Movatterモバイル変換


[0]ホーム

URL:


CN103040431B - Detachable endoscope - Google Patents

Detachable endoscope
Download PDF

Info

Publication number
CN103040431B
CN103040431BCN201210567801.7ACN201210567801ACN103040431BCN 103040431 BCN103040431 BCN 103040431BCN 201210567801 ACN201210567801 ACN 201210567801ACN 103040431 BCN103040431 BCN 103040431B
Authority
CN
China
Prior art keywords
endoscope
channel pipe
soft
human body
drawing silk
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.)
Active
Application number
CN201210567801.7A
Other languages
Chinese (zh)
Other versions
CN103040431A (en
Inventor
夏术阶
高仁伟
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.)
SHANGHAI RAYKEEN LASER TECHNOLOGY CO LTD
Original Assignee
SHANGHAI SHENGBOAI MEDICAL TECHNOLOGY Co Ltd
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 SHANGHAI SHENGBOAI MEDICAL TECHNOLOGY Co LtdfiledCriticalSHANGHAI SHENGBOAI MEDICAL TECHNOLOGY Co Ltd
Priority to CN201210567801.7ApriorityCriticalpatent/CN103040431B/en
Publication of CN103040431ApublicationCriticalpatent/CN103040431A/en
Application grantedgrantedCritical
Publication of CN103040431BpublicationCriticalpatent/CN103040431B/en
Activelegal-statusCriticalCurrent
Anticipated expirationlegal-statusCritical

Links

Landscapes

Abstract

The invention provides a detachable endoscope. The detachable endoscope comprises a tube body which at least comprises an instrument passage tube, a water inlet passage tube and an illumination passage tube, wherein the illumination passage tube is suitable for accommodating an illuminating optic fiber which is in detachable connection with the tube body. By detachably connecting the illuminating optic fiber with the tube body, after other low-cost parts of the endoscope are damaged, the optic fiber can be taken out to match with other parts in a new endoscope, so that operation cost is reduced, and many operations are facilitated.

