WO2019139356A1 - Système d'endoscope pour organe digestif - Google Patents

Système d'endoscope pour organe digestif Download PDF

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Publication number
WO2019139356A1
WO2019139356A1 PCT/KR2019/000359 KR2019000359W WO2019139356A1 WO 2019139356 A1 WO2019139356 A1 WO 2019139356A1 KR 2019000359 W KR2019000359 W KR 2019000359W WO 2019139356 A1 WO2019139356 A1 WO 2019139356A1
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WO
WIPO (PCT)
Prior art keywords
endoscope
channel
distal end
instrument
unit
Prior art date
Application number
PCT/KR2019/000359
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English (en)
Korean (ko)
Inventor
김정호
Original Assignee
가천대학교 산학협력단
(의료)길의료재단
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
Priority claimed from KR1020180096782A external-priority patent/KR20190094075A/ko
Application filed by 가천대학교 산학협력단, (의료)길의료재단 filed Critical 가천대학교 산학협력단
Priority to JP2020539023A priority Critical patent/JP7206280B2/ja
Priority to US16/962,219 priority patent/US20210153952A1/en
Publication of WO2019139356A1 publication Critical patent/WO2019139356A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments 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
    • A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes

Definitions

  • the present invention relates to an endoscope system, and more particularly, to an endoscope system in which the end of an endoscope instrument inserted along a channel of an endoscope is proximate to a distal end of an endoscope channel,
  • the present invention relates to a gastrointestinal endoscope system capable of quickly inserting an endoscope instrument into a vicinity of a tip of a channel of the endoscope along a channel of the endoscope without having to confirm the position of the end of the endoscope instrument through the monitor.
  • Examples of devices for visually confirming the inside of a human body include various imaging apparatuses such as an X-ray visor, an ultrasonic scanner, and an NMR-CT.
  • the above-mentioned apparatus indirectly measures the inside of the human body from the outside, receives a specific signal generated from the inside of the human body from the outside of the human body, and combines or processes the signal to acquire information about the human body.
  • the information acquired in this way is often insufficient to acquire a clear image due to the distance to the object to be imaged, that is, the distance to the human body, the received signal, and the error of the processed signal.
  • an endoscope apparatus has been widely used in which an imaging apparatus is directly inserted into an abnormal region of a human body to obtain an accurate image.
  • a general digestive endoscope is an apparatus for visually confirming and diagnosing the inside of a human body.
  • the digestive endoscope includes a plurality of endoscopic channels having a predetermined length, a camera disposed at an end of the endoscopic channel, Endoscopic instruments (surgical instruments).
  • a conventional gastrointestinal endoscope can be provided with an endoscopic instrument (surgical tool) that is introduced into the patient's digestive organs through an endoscopic channel and is exposed or exposed from the end of the endoscopic channel and then observed or treated inside the digestive organs.
  • an endoscopic instrument surgical tool
  • any one of a forceps, a scissors, and a forceps can be selectively used to surgically or incise a lesion site, and a hook, a scalpel, a pin, an electric gantry A device for burning the tissue with the generated heat and performing incision or hemostasis) may be selectively used.
  • the endoscope apparatus when the endoscope apparatus comes out from the end of the endoscope channel for observing or treating the inside of the digestive organs, the endoscope apparatus may inadvertently come into contact with the inner wall of the digestive organ and cause a wound on the inner wall.
  • the present invention allows the user to recognize whether the end of the endoscope apparatus inserted along the endoscope channel approaches the end of the endoscope channel within a predetermined distance and inserts the endoscope instrument at a high speed close to the end of the endoscope channel And it is an object of the present invention to provide a gastrointestinal endoscope system which can shorten the procedure time and prevent the organ damage to the digestive organ due to the instantaneous protrusion of the distal end of the endoscope instrument caused by the insertion of the endoscopic instrument.
  • a gastrointestinal endoscopic system comprises: an endoscope instrument inserted into a digestive organs of a patient to observe or treat the inside of the digestive organs; An endoscope channel part in which a channel through which the endoscope device moves is formed; And a sensing unit for informing a user of whether the distal end of the endoscope apparatus is close to a distal end of the endoscope channel unit or less than a predetermined distance.
  • the sensing unit may protrude outwardly around the endoscope apparatus and may include a protrusion member that contacts the inlet of the endoscope channel when the distal end of the endoscope apparatus is located at a predetermined distance or less from the distal end of the endoscope channel unit .
  • the protrusion member may be formed of a silicone material, and the protrusion member may be formed as a ring having a space in which the insertion space of the endoscope apparatus is inserted.
  • the protrusion member may be a coating layer formed on the periphery of the endoscope apparatus, and the coating layer may be formed of silicon or Teflon.
  • the protrusion member may be formed of a plurality of protrusions spaced apart from each other in the longitudinal direction of the endoscope instrument.
  • the present invention may further comprise a packing member formed at an inlet of the channel and having a diameter equal to an outer diameter of the endoscope device at a center thereof and formed with an insertion hole into which the endoscope device is inserted, And may be formed of a material.
