WO2005089626A1 - 内視鏡バルーン制御装置 - Google Patents
内視鏡バルーン制御装置 Download PDFInfo
- Publication number
- WO2005089626A1 WO2005089626A1 PCT/JP2005/004534 JP2005004534W WO2005089626A1 WO 2005089626 A1 WO2005089626 A1 WO 2005089626A1 JP 2005004534 W JP2005004534 W JP 2005004534W WO 2005089626 A1 WO2005089626 A1 WO 2005089626A1
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- WIPO (PCT)
- Prior art keywords
- balloon
- endoscope
- control device
- pressure
- control unit
- Prior art date
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Classifications
-
- 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
- A61B1/31—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 rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
-
- 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
- A61B1/00082—Balloons
-
- 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
- A61B1/00135—Oversleeves mounted on the endoscope prior to insertion
-
- 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
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- 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
- A61B1/015—Control of fluid supply or evacuation
Definitions
- the present invention relates to an endoscope balloon control device, which controls the pressure in a balloon provided on the outer peripheral portion of the distal end of the insertion portion of the endoscope and the pressure in the balloon provided on the outer peripheral portion of the distal end of the insertion portion of the overtube.
- a possible endoscope balloon control device which controls the pressure in a balloon provided on the outer peripheral portion of the distal end of the insertion portion of the endoscope and the pressure in the balloon provided on the outer peripheral portion of the distal end of the insertion portion of the overtube.
- a balloon is attached to an outer peripheral portion of the distal end of the insertion section of the endoscope, and the balloon is inflated and temporarily fixed to the intestinal tract, so that the extra bending or radius of the endoscope is extended.
- an endoscope apparatus has been proposed which prevents the distal end of the insertion section from coming off.
- an overtube that passes through the insertion portion of the endoscope is provided, and a balloon is attached to an outer peripheral portion of a distal end of the overtube.
- an endoscope apparatus in which the operation performance of the endoscope apparatus can be improved by appropriately inflating or deflating a balloon of the endoscope.
- Japanese Patent Laid-Open Publication No. 2002-301019 discloses that the pressure of air in each balloon is measured by a control means with respect to the balloon of the endoscope and the balloon of the overtube, and the inside of each balloon is measured.
- an endoscope apparatus which supplies the pump device air while controlling the pressure of the endoscope.
- the endoscope device disclosed in the above publication includes a balloon of the endoscope and the over-end. If the material of a single tube is different from the material of the balloon, or if the material is different each time the balloon is replaced, the method of bulging the balloon will differ even at the same flow rate. Therefore, in order to maintain a certain degree of swelling even if the material and type of the balloon are different, it is necessary to control the air supply flow rate for each balloon according to the material of the balloon. Further, in order to control the air supply flow rate and air pressure for each balloon, it is necessary to measure the air supply time for each balloon.
- the present invention has been made in view of these circumstances, and has an endoscope balloon control device capable of measuring the time of air supply or inhalation to an endoscope balloon and an overtube balloon.
- the purpose is to provide.
- an endoscope balloon control device of the present invention includes a pump for supplying or discharging gas to or from a fixing balloon attached to an outer peripheral portion of a distal end portion of an insertion portion of an endoscope; A time detector for detecting the time of air supply or inhalation to the balloon, and measuring the gas pressure in the balloon and operating the pump based on the measurement result to control the pressure in the balloon, A control unit for controlling a pressure in the balloon based on a detection result by the time detection unit.
- FIG. 1 is a configuration diagram showing an entire configuration of an endoscope system to which an endoscope balloon control device is applied according to a first embodiment of the present invention.
- FIG. 2 is a configuration diagram showing a schematic configuration of the endoscope balloon control device of FIG. 1.
- FIG. 3 is a diagram showing a configuration example of a remote controller in FIG. 2.
- FIG. 4 is a block diagram showing an internal configuration of the endoscope balloon control device in FIG. 2.
- FIG. 5 Fig. 5 and Fig. 11 are diagrams for explaining the operation state of the endoscope and the overtube using each balloon, deflate each balloon, and insert the endoscope into the overtube.
- FIG. 4 is an explanatory view showing a state in which the body is inserted into the intestinal tract.
- FIG. 6 is an explanatory view showing a state in which the balloon of the overtube is inflated and fixed to the intestinal tract.
- FIG. 7 is an explanatory view showing a state in which the endoscope is further inserted into the overtube in the state force shown in FIG. 6;
- FIG. 8 is an explanatory view showing a state in which the balloon of the endoscope is inflated and fixed to the intestinal wall in the state of FIG. 7.
- FIG. 9 is an explanatory view showing a state where the balloon of the overtube is deflated in the state of FIG. 8 and the overtube is further inserted.
- FIG. 10 is an explanatory view showing a state in which the distal end of the overtube has moved to the distal end of the endoscope from the state of FIG. 9;
- FIG. 11 is an explanatory view showing a state in which the balloon of the overtube is inflated and fixed to the intestinal wall in the state of FIG. 10;
- FIG. 12 to FIG. 15 are diagrams for explaining the operation of the endoscope balloon control device, and are flowcharts showing a main program of the control unit.
- FIG. 13 is a flowchart showing a processing routine based on the switch state confirmation module of FIG.
- FIG. 14 is a flowchart showing a processing routine based on the air supply module of FIG. 13.
- FIG. 15 is a flowchart showing a processing routine based on the intake module of FIG. 13.
- FIG. 16 is a block diagram showing an internal configuration of an endoscope balloon control device according to a second embodiment.
