U.S. patent application number 15/955728 was filed with the patent office on 2018-09-13 for in-body image capturing device, accessory for support tube of in-body image capturing device, and fixing tool for in-body image capturing device.
The applicant listed for this patent is Sharp Kabushiki Kaisha. Invention is credited to Hitoshi AOKI, Toshihisa GOTOH, Tsuguhisa INOUE, Kishoh TAKAMATSU, Kei URAKAWA.
Application Number | 20180256854 15/955728 |
Document ID | / |
Family ID | 53199227 |
Filed Date | 2018-09-13 |
United States Patent
Application |
20180256854 |
Kind Code |
A1 |
URAKAWA; Kei ; et
al. |
September 13, 2018 |
IN-BODY IMAGE CAPTURING DEVICE, ACCESSORY FOR SUPPORT TUBE OF
IN-BODY IMAGE CAPTURING DEVICE, AND FIXING TOOL FOR IN-BODY IMAGE
CAPTURING DEVICE
Abstract
A camera system (1) for monitoring the inside of a body (1),
includes: a camera support tube (13) of which one end part (13a) is
inserted into the body; a camera unit (11) which joins with the
support tube inside the body; a camera side cable (12) which is
connected to the camera unit, and is drawn out toward the outside
of the body through the camera support tube; a control system (3)
which includes at least a display (18); and a string-like member
(38) which directly or indirectly fixes the camera support tube to
the body surface.
Inventors: |
URAKAWA; Kei; (Sakai City,
JP) ; GOTOH; Toshihisa; (Sakai City, JP) ;
INOUE; Tsuguhisa; (Sakai City, JP) ; TAKAMATSU;
Kishoh; (Sakai City, JP) ; AOKI; Hitoshi;
(Sakai City, JP) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Sharp Kabushiki Kaisha |
Sakai City |
|
JP |
|
|
Family ID: |
53199227 |
Appl. No.: |
15/955728 |
Filed: |
April 18, 2018 |
Related U.S. Patent Documents
|
|
|
|
|
|
Application
Number |
Filing Date |
Patent Number |
|
|
15031816 |
Apr 25, 2016 |
9981112 |
|
|
PCT/JP2014/081790 |
Dec 1, 2014 |
|
|
|
15955728 |
|
|
|
|
Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B 1/00128 20130101;
A61M 2025/0286 20130101; A61B 1/00147 20130101; A61B 1/3132
20130101; A61B 2017/00477 20130101; A61B 2017/3447 20130101; A61B
90/11 20160201; A61B 1/0684 20130101; A61B 90/361 20160201; A61B
1/00101 20130101; A61B 1/051 20130101; A61B 1/04 20130101; A61B
1/0676 20130101; A61B 1/00018 20130101; A61B 1/00154 20130101; A61M
2025/024 20130101; A61B 1/00045 20130101; A61B 2017/00283 20130101;
A61M 2025/028 20130101; A61B 1/00114 20130101; A61M 25/02 20130101;
A61M 2025/0253 20130101; A61B 1/00006 20130101 |
International
Class: |
A61M 25/02 20060101
A61M025/02; A61B 1/313 20060101 A61B001/313; A61B 90/00 20160101
A61B090/00; A61B 1/00 20060101 A61B001/00; A61B 1/04 20060101
A61B001/04 |
Foreign Application Data
Date |
Code |
Application Number |
Nov 29, 2013 |
JP |
2013-248565 |
Claims
1. An in-body image capturing device, comprising: a support tube of
which one end part is inserted into a body; an imaging unit which
includes a joining portion which joins with the support tube, and
joins with the support tube in the body; and a fixing tool which is
installed on the outside of the body and which directly or
indirectly fixes the support tube in a state where a length of the
support tube in the body, a rotational direction of the support
tube, and an inclination of the support tube with respect to a body
surface, which are set by a practitioner, are held, wherein the
fixing tool includes a first fixing member and a second fixing
member, the first fixing member having, on one surface thereof, a
contact part with the body surface, the second fixing member being
fixed to a surface of the first fixing member which surface is
opposite to the contact part of the first fixing member, and
wherein the support tube is fixed between the first fixing member
and the second fixing member.
2. The in-body image capturing device according to claim 1, wherein
the first fixing member is a flexible member, and wherein the
contact part is an adhesive layer.
3. The in-body image capturing device according to claim 1, wherein
the second fixing member is provided with a surface fastener, and
wherein the second fixing member is fixed to the first fixing
member via the surface fastener.
4. The in-body image capturing device according to claim 1, further
comprising: a cannula having a tube-like structure into which the
support tube is insertable, wherein the support tube is indirectly
fixed by the fixing tool in a state of being inserted into the
cannula.
5. The in-body image capturing device according to claim 4, wherein
the support tube is fixed to the cannula outside the body, and
wherein the fixing tool fixes the support tube by fixing the
cannula to the body surface.
6. The in-body image capturing device according to claim 4, wherein
the support tube is movable in an axial direction within a range
that the length of the support tube allows, and is fixed to the
cannula to be rotatable around an axis.
7. The in-body image capturing device according to claim 4, wherein
the support tube is fixed to the cannula due to a biasing
force.
8. The in-body image capturing device according to claim 4, wherein
a fixing strength between the support tube and the cannula is
greater than a joining strength between the support tube and the
joining portion.
9. The in-body image capturing device according to claim 4, wherein
the fixing strength between the support tube and the cannula is
within a range of 5 N to 50 N.
10. The in-body image capturing device according to claim 1,
wherein a cable holder which holds and fixes the cable to the
support tube is provided, and the support tube or the cable is
fixed to the outside of the body.
11. The in-body image capturing device according to claim 1,
wherein a cable holder which holds and fixes the cable to the
support tube is provided, and a cable holding strength of the cable
holder is greater than a joining strength between the support tube
and the joining portion.
12. The in-body image capturing device according to claim 11,
wherein the joining strength is within a range of 3 N to 6 N.
13. The in-body image capturing device according to claim 11,
wherein the fixing strength onto the body surface by the fixing
tool is greater than the cable holding strength.
14. The in-body image capturing device according to claim 1,
wherein a cable holder which holds and fixes the cable to the
support tube is provided, and a cable holding strength of the cable
holder is within a range of 5 N to 50 N.
15. The in-body image capturing device according to claim 4,
wherein the cable holder which holds and fixes the cable to the
support tube or a support tube holder which holds and fixes the
support tube to the cannula, is provided, and the cable holder or
the support tube holder has a function of blocking at least a part
of a void between the support tube and the cannula.
16. An accessory for a support tube of the in-body image capturing
device according to claim 4, which has at least two functions among
a function of fixing the cable to the support tube, a function of
fixing the support tube to the cannula, and a function of blocking
at least a part of the void between the support tube and the
cannula.
17. A fixing tool for the in-body image capturing device according
to claim 1, which includes a flexible adhesion surface with respect
to the body surface.
Description
TECHNICAL FIELD
[0001] The present invention relates to a camera system for
monitoring the inside of a body provided with an imaging unit which
can be inserted into a body, an accessory for a support tube of a
camera system for monitoring the inside of a body, a fixing tool
for a camera system for monitoring the inside of a body, and a
method for installing a camera system for monitoring the inside of
a body.
BACKGROUND ART
[0002] Endoscopic surgery is minimally invasive surgery for
performing examination or medical treatment without laparotomy with
respect to a patient. In the endoscopic surgery, a treatment tool,
such as forceps, and an endoscope are separately inserted into a
body cavity of the patient, and a practitioner captures an image of
a tip end part of the treatment tool inserted into the body cavity
within an observation visual field of the endoscope, and performs
the treatment operation while observing a treatment state of the
patient by the treatment tool using the endoscope. In the
endoscopic surgery, the treatment tool and the endoscope are
inserted into the body cavity through a pipe punctured through a
body wall (for example, an abdominal wall) in an abdomen or the
like of the patient. In addition, the pipe is a tube-like member
which is a so-called trocar.
[0003] The practitioner enlarges the image by making the endoscope
approach an organ, and performs incision or suturing of the organ,
but at this time, the visual field of the practitioner becomes
extremely narrow. Therefore, an apparatus which can widely grasp a
state (for example, the movement of the treatment tool, a bleeding
state, and a remaining state of a residual, such as gauze, outside
a work region) outside the work region, has been called for.
[0004] Corresponding to such a demand, in PTL 1, an apparatus which
directly inserts a needle-like connector electrode into an
abdominal wall, and joins the connector electrode and a camera to
each other in a body, is disclosed.
[0005] In PTL 2, an apparatus which inserts a camera unit and a
communication cable which joins with the camera unit from a trocar,
draws out a needle and the communication cable from an abdominal
wall hole toward the outside of a body in a state where an end part
of the communication cable is hooked to the needle inserted from
the abdominal wall hole, and fixes the communication cable, is
disclosed.
CITATION LIST
Patent Literature
[0006] PTL 1: Japanese Patent No. 4472727 (issued on Jun. 2,
2010)
[0007] PTL 2: Japanese Patent No. 4599474 (issued on Dec. 15,
2010)
SUMMARY OF INVENTION
Technical Problem
[0008] However, in PTL 1, since the needle-like connector electrode
is directly inserted into the abdominal wall and the connector
electrode and the camera join with each other in the body, there is
a concern that a foreign substance is mixed into a joining portion
of the connector electrode and the camera, and an electric
connection failure occurs.
[0009] In PTL 2, the communication cable is drawn out toward the
outside of the body and fixed, but it is difficult to obtain
joining strength between the communication cable and the camera
unit due to characteristics of the communication cable, to change
an orientation of the camera unit from the outside of the body, and
to fix the camera unit in a state where the orientation thereof is
changed.
[0010] In consideration of the above-described problems, an object
of the present invention is to provide a camera system for
monitoring the inside of a body which has high reliability and high
usability, and a method for installing a camera system for
monitoring the inside of a body.
Solution to Problem
[0011] In order to solve the above-described problems, there is
provided a camera system for monitoring the inside of a body
according to an aspect of the present invention, including: a
support tube of which one end part is inserted into a body; an
imaging unit which includes a joining portion which joins with the
support tube, and joins with the support tube in the body; a cable
which is connected to the imaging unit, and is drawn out toward the
outside of the body through the support tube; a control system
which is on the outside of the body, is connected to the cable, and
includes at least a display apparatus; and a fixing tool which
directly or indirectly fixes the support tube to a body surface in
a state where a length of the support tube in the body, a
rotational direction of the support tube, and an inclination of the
support tube with respect to the body surface, which are set by a
practitioner, are held.
[0012] In order to solve the above-described problems, there is
provided a method for installing a camera system for monitoring the
inside of a body according to another aspect of the present
invention, including: a step of inserting a cable connected to a
control system which has at least a display apparatus on the
outside of the body, and an imaging unit connected to the cable,
into the body; a step of drawing out the cable toward the outside
of the body through a support tube of which one end part is
inserted into the body; a step of joining the imaging unit and the
support tube to each other at a joining portion provided in the
imaging unit, in the body; and a step of adjusting a length of the
support tube in the body, a rotational direction of the support
tube, an inclination of the support tube with respect to the body
surface, and directly or indirectly fixing the support tube to the
body surface.
Advantageous Effects of Invention
[0013] According to one aspect of the present invention, it is
possible to join the imaging unit to the support tube in the body
in a state where the cable passes through the support tube.
Therefore, a supporting force of the imaging unit is increased, the
connection failure between the imaging unit and the cable is
unlikely to occur, and reliability is high.
[0014] In addition, since the imaging unit joins with the support
tube in the body, the practitioner can change the visual field
direction of the imaging unit, the rotational direction of the
visual field, and imaging zoom (distance to an object) in the body
via the support tube.
[0015] Furthermore, by directly or indirectly fixing the support
tube to the body surface in a state where the length of the support
tube in the body, the rotational direction of the support tube, and
the inclination of the support tube with respect to the body
surface, which are set by the practitioner, are held, it is not
necessary for the practitioner to support the support tube.
[0016] Therefore, according to the aspect of the present invention,
it is possible to provide a camera system for monitoring the inside
of a body which has high reliability and high usability, and a
method for installing a camera system for monitoring the inside of
a body.
BRIEF DESCRIPTION OF DRAWINGS
[0017] [FIG. 1] is a schematic view illustrating a schematic
configuration of a camera system for monitoring the inside of a
body according to Embodiment 1.
[0018] [FIG. 2](a) of FIG. 2 is a sectional view schematically
illustrating a schematic configuration of main parts of an imaging
apparatus according to Embodiment 1. (b) of FIG. 2 is an upper view
of the imaging apparatus illustrated in (a) of FIG. 2.
[0019] [FIG. 3](a) of FIG. 3 is a perspective view illustrating an
example of a camera support tube according to Embodiment 1. (b) of
FIG. 3 is a sectional view illustrating sections of each of the
camera support tube illustrated in (a) of FIG. 3 and a support tube
joining portion illustrated in (a) of FIG. 2. (c) of FIG. 3 is a
sectional view illustrating a joined state of the camera support
tube and the support tube joining portion which are illustrated in
(b) of FIG. 2.
[0020] [FIG. 4](a) FIG. 4 is a sectional view illustrating a
schematic configuration of a cannula. (b) FIG. 4 is a sectional
view illustrating a state where the camera support tube illustrated
in (a)-(c) of FIG. 3 is inserted into the cannula illustrated in
(b) and (c) of FIG. 3. (c) of FIG. 4 is a sectional view
illustrating a joined state of the camera support tube inserted
into the cannula and a camera unit illustrated in FIG. 2.
[0021] [FIG. 5](a)-(h) of FIG. 5 are schematic views illustrating a
method for installing the imaging apparatus in the camera system
for monitoring the inside of a body according to Embodiment 1 in
order of process.
[0022] [FIG. 6](a) and (b) of FIG. 6 are perspective views
illustrating the process illustrated in (e) of FIG. 5 in detail.
(c) of FIG. 6 is a plan view illustrating a relationship between
the size of a cable connector and the size of the camera support
tube in the camera system for monitoring the inside of a body
according to the embodiment.
[0023] [FIG. 7] is a schematic view illustrating a use situation of
a camera system for monitoring the inside of a body 1 according to
Embodiment 1.
[0024] [FIG. 8](a) and (b) of FIG. 8 are respectively sectional
views illustrating modification examples of the camera support tube
and the support tube joining portion according to Embodiment 1.
[0025] [FIG. 9](a) of FIG. 9 is a sectional view illustrating a
schematic configuration of the camera support tube according to the
modification example of Embodiment 1 combining with a stopper
provided in the camera support tube. (b) of FIG. 9 is a sectional
view illustrating a schematic configuration of a cannula according
to a modification example of Embodiment 1. (c) of FIG. 9 is a
sectional view illustrating a joined state of the camera support
tube illustrated in (a) of FIG. 9, which is inserted into the
cannula illustrated in (b) of FIG. 9, and the imaging
apparatus.
[0026] [FIG. 10] is a perspective view illustrating an example of a
schematic configuration of main parts of a camera system for
monitoring the inside of a body according to Embodiment 2.
[0027] [FIG. 11] is a perspective view illustrating another example
of the schematic configuration of the main parts of the camera
system for monitoring the inside of a body according to Embodiment
2.
[0028] [FIG. 12] is a perspective view illustrating still another
example of the schematic configuration of the main parts of the
camera system for monitoring the inside of a body according to
Embodiment 2.
[0029] [FIG. 13] is a perspective view illustrating further still
another example of the schematic configuration of the main parts of
the camera system for monitoring the inside of a body according to
Embodiment 2.
[0030] [FIG. 14] is a perspective view illustrating an example of a
schematic configuration of main parts of a camera system for
monitoring the inside of a body according to Embodiment 3.
[0031] [FIG. 15](a) of FIG. 15 is a view in which a sectional view
and an upper view of a camera support tube are aligned when a cable
fastener is provided at an end part outside the body in a camera
support tube according to Embodiment 4. (b) of FIG. 15 is a view in
which a sectional view and an upper view of the camera support tube
are aligned when a camera side cable passes through the camera
support tube. (c) of FIG. 15 is a perspective view illustrating an
example of a schematic configuration of main parts of the camera
system for monitoring the inside of a body according to Embodiment
4.
[0032] [FIG. 16](a) of FIG. 16 is a perspective view of a camera
support tube according to Embodiment 5. (b) of FIG. 16 is a
sectional view of the camera support tube illustrated in (a) of
FIG. 16. (c) of FIG. 16 is a perspective view of a case where the
camera support tube according to Embodiment 5 is combined with an
obturator. (d) of FIG. 16 is a sectional view illustrating a state
where the camera support tube according to Embodiment 5 is
punctured through a body wall.
