Resectoscope apparatus

• US 5,112,330 A
• Filed: 05/23/1989
• Issued: 05/12/1992
• Est. Priority Date: 09/16/1988
• Status: Expired due to Fees

• Current Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Original Assignee: Olympus Optical Corporation Limited (Olympus Corporation)
• Inventors: Bito, Shiro, Nishigaki, Shinichi
• Primary Examiner(s): NOT, DEFINED
• Assistant Examiner(s): Owens, Kerry
• Application Number:
  US07/355,740
• Time in Patent Office: 1,085 Days
• Field of Search: 606/39, 606/40, 606/45-47, 128/4, 128/6, 128/7
• US Class Current: 600/143
• CPC Class Codes: A61B 18/149 bow shaped or with rotatable body at cantilever end, e.g. for resectoscopes, or coagulating rollers
• CPC Class Codes: A61B 2017/00274 Prostate operation, e.g. prostatectomy, turp, bhp treatment
• CPC Class Codes: A61B 2017/4216 Operations on uterus, e.g. endometrium
• CPC Class Codes: A61B 2018/00547 Prostate

Abstract

The resectoscope apparatus of this invention comprises an elongate hollow sheath to be inserted into a body cavity, an endoscope having an optical system inserted through said sheath and making the body cavity interior observable, an operating part connected to the sheath and a slider made integral with at least one of an electrode inserted through the sheath and making such treatment as resecting or coagulating tissues within a body cavity by using a high frequency current and a cord for feeding the high frequency current from a high frequency current source to the electrode and a slider which is provided in the operating part and can operate the electrode from outside the body.

Claims

1. A resectoscope apparatus comprising:

an elongate hollow sheath to be inserted into a body cavity;

an endoscope having an insertable part including an optical system inserted through said sheath for making the body cavity observable;

an operating part connected to said sheath;

a slider provided in said operating part, said slider including an electrode and a cord connected to said electrode for feeding a high frequency current from a high frequency current source to said electrode, said electrode being inserted through said sheath for making such treatment as resecting or coagulating tissues within a body cavity by using high frequency current;

said electrode being mounted in said slider and projecting therefrom in a sliding direction, said slider being movable with respect to said operating part in said sliding direction for inserting said electrode through said sheath, and

said electrode having a bent portion within said slider bending away from said sliding direction, said electrode being fixed to said slider by a holding part within said slider formed to hold said electrode at least one of said bent portion and a terminal portion proximal to said bent portion.

2. A resectoscope apparatus according to claim 1 wherein said bent portion of said electrode is bent at substantially a right angle away from said sliding direction.

3. A resectoscope apparatus according to claim 1 wherein said terminal portion is shaped like a shaft and said slider holding part is formed with a groove to accept said shaft-like portion.

4. A resectoscope apparatus according to claim 1 wherein said cord is connected to said terminal portion of said electrode within said slider.

5. A resectoscope apparatus according to claim 1 wherein said terminal portion of said electrode is projected from said slider, and said cord is removably connected to said terminal portion.

6. A resectoscope apparatus according to claim 1 wherein said operating part includes a guide tube in which said insertable part is inserted, said guide tube is removably connected to said operating part by a body connecting part which is externally fitted to said guide tube and includes an electrode inserting hole in which said guide tube is inserted, and said electrode is inserted into said electrode inserting hole provided in said body connecting part.

7. A resectoscope apparatus according to claim 1 wherein said body connecting part has a sheath connecting part for removably connecting said sheath and said operating part.

8. A resectoscope apparatus according to claim 1 wherein said electrode comprises two shafts projecting in said sliding direction and at least one of said shafts has a terminal bent portion fixed by said holding part within said slider.

9. A resectoscope apparatus according to claim 1 further comprising a position regulating means capable of adjusting a position of a tip of said electrode with respect to said sheath and said endoscope insertable part.

10. A resectoscope apparatus according to claim 9 wherein said position regulating means is provided in said slider.

11. A resectoscope apparatus according to claim 9 wherein said position regulating means includes a fixing mechanism to fix a position of said electrode.

12. A resectoscope apparatus according to claim 9 wherein said position regulating means is provided in a rear part of said operating part.

13. A resectoscope apparatus according to claim 1 wherein said electrode has a treating part including a tip for treating tissues within a body cavity and an arm arranged at a fixed distance in a diametral direction of said endoscope insertable part for holding said treating part, said arm being provided with an electric conductive part and an electric insulating member coating said electric conductive part, and said electric insulating member being formed to have an outside diameter on an operating part side that is larger than an outside diameter at the treating tip.

14. A resectoscope apparatus according to claim 3 wherein said arm is branched at a tip into two shaft parts which are connected to said treating part.

15. A resectoscope apparatus according to claim 3 wherein said arm is formed of two shaft parts which are fixedly incorporated at rear ends in said slider, and said cord is fixedly connected to one shaft part at a rear end thereof.

