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JP3776812B2 - Endoscope device - Google Patents

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Publication number
JP3776812B2
JP3776812B2 JP2002031424A JP2002031424A JP3776812B2 JP 3776812 B2 JP3776812 B2 JP 3776812B2 JP 2002031424 A JP2002031424 A JP 2002031424A JP 2002031424 A JP2002031424 A JP 2002031424A JP 3776812 B2 JP3776812 B2 JP 3776812B2
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JP
Japan
Prior art keywords
endoscope
lens
cover
tip
distal end
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Expired - Fee Related
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JP2002031424A
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Japanese (ja)
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JP2002301026A (en
Inventor
康太 石引
清士 三宅
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Olympus Corp
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Olympus Corp
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  • Endoscopes (AREA)

Description

【0001】
【発明の属する技術分野】
本発明は、医療用または工業用として用いられ、カバーを被覆することなく観察を行う内視鏡、またはカバーを被覆して観察するカバー式の内視鏡の少なくとも一方を備える内視鏡装置に関する。
【0002】
【従来の技術】
近年、観察部位を内視鏡に配設した固体撮像素子で撮像し、モニタで観察するようにした内視鏡装置が利用されている。前記内視鏡装置では一般に内視鏡の先端面に観察窓と照明窓とが設けられている。また、前記内視鏡の先端面には前記観察窓に向けて送水及び送気を行って観察窓表面の洗浄を行えるようにしたノズルが設けられている。
【0003】
前記ノズルを観察窓に近付けることにより、コンパクト化が可能になって内視鏡挿入部の外径を小さくするばかりでなく、ノズルから観察窓に向かって送水される力が大きくなって洗浄力が向上すると共に、ノズルから観察窓に向かって送気される力が大きくなって水切り性が向上する。
【0004】
しかし、観察窓にノズルを近付けすぎてしまうと、このノズルが観察視野内に入ってしまい、観察に悪影響を及ぼすので、観察窓とノズルとの距離を近づけることが難しかった。
【0005】
この不具合を解決するため、例えば特願平6−42857号及び特開平6−38926号公報には内視鏡挿入部の先端部に対物レンズと固体撮像素子とを設け、この固体撮像素子からの電気信号に基づいて観察視野像をモニタに表示すると共に、前記対物レンズの観察窓に向けて1つの送気・送水ノズルを設けた内視鏡において、前記固体撮像素子の受光エリアまたは表示視野範囲の形状が角形であり、その角形の辺に対向する対応位置に前記ノズルを設置し、視野内にノズルが入ることなく、ノズルを観察窓に極力近付けるようにした内視鏡が提案されている。また、送気ノズルと送水ノズルとの2つのノズルを有する内視鏡については特願平6−42857号に、送気ノズルを固体撮像素子の受光エリアの対辺側に配置して観察窓に近付け、送水ノズルを受光エリアの対角側に設けたものが示されている。さらに、特開平6−38926号公報には送気ノズルと送水ノズルとを光学的有効領域の対辺側に2つ並べて配置したものが示されている。
【0006】
【発明が解決しようとする課題】
しかしながら、前記特願平6−42857号に示された内視鏡では、送水ノズルに連結した液体を移送するための送水管路が細い場合、あるいは長くなる場合、送水能力が低下し、送水ノズルを対角側に設けて観察窓との距離が遠い構成の場合には著しく送水能力が低下して対物レンズ面の洗浄を十分に行えず、観察が困難になる場合がある。また、特開平6−38926号公報に示された内視鏡では、光学有効領域の対辺側にノズルを2つ並べて配置しているため、各ノズルの開口部幅が小さくなり、このノズルから噴出される液体の流れ幅が小さく規制されて、光学有効領域の広範囲に送気、送水することが困難になるはかりでなく、送気・送水の能力が低下して対物レンズ面の洗浄及び水滴の除去を十分に行えず、観察が困難になる場合がある。
【0007】
本発明は上記事情に鑑みてなされたもので、内視鏡先端部に設けられている観察窓の洗浄能力と、この観察窓からの水滴の除去能力が良く、且つ、先端部の外径が細径で患者に苦痛を与えないようにした内視鏡装置を提供することを目的とする。
【0008】
【課題を解決するための手段】
請求項1に記載の内視鏡装置の発明は、内視鏡挿入部の先端部前記先端部に設けられた対物レンズ、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子前記受光範囲の縁を形成する輪郭のうち、前記対物レンズの中心に対して近い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口した送水ノズル前記対物レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口した送気ノズル前記対物レンズに隣接して開口され、接続される吸引源によって前記対物レンズ上の水滴を吸引可能な吸引管路とを具備することを特徴とする。
【0009】
請求項2に記載の内視鏡装置の発明は、内視鏡挿入部の先端部前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子前記受光範囲の縁を形成する輪郭のうち、前記先端側レンズの中心に対して近い位置となる輪郭部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送水ノズル前記先端側レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送気ノズル前記先端側レンズに隣接して開口され、接続される吸引源によって前記先端側レンズ上の水滴を吸引可能な吸引管路とを具備することを特徴とする。
また、請求項3に記載の内視鏡装置の発明は内視鏡挿入部の先端部と前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および角形の所定の受光範囲を有する、もしくはモニタに角形に表示される表示範囲に相当する受光範囲を有する固体撮像素子と角形の前記受光範囲の辺部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送水ノズルと角形の前記受光範囲の角部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送気ノズルと前記先端側レンズに隣接して開口され、接続される吸引源によって前記先端側レンズ上の水滴を吸引可能な吸引管路とを具備することを特徴とする
【0010】
また、請求項に記載の内視鏡装置の発明は内視鏡挿入部の先端部と前記先端部に設けられた対物レンズ、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子前記受光範囲の縁を形成する輪郭のうち、前記対物レンズの中心に対して近い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口するとともに、前記対物レンズの表面に対して斜め方向から送水可能な送水ノズル前記対物レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口するとともに、前記対物レンズの表面に対して平行に送気可能な送気ノズルとを具備することを特徴とする。
さらに、請求項5に記載の内視鏡装置の発明は内視鏡挿入部の先端部と前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子と前記受光範囲の縁を形成する輪郭のうち、前記先端側レンズの中心に対して近い位置となる輪郭部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して斜め方向から送水可能な送水ノズルと前記先端側レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して平行に送気可能な送気ノズルとを具備することを特徴とする
【0011】
また、請求項6に記載の内視鏡装置の発明は内視鏡挿入部の先端部と前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および角形の所定の受光範囲を有する、もしくはモニタに角形に表示される表示範囲に相当する受光範囲を有する固体撮像素子と角形の前記受光範囲の辺部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して斜め方向から送水可能な送水ノズルと角形の前記受光範囲の角部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して平行に送気可能な送気ノズルとを具備することを特徴とする。
そして、前記請求項1〜6のいずれかの内視鏡装置において、挿入部の先端部に対物レンズと固体撮像素子とを備えたカバー用内視鏡と前記カバー用内視鏡に着脱自在に外装される内視鏡カバーと前記内視鏡カバーの先端部に、前記対物レンズの先端側に配置される前記先端側レンズとしての対物レンズカバーと、前記送水ノズルと、前記送気ノズルとを設けたことを特徴とし、また、前記固体撮像素子の受光範囲またはモニタへの視野の表示範囲は、円形の一部が切り欠かれた形状であることを特徴とする。
【0012】
【発明の実施の形態】
以下、図面を参照して本発明の実施の形態を説明する。
図1ないし図11は本発明の第1の実施の形態に係る内視鏡であり、図1はカバー式内視鏡の概略構成を示す斜視図、図2はカバー式内視鏡の先端部の構成を示す断面図、図3は先端カバー部材の基端面側を示す説明図、図4は先端構成部の先端面を示す説明図、図5は遮光部と遮光溝との関係を説明する断面図、図6は先端構成部への対物レンズ枠の取付けを説明する断面図、図7は照明レンズカバーと先端カバー部材との関係を説明する断面図、図8は先端カバー部材に照明レンズカバーを配設した状態を示す断面図、図9は先端カバー部材に形成した照明レンズカバー受け部を示す説明図、図10は先端カバー部材と先端構成部との係止部及び処置具挿通路である鉗子挿通チャンネルの配置構成を説明する断面図、図11は図10のI―I断面図である。尚、内視鏡を、まずカバー式内視鏡で説明する。
【0013】
図1に示すように本実施の形態のカバー式内視鏡1は、内視鏡カバー(以下カバーと略記)2と、このカバー2に装着される内視鏡カバー用内視鏡(以下カバー用内視鏡と略記)3との組み合わせからなっている。
【0014】
このカバー式内視鏡1を用いて内視鏡検査を行う際は、滅菌処理済みの清潔なカバー2によってカバー用内視鏡3の挿入部などを覆い、検査終了後にはカバー用内視鏡3の挿入部などを覆っていたカバー2を廃棄する一方、前記カバー用内視鏡3を新しい滅菌処理済みの清潔なカバー2で再び覆い、繰り返し使用されることが特徴となる。このことにより、検査後における内視鏡側の洗浄、消毒を不要とするものである。
【0015】
前記カバー用内視鏡3は、細長の挿入部4の基端側に把持部を兼ねた操作部5を連設している。また、前記挿入部4の先端側には先端構成部6が設けられている。
【0016】
一方、前記カバー2は、前記カバー用内視鏡3の挿入部4を覆い被す軟性の外皮7を有しており、この外皮7の基端側には処置具挿通路となる鉗子挿入口8aを有する口体部8が設けられている。この口体部8は、前記操作部5の先端側外周を包み覆うように接続される。前記外皮7の先端側には前記カバー用内視鏡3の先端構成部6の外周面に着脱自在に係合固定可能で、この先端構成部6を被覆する先端カバー部材9が設けられている。
【0017】
なお、前記カバー用内視鏡3の先端構成部6の基端側には湾曲部10が連接している。また、操作部5の側面部からは図示しない光源装置に向かってユニバーサルコード11が延出している。符号14は送水用管路を形成する送水チューブであり、符号12は送気用管路を形成する送気チューブであり、符号13は吸引管路を形成する吸引チューブである。
【0018】
図2に示すように前記カバー用内視鏡3の先端構成部6には観察対象物を撮像するため、対物レンズ枠15に保持された対物レンズ系16とこの対物レンズ系16の結像位置に配置されて観察視野像を電気信号に変換する固体撮像素子17及び撮像回路部18とが設けられている。この撮像回路部18の基端側からは画像信号を図示しない画像コントロールユニットへ伝達する信号ケーブル19が延出している。
【0019】
前記カバー2の先端カバー部材9には前記対物レンズ系16の最先端部に設けた先端側レンズ16aに対向する位置に、透明な光学部材からなる対物レンズカバー21が対物レンズカバー枠22に嵌合して接着などにより固定されている。この対物レンズカバー枠22には前記対物レンズカバー21を保持するための対物レンズカバー受け部22aが設けられている。この対物レンズカバー受け部22aは、強度を確保するため厚さ寸法aが少なくとも0.1〜1mmの範囲の厚みとなるように形成されている。
【0020】
前記対物レンズ枠15の先端面と先端側レンズ16aの先端面とは略同一面になるよう位置決め固定されている。また、前記対物レンズ枠15及び先端側レンズ16aは先端構成部6の先端面より、前記対物レンズカバー受け部22aの厚さaと同量だけ突出して先端構成部6に位置決め固定されている。
【0021】
前記先端構成部6の先端面は、図3に示す先端カバー部材9の基端側の突き当て面31に当接して固定されるようになっている。また、前記突き当て面31には凸形状の遮光部32が形成されている。一方、図4に示すように前記付き当て面31に対向する先端構成部6の先端面には前記遮光部32に対向する位置に凹状の遮光溝41が形成してある。
【0022】
すなわち、前記先端構成部6の先端面が先端カバー部材9の基端側の突き当て面31に当接して固定されるとき、前記遮光部32が遮光溝41に嵌合する。このため、図示しない光源装置からライトガイド24を介して伝達されて照明レンズ24a及び先端カバー部材9に配設した照明レンズカバー23を介して体腔内に向かって照明光を照射するとき、先端カバー部材9や照明レンズカバー23の内面に反射して反射光が発生しても、この反射光は遮光部32によって光路を妨げられて先端側レンズ16aへ入射しない。
【0023】
なお、図5に示すように、前記遮光部32の突出量bと、前記遮光溝41の深さcとの間にはb≦cの関係が成り立ている。このため、遮光部32が遮光溝41の底面に突き当たらないので、先端構成部6の先端面と先端カバー部材9の突き当て面31とが確実に突き当たる。このことから、先端側レンズ16aと対物レンズカバー21との間隙及び照明レンズ24aと照明レンズカバー23との間隙を確実に微少にすることができる。また、前記遮光部32及び遮光溝41の配置位置関係は、前記先端構成部6に設けられた先端側レンズ16aと照明レンズ24aとの干渉を避けるため、先端構成部6の先端側レンズ16aと照明レンズ24aとの間に遮光溝41を設ける一方、前記先端カバー部材9に設けられた対物レンズカバー21と照明レンズカバー23との干渉を避けるため、先端カバー部材9の対物レンズカバー受け部22aと照明レンズカバー受け部33aとの間に遮光部32が位置するように設けられている。
【0024】
図6に示すように対物レンズ枠15を先端構成部6へ位置決め固定する際、すなわち、対物レンズ枠15を先端構成部6へ組み付けるとき面出し治具50を用いる。
図6(A)に示すように組みつけ時まず、先端構成部6の先端面6aを面出し治具50の先端構成部突き当て面51に突き当てた状態で、予め先端側レンズ16aが固定されている対物レンズ枠15を先端構成部6に挿入していく。
【0025】
次に、図6(b)に示すように対物レンズ枠15及び先端側レンズ16aの先端面16bを面出し治具50の先端構成部突き当て面51からa寸法だけ凹んで形成されている対物レンズ突き当て面52に当接させる。そして、この状態で固定ネジ53を先端構成部6に設けたネジ部42に螺合させて、この固定ネジ53で対物レンズ枠15を先端構成部6に押し付けて一体的に組みつける。
【0026】
上述のように対物レンズ枠15を先端構成部6に固定ネジ53で一体的に組み付けることによって、対物レンズカバー21と先端側レンズ16aとの間隙を、対物レンズカバー受け部22aの厚み寸法の製品ごとのバラツキ及び先端側レンズ16aの先端構成部6からの突出量の製品ごとのバラツキを考慮しても0〜0.1mmの範囲に構成することが可能なので、先端側レンズ16aと対物レンズカバー21とが離れすぎてしまうことによって観察視野内に対物レンズカバー受け部22a入ることのない良好な観察視野を確保することができる。
【0027】
また、前記対物レンズ枠15及び先端側レンズ16aの先端面を同一面に形成し、前記対物レンズ枠15ごと先端構成部6より所定寸法だけ突出させる構成であるため、先端側レンズ16aを装着時に破損させることがない。
【0028】
さらに、面出し治具50を使用して組みつけることによって、製造時の製品ごとのバラツキを相殺して対物レンズカバー21と先端側レンズ16aとの間隙を微少にできるので、どのようなカバー用内視鏡3とカバー2との組み合わせにおいても良好な観察視野を確保することが可能になる。
【0029】
又、前記照明レンズ24aは、照明レンズ24aの先端面と先端構成部6の先端面とが略同一面となるよう先端構成部6に位置決め固定される。すなわち、図7に示すように先端カバー部材9には、照明レンズカバー23を保持するための照明レンズカバー受け部33aと照明レンズカバー枠部33bとが形成されている。この照明レンズカバー受け部33aは、強度を確保するため厚さ寸法dが少なくとも0.1〜1mmの範囲の厚みで形成されている。
【0030】
一方、前記照明レンズカバー23は、前記照明レンズカバー枠部33bに嵌合してこの照明レンズカバー枠部33bに接着などによって固定される大径部23aと前記照明レンズカバー受け部33aの内周部に緩く嵌合される小径部23bとで形成される。そして、前記小径部23bの厚みを、前記照明レンズカバー受け部33aの厚みdと略同一に形成することにより、図8に示すように照明レンズ24aと照明レンズカバー23との間隙を微少にして、照明レンズ24aから出射された照明光の大部分を、照明レンズカバー23に導光することができるようになっている。このため、照明レンズカバー23から体腔内に出射される光量が多く、小径部23bに遮られることがないため配光が良く、照明レンズカバー23の面積を比較的小さくすることできる。
【0031】
このことにより、前記先端カバー部材9の外径を細くすることが可能になる。また、照明レンズ24aが先端構成部6より突出しない構成であるため、前記照明レンズ24aを装着時に破損させることがない。
【0032】
図9に示すように前記先端カバー部材9の対物レンズカバー枠部22は略四角形の形状を有し、4隅が半径r1 のR形状に形成されている。また、前記対物レンズカバー受け部22aの内周側は、この対物レンズカバー受け部22aの4つの辺を各々の長さe、例えば0.1〜0.5mm程度内側に突出させて、その4隅にr1 −e(<r2 )なる寸法である半径r2 のR形状で形成されている。
【0033】
すなわち、対物レンズカバー21は、対物レンズカバー枠部22に嵌合するため、対物レンズカバー21の外側寸法を対物レンズカバー枠部22の内側寸法よりも小さくする必要がある。このため、4隅においては対物レンズカバー受け部22aで受ける面積が小さくなる。しかし、上述の構成であれば、対物レンズカバー受け部22aの4隅の内側への突出量を大きくしているため、対物レンズカバー受け部22aで受ける面積を大きくすることができ、確実に対物レンズカバー21を保持することができる。また、対物レンズカバー受け部22aを、対物レンズカバー21との接合面とする場合には接合代を大きくとることができるため、十分な接合強度が得られ、対物レンズカバー21が対物レンズカバー枠部22から脱落することがなくなり安全性が向上する。さらに、照明レンズカバー受け部33aと照明レンズカバー枠部33bとの間も上述と同様の関係で形成されているため照明レンズ23が十分な接合強度で接合される。
【0034】
なお、前記カバー2を装着しない状態でのカバー用内視鏡3の対物レンズ系16の単体での視野角を、例えば0°〜90°とし、カバー2を装着した状態のとき、視野角を例えば120°〜180°となるように対物レンズカバー21に視野角を拡大する光学レンズを用いるようにすることにより、先端側レンズ16aと対物レンズカバー21との間隙がある程度離れても、対物レンズカバー受け部22aが視野内に入ることがなく、且つ、大きな視野角を確保することができる。
【0035】
図10及び図11を参照して先端カバー部材9と先端構成部6との係止部及び処置具挿通路である鉗子挿通チャンネル61の配置構成を説明する。
図10に示すように鉗子挿通チャンネル61は、カバー2の外皮7の内部をカバー用内視鏡3の挿入部4に沿って並行に配設されている。前記鉗子挿通チャンネル61の先端部は、前記先端カバー部材9に設けられた処置具突出口62の近傍のチャンネル接続部63に接着などの手段によって、前記処置具突出口62に連通するように固定されている。
【0036】
一方、鉗子挿通チャンネル61の基端部は、前記口体部8の鉗子挿入口8aに連通しており、この鉗子挿入口8aより挿入された鉗子などの処置具が処置具突出口62にガイドされ、この処置具突出口62より体腔内に突出して病変部の切除などの処置を行うことができるようになっている。また、鉗子挿通チャンネル61は図示しない流体制御装置に接続されている吸引管路を形成する吸引チューブ13に連通している。この吸引チューブ13は口体部8より内視鏡外部に延出してユニバーサルコード11に沿って流体制御装置まで延出されている。
【0037】
前記鉗子挿通チャンネル61は、PTFE,PFAなどの柔軟な材質よりなる管状部材で形成される。また、前記鉗子挿通チャンネル61は、カバー用内視鏡3の湾曲部近傍で、湾曲部湾曲時に座屈することなく、滑らかに湾曲するように蛇腹部61aが設けてある。この蛇腹部61aは、他の部分と同様の内径を確保しつつ、湾曲し易いように挿入部の長手方向の断面形状を波状に形成しているため、他の部分よりも外径が太径になる構成となっている。
【0038】
前記カバー2の先端カバー部材9とカバー用内視鏡3の先端構成部6とを一体的に接続するため、先端カバー部材9に形成した嵌合穴部33に嵌合したカバー用内視鏡3の先端構成部6に係止爪65を係合させて係止部を形成して一体的に固定している。そして、前記先端カバー部材9の外周に外挿されている円筒状部材66を、前記係止部を形成する係止爪65に外嵌させて係止爪65を長手方向の中心軸側に押圧している。
【0039】
前記先端構成部6の基端部6bは、複数の関節駒を連接した湾曲部10の最先端に位置する第一関節駒10a及びこの第一関節駒10aを含む関節駒の外周部を被覆する細径の金属線材で編まれた管状の金網部67及びこの金網部67の外周を被覆するエラストマーなど軟性の弾性部材からなる管状の弾性外皮部68を接続するための接続部70となっている。
【0040】
このため、この先端構成部6の基端部6bは、第一関節駒10a,金網部67及び弾性外皮部68のそれぞれの厚み分と、これらを固定する接着剤などの接着部71の厚み分だけ、他の部分よりも太径な太径部72を形成している。
【0041】
なお、送気管路を形成する送気チューブ12及び送水管路を形成する送水チューブ14は、カバー2の外皮7の内部を鉗子挿通チャンネル61同様、カバー用内視鏡3の挿入部4に沿って並行に配設されている。そして、図12に示す前記送気チューブ12及び送水チューブ14の先端部を、先端カバー部材9に形成されている管路接続部63aにそれぞれ接着などの手段によって接続固定して、先端カバー部材9の先端面に設けられる送気ノズル35及び送水ノズル36にそれぞれ連通している。
【0042】
一方、送気チューブ12及び送水チューブ14の基端部は前記口体部8より外部へ延出し、前記吸引チューブ13と同様にユニバーサルコード11に沿って図示しない流体制御装置に延出されている。そして、前記送気ノズルから送気チューブ12を介して空気やCO2 ガスなどの気体が対物レンズカバー21に向かって噴出される一方、送水ノズルからは送水チューブ14を介して生理食塩水などの液体が対物レンズカバー21に向かって噴出されるようになっている。
【0043】
一般的に、前記送気チューブ12及び送水チューブ14は、鉗子挿通チャンネル61に比較して細径であり、挿入部4の長手方向の同じ長さに対する外表面の面積は鉗子挿通チャンネル61に比較して非常に小さくなっている。このため、先端カバー部材9との接続部分では管路接続部63aに嵌合する部分の外表面が接続代となるため、鉗子挿通チャンネル61と同等の接続強度を得ようとすると鉗子挿通チャンネル61に比較して接続部分の嵌合長を長くする必要があり、可能な限り接続代を長くして大きくすることが望ましい。
