JP2010057895A - 処置用内視鏡 - Google Patents
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- 238000011282 treatment Methods 0.000 title claims abstract description 368
- 238000005452 bending Methods 0.000 claims abstract description 142
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- 238000003384 imaging method Methods 0.000 claims abstract description 41
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- 238000010977 unit operation Methods 0.000 description 3
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- 239000008280 blood Substances 0.000 description 1
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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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/018—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 characterised by internal passages or accessories therefor for receiving instruments
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00087—Tools
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00105—Constructional details of the endoscope body characterised by modular construction
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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
- A61B1/00131—Accessories for endoscopes
- A61B1/00133—Drive units for endoscopic tools inserted through or with the endoscope
-
- 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
- A61B1/00131—Accessories for endoscopes
- A61B1/0014—Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
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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
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
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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
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
-
- 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
- A61B1/313—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 introducing through surgical openings, e.g. laparoscopes
- A61B1/3132—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 introducing through surgical openings, e.g. laparoscopes for laparoscopy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2906—Multiple forceps
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B2017/347—Locking means, e.g. for locking instrument in cannula
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Abstract
【解決手段】湾曲可能な腕部を備えたアーム203と、体腔内を撮影する撮像部を設けた本体湾曲部242と、上記アーム203を挿抜自在に挿通可能な挿通部255とを備えた処置用内視鏡本体201とを具備した処置用内視鏡である。
【選択図】図44
Description
上記アーム先端部の基端側に連結されたアーム中間部と、
上記アーム中間部よりも基端側に設けられ、上記第1湾曲機構を操作して上記アーム先端部を湾曲操作するアーム湾曲操作部と、
を有したアームと、
第2湾曲機構により湾曲可能な内視鏡本体湾曲部と、この内視鏡本体湾曲部よりも先端側に位置して体腔内を撮影する撮像部を設けた先端部とを有し、体腔内に挿入可能な挿入部と、
上記挿入部の基端側に設けられ、上記第2湾曲機構を操作して上記内視鏡本体湾曲部を湾曲する内視鏡本体操作部と、
上記先端部から上記内視鏡本体湾曲部を経て上記挿入部の基端側にわたり連続して上記挿入部に形成され、上記先端部に上記アーム先端部を突き出すための開口を有し、かつ上記アームを挿抜自在に挿通可能な挿通路と、
を有した内視鏡本体と、
を具備したことを特徴とする処置用内視鏡である。
なお、上述の第1実施形態と同様の構成要素には、同一の符号を付して重複する説明を省略する。
以上の実施形態によれば、以下に示す各項及びその任意の項の組み合わせの事項が得られる。
上記アーム先端部の基端側に連結されたアーム中間部と、
