U.S. patent number 3,871,358 [Application Number 05/384,193] was granted by the patent office on 1975-03-18 for guiding tube for the insertion of an admissible medical implement into a human body.
This patent grant is currently assigned to Olympus Optical Co., Ltd.. Invention is credited to Noboru Fukuda, Yutaka Otani.
United States Patent |
3,871,358 |
Fukuda , et al. |
March 18, 1975 |
GUIDING TUBE FOR THE INSERTION OF AN ADMISSIBLE MEDICAL IMPLEMENT
INTO A HUMAN BODY
Abstract
A guiding tube for the insertion of an admissible medical
implement into a human body which consists of an inlet member and a
tube member connected to the inlet member, said tube member
comprising an innermost tube unit having a passageway formed
therein through which to conduct an admissible medical implement,
for example, an endoscope into and out of the human body, a
flexible core tube unit so disposed as to concentrically surround
the innermost tube unit and an outermost tube unit so positioned as
to concentrically enclose the flexible core tube unit.
Inventors: |
Fukuda; Noboru (Tokyo,
JA), Otani; Yutaka (Tokyo, JA) |
Assignee: |
Olympus Optical Co., Ltd.
(Tokyo, JA)
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Family
ID: |
26432681 |
Appl.
No.: |
05/384,193 |
Filed: |
July 31, 1973 |
Foreign Application Priority Data
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Aug 4, 1972 [JA] |
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47-91216 |
Aug 4, 1972 [JA] |
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47-91217 |
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Current U.S.
Class: |
600/585 |
Current CPC
Class: |
A61B
1/00154 (20130101); A61B 2017/3437 (20130101) |
Current International
Class: |
A61B
1/00 (20060101); A61b 001/00 () |
Field of
Search: |
;128/2M,3,4,5,6,7,8,9,DIG.16,214.4 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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1,113,164 |
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Oct 1957 |
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FR |
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1,441,304 |
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Mar 1969 |
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DT |
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Primary Examiner: Laudenslager; Lucie H.
Claims
What we claim is:
1. A guiding tube for the insertion of an admissible medical
implement into a human body which comprises a tube member
consisting of an innermost tube unit having a passageway formed
therein through which to conduct an admissible medical implement, a
flexible core tube unit concentrically surrounding the innermost
tube unit in close contact, an outermost tube unit concentrically
surrounding the flexible core tube unit and a pliable forward end
portion open at the forward end; and an inlet member fitted to the
inlet of the tube member.
2. A guiding tube according to claim 1 wherein the inlet member
comprises an inlet frame fitted to the inlet of the tube member, a
protective ring provided on the periphery of the junction of the
inlet frame and the inlet of the tube member, a cylindrical member
made of liquid-absorbable resin impregnated with lubricant and
inserted into the inlet frame and a ring made of
liquid-nonabsorbable resin so as to act as a wiper and inserted
into that portion of the inlet frame which faces the inlet of the
tube member.
3. A guiding tube according to claim 1 wherein the flexible core
tube unit consists of a stainless steel band helically wound about
the periphery of the innermost tube unit.
4. A guiding tube according to claim 1 wherein the pliable forward
end portion has the edge of its opening bent inward.
5. A guiding tube according to claim 1 wherein the pliable forward
end portion has a flat end face.
6. A guiding tube according to claim 1 wherein the pliable forward
end portion has an inclined end face.
7. A guiding tube according to claim 2 wherein the cylindrical
member made of liquid-absorbable resin has swollen inner walls so
as to be impregnated with lubricant.
Description
BACKGROUND OF THE INVENTION
This invention relates to a guiding tube adapted to facilitate the
insertion of an admissible medical implement, for example, an
endoscope into a human body, or the removal therefrom.
An admissible medical implement, for example, an endoscope is
slowly introduced into a human body so as to examine and/or
medically treat the internal portion of the human body through an
observation window provided at the forward end of the endoscope.
