The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate embodiments of the invention, and together with the general description given above and the detailed description of the embodiments given below, serve to explain the principles of the invention.
Best modes of the present invention will be described, with reference to the accompanying drawings.
The first embodiment will be described with reference to
As shown in
The capsule endoscope 12 is of the known type. It incorporates a small camera that includes, for example, a CCD image sensor or a CMOS image sensor.
As shown in
The battery 24 is arranged deep in the main body 22a. The LED light source 26 and the optical system 28 are arranged side by side and are held in the front part of the main body 22a. The imaging unit 30, which is configured to produce a video signal representing the image of any object that the optical system 28 has formed, is secured between the optical system 28 and the battery 24. The battery 24 is electrically connected to the LED light source 26 and the imaging unit 30 and supplies power to them.
The imaging unit 30 has, for example, a CCD sensor (not shown) that is arranged in axial alignment with the optical system 28. The CCD sensor can therefore convert any image coming through the optical system 28, into the video signal as it performs photoelectric conversion. The imaging unit 30 is configured to transmit video data by radio from the housing 22. That is, the imaging unit 30 transmits the image formed by the CCD image sensor, by radio from the housing 22 (i.e., the patient).
As shown in
The insertion section 42 includes a flexible tube part 52, a bending part 54, and a rigid distal part 56. The bending part 54 is secured to the distal end of the flexible tube part 52. The rigid distal part 56 is secured to the distal end of the bending part 54. The proximal end of the flexible tube part 52 is coupled to the operation section 44. In the rigid distal part 56 there are arranged an observation optical system, an imaging element, an illumination optical system, an air/water nozzle, a forceps outlet, and the like (not shown).
As shown in
As shown in
The projecting part 58b may have its length L1 and inside diameter D changed to various values, in accordance with the length LC and outside diameter of the capsule endoscope 12. In other words, one of hoods 58 having various sizes is selected in accordance with the specific size of the capsule endoscope 12 used and is secured to the rigid distal part 56. The length L2 of the connecting part 58a is enough to prevent the part 58a from slipping from the distal end of the insertion section 42.
As shown in
The main unit 62 includes a suction control valve 72, an air/water valve 74, and remote switches 76. The valve 72, valve 74 and switches 76 are arranged, for example, side by side. The remote switches 76 are provided, in part, inside the switch cover 66.
The suction control valve 72 shown in
On the operation section 44 there are provided angle knobs 82 (i.e., first bending knob 82UD and second bending knob 82LR) and bending-setting levers 84 (i.e., first engage lever 84UD and second engage lever 84LR). The knobs 82UD and 82LR and the levers 84UD and 84LR are made of hard resin.
The first bending knob 82UD is operated to bend the bending part 54 of the insertion section 42 in upward-downward direction. The second bending knob 82LR is operated to bend the bending part 54 in leftward-rightward direction. The first engage lever 84UD is operated to set the first bending know 82UD in a desired position. That is, the first engage lever 84UD is used to hold the bending part 54 in a desired bent state, either upward or downwards. The second engage lever 84LR is operated to set the second bending knob 03LR in a desired position. That is, the second engage lever 84LR is used to hold the bending part 54 in a desired bent state, either leftward or rightwards.
The grip 64 of the operation section 44, which is provided near the insertion section 42, has a forceps port 92 that communicates with the suction tubular path 120. The path 120 is shown in
The universal cord 46 is covered with a sheath made of, for example, polyurethane resin. A connector 100 is attached to that end of the universal cord 46, which is remote from the operation section 44. The connector 100 is made of hard resin.
The connector 100 has a water-tank connecting cap 102, a suction cap 106, a light guide 108, and an electrical connector portion 110. The cap 102 is made of metal and connected to a water tank (not shown). An air pipe 104 is made of metal and connected to an air pump (not shown). Thus, when the air/water valve 74 is operated, air or water can be supplied toward the distal end of the insertion section 42. As shown in
The light guide 108 can be connected to the connector receptacle of a light source (not shown). Therefore, the illumination light produced by the light source can travel from the connector receptacle and pass through the light guide 108 before it is emitted from the illumination optical system that is provided in the rigid distal part 56.
The electrical connector portion 110 is arranged on a side of the connector 100. A cable (connection cord) is connected to the electrical connector portion 110 and to a video processor (not shown). Any electrical signal output from the imaging element (not shown) can thereby be supplied to a monitor. The monitor can therefore display the image supplied to the imaging element through the observation optical system 56a provided in the rigid distal part 56 of the insertion section 42.
As shown in
The upstream suction channel 122 is provided partly in the insertion section 42 and partly in the operation section 44. The upstream suction channel 122 communicates, at the distal end, with a suction port (forceps outlet port) 132 that is provided in the distal end of the insertion section 42. The branching tube 124 communicates with the forceps port 92 that is provided in the operation section 44. Thus, the upstream suction channel 122 serves as an accessory channel as well.
