WO2022039688A1

WO2022039688A1 - Doctor endoscopy chair and endoscope carrying / manipulation apparatus

Info

Publication number: WO2022039688A1
Application number: PCT/TR2020/051056
Authority: WO
Inventors: Serdar TOKSÖZ
Original assignee: Toksoez Serdar
Priority date: 2020-08-21
Filing date: 2020-11-06
Publication date: 2022-02-24
Also published as: TR202013212A2

Abstract

This invention is a doctor endoscopy chair and the endoscope carrying / manipulating apparatus that provides great convenience and comfort to the physician during the surgical operation, especially in flexible ureterorenoscopy, bronchoscopy, colonoscopy, gastroscopy, ERCP (Endoscopic Retrograde Cholangio -Pancreatography), and ophthalmology and dental units, and indirectly increases the success rate of the surgery characterized in that it comprises of an endoscopy chair (1), which includes lower back adjustment arm (1.1) that moves the back area at an angle, height adjustment ring (1.2) that moves the sitting area up and down, and at least one armrest (1.3) to support the arm area, a step (2) comprising at least one step foot (2.1) fixed on each corner and at least one step wheel (2.3) positioned on each corner, an endoscope carrier (3) that fixes the endoscope (E) device with the endoscope handle (3.7) and includes the parts of the endoscope fixing apparatus (3.1), vertical rotation telescopic handle (3.2), joint mechanism (3.3), inclined rotation telescopic arm (3.4), flexible rotation arm (3.5), lock button (3.6), the endoscope handle (3.7) and the compression apparatus (3.8), a light tube holder (4) that fixes the light tube (I) with light tube and sleeve handle (4.3) and includes the parts of the light tube fixing apparatus (4.1), the light tube rotation handle (4.2), light tube and sleeve handle (4.3), light tube router (4.4), at least one support pillow (5) positioned on the armrest (1.3) area, a cover (6) positioned concentrically inside to create a bed with the endoscope handle (3.7).

Description

DOCTOR ENDOSCOPY CHAIR AND ENDOSCOPE CARRYING / MANIPULATION APPARATUS

Field of the Invention:

This invention is a doctor endoscopy chair and the endoscope carrying / manipulating apparatus that provides great convenience and comfort to the physician during the surgical operation, especially in flexible ureterorenoscopy, bronchoscopy, colonoscopy, gastroscopy, ERCP (Endoscopic Retrograde Cholangio-Pancreatography), and ophthalmology and dental units, and indirectly increases the success rate of the surgery.

State of the Art:

Endoscopy procedure is when the physician examines the target organs (diagnosis) and performs the necessary procedures (treatment) without making any surgical incisions in the body with the help of a device called endoscope with a small camera with light at the end. It is a very reliable and effective method for detecting the factors that cause urinary tract and digestive system disorders and then treating them. Flexible ureterorenoscope technical characteristics, due to its thinness and curvature, can be reached from the urethra (urinary canal) into the ureter and kidney, and stones in the kidney can be broken with the help of stone crushing systems such as laser. Since it is a minimally invasive method, it is widely used in many clinics because it provides treatment as well as diagnosis.

The greatest difficulty of the devices used in flexible endoscopy, ureterorenoscopy, bronchoscopy, colonoscopy, and gastroscopy is the feeling of fatigue due to time. Inflexible ureterorenoscopy, the stone breaking process takes a long time, and physicians often experience fatigue, distraction, and tremors in the hands, as they usually stand with a fluoroscopy shirt and have to perform the procedure in an uneven posture. This situation affects the success of the surgeries and causes device malfunctions. These problems are a common complaint among urologists who perform the procedure. The same problems arise in other surgical procedures such as flexible ureterorenoscopy. Flexible ureterorenoscopy, bronchoscopy, colonoscopy, gastroscopy, ERCP (Endoscopic Retrograde Cholangio Pancreatography) and similar endoscopic procedures are performed in non-ergonomic positions for the physician. In addition, another problem of physicians in these surgical procedures is that the devices called endoscopes and light tubes are constantly required to be handled. Because when sending the light tube to the patient's internal organs, the necessary manipulations and rotations should be done carefully. Since the endoscope device is heavy, it can cause hand, wrist, shoulder pain and shoulder stiffness in long-term use by physicians.

