The present disclosure relates to an ultrasound endoscope.
For observing the property of body tissue or material that is an observation target, ultrasound waves are applied in some cases. More particularly, an ultrasound observation apparatus can acquire information related to the property of the observation target, by performing predetermined signal processing on an ultrasound echo received from an ultrasound transducer that transmits and receives ultrasound waves.
The ultrasound transducer includes a plurality of piezoelectric elements that converts an electrical pulse signal into an ultrasound pulse (acoustic pulse), emits the ultrasound pulse onto the observation target, converts the ultrasound echo reflected by the observation target, into an electrical echo signal, and outputs the electrical echo signal. For example, by arranging a plurality of piezoelectric elements along a predetermined direction, and electrically switching an element involved in the transmission and reception, or delaying the transmission and reception of each element, an ultrasound echo is acquired from the observation target.
There are known a plurality of types of ultrasound transducers having different ultrasound-beam transmission and reception directions, such as a convex type, a linear type, and a radial type. Among these types, for example as disclosed in JP 2004-254942 A, a convex-type ultrasound transducer includes a plurality of piezoelectric elements arrayed along a curved surface, and each element emits an ultrasound beam in a radial direction of the curved surface. JP 2004-254942 A discloses a configuration in which a convex-type ultrasound transducer is provided at a distal end of an insertion portion of an ultrasound endoscope.
An ultrasound endoscope according to one aspect of the present disclosure includes: an insertion portion to be inserted into a subject; an ultrasound functional unit provided at a distal end of the insertion portion, the ultrasound functional unit including an ultrasound transducer configured to transmit and receive an ultrasound wave on a surface including a longitudinal axis of the insertion portion, the surface being parallel to the longitudinal axis; and an endoscope functional unit connected to the ultrasound functional unit, the endoscope functional unit at least including: a balloon locking portion having a groove shape that can lock a balloon; and an imaging optical system, wherein a first plane passes, in a direction of the longitudinal axis of the insertion portion, through an end portion of the ultrasound transducer near the endoscope functional unit, the first plane being perpendicular to the longitudinal axis of the insertion portion, and the first plane is positioned closer to a proximal end than a second plane passing through an end portion of the endoscope functional unit near the ultrasound functional unit, the end portion of the endoscope functional unit being a boundary between the ultrasound functional unit and the endoscope functional unit.
The above and other features, advantages and technical and industrial significance of this disclosure will be better understood by reading the following detailed description of presently preferred embodiments of the disclosure, when considered in connection with the accompanying drawings.
Embodiments will be described below with reference to the drawings. In addition, the present disclosure is not limited by the embodiment to be described below. Furthermore, in the description of the drawings, the same parts are assigned the same signs.
The ultrasound endoscope 2 converts an electrical pulse signal received from the ultrasound observation apparatus 3, into an ultrasound pulse (acoustic pulse), emits the ultrasound pulse onto a subject at its distal end portion, converts an ultrasound echo reflected by the subject, into an electrical echo signal represented by voltage change, and outputs the electrical echo signal.
The ultrasound endoscope 2 includes an imaging optical system and an image sensor, is inserted into a digestive tract (esophagus, stomach, duodenum, large intestine) or a respiratory organ (trachea, bronchus) of the subject, and can perform capturing of the digestive tract or the respiratory organ. In addition, their adjacent organs (pancreas, cholecystis, biliary duct, biliary tract, lymph nodes, mediastinum organ, blood vessels, etc.) can be captured using ultrasound waves. In addition, the ultrasound endoscope 2 includes a light guide that guides illumination light to be emitted onto a subject when optical capturing is performed. The light guide has a distal end portion and a proximal end portion. The distal end portion reaches a distal end of an insertion portion to be inserted into a subject of the ultrasound endoscope 2. On the other hand, the proximal end portion is connected to the light source device 6 that generates illumination light.
As illustrated in
The ultrasound transducer 7 may be any of a convex transducer and a linear transducer. In the first embodiment, the description will be given assuming that the ultrasound endoscope 2 electrically performs scanning by providing, as the ultrasound transducer 7, a plurality of piezoelectric elements in an array, and electrically switching a piezoelectric element involved in transmission and reception, or delaying transmission and reception of each piezoelectric element. Nevertheless, the ultrasound endoscope 2 may mechanically scan the ultrasound transducer 7. A configuration of the ultrasound transducer 7 will be described later.
