1. Field of the Invention
The present invention relates to an endoscope apparatus which includes an endoscope insertion portion having an illumination section incorporated at the distal end portion thereof to be inserted into a body cavity.
2. Description of the Related Art
Generally, a conventional endoscope apparatus is often provided with a light source apparatus separate from the endoscope. The endoscope is further provided with a light guide such as optical fiber therein. Thus, the light guide is connected to the light source apparatus at the proximal end portion thereof, so that an illumination light from the light source apparatus is introduced into the distal end portion of the endoscope insertion portion through the light guide to irradiate the outside of the endoscope from the distal end portion of the light guide, which illuminates a field of vision in the direction of observation by the endoscope.
Such an endoscope apparatus has a long light path for introducing an illumination light from the light source apparatus to the distal end portion of the light guide, which generates a quantity of light loss in a midway of the light path by which the illumination light from the light source apparatus is introduced to the distal end portion of the light guide and also requires a prevention of heat radiation that occurs in the light source apparatus.
Then, recently, a number of propositions for an endoscope apparatus have been made in view of the above situation, the endoscope apparatus having an endoscope insertion portion that includes an illumination section such as an LED at the distal end portion thereof for preventing any loss of illumination light and reducing the steps for preventing heat radiation in the light source apparatus.
For example, Japanese Patent Application Laid-Open Publication No. 11-225952 discloses a technology for an endoscope apparatus which includes an endoscope insertion portion having a distal end portion with an observation window, nine LEDs provided near the window, and an automatic dimming circuit controlling the light quantity of the nine LEDs, so that the automatic dimming circuit detects the brightness of each luminance signal from a monitor screen which is divided into the same number of smaller screens as the nine LEDs, and controls an LED drive circuit so as to individually control the light quantity of each of the nine LEDs based on the detected result.
Also, for example, Japanese Patent Application Laid-Open Publication No. 2005-288191 discloses a technology for a capsule type in-vivo image picking up device which is provided with light sources such as a plurality of LEDs, and a light detecting device around the observation window at the distal end portion of the endoscope insertion portion, so that, based on the light quantity detected by the light detecting device, the light quantity of the plurality of light sources, light irradiation time, and the like can be controlled.
An endoscope apparatus of the present invention includes: a plurality of illumination sections for illuminating a field of vision the image of which is picked up by the image pickup section; a dimming control section for detecting the brightness of the area illuminated by each of the plurality of illumination sections using the video signals obtained from the image pickup section, and dimming the light of each of the illumination section based on the detected result, with the plurality of illumination sections being arranged at the positions corresponding to the areas illuminated by each of the illumination section with respect to the image pickup section when the dimming control section detects the brightness of the areas illuminated by each of the plurality of illumination sections.
Now, with reference to the drawings, embodiments of the present invention will be explained below.
Also,
As shown in
The endoscope 2 is provided with an insertion portion 4 which is to be inserted into body cavity, and a hand-side end portion 6 connected to a proximal end portion of the insertion portion 4. The insertion portion 4 further includes a distal end portion 5 in which an image pickup unit 7 with an illumination section 11 and an image pickup section 12 is provided. The hand-side end portion 6 or the CCU 3 is configured as an operation section.
Here, the configurations of the image pickup unit 7 and the distal end portion 5 will be explained below.
The image pickup unit 7 includes, as shown in
The four LEDs 11a to 11d are individually electrically connected to an LED drive circuit 10 shown in
In the present embodiment, the four LEDs 11a to 11d are, as shown in
That is, an observation image picked up by the CCD 12, that is, a screen 16 of a monitor 15 shown in
In the case, for example, as shown in
In the present embodiment, as the illumination section 11, the four LEDs 11a to 11d are provided, but the illumination section 11 is not limited to those, and may be four or more LEDs 11. However, the provided four or more LEDs and the CCD 12 should be arranged, as described above, to individually correspond to each of the screen 16a to 16n of the same number of illumination areas (detection areas) as the four or more plurality of LEDs.
