1. Field of the Invention
The present invention relates to an endoscope apparatus, and particularly relates to an endoscope apparatus which has a balloon fitted onto an insertion section of an endoscope, and which performs observation by inserting the insertion section into a deep alimentary canal such as a small intestine and a large intestine by alternately inserting an insertion assisting tool covering the insertion section, and the insertion section.
2. Description of the Related Art
When the insertion section of an endoscope is inserted into a deep alimentary canal such as a small intestine, by only pushing the insertion section into the deep alimentary canal, the force is difficult to transmit to a tip end of the insertion section due to complicated bending of an intestinal canal, and insertion into a deep part is difficult. For example, if excessive bending and deflection occur to the insertion section, the insertion section cannot be further inserted into a deep part. Thus, there is proposed a method for preventing excessive bending and deflection of the insertion section by inserting the insertion section into a body cavity with an insertion assisting tool covering the insertion section of the endoscope, and guiding the insertion section with this insertion assisting tool.
In Japanese Patent Application Laid-open No. 51-11689, an endoscope apparatus provided with a first balloon at a tip end part of an insertion section of the endoscope and provided with a second balloon at a tip end part of the insertion assisting tool (also called an over tube or a sliding tube) is described. According to the endoscope apparatus, an insertion section 1 of an endoscope is first inserted into a intestinal canal 3 with an insertion assisting tool 2 covering the insertion section 1 and a tip end part 1a of the insertion section 1 is inserted into as deep a part as possible, as shown in
However, Japanese Patent Application Laid-open No. 51-11689 has the fear that when the insertion section 1 is drawn in, a tip end of the insertion assisting tool 2 contacts the first balloon 4 and damages the first balloon 4.
The present invention is made in view of the above circumstances, and has its object to provide an endoscope apparatus which can prevent a balloon fitted onto an insertion section from contacting an insertion assisting tool and being damaged.
In order to attain the above-described object, a first aspect of the present invention is in an endoscope apparatus having an endoscope with an insertion section connected to a hand operation section and a balloon fitted onto the insertion section, and an insertion assisting tool which covers the insertion section and guides insertion of the insertion section into a body cavity, comprising a contact preventing device which prevents a tip end of the insertion assisting tool from contacting the balloon.
According to the first aspect, the contact preventing device is provided, and therefore, the tip end of the insertion assisting tool can be prevented from contacting the balloon, thus making it possible to prevent damage to the balloon.
A second aspect of the present invention is, in the first aspect, characterized in that the contact preventing device is an indicator formed at an outer surface of the insertion section, and the indicator appears from a base end side of the insertion assisting tool when the insertion assisting tool is relatively moved to a tip end side of the insertion section, and the tip end of the insertion assisting tool comes close to the balloon.
According to the second aspect, when the insertion assisting tool is moved to the tip end side of the insertion section, the indicator appears before the tip end of the insertion assisting tool contacts the balloon, and therefore, the insertion assisting tool can be prevented from contacting the balloon.
A third aspect of the present invention is, in the first aspect, characterized in that the contact preventing device is a string-shaped member which connects the insertion assisting tool and the hand operation section.
According to the third aspect, the tip end of the insertion assisting tool can be prevented from contacting the balloon by the string-shaped member connecting the insertion assisting tool and the hand operation section.
A fourth aspect of the present invention is, in the first aspect, characterized in that the contact preventing device comprises an optical sensor provided at one of the insertion section and the insertion assisting tool, an indicator for optical detection provided at the other one of the insertion section and the insertion assisting tool, and detected by the optical sensor when the tip end of the insertion assisting tool comes close to the balloon, and a warning device which performs warning when the optical sensor detects the indicator.
According to the fourth aspect, when the tip end of the insertion assisting tool comes close to the balloon, the optical sensor detects the indicator for optical detection and warning is issued, whereby the insertion assisting tool can be prevented from contacting the balloon.
A fifth aspect of the present invention is, in the first aspect, characterized in that the contact preventing device comprises a magnetic sensor provided at one of the insertion section and the insertion assisting tool, a magnetic body provided at the other one of the insertion section and the insertion assisting tool, and detected by the magnetic sensor when the tip end of the insertion assisting tool comes close to the balloon, and a warning device which performs warning when the magnetic sensor detects the magnetic body.
According to the fifth aspect, when the tip end of the insertion assisting tool comes close to the balloon, the magnetic sensor detects the magnetic body and the warning is issued, whereby the insertion assisting tool can be prevented from contacting the balloon.
According to the endoscope apparatus of the present invention, the tip end of the insertion assisting tool can be prevented from contacting the balloon by the contact preventing device, and damage to the balloon can be prevented.
Preferred embodiments of an endoscope apparatus according to the present invention will be explained in accordance with the attached drawings hereinafter.
