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JP2004344381A - Forceps plug of endoscope - Google Patents

Forceps plug of endoscope Download PDF

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Publication number
JP2004344381A
JP2004344381A JP2003144578A JP2003144578A JP2004344381A JP 2004344381 A JP2004344381 A JP 2004344381A JP 2003144578 A JP2003144578 A JP 2003144578A JP 2003144578 A JP2003144578 A JP 2003144578A JP 2004344381 A JP2004344381 A JP 2004344381A
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JP
Japan
Prior art keywords
slit
valve member
treatment instrument
forceps
plug
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP2003144578A
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Japanese (ja)
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JP4247607B2 (en
Inventor
Haruo Akiba
治男 秋庭
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Fujinon Corp
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Fuji Photo Optical Co Ltd
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Priority to JP2003144578A priority Critical patent/JP4247607B2/en
Publication of JP2004344381A publication Critical patent/JP2004344381A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131Accessories for endoscopes
    • A61B1/00137End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

<P>PROBLEM TO BE SOLVED: To provide a forceps plug which exhibits, with a small-sized and compact constitution, an enhanced function as a check valve composed of a slit and which can demonstrate the function in a stable state. <P>SOLUTION: A recessed part 34 is provided on a projection part 30 where the slit 33 of a valve member 21 detachably mounted on a plug main body 20 is formed. The recessed part 34 is provided with an annular inner wall 35 of a diameter larger than the length of the slit 33. Inside a cylindrical space surrounded by the annular inner wall 35, a conical projection part 36 is provided. For the conical projection part 36, the diameter of a bottom surface is made equal to the slit 33 and the height has a dimension which is almost the same as the depth of the recessed part 34 or to be slightly projected from the recessed part 34. The slit 33 is formed up to the tip of the conical projection part 36. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

【0001】
【発明の属する技術分野】
本発明は、医療用等として用いられる内視鏡に設けられ、鉗子その他の処置具を挿通するための処置具挿通チャンネルにおいて、処置具導入口の口金に着脱可能に装着される鉗子栓に関するものである。
【0002】
【従来の技術】
体腔内に挿入されて、医療検査等を行う内視鏡は、術者等が手で把持して操作を行う本体操作部に体腔内への挿入部を連設し、さらに本体操作部に光源装置等に着脱可能に接続されるユニバーサルコードを連結して設けることにより大略構成されるものである。挿入部の先端部には体腔内を照明するための照明部と、この照明部から照射される照明下で体腔内の検査を行う観察部とを備えている。
【0003】
例えば、内視鏡による検査の結果、患部等が発見されたときには、所要の処置を行うことができ、また組織細胞のサンプリング等も行えるようにしたものもある。このために、内視鏡には鉗子その他の処置具を挿通するための処置具挿通チャンネルが設けられる。処置具挿通チャンネルは、その先端が照明部及び観察部と共に挿入部の先端部に開口している。一方、処置具の処置具挿通チャンネルへの導入は本体操作部側で行なわれる。このために、本体操作部または本体操作部と挿入部との連結部に処置具導入口が形成される。
【0004】
体腔内の圧力は大気圧より高いため、また処置具挿通チャンネルを吸引通路と兼用することがある等の点で、処置具導入口を常時開口させておくことはできない。このために、処置具導入口に口金を設けて鉗子栓を装着して、この処置具導入口を密閉する構成とするのが一般的である。そして、処置具を使用する場合に、鉗子栓を口金から取り外すのではなく、鉗子栓に逆流防止弁を設けて、この逆流防止弁を開くことにより処置具を挿入するように構成するのが一般的である。しかも、処置具挿通チャンネルの内部は使用の都度洗浄されること等から、鉗子栓は処置具導入口の口金に着脱可能に装着される。
【0005】
処置具挿通チャンネル内に挿通される処置具としては、例えば鉗子等のように外径の大きい処置具が挿通されることもあり、またチューブ等の外径の小さい処置具が挿通されることもある。つまり、処置具挿通チャンネル内に挿通される処置具の太さは種類等により様々である。鉗子栓に設けられる開閉弁としては、処置具を挿入しても処置具の周囲を密閉状態に保持できるようになっているのが理想的である。しかしながら、処置具導入口の口径に近いような太い処置具を挿入したときにも、またそれより遥かに細い処置具を挿入したときにも、完全に密閉性が確保される鉗子栓は未だ開発されていない。