- FIG. 1 is a configuration diagram showing an entire configuration of an endoscope system to which an endoscope balloon control device is applied according to a first embodiment of the present invention.
- an endoscope system 1 having an endoscope balloon control device of the present embodiment includes an endoscope 2, an overtube 3, a light source device 4, a video processor 5, a monitor 6, An endoscope balloon control device 7 and a remote controller 8 are provided.
- the endoscope 2 is used, for example, for gastrointestinal endoscopy, and includes an insertion portion 2B for insertion into a body cavity, and an operation portion 2A provided on a proximal end side of the insertion portion 2B. And An illumination optical system (not shown) and an observation optical system including a CCD, which is an imaging device, are provided in the distal end portion of the insertion section 2B, and illuminate an observation site in the digestive tract of the subject, thereby illuminating the subject. It is possible to obtain an observation image of the digestive tract.
- a universal cord 2C extends from the operation unit 2A.
- a signal line and a light guide cable (not shown) are provided in the universal cord 2C.
- the base end of the universal cord 2C is connected to the connector 4a of the light source device 4 and the connector 5a of the video port processor 5.
- the illumination optical system of the endoscope 2 is supplied with illumination light from the light source device 4 via the light guide cable in the universal cord 2C to illuminate the observation site and output the CCD force.
- the imaging signal in the digestive tract is output to the video processor 5.
- Such an endoscope 2 is used through the overtube 3 at the time of surgery.
- the configuration of the overtube 3 will be described later.
- the light source device 4 is a light source device for supplying illumination light to an illumination optical system provided in the endoscope 2 via a light guide (not shown) in the light guide cable. is there.
- the video processor 5 performs signal processing on an image pickup signal of the CCD force of the endoscope 2 and supplies image data (for example, live endoscope image data) based on the image pickup signal to the monitor 6.
- the monitor 6 is connected to the video processor 5 by a connection cable 5A.
- the monitor 6 displays an endoscope image based on the image data from the video processor 5.
- a balloon 9 for fixing is attached to an outer peripheral portion of a distal end of the insertion section 2B of the endoscope 2.
- the balloon 9 has the insertion section 2
- An air supply tube 10 provided along the insertion portion 2B is connected to the base end side force of B at the distal end side.
- a base end of the air supply tube 10 on the operation unit 2A side is connected to a connector 2a provided at a lower portion of the operation unit 2A.
- One end of the connector 2a is connected to an endoscope balloon control device 7 described later, and a connector 13A provided at the other end of an endoscope balloon air supply tube 13 (hereinafter, referred to as a first air supply tube) 13 is provided. Is connected.
- the inside of the balloon 9 is inflated by the air supply from the endoscope balloon control device 7 and temporarily fixed to a digestive tract such as an intestinal tract.
- the overtube 3 guides the insertion section 2B by inserting the endoscope 2 into the digestive tract, for example, and guides the insertion section 2B outside the insertion section 2B of the endoscope. It has an inner diameter slightly larger than the diameter.
- the overtube 3 is configured to have flexibility similarly to the insertion portion 2B of the endoscope 2.
- a balloon 11 for fixing the tube is attached to the outer periphery of the tip of the overtube 3.
- An air supply tube 12 provided from the base end side to the tip end side of the overtube 3 is connected to the norain 11.
- a base end of the air supply tube 12 on the side opposite to the balloon 11 (the insertion port side of the overtube 3 for inserting the endoscope 2) is provided near the insertion port of the overtube 3.
- the connector 3a includes a connector 14A having one end connected to the endoscope balloon control device 7 and provided at the other end of an overtube balloon air supply tube (hereinafter, referred to as a second air supply tube) 14. Connected. Thereby, the inside of the balloon 11 is inflated by the air supply from the endoscope balloon control device 7 and is temporarily fixed to a digestive tract such as an intestinal tract.
- the endoscope balloon control device 7 controls various operations such as an air supply flow rate of the balloon 9 of the endoscope 2 and the balloon 11 of the overtube 3.
- FIG. 2 is a configuration diagram showing a schematic configuration of the endoscope balloon control device.
- the endoscope balloon control device 7 is provided with a backflow prevention tank 15 and a pressure indicator 16 and a power switch 17 on the front surface.
- the backflow prevention tank 15 is configured to prevent backflow of the liquid, A tank 15A for the balloon 9 and a tank 15B for the balloon 11 of the overtube 3 are provided.
- the first and second air supply tubes 13 and 14 are connected to the tanks 15A and 15B, respectively.
- the tanks 15A and 15B respectively increase the internal pressure through first and second pumps 32a and 32b (see FIG. 4) described later under the control of the endoscope balloon control device 7.
- air is supplied to the balloons 9 and 11 via the first and second air supply tubes 13 and 14.
- the backflow of the liquid from the first and second air supply tubes 13 and 14 is prevented by a backflow prevention mechanism (not shown).
- the endoscope balloon control device 7 of the present embodiment includes the air supply tube 10, the first air supply tube 13, and the tank connected to the balloon 9 of the endoscope 2.
- An air supply line via 15A, an air supply tube 12 connected to the balloon 11 of the overtube 3, a second air supply tube 14, and an air supply line via the tank 15B are provided.
- the pressure display 16 displays a pressure value of a pipe connected to the balloons 9 and 11 using a detector (not shown).
- the pressure indicator 16 has an indicator 16A for the balloon 9 of the endoscope 2 and an indicator 16B for the balloon 11 of the overtube 3.