[0033] [FIG. 17](a) to (h) of FIG. 17 are schematic views
illustrating a method for installing an imaging apparatus in the
camera system for monitoring the inside of a body according to
Embodiment 5.
[0034] [FIG. 18](a) to (e) of FIG. 18 are schematic views
illustrating a structure of an air plug according to Embodiment
6.
[0035] [FIG. 19](a) to (e) of FIG. 19 are schematic views
illustrating a structure of the air plug (having a function of a
support tube holder) according to Embodiment 6.
[0036] [FIG. 20](a) to (d) of FIG. 20 are schematic views
illustrating a structure of the air plug (having a function of a
cable holder) according to Embodiment 6.
[0037] [FIG. 21](a) to (e) of FIG. 21 are configuration views
illustrating a modification example of the air plug of FIG. 20.
[0038] [FIG. 22](a) to (d) of FIG. 22 are configuration views
illustrating a structure of the air plug (having a function of the
support tube holder and the cable holder) according to Embodiment
6.
[0039] [FIG. 23](a) to (c) of FIG. 23 are configuration views
illustrating a modification example of the air plug of FIG. 22.
DESCRIPTION OF EMBODIMENTS
[0040] An embodiment of the present invention will be described
based on FIGS. 1 to 23 as follows. For convenience of description,
members having the same functions as those of members illustrated
in each embodiment will be given the same reference numerals, and
detailed descriptions thereof will be appropriately omitted. In
addition, the dimensions, such as the shape, the length, the size,
and the width, of configurations described in each drawing do not
reflect the real shape or dimensions, and are appropriately changed
for making the drawings apparent and simple.
Embodiment 1
[0041] (Schematic Configuration of Camera System for Monitoring
Inside of Body)
[0042] FIG. 1 is a schematic view illustrating a schematic
configuration of a camera system for monitoring the inside of a
body 1 according to the embodiment.
[0043] As illustrated in FIG. 1, the camera system for monitoring
the inside of a body 1 according to the embodiment includes a
camera unit 11 (imaging unit), a camera side cable 12 of which one
end is connected to the camera unit 11, a camera support tube 13
(support tube), a control system 3 including a camera unit control
instrument 17 and a display 18 (display apparatus), a cannula 31
(cannula, holding tube), a string-like member 38 (fixing tool), and
an instrument side cable 16 of which one end is connected to the
camera unit control instrument 17. In addition, as a camera side
cable connector 12a provided at the other end of the camera side
cable 12, and an instrument side cable connector 16a provided at
the other end of the instrument side cable 16, are fitted to each
other, the camera unit 11 and the control system 3 are electrically
connected to each other. Hereinafter, the camera side cable
connector 12a will be referred to as a connector 12a, and the
instrument side cable connector 16a will be referred to as a
connector 16a.
[0044] (Camera Unit 11)
[0045] (a) of FIG. 2 is a sectional view schematically illustrating
a schematic configuration of main parts of the camera unit 11
according to the embodiment. (b) of FIG. 2 is an upper view of the
camera unit 11 illustrated in (a) of FIG. 2. In addition, an
imaging apparatus is configured to include the camera unit 11
(imaging unit) which images the inside of a body, and the camera
side cable 12 (cable) which is connected to the camera unit 11.
[0046] As illustrated in (a) and (b) of FIG. 2, the camera unit 11
includes a camera housing 21, a circuit board 19, an imaging unit
24, a control circuit 28, an illumination apparatus 27, and a
supporting portion 22.
[0047] The circuit board 19, the imaging unit 24, the control
circuit 28, and the illumination apparatus 27 are provided in the
camera housing 21. Meanwhile, the supporting portion 22 is provided
on an outer side of the camera housing 21.
[0048] First, a configuration of the inside of the camera housing
21 will be described.
[0049] The imaging unit 24 is provided with a lens 26 which is an
imaging lens, and a solid-state imaging device 25.
[0050] The solid-state imaging device 25 is disposed so that an
optical axis of the lens 26 and an axial center match each other.
Examples of the solid-state imaging device 25 include a
charge-coupled device (CCD) and a complementary metal-oxide
semiconductor (CMOS) image sensor.
[0051] The illumination apparatus 27 makes an image captured by the
camera unit 11 clear by illuminating the inside of the body with
light. It is preferable that the size of the illumination apparatus
27 is small, and a light emitting diode (LED) or the like can be
appropriately used. In addition, in the camera unit 11, one
illumination apparatus 27 may be provided, and a plurality of
illumination apparatuses 27 may be provided as illustrated in (a)
of FIG. 2.
[0052] The solid-state imaging device 25, the illumination
apparatus 27, and the control circuit 28 are connected to the
circuit board 19.
[0053] The control circuit 28 is electrically connected to the
imaging unit 24 and the illumination apparatus 27 via the circuit
board 19.
[0054] In addition, one end part of the camera side cable 12 is
connected to the circuit board 19, and a signal is input and output
between the circuit board 19 and the camera unit control instrument
17 in the control system 3 (refer to FIG. 1) via the camera side
cable 12 and a connection unit 4 (refer to FIG. 1).
[0055] Accordingly, the control circuit 28 controls the driving of
the imaging unit 24 and the illumination apparatus 27 based on a
control signal input from the camera unit control instrument 17 via
the camera side cable 12 and the circuit board 19.
[0056] Since a wired type is employed in transmission from the
camera unit 11 to the camera unit control instrument 17, it is
possible to increase a transmission speed, and send and receive the
signal by stabilizing the signal, and thus, it is possible to
obtain an image having high resolution. In addition, it is possible
to perform communication at low power compared to a wireless type,
and to decrease the size of the camera unit 11 by supplying power
from the outside. Therefore, since it is possible to reduce damage
when the camera unit 11 is inserted into the body due to the small
size, there is an effect that low invasiveness is improved.
[0057] Next, the camera housing 21, and the supporting portion 22
provided on the outside of the camera housing 21, will be
described.
[0058] The camera housing 21 includes a recessed support tube
joining portion 14 (joining portion) on an upper surface thereof.
The support tube joining portion 14 has an annular opening shape
(hole structure) when viewed from above as illustrated in (a) of
FIG. 2, and has a configuration in which a locking female screw 23
is provided on an inner wall of the opening as illustrated in (b)
of FIG. 2.
[0059] In addition, the supporting portions 22 are provided to
protrude to the outside from each of both opposing side surfaces in
the camera housing 21.
[0060] The supporting portion 22 is used as a gripping unit in the
camera unit 11. The camera unit 11 is inserted into the body
through a trocar 32 (tube-like member, refer to FIG. 1). The
supporting portion 22 is for supporting the camera unit 11. The
supporting portion 22 is gripped when the camera unit 11 is
inserted into the body from the trocar 32 using forceps, or is
gripped so that an upper surface (a surface provided with the
support tube joining portion 14) of the camera unit 11 faces an end
part of the camera support tube 13 when the camera unit 11 and the
camera support tube 13 join with each other. Accordingly, the
supporting portion 22 can support the camera unit 11.
[0061] In addition, in the camera housing 21 of the camera unit 11,
a part at which the lens 26 or the illumination apparatus 27 is
disposed is configured of a transparent material, but it is
desirable that a region (including the supporting portion 22) other
than the part is configured of a blue or green material which is
easily noticed inside the body. In this manner, by making a color
inside a body which is red or yellow into a blue or green color
that is a complementary color, it is possible to make visual
recognition easy during installation work or withdrawing work
inside the body, which will be described later. Accordingly, by
making the camera unit 11 blue or green, there is an effect that
the time for the installation work of the camera unit 11 can be
shortened, and safety increases.
[0062] As described above, other than coloring with a blue or green
material, a phosphorescent material or a reflecting material which
is likely to be visually recognized may be used. In this manner,
since it is possible to directly see the part in the shade of an
organ that is unlikely to be visually recognized, or at an end of a
visual field where illumination light is unlikely to reach, the
phosphorescent material or the reflecting material is particularly
effective.
[0063] (Camera Side Cable 12 and Instrument Side Cable 16)
[0064] The camera side cable 12 is a communication cable on a
camera side, and the instrument side cable 16 is a communication
cable on a camera unit control instrument side. The image captured
by the camera unit 11 is sent to the camera unit control instrument
17 via the camera side cable 12 and the instrument side cable 16 as
an image signal, and the control signal from the camera unit
control instrument 17 is sent to the camera unit 11 via the
instrument side cable 16 and the camera side cable 12.
[0065] One end part of the camera side cable 12 is connected to the
circuit board 19, and is guided toward the outside of the camera
unit 11 passing through the inside of the support tube joining
portion 14. In addition, a connection part between the circuit
board 19 and the camera side cable 12 is sealed by a resin or the
like which is not illustrated. Furthermore, at a part (bottom unit
of the recessed support tube joining portion 14) which is drawn out
in the camera side cable 12 inside the support tube joining portion
14, the camera side cable 12 is adhered and fixed to the support
tube joining portion 14. An example of the adhesion and fixing
includes sealing and fixing by an adhesion or an O-ring. Intrusion
of water and mixing of foreign materials into the camera unit 11
from the adhered and fixed part, are prevented.
[0066] As will be described later, the camera side cable 12 is
inserted into a body cavity through the tube-like member, such as
the trocar 32 (refer to FIG. 1) in a state of being connected to
the camera unit 11, or is drawn out toward the outside of the body
through the camera support tube 13 (refer to FIG. 1), which will be
described later, and joins with the camera unit 11 via the support
tube joining portion 14. Therefore, the camera side cable 12 is
formed of a flexible material having flexibility.
[0067] In addition, in the description above, it is desirable that
the camera housing 21 is configured of the blue or green material
which is easily noticed inside the body, but similarly, it is more
desirable that a film on a surface of the camera side cable 12 is
configured of the blue or green material which is easily noticed
inside the body. Furthermore, it is also desirable that the camera
side cable connector 12a is configured of similarly colored
material. In this manner, by making the color inside the body which
is red or yellow into the blue or green color that is a
complementary color, it is possible to make the visual recognition
easy during the installation work or the withdrawing work inside
the body, which will be described later. For example, even when the
camera unit 11 is incorrectly dropped in the body and is hidden by
the shade of the organ, since the camera side cable 12 is longer
compared to the camera unit 11, there are more cases where the
camera unit 11 is seen at a location which can be visually
recognized, and can be immediately found. Accordingly, by coloring
the camera side cable 12 in blue and green, a special effect is
achieved in which the time of the installation work of the camera
unit 11 can be shortened and safety is also improved. In this
manner, in coloring the camera unit 11 or the camera side cable 12,
it is possible to use a color (a color which is easily seen in the
body) that corresponds to visible light having a wavelength of 420
nm to 570 nm (preferably, 450 nm to 530 nm).
[0068] As described above, other than coloring with a blue or green
material, the phosphorescent material or the reflecting material
which is likely to be visually recognized may be used. In this
manner, since it is possible to immediately find the camera unit
11, even when the camera unit 11 is in the shade of an organ that
is unlikely to be visually recognized, or at an end of a visual
field where illumination light is unlikely to reach, the
phosphorescent material or the reflecting material is particularly
effective.
[0069] In FIG. 1, by inserting a pin part of the male-shaped
(projected) camera side cable connector 12a into the female-shaped
(recessed) instrument side cable connector 16a, that is, by making
the connector 12a of the camera side cable 12 and the connector 16a
of the instrument side cable 16 fitted to each other, the camera
side cable 12 and the instrument side cable 16 become connected to
each other. However, a configuration in which the male-shaped
connector and the female-shaped connector is reversed, or in which
the female-shaped camera side cable connector and the male-shaped
instrument side cable connector is fitted to each other, may be
employed. In addition, in the female-shaped (recessed) camera side
cable connector, since the pin part is not exposed to the outside,
similar to the male-shaped connector, staining is unlikely to occur
on a terminal unit, even in a case where the connector incorrectly
touches the inside of the body. Accordingly, it is desirable that
the female-shaped (recessed) connector is used in the camera side
cable.
[0070] Although will be described later in detail, when the camera
unit 11 and the camera support tube 13 are connected to each other,
the camera side cable 12 (including the connector 12a) is drawn out
toward the outside of the body from the inside of the body through
the camera support tube 13. Therefore, an outer diameter of the
camera side cable connector 12a is smaller than an outer diameter
of the camera support tube 13. In other words, when reducing the
outer diameter of the camera side cable connector 12a, it is
possible to reduce the outer diameter of the camera support tube
13. Accordingly, a special effect is achieved in which low
invasiveness is improved. In other words, it is desirable to make
the outer diameter of the camera side cable connector 12a as small
as possible. For example, as illustrated in FIG. 1, it is desirable
that the outer diameter of the camera side cable connector 12a is
equal to or smaller than the outer diameter of the instrument side
cable connector 16a, and that the outer diameter (cable diameter)
of the camera side cable 12 is smaller than the outer diameter
(cable diameter) of the instrument side cable 16.
[0071] As will be described later, it is possible to provide a slit
which reaches from one end to the other end of the camera support
tube. In this case, the camera side cable 12 passes through the
inside of the camera support tube via the slit from the side
surface of the camera support tube. Accordingly, it becomes easy to
make the camera side cable (including the connector) pass through
the camera support tube. Because the slit is provided, since it is
not necessary for the camera side cable connector 12a to pass
through the inside of the camera support tube 13, it is possible to
reduce the inner diameter of the camera support tube 13 to be
smaller than the dimension of the outer diameter of the camera side
cable connector 12a. Due to this, if the thickness of the camera
support tube 13 is the same, it is possible to further reduce the
outer diameter of the camera support tube 13. Accordingly, a
special effect is achieved in which low invasiveness is further
improved. In addition, a cooling effect of the camera support tube,
such as improvement of ventilation properties in the camera support
tube due to the slit, is also achieved.
[0072] As will be described later, since the camera side cable 12
(including the camera side cable connector 12a) returns to the
inside of the body during the withdrawing of the camera unit 11, it
is necessary to maintain the instrument side cable connector 16a
which is in contact with the camera side cable 12 and a part having
a predetermined length from the instrument side cable connector 16a
to be clean, in the instrument side cable 16.
[0073] (Camera Support Tube 13)
[0074] As illustrated in FIG. 1, the camera support tube 13 is a
support tube which supports the camera unit 11 by being joined with
the camera unit 11 inside the body in a state where the camera side
cable 12 is drawn out toward the outside of the body through the
inside of the tube.
[0075] From the viewpoint of the joining strength with the camera
unit 11, the camera support tube 13 is formed of a hard material.
The material of the camera support tube 13 is not particularly
limited if the material has rigidity which can obtain the joining
strength that can stably support the camera unit 11, and which can
fix the camera unit 11 at a desirable position and orientation. For
example, stainless steel, ceramics (fine ceramics), or reinforced
plastic may be used.
[0076] One end part 13a (first end part) of the camera support tube
13 is inserted into the body through a body wall 41, such as an
abdominal wall. At this time, one end part 13a of the camera
support tube 13 may be directly inserted into the body, or one end
part 13a may be inserted into the body by using the cannula 31
inserted into the body wall 41 as illustrated in FIG. 1 and by
inserting the camera support tube 13 into the cannula 31.
[0077] In a case where the cannula 31 is used, as the camera
support tube 13, the long camera support tube 13 having the length
in an axial direction longer than the cannula 31 is used so that
one end part 13a and the other end part 13b (second end part) are
exposed from the cannula 31 in a state where the camera support
tube 13 is inserted into the cannula 31, is used. In addition, the
camera support tube 13 having a size (thickness) which has a void
between an outer wall of the camera support tube 13 and an inner
wall of the cannula 31 in a state where the camera support tube 13
is inserted into the cannula 31, is used so that it is possible to
rotate the camera support tube 13 around the axis in the cannula
31.
[0078] The end part 13a inserted into the body joins with the
camera unit 11 by the support tube joining portion 14.
[0079] Here, a structure of the camera support tube 13 will be
described in detail with reference to (a) to (c) of FIG. 3.
[0080] (a) of FIG. 3 is a perspective view illustrating an example
of the camera support tube 13 according to embodiment. (b) of FIG.
3 are sectional views illustrating each of the camera support tube
13 illustrated in (a) of FIG. 3 and the support tube joining
portion 14 illustrated in (a) of FIG. 2. (c) of FIG. 3 is a
sectional view illustrating a joined state of the camera support
tube 13 and the support tube joining portion 14 illustrated in (b)
of FIG. 3. In (c) of FIG. 3, the camera side cable 12 is
omitted.
[0081] As illustrated in (a) of FIG. 3, the camera support tube 13
preferably has a cylindrical tube structure. As the camera support
tube 13 has a cylindrical shape, it is easy to combine the camera
support tube 13 with a general cannula, which is the same
cylindrical tube.