【0006】
この種の鉗子栓として、ゴム等の弾性部材で形成して、処置具導入口を覆う壁部を設け、この壁部を貫通するようにスリットを形成して、このスリットを構成する接合壁面を密着させることによって、吸引操作時等において、処置具導入口を閉塞状態に保持する逆流防止機能を発揮させるようになし、弾性部材を変形させて、スリットの接合壁面を離間させて、処置具を挿通する通路を形成するように構成し、しかもこのスリットを形成した部位より処置具の挿入方向前方側の位置に処置具導入口の口径より小さい開口径を有する絞り通路を形成したものは、従来から知られている(例えば、特許文献1参照。)。
【0007】
【特許文献1】
特開平7−100097号公報(第2−4頁、図1、図3−5)
【0008】
【発明が解決しようとする課題】
鉗子栓において、スリットで構成される逆流防止弁においては、処置具が挿入される都度スリットが押し開かれ、かつこのスリットを構成する接合壁面が処置具の外周面と摺動することになる。従って、頻繁に処置具を挿脱するると、接合壁面に変形や損傷が発生して、スリットによる逆流防止機能が低下することになる。特に、鉗子栓の材料としての弾性部材の硬度にばらつきがあったり、スリットの加工精度が変化したりすると、高い圧力が作用したときにおけるスリットの密閉機能の安定性が得られなくなる。
【0009】
ここで、処置具挿通チャンネルを介して体内から吸引を行う際に、特に吸引を行っている状態から吸引を停止する状態に切り替えたときに、鉗子栓に高い圧力が作用する。処置具挿通チャンネルは挿入部の全長以上の長さを有するものであるのに対して、処置具挿通チャンネルにおける吸引通路への接続部から処置具導入口に至る管路の長さは極めて短いものとなっている。吸引操作を行って、処置具挿通チャンネル内に吸引通路側への吸引物質の引き込み力が作用している状態から吸引を停止したときに、処置具挿通チャンネル内の吸引物質が慣性力により処置具挿通チャンネル内への引き込みが継続する。その結果、吸引遮断後に引き込まれる吸引物質は処置具導入口側に流れようとして、鉗子栓には高い圧力が作用することになる。
【0010】
このような高い圧力がスリットに作用しても、吸引物質のせき止め機能を安定的に発揮させ、鉗子栓の外側に滲み出さないようにするには、スリットを形成する接合壁面の密着性を高める必要がある。このためには、例えばスリットの形成部の厚みを大きくして、スリットの深さを深くすることが考えられる。しかしながら、単にスリットを深くしただけでは、スリットを構成する接合壁面の密着性自体は向上するが、軟性のチューブ等を挿入するのが困難になることから、スリットを深くするのには限度がある。また、鉗子栓の素材や加工精度に基づく機能上でのばらつきが増大することになり、安定した逆流防止機能を発揮させることができないという問題点がある。
【0011】
本発明は以上の点に鑑みてなされたものであり、その目的とするところは、小型でコンパクトな構成によって、スリットにより構成される逆流防止弁としての機能を高め、かつこの逆流防止機能を安定した状態で発揮できるようにすることにある。
【0012】
【課題を解決するための手段】
前述した目的を達成するために、本発明は、全体が弾性部材からなり、内視鏡に設けた処置具挿通路の処置具導入口に着脱可能に装着され、前記処置具導入口の通路より小さい孔径となった絞り通路を設けた栓本体と、この栓本体に着脱可能に連結され、常時には相互の接合壁面が密着状態となり、これら接合壁面間を離間させることにより処置具が挿通される通路を形成するスリットを設けた弁部材とからなる内視鏡の鉗子栓であって、前記弁部材は前記栓本体に圧縮状態で嵌合されるものであり、かつ前記弁部材には、その栓本体の絞り通路と対面する先端面側に所定の深さを有する凹部が形成されており、この凹部は、前記スリットの長さ寸法より大きな直径の円筒状内壁を有するものであり、かつこの円筒状内壁の内側に前記スリットの長さ寸法とほぼ一致する直径の底面部を有し、かつ前記円筒状内壁の深さ寸法とほぼ同じか、それより大きな高さ寸法を有する円錐状突出部が形成されており、前記スリットはこの円錐状突出部を貫通するように形成されていることをその特徴とするものである。
【0013】
以上のように、処置具導入口側からの逆流を防止する逆流防止弁として、弁部材にスリットを設けるが、このスリットを構成する接合壁面の密着性を確保するために、機械的に密着させる部位と、圧力の作用により密着性を高める部位とが形成される。即ち、スリットのうち、弁部材における凹部までの部位は、弁部材が栓本体に圧縮状態で嵌合されることから、スリットを構成する接合壁面が相互に圧着される。また、凹部内に位置する円錐状突出部にはこのような圧接力は作用しないが、吸引操作を行っている間及び吸引を停止した直後に処置具導入口に作用する圧力を受ける。その結果、この円錐状突出部に形成されているスリットを構成する接合壁面を密着させる方向に圧力が作用することになる。これら2つの機能のバランスにより逆流防止機能を発揮させるようにしている。従って、鉗子栓を構成する弾性部材の硬度が変化しても、安定した逆流防止機能を発揮する。つまり、鉗子栓の硬度が高い場合には、スリットを構成する接合壁面の機械的に強固な圧接力を保持し、また鉗子栓の硬度が低い場合には、機械的な圧接強度は低下するものの、円錐状突出部に作用する圧力によるスリットの密着機能が向上する。
【0014】
弁部材は栓本体に着脱可能に連結されており、鉗子栓に処置具を挿通させた状態から引き抜く際には、弁部材を栓本体から分離させる方向の力が作用する。弁部材と栓本体とを強固に連結させ、乱暴に処置具を引き抜いても、弁部材が栓本体から逸脱しないようにするには、その嵌合部を長くしなければならない。従って、この弁部材の先端面から円錐状突出部を延在させると、鉗子栓の軸線方向の長さが極めて長くなってしまう。特に、円錐状突出部への圧力による密閉性をより高めるには、円錐状突出部の高さをできるだけ高くする必要があるので、弁部材がさらに長尺化することになる。しかしながら、弁部材の先端部に凹部を形成して、この凹部内に円錐状突出部を設けているので、弁部材の栓本体への嵌合長を十分に取り、かつ円錐状突出部の高さを高くすることができる。この円錐状突出部の高さは凹部の深さとほぼ一致させるのが望ましいが、この凹部から多少突出していても良い。
【0015】
【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について詳細に説明する。まず、図1に内視鏡の全体構成図を示す。図中において、1は本体操作部、2は挿入部、3はユニバーサルコードである。挿入部2は、本体操作部1への連結側から大半の長さ分は体腔内の挿入経路が曲がっている場合に、その曲がり方向に沿って自在に曲がる軟性部2aとなっており、この軟性部2aには、アングル部2b及び先端硬質部2cが順次連結されている。先端硬質部2cには内視鏡観察手段を構成する照明部と観察部(共に図示せず)とが設けられており、アングル部2bは先端硬質部2cを挿入経路に沿ってガイドしたり、かつ先端硬質部2cに設けた内視鏡観察手段の視野を変えたりするために、所望の方向に向けて湾曲操作できるようになっている。このアングル部2cの湾曲操作は本体操作部1に設けたアングル操作手段4によって遠隔操作で行なわれる。
【0016】
