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WO2018163538A1 - Auxiliary tool set and in-vivo imaging device - Google Patents

Auxiliary tool set and in-vivo imaging device Download PDF

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Publication number
WO2018163538A1
WO2018163538A1 PCT/JP2017/042668 JP2017042668W WO2018163538A1 WO 2018163538 A1 WO2018163538 A1 WO 2018163538A1 JP 2017042668 W JP2017042668 W JP 2017042668W WO 2018163538 A1 WO2018163538 A1 WO 2018163538A1
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WO
WIPO (PCT)
Prior art keywords
holding
held
magnetic body
auxiliary tool
holding magnet
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.)
Ceased
Application number
PCT/JP2017/042668
Other languages
French (fr)
Japanese (ja)
Inventor
忠彦 佐藤
仁志 青木
岩 銭
下村 奈良和
圭 浦川
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Sharp Corp
Original Assignee
Sharp Corp
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Sharp Corp filed Critical Sharp Corp
Priority to JP2019504325A priority Critical patent/JP6784825B2/en
Publication of WO2018163538A1 publication Critical patent/WO2018163538A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • 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
    • A61B1/313Instruments 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 for introducing through surgical openings, e.g. laparoscopes

Definitions

  • the present invention relates to an auxiliary tool set and an in-vivo imaging device for installing an in-vivo imaging device including an imaging unit that can be introduced into the body.
  • a treatment tool and an endoscope are introduced into a body cavity through a tube punctured on a body wall (for example, an abdominal wall) in a patient's abdomen or the like.
  • This cylinder is a tubular member called a so-called trocar.
  • the surgeon enlarges the image by bringing the endoscope closer to the organ and performs incision or suture of the organ, but at this time, the visual field of the surgeon becomes very narrow. For this reason, there is a demand for an apparatus that can widely grasp the state outside the work area (for example, the movement of the treatment tool outside the work area, the bleeding state, the residual state of residues such as gauze).
  • Patent Document 1 a connector protective cap connected to the camera side cable is directly inserted into the abdominal wall, and the connector protective cap and the pulling jig are coupled by magnetic force in the body, and coupled by magnetic force.
  • a device for pulling out a connector protective cap from the inside of the body through the inside of the trocar to the outside of the body is disclosed.
  • Patent Document 1 when the magnet of the connector protection cap is attracted to the magnet of the drawer jig, the magnet of the connector protection cap is diagonally attracted to the magnet of the drawer jig or shifted from the magnet of the drawer jig. It may be adsorbed.
  • One aspect of the present invention has been made in view of the above problems, and an object of the present invention is to provide an auxiliary tool set for installing an in-vivo imaging device having an imaging unit capable of being introduced into the body, excellent in work efficiency, and It is to propose an in-vivo imaging device.
  • An auxiliary tool set is an auxiliary tool set used for installing an in-vivo imaging device in the body, and includes a first auxiliary tool to which the in-vivo imaging device is connected, and the first auxiliary tool.
  • a tubular device having one end introduced into the body in a state in which the held portion is held by the holding portion, the holding portion holding the held portion provided in the holding portion, and a connecting portion connected to the holding portion.
  • a second auxiliary tool for pulling out from the body to the outside through the inside, and the holding part and the held part have a structure in which the holding part and the held part are adsorbed in a straight line, or the holding When the portion and the held portion enter the opening of the tubular instrument, the portion and the held portion have a structure aligned in a straight line.
  • the 1st auxiliary tool connected to the in-vivo imaging device can be easily derived outside the body, and work efficiency is improved.
  • FIG. 1 It is a schematic diagram which shows the structure of an in-vivo imaging system. It is a schematic diagram which shows the in-body installation method of a camera unit. It is a schematic diagram which shows the use condition of an in-vivo imaging system. It is a conceptual diagram which shows the adsorption
  • FIG. 7 is a conceptual diagram showing a structure in which a holding magnet portion and a connector cap with a magnetic body are securely aligned and adsorbed
  • (b) is a diagram showing the holding magnet portion and the connector cap with a magnetic body entering the opening of the trocar. It is a conceptual diagram which shows the structure on a line on the occasion. It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 1.
  • FIG. 1 It is a schematic diagram explaining a magnetic body part adsorbing
  • FIG. 1 It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 2, and demonstrates a mode that a magnetic body part adsorb
  • (A) shows the external appearance of the holding magnet part and the magnetic part before adsorption
  • (b) shows the cross section of the holding magnet part and the magnetic part before adsorption
  • (c) shows the holding magnet part and the magnetic part in the adsorption process.
  • the cross section of a body part is shown
  • (d) shows the cross section of the holding magnet part and magnetic body part after adsorption
  • (A)-(e) is a schematic diagram explaining the example of fixation of a holding magnet part and a rod-shaped part.
  • FIG. 1 It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 3, and demonstrates a mode that a magnetic body part adsorb
  • A shows the external appearance of the holding magnet part and magnetic body part before adsorption
  • (b) shows the cross section of the holding magnet part and magnetic body part before adsorption
  • (c) and (d) are the holding parts after adsorption.
  • the cross section of a magnet part and a magnetic body part is shown
  • (e) shows the expanded cross section of the bearing part of a holding magnet part.
  • FIG. 4 It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 4, and demonstrates a mode that a magnetic body part adsorb
  • A shows the external appearance of the holding magnet part and magnetic part before adsorption
  • (b) shows the cross section of the holding magnet part and magnetic part before adsorption
  • (c) shows the holding magnet part and magnetism after adsorption.
  • the cross section of a body part is shown.
  • FIG. 5 It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 5, and demonstrates a mode that a magnetic body part adsorb
  • (A) shows the external appearance of the holding magnet part and magnetic part before adsorption
  • (b) shows the cross section of the holding magnet part and magnetic part before adsorption
  • (c) shows the holding magnet part and magnetism after adsorption.
  • the cross section of a body part is shown.
  • (b) is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 6, and shows the cross section of the holding magnet part and magnetic body part before adsorption
  • FIG. 10 is a schematic diagram showing a schematic configuration of a holding magnet portion 7g according to Embodiment 7.
  • FIG. It is the example which has arrange
  • FIG. 9 is a schematic diagram showing a schematic configuration of a holding magnet unit according to Embodiment 8, (a) is a cross-sectional view of the holding magnet unit, and (b) to (e) are front views showing examples of arrangement of openings, and It is sectional drawing. It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 9, and demonstrates a mode that a magnetic body part adsorb
  • (A) is a front view of a holding magnet part
  • (b) is sectional drawing of a holding magnet part
  • (c) is a see-through
  • FIGS. 1 to 20 Embodiments of the present invention will be described with reference to FIGS. 1 to 20 as follows.
  • FIG. 1 is a schematic diagram illustrating a configuration of the in-vivo imaging system of the first embodiment.
  • the in-vivo imaging system 1 includes a camera-side cable 12 (cable) and an imaging unit (imaging unit) including an imaging element, and a camera unit 11 (in-vivo imaging device) introduced into the body.
  • a support tube 13 having a trocar connection portion 13x used for connection with the trocar 31 (tubular instrument) introduced into the body on one end side and a convex joint portion 13y used for joining with the camera unit 11 on the other end side;
  • a control system including a camera unit control device 17 and a display 18 (display device), and a device side cable 16 for connecting the camera side cable 12 and the camera unit control device 17.
  • the camera side cable 12 has a convex camera side cable connector 15 a on the opposite side of the connection end with the camera unit 11, and the device side cable 16 has a concave shape on the opposite side of the connection end with the camera unit control device 17.
  • a device-side cable connector 15b is provided.
  • the camera side cable 12 has a stopper 48 for restricting the movement of the support tube 13 between the connection end with the camera unit 11 and the camera side cable connector 15a.
  • the camera side cable 12 is connected to the imaging unit of the camera unit 11.
  • a configuration in which a concave camera-side cable connector and a convex device-side cable connector are fitted may be used. Further, in FIG. 1, one pin of the camera side cable connector 15 a is illustrated, but normally, the number of pins corresponds to the number of electric wires used for the cable.
  • the camera side cable connector 15a may be abbreviated as a connector 15a
  • the device side cable connector 15b may be abbreviated as a connector 15b.
  • the body inner end of the trocar 31 punctured in the abdominal wall 41 and the support tube 13 are connected by the trocar connecting portion 13x, and the camera unit 11 and the support tube 13 introduced into the body are connected. Joined by the convex joint 13y. Further, the connector 15 a of the camera side cable 12 is pulled out of the body through the support tube 13 and the trocar 31. Then, when the connector 15 a is fitted into the connector 15 b, the camera unit 11 and the camera unit control device 17 are electrically connected, and an image captured by the camera unit 11 is transmitted to the camera unit control device 17.
  • the camera unit control device 17 displays the video transmitted from the camera unit 11 on the display 18 and transmits a control signal to the camera unit 11.
  • the camera unit control device 17 and the display 18 may be integrated or separated. Further, as will be described later, the camera unit 11 pulls up and uses the camera side cable 12. Therefore, there is a possibility that a load is applied to the connection portion between the camera side cable 12 and the imaging unit.
  • a structure as described later is formed in the joint portion of the camera unit 11 with the support tube 13 or inside the camera unit 11 so that the connection is disconnected due to excessive load and the device cannot be used normally. It is desirable to have Specifically, the structure is a structure that prevents a load from being directly applied to the connection portion when the camera-side cable 12 is pulled up.
  • the transmission speed can be increased, and signals can be stably transmitted and received, so that a high-resolution image can be obtained.
  • communication can be performed with lower power than in the wireless system, and the camera unit 11 can be reduced in size by supplying power from the outside. Accordingly, the downsizing can reduce the damage when the camera unit 11 is introduced into the body, and thus has the effect of improving the low invasiveness.
  • the device side cable connector 15b that comes into contact with the device side cable connector 15b on the device side cable connector 15b side that is touched with a clean hand needs to be kept clean.
  • the device-side cable 16 preferably has a structure that can be cleaned by autoclave sterilization, EOG sterilization, or the like.
  • an intermediate cable may be further provided between the camera side cable 12 and the device side cable 16.
  • the thickness of the cable can be changed step by step from the small camera side cable 12 to the device side cable 16, and the use of a small diameter cable with a relatively low transmission speed can be minimized. Can be limited. Thereby, high-speed transmission is possible and a high-resolution image can be obtained.
  • the outer diameter of each cable is gradually increased from the camera unit 11 side to the device side cable 16 side. The same applies to the connector.
  • the camera-side cable 12 to be inserted into the body is set to the minimum necessary length in order to increase the transmission speed and facilitate the handling at the time of installation.
  • middle cable can be performed in a clean field, and cleanliness can be maintained.
  • the device-side connector of the intermediate cable is mated with the device-side cable connector 15b of the device-side cable 16 in the unclean field and becomes unclean, and is treated as a unclean device after the fitting. Therefore, it can be completely separated from the clean instrument side.
  • the camera side cable connector 15a, the camera side connector of the intermediate cable, and the device side connector be connectors having sterility.
  • the device-side cable 16 does not need to have sterilization resistance, and a cable and a connector with improved transmission performance can be used.
  • the intermediate cable may be further divided into several pieces.
  • the trolley 31 is caught by the thickened portion. It can be prevented from passing into the body. In that case, it is desirable that the connector connected to the camera-side cable connector 15 a has such a thickness as to be caught by the trocar 31.
  • a cable holder that can be joined to the trocar 31 and can fix the camera-side cable 12 may be provided.
  • FIGS. 2A to 2G are schematic views showing a method for installing the camera unit in the body in the first embodiment.
  • FIG. 3 is a schematic diagram illustrating a usage state of the in-vivo imaging system 1 according to the first embodiment.
  • a connector cap 8 with a magnetic body (a protective cap provided with a magnetic body at the tip) is put on the connector 15a of FIG. 1, and a drawer 7 having a holding portion 7y at one end and a holding magnet portion 7g at the other end is provided. Use.
  • the magnetic body that is not a magnet is used as the magnetic body of the connector cap 8 with a magnetic body.
  • the operator opens a hole (port) for inserting forceps and an endoscope into the body cavity in the abdominal wall 41, and inserts the trocars 32a to 32c into the ports. Further, in order to install the camera unit 11 in the body cavity, a port is opened at a position on the abdominal wall 41 where the entire organ including the affected part can be looked over, and the trocar 31 is inserted.
  • the surgeon inserts the endoscope 34 into the body cavity through the trocar 32c, and performs an operation of observing the inside of the body using the endoscope 34. While performing this operation, the surgeon was passed through the camera unit 11 grasped by the forceps 33a, the camera side cable 12 including the camera side cable connector 15a covered with the magnetic material connector cap 8, and the camera side cable 12.
  • the support tube 13 is inserted into the body cavity through the trocar 32b.
  • the operator operates the forceps 33 a to move the camera unit 11 to the vicinity of the trocar 31 and inserts the drawer 7 into the body cavity through the trocar 31.
  • the drawer tool 7 is removed from the trocar 31 with the magnetic material connector cap 8 adhered to the holding magnet portion 7 g provided at the tip of the drawer tool 7. Pull out. Thereby, the camera side cable connector covered with the connector cap 8 with the magnetic body is led out of the body. At this time, the camera unit 11 (its gripping portion) is held by the forceps 33a.
  • the surgeon pulls the camera side cable 12 led out of the body with forceps or a hand to bring the tip of the support tube 13 close to the opening of the trocar 31.
  • the operator further pulls up the camera side cable 12 and the camera unit 11 to insert one end of the support tube 13 into the end of the trocar 31 inside the body,
  • the camera unit 11 is fitted into the other end.
  • the operator connects one end of the support tube 13 and the inner end of the trocar 31, joins the other end and the camera unit 11, and maintains the tension of the camera-side cable 12.
  • the camera side cable 12 is stopped on the abdominal wall 41 or the like.
  • a stopper 48 for stopping the movement of the support tube 13 toward the connector 15a may be provided between the camera unit 11 and the connector 15a. In this way, the support tube 13 enters the opening of the trocar 31 after the connector cap 8 with the magnetic body passes through the trocar 31 (after the operator grasps the connector cap 8 with the magnetic body). Can be installed smoothly.
  • the connector 15a is fitted into the connector 15b, and the camera side cable 12 and the device side cable 16 are connected.
  • the local image of the treatment section is displayed on the display 118 by the endoscope control device 117, and the entire image inside the organ 42 captured by the camera unit 11 is displayed on the display 18 by the camera unit control device 17.
  • the operator inserts the forceps 33b into the gap between the support tube 13 and the camera unit 11 while holding the gripping portion of the camera unit 11 in the body with the forceps 33a, and operates the forceps 33b to operate the support tube. 13 and the camera unit 11 are separated.
  • the operator pulls the support tube 13 away from the camera unit 11, and leads the camera unit 11, the camera side cable 12, and the support tube 13 out of the body from the trocar 32b.
  • the connector 15a is once returned to the body through the trocar 31 and then pulled out of the body through the trocar 32a or 32b.
  • FIG. 4 is a conceptual diagram showing an attracting state between the holding magnet portion 7g and the magnetic substance connector cap 8 when the holding magnet portion 7g and the magnetic substance connector cap 8 are attracted in the body.
  • C shows a state in which the connector cap 8 with magnetic material and the holding magnet portion 7g are offset and attracted, although the connector cap 8 with magnetic material and the holding magnet portion 7g are aligned in a straight line.
  • FIG. 4 is a diagram for explaining the characteristic points of one embodiment of the present invention. Therefore, the structure and shape of the holding magnet portion 7g and the connector cap 8 with a magnetic body shown in FIG. Note that this is not related to one embodiment of the present invention.
  • the magnetic material connector cap 8 is attached in a state where the magnetic material connector cap 8 is bonded to the holding magnet portion 7 g provided at the tip of the drawer 7.
  • the covered camera side cable connector is led out of the body.
  • the holding magnet portion 7g and the magnetic material connector cap 8 enter the opening of the trocar 31 depending on the attracting state between the holding magnet portion 7g and the magnetic material connector cap 8, the holding magnet This is because the connector cap 8 with a magnetic body adsorbed on the portion 7g may be caught in the opening of the trocar 31 and the connector cap 8 with a magnetic body may be detached from the holding magnet portion 7g.
  • the connector cap 8 with a magnetic body and the holding magnet portion 7g are adsorbed in a straight line, they can enter the inside of the trocar 31. It can pass through the inside of the linear trocar 31 with both adsorbed.
  • the holding magnet portion 7g and the connector cap 8 with a magnetic body are attracted in the body, the work efficiency is achieved by attracting the holding magnet portion 7g and the magnetic body-attached connector cap 8 with magnetic force. It was considered that there was a limit to avoiding the removal of the body-attached connector cap 8. Therefore, from another viewpoint, many studies have been made as to whether or not the detachment of the connector cap 8 with a magnetic body from the holding magnet portion 7g can be avoided. As a result, by devising the shape of each of the holding magnet portion 7g and the connector cap 8 with magnetic material, it is possible to reliably avoid the detachment of the connector cap 8 with magnetic material from the holding magnet portion 7g, which has never been achieved so far. Has been realized, and has led to the completion of the invention.
  • the structure arranged in a straight line When entering the opening of 31, it is provided with the structure arranged in a straight line.
  • FIG. 5 is a conceptual diagram for explaining the two structures described above.
  • FIG. 5A is a structure in which the holding magnet portion 7g and the connector cap 8 with a magnetic body are reliably adsorbed in a straight line (hereinafter referred to as an adsorbing structure A).
  • (B) shows a structure (hereinafter referred to as an adsorption structure B) that is aligned in a straight line when the holding magnet part 7g and the connector cap 8 with a magnetic body enter the opening of the trocar 31. It is.
  • the holding magnet portion 7g and the connector cap 8 with a magnetic body are adsorbed only in a state of being aligned in a straight line, or are aligned in a straight line in the adsorption process. . Further, depending on the attracting structure B shown in FIG. 5B, the holding magnet portion 7 g and the magnetic substance-equipped connector cap 8 are aligned in a straight line when they enter the opening of the trocar 31.