The downstream suction channel 128 is provided partly in the operation section 44 and partly in the universal cord 46. The suction cap 106 is attached to the connector 100, at that end of the downstream suction channel 128, which is remote from the operation section 44.
The suction tube 130 is connected at one end to the suction cap 106 and at the other end to the suction pump 134 that has a suction bottle 136. In other words, the suction tube 130 connects the suction cap 106 to the suction bottle 136 of the suction pump 134.
As shown in
A cylinder cap 146 made of metal such as stainless steel is removably fastened to the top of the suction cylinder 126 with, for example, screws. The cylinder cap 146 includes a first flange 146a and a second flange 146b. The first flange 146a is made almost flush with the outer surface of the cylinder cap 146. The second flange 146b outwardly projects from the main unit 62.
The suction control valve 72 includes a holding part 150, a piston 152, a button 154, and a spring 156.
The holding part 150 is shaped like a hollow cylinder and can therefore be mounted on the suction cylinder 126 of the main unit 62 and also on the cylinder cap 146. The piston 152 is arranged to slide along the axis of the cylinder cap 146 shaped like a hollow cylinder. The piston 152 can slide on the inner circumferential surface of the cylinder 126. The button 152 is secured to the top of the piston 152. The spring 156 is used, spacing the button 154 from the holding part 150 by a prescribed distance. As shown in
The holding part 150 includes a hollow cylindrical main body 160, a projection 162, a partition 164, an extension 166, and a protrusion 168.
The main body 160 has an inside diameter, which is almost equal to or a little larger than the outside diameter of the second flange 146b of the cylinder cap 146.
The projection 162 is a ring projecting from the lower end of the inner circumferential surface of the main body 160 toward the axis of the main body 160. The projection 162 can move inwardly beyond the second flange 146a and be fitted to the cylinder cap 146. Once the projection 162 has engaged with the second flange 146a, the main body 160 is prevented from slipping from the suction cylinder 126.
The partition 164 extends toward the axis of the partition 164. Hence, the second flange 146b of the suction cylinder 126 abuts, at the upper surface, the partition 164 when the main body 160 is attached to the suction cylinder 126. In other words, the partition 164 is mounted on the second flange 146a.
On the middle part of the partition 164, a pair of extensions 166 are provided, extending upwards along the axis of the main body 160. These extensions 166 are opposed to each other. A leakage port 172 is provided adjacent to the extensions 166. A ring-shaped projection 168 is provided at the upper ends of the extensions 166 and extends into the extensions 166.
The inner circumferential surface of the ring-shaped projection 168 defines a piston hole 168a, in which a piston shaft 180 is fitted to slide. The stepped part 182 of the piston 152, which will be described later, abuts the ring-shaped projection 168 from below. That is, that part of the piston shaft 180, which lies below the stepped part 182, has an outside diameter a little smaller than the inside diameter of the partition 164.
The upper surface of the partition 164 serves as a spring support that supports the lower end of the coil spring 156.
As shown in
As shown in
The button 154 is mounted on the upper end of the piston shaft 180. The index 158 is secured to the top of the piston 152. The lower surface of the button 154 serves as the spring support that supports the upper end of the coil spring 156.
The coil spring 156 is mounted on the projection 168 provided in the holding part 150. The lower end of the spring 156 is supported on (or abuts) the upper surface of the partition 164. The upper end of the spring 156 is supported on (or abuts) the lower surface of the button 154. Compressed to some extent, the spring 156 biases the piston 152 toward the upper end of the piston shaft 180 while the button 164 remains unpushed, pushing the step 182 of the piston 152 onto the projection 168. That is, the spring 156 keeps the button 154 spaced from the partition 164 of the main body 160.
In this embodiment, the hood 58 is removably attached to the rigid distal part 56. Instead, it may be removably fastened to the secured to the rigid distal part 56 with, for example, screws.
How the endoscope system 10 according to this embodiment is operated will be explained.
The capsule endoscope 12 is inserted into the patient's digestive tract through the mouth. The light emitted from the LED light source 26 is applied through the light-transmitting member 22b that is transparent. The light illuminates the interior of the digestive tract. The light reflected from any object in the digestive tract is supplied through the light-transmitting member 22b to the optical system 28, which forms an image of the object. The imaging unit 30 converts the image into a video signal, which is transmitted outside the patient.
The capsule endoscope 12 may be caught in a constriction, if any, in the digestive tract. To retrieve (or remove) the capsule endoscope 12 from the digestive tract and ultimately from the patient, the hood 58 is attached to the rigid distal part 56 of the insertion section 43 of the endoscope 14. It is preferably that the projecting part 58b of the hood 58 has length L1 that is almost equal to the length LC of the capsule endoscope 12.
