imaging unit 13C shown in (a) of FIG. And a set of an imaging lens 131 and an imaging element 132 facing the tip end side of the puncture part 112N. According to the imaging unit 13D, it is possible to capture an omnidirectional spherical image in all directions around the imaging unit 13D, and at the same time, it is possible to capture an image without distortion in the extending direction of the puncturing unit 112N.
 無論、半球レンズ133を用いずに、穿刺部の側方を観察できる構成とすることもできる。図19は、側方に観察窓を備えた穿刺部の例と、その内部に配置された撮像部の例を示す図である。同図の(a)は、観察窓113を備えた穿刺部112Pと撮像部13Eの断面図であり、同図の(b)は、同図の(a)のX-X’断面図である。穿刺部112Pの側面には、透光性の材料で形成された観察窓113が設けられている。そして、撮像レンズ131および撮像素子132は、観察窓113に向けて配置されている。撮像部13Eによれば、穿刺部112Pの延在方向に対して垂直な方向の画像を撮像することができる。 Of course, without using the hemispherical lens 133, it is also possible to observe the side of the puncture part. FIG. 19 is a view showing an example of a puncture unit provided with an observation window on the side, and an example of an imaging unit disposed in the inside thereof. (A) of the same figure is a cross-sectional view of the puncturing section 112P and the imaging unit 13E provided with the observation window 113, and (b) of the same figure is a cross-sectional view of XX 'of (a) of the same figure. . An observation window 113 formed of a translucent material is provided on the side surface of the puncture portion 112P. The imaging lens 131 and the imaging element 132 are disposed toward the observation window 113. According to the imaging unit 13E, an image in a direction perpendicular to the extending direction of the puncture unit 112P can be taken.
 また、図19の(c)に示すように、光の進行方向を変える光学系を用いることにより、観察窓113から入った光を、撮像レンズ131を介して撮像素子132上で結像させることもできる。図19の(c)に示す撮像部13Fは、反射鏡134を備えている。撮像部13Fでは、観察窓113から同図の右向きに入った光は、反射鏡134で反射して同図の上向きに進み、反射鏡134の上方に位置する撮像レンズ131に入射する。そして、撮像レンズ131に入射した光は、撮像レンズ131のさらに上方に位置する撮像素子132上で結像する。撮像部13Fによっても、同図の(a)(b)に示す撮像部13Eと同様の画像を撮像することができる。 Further, as shown in (c) of FIG. 19, by using an optical system that changes the traveling direction of light, the light entering from the observation window 113 is imaged on the imaging element 132 via the imaging lens 131. You can also. The imaging unit 13F illustrated in (c) of FIG. 19 includes a reflecting mirror 134. In the imaging unit 13F, light entering in the right direction in the figure from the observation window 113 is reflected by the reflecting mirror 134, travels upward in the figure, and enters the imaging lens 131 located above the reflecting mirror 134. The light incident on the imaging lens 131 forms an image on the imaging element 132 located further above the imaging lens 131. The image pickup unit 13F can also pick up an image similar to the image pickup unit 13E shown in (a) and (b) of FIG.
 観察窓113を設ける位置は特に限定されず、例えば刃面上に設けてもよい。これについて、図20に基づいて説明する。図20は、刃面に観察窓113を設けた穿刺部112Qと、その内部に配置する撮像部13Gの例を示す図である。同図の(a)は、刃面に観察窓113を備えた穿刺部112Qと撮像部13Gの断面図であり、同図の(b)は、穿刺部112Qの下面図である。穿刺部112Qの先端は、斜めに切れ上がった刃面となっており、この刃面に観察窓113が設けられている。そして、撮像部13Gは、撮像レンズ131および撮像素子132が観察窓113に対向するように配置されている。撮像部13Gによれば、刃面に垂直な方向の画像を撮像することができる。 The position at which the observation window 113 is provided is not particularly limited, and may be provided, for example, on the blade surface. This will be described based on FIG. FIG. 20 is a view showing an example of a puncturing portion 112Q provided with an observation window 113 on a blade surface, and an imaging unit 13G disposed inside thereof. (A) of the figure is a cross-sectional view of the puncturing section 112Q and the imaging section 13G provided with the observation window 113 on the blade surface, and (b) of the figure is a bottom view of the puncturing section 112Q. The tip end of the puncturing portion 112Q is a blade surface which is obliquely cut up, and the observation window 113 is provided on the blade surface. The imaging unit 13G is disposed such that the imaging lens 131 and the imaging element 132 face the observation window 113. According to the imaging unit 13G, an image in a direction perpendicular to the blade surface can be captured.
 また、図20の(c)に示すように、光の進行方向を変える光学系を用いることにより、観察窓113から入った光を、撮像レンズ131を介して撮像素子132上で結像させることもできる。図20の(c)に示す撮像部13Hは、光学素子135を備えている。撮像部13Hでは、観察窓113から同図の右上方向に向かって入った光は、光学素子135で屈折して同図の上向きに進み、光学素子135の上方に位置する撮像レンズ131に入射する。そして、撮像レンズ131に入射した光は、撮像レンズ131のさらに上方に位置する撮像素子132上で結像する。撮像部13Hによっても、同図の(a)(b)に示す撮像部13Gと同様の画像を撮像することができる。 Further, as shown in (c) of FIG. 20, by using an optical system that changes the traveling direction of light, the light entering from the observation window 113 is imaged on the imaging element 132 via the imaging lens 131. You can also. An imaging unit 13H illustrated in (c) of FIG. 20 includes an optical element 135. In the imaging unit 13H, light entering from the observation window 113 toward the upper right direction in the figure is refracted by the optical element 135, travels upward in the figure, and enters the imaging lens 131 located above the optical element 135 . The light incident on the imaging lens 131 forms an image on the imaging element 132 located further above the imaging lens 131. Also by the imaging unit 13H, an image similar to that of the imaging unit 13G shown in (a) and (b) of FIG.
 なお、本発明に係る内視鏡装置の撮像部の光学系は、観察対象や使用態様などに応じた適当なものであればよく、上述の各例に限られない。 The optical system of the imaging unit of the endoscope apparatus according to the present invention may be any suitable one according to the object to be observed, the mode of use, etc., and is not limited to the above examples.
 〔実施形態10〕
 本実施形態では内視鏡装置の使用例を図21に基づいて説明する。図21は、実施形態2で説明した内視鏡装置1Bの使用例を示す図である。なお、他の実施形態に係る内視鏡装置も同様にして使用できる。同図の(a)には、内視鏡装置1Bを1つ使用して手術を行う例を示している。
[Embodiment 10]
In this embodiment, a usage example of the endoscope apparatus will be described based on FIG. FIG. 21 is a view showing an example of use of the endoscope apparatus 1B described in the second embodiment. In addition, the endoscope apparatus which concerns on other embodiment can be used similarly. In (a) of the figure, the example which performs surgery using one endoscope apparatus 1B is shown.
