1. Field of the Invention
The present invention relates to a rigid-endoscope oversheath.
2. Description of the Related Art
During surgery and/or treatment within body cavities using a rigid endoscope, the glass face at the leading end of the rigid endoscope may get dirty with splattered blood and/or body fluid. Further, using an electrosurgical knife or the like may generate smoke and/or mist, which in turn may attach to the glass face of the rigid endoscope. When the leading end face of the rigid endoscope gets dirty, the rigid endoscope is taken out of the body cavity and extraneous matters on the leading end face of the rigid endoscope are removed with, for example, gauze to ensure the scope and visibility.
There have been proposed some techniques of covering an endoscope with an endoscope cleaning sheath to clean the leading end face of the endoscope (see Japanese Unexamined Patent Application Publication No. Hei 8-173370, for example), providing a cleaning nozzle at the leading end face of a rigid endoscope to clean the cover glass of the rigid endoscope (see Japanese Unexamined Patent Application Publication No. Hei 5-207962, for example), and forming a nozzle on a cover of a head in which the leading end portion of an air-supply tube is housed (see Japanese Unexamined Patent Application Publication No. Hei 4-146717, for example). There have further been proposed techniques of forming a shape-memory-alloy air/fluid-supply nozzle on the leading end part of an endoscope (see Japanese Unexamined Patent Application Publication No. Sho 61-36718, for example) and making an endoscope less likely to be cooled even when cold water may flow through a pipe line in a sheath (see Japanese Unexamined Patent Application Publication No. Hei 9-135804, for example), as well as an endoscope cleanable without increasing the diameter of its portion to be inserted into a body (see Japanese Unexamined Patent Application Publication No. 2003-220018, for example).
However, the techniques described in Japanese Unexamined Patent Application Publication Nos. Hei 8-173370, Hei 5-207962, Hei 4-146717, Hei 9-135804, and 2003-220018 include no change in the shape of the ejection port, resulting in that the angle and direction of ejection of cleaning solution such as saline and/or gas such as carbon dioxide cannot be changed. Also, the technique described in Japanese Unexamined Patent Application Publication No. Sho 61-36718 uses a shape-memory-alloy nozzle, which requires temperature change to be deformed. Using an endoscope within a body cavity may cause the leading end of the endoscope to have a temperature higher than that of the body due to heat from an illumination source, which may result in a deformation of the nozzle shortly after the start of the use of the endoscope independently of the temperature of the cleaning solution. This may also result in that a desired wide area of the leading end face of the endoscope cannot be cleaned.
It is hence an object of the present invention to make adjustable the angle of ejection of fluid at a leading end face of a rigid endoscope by adjusting the flow rate of fluid flowing through a flow path in a rigid-endoscope oversheath.
A first aspect is directed to a rigid-endoscope oversheath having a leading end, a base end, a longitudinal shaft, and a rumen into which a rigid endoscope can be inserted, the oversheath including: a flow path through which fluid (gas such as air and/or liquid such as cleaning solution) flows from the base end toward the leading end along the longitudinal shaft; and an ejection port formed in a leading end portion of the rigid-endoscope oversheath to eject therefrom the fluid flowing through the flow path (the ejection port, through which fluid flows out of the rigid-endoscope oversheath, facing the leading end of the rigid-endoscope oversheath), a peripheral portion of the port being at least partially composed of an elastic member deformable by the fluid flowing through the flow path.
In accordance with the first aspect above, the ejection port is formed in the leading end portion of the rigid-endoscope oversheath to eject therefrom fluid flowing through the flow path from the base end toward the leading end along the longitudinal shaft of the rigid-endoscope oversheath. A peripheral portion of the ejection port is at least partially formed with an elastic member deformable by the fluid flowing through the flow path. Since the peripheral portion of the ejection port is at least partially formed with the elastic member, the ejection port is deformed elastically, when fluid is ejected from the ejection port, according to the flow rate of the fluid. The elastic deformation of the elastic member results in an increase in the size of the ejection port. Since the ejection port is deformed according to the amount of ejection of the fluid, the direction of ejection of the fluid from the ejection port also changes. That is, the direction of ejection of the fluid can be controlled according to the flow rate of the fluid flowing through the flow path. For example, when the flow rate is low, the ejection port is not deformed to remain narrower, so that the fluid is ejected at higher speed. This allows the fluid with even a lower flow rate to be ejected far away in the direction in which the ejection port is opened. When the flow rate is high, the ejection port is deformed to be widened, so that the fluid can be ejected widely. In particular, since this aspect includes no adjustment of the temperature of the fluid, there is no need to raise and keep the temperature of the cleaning solution and/or gas flowing through the flow path higher than that of the body, which allows the direction of ejection of the fluid to be adjusted relatively easily.