  • the diameter of the holding magnet portion 7g and the connector cap 8 with a magnetic body is reduced in order to achieve minimal invasiveness.
  • the diameter is desirably 3 mm or less.
  • the camera-side cable 12 is led out of the body through the trocar 31 with the magnetic-material connector cap 8 covered, so the diameter of the camera-side cable 12 is the same as that of the magnetic-material connector cap 8. Needless to say, it is desirable that the diameter is equal to or smaller than the diameter.
  • FIG. 6 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the first embodiment of the present invention.
  • the auxiliary tool set according to Embodiment 1 includes a connector cap 8 with magnetic material (first auxiliary tool) and a drawer tool 7 (second auxiliary tool). As described above, the auxiliary tool set is used to install the camera unit 11 in the body.
  • the magnetic substance-attached connector cap 8 functions as a waterproof cap of the connector 15a shown in FIG. 1, and includes a cap part 8c and a magnetic part 8g (held part) provided at the tip of the cap part 8c.
  • the cap portion 8c has a concave shape corresponding to the shape of the connector 15a, and the connector 15a is fitted and attached to the concave portion.
  • the drawing tool 7 is provided at one end, and includes a holding magnet portion 7g (holding portion) for bonding the connector cap 8 with a magnetic body, a rod-like portion 7x (connecting portion), and a gripping portion 7y provided at the other end.
  • a wire (connection portion) in which a holding magnet portion 7g is provided at one end and a gripping portion 7y is provided at the other end may be used.
  • the rod-like portion 7x of the drawer 7 is preferably set to have a diameter equal to or smaller than the diameter of the holding magnet portion 7g in order to pass the trocar 31. The same applies to other embodiments.
  • FIG. 7 is a schematic diagram for explaining how the magnetic body portion 8g is attracted to the holding magnet portion 7g.
  • FIG. 7A shows the appearance of the holding magnet portion 7g and the magnetic body portion 8g before being attracted
  • FIG. The cross section of the holding magnet part 7g and the magnetic body part 8g before adsorption
  • the holding magnet portion 7g includes a magnet 7g1 and a magnet covering portion 7g2 that covers the magnet 7g1.
  • the magnetic body portion 8g includes a magnetic body 8g1 and a magnetic body covering portion 8g2 that covers the magnetic body 8g1.
  • the holding magnet portion 7g has a concave shape at the end facing the magnetic body portion 8g, while the magnetic body portion 8g has a convex shape at the end facing the holding magnet portion 7g. It has become. By combining these concavo-convex shapes, the holding magnet portion 7g and the magnetic body portion 8g are attracted in a straight line.
  • the assisting tool set according to the first embodiment is based on a combination of concave and convex shapes that are completely fitted, and the holding magnet portion 7g and the magnetic body portion 8g are reliably attracted in a straight line.
  • the concave and convex shapes of the holding magnet portion 7g and the magnetic body portion 8g are meshed only in a straight line, the central axes of both are shifted when being pulled out from the trocar 31. There is no possibility of being pulled out, and it becomes possible to pull out from the trocar 31 reliably.
  • the direction of the magnetic pole of the magnet 7g1 of the holding magnet portion 7g is the direction from the holding magnet portion 7g side to the magnetic body portion 8g side (FIG. 8A), or the magnetic body portion 8g. This is the direction from the side toward the holding magnet part 7g (FIG. 8B).
  • the magnet covering portion 7g2 that covers the magnet 7g1 can be made of a magnetic material, a non-magnetic material, or a coating material. It is desirable to use a biocompatible material as the coating material. Specifically, coating with a polymer such as parylene, film formation with a material such as DLC (Diamond-like-carbon), or applying a drug such as heparin or xylocaine can be considered. In other embodiments, it is conceivable to use the same coating material.
  • the holding magnet portion 7g may have a convex shape at the end facing the magnetic body portion 8g
  • the magnetic material portion 8g may have a convex shape at the end facing the holding magnet portion 7g.
  • FIG. 9 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the second embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g.
  • 9A shows the external appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption
  • FIG. 9B shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption.
  • FIG. 9D shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g after the adsorption.
  • Embodiment 2 is different from Embodiment 1 in that the shape of each end of the holding magnet portion 7g and the magnetic body portion 8g is a conical shape and a mortar shape instead of an uneven shape.
  • the holding magnet portion 7g has a mortar shape at the end facing the magnetic body portion 8g, while the magnetic body portion 8g has a conical shape at the end facing the holding magnet portion 7g. It has become.
  • the conical shape and the mortar shape are combined, the holding magnet portion 7g and the magnetic body portion 8g are attracted in a straight line.
  • the magnetic body portion 8g is attracted to the holding magnet portion 7g by the magnetic force of the magnet 7g1 and the magnetic body 8g1, thereby maintaining the conical shape of the magnetic body portion 8g. It slides in the conical shape of the magnet part 7g. Thereby, the holding magnet portion 7g and the magnetic body portion 8g are fitted so that the central axes are aligned with each other.
  • FIGS. 10A to 10E are schematic views for explaining an example of fixing the holding magnet portion 7g and the rod-like portion 7x.
  • fixing is performed using an adhesive member 7a.
  • FIG. 10B pressure is applied to the holding magnet portion 7g, and the press-fit portion 7b is pushed (press-fit) into the rod-like portion 7x to be fixed.
  • FIG. 10C the holding magnet portion 7g and the rod-like portion 7x are joined and fixed using the concave and convex joint portion 7c.
  • FIG. 10A fixing is performed using an adhesive member 7a.
  • FIG. 10B pressure is applied to the holding magnet portion 7g, and the press-fit portion 7b is pushed (press-fit) into the rod-like portion 7x to be fixed.
  • FIG. 10C the holding magnet portion 7g and the rod-like portion 7x are joined and fixed using the concave and convex joint portion 7c.
  • the threaded portion (male screw) 7d of the holding magnet portion 7g is inserted into the threaded portion (female screw) 7d of the rod-shaped portion 7x and fixed.
  • the cover member 7e made of metal or the like is used for covering and fixing.
  • a nonmagnetic material is used as the cover member, a space is formed between the holding magnet portion 7g and the magnetic material portion 8g depending on the thickness of the nonmagnetic material, and the attractive force of the magnet is reduced. Therefore, it is preferable to make the end face as thin as possible.
  • the thickness is 1 mm or less, preferably 0.15 mm or less.
  • a difference may be provided between the thickness of the end face of the cover member and the thickness of the side face so as to facilitate the straight suction.
  • the thickness of the end face of the cover member is not more than half the thickness of the side face.
  • an elastic material such as a spring may be placed inside the cover member in order to stabilize the magnetic force toward the end face.
  • FIGS. 10A to 10E may be combined. These are the same in other embodiments.
  • FIG. 11 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the third embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g.
  • FIG. 11A shows the external appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption
  • FIG. 11B shows the cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption.
  • (d) show cross sections of the holding magnet portion 7g and the magnetic body portion 8g after adsorption.
  • FIG.11 (e) is an expanded sectional view of the bearing part 7g3 of the holding magnet part 7g.
  • the third embodiment is different from the first embodiment in that the shape of each end of the holding magnet portion 7g and the magnetic body portion 8g is a spherical shape and a hollow shape of a spherical shape, instead of an uneven shape. .
  • the bearing portion 7g3 facing the magnetic body portion 8g has a spherical recess shape, while the magnetic body portion 8g has a shaft facing the holding magnet portion 7g.
  • the part 8g1a has a spherical shape.
  • the shaft portion 8g1a can be fitted into the bearing portion 7g3 and rotated like a joint. Thereby, even when the magnetic body portion 8g is attracted diagonally to the holding magnet portion 7g, when they enter the trocar 31, they hit the opening of the trocar 31 and are in a state of being attracted side by side in a straight line.
  • a tapered inclined portion 7g4 may be provided at the bearing opening of the bearing portion 7g3.
  • the holding magnet portion 7g may not be a magnet, and the magnetic body 8g1 of the magnetic body portion 8g may not be a magnetic body.
  • the second embodiment does not use a magnetic force, and the holding magnet portion 7g and the magnetic body portion 8g without using a magnetic force, depending on the shapes of the bearing portion 7g3 of the holding magnet portion 7g and the shaft portion 8g1a of the magnetic body portion 8g. Can be adsorbed in a line.
  • FIG. 12 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the fourth embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g.
  • 12A shows the appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption
  • FIG. 12B shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption
  • FIG. ) Shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g after adsorption.
  • the fourth embodiment is different from the first embodiment in that the shape of each end portion of the holding magnet portion 7g and the magnetic body portion 8g is a concave shape of a hemispherical shape and a hemispherical shape instead of an uneven shape. .
  • the bearing portion 7g3 facing the magnetic body portion 8g has a hemispherical concave shape, while the magnetic body portion 8g has a shaft facing the holding magnet portion 7g.
  • the part 8g1a has a hemispherical shape.
  • the shaft portion 8g1a can be fitted into the bearing portion 7g3 and rotated like a joint. Thereby, even when the magnetic body portion 8g is attracted diagonally to the holding magnet portion 7g, when they enter the trocar 31, they hit the opening of the trocar 31 and are in a state of being attracted side by side in a straight line.
  • FIG. 13 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the fifth embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g.
  • FIG. 13A shows the external appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption
  • FIG. 13B shows the cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption.
  • Embodiment 5 differs from Embodiment 1 in that the shapes of the end portions of the holding magnet portion 7g and the magnetic body portion 8g are spherical and hemispherical indentations instead of the irregular shapes. Further, the fifth embodiment is different from the fourth embodiment in that the shape of each end portion of the holding magnet portion 7g is a hemispherical concave shape instead of a spherical concave shape.
  • the bearing portion 7g3 facing the magnetic body portion 8g has a hemispherical concave shape, while the magnetic body portion 8g has a shaft facing the holding magnet portion 7g.
  • the part 8g1a has a spherical shape.
  • the shaft portion 8g1a can be fitted into the bearing portion 7g3 and can be rotated like a joint. Thereby, even when the magnetic body portion 8g is attracted diagonally to the holding magnet portion 7g, when they enter the trocar 31, they hit the opening of the trocar 31 and are in a state of being attracted side by side in a straight line.
  • FIG. 14 is a schematic diagram showing a schematic configuration of an auxiliary tool set according to Embodiment 6 of the present invention, and (a) and (b) show cross sections of the holding magnet portion 7g and the magnetic body portion 8g before adsorption. It is.
  • the sixth embodiment is different from the first embodiment in that the shape of each end of the holding magnet portion 7g and the magnetic body portion 8g is a concave shape of a spherical shape and a hemispherical shape instead of an uneven shape. . Furthermore, no magnet is used for the bearing portion 7g3 of the holding magnet portion 7g.
  • the magnet covering portion 7g2 may be made of a nonmagnetic material such as resin or SUS.
  • a hole may be formed in the center of the end portion on the magnetic body portion 8g side of the magnet covering portion 7g2 covering the magnet 7g1.
  • the attractive force toward the center of the end on the magnetic body 8g side can be increased.
  • the end portion on the magnetic body portion 8g side with a hole has an adsorption strength of about 50. %improves.
  • FIG. 16 is a schematic diagram showing a schematic configuration of a holding magnet portion 7g according to Embodiment 7 of the present invention.
  • the holding magnet unit 7g according to the seventh embodiment is obtained by adding a magnetic body 7g5 disposed on the back surface of the magnet 7g1 to the holding magnet unit 7g according to the sixth embodiment.
  • the magnetic body 7g5 is generally called a yoke and is for amplifying the attractive force of the magnet 7g1.
  • a material having high magnetic permeability such as pure iron or permalloy can be used.
  • FIGS. 17 and 18 are schematic diagrams showing examples of arrangement of the magnetic body 7g5.
  • FIG. 17 is an example in which the magnetic body 7g5 is arranged so as to cover the tip side from the side surface of the magnet 7g1, (a) is a front view, (b) is a cross-sectional view, and (c) is a perspective view.
  • FIG. 18 shows an example in which a groove is dug in the magnet 7g1, and the magnetic body 7g5 is embedded in the groove, (a) is a front view, (b) is a cross-sectional view, and (c) is a perspective view.
  • the attractive force of the magnet 7g1 can be amplified.
  • FIG. 19 is a schematic diagram showing a schematic configuration of a holding magnet portion 7g according to Embodiment 8 of the present invention.
  • the holding magnet portion 7g according to the eighth embodiment is obtained by providing an opening on the bearing surface 7g6 in the holding magnet portion 7g according to the seventh embodiment.
  • the magnet 7g1 is exposed from the opening, so that the magnetic force at that portion is increased, that is, the attractive force is increased.
  • FIG. 19A is a cross-sectional view of the holding magnet portion 7g
  • FIGS. 19B to 19E are a front view and a cross-sectional view showing examples of arrangement of openings.
  • an opening 7g7 is provided at the center of the bearing surface 7g6.
  • an opening 7g8 is provided in the center of the bearing surface 7g6 and in the vicinity thereof. Further, a magnetic body 7g9 is provided between the central opening 7g8 and the peripheral opening 7g8. As a result, the magnetic force at the center portion is increased, so that the attractive force for the magnetic body portion 8g to face the center portion of the bearing portion surface 7g6 of the holding magnet portion 7g is increased.
  • three openings 7g10 are provided in which the bearing surface 7g6 is arranged along the horizontal direction.
  • the bearing surface 7g6 is provided with four openings 7g11.
  • FIG. 20 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the ninth embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g.
  • 20A is a front view of the holding magnet portion 7g
  • FIG. 20B is a sectional view of the holding magnet portion 7g
  • FIG. 20C is a perspective view of the holding magnet portion 7g.
  • the holding magnet portion 7g is provided with a magnetic body 7g5 that is a yoke shown in FIGS. Further, an opening 7g12 is provided in the bearing portion.
  • the shaft portion 8g1a of the magnetic body portion 8g rotates vertically and horizontally along the opening portion 7g12 with respect to the bearing portion of the holding magnet portion 7g.
  • the auxiliary tool set according to the first aspect of the present invention is an auxiliary tool set used for installing the in-vivo imaging device (camera unit 11) in the body, and is connected to the in-vivo imaging device.
  • Auxiliary tool (connector cap 8 with magnetic body), a holding part (holding magnet part 7g) for holding a held part (magnetic body part 8g) provided in the first auxiliary tool, and a connection connected to the holding part A second portion for pulling out from the body through the inside of the tubular device (trocker 31) having one end introduced into the body in a state where the held portion is held by the holding portion.
  • An auxiliary tool (drawer tool 7), and the holding part and the held part have a structure in which the holding part and the held part are adsorbed in a straight line, or the holding part and the held part.
  • the first auxiliary tool and the second auxiliary tool can enter the inside of the tubular device in a state where they are adsorbed in a straight line, they can be tubular while they are adsorbed. Can pass through the interior of the instrument.
  • an auxiliary tool set for installing the in-vivo imaging device with excellent working efficiency is realized. can do.
  • the assisting tool set according to aspect 2 of the present invention may be configured such that, in aspect 1, the held part is held by the holding part by magnetic force.
  • the assisting device set according to aspect 3 of the present invention is the auxiliary device set according to aspect 1 or 2, wherein one of the holding part and the held part includes a magnet and the other includes a magnetic material, and the holding part is held by the held part.
  • one of the holding part and the held part includes a magnet and the other includes a magnetic material, and the holding part is held by the held part.
  • the structure which the end surface of the said magnet and the end surface of the said magnetic body may face may be sufficient.
  • the assisting device set according to aspect 4 of the present invention is the auxiliary tool set according to any one of the above aspects 1 to 3, in the state where the holding part holds the held part, the end surface of the holding part and the held part The structure which contacts with the end surface of this may be sufficient.
  • the assisting tool set according to Aspect 5 of the present invention is the assisting tool set according to Aspect 4, in which the end face of the holding part and the end face of the held part are mutually in a state where the holding part holds the held part.
  • the structure which is contacting so that outer periphery may overlap may be sufficient.
  • the auxiliary tool set according to Aspect 6 of the present invention is the auxiliary tool set according to any one of Aspects 1 to 5, wherein each of the end surface of the holding portion and the end surface of the held portion is provided with a mating shape that mates with each other. It may be a configuration.
  • the assisting tool set according to Aspect 7 of the present invention is the Auxiliary Tool Set according to Aspect 6, wherein one of the combined shapes provided on the end surface of the holding portion and the end surface of the held portion is a convex shape and the other is a concave shape.
  • the assisting tool set according to aspect 8 of the present invention is the above-described integrated shape provided on each of the end face of the holding part and the end face of the held part in aspect 6, wherein one is a conical shape and the other is a mortar shape.
  • the structure which is may be sufficient.
  • the assisting device set according to aspect 9 of the present invention is the assisting device set according to aspect 6, wherein one of the combined shapes provided on the end surface of the holding portion and the end surface of the held portion is spherical or hemispherical, May be a hemispherical depression shape.
  • the assisting device set according to aspect 10 of the present invention may be configured such that, in aspect 3, the magnet included in one of the holding part and the held part is covered with a nonmagnetic material.
  • the assisting tool set according to aspect 11 of the present invention may be configured such that, in aspect 10, the non-magnetic body has an opening on the end face side of the magnetic body.
  • the auxiliary tool set according to aspect 12 of the present invention may be configured such that, in the above aspect 3, 10 or 11, a magnetic body that is a yoke that amplifies the magnetic force of the magnet is disposed around the magnet. Good.
  • An in-vivo imaging device is an in-vivo imaging device installed in the body using a first auxiliary tool and a second auxiliary tool, the first auxiliary tool to which the in-vivo imaging device is connected, Including a holding portion for holding the held portion provided in the first auxiliary tool and a connection portion connected to the holding portion, one end is introduced into the body with the held portion held by the holding portion And a second auxiliary tool for pulling out from the body through the inside of the formed tubular instrument, and the holding part and the held part adsorb the holding part and the held part in a straight line. Or when the said holding
  • the in-vivo imaging device has one end connected to the first auxiliary tool and the other end connected to an imaging unit included in the in-vivo imaging device.
  • the structure which has a cable to be used may be sufficient.
  • the relationship (respective shapes and the like) between the holding magnet portion 7g and the magnetic body portion 8g may be reversed.
  • various medical devices may be connected to the magnetic substance-equipped connector cap 8.