内視鏡は前述した内視鏡観察手段によって、体腔内を観察するだけではなく、内視鏡検査の結果発見された患部に対する処置や組織のサンプリング等も行えるようになっている。このために、本体操作部1には処置具導入部5が設けられ、この処置具導入部5から先端硬質部2cまでの部位には処置具挿通チャンネル6が設けられており、この処置具挿通チャンネル6の先端は照明部及び観察部等と共に先端硬質部2cに開口している。従って、鉗子その他の処置具を処置具導入部5から処置具挿通チャンネル6に挿通させて、先端硬質部2cから所定の長さ導出させることによって、所望の処置を施すことができるようになる。
【0017】
処置具挿通チャンネル6は、また、吸引通路としても利用されるものである。従って、処置具挿通チャンネル6には本体操作部1内で吸引通路7が接続されており、この吸引通路7は本体操作部1からユニバーサルコード3に導かれて、その先端は吸引ポンプを有する吸引装置(図示せず)に接続されている。そして、本体操作部1内において、吸引通路7の途中位置には吸引バルブ8が設けられており、この吸引バルブ8を手指等で操作することによって、吸引操作を行えるようになっている。つまり、常時においては、処置具挿通チャンネル6と吸引装置とが遮断されており、吸引バルブ8を押し込むように操作することによって、吸引装置と処置具挿通チャンネル6とを接続して、この処置具挿通チャンネル6に負圧吸引力を作用させるようにしている。
【0018】
このように構成することによって、内視鏡検査が行われる体腔内に体液や汚物が存在していると、吸引バルブ8を操作することによって、それらを処置具挿通チャンネル6から吸引通路に排出・除去して、体腔内の観察条件を良好にする。この状態で、体腔内の検査を行い、その結果患部等が存在すると、鉗子その他の処置具を処置具導入部5から処置具挿通チャンネル6内に挿入して、適宜の処置が施されることになる。
【0019】
そこで、図2に、本体操作部1の処置具挿通チャンネル6と吸引通路7との分岐部の断面構造を示す。この図2において、10は分岐通路構成体を示し、この分岐通路構成体10には、処置具挿通チャンネル6の基端部と、吸引通路7の先端部とが接続されている。また、この分岐通路構成体10には処置具導入部5に向けて斜め上方に延在させた連結パイプ11が連結されており、この連結パイプ11に口金12が連結されている。そして、口金12は処置具導入部5から突出しており、この口金12の突出部に鉗子栓13が着脱可能に取り付けられている。従って、鉗子等の処置具は、鉗子栓13を介して口金12から連結パイプ11を経て分岐通路構成体10内に導かれ、この分岐通路構成体10から処置具挿通チャンネル6の内部に挿入されることになる。
【0020】
処置具導入部5に装着した口金12は、少なくとも吸引作業を行っている間は密閉状態に保持させる必要がある。また、処置具が使用される際には、そのままで処置具を挿入できなければならない。さらに、処置具挿通チャンネル6の内部は体液等の吸引物質等で汚損されることから、使用後には、処置具挿通チャンネル6の内部を洗浄しなければならない。よって、処置具導入部5における口金12に鉗子栓13が着脱可能に取り付けられて、この鉗子栓13は常時には密閉状態に保たれ、かつ必要に応じて処置具が挿通できる構造となっている。
【0021】
図3に鉗子栓13の口金12への装着状態の断面を、また図4に口金12から取り外した状態の平面をれぞれ示す。これらの図から明らかなように、鉗子栓13は、全体がゴム等の弾性部材で形成されており、栓本体20と弁部材21とを有し、これら栓本体20と弁部材21との間は扁平な帯状の折り返し用の連結帯片22により連結されている。なお、栓本体20と弁部材21とは別部材で形成することもできる。
【0022】
栓本体20は全体として概略円筒状の部材からなり、一端側から内側に向けて円環状に突出する第1の円環状突出部23が形成されており、また中間部には中央に絞り通路24を形成した隔壁25が設けられ、さらに他端部には弁部材21の係止部となる第2の円環状突出部26が形成されている。そして、第1の円環状突出部23と隔壁25との間には第1の円環状凹部27が、また隔壁25と第2の円環状突出部26との間には第2の円環状凹部28が形成されている。
【0023】
一方、弁部材21は本体板29の端面から突出部30を連設したものから構成され、この突出部30の外周面には円環状溝31が形成されている。従って、弁部材21は、その突出部30が栓本体20の第2の円環状凹部28内に嵌合され、またその円環状溝31の上下の壁により栓本体20の第2の円環状突出部26を挟持するようにして固定される。さらに、本体板29において、突出部30の突出方向とは反対側の面は、概略凹半球形状の処置具ガイド部32が形成されており、この処置具ガイド部32の底部に突出部30側に貫通するスリット33が形成されている。このスリット33は連結帯片22の延在方向に対して直交する方向に所定の長さを有するものである。
【0024】
そして、弁部材21における突出部30の処置具ガイド部32を設けた側とは反対側の端面、つまり弁部材21を栓本体20に組み込んだ状態で、この栓本体20の隔壁25に対面する先端面には凹部34が形成されている。この凹部34は、円環状溝31を設けた部位にまでは至らない深さを有し、かつスリット33の長さより大きな直径の円環状内壁35を有するものである。
【0025】
また、この円環状内壁35により囲まれた円筒形状の空間内には、円錐状突出部36が設けられている。そして、図5からも明らかなように、この円錐状突出部36は、その底面がスリット33を直径とするものであり、かつ高さは凹部34の深さとほぼ同じか、またはこの凹部34から僅かに突出する寸法を有するものである。そして、スリット33はこの円錐状突出部36の先端まで形成されている。
【0026】
以上のように構成される鉗子栓13において、栓本体20における第1の円環状凹部27の部分は、口金13の先端に設けた固定用突出部14と係合するようにして、鉗子栓13が口金13に着脱可能に装着される。しかも、後述するように、鉗子栓13における弁部材21は栓本体20に着脱されるが、装着時における栓本体20と口金13との連結強度は、弁部材21の栓本体20への連結強度より高いものとする。従って、栓本体20の第1の円環状突出部23と第1の円環状凹部27との部位がかなり大きく圧縮変形されるようにして口金13に装着される。
【0027】
前述のようにして栓本体20が口金13に装着された状態で、弁部材21が着脱可能に装着される。そして、装着状態で安定的に保持し、鉗子等の処置具の挿脱時にみだりに弁部材21が分離しないように抜け止めする機能を発揮させるために、栓本体20の係止部を構成する第2の円環状突出部26を、弁部材21における本体板29とそれと対面する突出部30との間に挟持させる。従って、第2の円環状突出部26の厚み寸法は本体部29と突出部30との間に形成される円環状溝31の溝幅寸法より大きくなっている。その結果、弁部材21の装着時には第2の円環状突出部26は圧縮され、この圧縮分により弁部材21は栓本体20に連結した状態に保持される。しかも、その間の気密性が良好となる。
【0028】
栓本体20を構成する第2の円環状突出部26は、弾性変形した状態で、その上下から弁部材21の本体板29の下面と突出部30との間に挟持されているので、弁部材21は栓本体20に嵌合した状態でみだりに動かないように、実質的に一体物となるように保持される。従って、図6に示したように、弁部材21のスリット33及び栓本体20の絞り通路24を介して種々の処置具を挿脱する際に、弁部材21が栓本体20に対して相対的な動きが生じることはない。
【0029】
その結果、先端に把持爪を有する鉗子等のように、腰が強く、しかも外径の大きな処置具を処置具挿通チャンネル6に挿通させた状態から、急激に処置具導入部5から引き抜くように操作しても、弁部材21と栓本体20との間に相対的な動きが生じることがなく、第2の円環状突出部26と円環状溝31との間の嵌合状態が常に安定的になる。従って、繰り返し処置具を挿脱しても、この嵌合部に変形等が生じることがなく、開閉弁21が栓本体20から逸脱するおそれはない。
