JPS62192148A - Forcept apparatus for stone - Google Patents

Forcept apparatus for stone

Info

Publication number
JPS62192148A
JPS62192148A JP61032586A JP3258686A JPS62192148A JP S62192148 A JPS62192148 A JP S62192148A JP 61032586 A JP61032586 A JP 61032586A JP 3258686 A JP3258686 A JP 3258686A JP S62192148 A JPS62192148 A JP S62192148A
Authority
JP
Japan
Prior art keywords
forceps
operating
basket
stone
wire
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
JP61032586A
Other languages
Japanese (ja)
Other versions
JPH066128B2 (en
Inventor
山村 守國
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fujinon Corp
Shinmaywa Industries Ltd
Original Assignee
Shin Meiva Industry Ltd
Fuji Photo Optical Co Ltd
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 Shin Meiva Industry Ltd, Fuji Photo Optical Co Ltd filed Critical Shin Meiva Industry Ltd
Priority to JP61032586A priority Critical patent/JPH066128B2/en
Publication of JPS62192148A publication Critical patent/JPS62192148A/en
Publication of JPH066128B2 publication Critical patent/JPH066128B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 〔発明の利用分野〕 本発明は、例えば内視鏡に挿通使用される結石用鉗子装
置に係り、特に胆石の如く大形な結石を破砕して小形化
し、適当な大きさにして回収できるようにした結石用鉗
子装置に関する。
[Detailed Description of the Invention] [Field of Application of the Invention] The present invention relates to a stone forceps device that is used, for example, to be inserted through an endoscope, and in particular is used to crush large stones such as gallstones into smaller stones, and to This invention relates to a forceps device for stones that can be resized and collected.

〔発明の背景〕[Background of the invention]

体腔内結石、例えば胆石を内視鏡を用いて処置及び回収
する場合、結石が大きいとそのままでは回収困難なこと
がある。このような場合は結石を回収できる適当な大き
さまで破砕する必要が生じる。従来では内視鏡の挿入部
の鉗子口を介して挿入部内方から挿入部先端外方にバス
ケット型鉗子を突出させて結石の捕獲及び鉗子通路側へ
の引寄せを可能とし、バスケット型鉗子で獲えた結石を
鉗子口側に引寄せることによって突起や針によって破砕
するものが知られている。
When treating and recovering a stone in a body cavity, such as a gallstone, using an endoscope, if the stone is large, it may be difficult to recover it as it is. In such cases, it is necessary to crush the stone to an appropriate size that can be recovered. Conventionally, basket-shaped forceps were protruded from the inside of the insertion tube to the outside of the tip of the insertion tube through the forceps port of the insertion tube of the endoscope, making it possible to capture stones and pull them toward the forceps passage. It is known that the captured stone is pulled toward the mouth of the forceps and crushed using protrusions or needles.

しかし、このような従来の装置では突起や針によっては
結石を破砕するため必ずしも十分な破砕力が得られず、
また破砕作用も不確実で、操作も面倒であるなど、満足
な結果を得られないことが多い。
However, with these conventional devices, the protrusions and needles may not necessarily provide sufficient crushing force to crush the stone.
Furthermore, the crushing action is uncertain and the operation is troublesome, so that satisfactory results are often not obtained.

〔発明の目的〕[Purpose of the invention]

本発明はこのような事情に鑑みてなされたもので、結石
を容易かつ確実に所定の大きさに破砕して回収すること
ができる結石用鉗子装置を提案することを目的としてい
る。
The present invention has been made in view of the above circumstances, and an object of the present invention is to propose a stone forceps device that can easily and reliably crush and recover a stone to a predetermined size.