The peripheral portion of the ejection port is surrounded by, for example, a soft portion deformable by the fluid flowing through the flow path and a hard portion rigid against the fluid.
The ejection port may be connected with the flow path and formed in a leading end portion of a nozzle facing the center of a leading end face of the rigid-endoscope oversheath.
The hard portion of the ejection port may be fixed with respect to the rigid-endoscope oversheath or may be displaceable with respect to the oversheath.
The upper surface of the nozzle (approximately parallel to a lens surface formed in a leading end face of a rigid endoscope when the rigid endoscope is inserted in the rumen of the rigid-endoscope oversheath) may constitute a relatively soft portion while the side surface of the nozzle (approximately perpendicular to a lens surface formed in a leading end face of a rigid endoscope when the rigid endoscope is inserted in the rumen of the rigid-endoscope oversheath) may constitute a relatively hard portion or the upper surface of the nozzle may constitute a relatively hard portion while the side surface of the nozzle may constitute a relatively soft portion.
The nozzle is composed of, for example, an elastic member.
The rigid-endoscope oversheath may further include a valve at least partially attached to a leading end of the flow path to openably close the leading end of the flow path.
A portion through which the valve is attached to the leading end of the flow path or the valve itself may be composed of the elastic member.
The valve may include first and second valves with one end thereof being attached to a wall surface of the flow path at the leading end of the flow path, and the first and second valves may be configured to openably close the leading end of the flow path.
The first valve may be provided on the outer peripheral side at a leading end face of the rigid-endoscope oversheath, while the second valve may be provided on the inner peripheral side at the leading end face of the rigid-endoscope oversheath, and the first valve may be softer than the second valve.
The rigid-endoscope oversheath may further include a cap to be put on the leading end of the rigid-endoscope oversheath, and the ejection port may be formed in the cap.
A second aspect is directed to a rigid-endoscope oversheath having a leading end, a base end, a longitudinal shaft, and a rumen into which a rigid endoscope can be inserted, the oversheath including: a flow path through which fluid flows from the base end toward the leading end along the longitudinal shaft; and an ejection port formed in a leading end portion of the rigid-endoscope oversheath to eject therefrom the fluid flowing through the flow path, in which the ejection port includes a movable portion displaceable with respect to the rigid-endoscope oversheath and a non-movable portion fixed with respect to the rigid-endoscope oversheath, and the movable portion is urged such that a first area of the ejection port when fluid is ejected from the ejection port is greater than a second area of the ejection port when no fluid is ejected from the ejection port.
In accordance with the second aspect above, the ejection port includes the movable portion displaceable with respect to the rigid-endoscope oversheath and the non-movable portion fixed with respect to the rigid-endoscope oversheath, and the movable portion is urged such that the first area of the ejection port when fluid is ejected from the ejection port is greater than the second area of the ejection port when no fluid is ejected from the ejection port. Since the ejection port is widened according to the amount of ejection of the fluid, the direction of ejection of the fluid from the ejection port also changes. That is, also in this second aspect, the direction of ejection of the fluid can be controlled according to the flow rate of the fluid flowing through the flow path.
The rigid endoscope 1 includes a relatively long cylindrical insertion portion 5 to be inserted into a body cavity. At the base end of the insertion portion 5 is formed an operational portion (gripper) 3. At the rear end (base end) of the operational portion 3 is formed an eye piece 2. On the side surface of the operational portion 3 is formed a light-guide base 4 in a radially standing manner. The light-guide base 4 is intended to receive a light guide (not shown) for illuminating a test object. At the leading end 6 of the insertion portion 5 is attached a cover glass 7.
