Patent Application
20080312499
This application claims benefit of Japanese Patent Application No. 2007-157948 filed on Jun. 14, 2007, the contents of which are incorporated by this reference.
1. Field of the Invention
The present invention relates to an endoscope system that can extensively view the inside of an abdominal cavity and includes an image pickup device fixed on an inner side of the abdominal cavity.
2. Description of the Related Art
In recent years, a surgical operation for, without dissecting the abdomen of a patient in order to reduce invasion to a patient, penetrating, into the abdomen, a trocar that leads an endoscope for observation into a body cavity and a trocar that leads a treatment instrument to a treatment region and performing treatment while observing the treatment instrument and the treatment region with the endoscope, a so-called laparoscopic surgical operation, has been performed. With this method, a range of a visual field that can be actually observed by the endoscope is relatively narrow. Therefore, since it is difficult to extensively observe the entire treatment region in the abdominal cavity, it is difficult to accurately grasp, for example, a positional relation between the treatment instrument and organs.
In order to solve this problem, for example, Japanese Patent Application Laid-Open Publication No. 2004-41580 discloses a wide-angle observation device including, separately from respective operation units, an observation device that is inserted into a body wall and can observe a wide-angle visual field.
For example, Japanese Patent Application Laid-Open Publication No. 2000-32442 discloses an endoscope system including plural scopes, which are respectively inserted to an observation object region in an abdominal wall via plural trocars penetrated into the abdominal wall.
An endoscope system according to the present invention includes at least one first photographing device that can photograph an object, at least one second photographing device different from the first photographing device, a retaining member for retaining the second photographing device in a body cavity, a signal processing device that processes signals photographed by the first photographing device and the second photographing device, and a display device that displays an image signal outputted from the signal processing device.
The above and other objects, feature and advantages of the invention will become more clearly understood from the following description referring to the accompanying drawings.
Embodiments of the present invention will be hereinafter explained with reference to the accompanying drawings.
First, an endoscope system according to a first embodiment of the present invention is explained below.
As shown in
The light source device 2 supplies illumination light to an illumination optical system included in the rigid endoscope 3. The light source device 2 and the rigid endoscope 3 are detachably connected by a light source cable 11.
The rigid endoscope 3 mainly includes a rigid inserting section 9 and an operation section 10 coupled to a proximal end of the inserting section 9.
In the inserting section 9 of the rigid endoscope 3, an image guide and a light guide bundle are inserted. On a distal end surface thereof, a photographing optical system that collects light of a subject image in a rigid endoscope camera described later via the image guide and an illumination optical system that radiates illumination light from the light guide bundle to the subject are disposed.
A not-shown rigid endoscope camera is built in the operation section of the rigid endoscope 3. An optical image in an observation region illuminated by illumination light supplied from the light source device 2 to the rigid endoscope 3 through the light source cable 11 is picked up by the rigid endoscope camera of the operation section 10 via the image guide of the inserting section 9. The rigid endoscope camera photoelectrically converts the picked-up optical image into an image signal. The image signal is transmitted to the first CCU 4 through an image pickup cable 12.
The first CCU 4 generates a video signal from the transmitted image signal and outputs the video signal to the first display device 7. The first display device 7 is, for example, a liquid crystal display. The first display device 7 receives the video signal outputted from the first CCU 4 and displays an endoscope image of the observation region on a screen.
In the rigid endoscope 3 according to the present embodiment, an image pickup optical system is set such that an angle of view a (see
As shown in
One end of a camera cable 13 is extended out from a side peripheral surface of the camera main body 20. The other end of the camera cable 13 is connected to the second CCU 6 by a connector. A wire 16 is extended out from a position on an opposite side of a side peripheral portion that is point-symmetrical to a substantial center of the camera main body 20 from which the camera cable 13 is extended out.
The camera main body 20 includes an image pickup unit, an illuminating unit a control unit and a power supply unit, which are not shown in the figure. The image pickup unit built in the camera main body 20 is an image pickup device such as a CCD and a C-MOS. The image pickup unit picks up an optical image of an observation region illuminated by illumination light of the illuminating unit including a white LED built therein.