【0030】
ここで、鉗子栓13を処置具導入部5における口金12に装着した状態では、弁部材20に設けたスリット33を構成する両側の接合壁面33a,33a間が相互に確実に密着していなければならない。しかも、このスリット33は鉗子その他の処置具を挿通する毎に開閉され、かつ処置具は接合壁面33aに沿って摺動する。この摺動を円滑にするために、鉗子栓13に潤滑剤を含浸させる等の措置を施すこともできるが、繰り返し処置具を挿通させると、接合壁面33aが磨耗したり、変形したりする。その結果、スリット33の接合壁面33a,33a間の密閉性が低下して、その間に隙間が生じる。
【0031】
以上のことから、繰り返し処置具を挿通させても、スリット33を構成する接合壁面33a,33a間を密閉状態に保持させて、処置具挿通チャンネル6は吸引通路としても利用され、体内からの吸引物質を吸引する際に処置具挿通チャンネル6内を負圧にしても、スリット33に密閉性が確保されて、吸引物質が鉗子栓13の外部に滲み出ないようにする。このために、スリット33による逆流防止機能としては、上部側では外力の作用により接合壁面33a,33a間を機械的に密着させるようになし、下部側は内部に圧力が作用したときに、圧接力が作用するようにしている。
【0032】
即ち、弁部材21における突出部30の円環状溝31の部位は栓部材20の第2の円環状突出部26により圧縮されるように組み込まれるので、この圧縮力によって、スリット33における接合壁面33a,33a間の密着性が高められる。従って、スリット33のうち、上部側U、つまり処置具ガイド部32から所定の長さ分はスリット33における接合壁面33a,33a間は押し付け力による機械的な密着性が確保される。
【0033】
スリット33の下部側D、つまり円錐状突出部36の部位においては、接合壁面33a,33aは相互に密着する方向の外力が作用しない。しかしながら、前述したように、吸引状態から吸引を停止したときに、処置具導入部5内には高い圧力が作用することから、この圧力が円錐状突出部36における傾斜した外周面に作用することになる。その結果、この外周面には、その傾斜角に応じて接合壁面33a,33a間を密着させる方向の分力が生じることになり、しかも圧力が高くなればなるほど、密着力が増大する。
【0034】
円錐状突出部36における密閉性は、頂角が小さくなればなるほどより大きくなる。そして、円錐状突出部36の底面は、実質的にスリット33の長さと一致するようにしているので、円錐状突出部36の頂角を小さくするには、円錐状突出部36の高さ寸法をできるだけ大きくする必要がある。この円錐状突出部36は弁部材21の突出部30に形成した凹部34内に設けられているので、弁部材21全体としての軸線方向の長さを短縮でき、コンパクト化が図られることになる。
【0035】
以上のように、スリット33に対する圧縮力による密着性と、圧力の作用により得られる密着性とのバランスで逆流防止機能を発揮させるようにしているので、逆流防止機能がより向上することになる。また、鉗子栓20の弾性度合いやスリット33の加工精度に多少ばらつきがあっても、安定した逆流防止機能を発揮することになる。
【0036】
しかも、スリット33内に処置具Tを挿通させた状態で、処置具導入部5内の圧力が高くなった場合には、図7に示したように、円錐状突出部36はこの処置具Tの外周面に密着するようになるので、スリット33の密閉性が高くなる。而して、処置具Tの外径が絞り通路24の内径より大きい場合には、この部位で密閉性が確保されることから、処置具の挿通状態でスリット33の密閉性が必要なのは絞り通路24の内径より小さい場合であり、このような小径の処置具Tを挿通する際には、図6から明らかなように、スリット33のうち、円錐状突出部36の部位での密着性がより高くなることから、処置具Tを挿通させたときにおいても、体液等の処置具導入部5外への流出を確実に防止できる。
【0037】
【発明の効果】
以上説明したように、本発明によれば、小型でコンパクトな構成によって、スリットにより構成される逆流防止弁としての機能を高め、かつこの逆流防止機能を安定した状態で発揮する等の効果を奏する。
【図面の簡単な説明】
【図1】本発明の鉗子栓が装着される内視鏡の一例を示す全体構成図である。
【図2】本発明の実施の一形態である鉗子栓を処置具導入部に装着した状態での本体操作部の要部断面図である。
【図3】図2における処置具導入部への鉗子栓状態の断面図である。
【図4】鉗子栓の平面図である。
【図5】栓本体と弁部材とを組み合わせた状態での図3のX−X位置での断面図である。
【図6】鉗子栓に処置具を挿入させた状態での断面図である。
【図7】弁部材の図6のY−Y断面図である。
【符号の説明】
1 本体操作部 2 挿入部
5 処置具導入部 6 処置具挿通チャンネル
7 吸引通路 12 口金
13 鉗子栓 20 栓本体
21 弁部材 23 第1の円環状突出部
24 絞り通路 25 隔壁
26 第2の円環状突出部 27 第1の円環状凹部
28 第2の円環状凹部 29 本体板
30 突出部 31 円環状溝
33 スリット 33a 接合壁面
34 凹部 35 円環状内壁
36 円錐状突出部
[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a forceps plug that is provided in an endoscope used for medical use and the like, and is detachably attached to a mouthpiece of a treatment tool introduction port in a treatment tool insertion channel for inserting forceps and other treatment tools. It is.
[0002]
[Prior art]
An endoscope that is inserted into a body cavity and performs a medical examination or the like has an insertion section into the body cavity connected to a main body operation section that is operated by an operator or the like by hand and furthermore, a light source is connected to the main body operation section. It is generally configured by connecting and providing a universal cord that is detachably connected to a device or the like. The distal end of the insertion unit includes an illumination unit for illuminating the inside of the body cavity, and an observation unit for inspecting the inside of the body cavity under illumination emitted from the illumination unit.