The rigid-endoscope oversheath 10 is formed with a circular tubular insertion portion 14 to cover the insertion portion 5 of the rigid endoscope 1. Inside the insertion portion 14 is formed an insertion path 15 for receiving the insertion portion 5 of the rigid endoscope 1 therethrough. At the base end of the insertion portion 14 is formed an attachment 12. On the periphery of the attachment 12 is formed a guide groove 11 for arranging the light-guide base 4 of the rigid endoscope 1 in a predetermined position. On the periphery of the attachment 12 is also formed a cleaning base 13 in a radially standing manner. At the leading end face 16 of the insertion portion 14 is formed a cleaning nozzle 20.
The rigid endoscope 1 is covered with the rigid-endoscope oversheath 10 and a tube (not shown) is connected to the cleaning base 13. Cleaning solution flows through the tube and then a flow path (not shown in
When the insertion portion 5 of the rigid endoscope 1 is inserted in the insertion path (rumen) 15 of the rigid-endoscope oversheath 10 so as to be covered with the rigid-endoscope oversheath 10, the leading end face 6 of the rigid endoscope 1 and the leading end face of the rigid-endoscope oversheath 10 lie on approximately the same plane.
The insertion portion 14 of the rigid-endoscope oversheath 10 has a longitudinal shaft (not shown), and a flow path 18 through which fluid such as cleaning solution and/or air flows from the base end toward the leading end is formed longitudinally in the insertion portion 14. As mentioned above, the cleaning nozzle 20 is formed at the leading end face 16 of the insertion portion 14. The cleaning nozzle 20 faces the cover glass 7, that is, the center of the leading end face 16 of the rigid-endoscope oversheath 10.
Referring mainly to
The right and left side surfaces 21, 22 (non-movable portions) of the cleaning nozzle 20 are harder than the upper surface 23 (movable portion) (i.e. the upper surface 23 is softer than the right and left side surfaces 21, 22). For example, the right and left side surfaces 21, 22 are made of polyvinyl chloride (elastic member), while the upper surface 23 is made of styrene-ethylene-butylene-styrene block copolymer (elastic member). The insertion portion 14 may be made of styrene-ethylene-butylene-styrene block copolymer (elastic member) or polyvinyl chloride. It will be understood that the right and left side surfaces 21, 22 and the upper surface 23 of the cleaning nozzle 20 are not necessarily required to adopt respectively different materials as long as the right and left side surfaces 21, 22 are harder than the upper surface 23 (rigid against the fluid). The right and left side surfaces 21, 22 may be thickened using a flexible material, while the upper surface 23 may have a thickness smaller than those of the right and left side surfaces 21, 22. Alternatively, the upper surface 23 may be composed of an elastic member, while the right and left side surfaces 21, 22 may be composed of a non-elastic member.
Fluid such as cleaning solution flows through the flow path 18 of the insertion portion 14 to be ejected from the ejection port 19 of the cleaning nozzle 20. Since the upper surface 23 of the cleaning nozzle 20 is softer than the right and left side surfaces 21, 22 as mentioned above, the upper surface 23 is widened upward in
The fluid ejected from the ejection port 19 brings pressure on the right and left side surfaces 21, 22 and the upper surface 23. Since the upper surface 23 is softer than the right and left side surfaces 21, 22, not the right and left side surfaces 21, 22 but rather the upper surface 23 undergoes deformation. That is, the upper surface 23 is widened upward, namely, the fluid ejected from the ejection port 19 deforms the ejection port 19 itself. The pressure on the right and left side surfaces 21, 22 and the upper surface 23 of the cleaning nozzle 20 varies depending on the amount of ejection of the fluid from the ejection port 19, which causes the ejection port 19 to be deformed according to the flow rate (i.e. the ejection port 19 is not deformed when the flow rate of the fluid is low, while widened when the flow rate of the fluid is high).