  • an inlet inner diameter of the channel is equal to an outer diameter of the endoscope apparatus, and the sensing unit may be formed as a groove formed around the endoscope apparatus.
  • the sensing unit may include a tag formed on the endoscope instrument for generating magnetism, and a magnetic sensor formed on the endoscope channel unit for sensing magnetism generated by the tag to set the tip of the endoscope instrument to the tip of the endoscope channel unit And detecting means for informing the user whether or not the user has approached the distance or less.
  • the sensing unit may include a tag formed on the endoscope mechanism and configured to transmit an electronic signal (RF signal), the sensing unit being formed on the endoscope channel unit, sensing an electronic signal generated from the tag, And a detection means for informing a user whether or not the distal end of the endoscope channel unit is close to the distal end of the endoscope channel unit or less than the predetermined distance, and the detection unit detects that the distal end of the endoscope channel unit is close to the distal end of the endoscope channel unit A warning sound may be generated.
  • RF signal electronic signal
  • the gastrointestinal endoscopic system of the present invention has the following effects.
  • the end of the endoscope instrument inserted along the channel of the endoscope channel part is located within a predetermined distance from the end of the endoscope channel part, the user immediately recognizes the sensation (tactile, auditory, It is possible to quickly insert the probe into the proximal position of the distal end of the channel portion, thereby significantly shortening the procedure time.
  • FIG. 1 is a perspective view of a gastrointestinal endoscopic system according to a first embodiment of the present invention.
  • Fig. 2 is a side view of the sensing part of the gastrointestinal endoscopic system of Fig. 1; Fig.
  • FIG 3 is a side view of the sensing unit of the gastrointestinal endoscopic system according to the second embodiment of the present invention.
  • FIG. 4 is a perspective view of a gastrointestinal endoscopic system according to a third embodiment of the present invention.
  • FIG. 5 is a cross-sectional view of a sensing unit of a gastrointestinal endoscope system according to a third embodiment of the present invention.
  • FIG. 6 is a cross-sectional view of the sensing part of the endoscope system of the digestive endoscope according to the fourth embodiment of the present invention.
  • the present invention relates to an endoscopic device inserted into a digestive organs of a patient and observing or treating the inside of the digestive organs, an endoscopic channel part in which a channel through which the endoscopic device moves, and a distal end of the endoscopic device,
  • the endoscope apparatus can be inserted at a high speed to a position close to the distal end of the endoscope channel unit, thereby shortening the procedure time, and further, It is possible to prevent damage to the end organ of the digestive organ due to the instantaneous protrusion of the end of the endoscope instrument caused by the quick insertion of the endoscopic instrument.
  • the present invention relates to an endoscopic instrument inserted along a channel of an endoscope so that the tip thereof reaches a position near the end of the endoscope channel to be sensed by the user's sense (tactile, auditory, and visual)
  • the present invention relates to a gastrointestinal endoscope system capable of quickly inserting the endoscope instrument into a position near the end of the endoscope channel without needing to confirm the position of the endoscope end through the monitor.
  • a gastrointestinal endoscopic system includes an endoscopic channel part 10 and an endoscopic instrument 20.
  • a plurality of channels 11 are formed in the inside of the endoscope channel unit 10 and a camera is disposed at the tip of one of the channels 11.
  • the end of the endoscope channel 10 is inserted into the digestive organs through the mouth or the anus of the digestive organs to allow observation of the inside of the digestive organs.
  • the endoscope apparatus 20 is inserted from the rear of the endoscope channel unit 10 along the channel 11 of the endoscope channel unit 10 and exposed to the tip of the endoscope channel unit 10, And performs the function at the distal end of the endoscope channel unit 10.
  • the endoscope apparatus 20 may be applied to various apparatuses such as a snare, an injector, a forceps, and the like, which are used in endoscopic surgery.
  • the channel inlet inner diameter of the endoscope channel part is formed to be equal to or larger than the outer diameter of the endoscope instrument so that the endoscope instrument can be introduced into the channel 11.
  • the sensing unit 30 is formed on the rear side of the endoscope instrument 20.
  • the sensing unit 30 informs the user whether the distal end of the endoscope apparatus is close to the distal end of the endoscope channel unit or less than the predetermined distance.
  • the distal end of the projection member 30 protrudes outward from the rear side of the endoscope apparatus 20, As shown in FIG.
  • the setting distance is determined by the user in consideration of safety as the distance between the distal end of the endoscope apparatus and the distal end of the endoscope channel unit when the distal end of the endoscope apparatus is close to the distal end of the endoscope channel unit, And the projection member is disposed.
  • the protrusion member is configured to contact the channel inlet of the endoscope channel unit when the end of the endoscope apparatus reaches a predetermined distance from the distal end of the endoscope channel unit while the endoscope instrument is inserted into the channel of the endoscope channel unit, Respectively.