Description

Detachable endoscope
Technical field
The present invention relates to surgical operation assistive device field, particularly relate to a kind of Detachable endoscope.
Background technology
Endoscope, such as ureteroscope, apply very extensive in surgical operation, is applicable to insert human body and carries out some auxiliary treatment.Existing ureteroscope comprises rigid endoscope, soft endoscope, and rigid endoscope cannot rotate due to camera lens, thus can only do the relatively clear and definite operation of some lesions positions.For the indefinite operation of some lesions positions, such as ureteroscope needs after camera lens enters renal pelvis, and continuous adjustment direction enters different renal calices, performs the operation to find focus.But, this soft endoscope due to material softer, hard material (being generally sheath pipe) need be adopted to set up passage at human body when entering human body, by the passage of this sheath pipe, soft endoscope is sent into human body afterwards, such operation technique comparatively bothers.Thus, there is the endoscope that soft or hard is adjustable at present.More endoscopies adjustable about soft or hard please refer to the Chinese patent literature that publication number is " CN 101933795A ".
But no matter soft endoscope or soft or hard adjustable endoscope, its illumination is all realized by optical fiber.Existing illumination for endoscope optical fiber is fixed in endoscope, and general optical fiber cost is more expensive, and the damage due to other lower-cost parts of endoscope can cause optical fiber to lose use value thereupon, and this causes operation cost higher, is unfavorable for that operation is carried out.
In view of this, be necessary in fact to propose a kind of new endoscope, to solve the problem.
Summary of the invention
The object that the present invention realizes proposes a kind of new endoscope, to reduce endoscope's cost, is beneficial to operation and carries out.
For achieving the above object, the invention provides a kind of endoscope, comprising:
At least there is instrument channel pipe, intake tunnel pipe and be suitable for holding the body of illumination channel pipe of lighting fiber; Wherein, described lighting fiber and described body are detachable connection.
Alternatively, described lighting fiber is coated with protective sleeve.
Alternatively; described protective sleeve comprises Part I and Part II; described Part I is suitable for being contained in described illumination channel pipe, and described Part II is suitable for being placed in outside described illumination channel pipe, and described Part II is provided with and is suitable for being fixed on the fixture in described endoscope.
Alternatively, described endoscope has nut, described fixture is bolt.
Alternatively, described endoscope has the bolt of smooth outer surface, described fixture is socket.
Alternatively, described instrument channel pipe is suitable for receiving optical fiber, and described optical fiber and described body are detachable connection.
Alternatively, described body also comprises backwater channel pipe.
Alternatively, described backwater channel pipe comprises and is suitable for being placed in the inner in human body and the outer end being suitable for being placed in outside human body, and described outer end is connected with liquid metering device.
Alternatively, the outer end of described backwater channel pipe is also connected with water plug.
Alternatively, described endoscope is soft endoscope or soft or hard adjustable endoscope.
Alternatively, described endoscope is ureteroscope, renal pelvis mirror, cystoscope, gastroscope, intestinal mirror, bronchoscope, choledochoscope or hysteroscope.
Compared with prior art, the present invention has the following advantages: 1) by lighting fiber is set to detachable connection with the body of endoscope, after other lower-cost parts damages of endoscope, optical fiber can be taken out coordinates new other parts of endoscope to use, and then reduce operation cost, be beneficial to operation and carry out in a large number.
2) in possibility, because its main component of optical fiber is silicon dioxide, quality is more crisp, for preventing damaging in unloading process, at this lighting fiber outer cladding protective sleeve.
3) in possibility; described protective sleeve comprises Part I and Part II; described Part I is suitable for being contained in described illumination channel pipe; described Part II is suitable for being placed in outside described illumination channel pipe; described Part II is provided with and is suitable for being fixed on the fixture in described endoscope; by being fixed in endoscope by lighting fiber, in case lighting fiber is shifted in operation process, again target location need be found.
4) in possibility, the lighting fiber mode be fixed in endoscope has multiple, below enumerates two kinds: a) described endoscope has nut, described fixture is bolt, is connected by bolt and nut; B) described endoscope has the bolt of smooth outer surface, described fixture is socket, is connected by plug-in.
5) in possibility, described operating theater instruments is laser, and described instrument channel pipe is suitable for holding the optical fiber as Laser Transmission passage, and this optical fiber is also connected for detachable with the body of described endoscope, so, also can reduce the cost of endoscope.
6) in possibility, described body also comprises backwater channel pipe, and by the setting of backwater channel pipe, be beneficial to operation water inlet and discharge from human body, this channel is beneficial to and this draining is collected simultaneously, can not pollute, be beneficial to operation to operating side.
7) in possibility, this backwater channel pipe comprises and is positioned at the inner of being suitable for being placed in human body and the outer end being suitable for being placed in outside human body, described outer end is connected with liquid metering device, make not only to be collected from the water of human body draining, and can measure, substantially realize inflow and keep equal with backwater amount (displacement), thus, reduce operation risk.