 図示のように、内視鏡装置1Bは、手術部位が撮像範囲に入るように、腹壁上の位置および穿刺角度を調整して穿刺される。また、穿刺される部分の長さは、腹壁の厚さ等に応じて調整される。この調整は、上述のように位置調節具12によって行う。このように、内視鏡装置1Bは、穿刺し、位置調節具12の位置を調整するという簡易な2ステップで速やかに固定することができる。 As illustrated, the endoscope apparatus 1B is punctured by adjusting the position on the abdominal wall and the puncture angle so that the surgical site falls within the imaging range. The length of the part to be punctured is adjusted according to the thickness of the abdominal wall and the like. This adjustment is performed by the position adjustment tool 12 as described above. Thus, the endoscope apparatus 1B can be quickly fixed in two simple steps of puncturing and adjusting the position of the position adjustment tool 12.
 また、位置調節具12による調整が終了した後は、可変部111Bを穿刺部112Bの内部側に収容することにより、内視鏡装置1Bの体外に突き出した部分の長さを短くすることができる。これにより、内視鏡装置1Bと手術に用いるトロッカーや鉗子等の器具との干渉が最小限に抑えられ、内視鏡装置1Bが手術の邪魔になりにくい。 In addition, after adjustment by the position adjustment tool 12 is completed, the length of the portion of the endoscope apparatus 1B that protrudes outside the body can be shortened by housing the variable part 111B inside the puncture part 112B. . As a result, the interference between the endoscope apparatus 1B and the instrument such as the trocar or the forceps used for the operation is minimized, and the endoscope apparatus 1B is unlikely to interfere with the operation.
 このように、内視鏡装置1Bは、手術の邪魔になりにくいものであるから、図21の(b)に示すように、複数同時に使用することも十分可能である。図示の例では、手術部位を囲むように6つの内視鏡装置1Bを穿刺している。これにより、様々な角度から手術部位を詳細に観察することが可能になる。また、手術部位が広範にわたる場合であっても、その全体を観察することが可能になる。さらに、図示の例では、各内視鏡装置1Bが撮像した画像を、画像処理装置3に送信している。画像処理装置3は、受信した画像を合成して出力する装置である。このような、複数の内視鏡装置と画像処理装置とを含む内視共システムによれば、ユーザ(手術者等)は、複数の内視鏡装置1Bが撮像した、観察対象空間(本例では腹腔)の全体を1つの画像として閲覧することができる。 As described above, since the endoscope apparatus 1B is less likely to interfere with the operation, as shown in (b) of FIG. In the illustrated example, six endoscopic devices 1B are punctured so as to surround the surgical site. This makes it possible to observe the surgical site in detail from various angles. In addition, even if the surgical site is extensive, it is possible to observe the whole. Furthermore, in the illustrated example, the image captured by each of the endoscope devices 1B is transmitted to the image processing device 3. The image processing device 3 is a device that combines and outputs the received image. According to such an endoscope joint system including a plurality of endoscope apparatuses and an image processing apparatus, a user (surgeon or the like) can observe an observation target space imaged by the plurality of endoscope apparatuses 1B (this example The entire abdominal cavity can be viewed as a single image.
 なお、上述の各実施形態に係る内視鏡装置は、腹壁等に直接刺突して設置することもできるし、他の器具を介して設置することもできる。これについて、図22に基づいて説明する。図22は、トロッカーを介して内視鏡装置1Bを設置した例を示す図である。この例では、トロッカーを腹壁に刺突し、そのトロッカーに内視鏡装置1Bを挿通することにより、内視鏡装置1Bの撮像部13を腹壁内に挿入している。 In addition, the endoscope apparatus which concerns on the above-mentioned each embodiment can also be pierced and installed in an abdominal wall etc. directly, and can also be installed via another instrument. This will be described based on FIG. FIG. 22 is a diagram showing an example in which the endoscope apparatus 1B is installed via a trocker. In this example, the imaging unit 13 of the endoscope apparatus 1B is inserted into the abdominal wall by piercing the trocker in the abdominal wall and inserting the endoscope apparatus 1B through the trocker.
 この場合も、可変部111Bを穿刺部112Bの内部側に収容することにより、トロッカーの外(体外側)に突き出した部分の長さを短くすることができるので、内視鏡装置1Bは手術の邪魔になりにくい。観察部位に撮像部13を挿入することを可能にする器具は、管状の器具であればよく、例えばシース等であってもよい。 Also in this case, by accommodating the variable part 111B on the inner side of the puncture part 112B, the length of the part protruding to the outside (outside the body) of the trocker can be shortened, so the endoscopic device 1B is used for surgery It is hard to get in the way. The device that enables the imaging unit 13 to be inserted into the observation site may be a tubular device, and may be, for example, a sheath or the like.
 なお、他の実施形態に係る内視鏡装置も同様にして使用できるが、実施形態2の内視鏡装置1B、1C、1Dや、可変部を切断できる実施形態5の内視鏡装置1Gがこの使用態様に好適である。また、本実施形態のような使用態様とする場合、穿刺する必要はないから、筐体11の先端を剛体で形成したり、外形を針状としたりする必要はない。つまり、穿刺部を有さない筐体11を採用することができる。 Although the endoscope apparatus according to the other embodiment can be used in the same manner, the endoscope apparatus 1B, 1C, 1D according to the second embodiment, or the endoscope apparatus 1G according to the fifth embodiment capable of cutting the variable part It is suitable for this usage aspect. Further, in the case of the usage mode as in the present embodiment, since it is not necessary to puncture, it is not necessary to form the tip of the housing 11 with a rigid body or to make the outer shape into a needle shape. That is, the housing 11 having no puncturing portion can be employed.
 〔実施形態11〕
 本発明の技術は、内視鏡装置に限られず、観察対象空間内に柱状の部分を挿入し、挿入した状態で固定して使用する各種器具に応用することができる。例えば、対象空間に挿入して該対象空間に投光する投光装置に応用することもできる。本発明の技術を応用した投光装置について、図23に基づいて説明する。
[Embodiment 11]
The technique of the present invention is not limited to an endoscope apparatus, and can be applied to various instruments used by inserting and fixing a columnar part in an observation target space. For example, the present invention can be applied to a light projecting device which is inserted into a target space and emits light to the target space. A light projecting device to which the technology of the present invention is applied will be described based on FIG.
 図23は、本発明の一実施形態に係る投光装置の構成を示す図である。図23の(a)に示すように、投光装置4は、端部40、筐体41、位置調節具42、切替部421、および発光部43を備えている。また、筐体41の端部40側は可変部411となっており、発光部43側は穿刺部412となっている。発光部43は、穿刺部412の先端部4121に設けられている。端部40、筐体41、位置調節具42、および切替部421としては、上記各実施形態で説明した内視鏡装置における同名の部材と同様のものを用いることができる。 FIG. 23 is a view showing the configuration of a light projecting device according to an embodiment of the present invention. As shown in (a) of FIG. 23, the light projecting device 4 includes an end 40, a housing 41, a position adjustment tool 42, a switching unit 421, and a light emitting unit 43. Further, the end 40 side of the housing 41 is a variable portion 411, and the light emitting portion 43 side is a puncturing portion 412. The light emitting unit 43 is provided at the tip end 4121 of the puncture unit 412. As the end portion 40, the housing 41, the position adjustment tool 42, and the switching portion 421, the same members as the members having the same name in the endoscope apparatus described in the above embodiments can be used.
