Internal Treatment Apparatus for a Patient and an Internal Treatment System for a Patient

• US 20080051629A1
• Filed: 07/16/2004
• Published: 02/28/2008
• Est. Priority Date: 07/29/2003
• Status: Active Grant

• Current Assignee: Hoya Corporation, National Cancer Center
• Original Assignee: Hoya Corporation
• Inventors: Ikeda, Kunitoshi, Ohara, Kenichi, Kakizoe, Tadao, Kobayashi, Toshiaki, Sano, Hiroshi, Sugiyama, Akira
• Granted Patent: US 8,753,262 B2
• Time in Patent Office: Days
• US Class Current: 600/114
• CPC Class Codes: A61B 1/00193 adapted for stereoscopic vision
• CPC Class Codes: A61B 1/0125 Endoscope within endoscope
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 1/043 for fluorescence imaging
• CPC Class Codes: A61B 1/0638 providing two or more wavelengths
• CPC Class Codes: A61B 1/0655 Control therefor
• CPC Class Codes: A61B 1/12 with cooling or rinsing arrangements
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/2906 Multiple forceps
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments catheters A61B2017/22072
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0068 Confocal scanning
• CPC Class Codes: A61B 5/0071 by measuring fluorescence emission
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 8/12 in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4416 related to combined acquisition of different diagnostic modalities, e.g. combination of ultrasound and X-ray acquisitions
• CPC Class Codes: A61B 90/37 Surgical systems with images on a monitor during operation

Abstract

An internal treatment apparatus for a patient having a flexible tubular body to be introduced into a patient includes a center opening for inserting therethrough an endoscope for observing a target site, the center opening being circular in cross section and disposed at a center of an end face of the flexible tubular body; and a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on the target site, the plurality of circumferential apertures being provided in the flexible tubular body at equi-angular intervals around the center opening.

Claims

1. An internal treatment apparatus for a patient having a flexible tubular body to be introduced into a patient, said flexible tubular body comprising:

a center opening for inserting therethrough an endoscope for observing a target site, said center opening being circular in cross section and disposed at a center of an end face of said flexible tubular body; and

a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on said target site, said plurality of circumferential apertures being provided in said flexible tubular body at equi-angular intervals around said center opening.

7. The internal treatment apparatus for a patient according to claim 1, wherein said endoscope is a stereoscopic endoscope allowing an operator to stereoscopically observe the target site.

8. The internal treatment apparatus for a patient according to claim 1, wherein

said surgical instrument comprises a monitor device allowing an operator to observe a vicinity of a distal end of said surgical instrument.

9. The internal treatment apparatus for a patient according to claim 8, wherein

said surgical instrument comprises an illumination device which allows an operator to illuminate a vicinity of said distal end of said surgical instrument with light.

10. The internal treatment apparatus for a patient according to claim 9, wherein said surgical instrument comprises at least one of an air feed device and a water feed device which allows an operator to clean a distal end of said monitor device.

12. The internal treatment apparatus for a patient according to claim 1, wherein said flexible tubular body comprises a resiliently deflectable portion.

13. The internal treatment apparatus for a patient according to claim 1, wherein said surgical instrument comprises a resiliently deflectable portion.

2. An internal treatment system for a patient comprising:

a flexible tubular body, to be introduced into a patient, said flexible tubular body including a center opening for inserting therethrough an endoscope for observing a target site, said center opening being circular in cross section and disposed at a center of an end face of said flexible tubular body, and a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on said target site, said plurality of circumferential apertures being provided in said flexible tubular body at equi-angular intervals around said center opening;

a body manipulating device for manipulating said flexible tubular body from outside said patient;

an endoscope manipulating device for manipulating said endoscope from outside said patient; and

a surgical instrument manipulating device for manipulating said surgical instruments from outside said patient.

11. The internal treatment system for a patient according to claim 2, further comprising an image displaying device for displaying an image formed by said endoscope.

20. The internal treatment system for a patient according to claim 2, wherein

said endoscope is a stereoscopic endoscope allowing an operator to stereoscopically observe the target site.

21. The internal treatment system for a patient according to claim 2, wherein

said surgical instrument comprises a monitor device which allows an operator to observe a vicinity of a distal end of said surgical instrument.

22. The internal treatment system for a patient according to claim 21, wherein

said surgical instrument comprises an illumination device which allows an operator to illuminate a vicinity of said distal end of said surgical instrument with light.

23. The internal treatment system for a patient according to claim 22, wherein

said surgical instrument comprises at least one of an air feed device and a water feed device which allows an operator to clean a distal end of said monitor means.

