U.S. patent number 3,788,303 [Application Number 05/219,988] was granted by the patent office on 1974-01-29 for orthogonally deflectable endoscope.
This patent grant is currently assigned to American Cystoscope Makers Inc.. Invention is credited to Richard W. Hall.
United States Patent |
3,788,303 |
Hall |
January 29, 1974 |
**Please see images for:
( Certificate of Correction ) ** |
ORTHOGONALLY DEFLECTABLE ENDOSCOPE
Abstract
A device for controlling movement of a plurality of cables
including support means, a rotary first shaft and shaft means which
are carried by the support means, the shaft means consisting of
telescopically arranged second and third shafts which are rotatable
about a common axis that is normal to the axis of the first shaft.
The device also includes a pair of coaxial pulleys, one of the
pulleys being secured to and rotatable with the second shaft and
the other being secured to and rotatable with the third shaft. Each
pulley is equipped with a pair of cables that are secured thereto
and partly and oppositely wound thereon. Coupling means connect the
first shaft to the shaft means and effect rotation of the shaft
means and the pulleys in response to rotary movement of the first
shaft about its axis and/or bodily movement of the first shaft
about the axis of the shaft means.
Inventors: |
Hall; Richard W. (New Canaan,
CT) |
Assignee: |
American Cystoscope Makers Inc.
(Manor, NY)
|
Family
ID: |
22821573 |
Appl.
No.: |
05/219,988 |
Filed: |
January 24, 1972 |
Current U.S.
Class: |
600/148;
74/501.6 |
Current CPC
Class: |
A61B
1/0052 (20130101); Y10T 74/2042 (20150115); A61B
1/0057 (20130101) |
Current International
Class: |
A61B
1/005 (20060101); A61B 1/00 (20060101); A61b
001/00 () |
Field of
Search: |
;128/4,5,6,7,8,9
;138/120,103 ;74/501,501.5 ;356/241
;74/757,378,385,401,417,423,713,625 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Cohen; Lee S.
Attorney, Agent or Firm: Jay; Edgar N.
Claims
I claim:
1. An endoscope, comprising, in combination, a proximal portion, a
distal portion and a hollow portion connected to the proximal and
distal portions, said hollow portion comprising a flexible sheath
and a deflection section within the sheath and adjacent the distal
portion, support means and actuating means carried by the support
means being mounted on the proximal portion, said actuating and
support means including a first shaft rotatable about its
longitudinal axis, shaft means rotatable about a common axis which
is normal to the axis of rotation of the first shaft, a pair of
rotary cable drive means carried by and rotatable with the shaft
means, coupling means connecting the first shaft to the shaft means
and effecting rotation of the shaft means and both rotary cable
drive means in response to rotary movement of the first shaft about
its axis and to bodily movement of the first shaft about the axis
of the shaft means, one of said rotary cable drive means being
rotated in response to and in a direction depending upon the
direction of rotation of the first shaft about its axis and the
other of said rotary cable drive means being rotated in response to
and in a direction depending upon the direction of bodily movement
of the first shaft about the axis of said shaft means, a first pair
of cables secured to said one of the rotary cable drive means and
to points on opposite sides of said deflection section disposed
substantially in one plane, and a second pair of cables secured to
said other rotary cable drive means and to points on opposite sides
of said deflection section disposed substantially in another plane
normal to said given plane, whereby rotation of said first shaft
about its axis caused deflection of said deflection section in said
one plane and bodily movement of said first shaft about the axis of
said shaft means causes deflection of said deflection section in
said other plane.
2. The combination according to claim 1 wherein each rotary cable
drive means comprises pulley means.
3. A control device according to claim 2 wherein the shaft means
comprises a second shaft and a third shaft which is tubular and is
telescopically arranged relative to the second shaft and wherein
one of the pulley means is secured to and rotatable with the second
shaft and the other pulley means is secured to and rotatable with
the third shaft.
4. A control device according to claim 3 wherein each pulley means
comprises a pulley having a helical peripheral groove, one of the
pulleys being rotatable with the second shaft and the other pulley
being rotatable with the third shaft.
5. A control device according to claim 3 wherein the coupling means
includes intermeshing gears comprised of first, second and third
gears that are respectively connected to and rotatable with the
first, second and third shafts.
6. A control device according to claim 4 wherein the coupling means
includes intermeshing first, second and third bevel gears that are
respectively connected to and rotatable with the first, second and
third shafts, the second and third bevel gears being spaced apart
and mounted on the second shaft and meshing with the first bevel
gear.
