The present invention relates to endoscopic grasping forceps.
JPH8-56951 discloses endoscopic grasping forceps. These forceps are used for examining a body cavity of a patient or performing a surgical operation. These forceps include an insertion tube and an operation wire inserted in the insertion tube. The operation wire includes a wire body and a plurality of grasping members which extend from a leading end of the wire body. The grasping members radially expand upon protrusion from the insertion tube, and radially contract upon insertion into the insertion tube. The grasping members open and close by such radial expansion and contraction. A foreign substance, various cellular tissue specimens including polyps, and the like in a living body can be obtained by the opening and closing of the grasping members. With the use of these forceps, a foreign substance, a cellular tissue specimen, or the like can be collected through a small incision. This consequently reduces the burden on a patient.
Patent Literature 1: JPH8-56951
Grasping members inserted in an insertion tube are to be inserted into a body cavity together with the insertion tube. The grasping members are to be inserted along a pathway in the body cavity. The pathway is bent, and an external force acts on the insertion tube inserted therein. The external force also acts on the grasping members. The grasping members may be deformed by receiving the external force. The deformed grasping members are likely to interfere with one another. Due to such interference, the grasping members may not be able to radially expand in an orderly manner upon protrusion from the insertion tube. Further, the grasping members may not be able to radially contract in an orderly manner after the radial expansion. Reduced precision in opening and closing of the grasping members will hinder the opening and closing of the grasping members.
The reduced precision in the opening and closing of the grasping members will hinder stable grasping of a foreign substance, a cellular tissue specimen, or the like. A main problem to be addressed by the present invention is to facilitate the opening and closing of the grasping members. In addition to solving the above problem, it is more desirable that stable grasping of a foreign substance, a cellular tissue specimen, or the like is enabled. It is still more desirable that treatment can be given while a foreign substance, a cellular tissue specimen, or the like is stably grasped.
An object of the present invention is to provide endoscopic grasping forceps in which opening and closing of grasping members are facilitated.
Endoscopic grasping forceps according to the present invention include an insertion tube having a tubular shape, and an operation wire inserted in the insertion tube so as to be movable forward and backward. The operation wire includes a wire body, and a plurality of grasping members extending from a leading end of the wire body. The grasping members include grasping bodies. In an inserted attitude in which the grasping members are inserted in the insertion tube, the grasping bodies are arranged in a circumferential direction. In these forceps, a space is formed so as to be surrounded by the grasping bodies arranged in the circumferential direction.
Preferably, each of the grasping members includes a claw extending radially inward from a leading end of the grasping body.
Preferably, the grasping members are elastically deformed in the inserted attitude. The grasping members are preferably capable of expanding radially outward in a protruded attitude in which the grasping members are protruded from the insertion tube.
Preferably, the grasping members are circumferentially arranged and fixed on an outer circumferential surface of the wire body. On the outer circumferential surface of the wire body, the grasping members circumferentially adjacent to one another are in contact with one another in the circumferential direction.
Preferably, each of the grasping bodies includes a base fixed to the wire body, a leading end, and a large-diameter portion positioned between the base and the leading end. In the protruded attitude, the grasping body preferably extends so as to be slanted radially outward with respect to an axial direction from the base toward the large-diameter portion, and extends so as to be slanted radially inward with respect to the axial direction from the large-diameter portion toward the leading end.
Preferably, a contour of an outer circumferential surface formed by the grasping bodies, in a state of being arranged in contact with one another in the circumferential direction, forms a circular shape in a cross-section perpendicular to an axial direction.
Preferably, in a cross-section of each of the grasping bodies perpendicular to an axial direction, a circumferential width of the grasping body increases from a radially inner side toward a radially outer side.
Preferably, the grasping bodies form a shape of a hollow pipe with circumferential end surfaces of the grasping bodies adjacent to one another being in contact with one another.
Preferably, a cross-section of each of the grasping bodies perpendicular to the axial direction is in a shape of an arc.
Preferably, these forceps include a core member. The wire body is in a shape of a hollow pipe having a through hole. The core member is inserted in the through hole of the wire body and in the space formed by the circumferentially arranged grasping members, in such a manner as to be movable forward and backward in an axial direction.