24. The internal treatment system for a patient according to claim 2, further comprising an image displaying device for displaying an image provided by said endoscope.

25. The internal treatment system for a patient according to claim 2, wherein

said flexible tubular body comprises a resiliently deflectable portion.

26. The internal treatment system for a patient according to claim 2, wherein

said surgical instrument comprises a resiliently deflectable portion.

3. An internal treatment apparatus for a patient comprising a flexible tubular body to be introduced into a patient, said flexible tubular body comprising:

a center opening for inserting therethrough an endoscope for observing a target site, said center opening extending through said flexible tubular body from a center of a distal end face of said flexible tubular body, said distal end face facing said target site, and

a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on said target site, said plurality of circumferential apertures being provided to extend through said flexible tubular body from a side face of said flexible tubular body.

14. The internal treatment apparatus for a patient according to claim 3, wherein said flexible tubular body comprises grooves provided between each adjacent said circumferential apertures.

15. The internal treatment apparatus for a patient according to claim 3, wherein a projection angle of said surgical instruments from said flexible tubular body is smaller than a half angle of a field-of-view of said endoscope.

16. The internal treatment apparatus for a patient according to claim 3, wherein said endoscope comprises an illumination device which emits white light, and said surgical instruments each comprises an illumination device which emits colored light.

17. The internal treatment apparatus for a patient according to claim 16, wherein each said illumination device of said surgical instruments continuously emits colored light.

18. The internal treatment apparatus for a patient according to claim 16, wherein each said illumination device of said surgical instruments emits colored light intermittedly.

19. The internal treatment apparatus for a patient according to claim 3, wherein said endoscope comprises an illumination device, and said surgical instruments each comprises an illumination device which emits light having light intensity different from that of light emitted from said illumination device of said endoscope.

4. An internal treatment system for a patient comprising:

a flexible tubular body to be introduced into a patient, said flexible tubular body including a center opening for inserting therethrough an endoscope for observing a target site, said center opening being circular in cross section and extending through said flexible tubular body from a center of a distal end face of said flexible tubular body, said distal end face facing said target site, and a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on said target site, said plurality of circumferential apertures being provided to extend through said flexible tubular body from a side face of said flexible tubular body;

a body manipulating device for manipulating said flexible tubular body from outside said patient;

an endoscope manipulating device for manipulating said endoscope from outside said patient; and

a surgical instrument manipulating device for manipulating said surgical instruments from outside said patient.

27. The internal treatment system for a patient according to claim 4, wherein said flexible tubular body comprises grooves provided between each adjacent said circumferential apertures.

28. The internal treatment apparatus for a patient according to claim 4, wherein a projection angle of said surgical instruments from said flexible tubular body is smaller than a half angle of a field-of-view of said endoscope.

29. The internal treatment apparatus for a patient according to claim 4, wherein said endoscope comprises an illumination device which emits white light, and said surgical instruments each comprises an illumination device which emits colored light.

30. The internal treatment apparatus for a patient according to claim 29, wherein each said illumination device of said surgical instruments continuously emits colored light.

31. The internal treatment apparatus for a patient according to claim 29, wherein each said illumination device of said surgical instruments emits colored light intermittedly.

32. The internal treatment apparatus for a patient according to claim 4, wherein said endoscope comprises an illumination device, and said surgical instruments each comprises an illumination device which emits light having light intensity different from that of light emitted from said illumination device of said endoscope.

5. An internal treatment apparatus for a patient comprising a flexible tubular body to be introduced into a patient, said flexible tubular body comprising:

a center opening for inserting therethrough an endoscope for observing a target site, said center opening extending through said flexible tubular body from a center of a distal end face of said flexible tubular body, said distal end face facing said target site, and

a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on said target site, each of said plurality of circumferential apertures being provided to extend through said flexible tubular body in an area including said distal end face and a side face of said flexible tubular body.

6. An internal treatment system for a patient comprising:

a flexible tubular body to be introduced into a patient, said flexible tubular body including a center opening for inserting therethrough an endoscope for observing a target site, said center opening being circular in cross section and extending through said flexible tubular body from a center of a distal end face of said flexible tubular body, said distal end face facing said target site, and a plurality of circumferential apertures through which surgical instruments are inserted for performing a surgical procedure on said target site, each of said plurality of circumferential apertures being provided to extend through said flexible tubular body in an area including said distal end face and a side face of said flexible tubular body;

a body manipulating device for manipulating said flexible tubular body from outside said patient;

an endoscope manipulating device for manipulating said endoscope from outside said patient; and

a surgical instrument manipulating device for manipulating said surgical instruments from outside said patient.