 図23の(b)には、同図の(a)に示す投光装置4のX-X’断面を示している。図示のように、端部40の内部には電源部44が配置されている。電源部44は、発光部43と電源線45で接続されており、この電源線45を介して発光部43に給電する。電源部44から給電されることにより、発光部43が備える発光素子431が発光し、この光が穿刺部412の先端から放射される。発光素子431は、通電により発光するものであればよく、例えばLED(Light Emitting Diode)等であってもよい。また、投光装置4の発光部は、光源の発する光を導光部(例えば光ファイバー)で導光して穿刺部412の端部付近から出射するものであってもよい。なお、図示の例では、端部40内に電源部44を設けているが、筐体41の内部や、位置調節具42の内部に設けてもよい。また、外部の電源から発光部43に給電してもよく、この場合、電源部44は省略可能である。 (B) of FIG. 23 shows an X-X 'cross section of the light projecting device 4 shown in (a) of FIG. As shown, a power supply 44 is disposed inside the end 40. The power supply unit 44 is connected to the light emitting unit 43 by the power supply line 45, and supplies power to the light emitting unit 43 via the power supply line 45. By supplying power from the power supply unit 44, the light emitting element 431 included in the light emitting unit 43 emits light, and this light is emitted from the tip of the puncture unit 412. The light emitting element 431 may be any as long as it emits light by energization, and may be, for example, a light emitting diode (LED). The light emitting unit of the light projecting device 4 may be configured to guide light emitted from the light source by a light guiding unit (for example, an optical fiber) and emit the light from the vicinity of the end of the puncturing unit 412. Although the power supply unit 44 is provided in the end 40 in the illustrated example, the power supply unit 44 may be provided inside the housing 41 or inside the position adjustment tool 42. Also, power may be supplied to the light emitting unit 43 from an external power source, and in this case, the power source unit 44 can be omitted.
 以上のように、投光装置4は、発光部43を有する柱状体(筐体41)を備えている。そして、上記柱状体上には、上記柱状体が対象空間に挿入される挿入方向に沿って、当該柱状体上における位置を変更可能な位置調節具42が設けられている。この投光装置4によれば、柱状体を対象空間に挿入して、位置調節具42の位置を変更する、という簡易なユーザ操作によって投光装置4の位置を固定することができる。また、対象空間外に出ている可変部411を変形等することにより、作業の邪魔にならないようにすることもできる。 As described above, the light projecting device 4 includes the columnar body (the housing 41) having the light emitting unit 43. Further, on the columnar body, a position adjustment tool 42 capable of changing the position on the columnar body is provided along the insertion direction in which the columnar body is inserted into the target space. According to this light projection device 4, the position of the light projection device 4 can be fixed by a simple user operation of inserting the columnar body into the target space and changing the position of the position adjustment tool 42. In addition, it is possible to prevent the work from being disturbed by deforming the variable portion 411 which is out of the target space.
 上記対象空間は、例えば上記各実施形態と同様に腹腔であってもよい。この場合、投光装置4は、腹腔内に投光する照明装置ということになる。このような照明装置と、上記各実施形態の内視鏡装置とを併用することにより、これらの装置を簡易な操作で腹壁上に固定し、腹腔内を照明しながら撮像することができる。 The target space may be, for example, the abdominal cavity, as in the above embodiments. In this case, the light projecting device 4 is referred to as a lighting device for projecting light into the abdominal cavity. By using such an illumination device and the endoscope device of each of the above embodiments in combination, these devices can be fixed on the abdominal wall with a simple operation, and imaging can be performed while illuminating the inside of the abdominal cavity.
 〔実施形態12〕
 また、本発明の技術は、例えば、流体を吸引または吐出するノズルを備えた流体処理装置に応用することもできる。本発明の技術を応用した流体処理装置について、図24に基づいて説明する。なお、上記流体は、液体であってもよいし、気体であってもよい。例えば、上記気体は、気腹ガスである二酸化炭素であってもよい。また、例えば、上記液体は、内視鏡先端の汚れを落とすための洗浄液であってもよい。
[Embodiment 12]
In addition, the technology of the present invention can also be applied to, for example, a fluid processing apparatus provided with a nozzle for sucking or discharging a fluid. A fluid processing apparatus to which the technology of the present invention is applied will be described based on FIG. The fluid may be liquid or gas. For example, the gas may be carbon dioxide which is an insufflation gas. Also, for example, the liquid may be a cleaning solution for removing dirt on the tip of the endoscope.
 図24は、本発明の一実施形態に係る流体処理装置の構成を示す図である。図24の(a)に示すように、流体処理装置5は、端部50、筐体51、位置調節具52、切替部521、およびノズル部53を備えている。また、筐体51の端部50側は可変部511となっており、ノズル部53側は穿刺部512となっている。ノズル部53は、穿刺部512の先端部5121に設けられている。流体処理装置5は、ノズル部53および穿刺部512を対象空間内に挿入した状態で流体を吸引または吐出する。なお、端部50、筐体51、位置調節具52、および切替部521としては、上記各実施形態で説明した内視鏡装置における同名の部材と同様のものを用いることができる。 FIG. 24 is a view showing the configuration of a fluid processing apparatus according to an embodiment of the present invention. As shown in (a) of FIG. 24, the fluid processing device 5 includes an end portion 50, a housing 51, a position adjustment tool 52, a switching portion 521, and a nozzle portion 53. Further, the end 50 side of the housing 51 is a variable portion 511, and the nozzle portion 53 side is a puncturing portion 512. The nozzle unit 53 is provided at the distal end 5121 of the puncturing unit 512. The fluid processing device 5 sucks or discharges the fluid in a state where the nozzle portion 53 and the puncturing portion 512 are inserted into the target space. In addition, as the end 50, the housing 51, the position adjustment tool 52, and the switching unit 521, the same members as the members having the same names in the endoscope apparatus described in the above embodiments can be used.
 図24の(b)には、同図の(a)に示す流体処理装置5のX-X’断面を示している。図示のように、端部50の内部には、流体の吐出および/または吸引を制御する流体制御部54が配置されている。流体制御部54は、ノズル部53と流路55で接続されており、この流路55を介してノズル部53に流体を供給するか、またはノズル部53から流体を吸引する。ノズル部53に流体を供給した場合、その流体はノズル口531から吐出される。また、吸引した場合、ノズル口531の付近の流体がノズル部53内に向かって流入する。 In (b) of FIG. 24, the X-X 'cross section of the fluid processing apparatus 5 shown to (a) of the same figure is shown. As illustrated, a fluid control unit 54 that controls fluid discharge and / or suction is disposed inside the end 50. The fluid control unit 54 is connected to the nozzle unit 53 by a flow passage 55, and supplies the fluid to the nozzle unit 53 via the flow passage 55 or suctions the fluid from the nozzle unit 53. When the fluid is supplied to the nozzle portion 53, the fluid is discharged from the nozzle port 531. Further, when suction is performed, the fluid in the vicinity of the nozzle port 531 flows into the nozzle portion 53.
 なお、図示の例では、端部40の内部に流体制御部54を設けているが、筐体51の内部や、位置調節具52の内部に設けてもよい。また、流路55を流体処理装置5の外部まで延伸させ、流体処理装置5の外部の機器により流体の吐出および/または吸引を制御してもよく、この場合、流体制御部54は省略可能である。また、流体処理装置5は、複数の流路55を備えていてもよい。 Although the fluid control unit 54 is provided inside the end 40 in the illustrated example, it may be provided inside the housing 51 or inside the position adjustment tool 52. Further, the flow path 55 may be extended to the outside of the fluid processing device 5, and the discharge and / or suction of the fluid may be controlled by an external device of the fluid processing device 5. In this case, the fluid control unit 54 can be omitted. is there. The fluid processing device 5 may also include a plurality of flow channels 55.