7. An endoscope, comprising, in combination, a proximal portion, a
distal portion and a hollow portion connected to the proximal and
distal portions, said hollow portion comprising a flexible sheath
and a deflection section within the sheath and adjacent the distal
portion, support means and actuating means carried by the support
means being mounted on the proximal portion, said actuating and
support means including a first shaft rotatable about its
longitudinal axis, shaft means rotatable about a common axis which
is normal to the axis of rotation of the first shaft, first and
second deflection means connected to said deflection section for
orthogonally deflecting the latter in response to said shaft means,
coupling means between said first shaft and said shaft means
responsive to rotation of said first shaft about its said axis for
actuating said first deflection means to deflect said deflection
section in a first plane and in a direction and extent
corresponding to the direction and extent of rotation of said first
shaft, said coupling means also being responsive to bodily movement
of said first shaft about said common axis of said shaft means for
actuating said second deflection means to deflect said deflection
section in a second plane normal to said first plane in a direction
and to an extent corresponding to said direction and extent of the
bodily movement of said first shaft about said common axis.
Description
BACKGROUND OF THE INVENTION
This invention relates to the art of control devices and, more
particularly, to a device for controlling the operation of a
plurality of flexible connectors, such as cables, which, in turn,
are adapted to correspondingly operate some other device or devices
that are connected thereto.
The control device of this invention has varied applications. It is
especially useful with a flexible endoscope having a deflection
section, Accordingly, and for the purposes of this disclosure, the
detailed description of the invention that follows and the
accompanying drawings are directed to a flexible endoscope of the
type indicated and embodying a preferred form of control device of
this invention.
There are a number of known flexible endoscopes having deflection
sections which are operable by cables or the like that are actuated
by control devices remote from the deflection sections. Such
endoscopes are exemplified by the constructions disclosed in
several U.S. patents, namely, Stokes Pat. No. 3,190,286, Mori Pat.
No. 3,525,331 and Takahashi Pat. No. 3,583,393, and in British Pat.
No. 1,231,015 and German Pat. No. 1,541,153.
The deflection sections and control devices of known prior art
flexible endoscopes are limited and, therefore, objectionable in
use as they permit deflection in only one plane or in different
planes by the use of corresponding independent control devices.
This necessitates repeated manipulation and rotation of the entire
endoscope by the operator in endeavoring to negotiate sharp corners
and to visually locate areas of interest in a body passage or organ
of a living being.
As will be evident to persons trained in the art from the ensuing
detailed description and the annexed drawings, the control device
of this invention embodies improved features of design and
construction. As will also be evident, a flexible endoscope that is
equipped with the subject control device is free of limitations and
objections inherent in related known endoscopes and is adapted to
be readily deflected in an infinite number of planes and on
corresponding arcs.
SUMMARY OF THE INVENTION
A control device constructed in accordance with this invention
comprises support means and actuating means. The support means
preferably includes a housing for protectively encasing and
supporting parts of the actuating means. The actuating means is
comprised of a first shaft which is rotatable about its
longitudinal axis and shaft means which is rotatable about a common
axis that is normal to the axis of rotation of the first shaft. The
actuating means also comprises a pair of coaxial rotary cable drive
means, each preferably consisting of a pulley, which are carried by
and rotatable with the shaft means, and coupling means connecting
the first shaft to the shaft means and effecting rotation of the
shaft means and both rotary cable drive means in response to rotary
movement of the first shaft about its axis and simultaneous bodily
movement of the first shaft about the axis of the shaft means.
Connected to each rotary cable drive means is a pair of cables, one
cable of each pair being adapted to be respectively pulled and
released from its rotary cable drive means and the other cable of
each pair being adapted to be respectively released from and pulled
on its rotary cable drive means upon corresponding rotary movement
of the rotary cable drive means.
The shaft means preferably comprises a second shaft and a third
shaft which is tubular and telescopically arranged relative to the
second shaft. One of the rotary cable drive means is secured to and
rotatable with the second shaft and the other rotary cable drive
means is secured to and rotatable with the third shaft. Each rotary
cable drive means preferably consists of a pulley which has a
helical peripheral groove for receiving successive portions of each
indicated pair of cables. The coupling means preferably includes
first, second and third bevel gears which are respectively
connected to and rotatable with the first, second and third shafts.