As shown in
The CCU 3 includes: a video signal processing circuit 8 which is electrically connected to each of the CCD driver 13 and the output side of the CCD 12 in the image pickup unit 7 via the connecting line 7b; a dimming circuit 9 as a dimming control section to which a video signal is supplied from the video signal processing circuit 8 and sets a light quantity value of the illumination section 11 based on the video signal; and an LED drive circuit 10 which is electrically connected to each of the LEDs 11a to 11d in the image pickup unit 7, and drives each of the LEDs 11a to 11d based on the dimming signal from the dimming circuit 9.
The connecting line 7b is, not shown but, configured with a connecting line on the input side for supplying drive signals from the video signal processing circuit 8 to the CCD driver 13, and a connecting line on the output side for outputting the outputted signal from the CCD 12 to the video signal processing circuit 8.
The video signal processing circuit 8 is electrically connected with the monitor 15 shown in
The dimming circuit 9 is electrically connected with video signal processing circuit 8 and the LED drive circuit 10 individually. A part of the video signals outputted from the video signal processing circuit 8 is inputted to the dimming circuit 9, where the light quantity value of the illumination section 11 is set based on the video signal outputted from the video signal processing circuit 8, so that various dimming signals based on the set light quantity value are outputted to the LED drive circuit 10.
The LED drive circuit 10 includes a constant current pulse width modulation circuit (not shown) for controlling the illumination duration of the illumination section 11 for the four LEDs 11a to 11d, and also has an individual light quantity control section incorporated therein for individually controlling the light quantity of the LEDs 11a to 11d. Thus, the LED drive circuit 10 is configured to individually control the light quantity of the four LEDs 11a to 11d using the constant current pulse width modulation section and the individual light quantity control section based on the supplied various dimming signals.
Next, the specific configuration of the dimming circuit 9 in the CCU 3 shown in
As shown in
The area dimming section 17 divides an observation image based on the inputted video signal, that is, the screen 16 of the monitor 15 shown in
Specifically, the area dimming section 17 is provided with, as shown in
The area 1 to 4 masking sections 19a to 19d detect the brightness of the screens 16a to 16d using the inputted video signals and based on the luminance signals of each of the screens 16a to 16d corresponding to the illumination areas of each of the LEDs 11a to 11d, and supplies the detected results to the first to fourth dimming circuit sections 20a to 20d in the following stage.
In the case, the area 1 masking section 19a detects the brightness using the inputted video signals and based on the luminance signals of the screen 16a shown in
The first to fourth dimming circuit sections 20a to 20d compare each of the supplied detected results with a predetermined reference value (which is a threshold and changeable), and adequately compensates the light quantities, so as to generate the dimming signals for the areas 1 to 4 corresponding to each of the LEDs 11a to 11d. Then, the first to fourth dimming circuit sections 20a to 20d supply the dimming signals for the areas 1 to 4 to the full-screen brightness control section 18 shown in
As a result, the area dimming section 17 shown in
Therefore, the driving of each of the LEDs 11a to 11d based on the obtained dimming signals for the areas 1 to 4 provides a proper dimming even when a part of the entire field of vision for observation by the endoscope 2 having brighter parts and darker parts locally provides an observation image of the endoscope.
Even when each of the LEDs 11a to 11d is properly dimmed as described above, the entire screen 16 of the monitor 15 desirably has a brightness to be easily observed.
Thus, in the present embodiment, when each of the LEDs 11a to 11d is optimally dimmed as described above, the brightness of the entire screen 16 of the monitor 15 can be controlled by the full-screen brightness control section 18 shown in
That is, the full-screen brightness control section 18 which constitutes the dimming control section is able to control the dimming so that the entire screen 16 for an observation image has a brightness at a constant value.
Specifically, the full-screen brightness control section 18 includes: as shown in
The specific configuration example of the full-screen brightness control section 18 is shown in
As shown in
To the other input terminal of the comparator 24A, the adding result added by the first to third adders 23a to 23c is supplied. Then, the comparator 24A compares the adding result with a reference value such as a reference time, so as to supply the comparison result to the multipliers 25a to 25d as a coefficient. For example in the case where the adding result is twice that of the reference time, the comparison result is ½, which is the coefficient.