[0003]
For example, when an affected part or the like is found as a result of an inspection using an endoscope, a necessary treatment can be performed, and there is also a configuration in which tissue cells can be sampled. For this purpose, the endoscope is provided with a treatment tool insertion channel for inserting forceps and other treatment tools. The distal end of the treatment instrument insertion channel is open at the distal end of the insertion section together with the illumination section and the observation section. On the other hand, introduction of the treatment tool into the treatment tool insertion channel is performed on the main body operation unit side. For this purpose, a treatment instrument introduction port is formed in the main body operation unit or a connecting portion between the main body operation unit and the insertion unit.
[0004]
Since the pressure in the body cavity is higher than the atmospheric pressure, and the treatment tool insertion channel may also be used as a suction passage, the treatment tool introduction port cannot be always opened. For this purpose, it is common to provide a mouthpiece at the treatment instrument introduction port, attach a forceps plug, and seal the treatment instrument introduction port. When the treatment tool is used, it is common to provide a check valve on the forceps plug and open the check valve to insert the treatment tool, instead of removing the forceps plug from the base. It is a target. In addition, since the inside of the treatment tool insertion channel is washed each time it is used, the forceps stopper is detachably attached to the mouthpiece of the treatment tool introduction port.
[0005]
As a treatment tool inserted into the treatment tool insertion channel, a treatment tool having a large outer diameter such as a forceps may be inserted, or a treatment tool having a small outer diameter such as a tube may be inserted. is there. That is, the thickness of the treatment tool inserted into the treatment tool insertion channel varies depending on the type and the like. Ideally, the on-off valve provided on the forceps stopper is configured to be able to keep the periphery of the treatment tool in a sealed state even when the treatment tool is inserted. However, a forceps stopper that ensures a completely hermetic seal even when a thick treatment instrument close to the diameter of the treatment instrument introduction port is inserted or when a treatment instrument much smaller than that is inserted is still developed. It has not been.
[0006]
This type of forceps stopper is formed of an elastic member such as rubber, provided with a wall portion that covers the treatment instrument introduction port, a slit is formed so as to penetrate this wall portion, and a joining wall surface forming the slit is formed. By bringing them into close contact with each other, at the time of a suction operation or the like, a backflow prevention function of holding the treatment instrument introduction port in a closed state is exhibited, and the elastic member is deformed to separate the joint wall surface of the slit, thereby allowing the treatment instrument to be separated. Conventionally, a passage configured to form an insertion passage, and a throttle passage having an opening diameter smaller than the diameter of the treatment instrument introduction port is formed at a position on the front side in the insertion direction of the treatment instrument with respect to the portion where the slit is formed, is conventionally used. (For example, see Patent Document 1).
[0007]
[Patent Document 1]
Japanese Patent Application Laid-Open No. 7-100097 (pages 2-4, FIG. 1, FIG. 3-5)
[0008]
[Problems to be solved by the invention]
In the forceps plug, in the check valve formed of a slit, the slit is pushed open each time the treatment tool is inserted, and the joining wall surface forming the slit slides on the outer peripheral surface of the treatment tool. Therefore, if the treatment tool is frequently inserted and removed, the joint wall surface will be deformed or damaged, and the backflow prevention function of the slit will be reduced. In particular, if the hardness of the elastic member as the material of the forceps plug varies, or if the processing accuracy of the slit changes, the stability of the sealing function of the slit when a high pressure is applied cannot be obtained.
[0009]
Here, when suction is performed from the inside of the body via the treatment instrument insertion channel, particularly when switching from a state in which suction is performed to a state in which suction is stopped, a high pressure acts on the forceps stopper. The treatment instrument insertion channel has a length equal to or longer than the entire length of the insertion portion, whereas the length of the conduit from the connection portion of the treatment instrument insertion channel to the suction passage to the treatment instrument introduction port is extremely short. It has become. When the suction operation is performed and the suction is stopped from a state in which the suction force of the suction substance to the suction passage side is acting in the treatment instrument insertion channel, the suction substance in the treatment instrument insertion channel is changed by the inertia force. Retraction into the insertion channel continues. As a result, the suction substance drawn in after the suction is shut off tends to flow toward the treatment instrument introduction port side, and high pressure acts on the forceps stopper.
[0010]
Even if such a high pressure acts on the slit, in order to stably exhibit the damping function of the suction substance and prevent the suction substance from oozing out of the forceps plug, the adhesion of the joining wall surface forming the slit is increased. There is a need. For this purpose, for example, it is conceivable to increase the thickness of the slit forming portion to increase the depth of the slit. However, simply increasing the depth of the slit improves the adhesion itself of the joining wall surface constituting the slit, but makes it difficult to insert a soft tube or the like. . In addition, the variation in the function based on the material and processing accuracy of the forceps stopper increases, and there is a problem that a stable backflow prevention function cannot be exhibited.
[0011]
The present invention has been made in view of the above points, and aims to enhance the function as a check valve formed by a slit by a small and compact structure, and to stabilize the check function. It is to be able to demonstrate in the state where it was done.
[0012]
[Means for Solving the Problems]
In order to achieve the above-described object, the present invention provides a medical instrument comprising an elastic member, which is removably mounted on a treatment instrument introduction port of a treatment instrument insertion passage provided in an endoscope, and is provided with a lower end than the passage of the treatment instrument introduction port. A plug body provided with a throttle passage having a small hole diameter, and detachably connected to the plug body, the joint wall surfaces are always in close contact with each other, and the treatment tool is inserted by separating the joint wall surfaces. A forceps stopper for an endoscope comprising a valve member provided with a slit forming a passage, wherein the valve member is fitted in a compressed state to the stopper body, and the valve member has A concave portion having a predetermined depth is formed on the distal end surface of the plug body facing the throttle passage, and the concave portion has a cylindrical inner wall having a diameter larger than the length dimension of the slit. The above-mentioned slip A conical protruding portion having a bottom portion having a diameter substantially equal to the length dimension of the cylindrical inner wall and having a height dimension substantially equal to or greater than the depth dimension of the cylindrical inner wall; Is characterized in that it is formed so as to penetrate this conical projection.