- the display 16A displays the pressure value in the conduit for the balloon 9 of the endoscope 2, and the display 16B displays the pressure value in the conduit for the balloon 11 of the overtube 3. .
- the power switch 17 is a switch that switches the power of the balloon control device 7 on or off.
- a remote controller 8 is connected to one surface of the endoscope balloon control device 7 via a connection cable 8A.
- the remote controller 8 is electrically connected to a control unit 35 provided inside the endoscope balloon control device 7 described later via the connection cable 8A.
- the endoscope balloon control device 7 operates the remote controller 8 by the operator during operation to control the pressure of each of the balloons 9 and 11 and the air volume control. An operation signal for control is supplied.
- FIG. 3 is a diagram showing a configuration example of the remote controller 8.
- the remote controller 8 includes, for example, various buttons for controlling the endoscope side balloon and various buttons for controlling the overtube side balloon of the remote controller main body so as to be easily operated by an operator. It is divided into right and left.
- an open button 18a On the left side of the remote controller 8, an open button 18a, an air supply start button 19a, an intake start button 20a, and a stop button 21a are provided as operation buttons for controlling the endoscope-side balloon.
- buttons for controlling the overtube side balloon! RU On the right side of the remote controller 8, an open button 18b, an air supply start button 19b, an intake button 20b, and a stop button 21b are provided as operation buttons for controlling the overtube side balloon! RU
- a power button 22 and an emergency stop button 23 are provided below the remote controller 8.
- the release button 18a is a button for instructing release of air in the conduit of the balloon 9 of the endoscope 2.
- the air supply start button 19a is a button for instructing start of air supply into the balloon 9 of the endoscope 2.
- the inhalation start button 20a is a button for instructing to start inhalation from the balloon 9 of the endoscope 2.
- the stop button 21a is a button for giving an instruction to stop the air supply operation by the air supply start button 19a and the air suction operation by the air supply start button 20a. The air pressure in the balloon 9 is maintained.
- the release button 18b is a button for instructing release of air in the conduit of the balloon 11 of the overtube 3.
- the air supply start button 19b is a button for instructing the start of air supply of the overtube 3 into the balloon 11.
- the intake start button 20b is a button for instructing the start of intake from the balloon 11 of the overtube 3.
- the stop button 21b is a button for giving an instruction to stop the air supply operation by the air supply start button 19b and the suction operation by the intake start button 20b, and by pressing this stop button 21b, The air pressure within the balloon 11 and the pipeline is maintained.
- the power switch 22 is a button for switching the power of the balloon control device 7 on or off.
- the emergency stop button 23 is used to directly turn off first to third breakers 31a to 31c, which will be described later, of the endoscope balloon control device 7 so that each of the trains 9, 11 by the endoscope balloon control device 7 is turned off. Button for urgently stopping air supply control or the like.
- FIG. 4 is a block diagram showing an internal configuration of the endoscope balloon control device.
- the endoscope balloon control device 7 includes a switching power supply unit 30, first to third breakers 31a to 31c, first and second pumps 32a and 32b, first and second flow rate adjustment valves.
- control unit 35 as the control means.
- the switching power supply unit 30 is supplied with AC power from an external commercial power supply unit via a connection cord (not shown).
- the switching power supply unit 30 converts the supplied AC power into DC power and converts the first to third breakers 31a to 31c, first and third breakers 31a to 31c.
- the first breaker 31a is electrically connected to the first and second pumps 32a and 32b and the emergency stop button 23 of the remote controller 8.
- the first breaker 31a supplies DC power to the first and second pumps 32a and 32b, and when an operation signal is supplied from the emergency stop button 23, the first and second pumps Stop supplying DC power to 32a and 32b! /
- the second breaker 31b is electrically connected to the pipeline switching unit 33 and the emergency stop button 23 of the remote controller 8.
- the second breaker 31b supplies DC power to the pipeline switching unit 33, and supplies a DC power to the pipeline switching unit 33 when an operation signal is supplied from the emergency stop button 23. Supply is to be stopped
- the third breaker 31c is electrically connected to the first and second flow control valves 32c and 32d and the emergency stop button 23 of the remote controller 8.
- Third breaker 3 lc supplies DC power to the first and second flow control valves 32c, 32d and the first and second flow control valves when an operation signal is supplied from the emergency stop button 23. Stops supplying DC power to 32c and 32d!
- the first and second pumps 32a and 32b are connected to the input side of the pipeline switching unit 33 via air lines.
- the first and second pumps 32a and 32b are driven and controlled based on a control signal from the control unit 35.
- the pipeline switching unit 33 is connected via the air line.
- air can be taken into the pipeline switching unit 33 via the air line.
- the output side of the pipe line switching unit 33 is connected to the first and second flow rate adjustment valves 32c and 32d via air lines, respectively.
- the first and second flow control valves 32c and 32d are valves that can be opened and closed by the control unit 35, and can adjust the flow rate of the air output based on a control signal from the control unit 35. .
- the first, second flow amount adjusting valve 32 C, 32d are first via respective air line supplies air of the flow rate adjusted second pressure sensor 34a, and 34b within a predetermined range.
- the first and second pressure sensors 34a and 34b measure the pressure of air supplied from the first and second flow control valves 32c and 32d.
- the measurement results of the first and second pressure sensors 34a and 35b are supplied to the control unit 35, and the control unit 35 adjusts the air pressure to a desired value based on the supplied measurement results.
- the first and second pumps 32a and 32b may be configured to be controlled.