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Abstract

The present invention includes: a magnetic-body-equipped connector cap (8) to which a camera unit (1) is connected; and a pulling tool (7) which has a magnet holding part (7g) for holding a magnetic body part (8g) provided on the magnetic-body-equipped connector cap (8) and a rod-like part (7x) which connects to the magnet holding part (7g), the pulling tool being used for pulling the magnetic body part (8g), when held by the magnet holding part (7g), to the outside of the body from the inside of the body through the inside of a trocar (31) one end of which has been introduced inside the body.

Description

補助具セット及び体内撮像装置Auxiliary device set and in-vivo imaging device

 本発明は、体内に導入可能な撮像部を備えた体内撮像装置を体内に設置するための補助具セット及び体内撮像装置に関する。 The present invention relates to an auxiliary tool set and an in-vivo imaging device for installing an in-vivo imaging device including an imaging unit that can be introduced into the body.

 近年、医療現場においては、検査や治療処置に伴う患者の負担を軽減させるため、細径のニードルや筒を用いた、低侵襲手術が取り入れられている。その中には、例えば、患者を開腹することなく、体内の処置を行う内視鏡手術がある。内視鏡手術では、鉗子等の処置具と内視鏡とが別々に患者の体腔内に導入され、術者は、体腔内に挿入された処置具の先端部分の画像を内視鏡の観察視野内に捕らえ、処置具による患部の処置状態を内視鏡によって観察しながらその処置作業を行う。内視鏡手術では、患者の腹部等における体壁(例えば腹壁)に穿刺した筒を通して処置具及び内視鏡を体腔内に導入する。なお、この筒は、いわゆるトロッカと称される管状部材である。 In recent years, minimally invasive surgery using a small-diameter needle or tube has been introduced in the medical field in order to reduce the burden on the patient associated with examinations and treatment procedures. Among these are, for example, endoscopic surgery in which treatment inside the body is performed without opening the patient. In endoscopic surgery, a treatment tool such as forceps and an endoscope are separately introduced into a patient's body cavity, and the operator observes an image of the distal end of the treatment tool inserted into the body cavity with an endoscope. It is captured in the field of view, and the treatment work is performed while observing the treatment state of the affected area with the treatment tool with an endoscope. In endoscopic surgery, a treatment tool and an endoscope are introduced into a body cavity through a tube punctured on a body wall (for example, an abdominal wall) in a patient's abdomen or the like. This cylinder is a tubular member called a so-called trocar.

 術者は、内視鏡を臓器に近づけて画像を拡大して、臓器の切開または縫合を行うが、このとき、術者の視野が非常に狭くなってしまう。このため、作業領域外の状態(例えば、作業領域外の処置具の動き、出血状態、ガーゼ等の残留物の残留状態)を広く把握できるような装置が要望されている。 The surgeon enlarges the image by bringing the endoscope closer to the organ and performs incision or suture of the organ, but at this time, the visual field of the surgeon becomes very narrow. For this reason, there is a demand for an apparatus that can widely grasp the state outside the work area (for example, the movement of the treatment tool outside the work area, the bleeding state, the residual state of residues such as gauze).

 このような要望に対して、特許文献1では、カメラ側ケーブルに接続されたコネクタ保護キャップを腹壁に直接差し込み、体内で、コネクタ保護キャップと引き出し治具とを磁力によって結合し、磁力によって結合させた状態でトロッカの内部を通して体内から体外にコネクタ保護キャップを引き出す装置が開示されている。 In response to such a request, in Patent Document 1, a connector protective cap connected to the camera side cable is directly inserted into the abdominal wall, and the connector protective cap and the pulling jig are coupled by magnetic force in the body, and coupled by magnetic force. A device for pulling out a connector protective cap from the inside of the body through the inside of the trocar to the outside of the body is disclosed.

日本国特許公報「特許第6027275号公報」Japanese Patent Gazette "Patent No. 6027275" 日本国特許公報「特許第6019253号公報」Japanese Patent Gazette "Patent No. 6019253" 日本国特許公報「特許第4599474号公報」Japanese Patent Gazette "Patent No. 4599474" 日本国特許公報「特許第4472727号公報」Japanese Patent Gazette "Patent No. 4472727" 日本国公開特許公報「特開2010-12222号公報」Japanese Patent Publication “JP 2010-12222”

 特許文献1によれば、コネクタ保護キャップの磁石が引き出し治具の磁石に吸着する際、コネクタ保護キャップの磁石が、引き出し治具の磁石に斜めに吸着したり、引き出し治具の磁石とずれて吸着したりする場合がある。 According to Patent Document 1, when the magnet of the connector protection cap is attracted to the magnet of the drawer jig, the magnet of the connector protection cap is diagonally attracted to the magnet of the drawer jig or shifted from the magnet of the drawer jig. It may be adsorbed.

 このような吸着状態で、管状器具の内部を通して、コネクタ保護キャップを引き出そうとすると、引き出し治具の磁石に吸着したコネクタ保護キャップの磁石がトロッカの内部に進入する際にトロッカの開口に引っ掛かり、コネクタ保護キャップの磁石が引き出し治具の磁石から離脱してしまうといった課題があった。 In such an adsorption state, when trying to pull out the connector protection cap through the inside of the tubular device, when the magnet of the connector protection cap adsorbed to the magnet of the drawer jig enters the inside of the trocar, it is caught in the opening of the trocar, There was a problem that the magnet of the protective cap was detached from the magnet of the drawer jig.

 本発明の一態様は、上記課題に鑑みなされたものであり、その目的は、作業効率に優れた、体内導入可能な撮像部を備えた体内撮像装置を体内に設置するための補助具セット及び体内撮像装置を提案することにある。 One aspect of the present invention has been made in view of the above problems, and an object of the present invention is to provide an auxiliary tool set for installing an in-vivo imaging device having an imaging unit capable of being introduced into the body, excellent in work efficiency, and It is to propose an in-vivo imaging device.

 本発明の一態様に係る補助具セットは、体内撮像装置を体内に設置するために用いられる補助具セットであって、上記体内撮像装置が接続される第1補助具と、上記第1補助具に設けられた被保持部を保持する保持部及び該保持部に接続する接続部を含み、上記被保持部を、上記保持部に保持させた状態で、一端が体内に導入された管状器具の内部を通して体内から体外に引き出すための第2補助具とを備え、上記保持部及び上記被保持部は、上記保持部と上記被保持部とが一直線上に並んで吸着する構造、又は、上記保持部及び上記被保持部が上記管状器具の開口に進入する際、一直線上に並ぶ構造を有することを特徴とする。 An auxiliary tool set according to an aspect of the present invention is an auxiliary tool set used for installing an in-vivo imaging device in the body, and includes a first auxiliary tool to which the in-vivo imaging device is connected, and the first auxiliary tool. Of a tubular device having one end introduced into the body in a state in which the held portion is held by the holding portion, the holding portion holding the held portion provided in the holding portion, and a connecting portion connected to the holding portion. A second auxiliary tool for pulling out from the body to the outside through the inside, and the holding part and the held part have a structure in which the holding part and the held part are adsorbed in a straight line, or the holding When the portion and the held portion enter the opening of the tubular instrument, the portion and the held portion have a structure aligned in a straight line.

 本発明の一態様によれば、第1補助具の被保持部を、第2補助具の保持部に保持させた状態で、一端が体内に導入された管状器具の内部を通して体内から体外に引き出すことによって、体内撮像装置に接続された第1補助具を容易に体外に導出することができ、作業効率が高められる。 According to one aspect of the present invention, with the held portion of the first auxiliary tool held by the holding portion of the second auxiliary tool, one end is pulled out of the body through the inside of the tubular device introduced into the body. Thereby, the 1st auxiliary tool connected to the in-vivo imaging device can be easily derived outside the body, and work efficiency is improved.

体内撮像システムの構成を示す模式図である。It is a schematic diagram which shows the structure of an in-vivo imaging system. カメラユニットの体内設置方法を示す模式図である。It is a schematic diagram which shows the in-body installation method of a camera unit. 体内撮像システムの使用状況を示す模式図である。It is a schematic diagram which shows the use condition of an in-vivo imaging system. 体内で、保持磁石部と磁性体付コネクタキャップとを吸着させた場合における、保持磁石部と磁性体付コネクタキャップとの吸着状態を示す概念図であり、(a)は磁性体付コネクタキャップと保持磁石部7とが一直線上に並んで吸着した状態を示し、(b)は磁性体付コネクタキャップが保持磁石部に斜めに吸着した状態を示し、(c)は磁性体付コネクタキャップと保持磁石部7とは一直線上に並んでいるものの、磁性体付コネクタキャップと保持磁石部とがずれて吸着した状態を示すものである。It is a conceptual diagram which shows the adsorption | suction state of a holding magnet part and a connector cap with a magnetic body at the time of adsorb | sucking a holding magnet part and a connector cap with a magnetic body in a body, (a) is a connector cap with a magnetic body, The holding magnet part 7 is shown in a state where it is adsorbed in a straight line, (b) shows the state in which the connector cap with magnetic material is adsorbed obliquely to the holding magnet part, and (c) shows the holding with the connector cap with magnetic material. Although the magnet portion 7 is arranged in a straight line, the connector cap with magnetic body and the holding magnet portion are in a shifted state and attracted. (a)は保持磁石部と磁性体付コネクタキャップとが確実に一直線上に並んで吸着する構造を示す概念図、(b)は保持磁石部及び磁性体付コネクタキャップがトロッカの開口に進入する際、一直線上に並ぶ構造を示す概念図である。(A) is a conceptual diagram showing a structure in which a holding magnet portion and a connector cap with a magnetic body are securely aligned and adsorbed, and (b) is a diagram showing the holding magnet portion and the connector cap with a magnetic body entering the opening of the trocar. It is a conceptual diagram which shows the structure on a line on the occasion. 実施形態1に係る補助具セットの概略構成を示す模式図である。It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 1. FIG. 保持磁石部に磁性体部が吸着する様子を説明する模式図であり、(a)は吸着前の保持磁石部及び磁性体部の外観を示し、(b)は吸着前の保持磁石部及び磁性体部の断面を示し、(c)は吸着後の保持磁石部及び磁性体部の断面を示すものである。It is a schematic diagram explaining a magnetic body part adsorbing | sucking to a holding magnet part, (a) shows the external appearance of the holding magnet part and magnetic body part before adsorption | suction, (b) is the holding magnet part and magnetism before adsorption | suction. The cross section of a body part is shown, (c) shows the cross section of the holding magnet part and magnetic body part after adsorption | suction. 保持磁石部の磁石の磁極の向きを示す概念図であり、(a)は保持磁石部側から磁性体部側に向う向き、(b)は磁性体部側から保持磁石部側に向う向きを示すものである。It is a conceptual diagram which shows the direction of the magnetic pole of the magnet of a holding magnet part, (a) is the direction which goes to the magnetic body part side from the holding magnet part side, (b) is the direction which goes to the holding magnet part side from the magnetic body part side. It is shown. 実施形態2に係る補助具セットの概略構成を示す模式図であり、保持磁石部に磁性体部が吸着する様子を説明するものである。(a)は吸着前の保持磁石部及び磁性体部の外観を示し、(b)は吸着前の保持磁石部及び磁性体部の断面を示し、(c)は吸着過程の保持磁石部及び磁性体部の断面を示し、(d)は吸着後の保持磁石部及び磁性体部の断面を示すものである。It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 2, and demonstrates a mode that a magnetic body part adsorb | sucks to a holding magnet part. (A) shows the external appearance of the holding magnet part and the magnetic part before adsorption, (b) shows the cross section of the holding magnet part and the magnetic part before adsorption, and (c) shows the holding magnet part and the magnetic part in the adsorption process. The cross section of a body part is shown, (d) shows the cross section of the holding magnet part and magnetic body part after adsorption | suction. (a)~(e)は保持磁石部と棒状部の固定例を説明する模式図である。(A)-(e) is a schematic diagram explaining the example of fixation of a holding magnet part and a rod-shaped part. 実施形態3に係る補助具セットの概略構成を示す模式図であり、保持磁石部に磁性体部が吸着する様子を説明するものである。(a)は吸着前の保持磁石部及び磁性体部の外観を示し、(b)は吸着前の保持磁石部及び磁性体部の断面を示し、(c)及び(d)は吸着後の保持磁石部及び磁性体部の断面を示す、(e)は保持磁石部の軸受部の拡大断面を示す。It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 3, and demonstrates a mode that a magnetic body part adsorb | sucks to a holding magnet part. (A) shows the external appearance of the holding magnet part and magnetic body part before adsorption, (b) shows the cross section of the holding magnet part and magnetic body part before adsorption, (c) and (d) are the holding parts after adsorption. The cross section of a magnet part and a magnetic body part is shown, (e) shows the expanded cross section of the bearing part of a holding magnet part. 実施形態4に係る補助具セットの概略構成を示す模式図であり、保持磁石部に磁性体部が吸着する様子を説明するものである。(a)は吸着前の保持磁石部及び磁性体部の外観を示し、(b)は吸着前の保持磁石部及び磁性体部の断面を示し、(c)は吸着後の保持磁石部及び磁性体部の断面を示すものである。It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 4, and demonstrates a mode that a magnetic body part adsorb | sucks to a holding magnet part. (A) shows the external appearance of the holding magnet part and magnetic part before adsorption, (b) shows the cross section of the holding magnet part and magnetic part before adsorption, and (c) shows the holding magnet part and magnetism after adsorption. The cross section of a body part is shown. 実施形態5に係る補助具セットの概略構成を示す模式図であり、保持磁石部に磁性体部が吸着する様子を説明するものである。(a)は吸着前の保持磁石部及び磁性体部の外観を示し、(b)は吸着前の保持磁石部及び磁性体部の断面を示し、(c)は吸着後の保持磁石部及び磁性体部の断面を示すものである。It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 5, and demonstrates a mode that a magnetic body part adsorb | sucks to a holding magnet part. (A) shows the external appearance of the holding magnet part and magnetic part before adsorption, (b) shows the cross section of the holding magnet part and magnetic part before adsorption, and (c) shows the holding magnet part and magnetism after adsorption. The cross section of a body part is shown. (a)及び(b)は実施形態6に係る補助具セットの概略構成を示す模式図であり、吸着前の保持磁石部及び磁性体部の断面を示すものである。(A) And (b) is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 6, and shows the cross section of the holding magnet part and magnetic body part before adsorption | suction. 実施形態6に係る補助具セットの他の概略構成を示す模式図であり、吸着前の保持磁石部及び磁性体部の断面を示すものである。It is a schematic diagram which shows the other schematic structure of the auxiliary tool set which concerns on Embodiment 6, and shows the cross section of the holding magnet part and magnetic body part before adsorption | suction. 実施形態7に係る保持磁石部7gの概略構成を示す模式図である。10 is a schematic diagram showing a schematic configuration of a holding magnet portion 7g according to Embodiment 7. FIG. 磁性体を磁石の側面側から先端側を覆うように配置した例であり、(a)は正面図、(b)は断面図、(c)は透視斜視図である。It is the example which has arrange | positioned the magnetic body so that the front end side may be covered from the side surface side of a magnet, (a) is a front view, (b) is sectional drawing, (c) is a perspective view. 磁石に溝を掘り、その溝に磁性体を埋め込んだ例であり、(a)は正面図、(b)は断面図、(c)は透視斜視図である。It is the example which dug a groove | channel in the magnet and embedded the magnetic body in the groove | channel, (a) is a front view, (b) is sectional drawing, (c) is a perspective perspective view. 実施形態8に係る保持磁石部の概略構成を示す模式図であり、(a)は保持磁石部の断面図であり、(b)~(e)は開口部の各配置例を示す正面図及び断面図である。FIG. 9 is a schematic diagram showing a schematic configuration of a holding magnet unit according to Embodiment 8, (a) is a cross-sectional view of the holding magnet unit, and (b) to (e) are front views showing examples of arrangement of openings, and It is sectional drawing. 実施形態9に係る補助具セットの概略構成を示す模式図であり、保持磁石部に磁性体部が吸着する様子を説明するものである。(a)は保持磁石部の正面図、(b)は保持磁石部の断面図、(c)は保持磁石部の透視斜視図である。It is a schematic diagram which shows schematic structure of the auxiliary tool set which concerns on Embodiment 9, and demonstrates a mode that a magnetic body part adsorb | sucks to a holding magnet part. (A) is a front view of a holding magnet part, (b) is sectional drawing of a holding magnet part, (c) is a see-through | perspective perspective view of a holding magnet part.