[0013]
As described above, a slit is provided in the valve member as a backflow prevention valve for preventing backflow from the treatment instrument introduction port side, but in order to ensure the adhesion of the joining wall surface forming the slit, the slit is mechanically adhered. A part and a part that enhances adhesion by the action of pressure are formed. That is, since the valve member is fitted into the plug body in a compressed state in the portion of the slit up to the concave portion of the valve member, the joining wall surfaces forming the slit are crimped to each other. Such a pressing force does not act on the conical protrusion located in the recess, but receives a pressure acting on the treatment instrument introduction port during the suction operation and immediately after the suction is stopped. As a result, pressure acts in a direction in which the joining wall surfaces forming the slits formed in the conical projections are brought into close contact. A backflow prevention function is exerted by the balance between these two functions. Therefore, even if the hardness of the elastic member constituting the forceps plug changes, a stable backflow prevention function is exhibited. In other words, when the hardness of the forceps stopper is high, the mechanically strong pressure contact force of the joining wall surface forming the slit is maintained, and when the hardness of the forceps stopper is low, the mechanical pressure contact strength is reduced. In addition, the function of closely adhering the slit due to the pressure acting on the conical protrusion is improved.
[0014]
The valve member is detachably connected to the stopper main body, and when the treatment tool is pulled out from a state where the treatment tool is inserted through the forceps stopper, a force acts in a direction to separate the valve member from the stopper main body. To ensure that the valve member is firmly connected to the plug body and that the valve member does not deviate from the plug body even when the treatment tool is pulled out roughly, the fitting portion must be long. Therefore, if the conical projection is extended from the distal end surface of the valve member, the axial length of the forceps plug becomes extremely long. In particular, the height of the conical projection must be increased as much as possible in order to further enhance the sealing performance due to the pressure on the conical projection, so that the valve member is further elongated. However, since a concave portion is formed at the distal end of the valve member and the conical protrusion is provided in the concave portion, the fitting length of the valve member to the plug body is sufficiently long, and the height of the conical protrusion is high. Can be higher. It is desirable that the height of the conical protrusion is substantially equal to the depth of the recess, but it may protrude slightly from the recess.
[0015]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. First, FIG. 1 shows an overall configuration diagram of an endoscope. In the drawing, 1 is a main body operation unit, 2 is an insertion unit, and 3 is a universal cord. The insertion portion 2 is a flexible portion 2a that bends freely along the bending direction when the insertion path in the body cavity is bent for most of the length from the connection side to the main body operation portion 1. An angle part 2b and a hard tip part 2c are sequentially connected to the soft part 2a. The rigid distal end portion 2c is provided with an illuminating portion and an observing portion (both not shown) constituting an endoscope observation means, and the angle portion 2b guides the rigid distal end portion 2c along an insertion path, In addition, in order to change the field of view of the endoscope observation means provided on the distal end hard portion 2c, a bending operation can be performed in a desired direction. The bending operation of the angle section 2c is performed by remote control by an angle operation means 4 provided in the main body operation section 1.
[0016]
The endoscope is not only capable of observing the inside of a body cavity, but also capable of performing a treatment on an affected part found as a result of an endoscopic examination, sampling a tissue, and the like, by the endoscope observation means described above. For this purpose, a treatment instrument introduction section 5 is provided in the main body operation section 1, and a treatment instrument insertion channel 6 is provided in a region from the treatment instrument introduction section 5 to the distal end hard portion 2c. The distal end of the channel 6 is open to the distal end hard portion 2c together with the illuminating unit and the observation unit. Accordingly, a desired treatment can be performed by inserting forceps and other treatment tools from the treatment tool introduction section 5 into the treatment tool insertion channel 6 and leading them out of the predetermined length from the hard distal end portion 2c.
[0017]
The treatment instrument insertion channel 6 is also used as a suction passage. Accordingly, a suction passage 7 is connected to the treatment instrument insertion channel 6 in the main body operation unit 1, and the suction passage 7 is guided from the main body operation unit 1 to the universal cord 3, and the distal end thereof has a suction pump having a suction pump. It is connected to a device (not shown). A suction valve 8 is provided in the main body operation unit 1 at a position halfway through the suction passage 7, and the suction operation can be performed by operating the suction valve 8 with a finger or the like. In other words, the treatment instrument insertion channel 6 and the suction device are normally shut off, and by operating the suction valve 8 so as to be pushed in, the suction device and the treatment instrument insertion channel 6 are connected, and the treatment instrument is inserted. A negative pressure suction force is applied to the insertion channel 6.
[0018]
With this configuration, if body fluids and dirt are present in the body cavity where the endoscopic examination is performed, the suction valve 8 is operated to discharge them from the treatment instrument insertion channel 6 to the suction passage. Removal to improve the observation conditions in the body cavity. In this state, the inside of the body cavity is inspected, and as a result, if an affected part or the like is present, forceps or other treatment tools are inserted from the treatment tool introduction unit 5 into the treatment tool insertion channel 6 to perform appropriate treatment. become.
[0019]
FIG. 2 shows a cross-sectional structure of a branch portion between the treatment instrument insertion channel 6 and the suction passage 7 of the main body operation unit 1. In FIG. 2, reference numeral 10 denotes a branch passage structure, and the base end of the treatment instrument insertion channel 6 and the distal end of the suction passage 7 are connected to the branch passage structure 10. Further, a connection pipe 11 extending obliquely upward toward the treatment instrument introduction section 5 is connected to the branch passage constituting body 10, and a base 12 is connected to the connection pipe 11. The base 12 protrudes from the treatment instrument introduction unit 5, and a forceps plug 13 is detachably attached to the protruding part of the base 12. Accordingly, a treatment tool such as forceps is guided from the base 12 through the connection pipe 11 to the inside of the branch passage member 10 via the forceps stopper 13, and is inserted into the treatment tool insertion channel 6 from the branch passage member 10. Will be.
[0020]
The base 12 attached to the treatment instrument introduction section 5 needs to be kept in a sealed state at least during a suction operation. When the treatment tool is used, it must be possible to insert the treatment tool as it is. Furthermore, since the inside of the treatment tool insertion channel 6 is contaminated with a suction substance such as body fluid, the inside of the treatment tool insertion channel 6 must be cleaned after use. Therefore, the forceps stopper 13 is detachably attached to the base 12 in the treatment instrument introduction part 5, and the forceps stopper 13 is always kept in a sealed state, and the treatment instrument can be inserted as needed. .
[0021]
FIG. 3 is a cross-sectional view showing a state where the forceps stopper 13 is attached to the base 12, and FIG. 4 is a plan view showing a state where the forceps stopper 13 is detached from the base 12. As is clear from these drawings, the forceps stopper 13 is entirely formed of an elastic member such as rubber, has a stopper body 20 and a valve member 21, and is provided between the stopper body 20 and the valve member 21. Are connected by a flat band-shaped connecting strip 22 for folding. The plug body 20 and the valve member 21 can be formed as separate members.
