U.S. patent number 3,915,157 [Application Number 05/480,856] was granted by the patent office on 1975-10-28 for endoscope.
This patent grant is currently assigned to Olympus Optical Co., Ltd.. Invention is credited to Kazuhiko Mitsui.
United States Patent |
3,915,157 |
Mitsui |
October 28, 1975 |
Endoscope
Abstract
An endoscope wherein a slotted control member is rockably
disposed in a port provided in the distal end section of the
endoscope; the forward end portion open to the port of the channel
is inclined relative to the axis of the distal end section; a
tubular member, for example, forceps inserted into the channel has
its tip portion so guided by the inclined forward end portion of
the channel as to extend outwardly of the distal end section to one
swing limit of said tip portion by being conducted through the slot
of the control member; and, where the control member rocks from one
position to another by the pulling force of an actuating wire, the
tubular member has its tip portion swung to the opposite limit.
Inventors: |
Mitsui; Kazuhiko (Tokyo,
JA) |
Assignee: |
Olympus Optical Co., Ltd.
(Tokyo, JA)
|
Family
ID: |
13522668 |
Appl.
No.: |
05/480,856 |
Filed: |
June 19, 1974 |
Foreign Application Priority Data
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|
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Jun 21, 1973 [JA] |
|
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48-73590 |
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Current U.S.
Class: |
600/107 |
Current CPC
Class: |
A61B
1/018 (20130101); A61B 1/00098 (20130101); A61B
1/00165 (20130101) |
Current International
Class: |
A61B
1/018 (20060101); A61B 1/012 (20060101); A61B
1/00 (20060101); A61B 001/06 () |
Field of
Search: |
;128/4-9,33R,303.1,303.15,2B |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Layton; Henry S.
Claims
What is claimed is:
1. An endoscope having a distal end section, control unit provided
at the proximal end section, a tube section connecting the control
unit with the distal end section, a port formed in the distal end
section so as to be opened to the end face thereof, a channel the
forward end portion of which communicates with the port and the
opposite end of which reaches the interior of the control unit
through the tube section, and an elongated flexible tubular member
inserted into the channel so as to have its tip portion made to
extend through the port out of the distal end section, a control
member disposed in the port and having a slot for slidable
insertion of the tip portion of the tubular member, said slot being
defined by at least upper and lower walls; support means for
rockably holding the control member within the port in a plane
including the axial line of the distal end section; and an
actuating wire one end of which is connected to the control member
and the other end of which reaches the interior of the control unit
through the tube section so as to be subjected to the pulling
operation of said control unit, said actuating wire rocking the
control member from its original position to another position due
to the pulling operation of said control unit, thereby swinging the
tip portion of the tubular member from one swing limit to another
the forward end portion of the channel for insertion of the tubular
member being inclined relative to the axis of the distal end
section, thereby enabling the tubular member passing through said
forward end portion of the channel to be positively guided in the
direction of said inclination, and when the control member is in
the original position, said slot of the control member is brought
into alignment with the inclined forward end portion of the channel
thereby causing the tip portion of the tubular member to extend to
one swing limit.
2. An endoscope according to claim 1, wherein the control member
has a triangular shape as viewed from a plane including the axis of
the distal end section and is provided on one side with an inlet
communicating with one end of the slot and on the other side with
an outlet communicating with the other end of the slot.
3. An endoscope according to claim 2, wherein said support means is
a pivot pin secured to the proximity of one apex of the triangular
control member, and said one end of the actuating wire is fitted to
the proximity of another apex of the triangular control member.
4. An endoscope according to claim 1, wherein said slot of the
control member is defined by a pair of side walls in addition to
said upper and lower walls.
Description
BACKGROUND OF THE INVENTION
This invention relates to an endoscope wherein an inserted
elongated flexible tubular member such as forceps has its tip
portion guided to any desired part of the body cavity of a human
being or patient while observation is being made through the
endoscope, because the tip portion of said tubular member can be
freely swung outwardly of the distal end section of the
endoscope.
With the above-mentioned endoscope provided with a channel for
insertion of an elongated flexible tubular member, the direction in
which an elongated tubular member inserted into the channel of the
endoscope extends outward is controlled by an operator or observer.