On one end face of the camera main body 20 on which the transparent hood 21 is disposed, an image pickup window 22 and illumination windows 23 are provided. In a substantial center of the image pickup window 22, an image pickup optical system for collecting photographing light using the image pickup unit is disposed. The illumination windows 23 are arranged around the image pickup window 22. In the illumination windows 23, illumination optical systems for emitting the illumination light from the illuminating unit to a subject are arranged.
In the present embodiment, an image signal outputted from a transmitting and receiving unit is transmitted to the second CCU 6 through a signal line inserted through the camera cable 13. The second CCU 6 generates a video signal from the transmitted image signal and outputs the video signal to the second display device 8. The second display device 8 is also a liquid crystal display. The second display device 8 receives the video signal outputted from the second CCU 6 and displays a camera image on a screen.
In the camera 5 according to the present embodiment, the image pickup optical system is set such that an angle of view β (see
In
The endoscope system I according to the present embodiment configured as described above is used for the laparoscopic surgical operation and used for, as shown in
A procedure for setting, for the laparoscopic surgical operation, the endoscope system 1 according to the present embodiment in an abdominal cavity, i.e., a body cavity, of a patient is explained below with reference to
First, as shown in
The surgeon inserts the camera cable 13 into an insertion hole of the trocar 31 from a distal end opening. As shown in
Next, in another place a predetermined distance apart from the trocar 31, the surgeon dissects the abdominal wall 35 and penetrates, into the abdominal cavity 36, a trocar 32 for leading a treatment instrument 41 such as grasping forceps into the abdominal cavity 36.
As shown in
The surgeon retains the camera 5 in a desired observation position in the abdominal cavity 36 by applying predetermined tension to the camera 5 while tugging and loosening the camera cable 13 and the wire 16. At this point, the surgeon fixes the camera cable 13 and the wire 16 to the trocars 31 and 32 using a tape, a locking member, or the like while keeping applying the predetermined tension thereto. In other words, as shown in
For example, one end of a not-shown aeroperitoneum tube is attached to the trocar 31. For example, carbon dioxide gas or the like is injected into the abdominal cavity 36 as gas for aeroperitoneum for the purpose of securing a visual field of the rigid endoscope 3 and for the purpose of securing an area for operating operation equipment and the like. In the state in which the camera 5 is retained in the abdominal cavity 36, the surgeon inserts the rigid endoscope 3 through the trocar 31 and inserts the treatment instrument 41 through the trocar 32 and performs the laparoscopic surgical operation.
As explained above, with the endoscope system 1 according to the present embodiment, only two penetration holes as dissected portions for leading the trocar 31, which leads the rigid endoscope 3 into the abdominal cavity 36, and the trocar 32, which leads the treatment instrument 41 into the abdominal cavity 36 have to be formed in the abdominal wall 35 as shown in
When the camera 5 is led into the abdominal cavity 36, the dissected portion 37 for leading the trocar 31 into the abdominal cavity 36 is used. Therefore, with the endoscope system 1 according to the present embodiment, the laparoscopic surgical operation with low invasion can be provided to the patient as before.
In the endoscope system 1 according to the present embodiment, the angle of view β as a view angle of the camera 5 is set to be wider than the angle of view a as a view angle of the rigid endoscope 3 (α<β). Therefore, with the endoscope system 1, the laparoscopic surgical operation is performed using the rigid endoscope 3 having a relatively narrow range of a visual field and the camera 5 that can extensively observe an entire treatment region in an abdominal cavity. Consequently, the endoscope system 1 provides improved operability and has high visibility for the surgeon.
In the endoscope system 1, the camera 5 has only to be lifted to the abdominal wall 35 side in the abdominal cavity 36 and retained by the tension of the camera cable 13 and the wire 16 forming the retaining member. Therefore, treatment for retaining the camera 5 is not complicated and can be performed relatively easily.
An endoscope system according to a second embodiment of the present invention is explained below with reference to
As shown in
In the camera 5 according to the present embodiment, an elastic member 26 having a hole in which the needle section 52 of the abdominal cavity needle 51 is penetrated is disposed from a substantial center of one end face on the opposite side of the other end face of the camera main body 20, on which the image pickup window 22 and the illumination windows 23 are disposed, to the inside of the camera 5. Therefore, in the camera 5, the needle section 52 of the abdominal cavity needle 51 is penetrated into the elastic member 26 and the plural concave sections 53 provided in the needle section 52 are surely locked in the hole of the elastic member 26 by an elastic force.