[0082] One end part 13a (inside the body) of the camera support
tube 13 and the camera unit 11 inside the body join with each other
by the support tube joining portion 14 (joining portion).
[0083] As illustrated in (a) to (c) of FIG. 3, the camera support
tube 13 includes a locking male screw 123 which is screwed
(screw-fitted) to the locking female screw 23 provided in the
support tube joining portion 14, at the end part 13a on a side
which is inserted into the body.
[0084] As the locking female screw 23 of the camera support tube 13
is screwed to the locking female screw 23 of the support tube
joining portion 14 in this manner, it is possible to join the
camera unit 11 and the camera support tube 13 to each other with
high mechanical strength.
[0085] In addition, as illustrated in (a) of FIG. 3, it is
desirable that a slit 223 is provided on one side surface of the
camera support tube 13. An advantage of a case where the slit 223
is provided on the side surface of the camera support tube 13 will
be described later.
[0086] (Control System 3)
[0087] As illustrated in FIG. 1, the control system 3 includes the
camera unit control instrument 17 and the display 18 (display
apparatus).
[0088] The camera unit control instrument 17 displays the image
sent from the camera unit 11 on the display 18. In addition, the
camera unit control instrument 17 sends the control signal to the
camera unit 11. The camera unit control instrument 17 and the
display 18 may be integrally configured, and may be separately
configured.
[0089] (Cannula 31)
[0090] (a) of FIG. 4 is a sectional view illustrating a schematic
configuration of the cannula 31 used in the embodiment. (b) of FIG.
4 is a sectional view illustrating a state where the camera support
tube 13 illustrated in (a) to (c) of FIG. 3 is inserted into the
cannula 31 illustrated in (b) and (c) of FIG. 3. (c) of FIG. 4 is a
sectional view illustrating a joined state of the camera support
tube 13 inserted into the cannula 31 and the camera unit 11
illustrated in FIG. 2.
[0091] As illustrated in (a) of FIG. 4, the cannula 31 used in the
embodiment is a funnel type tube (tube-line device) which includes
a head portion 131 and a leg portion 132, and in which the inner
diameter of the head portion 131 is greater than the inner diameter
of the leg portion 132.
[0092] Therefore, in the cannula 31, an end part 31b (outside the
body) on the head portion 131 side is thicker than an end part 31a
on the leg portion 132 side (inside the body) which is inserted
into the body, and the head portion 131 functions as a stopper when
the cannula 31 is inserted into the body wall 41.
[0093] Accordingly, the camera support tube 13 does not fall out in
the body, and can fix the cannula 31 to the body wall 41.
[0094] In addition, the cannula 31 includes a valve (support tube
holder) 37, and the valve 37 has a value structure which is
pressingly expanded when an external force is applied in an
orientation of the narrow end part 31a (inside the body) from the
thick end part 31b (outside the body).
[0095] Therefore, as illustrated in (b) of FIG. 4, when camera
support tube 13 is inserted into the cannula 31 through the valve
37, the valve 37 is pressingly expanded by the camera support tube
13, and the camera support tube 13 is tightly fastened by a biasing
force caused by restoration properties. As a result, the camera
support tube 13 is fixed to the cannula 31.
[0096] In addition, it is preferable that the cannula 31 has a
small diameter for realizing low invasiveness. Specifically, it is
preferable that the diameter of the cannula 31 is equal to or
smaller than 3 mm.
[0097] (Fixing Camera Support Tube 13 to Cannula 31 and Joining
Camera Support Tube 13 to Camera Unit 11)
[0098] Hereinafter, a manner of inserting the camera support tube
13 into the cannula 31 and joining the camera support tube 13 with
the camera unit 11 will be described with reference to (b) and (c)
of FIG. 4.
[0099] In a case where the camera unit 11 joins with the camera
support tube 13 inside the body, first, as illustrated in (b) of
FIG. 4, in a state of passing through the camera side cable 12
inside the camera support tube 13, one end part 13a of the camera
support tube 13 is pushed against the thick end part 31b (outside
the body) of the cannula 31, and until the end part 13a of the
camera support tube 13 is exposed from the cannula 31, the camera
support tube 13 is inserted into the cannula 31. At this time, as
the valve 37 is pressingly expanded by the camera support tube 13,
and the camera support tube 13 is biased due to the restoration
properties, the camera support tube 13 is fixed to the cannula 31.
In addition, the other end part 13b (outside the body) of the
camera support tube 13 is also exposed from the cannula 31.
[0100] Next, as illustrated in (c) of FIG. 4, using the camera side
cable 12 as a guide, by inserting and screwing the locking male
screw 123 of the end part 13a inside the body of the camera support
tube 13 into the locking female screw 23 of the support tube
joining portion 14, the locking male screw 123 is put into the
locking female screw 23, and the camera unit 11 and the camera
support tube 13 join with each other with high mechanical strength.
In addition, the locking male screw 123 and the locking female
screw 23 are not limited to a screw shape, and may have any shape
in which both are able to be fitted to each other, and instead of
the locking female screw 23, it is possible to use a press fit
structure which uses an elastic member.
[0101] In addition, in a case where the camera support tube 13 and
the support tube joining portion 14 are inserted and fitted to each
other by using a locking claw or the like instead of the screw
shape, it is desirable that the strength by which the camera
support tube 13 and the support tube joining portion 14 are fitted
to each other is set to be smaller than the adhering strength of an
adhering and fixing unit which adheres and fixes the camera side
cable 12 and the camera unit 11. This is because there is a concern
that the adhering and fixing unit is destroyed and the body wall of
a patient is damaged as the camera unit is pulled in an outward
direction in relation to the body, if the fitting strength of the
camera support tube 13 and the support tube joining portion 14 is
greater than the adhering strength of the adhering and fixing
portion, since it is necessary to insert the camera support tube 13
while holding, pulling, and supporting the cable, and using the
cable as a guide, when inserting the camera support tube 13 into
the support tube joining portion 14 of the camera unit 11.
[0102] For example, specifically, it is desirable that the strength
by which the camera support tube 13 and the support tube joining
portion 14 are fitted to each other is equal to or less than 30 N
(newton) which is smaller than the adhering strength of the
adhesion and fixing portion. Furthermore, it is desirable that the
most appropriate range is set to be a range of 3 N to 6 N. If the
range is set, a special effect is achieved in which the camera
support tube 13 and the support tube joining portion 14 can be
fitted to each other without applying an excessively large force
during the fitting, and installation can be safely performed
without continually applying the excessive force since the feeling
that the camera support tube 13 is fitted is transferred to the
hand.
[0103] In addition, (c) of FIG. 4 illustrates a state where the
camera support tube 13 is pulled up, and the camera unit 11 is
brought into contact with the end part 13a inside the body of the
cannula 31 after the camera support tube 13 and the camera unit 11
join with each other by the support tube joining portion 14.
[0104] The camera support tube 13 is fixed to the cannula 31 to be
movable in a direction of the external force by applying the
external force to the camera support tube 13, for example, by
applying a force to the camera support tube 13 with one hand in a
state where a practitioner presses the cannula 31 with the other
hand.
[0105] In other words, the cannula 31 can move the camera support
tube 13 in an upward-and-downward direction or in a rotational
direction by applying the external force to the camera support tube
13 in the upward-and-downward direction (axial direction) or in the
rotational direction (circumferential direction), and when applying
the external force, it is possible to hold (fix) the camera support
tube 13 at an arbitrary position of the camera support tube 13 in a
height direction or in the rotational direction.
[0106] (String-Like Member 38)
[0107] The string-like member 38 is a fixing tool which fixes the
camera support tube 13 in a state where a constant angle is
maintained with respect to a body surface 45 by fixing the camera
support tube 13 to a fixture (fixed body) fixed to the outside of
the body as illustrated in FIG. 1.
[0108] A material of the string-like member 38 is not particularly
limited if the material having strength which can hold the camera
support tube 13 in a state of being fixed to the fixture fixed to
the outside of the body, and maintain an angle during the
fixing.
[0109] In the embodiment, as the fixture fixed to the outside of
the body, the trocar 32 (for example, the trocar 32 adjacent to the
camera support tube 13) is used.
[0110] The trocar 32 is generally a pipe (tube-like member)
punctured through an abdomen of the patient for inserting the
forceps or the endoscope into the body cavity. As the trocar 32, a
general trocar can be used.
[0111] In the embodiment, by fixing the camera support tube 13
fixed to the cannula 31 to the trocar 32 by the string-like member
38, the camera support tube 13 is indirectly fixed to the body
surface 45.
[0112] However, the fixture is not particularly limited if it is
possible to attach (fix) a part of the string-like member 38
attached to the camera support tube 13 so as not to bend the
string-like member 38 outside the body, so that it is possible to
hold the camera support tube 13 at a desirable angle. As the
fixture, a fixing device or the like installed on an operating
table or an operating room may be employed.
Method for Installing Camera System for Monitoring Inside of Body
1
[0113] Next, both a method for installing an imaging apparatus 2 in
the camera system for monitoring the inside of a body 1 according
to the embodiment, and a method of use thereof, will be
described.
[0114] (a) to (h) of FIG. 5 are schematic views illustrating the
method for installing the imaging apparatus 2 in the camera system
for monitoring the inside of a body 1 according to Embodiment 1 in
order of process. (a) and (b) of FIG. 6 are perspective views
illustrating the process illustrated in (e) of FIG. 5 in detail.
(c) of FIG. 6 is a plan view illustrating a relationship between
the size of the camera side cable connector 12a and the size of the
camera support tube 13. FIG. 7 is a schematic view illustrating a
use situation of the camera system for monitoring the inside of a
body 1 according to the embodiment.
[0115] As illustrated in (a) of FIG. 5, first, the practitioner
opens ports 41a to 41c (holes) for inserting the forceps or the
endoscope into the body cavity on the body wall 41, and inserts a
plurality of trocars 32 (hereinafter, referred to as trocars 32a to
32c) into the ports 41a to 41c.
[0116] Furthermore, in order to install the camera unit 11 inside
the body cavity, the port 41d is opened at a position where the
entire organ including an affected part can be seen on the body
wall 41, and the cannula 31 is inserted.
[0117] Specifically, by puncturing an obturator in a state where
the needle-like obturator (not illustrated) passes through the
inside of the cannula 31, the cannula 31 is inserted into the body
wall 41.
[0118] In addition, after at least one of the trocars 32a to 32c
and the cannula 31 is inserted into the body wall 41, the
practitioner sends gas into the body through at least one trocar
among the trocars 32a to 32c, expands the inside of the body cavity
in advance, and ensures a space into which a device is
inserted.
[0119] Next, as illustrated in (b) of FIG. 5, the practitioner
inserts an endoscope 34 into the body cavity through the trocar
32c, grips the supporting portion 22 by forceps 33a while observing
the inside of the body using the endoscope 34, and inserts the
imaging apparatus 2 into the body cavity through the trocar
32b.
[0120] Next, as illustrated in (c) of FIG. 5, the practitioner
operates the forceps 33a, moves the imaging apparatus 2 to be close
to the cannula 31, and inserts forceps 33b into the body cavity
through the cannula 31.
[0121] Next, as illustrated in (d) of FIG. 5, the practitioner
leads the camera side cable 12 to the outside of the body by
pulling out the forceps 33b from the cannula 31 in a state of
nipping the camera side cable 12 by the forceps 33b. At this time,
the supporting portion 22 in the camera unit 11 becomes gripped by
the forceps 33a.
[0122] Next, as illustrated in (e) of FIG. 5, while gripping the
supporting portion 22 on both side surfaces of the camera unit 11
by the two forceps 33a and 33c, the practitioner inserts the
forceps 33c into the body cavity through the trocar 32a, makes the
camera side cable 12 pass through the inside of the camera support
tube 13, and inserts the camera support tube 13 into the cannula 31
so that the support tube joining portion 14 of the camera unit 11
and the opening of the cannula 31 become parallel and close to each
other.
[0123] At this time, in a case where the camera support tube 13
provided with the slit 223 on the side surface is used as the
camera support tube 13, as the camera side cable 12 guided toward
the outside of the body passes through the inside thereof from the
slit 223 on the side surface of the camera support tube 13, the
camera support tube 13 is inserted into the cannula 31.
[0124] Specifically, as illustrated in (a) of FIG. 6, first, after
pulling up the camera side cable 12 from the cannula 31, a part of
the camera side cable 12 is inserted into a lower part of the slit
223 of the camera support tube 13.
[0125] Next, the camera support tube 13 is inserted into the
cannula 31 as the slit 223 extends along the camera side cable 12.
In other words, as illustrated in (b) of FIG. 6, at the same time
when the camera side cable 12 is pulled upward in a state where a
part of the camera side cable 12 is inserted into the lower part of
the slit 223 of the camera support tube 13, by using the camera
side cable 12 as a guide, the camera support tube 13 is inserted
into the cannula 31.
[0126] In this manner, as the slit 223 is provided on the side
surface of the camera support tube 13, when the camera side cable
12 passes through the inside of the camera support tube 13, it is
possible to insert the camera side cable 12 into the camera support
tube 13 from the slit 223.
[0127] Therefore, the camera side cable 12 can easily pass through
the inside of the camera support tube 13, and the insertion work of
the camera support tube 13 into the body becomes extremely
simple.
[0128] In addition, in a case where the cannula 31 is used for
leading the camera support tube 13 into the body, in a case where
the slit 223 is not provided, the length made by adding at least
the cannula 31 and the camera support tube 13 is necessary to make
the camera side cable 12 drawn out from the cannula 31 pass through
the inside of the camera support tube 13.
[0129] However, in a case where the slit 223 is provided, the
length of the camera side cable 12 may be longer than the length of
the cannula 31.
[0130] Therefore, as the slit 223 is provided in the camera support
tube 13 in this manner, it is possible to reduce the restriction of
the length of the camera side cable 12.
[0131] In addition, as the slit 223 is provided in the camera
support tube 13, as illustrated in (c) of FIG. 6, the external
dimension of the camera side cable connector 12a connected to the
camera side cable 12 can be greater than the inner diameter of the
camera support tube 13. Therefore, it becomes easy to connect the
camera side cable connector 12a to the instrument side cable 16,
and it is possible to increase work efficiency. In addition, the
external dimension of the camera side cable connector 12a becomes
smaller than the inner diameter of the cannula 31.
[0132] Next, as illustrated in (f) of FIG. 5, the practitioner
inserts the end part 13a inside the body of the camera support tube
13 exposed from the cannula 31 into the support tube joining
portion 14 of the camera unit 11 and screws the end part 13a, by
using the camera side cable 12 as a guide. Accordingly, in a state
where the camera side cable 12 passes through the inside of the
camera support tube 13, the camera support tube 13 and the camera
unit 11 join with each other at the support tube joining portion 14
inside the body.
[0133] In addition, in a case where the camera support tube 13 and
the support tube joining portion 14 are inserted and fitted to each
other by using the locking claw or the like instead of the screw
shape, when the camera support tube 13 is inserted into the support
tube joining portion 14 of the camera unit 11, a force (for
example, 3 N to 6 N) necessary for fitting the camera support tube
13 and the support tube joining portion 14 to each other, is
sufficiently reduced to be smaller than the adhering strength (for
example, equal to or greater than 30 N) of the adhering and fixing
unit of the camera side cable 12 and the camera unit 11 when the
camera support tube 13 is inserted into the support tube joining
portion 14 of the camera unit 11. Therefore, by pulling the cable
while using the cable as the guide, it is possible to safely insert
the camera support tube 13, and make the camera support tube 13
fitted.
[0134] Next, as illustrated in (g) of FIG. 5, the practitioner
pulls up the camera support tube 13 and brings the camera unit 11
into contact with the end part 13a inside the body of the cannula
31, so that the widest area possible inside of the body cavity can
be imaged. Since the camera support tube 13 is tightly fastened by
the valve 37 (refer to (a) to (c) of FIG. 4) of the cannula 31, the
camera support tube 13 and the camera unit 11 maintain the fastened
state.
[0135] Next, the height, the orientation, and the angle in the body
cavity of the camera unit 11 is determined by operating the camera
support tube 13, and as illustrated in (f) of FIG. 5, the fixing is
performed by the fixing tool, such as the string-like member
38.
[0136] The height of the camera unit 11 in the body cavity is
determined by gradually lowering the camera support tube 13 or by
finely adjusting the camera support tube 13 in the
upward-and-downward direction as necessary, from a state where the
camera unit 11 is brought into contact with the end part 13a inside
the body of the cannula 31 as illustrated in (g) of FIG. 5.
[0137] In addition, the orientation of the camera unit 11 in the
body cavity is determined by rotating the camera support tube 13 in
the circumferential direction.
[0138] The camera support tube 13 can be fixed to the cannula 31 at
the arbitrary position by the biasing force of the valve 37, and is
indirectly fixed to the body surface 45 via the cannula 31.