[0022]
The plug body 20 is formed of a substantially cylindrical member as a whole, is formed with a first annular projecting portion 23 projecting inward from one end side inward, and a throttle passage 24 is formed at the center in the middle portion. Is formed, and a second annular projecting portion 26 serving as a locking portion of the valve member 21 is formed at the other end. A first annular recess 27 is provided between the first annular protrusion 23 and the partition 25, and a second annular recess is provided between the partition 25 and the second annular protrusion 26. 28 are formed.
[0023]
On the other hand, the valve member 21 is formed by connecting a protruding portion 30 from the end face of the main body plate 29, and an annular groove 31 is formed on the outer peripheral surface of the protruding portion 30. Accordingly, the valve member 21 has its protruding portion 30 fitted into the second annular concave portion 28 of the plug body 20, and the upper and lower walls of the annular groove 31 form the second annular projecting portion of the plug body 20. The part 26 is fixed so as to sandwich it. Further, in the main body plate 29, a treatment tool guide portion 32 having a substantially concave hemispherical shape is formed on a surface opposite to the projecting direction of the projection portion 30. Is formed. The slit 33 has a predetermined length in a direction orthogonal to the extending direction of the connecting strip 22.
[0024]
Then, the end face of the protruding portion 30 of the valve member 21 opposite to the side on which the treatment tool guide portion 32 is provided, that is, the valve member 21 faces the partition wall 25 of the plug main body 20 in a state where the valve member 21 is incorporated in the plug main body 20. A concave portion 34 is formed on the distal end surface. The recess 34 has a depth that does not reach the position where the annular groove 31 is provided, and has an annular inner wall 35 having a diameter larger than the length of the slit 33.
[0025]
A conical projection 36 is provided in a cylindrical space surrounded by the annular inner wall 35. As is apparent from FIG. 5, the conical protrusion 36 has a bottom surface having a diameter of the slit 33 and a height substantially equal to the depth of the concave portion 34 or from the concave portion 34. It has a slightly projecting dimension. The slit 33 is formed up to the tip of the conical protrusion 36.
[0026]
In the forceps plug 13 configured as described above, the portion of the first annular concave portion 27 in the plug main body 20 is engaged with the fixing protrusion 14 provided at the tip of the base 13, so that the forceps plug 13 Is detachably attached to the base 13. In addition, as will be described later, the valve member 21 of the forceps stopper 13 is attached to and detached from the stopper main body 20, and the connection strength between the stopper main body 20 and the base 13 at the time of attachment is determined by the connection strength of the valve member 21 to the stopper main body 20. To be higher. Therefore, the plug 13 is attached to the base 13 such that the portion of the first annular projection 23 and the first annular recess 27 of the plug main body 20 is considerably compressed and deformed.
[0027]
The valve member 21 is detachably mounted in a state where the plug body 20 is mounted on the base 13 as described above. Then, in order to exhibit a function of holding stably in the mounted state and preventing the valve member 21 from being detached unnecessarily when inserting or removing a treatment tool such as forceps, a locking portion of the stopper main body 20 is formed. The two annular projections 26 are sandwiched between the main body plate 29 of the valve member 21 and the projection 30 facing the main body plate 29. Accordingly, the thickness of the second annular projection 26 is larger than the width of the annular groove 31 formed between the main body 29 and the projection 30. As a result, when the valve member 21 is mounted, the second annular projecting portion 26 is compressed, and the valve member 21 is held in a state of being connected to the plug body 20 by this compression. In addition, the airtightness during that time is improved.
[0028]
The second annular projection 26 constituting the plug main body 20 is sandwiched between the lower surface of the main body plate 29 of the valve member 21 and the projection 30 from above and below in an elastically deformed state. 21 is held so as to be substantially integral with the plug body 20 so as not to move unintentionally in the fitted state. Therefore, as shown in FIG. 6, when inserting and removing various treatment tools through the slit 33 of the valve member 21 and the restricting passage 24 of the plug body 20, the valve member 21 is relatively moved with respect to the plug body 20. No unusual movements occur.
[0029]
As a result, a treatment tool having a strong waist and a large outer diameter, such as a forceps having a gripping claw at the distal end, is rapidly pulled out of the treatment tool introduction section 5 from a state in which the treatment tool is inserted through the treatment tool insertion channel 6. Even when operated, there is no relative movement between the valve member 21 and the plug body 20, and the fitting state between the second annular projection 26 and the annular groove 31 is always stable. become. Therefore, even if the treatment tool is repeatedly inserted and removed, no deformation or the like occurs in the fitting portion, and the on-off valve 21 does not deviate from the plug main body 20.
[0030]
Here, in a state where the forceps stopper 13 is attached to the base 12 of the treatment instrument introduction unit 5, if the joining wall surfaces 33a on both sides constituting the slit 33 provided in the valve member 20 do not surely adhere to each other. No. Moreover, the slit 33 is opened and closed each time a forceps or other treatment tool is inserted, and the treatment tool slides along the joint wall surface 33a. In order to make this sliding smooth, measures such as impregnating the forceps stopper 13 with a lubricant can be taken. However, when the treatment tool is repeatedly inserted, the joint wall surface 33a is worn or deformed. As a result, the sealing performance between the joining wall surfaces 33a of the slit 33 is reduced, and a gap is generated therebetween.
[0031]
As described above, even when the treatment tool is repeatedly inserted, the treatment tool insertion channel 6 is also used as a suction passage by keeping the joint wall surfaces 33a, 33a constituting the slit 33 in a sealed state, and suction from the body. Even if a negative pressure is applied to the inside of the treatment instrument insertion channel 6 when sucking the substance, the airtightness of the slit 33 is ensured so that the sucked substance does not seep out of the forceps plug 13. For this reason, the backflow preventing function of the slit 33 is such that the upper wall is mechanically brought into close contact with the joining wall surfaces 33a, 33a by the action of external force, and the lower wall is provided with a pressing force when pressure is applied to the inside. Is working.
[0032]
That is, since the portion of the annular groove 31 of the projecting portion 30 of the valve member 21 is incorporated so as to be compressed by the second annular projecting portion 26 of the plug member 20, the joining wall surface 33a , 33a is improved. Accordingly, mechanical adhesion due to the pressing force is secured between the joining wall surfaces 33a, 33a of the slit 33 for a predetermined length from the upper side U, that is, the treatment tool guide portion 32, of the slit 33.