8) in possibility, 7) on possibility basis, the outer end of this backwater channel pipe is also connected with water plug, when making impeded drainage, by the use of extraneous apparatus, draining is carried out smoothly, can not accumulate at human body.
9) in possibility, this endoscope may be used for existing soft endoscope and soft or hard adjustable endoscope, compatible strong with existing endoscope.
10), in possibility, endoscope of the present invention may be used for the operation of multiple section office, such as, can be ureteroscope, renal pelvis mirror, cystoscope, gastroscope, intestinal mirror, bronchoscope, choledochoscope or hysteroscope etc.
Accompanying drawing explanation
Fig. 1 is the soft endoscope structure schematic diagram of the embodiment of the present invention one;
Fig. 2 is the sectional view along A-A straight line in Fig. 1;
Fig. 3 is the structural representation of the soft illumination for endoscope optical fiber of the embodiment of the present invention one;
Fig. 4 is the soft or hard adjustable endoscope structural representation of the embodiment of the present invention two;
Fig. 5 is the sectional view along B-B straight line in Fig. 4;
Fig. 6 to Fig. 8 is the schematic diagram of the soft or hard adjustable endoscope of the embodiment of the present invention two.
Detailed description of the invention
The present invention is by being set to detachable connection by lighting fiber with the body of endoscope, to make after other lower-cost parts damages of endoscope, optical fiber can be taken out coordinates new other parts of endoscope to use, and then reduces operation cost, is beneficial to operation and carries out in a large number.
For enabling above-mentioned purpose of the present invention, feature and advantage become apparent more, are described in detail the specific embodiment of the present invention below in conjunction with accompanying drawing.Principle of the present invention is described, so do not draw to scale owing to focusing on.
Detachable endoscope of the present invention can be soft endoscope and soft or hard adjustable endoscope.Below respectively for these two kinds, endoscope of the present invention is introduced in detail.
Embodiment one
Figure 1 shows that the structural representation of the soft endoscope 1 that the specific embodiment of the invention one provides, Figure 2 shows that the sectional view along A-A straight line in Fig. 1.This soft endoscope 1 can be ureteroscope, renal pelvis mirror, cystoscope, gastroscope, intestinal mirror, bronchoscope, choledochoscope or hysteroscope etc.
Composition graphs 1 is with shown in Fig. 2, and this soft endoscope 1 comprises: the body 10 with instrument channel pipe 11, illumination channel pipe 12, intake tunnel pipe 13 and drawing silk passage 14.
This instrument channel pipe 11 enters for various operating theater instruments, such as scalpel, pincers etc., can be also optical-fibre channel, carry out operation technique by laser.Illumination channel pipe 12 is suitable for holding lighting fiber, and lighting source adopts existing light source, such as hernia lamp.This lighting fiber (not shown) has signal transfer functions concurrently simultaneously, and its termination has camera lens (not shown), and this camera lens is the camera lens of endoscope 1.For preventing in some operation, such as, in stone operation, residue splashes, and can also arrange clear hard over cap outside this camera lens.Intake tunnel pipe 13 is for example and without limitation to and rinses area of visual field water admission passage.
Below the structure of lighting fiber 15 and the specific implementation structure of the mode that removably connects first is introduced.
In the present embodiment, composition graphs 1 is with shown in Fig. 3, and lighting fiber 15 is connected for detachable with the body 10 of soft endoscope 1.In other words, after other lower-cost parts damages of endoscope, optical fiber can be taken out and coordinate new other parts of endoscope to use.In addition, because its main component of optical fiber is silicon dioxide, quality is more crisp, for preventing damaging in unloading process, at this lighting fiber 15 outer cladding protective sleeve 16.Particularly; this protective sleeve 16 comprises Part I 162 and Part II 163; this Part I 162 is suitable for being contained in described illumination channel pipe 12; described Part II 163 is suitable for being placed in outside described illumination channel pipe 12, and described Part II 163 is provided with and is suitable for being fixed on described endoscope upper 1, particularly; the fixture at the mouth of pipe place of illumination channel pipe 12; by being fixed in endoscope 1 by lighting fiber 15, in case lighting fiber 15 is shifted in operation process, again target location need be found.
In specific implementation process, lighting fiber 15 mode be fixed in endoscope 1 has multiple, below enumerates two kinds: a) mouth of pipe place of described illumination channel pipe 12 has nut, and described fixture is bolt, is connected by bolt and nut; B) as shown in Figure 1, the mouth of pipe place of described illumination channel pipe 12 has the bolt 121 of smooth outer surface, and with reference to shown in Fig. 3, described fixture is socket 161, is connected by plug-in.
Drawing silk passage 14 is for arranging drawing silk, after soft endoscope 1 enters human body, outwards exit the sheath pipe of certain length, endoscope 1 camera lens is exposed, now, this drawing silk of tractive, can adjust the angle between camera lens and soft endoscope 1 body, help to find lesions position, meet larger visual field operation demand.
In addition, the optical fiber held in this instrument channel pipe 11 also can be dismountable optical fiber, its optical fiber structure and with the fixed form of endoscope 1 roughly with the structure of lighting fiber 15 and connected mode identical.
Embodiment two
Be different from the soft endoscope 1 in embodiment one, the endoscope 2 that the present embodiment two provides a kind of soft or hard adjustable, as shown in Figure 4.Figure 5 shows that the sectional view along B-B straight line in Fig. 4.