Utility Model Number CN203724221U issued on Jul. 23, 2014, discloses a seat special for endoscope physician surgery. The utility model discloses a seat special for an endoscope physician surgery. The seat comprises a lifting adjusted seat body, and a video input interface and a high-frequency electro surgical device signal interactive interface are arranged on a base; a foot padding frame is installed on a lifting supporting column of the lifting adjusted seat body, and two high-frequency electrosurgical device control pedals are arranged on the foot padding frame; an operation handle supporting handle is installed at the end of a left arm cushion of the lifting adjusted seat body, and a displayer is vertically installed at the end of a right arm cushion of the lifting adjusted seat body. By means of the seat, operation of the endoscope displaying screen, the control handle and the high-frequency electrosurgical device control pedals can be considered, and the labor strength of physician is relieved.

Utility Model Number CN208756193U issued on Apr. 19, 2019, discloses a special chair of scope treatment operation medical staff. The utility model provides a special chair of scope treatment operation medical staff, including treatment chair main body frame, treatment chair main body frame lower extreme is equipped withal -round gyro wheel, all -round gyro wheel upper end is equipped with therapeutical chair supporting leg, treatment chair supporting leg upper end is equipped with therapeutical chair and stabilizes chassis, the treatment chair is stabilized chassis upper end and is equipped with with thick back shaft, with being equipped with elevating gear on thick back shaft, elevating gear one side is equipped with adjusts lifting foot footboard, it is equipped with seat support to add thick back shaft upper end, seat support both sides are equipped with ancon, ancon are connected with lower extreme L type back shaft, back shaft link to each other with seat support through pivot. The utility model provides a can let and reduce the tired degree special chair of the time of fighting, can be used for the operating room, conduit room, endoscope room.

Patent Number DE202009009341U1 issued on Nov. 18, 2010, discloses an Endoskopie- Arbeitsplatz. The present invention is based on the objective of realizing an endoscopy workstation in such a way that the endoscope is possible for the physician and the optimum operating conditions for operating the said endoscope driver. The invention includes at least a foot pedal and a seat to activate the driver, and a storage tray in the seat.

In the above-described inventions, the lack of a feature that will provide sufficient comfort to physicians and the lack of mechanisms to ensure rotation and manipulation of the endoscope and light tube devices are the biggest deficiencies of these applications.

Consequently, there is a necessity for a novel technology that is capable of eliminating above mentioned disadvantages, great convenience in surgical procedures for physicians, increases the success rate of the surgery, is comfortable, allows the endoscope and light tube devices to be fixed and moved in the desired direction by maintaining their position, low cost, reliable structure and does not require frequent maintenance.

Description of the Invention:

The present invention is a doctor endoscopy chair and endoscope carrying / manipulation apparatus which can overcome the above-mentioned disadvantages, great convenience in surgical procedures for physicians, increases the success rate of the surgery, is comfortable, allows the endoscope and light tube devices to be fixed and moved in the desired direction by maintaining their position, low cost, reliable structure and does not require frequent maintenance.

Thanks to our endoscopy chair in our invention, it will enable physicians, some of whom work with heavy fluoroscopy shirts, to sit and work during the endoscopic procedure. Thanks to the 4D movable armrests, it will be able to easily make the desired arm movements and position changes with the elbows on the armrest. With the back adjustment and height adjustment parts, the physician will be able to easily adjust the position according to the patient.

With the endoscopy carrier in our invention, the physician's arms will not bear weight and the system will have the possibility of manipulation with the endoscope thanks to the two separate rotation mechanisms. The physician will be able to leave the endoscope optical part to the carrier system completely and use his / her hands for other manipulations (such as laser sending, adjusting the water valve, forceps, basket advancement). In the current surgical method, physicians usually lose the current position of the endoscope in order to perform other manipulations, which causes the procedure to be prolonged and the success rate to decrease. Thanks to our endoscope carrier and light tube carrier apparatus, these problems are solved, as the last position left by the physician is preserved.