In the configuration example shown in
Then, each of the LED 1 to 4 drive circuits 10a to 10d obtains the dimming signals for areas 1 to 4 which are compensated for proper light quantities based on the supplied dimming signals for areas 1 to 4 respectively. Therefore, the driving of each of the LEDs 11a to 11d based on the obtained dimming signals for the areas 1 to 4 provides a proper dimming even when a field of vision for observation by the endoscope 2 having brighter parts and darker parts locally provides an observation image of the endoscope.
An LED 1 dimming mask section 20A shown in
Here, a specific example of the control by the full-screen brightness control section 18 will be explained below with reference to
Usually, the dimming circuit 9 is able to control the light quantity of a corresponding LED by performing a process for controlling a pulse width P1 in one frame in various dimming signals, as shown in A to D of
The examples of dimming signals for areas 1 to 4 which are compensated to have a pulse width P1 by the area dimming section 17 as described above are shown in A to D of
Then, the coefficient computing section 24 detects, for example, that the integration time of the pulse width P1 of each of the supplied dimming signals for areas 1 to 4 is equal to the integration time tL shown in E of
That is, because the entire screen 16 of the monitor 15 has brightness which is twice that of the reference value, the coefficient is set to be ½, which is used to reduce each signal level to a half of that by multiplying each of the dimming signals for areas 1 to 4 by the coefficient ½ by each of the multipliers 25a to 25d.
This causes the integration time of each pulse width P1 of the outputted signal from the full-screen brightness control section 18 to be an integration time tO1 which is generally the same as the reference time tO, as shown in G of
The coefficient by the coefficient computing section 24 and the reference value by reference value generating section 25 may be set as needed, and may be set by a user from outside.
Next, the operation of the above configuration will be explained below with reference to
In using the endoscope apparatus 1 of the present embodiment, the LED drive circuit 10 and the CCD driver 13 of the CCU 3 are driven. The LED drive circuit 10 of the CCU 3 causes the LEDs 11a to 11d of the endoscope 2 to be driven and the LEDs 11a to 11d are turned on, so that illumination lights are emitted from the image pickup unit 7 in the distal end portion 5 of the insertion portion 4 in the direction toward a field of vision for observation by the endoscope 2.
When the CCD driver 13 of the CCU 3 causes the CCD 12 of the endoscope 2 to be driven, an observation image of the endoscope 2 is outputted as a converted electrical signal by the CCD 12. The outputted signal from the CCD 12 is inputted to the video signal processing circuit 8 to be converted to a video signal, thereby the video signal outputted from the video signal processing circuit 8 is inputted to the monitor 15, and the observation image of the endoscope 2 is displayed on the screen 16 of the monitor 15.
At this point, in an observation using the endoscope 2, assume that a subject 30 is disposed near the distal end surface 5A in the direction of the field of vision for observation of the distal end portion 5 in the insertion portion 4, for example in front of the lower LEDs 11b and 11c at the distal end surface 5A of the distal end portion 5 as an obstacle that blocks the irradiations, as shown in
In such a case, in the dimming in the prior art, light quantities of the illumination lights for the entire field of vision for observation by the endoscope 2 are only controlled simultaneously, resulting in that the LEDs 11b and 11c which are disposed at the lower portion of the distal end surface 5A near the subject 30 are dimmed to have too large quantities of light, and the LEDs 11a and 11d at the upper portion of the distal end surface 5A are simultaneously dimmed to have the same light quantities. As a result, as shown in
Therefore, in the present embodiment, as described above, the area dimming section 17 shown in
Specifically, the area 1 to 4 masking section 19a to 19d of the area dimming section 17 (see
In this way, the brightness of each illumination area by each of the LEDs 11a to 11d is individually detected by the area dimming section 17 shown in
Then, in the present embodiment, the screen brightness control section 18 shown in
In the case, in the full-screen brightness control section 18, the coefficient computing section 24 detects, for example, that the integration time of the pulse widths P1 of the dimming signals for areas 1 to 4 supplied from the adder 23 is equal to the integration time tL shown in E of
That is, because the entire screen 16 of the monitor 5 has the brightness which is twice that of the reference value, the coefficient is set to be ½, which is used to reduce each signal level to a half of that by multiplying each of the dimming signals for areas 1 to 4 by the coefficient by each of the multipliers 25a to 25d.