Composition graphs 4 is with shown in Fig. 5, and the endoscope 2 that this soft or hard is adjustable comprises: the body 20 with instrument channel pipe 11, illumination channel pipe 12, intake tunnel pipe 13, drawing silk passage 14 and backwater channel pipe 17.
Backwater channel pipe 17 is discharged for waste water, and it comprises two ends, and wherein the camera lens of the endoscope 2 that one end is adjustable with soft or hard is concordant or be slightly shorter than camera lens (namely ensureing not affect the camera lens visual field), this end is used for entering human body, also claim the inner, the other end relative with this inner is outer end, for being placed in outside human body.
Body 20 has the inner being suitable for being placed in human body, with the outer end be suitable for outside human body.Except body 20, as shown in Figure 6, this soft or hard adjustable endoscope 2 also comprises: be suitable for the drawing silk 18 being placed in described drawing silk passage 14, one end of this drawing silk 18 and the inner of body 20 are fixed, namely relative with the position of camera lens fixing, thus this end also claims stiff end, and the other end relative with this end is free end; Particularly, this drawing silk 18 multiple mobiles 183 of comprising at least two one metal wires 181,182 and being nested on tinsel 182.
Below then introduce this endoscope 2 and realize the adjustable principle of soft or hard:
As shown in Figure 6, under normal condition, the dispersion of multiple mobiles 183 is nested on tinsel 182.In other words, multiple mobile 183, such as, be spheroid, be not fixedly connected with tinsel 182, the spacing can slided between change adjacent activities body 183 along tinsel 182.
In an embodiment, the tube wall close contact of multiple mobile 183 and drawing silk passage 14, not with tinsel 182 tension, loosen and change the position of its relative drawing silk passage 14.The tube wall of this drawing silk passage 14 has elasticity, can fold under tinsel 182 is pulled situation, can unfold under loosening situation.
When endoscope 2 need enter human body, this drawing silk 18 need make endoscope 2 become rigid endoscope.Particularly, as shown in Figure 7, after tinsel 182 is pulled from free end, due to the existence of stiff end, the plurality of mobile 183 is pressed together, body 20, at least its head (for entering human body parts) is hardening, makes this endoscope 2 be become rigid endoscope.
After entering human body, as shown in Figure 8, loosen this tinsel 182, be not close contact between piecemeal activity body 183, drawing silk 18 makes endoscope 2 become soft endoscope.Because camera lens is relative fixing with body 20 inner end positions, and the stiff end of the inner of body 20 and drawing silk 18 is fixed, and now, during from free end tractive tinsel 181, camera lens can rotate within the scope of certain angle.
Be understandable that, for the soft or hard realizing endoscope is adjustable, being nested in multiple spheroids 183 on tinsel 182 except spherical, can also be other shape any, such as square, not even regular shape.
Can find out, the endoscope that above-mentioned soft or hard is adjustable, relative to the soft endoscope 1 of embodiment one, can avoid the setting of sheath pipe, in other words, can increase the diameter of apparatus channel 11, meets the operation demand of different department.In an embodiment, the diameter range of this instrument channel pipe 11 is 1-2mm.
Above-mentioned tractive and process of loosening can by arranging roller (not shown) realization at the free end of drawing silk 18, preferably, this part drawing silk near free end or roller arrange scale, show that the number of tractive amount and camera lens adjust the size of angle by test of many times, the use of this endoscope 2 more convenient.
Finally introduce structure and the effect of backwater channel pipe 17.
Can find out, relative to the scheme using the gap between sheath pipe and soft endoscope 1 as backwater channel, the backwater channel pipe 17 in the present embodiment makes the outer end at backwater channel, can collect, avoid polluting operating side to operation waste water.
In addition, the outer end of this backwater channel pipe 17 can also arrange the gathering-device (not shown) of band metering, make not only to be collected from the water of human body draining, and can measure, substantially inflow is realized equal with returning water quantity holding, avoid excess moisture in human organ to cause pressure reduction excessive, thus reduce operation risk.
Further, the outer end of this backwater channel pipe 17 can also be connected with water plug (not shown), when making impeded drainage, by the use of extraneous apparatus (such as water plug), draining is carried out smoothly, can not accumulate at human body.
In specific implementation process, the diameter range of backwater channel pipe 17 is 0.1 ~ 2mm.
Except above-mentioned difference, the endoscope 2 that the present embodiment two soft or hard is adjustable is identical with the soft endoscope 1 of embodiment one.
In the present invention, each embodiment adopts laddering literary style, and emphasis describes the difference with previous embodiment, and the identical structure in each embodiment is with reference to the same section of previous embodiment.
The above is only preferred embodiment of the present invention, not does any pro forma restriction to the present invention.Any those of ordinary skill in the art, are not departing under technical solution of the present invention ambit, the technology contents of above-mentioned announcement all can be utilized to make many possible variations and modification to technical solution of the present invention, or be revised as the Equivalent embodiments of equivalent variations.Therefore, every content not departing from technical solution of the present invention, according to technical spirit of the present invention to any simple modification made for any of the above embodiments, equivalent variations and modification, all still belongs in the scope of technical solution of the present invention protection.