【0044】
また、前記嵌合部33の挿入部長手方向の長さは、この嵌合部33に嵌合される先端構成部6のガタつきを少なくするため及び先端構成部6を先端カバー部材9に一体的に固定する係止爪65などの固定手段を配設するスペースを確保するため、可能な範囲で長くすることが望ましいが、先端部分を細径化することを考慮すると、前記太径部72が嵌合部33に嵌合されないようにすることが望ましい。
【0045】
このため、前記先端カバー部材9の基端を、前記先端構成部6の太径部72より先端側に位置するように構成している。このため、前記チャンネル接続部63は先端部分を細径化するため、可能な限り嵌合部側に近付けて形成する。また、先端カバー部材9への接着強度を高めるため先端側を可能な限り処置具突出口62に近付けるように設けている。さらに、長手軸方向に並行で、この先端カバー部材9の基端側からチャンネル接続部63の基端側に至る、細長で外周面側に開口76aを有する切欠部76を形成して、この切欠部76に挿通される鉗子挿通チャンネル61の外周と先端カバー部材9との間に空間部77を設けている。
【0046】
このため、鉗子挿通チャンネル61は、前記カバー用内視鏡3の太径部72に隣合って並設される位置では、チャンネル接続部63の位置に対して径外側方向に位置する。また、湾曲部10に並設される位置では外径の太い蛇腹部61aの部分において前記太径部72同様、チャンネル接続部63の位置に対して径外側方向に位置する。
【0047】
一方、前記鉗子挿通チャンネル61は、先端カバー部材9に形成した切欠部76に配設されているので、先端カバー部材9に接続固定されているチャンネル接続部63の基端から太径部72近傍までの間で、径外側方向に緩やかに変位して、太径部72に並設すると共に、蛇腹部61aが湾曲部10に並設するように変位する。
【0048】
また、カバー用内視鏡3とカバー2とを装着する際、先端構成部6を嵌合部33に嵌合させた後、円筒状部材66を先端側に移動させて係止爪65に外嵌するとき、円筒状部材66の切欠部76の外側に位置する部分を手指などで容易に先端側へ移動させることができるようになっている。
【0049】
このように、先端カバー部材に切欠部を形成し、この切欠部に鉗子挿通チャンネルを配設したことにより、先端カバー部材のチャンネル接続部に接続固定された鉗子挿通チャンネルを、切り欠き部内で緩やかに径外側方向に変位させて太径部に並設するように配設することができる。このことにより、鉗子挿通チャンネルの座屈が無くなると共に、この鉗子挿通チャンネル内に比較的大きな処置具を挿通した場合でも処置具がチャンネルに引っ掛かること無くスムーズに挿通されて、処置具挿脱の際の力量を軽減することができる。
【0050】
また、先端カバー部材に切欠部を形成することによって鉗子挿通チャンネルを緩やかに変位させることができることから、カバー用内視鏡の太径部を比較的太径に構成することが可能となる。このことにより、太径部に断面積の大きい撮像回路部あるいは太径のライトガイドを内蔵して、高性能・高機能の撮像回路部や明るい照明光を供給して観察性能が向上した内視鏡を提供することができる。
【0051】
さらに、先端カバー部材に切欠部を形成したことにより、カバー用内視鏡とカバーとを装着した際、切り欠き部分に位置する円筒状部材を押すことによって、容易に先端側へ移動させることができるので、カバー用内視鏡とカバーとの装着性が大幅に向上する。
【0052】
ところで近年、観察部位を内視鏡に配設した固体撮像素子で撮像し、モニタで観察するようにした内視鏡装置が利用されている。前記内視鏡装置では一般に内視鏡の先端面に観察窓と照明窓とが設けられている。また、前記内視鏡の先端面には前記観察窓に向けて送水及び送気を行って観察窓表面の洗浄を行えるようにしたノズルが設けられている。
【0053】
前記ノズルを観察窓に近付けることにより、コンパクト化が可能になって内視鏡挿入部の外径を小さくするばかりでなく、ノズルから観察窓に向かって送水される力が大きくなって洗浄力が向上すると共に、ノズルから観察窓に向かって送気される力が大きくなって水切り性が向上する。
【0054】
しかし、観察窓にノズルを近付けすぎてしまうと、このノズルが観察視野内に入ってしまい、観察に悪影響を及ぼすので、観察窓とノズルとの距離を近づけることが難しかった。
【0055】
この不具合を解決するため、例えば特願平6−42857号及び特開平6−38926号公報には内視鏡挿入部の先端部に対物レンズと固体撮像素子とを設け、この固体撮像素子からの電気信号に基づいて観察視野像をモニタに表示すると共に、前記対物レンズの観察窓に向けて1つの送気・送水ノズルを設けた内視鏡において、前記固体撮像素子の受光エリアまたは表示視野範囲の形状が角形であり、その角形の辺に対向する対応位置に前記ノズルを設置し、視野内にノズルが入ることなく、ノズルを観察窓に極力近付けるようにした内視鏡が提案されている。また、送気ノズルと送水ノズルとの2つのノズルを有する内視鏡については特願平6−42857号に、送気ノズルを固体撮像素子の受光エリアの対辺側に配置して観察窓に近付け、送水ノズルを受光エリアの対角側に設けたものが示されている。さらに、特開平6−38926号公報には送気ノズルと送水ノズルとを光学的有効領域の対辺側に2つ並べて配置したものが示されている。
【0056】
しかしながら、前記特願平6−42857号に示された内視鏡では、送水ノズルに連結した液体を移送するための送水管路が細い場合、あるいは長くなる場合、送水能力が低下し、送水ノズルを対角側に設けて観察窓との距離が遠い構成の場合には著しく送水能力が低下して対物レンズ面の洗浄を十分に行えず、観察が困難になる場合がある。また、特開平6−38926号公報に示された内視鏡では、光学有効領域の対辺側にノズルを2つ並べて配置しているため、各ノズルの開口部幅が小さくなり、このノズルから噴出される液体の流れ幅が小さく規制されて、光学有効領域の広範囲に送気、送水することが困難になるはかりでなく、送気・送水の能力が低下して対物レンズ面の洗浄及び水滴の除去を十分に行えず、観察が困難になる場合がある。
【0057】
このため、観察窓の洗浄能力と水滴の除去能力が良く、且つ、先端部の外径が細径で患者に苦痛を与えない安価な内視鏡が望まれていた。
【0058】
図13に示すようにカバー式内視鏡1に組み合わされて使用される、送気,送水,吸引などの制御を司る流体制御装置100は、フロントパネル101に吸引制御弁102,吸引リーク弁103,送気制御弁104,送気リーク弁105,及び送水制御弁106などを設けている。これら弁体には前記送気管路,吸引管路や送水管路などを構成する軟性のチューブが挟持されるようになっており、この軟性なチューブを弁体で潰したり、開放したりすることによって流路が開閉操作されて流体が流れるようになっている。すなわち、前記弁体は、いわゆるピンチバルブ方式の電磁弁で構成されている。なお、これら弁体は装置外部に露出するため、弁駆動部に水などの液体が侵入しないように防水性を持たせている。
【0059】
送気チューブ12は、送気制御弁104に着脱自在に装着され、この送気制御弁104よりも送気ポンプ107側に設けられている送水タンクコネクタ108の内部で、一端部が開口した送気リーク管路109を分岐している。この送気リーク管路109は、送水タンクコネクタ108より延出し、送気リーク弁105に着脱自在に装着されている。なお、前記送気チューブ12は、送水タンクコネクタ108の内部で開口端を、送水タンク110に接続した図示しない送水用加圧管路を分岐させた後、基端側を流体制御装置100に内蔵されている送気ポンプ107に接続している。
【0060】
送水チューブ14は、前記送水制御弁106に着脱自在に装着され、前記送水タンクコネクタ108から送水タンク連絡用チューブ110aを介して送水タンク110に接続されている。
【0061】
吸引チューブ13は、前記吸引制御弁102に着脱自在に装着された後、吸引源である図示しない吸引ポンプなどに接続されている。なお、この吸引チューブ13の吸引制御弁102よりも吸引源側で、吸引リーク管路111を分岐させて前記吸引リーク弁103に着脱自在に装着されている。
【0062】
前記送気チューブ12,送水チューブ14及び吸引チューブ13は、流体制御装置100のフロントパネル101に対してチューブの長手方向を垂直にして配設されるようになっている。すなわち、送気チューブ12,送水チューブ14及び吸引チューブ13は、垂直方向の上方側へ向かって延出している。本流体制御装置100においては各管路及び弁体などを上述のように構成、配置することによって、流体制御装置100の横幅を小さくして検査室における配置スペースが小さくなるように工夫されている。
【0063】
また、前記内視鏡3の操作部5から延出するユニバーサルコード11に沿って配設された送気チューブ12,送水チューブ14及び吸引チューブ13とユニバーサルコード11との図示しない分岐部は流体制御装置100よりも上方に位置する。このように、分岐部の位置を流体制御装置100よりも上方に構成することによって、送気チューブ12,送水チューブ14及び吸引チューブ13は必然的に上方側に位置する分岐部に向かって延出されて、送気チューブ12,送水チューブ14及び吸引チューブ13の座屈を防止することができ、且つ管路の長さを短くして管路内の流体抵抗を減少させて、送気,送水,吸引の性能を向上させている。
【0064】
図14に示すように送水タンクコネクタ108を流体制御装置100に接続固定するため、前記送水タンクコネクタ108にはフック112を設け、流体制御装置100のフロントパネル101にはフック受け部113を設けている。このことにより、送水タンクコネクタ108に設けたフック112をフロントパネル101に設けたフック受け部113に取り付けることによって流体制御装置100に着脱自在に接続することができる。
【0065】
また、送水タンクコネクタ108に設けられた口金受け114は、カバー式内視鏡のみならず、一般的な内視鏡でも使用される送水タンクの送水タンク口金115が接続可能な構成になっており、送水タンク110を一般的な内視鏡と共用して使用することができる。
【0066】
なお、図13に示すように送水タンク110には送水タンクフック116が設けられており、この送水タンクフック116を流体制御装置100に設けた送水タンクフック受け部117に取り付けることによって、送水タンク110を流体制御装置100に着脱自在に接続することができるようになっている。このため、検査時前記図1に示す操作部5に設けた送気、送水スイッチ5aや吸引スイッチ5bを操作することによって、前記流体制御装置100の各制御弁を制御し、前記送気チューブ12を介して送気ノズルから送気、送水チューブ14を介して送水ノズルから送水、吸引チューブ13を介して処置具突出口62より吸引をそれぞれ行うことができるようになっている。
【0067】
また、検査室の各装置のレイアウトによっては、図示しない光源装置やビデオプロセッサなどの装置と共に、流体制御装置100を積み重ねて配置することが考えられる。この場合、前記流体制御装置100は横幅寸法よりも高さ寸法が小さいことが望ましい。このため、前記流体制御装置100を積み重ねて配置する場合には図15に示すように各チューブの長手方向を水平方向に向けて流体制御装置100に配置することができる構成となる。
【0068】
すなわち、図13に示すように送水タンク受け部117を流体制御装置100の側面と底面の2ヶ所に設けると共に、流体制御装置本体を支持する足118を前記送水タンク受け部117同様に、側面及び底面に設けている。
【0069】
また、吸引リーク弁103は、吸引リーク管路111の開口が常時垂直方向上向きになるように、図13の状態で吸引リーク管路111の開口が上向きに吸引リーク管路111を装着することができる吸引リーク弁103と、図15の状態で開口が上向きに吸引リーク管路111を装着することができる吸引リーク弁103とを設けている。このため、流体制御装置100の設置方向によって、吸引リーク管路111を選択的に2つの吸引リーク弁103のいづれか一方に装着して開口を常時垂直方向上向きにすることができる。
【0070】
なお、吸引リーク弁103は、吸引リーク管路111の開口が吸引チューブ13の最も低い位置よりも高いところに位置するよう設けてあるので、吸引リーク管路111の開口から汚物などが吐出することがない。しかし、検査中汚物などによって吸引源に接続されている吸引チューブ13が万一詰まってしまった場合、重力の影響で吸引チューブ内の汚物は、この吸引チューブ13の開口である処置具突出口62または吸引リーク管路111の何れか低い方から吐出することになる。このため、吸引リーク管路111の開口からの汚物などの吐出を防止するため、吸引管路111の開口位置を常時検査時の処置具突出口62の位置よりも高くなるように流体制御装置100を設置しておくことが望ましい。
【0071】
このように、流体制御装置を縦置き及び横置きの構成にすることによって検査室での他の装置のレイアウトに対応させて流体制御装置の設置向きを自在に変更して、検査室のスペースを有効に活用することができる。
【0072】
図16に示す管路固定部材120は、送気チューブ12,送水チューブ14及び吸引チューブ13をユニバーサルコード11に沿わせて配設するためのものであり、送気チューブ12,送水チューブ14及び吸引チューブ13を固定する管路固定部121とユニバーサルコード固定部122とが形成されている。
【0073】
前記管路固定部材120は、ポリプロピレンなどの樹脂やエラストマー、金属など、弾性を備えた材料によって形成されており、図16(B)に示すようにユニバーサルコード固定部122の開口部123が弾性変形可能で、ユニバーサルコード固定部122はユニバーサルコード11に対して着脱自在になっている。
【0074】
このため、検査中、術者が内視鏡を体腔内へ挿入するために挿入部4と共に操作部5を数回、挿入部4の長手軸方向に回転させることがある。この動作を術者が2回程行なうと、ユニバーサルコード11はねじれ形状になってしまう。このとき、このユニバーサルコード11に沿って配設されている送気チューブ12,送水チューブ14及び吸引チューブ13も同様にねじれ形状になって座屈し、送気,送水,吸引が行えなくなることが考えられる。
【0075】
そこで、図17に示すように術者は、ユニバーサルコード11をねじれ形状になってしまったとき、速やかにユニバーサルコード11からユニバーサルコード固定部122を外して、送気チューブ12,送水チューブ14及び吸引チューブ13をユニバーサルコード11から離脱させて、送気チューブ12,送水チューブ14及び吸引チューブ13を容易に元の直線状態に戻すことによってチューブの座屈を未然に防止して、送気、送水、吸引などの作業が確実に行える。
【0076】
ここで、送気ノズル及び送水ノズルについて説明する。
【0077】
図18に示すように本実施の形態のカバー2の先端カバー部材9の先端面には観察窓である対物レンズカバー21及び照明レンズカバー23や処置具突出口62などが設けられている。また、対物レンズカバー21の表面に開口を向けた送気ノズル35、送水ノズル36が設けられている。
【0078】
前記送気ノズル35及び送水ノズル36は、検査中、対物レンズカバー21に付着した体液や血液などを除去するためのものであり、まず、前記送水ノズル36から送水をおこなって、対物レンズカバー21の表面に付着した汚物を洗い流す。続いて、前記送気ノズル35から送気をおこなって、対物レンズカバー21の表面についた水滴を吹き飛ばし除去する。
【0079】
前記図2に示したようにカバー用内視鏡3とカバー2とを装着した際、対物レンズカバー21の内側に位置するカバー用内視鏡3の対物レンズ系16の内側に位置する撮像回路部18には前記対物レンズ系16の基端側のレンズの結像位置に固体撮像素子17が設けられている。この固体撮像素子17は、対物レンズ系16の観察視野像を電気信号に変換するものである。
【0080】
図19及び図20に示すように光学的有効領域と送気ノズル35、送水ノズル36との位置関係は、前記固体撮像素子17の受光エリアが角形でモニタでの表示形状が角形の場合、図18に示した対物レンズカバー表面での光学的有効領域125が角形となる。また、前記対物レンズカバー21の先端側の対物レンズカバー表面と平行な平面においても光学的有効領域は角形となり、対物レンズカバー21の表面から距離hでの同一平面における、対辺方向が対角方向よりも狭くなる。
【0081】
前記先端カバー部材9に設ける送気ノズル35及び送水ノズル36の開口を、対物レンズカバー21に近付けて送気力及び送水力を大きくしようとすると、近付けすぎることによって送気ノズル35あるいは送水ノズル36が観察視野内に入ってしまうおそれがある。
【0082】
そこで、本実施の形態においては前記送水ノズル36を、角形の光学的有効領域125の対辺方向、つまり角形の光学的有効領域125の辺に対向する位置に配置させることにより、光学的有効領域125に入ることなく、且つ対物レンズカバー21に対してできるだけ近い位置に開口が位置するように、斜面部37を長く設けている。
【0083】
一方、前記送気ノズル35を、角形の受光エリアの角に対向する位置に配置させることにより、光学的有効領域125に入ることなく、且つ対物レンズカバー21に対してできるだけ近い位置に開口が位置するように、斜面部37の長さを短く設定している。
【0084】
このことにより、前記送水ノズル36は、送気ノズル35と処置具突出口62の間に位置する。このとき、送水ノズル36の開口が対物レンズカバー21に対向しているため、この送水ノズル36の開口から噴出した水は照明レンズカバー23などに当たることなく、直接、対物レンズカバー21に噴出されるため、噴出する水の勢いに損失がない。
【0085】
また、図19に示すように送気ノズル35の噴出部上面部38は、噴出される空気の流れを先端方向に発散させることなく、対物レンズカバー21の表面に向かうようにするため斜面になっている。これに反し、噴出部下面部39は全ての空気の流れを開口近傍で先端カバー部材9の先端表面に当たって勢いが弱まらないように平面形状にして、先端カバー部材9の先端表面に沿って空気が押し流される構成となっている。
【0086】
このように、送気ノズル及び送水ノズルを光学的領域を考慮して配設することにより、送気ノズル及び送水ノズルが観察視野に入ることなく、送水ノズル開口を対物レンズカバーに対して十分近い位置に配置させて、送水ノズル開口から勢いを損なうことなく液体を噴出させることができる。また、送水ノズルの開口幅を広くとることができるため、噴出する液体の流れ幅を広くして、面積の広い対物レンズカバーの表面を広く洗浄することができる。一方、送気ノズルは、送水ノズルに比べて対物レンズカバーから離れているが、送気ノズルより噴出される気体の勢いの損失傾向が比較的弱いことと、開口幅を十分広くとることができることから、対物レンズカバーの表面に広く送気することができる。
【0087】
このことから、洗浄能力が向上すると共に、表面に付着した水滴の除去能力を低下させることなく、観察性能の良く、且つ、送気・送水操作性の良い内視鏡を提供することができる。また、ノズルを対物レンズカバーに対して近づけて配置させることによって先端カバー部材の細径化が図れ、このことにより患者の苦痛を和らげることができる。
【0088】
なお、対物レンズカバー表面上の水滴の除去は、吸引操作によって処置具突出口より水滴を吸引することでも容易に行うことができるため、対物レンズカバーから送気ノズルが送水ノズルに比べて離れていても不具合は生じない。
【0089】
図21を参照して光学的有効領域125と送気ノズル35及び送水ノズル36との別の位置関係を説明する。
本実施の形態では、前記図18に示した先端カバー部材9に設けた送気ノズル35及び送水ノズル36の形状と先端カバー部材9への配置位置が異なる。その他の構成は図18に示したものと同様である。
【0090】
図21に示すように本実施の形態の送気ノズル35と送水ノズル36とはノズルの斜面部37の長さも同一の形状に形成されている。
【0091】
前記送水ノズル36は、角形の光学的有効領域125の対辺方向の光学的有効領域125に入らない位置で、且つ、できるだけ対物レンズカバー21に開口を近づけて配置されている。
【0092】
一方、前記送気ノズル35は、角形の受光エリアの対角方向の受光エリアに入らない位置で、且つ、できるだけ対物レンズカバー21に近づけて配置されている。このため、送水ノズル36の位置が送気ノズル35に比較して対物レンズカバー側に近付いている。
【0093】
この構成にしたことにより、組み立て時に送気ノズル35と送水ノズル36を取り違えて逆に組みつけることがなくなる。また、送水ノズル36の取り付け位置が先端カバー部材9の中心側に寄ることにより先端カバー部材9の外径の細径化が図れる。その他の作用は図18のノズルと同様である。
【0094】
このように、送気ノズルと送水ノズルとを共通化することによって、送気ノズルと送水ノズルとの誤組みつけを防止することができるばかりでなく、送気ノズル及び送水ノズルを安価に構成・設置することができるので安価な内視鏡を提供することができる。その他の効果は図18の内視鏡と同様である。
【0095】
尚、本発明においては、前記実施の形態に限定されず、カバー方式の内視鏡以外の一般的な内視鏡で、ノズルと対物光学系の先端レンズとの位置関係を上述と同様に実施しても良い。また、外科分野などで用いられる送気ノズル、送水ノズルを有する挿入部が硬性な硬性内視鏡に用いても良い。さらに、固体撮像素子の受光エリアとモニタの表示範囲形状は、略正方形でなくとも、略長方形、略三角形、半円形、円形の一部が切り欠いた形状などでも良く、観察窓及び受光エリアないし表示範囲の外周との距離が一部分において他の部分よりも短い部分があれば、この短い部分に送水ノズルを設け、それ以外の部分に送気ノズルを設ける配置であれば良い。又、送気ノズル、送水ノズルは先端カバー部材と別体の部品として構成しても、組み立てを省くため射出成形などによって樹脂で先端カバー部材に一体に形成しても良い。
【0096】
ところで、特開平3−193023号公報に示されるように、カバー用内視鏡とカバーとを先端側端部で固定してカバー式内視鏡を構成する際、カバー用内視鏡の先端構成部に溝などの係合部分を形成する一方、前記溝に係合する係止手段をカバーの先端カバー部材に一体的に設け、両者を係合させる構成が知られている。
【0097】
しかしながら、前記先端構成部に形成した溝に係合する係止手段を、カバー部材に一体的に形成した場合、部品寸法のばらつきなどにより、先端構成部の係合部分に対する係止手段の位置がばらつくことがある。このとき、係合している部分に狭間が生じると、この狭間によって先端構成部が先端カバー部材に対し、その狭間分、長手軸方向に移動してレンズカバー内面と観察窓先端面との距離が変動する。このときの変動幅の大きさによっては、ゴースト、フレア、視野けられなどの光学的不具合が生じる。
【0098】
このため、係止手段を先端カバー部材に対して別体に構成し、部品寸法のばらつきによるレンズカバーと観察窓との位置関係が変動することを防止し、先端構成部と先端カバー部材とを確実に係止手段で位置決め固定することができると共に、この係止手段を接着固定した場合において、万一係止手段の接着固定部分が剥がれてしまった場合でも観察が不都合な事態を回避する内視鏡が望まれていた。
【0099】
そこで、先端構成部と先端カバー部材とを一体的に係止する係止手段である係止部材を先端カバー部材とは別体に形成し、この係止部材を先端カバー部材に接着などの手段によって接着固定する。そして、万一接着固定部が剥がれた場合でも係止部材が先端カバー部材から脱落することがないように脱落防止手段を設けて内視鏡を構成する。すなわち、脱落防止手段により、たとえ接着固定部が剥がれた場合でも、係止部材が脱落することなく、観察不能が生じるほどの先端構成部の先端カバー部材からの移動を防止するものである。
【0100】
図22に示すように先端カバー部材9の内部には、カバー用内視鏡3の先端構成部6を嵌合するための嵌合部33が設けられている。前記先端構成部6の外周と先端カバー部材9の外周とは同心円で構成されており、前記先端カバー部材9には係止爪131を有する係止部材132が前記嵌合部33の内周面に沿うよう配設されるようになっている。なお、符号135は前記係止部材に外嵌する円筒状部材である。
【0101】
図23に示すように前記係止部材132は、略T字形状をしており、挿入部長手方向に細長な先端に係止爪131を有する係止爪部133と、この係止部材132が挿入部長手方向に脱落するのを防止する脱落手段となる周方向に細長で円弧状の抜け止め部134とで構成されている。なお、前記係止爪131の先端側及び基端側ともに傾斜面131aを有して形成されている。
【0102】
図22に示すように前記係止部材132は、嵌合部33の内周に周方向に切り欠いて形成した周方向凹部141と、長手軸方向に切り欠いて形成した軸方向凹部142とで略T字状に形成した凹部143に配設されるようになっている。すなわち、前記周方向凹部141に前記抜け止め部134が嵌合し、前記軸方向凹部142に前記係止爪部133が嵌合している。なお、前記周方向凹部141と前記抜け止め部134とは略同径で、前記抜け止め部134の軸方向の幅寸法は周方向凹部141の軸方向の幅寸法に比較して小さく形成して長手軸方向に対して移動自在な構成となっている。
【0103】
図24ないし図26に示すように前記カバー用内視鏡3の先端構成部6の外周の少なくとも一部には前記係止爪131と係合される係止凸部151が設けてある。この係止凸部151の基端側は、前記係止爪131の傾斜面131aと係合するように同様な傾斜面が形成されている。また、前記係止凸部151の先端側も先端側に向かって細径となるよう傾斜面152が形成してある。そして、前記係止部材132に外嵌して、この係止部材132を外周側から中心方向に押圧する円筒状部材135が係止部材132の近傍に設けられている。
【0104】