The endoscope 10 comprises an insertion section 12 which is inserted into a body cavity and a hand operation section 14 connected to the insertion section 12, and a universal cable 16 is connected to the hand operation section 14. An LG connector 18 is provided at a tip end of the universal cable 16, and the LG connector 18 is connected to the light source device 20. An electric connector 24 is connected to the LG connector 18 via a cable 22, and the electric connector 24 is connected to the processor 30. An air/water supply tube 26 for supplying air and water, and a suction tube 28 for sucking air are connected to the LG connector 18.
On the hand operation section 14, an air/water passing button 32, a suction button 34 and a shutter button 36 are provided in parallel, and a pair of angle knobs 38 and 38, and a forceps insertion part 40 are provided. Further, a supply/suction port 44 for supplying fluid to a first balloon 42 which will be described later and sucking fluid from the first balloon 42 is provided at a base end part of the hand operation section 14. The explanation will be made hereinafter with the example using air as the fluid, but the other fluid, for example, inert gas and water may be used.
The insertion section 12 is constructed by a tip end part 46, a curving part 48 and a flexible part 50, the curving part 48 is remotely operated to curve by rotating a pair of angle knobs 38 and 38 provided on the hand operation section 14. Thereby, a tip end surface 47 of the tip end part 46 can be directed to a desired direction.
As shown in
An emission end of a light guide (not shown) is placed behind the illumination optical systems 54 in
The air/water passing nozzle 56 (see
The forceps port 58 (see
As shown in
An air port 62 is formed at the attaching position of the first balloon 42 to the insertion section 12. The air port 62 communicates with the supply/suction port 44 of the hand operation section 14 in
Meanwhile, the insertion assisting tool 70 is formed in a cylindrical shape, and has a slightly larger inner diameter than the outer diameter of the insertion section 12, and includes sufficient flexibility. A rigid gripping portion 74 is provided at a base end of the insertion assisting tool 70, and the insertion section 12 is inserted from the gripping part 74.
A balloon air port 78 is provided at a base end side of the insertion assisting tool 70. An air supply tube 76 with an inner diameter of about 1 mm is connected to the balloon air port 78, and the air supply tube 76 is bonded to an outer peripheral surface of the insertion assisting tool 70, and provided to extend to the tip end part of the insertion assisting tool 70.
A second balloon 72 made of latex is fitted to the vicinity of the tip end of the insertion assisting tool 70. The second balloon 72 is formed into a substantially cylindrical shape with both ends narrowed, and is fitted onto the insertion assisting tool 70 with the insertion assisting tool 70 penetrated through the second balloon 72. The aforementioned tube 76 is opened inside the second balloon 72, and the second balloon 72 communicates with the balloon air port 78 via the tube 76. A tip end of a tube 80 is connected to the balloon air port 78, and a base end of the tube 80 is connected to the aforementioned balloon control device 66. Accordingly, when air is supplied to the balloon air port 78 by the balloon control device 66, air is blown into the second balloon 72, whereby the second balloon 72 is inflated. When air is sucked from the balloon air port 78, air is sucked from the second balloon 72, whereby the second balloon 72 is deflated. Reference numeral 84 in
Next, an operation method of the endoscope apparatus constructed as described above will be explained in accordance with
First, as shown in
Next, as shown in
Next, as shown in
Next, after air is sucked from the second balloon 72 to deflate the second balloon 72, the insertion assisting tool 70 is pushed in, and inserted along the insertion section 12, as shown in
Next, as shown in
Next, as shown in
Incidentally, the endoscope apparatus according to the present invention is provided with a contact preventing device which prevents the insertion assisting tool 70 from contacting the first balloon 42 when the pushing operation shown in
A contact prevention indicator 100 for contact prevention is formed on the outer peripheral surface of the insertion 12 shown in
In the first embodiment constructed as described above, when the insertion assisting tool 70 is pushed to the tip, end side of the insertion section 12 and is brought into the limit state, the indicator 100 appears from the base end side of the insertion assisting tool 70. Accordingly, the operator recognizes the indicator 100, and thereby, the operator can prevent the tip end of the insertion assisting tool 70 from contacting the first balloon 42. Thereby, the first balloon 42 can be prevented from being damaged.
The aforementioned first embodiment is provided with the indicator 100 indicating the limit state, but other than the indicator, an indicator indicating that the tip end of the insertion assisting tool 70 approaches the limit state may be provided. This makes it possible to recognize that the tip end of the insertion assisting tool 70 approaches the first balloon 42 stepwise.
In the aforementioned first embodiment, the contact prevention indicator 100 is formed separately from the scales 102, but the scale 102 corresponding to the position of the indicator 100 may be changed from the other scales 102 in thickness, color, shape and the like. For example, the other scales 102 may be formed in white, and the scale 102 at the position corresponding to the contact prevention indicator 100 may be formed in red.
A string-shaped member 110 shown in
According to the second embodiment constructed as described above, when the insertion assisting tool 70 is pushed to the tip end side of the insertion section 12, the string-shaped member 110 strains when the insertion assisting tool 70 is in the limit state, and the insertion assisting tool 70 cannot be pushed any more. Accordingly, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42.