The flexible tube of such an admissible medical implement is made
sufficiently pliable to be easily inserted into the snaky or zigzag
portion of the human body, for example, the bowels. When,
therefore, the flexible tube of the endoscope is drawn near the
narrow part of, for example, the bowels, the forward end portion of
the flexible tube tends to be forecefully bent in a folded state at
the narrow part, obstructing the examination of any further section
then the narrow part. Generally, the prior art endoscope has its
flexible tube previously coated with lubricant so as to facilitate
its insertion into a human body. This lubrication which is carried
out customarily by hand has the drawbacks that not only troublesome
lubricating work has to be undertaken before examination, but also,
after the endoscope is pulled out of the human body, the lubricant
and the feces and body fluid attached to the endoscope has to be
manually wiped off the endoscope. The lubricant, feces and body
fluid is likely to soil the fingers and medical implements by being
attached thereto.
SUMMARY OF THE INVENTION
This invention has been accomplished to eliminate the
above-mentioned difficulties and provides a guiding tube adapted
smoothly to guide, for example, an endoscope to any desired
internal part of the human body.
A guiding tube according to this invention consists of an inlet
member for the entry of an endoscope and a tube member having a
passageway formed therein which communicates with the inlet member
and through which the flexible tube of the endoscope can travel.
The tube member is open at the forward end and comprises an
innermost tube unit, a flexible core tube unit concentrically
surrounding the innermost tube unit in close contact and an
outermost tube unit concentrically enclosing the flexible core tube
unit in close contact. The inlet member is formed of a cylindrical
frame and a cylindrical unit made of liquid-absorbable foamed resin
and concentrically received in said cylindrical frame.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a longitudinal sectional view of a guiding tube according
to an embodiment of this invention;
FIG. 2 is a longitudinal sectional view of a guiding tube according
to another embodiment of the invention;
FIG. 3 shows the condition where an endoscope is inserted into the
bowels of a human body with the aid of the guiding tube of the
invention; and
FIG. 4 is a sectional view of the forward end of a guiding tube
according to still another embodiment of the invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring to FIG. 1, a tube member 1 consists of a thin innermost
tube unit 2 made of polyurethane resin, a flexible core tube unit 3
comprising, for example, a helical steel band and so disposed as to
concentrically surround the innermost tube unit 2 in close contact
and an outermost tube unit 4 made of the same material as the
innermost tube unit 2 and so positioned as to concentrically
enclose the flexible core tube unit 3 in close contact. In the tube
member 1 is provided a passageway 1a through which an endoscope,
for example, can travel. The forward end of the tube member 1
consistutes a pliable portion 5 which is formed by thermally fusing
the outermost tube unit 4 directly with that portion of the
innermost tube unit 2 which is not contacted by the flexible core
tube unit 3. The forward end of the pliable portion 5 is flat and
has an opening 5a, whose edge is slightly bent inwardly. The
inwardly bent edge enables the guiding tube to travel through the
bowels without injuring the mucous membrane of the walls of the
bowels. A cylindrical coupling means 7 is fixedly inserted into the
rear end of the tube member 1 to which a protective ring 8 is
attached. The guiding tube of this invention is made shorter than
an endoscope, namely, is chosen to be about 30 cm long, and is used
as a guide for the endoscope, particularly where the internal
condition of the bowels is examined by inserting the endoscope
through the anus.
A guiding tube shown in FIG. 2 is a type whose inlet portion is
fitted with a device for coating lubricant on the endoscope when it
is taken into the bowels with the aid of the guiding tube and
wiping off the lubricant and the feces and body fluid attached to
the endoscope when the endoscope is drawn out.
