Endoscope

• US 20030040657A1
• Filed: 07/22/2002
• Published: 02/27/2003
• Est. Priority Date: 07/23/2001
• Status: Active Grant

• Current Assignee: Olympus Corporation
• Original Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Inventors: Yabe, Hisao, Yamaya, Koji, Nakamoto, Koji
• Granted Patent: US 6,824,509 B2
• Time in Patent Office: Days
• US Class Current: 600/107
• CPC Class Codes: A61B 1/00042 for mechanical operation
• CPC Class Codes: A61B 1/00098 Deflecting means for inserted tools
• CPC Class Codes: A61B 1/0014 Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
• CPC Class Codes: A61B 1/00147 Holding or positioning arrangements
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 18/1477 Needle-like probes
• CPC Class Codes: A61B 2017/003 Steerable
• CPC Class Codes: A61B 2018/00166 Multiple lumina
• CPC Class Codes: A61B 2018/1425 Needle
• CPC Class Codes: A61B 2090/035 preventing further rotation
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/361 Image-producing devices, e.g. surgical cameras

Abstract

A treatment instrument passage channel through which a treatment instrument can be passed lies through an elongated insertion unit that is inserted into a body cavity or the like. The distal opening of the treatment instrument passage channel opens onto the distal part of the insertion unit. A treatment instrument swing stand having a hole, through which the distal part of a treatment instrument led out of the distal opening is passed, bored therein is disposed near the distal opening so that the treatment instrument swing stand can swing freely. The treatment instrument swing stand is manipulated by proximally pulling angling wires. Thus, the distal part of the treatment instrument is swung from a position near the center of a field of view in both the rightward and leftward directions of an endoscope. Thus, the mucosa of a lesion can be resected easily while being caught in the field of view.

Claims

1. An endoscope comprising:

an elongated insertion unit to be inserted into a body cavity or the like;

an observation window included in the distal part of said insertion unit and having an objective optical system, which offers a predetermined field of view that defines a view image, mounted thereon;

a treatment instrument passage channel which lies through said insertion unit and through which a treatment instrument is passed; and

a treatment instrument swing stand located near the distal opening portion of said treatment instrument passage channel, and permitting the distal part of the treatment instrument to move in both the rightward and leftward directions of said endoscope with a centerline, which bisects the field of view in the rightward and leftward directions, as a border.

2. An endoscope according to claim 1, wherein:

the positional relationship between said treatment instrument swing stand and said objective optical system is determined so that;

when the distal part of a treatment instrument led out of the distal opening portion of said treatment instrument passage channel enters the field of view, the distal part of the treatment instrument will be observed to project substantially from the upper edge or lower edge of the field of view.

3. An endoscope according to claim 1, wherein:

when said treatment instrument swing stand is swung in order to project the distal part of a treatment instrument from the distal part of said insertion unit, if the distal part of the treatment instrument is observed near the centerline that bisects the field of view in the rightward and leftward directions, the tip of the treatment instrument is located farthest from the distal face of the distal part of said insertion unit.

4. An endoscope according to claim 1, wherein:

said treatment instrument swing stand introduces the tip of a treatment instrument, which is led out of the distal opening portion of said treatment instrument passage channel, to a position near a centerline, which bisects the field of view in the upward and downward directions, within a depth of field offered by said objective optical system.

5. An endoscope according to claim 1, wherein when said treatment instrument swing stand is swung, if the distal part of a treatment instrument moves from a position near the center of the field of view to the right or left edge thereof, a trajectory traced by the tip of the treatment instrument is displaced upwards within the field of view.

6. An endoscope according to claim 1, wherein said treatment instrument swing stand is disposed above said observation window.

7. An endoscope according to claim 1, wherein when said treatment instrument swing stand is held neutral, the treatment instrument led out of said distal opening portion by way of said treatment instrument swing stand is located near the centerline of the field of view.

8. An endoscope according to claim 1, further comprising a swinging mechanism that permits said treatment instrument swing stand to swing in four directions.

9. An endoscope according to claim 1, wherein said distal opening portion of said treatment instrument passage channel is disposed behind said observation window in the axial direction of said insertion unit.

10. An endoscope according to claim 9, wherein:

a notched inclined surface that is inclined with respect to a direction orthogonal to the axial direction of said insertion unit is formed near one edge of a portion of said distal part that contains said observation window; and

an opening of said distal opening portion of said treatment instrument passage channel is contained in said inclined surface.