前記先端構成部6の内部には先端側から順に先端側レンズ16a、対物レンズ系17及び撮像回路部18が配置されると共に、図示しない照明光学系が配置されている。前記撮像回路部18には画像信号を図示しない画像コントロールユニットへ伝達する信号ケーブル19が接続されている。
【0105】
前記先端カバー部材9の先端面には前記先端側レンズ16a及び前記照明光学系を覆うように対物レンズカバー21,照明レンズカバー23(不図示)が設けられている。
【0106】
また、内視鏡カバー2には先端カバー部材9の先端に設けられた処置具突出口62に連通する鉗子挿通チャンネル61及び図示しない送気・送水管路を有している。なお、前記送気・送水管路の先端に図示しないノズルが設けられている。
【0107】
上述のように構成したカバー式内視鏡の作用を説明する。
前記カバー2とカバー用内視鏡3とを装着する場合、カバー用内視鏡3の挿入部をカバー2に挿入を挿入していくと、先端構成部6が先端カバー部材9の嵌合部33に嵌合されていく。このとき、図27に示すように前記先端構成部6の傾斜面152が、前記係止部材132の係止爪131及び係止爪部133を先端カバー部材側に押し上げる。そして、先端構成部6をさらに先端側へ挿入させて挿入完了した段階で、係止爪131の傾斜面131aが係止凸部151の基端側斜面に係合して、内視鏡カバー2とカバー用内視鏡3とを係止する。
【0108】
ここで、内視鏡カバー2とカバー用内視鏡3との係合を確実にするため、図28に示すように係止部材132の外周に円筒状部材135を外嵌させ、係止部材132を中心方向に押圧して外周方向への変形を規制して装着作業が終了する。なお、係止部材132と先端カバー部材9とは、凹部143と抜け止め部134との間で接着あるいは溶着などの固定手段で固定されている。
【0109】
上述のように内視鏡カバー2とカバー用内視鏡3とを係止することによって、万一、係止部材132に過度の力が加わって接着固定部が剥がれてしまっても、円筒状部材135が係止部材132の外周に外挿されているので、先端カバー部材9の先端構成部6が挿入された空間に位置する限り、抜け止め部134の基端側端部と周方向凹部141の基端側端部とが当接することで係止部材132の軸方向の脱落を完全に防止することができる。
【0110】
すなわち、図29に示すように長手軸方向には抜け止め部134の基端側端部と周方向凹部141の基端側端部とが当接することで係止部材132の軸方向基端側への移動が規制され、且つ、脱落を防ぐ作用がある。また、前記係止部材132を凹部143に固定する際、抜け止め部134と周方向凹部141との間には長手軸方向にクリアランスが設けられているので、抜け止め部134は長手軸方向に周方向凹部141内で移動可能なので、治具を用いて先端構成部6の係止凸部151の基端側斜面に対して係止爪131の傾斜面131aをより確実に係合する位置に位置決めを行って接着あるいは溶着などの固定手段により固定することができる。
【0111】
このように、係止爪に設けた傾斜面と先端構成部の係止凸部の基端側斜面とが密接状態で係合するよう係止部材を調整して接着固定することができるので、レンズカバーと先端側レンズとの間にガタツキが生じず光学的不具合がない。
【0112】
また、脱落防止手段として係止部材に抜け止め部を、また先端カバー部材に抜け止め部に当接する凹部を設けたことで、万一固定部材が外れてしまった場合でも、係止部材が途中で止まり観察不能になるほど先端構成部が長手軸方向に移動することを防止することができる。このことにより、検査が中断されることなく継続して行なわれる。
【0113】
さらに、先端構成部と先端カバー部材との外周面が同心円で形成されているため、先端カバー部材の外周の肉厚が均一にでき、先端カバー部材の細径化が可能になる。
【0114】
なお、本実施の形態において、前記凹部143を先端カバー部材9の外周面に設け係止部材132をこの外周面に沿うよう接着固定した場合でも同様の作用効果を得ることができる。また、前記凹部143を形成する代わりに抜け止め部134の基端側端面に当接する凸部を設けるようにしても良い。
【0115】
図30ないし図33を参照して脱落防止手段の別の構成を説明する。
図30に示すように先端カバー部材9はその一端に係止爪131を有する係止部材132が嵌合部33の内周面に沿うよう設けられている。
【0116】
図31に示すように脱落防止手段として前記係止部材132には嵌合部33の内周に設けた径方向に貫通する貫通穴136に嵌合する凸部137が、係止部材132の反係止爪側に設けられている。この係止部材132は、長手軸方向に移動自在なように凸部137の長手軸方向長さを、貫通穴136の長手軸方向の長さよりも短く形成しており、係止部材132、凸部137並びに貫通穴136において当接部分が接着固定されるようになっている。
【0117】
また、図32に示すように鉗子挿通チャンネル61には湾曲部湾曲時に滑らかに湾曲するよう蛇腹部61aが設けてある。前記蛇腹部61aは、先端構成部6の端部から湾曲部10を構成する第1関節駒と第2関節駒との間から基端側方向へ鉗子挿通チャンネル61が湾曲操作時に湾曲する部分に設けられている。
【0118】
その他の構成は上述の実施例と同様であり、同部材には同符号を付して説明を省略する。
【0119】
上述のように構成することによって、図33(A)及び図33(B)に示すように内視鏡カバー2とカバー用内視鏡3とを装着した状態のとき、係止爪131の傾斜面131aが係止凸部151の基端側斜面に係合して、内視鏡カバー2とカバー用内視鏡3とが係止される。なお、係止部材132の外周に円筒状部材135を外嵌させ、係止部材132を中心方向に押圧して外周方向への変形が規制されている。
【0120】
このため、前記先端構成部6に過度の長手軸方向基端側への力が加わったり、先端カバー部材9に過度の長手軸方向先端側への力が加わることによって係止部材132と先端カバー部材9との接着面が剥がれてしまった場合でも、図34に示すように凸部137の基端側端部と貫通穴136の基端側端部との面同士が当接することにより係止部材の長手軸方向への移動が規制される。
【0121】
また、貫通穴136に対して凸部137は、長手軸方向において空間的な余裕があるため、治具などを用いて先端構成部6の係止凸部151の基端側斜面と係止爪131の先端側斜面との位置決めを行い確実に密接した状態で係合するよう接着固定される。
【0122】
このように、係止爪の先端側斜面と先端構成部の係止凸部の基端側斜面とが密接状態で係合するよう係止部材を調整して接着することができるため、レンズカバーと先端側レンズとの間のガタツキが生じず光学的不具合がない。
【0123】
また、係止部材に凸部を設け、この凸部を先端カバー部材に形成した貫通穴に係合させたことによって、万一接着固定部が外れてしまった場合でも、凸部が貫通穴に当接することにより脱落することが無いので、観察不能になるほど先端構成部が長手軸方向に移動することを防止することができるので、検査を継続して行うことができる。
【0124】
さらに、鉗子挿通チャンネル自体で最も太径である蛇腹部を挿入部自体で最も太径となる先端構成部の端部以降に設けたことにより、カバー式内視鏡自体としては細径化できるという効果がある。
【0125】
なお、本実施例において、係止部材132を先端カバー部材9の外周面に沿うよう配置し、係止部材132の内周側面に凸部137を設けても同様の作用、効果を得ることができる。また、貫通穴136と凸部137とをそれぞれ逆に、嵌合部側に凸部を形成し、係止部材側に貫通穴を設ける構成にしても良い。さらに、貫通穴の代わりに凹部を形成し、凸部の径方向長さを凹部の深さよりも短く形成することによっても同様の効果を得られる。
【0126】
図35及び図36を参照して脱落防止手段の別の構成を説明する。
図35に示すように先端カバー部材9の外周面に沿うように係止部材132を接着固定すると共に、脱落防止手段として係止部材132に貫通穴138を形成する一方、先端カバー部材9の前記貫通穴138に対応する位置に雌ねじ部161を設け、外周方向からからビス162を貫通穴138に挿通して雌ねじ部161に螺合して係止部材132を先端カバー部材9にビス止めする構成としている。なお、前記貫通穴138は、周方向にはビスの頭部の径よりも小さく長手軸方向にはビスに対してクリアランスを有する長手軸方向に縦長の長孔となっている。
【0127】
上述のように脱落防止手段を構成することによって、図36に示すように内視鏡カバー2において貫通穴138は長手軸方向に空間的余裕があるため、係止部材132を長手軸方向に移動させて係止爪131の先端側の傾斜面131aと係止凸部151の基端側の斜面とを治具などを用いて密接した状態に係合させた後、接着固定してビス止めを行えることにより、確実に係止部材を位置決めして、先端カバー部材9に先端構成部6を挿入して装着が完了される。
【0128】
このため、係止部材132に過度の力が加わり、接着固定面が剥がれるほどの剪断力が接着面に働いたとしてもビスで固定していることにより、前記剪断力に抗して、最悪の場合でもビス162が貫通穴138に当接することで係止部材132の移動が規制される。
【0129】
このように、係止爪の先端側斜面と先端構成部の係止凸部の基端側斜面とが密接状態で係合するよう係止部材を調整して接着固定することができるため、レンズカバーと先端側レンズとの間にガタツキが生じず光学的不具合がない。
【0130】
また、係止部材と先端カバー部材とを、ビス止めして保持することにより、より強度な力量が係止部材に加わった場合でも、係止部材が脱落しにくくなり、最悪ビス止め部分でずれが生じても、貫通穴の先端側にビスが当接して係止部材の脱落が防止でき、観察不能になるほどレンズカバーと先端側レンズとの間の距離が離れないため、検査を継続して行うことができる。
【0131】
図37ないし図39を参照して脱落防止手段のまた別の構成を説明する。
図37に示すように先端カバー部材9の外周面に沿うよう係止部材132を接着固定するのに加え、脱落防止手段として係止部材132の外周面に周方向溝部139を形成し、前記先端カバー部材9の外周面には、係止爪131が係止凸部151に係合するように係止部材132を接着固定した際、係止部材132の溝部の延長線上に溝部139と同様の切り欠き部171を設けている。そして、前記溝部139と切り欠き部171とに嵌合するように、別体で内径が切り欠き部と同径で長手軸方向長さが溝部139及び切り欠き部171より短い円弧状部材172を外部から配置して接着固定している。
【0132】
図38及び図39に示すように溝部139と円弧状部材172との長手軸方向には空間的余裕があるため、係止爪131の先端側斜面と係止凸部151の基端側斜面とを治具などを用いて密接した状態で係合する位置に位置決めした後、係止部材132と先端カバー部材9とを接着固定すると共に、前記係止部材132の溝部139と切り欠き部171とに係合するように円弧状部材172を取り付けて当接する面で接着固定して内視鏡カバー2とカバー用内視鏡3とが装着される。
【0133】
このため、係止部材132に過度の力が加わり、接着固定面が剥がれてしまった場合でも溝部139と先端側の面と円弧状部材172と切り欠き部171の基端側の面とが当接することで、係止部材132の長手軸方向の移動量は規制される。
【0134】
このように、係止爪の先端側斜面と先端構成部の係止凸部の基端側斜面とが密接状態で係合するよう係止部材を調整して接着することができるため、レンズカバーと先端側レンズとの間にガタツキが生じず、光学的不具合がない。
【0135】
また、接着固定部分を剥がすような強固な力が係止爪にかかっても円弧状部材が溝部と切り欠き部とに当接することにより係止部材の脱落を防止でき、観察不能になるほどレンズカバーと先端側レンズとに距離が生じないため検査を継続して行うことができる。
【0136】
なお、本実施の形態において、図40に示すように切り欠き部171、溝部139にそれぞれ係合するようCリング173などを外挿しても同等の作用効果が得られる。また、溝部139、切り欠き部171の代わりに円弧状部材172の基端側と係合するように凸状にしても良い。
【0137】
図41及び図42を参照して脱落防止手段の又別の構成を説明する。
図41に示すように先端カバー部材9の内面の嵌合部33に沿うよう係止部材132を接着固定し、脱落防止手段として前記係止部材132の接着面以外の外周面に突起137aを設け、その突起137aの基端側と係合するように外皮7の内面に凸状の止め部7aを設けている。
【0138】
上述のように構成することにより、図42に示すカバー用内視鏡3が内視鏡カバー2に装着した状態のとき、係止部材132に過度の力が加わり接着固定面が剥がれた場合でも突起137aと止め部7aとが係合していることより、係止部材132の長手軸方向の移動は規制される。
【0139】
このように、突起と止め部とが係合することにより、係止部材の脱落が防止でき、観察不能になることなく、最低限の光学機能を保持して検査を続けることができる。
【0140】
上述の実施の形態は、カバー方式の内視鏡について説明したものであるが、本発明はカバー方式の内視鏡に限定されるものではなく、図43及び図44に示すようなカバー式以外の一般的な内視鏡であってもよい。
図43及び図44は本発明の第2実施の形態に係り、図43は内視鏡の先端部の構成を説明する断面図、図44は図43のV―V断面図である。
図43及び図44に示すように内視鏡200の挿入部4の先端にはステンレス鋼など金属部材で形成された硬質の先端構成部201が設けられている。この先端構成部201には前記第1実施例と同様に対物レンズ枠15に保持された対物レンズ系16,固体撮像素子17,撮像回路部18及び図示しない照明レンズ及びライトガイドなどが配設されている。
【0141】
また、前記挿入部202の内部を挿通する鉗子挿通チャンネル61の先端は、先端構成部201の最先端に設けられた処置具突出口62の近傍に設けられたチャンネル接続部63に接着などの手段によって固定されて処置具突出口62に連通している。一方、前記鉗子挿通チャンネル61の基端は図示しない操作部に設けられている鉗子挿入口に連通している。
【0142】
前記鉗子挿通チャンネル61は、PTFE,PFAなどの材質よりなる管状部材より形成されている。そして、前記湾曲部10の内部に配置される部位においては湾曲部湾曲時に座屈せずに滑らかに曲がるようにコイル巻き部203が設けられている。このコイル巻き部203では外表面の円周方向に溝203aが設けられており、この溝203aに金属の線材などからなるコイル部材203bを埋め込んで螺旋状に巻き付けている。このため、このコイル巻き部203は、その他の部分よりも外径が太径になっている。
【0143】
送気チューブ12及び送水チューブ14は、挿入部202の内部を鉗子挿通チャンネル61と同様に配設され、先端を先端構成部201に形成した管路接続部に接着などの手段によって接続固定して、先端構成部201の先端面に設けられている図示しない送気・送水ノズルに連通している。
【0144】
前記チャンネル接続部63の基端側には第1実施の形態の先端カバー部材9と同様に、先端構成部201の基端側の鉗子挿通チャンネル61近傍部分の外側を切り欠いた切欠部76が形成されており、この空間部分77に鉗子挿通チャンネル61が設けられるようになっている。
【0145】
前記先端構成部201に連結された第一関節駒10aの内部においては撮像回路部18が最もスペースを多く占有しており、この部分では鉗子挿通チャンネル61は撮像回路部18との干渉を避けるようにチャンネル接続部63での位置に対して径外側方向に位置している。また、コイル巻き部203は、鉗子挿通チャンネル61の他の部分に比較して太径であるため、撮像回路部18,信号ケーブル19,送気チューブ12及び送水チューブ14などとの干渉を避けるようにチャンネル接続部63での位置に対して径外側方向に位置している。
【0146】
上述のように、切欠部76を形成したことにより、鉗子挿通チャンネル61は、先端構成部201に固定されたチャンネル接続部63の基端からこの切欠部76を介して基端側に向かうとき、径外側方向にゆるやかに変位して撮像回路部18との干渉を避けて径外側方向に位置を移行させていく。
【0147】
このように、鉗子挿通チャンネルを、切欠部で形成した空間部に配設し、ゆるやかにチャンネル接続部から外側に変位させるため、先端構成部の基端部分において座屈をすることがない。また、比較的大きな処置具を挿通した場合でも引っ掛かりなどがなく、スムーズに挿通でき処置具の挿脱の際の力量が軽く、術者に負担を与えることがない。さらに、挿入部を太径とせずに比較的大きく高性能、高機構な撮像回路部を設けられるため、観察性能が良い内視鏡を提供できる。その他の効果は前記第1実施例と同様である。
【0148】
尚、本発明においては上述の実施の形態に限定されず、送気管路や送水管路を有することなく、工業分野で使用されてエンジンや工業用配管内などにおいて異物回収を行う回収具などの作業具を挿通するための処置具挿通チャンネルを有する工業用内視鏡にて実施しても良い。
【0149】
また、外科分野などで用いられる挿入部の内部に処置具挿通チャンネルを有する挿入部が硬性の硬性内視鏡や、挿入部の先端側に湾曲部が設けられた湾曲部付き硬性内視鏡、さらには前記第1実施例と同様な構成を有する内視鏡カバーを組み合わせて使用されるカバー式の湾曲部付き硬性内視鏡において実施しても良い。この場合、処置具突出口を有し、処置具挿通チャンネルが接続固定される挿入部の先端に設けられた先端構成部において処置具挿通チャンネルが接続固定される部分において処置具挿通チャンネルがゆるやかに変位可能なように先端構成部の基端側に切り欠き部を設け、この切り欠き部よりも先端側にて先端構成部に処置具挿通路を固定し、切り欠き部においては処置具挿通路の外周と先端構成部との間に隙間を有するように構成すれば良い。
【0150】
[付記]
1.内視鏡の挿入部の先端側に配置された先端構成部に設けた処置具突出口と、前記内視鏡の挿入部の基端側に配置された操作部の近傍に設けた処置具挿入口とを連通する少なくとも1本の処置具挿通路を挿通する内視鏡を備えた内視鏡装置において、前記処置具挿通路が設けられる先端構成部の処置具挿通路の周囲に、長手軸方向に並行で、前記先端構成部の基端側から先端側に、外周面側に開口を有する切り欠き部を設けた内視鏡装置。
【0151】
2.カバー用内視鏡と、このカバー用内視鏡に着脱自在に外装される処置具突出口を設けた先端カバー部材及び処置具挿入口を設けた口体部を有する内視鏡カバーから構成されるカバー式内視鏡を備えた内視鏡装置において、前記処置具挿通路が設けられる先端カバー部材の処置具挿通路の周囲に、長手軸方向に並行で、この先端カバー部材の基端側から先端側に、外周面側に開口を有する切り欠き部を設けた内視鏡装置。
【0152】
3.前記処置具挿通路が前記切り欠き部よりも先端側で処置具突出口に連通する付記1及び付記2記載の内視鏡装置。
このように、先端構成部に切り欠き部を設け、この切り欠き部よりも先端側で処置具挿通路を処置具挿入口に固定することによって、前記処置具挿通路は切り欠き部内に自由度を持って配置される。
【0153】
4.前記内視鏡が異物回収などを行うための作業具を挿通する処置具挿通路を有する工業用内視鏡である付記1記載の内視鏡装置。
【0154】
5.前記内視鏡及びカバー式内視鏡の挿入部の先端側に湾曲部を有する付記1及び付記2記載の内視鏡装置。
【0155】
6.前記挿入部の湾曲部以外の部分が軟性である付記5記載の内視鏡装置。
【0156】
7.前記挿入部の湾曲部以外の部分が硬性である付記5記載の内視鏡装置。
【0157】
8.前記挿入部が硬性である付記1及び付記2記載の内視鏡装置。
【0158】
9.カバー先端構成部にカバー用内視鏡の先端構成部を係止する係止部材と、この係止部材に外嵌して係止部材の外側方向への変形を規制する円筒部材とを設けた付記2記載の内視鏡装置。
【0159】
10.前記先端構成部よりも基端側の先端構成部近傍において、先端構成部内よりも内蔵物断面積が大きいことを特徴とする付記1及び付記2記載の内視鏡装置。
【0160】
11.前記カバー先端構成部よりも基端側にカバー用内視鏡の太径部を配置したことを特徴とする付記2記載の内視鏡装置。
【0161】
12.前記内蔵物は固体撮像素子と固体撮像素子からの画像信号を制御する制御基板とを有する撮像回路部であることを特徴とする付記10記載の内視鏡装置。
【0162】
13.前記太径部は湾曲部である付記11記載の内視鏡装置。
【0163】
14.前記太径部は内視鏡先端構成部と湾曲部との接続部分である付記11記載の内視鏡装置。
【0164】
15.前記処置具挿通路が先端構成部の基端側近傍においてその他の部分よりも外径が太い挿通路太径部を有することを特徴とする付記1ないし付記14記載の内視鏡装置。
【0165】
16.前記挿通路太径部は湾曲可能な挿通路湾曲部である付記15記載の内視鏡装置。
【0166】
17.内視鏡挿入部の先端に設けられた先端構成部に対物レンズと固体撮像素子を有し、この固体撮像素子の受光範囲またはモニタの表示範囲が非円形で、前記観察窓に対向する送気ノズル、送水ノズルを設けた内視鏡装置において、観察窓に平行な平面内の前記受光範囲もしくは表示範囲が、観察窓から近い位置に送水ノズルを設け、遠い位置に送気ノズルを設けた内視鏡装置。
【0167】
18.内視鏡挿入部の先端に設けられた先端構成部に対物レンズと固体撮像素子を有し、この対物レンズの先端側レンズに向けて送気ノズル、送水ノズルを設けた、前記固体撮像素子からの電気信号に基づいて観察視野像をモニタに表示する内視鏡装置において、前記撮像素子の受光範囲またはモニタへの表示視野が角形で、送水ノズルを前記角形の辺方向に設け、送気ノズルをその角形の対角方向に設けた付記17記載の内視鏡装置。
【0168】
19.カバー用内視鏡と、カバー用内視鏡に着脱自在に外装される内視鏡カバーから構成され、前記カバー用内視鏡の挿入部の先端に設けられた内視鏡先端構成部に対物レンズと固体撮像素子を設け、この固体撮像素子からの電気信号に基づいて観察視野像をモニタに表示すると共に、前記撮像素子の受光範囲またはモニタへの表示視野が角形で、内視鏡カバーの先端部に送気ノズルと送水ノズルとを設けた内視鏡装置において、前記送水ノズルをその角形の辺方向に設け、送気ノズルをその角形の対角方向に設けた付記17及び付記18記載の内視鏡装置。
【0169】
20.前記表示視野が略4角形である付記18及び付記19記載の内視鏡装置。
【0170】
21.前記略4角形が略正方形である付記20記載の内視鏡装置。
【0171】
22.前記略4角形が略長方形である付記20記載の内視鏡装置。
【0172】
23.前記表示視野が3角形である付記18及び付記19記載の内視鏡装置。
【0173】
24.前記受光範囲もしくは表示範囲が半円形である付記17記載の内視鏡装置。
【0174】
25.前記送水ノズルの開口を送気ノズルの開口よりも観察窓に近付けたことを特徴とする付記17ないし付記24記載の内視鏡装置。
【0175】
26.前記先端構成部への前記送水ノズルの取り付け位置を送気ノズルの取り付け位置よりも観察窓に近付けたことを特徴とする付記17ないし付記24記載の内視鏡装置。
【0176】
27.送水ノズルと送気ノズルとを共通の部品形状としたことを特徴とする付記26記載の内視鏡装置。
【0177】
28.先端構成部と先端カバー部材とを係止部材を介して一体的に係止するカバー式内視鏡において、前記係止部材に先端カバー部材からの脱落を防止する脱落防止手段を設けたカバー式内視鏡。
【0178】
29.前記脱落防止手段が係止部材に設けた抜け止め部と先端カバー部材に形成した周方向凹部とで構成される付記28記載のカバー式内視鏡。
【0179】
30.前記脱落防止手段が係止部材に設けた凸部と先端カバー部材に設けた凹部または穴部とで構成される付記28記載のカバー式内視鏡。
【0180】
31.前記脱落防止手段が係止部材に設けた凹部ないしは穴部と先端カバー部材に設けた凸部とで構成される付記28記載のカバー式内視鏡。
【0181】
32.前記脱落防止手段が係止部材に設けた凹部には位置される別部材である付記28記載のカバー式内視鏡。
【0182】
33.前記脱落防止手段が外皮に形成した凸部と係止部材に形成した凸部とで構成される付記28記載のカバー式内視鏡。
【0183】
34.前記係止部材が先端側が幅の広い段差形状を有し、段差部分と先端カバー部材に設けた溝部との係合により脱落防止手段となる付記29記載のカバー式内視鏡。
【0184】
35.前記脱落防止手段が先端カバー部材外周と係止部材に外装される円弧状部材である付記28記載のカバー式内視鏡。
【0185】
36.前記脱落防止手段が係止部材に形成した貫通穴と、先端カバー部材に形成したネジ部と、前記貫通穴に挿通してネジ部に螺合するビスとで構成される付記28記載のカバー式内視鏡。
【0186】
【発明の効果】
以上説明したように本発明によれば、観察窓などの洗浄能力が向上すると共に、観察窓などの表面に付着した水滴の除去能力を低下させることなく、観察性能が良く、また、ノズルを対物レンズカバーに対して近づけて配置させることによって先端カバー部材の細径化が図れ、このことにより患者の苦痛を和らげることができる。
【図面の簡単な説明】
【図1】図1ないし図11は本発明の第1実施の形態に係り、図1はカバー式内視鏡の概略構成を示す斜視図
【図2】カバー式内視鏡の先端部の構成を示す断面図
【図3】先端カバー部材の基端面側を示す説明図
【図4】先端構成部の先端面を示す説明図
【図5】遮光部と遮光溝との関係を説明する断面図
【図6】先端構成部への対物レンズ枠の取付けを説明する断面図
【図7】照明レンズカバーと先端カバー部材との関係を説明する断面 図
【図8】先端カバー部材に照明レンズカバーを配設した状態を示す断 面図
【図9】先端カバー部材に形成した照明レンズカバー受け部を示す説 明図
【図10】先端カバー部材と先端構成部との係止部及び処置具挿通路 である鉗子挿通チャンネルの配置構成を説明する断面図
【図11】図10のI―I断面図
【図12】送気・送水チューブの管路接続部の概略構成を示す断面図