 本発明の実施形態について、図1~図20に基づいて説明すれば以下の通りである。 Embodiments of the present invention will be described with reference to FIGS. 1 to 20 as follows.

 (体内撮像システム)
 図1は、実施形態1の体内撮像システムの構成を示す模式図である。図1に示すように、体内撮像システム1は、カメラ側ケーブル12(ケーブル)及び、撮像素子を含む撮像ユニット(撮像部)を有し、体内に導入されるカメラユニット11(体内撮像装置)と、体内導入されたトロッカ31(管状器具)との接続に用いるトロッカ接続部13xを一端側に有し、カメラユニット11との接合に用いる凸型接合部13yを他端側に有する支持管13と、カメラユニット制御機器17及びディスプレイ18(表示装置)を含む制御システムと、カメラ側ケーブル12及びカメラユニット制御機器17を接続する機器側ケーブル16とを備える。
(In-vivo imaging system)
FIG. 1 is a schematic diagram illustrating a configuration of the in-vivo imaging system of the first embodiment. As shown in FIG. 1, the in-vivo imaging system 1 includes a camera-side cable 12 (cable) and an imaging unit (imaging unit) including an imaging element, and a camera unit 11 (in-vivo imaging device) introduced into the body. A support tube 13 having a trocar connection portion 13x used for connection with the trocar 31 (tubular instrument) introduced into the body on one end side and a convex joint portion 13y used for joining with the camera unit 11 on the other end side; A control system including a camera unit control device 17 and a display 18 (display device), and a device side cable 16 for connecting the camera side cable 12 and the camera unit control device 17.

 カメラ側ケーブル12は、カメラユニット11との接続端の反対側に凸型のカメラ側ケーブルコネクタ15aを有し、機器側ケーブル16は、カメラユニット制御機器17との接続端の反対側に凹型の機器側ケーブルコネクタ15bを有する。さらに、カメラ側ケーブル12は、カメラユニット11との接続端とカメラ側ケーブルコネクタ15aとの間に、支持管13の移動を制限するためのストッパ48を有する。カメラ側ケーブル12は、カメラユニット11の撮像ユニットに接続される。 The camera side cable 12 has a convex camera side cable connector 15 a on the opposite side of the connection end with the camera unit 11, and the device side cable 16 has a concave shape on the opposite side of the connection end with the camera unit control device 17. A device-side cable connector 15b is provided. Further, the camera side cable 12 has a stopper 48 for restricting the movement of the support tube 13 between the connection end with the camera unit 11 and the camera side cable connector 15a. The camera side cable 12 is connected to the imaging unit of the camera unit 11.

 凹型のカメラ側ケーブルコネクタと凸型の機器側ケーブルコネクタとを嵌合するような構成でもかまわない。また、図1では、カメラ側ケーブルコネクタ15aのピンを1本で図示しているが、通常は、ケーブルに使用する電線の本数に応じたピン数となる。以下では、カメラ側ケーブルコネクタ15aをコネクタ15aと、機器側ケーブルコネクタ15bをコネクタ15bと略記することがある。 A configuration in which a concave camera-side cable connector and a convex device-side cable connector are fitted may be used. Further, in FIG. 1, one pin of the camera side cable connector 15 a is illustrated, but normally, the number of pins corresponds to the number of electric wires used for the cable. Hereinafter, the camera side cable connector 15a may be abbreviated as a connector 15a, and the device side cable connector 15b may be abbreviated as a connector 15b.

 体内撮像システム1では、腹壁41に穿刺されたトロッカ31の体内側の端部と支持管13とがトロッカ接続部13xによって接続されるとともに、体内に導入されたカメラユニット11と支持管13とが凸型接合部13yによって接合される。また、カメラ側ケーブル12のコネクタ15aが支持管13及びトロッカ31を通って体外に引き出される。そして、コネクタ15aがコネクタ15bに嵌め込まれることでカメラユニット11とカメラユニット制御機器17とが電気的に接続され、カメラユニット11で撮影された映像がカメラユニット制御機器17に送信される。カメラユニット制御機器17は、カメラユニット11から送信された映像をディスプレイ18に表示させ、また、制御信号をカメラユニット11に送信する。なお、カメラユニット制御機器17とディスプレイ18とは、一体でも別体でも構わない。また、後述の通り、カメラユニット11は、カメラ側ケーブル12を引き上げて使用する。そのため、前述のカメラ側ケーブル12と撮像ユニットとの接続部分に負荷がかかる可能性がある。過剰な負荷により、接続が外れてしまい、機器が正常に使用できなくなるようなことが無いように、カメラユニット11の支持管13との接合部やカメラユニット11の内部に、後述するような構造を有することが望ましい。具体的には、その構造とは、カメラ側ケーブル12を引き上げた際に、上記の接続部分に直接負荷がかからないようにする構造である。 In the in-vivo imaging system 1, the body inner end of the trocar 31 punctured in the abdominal wall 41 and the support tube 13 are connected by the trocar connecting portion 13x, and the camera unit 11 and the support tube 13 introduced into the body are connected. Joined by the convex joint 13y. Further, the connector 15 a of the camera side cable 12 is pulled out of the body through the support tube 13 and the trocar 31. Then, when the connector 15 a is fitted into the connector 15 b, the camera unit 11 and the camera unit control device 17 are electrically connected, and an image captured by the camera unit 11 is transmitted to the camera unit control device 17. The camera unit control device 17 displays the video transmitted from the camera unit 11 on the display 18 and transmits a control signal to the camera unit 11. The camera unit control device 17 and the display 18 may be integrated or separated. Further, as will be described later, the camera unit 11 pulls up and uses the camera side cable 12. Therefore, there is a possibility that a load is applied to the connection portion between the camera side cable 12 and the imaging unit. A structure as described later is formed in the joint portion of the camera unit 11 with the support tube 13 or inside the camera unit 11 so that the connection is disconnected due to excessive load and the device cannot be used normally. It is desirable to have Specifically, the structure is a structure that prevents a load from being directly applied to the connection portion when the camera-side cable 12 is pulled up.

 ここでは、カメラユニット11からカメラユニット制御機器17への伝送に有線方式を採用しているため、伝送速度が高速化でき、信号を安定して送受信できるため高解像度の画像を得ることができる。また、無線方式に比べ低電力で通信でき、電源を外部から供給することによりカメラユニット11の小型化を図ることができる。したがって、小型化により、カメラユニット11を体内に導入するときの傷を小さくできるので、低侵襲性が向上するといった効果がある。 Here, since a wired system is adopted for transmission from the camera unit 11 to the camera unit control device 17, the transmission speed can be increased, and signals can be stably transmitted and received, so that a high-resolution image can be obtained. In addition, communication can be performed with lower power than in the wireless system, and the camera unit 11 can be reduced in size by supplying power from the outside. Accordingly, the downsizing can reduce the damage when the camera unit 11 is introduced into the body, and thus has the effect of improving the low invasiveness.

 なお、前述したように、カメラ側ケーブル12及びカメラ側ケーブルコネクタ15aはカメラユニット11の回収時に一旦体内に戻すことになる。このため、接触する機器側ケーブルコネクタ15bと、清潔な手で触る機器側ケーブルコネクタ15b側の機器側ケーブル16の一部は、清潔を維持する必要がある。機器側ケーブル16については、繰り返し使用されることを考慮し、オートクレーブ滅菌やEOG滅菌などによって、清潔にすることができる構造とするのが望ましい。  As described above, the camera side cable 12 and the camera side cable connector 15a are temporarily returned to the body when the camera unit 11 is collected. For this reason, the device side cable connector 15b that comes into contact with the device side cable connector 15b on the device side cable connector 15b side that is touched with a clean hand needs to be kept clean. In consideration of repeated use, the device-side cable 16 preferably has a structure that can be cleaned by autoclave sterilization, EOG sterilization, or the like.

 また、図示はしていないが、カメラ側ケーブル12と機器側ケーブル16との間に、更に中間ケーブルを備えることとしてもよい。中間ケーブルを備えることにより、細径のカメラ側ケーブル12から機器側ケーブル16まで、ケーブルの太さを段階的に変換していくことができ、伝送速度が比較的遅い細径ケーブルの使用を最低限にすることができる。これにより、高速伝送が可能となり高解像度画像を得ることができる。この場合、各ケーブルの外径は、カメラユニット11側から機器側ケーブル16側へ、段階的に太くしていくことが好ましい。コネクタに関しても同様である。 Although not shown, an intermediate cable may be further provided between the camera side cable 12 and the device side cable 16. By providing the intermediate cable, the thickness of the cable can be changed step by step from the small camera side cable 12 to the device side cable 16, and the use of a small diameter cable with a relatively low transmission speed can be minimized. Can be limited. Thereby, high-speed transmission is possible and a high-resolution image can be obtained. In this case, it is preferable that the outer diameter of each cable is gradually increased from the camera unit 11 side to the device side cable 16 side. The same applies to the connector.

 また、中間ケーブルを使用することで、手術時の清潔野と不潔野の分離を効果的に行うことができるといった特段の効果がある。つまり、体内に入れるカメラ側ケーブル12は、前述した伝送速度の高速化や設置時の取扱いを容易にするため、必要最低限の長さに設定しておき、そこから清潔野を超えて不潔野に入るまでは、予め滅菌処理済みの中間ケーブルを用いる。このようにすることによって、カメラ側ケーブルコネクタ15aと中間ケーブルのカメラ側コネクタとの嵌合は、清潔野の中で行うことができ、清潔を維持できる。一方、中間ケーブルの機器側コネクタは、不潔野にある機器側ケーブル16の機器側ケーブルコネクタ15bと嵌合され、不潔となり、嵌合後は不潔な器具として扱う。したがって、清潔な器具側とは完全に分離することができる。 Also, by using an intermediate cable, there is a special effect that the clean field and the unclean field can be effectively separated at the time of surgery. In other words, the camera-side cable 12 to be inserted into the body is set to the minimum necessary length in order to increase the transmission speed and facilitate the handling at the time of installation. Use an intermediate cable that has been sterilized in advance. By doing in this way, fitting with the camera side cable connector 15a and the camera side connector of an intermediate | middle cable can be performed in a clean field, and cleanliness can be maintained. On the other hand, the device-side connector of the intermediate cable is mated with the device-side cable connector 15b of the device-side cable 16 in the unclean field and becomes unclean, and is treated as a unclean device after the fitting. Therefore, it can be completely separated from the clean instrument side.

 また、中間ケーブルを使用して清潔野の範囲を分けることにより、滅菌等への耐久性を必要とする範囲は、中間ケーブルの機器側コネクタまでとなる。従って、カメラ側ケーブルコネクタ15a、中間ケーブルのカメラ側コネクタ及び機器側コネクタは、対滅菌性を有するコネクタとすることが望ましい。また、この場合、機器側ケーブル16が耐滅菌性を有する必要はなく、その分伝送性能を向上させたケーブル及びコネクタを使用することができる。また、中間ケーブルを更に何本かに分割した構成としてもかまわない。  Also, by using an intermediate cable to divide the range of the clean field, the range that requires durability against sterilization, etc. is up to the device connector on the intermediate cable. Therefore, it is desirable that the camera side cable connector 15a, the camera side connector of the intermediate cable, and the device side connector be connectors having sterility. In this case, the device-side cable 16 does not need to have sterilization resistance, and a cable and a connector with improved transmission performance can be used. The intermediate cable may be further divided into several pieces.

 また、ケーブルとコネクタを段階的に太くしていくことにより、ケーブル同士が接続された状態では、太くなった部分でトロッカ31に引っかかるため、不潔野にあったケーブルの不潔な部分がトロッカ31を通過して体内に侵入することを防止できる。その場合、カメラ側ケーブルコネクタ15aと接続されるコネクタが、トロッカ31に引っかかるような太さにすることが望ましい。 In addition, by gradually increasing the thickness of the cable and the connector, when the cables are connected to each other, the trolley 31 is caught by the thickened portion. It can be prevented from passing into the body. In that case, it is desirable that the connector connected to the camera-side cable connector 15 a has such a thickness as to be caught by the trocar 31.

 また、ケーブルが体内に侵入することを防ぐために、トロッカ31と接合し、カメラ側ケーブル12を固定することができるケーブルホルダを備えていてもよい。 In order to prevent the cable from entering the body, a cable holder that can be joined to the trocar 31 and can fix the camera-side cable 12 may be provided.

 (体内撮像システムの使用方法)
 図2(a)~(g)は、実施形態1におけるカメラユニットの体内設置方法を示す模式図である。図3は、実施形態1における体内撮像システム1の使用状況を示す模式図である。図1のコネクタ15aに磁性体付コネクタキャップ8(先端に磁性体が設けられた保護キャップ)を被せておき、一端に把持部7yを有するとともに他端に保持磁石部7gを有する引き出し具7を用いる。
(How to use in-vivo imaging system)
FIGS. 2A to 2G are schematic views showing a method for installing the camera unit in the body in the first embodiment. FIG. 3 is a schematic diagram illustrating a usage state of the in-vivo imaging system 1 according to the first embodiment. A connector cap 8 with a magnetic body (a protective cap provided with a magnetic body at the tip) is put on the connector 15a of FIG. 1, and a drawer 7 having a holding portion 7y at one end and a holding magnet portion 7g at the other end is provided. Use.

 磁性体付コネクタキャップ8の磁性体には、磁石ではない磁性体を用いている。こうすれば、磁性体付コネクタキャップ8が他の金属製の処置具に勝手に引っ付くことがなくなり、作業効率が高められる。 The magnetic body that is not a magnet is used as the magnetic body of the connector cap 8 with a magnetic body. By so doing, the connector cap 8 with a magnetic body will not be caught arbitrarily by another metal treatment instrument, and work efficiency will be improved.

 図2(a)に示すように、まず、術者は、鉗子や内視鏡を体腔内に挿入するための孔(ポート)を腹壁41に開け、ポートにトロッカ32a~32cを挿入する。さらに、カメラユニット11を体腔内に設置するために、腹壁41における、患部を含む臓器全体を見渡すことのできる位置にポートを開け、トロッカ31を挿入する。 As shown in FIG. 2 (a), first, the operator opens a hole (port) for inserting forceps and an endoscope into the body cavity in the abdominal wall 41, and inserts the trocars 32a to 32c into the ports. Further, in order to install the camera unit 11 in the body cavity, a port is opened at a position on the abdominal wall 41 where the entire organ including the affected part can be looked over, and the trocar 31 is inserted.

 次に、図2(b)に示すように、術者は、トロッカ32cを通して内視鏡34を体腔内に挿入し、内視鏡34を用いて体内を観察する作業を行う。術者は、この作業を行いながら、鉗子33aで把持したカメラユニット11、磁性体付コネクタキャップ8が被せられたカメラ側ケーブルコネクタ15aを含むカメラ側ケーブル12、及びカメラ側ケーブル12に通された支持管13を、トロッカ32bを通して体腔内に挿入する。 Next, as shown in FIG. 2B, the surgeon inserts the endoscope 34 into the body cavity through the trocar 32c, and performs an operation of observing the inside of the body using the endoscope 34. While performing this operation, the surgeon was passed through the camera unit 11 grasped by the forceps 33a, the camera side cable 12 including the camera side cable connector 15a covered with the magnetic material connector cap 8, and the camera side cable 12. The support tube 13 is inserted into the body cavity through the trocar 32b.