The suction pump 134, which is connected to the end of the downstream suction channel 128 as shown in
While the button 154 of the suction control valve 72 remains unpushed as shown in
The proximal end of the upstream suction channel 122 is disconnected from the first open part 126a (downstream suction channel 128) and the second open part 126b (upstream suction channel 122) by the lower part of the piston shaft 180, which lies below the transverse hole 184. The upstream suction channel 122 is not depressurized. Hence, no suction force acts at the distal end of the upstream suction channel 122 (see
As the suction pump 134 is so driven, the insertion section 42 with the hood 58 attached to its distal end is guided to the constriction in the digestive tract. The doctor searches the interior the tract for the capsule endoscope 12, while observing the endoscopic image. On finding the capsule endoscope 12, the doctor moves the capsule endoscope 12 into the hood 58 attached to the distal end of the insertion section 42.
The doctor then operates the button 154 of the suction control valve 72 in order to hold the capsule endoscope 12 in the receptacle 60 by suction before pulling the insertion section 42. How the suction control valve 72 is operated to hold the capsule endoscope 12 in at the distal end of the upstream suction channel 122 will be explained below.
When the button 154 of the suction control valve 72 is pushed by the doctor's finger F, the airflow of the air A1 in the space between the inner circumferential surface of the main body 160 and the piston shaft 180 is blocked as shown in
The second open part 126b at the proximal end of the upstream suction channel 122 comes to communicate with the transverse hole 184 of the piston shaft 180. As a result, the air A2 is drawn from the upstream suction channel 122 via the longitudinal hole 186 of the piston shaft 180 and the first open part 126a into the downstream suction channel 128 that has been depressurized.
Then, the body liquid and the like in the receptacle 60 are drawn from the rigid distal part 56 of the insertion section 43 of the endoscope 14 into the downstream suction channel 128 that has been depressurized, through the upstream suction channel 122, the second open part 126b of the cylinder 126, the transverse hole 184 of the piston shaft 180 and the longitudinal hole 186 of the piston shaft 180. At this time, the body fluid and the like are stored in the suction bottle 136 and the air A2 and other gases drawn at the same time are drawn and discharged by the suction pump 134.
The capsule endoscope 12 drawn into the receptacle 60 is attracted, by a suction force, to the suction port 132 that is provided in the distal end of the insertion section 42. With the suction control valve 72 depressed, attracting the capsule endoscope 12, the insertion section 42 of the endoscope 14 is pulled from the digestive tract. The capsule endoscope 12 can thereby be easily retrieved.
When the distal end of the insertion section 42 that is being pulled leaves the patient, the button 154 of the suction control valve 72 is released from the doctor's finger F. The downstream suction channel 128 and the upstream suction channel 122 are disconnected as shown in
In this embodiment, the capsule endoscope 12 is retrieved by using a suction force. Nonetheless, grasping forceps or the like may be guided from the forceps plug 94 through the upstream suction channel 122 and caused to protrude from the suction port 132. The doctor may hold the capsule endoscope 12 with the grasping forceps and move the same into the receptacle 60 and may then hold the capsule endoscope 12 in the receptacle 60 by suction, thereby to retrieve the same. To hold the capsule endoscope 12 by suction in the receptacle 60, an accessory that applies a magnetic force or a suction force at the distal end may be guided through the upstream suction channel 122 to the position where the capsule endoscope 12 is located.
As has been described, the present embodiment achieves the following advantages.
In order to retrieve a capsule endoscope 12 from a digestive tract, the hood 58 defining the receptacle 60 is attached to the distal end of the insertion section 42 of the endoscope 14. Then, the capsule endoscope 12 is moved into the receptacle 60 and drawn by suction. The capsule endoscope 12 is thus attracted to the distal end of the insertion section 42 of the endoscope 14. The insertion section 42 is pulled, whereby the capsule endoscope 12 is retrieved. To retrieve the capsule endoscope 12, it suffices to attach the hood 58 to the distal end of the insertion section 42 of the endoscope 14. Therefore, preparation for the retrieval of the capsule endoscope 12 can be made easily, and the capsule endoscope 12 can be retrieved quickly.
The second embodiment of this invention will be described with reference to
As shown in
When the capsule endoscope 12 is pushed, at either end, onto the receptacle inlet port 58c in order to hold the capsule endoscope 12 in the receptacle 60, the receptacle inlet port 58c is deformed or bent toward the distal end of the insertion section 42. As a result, the capsule endoscope 12 enters the receptacle 60. Once the capsule endoscope 12 has been received as whole in the receptacle 60, the receptacle inlet port 58c assumes its initial shape, with the aid of its elasticity. This prevents the capsule endoscope 12 from slipping out of the receptacle 60.