  • the protrusion member protrudes outwardly from the inner surface of the inlet of the endoscope channel part, so that the user can feel frictional resistance when the protrusion member passes through the inlet of the endoscope channel part. According to this resistance, the user recognizes that the distal end of the endoscope apparatus has reached the predetermined distance from the distal end of the endoscope channel unit, and then slowly advances the endoscope apparatus. Accordingly, the insertion time of the endoscope apparatus can be shortened and the procedure time can be reduced.
  • the sensing unit 30 has been described as a projection member protruding outwardly from the endoscope apparatus 20 itself.
  • the present invention is not limited thereto, and the sensing unit may include a space Shaped member into which the endoscope instrument is inserted.
  • the ring-shaped sensing part 30 is made of a silicone material which is harmless to the human body and has elasticity. In this case, it is possible to selectively adjust the position of the sensing unit 30 in the endoscope instrument 20, and moreover, to easily adjust the position of the sensing unit 30 in the conventional endoscope instrument 20 to which the sensing unit 30 is not applied .
  • the sensing unit may be formed of a coating layer formed on the periphery of the endoscope apparatus.
  • the coating layer may protrude outward from the outer circumference of the endoscope apparatus, and may be formed of silicone or Teflon.
  • the protrusion of the sensing unit 30 according to the first embodiment of the present invention is limited to the protrusion of the protrusion, but the protrusion of the sensing unit 30 may be formed in a dot- .
  • a plurality of sensing portions 30 are formed at regular intervals in the longitudinal direction of the distal end side from the rear side of the endoscope instrument 20 so as to recognize the reaching distance to the distal end of the endoscope channel 11 step by step .
  • the protrusions which are the sensing units 30, may be formed at intervals of 5 cm from the rear end of the endoscope instrument 20 in the tip direction.
  • the user inserts the endoscope instrument 20 into the endoscope channel 11, It is possible to estimate the position of the distal end of the endoscope apparatus 20 inserted along the endoscope channel 11 by recognizing the sensing unit 30 of the endoscope apparatus 20, Can be predicted.
  • the user may recognize that the distal end of the endoscope apparatus is close to the distal end of the endoscope channel unit by using the touch of the finger.
  • the protrusion member When the endoscope apparatus 20 reaches the vicinity of the tip of the channel 11 while being inserted into the channel 11 of the endoscope channel unit 10, the protrusion member provides a protruding touch to the user's finger, The user can recognize that the tip of the endoscope instrument 20 reaches the vicinity of the tip of the channel 11 by touching through the finger.
  • the protrusion member which is the sensing unit 30, is composed of a plurality of protrusions spaced apart from each other in the longitudinal direction of the endoscope apparatus, and the number of the protrusions can be increased or decreased in inverse proportion to the reaching distance.
  • the reaching distance to the distal end of the endoscope channel 11 can be counted by the number of the protruding nodes transmitted.
  • a packing member may be formed at the channel inlet of the endoscope channel part, at the center thereof, with an insertion hole into which the endoscope device is inserted, and is coupled with the endoscope channel part.
  • the insertion hole of the packing member is formed to have the same diameter as the outer diameter of the endoscope instrument, and is formed of a rubber material.
  • the packing member When the projection member of the endoscope apparatus passes through the insertion hole, the packing member is brought into contact with the endoscope to generate a frictional resistance, thereby informing the user that the tip of the endoscope apparatus is close to the tip of the endoscope channel unit.
  • the sensing unit 30 of the gastrointestinal endoscope system according to the second embodiment of the present invention is formed of a groove formed around the endoscope apparatus.
  • the outer diameter of the endoscope apparatus is formed to be the same as the inner diameter of the inlet of the endoscope channel unit, and the endoscope apparatus advances to the channel while generating a constant frictional resistance.
  • the sensing part passes through the channel entrance of the endoscope channel part.
  • the frictional resistance between the endoscope device and the entrance of the endoscope channel part is drastically reduced when the sensing part formed as the groove passes through the entrance of the endoscope channel part, It is possible to recognize that the distance has reached within the set distance.
  • the user slowly advances the endoscope instrument so that the endoscope instrument can safely protrude from the distal end of the endoscope channel part.
  • the sensing part formed as a recessed groove engraved inwardly around the endoscope instrument 20 is formed such that the recess is formed in the channel 11 of the endoscope 10 while the endoscope instrument 20 is inserted into the channel 11 of the endoscope 10. [ 11), it is possible to provide a tactile feel to the user's finger so that the user can recognize that the endoscopic instrument 20 has reached the vicinity of the tip of the channel 11 by touching the finger You may.
  • the groove is formed as a grooved groove along the outer periphery of a certain point on the rear side of the endoscope instrument 20, so that the user can provide a tactile feel to the finger.
  • a plurality of the sensing portions 30 are formed at equal intervals in the longitudinal direction on the rear side of the endoscope device 20 so as to recognize the arrival distance to the distal end of the endoscope channel 11 step by step.
  • the recesses which are the sensing portions 30, may be formed at intervals of 5 cm from the rear end of the endoscope instrument 20 in the tip direction.