 次に、図2(c)に示すように、術者は、鉗子33aを操作してカメラユニット11をトロッカ31の近傍に移動させるとともに、トロッカ31を通して引き出し具7を体腔内に挿入する。 Next, as shown in FIG. 2C, the operator operates the forceps 33 a to move the camera unit 11 to the vicinity of the trocar 31 and inserts the drawer 7 into the body cavity through the trocar 31.

 次に、図2(d)及び(e)に示すように、引き出し具7の先端に設けられた保持磁石部7gに磁性体付コネクタキャップ8を接着させた状態で引き出し具7をトロッカ31から引き抜く。これにより、磁性体付コネクタキャップ8が被せられたカメラ側ケーブルコネクタを体外に導出する。このとき、カメラユニット11(その握持部)は鉗子33aによって把持された状態となっている。 Next, as shown in FIGS. 2 (d) and 2 (e), the drawer tool 7 is removed from the trocar 31 with the magnetic material connector cap 8 adhered to the holding magnet portion 7 g provided at the tip of the drawer tool 7. Pull out. Thereby, the camera side cable connector covered with the connector cap 8 with the magnetic body is led out of the body. At this time, the camera unit 11 (its gripping portion) is held by the forceps 33a.

 次に、図2(f)に示すように、術者は、体外に導出したカメラ側ケーブル12を、鉗子や手などで引き上げることで、支持管13の先端をトロッカ31の開口に近接させる。 Next, as shown in FIG. 2 (f), the surgeon pulls the camera side cable 12 led out of the body with forceps or a hand to bring the tip of the support tube 13 close to the opening of the trocar 31.

 次に、図2(g)に示すように、術者は、カメラ側ケーブル12及びカメラユニット11をさらに引き上げることで、支持管13の一端をトロッカ31の体内側の端部に挿入するとともに、カメラユニット11を他端に嵌め込む。これにより、術者は、支持管13の一端とトロッカ31の体内側の端部とを接続するとともに、他端とカメラユニット11とを接合し、カメラ側ケーブル12のテンションを維持するように、カメラ側ケーブル12を腹壁41等に止める。 Next, as shown in FIG. 2 (g), the operator further pulls up the camera side cable 12 and the camera unit 11 to insert one end of the support tube 13 into the end of the trocar 31 inside the body, The camera unit 11 is fitted into the other end. As a result, the operator connects one end of the support tube 13 and the inner end of the trocar 31, joins the other end and the camera unit 11, and maintains the tension of the camera-side cable 12. The camera side cable 12 is stopped on the abdominal wall 41 or the like.

 引き出し具7を用いて磁性体付コネクタキャップ8が被せられたカメラ側ケーブルコネクタを体外に引き出す際、支持管13がトロッカ31の近傍にあると、磁性体付コネクタキャップ8がトロッカ31内を通過する前に(術者が磁性体付コネクタキャップ8をつかむ前に)、支持管13がトロッカ31の開口内に入ってしまう。このため、その摩擦によって磁性体付コネクタキャップ8が保持磁石部7gから離れてしまうことが考えられる。 When the camera-side cable connector covered with the magnetic material connector cap 8 is pulled out of the body using the drawer 7, if the support tube 13 is in the vicinity of the trocar 31, the magnetic material connector cap 8 passes through the trocar 31. Before the operation is performed (before the operator grasps the magnetic material-equipped connector cap 8), the support tube 13 enters the opening of the trocar 31. For this reason, it is possible that the connector cap 8 with a magnetic body will separate | separate from the holding magnet part 7g by the friction.

 そこで、カメラユニット11とコネクタ15aとの間に、支持管13のコネクタ15a側への移動を止めるストッパ48を設けても良い。こうすれば、磁性体付コネクタキャップ8がトロッカ31内を通過した後に(術者が磁性体付コネクタキャップ8をつかんだ後に)、支持管13がトロッカ31の開口内に入るため、カメラユニット11の設置をスムーズに行うことができる。 Therefore, a stopper 48 for stopping the movement of the support tube 13 toward the connector 15a may be provided between the camera unit 11 and the connector 15a. In this way, the support tube 13 enters the opening of the trocar 31 after the connector cap 8 with the magnetic body passes through the trocar 31 (after the operator grasps the connector cap 8 with the magnetic body). Can be installed smoothly.

 カメラユニット11を体内に設置した後は、図3に示すように、コネクタ15aをコネクタ15bに嵌め込んでカメラ側ケーブル12と機器側ケーブル16とを接続する。これにより、処置部の局所映像は、内視鏡制御機器117によってディスプレイ118に表示され、カメラユニット11で撮影された臓器42内の全体映像はカメラユニット制御機器17によってディスプレイ18に表示される。 After the camera unit 11 is installed in the body, as shown in FIG. 3, the connector 15a is fitted into the connector 15b, and the camera side cable 12 and the device side cable 16 are connected. As a result, the local image of the treatment section is displayed on the display 118 by the endoscope control device 117, and the entire image inside the organ 42 captured by the camera unit 11 is displayed on the display 18 by the camera unit control device 17.

 使用後については以下の通りである。まず、術者は、体内のカメラユニット11の握持部を鉗子33aにて把持した状態で、支持管13とカメラユニット11との隙間に鉗子33bを挿し込み、鉗子33bを操作して支持管13とカメラユニット11とを分離する。次いで、術者は、支持管13をカメラユニット11から引き離し、トロッカ32bから、カメラユニット11、カメラ側ケーブル12、及び支持管13を体外に導出する。このとき、コネクタ15aは、トロッカ31を通して一旦体内に戻された後、トロッカ32a又は32bを通して体外に引き出される。 After use, it is as follows. First, the operator inserts the forceps 33b into the gap between the support tube 13 and the camera unit 11 while holding the gripping portion of the camera unit 11 in the body with the forceps 33a, and operates the forceps 33b to operate the support tube. 13 and the camera unit 11 are separated. Next, the operator pulls the support tube 13 away from the camera unit 11, and leads the camera unit 11, the camera side cable 12, and the support tube 13 out of the body from the trocar 32b. At this time, the connector 15a is once returned to the body through the trocar 31 and then pulled out of the body through the trocar 32a or 32b.

 (保持磁石部7g及び磁性体付コネクタキャップ8)
 図4は、体内で、保持磁石部7gと磁性体付コネクタキャップ8とを吸着させた場合における、保持磁石部7gと磁性体付コネクタキャップ8との吸着状態を示す概念図であり、(a)は磁性体付コネクタキャップ8と保持磁石部7gとが一直線上に並んで吸着した状態を示し、(b)は磁性体付コネクタキャップ8が保持磁石部7gに斜めに吸着した状態を示し、(c)は磁性体付コネクタキャップ8と保持磁石部7gとは一直線上に並んでいるものの、磁性体付コネクタキャップ8と保持磁石部7gとがずれて吸着した状態を示すものである。
(Holding magnet part 7g and connector cap 8 with magnetic body)
FIG. 4 is a conceptual diagram showing an attracting state between the holding magnet portion 7g and the magnetic substance connector cap 8 when the holding magnet portion 7g and the magnetic substance connector cap 8 are attracted in the body. ) Shows a state in which the connector cap 8 with magnetic material and the holding magnet portion 7g are adsorbed in a straight line, and (b) shows a state in which the connector cap 8 with magnetic material is adsorbed diagonally to the holding magnet portion 7g. (C) shows a state in which the connector cap 8 with magnetic material and the holding magnet portion 7g are offset and attracted, although the connector cap 8 with magnetic material and the holding magnet portion 7g are aligned in a straight line.

 なお、図4は、本発明の一態様の特徴点を説明するための図であり、それゆえ、図4に示す保持磁石部7g及び磁性体付コネクタキャップ8の構造及び形状等は、従来技術に係るものであって、本願発明の一態様に係るものではないことを付言しておく。 FIG. 4 is a diagram for explaining the characteristic points of one embodiment of the present invention. Therefore, the structure and shape of the holding magnet portion 7g and the connector cap 8 with a magnetic body shown in FIG. Note that this is not related to one embodiment of the present invention.

 図2(d)及び(e)を参照しつつ説明した通り、引き出し具7の先端に設けられた保持磁石部7gに磁性体付コネクタキャップ8を接着させた状態で磁性体付コネクタキャップ8が被せられたカメラ側ケーブルコネクタが体外に導出される。 As described with reference to FIGS. 2 (d) and 2 (e), the magnetic material connector cap 8 is attached in a state where the magnetic material connector cap 8 is bonded to the holding magnet portion 7 g provided at the tip of the drawer 7. The covered camera side cable connector is led out of the body.

 ここで注目すべきは、保持磁石部7gと磁性体付コネクタキャップ8との吸着状態の如何によっては、保持磁石部7g及び磁性体付コネクタキャップ8をトロッカ31の開口に進入する際、保持磁石部7gに吸着した磁性体付コネクタキャップ8がトロッカ31の開口に引っ掛かり、保持磁石部7gから磁性体付コネクタキャップ8が離脱してしまうおそれがあることである。 What should be noted here is that when the holding magnet portion 7g and the magnetic material connector cap 8 enter the opening of the trocar 31 depending on the attracting state between the holding magnet portion 7g and the magnetic material connector cap 8, the holding magnet This is because the connector cap 8 with a magnetic body adsorbed on the portion 7g may be caught in the opening of the trocar 31 and the connector cap 8 with a magnetic body may be detached from the holding magnet portion 7g.

 具体的には、図4(a)に示すように磁性体付コネクタキャップ8と保持磁石部7gとが一直線上に並んで吸着した状態でそれらがトロッカ31の内部に進入することができれば、それら両者が吸着した状態のまま、直線状のトロッカ31の内部を通過することができる。 Specifically, as shown in FIG. 4A, if the connector cap 8 with a magnetic body and the holding magnet portion 7g are adsorbed in a straight line, they can enter the inside of the trocar 31. It can pass through the inside of the linear trocar 31 with both adsorbed.

 これに対し、図4(b)に示すように磁性体付コネクタキャップ8が保持磁石部7gに斜めに吸着した状態では、それら両者が吸着した状態のまま、直線状のトロッカ31の内部を通過することはできず、保持磁石部7gから磁性体付コネクタキャップ8が離脱してしまう。図4(c)に示した、磁性体付コネクタキャップ8と保持磁石部7gとがずれて吸着した状態であっても、図4(b)に示した状態と同様、保持磁石部7gから磁性体付コネクタキャップ8が離脱してしまう。 On the other hand, as shown in FIG. 4B, in the state where the connector cap 8 with the magnetic body is attracted to the holding magnet portion 7g at an angle, it passes through the inside of the linear trocar 31 with both of them adsorbed. The connector cap 8 with a magnetic body will detach | leave from the holding magnet part 7g. Even if the connector cap 8 with magnetic body and the holding magnet portion 7g shown in FIG. 4 (c) are deviated and attracted, the magnet from the holding magnet portion 7g is magnetic as in the state shown in FIG. 4 (b). The body-attached connector cap 8 is detached.

 本願発明者らは、体内で、保持磁石部7gと磁性体付コネクタキャップ8とを吸着させる場合、磁力によって吸着させることにより作業効率が図られた一方で、それだけでは保持磁石部7gからの磁性体付コネクタキャップ8の離脱の回避に限界があると考えた。そこで、別の視点から、保持磁石部7gからの磁性体付コネクタキャップ8の離脱を回避できないか多くの検討を行った。その結果、保持磁石部7g及び磁性体付コネクタキャップ8の各々の形状を工夫することによって、これまで到底達し得なかった、保持磁石部7gからの磁性体付コネクタキャップ8の離脱の確実な回避が実現されることを見出し、発明を完成させるに至った。 In the present invention, when the holding magnet portion 7g and the connector cap 8 with a magnetic body are attracted in the body, the work efficiency is achieved by attracting the holding magnet portion 7g and the magnetic body-attached connector cap 8 with magnetic force. It was considered that there was a limit to avoiding the removal of the body-attached connector cap 8. Therefore, from another viewpoint, many studies have been made as to whether or not the detachment of the connector cap 8 with a magnetic body from the holding magnet portion 7g can be avoided. As a result, by devising the shape of each of the holding magnet portion 7g and the connector cap 8 with magnetic material, it is possible to reliably avoid the detachment of the connector cap 8 with magnetic material from the holding magnet portion 7g, which has never been achieved so far. Has been realized, and has led to the completion of the invention.

 すなわち、本願発明の一態様は、保持磁石部7gと磁性体付コネクタキャップ8とが確実に一直線上に並んで吸着する構造、及び/又は、保持磁石部7g及び磁性体付コネクタキャップ8をトロッカ31の開口に進入する際、一直線上に並ぶ構造、を備えることを特徴とする。 That is, according to one aspect of the present invention, a structure in which the holding magnet portion 7g and the connector cap 8 with a magnetic body are securely attached in a straight line and / or the holding magnet portion 7g and the connector cap 8 with a magnetic body are mounted on the trocar. When entering the opening of 31, it is provided with the structure arranged in a straight line.

 図5は、上述の2つの構造を説明する概念図であり、(a)は保持磁石部7gと磁性体付コネクタキャップ8とが確実に一直線上に並んで吸着する構造(以下、吸着構造Aと称する。)を示し、(b)は保持磁石部7g及び磁性体付コネクタキャップ8がトロッカ31の開口に進入する際、一直線上に並ぶ構造(以下、吸着構造Bと称する。)を示すものである。 FIG. 5 is a conceptual diagram for explaining the two structures described above. FIG. 5A is a structure in which the holding magnet portion 7g and the connector cap 8 with a magnetic body are reliably adsorbed in a straight line (hereinafter referred to as an adsorbing structure A). (B) shows a structure (hereinafter referred to as an adsorption structure B) that is aligned in a straight line when the holding magnet part 7g and the connector cap 8 with a magnetic body enter the opening of the trocar 31. It is.

 図5(a)に示す吸着構造Aによっては、保持磁石部7gと磁性体付コネクタキャップ8とは、一直線上に並んだ状態でのみ吸着する、又は、吸着過程において一直線上に並ぶことになる。また、図5(b)に示す吸着構造Bによっては、保持磁石部7gと磁性体付コネクタキャップ8とは、それらがトロッカ31の開口に進入する際、一直線上に並ぶことになる。 Depending on the adsorption structure A shown in FIG. 5 (a), the holding magnet portion 7g and the connector cap 8 with a magnetic body are adsorbed only in a state of being aligned in a straight line, or are aligned in a straight line in the adsorption process. . Further, depending on the attracting structure B shown in FIG. 5B, the holding magnet portion 7 g and the magnetic substance-equipped connector cap 8 are aligned in a straight line when they enter the opening of the trocar 31.

 なお、保持磁石部7g及び磁性体付コネクタキャップ8は、低侵襲性を実現するために、直径を小さくすることが好ましい。具体的には、直径が3mm以下であることが望ましい。また、カメラ側ケーブル12は、磁性体付コネクタキャップ8を被せられた状態で、トロッカ31を通り、体内から体外へ導出されるため、カメラ側ケーブル12の直径は、磁性体付コネクタキャップ8の直径と同等以下とすることが望ましいことは、言うまでもない。これらは、以下の本発明の各実施形態においても同様である。 In addition, it is preferable that the diameter of the holding magnet portion 7g and the connector cap 8 with a magnetic body is reduced in order to achieve minimal invasiveness. Specifically, the diameter is desirably 3 mm or less. The camera-side cable 12 is led out of the body through the trocar 31 with the magnetic-material connector cap 8 covered, so the diameter of the camera-side cable 12 is the same as that of the magnetic-material connector cap 8. Needless to say, it is desirable that the diameter is equal to or smaller than the diameter. These also apply to the following embodiments of the present invention.

 以下、上述の吸着構造A、吸着構造B及びそれらの組合せ構造に係る、本発明の各実施形態について、図面を参照しつつ説明する。 Hereinafter, each embodiment of the present invention relating to the above-described adsorption structure A, adsorption structure B, and a combination thereof will be described with reference to the drawings.

 〔実施形態1〕
 図6は、本発明の実施形態1に係る補助具セットの概略構成を示す模式図である。図6に示すように、実施形態1に係る補助具セットは、磁性体付コネクタキャップ8(第1補助具)と、引き出し具7(第2補助具)と、を備えている。補助具セットは、上述した通り、カメラユニット11を体内に設置するために用いられる。
Embodiment 1
FIG. 6 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the first embodiment of the present invention. As shown in FIG. 6, the auxiliary tool set according to Embodiment 1 includes a connector cap 8 with magnetic material (first auxiliary tool) and a drawer tool 7 (second auxiliary tool). As described above, the auxiliary tool set is used to install the camera unit 11 in the body.

 磁性体付コネクタキャップ8は、図1に示したコネクタ15aの防水キャップとして機能するものであり、キャップ部8c及びキャップ部8cの先端に設けられた磁性体部8g(被保持部)を含む。キャップ部8cは、コネクタ15aの形状に応じた凹形状を持ち、この凹形状の部分にコネクタ15aを嵌め込んで装着する。 The magnetic substance-attached connector cap 8 functions as a waterproof cap of the connector 15a shown in FIG. 1, and includes a cap part 8c and a magnetic part 8g (held part) provided at the tip of the cap part 8c. The cap portion 8c has a concave shape corresponding to the shape of the connector 15a, and the connector 15a is fitted and attached to the concave portion.

