Patent Application
20060266423
1. Field of the Invention
The present invention relates to a water feeding device for an endoscope, and particularly to a water feeding device for an endoscope for supplying liquid into an object under observation by using a dedicated water feeding pipeline disposed in the endoscope and each kind of water feeding pipe line used through a treatment instrument insertion channel or a water feeding pipe provided to the treatment instrument.
2. Description of the Related Art
In the related-art endoscope device, a dedicated water feeding pipe line (so-called water jet pipe) is provided in an endoscope (scope), and cleaning physiological saline or drug solution for medical treatments is supplied to an object under observation (diseased part or the like) by a water feeding pump portion. The water feeding pipe is disposed separately from an air-feeding/water-feeding pipe line for cleaning an observation window of an object optical system.
The endoscope device is provided with a treatment instrument insertion channel through which various kinds of treatment instruments are introduced, and liquid corresponding to the condition of an object under observation, the difference in treatment or the like is injected directly into the treatment instrument insertion channel, or a water feeding tube having each diameter is inserted into the treatment instrument insertion channel and then the liquid is injected into the water feeding tube. According to this endoscope device, a water feeding tube having a different diameter from that of the water jet pipe is used, and thus there is an advantage that the water feeding range (the breadth of the water feeding port), the water feeding amount or the water feeding speed can be selected in connection with the situation.
A treatment instrument having a water feeding pipe line has been recently used. For example, with respect to a high-frequency knife for ablating a living tissue by high-frequency incision, cleaning water such as physiological saline or the like is fed from an affixed water feeding pipe line during cautery incision to clean a blood-issued part or the like.
It is structurally vain that a water feeding pump portion (water feeding device) for supplying liquid is disposed for each of the dedicated in-endoscope water feeding (water jet) pipe line and the water feeding pipes used while inserted through the treatment instrument insertion channel. Therefore, according to the related-art endoscope devices, each of these pipe line and pipes is used while connected to the connection pipe of one water feeding pump portion. However, there is a problem that it is cumbersome to carry out a replacing work (i.e., connection replacement) between the water jet pipe and each water feeding pipe using the treatment instrument insertion channel, and thus there is a disadvantage that a wasting time must be consumed to carry out the connection replacement work during an observation or treatment work using the endoscope (e.g. see JP-A-2002-177208 and JP-A-2001-321332).
Furthermore, in the related-art endoscope devices, a soft tube such as a silicon tube or the like is used for the water feeding connection pipe for connecting the water jet pipe and the water feeding pump portion, and thus there is a problem that there occurs a phenomenon (so-called creep) that residual water in the tube is fed even after a water feeding switch is stopped. That is, when the flow rate is increased (the flow amount is increased) toward the jet orifice of the water feeding pipe (a jet port in the case of the water jet pipe), the soft tube is expanded by the pressure of the fed water, and liquid existing in the expanded portion of the tube flows out after the water feeding operation is stopped.
The present invention has been implemented in view of the foregoing problem, and has an object to provide a water feeding device for an endoscope in which it is unnecessary to carry out the replacing work (connection replacement) between a dedicated water feeding pipe line and a water feeding pipe line using a treatment instrument insertion channel, so that observation and treatments based on the endoscope can be rapidly performed, and also no residual water flows out after water feeding is stopped.
In order to attain the above object, according to a first aspect of the invention, a water feeding device for an endoscope, comprises: a first water feeding pipe line connected to an in-endoscope water feeding pipe line that feeds liquid into an object under observation; a second water feeding pipe line that is introduced into the object under observation through a treatment instrument insertion channel of the endoscope and supplies liquid; a water feeding pump portion that supplies liquid stored in a storage portion by a pump; and a pipe line switching section that selectively supplies the liquid stocked in the storage portion to the first and second water feeding pipe lines.
According to a second aspect of the invention, in the first aspect of the invention, the pipe line switching section comprises a change-over valve that switches the first water feeding pipe line and the second water feeding pipe line, the change-over valve being disposed between the water feeding pump portion and the first and second water feeding pipe lines.
According to a third aspect of the invention, in the first aspect of the invention, the pipe line switching section comprises a first-pump for the first water feeding pipe line and a second pump for the second water feeding pipe line, the first and second pump being provided in the water feeding pump portion, and the first and second pumps are operable to be switched to each other.