In the aforementioned second embodiment, the base end side of the string-shaped member 110 is connected to the hand operation section 14, but the base end side of the string-shaped member 110 may be connected to the base end part of the insertion section 12.
As shown in
A recessed groove 120 is formed in an inner peripheral surface of the insertion assisting tool 70 shown in
The optical sensor 124 is fixed to the insertion section 12. The optical sensor 124 irradiates light from the outer peripheral surface of the insertion section 12 and receives the reflected light, and thereby, detects the change in the reflected light amount. Accordingly, if the reflector plate 122 is disposed at the outer side of the optical sensor 124, the reflected light amount changes, and therefore, the optical sensor 124 can detect the reflector plate 122.
A cable 126 is connected to the optical sensor 124, and the cable 126 is connected to the processor 30 in
According to the third embodiment constructed as described above, when the insertion assisting tool 70 is pushed to the tip end side of the insertion section 12, the optical sensor 124 detects the reflector plate 122 when the insertion assisting tool 70 comes to the limit state, and warning sound is issued. Accordingly, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42.
In the aforementioned third embodiment, the reflector plate 122 is provided as the detected member to be detected by the optical sensor 124, but the member to be detected is not limited to this, and may be an indicator for optical detection or the like.
In the aforementioned third embodiment, the reflector plate 122 is provided at the insertion assisting tool 70, and the optical sensor 124 is provided at the insertion section 12, but in reverse, the reflector plate 122 may be provided at the outer peripheral surface of the insertion section 12, and the optical sensor 124 may be provided at an inner peripheral surface of the insertion assisting tool 70. In this case, it is suitable to provide the display part on the outer peripheral surface of the gripping part 74 of the insertion assisting tool 70 and display a warning message.
In the aforementioned third embodiment, the reflector plate 122 is provided at the gripping part 74 at the base end of the insertion assisting tool 70, but the attaching position of the member to be detected such as the reflector plate 122 is not limited to this. For example, as shown in
Further, in the aforementioned third embodiment, warning is issued in the limit state, but it can be detected that the tip end of the insertion assisting tool 70 approaches the limit state by providing a plurality of reflector plates 122, and warning can be issued. Thereby, stepwise warning can be performed.
A magnetic body 132 is provided inside the insertion section 12 shown in
Meanwhile, the magnetic sensor 130 is provided at the gripping part 74 of the insertion assisting tool 70. When the magnetic sensor 130 detects the magnetic body 132, a message of warning is displayed on the display part 134 provided on the outer surface of the gripping part 74.
According to the fourth embodiment constructed as described above, when the insertion assisting tool 70 is pushed to the tip end side of the insertion section 12, the magnetic sensor 130 detects the magnetic body 132 and the message of warning is displayed on the display part 134, when the insertion assisting tool 70 is in the limit state. Accordingly, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42.
In the aforementioned fourth embodiment, the magnetic body 132 is provided at the insertion section 12, and the magnetic sensor 130 is provided at the insertion assisting tool 70, but in reverse, the magnetic body 132 may be provided at the insertion assisting tool 70, while the magnetic sensor 130 may be provided at the insertion section 12. The attaching positions of the magnetic body 132 and the magnetic sensor 130 are not limited to the base end of the insertion assisting tool 70, but may be at the tip end of the insertion assisting tool 70, for example. Thereby, the tip end of the insertion assisting tool 70 can be prevented from contacting the first balloon 42 more reliably.
The aforementioned fourth embodiment is constructed to issue warning in the limit state, but by providing a plurality of magnetic bodies 132, it may be detected that the insertion assisting tool 70 approaches the limit state and warning may be issued. Thereby, stepwise warning can be performed.
The aforementioned first to fourth embodiments cite the example of a double balloon type endoscope apparatus with the first balloon 42 fitted to the insertion section 12 and the second balloon 72 fitted to the insertion assisting tool 70, but it is suitable if only the first balloon 42 is fitted to the insertion section 12, and the present invention can be also applied to the endoscope apparatus in which the second balloon 72 is not fitted to the insertion assisting tool 70.
The operation methods of the endoscope apparatuses in the aforementioned first to fourth embodiments are not limited to the procedure shown in
In the aforementioned third and fourth embodiments, warning is performed when the limit state is detected, but the insertion assisting tool 70 may be prevented from contacting the first balloon 42 by fixing the insertion part 12 and the insertion assisting tool 70. For example, the elastic member made of rubber or the like is provided to be able to protrude and retreat with respect to the inner peripheral surface of the insertion assisting tool 70, and the elastic member is controlled to protrude when the limit sated is detected. Thereby, the elastic member protrudes and abuts to the outer peripheral surface of the insertion section 12 when the insertion assisting tool 70 is in the limit state, and the insertion section 12 and the insertion assisting tool 70 are fixed. Thereby, the insertion assisting tool 70 can be reliably prevented from contacting the first balloon 42.
Number | Date | Country | Kind |
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2003-426919 | Dec 2003 | JP | national |