 引き出し具7は、一端に設けられ、磁性体付コネクタキャップ8を接着するための保持磁石部7g(保持部)、棒状部7x(接続部)及び他端に設けられた把持部7yを含む。なお、棒状部7xに代えて、一端に保持磁石部7gを設け、他端に把持部7yを設けるワイヤ(接続部)を用いても良い。なお、引き出し具7の棒状部7xは、トロッカ31を通すために、保持磁石部7gの直径と同等以下の直径とすることが望ましい。これは、他の実施形態においても同様である。 The drawing tool 7 is provided at one end, and includes a holding magnet portion 7g (holding portion) for bonding the connector cap 8 with a magnetic body, a rod-like portion 7x (connecting portion), and a gripping portion 7y provided at the other end. Instead of the rod-shaped portion 7x, a wire (connection portion) in which a holding magnet portion 7g is provided at one end and a gripping portion 7y is provided at the other end may be used. The rod-like portion 7x of the drawer 7 is preferably set to have a diameter equal to or smaller than the diameter of the holding magnet portion 7g in order to pass the trocar 31. The same applies to other embodiments.

 図7は、保持磁石部7gに磁性体部8gが吸着する様子を説明する模式図であり、(a)は吸着前の保持磁石部7g及び磁性体部8gの外観を示し、(b)は吸着前の保持磁石部7g及び磁性体部8gの断面を示し、(c)は吸着後の保持磁石部7g及び磁性体部8gの断面を示すものである。 FIG. 7 is a schematic diagram for explaining how the magnetic body portion 8g is attracted to the holding magnet portion 7g. FIG. 7A shows the appearance of the holding magnet portion 7g and the magnetic body portion 8g before being attracted, and FIG. The cross section of the holding magnet part 7g and the magnetic body part 8g before adsorption | suction is shown, (c) shows the cross section of the holding magnet part 7g and the magnetic body part 8g after adsorption | suction.

 保持磁石部7gは、磁石7g1及び磁石7g1を被覆する磁石被覆部7g2を含む。また、磁性体部8gは、磁性体8g1及び磁性体8g1を被覆する磁性体被覆部8g2を含む。 The holding magnet portion 7g includes a magnet 7g1 and a magnet covering portion 7g2 that covers the magnet 7g1. The magnetic body portion 8g includes a magnetic body 8g1 and a magnetic body covering portion 8g2 that covers the magnetic body 8g1.

 図7に示すように、保持磁石部7gは、磁性体部8gに対向する端部が凹形状となっており、一方、磁性体部8gは、保持磁石部7gに対向する端部が凸形状となっている。それら凹凸形状が篏合することによって、保持磁石部7gと磁性体部8gとが一直線上に並んで吸着する。 As shown in FIG. 7, the holding magnet portion 7g has a concave shape at the end facing the magnetic body portion 8g, while the magnetic body portion 8g has a convex shape at the end facing the holding magnet portion 7g. It has become. By combining these concavo-convex shapes, the holding magnet portion 7g and the magnetic body portion 8g are attracted in a straight line.

 実施形態1に係る補助具セットは、完全に嵌合する凹凸形状の組合せによるものであって、保持磁石部7gと磁性体部8gとが確実に一直線上に並んで吸着する。なお、上述の凹凸形状は、保持磁石部7gの上述の端部の形状を磁性体部8gの上述の端部の形状に合わせて加工すれば良い。 The assisting tool set according to the first embodiment is based on a combination of concave and convex shapes that are completely fitted, and the holding magnet portion 7g and the magnetic body portion 8g are reliably attracted in a straight line. In addition, what is necessary is just to process the above-mentioned uneven | corrugated shape according to the shape of the above-mentioned edge part of the magnetic body part 8g according to the shape of the above-mentioned edge part of the holding magnet part 7g.

 実施形態1に係る補助具セットによれば、保持磁石部7gと磁性体部8gとは、それらの凹凸形状が一直線上にしか噛み合わないため、トロッカ31から引き出す際、両者の中心軸がずれている可能性がなく、トロッカ31から確実に引き出すことが可能となる。 According to the auxiliary tool set according to the first embodiment, since the concave and convex shapes of the holding magnet portion 7g and the magnetic body portion 8g are meshed only in a straight line, the central axes of both are shifted when being pulled out from the trocar 31. There is no possibility of being pulled out, and it becomes possible to pull out from the trocar 31 reliably.

 なお、図8に示すように、保持磁石部7gの磁石7g1の磁極の向きは、保持磁石部7g側から磁性体部8g側に向う向き(図8(a))、又は、磁性体部8g側から保持磁石部7g側に向う向き(図8(b))である。 As shown in FIG. 8, the direction of the magnetic pole of the magnet 7g1 of the holding magnet portion 7g is the direction from the holding magnet portion 7g side to the magnetic body portion 8g side (FIG. 8A), or the magnetic body portion 8g. This is the direction from the side toward the holding magnet part 7g (FIG. 8B).

 また、保持磁石部7gにおいて、磁石7g1を被覆する磁石被覆部7g2は、磁性体、非磁性体、又は、コーティング材を用いることができる。コーティング材には、生体適合性を有する材料を用いることが望ましい。具体的には、パリレン等の高分子によるコーティングやDLC(Diamond-like-carbon)などの材料による膜形成、又はヘパリンやキシロカイン等の薬剤を塗布することが考えられる。他の実施形態においても、同様のコーティング材を使用することが考えられる。 Further, in the holding magnet portion 7g, the magnet covering portion 7g2 that covers the magnet 7g1 can be made of a magnetic material, a non-magnetic material, or a coating material. It is desirable to use a biocompatible material as the coating material. Specifically, coating with a polymer such as parylene, film formation with a material such as DLC (Diamond-like-carbon), or applying a drug such as heparin or xylocaine can be considered. In other embodiments, it is conceivable to use the same coating material.

 また、保持磁石部7gが、磁性体部8gに対向する端部が凸形状となっており、磁性体部8gが、保持磁石部7gに対向する端部が凸形状となっていても良い。 Further, the holding magnet portion 7g may have a convex shape at the end facing the magnetic body portion 8g, and the magnetic material portion 8g may have a convex shape at the end facing the holding magnet portion 7g.

 〔実施形態2〕
 図9は、本発明の実施形態2に係る補助具セットの概略構成を示す模式図であり、保持磁石部7gに磁性体部8gが吸着する様子を説明するものである。図9(a)は吸着前の保持磁石部7g及び磁性体部8gの外観を示し、図9(b)は吸着前の保持磁石部7g及び磁性体部8gの断面を示し、図9(c)は吸着過程の保持磁石部7g及び磁性体部8gの断面を示し、図9(d)は吸着後の保持磁石部7g及び磁性体部8gの断面を示すものである。
[Embodiment 2]
FIG. 9 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the second embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g. 9A shows the external appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption, and FIG. 9B shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption. ) Shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g in the adsorption process, and FIG. 9D shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g after the adsorption.

 実施形態2が実施形態1と異なる点は、保持磁石部7g及び磁性体部8gの各端部の形状が、凹凸形状に代えて、円錐形状及びすり鉢形状となっている点である。 Embodiment 2 is different from Embodiment 1 in that the shape of each end of the holding magnet portion 7g and the magnetic body portion 8g is a conical shape and a mortar shape instead of an uneven shape.

 図9に示すように、保持磁石部7gは、磁性体部8gに対向する端部がすり鉢形状となっており、一方、磁性体部8gは、保持磁石部7gに対向する端部が円錐形状となっている。それら円錐形状及びすり鉢形状が篏合することによって、保持磁石部7gと磁性体部8gとが一直線上に並んで吸着する。 As shown in FIG. 9, the holding magnet portion 7g has a mortar shape at the end facing the magnetic body portion 8g, while the magnetic body portion 8g has a conical shape at the end facing the holding magnet portion 7g. It has become. When the conical shape and the mortar shape are combined, the holding magnet portion 7g and the magnetic body portion 8g are attracted in a straight line.

 また、図9(b)及び(c)に示すように、磁石7g1及び磁性体8g1の磁力により、磁性体部8gが保持磁石部7gに引き寄せられることによって、磁性体部8gの円錐形状が保持磁石部7gの円錐形状内を滑る。これによって、中心軸同士が合うように保持磁石部7g及び磁性体部8gが嵌る。 Further, as shown in FIGS. 9B and 9C, the magnetic body portion 8g is attracted to the holding magnet portion 7g by the magnetic force of the magnet 7g1 and the magnetic body 8g1, thereby maintaining the conical shape of the magnetic body portion 8g. It slides in the conical shape of the magnet part 7g. Thereby, the holding magnet portion 7g and the magnetic body portion 8g are fitted so that the central axes are aligned with each other.

 ここで、引き出し具7における、保持磁石部7gと棒状部7xの固定方法について説明する。図10(a)~(e)は、保持磁石部7gと棒状部7xの固定例を説明する模式図である。図10(a)に示す例では、接着部材7aを用いて固定する。図10(b)に示す例では、保持磁石部7gに圧力を加え、その圧入部7bを棒状部7xに押し込み(圧入)、固定する。図10(c)に示す例では、凹凸形状の篏合部7cを用いて、保持磁石部7gと棒状部7xを篏合し、固定する。図10(d)に示す例では、保持磁石部7gの螺合部(雄ねじ)7dを棒状部7xの螺合部(雌ねじ)7dに挿入し、固定する。図10(e)に示す例では、金属等のカバー部材7eを用いてカバーし、固定する。なお、カバー部材として非磁性体を用いる場合、非磁性体の厚みによって保持磁石部7gと磁性体部8gの間に空間ができてしまい、磁石による吸着力が低下してしまう。そのため、可能な限り、端面を薄くすることが好ましい。具体的には厚みが1mm以下、好ましくは0.15mm以下とすると良い。 Here, a method of fixing the holding magnet portion 7g and the rod-shaped portion 7x in the drawer 7 will be described. FIGS. 10A to 10E are schematic views for explaining an example of fixing the holding magnet portion 7g and the rod-like portion 7x. In the example shown in FIG. 10A, fixing is performed using an adhesive member 7a. In the example shown in FIG. 10B, pressure is applied to the holding magnet portion 7g, and the press-fit portion 7b is pushed (press-fit) into the rod-like portion 7x to be fixed. In the example shown in FIG. 10C, the holding magnet portion 7g and the rod-like portion 7x are joined and fixed using the concave and convex joint portion 7c. In the example shown in FIG. 10D, the threaded portion (male screw) 7d of the holding magnet portion 7g is inserted into the threaded portion (female screw) 7d of the rod-shaped portion 7x and fixed. In the example shown in FIG. 10E, the cover member 7e made of metal or the like is used for covering and fixing. When a nonmagnetic material is used as the cover member, a space is formed between the holding magnet portion 7g and the magnetic material portion 8g depending on the thickness of the nonmagnetic material, and the attractive force of the magnet is reduced. Therefore, it is preferable to make the end face as thin as possible. Specifically, the thickness is 1 mm or less, preferably 0.15 mm or less.

 また、より真直ぐ吸着しやすくなるように、カバー部材の端面の厚みと側面の厚みに差を設けても良い。例えば、端面の厚みを側面の厚みの半分にすれば、吸着強度が約30%向上する。従って、カバー部材の端面の厚みは、側面の厚みの半分以下とするのが好ましい。 更に、より端面方向への磁力を安定させるために、カバー部材の内部に、ばねのような弾性材を入れておいてもよい。保持磁石部7gの棒状部側に弾性体を入れ、保持磁石部7gを端面側に押し付けることで、カバー部材内部で保持磁石部7gの位置がずれることが無くなり、端面方向の磁力が安定する。 In addition, a difference may be provided between the thickness of the end face of the cover member and the thickness of the side face so as to facilitate the straight suction. For example, if the thickness of the end face is half that of the side face, the adsorption strength is improved by about 30%. Therefore, it is preferable that the thickness of the end face of the cover member is not more than half the thickness of the side face. Furthermore, an elastic material such as a spring may be placed inside the cover member in order to stabilize the magnetic force toward the end face. By inserting an elastic body on the rod-shaped part side of the holding magnet part 7g and pressing the holding magnet part 7g toward the end face side, the position of the holding magnet part 7g does not shift inside the cover member, and the magnetic force in the end face direction is stabilized.

 また、図10(a)~(e)の各例を組合せても良い。これらは、他の実施形態においても同様である。 Further, the examples in FIGS. 10A to 10E may be combined. These are the same in other embodiments.

 〔実施形態3〕
 図11は、本発明の実施形態3に係る補助具セットの概略構成を示す模式図であり、保持磁石部7gに磁性体部8gが吸着する様子を説明するものである。図11(a)は吸着前の保持磁石部7g及び磁性体部8gの外観を示し、図11(b)は吸着前の保持磁石部7g及び磁性体部8gの断面を示し、図11(c)及び(d)は吸着後の保持磁石部7g及び磁性体部8gの断面を示すものである。また、図11(e)は保持磁石部7gの軸受部7g3の拡大断面図である。
[Embodiment 3]
FIG. 11 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the third embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g. FIG. 11A shows the external appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption, and FIG. 11B shows the cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption. ) And (d) show cross sections of the holding magnet portion 7g and the magnetic body portion 8g after adsorption. Moreover, FIG.11 (e) is an expanded sectional view of the bearing part 7g3 of the holding magnet part 7g.

 実施形態3が実施形態1と異なる点は、保持磁石部7g及び磁性体部8gの各端部の形状が、凹凸形状に代えて、球形状及び球形状のくぼみ形状となっている点である。 The third embodiment is different from the first embodiment in that the shape of each end of the holding magnet portion 7g and the magnetic body portion 8g is a spherical shape and a hollow shape of a spherical shape, instead of an uneven shape. .

 図11に示すように、保持磁石部7gは、磁性体部8gに対向する軸受部7g3が球形状のくぼみ形状となっており、一方、磁性体部8gは、保持磁石部7gに対向する軸部8g1aが球形状となっている。それら球形状及び球形状のくぼみ形状が篏合することによって、保持磁石部7gと磁性体部8gとが一直線上に並んで吸着する。 As shown in FIG. 11, in the holding magnet portion 7g, the bearing portion 7g3 facing the magnetic body portion 8g has a spherical recess shape, while the magnetic body portion 8g has a shaft facing the holding magnet portion 7g. The part 8g1a has a spherical shape. When the spherical shape and the concave shape of the spherical shape are combined, the holding magnet portion 7g and the magnetic body portion 8g are attracted in a straight line.

 また、図11(d)に示すように、軸部8g1aを軸受部7g3に嵌め込み、関節のように回転させることができる。これにより、磁性体部8gが保持磁石部7gに斜めに吸着した場合でも、それらがトロッカ31に進入する際、トロッカ31の開口に当たり、一直線上に並んで吸着する状態になる。 Also, as shown in FIG. 11 (d), the shaft portion 8g1a can be fitted into the bearing portion 7g3 and rotated like a joint. Thereby, even when the magnetic body portion 8g is attracted diagonally to the holding magnet portion 7g, when they enter the trocar 31, they hit the opening of the trocar 31 and are in a state of being attracted side by side in a straight line.

 さらに、図11(e)に示すように、軸受部7g3に軸部8g1aを嵌め込み易くするため、軸受部7g3の軸受口にテーパ形状の傾斜部7g4を設けても良い。 Furthermore, as shown in FIG. 11 (e), in order to easily fit the shaft portion 8g1a into the bearing portion 7g3, a tapered inclined portion 7g4 may be provided at the bearing opening of the bearing portion 7g3.

 なお、実施形態2においては、保持磁石部7gは磁石でなくても良く、磁性体部8gの磁性体8g1は磁性体でなくても良い。要は、実施形態2は磁力を用いることなく、保持磁石部7gの軸受部7g3及び磁性体部8gの軸部8g1aの各形状によって、磁力を用いることなく、保持磁石部7gと磁性体部8gを一直線上に並べて吸着させることができる。 In the second embodiment, the holding magnet portion 7g may not be a magnet, and the magnetic body 8g1 of the magnetic body portion 8g may not be a magnetic body. In short, the second embodiment does not use a magnetic force, and the holding magnet portion 7g and the magnetic body portion 8g without using a magnetic force, depending on the shapes of the bearing portion 7g3 of the holding magnet portion 7g and the shaft portion 8g1a of the magnetic body portion 8g. Can be adsorbed in a line.

 〔実施形態4〕
 図12は、本発明の実施形態4に係る補助具セットの概略構成を示す模式図であり、保持磁石部7gに磁性体部8gが吸着する様子を説明するものである。図12(a)は吸着前の保持磁石部7g及び磁性体部8gの外観を示し、図12(b)は吸着前の保持磁石部7g及び磁性体部8gの断面を示し、図12(c)は吸着後の保持磁石部7g及び磁性体部8gの断面を示すものである。
[Embodiment 4]
FIG. 12 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the fourth embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g. 12A shows the appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption, and FIG. 12B shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption, and FIG. ) Shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g after adsorption.