[0033]
At the lower side D of the slit 33, that is, at the portion of the conical protruding portion 36, no external force acts on the joining wall surfaces 33a, 33a in a direction in which they are in close contact with each other. However, as described above, when the suction is stopped from the suction state, a high pressure acts on the treatment instrument introduction portion 5. Therefore, this pressure acts on the inclined outer peripheral surface of the conical protrusion 36. become. As a result, a component force is generated on the outer peripheral surface in a direction of bringing the joining wall surfaces 33a into close contact with each other in accordance with the inclination angle, and the adhesive force increases as the pressure increases.
[0034]
The tightness of the conical protrusion 36 increases as the apex angle decreases. Since the bottom surface of the conical protrusion 36 substantially matches the length of the slit 33, the height of the conical protrusion 36 must be reduced to reduce the apex angle of the conical protrusion 36. Need to be as large as possible. Since the conical protruding portion 36 is provided in the concave portion 34 formed in the protruding portion 30 of the valve member 21, the length of the valve member 21 as a whole in the axial direction can be reduced, and the size can be reduced. .
[0035]
As described above, since the backflow prevention function is exhibited by the balance between the adhesion by the compressive force to the slit 33 and the adhesion obtained by the action of the pressure, the backflow prevention function is further improved. In addition, even if the degree of elasticity of the forceps stopper 20 and the processing accuracy of the slit 33 vary somewhat, a stable backflow prevention function can be exhibited.
[0036]
In addition, when the pressure in the treatment instrument introduction section 5 increases while the treatment instrument T is inserted into the slit 33, as shown in FIG. , The sealing property of the slit 33 is improved. When the outer diameter of the treatment tool T is larger than the inner diameter of the throttle passage 24, the sealability is ensured at this position. Therefore, the sealability of the slit 33 is necessary when the treatment tool is inserted. When the treatment tool T having such a small diameter is inserted, as shown in FIG. 6, the adhesion at the conical protruding portion 36 of the slit 33 is more improved. Since the height is increased, even when the treatment tool T is inserted, it is possible to reliably prevent body fluids and the like from flowing out of the treatment tool introduction unit 5.
[0037]
【The invention's effect】
As described above, according to the present invention, with a small and compact configuration, the function as a check valve formed by a slit is enhanced, and the check valve function is exhibited in a stable state. .
[Brief description of the drawings]
FIG. 1 is an overall configuration diagram showing an example of an endoscope to which a forceps stopper of the present invention is attached.
FIG. 2 is a cross-sectional view of a main part of a main body operation unit in a state where a forceps stopper according to an embodiment of the present invention is attached to a treatment instrument introduction unit.
FIG. 3 is a cross-sectional view of a state in which a forceps plug is inserted into a treatment instrument introduction unit in FIG.
FIG. 4 is a plan view of a forceps stopper.
FIG. 5 is a cross-sectional view taken along a line XX in FIG. 3 in a state where the plug body and the valve member are combined.
FIG. 6 is a cross-sectional view in a state where a treatment tool is inserted into a forceps stopper.
7 is a sectional view of the valve member taken along the line YY in FIG. 6;
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Main body operation part 2 Insertion part 5 Treatment tool introduction part 6 Treatment tool insertion channel 7 Suction passage 12 Cap 13 Forceps stopper 20 Plug main body 21 Valve member 23 First annular protrusion 24 Restriction passage 25 Partition 26 Second annular Projection 27 First annular recess 28 Second annular recess 29 Body plate 30 Projection 31 Annular groove 33 Slit 33a Joining wall surface 34 Recess 35 Annular inner wall 36 Conical projection

Claims (1)

全体が弾性部材からなり、内視鏡に設けた処置具挿通路の処置具導入口に着脱可能に装着され、この処置具導入口の通路より小さい孔径となった絞り通路を設けた栓本体と、この栓本体に着脱可能に連結され、常時には相互の接合壁面が密着状態となり、これら接合壁面間を離間させることにより処置具挿通用の通路を形成するスリットを設けた弁部材とからなる内視鏡の鉗子栓において、
前記弁部材は前記栓本体に圧縮状態で嵌合されるものであり、
かつ前記弁部材には、その栓本体の絞り通路と対面する先端面側に所定の深さを有する凹部が形成されており、
この凹部は、前記スリットの長さ寸法より大きな直径の円筒状内壁を有するものであり、
かつこの円筒状内壁の内側に前記スリットの長さ寸法とほぼ一致する直径の底面部を有し、かつ前記円筒状内壁の深さ寸法とほぼ同じか、それより大きな高さ寸法を有する円錐状突出部が形成されており、
前記スリットはこの円錐状突出部を貫通するように形成されていること
を特徴とする内視鏡の鉗子栓。
A stopper body which is entirely formed of an elastic member, is detachably attached to the treatment instrument introduction port of the treatment instrument insertion passage provided in the endoscope, and has a throttle passage having a smaller diameter than the passage of the treatment instrument introduction port; A valve member having a slit which is detachably connected to the plug main body and in which the joint walls are always in close contact with each other and which is separated from the joint walls to form a passage for inserting a treatment instrument. In the forceps stopper of the endoscope,
The valve member is fitted in the plug body in a compressed state,
And, in the valve member, a concave portion having a predetermined depth is formed on a distal end surface side facing the throttle passage of the plug body,
This recess has a cylindrical inner wall having a diameter larger than the length of the slit,
A conical shape having a bottom surface having a diameter substantially matching the length of the slit inside the cylindrical inner wall, and having a height substantially equal to or greater than the depth of the cylindrical inner wall. A protrusion is formed,
The forceps stopper for an endoscope, wherein the slit is formed so as to penetrate the conical protrusion.
JP2003144578A 2003-05-22 2003-05-22 Endoscope forceps plug Expired - Fee Related JP4247607B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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JP4247607B2 JP4247607B2 (en) 2009-04-02

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Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7025721B2 (en) 2004-01-29 2006-04-11 Boston Scientific Scimed, Inc. Endoscope channel cap

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7025721B2 (en) 2004-01-29 2006-04-11 Boston Scientific Scimed, Inc. Endoscope channel cap
US8231525B2 (en) 2004-01-29 2012-07-31 Boston Scientific Scimed, Inc. Endoscope channel cap

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