Preferably, the core member includes a core body and a needle attached to a leading end of the core body.
Preferably, the core body and the needle are hollow.
Preferably, the core member includes a core body and an electrocautery attached to a leading end of the core body.
Preferably, the core member includes a core body and a magnet attached to a leading end of the core body.
In the endoscopic grasping forceps according to the present invention, in the inserted attitude of being inserted in the insertion tube, the grasping bodies are arranged in the circumferential direction so as to form a space on the radially inner side. Accordingly, interference of one of the grasping bodies with a radially opposing one of the grasping bodies is restrained. This restraining of interference prevents the opening and closing of the grasping members from being hindered. In these forceps, the grasping members are able to easily expand radially in the protruded attitude of being protruded from the insertion tube. In these forceps, the grasping members are able to easily open and close.
In these forceps, the core member may be inserted in the through hole of the wire body and the space formed by the grasping members so as to be movable forward and backward. The forceps including an auxiliary grasping tool as a core member enable further stable grasping of a foreign substance, a cellular tissue specimen, or the like with conjunctive use of the auxiliary grasping tool and the grasping members. Further, the forceps including a treatment instrument as a core member enable treatment with use of the treatment instrument while a foreign substance, a cellular tissue specimen, or the like is grasped by the grasping members.
The following will describe in detail the present invention based on preferred embodiments with appropriate reference to the drawings.
Endoscopic grasping forceps 2 illustrated in
The operation part 4 includes an insertion tube operation part 10 and an operation wire operation part 12. The insertion tube operation part 10 is attached to the insertion tube 6. The operation wire operation part 12 is attached to the operation wire 8.
The insertion tube 6 is in the shape of a hollow pipe. The insertion tube 6 has an inner circumferential surface 16 that surrounds a through hole 14 passing through the insertion tube 6 in the axial direction. The insertion tube 6 has flexibility.
The operation wire 8 includes a wire body 18 and a plurality of grasping members 20. The wire body 18 has flexibility. The operation wire operation part 12 is attached to the rear end of the wire body 18. The operation wire 8 is inserted in the through hole 14 of the insertion tube 6 so as to be movable forward and rearward in the front-rear direction.
The grasping members 20 are fixed to a leading end portion of the wire body 18. The method for this fixing is not particularly limited, but firm fixing is preferable. Examples of the fixing method include welding (laser welding, brazing), crimping of the wire body 18, resin welding, and adhesion using an adhesive.
As illustrated in
As illustrated in
The grasping members 20, arranged circumferentially, form a space 24 on the radially inner side thereof. The grasping members 20 include grasping bodies 26 that surround the space 24. The space 24 is continuous with the wire through hole 22. The forceps 2 include eight grasping members 20, and the number of grasping members 20 is not limited thereto, as long as the number is two or more.
As illustrated in
In
In
In the present invention, the attitude of the grasping members 20 in
In these forceps 2, the operation part 4 is operated to cause the operation wire 8 to move forward and backward with respect to the insertion tube 6. With this forward and backward movement, the grasping members 20 change the attitude between the inserted attitude, which is taken when the grasping members 20 are inserted in the insertion tube 6, and the protruded attitude, which is taken when the grasping members 20 are protruded from the insertion tube 6.
The grasping members 20 are brought into the protruded attitude in an observable range of the endoscope 30, which is not shown. A foreign substance, for example, is engaged by the claws 28 of the grasping members 20 brought into the protruded attitude. While the foreign substance is being engaged by the claws 28, the operation part 4 is operated to cause the grasping members 20 to gradually change the attitude from the protruded attitude to the inserted attitude. At this time, the grasping members 20 are together moved radially inward to securely grasp the foreign substance. In this manner, the foreign substance is collected using the forceps 2.
In these forceps 2, the space 24 is formed on the radially inner side so as to be surrounded by the grasping bodies 26. Accordingly, the grasping bodies 26 are restrained from interfering with one another except for those circumferentially adjacent to each other. Interference of one of the grasping bodies 26 with the radially opposing one of the grasping bodies 26 is restrained. Interference of the grasping bodies 26 with one another at the time of opening and closing of the grasping bodies 26 is restrained. The attitude of the grasping members 20 can be changed smoothly between the inserted attitude and the protruded attitude.
