The present invention relates to a pressure sensor which is suitably mounted on an endoscope, an endoscope including the pressure sensor, and an endoscope device including the endoscope.
The number of deaths by cancer in Japan reached about 330,000 in 2005, about 13% of which is estimated to have been caused by colorectal cancer. It is said that colorectal cancer will take first place among the causes of death of the Japanese around 2015. While the most effective colorectal cancer treatment method is early detection and treatment by endoscopy, one problem thereof in clinical practice is that the doctor must be skilled in colorectal endoscopic procedures. Typically, the doctor determines the strength with which the endoscope is pushing the intestinal wall, based on endoscopic intestinal images, feelings transmitted to a hand of the doctor who is operating the endoscope, and a complaint of pain from the patient.
Known endoscope devices which can acquire intestinal information using methods other than images or feelings include an endoscope device described in Patent Document 1. In the endoscope device described in Patent Document 1, as shown in FIG. 34 and the like thereof, many capacitive sensors are disposed on a side surface adjacent to the front end of a probe. When the many sensors sense the pressure independently, the endoscope device acquires information about the degree of strength with which the probe is contacting the living body.
The colorectal lumen has many ridges and grooves, as well as flexions. For this reason, the possibility that lesions behind the ridges and grooves may be overlooked and the risk that the endoscope may perforate an intestinal flexion have been pointed out. In particular, intestinal perforation has a high risk of becoming severe. Accordingly, it is an urgent task to develop an endoscope which can avoid intestinal perforation without depending on the capability of the operator.
The present invention has been made in view of the foregoing and provides a pressure sensor which can avoid endoscopic intestinal perforation, an endo scope including the pressure sensor, and an endoscope device including the endoscope.
The present invention provides a pressure sensor including a support unit and a pressure sensitive unit disposed on a ridge line of a front end of the support unit and configured to output a signal corresponding to an applied pressure. The pressure sensitive unit includes a first electrode disposed in a ring shape and multiple second electrodes opposed to the first electrode. The second electrodes are spaced in a circumferential direction of the first electrode.
The inventors have eagerly investigated the cause of endoscopic intestinal perforation. As a result, the inventors have acquired knowledge that intestinal perforation tends to occur when the operator moves the front end of the insertion unit of the endoscope and thus the ridge line of the front end strongly pushes the intestine. Based on this knowledge, the inventors have acquired the following knowledge: if it is possible to detect the magnitude and position of a pressure applied to the ridge line of the front end of the insertion unit, an excessive pressure applied to the ridge line can be detected before intestinal perforation occurs, and by operating the endoscope on the basis of the pressure detected, intestinal perforation can be prevented. The inventors have then found that if a pressure sensitive unit is formed on the ridge line of the front end of the insertion unit by disposing a first electrode in a ring shape and then spacing multiple second electrodes in the circumferential direction of the first electrode, it is possible to accurately measure the magnitude and position of a pressure applied to the ridge line. In this way, the inventors have reached the present invention.
The pressure sensitive unit outputs a signal corresponding to the applied pressure. For example, the pressure sensitive unit may be a pressure sensitive unit having a pressure sensitive resistor between the first and second electrodes and configured to detect a resistance variation therebetween, or may be a pressure sensitive unit having space between the first and second electrodes and configured to detect a capacitance variation therebetween. Since the resistance or capacitance between the first and second electrodes varies with the pressure applied to the ridge line, it is possible to detect the magnitude of the pressure applied to the ridge line.
Since the multiple second electrodes are disposed, the resistance variation or capacitance variation detected by each second electrode varies depending on the position to which the pressure is applied. For example, assuming that four second electrodes, A, B, C, and D, are disposed in the circumferential direction of the ring-shaped first electrode, when a pressure is applied to the vicinity of the second electrode A, the resistance variation or capacitance variation detected by the second electrode A becomes larger than those detected by the second electrodes B, C, and D. Thus, it is detected that the pressure has been applied to the vicinity of the second electrode A.
The magnitude and position of the pressure applied to the ridge line can be accurately measured on the above principle. While the functions and effects of the pressure sensor of the present invention have been described above using the case where the pressure sensor of the present invention is mounted on an endoscope, the pressure sensor of the present invention may be mounted not only on endoscopes but also on various types of apparatuses, including medical and industrial apparatuses. The pressure sensor can also be used to control various types of robots, since it is possible to determine the magnitude and position of the pressure received by the pressure sensor on a principle similar to that described above.