The operating unit 22 is a portion that is connected to a proximal end side of the insertion portion 21, and receives various operations from a doctor or the like. As illustrated in
The universal cord 23 is a cable extending from the operating unit 22, and in which a plurality of signal cables for transferring various signals, optical fibers for transferring illumination light supplied from the light source device 6, and the like are laid.
The connector 24 is provided at a distal end of the universal cord 23. In addition, the connector 24 includes first to third connector portions 241 to 243 to which an ultrasound cable 31, a video cable 41, and an optical fiber cable 61 are respectively connected.
The ultrasound observation apparatus 3 electrically-connects to the ultrasound endoscope 2 via the ultrasound cable 31 (
The endoscope observation apparatus 4 electrically-connects to the ultrasound endoscope 2 via the video cable 41 (
The display device 5 is formed by using a liquid crystal, an organic electro luminescence (EL), a projector, a cathode ray tube (CRT), or the like, and displays the ultrasound image generated in the ultrasound observation apparatus 3, the endoscope image generated in the endoscope observation apparatus 4, and the like.
The light source device 6 connects to the ultrasound endoscope 2 via the optical fiber cable 61 (
Subsequently, a configuration of the ultrasound transducer 7 provided at the distal end of the insertion portion 21 will be described with reference to
The ultrasound transducer 7 includes the piezoelectric element group 71 having a prismatic shape, and including a plurality of piezoelectric elements arranged with a uniform longitudinal direction, an acoustic matching layer 72 each provided on the outer surface side of the ultrasound transducer 7 for the piezoelectric element group 71, an acoustic lens 73 provided on an opposite side to the side of the acoustic matching layer 72 that is in contact with the piezoelectric element group 71, a relay board 74 that electrically connects each piezoelectric element of the piezoelectric element group 71, and a cable into which the insertion portion 21 is inserted, and a backing material (not illustrated) provided on an opposite side to a side of the piezoelectric element group 71 that is in contact with the acoustic matching layer 72 (refer to
The piezoelectric element converts an electrical pulse signal into an ultrasound pulse (acoustic pulse), emits the ultrasound pulse onto a subject, converts an ultrasound echo reflected by the subject, into an electrical echo signal represented by a voltage change, and outputs the electrical echo signal.
The acoustic matching layer 72 matches acoustic impedance between a piezoelectric element and an observation target for efficiently transmitting sound (ultrasound waves) between the piezoelectric element group 71 and the observation target. The acoustic matching layer 72 may be formed of a plurality of layers made of materials different from each other, or may be one layer depending on the properties of the piezoelectric element and the observation target.
The acoustic lens 73 covers the acoustic matching layer 72 and the outer surface of the wall portion. The acoustic lens 73 constitutes a part of the outer surface of the ultrasound transducer 7. The acoustic lens 73 is formed by using silicone, polymethylpentene, epoxy resin, polyetherimide, and the like. One surface of the acoustic lens 73 has a convex shape or a concave shape so as to have a function of stopping down ultrasound waves. The acoustic lens 73 emits ultrasound waves having passed through the acoustic matching layer 72, to the outside, or takes in an ultrasound echo from the outside. The acoustic lens 73 can be arbitrarily provided, and a configuration not including the acoustic lens 73 may be employed.
The backing material attenuates unnecessary ultrasound vibration generated by an operation of the piezoelectric element. The backing material is formed by using material having a large attenuation rate, such as, for example, epoxy resin in which fillers such as alumina and zirconia are dispersed, or rubber in which the aforementioned fillers are dispersed.
As mentioned above, the ultrasound functional unit 214 detachably connects with the endoscope functional unit 215. More particularly, the ultrasound functional unit 214 includes a main body portion 214a that holds the ultrasound transducer 7, and a protrusion portion 214b that protrudes from the main body portion 214a, and connects with the endoscope functional unit 215. In contrast to this, the endoscope functional unit 215 includes a hole portion 215d that is provided at an end portion on the opposite side to a side connecting with the curve portion 212, and is a hole connecting with the ultrasound functional unit 214, and a balloon locking portion 215e having a groove shape that can lock a balloon (not illustrated). The ultrasound functional unit 214 and the endoscope functional unit 215 connect to each other by the protrusion portion 214b fitting into the hole portion 215d. At this time, both units may be fixed by a known method such as adhesive agent and screwing.
