Endoscopic surgical device and overtube

• US 9,895,049 B2
• Filed: 03/01/2016
• Issued: 02/20/2018
• Est. Priority Date: 09/03/2013
• Status: Active Grant

• Current Assignee: Fujifilm Corporation (Fujifilm Holdings Corporation)
• Original Assignee: Fujifilm Corporation (Fujifilm Holdings Corporation)
• Inventors: Dejima, Takumi, Yamakawa, Shinichi
• Primary Examiner(s): Neal, Timothy J
• Assistant Examiner(s): FAIRCHILD, AARON BENJAMIN
• Application Number:
  US15/058,096
• Publication Number:
  US 20160174820A1
• Time in Patent Office: 721 Days
• CPC Class Codes: A61B 1/00128 mechanical, e.g. for tubes or pipes
• CPC Class Codes: A61B 1/00135 Oversleeves mounted on the endoscope prior to insertion
• 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 1/00142 with means for preventing contamination, e.g. by using a sanitary sheath
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/01 Guiding arrangements therefore
• CPC Class Codes: A61B 1/018 for receiving instruments
• CPC Class Codes: A61B 17/3421 Cannulas
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/3409 including needle or instrument drives
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments
• CPC Class Codes: A61B 2017/3447 Linked multiple cannulas
• CPC Class Codes: A61B 2017/3449 whereby the instrument channels merge into one single channel
• CPC Class Codes: A61B 2017/3466 for simultaneous sealing of multiple instruments
• CPC Class Codes: A61M 2025/0681 Systems with catheter and outer tubing, e.g. sheath, sleeve or guide tube
• CPC Class Codes: A61M 2039/0633 the seal being a passive seal made of a resilient material with or without an opening
• CPC Class Codes: A61M 2039/0653 Perforated disc
• CPC Class Codes: A61M 25/0662 Guide tubes
• CPC Class Codes: A61M 39/06 Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
• CPC Class Codes: A61M 39/22 Valves or arrangement of valves A61M39/02, A61M39/0247, A61M39/16 take precedence; regulating valves in infusion systems A61M5/16881; in devices worn by the patient for the reception of urine, faeces, catamenial or other discharge, or in colostomy devices A61F5/4405

Abstract

Provided is an endoscopic surgical device and an overtube with which a surgeon can easily obtain a desired image and operability is high. The overtube includes a slider inside the overtube body that guides an endoscope and a treatment tool into a body cavity, the first valve member provided in the endoscope insertion passage, and the second valve member provided in the treatment tool insertion passage. F1>F3 and F2>F3 are satisfied when a fixing force for fixing the slider to the endoscope is defined as F1, a fixing force for fixing the slider to the treatment tool is defined as F2, and a frictional force that receives from the first valve member when the endoscope moves forward and backward is defined as F3.

Claims

1. An endoscopic surgical device comprising:

an endoscope that observes the inside of a body cavity;

a treatment tool that inspects or treats an affected part within the body cavity; and

an overtube that guides the endoscope and the treatment tool into the body cavity,

wherein the overtube includes

an overtube body that passes through a body wall and is inserted into the body cavity,

an endoscope insertion passage that is provided inside the overtube body and allows the endoscope to be inserted therethrough so as to be movable forward and backward,

a treatment tool insertion passage that is provided inside the overtube body and allows the treatment tool to be inserted therethrough so as to be movable forward and backward,

a first valve member that is provided in the endoscope insertion passage and secures airtightness within the body cavity,

a second valve member that is provided in the treatment tool insertion passage and secures the airtightness within the body cavity, and

an interlocking member that is configured to be movable forward and backward inside the overtube body, and has an endoscope-coupled part to be coupled to the endoscope inserted through the endoscope insertion passage and a treatment tool-coupled part to be coupled to the treatment tool inserted through the treatment tool insertion passage, wherein the first valve member and the second valve member are not parts of the interlocking member,

wherein following formulas are satisfied when a frictional force for fixing the interlocking member to the endoscope is defined as F1, a frictional force for fixing the interlocking member to the treatment tool is defined as F2, and a frictional force that the endoscope receives from the first valve member when the endoscope moves forward and backward is defined as F3;

F1>

F3

F2>

F3.

2. The endoscopic surgical device according to claim 1,

wherein a following formula is satisfied when a frictional force that the treatment tool receives from the second valve member when the treatment tool moves forward and backward is defined as F4, and a fixing force for fixing the overtube to the body wall in a forward and backward movement direction is defined as Ft;

Ft>

F3+F4.

3. The endoscopic surgical device according to claim 1,

wherein a following formula is satisfied;

F1>

F2.