Referring to FIG. 2, a tube member 1 has its inlet portion fitted
with a cylindrical inlet frame 6 by means of a coupling means 7. To
the periphery of the junction of the inlet portion and inlet frame
6 is attached a protective ring 8. In the inlet frame 6 are
received a slightly elongate cylindrical member 9 made of
liquid-absorbable foamed resin, such as polyurethane foam and a
resin 10 prepared from elastic liquid-nonabsorbable resin, such as
rubber or Toraytef (trade name) -- semihard closed -- cellular foam
prepared by expanding a high pressure process polyethylene 10 to 40
times of its volume -- so as to act as a wiper. The cylindrical
member 9 has preferably swollen inner central walls which are
impregnated with lubricant, for example, silicone. The wiper ring
10 made of liquid-nonabsorbable resin has an inner diameter very
close to the outer diameter of the endoscope, thereby enabling the
lubricant applied to the endoscope before its insertion to be
almost fully wiped off the endoscope when it is pulled out. The
exchange of the cylindrical member 9 and elastic ring 10 is
performed in a manner that the cylindrical member 9 and elastic
ring 10 are drawn out from the inlet frame 6 and new ones are
inserted thereinto.
Before the guiding tube 1 is first introduced into the bowels 12,
the endoscope 13 is inserted into the guiding tube 1. When the
forward end of the endoscope surrounded with the guiding tube 1
reaches the bent portion of the bowels, then the guiding tube 1 is
brought into the bowels 12, enabling the endoscope 13 to be
smoothly carried forward around the bent portion of the bowels 12
(FIG. 3). Since the guiding tube contains a flexible core tube unit
of stainless steel interposed between the innermost and outermost
tube units 2 and 4 formed of polyurethan resin, the guiding tube
has considerable resistance to pressure applied in the radical
direction, while retaining suitable flexibility, and is saved from
distortion in said direction, thus attaining smooth insertion into
the bowels.
Where, in this case, there is used the guiding tube of FIG. 2
having the inlet portion 6 impregnated with lubricant, the
lubricant contained in the cylindrical member 9 of the inlet
portion 6 is squeezed out in the endoscope when it is inserted into
the guiding tube, eliminating the troublesome work of manually
applying lubricant on an endoscope prior to its insertion into the
bowels as has been practised in the past. Where the endoscope is
slightly retreated from and again inserted into the bowels, the
additional coating of the lubricant is automatically carried out.
Further, when the endoscope is pulled out of the guiding tube, the
wiper ring 10 effectively wipes off the lubricant remaining on the
peripheral surface of the endoscope and the feces and body fluid
attached to the endoscope, thereby preventing the fingers and
medical implements from being soiled by the lubricant, feces and
body fluid.
According to the embodiment of FIG. 2, the forward pliable end
portion of the guiding tube has its end face formed flat. However,
said end face may be inclined, as shown in FIG. 4, to the axis of
the guiding tube. If the forward end portion of the guiding tube
has such an inclined end face, then that portion of the walls of
the bowels which happens to be pinched during the insertion of the
guiding tube in a gap between the forward end portion of the
guiding tube and the endoscope can be easily released by slightly
rotating the guiding tube.
The tube member 1 of the guiding tube is formed in the following
manner. A core rod (not shown) having the prescribed diameter is
inserted into the innermost tube unit 2 made of polyurethane resin.
About the periphery of the innermost tube unit 2 (except for the
forward end portion) is helically wound a stainless steel band to
form a flexible core tube unit 3. The innermost tube unit 2 is
bonded to the flexible core tube unit 3 by an adhesive of
polyurethane resin. An outermost tube unit 4 concentrically
surrounds the flexible core tube unit 3 up to the forward end of
the innermost tube unit 2. The forward end portion of the outermost
tube unit 4 and the forward end portion of the innermost tube unit
2 which is not contacted by the flexible core tube unit 3 are
thermally fused together to form a pliable portion 5. After the
tube member 1 is thus formed, the aforesaid core rod is taken out.
The flexible core tube unit 3 may be formed by helically winding a
steel wire, instead of a steel band, about the periphery of the
innermost tube unit 2.
* * * * *