OVERTUBE AND ENDOSCOPIC SURGICAL DEVICE

• US 20170007109A1
• Filed: 09/26/2016
• Published: 01/12/2017
• Est. Priority Date: 03/27/2014
• Status: Active Grant

• Current Assignee: Fujifilm Corporation (Fujifilm Holdings Corporation)
• Original Assignee: Fujifilm Corporation (Fujifilm Holdings Corporation)
• Inventors: DEJIMA, Takumi, KUWAE, Toshiharu
• Granted Patent: US 10,456,024 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 1/00091 Nozzles
• CPC Class Codes: A61B 1/00096 Optical elements
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/015 Control of fluid supply or evacuation
• CPC Class Codes: A61B 1/126 provided with means for cleaning in-use
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2017/347 Locking means, e.g. for locking instrument in cannula
• CPC Class Codes: A61B 2090/034 abutting on parts of the device itself
• CPC Class Codes: A61B 2217/005 with suction drainage system

Abstract

A distal end of an endoscope insertion passage of an overtube is provided with a fluid supply and discharge port. When an observation window of the endoscope insertion part inserted through the endoscope insertion passage is cleaned, an operator can set a distal end surface at a predetermined positioning position using a positioning mechanism, without extracting the endoscope insertion part from the endoscope insertion passage. A concave cleaning storage part that communicates with the fluid supply and discharge port is formed inside the endoscope insertion passage on the distal end side. Cleaning water is supplied from the fluid supply and discharge port to remove foreign matter from the observation window, and stored in the cleaning storage part, and then, the cleaning water stored in the cleaning storage part is suctioned from the fluid supply and discharge port.

Claims

1. An overtube comprising:

a cylindrical body having a distal end, a base end, and a longitudinal axis;

a distal end opening provided at the distal end of the cylindrical body;

a base end opening provided at the base end of the cylindrical body;

an endoscope insertion passage that is provided along the longitudinal axis of the cylindrical body, couples the distal end opening and the base end opening together, and allows an endoscope insertion part to be inserted therethrough so as to be movable forward and backward;

a fluid passage having a fluid supply and discharge port opening to an inside of the endoscope insertion passage on a distal end side thereof, and a base-end-side connection port connected to a fluid supply and suction device that supplies and suctions a fluid; and

a positioning mechanism that positions a distal end of the endoscope insertion part at a first position closer to a base end side than a distal-end-side end of the fluid supply and discharge port,

wherein the positioning mechanism includes a locking part for locking the endoscope insertion part to the cylindrical body when the endoscope insertion part moves to the base end side along the longitudinal axis of the cylindrical body.

2. The overtube according to claim 1,

wherein the first position is a position where a plane including the distal end of the endoscope insertion part intersects the fluid supply and discharge port.

3. The overtube according to claim 1,

wherein the fluid supply and discharge port is provided in a fluid passage having a longitudinal axis that intersects a plane including the distal end of the endoscope insertion part positioned at the first position by the positioning mechanism.

4. The overtube according to claim 1,

wherein the fluid passage is provided independently from the endoscope insertion passage.

5. The overtube according to claim 1,

wherein the locking part has a projection provided in the endoscope insertion passage, and the endoscope insertion part is locked to the cylindrical body by striking a step provided in the endoscope insertion part against the projection when the endoscope insertion part moves to the base end side along the longitudinal axis of the cylindrical body.

6. The overtube according to claim 1,

wherein a sleeve member that is fitted to an outer periphery of the endoscope insertion part and moves forward and backward integrally with the endoscope insertion part is provided inside the endoscope insertion passage, and

wherein the locking part has a projection provided in the endoscope insertion passage, and the endoscope insertion part is locked to the cylindrical body by striking the sleeve member fitted to the outer periphery of the endoscope insertion part against the projection when the endoscope insertion part moves to the base end side along the longitudinal axis of the cylindrical body.

7. An endoscopic surgical device comprising:

an endoscope including an endoscope insertion part having an observation window arranged at a distal end thereof;

a cylindrical body having a distal end, a base end, and a longitudinal axis, the cylindrical body including a distal end opening provided at the distal end of the cylindrical body, a base end opening provided at the base end of the cylindrical body, an endoscope insertion passage that is provided along the longitudinal axis of the cylindrical body, couples the distal end opening and the base end opening together, and allows the endoscope insertion part to be inserted therethrough so as to be movable forward and backward, and a fluid passage having a fluid supply and discharge port opening to an inside of the endoscope insertion passage on a distal end side thereof;

a fluid supply and suction device that is connected to a base end side of the fluid passage and supplies and suctions a fluid; and

a positioning mechanism that positions a distal end of the endoscope insertion part at a first position closer to a base end side than a distal-end-side end of the fluid supply and discharge port when the endoscope insertion part moves to the base end side along the longitudinal axis of the cylindrical body.

8. The endoscopic surgical device according to claim 7,

wherein the first position is a position where a plane including the distal end of the endoscope insertion part intersects the fluid supply and discharge port.

9. The endoscopic surgical device according to claim 7,

wherein the fluid supply and discharge port is provided in a fluid passage having a longitudinal axis that intersects a plane including the distal end of the endoscope insertion part.

10. The endoscopic surgical device according to claim 7,

wherein the positioning mechanism is a locking part for locking the endoscope insertion part to the cylindrical body when the endoscope insertion part moves to the base end side along the longitudinal axis of the cylindrical body.

11. The endoscopic surgical device according to claim 10,

wherein the locking part includes a step provided in the endoscope insertion part and a projection provided in the endoscope insertion passage of the cylindrical body, and at least one of the step and the projection is an elastic body.

12. An endoscopic surgical device, comprising:

an endoscope including an endoscope insertion part having an observation window arranged at a distal end thereof;

a cylindrical body having a distal end, a base end, and a longitudinal axis, the cylindrical body including a distal end opening provided at the distal end of the cylindrical body, a base end opening provided at the base end of the cylindrical body, an endoscope insertion passage that is provided along the longitudinal axis of the cylindrical body, couples the distal end opening and the base end opening together, and allows the endoscope insertion part to be inserted therethrough so as to be movable forward and backward, and a fluid passage having a fluid supply and discharge port opening to an inside of the endoscope insertion passage on a distal end side thereof; and

a fluid supply and suction device that is connected to a base end side of the fluid passage and supplies and suctions a fluid,

wherein the endoscope insertion part is provided with a positioning part that positions a distal end of the endoscope insertion part at a first position closer to a base end side than a distal-end-side end of the fluid supply and discharge port when the endoscope insertion part moves to the base end side along the longitudinal axis of the cylindrical body, and

wherein, when a distance from the fluid supply and discharge port to the base end opening is L, the positioning part includes an indicator provided at a position separated by the distance L from the distal end of the endoscope insertion part toward the base end side.