In addition, in these forceps 2, the bases 26a of circumferentially adjacent ones of the grasping bodies 26 are fixed to each other. When in the inserted attitude, the grasping bodies 26 are arranged in the circumferential direction. The grasping bodies 26 restrain each other from circumferential deformation. Due to the restraint on deformation, the attitude of the grasping members 20 can be changed smoothly between the inserted attitude and the protruded attitude.
From the viewpoint of restraining the circumferential deformation, it is preferable that the width W of the grasping body 26 is greater than the thickness t thereof.
The grasping members 20 having a higher tensile strength are restrained from deformation more effectively. From this viewpoint, the tensile strength of the grasping members 20 is preferably not less than 2000 MPa, and more preferably not less than 2300 MPa. Meanwhile, the grasping members 20 having an excessively high tensile strength impair the operability of the operation wire in the insertion tube. From the viewpoint of the operability, the tensile strength of the grasping members 20 is preferably not more than 3000 MPa. The tensile strength is measured in accordance with the “JIS Z 2241” standard.
In these forceps 2, the grasping bodies 26 are less likely to interfere with one another even when the number of grasping members 20 is greater than those of conventional ones. By increasing the number of grasping members 20, a foreign substance or the like can be grasped easily. From this viewpoint, the number of grasping members 20 circumferentially arranged is preferably not less than six, more preferably not less than seven, and still more preferably not less than eight. Meanwhile, from the viewpoint of restraining deformation, the grasping members 20 need to have sufficient strength. From this viewpoint, the number of grasping members 20 is preferably not more than 12, more preferably not more than 11, and still more preferably not more than 10.
On the outer circumferential surface 21 of the wire body 18, the grasping bodies 26 are in contact with the circumferentially adjacent ones of the grasping bodies 26. Accordingly, the grasping bodies 26 are restrained from being deformed in the circumferential direction. From the viewpoint of restraining the circumferential deformation, when being in the inserted attitude, the grasping bodies 26 circumferentially adjacent to each other are preferably in contact with each other in a range from the leading end of the wire body 18 to the leading ends 26e of the grasping bodies 26. For example, the grasping bodies 26 circumferentially adjacent to each other are preferably in contact with each other at or near the leading ends 26e of the grasping bodies 26. This contact further reduces the likelihood of a circumferential deformation of the grasping members 20. Accordingly, the attitude of the grasping members 20 can be changed further smoothly between the inserted attitude and the protruded attitude.
The claw 28 of each of the grasping members 20 extends radially inward from the leading end 26e of the corresponding grasping body 26. The claw 28 can be easily made by bending radially inward the leading end portion of a material that forms the grasping body 26.
When being in the inserted attitude, the grasping members 20 are inserted in the insertion tube 6. Thus, the grasping members 20 are able to smoothly move in a body cavity. When being in the protruded attitude, each of the grasping members 20 expands radially outward. A foreign substance or the like in the body can be easily collected by changing the attitude between the protruded attitude and the inserted attitude.
When being in the protruded attitude, each of the grasping bodies 26 extends so as to be slanted radially outward with respect to the axial direction from the base 26a toward the large-diameter portion 26b. Further, the grasping body 26 extends so as to be slanted radially inward with respect to the axial direction from the large-diameter portion 26b toward the leading end 26e. Since the grasping body 26 extends so as to be slanted radially inward from the large-diameter portion 26b toward the leading end 26e, grasping of a foreign substance by the claws 28 is facilitated.
In addition, since the one in contact with the inner circumferential surface 16 of the insertion tube 6 is not the leading end 26e but the large-diameter portion 26b, the operation wire 8 is able to easily move forward and backward, and thus is able to easily rotate about the rotation axis extending in the axial direction. In these forceps 2, the radius of curvature of the outer circumferential surface 36 formed by the grasping bodies 26 is smaller than the radius of curvature of the inner circumferential surface 16 of the insertion tube 6. Accordingly, the operation wire 8 can be rotated more easily.