16. A resectoscope apparatus comprising:

an elongate hollow sheath to be inserted into a body cavity;

an endoscope having an insertable part including an optical system inserted through said sheath for making the body cavity observable;

an operating part connected to said sheath;

a slider provided in said operating part, said slider including an electrode and a cord connected to said electrode for feeding a high frequency current from a high frequency current source to said electrode, said electrode being inserted through said sheath for making such treatment as resecting or coagulating tissues within a body cavity by using high frequency current;

said electrode being mounted in said slider and projecting therefrom in a sliding direction, said slider being movable with respect to said operating part in said sliding direction for inserting said electrode through said sheath, wherein said slider is formed of at least two parts fitting together, and said electrode is fixed to the slider by sandwiching the electrode between two said parts.

17. A resectoscope apparatus according to claim 16 wherein said slider is divided along a surface perpendicular to said sliding direction to fit around said electrode.

18. A resectoscope apparatus according to claim 16 wherein said slider parts are formed to fix together by a snap fit when fitted together.

19. A resectoscope apparatus according to claim 16 wherein, when said two said parts are fitted together, a groove in which the electrode can be housed is provided in at least one of said two said parts.

20. A resectoscope apparatus according to claim 19 wherein said terminal portion of said electrode projects from said slider and is sandwiched between said two said parts and said cord is removably connected to said terminal portion.

21. A resectoscope apparatus according to claim 16 further comprising a position regulating means capable of adjusting a position of a tip of said electrode with respect to said sheath and said endoscope insertable part.

22. A resectoscope apparatus according to claim 21 wherein said position regulating means is provided in said slider.

23. A resectoscope apparatus according to claim 21 wherein said position regulating means includes a fixing mechanism to fix a position of said electrode.

24. A resectoscope apparatus according to claim 21 wherein said position regulating means is provided in a rear part of said operating part.

25. A resectoscope apparatus according to claim 16 wherein said electrode has a treating part including a tip for treating tissues within a body cavity and an arm arranged at a fixed distance in a diametral direction of said endoscope insertable part for holding said treatment part, said arm being provided with an electric conductive part and an electric insulating member coating said electric conductive part, and said electric insulating member being formed to have an outside diameter on an operating part side that is larger than an outside diameter at the treating tip.

26. A resectoscope apparatus according to claim 25 wherein said arm is branched at a tip into two shaft parts which are connected to said treating part.

27. A resectoscope apparatus according to claim 25 wherein said arm is formed of two shaft parts which are fixedly incorporated at rear ends in said slider, and said cord is fixedly connected to one shaft part at a rear end thereof.

28. A resectoscope apparatus comprising:

an elongate hollow sheath to be inserted into a body cavity;

an endoscope having an insertable part including an optical system inserted through said sheath for making the body cavity observable;

an operating part connected to said sheath;

a slider provided in said operating part, said slider including an electrode and a cord connected to said electrode for feeding a high frequency current from a high frequency current source to said electrode, said electrode being inserted through said sheath for making such treatment as resecting or coagulating tissues within a body cavity by using high frequency current;

said electrode being mounted in said slider and projecting therefrom in a sliding direction, said slider being movable with respect to said operating part in said sliding direction for inserting said electrode through said sheath, wherein said electrode and cord are insulated at connecting parts thereof so as to prevent contact with fluids at the connection, said electrode being fixed to said slider at said holding part and said electrode and cord connecting parts being housed within said slider.

29. A resectoscope apparatus according to claim 28, wherein said slider is formed with a groove therewithin for receiving said electrode and cord connecting parts.

30. A resectoscope apparatus according to claim 28, wherein said electrode and cord connecting parts are insulated by covering with a thermal shrinking tube.

31. A resectoscope apparatus according to claim 28, wherein said operating part includes a guide tube in which said insertable part is inserted, said guide tube is removably connected to said operating part by a body connecting part which is externally fitted to said guide tube and includes an electrode inserting hole in which said guide tube is inserted, and said electrode is inserted into said electrode inserting hole provided in said body connecting part.

32. A resectoscope apparatus according to claim 28, wherein said body connecting part has a sheath connecting part for removably connecting said sheath and said operating part.

33. A resectoscope apparatus according to claim 28, wherein said electrode comprises two shafts, an end of one said shaft being connected to said cord and an end of the other said shaft being insulatedly housed within said slider.

34. A resectoscope apparatus according to claim 28, further comprising a position regulating means capable of adjusting a position of a tip of said electrode with respect to said sheath and said endoscope insertable part.

35. A resectoscope apparatus according to claim 34 wherein said position regulating means is provided in said slider.

36. A resectoscope apparatus according to claim 34 wherein said position regulating means includes a fixing mechanism to fix a position of said electrode.

37. A resectoscope apparatus according to claim 34 wherein said position regulating means is provided in a rear part of said operating part.