With the light tube carrier and guiding apparatus in our invention, physicians will have the opportunity to free their hands. The shoulder pain and stiffness caused by this and that physicians complain about the most are prevented.

Thanks to the step in our invention, apparatus such as laser pedal or fluoroscopy device pedal can be easily used by physicians. Thanks to the ball-joint feet of the step, the height can be adjusted easily and the endoscope holder can be easily fixed to the step whose height is adjusted when desired. The step is associated with the seat by means of an arm. In addition, when the table is asked to be dragged with the seat, an angular movement is given to the step wheel arm, allowing the wheels to meet the floor. With the support pillow in our invention, the comfort level of the arm parts that the physician rests on is increased. In addition, thanks to the sheath placed in the endoscope handle, it is also provided to reduce the diameter and take precautions against endoscope scratches or damage caused by the material.

Since the endoscope and light tube handles in our invention are made of stainless material, they do not show any reaction against gas or sterilization liquid during sterilization after surgical procedures and can be used without any problems.

It is easy to install thanks to the easy fixing of the parts that make up the invention to each other, and the costs are low due to the short installation time. In addition, the invention has a solid structure.

Description of the Invention:

The present invention will be disclosed by making references to annexed figures so that characteristics of the inventive smart wardrobe system can be understood and recognized clearly, however, the purpose herein is not to impose any restrictions or limitations on the present invention with specific embodiments. On the contrary, the aim herein is to ensure that the present invention comprises all alternatives, alterations and equivalents that can be involved within the scope defined by the annexed patent claims. It should be understood that details presented herein are provided for the disclosure of the preferred embodiments of the present invention and for the purpose of providing a description for embodiments of methods as well as for fundamentals and conceptual characteristics of the invention in the most practical and comprehensible manner. Wherein;

Figure 1 The perspective view of the system.

Figure 2 The perspective view of the system during application in flexible ureterorenoscopy, which is a surgical method. Figure 3 The top view of the system during gastroscopy, which is a surgical method.

Figure 4 The general perspective view of the endoscopic chair and step.

Figure 5 The view of the diagram showing the movement directions of the armrests.

Figure 6 The perspective view of the armrest.

Figure 7 The perspective view of the seat wheel.

Figure 8 The perspective view of the step.

Figure 9 The perspective view of the step.

Figure 10 The side view of the step.

Figure 11 The side view of the step.

Figure 12 The perspective view of the endoscope carrier.

Figure 13 The front view of endoscope fixing apparatus, vertical rotation telescopic handle, joint mechanism and inclined rotation telescopic arm.

Figure 14 The front view of endoscope fixing apparatus, vertical rotation telescopic handle, joint mechanism and inclined rotation telescopic arm.

Figure 15 The perspective view of the endoscope on the endoscope handle.

Figure 16 The perspective view of the endoscope handle and cover.

Figure 17 The perspective view of the light tube on the light tube handle and light tube router.

Figure 18 The perspective view of the light tube on the light tube handle and light tube router.

Figure 19 The perspective view showing the angular movement of the light router.

Figure 20 The perspective view showing the connection of the light tube rotation handle.

Figure 21 The perspective view showing the light tube fixing apparatus and its connection.

Figure 22 The perspective view of the support pillow.

Figure 23 The alternative view of the endoscope handle and light tube handle.

Figure 24 Another alternative view of the endoscope handle.

Figure 25 Another alternative view of the endoscope handle. Figures that will provide assistance in understanding of the present invention are enumerated and given down below along with the description of the reference numerals.

Disclosure of References:

1. Endoscopy chair

1.1. Lower back adjustment arm

1.2. Height adjustment ring

1.3. Armrest

1.3.1. Switch

1.3.2. Rotation knob

1.4. Seat wheel

1.4.1. Brake

2. Step

2.1. Step foot

2.2. Seat connection apparatus

2.3. Step wheel

2.4. Step wheel arm

3. Endoscope carrier

3.1. Endoscope fixing apparatus

3.2. Vertical rotation telescopic handle

3.3. Joint mechanism

3.4. Inclined rotation telescopic arm

3.5. Flexible rotation handle

3.6. Lock button

3.7. Endoscope handle

3.8. Compression apparatus

4. Light tube carrier

4.1. Light tube fixing apparatus

4.1.1. Cog

4.1.2. Clamping apparatus

4.2. Light tube rotation handle 4.3. Light tube and sleeve handle

4.4. Light tube router

4.4.1. Screw

5. Support pillow

5.1. Pillow strip

6. Cover

7. Arched endoscope handle

7.1. Upper slide

7.1.1. Arch

7.2. Lower slide

7.3. Upper slide adjustment screw

I. Light tube

E. Endoscope

Disclosure of the Invention:

The present invention is comprised of an endoscopy chair (1), which includes lower back adjustment arm (1.1) that moves the back area at an angle, height adjustment ring

(1.2) that moves the sitting area up and down, and at least one armrest (1.3) to support the arm area, a step (2) comprising at least one step foot (2.1) fixed on each corner and at least one step wheel (2.3) positioned on each comer, an endoscope carrier (3) that fixes the endoscope (E) device with the endoscope handle (3.7) and includes the parts of the endoscope fixing apparatus (3.1), vertical rotation telescopic handle (3.2), joint mechanism (3.3), inclined rotation telescopic arm (3.4), flexible rotation arm (3.5), lock button (3.6), the endoscope handle (3.7) and the compression apparatus (3.8), a light tube holder (4) that fixes the light tube (I) with light tube and sleeve handle (4.3) and includes the parts of the light tube fixing apparatus (4.1), the light tube rotation handle

(4.2), light tube and sleeve handle (4.3), light tube router (4.4), at least one support pillow (5) positioned on the armrest (1.3) area, a cover (6) positioned concentrically inside to create a bed with the endoscope handle (3.7). The present invention has an armrest (1.3) that can provide 4D movement. Endoscopy chair (1) has an armrest (1.3) with a head that can move back and forth and left and right. The armrest (1.3) has a switch (1.3.1) that allows it to move up and down. The armrest (1.3) has a rotation knob (1.3.2) that allows the pipe to move angularly to the right and left. The present invention is comprised of an endoscopy chair (1) containing at least one seat wheel (1.4) on the floor so as to allow it to move in the desired direction on the floor. The seat wheel (1.4) has at least one brake (1.4.1) on it so that it can be braked. The step (2) has a ball joint step foot (2.1) that adjusts its height by moving up-down (vertical). The endoscope carrier (3) has endoscope fixing apparatus

(3.1) that can be fixed on the step (2) with compression force. The endoscope carrier (3) also has a vertical rotation telescopic handle (3.2) that can be attached and removed by means of a screw thread on the endoscope fixation apparatus (3.1).

The endoscope carrier (3) has a joint mechanism (3.3) associated with the vertical rotation telescopic handle (3.2) so that the inclined rotation telescopic arm (3.4) rotates at the desired angle. The endoscope carrier (3) has a flexible rotation handle (3.5) that can be tilted so that the endoscope handle (3.7) moves in the desired direction. The endoscope carrier (3) has a lock button (3.6) that enables the flexible rotation handle (3.5) to be attached or detached on the endoscope handle (3.7). The endoscope carrier (3) has the compression apparatus (3.8) that can increase or decrease the inner diameter of the endoscope handle (3.7).

The light tube carrier (4) has a light tube and sleeve handle (4.3) that the inner surface of which is formed in accordance with the funnel-shaped head of the light tube (I) is hollow. The light tube carrier (4) has the light tube router (4.4) fixed to the light tube and sleeve handle (4.3). The light tube router (4.4) has having a screw (4.4.1) that allows it to move angularly. The light tube carrier (4) has a light tube fixing apparatus

(4.1) that can be fixed to the table or vertical rotation telescopic handle (3.2).

The light tube fixing apparatus (4.1) has a screw (4.1.1) formed on its inner surface to increase the friction force. The light tube fixing apparatus (4.1) has a clamping apparatus (4.1.2) that increases or decreases the diameter of the clamps according to the surface to be seated. The light tube carrier (4) has having a light tube rotation handle (4.2) with a flexible and bendable structure to move according to the desired direction. The light tube carrier (4) has the light tube fixing apparatus (4.1) and the light tube rotation handle (4.2) that can be fixed by means of a screw thread so that it can be attached and removed from the light tube router (4.4).