- Outputs of the first and second pressure sensors 34a and 34b are supplied to the first and second air supply tubes 13 and 14 via air supply lines and connectors 7A, 7B, 13B and 14B, respectively. It is becoming so.
- the endoscope balloon control device 7 includes the first pump 32a, the first flow rate adjustment valve 32c, and the first pressure sensor 34a via the pipeline switching unit 33. It has an air supply line and an air supply line including the second pump 32b, the second flow rate adjustment valve 32d, and the second pressure sensor 34b via the line switching unit 33.
- the pipeline switching unit 33 can switch a pipeline (not shown) provided therein so as to be in a pipeline state corresponding to an execution mode in the endoscope balloon control device 7.
- the execution modes include four execution modes: an air supply mode, an intake mode, a hold mode, and an open mode. Therefore, the pipeline switching unit 33 can switch an internal pipeline (not shown) to a state corresponding to the four modes, that is, an air supply state, an intake state, a holding state, and an open state. This switching is controlled based on a control signal from the control unit 35.
- the pipeline on the balloon 9 side of the endoscope 2 and the pipeline on the balloon 11 side of the overtube side 3 connected to the subsequent stage can be brought into a pipeline state based on a desired execution mode. You can do it.
- control unit 35 includes a flow counter that counts an air supply flow rate to the balloon 9 of the endoscope 2 and the balloon 11 of the overtube 3, and a flow counter for each of the balloons 9 and 11. It has a timer counter as the air supply time detecting means for counting air time, intake time, and the like, a timer for measuring a predetermined time, and a storage section for storing a main program described later and programs based on various modules.
- RU the control unit 35 includes a flow counter that counts an air supply flow rate to the balloon 9 of the endoscope 2 and the balloon 11 of the overtube 3, and a flow counter for each of the balloons 9 and 11. It has a timer counter as the air supply time detecting means for counting air time, intake time, and the like, a timer for measuring a predetermined time, and a storage section for storing a main program described later and programs based on various modules.
- the control unit 35 executes the program based on the operation signal from the previous remote controller 8 to execute the first and second pumps 32a and 32b and the pipeline while using the flow counter and the timer counter.
- the switching unit 33 and the first and second flow control valves 32c and 32d are controlled.
- the endoscope balloon control device 7 measures the air supply time, the inhalation time, the air supply flow time, and the like to the balloon 9 of the endoscope 2 and the balloon 11 of the overtube 3. By using these measurement results, it is possible to control the air supply flow rate to the balloon 9 of the endoscope 2 and the balloon 11 of the overtube 3.
- FIG. 5 to FIG. 11 are explanatory diagrams for explaining the operation state of the endoscope and the overtube using the balloon of the endoscope 2 and the balloon of the overtube.
- Fig. 5 shows a state where each balloon is deflated and the endoscope is inserted into the intestinal tract by passing through the overtube
- Fig. 6 shows a state where the balloon of the overtube is inflated and fixed to the intestinal tract
- Fig. 7 shows a state where the balloon is fixed to the intestinal tract.
- Fig. 8 shows a state in which the balloon of the endoscope is inflated and fixed to the intestinal wall in the state of Fig. 7, and Fig.
- FIG. 9 shows the state in which the balloon of the overtube is deflated in the state of Fig. 8 and an additional overtube is inserted.
- Fig. 10 shows the state in which the tip of the overtube has moved to the endoscope end from the state in Fig. 9, and
- Fig. 11 shows the state in which the balloon of the overtube is inflated in the state in Fig. Each shows a fixed state.
- the operator allows the endoscope 2 to pass through the overtube 3.
- the balloon 9 of the endoscope 2 and the balloon 11 of the overtube 3 are evacuated and deflated, respectively. Start inserting.
- the air supply start button 19b on the overtube side of the remote controller 8 is displayed. (See FIG. 3), air is supplied from the second pump 32b to the balloon 11 for fixing the main body attached to the tip of the overtube 3, and the balloon 11 is inflated to release the overtube 3. Fix to intestinal tract 40.
- the surgeon holds the overtube 3 with respect to the intestinal tract 40 and inserts only the insertion portion 2B of the endoscope 2 into the deep portion.
- the operator presses the air supply start button 19a (see FIG. 3) on the endoscope side of the remote controller 8 as shown in FIG.
- the air is supplied from the first pump 32a to the balloon 9 for fixing the main body attached to the end of the endoscope 2 from the first pump 32a, and the noren 9 is inflated and fixed to the intestinal tract 41.
- the balloons 9 and 11 can be optimally inflated according to the size of the intestinal tracts 40 and 41 and fixed to the intestinal tracts 40 and 41.
- the operator presses the release button 18b or the inhalation start button 20b (see FIG. 3) on the overtube side of the remote controller 8, and the pipeline switching unit 33 causes the inside of the balloon 11 to be pressed. Then, the air in the balloon 11 of the overtube 3 is sucked from the second pump 32b to deflate the balloon 11 (see FIG. 9).
- the surgeon inserts the overtube 3 deep into the endoscope 2 along the endoscope 2, and then inserts the overtube 3 into the insertion section 2 B of the endoscope 2. Insert the tip of the overtube 3 close to the tip.
- the surgeon operates the air supply start button 19b on the overtube side of the remote controller 8 as shown in FIG.
- air is supplied from the second pump 32b to the balloon 11 of the overtube 3 and the balloon 11 is inflated to fix the overtube 3 to the intestinal wall 41.
- the operator presses the release button 18a on the endoscope side of the remote controller 8 or the inhalation start button 20a (see FIG. 3), and the pipe line switching unit 33 causes the inside of the balloon 9 to move.