【図13】流体制御装置を示す説明図
【図14】送水タンクと流体制御装置との接続関係を示す説明図
【図15】図13の流体制御装置を横置きにした図
【図16】管路固定部材を示す説明図
【図17】管路こいて部材の作用を示す説明図
【図18】送気ノズル・送水ノズルの配置位置関係と光学的領域とを 示す説明図
【図19】対角方向に配設した送気ノズルを示す図
【図20】対辺方向に配設した送水ノズルを示す図
【図21】送気ノズル・送水ノズルの別の配置位置関係を示す説明図
【図22】図22ないし図29は脱落防止手段の構成に係り、図22 はカバー式内視鏡の先端部及び脱落防止手段を説明する断 面図
【図23】係止部材の構成を示す斜視図
【図24】カバー式内視鏡の係止状態を示す説明断面図
【図25】図24のII―II断面図
【図26】図24のIII―III断面図
【図27】カバー用内視鏡を内視鏡カバーに装着する状態を示す説明 図
【図28】カバー用内視鏡を内視鏡カバーに装着完了した状態を示す 説明図
【図29】脱落防止手段の作用を説明する断面図
【図30】図30ないし図33は脱落防止手段の別の構成に係り、図 30はカバー式内視鏡の先端部及び脱落防止手段を説明す る断面図
【図31】係止部材の別の構成を示す斜視図
【図32】カバー用内視鏡を内視鏡カバーに装着した状態を示す説明 図
【図33】カバー式内視鏡の係止状態を示す説明断面図
【図34】脱落防止手段の作用を説明する断面図
【図35】図35及び図36は脱落防止手段の他の構成に係り、図3 5はカバー式内視鏡の先端部及び脱落防止手段を説明する 断面図
【図36】カバー式内視鏡の係止状態を示す説明断面図
【図37】図37ないし図39は脱落防止手段のまた別の構成に係り、図37はカバー式内視鏡の先端部及び脱落防止手段を説明 する断面図
【図38】カバー式内視鏡の係止状態を示す説明断面図
【図39】図38の断面図
【図40】脱落防止手段にCリング状部材を用いたカバー式内視鏡の 断面図
【図41】図41及び図42は脱落防止手段の又別の構成に係り、図 41はカバー式内視鏡の先端部及び脱落防止手段を説明す る断面図
【図42】カバー式内視鏡の係止状態を示す説明断面図
【図43】図43及び図44は本発明の第2実施の形態に係り、図4 3は内視鏡の先端部の構成を説明する断面図
【図44】図43のV―V断面図
【符号の説明】
6…先端構成部
9…先端カバー部材
21…対物レンズカバー
35…送気ノズル
36…送水ノズル
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an endoscope apparatus that is used for medical use or industrial use and that includes at least one of an endoscope that performs observation without covering a cover or a cover-type endoscope that covers and observes a cover. .
[0002]
[Prior art]
2. Description of the Related Art In recent years, an endoscope apparatus has been used in which an observation site is imaged with a solid-state imaging device disposed in an endoscope and observed with a monitor. In the endoscope apparatus, an observation window and an illumination window are generally provided on the distal end surface of the endoscope. In addition, a nozzle is provided on the distal end surface of the endoscope so that the surface of the observation window can be cleaned by supplying water and air toward the observation window.
[0003]
By bringing the nozzle close to the observation window, not only can the size be reduced, the outer diameter of the endoscope insertion portion can be reduced, but also the cleaning force can be increased by increasing the force of water fed from the nozzle toward the observation window. While improving, the force sent from a nozzle toward an observation window becomes large, and the draining property improves.
[0004]
However, if the nozzle is too close to the observation window, this nozzle enters the observation field of view and adversely affects the observation, so it is difficult to reduce the distance between the observation window and the nozzle.
[0005]
In order to solve this problem, for example, Japanese Patent Application No. Hei 6-42857 and Japanese Patent Application Laid-Open No. Hei 6-38926 are provided with an objective lens and a solid-state image sensor at the distal end portion of the endoscope insertion portion. In an endoscope which displays an observation visual field image on a monitor based on an electric signal and has one air / water supply nozzle toward the observation window of the objective lens, the light receiving area or display visual field range of the solid-state imaging device An endoscope has been proposed in which the nozzle is installed at a corresponding position facing the side of the square, and the nozzle is placed as close as possible to the observation window without entering the field of view. . For an endoscope having two nozzles, an air supply nozzle and a water supply nozzle, refer to Japanese Patent Application No. 6-42857, and place the air supply nozzle on the opposite side of the light receiving area of the solid-state image sensor and move it closer to the observation window. The water supply nozzle provided on the diagonal side of the light receiving area is shown. Further, Japanese Patent Laid-Open No. 6-38926 discloses an arrangement in which two air supply nozzles and water supply nozzles are arranged side by side on the opposite side of the optically effective area.
[0006]
[Problems to be solved by the invention]
However, in the endoscope disclosed in Japanese Patent Application No. 6-42857, when the water supply pipe for transferring the liquid connected to the water supply nozzle is thin or long, the water supply capacity is reduced, and the water supply nozzle Is provided on the diagonal side and the distance from the observation window is long, the water feeding ability is remarkably lowered, and the objective lens surface cannot be sufficiently cleaned, and observation may be difficult. Further, in the endoscope disclosed in Japanese Patent Laid-Open No. 6-38926, since two nozzles are arranged side by side on the opposite side of the optically effective area, the opening width of each nozzle is reduced, and the nozzle is ejected from the nozzle. The flow width of the generated liquid is restricted to a small scale, making it difficult to supply and supply water over a wide optical effective area. Removal may not be performed sufficiently, and observation may be difficult.
[0007]
The present invention has been made in view of the above circumstances, and has a good ability to clean an observation window provided at the distal end portion of the endoscope, a capability of removing water droplets from the observation window, and an outer diameter of the distal end portion. An object of the present invention is to provide an endoscope apparatus that is small in diameter and does not give pain to a patient.
[0008]
[Means for Solving the Problems]
  The endoscope apparatus according to claim 1.InventionThe tip of the endoscope insertion partWhen,The objective lens provided at the distal end and a non-circular predetermined light receiving range or a light receiving range corresponding to a display range displayed non-circularly on the monitorSolid-state image sensorWhen,Out of the contours forming the edges of the light receiving range, the contour portion that is close to the center of the objective lens is disposed in a direction in which the contour portion is located and opened toward the objective lens.Water supply nozzleWhen,Arranged in the direction in which the contour portion located far from the center of the objective lens is located and opened toward the objective lensAir supply nozzleWhen,A suction conduit that is opened adjacent to the objective lens and can suck water droplets on the objective lens by a connected suction source;It is characterized by that.
[0009]
  The endoscope apparatus according to claim 2.InventionThe tip of the endoscope insertion partWhen,The objective optical system provided with the tip side lens provided at the tip part and exposed on the tip part surface, and a display range having a non-circular predetermined light receiving range or displayed non-circularly on the monitor Has light reception rangeSolid-state image sensorWhen,Out of the contours forming the edge of the light receiving range, the contour portion that is close to the center of the front end side lens is disposed in the direction in which it is located and opened toward the front end side lens of the objective optical system.Water supply nozzleWhen,Arranged in the direction in which the contour portion located far from the center of the front lens is located, opened toward the front lens of the objective optical systemAir supply nozzleWhen,A suction conduit that is opened adjacent to the front lens and is capable of sucking water droplets on the front lens by a connected suction source.It is characterized by that.
  The invention of the endoscope apparatus according to claim 3,The distal end of the endoscope insertion section and,An objective optical system provided with a tip side lens provided at the tip portion and exposed on the surface of the tip portion, and a light receiving range corresponding to a display range having a predetermined rectangular light receiving range or displayed in a square shape on a monitor A solid-state imaging device having,A water supply nozzle that is arranged in a direction in which a side portion of the rectangular light receiving range is located, and that opens toward a tip side lens of the objective optical system;,An air supply nozzle that is arranged in a direction in which a corner portion of the rectangular light receiving range is located, and that opens toward the tip side lens of the objective optical system;,And a suction conduit that is opened adjacent to the distal lens and is capable of sucking water droplets on the distal lens by a connected suction source..
[0010]
  Also,Claim4The endoscope apparatus described inThe invention of,The distal end of the endoscope insertion section and,The objective lens provided at the distal end and a non-circular predetermined light receiving range or a light receiving range corresponding to a display range displayed non-circularly on the monitorSolid-state image sensorWhen,Among the contours forming the edge of the light receiving range, the contour portion that is close to the center of the objective lens is disposed in the direction in which the contour portion is located and opens toward the objective lens, and on the surface of the objective lens. On the other hand, water can be fed from an oblique direction.Water supply nozzleWhen,It is arranged in a direction in which a contour portion that is far from the center of the objective lens is located, opens toward the objective lens, and can supply air parallel to the surface of the objective lensAir supply nozzleAnd comprisingIt is characterized by that.
  Furthermore, the invention of the endoscope apparatus according to claim 5,The distal end of the endoscope insertion section and,The objective optical system provided with the tip side lens provided at the tip part and exposed on the tip part surface, and a display range having a non-circular predetermined light receiving range or displayed non-circularly on the monitor A solid-state imaging device having a light receiving range;,Of the contour forming the edge of the light receiving range, the contour portion is located in a direction near the center of the distal lens, and is open toward the distal lens, and the distal lens A water supply nozzle capable of supplying water from an oblique direction with respect to the surface of,It is arranged in a direction in which a contour portion that is far from the center of the distal lens is located, opens toward the distal lens, and can feed air in parallel to the surface of the distal lens. And an air nozzle..
[0011]
  The invention of the endoscope apparatus according to claim 6,The distal end of the endoscope insertion section and,An objective optical system provided with a tip side lens provided at the tip portion and exposed on the surface of the tip portion, and a light receiving range corresponding to a display range having a predetermined rectangular light receiving range or displayed in a square shape on a monitor A solid-state imaging device having,A water supply nozzle that is arranged in a direction in which a side portion of the rectangular light receiving range is located, opens toward the front lens, and is capable of supplying water from an oblique direction to the surface of the front lens;,An air supply nozzle that is arranged in a direction in which a corner portion of the rectangular light receiving range is located, opens toward the front lens, and can supply air parallel to the surface of the front lens; It is characterized by.