The support pillow (5) has at least one pillow strip (5.1) associated on the armrest (1.3).

The present invention is comprised of an endoscope fixing apparatus (3.1) and a light tube fixing apparatus (4.1) made of stainless steel or plastic or aluminum or chrome material. The present invention has endoscopy chair (1) step (2), endoscope carrier (3), light tube carrier (4), support pillow (5), and cover (6) that can be used in flexible ureterorenoscopy or bronchoscopy or colonoscopy or gastroscopy or ERCP surgical methods.

The present invention is comprised of an endoscopy chair (1) that can operate with hydraulic or pneumatic or piston. The step (2) has seat connection apparatus (2.2) that associated with the lower post of the endoscopy chair (1). The step (2) has a step wheel arm (2.4) that provides the up-down movement of the step wheels (2.3) with angular rotation. A vertical rotation telescopic handle (3.2) and an inclined rotation telescopic arm (3.4) consisting of intertwined pipes that can move up and down by means of a pin. The invention has an arched endoscope handle (7) that can be used instead of the endoscope handle (3.7)

The arched endoscope handle (7) has slide (7.1), lower slide (7.2) and upper slide adjustment screw (7.3). The arched endoscope handle (7) has an upper slide (7.1) that can move back and forth on the lower slide (7.2). The arched endoscope handle (7) has upper slide adjustment screw (7.3) ensuring or locking the mobility of the upper slide

(7.1). The arched endoscope handle (7) has an upper slide (7.1) containing an arch

(7.1.1) for fixing the endoscope (E).

Detailed Disclosure of the Invention: The inventive system is comprised of endoscope chair (1), step (2), endoscope carrier (3), light tube carrier (4), support pillow (5) and cover (6).

The endoscopy chair (1) mentioned in the invention includes lower back adjustment arm (1.1), height adjustment ring (1.2), armrest (1.3) and seat wheel (1.4) parts. Step (2) consists of four parts. These parts are the step foot (2.1), seat connection apparatus

(2.2), step wheel (2.3) and step wheel arm (2.4). Endoscope carrier (3) consists of endoscope fixing apparatus (3.1), vertical rotation telescopic arm (3.2), joint mechanism

(3.3), inclined rotation telescopic arm (3.4), flexible rotation handle (3.5), lock button

(3.6), endoscope handle (3.7) and the compression apparatus (3.8). The light tube holder (4) consists of the light tube fixing apparatus (4.1), light tube rotation handle (4.2), light tube and sleeve handle (4.3) and the light tube router (4.4) parts. The support pillow (5) includes support strip (5.1) part.

The seat wheel (1.4) of the invention contains a single part and this part is brake (1.4.1). The armrest (1.3) consists of switch (1.3.1) and the rotation knob (1.3.2). The light tube fixing apparatus (4.1) contains cog (4.1.1) and the clamping apparatus (4.1.2) parts. The light tube router (4.4) contains a single part. This part is the screw (4.4.1).

In the product of the invention, the support pillow (5) is located on the armrest (1.3). The vertical rotation telescopic handle (3.2) is attached to the endoscope fixing apparatus (3.1) in the endoscope carrier (3). The inclined rotation telescopic arm (3.4) is fixed to the joint mechanism (3.3) on the vertical rotation telescopic handle (3.2) so that it is movable. The flexible rotation arm (3.5) is connected to the inclined rotation telescopic arm (3.4). The flexible rotation handle (3.5) is positioned on the endoscope handle (3.7) by means of the lock button (3.6). With the button on the lock button (3.6), the flexible rotation handle (3.5) can be unlocked and this arm can be easily removed. The compression apparatus (3.8) is embedded with the hole on the endoscope handle

(3.7). Then, the endoscope carrier (3), whose parts are joined, is fixed on the step (2). The step (2) is fixed to the endoscopy chair (1) by means of the seat connecting arm (2.2). The screw thread and the light tube rotation handle (4.2) are associated on the light tube fixing apparatus (4.1). The light tube router (4.4) is positioned on the light tube rotation handle (4.2). The light tube carrier (4) is fixed to the table or the endoscope vertical rotation telescopic handle (3.2) after the assembly is completed. The cover (6) is placed on the inner diameter of the endoscope handle (3.7).