- the air is released, or the air in the balloon 9 of the endoscope 2 is suctioned from the first pump 32a to deflate the balloon 9, and further insert the insertion portion 2B into the deep portion.
- Fig. 12 and Fig. 15 are for explaining the operation of the endoscope balloon control device.
- Fig. 12 is a flowchart showing the main program of the control unit, and Fig. 13 is based on the switch state confirmation module of Fig. 12.
- 14 is a flowchart showing a processing routine based on the air supply module of FIG. 13, and
- FIG. 15 is a flowchart showing a processing routine based on the intake module of FIG.
- control unit 35 When the control unit 35 confirms the power-on state in the process of step S1, the control unit 35 proceeds to step S2.
- various devices in the endoscope balloon control device 7 are initialized.
- the control unit 35 starts the first and second pumps 32a and 32b, and performs initialization so that the pipeline switching unit 33 is in the pipeline open state.
- the control unit 35 resets and initializes a flow counter, a timer count, and the like (not shown) in the control unit 35.
- control unit 35 determines a 20-msec timer interrupt in the determination processing of the subsequent step S3, shifts the processing to step S4 if it determines that it has occurred, and continues if it determines that there is no timer interrupt. This determination processing is performed.
- timer measures 2 Omsec in order to operate the processing routine shown in FIG. 12 every 20 msec.
- step S5 the control unit 35 determines whether or not the counter value of the timer counter that counts 1 every 20 msec of the timer is equal to 10 in the determination process of step S4, and determines that the counter value is equal.
- step S5 the timer counter and the flow counter are reset in the process of step S5, and the process proceeds to step S6.
- the control unit 35 shifts the processing to step S6.
- the processing routine shown in FIG. 12 is performed ten times, that is, balloon control is performed in units of 200 msec in accordance with various button operations performed by the controller 8 of the operator. .
- control unit 35 causes a processing routine based on a first pump and second pump switch state confirmation module, which will be described later, to be executed in the processing of steps S6 and S7.
- control unit 35 After completing the processing routine based on the switch state confirmation module, the control unit 35 resets the counter value of the timer counter to 1 in the processing of step S8, and then determines the processing in step S3. Return to processing.
- step S6 a processing routine of the first pump switch state confirmation module in step S6 will be described with reference to FIG.
- control unit 35 After executing the processing in step S6, the control unit 35 starts the processing routine of the switch state confirmation module shown in FIG.
- the control unit 35 determines whether the remote controller 8 The presence or absence of a warning is determined based on whether or not the emergency stop button 23 has been pressed. In this case, the control unit 35 performs the determination processing by detecting ONZOFF of the warning flag.
- the warning flag is not limited to the pressing of the emergency stop button 23, but becomes a warning state when a problem occurs in the endoscope balloon control device 7, and is turned on by the control unit 35. .
- the control unit 35 sets the endoscope balloon control device 7 in a warning state by pressing the emergency stop button 23 or the like.
- the processing routine based on the switch state confirmation module is ended in the processing of step S20 in order to maintain the current warning processing, and the processing shifts to the processing of step S7 in FIG.
- control unit 35 detects that the warning flag is OFF in the determination processing in step S11, the control unit 35 determines that the emergency stop button 23 has not been pressed and the endoscope balloon 23 has not been pressed. It is determined that the control device 7 is not in the warning state, and the processing shifts to the determination processing of step S12.
- step S12 the control unit 35 determines whether or not the release button 18a of the remote controller 8 shown in FIG. 3 is pressed, and if it is determined that the release button 18a is not pressed, the process proceeds to step S12. Move to S14.
- the control unit 35 stops the operation of the first pump 32a corresponding to the release button 18a in the process of step S13, and opens the pipeline. After controlling the pipeline switching unit 33 and the first flow rate adjusting valve 32c, the process proceeds to step S20, and the processing routine based on the first pump switch state confirmation module is ended.
- step S14 the control unit 35 determines whether or not the stop button 21a of the remote controller 8 shown in FIG. 3 is pressed, and if it is determined that the stop button 21a is not pressed, the control unit 35 proceeds to step S16. Move to On the other hand, when it is determined that the button has been pressed, the control unit 35 operates the pipeline switching unit 33 and the first flow rate adjustment valve 32c so as to close the pipeline (the pipeline holding state) in the process of step S15. After the control and the operation of the first pump 32a corresponding to the stop button 21a are stopped, the process proceeds to step S20, and the processing routine based on the first pump switch state confirmation module is ended.
- step S16 the control unit 35 executes the remote control 8 shown in FIG. It is determined whether or not the intake start button 20a has been pressed, and if it is determined that it has not been pressed, the process proceeds to step S18. On the other hand, if it is determined that the button has been pressed, the control unit 35 activates a processing routine based on the intake module shown in FIG. After performing the intake control, the process proceeds to step S20, and the processing routine based on the first pump switch state confirmation module is terminated.
- step S18 the control unit 35 determines whether or not the air supply start button 19a of the remote controller 8 shown in FIG. 3 is pressed, and if it is determined that it is not pressed, The process moves to step S20. On the other hand, if it is determined that the button is pressed, the control unit 35 activates a processing routine based on the air supply module shown in FIG. After performing the air supply control, the process proceeds to step S20, and the processing routine based on the first pump switch state confirmation module is ended.
- a maximum pressure value and a maximum pressure value for comparison with the pressure measurement results from the first and second sensors 34a and 34b are preset in the control unit 35. It is like that. Further, the pressure upper limit value and the pressure maximum value satisfy a relationship of the pressure limit value and the pressure maximum value.