According to a fourth aspect of the invention, in the second aspect of the invention, the water feeding device further comprises a connecting pipe that connects the water feeding pump portion and the change-over valve, wherein each of the connecting pipe and the first water feeding pipe line comprises a hard synthetic resin pipe.
According to the second aspect of the invention, the first water feeding pipe line and the second water feeding pipe line are switched to each other by the change-over valve such as a three-way turncock or the like, for example, and water feeding can be executed on a desired water feeding pipeline without replacing each water feeding pipe line to another pipe line.
According to the third aspect of the invention, the first water feeding pipe line is connected to the pump for the first water feeding pipe line, and the second water feeding pipe line is connected to the pump for the second water feeding pipe line, and these pumps are selectively operated by a foot switch or the like, whereby water feeding can be carried out on a desired water feeding pipe line.
According to the fourth aspect of the invention, the connecting pipe for connecting the water feeding pump portion and the change-over valve and the first water feeding pipe line are formed of hard synthetic resin pipes, and thus even when relatively high water feeding pressure is applied, these pipes are not expanded and no residual water flows out after the water feeding is stopped.
According to the water feeding device for the endoscope of any of the first to fourth aspects of the present invention, it is unnecessary to carry out the replacing work (the connection replacement work) between the dedicated water feeding pipe line (water jet pipe) and the water feeding pipeline using the treatment instrument insertion channel, and the observation and treatment using the endoscope can be rapidly performed. Furthermore, by using the hard synthetic resin pipe, flow-out of residual water after water feeding is stopped can be prevented.
Also, when there is used a dedicated in-endoscope water feeding (water jet) pipe line or a water feeding pipe used while inserted through the treatment instrument channel is used, dust or materials or the like of the object under observation clogs at the injection port of the water feeding pipe or a synthetic resin tube between the endoscope and the water feeding pump portion may be trodden in some cases. In such a case, the water feeding pressure in the pipe increases abnormally, and thus there occurs a disadvantage that the various kinds of water feeding pipes containing the water jet pipe are damaged or the water feeding tube is detached at the connection portion.
Recently, not only the water jet pipe, but also various kinds of water feeding pipes using the treatment instrument insertion channels have been used, and thus the constructions of the pipe lines have been complicated. Furthermore, the water feeding conditions of the flow rate, the pressure, etc. have been complicated, and thus the probability that the above disadvantage occurs has been higher and higher.
The present invention has been implemented in view of the foregoing problem, and has an object to provide a water feeding device for an endoscope in which the water feeding pressure in a pipe can be prevented from increasing abnormally, and damage of water feeding pipes such as a water jet pipe, etc. and detachment of a water feeding tube at a connection portion can be prevented.
In order to attain the above object, according to a fifth aspect of the invention, a water feeding device for an endoscope, comprises: a water feeding pump portion that supplies liquid in a storage portion by a pump; a water feeding pipe line that is disposed so as to pass from the water feeding pump portion through the endoscope and supplies liquid to an object under observation; and one of an orifice and an automatic opening/closing type pressure relief valve, that limits the maximum water feeding pressure (the pressure of fluid in a pipe line) and is provided to a water feeding pipe line disposed between the water feeding pump portion and the endoscope.
According to a sixth aspect of the invention, in the fifth aspect of the invention, at least one of a first water feeding pipe line connected to the water feeding pipe line in the endoscope and a second water feeding pipe line to be introduced through a treatment instrument insertion channel of the endoscope is connected to the water feeding pump portion, and said one of the orifice and the automatic opening/closing type pressure relief valve is provided to an output port pipe connected to said at least one of the first and second water feeding pipe.
According to a seventh aspect of the invention, in the fifth aspect of the invention, the water feeding device for the endoscope further comprises a pipe line that returns liquid flowing out from said one of the orifice and the automatic opening/closing type pressure relief valve to the storage portion, the pipe line being provided between: one of the orifice and the pressure relief valve; and the storage portion.
According to the fifth to seventh aspects of the present invention, when the pressure in the water feeding pipe line is equal to or more than the maximum water feeding pressure set by the orifice or pressure relief valve, the liquid flows out from the orifice or pressure relief valve, so that the pressure equal to or higher than the maximum water feeding pressure can be prevented from being applied to the water feeding pipe line.
According to the construction of the seventh aspect of the invention, the liquid flowing out from the orifice or pressure relief valve is returned to the storage portion by the return pipe line (feedback path), and thus the liquid is re-used.
