Method and apparatus for moving an endoscope along a canal-shaped cavity

• US 5,586,968 A
• Filed: 01/03/1995
• Issued: 12/24/1996
• Est. Priority Date: 12/15/1992
• Status: Expired due to Term

• Current Assignee: Stm Medizintechnik Starnberg Gm
• Original Assignee: Alexander Bob, Andreas Grundl, Konstantin Bob
• Inventors: Bob, Konstantin, Grundl, Andreas, Bob, Alexander
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Leubecker, John P.
• Application Number:
  US08/284,568
• Time in Patent Office: 721 Days
• Field of Search: 600/114, 600/115, 600/146, 600/102, 604/271, 604/96, 604/172
• US Class Current: 600/114
• CPC Class Codes: A61B 1/00151 using everted tubes
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 1/31 for the rectum, e.g. proctoscopes, sigmoidoscopes , colonoscopes
• CPC Class Codes: A61M 2025/0062 having features to improve the sliding of one part within another by using lubricants or surfaces with low friction coatings A61M2025/0046
• CPC Class Codes: A61M 25/0119 Eversible catheters

Abstract

An apparatus for moving an endoscope along a canal-shaped cavity includes an endoscope having a movable distal end for entry into the cavity and a stationary operating end which remains outside of the cavity. A first portion of the endoscope is contained in a turnout tube which has a turnout area for entry into the cavity, and which also has a fixed end which remains outside of the cavity. A second portion of the endoscope extends from the fixed end of the turnout tube to the operating end of the endoscope. A first drive assembly is operable to move the endoscope and the turnout tube in unison, and a second drive assembly is operable to move the endoscope independently of the turnout tube. A lubricant may be applied through the fixed end of the turnout tube to the portions of the endoscope which are disposed within the turnout tube. Portions of the turnout tube and endoscope are disposed in a bend so as to allow the operating end of the endoscope to remain stationary while at the same time allowing the distal end of the endoscope and the turnout area of the turnout tube to be advanced and/or retracted into and out of the cavity.

Claims

1. A method for moving an endoscope and turnout tube assembly through a canal-shaped cavity, said method comprising the steps of:

a) moving the turnout tube and endoscope together in the cavity in a manner which would cause a turnout area in the turnout tube to move at a rate which is approximately one half the rate of movement of a distal end of the endoscope; and

b) simultaneously retarding movement of the endoscope without retarding movement of the turnout tube, so that the distal end of the endoscope actually moves forward at a rate which is less than twice the rate of movement of the turnout area of the turnout tube through the cavity.

2. The method of claim 1 further providing the step of holding an operating end of the endoscope stationary during operation of the assembly.

3. The method of claim 2 further providing the step of providing slack in a portion of the endoscope between its distal end and its stationary end so that the distal end can be moved away from the stationary end without moving the stationary end.

4. The method of claim 2 comprising the further step of injecting a lubricant into an end of said turnout tube which is opposite said turnout area of the turnout tube and which end is fixed during operation of the assembly.

5. An assemblage for examining the interior of a canal-shaped cavity, said assemblage comprising:

a) an endoscope having a movable distal end for positioning within the cavity, and having an opposite stationary operating end for positioning outside of the cavity;

b) a turnout tube embracing a portion of the endoscope, said turnout tube having a movable turnout area for positioning within the cavity, and having an opposite fixed end for positioning outside of the cavity;

c) drive means disposed between said movable distal end and said stationary operating end of said endoscope, said drive means being operable to advance and retract said endoscope in said cavity; and

d) means for providing slack in said endoscope between said movable distal end and said stationary operating end of said endoscope so as to allow said movable distal end of said endoscope to be moved away from said stationary operating end of said endoscope without moving said operating end of said endoscope.

6. The assemblage of claim 5 wherein said drive means includes a first portion operable to engage said turnout tube and said endoscope.

7. The assemblage of claim 6 wherein said drive means includes a second portion operable to engage only said endoscope.

8. The assemblage of claim 5 wherein said means for providing slack includes a bend in a portion of said endoscope which is embraced by said turnout tube.

9. The assemblage of claim 5 wherein said means for providing slack includes a bend in a portion of the endoscope which is not embraced by said turnout tube.

10. The assemblage of claim 5 further comprising lubrication means adjacent to said fixed end of said turnout tube, said lubrication means being operable to feed a lubricant into said turnout tube via said fixed end thereof.

11. An assemblage for examining the interior of a canal-shaped cavity, said assemblage comprising:

a) an endoscope having a movable distal end for positioning within the cavity, and having an opposite stationary operating end for positioning outside of the cavity;

b) a turnout tube embracing a portion of the endoscope, said turnout tube having a movable turnout area for positioning within the cavity, and having an opposite fixed end for positioning outside of the cavity; and

d) a flexible bend formed in said endoscope between said movable distal end and said stationary operating end of said endoscope so as to allow said movable distal end of said endoscope to be moved away from said stationary operating end of said endoscope without moving said operating end of said endoscope.

12. The assemblage of claim 11 wherein said bend is disposed in a portion of said endoscope which is embraced by said turnout tube.

13. The assemblage of claim 11 wherein said bend is disposed in a portion of said endoscope which is disposed between said fixed end of said turnout tube and said stationary operating end of said endoscope.