- the maximum pressure value is a pressure value corresponding to a state in which each of the balloons 9 and 11 is inflated to be in a dangerous state. It means the pressure value equivalent to fixing.
- step S19 After executing the process of step S19, the control unit 35 starts a process routine of the air supply module shown in Fig. 14.
- step S21 the control unit 35 compares the measurement result (for example, analog pressure value) of the first pressure sensor 34a with a preset maximum pressure value, If it is determined that the measurement result is smaller than the maximum pressure value! /, The process proceeds to step S22, and if it is determined that the value is larger than the maximum value, the process proceeds to step S29. Stets In the process of step S29, the control unit 35 stops the operation of the first pump 32a and controls the pipeline switching unit 33 and the first flow rate adjustment valve 32c so as to open the pipeline. Thereafter, the control unit 35 turns on the warning flag in the process of step S30, and then proceeds to step S37 to end the processing routine based on the air supply module.
- the measurement result for example, analog pressure value
- step S22 the control unit 35 compares a measurement result (air supply time) obtained by measuring an air supply time with an internal timer with a preset maximum air supply time. When it is determined that the air supply time is shorter than the maximum air supply time, the process proceeds to step S23, and when it is determined that it is longer, the process proceeds to step S31.
- step S31 similarly to the process of step S29, the control unit 35 stops the operation of the first pump 32a, and opens the pipeline by opening the pipeline switching unit 33 and the first flow rate. Controls adjustment knob 32c. After that, the control unit 35 turns on the warning flag in the process of step S32, similarly to the process of step S30, and then proceeds to step S37 to end the process routine based on the air supply module. Let it.
- step S23 the control unit 35 determines whether or not the counter value of the timer counter that counts 1 every 20 msec of the timer is equal to 1, and determines that the counter value is equal.
- step S33 the operation of the first pump 32a is stopped in the process of step S33, and the pipeline switching unit 33 and the first flow control valve 32c are controlled so as to maintain the pipeline state. Thereafter, the control unit 35 measures the pressure by the first and second pressure sensors 34a and 34b in the process of step S34 to obtain a measured pressure value, and then proceeds to step S24.
- step S23 If it is determined in step S23 that the counter value of the timer counter is not equal to 1, the control unit 35 proceeds to step S24.
- step S24 the control unit 35 acquires the measured pressure value by performing the pressure measurement by the first pressure sensor 34a, and acquires the acquired measured pressure value (the above-described step S33, In the case of passing through the loop of 34, the measured pressure value obtained in the step S34) is compared with a preset pressure upper limit value, and when it is determined that the measurement result is smaller than the pressure upper limit value Then, the process proceeds to step S25, and if it is determined to be larger, the process proceeds to step S35. [0077] In the process of step S35, the control unit 35 stops the operation of the first pump 32a and controls the pipeline switching unit 33 and the first flow control valve 32c so as to maintain the pipeline state. After that, the process shifts to the step S37 to terminate the processing routine based on the air supply module.
- step S25 the control unit 35 compares the flow rate counter value with a predetermined air supply amount (air supply flow rate), and if the flow rate counter value is If it is determined that the air supply amount is larger than the predetermined air supply amount, the operation of the first pump 32a is stopped in the process of step S36, and the line switching unit 33 and the first After controlling the flow control valve 32c, the process shifts to step S37 to end the processing routine based on the air supply module.
- a predetermined air supply amount air supply flow rate
- the flow rate counter value is a variable for determining how much air supply amount can be supplied in 200 msec (20 msec ⁇ 10). For example, 0 to 9 according to the timer counter value 0 to 9 Can be set. Actually, the flow counter value (not shown) counts the flow counter value every 20 msec. Further, the predetermined air supply amount indicates an approximate air supply amount (air supply flow rate) that can be supplied by the endoscope balloon control device 7 every 20 msec.
- step S25 If it is determined in the determination processing in step S25 that the flow counter value is smaller than the predetermined air supply amount, the control unit 35 performs the air supply start button 19a in the processing in step S27. , 19b is controlled to set the air supply line. Thereafter, the control unit 35 adds 1 to the flow rate counter value in the process of step S27, adds 1 to the air supply time in the subsequent process of step S28, and proceeds to step S37. Is terminated.
- the control unit 35 determines that the processing routine based on the switch state confirmation module shown in FIG. 13 has been completed, and determines that the second pump switch in step S7 shown in FIG. 12 has been completed.
- the process based on the state confirmation module is executed, and thereafter, the process is repeatedly executed according to the process routine shown in FIG. Note that the operation of the second pump switch status confirmation module and the pump, switch, and control target are only changed, and thus description thereof is omitted.
- a processing routine of the intake module in step S17 shown in FIG. 13 will be described with reference to FIG.
- control unit 35 After executing the processing in step S17, the control unit 35 starts a processing routine of the intake module shown in FIG.
- step S40 the control unit 35 compares the measurement result (intake time) obtained by measuring the intake time by the internal timer with the preset maximum intake time, V, If it is determined that the intake time is shorter than the maximum intake time! /, The process proceeds to step S41, and if it is determined that the intake time is longer, the process proceeds to step S47.
- step S47 the control unit 35 stops the operation of the first pump 32a and controls the pipeline switching unit 33 and the first flow control valve 32c so as to open the pipeline. After that, the control unit 35 turns on the warning flag in the processing of step S48, and then proceeds to step S53 to end the processing routine based on the intake module.