  And in the endoscope apparatus in any one of the said Claims 1-6, the endoscope for a cover provided with the objective lens and the solid-state image sensor in the front-end | tip part of an insertion part,,An endoscope cover detachably mounted on the cover endoscope;,An objective lens cover serving as the distal lens disposed on the distal end side of the objective lens, the water supply nozzle, and the air supply nozzle are provided at the distal end portion of the endoscope cover. ,SaidThe light receiving range of the solid-state imaging device or the display range of the visual field on the monitor is a shape in which a part of a circle is cut out.
[0012]
DETAILED DESCRIPTION OF THE INVENTION
Embodiments of the present invention will be described below with reference to the drawings.
1 to 11 show an endoscope according to a first embodiment of the present invention, FIG. 1 is a perspective view showing a schematic configuration of a cover-type endoscope, and FIG. 2 is a distal end portion of the cover-type endoscope. FIG. 3 is an explanatory view showing the base end face side of the tip cover member, FIG. 4 is an explanatory view showing the tip face of the tip constituent portion, and FIG. 5 is a diagram for explaining the relationship between the light shielding portion and the light shielding groove. FIG. 6 is a cross-sectional view for explaining the attachment of the objective lens frame to the tip structure portion, FIG. 7 is a cross-sectional view for explaining the relationship between the illumination lens cover and the tip cover member, and FIG. FIG. 9 is an explanatory view showing an illumination lens cover receiving portion formed on the tip cover member, and FIG. 10 is a latching portion between the tip cover member and the tip constituent portion, and a treatment instrument insertion path. Sectional drawing explaining arrangement | positioning structure of the forceps insertion channel which is FIG. 11, FIG. 11 is I of FIG. I is a cross-sectional view. The endoscope will be described first with a cover-type endoscope.
[0013]
As shown in FIG. 1, a cover-type endoscope 1 according to the present embodiment includes an endoscope cover (hereinafter abbreviated as a cover) 2 and an endoscope cover endoscope (hereinafter referred to as a cover) attached to the cover 2. It is composed of a combination of 3 for the endoscope.
[0014]
When performing an endoscopic inspection using this cover-type endoscope 1, the sterilized clean cover 2 covers the insertion portion of the cover endoscope 3 and the like, and after the inspection, the cover endoscope While the cover 2 covering the insertion portion 3 is discarded, the cover endoscope 3 is covered again with a clean cover 2 that has been sterilized and used repeatedly. This eliminates the need for cleaning and disinfection on the endoscope side after the examination.
[0015]
In the endoscope 3 for a cover, an operation portion 5 that also serves as a gripping portion is provided on the proximal end side of the elongated insertion portion 4. Further, a distal end configuration portion 6 is provided on the distal end side of the insertion portion 4.
[0016]
On the other hand, the cover 2 has a soft outer skin 7 that covers and covers the insertion portion 4 of the endoscope 3 for the cover, and a forceps insertion opening serving as a treatment instrument insertion passage is provided on the base end side of the outer skin 7. A mouth part 8 having 8a is provided. The mouth part 8 is connected so as to wrap around and cover the outer periphery on the front end side of the operation part 5. A distal end cover member 9 is provided on the distal end side of the outer skin 7 so as to be detachably engageable and fixable to the outer peripheral surface of the distal end constituting portion 6 of the cover endoscope 3. .
[0017]
A bending portion 10 is connected to the proximal end side of the distal end configuration portion 6 of the cover endoscope 3. In addition, a universal cord 11 extends from a side surface of the operation unit 5 toward a light source device (not shown). Reference numeral 14 denotes a water supply tube that forms a water supply conduit, reference numeral 12 denotes an air supply tube that forms an air supply conduit, and reference numeral 13 denotes a suction tube that forms a suction conduit.
[0018]
As shown in FIG. 2, an objective lens system 16 held by an objective lens frame 15 and an imaging position of the objective lens system 16 are used to capture an image of an observation object on the distal end constituting portion 6 of the cover endoscope 3. And a solid-state imaging device 17 and an imaging circuit unit 18 that convert the observation visual field image into an electrical signal. A signal cable 19 for transmitting an image signal to an image control unit (not shown) extends from the base end side of the imaging circuit unit 18.
[0019]
An objective lens cover 21 made of a transparent optical member is fitted to the objective lens cover frame 22 at a position facing the distal end side lens 16 a provided at the most distal end portion of the objective lens system 16 on the distal end cover member 9 of the cover 2. It is fixed by bonding. The objective lens cover frame 22 is provided with an objective lens cover receiving portion 22a for holding the objective lens cover 21. The objective lens cover receiving portion 22a is formed so that the thickness dimension a is at least in the range of 0.1 to 1 mm in order to ensure strength.
[0020]
The distal end surface of the objective lens frame 15 and the distal end surface of the distal end side lens 16a are positioned and fixed so as to be substantially the same plane. The objective lens frame 15 and the distal lens 16a protrude from the distal surface of the distal component 6 by the same amount as the thickness a of the objective lens cover receiving portion 22a, and are fixed to the distal component 6.
[0021]
The distal end surface of the distal end component portion 6 is fixed in contact with the abutting surface 31 on the proximal end side of the distal end cover member 9 shown in FIG. Further, a convex light shielding portion 32 is formed on the abutting surface 31. On the other hand, as shown in FIG. 4, a concave light shielding groove 41 is formed at a position facing the light shielding portion 32 on the distal end surface of the distal end constituting portion 6 facing the contact surface 31.
[0022]
That is, the light shielding portion 32 is fitted into the light shielding groove 41 when the distal end surface of the distal end constituting portion 6 is fixed in contact with the abutting surface 31 on the proximal end side of the distal end cover member 9. Therefore, when the illumination light is transmitted from the light source device (not shown) through the light guide 24 and irradiated into the body cavity via the illumination lens cover 23 disposed on the illumination lens 24a and the distal end cover member 9, the distal end cover is irradiated. Even if reflected light is generated by being reflected on the inner surface of the member 9 or the illumination lens cover 23, the reflected light is blocked by the light shielding portion 32 and does not enter the front end side lens 16a.
[0023]
As shown in FIG. 5, a relationship of b ≦ c is established between the protrusion amount b of the light shielding part 32 and the depth c of the light shielding groove 41. For this reason, since the light shielding portion 32 does not abut against the bottom surface of the light shielding groove 41, the distal end surface of the distal end component portion 6 and the abutting surface 31 of the distal end cover member 9 abut against each other. Thus, the gap between the front lens 16a and the objective lens cover 21 and the gap between the illumination lens 24a and the illumination lens cover 23 can be surely made minute. Further, the arrangement positional relationship between the light shielding portion 32 and the light shielding groove 41 is such that the distal end side lens 16a of the distal end configuration portion 6 and the distal end side lens 16a of the distal end configuration portion 6 are arranged in order to avoid interference between the distal end side lens 16a provided in the distal end configuration portion 6 and the illumination lens 24a. While the light shielding groove 41 is provided between the illumination lens 24a and the objective lens cover receiving portion 22a of the distal end cover member 9 in order to avoid interference between the objective lens cover 21 provided on the distal end cover member 9 and the illumination lens cover 23. And the illumination lens cover receiving portion 33a so that the light shielding portion 32 is positioned.
[0024]
As shown in FIG. 6, when the objective lens frame 15 is positioned and fixed to the tip component portion 6, that is, when the objective lens frame 15 is assembled to the tip component portion 6, a surface-exposure jig 50 is used.
As shown in FIG. 6A, first, the tip lens 16a is fixed in advance with the tip surface 6a of the tip component 6 abutting against the tip component abutment surface 51 of the surface jig 50. The objective lens frame 15 is inserted into the distal end constituting portion 6.
[0025]
Next, as shown in FIG. 6B, the objective lens frame 15 and the distal end surface 16b of the distal end side lens 16a are recessed from the distal end component abutting surface 51 of the surface jig 50 by an a dimension. The lens is brought into contact with the lens abutting surface 52. In this state, the fixing screw 53 is screwed into the screw portion 42 provided in the tip constituent portion 6, and the objective lens frame 15 is pressed against the tip constituent portion 6 with the fixing screw 53 and assembled integrally.
[0026]
As described above, the objective lens frame 15 is integrally assembled to the distal end constituting portion 6 with the fixing screw 53, so that the gap between the objective lens cover 21 and the distal end side lens 16a is set to a product having a thickness dimension of the objective lens cover receiving portion 22a. Even if the variation for each product and the variation of the protruding amount of the distal end side lens 16a from the distal end constituting portion 6 for each product are taken into consideration, the distal end side lens 16a and the objective lens cover can be configured in the range of 0 to 0.1 mm. As a result of being too far from 21, it is possible to secure a good observation field that does not enter the objective lens cover receiving portion 22a within the observation field.
[0027]
In addition, since the distal end surfaces of the objective lens frame 15 and the distal end side lens 16a are formed on the same plane, and the objective lens frame 15 is protruded from the distal end constituent portion 6 by a predetermined dimension, the distal end side lens 16a is mounted when the distal end side lens 16a is mounted. There is no damage.
[0028]
Further, by assembling using the surface jig 50, the gap between the products at the time of manufacture can be offset and the gap between the objective lens cover 21 and the front lens 16a can be made minute. Even in the combination of the endoscope 3 and the cover 2, it is possible to ensure a good observation field.
[0029]
In addition, the illumination lens 24a is positioned and fixed to the tip component 6 so that the tip surface of the illumination lens 24a and the tip surface of the tip component 6 are substantially flush with each other. That is, as shown in FIG. 7, the tip cover member 9 is formed with an illumination lens cover receiving portion 33a for holding the illumination lens cover 23 and an illumination lens cover frame portion 33b. The illumination lens cover receiving portion 33a is formed with a thickness dimension d of at least 0.1 to 1 mm in order to ensure strength.
[0030]
On the other hand, the illumination lens cover 23 is fitted into the illumination lens cover frame portion 33b and fixed to the illumination lens cover frame portion 33b by bonding or the like, and an inner periphery of the illumination lens cover receiving portion 33a. And a small-diameter portion 23b that is loosely fitted to the portion. Then, the gap between the illumination lens 24a and the illumination lens cover 23 is made small as shown in FIG. 8 by forming the thickness of the small diameter portion 23b substantially the same as the thickness d of the illumination lens cover receiving portion 33a. The majority of the illumination light emitted from the illumination lens 24 a can be guided to the illumination lens cover 23. For this reason, a large amount of light is emitted from the illumination lens cover 23 into the body cavity and is not obstructed by the small diameter portion 23b, so that the light distribution is good and the area of the illumination lens cover 23 can be made relatively small.
[0031]
This makes it possible to reduce the outer diameter of the tip cover member 9. In addition, since the illumination lens 24a is configured not to protrude from the tip configuration portion 6, the illumination lens 24a is not damaged at the time of mounting.
[0032]
As shown in FIG. 9, the objective lens cover frame portion 22 of the tip cover member 9 has a substantially quadrangular shape, and four corners are formed in an R shape with a radius r1. Further, on the inner peripheral side of the objective lens cover receiving portion 22a, the four sides of the objective lens cover receiving portion 22a are protruded inward by respective lengths e, for example, about 0.1 to 0.5 mm. The corner is formed in an R shape with a radius r2, which is a dimension of r1 -e (<r2).
[0033]
That is, since the objective lens cover 21 is fitted to the objective lens cover frame portion 22, the outer dimension of the objective lens cover 21 needs to be smaller than the inner dimension of the objective lens cover frame portion 22. For this reason, the area received by the objective lens cover receiving portion 22a is reduced at the four corners. However, with the above-described configuration, since the amount of protrusion to the inside of the four corners of the objective lens cover receiving portion 22a is increased, the area received by the objective lens cover receiving portion 22a can be increased, and the object can be reliably received. The lens cover 21 can be held. Further, when the objective lens cover receiving portion 22a is a joint surface with the objective lens cover 21, a large joining margin can be obtained, so that a sufficient joint strength can be obtained, and the objective lens cover 21 is provided with the objective lens cover frame. The safety is improved because it does not fall off from the portion 22. Further, since the illumination lens cover receiving portion 33a and the illumination lens cover frame portion 33b are also formed in the same relationship as described above, the illumination lens 23 is joined with sufficient joining strength.
[0034]
The viewing angle of the objective lens system 16 of the cover endoscope 3 without the cover 2 is set to, for example, 0 ° to 90 °, and when the cover 2 is attached, the viewing angle is changed. For example, by using an optical lens that expands the viewing angle for the objective lens cover 21 so as to be 120 ° to 180 °, even if the gap between the distal lens 16a and the objective lens cover 21 is separated to some extent, the objective lens The cover receiving portion 22a does not enter the field of view, and a large viewing angle can be secured.
[0035]
With reference to FIG.10 and FIG.11, the arrangement | positioning structure of the forceps insertion channel 61 which is a latching | locking part of the front-end | tip cover member 9 and the front-end | tip structure part 6, and a treatment tool insertion path is demonstrated.
As shown in FIG. 10, the forceps insertion channel 61 is disposed in parallel inside the outer skin 7 of the cover 2 along the insertion portion 4 of the endoscope 3 for the cover. The distal end portion of the forceps insertion channel 61 is fixed so as to communicate with the treatment instrument protrusion 62 by means such as adhesion to a channel connection portion 63 in the vicinity of the treatment instrument protrusion 62 provided on the distal end cover member 9. Has been.
[0036]
On the other hand, the proximal end portion of the forceps insertion channel 61 communicates with the forceps insertion port 8 a of the mouth portion 8, and a treatment tool such as a forceps inserted from the forceps insertion port 8 a guides the treatment tool protrusion port 62. Then, the treatment tool projecting port 62 projects into the body cavity so that treatment such as excision of the lesioned part can be performed. Further, the forceps insertion channel 61 communicates with the suction tube 13 forming a suction conduit connected to a fluid control device (not shown). The suction tube 13 extends from the mouth portion 8 to the outside of the endoscope and extends along the universal cord 11 to the fluid control device.
[0037]
The forceps insertion channel 61 is formed of a tubular member made of a flexible material such as PTFE or PFA. The forceps insertion channel 61 is provided with a bellows portion 61a in the vicinity of the bending portion of the cover endoscope 3 so as to be smoothly bent without buckling when the bending portion is bent. The bellows portion 61a has an inner diameter that is the same as that of the other portion, and the cross-sectional shape in the longitudinal direction of the insertion portion is formed in a wavy shape so that it can be easily bent. It becomes the composition which becomes.
[0038]
The cover endoscope fitted in the fitting hole 33 formed in the tip cover member 9 in order to integrally connect the tip cover member 9 of the cover 2 and the tip constituting portion 6 of the cover endoscope 3. A locking claw 65 is engaged with the three tip constituent parts 6 to form a locking part and are integrally fixed. Then, the cylindrical member 66 that is externally attached to the outer periphery of the tip cover member 9 is externally fitted to the locking claw 65 that forms the locking portion, and the locking claw 65 is pressed toward the central axis in the longitudinal direction. is doing.
[0039]
The base end portion 6b of the distal end constituting portion 6 is a thin portion that covers the first joint piece 10a located at the forefront of the bending portion 10 connecting a plurality of joint pieces and the outer periphery of the joint piece including the first joint piece 10a. A tubular wire mesh portion 67 knitted with a metal wire having a diameter and a connection portion 70 for connecting a tubular elastic skin portion 68 made of a soft elastic member such as an elastomer covering the outer periphery of the wire mesh portion 67 are provided.
[0040]
For this reason, the base end part 6b of this front-end | tip structure part 6 is the thickness part of each joint part 10a, the wire-mesh part 67, and the elastic skin part 68, and the thickness part of the adhesion parts 71, such as an adhesive agent which fixes these. As a result, the large-diameter portion 72 having a larger diameter than other portions is formed.
[0041]
The air supply tube 12 that forms the air supply line and the water supply tube 14 that forms the water supply line pass along the insertion portion 4 of the cover endoscope 3 in the outer skin 7 of the cover 2, like the forceps insertion channel 61. Are arranged in parallel. Then, the distal end portions of the air supply tube 12 and the water supply tube 14 shown in FIG. 12 are connected and fixed to the pipe line connecting portion 63a formed in the distal end cover member 9 by means such as adhesion, respectively, and the distal end cover member 9 Are communicated with an air supply nozzle 35 and a water supply nozzle 36 respectively provided on the front end surface.
[0042]
On the other hand, the base ends of the air supply tube 12 and the water supply tube 14 extend from the mouth portion 8 to the outside, and extend to a fluid control device (not shown) along the universal cord 11 in the same manner as the suction tube 13. . A gas such as air or CO2 gas is ejected from the air supply nozzle through the air supply tube 12 toward the objective lens cover 21, while a liquid such as physiological saline is supplied from the water supply nozzle through the water supply tube 14. Are ejected toward the objective lens cover 21.
[0043]
In general, the air supply tube 12 and the water supply tube 14 are smaller in diameter than the forceps insertion channel 61, and the area of the outer surface with respect to the same length in the longitudinal direction of the insertion portion 4 is compared with the forceps insertion channel 61. And it is very small. For this reason, since the outer surface of the part fitted to the pipe line connection part 63a serves as a connection allowance in the connection part with the tip cover member 9, when trying to obtain a connection strength equivalent to the forceps insertion channel 61, the forceps insertion channel 61 It is necessary to lengthen the fitting length of the connection portion as compared with the above, and it is desirable to make the connection allowance as long as possible.
[0044]
Further, the length of the fitting portion 33 in the longitudinal direction of the insertion portion is designed to reduce backlash of the tip constituting portion 6 fitted to the fitting portion 33 and to integrate the tip constituting portion 6 with the tip cover member 9. In order to secure a space for disposing fixing means such as the locking claw 65 to be fixed, it is desirable to make the length as long as possible. However, considering that the tip portion is reduced in diameter, the large diameter portion 72 is provided. It is desirable not to be fitted into the fitting portion 33.
[0045]
Therefore, the proximal end of the distal end cover member 9 is configured to be positioned on the distal end side with respect to the large diameter portion 72 of the distal end configuration portion 6. Therefore, the channel connecting portion 63 is formed as close to the fitting portion as possible in order to reduce the diameter of the tip portion. Further, in order to increase the adhesive strength to the distal end cover member 9, the distal end side is provided as close as possible to the treatment instrument protruding port 62. Further, in parallel with the longitudinal axis direction, a notch 76 is formed which is elongated and has an opening 76a on the outer peripheral surface side from the proximal end side of the distal end cover member 9 to the proximal end side of the channel connecting portion 63. A space portion 77 is provided between the outer periphery of the forceps insertion channel 61 inserted through the portion 76 and the tip cover member 9.
[0046]
For this reason, the forceps insertion channel 61 is located radially outward with respect to the position of the channel connecting portion 63 at a position adjacent to the large diameter portion 72 of the cover endoscope 3. Further, at the position arranged in parallel with the bending portion 10, the portion of the bellows portion 61 a having a large outer diameter is located in the radially outward direction with respect to the position of the channel connection portion 63 like the large diameter portion 72.
[0047]
On the other hand, since the forceps insertion channel 61 is disposed in a notch 76 formed in the distal end cover member 9, the vicinity of the large diameter portion 72 from the proximal end of the channel connection portion 63 connected and fixed to the distal end cover member 9. In the meantime, it is gradually displaced in the radially outward direction so as to be juxtaposed with the large-diameter part 72, and the bellows part 61a is displaced so as to be juxtaposed with the bending part 10.
[0048]
Further, when the cover endoscope 3 and the cover 2 are mounted, after the distal end constituting portion 6 is fitted to the fitting portion 33, the cylindrical member 66 is moved to the distal end side to be attached to the locking claw 65. When fitted, the part located outside the notch 76 of the cylindrical member 66 can be easily moved to the distal end side with fingers or the like.
[0049]
As described above, the notch portion is formed in the tip cover member, and the forceps insertion channel is disposed in the notch portion, so that the forceps insertion channel connected and fixed to the channel connection portion of the tip cover member can be loosened in the notch portion. It can arrange | position so that it may displace to a diameter outer side and may be arranged in parallel by a large diameter part. This eliminates buckling of the forceps insertion channel, and even when a relatively large treatment tool is inserted into the forceps insertion channel, the treatment tool is smoothly inserted without being caught by the channel, and the treatment tool is inserted and removed. The ability of can be reduced.
[0050]
In addition, since the forceps insertion channel can be gently displaced by forming a notch portion in the distal end cover member, the large diameter portion of the cover endoscope can be configured to have a relatively large diameter. As a result, an imaging circuit unit with a large cross-sectional area or a large-diameter light guide is built in the large-diameter part, and a high-performance, high-functional imaging circuit unit or bright illumination light is supplied to improve the observation performance. A mirror can be provided.
[0051]
Furthermore, by forming the cutout portion in the tip cover member, when the cover endoscope and the cover are mounted, the cylindrical member located in the cutout portion can be pushed to easily move to the tip side. As a result, the ease of attachment between the cover endoscope and the cover is greatly improved.
[0052]
By the way, in recent years, an endoscope apparatus has been used in which an observation site is imaged by a solid-state imaging device arranged in an endoscope and observed by a monitor. In the endoscope apparatus, an observation window and an illumination window are generally provided on the distal end surface of the endoscope. In addition, a nozzle is provided on the distal end surface of the endoscope so that the surface of the observation window can be cleaned by supplying water and air toward the observation window.