〔発明の(既要〕[Invention (already required)]

本発明は、前記目的を達成する為に、可撓管先端に複数
のバスケットワイヤからなる結石回収用のバスケット型
鉗子を突没可能に設けるとともに、その可撓管先端に一
対の把握爪からなる結石破砕用の開閉型鉗子を設け、挿
入部内に相互に干渉しないように挿通した各鉗子の操作
ワイヤを操作部の操作ツマミに連結して、前記バスケッ
ト型鉗子で捕獲した結石を開閉型鉗子の把握爪で挾み付
けて破砕するようにしたものである。
In order to achieve the above object, the present invention provides basket-shaped forceps for stone retrieval made of a plurality of basket wires at the tip of a flexible tube so as to be protrusive and retractable, and the tip of the flexible tube includes a pair of grasping claws. Opening/closing forceps for stone fragmentation are provided, and the operating wires of each forceps inserted into the insertion section so as not to interfere with each other are connected to the operating knob of the operating section, and the concretion captured by the basket-shaped forceps is inserted into the opening/closing forceps. It is designed to be crushed by grasping it with gripping claws.

〔実施例〕〔Example〕

以下、添付図面に従って本発明に係る結石用鉗子装置の
好ましい実施例を詳説する。
Hereinafter, preferred embodiments of the stone forceps device according to the present invention will be described in detail with reference to the accompanying drawings.

第1図は結石用鉗子装置全体を概略的に示している。第
1図に示すように、密着コイルばね2からなる湾曲自在
な可撓管4の先端に先端金具6が取り付けられ、この先
端金具6に結石回収用のバスケット型鉗子8と、結石破
砕用の開閉型鉗子10とが設けられている。可撓管4の
基端側には操作部12が連結され、この挿作部12には
バスケット型鉗子8の操作ツマミ14、開閉型鉗子10
の操作ツマミ16及び把持リング18が設けられる。
FIG. 1 schematically shows the entire stone forceps device. As shown in FIG. 1, a tip metal fitting 6 is attached to the tip of a bendable flexible tube 4 made of a tight coil spring 2, and a basket-shaped forceps 8 for stone collection and a calculus crushing device are attached to the tip metal fitting 6. Opening/closing forceps 10 are provided. An operating section 12 is connected to the proximal end of the flexible tube 4, and this insertion section 12 has an operating knob 14 for the basket-type forceps 8 and an open/close forceps 10.
An operating knob 16 and a grip ring 18 are provided.

第2図〜第8図は各鉗子8.10の構成を種々の視野か
ら詳細に示している。
2 to 8 show the construction of each forceps 8.10 in detail from various views.

第2図〜第8図に示すように、バスケット型鉗子8は4
本のバスケットワイヤ8aの先端を第1図で示す先細の
止め具8bで結着したもので、先端金具6の軸心回りに
等間隔で開口した小径な鉗子口20から突没可能に突出
している。各バスケットワイヤ8aは弾性材製で突出時
に自己弾性によって夫々外方に屈曲し、網状に広がる。
As shown in FIGS. 2 to 8, the basket-shaped forceps 8 have four
The tips of the basket wires 8a are tied together with tapered fasteners 8b shown in FIG. There is. Each basket wire 8a is made of an elastic material, and when protruded, bends outward due to its own elasticity and spreads out into a net shape.

そして各バスケットワイヤ8aは可撓管4内に挿通され
、後述の如く操作ワイヤ13を介して操作ツマミ14に
接続される。
Each basket wire 8a is inserted into the flexible tube 4 and connected to an operating knob 14 via an operating wire 13 as described later.

また、開閉型鉗子10は先端が鋭角をなす一対の把握爪
10aから構成される。冬瓜10aは先端金具6に固定
した支軸22に基端側を軸支され、先端側が咬合う如く
開閉可能で、各一対のバスケットワイヤ8a、8a間に
配置されている。そして冬瓜10aは先端金具6内でリ
ンク24及び接続具25を介して操作ワイヤ26に接続
され、その操作ワイヤ26の押引により開閉する。操作
ワイヤ26は操作ツマミ16に接続され、操作ワイヤ2
6を先端金具6の前方(第3図の矢印a方向)に押動し
た場合に冬瓜10aが開き、後方(同図の矢印す方向)
に引張った場合に冬瓜10aが互いに咬合う (閉じる
)ようになっている。
Further, the opening/closing forceps 10 is composed of a pair of grasping claws 10a whose tips form an acute angle. The winter melon 10a has its proximal end pivotally supported by a support shaft 22 fixed to the distal end fitting 6, can be opened and closed so that its distal ends interlock, and is disposed between each pair of basket wires 8a, 8a. The winter melon 10a is connected to an operating wire 26 through a link 24 and a connector 25 within the tip fitting 6, and is opened and closed by pushing and pulling the operating wire 26. The operating wire 26 is connected to the operating knob 16, and the operating wire 26 is connected to the operating knob 16.
6 is pushed forward of the tip fitting 6 (in the direction of the arrow a in Fig. 3), the winter melon 10a opens and backwards (in the direction of the arrow in the figure)
When pulled, the winter melons 10a interlock (close) with each other.