- step S49 the operation of the first pump 32a is stopped, and the pipeline switching unit 33 and the first flow control valve 32c are controlled so as to maintain the pipeline state.
- the control unit 35 measures the pressure by the first pressure sensor 34a in the process of step S50 to obtain a measured pressure value, and then proceeds to step S42. If it is determined in step S41 that the counter value of the timer counter is not equal to 1, the control unit 35 proceeds to step S42.
- step S42 the control unit 35 acquires the measured pressure value by performing the pressure measurement by the first pressure sensor 34a, and acquires the acquired measured pressure value (step S49, step S49).
- the measured pressure value obtained in step S50 is compared with a preset pressure lower limit value, and it is determined that the measurement result is smaller than the pressure lower limit value. Then, the process proceeds to step S51, and if it is determined to be larger, the process proceeds to step S43.
- step S51 the control unit 35 controls the suction by the first and second pumps 32a and 32b. After stopping the operation and controlling the pipeline switching unit 33 and the first and second flow rate adjustment valves 32c and 32d so as to maintain the pipeline, the process proceeds to step S53, where the processing based on the intake module is performed. End the routine.
- the control unit 35 compares the flow counter value with a predetermined intake air amount (intake air flow) set in advance, and determines that the flow counter value is the predetermined intake air flow amount.
- a predetermined intake air amount intake air flow
- the intake operation of the first pump 32a is stopped in the process of step S52, and the pipeline switching unit 33 and the first flow rate are controlled so as to maintain the pipeline state.
- the process proceeds to step S54, and the processing routine based on the intake module is terminated.
- the predetermined intake air amount indicates an approximate intake air amount (intake air flow amount) that can be inhaled every 20 msec by the endoscope balloon control device 7.
- step S43 If it is determined in step S43 that the flow rate counter value is smaller than the predetermined intake air amount, the control unit 35 determines in step S44 that the intake pipe based on the intake start button 20a has been operated.
- the pipeline switching unit 33 is controlled so as to set a channel. Thereafter, the control unit 35 adds 1 to the flow rate counter value in the process of step S45, adds 1 to the intake time in the process of step S46, and proceeds to step S53, based on the intake module.
- the processing routine ends.
- control unit 35 determines that the processing routine has been completed based on the switch state confirmation module shown in FIG. 13, and determines that the first pump control module in step S7 shown in FIG. Based on the processing routine shown in FIG.
- the endoscope balloon control device 7 can measure the air supply time for the balloon 9 of the endoscope 2 and the balloon 11 of the overtube 3. Therefore, it is possible to detect that the maximum insufflation time, the maximum insufflation time, the maximum insufflation pressure and the maximum insufflation pressure have been exceeded, and to control the pressure in the balloon so as to open the pipe line. It is possible to perform the procedure without applying excessive force.
- the endoscope balloon control device 7 can adjust the air supply flow rate and the intake flow rate for each balloon 9, 11, it is suitable for balloons of various materials and various parts. It becomes possible to respond. Further, the endoscope balloon control device 7 performs a continuous air supply operation or a suction operation that occurs when a pipe such as the first and second air supply tubes 13 and 14 is disconnected. It can be prevented.
- the present invention is not limited to this. It is also possible to provide a foot switch for controlling the operation unit 2A of the endoscope 2 or the endoscope balloon control device 7 which is below the operator's feet.
- the controller 8 transmits various remote control operation signals using infrared rays, receives the infrared rays by a light receiving unit provided in the endoscope balloon control device 7, and captures the remote control signals. You may comprise so that it may be. This further facilitates operation by the operator.
- FIG. 16 is a configuration diagram illustrating a schematic configuration of the endoscope balloon control device according to the second embodiment of the present invention.
- the same components as those of the endoscope balloon control device of the first embodiment are denoted by the same reference numerals, and description thereof will be omitted. Only different portions will be described.
- the endoscope balloon control device 7 of the present embodiment includes first and second relief valves 36a and 36b as pressure control means in the norain on two air supply pipes (air supply lines).
- the first relief valve 36a is connected to a pipe on the output end side of the first pressure sensor 34a.
- the second relief valve 36b is connected to a pipe on the output end side of the second pressure sensor 34b.
- the first and second relief valves 36a and 36b monitor the pressure in the pipeline, and open the pipeline to the outside when the pressure in the pipeline exceeds a predetermined pressure (relief pressure). This prevents the pressure in the pipeline from exceeding a predetermined pressure.
- a mechanical relief valve is used as the first and second relief valves 36a and 36b, and this mechanical relief valve is made of an elastic material due to a rise in pressure in a pipeline. After being fixed, the valve is opened to the outside.
- the pressure upper limit value and the pressure maximum value are pressure control methods different from those of the balloon pressure control means (first and second relief valves 36a and 36b), and are electrically operated first and second pressures. It is controlled by sensors 34a and 34b.
- an electromagnetic valve (not shown) for adjusting the flow rate, which is included in the first and second flow rate adjustment valves 32c and 32d, is also of an electric type and is controlled by the control unit 35.
- first and second pressure sensors 34a and 34b and the first and second flow rate adjustment valves 32c and 32d are both electric type, for example, the electric system in the device fails. In this case, the first and second pressure sensors 34a and 34b and the first and second flow rate adjustment valves 32c and 32d may all stop operating.
- the outputs of the first and second pumps 32a and 32b may be directly applied to the living body, and a large pressure may be applied. Further, even if the operation of the pressure sensor and the flow control valve corresponding to one of the air supply lines is stopped, the output of the corresponding pump may be directly applied to the body.