The ultrasound transducer 7 having the above configuration emits ultrasound waves onto an observation target via the acoustic matching layer 72 and the acoustic lens 73 by each piezoelectric element vibrating according to an input of a pulse signal. At this time, in the piezoelectric elements, on an opposite side to an arrangement side of the acoustic matching layer 72 and the acoustic lens 73, due to the backing material, vibration of the piezoelectric elements is attenuated, and the vibration of the piezoelectric elements is not transmitted. In addition, ultrasound waves reflected by the observation target are transmitted to each piezoelectric element via the acoustic matching layer 72 and the acoustic lens 73. The piezoelectric element vibrates according to the transmitted ultrasound waves, and the piezoelectric element converts the vibration into an electrical echo signal, and outputs, as an echo signal, the electrical echo signal to the ultrasound observation apparatus 3 via a cable (not illustrated).
Subsequently, the arrangement of the ultrasound transducer 7 in the ultrasound functional unit 214 will be described with reference to
For example, in the case of increasing a curvature radius of a curved surface of the ultrasound transducer 7 (curved surface passing through distal ends of a plurality of piezoelectric elements) without changing the size and the number of piezoelectric elements, even if the ultrasound transducer 7 upsizes, if an end portion on the proximal end side of the ultrasound transducer 7 is extended toward the proximal end side in the longitudinal axis N direction of the insertion portion 21 so as to satisfy a positional relationship with the plane P1 and the plane P2, without elongating an end portion on the distal end side of the ultrasound transducer 7, even if the ultrasound transducer 7 upsizes, the insertion portion 21 can be formed without elongating an extension length in the longitudinal axis direction of the insertion portion 21.
According to the first embodiment described above, in the longitudinal axis direction of the insertion portion 21, the plane P1 passing through an end portion on the endoscope functional unit 215 side of the ultrasound transducer 7, and being perpendicular to the longitudinal axis of the insertion portion 21 is positioned on the proximal end side of the plane P2 passing through an end portion of the endoscope functional unit 215 that serves as a boundary between the ultrasound functional unit 214 and the endoscope functional unit 215, and is an end portion on the ultrasound functional unit 214 side of the hole portion 215d. Thus, a curvature radius of the ultrasound transducer 7 can be increased without elongating an extension length of the ultrasound transducer 7, and without causing upsizing.
In addition, in the aforementioned first embodiment, the description has been given using the 1D array as an example. Alternatively, a 1.25D array, 1.5D array, 1.75D array, and the like, in which a plurality of piezoelectric elements (vibration portions) is arrayed in a direction (elevation direction) substantially-perpendicular to a scanning direction of the ultrasound transducer (an array direction of the piezoelectric elements in the 1D array), can also be applied. In addition, in the first embodiment, 1.25D, 1.5D, and 1.75D that are divided in the elevation direction, and acquire one ultrasound image in the scanning direction are included assuming that a plurality of piezoelectric elements is one-dimensionally arrayed.
In addition, in the aforementioned first embodiment, the description has been given assuming that the ultrasound functional unit 214 and the endoscope functional unit 215 are separate units. Nevertheless, if the aforementioned positional relationship with the plane P1 and the plane P2 is satisfied, the units may be integrally provided.
More particularly, the projection portion 214c is provided at an end portion of the main body portion 214a on a side connecting with the endoscope functional unit 215. In addition, the recessed portion 215f is provided on a surface that is the outer circumferential surface of the hole portion 215d, and is in contact with the ultrasound functional unit 214, according to a formation position of the projection portion 214c. The projection portion 214c can fit into the recessed portion 215f, and at least a side surface in a direction rotating around the longitudinal axis of the insertion portion 21 fits thereinto with being in contact with a wall surface of the recessed portion 215f.
According to this modified example, the main body portion 214a is provided with the projection portion 214c, and the recessed portion 215f is provided on the outer circumferential surface of the hole portion 215d, and the projection portion 214c fits into with being in contact with the wall surface of the recessed portion 215f, at least on the side surface in the direction rotating around the axis N being parallel to the longitudinal axis of the insertion portion 21. Thus, the ultrasound functional unit 214 and the endoscope functional unit 215 can be relatively positioned, and the ultrasound functional unit 214 can suppress the rotation around the longitudinal axis of the insertion portion 21.