[0139] In addition, the orientation of the camera unit 11 is
determined by inclining the camera support tube 13 using elasticity
of the body wall 41.
[0140] At this time, by fixing the camera support tube 13 to the
trocar 32 which is close to the camera support tube 13, such as the
trocar 32a, by the fixing tool, such as the string-like member 38,
without supporting the camera support tube 13, the practitioner can
maintain the inclination of the camera support tube 13 with respect
to the body surface 45.
[0141] As illustrated in FIG. 7, after installing the camera unit
11 in the body, the camera side cable 12 and the instrument side
cable 16 are joined to each other by using the camera side cable
connector 12a.
[0142] Accordingly, a local image of a treatment part (surgical
site) is displayed on a display 118 by an endoscope control
instrument 117 connected to the endoscope 34, and the entire image
of the inside of an organ 42 imaged by the camera unit 11 is
displayed on the display 18 by the camera unit control instrument
17.
[0143] Accordingly, the practitioner can perform treatment by the
forceps 33a and the forceps 33c while enlarging and observing the
work region (local region) on the display 118, and can ascertain
the state (movement of the forceps or the like, a bleeding site,
and a residual, such as gauze, outside the work region) outside the
work region on the display 18.
Separation of Camera Unit 11 and Camera Support Tube 13
[0144] Next, a method for separating the camera unit 11 and the
camera support tube 13 will be described.
[0145] First, the practitioner pulls out the camera support tube 13
from the support tube joining portion 14 of the camera unit 11 by
rotating the camera support tube 13 in a direction (that is, a
direction in which a screw is loosened) reverse to a direction in
which the locking male screw 123 and the locking female screw 23
are screwed to each other, in a state where the supporting portion
22 of the camera unit 11 in the body is gripped by the forceps 33a
and the forceps 33c.
[0146] In addition, in a case where the camera support tube 13 and
the support tube joining portion 14 are inserted and fitted to each
other by using the locking claw or the like instead of the screw
shape, similar to the time when the camera unit 11 and the camera
support tube 13 are separated from each other, it is desirable that
the fitting strength of the camera support tube 13 and the support
tube joining portion 14 is set to be smaller than the adhering
strength of the adhering and fixing unit which adheres and fixes
the camera side cable 12 and the camera unit 11. This is because
there is a concern that the adhering and fixing unit is destroyed
and the body wall of the patient is damaged as the camera unit is
pulled in the outward direction in relation to the body, since it
is necessary to apply a large force when removing the camera
support tube 13 from the camera unit 11 if the fitting strength of
the camera support tube 13 and the support tube joining portion 14
is greater than the adhering strength of the adhering and fixing
unit.
[0147] For example, if the fitting strength is set to be in a range
of 3 N to 6 N, a special effect is achieved in which the camera
support tube 13 can be removed without applying an excessively
large force, and the camera support tube 13 can be safely separated
without continually applying the excessive force since the feeling
that the camera support tube 13 is removed is transferred to the
hand.
[0148] Furthermore, after separating the camera support tube 13 and
the camera side cable 12 from each other by pulling out the camera
support tube 13 from the cannula 31, the practitioner leads the
camera unit 11 and the camera side cable 12 to the outside of the
body from the trocar 32a or the trocar 32b.
Effect
[0149] As described above, according to the embodiment, the camera
unit 11 and the camera support tube 13 join with each other with
high mechanical strength, and the supporting force of the camera
unit 11 is higher than that in the related art. In addition, since
the camera side cable 12 is guided toward the outside of the body
through the inside of the camera support tube 13, after the camera
unit 11 and the camera support tube 13 join each other, a load is
not applied to the camera side cable 12, the camera side cable 12
is not exposed to the inside of the body, and the camera side cable
12 does not come into contact with the body wall 41. Accordingly,
certainty (waterproof and stainproof properties of the connected
part) of the electric connection of the camera side cable 12 and
the circuit board 19 is increased. Therefore, it is possible to
realize the camera system for monitoring the inside of a body 1
having high reliability.
[0150] The practitioner can operate the camera support tube 13 and
can change the direction of the visual field of the camera unit 11.
Specifically, by inclining the camera support tube 13 using
elasticity of the body wall 41, it is possible to change the
direction of the visual field of the camera unit 11 joined to the
camera support tube 13.
[0151] Since both the cannula 31 and the camera support tube 13
inserted into the cannula 31 are cylindrical tubes, it is possible
to easily rotate the camera support tube 13 around the axis.
Accordingly, the practitioner can change the rotational direction
of the visual field of the camera unit 11 joined to the camera
support tube 13.
[0152] The camera support tube 13 can move in a longitudinal
direction (an extending direction of the tube) which is the axial
direction thereof. Therefore, by pushing the camera support tube 13
to the inside of the body and by pulling up the camera support tube
13 to the outside of the body, the practitioner can change imaging
zoom (distance to an object) of the camera unit 11 joined to the
camera support tube 13.
[0153] As the camera support tube 13 is fixed to the cannula 31,
the position and the rotational direction of the camera support
tube 13 are maintained.
[0154] The camera support tube 13 can be fixed to the fixed body
fixed to the outside of the body, such as the trocar 32 (for
example, the trocar 32a or the trocar 32b) in the periphery, by
using the string-like member 38. Accordingly, it is possible for
the camera support tube 13 to be fixed in a desirable state.
[0155] In other words, by fixing the camera support tube 13 to the
fixed body outside the body, such as the trocar 32, in a state
where the camera support tube 13 is inclined by using elasticity of
the body wall 41, the practitioner can hold the inclination of the
camera support tube 13, even when the practitioner does not support
the camera support tube 13.
[0156] Therefore, according to the embodiment, it is possible to
hold the state of the camera support tube 13, even when the
practitioner does not support the camera support tube 13.
[0157] Therefore, according to the embodiment, it is possible to
arbitrarily set the direction of the visual field in the camera
unit 11 and the rotational direction of the visual field, to
arbitrarily set the imaging zoom (distance to the object) to be
within an allowable range of the length of the camera support tube
13, and to fix the camera support tube 13 at a desirable position.
Due to this, it is possible to realize the camera system for
monitoring the inside of a body having high usability.
MODIFICATION EXAMPLE
[0158] (Method for Joining Camera Support Tube 13 and Camera Unit
11 to Each Other)
[0159] In the embodiment, a case where the camera support tube 13
and the camera unit 11 are screwed to each other as the locking
male screw 123 is provided in the camera support tube 13 and the
locking female screw 23 is provided in the support tube joining
portion 14, will be described as an example.
[0160] However, the method for joining the camera support tube 13
and the camera unit 11 to each other is not limited thereto, and
any shape in which the camera support tube 13 and the support tube
joining portion 14 are able to be fitted to each other may be
employed.
[0161] (a) to (c) of FIG. 8 are respectively sectional views
illustrating modification examples of the camera support tube 13
and the support tube joining portion 14 according to the
embodiment.
[0162] (a) and (b) of FIG. 8 illustrate an example in which a
locking hole 323 is provided in the camera support tube 13 and a
locking claw 423 is provided in the support tube joining portion
14.
[0163] (c) of FIG. 8 illustrates an example in which a locking claw
523 is provided in the camera support tube 13 and a locking hole
623 is provided in the support tube joining portion 14.
[0164] (a) and (c) of FIG. 8 are sectional views illustrating
sections of each of the camera support tube 13 and the support tube
joining portion 14 in each modification example. (b) of FIG. 8 is a
sectional view illustrating a state where the camera support tube
13 illustrated in (a) of FIG. 8 is inserted into the support tube
joining portion 14.
[0165] As illustrated in (a) and (b) of FIG. 8, in the camera
support tube 13 according to the modification example, a part
further on the front side than the locking hole 323 has a tapered
shape. Therefore, the tip end (inside the body) of the camera
support tube 13 is not hooked to the locking claw 423 of the
support tube joining portion 14, and when pushing the camera
support tube 13 until the tip end thereof reaches a deep part of
the support tube joining portion 14, the locking hole 323 is fitted
to the locking claw 423.
[0166] In addition, in (c) of FIG. 8, a case where a part that is
further than the locking hole 323 on the front side of the camera
support tube 13 has a tapered shape, is illustrated as an
example.
[0167] However, the camera support tube 13 is not limited to the
above-described structure. Both end parts of the camera support
tube 13 may have the same thickness.
[0168] In the modification examples, in order to separate the
camera unit 11 and the camera support tube 13 from each other, it
is preferable to design that the engagement of the locking claw 423
and the locking hole 323 or the engagement of the locking claw 523
and the locking hole 623 are released by applying a force which is
equal to or greater than a threshold value, for example, implying
elasticity to the locking claws 423 and 523, or implying
flexibility to the support tube joining portion 14. Otherwise, it
is desirable to design that the locking claw 423 retreats (changes
to a state of not being protruded) from the wall surface in the
opening of the support tube joining portion 14, or the locking claw
523 retreats from the surface of the camera support tube 13, by an
external force, such as a magnetic force or electricity.
[0169] Instead of joining the camera support tube 13 and the
support tube joining portion 14 to each other by using the locking
male screw 123 and the locking female screw 23, or by using the
locking claws 423 and 523 and the locking holes 323 and 623 as
described above, it is also possible to join the camera support
tube 13 and the support tube joining portion 14 to each other by
forming the inner wall of the support tube joining portion 14 with
the elastic material, such as rubber, and by pressing the camera
support tube 13 to the support tube joining portion 14.
[0170] In this manner, in a case where the camera support tube 13
and the support tube joining portion 14 are inserted and fitted to
each other by using the above-described locking claw instead of the
screw shape, it is desirable that the strength by which the camera
support tube 13 and the support tube joining portion 14 are fitted
to each other is set to be smaller than the adhering strength (for
example, equal to or greater than 30 N) of the adhering and fixing
unit of the camera side cable 12 and the camera unit 11. This is
because there is a concern that the adhering and fixing unit is
destroyed and the body wall of the patient is damaged as the camera
unit is pulled in the outward direction in relation to the body, if
the fitting strength of the camera support tube 13 and the support
tube joining portion 14 is greater than the adhering strength of
the adhering and fixing portion, since it is necessary to insert
the camera support tube 13 while holding, pulling, and supporting
the cable, and using the cable as a guide, when inserting the
camera support tube 13 into the support tube joining portion 14 of
the camera unit 11.
[0171] For example, specifically, it is desirable that the strength
by which the camera support tube 13 and the support tube joining
portion 14 are fitted to each other is equal to or less than 30 N
(newton) which is smaller than the adhering strength of the
adhesion and fixing unit. Furthermore, it is desirable that the
most appropriate range is set to be a range of 3 N to 6 N. If the
range is set, a special effect is achieved in which the camera
support tube 13 and the support tube joining portion 14 can be
fitted to each other without applying an excessively large force
during the fitting, and installation can be safely performed
without continually applying the excessive force since the feeling
that the camera support tube 13 is fitted is transferred to the
hand.
[0172] In addition, in case of the above-described fitting
strength, since the camera support tube 13 and the support tube
joining portion 14 sufficiently come into contact with each other,
when the side surfaces of the camera support tube 13 and the
support tube joining portion 14 are formed of a material having
excellent thermal conductive properties, it is possible to improve
heat radiation properties of the camera unit 11.
[0173] (Method for Fixing Camera Support Tube 13 to Cannula 31)
[0174] In the embodiment, mainly, as illustrated in (a) to (c) of
FIG. 4, a case where the camera support tube 13 is fixed to the
cannula 31 by the valve 37 in the cannula 31 is described as an
example. However, the embodiment is not limited thereto.
[0175] (a) of FIG. 9 is a sectional view illustrating a schematic
configuration of the camera support tube 13 according to the
modification example combining with a stopper 77 provided in the
camera support tube 13. (b) of FIG. 9 is a sectional view
illustrating a schematic configuration of the cannula. (c) of FIG.
9 is a sectional view illustrating a joined state of the camera
support tube 13 illustrated in (a) of FIG. 9 which is inserted into
the cannula 31 illustrated in (b) of FIG. 9, and the imaging
apparatus 2.
[0176] In the modification example, as illustrated in (a) and (c)
of FIG. 9, a case where the locking female screw 23 is provided in
the camera support tube 13 and the locking female screw 23 is
provided in the support tube joining portion 14 is illustrated as
an example.
[0177] However, it is needless to say that the camera support tube
13 and the support tube joining portion 14 are not limited thereto,
and the camera support tube 13 and the support tube joining portion
14 illustrated in (a) and (b) of FIG. 8 or in (c) of FIG. 8, may be
used.
[0178] As illustrated in (b) of FIG. 9, the cannula 31 according to
the modification example has a configuration similar to that of the
cannula 31 illustrated in (a) of FIG. 4, except that the valve 37
is not provided on the inside thereof.
[0179] In the modification example, as the cannula 31, a general
cannula 31 on the market can be used.
[0180] In the modification example, instead of providing the valve
37 on the inside of the cannula 31, as illustrated in (a) and (c)
of FIG. 9, the stopper 77 (support tube holder) which can move
along the axial direction (extending direction) of the camera
support tube 13 is mounted on the camera support tube 13.
[0181] The stopper 77 is an elastic body, such as rubber, which is
inserted into a camera support tube 81, and can be moved by the
operation of the practitioner. In addition, since the stopper 77
and the camera support tube 13 have a screw structure, it is also
possible to make the stopper 77 movable.
[0182] As the stopper 77 is mounted on the camera support tube 13
in this manner, when the camera support tube 13 is inserted into
the cannula 31, the stopper 77 abuts against an edge (outside the
body) of the cannula 31, and the camera support tube 13 is held by
the cannula 31. Furthermore, as the locking hole 323 of the camera
support tube 13 is fitted to the locking claw 423 of the camera
unit 11, the camera unit 11 and the camera support tube 13 join
with each other with high mechanical strength. In addition, by
moving the stopper 77 up and down, the practitioner can change the
position (imaging zoom) of the camera unit 11 in the body, and to
change the orientation of the camera unit 11 by rotating the camera
support tube 13.
[0183] In addition, in a case where the camera support tube 13 and
the support tube joining portion 14 are inserted and fitted to each
other by using the locking claw, it is necessary that holding
strength of the stopper 77 which holds the camera support tube 13
by the cannula 31 is greater than the fitting strength of the
camera support tube 13 so that the camera support tube 13 is not
removed from the support tube joining portion 14 provided in the
camera unit 11. Specifically, for example, in a case where the
fitting strength of the inserted camera support tube 13 is within a
range of 3 N to 6 N, strength which is greater than the range, or
strength which is equal to or greater than at least 5 N, is
necessary. In addition, since it is not necessary that the fitting
strength is equal to or greater than the strength of the cable, it
is desirable that the most appropriate range is from 5 N to 50
N.
[0184] As illustrated in (c) of FIG. 9, the camera system for
monitoring the inside of a body 1 according to the modification
example includes the cannula 31 (holding tube), the stopper 77, and
the string-like member 38, which are illustrated in (a) to (c) of
FIG. 9).
[0185] Therefore, in the modification example, by fixing the camera
support tube 13 to the fixed body, such as the trocar 32, which is
fixed to the outside of the body using the string-like member 38,
it is also possible to fix the camera support tube 13 in a state
where a constant angle is maintained with respect to the body
surface 45.
[0186] (Slit 223)
[0187] In FIG. 3 and (a) and (b) of FIG. 6, a case where the slit
223 on the side surface of the camera support tube 13 has a linear
shape is illustrated as an example, but the shape of the slit 223
is not limited thereto.
[0188] For example, the camera support tube 13 may be configured of
a crank type slit 223 in which a lower slit cut upward in the
longitudinal direction (axial direction of the camera support tube
13) from one opening (inside the body) of the camera support tube
13, and an upper slit cut downward in the longitudinal direction
from the other opening (outside the body) at a position deviated by
90 degrees from the lower slit, are linked to a cylindrical tube by
a slit in a lateral direction.
[0189] Otherwise, the camera support tube 13 may be configured of a
spiral type slit 223 in which the lower slit and the upper slit are
linked by a curved slit (a slit in a diagonal direction may be
employed).
[0190] Similar to the crank type or the spiral type, in a case
where a part of the slit 223 is oriented in a direction different
from the axial direction (longitudinal direction) of the camera
support tube 13, the camera support tube 13 is rotated by
approximately 90 degrees in a state where a part of the camera side
cable 12 passes through the lower slit of the camera support tube
13, and furthermore, the camera support tube 13 is inserted into
the cannula 31 so that the upper slit goes along the camera side
cable 12.
[0191] Accordingly, the camera side cable 12 inserted from the slit
223 is not removed from the camera support tube 13, the work of the
practitioner becomes even easier, and the work becomes easy.