[0053]
By bringing the nozzle close to the observation window, not only can the size be reduced, the outer diameter of the endoscope insertion portion can be reduced, but also the cleaning force can be increased by increasing the force of water fed from the nozzle toward the observation window. While improving, the force sent from a nozzle toward an observation window becomes large, and the draining property improves.
[0054]
However, if the nozzle is too close to the observation window, this nozzle enters the observation field of view and adversely affects the observation, so it is difficult to reduce the distance between the observation window and the nozzle.
[0055]
In order to solve this problem, for example, Japanese Patent Application No. Hei 6-42857 and Japanese Patent Application Laid-Open No. Hei 6-38926 are provided with an objective lens and a solid-state image sensor at the distal end portion of the endoscope insertion portion. In an endoscope which displays an observation visual field image on a monitor based on an electric signal and has one air / water supply nozzle toward the observation window of the objective lens, the light receiving area or display visual field range of the solid-state imaging device An endoscope has been proposed in which the nozzle is installed at a corresponding position facing the side of the square, and the nozzle is placed as close as possible to the observation window without entering the field of view. . For an endoscope having two nozzles, an air supply nozzle and a water supply nozzle, refer to Japanese Patent Application No. 6-42857, and place the air supply nozzle on the opposite side of the light receiving area of the solid-state image sensor and move it closer to the observation window. The water supply nozzle provided on the diagonal side of the light receiving area is shown. Further, Japanese Patent Laid-Open No. 6-38926 discloses an arrangement in which two air supply nozzles and water supply nozzles are arranged side by side on the opposite side of the optically effective area.
[0056]
However, in the endoscope disclosed in Japanese Patent Application No. 6-42857, when the water supply pipe for transferring the liquid connected to the water supply nozzle is thin or long, the water supply capacity is reduced, and the water supply nozzle Is provided on the diagonal side and the distance from the observation window is long, the water feeding ability is remarkably lowered, and the objective lens surface cannot be sufficiently cleaned, and observation may be difficult. Further, in the endoscope disclosed in Japanese Patent Laid-Open No. 6-38926, since two nozzles are arranged side by side on the opposite side of the optically effective area, the opening width of each nozzle is reduced, and the nozzle is ejected from the nozzle. The flow width of the generated liquid is restricted to a small scale, making it difficult to supply and supply water over a wide optical effective area. Removal may not be performed sufficiently, and observation may be difficult.
[0057]
Therefore, there has been a demand for an inexpensive endoscope that has good observation window cleaning ability and water droplet removal ability, and that has a small outer diameter at the tip and does not cause pain to the patient.
[0058]
As shown in FIG. 13, a fluid control apparatus 100 that controls air supply, water supply, suction, etc. used in combination with the cover endoscope 1 includes a suction control valve 102 and a suction leak valve 103 on the front panel 101. , An air supply control valve 104, an air supply leak valve 105, a water supply control valve 106, and the like are provided. These valve bodies are designed to hold a flexible tube constituting the air supply duct, suction duct, water supply duct, etc., and this soft tube should be crushed or opened by the valve element. Thus, the flow path is opened and closed to allow fluid to flow. That is, the valve body is constituted by a so-called pinch valve type electromagnetic valve. Since these valve bodies are exposed to the outside of the apparatus, they are waterproof so that liquids such as water do not enter the valve drive section.
[0059]
The air supply tube 12 is detachably attached to the air supply control valve 104, and an air supply tube having one end opened inside the water supply tank connector 108 provided closer to the air supply pump 107 than the air supply control valve 104. The air leak pipe 109 is branched. The air supply leak line 109 extends from the water supply tank connector 108 and is detachably attached to the air supply leak valve 105. The air supply tube 12 has an open end inside the water supply tank connector 108 and a water supply pressure line (not shown) connected to the water supply tank 110 is branched, and the base end side is built in the fluid control device 100. Connected to the air supply pump 107.
[0060]
The water supply tube 14 is detachably attached to the water supply control valve 106, and is connected to the water supply tank 110 from the water supply tank connector 108 via a water supply tank communication tube 110a.
[0061]
The suction tube 13 is detachably attached to the suction control valve 102 and then connected to a suction pump (not shown) that is a suction source. A suction leak pipe 111 is branched from the suction control valve 102 of the suction tube 13 so as to be detachably attached to the suction leak valve 103.
[0062]
The air supply tube 12, the water supply tube 14, and the suction tube 13 are arranged with the longitudinal direction of the tube perpendicular to the front panel 101 of the fluid control device 100. That is, the air supply tube 12, the water supply tube 14 and the suction tube 13 extend upward in the vertical direction. In the fluid control device 100, the pipes and valve bodies are configured and arranged as described above, so that the lateral width of the fluid control device 100 is reduced and the arrangement space in the examination room is reduced. .
[0063]
Further, an air supply tube 12, a water supply tube 14, and a branch portion (not shown) of the universal tube 11 and the universal tube 11 which are arranged along the universal cord 11 extending from the operation portion 5 of the endoscope 3 are fluid control. It is located above the device 100. Thus, by configuring the position of the branch portion above the fluid control device 100, the air supply tube 12, the water supply tube 14 and the suction tube 13 inevitably extend toward the branch portion positioned on the upper side. Thus, buckling of the air supply tube 12, the water supply tube 14 and the suction tube 13 can be prevented, and the length of the pipe is shortened to reduce the fluid resistance in the pipe, thereby supplying air and water. , Improving suction performance.
[0064]
As shown in FIG. 14, in order to connect and fix the water tank connector 108 to the fluid control apparatus 100, the water tank connector 108 is provided with a hook 112, and the front panel 101 of the fluid control apparatus 100 is provided with a hook receiving portion 113. Yes. Accordingly, the hook 112 provided on the water tank connector 108 can be detachably connected to the fluid control device 100 by attaching the hook 112 to the hook receiving portion 113 provided on the front panel 101.
[0065]
Further, the cap receiver 114 provided in the water tank connector 108 is configured to be connected to a water tank cap 115 of a water tank used not only for a cover type endoscope but also for a general endoscope. The water supply tank 110 can be used in common with a general endoscope.
[0066]
As shown in FIG. 13, the water supply tank 110 is provided with a water supply tank hook 116, and the water supply tank 110 is attached to the water supply tank hook receiving portion 117 provided in the fluid control device 100. Can be detachably connected to the fluid control device 100. For this reason, by operating the air supply / water supply switch 5a and the suction switch 5b provided in the operation unit 5 shown in FIG. 1 at the time of inspection, each control valve of the fluid control device 100 is controlled, and the air supply tube 12 is controlled. Thus, air can be supplied from the air supply nozzle through the water supply tube, water can be supplied from the water supply nozzle through the water supply tube 14, and suction can be performed from the treatment instrument protrusion 62 through the suction tube 13.
[0067]
In addition, depending on the layout of each device in the examination room, it is conceivable that the fluid control device 100 is stacked and arranged together with devices such as a light source device and a video processor (not shown). In this case, it is desirable that the fluid control device 100 has a height dimension smaller than the width dimension. For this reason, when the fluid control device 100 is stacked and disposed, as shown in FIG. 15, the configuration is such that the longitudinal direction of each tube can be disposed in the horizontal direction in the fluid control device 100.
[0068]
That is, as shown in FIG. 13, water tank receivers 117 are provided at two locations on the side surface and bottom surface of the fluid control device 100, and feet 118 that support the fluid control device main body are provided on the side surface and Provided on the bottom.
[0069]
Further, the suction leak valve 103 may be mounted with the suction leak pipe 111 facing upward in the state shown in FIG. 13 so that the opening of the suction leak pipe 111 is always upward in the vertical direction. The suction leak valve 103 that can be attached and the suction leak valve 103 in which the suction leak pipe 111 can be mounted with the opening facing upward in the state of FIG. 15 are provided. Therefore, depending on the installation direction of the fluid control apparatus 100, the suction leak pipe 111 can be selectively attached to one of the two suction leak valves 103 so that the opening is always directed upward in the vertical direction.
[0070]
The suction leak valve 103 is provided so that the opening of the suction leak pipe 111 is located higher than the lowest position of the suction tube 13, so that dirt or the like is discharged from the opening of the suction leak pipe 111. There is no. However, in the unlikely event that the suction tube 13 connected to the suction source is clogged due to filth during the inspection, the filth in the suction tube is affected by gravity, so that the treatment instrument protrusion 62, which is the opening of the suction tube 13, is removed. Or it discharges from the lower one of the suction leak pipeline 111. For this reason, in order to prevent discharge of dirt and the like from the opening of the suction leak pipe 111, the fluid control apparatus 100 is set so that the opening position of the suction pipe 111 is higher than the position of the treatment instrument protrusion 62 at the time of the regular inspection. It is desirable to install.
[0071]
In this way, by arranging the fluid control device vertically and horizontally, the installation direction of the fluid control device can be freely changed in accordance with the layout of other devices in the examination room, and the space in the examination room can be reduced. It can be used effectively.
[0072]
16 is for arranging the air supply tube 12, the water supply tube 14 and the suction tube 13 along the universal cord 11, and the air supply tube 12, the water supply tube 14 and the suction tube A pipe line fixing part 121 and a universal cord fixing part 122 for fixing the tube 13 are formed.
[0073]
The pipe fixing member 120 is made of an elastic material such as a resin such as polypropylene, an elastomer, or a metal, and the opening 123 of the universal cord fixing part 122 is elastically deformed as shown in FIG. The universal cord fixing part 122 is detachable from the universal cord 11.
[0074]
For this reason, during the examination, the operator may rotate the operation unit 5 together with the insertion unit 4 several times in the longitudinal axis direction of the insertion unit 4 in order to insert the endoscope into the body cavity. When the operator performs this operation twice, the universal cord 11 becomes a twisted shape. At this time, it is considered that the air supply tube 12, the water supply tube 14 and the suction tube 13 arranged along the universal cord 11 are similarly twisted and buckled, and cannot perform air supply, water supply and suction. It is done.
[0075]
Therefore, as shown in FIG. 17, when the universal cord 11 is twisted, the surgeon quickly removes the universal cord fixing portion 122 from the universal cord 11, and supplies the air supply tube 12, the water supply tube 14, and the suction tube. The tube 13 is detached from the universal cord 11, and the air supply tube 12, the water supply tube 14 and the suction tube 13 are easily returned to the original linear state to prevent the tube from buckling, and the air supply, water supply, Work such as suction can be performed reliably.
[0076]
Here, the air supply nozzle and the water supply nozzle will be described.
[0077]
As shown in FIG. 18, an objective lens cover 21, an illumination lens cover 23, a treatment instrument protrusion 62, and the like, which are observation windows, are provided on the distal end surface of the distal end cover member 9 of the cover 2 of the present embodiment. In addition, an air supply nozzle 35 and a water supply nozzle 36 are provided with the opening facing the surface of the objective lens cover 21.
[0078]
The air supply nozzle 35 and the water supply nozzle 36 are for removing body fluid and blood adhering to the objective lens cover 21 during the inspection. First, the water supply nozzle 36 supplies water to the objective lens cover 21. Wash away the dirt attached to the surface. Subsequently, air is supplied from the air supply nozzle 35, and water droplets attached to the surface of the objective lens cover 21 are blown off and removed.
[0079]
As shown in FIG. 2, when the cover endoscope 3 and the cover 2 are mounted, the imaging circuit located inside the objective lens system 16 of the cover endoscope 3 located inside the objective lens cover 21. The unit 18 is provided with a solid-state imaging device 17 at the imaging position of the lens on the proximal end side of the objective lens system 16. The solid-state imaging device 17 converts an observation field image of the objective lens system 16 into an electric signal.
[0080]
As shown in FIGS. 19 and 20, the positional relationship between the optically effective area and the air supply nozzle 35 and the water supply nozzle 36 is shown when the light receiving area of the solid-state imaging device 17 is square and the display shape on the monitor is square. The optically effective area 125 on the objective lens cover surface shown in FIG. In addition, the optically effective area is also rectangular in a plane parallel to the objective lens cover surface on the distal end side of the objective lens cover 21, and the opposite side direction in the same plane at a distance h from the surface of the objective lens cover 21 is diagonal. Narrower than.
[0081]
When the opening of the air supply nozzle 35 and the water supply nozzle 36 provided in the tip cover member 9 is brought close to the objective lens cover 21 to increase the air supply force and the water supply force, the air supply nozzle 35 or the water supply nozzle 36 is caused by being too close. There is a risk of entering the observation field.
[0082]
Therefore, in the present embodiment, the water supply nozzle 36 is disposed in the opposite side direction of the rectangular optically effective region 125, that is, at a position facing the side of the rectangular optically effective region 125. The inclined surface portion 37 is long so that the opening is positioned as close as possible to the objective lens cover 21 without entering the objective lens cover 21.
[0083]
On the other hand, by arranging the air supply nozzle 35 at a position facing the corner of the rectangular light receiving area, the opening is positioned as close as possible to the objective lens cover 21 without entering the optically effective area 125. Thus, the length of the slope portion 37 is set short.
[0084]
Accordingly, the water supply nozzle 36 is located between the air supply nozzle 35 and the treatment instrument protrusion port 62. At this time, since the opening of the water supply nozzle 36 faces the objective lens cover 21, the water ejected from the opening of the water supply nozzle 36 is directly ejected to the objective lens cover 21 without hitting the illumination lens cover 23 or the like. Therefore, there is no loss in the momentum of the jetted water.
[0085]
Further, as shown in FIG. 19, the upper surface portion 38 of the ejection portion of the air supply nozzle 35 is an inclined surface so that the flow of the ejected air is directed toward the surface of the objective lens cover 21 without diverging in the distal direction. ing. On the other hand, the lower surface portion 39 of the ejection portion is formed in a planar shape so that the entire air flow hits the tip surface of the tip cover member 9 in the vicinity of the opening and the momentum does not weaken, and along the tip surface of the tip cover member 9. The air is forced to flow away.
[0086]
Thus, by arranging the air supply nozzle and the water supply nozzle in consideration of the optical area, the water supply nozzle opening is sufficiently close to the objective lens cover without the air supply nozzle and the water supply nozzle entering the observation field of view. The liquid can be ejected from the water nozzle opening without impairing the momentum. In addition, since the opening width of the water supply nozzle can be widened, the flow width of the ejected liquid can be widened, and the surface of the objective lens cover having a large area can be washed widely. On the other hand, the air supply nozzle is farther from the objective lens cover than the water supply nozzle, but the loss tendency of the momentum of the gas ejected from the air supply nozzle is relatively weak and the opening width can be made sufficiently wide. Therefore, the air can be widely supplied to the surface of the objective lens cover.
[0087]
Accordingly, it is possible to provide an endoscope with improved cleaning performance and good observation performance and good air supply / water supply operability without reducing the ability to remove water droplets attached to the surface. Further, by arranging the nozzle close to the objective lens cover, it is possible to reduce the diameter of the tip cover member, which can relieve the patient's pain.
[0088]
Note that water droplets on the surface of the objective lens cover can be easily removed by sucking water droplets from the treatment instrument protrusion through a suction operation, so that the air supply nozzle is separated from the objective lens cover compared to the water supply nozzle. However, no problem occurs.
[0089]
With reference to FIG. 21, another positional relationship between the optically effective area 125 and the air supply nozzle 35 and the water supply nozzle 36 will be described.
In the present embodiment, the shapes of the air supply nozzle 35 and the water supply nozzle 36 provided on the tip cover member 9 shown in FIG. Other configurations are the same as those shown in FIG.
[0090]
As shown in FIG. 21, the air supply nozzle 35 and the water supply nozzle 36 of the present embodiment are formed in the same shape with respect to the length of the inclined surface portion 37 of the nozzle.
[0091]
The water supply nozzle 36 is disposed at a position that does not enter the optically effective area 125 in the opposite direction of the rectangular optically effective area 125 and with the opening as close to the objective lens cover 21 as possible.
[0092]
On the other hand, the air supply nozzle 35 is arranged at a position that does not enter the diagonal light receiving area of the rectangular light receiving area and as close to the objective lens cover 21 as possible. For this reason, the position of the water supply nozzle 36 is closer to the objective lens cover side than the air supply nozzle 35.
[0093]
By adopting this configuration, the air supply nozzle 35 and the water supply nozzle 36 are not mistakenly assembled at the time of assembly. Further, the outer diameter of the tip cover member 9 can be reduced by the attachment position of the water supply nozzle 36 being closer to the center side of the tip cover member 9. Other operations are the same as those of the nozzle of FIG.
[0094]
Thus, by sharing the air supply nozzle and the water supply nozzle, it is possible not only to prevent erroneous assembly of the air supply nozzle and the water supply nozzle, but also to configure the air supply nozzle and the water supply nozzle at low cost. Since it can be installed, an inexpensive endoscope can be provided. Other effects are the same as those of the endoscope of FIG.
[0095]
In the present invention, the positional relationship between the nozzle and the tip lens of the objective optical system is implemented in the same manner as described above with a general endoscope other than the cover-type endoscope. You may do it. Moreover, you may use for the rigid endoscope in which the insertion part which has an air supply nozzle used in a surgical field etc. and a water supply nozzle is hard. Further, the light receiving area of the solid-state imaging device and the display range shape of the monitor may not be substantially square, but may be substantially rectangular, substantially triangular, semicircular, a shape in which a part of the circle is cut off, etc. If there is a part whose distance from the outer periphery of the display range is partly shorter than the other part, the water supply nozzle may be provided in this short part and the air supply nozzle may be provided in the other part. Further, the air supply nozzle and the water supply nozzle may be formed as separate parts from the tip cover member, or may be integrally formed with the tip cover member by resin by injection molding or the like in order to save assembly.
[0096]
By the way, as shown in Japanese Patent Laid-Open No. 3-193023, when a cover endoscope is configured by fixing a cover endoscope and a cover at a distal end portion, a distal end configuration of the cover endoscope is configured. There is known a configuration in which an engaging portion such as a groove is formed in the portion, and a locking means that engages with the groove is integrally provided on a front end cover member of the cover, and both are engaged.
[0097]
However, when the locking means that engages with the groove formed in the tip constituent portion is formed integrally with the cover member, the position of the locking means with respect to the engaging portion of the tip constituent portion is caused by variations in component dimensions or the like. May vary. At this time, if a gap occurs in the engaged portion, the tip component moves with respect to the tip cover member by the gap in the longitudinal axis direction, and the distance between the lens cover inner surface and the observation window tip surface. Fluctuates. Depending on the magnitude of the fluctuation range at this time, optical defects such as ghost, flare, and field of vision occur.
[0098]
For this reason, the locking means is configured separately from the tip cover member to prevent the positional relationship between the lens cover and the observation window from fluctuating due to variations in component dimensions. In addition to being able to reliably fix the positioning with the locking means, when this locking means is bonded and fixed, even if the adhesive fixing part of the locking means is peeled off, it is possible to avoid the situation where observation is inconvenient. An endoscope was desired.
[0099]
Therefore, a locking member which is a locking means for locking the tip component portion and the tip cover member integrally is formed separately from the tip cover member, and the locking member is bonded to the tip cover member. Adhere and fix with. Then, even if the adhesive fixing portion is peeled off, the endoscope is configured by providing a dropping prevention means so that the locking member does not drop off from the tip cover member. That is, the drop prevention means prevents the movement of the tip constituent part from the tip cover member to the extent that it becomes impossible to observe without the locking member dropping even if the adhesive fixing part is peeled off.
[0100]
As shown in FIG. 22, a fitting portion 33 for fitting the tip constituting portion 6 of the cover endoscope 3 is provided inside the tip cover member 9. The outer periphery of the tip component portion 6 and the outer periphery of the tip cover member 9 are concentric circles, and a locking member 132 having a locking claw 131 on the tip cover member 9 is an inner peripheral surface of the fitting portion 33. It is arranged along the line. Reference numeral 135 denotes a cylindrical member that is externally fitted to the locking member.
[0101]
As shown in FIG. 23, the locking member 132 has a substantially T-shape, and a locking claw portion 133 having a locking claw 131 at an elongated end in the longitudinal direction of the insertion portion, and the locking member 132 It is composed of an arcuate retaining portion 134 that is elongated in the circumferential direction and serves as a dropping means that prevents the insertion portion from falling off in the longitudinal direction. Note that both the distal end side and the proximal end side of the locking claw 131 are formed to have an inclined surface 131a.
[0102]
As shown in FIG. 22, the locking member 132 includes a circumferential recess 141 formed by notching the inner periphery of the fitting portion 33 in the circumferential direction and an axial recess 142 formed by notching in the longitudinal axis direction. It is arranged in a recess 143 formed in a substantially T shape. That is, the retaining portion 134 is fitted in the circumferential recess 141, and the locking claw 133 is fitted in the axial recess 142. The circumferential recess 141 and the retaining portion 134 have substantially the same diameter, and the axial width dimension of the retaining portion 134 is smaller than the axial width dimension of the circumferential recess 141. It is configured to be movable with respect to the longitudinal axis direction.