In the endoscope system 1 according to the present embodiment described above, the camera 5 can be fixed on the inner surface of the abdominal wall 35. Therefore, it is possible to retain the camera 5 in the abdominal cavity 36 in a stable state. With the endoscope system 1, since the abdominal cavity needle 51 is used, it is unnecessary to dissect the abdominal wall 35 and the needle section 52 of the abdominal cavity needle 51 has only to be simply penetrated into the abdominal wall 35. Therefore, the endoscope system 1 does not apply a heavy load to a patient. Other actions and effects are the same as those in the first embodiment.
An endoscope system according to a third embodiment of the present invention is explained below with reference to
The endoscope system 1 according to the present embodiment transits an image of the inside of the abdominal cavity 36 photographed by the camera 5 to the outside of the abdominal cavity 36 by radio. Specifically, as shown in
Therefore, the camera cable 13 is connected to the receiving device 61. The receiving device 61 receives a video signal photographed by the camera 5 and outputs the video signal to the second CCU 6 (see
A configuration of the camera 5 is explained in detail. As shown in
The transmitter 27 of the camera 5 transmits an image signal photoelectrically converted by the image pickup device to the receiver 62 of the receiving device 61. The receiver 62 of the receiving device 61 receives the image signal and outputs the image signal to the second CCU 6 through the camera cable 13.
In the endoscope system 1 according to the present embodiment, in a state in which the abdominal wall 35 is sandwiched between the camera 5 and the receiving device 61, the camera 5 is attracted to the receiving device 61 which is placed on the surface skin of the abdominal wall 35, and fixed and retained on the inner surface of the abdominal wall 35 by magnetic forces of the internal magnets 29 provided in the camera 5 and the external magnets 63 provided in the receiving device 61.
In the endoscope system 1 according to the present embodiment described above, as in the second embodiment, the camera 5 can be fixed on the inner surface of the abdominal wall 35. Therefore, the camera 5 can be retained in the abdominal cavity 36 in a stable state. Other actions and effects are the same as those in the first embodiment.
In the embodiments explained above, the rigid endoscope 3 and the image pickup device of the camera 5 are provided on the premise that photographing is performed under ordinary light. However, the present invention is not limited thereto. When infrared image pickup devices are used as the rigid endoscope 3 and the image pickup device of the camera 5, the illumination devices are not necessary. As a result, it is possible to reduce sizes of the rigid endoscope 3 and the camera 5.
It is possible to easily observe blood vessels hidden in fat tissues in the abdominal cavity 36 by changing illumination light from the illumination devices to infrared rays. Consequently, for example, in large bowel resection, if the image pickup device can perform infrared observation, it is easy to ablate plural arterial vessels connected to the large intestine.
With the endoscope system 1 according to the embodiments described above, it is possible to observe internal tissues in the body cavity, i.e., the abdominal cavity 36 from multiple viewpoints including a wide angle. For example, it is possible to easily observe an ablation line in an operation of a large organ or ablation of the large intestine. Therefore, it is possible to make it easy to perform treatment of the laparoscopic surgical operation by using the endoscope system 1 according to the embodiments of the present invention.
The invention described in the embodiments is not limited to the embodiments and modifications thereof. Besides, it is possible to carry out various modifications without departing from the sprit of the invention at an implementation stage. Moreover, inventions at various stages are included in the embodiments. Various inventions can be extracted by appropriate combinations in the disclosed plural components.
For example, even if several components are deleted from all the components described in the embodiments, when the problems described above can be solved and the effects described above can be obtained, a configuration obtained by deleting the components can be extracted as an invention.
Having described the embodiments of the invention referring to the accompanying drawings, it should be understood that the present invention is not limited to those precise embodiments and various changes and modifications thereof could be made by one skilled in the art without departing from the spirit or scope of the invention as defined in the appended claims.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2007-157948 | Jun 2007 | JP | national |