- the endoscope balloon control device 7 of the present embodiment can operate irrespective of the failure of the electric system when the pressure in the living body exceeds the relief pressure at the time of the failure.
- the first and second mechanical relief valves 36a and 36b By operating the first and second mechanical relief valves 36a and 36b, the pressure applied to the living body is reduced.
- the endoscope balloon control device 7 operates when the operation of the pressure sensor and the flow control valve corresponding to one of the two air supply lines (air supply lines) is stopped. However, when the pressure in the living body exceeds the relief pressure, the pressure applied to the living body can be reduced by operating the corresponding relief valve, and at the same time, the other air supply line Can operate normally.
- the endoscope balloon control device of the present invention can measure the air supply or inhalation time for the balloon of the endoscope and the balloon of the overtube, and thereby can control the air supply flow rate and air pressure for each balloon. Since control becomes possible, it is particularly effective in cases where the material of the balloon is changed, or where observation and treatment of various parts are performed.
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Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP05720791.2A EP1726249A4 (en) | 2004-03-19 | 2005-03-15 | ENDOSCOPE BALLOON CONTROL DEVICE |
US11/522,826 US20070038025A1 (en) | 2004-03-19 | 2006-09-18 | Endoscope balloon control device |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2004081655 | 2004-03-19 | ||
JP2004-081655 | 2004-03-19 | ||
JP2004-329522 | 2004-11-12 | ||
JP2004329522A JP4756851B2 (ja) | 2004-03-19 | 2004-11-12 | 内視鏡バルーン制御装置 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/522,826 Continuation US20070038025A1 (en) | 2004-03-19 | 2006-09-18 | Endoscope balloon control device |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2005089626A1 true WO2005089626A1 (ja) | 2005-09-29 |
Family
ID=34993396
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/JP2005/004534 WO2005089626A1 (ja) | 2004-03-19 | 2005-03-15 | 内視鏡バルーン制御装置 |
Country Status (5)
Country | Link |
---|---|
US (1) | US20070038025A1 (ja) |
EP (1) | EP1726249A4 (ja) |
JP (1) | JP4756851B2 (ja) |
KR (1) | KR100840050B1 (ja) |
WO (1) | WO2005089626A1 (ja) |
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JP2018161489A (ja) * | 2006-05-18 | 2018-10-18 | スマート・メディカル・システムズ・リミテッド | 可撓性が高められた補助内視鏡アセンブリ |
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JP3834820B2 (ja) | 2004-11-04 | 2006-10-18 | フジノン株式会社 | 内視鏡装置用のバルーン制御装置 |
JP5019757B2 (ja) * | 2006-02-10 | 2012-09-05 | 富士フイルム株式会社 | バルーン制御装置 |
JP2008200127A (ja) * | 2007-02-16 | 2008-09-04 | Olympus Medical Systems Corp | 医療装置 |
ES2873366T3 (es) * | 2011-03-07 | 2021-11-03 | Smart Medical Systems Ltd | Sistema de control de presión en bucle abierto para un endoscopio |
JP5400841B2 (ja) * | 2011-08-23 | 2014-01-29 | 富士フイルム株式会社 | 内視鏡システム |
JP6143516B2 (ja) * | 2013-03-26 | 2017-06-07 | オリンパス株式会社 | 挿入装置 |
JP6033147B2 (ja) * | 2013-03-26 | 2016-11-30 | オリンパス株式会社 | 挿入装置 |
WO2017041052A1 (en) * | 2015-09-03 | 2017-03-09 | Neptune Medical | Device for endoscopic advancement through the small intestine |
US10765304B2 (en) * | 2015-09-28 | 2020-09-08 | Bio-Medical Engineering (HK) Limited | Endoscopic systems, devices, and methods for performing in vivo procedures |
EP3500151A4 (en) | 2016-08-18 | 2020-03-25 | Neptune Medical Inc. | DEVICE AND METHOD FOR IMPROVED VISUALIZATION OF THE SMALL BOWEL |
AU2019307743A1 (en) | 2018-07-19 | 2021-01-28 | Neptune Medical Inc. | Dynamically rigidizing composite medical structures |
US11793392B2 (en) | 2019-04-17 | 2023-10-24 | Neptune Medical Inc. | External working channels |
AU2021245989A1 (en) | 2020-03-30 | 2022-10-27 | Neptune Medical Inc. | Layered walls for rigidizing devices |
KR102486929B1 (ko) * | 2020-10-29 | 2023-01-09 | 김응석 | 흉부 카테터용 공기 주입 스토퍼 |
WO2022208737A1 (ja) * | 2021-03-31 | 2022-10-06 | オリンパス株式会社 | 内視鏡用オーバーチューブ |
CN114081421A (zh) * | 2021-11-19 | 2022-02-25 | 湖南省华芯医疗器械有限公司 | 一种***部、内窥镜及驱动方法 |
US20230346205A1 (en) | 2022-04-27 | 2023-11-02 | Neptune Medical Inc. | Multi-lumen port adapter manifold devices and methods of use |
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Also Published As
Publication number | Publication date |
---|---|
JP4756851B2 (ja) | 2011-08-24 |
EP1726249A1 (en) | 2006-11-29 |
KR100840050B1 (ko) | 2008-06-19 |
US20070038025A1 (en) | 2007-02-15 |
KR20060130228A (ko) | 2006-12-18 |
JP2005296619A (ja) | 2005-10-27 |
EP1726249A4 (en) | 2014-11-12 |
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