According to the fifth to seventh aspect of the water feeding device for the endoscope of the present invention, since the water feeding pressure does not abnormally increase, the water jet pipe or each kind of water feeding pipe used while inserted through the treatment instrument insertion channel is neither damaged-nor broken, and the water feeding tube is prevented from being detached at the connection portion, so that excellent use of the observation and the treatment can be secured.
Liquid such as physiological saline, drug solution or the like to be fed to an object under observation is stocked in a storage tank, and the liquid in the tank is fed to the object under observation through a water feeding device and a water feeding pipe in an endoscope. Sanitary supervision is required to the tank and the liquid in the tank. Furthermore, in the examination and treatment using an endoscope, liquid in the same tank is frequently used for plural persons being tested, patients, and in such a case a system mechanism for preventing backflow of liquid from a water feeding pipe at the endoscope side into the tank is required from the viewpoint of hygiene, bacterial infection, etc.
Furthermore, in the examination and treatment using the endoscope, drug solution such as antifoaming agent or the like is injected to liquid such as physiological saline or the like as occasion demands, and it is also required to facilitate proper injection of drug solution as described above. Furthermore, the related-art liquid tank 1 is designed so that a take-out pipe 2 is disposed so as to extend from a cap 1a to the lower side as shown in
The present invention has been implemented in view of the foregoing problem and has an object to provide a water feeding device for an endoscope that enables a disposable container dedicated to the same patient and thus can keep the container under a high sanitary state, and also that can facilitate proper injection of drug solution and further enable all the liquid in a container to be perfectly used.
In order to attain the above object, according to an eight aspect of the invention, in the first or fifth aspect of the invention, the storage portion comprises a liquid container, the liquid container comprising: a liquid container comprising (i) a fitting member that is fitted to and suspended by a suspending member, (ii) a main body that stocks liquid and (iii) a rubber liquid take-out portion that is disposed at a lower portion of the main body and through which an injection needle penetrates, and the water feeding device further comprises a connection pipe line that is connected to the water feeding pump portion and to which the injection needle is secured, and liquid is fed from the liquid container to the water feeding pump portion under the state that the liquid container is suspended by the suspending member and the injection needle is stung.
According to a ninth aspect of the invention, the connection pipe line to which the injection needle is secured comprises a connector (for example, Luer lock connection type connector) that selectively connecting the injection needle and a take-out pipe line equipped to a tank.
According to an eight aspect of the present invention, a liquid bag (pack) using a synthetic resin soft bag-can be used as the liquid container as in the case of the related-art fluid infusion (blood infusion). The liquid container is suspended by the suspending member, and the injection needle is stung into the rubber liquid take-out portion at the lower portion of the liquid container, whereby liquid in the liquid container is supplied through the connection pipe line to the water feeding pump portion, and the liquid is fed from the water feeding pump portion through the water feeding pipe line in the endoscope into the object under observation. At this time, a syringe needle in which drug solution is filled may be stung into the rubber liquid take-out portion to add the drug solution to the liquid.
According to the ninth aspect of the invention, the injection needle and the take-out pipe of the related-art tank can be exchanged by a Luer lock connection type connector, for example, and each of the liquid bag of the present invention and the tank equipped with the take-out pipe line can be selected as occasion demands.
According to the endoscope of the eighth or ninth aspect of the invention, the liquid bag or the like can be used as a container which can be used only once (single use) dedicated to the same patient, and a high sanitary state can be secured. Furthermore, drug solution to be added to liquid fed into the object under observation can be easily properly injected, and further all the liquid in the container can be perfectly used with no residual.
The endoscope 10 is equipped with a treatment instrument insertion channel 17a which also serves as a suction pipe, and a suction pipe 17b intercommunicating with the treatment instrument insertion channel 17a, and the treatment instrument insertion channel 17a is provided with a forceps port (treatment instrument insertion port) 20 is provided at the position corresponding to the operating portion 10B. A second water feeding pipe 18 is inserted from the forceps port 20 into the treatment instrument channel 17a, and water feeding tubes formed of hard synthetic resin and having various diameters and water feeding pipes provided for treatment instruments such as a high-frequency knife, etc. exist as the second water feeding pipe 18.