In these forceps 2, the outer circumferential surface 36 formed by the grasping bodies 26, in a state of being arranged in contact with one another in the circumferential direction, has a circular shape in the cross-section perpendicular to the axial direction. The operation wire 8 is able to easily rotate, with respect to the insertion tube 6, about the axial line L1 as the rotation axis. These forceps 2 have excellent operability of the operation wire 8.
In the cross-section illustrated in
It should be noted that, in the present invention, the cross-section of each of the grasping bodies 26 may not necessarily be shaped such that the corresponding portion of the outer circumferential surface 36 and the corresponding portion of the inner circumferential surface 37 are each in the shape of an arc as illustrated in
As illustrated in
In these forceps 40, the radially inner contour, in the cross-section, of the grasping body 38 is formed in the shape of an arc having a radius of curvature R1. Thus, a plurality of the grasping bodies 38 can be easily arranged circumferentially along the outer circumferential surface 21 of the wire body 18. From this viewpoint, the radius of curvature R1 is preferably set to be equal to the radius of curvature of the outer circumferential surface 21 of the wire body 18. The width W is preferably greater than the thickness t.
Further, as illustrated in
Further, as illustrated in
These forceps 50 have, as a core member, a core body 52 and a biopsy needle 54. The core body 52 and the biopsy needle 54 are inserted in the wire through hole 22. The core body 52 is formed by a flexible tube. The core body 52 extends from the rear end of the biopsy needle 54. The core body 52 and the biopsy needle 54 are inserted in a wire body 18 so as to be movable forward and backward in the front-rear direction. The operation part 4 includes a biopsy needle operation part, which is not shown. The core body 52 and the biopsy needle 54 can be caused to move forward and backward with respect to grasping members 20 by operating the biopsy needle operation part.
As illustrated in
In these forceps 50 as well, a plurality of the grasping bodies 26 are arranged in the circumferential direction when being in the inserted attitude, and this restrains circumferential deformation thereof. Interference of the grasping bodies 26 with one another in the radial direction is restrained. Since the grasping bodies 26 are less likely to interfere with one another, the number of grasping members 20 may be greater than those of conventional ones. By increasing the number of grasping members 20, a foreign substance or the like can be grasped further easily.
Since the space 24 is formed in the forceps 50, interference of the biopsy needle 54 with the grasping members 20 is restrained. The biopsy needle 54 is easily movable forward and backward.
In these forceps 50, the number of grasping members 20 may be greater than those of conventional ones. By increasing the number of grasping members 20, even a small tumor or the like can be easily grasped at a fixed position. Even a tumor or the like smaller than 1 cm can be easily pricked by the biopsy needle 54. With use of these forceps 50, a tumor having a size of 1 mm or larger can be pricked by the biopsy needle 54. These forceps 50 allow even a small tumor to be grasped by the grasping members 20 with conjunctive use of the biopsy needle 54 serving as an auxiliary grasping tool. From the viewpoint of stable grasping, the number of grasping members 20 in the forceps 50 is preferably not less than six, more preferably not less than seven, and still more preferably not less than eight.
In these forceps 50, each of the biopsy needle 54 and the core body 52 is hollow. A sample, such as a cellular tissue specimen, can be collected using the biopsy needle 54. In addition, a chemical agent can be injected through the core body 52 and the biopsy needle 54. These forceps 50 can be used to collect a sample or inject a chemical agent through a small incision. These forceps 50 include the biopsy needle 54 as a treatment instrument, and thus treatment can be given on a tumor or the like while being grasped using the biopsy needle 54.
While the biopsy needle 54 has been described by way of example herein, such example is not limited to the biopsy needle. For example, the core member may include the core body 52 and an electrocautery attached to the leading end of the core body 52. The electrocautery may be used as a treatment instrument. Alternatively, the core member may include the core body 52 and a magnet attached to the core body 52. The magnet may be used as an auxiliary grasping tool. The grasping members and the magnet can be used to securely grasp and extract a magnetic foreign substance or the like in a body.
The forceps described above may be widely used as endoscopic grasping forceps to be inserted into not only human bodies but also animal bodies.
Number | Date | Country | Kind |
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2017-136683 | Jul 2017 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2018/018811 | 5/15/2018 | WO | 00 |