第9図〜第12図は各操作ワイヤ13.26の構成およ
びその操作ツマミ14.16への接続構成等を示してい
る。
9 to 12 show the configuration of each operating wire 13.26 and its connection to the operating knob 14.16.

第9図には第1図を一部拡大した平面方向からの破断形
状が先端金具6の付近を除いて詳細に示され、28a・
、28bはバスケットワイヤ8aと開閉型鉗子10の操
作ワイヤ26との干渉を防ぐ為の中空軸である。
FIG. 9 shows in detail the fractured shape from the planar direction, which is a partially enlarged view of FIG.
, 28b is a hollow shaft for preventing interference between the basket wire 8a and the operation wire 26 of the opening/closing forceps 10.

即ち、複数のバスケットワイヤ8aを操作ツマミ14に
接続する場合、組立性及び動作の円滑性等を考慮すると
、可撓管4の途中でバスケットワイヤ8aを一本に結束
して柔軟な操作ワイヤ13に連結し、・その操作ワイヤ
13を操作ツマミ14に接続することが最も望ましいと
考えられる。ところが、この場合各バスケットワイヤ8
aの収束部分と開閉型鉗子10の操作ワイヤ26とが接
近するため、これらが干渉し易い状態になる。
That is, when connecting a plurality of basket wires 8a to the operating knob 14, considering ease of assembly and smooth operation, etc., the basket wires 8a are tied together in the middle of the flexible tube 4 and the flexible operating wire 13 is connected. It is considered most desirable to connect the operating wire 13 to the operating knob 14. However, in this case, each basket wire 8
Since the converging portion of a and the operating wire 26 of the open/close forceps 10 are close to each other, they are likely to interfere with each other.

そこで、中空軸28a、28bは可撓管4内に所定間隔
で、かつ摺動可能に挿入され、この各中空軸28a、2
8b内に開閉型鉗子10の操作ワイヤ26が摺動自在に
挿通される。一方、各バスケットワイヤ8aは、先端金
具6側の中空軸28aの外周部に対し、第10図に示す
ように、ロー付は等の接着部30を介して固着され、ま
た操作部12側の中空軸28bに対しては、第11図に
示すように、外周部片側に収束してロー付は等の接着部
32を介して固着される。なお、バスケソトワイヤ8a
のさらに操作部12側に延在した部分の端部は、第12
図に示すように、開閉型鉗子10の操作ワイヤ26と並
列に配置した中空軸状の連結具34の一端に挿入され、
ロー付は等の接着部36により固着され、この連結具3
4の他端に同様に接着部36を介して挿着した一本の柔
軟な操作ワイヤ13に連結される。
Therefore, the hollow shafts 28a, 28b are slidably inserted into the flexible tube 4 at predetermined intervals.
The operating wire 26 of the open/close type forceps 10 is slidably inserted into the inside of the opening/closing forceps 8b. On the other hand, each basket wire 8a is fixed to the outer periphery of the hollow shaft 28a on the end metal fitting 6 side via an adhesive part 30 such as a braze, etc., as shown in FIG. As shown in FIG. 11, the hollow shaft 28b is fixed to one side of the outer periphery via an adhesive portion 32 such as a solder. In addition, the basketball wire 8a
The end of the portion extending further toward the operating section 12 is the twelfth
As shown in the figure, it is inserted into one end of a hollow shaft-shaped connector 34 arranged in parallel with the operating wire 26 of the opening/closing forceps 10,
The soldering part is fixed by an adhesive part 36 such as, and this connecting tool 3
4 is connected to a single flexible operating wire 13 which is similarly inserted via an adhesive portion 36 at the other end.