  • the user inserts the endoscope instrument 20 into the endoscope channel 11, It is possible to estimate the position of the end of the endoscope instrument 20 inserted along the endoscope channel 11 by recognizing the sensing portion 30 of the endoscope instrument 20 by the touch transmitted through the finger. The distance at which the distal end of the instrument 20 reaches the distal end of the endoscope channel 11 can be counted.
  • the number of the home nodes as the sensing unit 30 can be increased or decreased in inverse proportion to the reach distance.
  • the user counts the reaching distance to the distal end of the endoscope channel 11, can do.
  • the sensing unit 30 may be gradually reduced in steps in inverse proportion to the reaching distance. For example, when the distal end of the endoscope apparatus 20 reaches 50 cm before reaching the distal end of the endoscope channel 11, 30 cm before, 10 cm before, 5 cm before, and 4 cm before reaching the end of the endoscope channel 11, And the sensing unit 30 may be formed on the outer circumferential surface of the endoscope instrument.
  • the sensing unit of the gastrointestinal endoscope system includes a tag and a detection unit.
  • the tag 231 is formed behind the endoscope mechanism to generate magnetism.
  • the tag is embedded inwardly around the endoscope instrument 20 inserted into the channel 11 of the endoscope channel.
  • the tag 231 passes through one side of the detecting means 232 when the distal end of the endoscope instrument reaches a predetermined distance from the distal end of the endoscope channel portion.
  • the detecting means senses the magnetism generated from the tag.
  • a control unit electrically connected to the detection unit 232 When the magnetism generated from the tag is sensed, a control unit electrically connected to the detection unit 232 generates a sound (alarm) and vibration, and the endoscope apparatus 20 is attached to the channel 11 of the endoscope channel unit 10. [ Indicates that the tip of the endoscope apparatus is close to the tip of the endoscope channel unit. Thus, the user can know whether or not the tip of the endoscope instrument is close to the distal end of the endoscope channel part by a predetermined distance or less.
  • a plurality of the tags 231 are formed on the rear side of the endoscope device 20 at regular intervals in the longitudinal direction of the distal end side so that the distance between the distal end of the endoscope device and the distal end of the endoscope channel 11 is gradually increased It can be recognized.
  • a plurality of magnetic tags 231 may be spaced apart from each other at a predetermined distance from the rear end of the endoscope device 20 in the tip direction.
  • the detection means 232 detects the magnetism generated in the tag 231 and recognizes the magnetism generated by the tag 231, It is possible to estimate the position of the distal end of the endoscope device 20 inserted therethrough and also to count the distance between the distal end of the endoscope device 20 and the distal end of the endoscope channel 11.
  • the tag 231 notifying the end of the endoscope channel 11 reaching the distal end of the endoscope channel 11 formed at the rear end side of the endoscope instrument 20 is inserted into the channel 11,
  • the detection means 40 senses the tag 231 50 cm before reaching the end of the endoscope channel 11 and a sound corresponding to the reach distance is outputted through the control unit so that the endoscope apparatus 20 It is informed to the user who inserts into the endoscope channel 11 that the tip of the endoscope apparatus is close to 50 cm or less from the tip of the endoscope channel unit.
  • the detection means detects the tag 30 cm before reaching the distal end of the channel 11 And generates a sound corresponding to the reach distance. Accordingly, the user can count the reaching distance to the distal end of the endoscope and the distal end of the endoscope channel.
  • the tag for transmitting the magnetism which is the sensing unit 30, may be formed as a protruding bar protruding outward from the periphery of the endoscope device 20.
  • the tip of the endoscope apparatus 20 reaches the distal end of the endoscope channel 11 through the change of the frictional resistance caused by the protruding node as in the first embodiment of the present invention.
  • the signal detected by the detection means 40 is output through the control unit, but also the remaining end of the endoscope apparatus 20 in order to allow the end of the endoscope apparatus 20 to reach the end of the endoscope channel 11, The distance is displayed so that the user can intuitively recognize the reaching distance of the endoscope instrument 20.
  • the sensing unit of the digestive endoscope system comprises a tag and a detection unit that generate an electronic signal.
  • the tag is mounted at a rear end of the endoscope instrument and emits an electronic signal (RF signal).
  • a detecting means 40 for detecting a tag 331 provided at the rear end side of the endoscope instrument 20 and generating a signal corresponding thereto is provided at a rear end of the channel 11 of the endoscope channel unit 10 .
  • the tag 331 passes through one side of the detecting means 332 when the tip of the endoscope instrument reaches the set distance with the tip of the endoscope channel portion.
  • the detecting means senses an electronic signal generated from the tag, and senses an electronic signal, and then outputs a signal that the user can perceive through auditory and tactile sense.
  • the output signal is expressed by a sound (alarm) and vibration in a control unit electrically connected to the detection unit 332 so that a user who inserts the endoscope instrument 20 into the channel 11 of the endoscope channel unit 10 Let's recognize. Thus, the user can know whether or not the tip of the endoscope instrument is close to the distal end of the endoscope channel part by a predetermined distance or less.
  • a plurality of the tags 331 are formed at regular intervals in the longitudinal direction on the distal end side from the rear side of the endoscope device 20 so that the distance between the tip of the endoscope device 20 and the distal end of the channel 11 is Can recognize step by step