The control mechanism comprises a control member rockably disposed
in a port provided in the end face of the distal end section of the
endoscope for engagement with said tubular member and an actuating
wire for rocking the control member from the original position to
another position through the operation of a control unit, thereby
to swing the tip portion of the tubular member from one swing limit
to another. The control member has generally been referred to as "a
forceps raising member", where the elongated tubular member
consists of forceps.
Where the actuating wire stops pulling, the control member regains
its original position, and in consequence the tubular member has
its tip portion swung to one limit by its own righting force to be
engaged with the control member.
Further, with the prior art endoscope, the forward end portion of
the channel through which an elongated tubular member is inserted
is made substantially parallel with the axis of the distal end
section, causing the tip portion of the tubular member to extend
outwardly of the distal end section substantially parallel with the
axis of said section. The direction of said extension constitutes
one swing limit of the range through which the tip portion of the
tubular member is later swung by the action of the actuating wire.
Therefore the swing range of the tip portion of the tubular member
is considerably limited, namely, only accounts for half the area of
the open portion of the port, failing freely to shift said tip
portion over a broad region within the body cavity of a
patient.
Moreover, the control member of the prior art endoscope consists of
a plate member provided in the distal end section so as to be made
rockable at the base end by means of a pivot pin and engageable
with the tip portion of the tubular member at the forward end. When
pulled by the actuating wire, the control plate member raises the
tip portion of the tubular member by the forward end. Moreover, the
forward end of the plate control member engages the tip portion of
the tubular member at a point relatively apart from the open end of
the channel, failing to attain the broad swing of said tip portion
even by the rocking of said plate control member.
SUMMARY OF THE INVENTION
It is accordingly the general object of this invention to provide
an endoscope which is characterized in that the forward end portion
open to the port of the channel formed in the endoscope for
insertion of an elongated flexible tubular member is inclined
relative to the axis of said distal end section; and the tip
portion of the tubular member is made obliquely to extend through
the inclined forward end portion of the channel outwardly of the
distal end section, the direction of said oblique extension
constituting one limit of the range through which the tip portion
of one flexible tubular member is later swung. Accordingly, the
endoscope of this invention enables the tip portion of an elongated
flexible tubular member such as forceps to be swung far more
broadly over substantially the whole area of the open portion of
the port. Therefore, an operator or observer using the present
endoscope can bring the tip portion of the tubular member to any
desired affected part of the body cavity of a patient by shifting
said tip portion over a broad region therein.
According to this invention, the control member rockably disposed
in the port is bored with a slot for insertion of a tubular member.
When the control member is in its original position, the slot is
substantially aligned with the inclined forward portion of the
channel enabling the tip portion of the tubular member to extend
through the slot without any obstruction. When the control member
rocks from its original position by the pulling action of the
actuating wire, then the slot of said control member causes the tip
portion of the tubular member to be forcefully swung to the
opposite limit over a broader range than has been possible with the
prior art endoscope.
According to a preferred embodiment of this invention, the control
member has a triangular form and can repeatedly rock through a
broad angle in the distal end section with good durability. The
base side of the triangular control member normally faces the
bottom plane of the port. Provided near one apex of the base side
is a support means, for example, a pair of pivot pins for rockably
holding the control member. Fitted near the opposite apex of the
base side is the actuating wire. Accordingly the control member can
rock through a very broad angle, enabling the tip portion of a
flexible tubular member such as forceps to be swung over a wide
range.
It is, therefore, an object of this invention to provide an
endoscope capable of swinging the tip portion of an elongated
flexible tubular member through a broad angle.
Another object of the invention is to provide an endoscope equipped
with a durable mechanism of simple construction for attaining the
broad swing of the tip portion of said tubular member.