 以上の構成を備える流体処理装置5によれば、柱状体(穿刺部512)およびノズル部53を対象空間に挿入して、柱状体上における位置調節具52の位置を変更する、という簡易なユーザ操作によって流体処理装置5の位置を固定することができる。また、対象空間外に出ている可変部511を変形等することにより、作業の邪魔にならないようにすることもできる。 According to the fluid processing apparatus 5 having the above configuration, the simple user of inserting the columnar body (puncture portion 512) and the nozzle portion 53 into the target space and changing the position of the position adjustment tool 52 on the columnar body The position of the fluid processing device 5 can be fixed by the operation. In addition, it is possible to prevent the work from being disturbed by deforming the variable portion 511 which is out of the target space.
 流体処理装置5は、上記各実施形態の内視鏡装置と同様に、腹腔内の手術等に用いることができる。この際、実施形態11の投光装置4も併用することもできる。このように撮像、照明、および流体処理の機能をそれぞれ個別の装置に持たせる場合、各装置の柱状体(筐体)の外径を細くすることができ、より低侵襲な手術を行うことができる。 The fluid processing device 5 can be used for surgery or the like in the abdominal cavity, as in the endoscope device of each of the above embodiments. At this time, the light projecting device 4 of Embodiment 11 can also be used in combination. As described above, when the imaging, illumination, and fluid processing functions are provided to individual devices, the outer diameter of the columnar body (housing) of each device can be reduced, and less invasive surgery can be performed. it can.
 〔実施形態13〕
 上記各実施形態の内視鏡装置は、観察対象空間に投光する照明機能や、観察対象空間内の流体を吸引するか、または観察対象空間に流体を吐出する機能をさらに備えていてもよい。これにより、観察対象空間を照明しながら撮像したり、撮像された画像に応じて流体を吸引あるいは吐出したりして、手術や処置を行うことも可能になる。
[Embodiment 13]
The endoscope apparatus of each of the above embodiments may further include an illumination function for projecting light to the observation target space, and a function for suctioning a fluid in the observation target space or discharging a fluid to the observation target space . As a result, imaging can be performed while illuminating the observation target space, or suction or discharge of fluid can be performed according to the captured image to perform surgery or treatment.
 図25は、照明機能を備えた内視鏡装置と、流体処理機能を備えた内視鏡装置の構成を示す図である。同図の(a)には、照明機能を備えた内視鏡装置6の断面図を示し、同図の(b)には、流体処理機能を備えた内視鏡装置7の断面図を示している。なお、配線等の図示は省略している。また、図示していないが、内視鏡装置6および7の筐体上には、上記各実施形態で説明した位置調節具が設けられている。内視鏡装置6および7の外観は、上記各実施形態の内視鏡装置と同様である。 FIG. 25 is a view showing the configuration of an endoscope apparatus having an illumination function and an endoscope apparatus having a fluid processing function. The cross-sectional view of the endoscope apparatus 6 provided with the illumination function is shown in (a) of the figure, and the cross-sectional view of the endoscope apparatus 7 provided with the fluid processing function is shown in (b) of the same figure. ing. In addition, illustration of wiring etc. is abbreviate | omitted. Further, although not shown, the position adjuster described in each of the above embodiments is provided on the housings of the endoscope apparatuses 6 and 7. The appearance of the endoscope apparatuses 6 and 7 is the same as that of the endoscope apparatus of each of the above embodiments.
 内視鏡装置6は、端部60と、可変部611および穿刺部612を含む筐体61とを備えている。また、内視鏡装置6は、撮像レンズ131および撮像素子132を含む撮像部13を備えている。端部60、筐体61、および撮像部13としては、上記各実施形態で説明した内視鏡装置における同名の部材と同様のものを用いることができる。 The endoscope apparatus 6 includes an end portion 60 and a housing 61 including a variable portion 611 and a puncture portion 612. The endoscope device 6 also includes an imaging unit 13 including an imaging lens 131 and an imaging element 132. As the end portion 60, the housing 61, and the imaging unit 13, the same members as the members having the same names in the endoscope apparatus described in the above embodiments can be used.
 さらに、内視鏡装置6は、投光部62を備えている。投光部62は、光源部621と導光部622を含み、光源部621の発する光を導光部622で導光して穿刺部612の端部付近から出射する。導光部622は、例えば光ファイバーであってもよい。なお、投光部62は、例えば図23の例のように、発光素子を発光させて投光するものであってもよい。 Furthermore, the endoscope apparatus 6 includes a light emitting unit 62. The light projecting unit 62 includes a light source unit 621 and a light guiding unit 622, guides light emitted from the light source unit 621 by the light guiding unit 622, and emits the light from the vicinity of the end of the puncture unit 612. The light guide 622 may be, for example, an optical fiber. For example, as in the example of FIG. 23, the light projector 62 may emit light to emit light from the light emitting element.
 内視鏡装置6によれば、投光部62で穿刺部612の延在方向に投光しながら、該方向の映像を撮像部13で撮像することができる。なお、図示の例では、端部60の内部に光源部621を設けているが、筐体61の内部や、図示しない位置調節具の内部に設けてもよい。また、導光部622を内視鏡装置6の外部まで延伸させ、内視鏡装置6の外部の光源からの光を穿刺部612の端部付近から出射してもよく、この場合、光源部621は省略可能である。 According to the endoscope apparatus 6, while projecting light in the extending direction of the puncturing unit 612 by the light emitting unit 62, an image of the direction can be captured by the imaging unit 13. Although the light source 621 is provided inside the end 60 in the illustrated example, the light source 621 may be provided inside the housing 61 or inside a position adjustment tool not shown. Alternatively, the light guide 622 may be extended to the outside of the endoscope 6, and light from a light source outside the endoscope 6 may be emitted from the vicinity of the end of the puncturing unit 612. In this case, the light source 621 can be omitted.
 内視鏡装置7は、端部70と、可変部711および穿刺部712を含む筐体71とを備えている。また、内視鏡装置7は、撮像レンズ131および撮像素子132を含む撮像部13を備えている。端部70、筐体71、および撮像部13としては、上記各実施形態で説明した内視鏡装置における同名の部材と同様のものを用いることができる。 The endoscope device 7 includes an end portion 70 and a housing 71 including a variable portion 711 and a puncture portion 712. The endoscope device 7 also includes an imaging unit 13 including an imaging lens 131 and an imaging element 132. As the end portion 70, the housing 71, and the imaging unit 13, the same members as the members having the same names in the endoscope apparatus described in the above embodiments can be used.