An air-feeding/water-feeding operation valve (switch) 22 is provided at some midpoint in the air-feeding pipe 16b and the water-feeding pipe 16c for cleaning the observation window described above, and a tank (first water feeding tank) 23 is connected to the air-feeding pipe 16b and the water-feeding pipe 16c. The air-feeding pipe 16b is connected through the connection pipe 16d to a pump 24 inside (separately from) the light source 13, and air feeding and water feeding to the observation window are carried out by a two-step pushing operation of the air-feeding/water-feeding operation valve 22, for example. Furthermore, the suction pipe 17b is provided with a suction operation valve (switch) 27 at some midpoint thereof, and it is connected to a suction device through the connection pipe of the connector 12. By operating the suction operation valve 27, contents in the object under observation can be sucked (through 17a, 17b) and discharged.
The water feeding device for the endoscope is equipped with a water feeding pump portion 30 for feeding liquid into the object under observation, and the water feeding pump portion 30 is quipped with a pump portion main body 31 having a motor and a control circuit, a pump 32 disposed at the front side of the main body 31, a foot switch 33 for carrying out a water feeding operation and a tank (second water feeding tank) 34. The tank 34 is connected to the pump 32 (input port) through the connection pipe 15d. The pump 32 is designed so that a soft water feeding tube is disposed circumferentially on outer periphery of a rotor, a pressing member which rotationally moves while crushing the tube is secured on the outer periphery of the rotor, and liquid in the tube is pushed out by rotating the rotor, thereby feeding water.
In this embodiment, the first water feeding pipe 15b and the connection pipe 15c are provided to connect the pump 32 (the output part) and the water jet pipe 15a disposed in the endoscope 10, and the pipe line change-over valve 36 (1 input and 2 outputs) comprising the three-way turncock, a choke valve, etc. is provided between the first water feeding pipe 15b and the connection pipe 15c. The connection pipe 15c at the pump 32 side is connected to the one input of the change-over valve 36, and the first water feeding pipe 15b and the second water feeding pipe 18 are connected to the two outputs of the change-over valve 36. That is, according to this embodiment, the water feeding operation using the water jet pipe 15a in the endoscope and the water feeding operation using the second water feeding pipe 18 corresponding to each water feeding tube having each diameter or a water feeding pipe provided to a treatment instrument such as a high-frequency knife or the like, which is introduced from a forceps port 20 through a treatment instrument insertion channel 17a into an object under observation are selectively switched to each other and used by manually operating the change-over valve 36.
According to the-embodiment 1-1 as described above, any one of the water feeding operation using the water jet pipe 15a (first water feeding pipe 15b) provided in the endoscope and the water feeding operation using the second water feeding pipe 18 comprising each water feeding tube having each diameter or the water feeding pipe provided to the treatment instrument such as the high-frequency knife or the like which is introduced from the forceps port 20 through the treatment instrument insertion channel 16a into the object under observation can be selected by manually operating the mechanical change-over valve 36, and the water feeding operation under various conditions can be executed in accordance with the observation/treatment condition. The water feeding operation can be carried out on both the pipes 15a and 18 by operating the change-over valve 36.
Furthermore, as shown in
According to the embodiment 1-2 as described above, one of the first pump 32A and the second pump 32B is operated by operating the foot switch 40, and any one of the water feeding operation using the water jet pipe 15a (and the first water deeding pipe 15b) and the water feeding operation using the second water feeding pipe 18 which is inserted through the treatment instrument insertion channel 17a and corresponds to the water feeding tube of each diameter or the water feeding pipe provided to the treatment instrument such as a high-frequency knife or the like can be selected, and the water feeding under each condition corresponding to the observation/treatment condition can be executed. Both the pumps 32A and 32B can be operated.
FIGS. 5 to 8 show the specific construction of the water feeding pump portion and the tank in the embodiment 1-1 (which is also applicable to the embodiment 1-2). As shown in
According to the connection pipe 15c and the first water feeding pipe 15b which are formed of such hard synthetic resin pipes, after the water feeding operation is stopped by the foot switch 33, the residual water in the pipes is prevented from flowing out from the outlet of the water jet pipe 15a at the tip of the endoscope.
In
Furthermore, the tank 34 is formed so as to have a capacity of 1000 ml or more. That is, the tank capacity of the prior art is set to about 500 ml. Since liquid of 200 to 300 ml or more is used for each case to clean mucous membrane, etc. of a site under observation in the observation and treatment using the endoscope, and thus there has frequently occurred such a case that the tank does not satisfy the liquid amount necessary for three cases. However, this embodiment has a capacity of 1000 ml or more, and thus the liquid amount required for four cases or more can be secured.