Claims (10)

It is characterized in that, described endoscope is soft or hard adjustable endoscope, described body also comprises drawing silk passage, described endoscope also comprises the drawing silk being suitable for being placed in described drawing silk passage, described drawing silk comprises at least two one metal wires and is nested in the multiple mobiles on an one metal wire, one end of described drawing silk and the inner be placed in human body that is suitable for of body are fixed, the other end of described drawing silk is free end, multiple mobile is on the metal filament nested and be not fixedly connected with tinsel, when endoscope need enter human body, after tinsel is pulled from free end, due to the existence of stiff end, the plurality of mobile is pressed together, at least make the head of body hardening, and then make endoscope become rigid endoscope, after entering human body, loosen tinsel, it is not close contact between piecemeal activity body, endoscope is made to become soft endoscope, lighting fiber and the described body of described soft or hard adjustable endoscope are detachable connection.
CN201210567801.7A2012-12-242012-12-24Detachable endoscopeActiveCN103040431B (en)

Priority Applications (1)

Application NumberPriority DateFiling DateTitle
CN201210567801.7ACN103040431B (en)2012-12-242012-12-24Detachable endoscope

Applications Claiming Priority (1)

Application NumberPriority DateFiling DateTitle
CN201210567801.7ACN103040431B (en)2012-12-242012-12-24Detachable endoscope

Publications (2)

Publication NumberPublication Date
CN103040431A CN103040431A (en)2013-04-17
CN103040431Btrue CN103040431B (en)2015-02-04

Family

ID=48053453

Family Applications (1)

Application NumberTitlePriority DateFiling Date
CN201210567801.7AActiveCN103040431B (en)2012-12-242012-12-24Detachable endoscope

Country Status (1)