そして、各tM作クワイヤ3.26は操作部12側に延
在して、各操作ツマミ14.16にブラケット40.4
2を介して連結される。なお、操作部12は連結筒44
を介して可撓管4に連結した操作杆46の後端に把持リ
ング18を取り付けて構成される。また、バスケット型
鉗子8の操作ツマミ14と開閉型鉗子10の操作ツマミ
16とは鍔付筒状に構成され、操作杆46の外周部に摺
動可能に嵌装される。バスケット型鉗子8の操作ツマミ
14は軸方向いずれにも摺動可能で、バスケット型鉗子
8の引込み方向(第9図の右方)への最大移動時にスト
ッパ48で係止される。開閉型鉗子10の操作ツマミ1
6は、ストッパ48の後方(同図の右方)に設けた圧縮
コイルばね50により、開閉型鉗子10が閉じる移動方
向(同図の右方)に付勢される。なお、各操作ツマミ1
4.16は、ビス52.54により、それぞれ任意の摺
動位置に固定可能とされる。
Each tM choir 3.26 extends toward the operating section 12, and a bracket 40.4 is attached to each operating knob 14.16.
2. Note that the operating section 12 is connected to the connecting tube 44.
It is constructed by attaching a grip ring 18 to the rear end of an operating rod 46 that is connected to the flexible tube 4 via a. Further, the operating knob 14 of the basket-type forceps 8 and the operating knob 16 of the opening/closing forceps 10 are formed into a cylindrical shape with a flange, and are slidably fitted onto the outer circumference of the operating rod 46. The operating knob 14 of the basket-type forceps 8 is slidable in any axial direction, and is stopped by a stopper 48 when the basket-type forceps 8 is moved at its maximum in the retraction direction (to the right in FIG. 9). Operation knob 1 of open/close forceps 10
6 is biased by a compression coil spring 50 provided behind the stopper 48 (to the right in the figure) in the moving direction in which the opening/closing forceps 10 is closed (to the right in the figure). In addition, each operation knob 1
4.16 can be fixed at any sliding position using screws 52.54.

次に第13図(A)〜(E)を参照して作用を説明する
。まず、体腔内の結石A位置まで可撓管4を挿入する(
第13図(A))。この場合、バスケット型鉗子8は最
大限引込めた状態とし、開閉型鉗子10は閉じた状態と
しておく。なお、挿入作用は図示しない内視鏡の挿入部
に挿通ずる等によって行う。所定位置まで挿入後、ツマ
ミ14を可撓管4側に前進させ、バスケット型鉗子8を
突出させ、拡開状態とする。これにより、体腔が押広げ
られ、結石Aは各バスケットワイヤ8aで捕獲できる(
同図(B))。
Next, the operation will be explained with reference to FIGS. 13(A) to 13(E). First, insert the flexible tube 4 to the stone A position in the body cavity (
Figure 13(A)). In this case, the basket-type forceps 8 is kept in a retracted state to the maximum extent, and the open/close-type forceps 10 is kept in a closed state. The insertion action is performed by, for example, inserting it through an insertion section of an endoscope (not shown). After inserting to a predetermined position, the knob 14 is moved forward toward the flexible tube 4 side, and the basket-shaped forceps 8 are protruded to be in an expanded state. As a result, the body cavity is expanded and the stone A can be captured by each basket wire 8a (
Same figure (B)).

次いでツマミ16を可撓管4側に前進させ、開閉型鉗子
10の冬瓜10aを開き、さらにツマミ14を操作部1
2端側に後退させ、バスケットワイヤ8aを引込んで、
捕獲した結石Aを開閉型鉗子10側に引寄せる(同図(
C))。
Next, move the knob 16 forward toward the flexible tube 4 side, open the winter melon 10a of the opening/closing forceps 10, and then move the knob 14 toward the operating section 1.
Retract to the second end side, pull in the basket wire 8a,
Pull the captured stone A toward the opening/closing forceps 10 (see the same figure).
C)).