The second and third bevel gears are mounted in spaced relation on
the second shaft and mesh with the first bevel gear.
The term "rotary cable drive," as used in this description and in
the claims, includes, without limitation unless otherwise modified,
any conventionally configured pulley, spool, reel, sprocket, pinion
of a rack and pinion, or the like, having a peripheral surface by
which an elongated flexible element may be respectively pulled or
released. The term "cable," as used in this description and in the
claims, includes, without limitation, any suitable flexible
connector, such as a cable, belt, twisted wire, chain, metallic
rod, or the like. In certain applications, such as when the subject
control device is used with a flexible endoscope, the cables should
be substantially inextensible.
This invention has for its primary object the provision of a
control device of the character indicated having improved features
of design and construction.
Another object of this invention is to provide, in a flexible
endoscope, a control device having its parts so constructed and
arranged as to permit of ready deflection of the endoscope in an
infinite number of planes by means of a single handle control, and
to direct the distal portion of the endoscope in the same relation
as a handle directly attached to the distal portion.
A further object of this invention is to provide a control device
of the stated type which is relatively simple and compact in
design; which is sturdy and durable in construction; which is
reasonable in manufacturing and maintenance costs; which is adapted
to be conveniently actuated by an operator; and which is adapted to
perform its intended functions in an efficient manner.
The foregoing objects and additional objects, as well as the
advantages of this invention, will be manifest to persons trained
in the art from the following detailed description and the
accompanying drawings which respectively describe and illustrate a
preferred and recommended control device of this invention in
combination with a flexible endoscope.
BRIEF DESCRIPTION OF THE DRAWINGS
In the drawings wherein like reference characters denote
corresponding parts in the several views:
FIG. 1 is a view in side elevation of a flexible endoscope in which
the control device of this invention is incorporated;
FIG. 2 is an enlarged view similar to a portion of FIG. 1, certain
parts being omitted and certain internal parts being shown in cross
section;
FIG. 3 is an enlarged view taken along line 3--3 of FIG. 1, the
operating handle being turned 90.degree. and the cables being
omitted;
FIG. 4 is an enlarged view of a portion of FIG. 2, the housing
outer cover plate being omitted and other parts being shown in
cross section or broken away;
FIG. 5 is a projected view of a fragmentary portion of FIG. 4,
partly in cross section;
FIG. 6 is a side elevation view of pulleys and associated parts
appearing in other views; and
FIG. 7 is an exploded isometric view of an arrangement of pulleys,
cables and shafts that are elements of the inventive control
device.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Reference is first had to FIG. 1 of the drawings which illustrates
a flexible endoscope E which is equipped with a control device of
this invention. The endoscope includes an assembly of devices and
parts A at its proximal end, a hollow tip element 10 at its distal
end and a sheath 11 intermediate assembly A and tip element 10. The
sheath is made of a suitable elastomeric composition, such as
neoprene. The endoscope includes an optical telescope T having an
eyepiece 12 and other devices (not shown), such as fiber optics
bundles, a water inlet and outlet tube and a forceps or suction
tube.
Positioned within sheath 11, adjacent tip element 10, is a
deflection section S (FIG. 2) which includes a pair of spaced
tubular fittings 13 and 13', a plurality of deflection rings R that
are located between the tubular fittings and a total of four cables
C.sub.1, C.sub.2, C.sub.3 and C.sub.4. Each cable C.sub.1, C.sub.2,
C.sub.3 and C.sub.4 is slidable in a corresponding guide tube 14
which extends from fitting 13 to the interior of assembly A.
A preferred control device according to this invention is denoted
by the letter D in the drawings and, as indicated in FIGS. 1 and 2,
is incorporated in assembly A. The control device includes a
housing 15 that protectively encases certain parts and that serves
as a support means for other parts, all of which will be described
further along herein. The housing consists of a rectangular tubular
side wall 16, a dished outer cover 17 and a dished inner cover 18
which is equipped with a cable support plate 19. An opening 20
extends through inner cover 18 and support plate 19. The housing
side wall and the covers are joined by screws (not shown) or in any
other suitable manner known to the art.