11. An endoscope according to claim 1, wherein:

an operation unit formed proximally to said insertion unit includes a treatment instrument swing stand manipulating mechanism that is disposed near the proximal opening portion of said treatment instrument passage channel and that is used to remotely manipulate said treatment instrument swing stand using a manipulation conveyance member coupled to said treatment instrument swing stand;

said treatment instrument swing stand can be swung using said manipulation conveyance member; and

the proximal end of said manipulation conveyance member is coupled to said treatment instrument swing stand manipulating mechanism outside a space linking said insertion unit and said operation unit.

12. An endoscope according to claim 11, wherein a manipulation knob included in said treatment instrument swing stand manipulating mechanism is disposed on the right side of said operation unit.

13. An endoscope according to claim 11, wherein a first bending section is disposed proximally to said distal part of said insertion unit, and a second bending section is disposed proximally to said first bending section.

14. An endoscope according to claim 1, further comprising:

a second treatment instrument passage channel independent of said treatment instrument passage channel; and

a second treatment instrument swing stand that is located near a second opening portion which is formed as the distal member of said second treatment instrument channel, and that swings the distal part of a second treatment instrument, which is passed through said second treatment instrument passage channel, in the second directions of swing different from the directions of swing in which the distal part of a treatment instrument is swung by said treatment instrument swing stand.

15. An endoscope according to claim 1, wherein an imaging device for photoelectrically converting an optical image is disposed at the position of the image plane of said objective optical system.

16. An endoscope comprising:

an elongated insertion unit to be inserted into a body cavity;

an observation window included in the distal part of said insertion unit and having an objective optical system, which offers a predetermined field of view that defines a view image, mounted thereon;

first and second treatment instrument passage channels which lie through said insertion unit and through which first and second treatment instruments are passed;

a treatment instrument swing stand located near the distal opening portion of said first treatment instrument passage channel, and permitting the distal part of a first treatment instrument to swing in both the rightward and leftward directions of said endoscope with a centerline, which bisects the field of view in the rightward and leftward directions, as a border.

17. An endoscope according to claim 16, further comprising a second treatment instrument swing stand that is located near the distal opening portion of said second treatment instrument passage channel and that permits the distal part of a second treatment instrument to swing substantially in the upward and downward directions of said endoscope within the field of view.

18. An endoscope according to claim 16, wherein the positional relationship between said first treatment instrument swing stand and said objective optical system is determined so that:

when the distal part of the first treatment instrument led out of said distal opening portion enters the field of view, the distal part of the first treatment instrument will be observed to project substantially from the upper or lower edge of the field of view.

19. An endoscope according to claim 16, wherein when said first treatment instrument swing stand is swung, the distal part of said first treatment instrument is swung from a neutral position, at which said first treatment instrument is not swung, in both the rightward and leftward directions by a nearly equal magnitude.

20. An endoscope according to claim 16, wherein said first treatment instrument swing stand is disposed to introduce the distal part of the first treatment instrument, which is led out of the distal opening portion, to a position near a centerline, which bisects the field of view in the upward and downward directions, within a depth of field offered by said objective optical system.

21. An endoscope according to claim 16, wherein when said treatment instrument swing stand is swung, if the distal part of the first treatment instrument moves from a position near the center of the field of view to the right or left edge thereof, a trajectory traced by the tip of said first treatment instrument curves upwards within the field of view.

22. An endoscope according to claim 16, wherein said first treatment instrument swing stand is disposed above said observation window.

23. An endoscope according to claim 16, further comprising a swinging mechanism that permits said first treatment instrument swing stand to swing in four directions.

24. An endoscope according to claim 16, wherein said distal opening portion is disposed behind said observation window in the axial direction of said insertion unit.

25. An endoscope system comprising:

an endoscope comprising;

an elongated insertion unit to be inserted into a body cavity or the like;

an observation window included in the distal part of said insertion unit and having an objective optical system, which offers a predetermined field of view that defines a view image, mounted thereon;

a treatment instrument passage channel which lies through said insertion unit and through which a treatment instrument is passed;

a treatment instrument swing stand that is located near the distal opening portion of said treatment instrument passage channel, and that permits the distal part of a treatment instrument to swing in both the rightward and leftward directions of said endoscope with a centerline, which bisects the field of view in the rightward and leftward directions, as a border; and

an imaging device that is located at the position of the image plane of said objective optical system and that photoelectrically converts an optical image;

a signal processing unit connected to said imaging device and performing signal processing; and

a display device on which an image picked up by said imaging device is displayed according to a video signal received from said signal processing unit.