結石Aが開閉型鉗子10の爪10a間まで引寄せられた
ら、ツマミ16を後退させることにより、爪10aを閉
じ、結石Aに咬み込ませる。この咬み込み方向に沿い、
ツマミ16が圧縮コイルばね50によって付勢されてい
るので、咬み込み作用は容易に行える。これにより、爪
10aの咬み込んだ結石Aは破砕される(同図(D)、
(E))。この操作を所要回数行えば、結石Aを回収ま
たは排出可能な大きさまで破砕できる。
When the stone A is drawn between the claws 10a of the open/close forceps 10, the knob 16 is moved back to close the claws 10a and cause the stone A to bite. Along this biting direction,
Since the knob 16 is biased by the compression coil spring 50, the biting action can be easily performed. As a result, the stone A that has been bitten by the nail 10a is crushed ((D) in the same figure).
(E)). By repeating this operation a required number of times, stone A can be crushed to a size that can be recovered or discharged.

なお、各操作ツマミ14.16はビス52.54によっ
て所定位置に固定できるので、必要に応じて動作停止状
態とすることが可能である。
Note that each operating knob 14, 16 can be fixed in a predetermined position with screws 52, 54, so that it can be brought into a non-operating state as required.

また、前記の操作ワイヤ挿通構造によれば、バスケット
ワイヤ8aと開閉型鉗子10の操作ワイヤ10aとが干
渉しないので、可撓管4の内径が例えば1.5mm前後
の限られた空間内でも、円滑な動作が行える。即ち、バ
スケット型鉗子8と開閉型鉗子10とが複合したもので
も、相互に動作を阻害されることがない。
Further, according to the above-mentioned operation wire insertion structure, the basket wire 8a and the operation wire 10a of the open/close type forceps 10 do not interfere with each other, so that even in a limited space where the inner diameter of the flexible tube 4 is about 1.5 mm, for example, Able to operate smoothly. That is, even if the basket-type forceps 8 and the opening/closing forceps 10 are combined, their mutual movements will not be inhibited.

〔発明の効果〕〔Effect of the invention〕

以上説明したように、本発明に係る結石用鉗子装置によ
れば、バスケット型鉗子と開閉型鉗子とを複合化した構
成とすることにより、結石を容易に捕獲して、開閉型鉗
子の咬み込みによる二方向からの大きい力で確実に破砕
することができる。
As explained above, according to the calculus forceps device according to the present invention, the structure is a combination of basket-type forceps and opening/closing forceps, so that stones can be easily captured and the calculus can be easily bitten by the opening/closing forceps. can be reliably crushed with large forces from two directions.

特に開閉型鉗子によれば、大きい結石であっても咬み込
むことができる。よって、結石を容易かつ確実に破砕し
て、所定の大きさにして回収又は排出することができる
In particular, with open-close forceps, even large stones can be bitten. Therefore, it is possible to easily and reliably crush the stone and collect or discharge the stone into a predetermined size.

【図面の簡単な説明】[Brief explanation of drawings]