[0192] (Fixing by String-Like Member 38)
[0193] In the embodiment, a case where the camera support tube 13
is fixed to the fixed body, such as the trocar 32, by attaching the
string-like member 38 to the end part 13b outside the body of the
camera support tube 13, is described as an example. However, the
embodiment is not limited thereto, and the camera support tube 13
may be fixed by attaching the string-like member 38 to the cannula
31 to which the camera support tube 13 is fixed, and by fixing the
cannula 31 to the fixed body.
Embodiment 2
[0194] Another embodiment of the present invention will be
described based on FIGS. 10 to 13 as follows. In addition, in the
embodiment, differences from Embodiment 1 will be mainly described,
configuration elements having the same function as those of the
configuration elements used in Embodiment 1 will be given the same
reference numerals, and the description thereof will be omitted. In
addition, in the embodiment, it is also needless to say that
modifications similar to those of Embodiment 1 are possible.
[0195] In Embodiment 1, a case where the string-like member 38 is
used as the fixing tool which fixes the camera support tube 13
inserted into the cannula 31 to the outside of the body, is
described as an example, but the fixing tool and the method for
fixing the camera support tube 13 are not limited thereto.
[0196] In the embodiment, another example of the fixing tool and
the method for fixing the camera support tube 13 will be
described.
[0197] FIGS. 10 to 13 are respectively perspective views
illustrating an example of a schematic configuration of main parts
of the camera system for monitoring the inside of a body 1
according to the embodiment. FIGS. 10 to 13 respectively illustrate
an example of the support tube fixing member.
Example 1 of Fixing Tool
[0198] As illustrated in FIG. 10, the camera system for monitoring
the inside of a body 1 according to the example includes the
cannula 31 illustrated in (a) to (c) of FIG. 4, and a fixing device
141 (dedicated device, fixing tool).
[0199] In the example, as the fixing tool, instead of the
string-like member 38, by using the dedicated fixing device 141
which can directly fix the camera support tube 13 to the body
surface 45, the camera support tube 13 which is fixed to the
cannula 31 is fixed.
[0200] The fixing device 141 according to the example includes a
support table 144 provided with an adhesive layer, which is not
illustrated, on one surface (contact surface with the body surface
45); an accessory band 145 (belt-like string) which is fixed to a
surface opposite to the adhesive layer in the support table 144;
and an adjuster 146 which adjusts the fixing length of the band
145. In addition, in order to increase adhesiveness with the body
surface 45, it is desirable that a surface member which configures
the contact surface with the body surface 45 uses a flexible member
that can make the body surface 45 adhered in a rounded shape. In
this manner, it is possible to set a range of the most appropriate
holding strength, which will be described later.
[0201] In the band 145, while one end part is directly fixed to the
support table 144, the other end part is fixed to the support table
144 via the adjuster 146. The fixing length of the band 145 can be
arbitrarily adjusted by adjusting the length from a fixing end 145a
of the band 145 which is directly fixed to the support table 144,
to the adjuster 146 which fixes the other end part of the band 145
that is a free end to the support table 144.
[0202] In the example, by fixing the cannula 31 to which the camera
support tube 13 is fixed, to the support table 144 by the band 145,
in a state where the fixing device 141 is fixed to the body surface
45 by the adhesive layer, the camera support tube 13 is fixed to
the body surface 45 via the cannula 31.
[0203] Therefore, in the example, similar to Embodiment 1, the
practitioner can also operate the camera support tube 13 and can
also change the rotational direction or the imaging zoom (distance
to the object) of the visual field of the camera unit 11 by easily
rotating the camera support tube 13 in the circumferential
direction, by pushing the camera support tube 13 to the inside of
the body, and by pulling up the camera support tube 13 to the
outside of the body.
[0204] In addition, by adjusting the fixing position of the cannula
31 by the band 145, it is possible to change the fixing angle
(inclination) of the cannula 31 and the camera support tube 13 with
respect to the body surface 45. Accordingly, in the embodiment, it
is also possible to fix the cannula 31 and the camera support tube
13 at a desirable angle, and to arbitrarily change the direction of
the visual field of the camera unit 11.
[0205] Accordingly, in the example, it is possible for the camera
support tube 13 to be fixed in a desirable state.
[0206] In the example, the adjuster 146 is used in adjusting the
fixing length of the band 145 as illustrated in FIG. 10, but a
method for adjusting the fixing length of the band 145 is not
limited thereto. For example, instead of using the adjuster 146, as
the band 145, a band provided with a surface fastener, such as a
magic tape (registered trademark), may be used.
[0207] In the example illustrated in FIG. 10, a case where the
cannula 31 is tied to the support table 144 by fastening (pressing)
the cannula 31 with the band 145, is described, but the camera
support tube 13 may be tied to the support table 144 by fastening
(pressing) the camera support tube 13 by the band 145.
[0208] In a case where the camera support tube 13 is fastened by
the band 145, the camera support tube 13 may be fixed at a
desirable position by fastening the support tube 13 with the band
145 again after adjusting the fixing length of the band 145,
loosening the band 145, moving the support tube 13 or the support
table 144, and adjusting the position of the support tube 13.
Otherwise, by adjusting the fixing length of the band 145, giving
the band 145 elasticity, and adjusting fastening strength, the
support tube 13 may be fixed so that the support tube 13 can be
moved as a force which is equal to or greater than a certain level
is applied to the support tube 13.
[0209] In the example, as described above, a case where the cannula
31 illustrated in (a) to (c) of FIG. 4 is used as the cannula 31,
is described as an example. However, in a case where the camera
support tube 13 is fastened by the band 145, since the movement of
the camera support tube 13 is further restricted by the band 145,
the camera support tube 13 is not necessarily fixed to the cannula,
and a general cannula can be used as the cannula.
[0210] In addition, in order to prevent the camera support tube 13
from being removed from the support tube joining portion 14
provided in the camera unit 11, it is necessary to increase not
only the cable holding strength of a cable fastener 43 (cable
holder) which holds the camera side cable 12 in the camera support
tube 13, but also the holding strength of all of the fixing members
for supporting the camera support tube 13, such as holding strength
of the valve 37 or the stopper 77 which holds the camera support
tube 13 in the cannula 31, holding strength of the band 145 or a
surface fastener which holds the camera support tube 13 or the
cannula 31 in the support table 144, or adhering strength of the
adhesive layer which fixes the support table 144 to the body
surface 45, to be greater than the fitting strength of the camera
support tube 13. Specifically, for example, in a case where the
fitting strength of the inserted camera support tube 13 is from 3 N
to 6 N, strength which is greater than the range, that is, strength
which is equal to or greater than at least 5 N, is necessary. In
addition, since it is not necessary that the strength is equal to
or greater than the strength of the cable, it is desirable that the
most appropriate range of the holding strength is from 5 N to 50 N.
The most appropriate range is similar to that in another example of
the support tube fixing member, which will be described later.
[0211] According to the above-described holding strength, since the
camera support tube 13 and the support tube joining portion 14
sufficiently come into contact with each other, when the side
surfaces of the camera support tube 13 and the support tube joining
portion 14 are formed of a material having high thermal conductive
properties, it is possible to improve heat radiation properties of
the camera unit 11.
Example 2 of Fixing Tool
[0212] As illustrated in FIG. 11, the camera system for monitoring
the inside of a body 1 according to the example includes the
cannula 31 illustrated in (a) to (c) of FIG. 4, and a fixing device
151 (dedicated device, fixing tool).
[0213] In the embodiment, as the fixing tool, instead of the
string-like member 38, by using the dedicated fixing device 151
which can directly fix the camera support tube 13 to the body
surface 45, the camera support tube 13 which is fixed to the
cannula 31 is fixed. In addition, in the embodiment, the camera
support tube 13 is also indirectly fixed to the body surface 45 via
the cannula 31.
[0214] The fixing device 151 according to the example includes a
support table 152, a clip portion 153 (clip-like member) which is
made of a pinching member having a clip structure, and a support
tube mounting unit 154 provided on a surface side opposite to the
body surface 45 on the support table 152.
[0215] The fixing device 151 can be directly fixed to the body
surface 45 by nipping the skin with the clip portion 153 having a
biasing force.
[0216] The support tube mounting unit 154 includes arm portions 155
and 155 which are fixed to the support table 152; a clamp portion
156 which is a gripping unit that directly or indirectly grips the
camera support tube 13; and a screw fastening handle 157 which
fixes the clamp portion 156 by screw-fastening the clamp portion
156 between the arm portions 155 and 155 in a state of gripping the
cannula 31 with the clamp portion 156.
[0217] In the example, by fixing the cannula 31 to which the camera
support tube 13 is fixed to the support table 152 using the clamp
portion 156 in a state where the fixing device 151 is fixed to the
body surface 45 by the clip portion 153, the camera support tube 13
is fixed to the body surface 45 via the cannula 31.
[0218] At this time, by mounting the cannula 31 to which the camera
support tube 13 is fixed on the clamp portion 156, turning the
screw fastening handle 157, and fastening the cannula 31 by the
clamp portion 156, it is possible for the cannula 31 and the camera
support tube 13 to be fixed in a desirable state.
[0219] Therefore, in the example, similar to Embodiment 1, the
practitioner can also operate the camera support tube 13 and can
also change the rotational direction or the imaging zoom (distance
to the object) of the visual field of the camera unit 11 by easily
rotating the camera support tube 13 in the circumferential
direction, by pushing the camera support tube 13 to the inside of
the body, and by pulling up the camera support tube 13 to the
outside of the body.
[0220] In addition, by adjusting the fixing angle of the clamp
portion 156 with respect to the art portion 155 and adjusting the
fixing angle (inclination) of the cannula 31 and the camera support
tube 13 with respect to the body surface 45, it is possible to
change the direction of the visual field of the camera unit 11.
[0221] Accordingly, in the example, it is also possible for the
camera support tube 13 to be fixed in a desirable state.
[0222] In addition, in the example illustrated in FIG. 11, a case
where the cannula 31 is held by the clamp portion 156 is
illustrated as an example, but the camera support tube 13 may be
held by the clamp portion 156.
[0223] In a case where the camera support tube 13 is held by the
clamp portion 156, in a case where the position or the orientation
of the camera support tube 13 fixed to the clamp portion 156 is
adjusted, after moving the camera support tube 13 by turning the
screw fastening handle 157 and loosening the clamp portion 156, and
adjusting the position of the camera support tube 13, the camera
support tube 13 may be fixed at a desirable position by turning the
screw fastening handle 157 and fastening the camera support tube 13
by the clamp portion 156 again. Otherwise, by fastening the fixing
strength by the screw fastening handle 157, the camera support tube
13 may be fixed to the clamp portion 156 so that the camera support
tube 13 can be moved as a force which is equal to or greater than a
certain level is applied to the camera support tube 13.
[0224] In the example, as described above, a case where the cannula
31 illustrated in (a) to (c) of FIG. 4 is used as the cannula 31,
is described as an example. However, in a case where the camera
support tube 13 is fastened by the clamp portion 156, since the
movement of the camera support tube 13 is further restricted by the
clamp portion 156, the camera support tube 13 is not necessarily
fixed to the cannula, and a general cannula can be used as the
cannula.
[0225] Instead of the screw fastening handle 157, the clamp portion
156 may adjust the fastening using the biasing force by a spring or
the like. In this case, it is desirable that an angle adjustment
mechanism which adjusts the fixing angle of the clamp portion 156
is provided in the support tube mounting unit 154. Instead of
providing the angle adjustment mechanism in the support tube
mounting unit 154, by changing a fixing position of the fixing
device 151 by the clip portion 153, the inclination of the camera
support tube 13 with respect to the body surface 45 may be
adjusted.
[0226] In FIG. 11, a case where two clip portions 153 are provided
to nip the support table 152 on a side surface of the support table
152, is illustrated as an example, but the method for fixing the
support table 152 to the body surface 45 is not limited thereto.
For example, one large clip portion which has a biasing force and
can nip a part (for example, arm, leg, or abdomen) of the body
which is close to the affected part of the patient may be provided
on a surface opposite to the art portion 155, which is a lower
surface of the support table 152.
Example 3 of Fixing Tool
[0227] As illustrated in FIG. 12, the camera system for monitoring
the inside of a body 1 according to the example includes the
cannula 31 illustrated in (a)n to (c) of FIG. 4, and a fixing
device 161 (dedicated device, fixing tool).
[0228] In the embodiment, as the fixing tool, instead of the
string-like member 38, by using the dedicated fixing device 161
which can directly fix the camera support tube 13 to the body
surface 45, the camera support tube 13 which is fixed to the
cannula 31 is fixed. In addition, in the example, the camera
support tube 13 is also indirectly fixed to the body surface 45 via
the cannula 31.
[0229] The fixing device 161 according to the example includes a
support table 162 provided with an adhesive layer, which is not
illustrated, on one surface (contact surface with the body surface
45), and a support tube mounting unit 163 provided on a surface
side opposite to the body surface 45 on the support table 162. In
addition, in order to increase adhesiveness with the body surface
45, it is desirable that a surface member which configures the
contact surface with the body surface 45 uses a flexible member
that can make the body surface 45 adhered in a rounded shape. In
this manner, it is possible to set a range of the most appropriate
holding strength, which will be described later.
[0230] The support tube mounting unit 163 includes an art portion
164 which is fixed to the support table 162; a clamp portion 165
which is a gripping unit that directly or indirectly grips the
camera support tube 13; and a screw fastening handle 166 which
fixes the clamp portion 165 by screw-fastening the art portion
164.
[0231] In the example, by fixing the cannula 31 to which the camera
support tube 13 is fixed to the support table 162 using the clamp
portion 165 in a state where the fixing device 161 is fixed to the
body surface 45 by the adhesive layer, the camera support tube 13
is fixed to the body surface 45 via the cannula 31.
[0232] In the example, similar to the example 2 of the support tube
fixing member, by mounting the cannula 31 to which the camera
support tube 13 is fixed on the clamp portion 165, turning the
screw fastening handle 166, and fastening the cannula 31 by the
clamp portion 165, it is also possible for the cannula 31 and the
camera support tube 13 to be fixed in a desirable state.
[0233] Therefore, in the example, effects similar to those of
Example 2 of the support tube fixing member can also be achieved.
In addition, in the example, modifications similar to those of the
Example 2 of the support tube fixing member are possible.
Example 4 of Fixing Tool
[0234] As illustrated in FIG. 13, the camera system for monitoring
the inside of a body 1 according to the example includes the
cannula 31 illustrated in (a) to (c) of FIG. 4, and a fixing device
171 (dedicated device, fixing tool), as the support tube fixing
member.
[0235] In the embodiment, as the fixing tool, instead of the
string-like member 38, by using the dedicated fixing device 171
which can directly fix the camera support tube 13 to the body
surface 45, the camera support tube 13 which is fixed to the
cannula 31 is also fixed. In addition, in the embodiment, the
camera support tube 13 is also indirectly fixed to the body surface
45 via the cannula 31.
[0236] The fixing device 171 according to the example includes an
art portion 172, a clamp portion 173 which is a gripping unit that
directly or indirectly grips the camera support tube 13; and a
linking portion 174 which fixes (links) the clamp portion 173 to
the art portion 172.
[0237] In addition, in the linking portion 174, the screw fastening
handle which is not illustrated may be provided. Otherwise, the
angle adjustment mechanism which is not illustrated and adjusts the
angle made by the art portion 172 and the clamp portion 173 may be
provided. In addition, the clamp portion 173 may hold the cannula
31 by screw-fastening, and may hold the cannula 31 using the
biasing force by the spring or the like.
[0238] The clamp portion 173 and the art portion 172 are linked to
each other by the linking portion 174 so that the angle made by the
clamp portion 173 and the art portion 172 is an obtuse angle.
[0239] The fixing device 171 illustrated in FIG. 13 receives a
restoring force 49 generated by elasticity of the body wall 41 when
inclining the angle of the camera support tube 13 or the cannula 31
at a contact end part between the camera support tube 13 and the
cannula 31 in the clamp portion 173, which is one end part, and
uses the restoring force 49 as a force (body wall pressing force
50) which presses the body wall 41 which is the fixed body at a
contact end part which is the other end part of the body wall 41 in
the art portion 172. Accordingly, it is possible to fix the camera
support tube 13 or the cannula 31 at a desirable state.
[0240] Therefore, in the example, the practitioner can also operate
the camera support tube 13 and can also change the rotational
direction or the imaging zoom (distance to the object) of the
visual field of the camera unit 11 by easily rotating the camera
support tube 13 in the circumferential direction, by pushing the
camera support tube 13 to the inside of the body, and by pulling up
the camera support tube 13 to the outside of the body.