 また、内視鏡装置7は、流体処理部72を備えている。流体処理部72は、流体制御部721、流路722、およびノズル部723を含み、流体制御部721の制御により、流路722を介してノズル部723に流体を供給するか、またはノズル部723から流体を吸引する。 The endoscope device 7 further includes a fluid processing unit 72. The fluid processing unit 72 includes a fluid control unit 721, a flow passage 722, and a nozzle unit 723. Under the control of the fluid control unit 721, the fluid processing unit 72 supplies a fluid to the nozzle unit 723 via the flow passage 722, or Aspirate fluid from the
 内視鏡装置7によれば、流体処理部72で穿刺部712の先端付近の流体を吸引、または該先端付近に流体を吐出しながら、該方向の映像を撮像部13で撮像することができる。なお、図示の例では、端部70の内部に流体制御部721を設けているが、筐体71の内部や、図示しない位置調節具の内部に設けてもよい。また、流路722を内視鏡装置7の外部まで延伸させ、内視鏡装置7の外部の機器により流体の吐出および/または吸引を制御してもよく、この場合、流体制御部721は省略可能である。また、流体処理部72は、複数の流路722を備えていてもよい。なお、図示はしていないが、内視鏡装置は、投光部と流体処理部の両方を備えていてもよい。各部の構成は上記の通りである。 According to the endoscope device 7, while the fluid processing unit 72 sucks the fluid near the tip of the puncturing unit 712 or discharges the fluid near the tip, the imaging unit 13 can capture an image of the direction. . In the illustrated example, the fluid control unit 721 is provided inside the end portion 70. However, the fluid control unit 721 may be provided inside the casing 71 or inside a position adjustment tool (not shown). In addition, the flow path 722 may be extended to the outside of the endoscope apparatus 7, and the discharge and / or suction of the fluid may be controlled by the device outside the endoscope apparatus 7. In this case, the fluid control unit 721 is omitted. It is possible. The fluid processing unit 72 may also include a plurality of flow channels 722. Although not shown, the endoscope apparatus may be provided with both the light emitting unit and the fluid processing unit. The configuration of each part is as described above.
 〔まとめ〕
 本発明の態様1に係る内視鏡装置は、観察対象空間を撮像する内視鏡装置であって、上記観察対象空間を撮像する撮像部が設けられており、該撮像部が設けられた側の第1端部から上記観察対象空間に挿入される柱状の筐体を備え、上記筐体上には、該筐体が上記観察対象空間に挿入される挿入方向に沿って、当該筐体上における位置を変更可能な位置調節具が設けられている構成である。
[Summary]
An endoscope apparatus according to aspect 1 of the present invention is an endoscope apparatus for imaging an observation target space, and an imaging unit for imaging the observation target space is provided, and a side provided with the imaging unit A columnar housing inserted into the observation target space from the first end of the housing, and the housing is mounted on the housing along the insertion direction in which the housing is inserted into the observation target space. The position adjustment tool which can change the position in is provided.
 上記の構成によれば、筐体上には、該筐体の挿入方向に沿って位置を変更可能な位置調節具が設けられている。この位置調節具は、筐体上に設けられているため、筐体よりも径が大きく、それゆえ観察対象空間の入り口部分に当接し、この当接により筐体を含めた内視鏡装置全体の観察対象空間に対する位置が固定される。よって、上記の構成によれば、上記内視鏡装置の使用時において、筐体を観察対象空間に挿入して、位置調節具の位置を変更する、という簡易なユーザ操作によって内視鏡装置の位置を固定することができるという効果を奏する。 According to the above configuration, the position adjustment tool capable of changing the position along the insertion direction of the housing is provided on the housing. Since the position adjuster is provided on the housing, the diameter is larger than that of the housing, and therefore, the position adjuster comes in contact with the entrance portion of the observation target space, and the contact brings the entire endoscope apparatus including the housing The position of the object relative to the observation target space is fixed. Therefore, according to the above configuration, when the endoscope apparatus is used, the housing is inserted into the observation target space, and the position of the position adjustment tool is changed by a simple user operation of the user. The effect is that the position can be fixed.
 本発明の態様2に係る内視鏡装置は、上記態様1において、上記位置調節具の上記挿入方向に沿った移動を妨げる位置固定機構と、上記位置固定機構が機能しない状態から、機能する状態に切り替える切替部と、を備えている構成としてもよい。この構成によれば、位置固定機構が機能しない状態で位置調節具を所望の位置に移動させた後、切替部により位置固定機構が機能する状態に切り替えることにより、位置調節具の位置を固定することができる。 In the endoscope apparatus according to aspect 2 of the present invention, in the above aspect 1, the position fixing mechanism that prevents the movement of the position adjusting tool along the insertion direction, and the state in which the position fixing mechanism does not function. It is good also as composition provided with the switching part which switches to. According to this configuration, after moving the position adjusting tool to a desired position in a state where the position fixing mechanism does not function, the position of the position adjusting tool is fixed by switching to a state where the position fixing mechanism functions by the switching unit. be able to.
 本発明の態様3に係る内視鏡装置は、上記態様2において、上記位置固定機構は、上記位置調節具の、上記第1端部側に向かう移動を許容し、上記第1端部とは反対側の第2端部に向かう移動を妨げる構成としてもよい。この構成によれば、位置調節具の第1端部側に向かう移動は許容するので、位置固定機構が機能する状態においても、位置調節具を第1端部側に移動させて、該位置調節具の位置を調整することができる。位置調節具を第1端部側に移動させた場合、観察対象空間内に挿入される筐体部分の長さが短くなるので、この移動により筐体の先端が観察対象空間内を傷付ける等の事態は生じない。また、観察対象空間内に挿入される筐体部分の長さが長くなる、位置調節具の第2端部側への移動は妨げるので、位置調節具の第2端部側への移動により筐体の先端が観察対象空間内を傷付ける等の事態は生じない。よって、上記の構成によれば、安全性を担保しながら、位置固定機構が機能している状態においても、位置調節具を移動させることができる。 In the endoscope apparatus according to aspect 3 of the present invention, in the above aspect 2, the position fixing mechanism allows movement of the position adjustment tool toward the first end, and It may be configured to prevent movement toward the opposite second end. According to this configuration, since the movement toward the first end side of the position adjustment tool is permitted, the position adjustment tool is moved toward the first end side even when the position fixing mechanism functions, and the position adjustment is performed. The position of the tool can be adjusted. When the position adjustment tool is moved to the first end side, the length of the housing portion inserted into the observation target space becomes short, so that the tip of the housing may damage the inside of the observation target space by this movement, etc. Nothing happens. In addition, since the movement of the position adjustment tool to the second end side, which increases the length of the housing portion inserted into the observation target space, is impeded, the movement of the position adjustment tool to the second end side There is no situation where the tip of the body damages the observation target space. Therefore, according to the above configuration, it is possible to move the position adjusting tool even in a state in which the position fixing mechanism is functioning, while securing safety.
 本発明の態様4に係る内視鏡装置は、上記態様2または3において、上記位置固定機構は、上記位置調節具の一部を上記筐体に押し付けることによって上記位置調節具の移動を妨げる機構であり、上記切替部は、上記位置調節具が上記筐体に押し付けられた状態と、該押し付けが解除された状態とを切り替える構成としてもよい。この構成によれば、位置調節具の一部を筐体に押し付けるという簡易な機構で位置調節具の移動を妨げ、これにより筐体上における位置調節具の位置を固定することができる。また、切替部についても、押し付け状態と、押し付けが解除された状態とを切り替えるという簡易な機構とすることができる。 In the endoscope apparatus according to aspect 4 of the present invention, in the aspect 2 or 3, the position fixing mechanism is a mechanism that prevents the movement of the position adjusting tool by pressing a part of the position adjusting tool against the housing. The switching unit may switch between the state in which the position adjustment tool is pressed against the housing and the state in which the pressing is released. According to this configuration, it is possible to prevent the movement of the position adjustment tool by a simple mechanism of pressing a part of the position adjustment tool onto the housing, thereby fixing the position of the position adjustment tool on the housing. In addition, the switching unit can also be a simple mechanism that switches between the pressing state and the state in which the pressing is released.