 実施形態4が実施形態1と異なる点は、保持磁石部7g及び磁性体部8gの各端部の形状が、凹凸形状に代えて、半球形状及び半球形状のくぼみ形状となっている点である。 The fourth embodiment is different from the first embodiment in that the shape of each end portion of the holding magnet portion 7g and the magnetic body portion 8g is a concave shape of a hemispherical shape and a hemispherical shape instead of an uneven shape. .

 図12に示すように、保持磁石部7gは、磁性体部8gに対向する軸受部7g3が半球形状のくぼみ形状となっており、一方、磁性体部8gは、保持磁石部7gに対向する軸部8g1aが半球形状となっている。それら半球形状及び半球形状のくぼみ形状が篏合することによって、保持磁石部7gと磁性体部8gとが一直線上に並んで吸着する。 As shown in FIG. 12, in the holding magnet portion 7g, the bearing portion 7g3 facing the magnetic body portion 8g has a hemispherical concave shape, while the magnetic body portion 8g has a shaft facing the holding magnet portion 7g. The part 8g1a has a hemispherical shape. By combining the hemispherical shape and the concave shape of the hemispherical shape, the holding magnet portion 7g and the magnetic body portion 8g are attracted in a straight line.

 また、図12(c)に示すように、軸部8g1aを軸受部7g3に嵌め込み、関節のように回転させることができる。これにより、磁性体部8gが保持磁石部7gに斜めに吸着した場合でも、それらがトロッカ31に進入する際、トロッカ31の開口に当たり、一直線上に並んで吸着する状態になる。 Also, as shown in FIG. 12 (c), the shaft portion 8g1a can be fitted into the bearing portion 7g3 and rotated like a joint. Thereby, even when the magnetic body portion 8g is attracted diagonally to the holding magnet portion 7g, when they enter the trocar 31, they hit the opening of the trocar 31 and are in a state of being attracted side by side in a straight line.

 〔実施形態5〕
 図13は、本発明の実施形態5に係る補助具セットの概略構成を示す模式図であり、保持磁石部7gに磁性体部8gが吸着する様子を説明するものである。図13(a)は吸着前の保持磁石部7g及び磁性体部8gの外観を示し、図13(b)は吸着前の保持磁石部7g及び磁性体部8gの断面を示し、図13(c)は吸着後の保持磁石部7g及び磁性体部8gの断面を示すものである。
[Embodiment 5]
FIG. 13 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the fifth embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g. FIG. 13A shows the external appearance of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption, and FIG. 13B shows the cross section of the holding magnet portion 7g and the magnetic body portion 8g before the adsorption. ) Shows a cross section of the holding magnet portion 7g and the magnetic body portion 8g after adsorption.

 実施形態5が実施形態1と異なる点は、保持磁石部7g及び磁性体部8gの各端部の形状が、凹凸形状に代えて、球状及び半球状のくぼみ形状となっている点である。また、実施形態5が実施形態4と異なる点は、保持磁石部7gの各端部の形状が、球形状のくぼみ形状に代えて、半球形状のくぼみ形状となっている点である。 Embodiment 5 differs from Embodiment 1 in that the shapes of the end portions of the holding magnet portion 7g and the magnetic body portion 8g are spherical and hemispherical indentations instead of the irregular shapes. Further, the fifth embodiment is different from the fourth embodiment in that the shape of each end portion of the holding magnet portion 7g is a hemispherical concave shape instead of a spherical concave shape.

 図13に示すように、保持磁石部7gは、磁性体部8gに対向する軸受部7g3が半球形状のくぼみ形状となっており、一方、磁性体部8gは、保持磁石部7gに対向する軸部8g1aが球形状となっている。それら球形状及び半球形状のくぼみ形状が篏合することによって、保持磁石部7gと磁性体部8gとが一直線上に並んで吸着する。 As shown in FIG. 13, in the holding magnet portion 7g, the bearing portion 7g3 facing the magnetic body portion 8g has a hemispherical concave shape, while the magnetic body portion 8g has a shaft facing the holding magnet portion 7g. The part 8g1a has a spherical shape. By combining these spherical and hemispherical concave shapes, the holding magnet portion 7g and the magnetic body portion 8g are attracted in a straight line.

 また、図13(c)に示すように、軸部8g1aを軸受部7g3に嵌め込み、関節のように回転させることができる。これにより、磁性体部8gが保持磁石部7gに斜めに吸着した場合でも、それらがトロッカ31に進入する際、トロッカ31の開口に当たり、一直線上に並んで吸着する状態になる。 Further, as shown in FIG. 13C, the shaft portion 8g1a can be fitted into the bearing portion 7g3 and can be rotated like a joint. Thereby, even when the magnetic body portion 8g is attracted diagonally to the holding magnet portion 7g, when they enter the trocar 31, they hit the opening of the trocar 31 and are in a state of being attracted side by side in a straight line.

 〔実施形態6〕
 図14は、本発明の実施形態6に係る補助具セットの概略構成を示す模式図であり、(a)及び(b)は吸着前の保持磁石部7g及び磁性体部8gの断面を示すものである。
[Embodiment 6]
FIG. 14 is a schematic diagram showing a schematic configuration of an auxiliary tool set according to Embodiment 6 of the present invention, and (a) and (b) show cross sections of the holding magnet portion 7g and the magnetic body portion 8g before adsorption. It is.

 実施形態6が実施形態1と異なる点は、保持磁石部7g及び磁性体部8gの各端部の形状が、凹凸形状に代えて、球形状及び半球形状のくぼみ形状となっている点である。さらに、保持磁石部7gの軸受部7g3に磁石を用いていない点である。 The sixth embodiment is different from the first embodiment in that the shape of each end of the holding magnet portion 7g and the magnetic body portion 8g is a concave shape of a spherical shape and a hemispherical shape instead of an uneven shape. . Furthermore, no magnet is used for the bearing portion 7g3 of the holding magnet portion 7g.

 図14(a)に示すように、磁石7g1を球形状とすることにより、軸受部7g3に磁石を用いていないことになる。こうすることにより、軸受部7g3の中心部が周辺部よりも相対的に磁力が強くなる、つまり、吸着力が強くなる。このため、磁性体部8gが保持磁石部7gに吸着する際、軸受部7g3の中心部に向かうことになる。 As shown in FIG. 14 (a), when the magnet 7g1 is formed into a spherical shape, no magnet is used for the bearing portion 7g3. By doing so, the magnetic force of the center portion of the bearing portion 7g3 is relatively stronger than that of the peripheral portion, that is, the attractive force is increased. For this reason, when the magnetic body portion 8g is attracted to the holding magnet portion 7g, the magnetic body portion 8g moves toward the center portion of the bearing portion 7g3.

 また、図14(b)に示すように、磁石7g1を円柱状とすることにより、図14(c)に示した場合と同様に効果を得ることができる。 Also, as shown in FIG. 14 (b), by making the magnet 7g1 into a cylindrical shape, the same effect as in the case shown in FIG. 14 (c) can be obtained.

 なお、実施形態6においては、磁石被覆部7g2は、樹脂、SUSといった非磁性体を用いればよい。 In the sixth embodiment, the magnet covering portion 7g2 may be made of a nonmagnetic material such as resin or SUS.

 また、図15に示すように、保持磁石部7gにおいて、磁石7g1を被覆する磁石被覆部7g2の、磁性体部8g側の端部の中央に穴を開けても良い。こうすることによっても、磁性体部8g側の端部の中央に向う吸着力を高めることができる。例えば、前述の通り、磁性体部8g側の端部を厚さ0.15mmの非磁性体とした場合と比べて、穴をあけた磁性体部8g側の端部では、吸着強度が約50%向上する。 Further, as shown in FIG. 15, in the holding magnet portion 7g, a hole may be formed in the center of the end portion on the magnetic body portion 8g side of the magnet covering portion 7g2 covering the magnet 7g1. By doing this also, the attractive force toward the center of the end on the magnetic body 8g side can be increased. For example, as described above, compared with the case where the end portion on the magnetic body portion 8g side is a non-magnetic body having a thickness of 0.15 mm, the end portion on the magnetic body portion 8g side with a hole has an adsorption strength of about 50. %improves.

 〔実施形態7〕
 図16は、本発明の実施形態7に係る保持磁石部7gの概略構成を示す模式図である。実施形態7に係る保持磁石部7gは、実施形態6に係る保持磁石部7gにおいて、磁石7g1の背面に配置された磁性体7g5を追加したものである。
[Embodiment 7]
FIG. 16 is a schematic diagram showing a schematic configuration of a holding magnet portion 7g according to Embodiment 7 of the present invention. The holding magnet unit 7g according to the seventh embodiment is obtained by adding a magnetic body 7g5 disposed on the back surface of the magnet 7g1 to the holding magnet unit 7g according to the sixth embodiment.

 磁性体7g5は、一般的にはヨークと称されるものであり、磁石7g1が持つ吸着力を増幅するためのものである。磁性体7g5は、純鉄、パーマロイ等の透磁性の高い材料を用いることができる。 The magnetic body 7g5 is generally called a yoke and is for amplifying the attractive force of the magnet 7g1. For the magnetic body 7g5, a material having high magnetic permeability such as pure iron or permalloy can be used.

 図17及び図18は、磁性体7g5の配置例を示す模式図である。図17は、磁性体7g5を磁石7g1の側面側から先端側を覆うように配置した例であり、(a)は正面図、(b)は断面図、(c)は透視斜視図である。また、図18は、磁石7g1に溝を掘り、その溝に磁性体7g5を埋め込んだ例であり、(a)は正面図、(b)は断面図、(c)は透視斜視図である。 FIGS. 17 and 18 are schematic diagrams showing examples of arrangement of the magnetic body 7g5. FIG. 17 is an example in which the magnetic body 7g5 is arranged so as to cover the tip side from the side surface of the magnet 7g1, (a) is a front view, (b) is a cross-sectional view, and (c) is a perspective view. FIG. 18 shows an example in which a groove is dug in the magnet 7g1, and the magnetic body 7g5 is embedded in the groove, (a) is a front view, (b) is a cross-sectional view, and (c) is a perspective view.

 実施形態7によれば、磁石7g1の吸着力を増幅することができる。 According to the seventh embodiment, the attractive force of the magnet 7g1 can be amplified.

 〔実施形態8〕
 図19は、本発明の実施形態8に係る保持磁石部7gの概略構成を示す模式図である。実施形態8に係る保持磁石部7gは、実施形態7に係る保持磁石部7gにおいて、軸受部表面7g6に開口部を設けたものである。軸受部表面7g6に開口部を設けることにより、開口部から磁石7g1が露出することになるので、その箇所の磁力が強くなる、つまり、吸着力が高まる。
[Embodiment 8]
FIG. 19 is a schematic diagram showing a schematic configuration of a holding magnet portion 7g according to Embodiment 8 of the present invention. The holding magnet portion 7g according to the eighth embodiment is obtained by providing an opening on the bearing surface 7g6 in the holding magnet portion 7g according to the seventh embodiment. By providing the opening on the bearing surface 7g6, the magnet 7g1 is exposed from the opening, so that the magnetic force at that portion is increased, that is, the attractive force is increased.

 図19(a)は保持磁石部7gの断面図であり、図19(b)~(e)は開口部の各配置例を示す正面図及び断面図である。 FIG. 19A is a cross-sectional view of the holding magnet portion 7g, and FIGS. 19B to 19E are a front view and a cross-sectional view showing examples of arrangement of openings.

 図19(b)に示す例では、軸受部表面7g6の中心部に開口部7g7が設けられている。 In the example shown in FIG. 19B, an opening 7g7 is provided at the center of the bearing surface 7g6.

 図19(c)に示す例では、軸受部表面7g6の中心部及びその周辺に開口部7g8が設けられている。さらに、その中心部の開口部7g8とその周辺の開口部7g8との間には磁性体7g9が設けられている。これによって、中心部の磁力が高くなるので、磁性体部8gが保持磁石部7gの軸受部表面7g6の中心部に向うための吸着力が高められる。図19(d)に示す例では、軸受部表面7g6を水平方向に沿って配置された3つの開口部7g10が設けられている。図19(e)に示す例では、軸受部表面7g6を4つの開口部7g11が設けられている。 In the example shown in FIG. 19 (c), an opening 7g8 is provided in the center of the bearing surface 7g6 and in the vicinity thereof. Further, a magnetic body 7g9 is provided between the central opening 7g8 and the peripheral opening 7g8. As a result, the magnetic force at the center portion is increased, so that the attractive force for the magnetic body portion 8g to face the center portion of the bearing portion surface 7g6 of the holding magnet portion 7g is increased. In the example shown in FIG. 19D, three openings 7g10 are provided in which the bearing surface 7g6 is arranged along the horizontal direction. In the example shown in FIG. 19 (e), the bearing surface 7g6 is provided with four openings 7g11.

 〔実施形態9〕
 図20は、本発明の実施形態9に係る補助具セットの概略構成を示す模式図であり、保持磁石部7gに磁性体部8gが吸着する様子を説明するものである。図20(a)は保持磁石部7gの正面図、図20(b)は保持磁石部7gの断面図、図20(c)は保持磁石部7gは透視斜視図である。
[Embodiment 9]
FIG. 20 is a schematic diagram illustrating a schematic configuration of the auxiliary tool set according to the ninth embodiment of the present invention, and illustrates how the magnetic body portion 8g is attracted to the holding magnet portion 7g. 20A is a front view of the holding magnet portion 7g, FIG. 20B is a sectional view of the holding magnet portion 7g, and FIG. 20C is a perspective view of the holding magnet portion 7g.

 実施形態9においては、保持磁石部7gに、図17及び図18に示した、ヨークである磁性体7g5が設けられている。さらに、軸受部に開口部7g12が設けられている。 In the ninth embodiment, the holding magnet portion 7g is provided with a magnetic body 7g5 that is a yoke shown in FIGS. Further, an opening 7g12 is provided in the bearing portion.

 実施形態9によれば、磁性体部8gの軸部8g1aが保持磁石部7gの軸受部に対し、開口部7g12に沿って上下左右に回動する。これにより、保持磁石部7gと磁性体部8gとの吸着力を確保した上で、トロッカ31から引き出す際、一直線上に並んで吸着する状態にすることができる。 According to the ninth embodiment, the shaft portion 8g1a of the magnetic body portion 8g rotates vertically and horizontally along the opening portion 7g12 with respect to the bearing portion of the holding magnet portion 7g. Thereby, after securing the attractive force of the holding magnet part 7g and the magnetic body part 8g, when pulling out from the trocar 31, it can be made the state adsorbed along with a straight line.

 〔まとめ〕
 以上のように、本発明の態様1に係る補助具セットは、体内撮像装置(カメラユニット11)を体内に設置するために用いられる補助具セットであって、上記体内撮像装置が接続される第1補助具(磁性体付コネクタキャップ8)と、上記第1補助具に設けられた被保持部(磁性体部8g)を保持する保持部(保持磁石部7g)及び該保持部に接続する接続部(棒状部7x)を含み、上記被保持部を、上記保持部に保持させた状態で、一端が体内に導入された管状器具(トロッカ31)の内部を通して体内から体外に引き出すための第2補助具(引き出し具7)とを備え、上記保持部及び上記被保持部は、上記保持部と上記被保持部とが一直線上に並んで吸着する構造、又は、上記保持部及び上記被保持部が上記管状器具の開口に進入する際、一直線上に並ぶ構造を有する。
[Summary]
As described above, the auxiliary tool set according to the first aspect of the present invention is an auxiliary tool set used for installing the in-vivo imaging device (camera unit 11) in the body, and is connected to the in-vivo imaging device. 1 Auxiliary tool (connector cap 8 with magnetic body), a holding part (holding magnet part 7g) for holding a held part (magnetic body part 8g) provided in the first auxiliary tool, and a connection connected to the holding part A second portion for pulling out from the body through the inside of the tubular device (trocker 31) having one end introduced into the body in a state where the held portion is held by the holding portion. An auxiliary tool (drawer tool 7), and the holding part and the held part have a structure in which the holding part and the held part are adsorbed in a straight line, or the holding part and the held part. When entering the opening of the tubular instrument Having a structure aligned in a straight line.

 上記構成によれば、第1補助具と第2補助具とが一直線上に並んで吸着した状態でそれらが管状器具の内部に進入することができるので、それら両者が吸着した状態のまま、管状器具の内部を通過することができる。 According to the above configuration, since the first auxiliary tool and the second auxiliary tool can enter the inside of the tubular device in a state where they are adsorbed in a straight line, they can be tubular while they are adsorbed. Can pass through the interior of the instrument.

 それゆえ、第1補助具の被保持部が第2補助具の保持部から離脱してしまうことが無くなるので、作業効率に優れた、体内撮像装置を体内に設置するための補助具セットを実現することができる。 Therefore, since the held part of the first auxiliary tool is not detached from the holding part of the second auxiliary tool, an auxiliary tool set for installing the in-vivo imaging device with excellent working efficiency is realized. can do.