[0241] In addition, by adjusting the fixing angle of the clamp
portion 173 with respect to the art portion 172 and adjusting the
fixing angle (inclination) of the cannula 31 and the camera support
tube 13 with respect to the body surface 45, it is possible to
change the direction of the visual field of the camera unit 11.
[0242] In addition, in the example illustrated in FIG. 13, a case
where the cannula 31 is held by the clamp portion 173 is
illustrated as an example, but in the example, the camera support
tube 13 may be held by the clamp portion 173.
[0243] In addition, in the example, in a case where the camera
support tube 13 is fixed by the clamp portion 173, since the
movement of the camera support tube 13 is further restricted by the
clamp portion 173, it is also not necessary that the camera support
tube 13 is fixed to the cannula, and a general cannula can be used
as the cannula.
[0244] In addition, in Example 3 of the support tube fixing member,
a case where the fixing device 161 is fixed to the body surface 45
by using the adhesive layer is described as an example, but in the
fixing device 161 illustrated in FIG. 12, similar to the example,
by adjusting the fixing angle of the clamp portion 165 with respect
to the art portion 164, it is also possible to fix the fixing
device 161 to the body surface 45 without using the adhesive
layer.
[0245] In other words, the fixing device 161 illustrated in FIG. 12
can also receive the restoring force generated by elasticity of the
body wall 41 when inclining the angle of the camera support tube 13
or the cannula 31 at the contact end part between the camera
support tube 13 and the cannula 31 in the clamp portion 173, and
can use the restoring force as a force (body wall pressing force)
which presses the body wall 41 at the contact end part of the body
wall 41 in the support table 162.
Modification Example
[0246] The shape and the material of the dedicated fixing device
used in each of the above-described examples, are not particularly
limited if fixing to the body surface is possible.
[0247] In addition, in each of the above-described examples, a case
where each fixing device is fixed to the body surface is described
as an example, but the embodiment is not limited thereto.
[0248] For example, the camera support tube 13 or the cannula 31
may be fixed by the dedicated fixing device installed on the
operating table.
[0249] For example, in the fixing device described in each of the
above-described examples, a so-called joint arm or an articulated
arm which has at least one joint unit, can bend the arm by the
joint unit, and can freely change a bending angle, is used, the arm
may be fixed to the operating table or to the fixing device
installed on the operating table or in the operating room, instead
of being fixed to the support table or the body surface 45, and the
support table provided with the arm may be fixed to the fixing
device installed on the operating table or in the operating room.
Accordingly, since it is possible to make the reach from the fixing
position of the fixing device to the clamp portion long, effects
similar to those in a case where the fixing device is fixed to the
body surface 45, which is close to the affected part, can be
achieved.
Embodiment 3
[0250] Still another embodiment of the present invention will be
described based on FIG. 14 as follows. In addition, in the
embodiment, differences from Embodiments 1 and 2 will be mainly
described, configuration elements having the same function as those
of the configuration elements used in Embodiment 1 will be given
the same reference numerals, and the description thereof will be
omitted. In addition, in the embodiment, it is also needless to say
that modifications similar to those of Embodiments 1 and 2 are
possible.
[0251] In Embodiments 1 and 2, a case where the string-like member
38 or the dedicated fixing device (for example, the fixing devices
141, 151, 161, and 171) are used as the fixing tool which fixes the
camera support tube 13 inserted into the cannula 31 to the outside
of the body, is described as an example, but the fixing tool and
the method for fixing the camera support tube 13 are not limited
thereto.
[0252] In the embodiment, still another example of the fixing tool
and the method for fixing the camera support tube 13 will be
described.
[0253] FIG. 14 is a perspective view illustrating an example of a
schematic configuration of main parts of the camera system for
monitoring the inside of a body 1 according to the embodiment.
[0254] The camera system for monitoring the inside of a body 1
according to the embodiment includes the cannula 31 illustrated in
(a) to (c) of FIG. 4, and an adhesive tape 46 (fixing tool).
[0255] In the embodiment, by using the adhesive tape 46 which can
be directly fixed to the body surface 45, the camera support tube
13 which is fixed to the cannula 31 is fixed. In addition, in the
embodiment, the camera support tube 13 is also indirectly fixed to
the body surface 45 via the cannula 31.
[0256] As the adhesive tape 46, it is possible to use an adhesive
tape which has an adhesive layer in the contact part with the body
surface, and is generally used in surgery. The adhesive tape 46 has
an adhesive layer, which is not illustrated, on one surface
(contact surface with the body surface 45), and can be directly
fixed to the body surface 45 due to adhesiveness of the adhesive
layer.
[0257] In addition, in the embodiment, the practitioner can also
operate the camera support tube 13 and can also change the
rotational direction or the imaging zoom (distance to the object)
of the visual field of the camera unit 11 by easily rotating the
camera support tube 13 in the circumferential direction, by pushing
the camera support tube 13 to the inside of the body, and by
pulling up the camera support tube 13 to the outside of the
body.
[0258] In the embodiment, by changing the fixing position (that is,
a position at which pressure is applied to the cannula 31 by the
adhesive tape 46) of the adhesive tape 46 in the cannula 31, it is
possible to change the fixing angle (inclination) of the cannula 31
and the camera support tube 13 with respect to the body surface 45.
Accordingly, in the embodiment, it is also possible to fix the
cannula 31 and the camera support tube 13 at a desirable angle, and
to arbitrarily change the direction of the visual field of the
camera unit 11.
[0259] In addition, for example, below the cannula 31 (that is,
between the cannula 31 and the body surface 45), by nipping an
object which serves as the fixing height adjustment member which
adjusts the fixing height of the cannula 31, and has a desirable
thickness similar to the support table 144 illustrated in FIG. 10,
the fixing angle (inclination) of the cannula 31 and the camera
support tube 13 may be changed. In other words, the camera system
for monitoring the inside of a body 1 according to the embodiment
may further include a fixing height adjustment member which is not
illustrated in addition to the cannula 31 and the adhesive tape 46,
as the support tube fixing member.
[0260] Accordingly, in the embodiment, it is also possible to fix
the camera support tube 13 at a desirable state.
[0261] In addition, in the example illustrated in FIG. 14, a case
where the cannula 31 is fixed by the adhesive tape 46 by making the
adhesive tape 46 adhere to the cannula 31, is illustrated as an
example, but in the embodiment, the camera support tube 13 may also
be directly fixed by the adhesive tape 46 by making the adhesive
tape 46 adhere to the camera support tube 13.
[0262] In a case where the camera support tube 13 is directly fixed
by the adhesive tape 46, in a case where the position of the camera
support tube 13 changes after the practitioner operates the camera
support tube 13, adjusts the position of the camera support tube
13, and fixes the camera support tube 13 by the adhesive tape 46,
the camera support tube 13 may be fixed by the adhesive tape 46
again after the practitioner peels off the adhesive tape 46,
operates the camera support tube 13, and adjusts the position of
the camera support tube 13 again.
[0263] Accordingly, even in a case where the camera support tube 13
is directly fixed by the adhesive tape 46, it is possible for the
camera support tube 13 to be fixed in a desirable state.
[0264] In addition, in the embodiment, in a case where the camera
support tube 13 is directly fixed by the adhesive tape 46, since
the movement of the camera support tube 13 is further restricted by
the adhesive tape 46, it is also not necessary that the camera
support tube 13 is fixed to the cannula, and a general cannula can
be used as the cannula.
Embodiment 4
[0265] Further still another embodiment of the present invention
will be described based on (a) to (c) of FIG. 15 as follows. In
addition, in the embodiment, differences from Embodiments 1 to 3
will be mainly described, configuration elements having the same
function as those of the configuration elements used in Embodiment
1 will be given the same reference numerals, and the description
thereof will be omitted. In addition, in the embodiment, it is also
needless to say that modifications similar to those of Embodiments
1 to 3 are possible.
[0266] In Embodiments 1 to 3, a case where the camera support tube
13 or the cannula 31 which is fixed to the camera support tube 13,
is fixed to the outside of the body by the fixing tool, is
described as an example. In the embodiment, a case where the camera
side cable 12 is fixed to the camera support tube 13, and the
camera support tube 13 is fixed as the camera side cable 12 is
fixed to the outside of the body by the fixing tool, will be
described as an example.
[0267] (a) of FIG. 15 is a view in which a sectional view and an
upper view of the camera support tube 13 are aligned when the cable
fastener 43 is provided at the end part 13b outside the body in the
camera support tube 13. (b) of FIG. 15 is a view in which a
sectional view and an upper view of the camera support tube 13 are
aligned when the camera side cable 12 passes through the camera
support tube 13. (c) of FIG. 15 is a perspective view illustrating
an example of a schematic configuration of main parts of the camera
system for monitoring the inside of a body 1 according to the
embodiment.
[0268] The camera system for monitoring the inside of a body 1
according to the embodiment includes the cannula 31 illustrated in
(a) to (c) of FIG. 4, the cable fastener 43 (cable holder), and the
adhesive tape 46 (fixing tool).
[0269] As described in Embodiment 1, the camera side cable 12 is
connected to the instrument side cable 16 via the camera side cable
connector 12a. In the embodiment, in order to lock the camera side
cable 12 to the camera support tube 13, as illustrated in (a) and
(b) of FIG. 15, the cable fastener 43 is provided at the end part
13b outside of the body of the camera support tube 13.
Schematic Configuration of Camera Support Tube 13
[0270] Here, first, a schematic configuration of the camera support
tube 13 according to the embodiment will be described.
[0271] As illustrated in (a) of FIG. 15, the camera support tube 13
which is used in the embodiment includes a head portion 113 and a
leg portion 114, and has a configuration similar to that of the
camera support tube 13 according to Embodiment 1, except that the
camera support tube 13 is a funnel-shaped tube in which the inner
diameter of the head portion 113 is greater than the inner diameter
of the leg portion 114.
[0272] The end part 13a on the leg portion 114 side of the camera
support tube 13 according to the embodiment is inserted into the
body through the body wall 41, such as an abdominal wall.
[0273] Therefore, as the camera support tube 13, in a state where
the camera support tube 13 is inserted into the cannula 31, the
camera support tube 13 including the leg portion 114 of which the
length in the axial direction is longer than that of the leg
portion 132 of the cannula 31 is used so that the end part 13a on
the leg portion 114 side which is an end part on a side inserted
into the body, and the end part 13b on the head portion 113 side
which is an end part outside the body, are exposed from the cannula
31. In addition, the camera support tube 13 which has the size
(thickness) to have a void between the outer wall of the camera
support tube 13 and the inner wall of the cannula 31 in a state
where the camera support tube 13 is inserted into the cannula 31 so
that the camera support tube 13 can be rotated inside the cannula
31.
[0274] In addition, in the embodiment, the leg portion 114 of the
camera support tube 13 also has a cylindrical shape. Therefore, in
the embodiment, as the cannula 31, the cannula 31 illustrated in
(a) to (c) of FIG. 4 is used, but it is easy to combine the leg
portion 114 with a general cannula which is a cylindrical tube.
Schematic Configuration of Cable Fastener 43
[0275] As described above, the camera support tube 13 which is used
in the embodiment has a shape in which the end part 31b (outside
the body) on the head portion 113 side is thicker than the end part
31a on the leg portion 114 side (inside the body) inserted in the
body.
[0276] The cable fastener 43 is provided at the end part 31b on the
head portion 113 side in the camera support tube 13.
[0277] As illustrated in (a) and (b) of FIG. 15, the cable fastener
43 has a longitudinal groove 43a which extends in the axial
direction of the camera support tube 13, and of which the width
narrows (a lateral section is tapered in the outward orientation)
to the outside (a direction of a side surface) from the center of
the camera support tube 13. In addition, as the longitudinal groove
43a, instead of providing the tapered longitudinal groove in the
cable fastener 43, the cable fastener 43 is configured of the
elastic member, and by providing a cut-out as the longitudinal
groove 43a in the cable fastener 43, the camera side cable 12 may
also be held using the biasing force by the elastic material.
[0278] According to the embodiment, in this manner, by fixing the
camera side cable 12 to a bottom unit (a part of which the width
decreases) of the longitudinal groove 43a of the cable fastener 43,
it is possible to fix the camera side cable 12 to the camera
support tube 13.
[0279] Therefore, according to the embodiment, after the camera
side cable 12 and the camera support tube 13 are fixed by the cable
fastener 43 as illustrated in (b) of FIG. 15, by fixing the camera
side cable 12 by the adhesive tape 46 or the like as illustrated in
(c) of FIG. 15, it is possible to fix the position of the camera
support tube 13.
[0280] In addition, the cable fastener 43 may be integrally formed
with the camera support tube 13, and may be separately formed. In
other words, the camera side cable 12 may be fixed by inserting the
cable fastener 43 into the camera support tube 13 as a separated
component after the camera side cable 12 passes through the camera
support tube 13.
Result
[0281] In the embodiment, after the practitioner operates the
camera support tube 13, adjusts the position of the camera support
tube 13, and fixes the camera side cable 12 by the adhesive tape
46, in a case where the position of the camera support tube 13 is
changed, the camera side cable 12 may also be fixed by the adhesive
tape 46 again after the practitioner peels off the adhesive tape
46, operates the camera support tube 13, and adjusts the position
of the camera support tube 13 again.
[0282] In addition, for example, below the camera side cable 12
(that is, between the camera side cable 12 and the body surface
45), or below the cannula 31 or the camera support tube 13
according to the situation, as the fixing height adjustment member,
by nipping the object having a desirable thickness similar to the
support table 144 illustrated in FIG. 10, the fixing angle
(inclination) of the cannula 31 connected to the camera side cable
12 and the camera support tube 13 may be changed. In other words,
in the embodiment, the support tube fixing member may also be
additionally provided with the fixing height adjustment member
which is not illustrated.
[0283] Accordingly, even in a case where the camera side cable 12
is directly fixed by the adhesive tape 46, it is possible for the
camera support tube 13 to be fixed in a desirable state.
[0284] In addition, according to the embodiment, by fixing the
camera side cable 12 to the camera support tube 13 using the cable
fastener 43, it is possible to temporarily stop the camera side
cable 12 in the middle of the installation work of the camera unit
11, and there is an advantage that workability is improved. In
addition, even when the camera side cable 12 is pulled to the
outside of the body after the installation, the load is not applied
to the connection part of the camera unit and the camera side cable
12, and there is also an advantage that it is possible to prevent
the camera side cable from being broken.
Modification Example
[0285] In the embodiment, as described above, a case where the
cannula 31 illustrated in (a) to (c) of FIG. 4 is used as the
cannula 31, is also described as an example. However, it is not
necessary for the camera support tube 13 according to the
embodiment to be fixed to the cannula, and a general cannula can be
used as the cannula.
[0286] In other words, in the embodiment, by fixing the camera side
cable 12 to the camera support tube 13, and fixing the camera side
cable 12 to the outside of the body, it is possible to fix the
camera support tube 13 by the camera side cable 12. In other words,
by fixing the camera side cable 12 by the adhesive tape 46, the
position and the orientation of the camera support tube 13
connected to the camera side cable 12 are fixed. Therefore, similar
to a case where the camera support tube 13 is fixed to the outside
of the body directly by the fixing tool, the camera support tube 13
may not be fixed to the cannula.
[0287] In addition, in the embodiment, as described above, a case
where the camera support tube 13 is fixed by fixing the camera side
cable 12 to the camera support tube 13 by using the cable fastener
43, and by fixing the camera side cable 12 to the outside of the
body by the adhesive tape 46, will be described as an example.
However, the embodiment is not limited thereto, and after fixing
the camera side cable 12 to the camera support tube 13 by using the
cable fastener 43 as described above, the camera support tube 13 or
the cannula 31 may be fixed to the outside of the body by fixing
the camera side cable 12 thereto by the fixing tool, such as the
adhesive tape. It is needless to say that two or more among the
camera side cable 12, the camera support tube 13, and the cannula
31 may be fixed. In any case, by fixing the camera side cable 12 to
the camera support tube 13 using the cable fastener 43, an effect
that it is possible to improve workability as described above, and
to prevent the camera side cable from being broken, can be
achieved.
[0288] In addition, in the embodiment, a case where the adhesive
tape 46 is used in fixing the camera side cable 12, or the camera
support tube 13 or the cannula 31, will be described. However, the
fixing tool is not limited thereto, and it is needless to say that
a fixing tool similar to the fixing tool used in fixing the camera
support tube 13 or the cannula 31 in Embodiments 1 to 3 can be
used.
Embodiment 5
[0289] Further still, another embodiment of the present invention
will be described based on (a) to (d) of FIG. 16, and (a) to (h) of
FIG. 17 as follows. In addition, in the embodiment, differences
from Embodiments 1 to 4 will be mainly described, configuration
elements having the same function as those of the configuration
elements used in Embodiment 1 will be given the same reference
numerals, and the description thereof will be omitted. In addition,
in the embodiment, it is also needless to say that modifications
similar to those of Embodiments 1 to 4 are possible.