There have been developed self-propelled endoscopes in recent years, which autonomously travels the intestine using power generated by a motor, pneumatic pressure, or the like. However, such endoscopes do not allow the operator to feel a pressure applied to the front end of the insertion unit. Accordingly, even when runaway of the motor, or the like causes application of a strong pressure to the front end of the insertion unit and thus intestinal perforation may occur, the operator is less likely to become aware of this situation. By mounting the pressure sensor of the present invention on such an endoscope, it is possible to detect a pressure applied to the front end of the insertion unit and thus to prevent the self-propelled endoscope from causing intestinal perforation.
Intestinal perforation tends to occur when the front end of the endoscope is bent into a J-shape in order to observe the back of the ridges and grooves of the intestine. One method for preventing intestinal perforation from occurring for such a reason is to objectively display the applied pressure by mounting the pressure sensor on the front end of an endoscope. Another method is to increase the viewing angle of a lens disposed at the front end of an endoscope as much as possible. The viewing angle of the lens is, for example, 160, 180, 200, 220, 240, 260, 280, 300, 320, 340, or 360 degrees, or may be greater than or equal to one of the values presented or may be a value in a range between any two of the values.
The endoscope probe described in Patent Document 1 may be able to detect a pressure applied to a side surface of the insertion unit. However, it is very likely to be incapable of detecting a pressure applied to the front end of the insertion unit or to detect a pressure lower than the actually applied pressure. Accordingly, this endoscope probe is believed to have difficulty in preventing intestinal perforation effectively.
Hereafter, various embodiments of the present invention will be exemplified. Any of the embodiments described below can be combined with each other.
The pressure sensitive unit of the present invention preferably further includes a pressure sensitive resistor disposed between the first and second electrodes, a resistance of the pressure sensitive resistor varying with an applied pressure.
Preferably, the pressure sensitive resistor includes an elastomer including a conductive material.
Preferably, the pressure sensitive resistor surrounds the first or second electrode in a section perpendicular to a circumferential direction of the first or second electrode.
Preferably, the support unit has a ring-shaped recess on the ridge line, and at least one of the first and second electrodes, and the pressure sensitive resistor are disposed in the recess.
Preferably, a section of the pressure sensitive resistor is circular, the section being perpendicular to a circumferential direction of the ridge line, and a section of the recess is in an arc shape, the section being perpendicular to the circumferential direction of the ridge line.
Preferably, the pressure sensitive resistor extends off east one of a side and a front of the support unit.
Preferably, the second electrodes are disposed on the support unit, and the pressure sensitive resistor is fixed to the support unit using an adhesive or pressure sensitive adhesive disposed between adjacent two second electrodes.
Preferably, the second electrodes include four or more second electrodes uniformly spaced in the circumferential direction of the first electrode.
In another aspect, the present invention provides an endoscope including the pressure sensor described above and an insertion unit configured to be inserted into a body. The support unit constitutes a front end of the insertion unit.
In yet another aspect, the present invention provides an endoscope including the pressure sensor described above and an insertion unit configured to be inserted into a body. The support unit is an adapter configured to detachably fix the pressure sensitive unit to the insertion unit.
In still yet another aspect, the present invention provides an endoscope device including the endoscope described above, a signal processing unit configured to acquire a magnitude of a pressure applied to the pressure sensitive unit and a position to which the pressure has been applied, based on a signal from the pressure sensitive unit, and a monitor configured to display an image captured by the endoscope.
Preferably, the signal processing unit makes a display based on the magnitude of the applied pressure in a position which is located adjacent to the image and which corresponds to the pressure-applied position.
Preferably, the endoscope device further includes an external display unit which differs from the monitor, and the signal processing unit makes a display based on the magnitude of the applied pressure in a position on the external display unit, the position corresponding to the pressure-applied position.
Preferably, the display is a color corresponding to the magnitude of the applied pressure.
a) is a view of an insertion unit 9 seen from near a front end 13.
a) is a view of an adapter 37 seen from near the front end thereof.
a) to 11(d) show another embodiment of the pressure sensitive unit 15, in which
Now, an embodiment of the present invention will be described with reference to the drawings. Note that the embodiment is illustrative only and does not limit the scope of the present invention.