This causes the integration time of each pulse width P1 of the outputted signal from the full-screen brightness control section 18 to be an integration time tO1 which is generally the same as the reference time tO, as shown in G of
For example, according to the present embodiment, as shown in
As a result, the observation image displayed on the screen 16 of the monitor 15 has, as shown in
Therefore, according to the embodiment 1, even when an entire field of vision for observation by the endoscope 2 having brighter parts and darker parts locally provides an observation image of the endoscope, each of the LEDs 11a to 11d is adequately dimmed, and also the entire screen 16 of the monitor 15 is dimmed to have brightness for an easier observation.
In addition, each of the LEDs 11a to 11d of the image pickup unit 7 is individually controlled according to the brightness of the illumination area of each LED via the dimming circuit 9, thereby each of the divided screens 16a to 16d of an observation image by the endoscope 2 always has the most adequate light quantity.
In the embodiment 1, the light quantity of each LEDs 11a to 11d of the image pickup unit 7 may be controlled by controlling the current supplied to each of the LEDs 11a to 11d.
The endoscope apparatus 1 in the embodiment 2, as shown in
The full-screen dimming section 26 generates a coefficient that causes the entire screen 16 of the monitor 15 shown in
By electrically connecting the full-screen dimming section 26 to the CCU 3 or an operation section (not shown) provided in the hand-side end portion 6 and by manipulating the operation section, the coefficient generated by the full-screen dimming section 26 may be automatically changed and set in accordance with a plurality of dimming modes. In the case, the full-screen dimming section 26 may include a memory section therein for having stored coefficients which are set in accordance with the dimming modes in advance.
Therefore, in the full-screen brightness control section 18 having such a configuration, the coefficient from full-screen dimming section 26 is supplied to one input terminal of the comparator 24A as the coefficient computing section 24, as in the case of the embodiment 1. Then, the comparator 24A compares, for example, the integration time of each pulse width P1 of the supplied dimming signals for each of areas 1 to 4 with the reference time which is the coefficient, and supplies the coefficient which is ½ when the integration time tL is generally twice that for the reference time tO as in the case of the embodiment 1 to each of the multipliers 25a to 25d.
Then, as in the case of the embodiment 1, the coefficient which is set to be ½ is used to reduce each signal level to a half of that by multiplying each of the dimming signals for areas 1 to 4 by the coefficient by each of the multipliers 25a to 25d. Based on the dimming signals for areas 1 to 4 after the compensation process as described above, each of the LED 11a to 11d is driven by the LED drive circuit 10 (the LED 1 to 4 drive circuits 10a to 10d). That is, the driving of each of the LED 11a to 11d is controlled to cause the screen 16 of the monitor 15 to have brightness which is in accordance with the predetermined coefficient, so that the entire screen 16 of the monitor 15 has brightness for easier observation.
Therefore, according to the embodiment 2, the same effect as that in the embodiment 1 can be obtained.
The endoscope apparatus 1 of the present invention is devised to reduce the manufacturing cost in consideration of the case where the insertion portion 4 of the endoscope 2 is designed to be disposable. The technology applied to such endoscope apparatus 1 according to the present invention will be explained below with reference to
Generally, in many cases, the electrical connection of the distal end portion 5 of the endoscope 2 to the image pickup unit 7 is made with a flexible board in terms of compactness and the freedom of the design.
So, the endoscope apparatus 1 according to the present invention uses an top cover 32 and a cable receiver 33 as shown in
The top cover 32 accommodates, as shown in
The top cover 32 and the through blade 34 may be integrally formed of a conductive member, or only the through blade 34 may be configured as a conductive member.
The cable receiver 33 is configured to have a first receiver 33a for holding the connecting line 7a thereon and a second receiver 33b for holding the flexible board 31 which is extended from the image pickup unit 7 thereon.