上記アーム中間部よりも基端側に設けられ、上記第1湾曲機構を操作して上記アーム先端部を湾曲操作するアーム湾曲操作部と、
を有したアームと、
第2湾曲機構により湾曲可能な内視鏡本体湾曲部と、この内視鏡本体湾曲部よりも先端側に位置して体腔内を撮影する撮像部を設けた先端部とを有し、体腔内に挿入可能な挿入部と、
上記挿入部の基端側に設けられ、上記第2湾曲機構を操作して上記内視鏡本体湾曲部を湾曲する内視鏡本体操作部と、
上記挿通路の上記内視鏡本体基端側には、上記アーム湾曲操作部と上記内視鏡本体操作部を分岐するための分岐部と、
上記先端部から上記内視鏡本体湾曲部を経て上記挿入部の少なくとも上記分岐部にわたり連続して上記挿入部に形成され、上記先端部に上記アーム先端部を突き出すための開口を有し、かつ上記アームを挿抜自在に挿通可能な挿通路と、
上記挿通路に上記アームを挿通した際に上記アームを上記内視鏡本体に対して位置決めする位置決め手段と、
を有した内視鏡本体と、
を具備したことを特徴とする処置用内視鏡。
この基端側湾曲部よりも先端側に位置して設置され、4方向に湾曲する先端側湾曲部と、
を有したことを特徴とする第1項に記載の処置用内視鏡。
この湾曲する部分よりも基端側に位置して予め定められた形に湾曲するように弾性的に付勢された弾性部と、
を有したことを特徴とする第1項に記載の処置用内視鏡。
上記アーム先端部の基端側に連結されたアーム中間部と、
上記アーム中間部よりも基端側に設けられ、上記第1湾曲機構を操作して上記アーム先端部を湾曲操作するためのアーム湾曲操作部と、
を有し、内視鏡に対し着脱自在に装着して用いることを特徴とするアーム。
この基端側湾曲部よりも先端側に位置して設置され、4方向に湾曲する先端側湾曲部と、を有したことを特徴とする第10項に記載のアーム。
この部分よりも基端側に位置して予め定められた形に湾曲するように弾性的に付勢された弾性部と、
を有することを特徴とする第10項または第11項に記載のアーム。
201…本体内視鏡
203…アーム
212…挿入部
216…内視鏡用操作部
223…チャンネルチューブ
242…本体湾曲部
251…撮像部観察窓
255…挿通部
276…ユニット操作部
Claims (7)
- 第1湾曲機構により湾曲可能なアーム先端部と、
上記アーム先端部の基端側に連結されたアーム中間部と、
上記アーム中間部よりも基端側に設けられ、上記第1湾曲機構を操作して上記アーム先端部を湾曲操作するアーム湾曲操作部と、
を有したアームと、
第2湾曲機構により湾曲可能な内視鏡本体湾曲部と、この内視鏡本体湾曲部よりも先端側に位置して体腔内を撮影する撮像部を設けた先端部とを有し、体腔内に挿入可能な挿入部と、
上記挿入部の基端側に設けられ、上記第2湾曲機構を操作して上記内視鏡本体湾曲部を湾曲する内視鏡本体操作部と、
上記挿通路の上記内視鏡本体基端側には、上記アーム湾曲操作部と上記内視鏡本体操作部を分岐するための分岐部と、
上記先端部から上記内視鏡本体湾曲部を経て上記挿入部の少なくとも上記分岐部にわたり連続して上記挿入部に形成され、上記先端部に上記アーム先端部を突き出すための開口を有し、かつ上記アームを挿抜自在に挿通可能な挿通路と、
上記挿通路に上記アームを挿通した際に上記アームを上記内視鏡本体に対して位置決めする位置決め手段と、
を有した内視鏡本体と、
を具備したことを特徴とする処置用内視鏡。 - 上記アーム先端部の第1湾曲機構は、該アーム先端部の基端側に位置して設置され、2方向に湾曲する基端側湾曲部と、
この基端側湾曲部よりも先端側に位置して設置され、4方向に湾曲する先端側湾曲部と、
を有したことを特徴とする請求項1に記載の処置用内視鏡。 - 上記アーム先端部は、上記第1湾曲機構により湾曲する部分と、
この湾曲する部分よりも基端側に位置して予め定められた形に湾曲するように弾性的に付勢された弾性部と、
を有したことを特徴とする請求項1に記載の処置用内視鏡。 - 上記位置決め手段は、上記挿入部の先端部に設けられ、該先端部に対し上記アームを位置決め保持する第1固定手段を含むことを特徴とする請求項1に記載の処置用内視鏡。
- 上記位置決め手段は、上記分岐部に設けられ、上記アームを位置決め保持する第2固定手段を含むことを特徴とする請求項1または4のいずれかに記載の処置用内視鏡。
- 上記挿通路に設けられ、上記アームを上記挿通路に挿通した状態で上記挿通路を液密にする液密手段を具備したことを特徴とする請求項1から5のいずれかに記載の処置用内視鏡。
- 上記挿通路は、上記アームを挿抜する際に上記アームをガイドするガイド手段を有することを特徴とする請求項1から6のいずれかに記載の処置用内視鏡。
Applications Claiming Priority (2)
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US9348808P | 2008-09-02 | 2008-09-02 | |
US61/093,488 | 2008-09-02 |
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JP2010057895A true JP2010057895A (ja) | 2010-03-18 |
JP5407036B2 JP5407036B2 (ja) | 2014-02-05 |
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US (2) | US8727968B2 (ja) |
EP (1) | EP2322076B1 (ja) |
JP (1) | JP5407036B2 (ja) |
CN (1) | CN102123653B (ja) |
WO (1) | WO2010026991A1 (ja) |
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US8727968B2 (en) | 2014-05-20 |
US20100081874A1 (en) | 2010-04-01 |
CN102123653A (zh) | 2011-07-13 |
EP2322076A1 (en) | 2011-05-18 |
EP2322076A4 (en) | 2015-12-16 |
EP2322076B1 (en) | 2018-07-04 |
US20140296631A1 (en) | 2014-10-02 |
US9186050B2 (en) | 2015-11-17 |
WO2010026991A1 (ja) | 2010-03-11 |
CN102123653B (zh) | 2013-11-20 |
JP5407036B2 (ja) | 2014-02-05 |
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