1. Overall configuration of Endoscope Device
The front end 13 of the insertion unit 9 is provided with a projector 17 and an image capturing unit. 19 shown in
For a traditional endoscope device, when the doctor operating the endoscope 3 inserts the insertion unit 9 into the intestine of the patient, he or she determines whether the front end 13 of the insertion unit 9 is contacting the intestinal wall, based on intestinal images being displayed on the monitor 7 and feelings transmitted to a hand of the doctor when the front end 13 of the insertion unit 9 contacts the intestinal wall. The doctor then inserts the insertion unit 9 into a deeper part of the body. If the doctor is experienced, he or she can accurately determine the strength with which the front end 13 is contacting the intestinal wall. When the front end 13 is strongly contacting the intestinal wall, the doctor operates the operation unit 11 to change the bending direction of the front end 13 of the insertion unit 9. Thus, he or she can avoid the front end 13 from applying an excessive pressure to the intestinal wall. If the doctor is less experienced, he or she may not well understand the relationship between feelings transmitted to the hand and the pressure applied to the intestinal wall by the front end 13. This may cause a problem that although the front end 13 is already strongly contacting the intestinal wall, he or she may continue to insert the insertion unit 9 without changing the bending direction of the front end 13 of the insertion unit 9 and thus cause intestinal perforation.
In the endoscope device 1 of the present embodiment, the pressure sensitive unit 15 disposed on the ridge line of the front end 13 of the insertion unit 9 detects a pressure being applied to the intestinal wall by the front end 13. When the pressure sensitive unit 15 detects that the front end 13 of the insertion unit 9 inserted into the intestine by the doctor is strongly contacting the intestinal wall, the doctor receives an alarm through the monitor 7 and then operates the operation unit 11 on the basis of the alarm to change the bending direction of the front end 13 of the insertion unit 9. Thus, he or she can prevent intestinal perforation. Traditionally, the supervisor, who is next to the operator and observing the situation, cannot objectively grasp feelings transmitted to the hand of the operator and thus cannot prevent an accident although he or she is next to the operator. On the other hand, by using the endoscope device 1 of the present embodiment, the supervisor can objectively grasp the situation from an alarm displayed on the monitor 7 and thus prevent an accident by taking a necessary measure when appropriate.
Hereafter, the configuration of a portion around the front end 13 of the insertion unit 9 (front end portion) will be described in more detail with reference to
a) is a view of the insertion unit 9 seen from near the front end 13.
As shown in
As shown in
As shown in
The pressure sensitive resistor 23 is a resistor whose resistance varies with the applied pressure. The pressure sensitive resistor 23 is, for example, an elastomer including a conductive material. An elastomer, which has insulating properties, originally has an extremely high resistance. However, if the elastomer is mixed with a conductive material including conductive fine particles, the resistance of the resulting elastomer decreases according to the applied pressure. Such an elastomer serves as a pressure sensitive sensor. An elastomer including a conductive material is commercially available under the name of a conductive elastomer or elastomer resistor and is available, for example, from Japan Micro System Co., Ltd.
The pressure sensitive unit 15 detects a resistance variation between the first electrode 25 and each second electrode 21 to detect the magnitude of the applied pressure. Accordingly, the pressure sensitive resistor 23 only has to be disposed between the first electrode 25 and the second electrodes 21. Note that the pressure sensitive resistor 23 is preferably disposed in such a manner to surround the first electrode 25 in a section perpendicular to the circumferential direction of the first electrode (a section of
Since the pressure sensitive resistor 23 is sensitive to pressure, it is preferably fixed to the insertion unit 9 without applying an excessive pressure thereto. In the present embodiment, the pressure sensitive resistor 23 is fixed using an adhesive or pressure sensitive adhesive disposed in areas 27 (
If the pressure sensitive resistor 23 is formed of a material which is relatively easily degraded or contaminated, it is preferred to employ a configuration which allows the pressure sensitive resistor 23 to be replaced. For example, the first electrode 25 and the pressure sensitive resistor 23 covering the first electrode 25 are replaced together. For example, replacement is possible by disposing an electrode in the insertion unit 9 and then bringing this electrode and the first electrode 25 into contact with each other in such a manner to be separable from each other. In another example, it is possible to electrically connect the first electrode 25 and the signal processing unit 5 by disposing a signal line extending from the first electrode 25 along the outside of the insertion unit 9.