[0103]
As shown in FIGS. 24 to 26, at least a part of the outer periphery of the distal end component portion 6 of the cover endoscope 3 is provided with a locking projection 151 that is engaged with the locking claw 131. A similar inclined surface is formed on the proximal end side of the locking projection 151 so as to engage with the inclined surface 131 a of the locking claw 131. In addition, an inclined surface 152 is formed so that the distal end side of the locking projection 151 also has a smaller diameter toward the distal end side. A cylindrical member 135 that is fitted on the locking member 132 and presses the locking member 132 in the central direction from the outer peripheral side is provided in the vicinity of the locking member 132.
[0104]
Inside the tip configuration portion 6, a tip lens 16a, an objective lens system 17, and an imaging circuit unit 18 are arranged in order from the tip side, and an illumination optical system (not shown) is arranged. A signal cable 19 for transmitting an image signal to an image control unit (not shown) is connected to the imaging circuit unit 18.
[0105]
An objective lens cover 21 and an illumination lens cover 23 (not shown) are provided on the distal end surface of the distal end cover member 9 so as to cover the distal end side lens 16a and the illumination optical system.
[0106]
In addition, the endoscope cover 2 has a forceps insertion channel 61 communicating with a treatment instrument protrusion 62 provided at the distal end of the distal end cover member 9 and an air / water supply conduit (not shown). A nozzle (not shown) is provided at the tip of the air / water supply conduit.
[0107]
The operation of the cover-type endoscope configured as described above will be described.
When the cover 2 and the cover endoscope 3 are mounted, when the insertion portion of the cover endoscope 3 is inserted into the cover 2, the distal end component portion 6 becomes the fitting portion of the distal end cover member 9. 33 is fitted. At this time, as shown in FIG. 27, the inclined surface 152 of the distal end constituting portion 6 pushes up the locking claw 131 and the locking claw portion 133 of the locking member 132 toward the distal end cover member. Then, when the distal end component 6 is further inserted into the distal end side and the insertion is completed, the inclined surface 131a of the locking claw 131 engages with the proximal-side inclined surface of the locking convex portion 151, and the endoscope cover 2 And the cover endoscope 3 are locked.
[0108]
Here, in order to ensure the engagement between the endoscope cover 2 and the cover endoscope 3, as shown in FIG. 28, a cylindrical member 135 is fitted on the outer periphery of the locking member 132, and the locking member is fitted. The mounting operation is completed by pressing 132 in the center direction to restrict deformation in the outer circumferential direction. The locking member 132 and the tip cover member 9 are fixed between the concave portion 143 and the retaining portion 134 by a fixing means such as adhesion or welding.
[0109]
By locking the endoscope cover 2 and the cover endoscope 3 as described above, even if an excessive force is applied to the locking member 132 and the adhesive fixing part is peeled off, it is cylindrical. Since the member 135 is extrapolated to the outer periphery of the locking member 132, as long as the distal end component 6 of the distal end cover member 9 is located in the inserted space, the proximal end of the retaining portion 134 and the circumferential recess The contact of the base end side 141 of the 141 makes it possible to completely prevent the locking member 132 from coming off in the axial direction.
[0110]
That is, as shown in FIG. 29, the base end side end of the retaining portion 134 and the base end side end of the circumferential recess 141 come into contact with each other in the longitudinal direction so that the base end side of the locking member 132 in the axial direction. The movement to the side is restricted, and there is an effect of preventing the dropout. Further, when the locking member 132 is fixed to the concave portion 143, a clearance is provided in the longitudinal axis direction between the retaining portion 134 and the circumferential concave portion 141. Therefore, the retaining portion 134 is disposed in the longitudinal axis direction. Since it can move within the circumferential recessed portion 141, it can be moved to a position where the inclined surface 131a of the locking claw 131 is more reliably engaged with the base-side inclined surface of the locking convex portion 151 of the distal end constituting portion 6 using a jig. It can be positioned and fixed by fixing means such as adhesion or welding.
[0111]
In this way, the locking member can be adjusted and bonded and fixed so that the inclined surface provided on the locking claw and the base side slope of the locking convex portion of the tip component portion are engaged in close contact, There is no backlash between the lens cover and the front lens, and there is no optical failure.
[0112]
In addition, by providing the locking member with a retaining portion as a drop-off prevention means and a recessed portion that contacts the retaining portion at the tip cover member, even if the fixing member is removed, It is possible to prevent the tip constituent portion from moving in the longitudinal axis direction so that the observation stops and the observation becomes impossible. Thus, the inspection is continuously performed without being interrupted.
[0113]
Furthermore, since the outer peripheral surfaces of the tip constituent portion and the tip cover member are formed concentrically, the thickness of the outer periphery of the tip cover member can be made uniform, and the tip cover member can be reduced in diameter.
[0114]
In the present embodiment, even when the concave portion 143 is provided on the outer peripheral surface of the tip cover member 9 and the locking member 132 is bonded and fixed along the outer peripheral surface, the same effect can be obtained. Further, instead of forming the concave portion 143, a convex portion that abuts against the proximal end surface of the retaining portion 134 may be provided.
[0115]
With reference to FIGS. 30 to 33, another configuration of the drop-off preventing means will be described.
As shown in FIG. 30, the tip cover member 9 is provided with a locking member 132 having a locking claw 131 at one end thereof along the inner peripheral surface of the fitting portion 33.
[0116]
As shown in FIG. 31, the locking member 132 as a drop-off preventing means has a convex portion 137 that fits in a through hole 136 that penetrates in the radial direction provided in the inner periphery of the fitting portion 33, and is opposite to the locking member 132. It is provided on the locking claw side. The locking member 132 is formed such that the length in the longitudinal axis direction of the convex portion 137 is shorter than the length in the longitudinal axis direction of the through hole 136 so that the locking member 132 can move in the longitudinal axis direction. The contact portion is fixedly bonded to the portion 137 and the through hole 136.
[0117]
Further, as shown in FIG. 32, the forceps insertion channel 61 is provided with a bellows portion 61a so as to bend smoothly when the bending portion is bent. The bellows portion 61a is formed in a portion where the forceps insertion channel 61 is bent during the bending operation from the end portion of the distal end configuration portion 6 to the proximal direction from between the first joint piece and the second joint piece constituting the bending portion 10. Is provided.
[0118]
Other configurations are the same as those of the above-described embodiment, and the same members are denoted by the same reference numerals and description thereof is omitted.
[0119]
With the configuration as described above, when the endoscope cover 2 and the cover endoscope 3 are mounted as shown in FIGS. 33 (A) and 33 (B), the locking claws 131 are inclined. The surface 131a engages with the base-side inclined surface of the locking projection 151, and the endoscope cover 2 and the cover endoscope 3 are locked. In addition, the cylindrical member 135 is fitted on the outer periphery of the locking member 132, and the locking member 132 is pressed in the center direction, so that deformation in the outer peripheral direction is restricted.
[0120]
For this reason, the locking member 132 and the distal end cover are applied by applying an excessive force toward the proximal end side in the longitudinal axis direction to the distal end component portion 6 or applying an excessive force toward the distal end side in the longitudinal axis direction to the distal end cover member 9. Even when the adhesive surface with the member 9 is peeled off, the surfaces of the base end side end portion of the convex portion 137 and the base end side end portion of the through hole 136 come into contact with each other as shown in FIG. The movement of the member in the longitudinal axis direction is restricted.
[0121]
Further, since the convex portion 137 has a spatial margin in the longitudinal axis direction with respect to the through hole 136, the base end side inclined surface of the locking convex portion 151 of the distal end constituting portion 6 and the locking claw using a jig or the like. Positioning with the tip side slope of 131 is carried out and it fixes so that it may engage in the state which closely contacted.
[0122]
In this way, the locking member can be adjusted and bonded so that the distal-side slope of the locking claw and the proximal-side slope of the locking projection of the distal component portion are engaged in close contact. There is no backlash between the lens and the front lens and there is no optical failure.
[0123]
Moreover, even if the adhesive fixing part is removed by providing a convex part on the locking member and engaging the convex part with the through hole formed in the tip cover member, the convex part becomes a through hole. Since it does not fall off due to the contact, it is possible to prevent the tip constituent portion from moving in the longitudinal axis direction so that the observation becomes impossible, so that the inspection can be continued.
[0124]
Furthermore, by providing the bellows portion having the largest diameter in the forceps insertion channel itself after the end portion of the distal end configuration portion having the largest diameter in the insertion portion itself, the cover-type endoscope itself can be reduced in diameter. effective.
[0125]
In the present embodiment, the same operation and effect can be obtained even if the locking member 132 is arranged along the outer peripheral surface of the tip cover member 9 and the convex portion 137 is provided on the inner peripheral side surface of the locking member 132. it can. Alternatively, the through hole 136 and the convex portion 137 may be reversed, and a convex portion may be formed on the fitting portion side and a through hole may be provided on the locking member side. Furthermore, the same effect can be obtained by forming a concave portion instead of the through hole and forming the radial length of the convex portion shorter than the depth of the concave portion.
[0126]
With reference to FIG. 35 and FIG. 36, another configuration of the drop-off preventing means will be described.
As shown in FIG. 35, the locking member 132 is adhered and fixed along the outer peripheral surface of the tip cover member 9, and a through hole 138 is formed in the locking member 132 as a drop-off preventing means. A structure in which a female screw part 161 is provided at a position corresponding to the through hole 138, a screw 162 is inserted from the outer peripheral direction into the through hole 138 and screwed into the female screw part 161, and the locking member 132 is screwed to the tip cover member 9 It is said. The through-hole 138 is a long hole that is vertically long in the longitudinal axis direction that is smaller than the diameter of the head of the screw in the circumferential direction and has a clearance with respect to the screw in the longitudinal axis direction.
[0127]
By configuring the drop-off prevention means as described above, as shown in FIG. 36, since the through hole 138 has a space in the longitudinal axis direction in the endoscope cover 2, the locking member 132 is moved in the longitudinal axis direction. After engaging the inclined surface 131a on the distal end side of the locking claw 131 and the inclined surface on the proximal end side of the locking projection 151 in close contact using a jig or the like, the adhesive claw is fixed by screwing. By being able to do so, the locking member is reliably positioned, and the distal end constituting portion 6 is inserted into the distal end cover member 9 to complete the mounting.
[0128]
For this reason, even if an excessive force is applied to the locking member 132 and a shearing force that causes the adhesive fixing surface to peel off acts on the adhesive surface, it is fixed with screws so that the worst against the shearing force. Even in this case, the movement of the locking member 132 is restricted by the screw 162 coming into contact with the through hole 138.
[0129]
In this way, the locking member can be adjusted and bonded and fixed so that the distal-side inclined surface of the locking claw and the proximal-side inclined surface of the locking convex portion of the distal-end component portion are engaged in close contact with each other. There is no backlash between the cover and the front lens, and there is no optical failure.
[0130]
In addition, by holding the locking member and the tip cover member with screws, even when a stronger force is applied to the locking member, the locking member will not easily fall off and will shift at the worst screw-fixed part. Even if this occurs, the screw abuts against the tip side of the through hole to prevent the locking member from falling off, and the distance between the lens cover and the tip side lens is not so great that observation becomes impossible. It can be carried out.
[0131]
With reference to FIGS. 37 to 39, another structure of the drop-off preventing means will be described.
As shown in FIG. 37, in addition to adhesively fixing the locking member 132 along the outer peripheral surface of the tip cover member 9, a circumferential groove 139 is formed on the outer peripheral surface of the locking member 132 as a drop-off preventing means, When the locking member 132 is bonded and fixed to the outer peripheral surface of the cover member 9 so that the locking claw 131 engages with the locking projection 151, the same as the groove portion 139 is formed on the extension line of the groove portion of the locking member 132. A notch 171 is provided. In order to fit into the groove 139 and the notch 171, a separate arcuate member 172 whose inner diameter is the same as that of the notch and whose length in the longitudinal axis direction is shorter than that of the groove 139 and the notch 171. It is arranged from the outside and fixed by adhesion.
[0132]
As shown in FIGS. 38 and 39, since there is a spatial margin in the longitudinal axis direction of the groove 139 and the arcuate member 172, the distal side slope of the locking claw 131 and the proximal side slope of the locking projection 151 Is positioned at a position where it is closely engaged using a jig or the like, and then the locking member 132 and the tip cover member 9 are bonded and fixed, and the groove 139 and the notch 171 of the locking member 132 are The endoscope cover 2 and the cover endoscope 3 are mounted by attaching and fixing the arc-shaped member 172 so as to be engaged with each other.
[0133]
For this reason, even when an excessive force is applied to the locking member 132 and the adhesive fixing surface is peeled off, the groove portion 139, the distal end surface, the arcuate member 172, and the proximal end surface of the notch portion 171 are in contact with each other. By contacting, the movement amount of the locking member 132 in the longitudinal axis direction is regulated.
[0134]
In this way, the locking member can be adjusted and bonded so that the distal-side slope of the locking claw and the proximal-side slope of the locking projection of the distal component portion are engaged in close contact. There is no backlash between the lens and the front lens, and there is no optical failure.
[0135]
In addition, even when a strong force that peels off the adhesive fixing part is applied to the locking claw, the arc-shaped member abuts against the groove and the notch, so that the locking member can be prevented from falling off, and the lens cover becomes so incapable of observation. Since there is no distance between the lens and the front lens, the inspection can be continued.
[0136]
In the present embodiment, as shown in FIG. 40, even if the C ring 173 and the like are extrapolated so as to engage with the notch portion 171 and the groove portion 139, the same effect can be obtained. Moreover, you may make it convex so that it may engage with the base end side of the circular-arc-shaped member 172 instead of the groove part 139 and the notch part 171. FIG.
[0137]
With reference to FIGS. 41 and 42, another configuration of the drop-off preventing means will be described.
As shown in FIG. 41, the locking member 132 is bonded and fixed along the fitting portion 33 on the inner surface of the tip cover member 9, and a protrusion 137a is provided on the outer peripheral surface other than the bonding surface of the locking member 132 as a drop-off preventing means. A convex stopper 7a is provided on the inner surface of the outer skin 7 so as to engage with the base end side of the protrusion 137a.
[0138]
With the configuration described above, even when the cover endoscope 3 shown in FIG. 42 is attached to the endoscope cover 2, even when an excessive force is applied to the locking member 132 and the adhesive fixing surface is peeled off. Since the protrusion 137a and the stopper 7a are engaged, the movement of the locking member 132 in the longitudinal axis direction is restricted.
[0139]
As described above, the engagement between the protrusion and the stopper can prevent the locking member from falling off, and the inspection can be continued while maintaining the minimum optical function without becoming unobservable.
[0140]
Although the above-described embodiment has been described with reference to a cover-type endoscope, the present invention is not limited to a cover-type endoscope, and other than the cover-type endoscope as shown in FIGS. 43 and 44. The general endoscope may be used.
43 and 44 relate to the second embodiment of the present invention, FIG. 43 is a cross-sectional view illustrating the configuration of the distal end portion of the endoscope, and FIG. 44 is a VV cross-sectional view of FIG.
As shown in FIGS. 43 and 44, the distal end of the insertion portion 4 of the endoscope 200 is provided with a hard distal end constituent portion 201 formed of a metal member such as stainless steel. As in the first embodiment, the tip component 201 is provided with an objective lens system 16, a solid-state imaging device 17, an imaging circuit unit 18, an illumination lens and a light guide (not shown) held by the objective lens frame 15. ing.
[0141]
Further, the tip of the forceps insertion channel 61 that passes through the inside of the insertion portion 202 is bonded to a channel connection portion 63 provided in the vicinity of the treatment instrument projection port 62 provided at the forefront of the tip configuration portion 201. And is connected to the treatment instrument protrusion 62. On the other hand, the proximal end of the forceps insertion channel 61 communicates with a forceps insertion opening provided in an operation unit (not shown).
[0142]
The forceps insertion channel 61 is formed of a tubular member made of a material such as PTFE or PFA. And the coil winding part 203 is provided in the site | part arrange | positioned inside the said bending part 10 so that it may bend smoothly, without buckling at the time of bending part bending. In the coil winding portion 203, a groove 203a is provided in the circumferential direction of the outer surface, and a coil member 203b made of a metal wire or the like is embedded in the groove 203a and wound in a spiral shape. For this reason, this coil winding part 203 has a larger outer diameter than the other parts.
[0143]
The air supply tube 12 and the water supply tube 14 are disposed in the insertion portion 202 in the same manner as the forceps insertion channel 61, and the distal end is connected and fixed to a conduit connection portion formed in the distal end configuration portion 201 by means such as adhesion. The air supply / water supply nozzle (not shown) provided on the front end surface of the front end configuration portion 201 is communicated.
[0144]
Similar to the distal end cover member 9 of the first embodiment, a notch 76 is formed on the proximal end side of the channel connecting portion 63 by notching the outer side of the proximal portion of the distal end constituting portion 201 in the vicinity of the forceps insertion channel 61. The forceps insertion channel 61 is provided in the space portion 77.
[0145]
The imaging circuit unit 18 occupies the most space in the first joint piece 10a connected to the distal end component 201, and the forceps insertion channel 61 avoids interference with the imaging circuit unit 18 in this portion. It is located in the radially outward direction with respect to the position at the channel connecting portion 63. In addition, since the coil winding portion 203 has a larger diameter than the other portions of the forceps insertion channel 61, it avoids interference with the imaging circuit portion 18, the signal cable 19, the air supply tube 12, the water supply tube 14, and the like. It is located in the radially outward direction with respect to the position at the channel connecting portion 63.
[0146]
As described above, when the notch 76 is formed, the forceps insertion channel 61 is moved from the proximal end of the channel connecting portion 63 fixed to the distal end constituting portion 201 toward the proximal end via the notched portion 76. The position is gradually shifted in the radially outward direction to avoid interference with the imaging circuit unit 18 and the position is shifted in the radially outward direction.
[0147]
In this way, the forceps insertion channel is disposed in the space formed by the notch and is gradually displaced outward from the channel connection portion, so that the proximal end portion of the distal end constituent portion is not buckled. In addition, even when a relatively large treatment tool is inserted, there is no catch, etc., it can be inserted smoothly, and the amount of force when inserting / removing the treatment tool is light, and there is no burden on the operator. Furthermore, since an imaging circuit unit having a relatively large performance and a high mechanism can be provided without making the insertion portion have a large diameter, an endoscope with good observation performance can be provided. Other effects are the same as those of the first embodiment.
[0148]
In the present invention, the present invention is not limited to the above-described embodiment, and it is used in the industrial field without having an air supply conduit or a water supply conduit, and a recovery tool for collecting foreign matter in an engine or industrial piping. You may implement with the industrial endoscope which has a treatment tool penetration channel for inserting a working tool.
[0149]
Also, a rigid endoscope with a rigid insertion portion having a treatment instrument insertion channel inside an insertion portion used in the field of surgery or the like, or a rigid endoscope with a bending portion provided with a bending portion on the distal end side of the insertion portion, Further, the present invention may be implemented in a cover-type rigid endoscope with a curved portion used in combination with an endoscope cover having the same configuration as that of the first embodiment. In this case, the treatment instrument insertion channel is loose at the portion where the treatment instrument insertion channel is connected and fixed at the distal end configuration portion provided at the distal end of the insertion section to which the treatment instrument insertion channel is connected and fixed. A notch portion is provided on the proximal end side of the distal end configuration portion so as to be displaceable, and the treatment instrument insertion path is fixed to the distal end configuration portion on the distal end side relative to the notch portion, and the treatment instrument insertion passage is provided at the notch portion. What is necessary is just to comprise so that it may have a clearance gap between the outer periphery and front-end | tip structure part.
[0150]
[Appendix]
1. The treatment instrument insertion provided in the vicinity of the treatment instrument protrusion provided in the distal end configuration part arranged on the distal end side of the insertion part of the endoscope and the operation part arranged in the proximal end side of the insertion part of the endoscope In an endoscope apparatus provided with an endoscope that passes through at least one treatment instrument insertion path that communicates with a mouth, a longitudinal axis is provided around a treatment instrument insertion path of a distal end component portion where the treatment instrument insertion path is provided. An endoscope apparatus provided with a notch having an opening on the outer peripheral surface side from the proximal end side to the distal end side of the distal end configuration portion in parallel with the direction.
[0151]
2. It is composed of a endoscope for a cover, a distal end cover member provided with a treatment instrument projection port detachably mounted on the endoscope for cover, and an endoscope cover having a mouth part portion provided with a treatment instrument insertion port. In the endoscope apparatus provided with the cover type endoscope, the proximal end side of the distal end cover member is arranged in parallel with the longitudinal axis direction around the treatment instrument insertion passage of the distal end cover member provided with the treatment instrument insertion passage. An endoscope apparatus in which a notch portion having an opening on the outer peripheral surface side is provided from the distal end side to the distal end side.
[0152]
3. The endoscope apparatus according to appendix 1 and appendix 2, wherein the treatment instrument insertion passage communicates with the treatment instrument projecting port on a distal end side with respect to the notch.