While the capsule endoscope 12 is abutting the receptacle inlet port 58c, the button 154 of the suction control valve 72 on the operation section 44 of the endoscope 14 may be pushed. In this case, a suction force is applied to the receptacle 60 through the upstream suction channel 122 and the suction port 132. The suction force draws the capsule endoscope 12 toward the interior of the receptacle 60. This helps to insert the capsule endoscope 12 into the receptacle 60.
While the insertion section 42 of the endoscope 14 is being pulled from a body cavity, no large force is exerted to the receptacle inlet port 58c. Therefore, the insertion section 42 can be pulled from the patient, with the capsule endoscope 12 prevented from slipping out of the receptacle 60, even if the suction force is no longer applied to the capsule endoscope 12.
The receptacle inlet port 58c may not be shaped like a flange. For example, it may be composed of a plurality of claws, e.g., two or three claws projecting from the distal end of the projecting part 58b toward the axis of the hood 58.
The projecting part 58b may have an inside diameter close to the outside diameter of the capsule endoscope 12 as shown in
The third embodiment of this invention will be described with reference to
As shown in
The receptacle 60 has a diameter D that is a little larger than the outside diameter DC of the capsule endoscope 12.
To draw the capsule endoscope 12 into the receptacle 60, the button 154 of the suction control valve 72 is operated, applying a suction force in the receptacle 60 while the capsule endoscope 12 has its either end inserted into the receptacle 60. Then, the suction force draws the capsule endoscope 12 into the receptacle 60. The insertion section 42 of the endoscope 14 is pulled from the body cavity, while the section force is still applied in the receptacle 60. The capsule endoscope 12 is thereby retrieved from the patient.
The capsule endoscope 12 can be drawn into the receptacle 60 from the distal end of the rigid distal part 56 to various depths so that the capsule endoscope 12 may be held in part (for example, about half the entire length) or in its entirety, in the receptacle 60. Hence, the receptacle 60 only needs to be deep enough to receive at least one part of the capsule endoscope 12, provided that it can hold the capsule endoscope 12 by suction.
The fourth embodiment of this invention will be described with reference to
As shown in
When the capsule endoscope 12 is pushed, at either end, at the receptacle inlet port 58c to be inserted into the receptacle 60, the receptacle inlet port 58c is deformed or bent toward the distal end of the insertion section 42. Thus, as the capsule endoscope 12 is further pushed, it enters the receptacle 60. When the capsule endoscope 12 is entirely received in the receptacle 60, the receptacle inlet port 58c assumes its initial shape by virtue of its elasticity. The receptacle inlet port 58c then prevents the capsule endoscope 12 from slipping out of the receptacle 60.
When the capsule endoscope 12 is placed at the receptacle inlet port 58c, the button 154 of the suction control valve 72 provided on the operation section of the endoscope 14 may be pushed. Then, a suction force is applied to the receptacle 60 through the upstream suction channel 122 and the suction port 132. The suction force draws the capsule endoscope 12 into the receptacle 60. This helps to set the capsule endoscope 12 in the receptacle.
A large force is scarcely exerted on the receptacle inlet port 58c in order to pull the insertion section 42 of the endoscope 14 from a body cavity of the patient. Hence, the capsule endoscope 12 can be easily retrieved, without slipping out of the receptacle 60, even if no suction force is applied to the capsule endoscope 12 held in the receptacle 60.
The fifth embodiment of this invention will be described with reference to
As shown in
If a suction force is used to hold the capsule endoscope 12 in the receptacle 60 as explained in conjunction with the first embodiment, the adhesive cylinder 202 need to have such an adhesive force as will assist the suction force. If the outer circumferential surface of the capsule endoscope 12 contacts the inner circumferential surface of the adhesive layer 202, the suction force produced when the suction control valve 72 is operated can act on the capsule endoscope 12. This helps to hold the capsule endoscope 12 in the receptacle 60.
Although not shown in any drawings, the receptacle inlet port 58c shown in
The sixth embodiment of this invention will be described with reference to
The magnetic forces of the permanent magnets 204 and 206 helps to draw the capsule endoscope 12 into the receptacle 60 when the button 154 of the suction control valve 72 is operated, applying a suction forced on the capsule endoscope 12.
In the first and second embodiments, the hood 58 defines a receptacle 60. In the third to sixth embodiments, a recess is provided in the rigid distal part 56 and used as receptacle 60. The hood 58 and the recess may, of course, be combined. In other words, the hood 58 and the recess may constitute a receptacle 60.
In the embodiments described above, suction is used to draw a capsule endoscope 12 into the receptacle 60. Instead, grasping forceps (not shown) or the like may be guided through the upstream suction channel 122 to the capsule endoscope 12 and may be manipulated to hold the capsule endoscope 12 and move it into the receptacle 60.
Additional advantages and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details and representative embodiments shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined by the appended claims and their equivalents.
Number | Date | Country | Kind |
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2006-205209 | Jul 2006 | JP | national |