38. A resectoscope apparatus according to claim 28 wherein said electrode has a treating part including a tip for treating tissues within a body cavity and an arm arranged at a fixed distance in a diametral direction of said endoscope insertable part for holding said treating part, said arm being provided with an electric conductive part and an electric insulating member coating said electric conductive part, and said electric insulating member being formed to have an outside diameter on an operating part side that is larger than an outside diameter at the treating tip.

39. A resectoscope apparatus according to claim 38 wherein said arm is branched at a tip into two shaft parts which are connected to said treating part.

40. A resectoscope apparatus according to claim 38 wherein said arm is formed of two shaft parts which are fixedly incorporated at rear ends in said slider, and said cord is fixedly connected to one shaft part at a rear end thereof.

41. A resectoscope apparatus comprising:

an elongate hollow sheath to be inserted into a body cavity;

an endoscope having an insertable part including an optical system inserted through said sheath for making the body cavity observable;

an operating part connected to said sheath;

a slider provided in said operating part, said slider including an electrode and a cord connected to said electrode for feeding a high frequency current from a high frequency current source to said electrode, said electrode being inserted through said sheath for making such treatment as resecting or coagulating tissues within a body cavity by using high frequency current;

said electrode being mounted in said slider and projecting therefrom in a sliding direction, said slider being movable with respect to said operating part in said sliding direction for inserting said electrode through said sheath, and

said electrode having a bent portion within said slider bending away from said sliding direction, said electrode being fixed to said slider by a holding part within said slider formed to hold said electrode at least one of said bent portion and a terminal portion proximal to said bent portion;

wherein said slider is formed of at least two parts fitting together, and said electrode is fixed to the slider by sandwiching the electrode between two said parts.

42. A resectoscope apparatus comprising:

an elongate hollow sheath to be inserted into a body cavity;

an endoscope having an insertable part including an optical system inserted through said sheath for making the body cavity observable;

an operating part connected to said sheath;

a slider provided in said operating part, said slider including an electrode and a cord connected to said electrode for feeding a high frequency current from a high frequency current source to said electrode, said electrode being inserted through said sheath for making such treatment as resecting or coagulating tissues within a body cavity by using high frequency current;

said electrode being mounted in said slider and projecting therefrom in a sliding direction, said slider being movable with respect to said operating part in said sliding direction for inserting said electrode through said sheath, and

said electrode having a bent portion within said slider bending away from said sliding direction, said electrode being fixed to said slider by a holding part within said slider formed to hold said electrode at least one of said bent portion and a terminal portion proximal to said bent portion;

wherein said electrode and cord are insulated at connecting parts thereof so as to prevent contact with fluids at the connection, said electrode being fixed to said slider at said holding part and said electrode and cord connecting parts being housed within said slider.

43. A resectoscope apparatus comprising:

an elongate hollow sheath to be inserted into a body cavity;

an endoscope having an insertable part including an optical system inserted through said sheath for making the body cavity observable;

an operating part connected to said sheath;

a slider provided in said operating part, said slider including an electrode and a cord connected to said electrode for feeding a high frequency current from a high frequency current source to said electrode, said electrode being inserted through said sheath for making such treatment as resecting or coagulating tissues within a body cavity by using high frequency current;

said electrode being mounted in said slider and projecting therefrom in a sliding direction, said slider being movable with respect to said operating part in said sliding direction for inserting said electrode through said sheath, and

wherein said slider is formed of at least two parts fitting together, and said electrode is fixed to the slider by sandwiching the electrode between two said parts; and

wherein said electrode and cord are insulated at connected parts thereof so as to prevent contact with fluids at the connection, said electrode being fixed to said slider at said holding part and said electrode and cord connecting parts being housed within said slider.

44. A resectoscope apparatus comprising:

an elongate hollow sheath to be inserted into a body cavity;

an endoscope having an insertable part including an optical system inserted through said sheath for making the body cavity observable;

an operating part connected to said sheath;

a slider provided in said operating part, said slider including an electrode and a cord connected to said electrode for feeding a high frequency current from a high frequency current source to said electrode, said electrode being inserted through said sheath for making such treatment as resecting or coagulating tissues within a body cavity by using high frequency current;

said electrode being mounted in said slider and projecting therefrom in a sliding direction, said slider being movable with respect to said operating part in said sliding direction for inserting said electrode through said sheath, and

said electrode having a bent portion within said slider bending away from said sliding direction, said electrode being fixed to said slider by a holding part within said slider formed to hold said electrode at least one of said bent portion and a terminal portion proximal to said bent portion;

wherein said slider is formed of at least two parts fitting together, and said electrode is fixed to the slider by sandwiching the electrode between two said parts; and

wherein said electrode and cord are insulated at connecting parts thereof so as to prevent contact with fluids at the connection, said electrode being fixed to said slider at said holding part and said electrode and cord connecting parts being housed within said slider.