As illustrated in
Subsequently, the arrangement of the ultrasound transducer 7 in the ultrasound functional unit 216a will be described with reference to
For example, in the case of increasing a curvature radius of a curved surface of the ultrasound transducer 7 (curved surface passing through distal ends of a plurality of piezoelectric elements) without changing the size and the number of piezoelectric elements, if an end portion on the proximal end side of the ultrasound transducer 7 is extended toward the proximal end side of the insertion portion 21 so as to satisfy a positional relationship with the plane P3 and the plane P4, without elongating an end portion on the distal end side of the ultrasound transducer 7, even if the ultrasound transducer 7 upsizes, the insertion portion 21 can be formed without elongating an extension length in the longitudinal axis direction of the insertion portion 21.
m
2=2×R sin (θ1/2) (1)
m3=m2 cos θ2 (2)
m1<m3 (3)
D2<m4<D1 (4)
In addition, as in the aforementioned first embodiment, the outer surface of the ultrasound transducer 7 is provided so as not to interfere with the axis (axis L1) extending in an extending direction of the processing tool protruding from the processing tool protrusion port 216bc. Thus, if the ultrasound transducer 7 satisfies the aforementioned positional relationship with the plane P3 and the plane P4, the ultrasound transducer 7 does not interfere with an operation of the processing tool protruding from the processing tool protrusion port 216bc.
In addition, the axis (axis L2) passing through the center of the ultrasound transducer 7 in a direction perpendicular to the longitudinal axis direction of the insertion portion 21, and being parallel to the longitudinal axis direction of the insertion portion 21 is provided to be offset with respect to the axis (axis L3) passing through the center of the observation window 216ba, and being parallel to the longitudinal axis direction of the insertion portion 21. Thus, for example, even if the outer surface of the acoustic lens 73 forms a convex shape along a direction perpendicular to the longitudinal axis direction of the insertion portion 21, the ultrasound transducer 7 does not interfere with light entering the observation window 216ba.
In addition, the outer surface of the ultrasound transducer 7 does not interfere with the optical axis (optical axis L4) of light entering the observation window 216ba, and the optical axis (optical axis L5) of illumination light emitted by the illumination window 216bb constituting a part of the illumination optical system. Thus, if the ultrasound transducer 7 satisfies the aforementioned positional relationship with the plane P3 and the plane P4, the ultrasound transducer 7 does not interfere with observation light entering the observation optical system, and illumination light emitted from the illumination window 216bb.
According to the second embodiment described above, the plane P3 passes, in the longitudinal axis direction of the insertion portion 21, through an end portion near the endoscope functional unit 216b of the ultrasound transducer 7 and is perpendicular to the longitudinal axis of the insertion portion 21. The plane P3 is positioned closer to the proximal end than the plane P4 passing through an end portion of the balloon locking portion 216c near the ultrasound functional unit 216a. Thus, a curvature radius of the ultrasound transducer 7 can be increased without elongating an extension length of the ultrasound transducer 7, and without causing upsizing.
In addition, an ultrasound miniature probe not having an optical system and having a thin diameter may be applied as the ultrasound endoscope. The ultrasound miniature probe is normally inserted into a biliary tract, biliary duct, pancreas duct, trachea, bronchus, urethra, or ureter, and is used when their adjacent organs (pancreas, lung, glandula prostatica, urinary bladder, lymph nodes, etc.) are observed.
In addition, an external ultrasound probe that emits ultrasound waves from a body surface of a subject may be applied as an ultrasound endoscope. The external ultrasound probe is normally used when abdominal organs (liver, cholecystis, urinary bladder), breast (in particular, glandula mammaria), and glandula thyreoidea are observed.
As described above, an ultrasound endoscope according to the present disclosure is useful in increasing a curvature radius of an ultrasound transducer without causing upsizing.
Additional advantages and modifications will readily occur to those skilled in the art. Therefore, the disclosure 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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2015-126052 | Jun 2015 | JP | national |
This application is a continuation of PCT international application Ser. No. PCT/JP2016/060836 filed on Mar. 31, 2016 which designates the United States, incorporated herein by reference, and which claims the benefit of priority from Japanese Patent Applications No. 2015-126052, filed on Jun. 23, 2015, incorporated herein by reference.
Number | Date | Country | |
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Parent | PCT/JP2016/060836 | Mar 2016 | US |
Child | 15841512 | US |