 本発明の態様5に係る内視鏡装置は、上記態様1から4の何れか1項において、上記位置調節具は、上記筐体上の上記挿入方向に沿った所定範囲内で位置を変更可能である構成としてもよい。この構成によれば、位置調節具の位置を変更可能な範囲が所定範囲内に限られている。よって、位置調節具が筐体から脱落したり、位置調節具よりも第1端部側の筐体部分が長くなりすぎて筐体の先端が観察対象空間内を傷付けたりする等の事態が生じない。 In the endoscope apparatus according to aspect 5 of the present invention, in any one of the aspects 1 to 4, the position adjustment tool can change the position within a predetermined range along the insertion direction on the housing. It is good also as composition. According to this configuration, the range in which the position of the position adjustment tool can be changed is limited to the predetermined range. As a result, the position adjustment tool may come off from the case, or the case portion on the first end side of the position adjustment tool may become too long and the tip of the case may damage the observation target space. Absent.
 本発明の態様6に係る内視鏡装置は、上記態様1から5の何れか1項において、上記位置調節具の上記挿入方向に沿った移動を妨げる位置固定機構が機能していない状態において、上記位置調節具の位置を保持する保持機構を備えている構成としてもよい。この構成によれば、位置固定機構が機能していない状態において、位置調節具の位置が保持されるので、ユーザが意図しないタイミングで位置調節具が移動することを防ぎ、より安全に内視鏡装置を使用することが可能になる。 In the endoscope apparatus according to aspect 6 of the present invention, in any one of the aspects 1 to 5, the position fixing mechanism for preventing the movement of the position adjusting tool along the insertion direction is not functioning, It is good also as composition provided with the retention mechanism which holds the position of the above-mentioned position adjustment implement. According to this configuration, since the position of the position adjustment tool is held in a state where the position fixing mechanism is not functioning, the position adjustment tool is prevented from moving at a timing unintended by the user, and the endoscope can be more safely It becomes possible to use the device.
 本発明の態様7に係る内視鏡装置は、上記態様1から6の何れか1項において、上記筐体は、上記位置調節具に設けられた貫通部に挿通されている構成としてもよい。この構成によれば、位置調節具の貫通部に筐体を挿通するという簡易な構成で筐体上に位置調節具を配置することができる。また、上記の構成によれば、位置調節具が筐体から抜けないようにさえしておけば、位置調節具と筐体とが分離しないので、構造が安定している。 In the endoscope apparatus according to aspect 7 of the present invention, in any one of the above aspects 1 to 6, the housing may be inserted into a through portion provided in the position adjustment tool. According to this configuration, the position adjustment tool can be disposed on the housing with a simple configuration in which the housing is inserted into the penetration portion of the position adjustment tool. Moreover, according to the above configuration, the structure is stable because the position adjustment tool and the case can not be separated if the position adjustment tool does not come off the case.
 本発明の態様8に係る内視鏡装置は、上記態様1から7の何れか1項において、上記筐体の上記第1端部は、剛性を有しており、上記筐体の少なくとも一部は、外力により変形し、外力を除いた後も変形後の形状が維持される可変部となっている構成としてもよい。この構成によれば、筐体の第1端部は剛性を有しているから、内視鏡装置を、観察対象空間を覆う壁部に刺突して使用する場合に、刺突を安定して行うことが可能になる。また、上記の構成によれば、筐体が可変部を備えているため、変形部を変形することにより、観察対象空間外の筐体部分がユーザの作業の邪魔にならないようにすることができる。 In the endoscope apparatus according to aspect 8 of the present invention, in any one of the above aspects 1 to 7, the first end of the housing has rigidity, and at least a part of the housing Alternatively, the variable portion may be deformed by an external force, and may be configured as a variable portion that maintains the shape after the external force is removed. According to this configuration, since the first end of the housing has rigidity, the puncture is stabilized when the endoscope apparatus is used by piercing the wall covering the observation target space. Can be done. Further, according to the above configuration, since the housing is provided with the variable portion, by deforming the deformation portion, the housing portion outside the observation target space can be prevented from interfering with the user's work. .
 本発明の態様9に係る内視鏡装置は、上記態様8項において、上記可変部は、外力により屈曲し、外力を除いた後も屈曲後の形状が維持される構成としてもよい。この構成によれば、可変部は外力により屈曲するので、可変部を屈曲させて、観察対象空間外の筐体部分がユーザの作業の邪魔にならないようにすることができる。また、可変部は、例えば観察対象空間を覆う壁部に沿うように屈曲させることも可能であり、これにより、位置調節具と屈曲させた変形部とで内視鏡装置をより安定的に固定することができる。また、可変部の屈曲方向を調整することによって、撮像部の視野方向を調整することも可能になる。 In the endoscope apparatus according to aspect 9 of the present invention, in the above-mentioned aspect 8, the variable portion may be configured to be bent by an external force and to maintain the shape after bending even after removing the external force. According to this configuration, since the variable part is bent by an external force, the variable part can be bent so that the housing portion outside the observation target space does not interfere with the work of the user. In addition, the variable part can be bent along, for example, a wall covering the observation target space, whereby the endoscope apparatus can be more stably fixed by the position adjustment tool and the bent deformation part. can do. In addition, by adjusting the bending direction of the variable part, it is also possible to adjust the viewing direction of the imaging part.
 本発明の態様10に係る内視鏡装置は、上記態様1から7の何れか1項において、上記筐体を、上記挿入方向に沿って伸縮させる伸縮機構を備えている構成としてもよい。この構成によれば、筐体を伸縮させることができるので、観察対象空間外の筐体部分の長さを短くして、この部分がユーザの作業の邪魔にならないようにすることができる。 The endoscope apparatus according to aspect 10 of the present invention may be configured to include an expansion and contraction mechanism for expanding and contracting the housing along the insertion direction in any one of the above-described aspects 1 to 7. According to this configuration, since the housing can be expanded and contracted, the length of the housing portion outside the observation target space can be shortened so that this portion does not interfere with the work of the user.
 本発明の態様11に係る内視鏡装置は、上記態様1から7の何れか1項において、上記筐体は、当該筐体を切断するための切断部を有している構成としてもよい。この構成によれば、切断部から筐体を切断することができるので、観察対象空間外の筐体部分を上記切断部から切除して、この部分がユーザの作業の邪魔にならないようにすることができる。 In the endoscope apparatus according to aspect 11 of the present invention, in any one of the aspects 1 to 7, the housing may be configured to have a cutting unit for cutting the housing. According to this configuration, since the housing can be cut from the cutting portion, the housing portion outside the observation target space is cut from the cutting portion so that this portion does not disturb the user's work. Can.