When the flexible board 31 from the image pickup unit 7 is electrically connected to the connecting line 7a (7b) for securing, an operator places the flexible board 31 on the second receiver 33b of the cable receiver 33, and then places the connecting line 7a (7b) on the first receiver 33a of the cable receiver 33. In the placement, the connecting line 7a (7b) is placed with the distal end portion thereof being superimposed on the distal end portion of the flexible board 31 as shown in
After that, the operator puts the top cover 32 on the cable receiver 33 in the above state. In the putting, the cable receiver 33 is ensured to be accommodated in the receiving groove 32A of the top cover 32, and the top cover 32 is pressed down so that the top cover 32 is fitted with the cable receiver 33.
Then, the through blade 34 of the top cover 32 abutts on or pierces into the flexible board 31 through the connecting line 7a (7b), the flexible board 31 being disposed under the connecting line 7a (7b). That is, the through blade 34 formed of a conductive member makes the connecting line 7a (7b) and the flexible board 31 electrically connected to each other, and at the same time maintains the secured state. The secured state is further ensured by the fitting between the top cover 31 and the cable receiver 33.
Therefore, such a connection mechanism facilitates the ensured electrical connection between the flexible board 31 from the image pickup unit 7 in the distal end portion 5 and the connecting line 7a (7b), and also maintains the electrically connected state and makes the elements fixedly secured to each other.
This provides an advantage that considerably contributes to the reduction of manufacturing cost. In addition, the connection mechanism can have a down-sized configuration, which saves space, and allows the connection mechanism to be mounted in the distal end portion 5, resulting in that it can considerably contribute to the down-sizing of the distal end portion 5 and thinning of the insertion portion 4.
When the insertion portion 4 of the endoscope 2 is configured to be disposable, the insertion portion 4 should be removably configured to the hand-side end portion 6 which constitutes an operation section.
Thus, in the endoscope apparatus 1 of the present invention, as shown in
Specifically, as shown in
In the case, a method for aligning the connection cable 41 in the cable proximal end portion 40 is not particularly limited. For example, through holes may be formed in the cable proximal end portion 40 in advance for inserting the connection cable 41 therethrough and after that, a resin is welded and thereby alignment of the connection cable 41 may be performed.
Moreover, the parts of a plurality of connection cables 41 which are exposed at the proximal end surface 40A of the cable proximal end portion 40 are individually provided with a plurality of metal terminals.
The cable receiver 6A as a connector receiver provided in the hand-side end portion 6 is formed in a shape corresponding to the shape of the cable proximal end portion 40. That is, the cable receiver 6A is formed as a cylindrical receiving groove which is recessed so that the cable proximal end portion 40 can be fitted therein.
The cable receiver 6A has a contact surface 6B provided with a plurality of electrical terminals 42 which contact and are electrically connected to the electrical terminals at the proximal end surface 40A of the cable proximal end portion 40.
In order to ensure the alignment between each electrical terminal at the cable proximal end portion 40 and each electrical terminal at the cable receiver 6A, for example, the proximal end surface 40A of the cable proximal end portion 40 may be configured to have a projection at a part of the outer periphery thereof, and the cable receiver 6A may be configured to have a engaging groove which is engaged with the projection at a part of the inner periphery thereof, so that the various electrical terminals can be aligned. Of course, the other methods may be used.
When the cable proximal end portion 40 of the insertion portion 4 and the cable receiver 6A of the hand-side end portion 6 are electrically connected and secured to each other, in the case where aligning section (not shown) such as the above described projection is provided, first, a operator fits the cable proximal end portion 40 into the cable receiver 6A so that the projection is engaged into the locking groove.
In the case, the operator presses the cable proximal end portion 40 into the cable receiver 6A so that the proximal end surface 40A contacts the contact surface 6B.
Thus, the contact between the proximal end surface 40A of the cable proximal end portion 40 and the contact surface 6B of the cable receiver 6A results in the contact between each of the electrical terminals at the cable proximal end portion 40 for electrical conduction, and at the same time the fixed secure connection being held under the electrical conduction, because the cable proximal end portion 40 is ensured to be fitted in the receiving groove of the cable receiver 6A.