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
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  • Radiology & Medical Imaging (AREA)
  • Physics & Mathematics (AREA)
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  • Gastroenterology & Hepatology (AREA)
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Abstract

La présente invention concerne un système d'endoscope pour organe digestif grâce auquel un utilisateur peut reconnaître si la pointe d'un instrument d'endoscope inséré le long d'un canal a été proche de la pointe d'une partie canal d'endoscope à une distance prédéterminée, et peut ainsi insérer l'instrument d'endoscope jusqu'à une position proche de la pointe de la partie canal d'endoscope à une vitesse rapide, ce qui permet de réduire le temps de procédure et d'empêcher un organe digestif d'être endommagé par la saillie soudaine de l'instrument endoscopique résultant de l'insertion rapide de celui-ci.
PCT/KR2019/000359 2018-01-15 2019-01-09 Système d'endoscope pour organe digestif WO2019139356A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2020539023A JP7206280B2 (ja) 2018-01-15 2019-01-09 消化器官内視鏡システム
US16/962,219 US20210153952A1 (en) 2018-01-15 2019-01-09 Digestive organ endoscope system

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
KR10-2018-0004847 2018-01-15
KR20180004847 2018-01-15
KR1020180096782A KR20190094075A (ko) 2018-01-15 2018-08-20 소화기관 내시경 시스템
KR10-2018-0096782 2018-08-20

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WO2019139356A1 true WO2019139356A1 (fr) 2019-07-18

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003019104A (ja) * 2001-07-06 2003-01-21 Olympus Optical Co Ltd 挿入部検出プローブ
KR20030053039A (ko) * 2001-12-21 2003-06-27 바이오센스, 인코포레이티드 무선 위치 센서
KR20060037253A (ko) * 2003-06-10 2006-05-03 사이트라인 테크놀로지스 리미티드 내시경검사 환자용 의복
JP5717991B2 (ja) * 2010-07-09 2015-05-13 株式会社トップ 内視鏡用デバイス
KR20160051738A (ko) * 2013-08-15 2016-05-11 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 카테터 위치설정 및 삽입을 위한 그래픽 사용자 인터페이스

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003019104A (ja) * 2001-07-06 2003-01-21 Olympus Optical Co Ltd 挿入部検出プローブ
KR20030053039A (ko) * 2001-12-21 2003-06-27 바이오센스, 인코포레이티드 무선 위치 센서
KR20060037253A (ko) * 2003-06-10 2006-05-03 사이트라인 테크놀로지스 리미티드 내시경검사 환자용 의복
JP5717991B2 (ja) * 2010-07-09 2015-05-13 株式会社トップ 内視鏡用デバイス
KR20160051738A (ko) * 2013-08-15 2016-05-11 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 카테터 위치설정 및 삽입을 위한 그래픽 사용자 인터페이스

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