As shown in
Preferably, the recess of the ridge line has a size and shape such that the pressure sensitive resistor 23 extends off at least one of the side and front of the insertion unit 9. While, in
As described above, the pressure sensitive resistor 23 is disposed between the first electrode 25 and the second electrodes 21, and the resistance of the pressure sensitive resistor 23 varies with the magnitude of the applied pressure. Accordingly, by measuring the voltage between the first electrode 25 and each second electrode 21 while passing a constant current through the first electrode 25 and the second electrodes 21, the magnitude of the applied pressure can be detected in the form of a voltage. The voltage obtained is transmitted to the signal processing unit 5 through the signal line. Examples of the method for passing a constant current include use of a constant-current diode.
Next, referring to
When a pressure is applied to the position P of
When a pressure is applied to the position P of
As described above, the pressure sensitive unit. 15 transmits a signal corresponding to the applied pressure to the signal processing unit 5. The signal processing unit 5 acquires the magnitude and position of the pressure applied to the pressure sensitive unit 15 on the basis of the signals transmitted by the pressure sensitive unit 15. As described above, the pressure sensitive unit 15 can detect the pressure-applied position on the ridge line of the front end 13 of the insertion unit 9. Accordingly, each signal from the pressure sensitive unit 15 includes position information. The signal processing unit 5 refers to this position information and notifies the operator of the pressure-applied position.
Examples of the notification method include output of an alarm signal to give an alarm, display of an alarm on the monitor 7, and display of an alarm on an external display unit which differs from the monitor 7. Examples of the alarm display method include a change in the color or luminance of the screen and display of characters or symbols on the screen. The notification method may be transmission of a notification only when a high pressure exceeding a reference value is applied, or real-time display of the detected pressure using a value or color, regardless of the magnitude of the applied pressure.
One example of the notification method is shown in
When the operator looks at the display 31, he or she recognizes that the front end 13 of the insertion unit 9 is contacting the lower side of the intestine and then operates the operation unit 11 to move the front end 13 upward. Thus, the operator can avoid intestinal perforation. Further, the supervisor of the operator can confirm the pressure applied to the intestine and thus early determine an intestinal perforation risk.
Another embodiment of the method for notifying the operator of a pressure is to make a display on an external display unit 33 which differs from the monitor 7, as shown in
For example, the external display unit 33 may be mounted on the monitor 7. By using such an external display unit 33, it is possible to notify the operator of a pressure without having to make a change to the existing monitor.
If the magnitude of the pressure is displayed using a color, examples of the color are as follows.
While the case where the pressure sensitive unit 15 is mounted on the front end 13 of the insertion unit 9 has been described above, the pressure sensitive unit 15 may be mounted on an adapter 37 which is detachable from the front end 13 of the insertion unit 9, as shown in
Such a configuration, in which the pressure sensitive unit 15 is disposed on the adapter 37, can be said to be a pressure sensor which can be used in any application. This pressure sensor can be used in endoscopes, as well as in any applications where the position and magnitude of the applied pressure need to be detected. The adapter 37 corresponds to the “support unit.” in the claims.
5. Configuration where Positions of First and Second Electrodes are Inverted
There has been described the embodiment above where the first electrode 25 is disposed inside the pressure sensitive resistor 23 and where the second electrodes 21 are disposed adjacent to the insertion unit 9. Alternatively, as shown in
Such a configuration also allows detection of the magnitude and position of the pressure applied to the pressure sensitive unit 15 on a principle similar to that of the above embodiment. The description of the above embodiment also applies to the present embodiment without departing from the scope thereof.
Next, an Example of the present invention will be described.
As shown in
1: endoscope device, 3: endoscope, 5: signal processing unit, 7: monitor, 9: insertion unit, 13: front end, 11: operation unit, 15: pressure sensitive unit, 17: projector, 19: image capturing unit, 25: first electrode, 21, 21A to 21D: second electrode, 23: pressure sensitive resistor, 27: area between adjacent two second electrodes, 29: image, 31: display, 33: external display unit, 35: display part, 37: adapter, 39: internal space
Number | Date | Country | Kind |
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2011-104389 | May 2011 | JP | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/JP2012/061651 | 5/7/2012 | WO | 00 | 7/3/2014 |