Therefore, the insertion portion 4 should be configured to be removably attached to the hand-side end portion 6 when the insertion portion 4 is designed as a disposable element, but such a connection mechanism facilitates the ensured electrical connection between the insertion portion 4 and the hand-side end portion 6 with a simple configuration without using an expensive member such as a connector. This provides an advantage that considerably contributes to the reduction of manufacturing costs.
The endoscope apparatus 1 of the present invention is furthermore devised to enhance the insertability and the observability.
The technology applied such endoscope apparatus 1 according to the present invention will be explained below with reference to
In an endoscope apparatus of the prior art, a smooth movement of the endoscope insertion portion to a target site in a body cavity requires specialized skills. In addition, the general method for inserting the insertion portion utilizes the enlargement of the conduit and the linearization of large intestine by air supply, which may cause pain in a patient when the air is supplied or the intestine is intentionally deformed.
Thus, the endoscope apparatus of the present invention is improved so that the insertion portion becomes automatically insertable and can be smoothly inserted without the need of the conventional manipulation procedure for insertion and without deforming the intestine by using the elasticity of a leading portion that is provided at the distal end portion of the endoscope.
Specifically, the endoscope 2A is, for example, configured as a rotary self-propelled endoscope. That is, as shown in
Not shown, but the insertion portion body has various tubes for an inner tube, connecting lines 7a and 7b, conduits for air supply and water supply, a conduit for treatment instrument, and the like disposed therein.
The rotary barrel 4A is configured to be rotatable about its axis (for example, in the direction of the arrow C in
When the rotary barrel 4A turns in circular motion, the helix-shaped portion (not shown) on the outer peripheral surface contacts the inner wall of a body cavity of a subject, which generates a thrust that causes the rotary barrel 5A to move in the direction of insertion by itself.
In the situation, the thrust is applied so that the entire insertion portion 4 including the distal end portion 5 is caused to be advanced into a deeper part of the body cavity. The rotating drive force of the rotary barrel 4A is applied by a motor (not shown) which is mounted in the hand-side end portion 6 for example.
In such a rotary self-propelled endoscope 2A, an opening for air supply and water supply (not shown) of the distal end surface 5A of the distal end portion 5 is provided with a leading portion 52 mounted thereto as an insertion support. The leading portion 52 is mounted via a first connection 54, a base member 53, and a second connection 52b which are provided at an air supply conduit opening (not shown) at the distal end surface 5A.
The leading portion 52 is mounted so that the first connection 54 closes the air supply conduit opening (not shown), but the configuration is not limited to the above example, and the leading portion 52 may be formed in a hood shape having a distal end portion 52a for covering the entire distal end portion 5 for example.
In addition, the distal end portion 52a of the leading portion 52 is formed in an arc shape or a tapered shape that does not scratch the wall of intestine. The entire leading portion 52 may have a shape which tapers from the proximal end side to the distal end portion 52a so that the leading portion 52 does not affect the viewing angle θ of the observation window 14. However, the shapes of the leading portion 52 and the distal end portion 52a are not limited to the above examples, and may be any shape that does not scratch the wall of intestine or affect the viewing angle θ of the observation window 14.
The second connection 52d is formed with an elastic member. Thus, when the insertion portion 4 is inserted into a body cavity, the leading portion 52 connected to the second connection 52d can be deformed upwardly, downwardly, rightwardly, and leftwardly due to the elasticity of the second connection 52d, and expand the wall of intestine without hurting.
The first connection 54 can be easily separated from the distal end portion 5 by air pressure through the air supply conduit (conduit for treatment instrument) 51 which is provided in the distal end portion 5 and the insertion portion 4, when the distal end portion 5 reaches a target site such as caecum for example. That is, when the observation or treatment of a target site is completed, the first connection 54 is used to separate the leading portion 52.
The separation of the leading portion 52 via the first connection may be performed by inserting a treatment instrument through the air supply conduit (conduit for treatment instrument) 51 and using the inserted treatment instrument.
The other configurations are similar to those in the embodiment 1 and the embodiment 2. Also, a lens 12A which constitutes an objective optical system is provided in front of the CCD 12 of the distal end portion 5, and in front of the lens 12A, the observation window 14 (see
The range of the field of vision of the lens 12A and the observation window 14 of the endoscope 2A is the viewing angle θ as shown in
Next, the operation of such an endoscope 2A will be explained below. The following will be described in the context of an examination of large intestine by endoscope.