Furthermore, as shown in
The overall construction of the water feeding device for an endoscope according to the embodiment 2 is same as in the embodiment 1 (See
In the embodiment 2, an orifice 55 for setting the maximum water feeding pressure in the pipe is provided to the output port pipe 47 of the pump 32.
According to the embodiment 2, as shown in
An orifice having a predetermined diameter may be formed as the orifice 55 by crushing a soft synthetic resin tube with a pinch valve or the like. In this case, the tube itself constituting the orifice is set as the return pipe 58, or the tube is connected to the return pipe 58.
According to the construction of the embodiment 2, the water jet pipe 15a and the second water feeding pipe 18 inserted from the forceps port 20 through the treatment instrument insertion channel 17a are switched to each other by the change-over valve 36, and target liquid can be fed into the object under observation through the selected water feeding pipe. At this time, when the in-pipe pressure of the water feeding pipe (15a to 15c, 18) is equal to the maximum water feeding pressure or more, the liquid is made to flow out to the external by the orifice 55, whereby the in-pipe pressure can be kept to be less than the maximum water feeding pressure. Furthermore, the liquid flowing out from the orifice 55 is returned into the tank 34, and re-used. At this time, the back flow of the liquid from the water feeding pipes 15a to 15c, 18 is suppressed by the check valve 57. For example, liquid which is not kept under a good sanitary conditions is prevented from being returned from the endoscope side to the tank 34 and re-used.
In the embodiment 2, as shown in
According to the variable resistor 60 having the flow rate adjusting finger grip 60F, the rotational number of the motor 62 is controlled by controlling the power amount (current amount) supplied from the DC power source 65, whereby the water feeding flow rate can be adjusted/controlled steplessly and continuously. As shown in
The overall construction of the water feeding device for an endoscope according to the embodiment 3 is same as in the embodiment 1 (See
In the embodiment 3, a liquid bag 54 is provided as a liquid container. The liquid bag 54 has the same construction as a fluid infusion (blood infusion) bag, and it comprises a soft synthetic resin main body bag 54a for stocking liquid such as physiological saline, drug solution or the like therein, a fitting hole 54b that is disposed at the upper portion of the main body bag 54a and fitted to a suspending hook 56 disposed in a dedicated stand, a system rack of the endoscope or the like, and a rubber liquid take-out portion 54c disposed at the lower portion of the main body bag 54a.
In the tank 34 of the embodiment 3, the liquid take-out pipe 34P is disposed so as not to extend from the cap, but to extend from the upper portion of the side surface along the tank side surface to the bottom portion, and the Luer lock connection type male connector 51 to be connected to the female connector 50 is provided to the tip of the take-out pipe 34P.
According to the construction described above, the fitting hole 54b is fitted to the suspending hook 56 of
In the embodiment 3, the water jet pipe 15a of
According to the liquid bag 54, the liquid container can be set as a disposal (only-once usable) liquid container, and also no air exists in the container, so that all the liquid can be taken out from the injection needle 52 with no residual.
Furthermore, according to the embodiment 3, after the injection needle 52 is detached from the Luer lock connection type female connector 50, the male connector 51 of the take-out pipe 34P of the tank 34 may be connected to the female connector 50 to use the liquid in the tank 34 as shown in
In the case of the above-described liquid container 58, the liquid container 58 is also suspended by fitting the fitting portion 58b to the suspending hook 56, the injection needle 52 connected to the connection pipe 15d is stung into the rubber liquid take-out portion 58d of the liquid container 58, and also another injection needle 52 for securing an air supply passage is stung into the rubber liquid take-out portion 58d, whereby the liquid such as physiological saline or the like in the liquid container 58 can be supplied to the endoscope 10 side by the pump 32.
The entire disclosure of each and every foreign patent application from which the benefit of foreign priority has been claimed in the present application is incorporated herein by reference, as if fully set forth.
| Number | Date | Country | Kind |
|---|---|---|---|
| P. 2005-152023 | May 2005 | JP | national |
| P. 2005-152024 | May 2005 | JP | national |
| P. 2005-152025 | May 2005 | JP | national |