4. The endoscopic surgical device according to claim 3,

wherein the interlocking member includes an endoscope fixed region where the endoscope is fixed, and a treatment tool fixed region where the treatment tool is fixed, and the endoscope fixed region is made longer than the treatment tool fixed region.

5. The endoscopic surgical device according to claim 1,

wherein, when a frictional force that the treatment tool receives from the second valve member when the treatment tool moves forward and backward is defined as F4, either F2+F4<

10 Newtons or F2+F3<

10 Newtons is satisfied in the case of F1>

F2, and either F1+F4<

10 Newtons or F1+F3<

10 Newtons is satisfied in the case of F1<

F2.

6. The endoscopic surgical device according to claim 1,

wherein the endoscope-coupled part and the treatment tool-coupled part are respectively coupled to the endoscope and the treatment tool in a manner such that

the endoscope and the treatment tool are moved forward and backward with a predetermined amount of play in interlock with each other, and

when either one of the endoscope and the treatment tool is moved forward and backward, if the movement is within the predetermined amount of play, another one of the endoscope and the treatment tool does not interlock with the movement.

7. The endoscopic surgical device according to claim 1,

wherein the interlocking member includes a treatment tool-coupled member coupled to the treatment tool, and the treatment tool-coupled member is provided to be rotatable with respect to the interlocking member.

8. The endoscopic surgical device according to claim 1,

wherein the interlocking member includes a slider member that is coupled to the endoscope and moves forward and backward integrally with the endoscope, and a sleeve member that is coupled to the treatment tool and moves forward and backward integrally with the treatment tool, and

wherein a range where the sleeve member is movable forward and backward with respect to the slider member is limited.

9. The endoscopic surgical device according to claim 8,

wherein the sleeve member is configured so as to be rotatable around a central axis of the treatment tool insertion passage with respect to the slider member.

10. The endoscopic surgical device according to claim 8,

wherein the slider member is configured so as to be non-rotatable around a longitudinal axis of the overtube body with respect to the overtube body.

11. An overtube comprising:

an overtube body that passes through a body wall and is inserted into a body cavity;

an endoscope insertion passage that is provided inside the overtube body and allows an endoscope for observing the inside of the body cavity to be inserted therethrough so as to be movable forward and backward;

a treatment tool insertion passage that is provided inside the overtube body and allows a treatment tool for inspecting or treating an affected part within the body cavity to be inserted therethrough so as to be movable forward and backward;

a first valve member that is provided in the endoscope insertion passage and secures airtightness within the body cavity;

a second valve member that is provided in the treatment tool insertion passage and secures the airtightness within the body cavity; and

an interlocking member that is configured to be movable forward and backward inside the overtube body, and has an endoscope-coupled part to be coupled to the endoscope inserted through the endoscope insertion passage and a treatment tool-coupled part to be coupled to the treatment tool inserted through the treatment tool insertion passage, wherein the first valve member and the second valve member are not parts of the interlocking member,

wherein following formulas are satisfied when a frictional force for fixing the interlocking member to the endoscope is defined as F1, a frictional force for fixing the interlocking member to the treatment tool is defined as F2, and a frictional force that the endoscope receives from the first valve member when the endoscope moves forward and backward is defined as F3;

F1>

F3

F2>

F3.

12. The overtube according to claim 11,

wherein a following formula is satisfied when a frictional force that the treatment tool receives from the second valve member when the treatment tool moves forward and backward is defined as F4, and a fixing force for fixing the overtube to the body wall in a forward and backward movement direction is defined as Ft;

Ft>

F3+F4.

13. The overtube according to claim 11,

wherein a following formula is satisfied;

F1>

F2.

14. The overtube according to claim 13,

wherein the interlocking member includes an endoscope fixed region where the endoscope is fixed, and a treatment tool fixed region where the treatment tool is fixed, and the endoscope fixed region is made longer than the treatment tool fixed region.

15. The overtube according to claim 11,

wherein, when a frictional force that the treatment tool receives from the second valve member when the treatment tool moves forward and backward is defined as F4, either F2+F4<

10 Newtons or F2+F3<

10 Newtons is satisfied in the case of F1>

F2, and either F1+F4<

10 Newtons or F1+F3<

10 Newtons is satisfied in the case of F1<

F2.

16. The overtube according to claim 11,

wherein the endoscope-coupled part and the treatment tool-coupled part are respectively coupled to the endoscope and the treatment tool in a manner such that

the endoscope and the treatment tool are moved forward and backward with a predetermined amount of play in interlock with each other, and

when either one of the endoscope and the treatment tool is moved forward and backward, if the movement is within the predetermined amount of play, another one of the endoscope and the treatment tool does not interlock with the movement.