As mentioned above, the ejection port 19 of the cleaning nozzle 20 is deformed according to the flow rate of the fluid ejected from the ejection port 19.
When the flow rate of the fluid ejected from the ejection port 19 is low, the pressure on the right and left side surfaces 21, 22 and the upper surface 23, which constitute the cleaning nozzle 20, is also low, resulting in less deformation of the ejection port 19. This causes the fluid to flow in the vicinity of the cover glass 7 as indicated by the arrow. For example, when gas flows through the flow path 18 at a low flow rate, the gas is also ejected from the ejection port 19 at a low flow rate, which causes the gas to flow only in the vicinity of the surface of the cover glass 7, allowing for prevention of condensation due to the difference between the temperature in the body cavity and the surface temperature of the cover glass 7 (gas curtain mode).
When fluid is ejected from the ejection port 19 at a little higher flow rate, the pressure on the right and left side surfaces 21, 22 and the upper surface 23, which constitute the cleaning nozzle 20, also increases a little, which causes the upper surface 23 of the cleaning nozzle 20 to be widened a little upward (leftward in
When fluid is ejected from the ejection port 19 at a higher flow rate, the pressure on the right and left side surfaces 21, 22 and the upper surface 23, which constitute the cleaning nozzle 20, also increases, which causes the upper surface 23 of the cleaning nozzle 20 to be widened upward (leftward in
In the embodiment above, the upper surface 23 of the cleaning nozzle 20 is softer than the right and left side surfaces 21, 22. On the contrary, in this exemplary variation, the right and left side surfaces (movable portions) 21, 22 of the cleaning nozzle 20 are softer than the upper surface 23 (non-movable portion rigid against the fluid). Therefore, when fluid is ejected from the ejection port 19 at a higher flow rate as mentioned above, the right side surface 21 is deformed in such a manner as to expand rightward, while the left side surface 22 is deformed in such a manner as to expand leftward, with the upper surface 23 undergoing less deformation.
When the flow rate is low, the ejection port 19 of the cleaning nozzle 20 undergoes no deformation. Therefore, the fluid is ejected approximately in parallel from the ejection port 19 when viewed from the front of the rigid endoscope 1 (from the front of the cover glass 7) as indicated by the arrows.
When the flow rate is high, the ejection port 19 of the cleaning nozzle 20 is deformed and widened laterally in
The direction of ejection of the fluid can thus be changed laterally (in the width direction) by changing the flow rate of the fluid.
Referring to
In
Since the leading end portion 30 constituting the ejection port 32 is flexible, fluid, when ejected from the ejection port 32 at a higher flow rate, opens the leading end portion 30 to widen the ejection port 32 as indicated by the arrow in
At the leading end of the flow path 18 is formed a valve 41 having the same shape (circular) as the cross-section of the flow path 18. The valve 41 may or may not be flexible. One outer end portion 41A on the peripheral surface of the valve 41 is composed of an elastic member (movable portion) and fixed to a portion of the inner wall surface 18A on the outer side of the flow path 18. The portion 41B other than the one end portion 41A is not fixed to the inner wall surface of the flow path 18 to serve as a free end. As shown in
Fluid flows through the flow path 18 and then presses the valve 41 as indicated by the dot-dashed line, which widens the ejection port 42 as shown in
In the embodiment above, one valve 41 is formed at the leading end of the flow path 18. In this embodiment shown in
The first valve 43 (movable portion) is fixed via one end portion 43A composed of an elastic member to the inner wall 18A on the outer peripheral side at the leading end of the flow path 18 within the insertion portion 14C, while the other end portion 43B is opened. The second valve 44 (movable portion) is fixed via one end portion 44A composed of an elastic member to the inner wall 18B on the inner peripheral side at the leading end of the flow path 18, while the other end portion 44B is opened. The first and second valves 43, 44 have their respective approximately semicircular shapes (see
Fluid flows through the flow path 18 and then presses and opens the first and second valves 43, 44 to result in the ejection port 45 being widened (first area). The fluid flowing through the flow path 18 is then ejected from the ejection port 45. When the flow rate of the fluid is high, the ejection port 45 is widened and thereby the direction of ejection of the fluid also changes similarly as mentioned above.