As described above, the notch portion is provided in the distal end configuration portion, and the treatment instrument insertion path is fixed to the treatment instrument insertion port on the distal end side with respect to the notch portion, so that the treatment instrument insertion path has a degree of freedom in the notch portion. Is arranged.
[0153]
4). The endoscope apparatus according to appendix 1, wherein the endoscope is an industrial endoscope having a treatment instrument insertion path through which a working tool for collecting foreign matter and the like is inserted.
[0154]
5). The endoscope apparatus according to appendix 1 and appendix 2, having a bending portion on a distal end side of an insertion portion of the endoscope and the cover-type endoscope.
[0155]
6). The endoscope apparatus according to appendix 5, wherein a portion other than the bending portion of the insertion portion is soft.
[0156]
7). The endoscope apparatus according to appendix 5, wherein a portion other than the bending portion of the insertion portion is rigid.
[0157]
8). The endoscope apparatus according to appendix 1 and appendix 2, wherein the insertion portion is rigid.
[0158]
9. A locking member that locks the distal end configuration portion of the cover endoscope on the cover distal end configuration portion, and a cylindrical member that externally fits on the locking member and restricts deformation of the locking member in the outer direction are provided. The endoscope apparatus according to appendix 2.
[0159]
10. The endoscope apparatus according to appendix 1 or appendix 2, wherein a built-in object cross-sectional area is larger in the vicinity of the distal end configuration portion than the distal end configuration portion than in the distal end configuration portion.
[0160]
11. The endoscope apparatus according to appendix 2, wherein a thick-diameter portion of the cover endoscope is disposed closer to the base end side than the cover distal end constituent portion.
[0161]
12 The endoscope apparatus according to appendix 10, wherein the built-in object is an imaging circuit unit including a solid-state imaging device and a control board that controls an image signal from the solid-state imaging device.
[0162]
13. The endoscope apparatus according to appendix 11, wherein the large diameter portion is a curved portion.
[0163]
14 The endoscope apparatus according to appendix 11, wherein the large-diameter portion is a connection portion between the endoscope distal end constituent portion and the bending portion.
[0164]
15. The endoscope apparatus according to any one of appendices 1 to 14, wherein the treatment instrument insertion passage has an insertion passage large-diameter portion whose outer diameter is thicker than other portions in the vicinity of the proximal end side of the distal end configuration portion.
[0165]
16. The endoscope apparatus according to supplementary note 15, wherein the insertion passage large-diameter portion is a bendable insertion passage bending portion.
[0166]
17. An air-feeding device that has an objective lens and a solid-state imaging device at a distal-end configuration portion provided at the distal end of the endoscope insertion portion, has a non-circular light receiving range or a monitor display range, and faces the observation window In an endoscope apparatus provided with a nozzle and a water supply nozzle, the light receiving range or display range in a plane parallel to the observation window is provided with a water supply nozzle at a position close to the observation window, and an air supply nozzle is provided at a distant position. Endoscopic device.
[0167]
18. From the solid-state imaging device, which has an objective lens and a solid-state imaging device at the distal-end configuration portion provided at the distal end of the endoscope insertion portion, and is provided with an air supply nozzle and a water supply nozzle toward the distal-end side lens of the objective lens In an endoscope apparatus that displays an observation visual field image on a monitor based on an electrical signal of the above, a light receiving range of the image sensor or a display visual field to the monitor is square, and a water supply nozzle is provided in a side direction of the square, 18. An endoscope apparatus according to appendix 17, in which is provided in a diagonal direction of the square.
[0168]
19. The endoscope is composed of a cover endoscope and an endoscope cover that is detachably mounted on the cover endoscope, and an objective is provided at the endoscope distal end configuration portion provided at the distal end of the insertion portion of the cover endoscope. A lens and a solid-state imaging device are provided, and an observation visual field image is displayed on a monitor based on an electrical signal from the solid-state imaging device, and a light receiving range of the imaging device or a display visual field to the monitor is square, Additional remark 17 and remark 18 which provided the air supply nozzle and the water supply nozzle in the front-end | tip part, provided the said water supply nozzle in the square side direction, and provided the air supply nozzle in the diagonal direction of the square. Endoscope device.
[0169]
20. The endoscope apparatus according to appendix 18 and appendix 19, wherein the display field is substantially quadrangular.
[0170]
21. The endoscope apparatus according to appendix 20, wherein the substantially quadrangular shape is a substantially square shape.
[0171]
22. The endoscope apparatus according to appendix 20, wherein the substantially quadrangular shape is a substantially rectangular shape.
[0172]
23. The endoscope apparatus according to appendix 18 and appendix 19, wherein the display field is triangular.
[0173]
24. The endoscope apparatus according to appendix 17, wherein the light receiving range or the display range is semicircular.
[0174]
25. The endoscope apparatus according to any one of supplementary notes 17 to 24, wherein the opening of the water supply nozzle is closer to the observation window than the opening of the air supply nozzle.
[0175]
26. The endoscope apparatus according to any one of supplementary notes 17 to 24, wherein the attachment position of the water supply nozzle to the tip configuration portion is closer to the observation window than the attachment position of the air supply nozzle.
[0176]
27. The endoscope apparatus according to appendix 26, wherein the water supply nozzle and the air supply nozzle have a common part shape.
[0177]
28. In a cover-type endoscope that integrally locks a distal-end component portion and a distal-end cover member via a locking member, a cover-type endoscope in which the locking member is provided with a drop-off preventing means for preventing the falling-off from the distal-end cover member. Endoscope.
[0178]
29. 29. The cover-type endoscope according to appendix 28, wherein the drop-off preventing means includes a retaining portion provided on the locking member and a circumferential recess formed on the tip cover member.
[0179]
30. 29. The cover endoscope according to appendix 28, wherein the drop-off prevention means is composed of a convex portion provided on the locking member and a concave portion or a hole portion provided on the tip cover member.
[0180]
31. 29. The cover type endoscope according to appendix 28, wherein the drop-off prevention means includes a concave portion or a hole portion provided in the locking member and a convex portion provided in the tip cover member.
[0181]
32. The cover-type endoscope according to appendix 28, wherein the drop-off prevention means is a separate member positioned in a recess provided in the locking member.
[0182]
33. 29. The cover endoscope according to appendix 28, wherein the drop-off prevention means is composed of a convex portion formed on the outer skin and a convex portion formed on the locking member.
[0183]
34. 30. The cover endoscope according to appendix 29, wherein the locking member has a stepped shape having a wide tip end, and serves as a drop-off preventing means by engagement between the stepped portion and a groove provided in the tip cover member.
[0184]
35. 29. The cover-type endoscope according to appendix 28, wherein the drop-off prevention means is an arc-shaped member that is externally mounted on the outer periphery of the tip cover member and the locking member.
[0185]
36. 29. The cover type according to appendix 28, wherein the drop-off prevention means includes a through hole formed in the locking member, a screw portion formed in the tip cover member, and a screw inserted into the through hole and screwed into the screw portion. Endoscope.
[0186]
【The invention's effect】
As described above, according to the present invention, the cleaning ability of the observation window and the like is improved, the observation performance is good without reducing the ability to remove water droplets adhering to the surface of the observation window, etc. By disposing it close to the lens cover, the diameter of the tip cover member can be reduced, which can relieve the patient's pain.
[Brief description of the drawings]
FIG. 1 to FIG. 11 relate to a first embodiment of the present invention, and FIG. 1 is a perspective view showing a schematic configuration of a cover-type endoscope.
FIG. 2 is a cross-sectional view showing a configuration of a distal end portion of a cover-type endoscope
FIG. 3 is an explanatory view showing a proximal end surface side of a distal end cover member.
FIG. 4 is an explanatory diagram showing a tip surface of a tip constituent part.
FIG. 5 is a cross-sectional view illustrating the relationship between a light shielding portion and a light shielding groove
FIG. 6 is a cross-sectional view for explaining the attachment of the objective lens frame to the tip configuration part
FIG. 7 is a cross-sectional view illustrating the relationship between the illumination lens cover and the tip cover member.
FIG. 8 is a cross-sectional view showing a state in which an illumination lens cover is disposed on the tip cover member.
FIG. 9 is an explanatory view showing an illumination lens cover receiving portion formed on the tip cover member.
FIG. 10 is a cross-sectional view for explaining an arrangement configuration of a forceps insertion channel which is a locking portion between a distal end cover member and a distal end configuration portion and a treatment instrument insertion path;
11 is a cross-sectional view taken along the line II in FIG.
FIG. 12 is a cross-sectional view showing a schematic configuration of a pipe connection portion of an air / water supply tube
FIG. 13 is an explanatory diagram showing a fluid control device.
FIG. 14 is an explanatory diagram showing a connection relationship between a water supply tank and a fluid control device.
15 is a diagram in which the fluid control device of FIG. 13 is placed horizontally.
FIG. 16 is an explanatory view showing a pipe fixing member.
FIG. 17 is an explanatory view showing the action of a member that is broken through a pipe.
FIG. 18 is an explanatory diagram showing an arrangement position relationship between an air supply nozzle and a water supply nozzle and an optical area.
FIG. 19 is a diagram showing air supply nozzles arranged in a diagonal direction.
FIG. 20 is a view showing a water supply nozzle arranged in the opposite direction.
FIG. 21 is an explanatory diagram showing another arrangement positional relationship between the air supply nozzle and the water supply nozzle.
22 to 29 relate to the configuration of the drop-off prevention means, and FIG. 22 is a cross-sectional view for explaining the distal end portion of the cover-type endoscope and the drop-off prevention means.
FIG. 23 is a perspective view showing a configuration of a locking member.
FIG. 24 is an explanatory cross-sectional view showing a locked state of the cover endoscope.
25 is a cross-sectional view taken along the line II-II in FIG.
26 is a sectional view taken along line III-III in FIG.
FIG. 27 is an explanatory view showing a state where the cover endoscope is attached to the endoscope cover.
FIG. 28 is a diagram illustrating a state where the cover endoscope is completely attached to the endoscope cover.
FIG. 29 is a cross-sectional view for explaining the action of the drop-off preventing means.
30 to 33 relate to another configuration of the drop-off preventing means, and FIG. 30 is a cross-sectional view illustrating the distal end portion of the cover-type endoscope and the drop-off preventing means.
FIG. 31 is a perspective view showing another configuration of the locking member.
FIG. 32 is an explanatory view showing a state where the cover endoscope is attached to the endoscope cover.
FIG. 33 is an explanatory cross-sectional view showing a locked state of the cover endoscope.
FIG. 34 is a cross-sectional view for explaining the action of the drop-off preventing means.
35 and 36 relate to another configuration of the drop-off prevention means, and FIG. 35 is a cross-sectional view illustrating the distal end portion of the cover-type endoscope and the drop-off prevention means.
FIG. 36 is an explanatory cross-sectional view showing the locked state of the cover-type endoscope
FIG. 37 to FIG. 39 relate to another configuration of the drop-off preventing means, and FIG. 37 is a cross-sectional view illustrating the distal end portion of the cover-type endoscope and the drop-off preventing means.
FIG. 38 is an explanatory cross-sectional view showing the locking state of the cover-type endoscope
39 is a sectional view of FIG. 38.
FIG. 40 is a cross-sectional view of a cover-type endoscope using a C-ring-shaped member as a drop-off preventing means.
41 and 42 relate to another configuration of the drop-off prevention means, and FIG. 41 is a cross-sectional view illustrating the distal end portion of the cover-type endoscope and the drop-off prevention means.
FIG. 42 is an explanatory cross-sectional view showing the locking state of the cover-type endoscope
43 and 44 relate to the second embodiment of the present invention, and FIG. 43 is a cross-sectional view illustrating the configuration of the distal end portion of the endoscope.
44 is a cross-sectional view taken along the line VV in FIG. 43.
[Explanation of symbols]
6 ... tip component
9: Tip cover member
21 ... Objective lens cover
35 ... Air supply nozzle
36 ... Water nozzle

Claims (8)

内視鏡挿入部の先端部
前記先端部に設けられた対物レンズ、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子
前記受光範囲の縁を形成する輪郭のうち、前記対物レンズの中心に対して近い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口した送水ノズル
前記対物レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口した送気ノズル
前記対物レンズに隣接して開口され、接続される吸引源によって前記対物レンズ上の水滴を吸引可能な吸引管路と
を具備することを特徴とする内視鏡装置。
And the tip portion of the endoscope insertion portion,
And the solid-state image sensor having a light receiving range corresponding to the display range displayed in the non-circular said objective lens provided at the distal portion, and has a predetermined light receiving range of non-circular, or the monitor,
Among the contours forming the edge of the light receiving range, a water supply nozzle that is disposed in a direction in which a contour portion that is close to the center of the objective lens is located and opened toward the objective lens ;
An air supply nozzle that is arranged in a direction in which a contour portion located at a position far from the center of the objective lens is located and opens toward the objective lens ;
A suction line that is opened adjacent to the objective lens and can suck water droplets on the objective lens by a connected suction source ;
An endoscope apparatus comprising:
内視鏡挿入部の先端部
前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子
前記受光範囲の縁を形成する輪郭のうち、前記先端側レンズの中心に対して近い位置となる輪郭部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送水ノズル
前記先端側レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送気ノズル
前記先端側レンズに隣接して開口され、接続される吸引源によって前記先端側レンズ上の水滴を吸引可能な吸引管路と
を具備することを特徴とする内視鏡装置。
And the tip portion of the endoscope insertion portion,
The objective optical system provided with the tip side lens provided at the tip part and exposed on the tip part surface, and a display range having a non-circular predetermined light receiving range or displayed non-circularly on the monitor and the solid-state image sensor having a light receiving range,
A water supply nozzle that is arranged in a direction in which a contour portion that is close to the center of the front-end side lens is located in a contour that forms an edge of the light-receiving range and that opens toward the front-end lens of the objective optical system And
An air supply nozzle that is arranged in a direction in which a contour portion that is far from the center of the front end side lens is located and opens toward the front end side lens of the objective optical system ;
A suction conduit that is opened adjacent to the front lens and is capable of sucking water droplets on the front lens by a connected suction source ;
An endoscope apparatus comprising:
内視鏡挿入部の先端部と
前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および角形の所定の受光範囲を有する、もしくはモニタに角形に表示される表示範囲に相当する受光範囲を有する固体撮像素子
角形の前記受光範囲の辺部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送水ノズル
角形の前記受光範囲の角部分が位置する方向に配置され、前記対物光学系の先端側レンズに向かって開口した送気ノズル
前記先端側レンズに隣接して開口され、接続される吸引源によって前記先端側レンズ上の水滴を吸引可能な吸引管路と
を具備することを特徴とする内視鏡装置。
The distal end of the endoscope insertion section;
An objective optical system provided with a tip side lens provided at the tip portion and exposed on the tip portion surface, and a light receiving range corresponding to a display range having a rectangular predetermined light receiving range or displayed in a square shape on a monitor a solid-state imaging device having,
A water-feeding nozzle that is arranged in a direction in which a side portion of the rectangular light-receiving range is located, and that opens toward a tip side lens of the objective optical system ;
An air supply nozzle that is arranged in a direction in which a corner portion of the rectangular light receiving range is located, and that opens toward a tip side lens of the objective optical system ;
A suction conduit that is opened adjacent to the front lens and is capable of sucking water droplets on the front lens by a connected suction source ;
An endoscope apparatus comprising:
内視鏡挿入部の先端部と
前記先端部に設けられた対物レンズ、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子
前記受光範囲の縁を形成する輪郭のうち、前記対物レンズの中心に対して近い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口するとともに、前記対物レンズの表面に対して斜め方向から送水可能な送水ノズル
前記対物レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記対物レンズに向かって開口するとともに、前記対物レンズの表面に対して平行に送気可能な送気ノズル
を具備することを特徴とする内視鏡装置。
The distal end of the endoscope insertion section ;
And the solid-state image sensor having a light receiving range corresponding to the display range displayed in the non-circular said objective lens provided at the distal portion, and has a predetermined light receiving range of non-circular, or the monitor,
Among the contours forming the edge of the light receiving range, the contour portion that is close to the center of the objective lens is disposed in the direction in which the contour portion is located, opens toward the objective lens, and is on the surface of the objective lens. and water feeding nozzle capable water from an oblique direction against,
An air supply nozzle that is disposed in a direction in which a contour portion that is far from the center of the objective lens is located, opens toward the objective lens, and is capable of supplying air parallel to the surface of the objective lens ; ,
An endoscope apparatus comprising:
内視鏡挿入部の先端部と
前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および非円形の所定の受光範囲を有する、もしくはモニタに非円形に表示される表示範囲に相当する受光範囲を有する固体撮像素子と
前記受光範囲の縁を形成する輪郭のうち、前記先端側レンズの中心に対して近い位置と なる輪郭部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して斜め方向から送水可能な送水ノズルと
前記先端側レンズの中心に対して遠い位置となる輪郭部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して平行に送気可能な送気ノズルと
を具備することを特徴とする内視鏡装置。
The distal end of the endoscope insertion section ;
The objective optical system provided with the tip side lens provided at the tip part and exposed on the tip part surface, and a display range having a non-circular predetermined light receiving range or displayed non-circularly on the monitor A solid-state imaging device having a light receiving range ;
Among the contours forming the edge of the light receiving range, the contour portion is located in a direction close to the center of the distal lens, and opens toward the distal lens, and the distal lens A water supply nozzle capable of supplying water from an oblique direction with respect to the surface of
It is arranged in a direction in which a contour portion that is far from the center of the distal lens is located, opens toward the distal lens, and can feed air in parallel to the surface of the distal lens. Air nozzle ,
An endoscope apparatus comprising:
内視鏡挿入部の先端部と
前記先端部に設けられ、前記先端部表面に露出される先端側レンズを備えた対物光学系、および角形の所定の受光範囲を有する、もしくはモニタに角形に表示される表示範囲に相当する受光範囲を有する固体撮像素子と
角形の前記受光範囲の辺部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して斜め方向から送水可能な送水ノズルと
角形の前記受光範囲の角部分が位置する方向に配置され、前記先端側レンズに向かって開口するとともに、前記先端側レンズの表面に対して平行に送気可能な送気ノズルと
を具備することを特徴とする内視鏡装置。
The distal end of the endoscope insertion section ;
An objective optical system provided with a tip side lens provided at the tip portion and exposed on the surface of the tip portion, and a light receiving range corresponding to a display range having a predetermined rectangular light receiving range or displayed in a square shape on a monitor A solid-state imaging device having
A water supply nozzle that is arranged in a direction in which a side portion of the rectangular light receiving range is located, opens toward the tip side lens, and can feed water from an oblique direction with respect to the surface of the tip side lens ;
An air supply nozzle that is arranged in a direction in which a corner portion of the rectangular light receiving range is located, opens toward the tip side lens, and can feed air in parallel to the surface of the tip side lens ;
The endoscope device characterized by comprising a.
挿入部の先端部に対物レンズと固体撮像素子とを備えたカバー用内視鏡と
前記カバー用内視鏡に着脱自在に外装される内視鏡カバーと
前記内視鏡カバーの先端部に、前記対物レンズの先端側に配置される前記先端側レンズとしての対物レンズカバーと、前記送水ノズルと、前記送気ノズルとを設けたことを特徴とする請求項1乃至請求項6のいずれかに記載の内視鏡装置
An endoscope for a cover provided with an objective lens and a solid-state image sensor at the distal end of the insertion portion ;
An endoscope cover detachably mounted on the cover endoscope ;
The objective lens cover as the tip side lens disposed on the tip side of the objective lens, the water supply nozzle, and the air supply nozzle are provided at the tip portion of the endoscope cover. The endoscope apparatus according to any one of claims 1 to 6 .
前記固体撮像素子の受光範囲またはモニタへの視野の表示範囲は、円形の一部が切り欠かれた形状であることを特徴とする請求項1乃至請求項6のいずれかに記載の内視鏡装置The endoscope according to any one of claims 1 to 6, wherein the light receiving range of the solid-state imaging device or the display range of the visual field on the monitor is a shape in which a part of a circle is cut out. Equipment .
JP2002031424A 2002-02-07 2002-02-07 Endoscope device Expired - Fee Related JP3776812B2 (en)

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Related Parent Applications (1)

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JP03544295A Division JP3623270B2 (en) 1995-02-23 1995-02-23 Endoscope device

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JP3776812B2 true JP3776812B2 (en) 2006-05-17

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Publication number Priority date Publication date Assignee Title
GB2474309B (en) 2009-10-12 2011-09-07 Endoguard Ltd Flow guide for an endoscope
WO2013031276A1 (en) * 2011-08-30 2013-03-07 オリンパスメディカルシステムズ株式会社 Endoscope image capture unit
JP6180195B2 (en) * 2013-06-11 2017-08-16 オリンパス株式会社 Endoscope, endoscope system
CN111566519B (en) * 2018-01-09 2022-03-15 奥林巴斯株式会社 Laminated lens array and endoscope
JP7098841B2 (en) * 2019-08-08 2022-07-11 オリンパス株式会社 Endoscope tip cover, endoscope device

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