Other features and objects of the invention will be easily
understood from the description of the preferred embodiment and
accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is an entire view, partly in section, of an endoscope
embodying this invention;
FIG. 2 is an enlarged oblique view of the distal end section of the
endoscope of FIG. 1, showing the tip portion of forceps projecting
from a port formed in the distal end section;
FIG. 3 is a more enlarged longitudinal sectional view of the distal
end section of the endoscope of FIG. 2 on line 3--3 of FIG. 2 as
viewed in the direction of the indicated arrows, showing that the
control member disposed in the port of the endoscope for
controlling the movement of the tip portion of the forceps is held
in an original position, causing the tip portion of the forceps to
extend slightly downward out of the port of the distal end
section;
FIG. 4 is a sectional view on line 4--4 of FIG. 3 as viewed in the
direction of the indicated arrows; and
FIG. 5 is a similar longitudinal sectional view of the distal end
section of the endoscope to that of FIG. 3, showing that the
control member provided in the port of the endoscope is shifted to
another position, causing the tip portion of the forceps to be
swung out of the port in a different direction from FIG. 3.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The endoscope of this invention whose whole view is given in FIG. 1
comprises a distal end section 10, control unit 11 positioned at
the proximal end and tube section 12 whose ends are connected to
said distal end section 10 and control unit 11. As illustrated in
FIG. 2, the distal end section 10 has an open port 13 formed in the
end face 10a. The end face 10a is provided with a window 15 for an
image guide 14 (FIG. 1) and a pair of windows 17 for illumination
light guides 16 (FIG. 1). The control unit 11 controls the
insertion of the distal end section 10 of the endoscope into the
body cavity (not shown) of a human being or patient while
observation is made through an eyepiece member 11a. The control
unit 11 is fitted with a knob 18 rotatable by an operator or
observer. The tube section 12 should preferably be made of
sufficiently pliant material to allow the free insertion of the
distal end section 10 into the body cavity. Where, however, the
endoscope is, for example, a rectoscope, or cystoscope, the tube
section 12 may be formed of a straight metal tube difficult to
bend.
Referring to FIG. 3, the distal end section 10 is provided with a
base frame 19 defining the port 13. A cylindrical cover 20 is
rigidly secured to the periphery of the base frame 19. Bored in the
base frame 19 are a one end opening or a forward end portion 22a of
a channel 22 through which an elongated flexible tubular member or
forceps 21 is inserted and a one end opening 24a of a channel 24
through which the later described actuating wire 23 is inserted.
These openings 22a, 24a communicate with the port 13. The forceps
channel 22 is formed of a tube 25 lengthwise extending through the
tube section 12 into the control unit 11. The wire channel 24 is
defined by a tube 26 extending lengthwise through the tube section
12 similarly into the control unit 11.
A control member 27 disposed in the port 13 is rockably mounted on
the base frame 19 by a pair of pivot pins 28 (FIG. 4) penetrating
the control member 27 at right angles. The control member 27 rocks
on a plane including the axial line 29 (FIG. 3) of the distal end
section 10 from its original position in FIG. 3 to another position
in FIG. 5. As apparent from FIGS. 3 and 5, the control member 27
has its triangular surface made parallel with the plane on which it
rotates, all the apices being rounded. One side 27a of the
triangular control member 27 which normally faces the bottom of the
port 13 is bored with an inlet 30 for insertion of forceps 21,
which in turn faces the forward end opening or portion 22a of the
forceps channel 22. One adjacent side 27b of the control member 27
is bored with an outlet 31 through which the forceps 21 are drawn
outward. The control member 27 is further provided with a slot 32
(FIGS. 3 and 4) whose ends communicate with the inlet 30 and outlet
31. The upper and lower walls 33, 34 of the slot 32 define its
height. The upper and lower inner walls 33, 34 of the control
member 27 which constitute the lengthwise side walls 35 of the slot
32 define its width.
While the control member 27 remains in its original position as
shown in FIG. 3, the forceps channel 22 and slot 32 are aligned
with each other, causing the tip portion 21a of the forceps 21
inserted into the forceps channel 22 to extend without any
obstruction slightly downward to the left side (FIG. 3) out of the
port 13 through the slot 32. As apparent from FIGS. 3 and 5, the
forward end portion 22a of the forceps channel 22 communicating
with the port 13 is formed in a state slightly inclined relative to
the axis 29 of the distal end section 10. Therefore, the tip
portion 21a of the forceps 21 passing through said inclined forward
end portion 22a of the channel 22 naturally extends obliquely
downward as illustrated in FIG. 3. The direction of said extension
represents one limit of the swing range through which the tip
portion 21a makes the later described swing.