Now, assume that an examination of large intestine is performed using the endoscope apparatus 1 for example. First, a surgeon inserts the insertion support (not shown) into the anus of a patient who is lying on a bed for example. Then, the surgeon moves the insertion portion 4 shown in
Then, a rotating force is transmitted in the rotary barrel 4A from the proximal end portion to the distal end side thereof, as the result of that the entire rotary barrel 4A is rotated in a predetermined direction about its axis as shown by the arrow C of
All what the surgeon has to do is to softly hold the insertion support (not shown) and does not have to grasp and advance the insertion portion 4, so that only the thrust of the rotary barrel 4A allows the insertion portion 4 to be advanced into a deeper portion of the large intestine.
At this point, the helix-shaped portion (not shown) of the rotary barrel 4A contacts the ligaments of intestine wall in a relationship of a male screw and a female screw. The helix-shaped portion contacts the ligaments of intestine wall, which generates a thrust or the like that causes the helix-shaped portion to be smoothly advanced, resulting in the advancement of the insertion portion 4A from rectum to sigmoid flexure.
Then, using the bending operation of the bending portion (not shown) of the insertion portion 4, the insertion portion 4 smoothly passes through the sigmoid flexure, and then is smoothly advanced along the walls of the flexure between sigmoid flexure and non-movable descending colon, splenic flexure between the descending colon, and movable transverse colon, and hepatic flexure between the transverse colon and ascending colon, so as to reach the position near caecum which is a target site for example without change the functional state of the large intestine.
In the case, the leading portion 52 connected to the second connection 52d can be deformed upwardly, downwardly, rightwardly, and leftwardly due to the elasticity of the second connection 52d, and expand the wall of intestine without hurting, so that the distal end portion 5 of the insertion portion 4 can be smoothly advanced by keeping a sufficient range of the field of vision.
When the distal end portion 5 of the insertion portion 4 reaches the position near caecum, the surgeon supplies air through the air supply conduit (conduit for treatment instrument) 51 which is provided in the distal end portion 5 of the insertion portion 4, so that the air pressure causes the first connection 54 to be removed from the air supply conduit opening (not shown) to separate the leading portion 52 with the base member 53.
This provides the air supply conduit opening (not shown) in the distal end surface 5A of the distal end portion 5 for air supply and the like, and also provides a sufficient viewing angle θ, resulting in a good observation image of the large intestine.
After that, the surgeon rotates the rotary barrel 4A in the opposite way to that for the insertion, so as to move the insertion portion 4 backward in the direction for expelling the distal end portion 5 from the position near caecum at the deep part of the large intestine for the examination of large intestine. In the case also, the surgeon can move insertion portion 4 backward using the backward thrust of the rotary barrel 4A, without touching the insertion portion 4.
Therefore, according to the endoscope 2A having the above described configuration, the insertion portion 4 of the endoscope 2A becomes automatically insertable and can be smoothly inserted without the need of the conventional manipulation for insertion and without considerably deforming the intestine by using the elasticity of a leading portion 52 that is provided at the distal end portion 5 of the endoscope 2A. When the insertion portion 4 is expelled after the leading portion 52 is separated from the distal end portion 5, a sufficient viewing angle θ is provided, thereby an observation can be performed without losing any capability for observation.
The present invention described in the above embodiments is not limited to the embodiments, and various modifications can be implemented in the practical phase without departing from the gist of the present invention. Furthermore, the embodiments includes inventions at various stages, and the plurality of disclosed elements may be conveniently combined and extracted as various inventions.
Number | Date | Country | Kind |
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2006-228191 | Aug 2006 | JP | national |
This application is a continuation application of PCT/JP2007/061089 filed on May 31, 2007 and claims benefit of Japanese Application No. 2006-228191 filed in Japan on Aug. 24, 2006, the entire contents of which are incorporated herein by this reference.
Number | Date | Country | |
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Parent | PCT/JP2007/061089 | May 2007 | US |
Child | 12370107 | US |