[0290] In Embodiments 1 to 4, a case where the camera support tube
13 and the cannula 31 are separated from each other, is described
as an example. In the embodiment, a case where the camera support
tube 13 is directly fixed to the body surface without using the
cannula 31 by giving a function of the cannula to the camera
support tube 13, will be described as an example.
Schematic Configuration of Camera Support Tube 13
[0291] (a) of FIG. 16 is a perspective view of the camera support
tube 13 according to Embodiment 5. (b) of FIG. 16 is a sectional
view of the camera support tube 13 illustrated in (a) of FIG.
16.(c) of FIG. 16 is a perspective view of a case where the camera
support tube 13 according to embodiment is combined with an
obturator. (d) of FIG. 16 is a sectional view illustrating a state
where the camera support tube 13 according to embodiment is
punctured through the body wall 41.
Schematic Configuration of Camera Support Tube 13
[0292] Here, first, a schematic configuration of the camera support
tube 13 according to the embodiment will be described.
[0293] As illustrated in (a) of FIG. 15, the camera support tube 13
which is used in the embodiment is a funnel-shaped tube which
includes the head portion 113 and the leg portion 114, and in which
the inner diameter of the head portion 113 is greater than the
inner diameter of the leg portion 114, and has a configuration
similar to that of the camera support tube 13 according to
Embodiment 1, except that the slit 223 is not provided.
[0294] The end part 13a on the leg portion 114 side of the camera
support tube 13 according to the embodiment is directly inserted
into the body through the body wall 41, such as an abdominal
wall.
[0295] In the embodiment, the camera support tube 13 in which the
length of the leg portion 114 in the axial direction is longer than
the thickness of the body wall 41, and the length that can freely
move the leg portion 114 in the axial direction inside the body, is
also used as the camera support tube 13 so that the practitioner
can change the imaging zoom (distance to the object) by operating
the camera support tube 13 exposed to the outside of the body, by
pressing the camera support tube 13 to the inside of the body, and
by pulling up the camera support tube 13 to the outside of the
body.
[0296] In addition, it is desirable that the camera support tube 13
in which the leg portion 114 is a cylindrical tube is used as the
camera support tube 13 so that it is possible to freely rotate the
camera support tube 13 at a desirable height.
[0297] However, the embodiment is not limited thereto, and the
camera support tube 13 may be provided to be movable and rotatable
in the axial direction inside the body.
[0298] In addition, from the viewpoint of low invasiveness, it is
preferable that the diameter of the camera support tube 13 is as
small as possible.
[0299] According to the embodiment, as illustrated in (c) and (d)
of FIG. 16, in a case where the camera support tube 13 is inserted
into the body, an obturator 36 (sharpened rod) is inserted into the
camera support tube 13, and a tip end (sharp part) of the obturator
36 exposed from the end part 13a inside the body of the camera
support tube 13 is punctured through the port 41d opened on the
body wall 41. Accordingly, the camera support tube 13 is inserted
into the port 41d, and the camera support tube 13 is contact-fixed
by the body wall 41. In addition, since the end part 13b on the
head portion 113 side of the camera support tube 13 protrudes to
the outside of the body, as the head portion 113 functions as a
stopper, the camera support tube 13 does not fall out of the
body.
Method for Installing Camera System for Monitoring Inside of Body
1
[0300] Next, both the method for installing the imaging apparatus 2
in the camera system for monitoring the inside of a body 1
according to the embodiment, and the method of use, will be
described.
[0301] (a) to (h) of FIG. 17 are schematic views illustrating the
method for installing the imaging apparatus 2 in the camera system
for monitoring the inside of a body 1 according to the
embodiment.
[0302] First, as illustrated in (a) of FIG. 17 similar to (a) of
FIG. 5, the practitioner opens the ports 41a to 41c (holes) on the
body wall 41 for inserting the forceps or the endoscope into the
body cavity, and inserts each of the plurality of trocars 32
(hereinafter, referred to as the trocars 32a to 32c) into the ports
41a to 41c.
[0303] Furthermore, in order to install the camera unit 11 in the
body cavity, on the body wall 41, the port 41d is opened at a
position where the entire organ including the affected part can be
seen, and instead of the cannula 31, the camera support tube 13 is
inserted into the port 41d as illustrated in (a) to (d) of FIG. 15.
Specifically, as illustrated in (c) and (d) of FIG. 15, in a state
where the needle-like obturator 36 passes through the inside of the
camera support tube 13, the obturator 36 is punctured through the
port 41d. Accordingly, as illustrated in (d) of FIG. 15, the camera
support tube 13 is inserted into the body wall 41, and is
contact-fixed by the body wall 41. After this, the obturator 36 is
extracted from the camera support tube 13.
[0304] After at least one of the trocars 32a to 32c is inserted,
the practitioner sends gas into the body through the trocar,
expands the inside of the body cavity in advance, and ensures the
space into which the device is inserted.
[0305] Next, as illustrated in (b) of FIG. 17, the practitioner
inserts the endoscope 34 into the body cavity through the trocar
32c, grips the supporting portion 22 by the forceps 33a while
observing the inside of the body using the endoscope 34, and
inserts the imaging apparatus 2 into the body cavity through the
trocar 32b.
[0306] Next, as illustrated in (c) of FIG. 17, the practitioner
operates the forceps 33a, moves the imaging apparatus 2 to be close
to the camera support tube 13, and inserts the forceps 33b into the
body cavity through the camera support tube 13.
[0307] Next, as illustrated in (d) of FIG. 17, the practitioner
leads the camera side cable 12 to the outside of the body by
pulling out the forceps 33b from the camera support tube 13 in a
state where the camera side cable 12 is nipped by the forceps 33b.
At this time, the supporting portion 22 in the camera unit 11 is
gripped by the forceps 33a.
[0308] Next, as illustrated in (e) of FIG. 17, the practitioner
inserts the forceps 33c into the body cavity through the trocar
32a, and grips the supporting portions 22 on both side surfaces of
the camera unit 11 by two forceps 33a and 33c so that the support
tube joining portion 14 of the camera unit 11 and the opening of
the camera support tube 13 becomes parallel and close to each
other.
[0309] Next, as illustrated in (f) of FIG. 17, the practitioner
inserts the end part 13a inside the body of the camera support tube
13 into the support tube joining portion 14 of the camera unit 11,
and screws the end part 13a. Accordingly, in a state where the
camera side cable 12 passes through the inside of the camera
support tube 13, the camera support tube 13 and the camera unit 11
join with each other at the support tube joining portion 14, inside
the body.
[0310] Next, as illustrated in (g) of FIG. 17, the practitioner
pulls up the camera support tube 13 so that the widest area
possible inside of the body cavity can be imaged.
[0311] Next, the height, the orientation, and the angle in the body
cavity of the camera unit 11 is determined by operating the camera
support tube 13, and as illustrated in (h) of FIG. 17, the camera
support tube 13 is fixed by the fixing tool, such as the adhesive
tape 46. Accordingly, even when the practitioner does not support
the camera support tube 13, it is possible to maintain the state of
the camera support tube 13.
[0312] After installing the camera unit 11 in the body, similar to
Embodiment 1, the camera side cable 12 and the instrument side
cable 16 are joined to each other by using the camera side cable
connector 12a.
Effect
[0313] As described above, in the embodiment, similar to
Embodiments 1 to 4, the camera unit 11 and the camera support tube
13 also join with each other with high mechanical strength, and a
supporting force of the camera unit 11 is higher than that in the
related art. In addition, since the camera side cable 12 is guided
toward the outside of the body through the inside of the camera
support tube 13, after the camera unit 11 and the camera support
tube 13 join with each other, the load is not applied to the camera
side cable 12, the camera side cable 12 is not exposed to the
inside of the body, and the camera side cable 12 does not come into
contact with the body wall 41. Accordingly, certainty (waterproof
and stainproof properties of the connected part) of the electric
connection of the camera side cable 12 and the circuit board 19 is
increased. Therefore, it is possible to realize the camera system
for monitoring the inside of a body 1 having high reliability.
[0314] In the embodiment, similar to Embodiments 1 to 4, the
practitioner can also operate the camera support tube 13,
arbitrarily set the direction of the visual field, the rotational
direction of the visual field, and the imaging zoom (distance to
the object) of the camera unit 11, and fix the camera unit 11 at a
desirable position. Therefore, it is possible to realize a camera
system for monitoring the inside of a body having high
usability.
[0315] Additionally, according to the embodiment, it is not
necessary to pass through the camera support tube 13 inside similar
to the cannula 31 of Embodiments 1 to 4, the camera support tube 13
is directly inserted into the body wall 41, and the camera support
tube 13 can be directly fixed to the body surface. Therefore, it is
possible to reduce the diameter of the port 41d. Due to this, the
embodiment is excellent from the viewpoint of low invasiveness. In
addition, according to the embodiment, since the process in which
the camera support tube 13 passes through the cannula 31 in a state
where the camera side cable 12 passes through the camera support
tube 13 as described in Embodiment 1, is not necessary, the work
efficiency of the practitioner can be improved.
Modification Example
[0316] In addition, in (h) of FIG. 17, a case where the adhesive
tape 46 is used as the fixing tool, is illustrated as an example,
but the fixing tool is not limited thereto, and it is needless to
say that the dedicated fixing device described in Embodiments 2 and
3 may be used as the fixing tool.
[0317] In Embodiment 4, a case where the camera support tube 13 is
fixed to the body surface in a state where the camera support tube
13 is inserted into the cannula 31, will be described. However, as
illustrated in the embodiment, after the camera support tube 13 is
punctured through the body wall 41 using the obturator, and the
camera side cable 12 passes through the camera support tube 13, the
cable fastener 43 may be inserted into the camera support tube 13
as a separate component. Accordingly, even in a case where the
camera support tube 13 is fixed using the camera side cable 12 as
illustrated in Embodiment 4, it is possible to directly fix the
camera support tube 13 to the body surface without using the
cannula 31.
[0318] In addition, even in a case where the string-like member is
used as the fixing tool, by using the plurality of string-like
members or the string-like member having branch portions, it is
possible to directly fix the camera support tube 13 to the body
surface without using the cannula 31.
[0319] In this case, for example, as illustrated in (a) to (d) of
FIG. 16, the camera support tube 13 including the head portion 113
which functions as a stopper that prevents the camera support tube
13 from falling out of the body is used as the camera support tube
13, the camera support tube 13 is hung by using the string-like
member, and locked to the trocar or the like as described in
Embodiment 1, and accordingly, it is possible to directly fix the
camera support tube 13 to the body surface in a state where the
length, the rotational direction, and the inclination with respect
to the body surface of the camera support tube 13 inside the body
are held.
[0320] In addition, instead of using the camera support tube 13
illustrated in (a) to (d) of FIG. 16, as the camera support tube
13, even when a string-like member fixing unit (for example, a
fixing unit which can fix the string-like member by making the
string-like member pass or by binding the string-like member) which
prevents the movement of the string-like member of the camera
support tube 13 in the axial direction is provided in the camera
support tube 13, similar effects can be obtained.
Embodiment 6
[0321] Further still, another embodiment of the present invention
will be described based on FIGS. 18 to 23 as follows. In addition,
in the embodiment, differences from Embodiments 1 to 4 will be
mainly described, configuration elements having the same function
as those of the configuration elements used in Embodiment 1 will be
given the same reference numerals, and the description thereof will
be omitted. In addition, in the embodiment, it is also needless to
say that modifications similar to those of Embodiments 1 to 4 are
possible.
[0322] In Embodiments 1 to 4, a case where the camera support tube
13 and the cannula 31 to which the camera support tube 13 is fixed
are fixed to the outside of the body by the fixing tool, or a case
where the camera side cable 12 is fixed to the camera support tube
13 and the camera support tube 13 is fixed by fixing the camera
side cable 12 to the outside of the body by using the fixing tool,
are described as an example. In the embodiment, in the cases, an
example in which an air plug (accessory for a support tube) which
has a function of fully filling the space between the camera
support tube 13 and the cannula 31, that is, a function of blocking
at least a part of the void between the camera support tube 13 and
the cannula 31, is used, will be described.
Air Plug
[0323] (a) of FIG. 18 is a sectional view illustrating a state
where an air plug 88 is provided between the end part outside the
body in the camera support tube 13 and the end part outside the
body in the cannula 31, in a sectional view illustrating a joined
state of the camera support tube 13 inserted into the cannula 31
and the camera unit 11. (b) of FIG. 18 is a side view of the air
plug 88. (c) of FIG. 18 is an upper view of the air plug 88. (d) of
FIG. 18 is a perspective view of the air plug 88. (e) of FIG. 18 is
a sectional view in a case where the size of the end part outside
the body in the cannula 31 is small.
[0324] The tube-like member, such as the cannula or the trocar
which installs the camera support tube 13, has various types of
sizes of the inner diameter, and inner structures, such as the
valve. Therefore, when installing the camera support tube 13 in the
tube-like member, according to the type of the tube-like member,
there is a case where gas which inflates the abdominal wall leaks
from the void between the camera support tube 13 and the tube-like
member 31, and a defect is generated. Therefore, as illustrated in
(a) of FIG. 18, it is effective to provide the air plug 88
(accessory for the support tube) which reduces the leakage between
the tube-like member 31 and the camera support tube 13.
[0325] The air plug 88 of (a) to (d) of FIG. 18 includes a hold
portion 88a and a flange-like lid portion 88b, and the hold portion
88a has a shape of a tapered (becomes narrow when approaching the
body surface side) truncated cone, and is provided with a support
tube hole 88h which passes through the hold portion 88a. The air
plug 88 configured of an elastic material, such as rubber, is
disposed to be fitted into the upper end part of the cannula 31
(tube-like member) so that the hold portion 88a pressingly expands
a valve 37, and to cover the upper surface of the cannula 31 with
the lid portion 88b, in a state where the camera support tube 13 is
held in the support tube hole 88h. As described above, the air plug
88 substantially blocks the void between the cannula 31 and the
camera support tube 13.
[0326] In addition, since the void (void which is greater than that
in a case where the small number, such as one or two, of valves 37,
or in a case where the inner diameter of the cannula 31 is large)
which is generally large between the valve 37 of the cannula 31 and
the camera support tube 13 is generated, the air plug 88 is
necessary in reducing the leakage of the air. This is also employed
in the following modification example of the air plug.
[0327] (a) of FIG. 18 illustrates an example in which the valve 37
comes into contact with the air plug 88 at the upper part of the
cannula 31, but this is merely an example. It is needless to say
that the air plug 88 also achieves an effect of reducing the air
leakage in a case where the valve 37 and the air plug 88 does not
come into contact with each other, such as a case where the valve
37 is not at the upper part of the cannula 31. This is also
employed in the following modification example of the air plug.
[0328] In (a) of FIG. 18, an example in which the upper part of the
cannula 31 is installed at a relatively large part, is illustrated.
As the lower part of the hold portion 88a gradually becomes narrow
as illustrated in (b) of FIG. 18, even in a case where the upper
part of the cannula 31 is narrower than this (illustrated in (e) of
FIG. 18), it is possible to perform the insertion so that the outer
side surface of the lower part of the hold portion 88a comes into
contact with the inner side surface of the upper end part of the
cannula 31, and to employ this as the air plug with respect to
various types of the cannula (tube-like member).
[0329] In addition, it is not necessary to completely seal
(completely block the void between the camera support tube 13 and
the cannula 31) in the cannula 31 by the air plug 88, and it is
sufficient if it is possible to prevent large leakage which
deflates the inflated body cavity. It is desirable that the void
somewhat remains and gas appropriately leaks since there is an
effect of reducing the temperature inside the body. In addition,
since this causes cooling of the camera support tube 13, it is
possible to improve the effect of releasing the heat of the camera
unit 11 to the air via the camera support tube 13.
Air Plug-Cum-Support Tube Holder
[0330] The air plug can also function as a support tube holder
which holds and fixes the support tube to the cannula.