The paired pivot pins 28 are provided in the neighborhood 27c of
one rounded apex of the triangular control member 27 and penetrate
said member substantially at right angles to the axis 29. The
forward end 23a of the actuating wire 23 is secured to the
proximity 27d of the adjacent apex of the triangular control member
27. The actuating wire 23 is slidably inserted into the channel 24
through its open end 24a with the rear end of said wire 23
mechanically connected to the knob 18 of the control unit 11 (not
shown). When an operator or observer rotates the knob 18 in a
certain direction, the wire 23 is pulled rearward. When the knob 18
is rotated in the opposite direction, the wire 23 slides forward
through the channel 24.
When the wire 23 is pulled rearward, the control member 27 rocks
clockwise about the pivot pins 28 from the original position in
FIG. 3 to another position in FIG. 4. The clockwise rocking of the
control member 27 causes that portion of the forceps 21 which is
inserted into the slot 32 to be forcefully swung obliquely upward
from the one limit position of FIG. 3 against the elasticity of the
control member 27 in the neighborhood of the lower wall 34 of the
slot 32, particularly near the outlet 31 of said slot 32 as shown
in FIG. 5. Where the tip portion 21a of the forceps 21 is swung
upward as shown in FIG. 5, the upper wall 33 of the slot 32,
particularly, the neighborhood of the inlet 30 of the slot 32 is
pressed against the forceps 21 to depress them downward.
Accordingly, the tip portion 21a of the forceps 21 is forcefully
swung obliquely upward from one limit position of FIG. 3 to another
limit position of FIG. 5 through a very broad angle, because the
tip portion 21a is urged by the neighborhoods of the outlet 31 and
inlet 30 of the slot 32.
Where the knob 18 is rotated in the opposite direction to the
above-mentioned case to retract the actuating wire 23 into the
channel 24, then the control member 27 rocks counterclockwise from
the position of FIG. 5 to the original position of FIG. 3. The
counterclockwise rocking of the control member 27 causes that
portion of the forceps 21 which is received in the slot 32 to be
brought downward by the upper wall 33 of the slot 32, particularly
the neighborhood of its outlet 31. As the result, the tip portion
21a of the forceps 21 is swung back to the original position of
FIG. 3 by the joint action of the righting force of the forceps 21
and the urging force of the upper wall 33 of the slot 32. The
withdrawal of the actuating wire 23 can be smoothly effected due to
the righting force of the forceps 21, eliminating the possibility
of the wire 23 being buckled during retraction.
The shifting of the control member 27 from one position to another
carried out by the actuating wire 23 enables the tip portion 21a of
the forceps 21 passing through the slot 32 to be swung in either
way through a very broad angle fully over the open portion of the
port 13. Further, where the extent of pushing and pulling the
actuating wire 23 is controlled by regulating the rotation of the
knob 18, then the control member 27 and consequently the tip
portion 21a of the forceps 21 can be set at any desired swung point
between the original and another positions.
The movement of the outlet 31 of the slot 32 above and below the
axial line 29 according to the position of the control member 27
causes the tip portion 21a of the forceps to be swung over a very
broad range, thereby enabling any desired interior tissue of a
human being or patient to be collected by the claws fitted to the
tip portion 21a of the forceps 21 quickly over the broad region of
the body cavity.
According to the foregoing embodiment the slot 32 formed in the
control member 27 was defined by four side walls 33, 34, 35, 35.
However, the slot 32 will sufficiently serve the purpose, if it has
at least upper and lower walls. In such case, the side walls 35, 35
of the slot 32 may be substituted by the right and left walls of
the port 13.
With the endoscope of this invention, the open portion of the port
13 of the distal end section 10 through which an elongated flexible
tubular member 21 such as forceps is inserted is inclined, as
previously mentioned, relative to the axis 29 of the distal end
section 10, causing the tip portion 21a of the tubular member 21 to
extend obliquely out of the distal end section through the port 13.
The direction of the extension constitutes one limit of the range
through which said tubular member 21 is swung. When set at one
swing limit, the tip portion 21a is drawn near the lower end of the
open portion of the port 13. But when the control member 27 rocks
by the pulling action of the actuating wire 23, the tip portion 21a
is forcefully swung to another limit to be brought near the upper
end of the open portion of the port 13.
According to the preferred embodiment, the elongated flexible
tubular member consisted of forceps. But this invention is also
applicable to many other tubular members, for example that used to
suck a liquid.
* * * * *