図は本発明の一実施例を示し、第1図は全体の概略構成
図、第2図は第1図のn−n線断面図、第3図は挿入部
先端を示す拡大断面図、第4図は第3図の左側図面、第
5図は第3図のv −v 、vl断面図、第6図は第5
図のV[−Vl線断面図、第7図は挿入部先端を部分的
に示す断面図、第8図は第7図の■−■線断面図、第9
図は第1図の軸心回りに90度角度を異ならせた挿入部
及び操作部の拡大断面図、第10図、第11図及び第1
2図は夫々第9図のX−X線、XI−XI線及びxn−
xn線断面図、第13図(A)〜(E)は作用説明図で
ある。 4・・・挿入部、 8・・・バスケット型鉗子、8a・
・・バスケットワイヤ、  10・・・開閉型鉗子、1
0a・・・爪、 12・・・操作部、 14.16・・
・操作ツマミ、13.26−・・操作ワイヤ、28a、
28 b ・・・中空軸。
The drawings show one embodiment of the present invention, in which Fig. 1 is a schematic diagram of the overall configuration, Fig. 2 is a sectional view taken along the line nn of Fig. 1, Fig. 3 is an enlarged sectional view showing the tip of the insertion section, and Fig. Figure 4 is the left side view of Figure 3, Figure 5 is the v-v, vl sectional view of Figure 3, and Figure 6 is the view of Figure 5.
7 is a sectional view partially showing the tip of the insertion tube, FIG. 8 is a sectional view taken along the line ■-■ in FIG.
The figures are enlarged cross-sectional views of the insertion section and the operation section at different angles of 90 degrees around the axis of Fig. 1, Fig. 10, Fig. 11, and Fig. 1.
Figure 2 shows the lines X-X, XI-XI and xn- in Figure 9, respectively.
The xn line sectional view and FIGS. 13(A) to 13(E) are action explanatory views. 4... Insertion section, 8... Basket type forceps, 8a.
...Basket wire, 10...Opening/closing forceps, 1
0a...Claw, 12...Operation unit, 14.16...
・Operation knob, 13.26-・・Operation wire, 28a,
28 b...Hollow shaft.

Claims (2)

【特許請求の範囲】[Claims] (1)可撓管先端部に複数のバスケットワイヤからなる
バスケット型鉗子を突没自在に設けるとともに、該可撓
管先端部に一対の把握爪からなる開閉型鉗子を設け、前
記各鉗子の操作ワイヤを互いに摺動可能に可撓管内に挿
通して、その各操作ワイヤ先端を夫々操作部の操作ツマ
ミに連結したことを特徴とする結石用鉗子装置。
(1) Basket-shaped forceps made of a plurality of basket wires are provided at the tip of the flexible tube so as to be protrusive and retractable, and open/close type forceps made of a pair of grasping claws are provided at the tip of the flexible tube, and each of the forceps can be operated. 1. A forceps device for calculus, characterized in that wires are slidably inserted into a flexible tube, and the tips of each of the operating wires are respectively connected to an operating knob of an operating section.
(2)バスケットワイヤは可撓管内に、移動可能に且つ
軸方向に所定間隔で挿入された複数の中空軸の外周部に
接着され次第に収束されて一本の柔軟な操作ワイヤに連
結されており、開閉型鉗子の操作ワイヤは前記中空軸内
に摺動自在に挿通されていることを特徴とする特許請求
の範囲第1項記載の結石用鉗子装置。
(2) The basket wires are movably inserted into the flexible tube at predetermined intervals in the axial direction, are glued to the outer periphery of a plurality of hollow shafts, and are gradually converged and connected to a single flexible operating wire. 2. The stone forceps device according to claim 1, wherein the operating wire of the open/close type forceps is slidably inserted into the hollow shaft.
JP61032586A 1986-02-17 1986-02-17 Calculus forceps device Expired - Fee Related JPH066128B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP61032586A JPH066128B2 (en) 1986-02-17 1986-02-17 Calculus forceps device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP61032586A JPH066128B2 (en) 1986-02-17 1986-02-17 Calculus forceps device

Publications (2)

Publication Number Publication Date
JPS62192148A true JPS62192148A (en) 1987-08-22
JPH066128B2 JPH066128B2 (en) 1994-01-26

Family

ID=12362970

Family Applications (1)

Application Number Title Priority Date Filing Date
JP61032586A Expired - Fee Related JPH066128B2 (en) 1986-02-17 1986-02-17 Calculus forceps device

Country Status (1)

Country Link
JP (1) JPH066128B2 (en)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS505877A (en) * 1973-05-18 1975-01-22
JPS56109705U (en) * 1980-01-26 1981-08-25
JPS59184801U (en) * 1983-05-28 1984-12-08 富士写真光機株式会社 Endoscope

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS505877A (en) * 1973-05-18 1975-01-22
JPS56109705U (en) * 1980-01-26 1981-08-25
JPS59184801U (en) * 1983-05-28 1984-12-08 富士写真光機株式会社 Endoscope

Also Published As

Publication number Publication date
JPH066128B2 (en) 1994-01-26

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