 本発明の態様2に係る補助具セットは、上記態様1において、上記被保持部は、磁力により上記保持部に保持される構成であってもよい。 The assisting tool set according to aspect 2 of the present invention may be configured such that, in aspect 1, the held part is held by the holding part by magnetic force.

 本発明の態様3に係る補助具セットは、上記態様1又は2において、上記保持部及び上記被保持部の一方に磁石が含まれるとともに他方に磁性体が含まれ、上記保持部が上記被保持部を保持した状態では、上記磁石の端面と上記磁性体の端面とが向かい合う構成であってもよい。 The assisting device set according to aspect 3 of the present invention is the auxiliary device set according to aspect 1 or 2, wherein one of the holding part and the held part includes a magnet and the other includes a magnetic material, and the holding part is held by the held part. In the state which hold | maintained the part, the structure which the end surface of the said magnet and the end surface of the said magnetic body may face may be sufficient.

 本発明の態様4に係る補助具セットは、上記態様1~3のいずれか1つにおいて、上記保持部が上記被保持部を保持している状態では、上記保持部の端面と上記被保持部の端面とが接触する構成であってもよい。 The assisting device set according to aspect 4 of the present invention is the auxiliary tool set according to any one of the above aspects 1 to 3, in the state where the holding part holds the held part, the end surface of the holding part and the held part The structure which contacts with the end surface of this may be sufficient.

 本発明の態様5に係る補助具セットは、上記態様4において、上記保持部が上記被保持部を保持している状態では、上記保持部の端面と上記被保持部の端面とが、互いの外周同士が重なるように接触している構成であってもよい。 The assisting tool set according to Aspect 5 of the present invention is the assisting tool set according to Aspect 4, in which the end face of the holding part and the end face of the held part are mutually in a state where the holding part holds the held part. The structure which is contacting so that outer periphery may overlap may be sufficient.

 本発明の態様6に係る補助具セットは、上記態様1~5のいずれか1つにおいて、上記保持部の端面及び上記被保持部の端面それぞれには、互いに篏合する篏合形状が設けられている構成であってもよい。 The auxiliary tool set according to Aspect 6 of the present invention is the auxiliary tool set according to any one of Aspects 1 to 5, wherein each of the end surface of the holding portion and the end surface of the held portion is provided with a mating shape that mates with each other. It may be a configuration.

 本発明の態様7に係る補助具セットは、上記態様6において、上記保持部の端面及び上記被保持部の端面それぞれに設けられる上記篏合形状は、一方が凸形状であり、他方が凹形状である構成であってもよい。 The assisting tool set according to Aspect 7 of the present invention is the Auxiliary Tool Set according to Aspect 6, wherein one of the combined shapes provided on the end surface of the holding portion and the end surface of the held portion is a convex shape and the other is a concave shape. The structure which is may be sufficient.

 本発明の態様8に係る補助具セットは、上記態様6において、上記保持部の端面及び上記被保持部の端面それぞれに設けられる上記篏合形状は、一方が円錐形状であり、他方がすり鉢形状である構成であってもよい。 The assisting tool set according to aspect 8 of the present invention is the above-described integrated shape provided on each of the end face of the holding part and the end face of the held part in aspect 6, wherein one is a conical shape and the other is a mortar shape. The structure which is may be sufficient.

 本発明の態様9に係る補助具セットは、上記態様6において、上記保持部の端面及び上記被保持部の端面それぞれに設けられる上記篏合形状は、一方が球形状又は半球形状であり、他方が半球形状のくぼみ形状である構成であってもよい。 The assisting device set according to aspect 9 of the present invention is the assisting device set according to aspect 6, wherein one of the combined shapes provided on the end surface of the holding portion and the end surface of the held portion is spherical or hemispherical, May be a hemispherical depression shape.

 本発明の態様10に係る補助具セットは、上記態様3において、上記保持部及び上記被保持部の一方に含まれる磁石は、非磁性体で被覆されている構成であってもよい。 The assisting device set according to aspect 10 of the present invention may be configured such that, in aspect 3, the magnet included in one of the holding part and the held part is covered with a nonmagnetic material.

 本発明の態様11に係る補助具セットは、上記態様10において、上記非磁性体は、上記磁性体の端面側に開口部を有する構成であってもよい。 The assisting tool set according to aspect 11 of the present invention may be configured such that, in aspect 10, the non-magnetic body has an opening on the end face side of the magnetic body.

 本発明の態様12に係る補助具セットは、上記態様3、10又は11において、上記磁石の周囲には、上記磁石の磁力を増幅するヨークである磁性体が配置されている構成であってもよい。 The auxiliary tool set according to aspect 12 of the present invention may be configured such that, in the above aspect 3, 10 or 11, a magnetic body that is a yoke that amplifies the magnetic force of the magnet is disposed around the magnet. Good.

 本発明の態様13に係る体内撮像装置は、第1補助具及び第2補助具を用いて体内に設置される体内撮像装置であって、上記体内撮像装置が接続される第1補助具と、上記第1補助具に設けられた被保持部を保持する保持部および該保持部に接続する接続部を含み、上記被保持部を、上記保持部に保持させた状態で、一端が体内に導入された管状器具の内部を通して体内から体外に引き出すための第2補助具とを備え、上記保持部及び上記被保持部は、上記保持部と上記被保持部とが一直線上に並んで吸着する構造、又は、上記保持部及び上記被保持部が上記管状器具の開口に進入する際、一直線上に並ぶ構造を有する。 An in-vivo imaging device according to aspect 13 of the present invention is an in-vivo imaging device installed in the body using a first auxiliary tool and a second auxiliary tool, the first auxiliary tool to which the in-vivo imaging device is connected, Including a holding portion for holding the held portion provided in the first auxiliary tool and a connection portion connected to the holding portion, one end is introduced into the body with the held portion held by the holding portion And a second auxiliary tool for pulling out from the body through the inside of the formed tubular instrument, and the holding part and the held part adsorb the holding part and the held part in a straight line. Or when the said holding | maintenance part and the said to-be-held part approach into opening of the said tubular instrument, it has a structure which aligns in a straight line.

 本発明の態様14に係る体内撮像装置は、上記態様13において、上記体内撮像装置は、一端が上記第1補助具に接続されると共に、他端が上記体内撮像装置に含まれる撮像部に接続されるケーブルを有する構成であってもよい。 In the in-vivo imaging device according to aspect 14 of the present invention, in the above-described aspect 13, the in-vivo imaging device has one end connected to the first auxiliary tool and the other end connected to an imaging unit included in the in-vivo imaging device. The structure which has a cable to be used may be sufficient.

 本発明は上述した各実施形態に限定されるものではなく、請求項に示した範囲で種々の変更が可能であり、異なる実施形態にそれぞれ開示された技術的手段を適宜組み合わせて得られる実施形態についても本発明の技術的範囲に含まれる。さらに、各実施形態にそれぞれ開示された技術的手段を組み合わせることにより、新しい技術的特徴を形成することができる。 The present invention is not limited to the above-described embodiments, and various modifications are possible within the scope shown in the claims, and embodiments obtained by appropriately combining technical means disclosed in different embodiments. Is also included in the technical scope of the present invention. Furthermore, a new technical feature can be formed by combining the technical means disclosed in each embodiment.

 例えば、上記の実施形態における、保持磁石部7gと磁性体部8gとの関係(各々の形状等)は、互いに逆となっている構成であっても良い。 For example, in the above embodiment, the relationship (respective shapes and the like) between the holding magnet portion 7g and the magnetic body portion 8g may be reversed.

 また、カメラユニット11に代えて、各種の医療装置が磁性体付コネクタキャップ8に接続されても構わない。 Further, instead of the camera unit 11, various medical devices may be connected to the magnetic substance-equipped connector cap 8.

1 体内撮像システム
7 引き出し具(第2補助具)
7a 接着部材
7b 圧入部
7c 篏合部
7e カバー部材
7g 保持磁石部(保持部)
7g1 磁石
7g10、7g11、7g12、7g7、7g8 開口部
7g2 磁石被覆部
7g3 軸受部
7g4 傾斜部
7g5、7g9、8g1 磁性体
7g6 軸受部表面
7x 棒状部(接続部)
7y 把持部
8 磁性体付コネクタキャップ(第1補助具)
8c キャップ部
8g 磁性体部(被保持部)
8g1a 軸部
8g2 磁性体被覆部
11 カメラユニット(体内撮像装置)
12 カメラ側ケーブル(ケーブル)
13 支持管
13x トロッカ接続部
13y 凸型接合部
15a カメラ側ケーブルコネクタ
15b 機器側ケーブルコネクタ
16 機器側ケーブル
17 カメラユニット制御機器
18、118 ディスプレイ
31 トロッカ(管状器具)
32a、32b、32c トロッカ
33a、33b 鉗子
34 内視鏡
41 腹壁
42 臓器
48 ストッパ
117 内視鏡制御機器
1 In-vivo imaging system 7 Drawer (second aid)
7a Adhesive member 7b Press-fit portion 7c Joint portion 7e Cover member 7g Holding magnet portion (holding portion)
7g1 Magnet 7g10, 7g11, 7g12, 7g7, 7g8 Opening 7g2 Magnet coating 7g3 Bearing 7g4 Inclined 7g5, 7g9, 8g1 Magnetic body 7g6 Bearing surface 7x Rod (connection)
7y Grip part 8 Connector cap with magnetic body (first auxiliary tool)
8c Cap part 8g Magnetic body part (held part)
8g1a Shaft part 8g2 Magnetic body covering part 11 Camera unit (in-vivo imaging device)
12 Camera side cable (cable)
13 support tube 13x trocar connection part 13y convex joint part 15a camera side cable connector 15b equipment side cable connector 16 equipment side cable 17 camera unit control equipment 18, 118 display 31 trocar (tubular instrument)
32a, 32b, 32c Trocars 33a, 33b Forceps 34 Endoscope 41 Abdominal wall 42 Organ 48 Stopper 117 Endoscope control device

Claims (14)

 体内撮像装置を体内に設置するために用いられる補助具セットであって、
 上記体内撮像装置が接続される第1補助具と、
 上記第1補助具に設けられた被保持部を保持する保持部及び該保持部に接続する接続部を含み、上記被保持部を、上記保持部に保持させた状態で、一端が体内に導入された管状器具の内部を通して体内から体外に引き出すための第2補助具と
を備え、
 上記保持部及び上記被保持部は、
  上記保持部と上記被保持部とが一直線上に並んで吸着する構造、又は、
  上記保持部及び上記被保持部が上記管状器具の開口に進入する際、一直線上に並ぶ構造を有することを特徴とする補助具セット。
An auxiliary tool set used to install an in-vivo imaging device in the body,
A first auxiliary tool to which the in-vivo imaging device is connected;
Including a holding part for holding the held part provided in the first auxiliary tool and a connection part connected to the holding part, one end is introduced into the body while the held part is held by the holding part A second auxiliary tool for pulling out from the body through the inside of the formed tubular device,
The holding part and the held part are
The structure in which the holding part and the held part are adsorbed in a straight line, or
An assisting device set having a structure in which the holding portion and the held portion are aligned in a straight line when entering the opening of the tubular instrument.
 上記被保持部は、磁力により上記保持部に保持されることを特徴とする請求項1に記載の補助具セット。 The assisting device set according to claim 1, wherein the held portion is held by the holding portion by magnetic force.  上記保持部及び上記被保持部の一方に磁石が含まれるとともに他方に磁性体が含まれ、上記保持部が上記被保持部を保持した状態では、上記磁石の端面と上記磁性体の端面とが向かい合うことを特徴とする請求項1又は2に記載の補助具セット。 One of the holding part and the held part includes a magnet and the other includes a magnetic body. When the holding part holds the held part, the end face of the magnet and the end face of the magnetic substance are The assisting tool set according to claim 1 or 2, characterized by facing each other.  上記保持部が上記被保持部を保持している状態では、上記保持部の端面と上記被保持部の端面とが接触することを特徴とする請求項1~3のいずれか1項に記載の補助具セット。 The end surface of the holding portion and the end surface of the held portion are in contact with each other in a state where the holding portion holds the held portion. Auxiliary set.  上記保持部が上記被保持部を保持している状態では、上記保持部の端面と上記被保持部の端面とが、互いの外周同士が重なるように接触していることを特徴とする請求項4に記載の補助具セット。 The end face of the holding part and the end face of the held part are in contact with each other so that their outer peripheries overlap in a state where the holding part holds the held part. 4. Auxiliary device set according to 4.  上記保持部の端面及び上記被保持部の端面それぞれには、互いに篏合する篏合形状が設けられていることを特徴とする請求項1~5のいずれか1項に記載の補助具セット。 The assisting tool set according to any one of claims 1 to 5, wherein each of an end face of the holding part and an end face of the held part is provided with a mating shape that mates with each other.  上記保持部の端面及び上記被保持部の端面それぞれに設けられる上記篏合形状は、一方が凸形状であり、他方が凹形状であることを特徴とする請求項6に記載の補助具セット。 The assisting tool set according to claim 6, wherein one of the combined shapes provided on the end surface of the holding portion and the end surface of the held portion is a convex shape and the other is a concave shape.  上記保持部の端面及び上記被保持部の端面それぞれに設けられる上記篏合形状は、一方が円錐形状であり、他方がすり鉢形状であることを特徴とする請求項6に記載の補助具セット。 The assisting tool set according to claim 6, wherein one of the combined shapes provided on the end surface of the holding portion and the end surface of the held portion is a conical shape and the other is a mortar shape.  上記保持部の端面及び上記被保持部の端面それぞれに設けられる上記篏合形状は、一方が球形状又は半球形状であり、他方が半球形状のくぼみ形状であることを特徴とする請求項6に記載の補助具セット。 7. The combined shape provided on each of the end surface of the holding portion and the end surface of the held portion is one of a spherical shape or a hemispherical shape, and the other is a concave shape of a hemispherical shape. The aid set described.  上記保持部及び上記被保持部の一方に含まれる磁石は、非磁性体で被覆されていることを特徴とする請求項3に記載の補助具セット。 The assisting tool set according to claim 3, wherein a magnet included in one of the holding part and the held part is covered with a non-magnetic material.  上記非磁性体は、上記磁性体の端面側に開口部を有することを特徴とする請求項10に記載の補助具セット。 The auxiliary tool set according to claim 10, wherein the non-magnetic body has an opening on an end face side of the magnetic body.  上記磁石の周囲には、上記磁石の磁力を増幅するヨークである磁性体が配置されていることを特徴とする請求項3、10又は11に記載の補助具セット。 The auxiliary tool set according to claim 3, 10 or 11, wherein a magnetic body which is a yoke for amplifying the magnetic force of the magnet is disposed around the magnet.  第1補助具及び第2補助具を用いて体内に設置される体内撮像装置であって、
 上記体内撮像装置が接続される第1補助具と、
 上記第1補助具に設けられた被保持部を保持する保持部および該保持部に接続する接続部を含み、上記被保持部を、上記保持部に保持させた状態で、一端が体内に導入された管状器具の内部を通して体内から体外に引き出すための第2補助具と
を備え、
 上記保持部及び上記被保持部は、
  上記保持部と上記被保持部とが一直線上に並んで吸着する構造、又は、
  上記保持部及び上記被保持部が上記管状器具の開口に進入する際、一直線上に並ぶ構造を有することを特徴とする体内撮像装置。
An in-vivo imaging device installed in the body using a first auxiliary tool and a second auxiliary tool,
A first auxiliary tool to which the in-vivo imaging device is connected;
Including a holding portion for holding the held portion provided in the first auxiliary tool and a connection portion connected to the holding portion, one end is introduced into the body with the held portion held by the holding portion A second auxiliary tool for pulling out from the body through the inside of the formed tubular device,
The holding part and the held part are
The structure in which the holding part and the held part are adsorbed in a straight line, or
An in-vivo imaging device having a structure in which the holding portion and the held portion are aligned in a straight line when entering the opening of the tubular instrument.
 上記体内撮像装置は、一端が上記第1補助具に接続されると共に、他端が上記体内撮像装置に含まれる撮像部に接続されるケーブルを有することを特徴とする請求項13に記載の体内撮像装置。 The in-vivo imaging device according to claim 13, further comprising: a cable having one end connected to the first auxiliary tool and the other end connected to an imaging unit included in the in-vivo imaging device. Imaging device.
PCT/JP2017/042668 2017-03-10 2017-11-28 Auxiliary tool set and in-vivo imaging device Ceased WO2018163538A1 (en)

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CN113662679A (en) * 2021-09-02 2021-11-19 李元宏 Smoke exhaust system for single-port laparoscopic surgery and operation method thereof

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JP2010012222A (en) * 2008-06-06 2010-01-21 Olympus Medical Systems Corp Medical apparatus
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CN111839435A (en) * 2019-04-30 2020-10-30 新儿护科技医疗器材股份有限公司 Endoscope structure with replaceable tracheal sleeve
CN113662679A (en) * 2021-09-02 2021-11-19 李元宏 Smoke exhaust system for single-port laparoscopic surgery and operation method thereof

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