An alternative embodiment of the endoscope handle (3.7) of the invention is shown in Figure-23. In Figure-24 and Figure-25, the arched endoscope handle (7), which can be used instead of the endoscope handle (3.7), is shown.

The working principle of the invention is as follows: after the endoscope carrier (3) is placed on the step (2) with the fixing apparatus (3.1), doctor integrates the funnel- shaped sheath of the light tube (I) into the light tube handle (4.1). Then the doctor sits on the endoscopy chair (1). The endoscope light tube (I) is placed in the urinary tract. The other end of the light tube (I) is sent through the sheath and the endoscope (E) is fixed to the endoscope handle (3.7) when the planned location is reached. The doctor brings the endoscope carrier (3) and the armrests (1.3) to the desired position in coordination and performs the rotation and manipulation he wants in the body with the endoscope (E) system.

Claims

1- Doctor endoscopy chair and endoscope carrying / manipulation apparatus characterized by comprising;

— an endoscopy chair (1), which includes lower back adjustment arm (1.1) that moves the back area at an angle, height adjustment ring (1.2) that moves the sitting area up and down, and at least one armrest (1.3) to support the arm area,

— a step (2) comprising at least one step foot (2.1) fixed on each comer and at least one step wheel (2.3) positioned on each corner,

— an endoscope carrier (3) that fixes the endoscope (E) device with the endoscope handle (3.7) and includes the parts of the endoscope fixing apparatus (3.1), vertical rotation telescopic handle (3.2), joint mechanism (3.3), inclined rotation telescopic arm (3.4), flexible rotation arm (3.5), lock button (3.6), the endoscope handle (3.7) and the compression apparatus (3.8),

— a light tube holder (4) that fixes the light tube (I) with light tube and sleeve handle (4.3) and includes the parts of the light tube fixing apparatus (4.1), the light tube rotation handle (4.2), light tube and sleeve handle (4.3), light tube router (4.4),

— at least one support pillow (5) positioned on the armrest (1.3) area,

— a cover (6) positioned concentrically inside to create a bed with the endoscope handle (3.7).

2- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscopy chair (1) according to claim 1 characterized by comprising, having an armrest (1.3) that can provide 4D movement.

3- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscopy chair (1) according to claim 2 characterized by comprising, having an armrest (1.3) with a head that can move back and forth and left and right. 4- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the armrest (1.3) according to claim 2 and claim 3 characterized by comprising, having a switch (1.3.1) that allows it to move up and down.

5- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the armrest (1.3) according to claim 2 and claim 3 characterized by comprising, having a rotation knob (1.3.2) that allows the pipe to move angularly to the right and left.

6- Doctor endoscopy chair and endoscope carrying / manipulation apparatus according to claim 1 characterized by comprising, having an endoscopy chair (1) containing at least one seat wheel (1.4) on the floor so as to allow it to move in the desired direction on the floor.

7- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the seat wheel (1.4) according to claim 6 characterized by comprising, having at least one brake (1.4.1) on it so that it can be braked.

8- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the step (2) according to claim 1 characterized by comprising, having a ball joint step foot (2.1) that adjusts its height by moving up-down (vertical).

9- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscope carrier (3) according to claim 1 characterized by comprising, having an endoscope fixing apparatus (3.1) that can be fixed on the step (2) with compression force.

10- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscope carrier (3) according to claim 1 characterized by comprising, having a vertical rotation telescopic handle (3.2) that can be attached and removed by means of a screw thread on the endoscope fixation apparatus (3.1). 11- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscope carrier (3) according to claim 1 characterized by comprising, having a joint mechanism (3.3) associated with the vertical rotation telescopic handle (3.2) so that the inclined rotation telescopic arm (3.4) rotates at the desired angle.

12- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscope carrier (3) according to claim 1 characterized by comprising, having a flexible rotation handle (3.5) that can be tilted so that the endoscope handle (3.7) moves in the desired direction.

13- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscope carrier (3) according to claim 1 characterized by comprising, Having a lock button (3.6) that enables the flexible rotation handle (3.5) to be attached or detached on the endoscope handle (3.7).

14- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the endoscope carrier (3) according to claim 1 characterized by comprising, having the compression apparatus (3.8) that can increase or decrease the inner diameter of the endoscope handle (3.7).

15- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube carrier (4) according to claim 1 characterized by comprising, having a light tube and sleeve handle (4.3) that the inner surface of which is formed in accordance with the funnel-shaped head of the light tube (I) is hollow.

16- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube carrier (4) according to claim 1 characterized by comprising, having the light tube router (4.4) fixed to the light tube and sleeve handle (4.3).

17- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube router (4.4) according to claim 16 characterized by comprising, having a screw (4.4.1) that allows it to move angularly.

15 18- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube carrier (4) according to claim 1 characterized by comprising, having a light tube fixing apparatus (4.1) that can be fixed to the table or vertical rotation telescopic handle (3.2).

19- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube fixing apparatus (4.1) according to claim 18 characterized by comprising, having a screw (4.1.1) formed on its inner surface to increase the friction force.

20- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube fixing apparatus (4.1) according to claim 1 characterized by comprising, having a clamping apparatus (4.1.2) that increases or decreases the diameter of the clamps according to the surface to be seated.

21- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube carrier (4) according to claim 1 characterized by comprising, having a light tube rotation handle (4.2) with a flexible and bendable structure to move according to the desired direction.

22- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the light tube carrier (4) according to claim 1 characterized by comprising, having the light tube fixing apparatus (4.1) and the light tube rotation handle (4.2) that can be fixed by means of a screw thread so that it can be attached and removed from the light tube router (4.4).

23- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the support pillow (5) according to claim 1 characterized by comprising, having at least one pillow strip (5.1) associated on the armrest (1.3).

24- Doctor endoscopy chair and endoscope carrying / manipulation apparatus according to claim 1 characterized by comprising, having an endoscope fixing apparatus (3.1)

16 and a light tube fixing apparatus (4.1) made of stainless steel or plastic or aluminum or chrome material.

25- Doctor endoscopy chair and endoscope carrying / manipulation apparatus according to claim 1 characterized by comprising, having endoscopy chair (1) step (2), endoscope carrier (3), light tube carrier (4), support pillow (5), and cover (6) that can be used in flexible ureterorenoscopy or bronchoscopy or colonoscopy or gastroscopy or ERCP surgical methods

26- Doctor endoscopy chair and endoscope carrying / manipulation apparatus according to claim 1 characterized by comprising, having an endoscopy chair (1) that can operate with hydraulic or pneumatic or piston.

27- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the step (2) according to claim 1 characterized by comprising, having seat connection apparatus (2.2) that associated with the lower post of the endoscopy chair (1).

28- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the step (2) according to claim 1 characterized by comprising, having a step wheel arm (2.4) that provides the up-down movement of the step wheels (2.3) with angular rotation.

29- Doctor endoscopy chair and endoscope carrying / manipulation apparatus according to claim 1 characterized by comprising, having a vertical rotation telescopic handle (3.2) and an inclined rotation telescopic arm (3.4) consisting of intertwined pipes that can move up and down by means of a pin.

30- Doctor endoscopy chair and endoscope carrying / manipulation apparatus according to claim 1 characterized by comprising, having an arched endoscope handle (7) that can be used instead of the endoscope handle (3.7)

17 31- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the arched endoscope handle (7) according to claim 30 characterized by comprising, having upper slide (7.1), lower slide (7.2) and upper slide adjustment screw (7.3).

32- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the arched endoscope handle (7) according to claim 31 characterized by comprising, having an upper slide (7.1) that can move back and forth on the lower slide (7.2).

33- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the arched endoscope handle (7) according to claim 31 characterized by comprising, having upper slide adjustment screw (7.3) ensuring or locking the mobility of the upper slide (7.1)

34- Doctor endoscopy chair and endoscope carrying / manipulation apparatus using the arched endoscope handle (7) according to claim 31 characterized by comprising, having an upper slide (7.1) containing an arch (7.1.1) for fixing the endoscope (E).

18