[0331] (a) of FIG. 19 is a sectional view illustrating a state
where the air plug having a function of holding the support tube is
provided between the end part outside the body in the camera
support tube 13 and the end part outside the body in the cannula
31, in a sectional view illustrating the joined state of the camera
support tube 13 inserted into the cannula 31 and the camera unit
11. (c) of FIG. 19 is an upper view of the air plug. (d) of FIG. 19
is a perspective view of the air plug. (e) of FIG. 19 is another
example in which a plate spring-like clip for fixing the support
tube is attached to the side surface of the air plug. As
illustrated in (a), (c), and (d) of FIG. 19, the air plug 88
(accessory for the support tube, support tube holder) includes the
hold portion 88a, the flange-like lid portion 88b, and a side wall
portion 88d which extends to the body surface side from a
circumferential edge of the lid portion 88b, and the hold portion
88a has a shape of a tapered (becomes narrow when approaching the
body surface side) truncated cone, and is provided with the support
tube hole 88h which passes through the hold portion 88a. The air
plug 88 configured of an elastic member, such as one made of
rubber, is disposed to be fitted into the upper end part of the
cannula 31 so that the hold portion 88a pressingly expands the
valve 37, to cover the upper surface of the upper end part of the
cannula 31 with the lid portion 88b, and to cover the outer side
surface of the upper end part of the cannula 31 with the side wall
portion 88d, in a state where the camera support tube 13 is held in
the support tube hole 88h. As described above, the air plug 88
substantially blocks the void between the cannula 31 and the camera
support tube 13, and fixes the camera support tube 13 and the
cannula 31.
[0332] As described in (e) FIG. 19, a structure in which the
cannula 31 is nipped by opening and closing the clip using a clip
88D, such as a plate spring, instead of the side wall portion 88d,
can be employed. According to such a clip structure, it is possible
to employ various types of cannulas (tube-like members) having
different sizes from each other, and versatility is improved.
Air Plug-Cum-Cable Holder
[0333] The air plug can also function as a cable holder which holds
and fixes the camera side cable to the support tube.
[0334] (a) of FIG. 20 is a sectional view illustrating a state
where the air plug having a function of a cable holder is provided
between the end part outside the body in the camera support tube 13
and the end part outside the body in the cannula 31, in a sectional
view illustrating the joined state of the camera support tube 13
inserted into the cannula 31 and the camera unit 11. (b) of FIG.
20(b) is a side view of the air plug. (c) of FIG. 20 is an upper
view of the air plug. (d) of FIG. 20 is a perspective view of the
air plug.
[0335] As illustrated in (a) to (d) of FIG. 20, the air plug 88
(accessory for the support tube, cable holder) includes the hold
portion 88a and the flange-like lid portion 88b, the hold portion
88a includes an upper part 88ax positioned above the lid portion
88b in a columnar shape and a lower part 88ay positioned below the
lid portion 88b (body surface side) in a shape of a tapered
(becomes narrow when approaching the body surface side) truncated
cone, the support tube hole 88h is provided in the hold portion
88a, and a cable cut-out 88f which reaches the circumferential edge
of the lid portion 88b from the center part of the upper part 88ax
is provided. The air plug 88 configured of an elastic member, such
as one made of rubber, is disposed to be fitted into the upper end
part of the cannula 31 (tube-like member) so that the lower part
88ay pressingly expands the valve 37, and to cover the upper
surface of the upper end part of the cannula 31 with the lid
portion 88b, in a state where the camera side cable 12 which passes
through the cable cut-out 88f is held at the center of the upper
part 88ax, and the camera support tube 13 is held in the support
tube hole 88h. As described above, the air plug 88 substantially
blocks the void between the cannula 31 and the camera support tube
13, and fixes the camera support tube 13 and the camera side cable
12.
[0336] (a) and (d) of FIG. 21 are longitudinal sectional views of
modification examples of the air plug. (b) and (c) of FIG. 21 are
lateral sectional views of a part illustrated by a dashed line of
(a) of FIG. 21. (e) of FIG. 21 is a lateral sectional view of a
part illustrated by a dashed line of (d) of FIG. 21. As illustrated
in FIG. 21, a structure in which a clip 88X, such as a plate
spring, which includes a cable hole 88K is used in the upper part
88ax of the hold portion 88a and lid portion 88b, and the camera
side cable 12 in the cable hole 88K is nipped from the side surface
by opening ((b) of FIG. 21) and closing ((c) of FIG. 21) of the
clip 88X, is employed. In addition, the lower end of the hold
portion 88a has a ring shape similar to (e) of FIG. 21. According
to such a clip structure, it is possible to obtain a stabilized
cable holding force, and to employ various types of cannulas having
different sizes from each other, and versatility is improved.
Air Plug-Cum-Support Tube Holder-cum-Cable Holder
[0337] The air plug can also function as the support tube holder
which holds and fixes the support tube to the cannula, and the
cable holder which holds and fixes the camera side cable to the
support tube.
[0338] (a) of FIG. 22 is a sectional view illustrating a state
where the air plug having a function of the support tube holder and
the cable holder is provided between the end part outside the body
in the camera support tube 13 and the end part outside the body in
the cannula 31, in a sectional view illustrating the joined state
of the camera support tube 13 inserted into the cannula 31 and the
camera unit 11. (c) of FIG. 22 is an upper view of the air plug.
(d) of FIG. 22 is a perspective view of the air plug.
[0339] As illustrated in (a), (c), and (d) of FIG. 22, the air plug
88 (accessory for the support tube, support tube holder, cable
holder) includes the hold portion 88a, the flange-like lid portion
88b, and the side wall portion 88d which extends to the body
surface side from the circumferential edge of the lid portion 88b,
the hold portion 88a includes the upper part 88ax positioned above
the lid portion 88b in a columnar shape and the lower part 88ay
positioned below the lid portion 88b (body surface side) in a shape
of a tapered (becomes narrow when approaching the body surface
side) truncated cone, the support tube hole 88h is provided in the
hold portion 88a, and a cable cut-out 88g which reaches the lower
end of the side wall portion 88d via the circumferential edge of
the lid portion 88b from the center part of the upper part 88ax.
The air plug 88 configured of an elastic member, such as one made
of rubber, is disposed to be fitted into the upper end part of the
cannula 31 (tube-like member) so that the lower part 88ay
pressingly expands the valve 37, to cover the upper surface of the
upper end part of the cannula 31 with the lid portion 88b and to
cover the outer side surface of the upper end part of the cannula
31 with the side wall portion 88d, in a state where the camera side
cable 12 which passes through the cable cut-out 88g is held at the
center of the upper part 88ax, and the camera support tube 13 is
held in the support tube hole 88h. As described above, the air plug
88 substantially blocks the void between the cannula 31 and the
camera support tube 13, and fixes each of the camera support tube
13, the cannula 31, and the camera side cable 12.
[0340] (a) of FIG. 23 is a longitudinal sectional view of a
modification example of the air plug. (b) and (c) of FIG. 23 are
lateral sectional views of a part illustrated by a dashed line of
(a) of FIG. 23. As illustrated in FIG. 21, a structure in which the
clip 88X, such as a plate spring, which includes the cable hole 88K
is used in the upper part 88ax of the hold portion 88a of FIG. 23,
and the camera side cable 12 in the cable hole 88K is nipped from
the side surface by opening and closing the clip 88X, is employed.
According to such a clip structure, it is possible to obtain a
stabilized cable holding force, and to employ various types of
camera side cables having different sizes from each other, and
versatility is improved.
[0341] In addition, as illustrated in (a) to (c) of FIG. 23, a
structure in which a clip 88Y, such as a plate spring, which
includes a support tube hole 88S is used in the upper part 88ax and
the lid portion 88b of the hold portion 88a, and the camera support
tube 13 in the tube hole 88S is nipped from the side surface by
opening and closing the clip 88Y, is employed. According to such a
clip structure, it is possible to obtain a stabilized cable holding
force.
[0342] Furthermore, a cable holder made of the clip 88X of FIG. 21
is provided at the upper part 88ax of the hold portion 88a, the
lower end of the hold portion 88a has a ring shape illustrated in
(e) of FIG. 21, and as illustrated in FIG. 23, the clip 88Y which
fixes the camera support tube 13 can be provided therebetween.
According to such a double clip structure, it is possible to obtain
a stabilized cable holding force of the camera support tube and the
camera side cable, and to employ various types of camera side
cables, camera support tubes, and cannulas (tube-like members)
having different sizes from each other, and versatility is
improved.
[0343] In Embodiment 6, the air plug 88 which can be used in fixing
the camera support tube 13, the camera side cable 12, and the
cannula 31, will be described. However, the embodiment is not
limited thereto, and it is needless to say that the structures
described in Embodiments 1 to 4 may be used.
Regarding Each of Above-Described Embodiments
[0344] The cannula described in each of the above-described
embodiments is merely an example of the tube-like member (tube-like
device), and the cannula can be used instead of the trocar which is
the same tube-like member (tube-like device).
Conclusion
[0345] A camera system for monitoring the inside of a body (1)
according to aspect 1 of the present invention includes: a support
tube (camera support tube 13) of which one end part 13a is inserted
into the body; an imaging unit (camera unit 11) which includes a
joining portion (support tube joining portion 14) which joins with
the support tube, and joins with the support tube in the body; a
cable (camera side cable 12) which is connected to the imaging
unit, and is drawn out toward the outside of the body through the
support tube; a control system (3) which is on the outside of the
body, is connected to the cable, and includes at least a display
apparatus (display 18); a fixing tool (for example, string-like
member 38, adhesive tape 46, fixing devices 141, 151, 161, and 171)
which directly or indirectly fixes the support tube to a body
surface in a state where a length of the support tube in the body,
a rotational direction of the support tube, and an inclination of
the support tube with respect to the body surface, which are set by
a practitioner, are held.
[0346] In the camera system for monitoring the inside of a body (1)
according to aspect 2 of the present invention, in the
above-described aspect 1, a cannula (cannula 31) having a tube-like
structure into which the support tube is insertable may further be
provided, and the support tube may be fixed to the body surface in
a state of being inserted into the cannula.
[0347] In the camera system for monitoring the inside of a body (1)
according to aspect 3 of the present invention, in the
above-described aspect 2, the support tube may be fixed to the
cannula outside the body, and the fixing tool may fix the support
tube by fixing the cannula to the body surface.
[0348] In the camera system for monitoring the inside of a body (1)
according to aspect 4 of the present invention, in the
above-described aspect 2 or 3, the support tube may be movable in
an axial direction within a range that the length of the support
tube allows, and may be fixed to the cannula to be rotatable around
an axis.
[0349] In the camera system for monitoring the inside of a body (1)
according to aspect 5 of the present invention, in any of the
above-described aspects 2 to 4, the support tube may be fixed to
the cannula due to a biasing force.
[0350] In the camera system for monitoring the inside of a body (1)
according to aspect 6 of the present invention, in any of the
above-described aspects 2 to 5, fixing strength between the support
tube and the cannula is greater than joining strength between the
support tube and the joining portion.
[0351] In the camera system for monitoring the inside of a body (1)
according to aspect 7 of the present invention, in any of the
above-described aspects 2 to 6, the fixing strength between the
support tube and the cannula is within a range of 5 N to 50 N.
[0352] In the camera system for monitoring the inside of a body (1)
according to aspect 8 of the present invention, in any of the
above-described aspects 1 to 5, a cable holder (cable fastener 43,
air plug 88) which holds and fixes the cable to the support tube is
provided, and the support tube or the cable is fixed to the outside
of the body.
[0353] In the camera system for monitoring the inside of a body (1)
according to aspect 9 of the present invention, in any of the
above-described aspects 1 to 8, a cable holder which holds and
fixes the cable to the support tube is provided, and cable holding
strength of the cable holder is greater than joining strength
between the support tube and the joining portion.
[0354] In the camera system for monitoring the inside of a body (1)
according to aspect 10 of the present invention, in the
above-described aspect 9, the joining strength is within a range of
3 N to 6 N.
[0355] In the camera system for monitoring the inside of a body (1)
according to aspect 11 of the present invention, in the
above-described aspect 9, the fixing strength onto the body surface
by the fixing tool is greater than the cable holding strength.
[0356] In the camera system for monitoring the inside of a body (1)
according to aspect 12 of the present invention, in any of the
above-described aspects 1 to 11, a cable holder (cable fastener 43,
air plug 88) which holds and fixes the cable to the support tube is
provided, and cable holding strength of the cable holder is within
a range of 5 N to 50 N.
[0357] In addition, in the aspects 8 to 12 of the present
invention, in a case where the support tube is inserted into the
cannula, the cable holder may have a function of blocking at least
a part of a void between the support tube and the cannula.
[0358] In the camera system for monitoring the inside of a body (1)
according to aspect 13 of the present invention, in any of the
above-described aspects 2 to 7, the cable holder which holds and
fixes the cable to the support tube or a support tube holder which
holds and fixes the support tube to the cannula, is provided, and
the cable holder or the support tube holder has a function of
blocking at least a part of a void between the support tube and the
cannula.
[0359] An accessory for a support tube (88) of the camera system
for monitoring the inside of a body (1) according to aspect 14 of
the present invention, is an accessory for a support tube of the
camera system for monitoring the inside of a body described in any
one of the above-described aspects 2 to 7, which has at least two
functions among a function of fixing the cable to the support tube,
a function of fixing the support tube to the cannula, and a
function of blocking at least a part of the void between the
support tube and the cannula.
[0360] A fixing tool (adhesive tape 46) for a camera system for
monitoring the inside of a body (1) according to aspect 15 of the
present invention includes a flexible adhesion surface with respect
to the body surface.
[0361] A method for installing a camera system for monitoring the
inside of a body according to aspect 16 of the present invention,
includes: a step of inserting a cable (camera side cable 12)
connected to a control system (3) which has at least a display
apparatus (display 18) on the outside of the body, and an imaging
unit (camera unit 11) connected to the cable, into the body; a step
of drawing out the cable toward the outside of the body through a
support tube (camera support tube 13) of which one end part 13a is
inserted into the body; a step of joining the imaging unit and the
support tube to each other at a joining portion (support tube
joining portion 14) provided in the imaging unit, in the body; and
a step of adjusting a length of the support tube in the body, a
rotational direction of the support tube, an inclination of the
support tube with respect to the body surface in the body, and
directly or indirectly fixing the support tube to the body
surface.
[0362] (Additional Expression of Present Invention)
[0363] The present invention can be expressed as follows.
[0364] The camera system for monitoring the inside of a body (1)
according to an aspect of the present invention, includes: a
support tube (camera support tube 13) of which one end part 13a is
inserted into a body; an imaging unit (camera unit 11) which
includes a joining portion (support tube joining portion 14) which
joins with the support tube, and joins with the support tube in the
body; a cable (camera side cable 12) which is connected to the
imaging unit, and is drawn out toward the outside of the body
through the support tube; and a control system (3) which is on the
outside of the body, is connected to the cable, and includes at
least a display apparatus (display 18), and in the support tube, it
is possible to arbitrarily change the direction of the visual field
of the imaging unit and the rotational direction of the visual
field in the body, to arbitrarily change the imaging zoom (distance
to the object) to be within an allowable range of the length of the
support tube, and to directly or indirectly fix the support tube to
the body surface.
[0365] In the camera system for monitoring the inside of a body
(1), the cannula 31 for making the support tube pass through the
inside thereof, may be used.
[0366] In the camera system for monitoring the inside of a body
(1), the support tube can be fixed to the body surface as the
support tube is locked to the trocar 32 in the periphery by the
string-like fixing tool (string-like member 38).
[0367] In the camera system for monitoring the inside of a body
(1), the support tube can be fixed to the body surface by using a
dedicated device (for example, fixing devices 141 and 161) having
adhesiveness at the contact part with the body surface.
[0368] In the camera system for monitoring the inside of a body
(1), the support tube can be fixed to the body surface by using a
dedicated device (for example, fixing device 151) which is fixed to
the body surface by nipping the skin at the contact surface with
the body surface.
[0369] In the camera system for monitoring the inside of a body
(1), the support tube can be fixed to the body surface by receiving
the restoring force 49 generated by elasticity of the body wall
when inserting the support tube into the body wall and inclining
the angle, and by using a dedicated device (for example, fixing
devices 161 and 171) which uses the pressing force as a force (for
example, body wall pressing force 50) which presses the body wall
at the contact part with the body surface.
[0370] In the camera system for monitoring the inside of a body
(1), the support tube can be fixed to the body surface by using a
dedicated device of which one end is fixed to the operating
table.
[0371] In the camera system for monitoring the inside of a body
(1), the support tube can be fixed to the body surface by using a
tape (adhesive tape 46).
[0372] In the camera system for monitoring the inside of a body
(1), the support tube can lock the cable, and can be fixed to the
body surface by fixing the cable to the body surface.
[0373] In the camera system for monitoring the inside of a body
(1), the support tube can be fixed to the cannula outside the body,
and can be fixed to the body surface by fixing the cannula to the
body surface.
[0374] The present invention is not limited to the above-described
embodiments, and also includes an embodiment which can be obtained
by appropriately changing and combining the above-described
embodiments based on common technical knowledge.
INDUSTRIAL APPLICABILITY
[0375] An imaging apparatus is appropriate for endoscopic surgery
or the like.
* * * * *