A tubular shaft housing 21 extends through housing opening 20 and
is provided with an end flange 22 which bears against plate 19. The
shaft housing is maintained in the illustrated assembly position by
an internally threaded retainer ring 23 which engages corresponding
threads on the housing. The shaft housing is formed with an annular
recess 24 for receiving an O-type sealing ring 25. A tubular gear
housing 26 is carried by and rotatable relative to shaft housing
21. The gear housing has a closed end 27 having an opening 28.
Mounted on gear housing 26 is a tubular member 30 which is
externally threaded at its lower end, as indicated at 31, and
internally threaded at its upper end, as indicated at 32. The lower
extremity of tubular member 30 registers with an opening in the
gear housing and is secured thereto, preferably by soldering. A
ring nut 33 engages the externally threaded portion 31 of tubular
member 30. A rotary first shaft 34 is positioned in tubular member
30 and extends beyond both ends thereof. This shaft is machined on
several diameters, as illustrated, and is formed with a plurality
of axially spaced annular flanges 35, 36 and 37. An O-type sealing
ring 38 is located in the space between flanges 35 and 36 and bears
against the inner surface of tubular member 30. An externally
threaded ring 39 is coaxial with shaft 34 and engages the internal
threads 32 at the upper end of tubular member 30. As shown in FIG.
3, ring 39 bears against the upper face of flange 35 and restrains
shaft 34 against upward axial movement relative to tubular member
30 but permits rotary movement of this shaft relative to the
tubular member. A hand grip or handle 40, having a stepped, blind,
bottom bore 41 and a stepped, blind, side tap 42, is positioned at
the upper ends of tubular member 30 and shaft 34. As illustrated,
the upper end portions of the tubular member and the shaft project
into corresponding portions of bore 41. The handle is detachably
secured to shaft 34 by a screw 43 which engages threads in tap 42
and projects through a transverse opening (unnumbered) in the
shaft. By virtue of this arrangement, increments of turning
movement of handle 40 in either Also, about the axis of shaft 34
causes corresponding increments of rotation of this shaft relative
to tubular member 30. Also bodily movement of handle 40 and tubular
member 30 causes corresponding increments of rotation of gear
housing 26 about the axis of shaft housing 21.
A driving bevel gear 44 is carried by and affixed to the lower
portion of shaft 34 directly below flange 37.
Control device D also includes shaft means consisting of a second
or inner rotary shaft 45 and a third or outer rotary shaft 46 which
is tubular and which is intermediate and coaxial with shaft 45 and
tubular housing 21 and is rotatable relative thereto. One end of
shaft 45 is journalled for rotation in opening 28. As is best shown
in FIG. 3, shaft 46 is provided at its left end with external
threads 47 and at its right end with an annular flange 48.
Shaft 45 is provided with a pair of coaxial, oppositely facing,
driven bevel gears 50 and 51 which mesh with driving bevel gear 44.
Interposed between bevel gears 50 and 51 is a bushing 52 which is
also coaxial with shaft 45. Bushing 52 has an opening 53 for the
free reception of the extreme lower end of shaft 34. Bevel gear 50
and shaft 45 are keyed together by a pin 54 for rotation in unison
about the axis of this shaft. BEvel gear 51 is freely rotatable
about shaft 45. This bevel gear and hollow shaft 46 are joined,
preferably by soldering, for rotation in unison about the axis of
shaft 45.
Control device D is equipped with a brake unit 55, consisting of a
plate 56, a brake shoe 57 and a pin 58 which is connected to plate
56 and projects through and beyond an opening in tubular housing
26. The brake unit registers with an annular recess 59, that is
formed in shaft housing 21 and tubular shaft 46, and serves as a
friction coupling between these parts to prevent undesirable
rotation of tubular shaft 46 and gear housing 26 relative to shaft
housing 21. The frictional force exerted by the brake unit may be
readily varied, as desired, by adjusting the position of ring nut
33.
A pair of spaced, coaxial pulleys P.sub.1 and P.sub.2 are disposed
in housing 15. Extending through pulley P.sub.1 is a sleeve 60 that
is mounted on the left end of shaft 45 (FIG. 3) and this is secured
to this shaft for rotation therewith, preferably by soldering.
Sleeve 60 has an end flange 61, which bears against an end of
pulley P.sub.1, and is secured to this pulley, also preferably by
soldering. It will be noted that, by virtue of this arrangement,
pulley P.sub.1 is carried by and rotatable with shaft 45.
Pulley P.sub.2 is tapped for engagement with the external threads
47 of tubular shaft 46, as shown in FIG. 3. Pulley P.sub.2 is keyed
to tubular shaft 46 by a pin 62 and, as a consequence, is rotatable
with the tubular shaft. A ball bearing 63 is positioned between
facing ends of pulley P.sub.1 and tubular shaft 46.