If both the first and second valves 43, 44 are flexible, the first valve 43 is softer than the second valve 44. This causes the first valve 43 to be deformed more outward (toward the leading end) than the second valve 44, whereby the fluid is ejected toward the center of the rigid-endoscope oversheath 10C (i.e. toward the cover glass 7). On the contrary, if the first and second valves 43, 44 are not flexible, one end portion 43A of the first valve 43 composed of an elastic member is softer than one end portion 44A of the second valve 44 composed of an elastic member. Also in this case, the first valve 43 is deformed more outward than the second valve 44. One of the first and second valves 43, 44 may be flexible, while the other may not be flexible.
One end portion 46A (elastic member) of the first valve 46 is fixed to the inner wall 18A on the outer side at the leading end of the flow path 18, while one end portion 47A (elastic member) of the second valve 47 is fixed to the inner wall 18B on the inner side at the leading end of the flow path 18 similarly as mentioned above. Unlike the first and second valves 43, 44 shown in
When no fluid flows through the flow path 18, the first and second valves 46, 47 close the leading end of the flow path 18. When fluid flows through the flow path 18, the first and second valves 46, 47 are opened to provide an ejection port 48. When no fluid flows through the flow path 18, the ejection port 48 is closed. Also in this exemplary variation, the ejection port 48 is deformed according to the flow rate of the fluid and thereby the direction of ejection of the fluid from the ejection port 48 also changes.
In the embodiments above, all the first valves 43, 46 and the second valves 44, 47 may or may not be flexible. In addition, the first valves 43, 46 may be softer than the second valves 44, 47. When the fluid flows, the first valves 43, 46 are more open than the second valves 44, 47, whereby the direction of ejection of the fluid from the ejection ports 45, 48 can be adjusted.
In the embodiments above, when no fluid flows through the flow path 18 (i.e. no fluid is ejected from the ejection port 42), the leading end of the flow path 18 is closed. Therefore, even when the rigid endoscope 1 is inserted into a body cavity expanded by carbon dioxide and the like, it is possible to prevent carbon dioxide filling the body cavity from counterflowing into the flow path 18. It is preferable to form a stopper in the flow path 18 to prevent the valve 41 shown in
In the embodiments shown in
In the leading end face 51 of the cap 50 is formed an opening 52. When the rigid endoscope 1 is covered with the rigid-endoscope oversheath 10D on which the cap 50 is put, the cover glass 52 provided at the leading end of the rigid endoscope 1 can be seen through the opening 52.
As shown in
The cap 50 has a circular tubular shape with an inside diameter of ādā approximately the same as the outside diameter of the insertion portion 14D of the rigid-endoscope oversheath 10D.
As shown in
Since the cleaning nozzle 60 includes the relatively soft upper surface 63 and relatively hard side surfaces 64, 65, the ejection port 62 is deformed according to the flow rate of the fluid flowing through the ejection port 62 (see
Although the upper surface 63 of the cleaning nozzle 60 is relatively soft while the side surfaces 64, 65 are relatively hard in the embodiment above, the upper surface 63 may be relatively hard while the side surfaces 64, 65 may be relatively soft. As shown in
Although in the embodiment above, the cleaning nozzle 60 formed in the cap 50 is of the same kind as the cleaning nozzle 20 shown in
Although in the embodiment above, the cap 50 is fitted onto the leading end of the insertion portion of the rigid-endoscope oversheath 10D, not such a fitting type but another type of fixation may be employed such as fixing the rear end face of the cap 50 adhesively, threadably, or weldedly to the leading end face of the rigid-endoscope oversheath 10D.
Although in the embodiment above, the cleaning nozzle 60 is formed in the cap 50 to be put on the rigid-endoscope oversheath 10D, such a cleaning nozzle 60 may be formed similarly in a cap to be put on the rigid endoscope 1 itself. Such a cap may serve as the above-described rigid-endoscope oversheath 10, for example.
Number | Date | Country | Kind |
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2011-128857 | Jun 2011 | JP | national |