 本発明の態様12に係る内視鏡装置は、上記態様1から11の何れか1項において、上記第1端部は、先端に向けて細くなる針状の外形を有する構成としてもよい。この構成によれば、第1端部により観察対象空間を覆う壁部を穿刺して、観察対象空間内を観察することが可能になる。 In the endoscope apparatus according to aspect 12 of the present invention, in any one of the above aspects 1 to 11, the first end may have a needle-like outer shape that is tapered toward the tip. According to this configuration, it is possible to observe the inside of the observation object space by puncturing the wall part covering the observation object space by the first end.
 本発明の態様13に係る内視鏡装置は、上記態様1から12の何れか1項において、上記観察対象空間における観察領域を半天球状または全天球状とする光学系を備えている構成としてもよい。この構成によれば、観察対象空間の広い範囲を観察することができる。 The endoscope apparatus according to aspect 13 of the present invention is also configured as having the optical system according to any one of aspects 1 to 12, wherein the observation area in the observation target space is semispherical or wholly spherical. Good. According to this configuration, a wide range of the observation target space can be observed.
 本発明の態様14に係る内視鏡システムは、上記態様1から13の何れかに記載の内視鏡装置と、該内視鏡装置が備える通信部を介して送信される上記内視鏡装置の撮像した画像を受信する画像処理装置とを含む内視鏡システムであって、上記画像処理装置は、上記観察対象空間を撮像する複数の上記内視鏡装置から受信した画像を合成して出力する。この構成によれば、複数の内視鏡装置を用いて撮像した画像を、1つの観察対象空間を示す1つの画像としてユーザに提示することができる。 An endoscope system according to a fourteenth aspect of the present invention is the endoscope apparatus according to any one of the first to thirteenth aspects, and the endoscope apparatus transmitted via a communication unit included in the endoscope apparatus. An endoscope system including an image processing apparatus for receiving the captured image, wherein the image processing apparatus combines and outputs the images received from the plurality of endoscope apparatuses for capturing the observation target space Do. According to this configuration, it is possible to present the user with images imaged using a plurality of endoscope apparatuses as one image indicating one observation target space.
 本発明の態様15に係る投光装置は、対象空間に挿入して該対象空間に投光する投光装置であって、発光部を有する柱状体を備え、上記柱状体上には、上記柱状体が上記対象空間に挿入される挿入方向に沿って、当該柱状体上における位置を変更可能な位置調節具が設けられている構成である。 A light projecting device according to aspect 15 of the present invention is a light projecting device which is inserted into a target space and emits light to the target space, and includes a columnar body having a light emitting portion, and the columnar body is provided on the columnar body. It is the structure provided with the position adjustment tool which can change the position on the said columnar body along the insertion direction in which a body is inserted in the said object space.
 上記の構成によれば、上記投光装置の使用時において、柱状体を対象空間に挿入して、位置調節具の位置を変更する、という簡易なユーザ操作によって投光装置の位置を固定することができるという効果を奏する。 According to the above configuration, the position of the light projecting device is fixed by a simple user operation of inserting the columnar body into the target space and changing the position of the position adjusting tool when using the light projecting device. The effect of being able to
 本発明の態様16に係る流体処理装置は、ノズル部を対象空間内に挿入して流体を吸引または吐出する流体処理装置であって、上記ノズル部を有する柱状体を備え、上記柱状体上には、上記ノズル部および上記柱状体が上記対象空間に挿入される挿入方向に沿って、当該柱状体上における位置を変更可能な位置調節具が設けられている構成である。 A fluid processing apparatus according to a sixteenth aspect of the present invention is a fluid processing apparatus which inserts a nozzle into a target space and sucks or discharges a fluid, and includes a columnar body having the nozzle, and Is a configuration provided with a position adjuster that can change the position on the columnar body along the insertion direction in which the nozzle unit and the columnar body are inserted into the target space.
 上記の構成によれば、上記流体処理装置の使用時において、ノズル部を有する柱状体を対象空間に挿入して、位置調節具の位置を変更する、という簡易なユーザ操作によって流体処理装置の位置を固定することができるという効果を奏する。 According to the above configuration, when using the fluid processing device, the position of the fluid processing device is inserted by inserting the columnar body having the nozzle portion into the target space and changing the position of the position adjustment tool. The effect is that it is possible to fix the
 本発明は上述した各実施形態に限定されるものではなく、請求項に示した範囲で種々の変更が可能であり、異なる実施形態にそれぞれ開示された技術的手段を適宜組み合わせて得られる実施形態についても本発明の技術的範囲に含まれる。さらに、各実施形態にそれぞれ開示された技術的手段を組み合わせることにより、新しい技術的特徴を形成することができる。 The present invention is not limited to the above-described embodiments, and various modifications can be made within the scope of the claims, and embodiments obtained by appropriately combining the technical means disclosed in the different embodiments. Is also included in the technical scope of the present invention. Furthermore, new technical features can be formed by combining the technical means disclosed in each embodiment.
1、1B~1K、6、7     内視鏡装置
11、11B、11D、61、71      筐体
111、111B~111K、611、711 可変部
1111G           切断部
12、12H、12Ha、12J、12Ja、12K   位置調節具
121、121J、121Ja  切替部
121K            第1部分(切替部)
122K            第2部分(切替部)
13、13A~13H      撮像部
145             貫通部
3               画像処理装置
4               投光装置
41              筐体(柱状体)
411             可変部
412             穿刺部
42              位置調節具
421             切替部
43              発光部
5               流体処理装置
51              筐体(柱状体)
511             可変部
512             穿刺部
52              位置調節具
521             切替部
53              ノズル部
1, 1B to 1K, 6, 7 Endoscope device 11, 11B, 11D, 61, 71 Case 111, 111B to 111K, 611, 711 Variable part 1111G Cutting part 12, 12H, 12Ha, 12J, 12Ja, 12K position Adjustment tool 121, 121J, 121Ja switching unit 121K first part (switching unit)
122K second part (switching part)
13, 13A to 13H Imaging Unit 145 Penetration Part 3 Image Processing Device 4 Light Projection Device 41 Housing (Column Body)
411 Variable part 412 Puncture part 42 Position adjustment tool 421 Switching part 43 Light emitting part 5 Fluid processing device 51 Casing (columnar body)
511 Variable part 512 Puncture part 52 Position adjustment tool 521 Switch part 53 Nozzle part

Claims (16)

  1.  観察対象空間を撮像する内視鏡装置であって、
     上記観察対象空間を撮像する撮像部が設けられており、該撮像部が設けられた側の第1端部から上記観察対象空間に挿入される柱状の筐体を備え、
     上記筐体上には、該筐体が上記観察対象空間に挿入される挿入方向に沿って、当該筐体上における位置を変更可能な位置調節具が設けられていることを特徴とする内視鏡装置。
    An endoscope apparatus for imaging an observation target space, comprising:
    An imaging unit for imaging the observation target space is provided, and a columnar case inserted into the observation target space from the first end on the side where the imaging unit is provided,
    A position adjustment tool capable of changing the position on the housing is provided on the housing along the insertion direction in which the housing is inserted into the observation target space. Mirror device.