Pulleys P.sub.1 and P.sub.2 are formed with respective, indentical,
peripheral, helical grooves G.sub.1 and G.sub.2. Each of cables
C.sub.1 and C.sub.2 is anchored at one end to pulley P.sub.1 and is
oppositely and partly wound in a corresponding portion of groove
G.sub.1 (FIG. 7). Each of cables C.sub.3 and C.sub.4 is anchored at
one end to pulley P.sub.2 and is oppositely and partly wound in a
corresponding portion of groove G.sub.2. As is illustrated in FIG.
4, the indicated end of cable C.sub.1 is provided with a fitting 64
that is located in an unnumbered radial opening in pulley P.sub.1
and is releasably maintained therein by a set screw 65 in a tap
(also unnumbered) which intersects the radial opening.
Referring further to FIG. 4, cable support plate 19 is provided
with a pair of spaced posts 66 which are parallel to shaft 45.
Extending through each post is a pair of guide sleeves 67 which are
retained in the illustrated position by corresponding set screws 68
(FIG. 5). The proximal end of each cable guide tube 14 terminates
in and is anchored to a corresponding sleeve 67.
For the purpose of describing the operation of the illustrated
embodiment of control device D, it is assumed that endoscope E is
assembled and that its parts are in the relative position shown in
FIGS. 1 and 2, tubular member 30 projecting vertically upwardly and
handle 40 being normal to the axis of shaft 45 and parallel to
sheath 11. When these parts are in the indicated position, sheath
11 and tip element 10 are in a substantially straight line or
rectilinear condition. Tubular member 30 is adapted, through the
medium of handle 40, to be swung in a clockwise or counterclockwise
direction, from the position shown in FIG. 1, about the axis of
shaft 45 to impart corresponding pivotal or rotary movement to
housing 26 and, at the same time, impart corresponding rotary
movement to pulleys P.sub.1 and P.sub.2 about the axis of shaft 45
by virtue of the interconnection of shaft 34, the several bevel
gears, shaft 45 and tubular shaft 46 with these pulleys. Rotation
of the pulleys causes corresponding winding or unwinding of the
respective cables and like deflection of rings R and deflection
section S.
When tubular member 30 is swung in a clockwise direction from the
position shown in FIG. 1, it causes deflection of the portion of
sheath 11 containing the deflection section to the broken line
position indicated by the numeral 70. When tubular member 30 is
swung in a counterclockwise direction from the position shown in
FIG. 1, it causes deflection of the portion of sheath 11 containing
the deflection section to the broken line position indicated by the
numeral 71. When handle 40 is rotated in either direction relative
to tubular member 30, it causes like rotation of shaft 34 which in
turn causes corresponding rotation of pulleys P.sub.1 and P.sub.2
through the interconnection of this shaft and the pulleys with the
several bevel gears, shaft 45 and tubular shaft 46. It will be
observed that the pulleys are operable by bodily movement of
tubular member 30 and handle 40 about the axis of shaft 45 and/or
by turning handle 40 and shaft 34 relative to tubular member 30.
Thus the control device is adapted to impart universal or
orthogonal movement to deflection section S, i.e., cause the
deflection section to be bent in an infinite number of planes and
on corresponding arcs.
The relative positions of tubular member 30 and handle 40 indicate
to an operator the condition of deflection section S. Thus, when
tubular member 30 and handle 40 are in the relative position shown
in FIG. 1, they indicate that the deflection section is in its
rectilinear condition. When the tubular member is swung in a
clockwise or counterclockwise direction from the position shown in
FIG. 1, it indicates to the operator that the portion of the sheath
containing the deflection section is bent downwardly or upwardly,
respectively, as indicated by numerals 70 and 71. Also, when handle
40 is turned in either direction, it indicates that the deflection
section has been correspondingly bent in another plane. When the
control device is operated both by swinging tubular member 30 and
turning handle 40, the deflection section is correspondingly bent
in other planes and corresponding arcs.
Based on the foregoing, it is believed that the construction,
operation, objects and advantages of my present invention will be
readily comprehended by persons skilled in the art, without further
description. It is to be clearly understood, however, that various
changes in the construction described above and illustrated in the
drawings may be made without departing from the scope of the
invention, it being intended that all matter contained in the
description or shown in the drawings shall be interpreted as
illustrative only and not in a limiting sense.
* * * * *