  2.  上記位置調節具の上記挿入方向に沿った移動を妨げる位置固定機構と、
     上記位置固定機構が機能しない状態から、機能する状態に切り替える切替部と、を備えていることを特徴とする請求項1に記載の内視鏡装置。
    A position fixing mechanism that prevents the movement of the position adjuster along the insertion direction;
    The endoscope apparatus according to claim 1, further comprising: a switching unit configured to switch from a state in which the position fixing mechanism does not function to a state in which the position fixing mechanism functions.
  3.  上記位置固定機構は、上記位置調節具の、上記第1端部側に向かう移動を許容し、上記第1端部とは反対側の第2端部に向かう移動を妨げることを特徴とする請求項2に記載の内視鏡装置。 The position fixing mechanism allows movement of the position adjustment tool toward the first end, and prevents movement of the position adjustment tool toward the second end opposite to the first end. The endoscope apparatus according to Item 2.
  4.  上記位置固定機構は、上記位置調節具の一部を上記筐体に押し付けることによって上記位置調節具の移動を妨げる機構であり、
     上記切替部は、上記位置調節具が上記筐体に押し付けられた状態と、該押し付けが解除された状態とを切り替えることを特徴とする請求項2または3に記載の内視鏡装置。
    The position fixing mechanism is a mechanism that prevents the movement of the position adjustment tool by pressing a part of the position adjustment tool against the housing,
    The endoscope apparatus according to claim 2 or 3, wherein the switching unit switches between a state in which the position adjustment tool is pressed against the housing and a state in which the pressing is released.
  5.  上記位置調節具は、上記筐体上の上記挿入方向に沿った所定範囲内で位置を変更可能であることを特徴とする請求項1から4の何れか1項に記載の内視鏡装置。 The endoscope apparatus according to any one of claims 1 to 4, wherein the position adjustment tool can change the position within a predetermined range along the insertion direction on the housing.
  6.  上記位置調節具の上記挿入方向に沿った移動を妨げる位置固定機構が機能していない状態において、上記位置調節具の位置を保持する保持機構を備えていることを特徴とする請求項1から5の何れか1項に記載の内視鏡装置。 6. A holding mechanism for holding the position of the position adjusting device in a state where the position fixing mechanism that prevents the movement of the position adjusting device along the insertion direction is not functioning is provided. The endoscope apparatus according to any one of the above.
  7.  上記筐体は、上記位置調節具に設けられた貫通部に挿通されていることを特徴とする請求項1から6の何れか1項に記載の内視鏡装置。 The endoscope apparatus according to any one of claims 1 to 6, wherein the housing is inserted into a through portion provided in the position adjustment tool.
  8.  上記筐体の上記第1端部は、剛性を有しており、
     上記筐体の少なくとも一部は、外力により変形し、外力を除いた後も変形後の形状が維持される可変部となっていることを特徴とする請求項1から7の何れか1項に記載の内視鏡装置。
    The first end of the housing is rigid;
    The at least one part of the said housing | casing is a variable part which deform | transforms by external force and the shape after deformation | transformation is maintained even after removing external force, It is characterized by the above-mentioned. Endoscope apparatus as described.
  9.  上記可変部は、外力により屈曲し、外力を除いた後も屈曲後の形状が維持されることを特徴とする請求項8項に記載の内視鏡装置。 9. The endoscope apparatus according to claim 8, wherein the variable portion is bent by an external force, and the shape after bending is maintained even after removing the external force.
  10.  上記筐体を、上記挿入方向に沿って伸縮させる伸縮機構を備えていることを特徴とする請求項1から7の何れか1項に記載の内視鏡装置。
     
    The endoscope apparatus according to any one of claims 1 to 7, further comprising an expansion and contraction mechanism that expands and contracts the housing along the insertion direction.
  11.  上記筐体は、当該筐体を切断するための切断部を有していることを特徴とする請求項1から7の何れか1項に記載の内視鏡装置。 The endoscope apparatus according to any one of claims 1 to 7, wherein the housing has a cutting unit for cutting the housing.
  12.  上記第1端部は、先端に向けて細くなる針状の外形を有することを特徴とする請求項1から11の何れか1項に記載の内視鏡装置。 The endoscope apparatus according to any one of claims 1 to 11, wherein the first end portion has a needle-like outer shape that narrows toward the tip.
  13.  上記観察対象空間における観察領域を半天球状または全天球状とする光学系を備えていることを特徴とする請求項1から12の何れか1項に記載の内視鏡装置。 The endoscope apparatus according to any one of claims 1 to 12, further comprising an optical system which makes the observation region in the observation target space a semispherical or a totally spherical shape.
  14.  請求項1から13の何れか1項に記載の内視鏡装置と、該内視鏡装置が備える通信部を介して送信される上記内視鏡装置の撮像した画像を受信する画像処理装置とを含む内視鏡システムであって、
     上記画像処理装置は、上記観察対象空間を撮像する複数の上記内視鏡装置から受信した画像を合成して出力することを特徴とする内視鏡システム。
    The endoscope apparatus according to any one of claims 1 to 13, an image processing apparatus that receives an image captured by the endoscope apparatus transmitted via a communication unit included in the endoscope apparatus, and An endoscope system including:
    The endoscope system, wherein the image processing apparatus combines and outputs images received from a plurality of the endoscope apparatuses for imaging the observation target space.
  15.  対象空間に挿入して該対象空間に投光する投光装置であって、
     発光部を有する柱状体を備え、
     上記柱状体上には、上記柱状体が上記対象空間に挿入される挿入方向に沿って、当該柱状体上における位置を変更可能な位置調節具が設けられていることを特徴とする投光装置。
    It is a light projector which inserts in object space and projects light in said object space, and
    A columnar body having a light emitting portion;
    A light projecting device characterized in that a position adjuster capable of changing a position on the columnar body is provided on the columnar body along an insertion direction in which the columnar body is inserted into the target space. .
  16.  ノズル部を対象空間内に挿入して流体を吸引または吐出する流体処理装置であって、
     上記ノズル部を有する柱状体を備え、
     上記柱状体上には、上記ノズル部および上記柱状体が上記対象空間に挿入される挿入方向に沿って、当該柱状体上における位置を変更可能な位置調節具が設けられていることを特徴とする流体処理装置。
    A fluid processing apparatus which inserts a nozzle portion into a target space and sucks or discharges fluid.
    A columnar body having the nozzle portion,
    The columnar body is characterized in that a position adjuster capable of changing the position on the columnar body is provided along the insertion direction in which the nozzle portion and the columnar body are inserted into the target space. Fluid processing equipment.
PCT/JP2018/016797 2017-06-30 2018-04-25 Endoscope device, endoscope system, light projection device, and fluid treatment device WO2019003613A1 (en)

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CN114847839A (en) * 2021-02-03 2022-08-05 高宏硕 Endoscope combined with injection needle and endoscope system
JP2022119201A (en) * 2021-02-03 2022-08-16 宏碩 高 Endoscope assembly having surgical instrument and endoscope system having the same

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JP2022119200A (en) * 2021-02-03 2022-08-16 宏碩 高 Endoscope assembly and endoscope system having the same
JP2022119201A (en) * 2021-02-03 2022-08-16 宏碩 高 Endoscope assembly having surgical instrument and endoscope system having the same
JP7346624B2 (en) 2021-02-03 2023-09-19 宏碩 高 Endoscope assembly having a surgical instrument and endoscope system having the same
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