CountryLink
CN (1)CN103040431B (en)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN104305956B (en)*2014-10-202016-08-17苏新军A kind of combination type seminal vesicle mirror
WO2018087226A1 (en)*2016-11-092018-05-17Lina Medical International Operations AgA device for use in hysteroscopy
CN106580476A (en)*2017-01-202017-04-26深圳希思凯科技有限公司Robot for cerebrovascular operations and operating device and system of robot
CN108618745A (en)*2017-12-202018-10-09江门市鸿想医疗器械科技有限公司A kind of ureteroscope of split structure
CN109316159B (en)*2018-11-122025-05-16深圳开立生物医疗科技股份有限公司 Endoscope lighting device
CN211325227U (en)*2019-10-152020-08-25山东冠龙医疗用品有限公司Multi-channel working sleeve
CN119184584B (en)*2024-11-292025-03-25天津领创医慧医疗科技有限公司 Endoscope

Citations (2)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
US5573010A (en)*1991-11-181996-11-12Eckart FrimbergerProbe for medical procedures in cavities of the body
TW201000063A (en)*2008-06-252010-01-01Medical Intubation Tech CorpHead-arranging device of endoscope

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
JP2001327603A (en)*2000-05-252001-11-27Mitsubishi Cable Ind LtdMethod of manufacturing flexible tube
CN2703495Y (en)*2004-05-272005-06-08丁国和Detachable visible cold-light-source anaesthesia pharyngoscope
CN101366648A (en)*2008-10-102009-02-18乔铁Hard child and mother gall bladder endoscope and method
CN201365902Y (en)*2009-01-152009-12-23龙刚Three-channel bendable and steerable softness and rigidness combined endoscope
JP5448885B2 (en)*2010-01-282014-03-19富士フイルム株式会社 Medical equipment and endoscope device
CN203000887U (en)*2012-12-242013-06-19上海圣博艾医疗科技有限公司Detachable endoscope

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
US5573010A (en)*1991-11-181996-11-12Eckart FrimbergerProbe for medical procedures in cavities of the body
TW201000063A (en)*2008-06-252010-01-01Medical Intubation Tech CorpHead-arranging device of endoscope

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
JP特開2001-327603A 2001.11.27*

Also Published As

Publication numberPublication date
CN103040431A (en)2013-04-17

Similar Documents

PublicationPublication DateTitle
CN103040431B (en)Detachable endoscope
CN102783935B (en)Portable electronic cystoscope
CN106821512B (en) Lighting Attraction Equipment
US2235979A (en)Surgical and diagnostic instrument
CN104138295B (en)A kind of multi-purpose laser endoscope
CN101507599B (en) Rigid mother gallbladder and cystoscopy system
JP6417331B2 (en) Irradiation suction device
CN201365902Y (en)Three-channel bendable and steerable softness and rigidness combined endoscope
CN103054543B (en)Endoscope with adjustable hardness
CN203000887U (en)Detachable endoscope
CN207679421U (en)A kind of ear nose larynx peephole
CN203000885U (en)Hardness-adjustable endoscope
CN103040427B (en)Endoscope with return water channel
CN203000886U (en)Endoscope with water return channel
CN103356157A (en)Gun-type multichannel electronic anorectal endoscope
CN2431843Y (en)Medical hard-tube endoscope
CN203873732U (en)Portable electronic bladder inspectoscope
CN106725254B (en)A kind of medical pro-skin type endoscope
CN207785128U (en)Big channel straight cutting enters endoscope
CN108693191A (en)A kind of equipment detecting endoscope and a kind of endoscopic system
CN203539312U (en)Endoscope with detachable eyepiece hood
CN218279613U (en) a lighting hook
CN201039981Y (en)Novel cavity channel visible device
CN209712833U (en)A kind of endoscope of band protection mirror tube
CN205514484U (en)Endoscope conduit structure

Legal Events

DateCodeTitleDescription
C06Publication
PB01Publication
C10Entry into substantive examination
SE01Entry into force of request for substantive examination
C14Grant of patent or utility model
GR01Patent grant
TR01Transfer of patent right

Effective date of registration:20190627

Address after:Room 1206A, Building A, 3000 Longdong Avenue, China (Shanghai) Free Trade Pilot Area, Pudong New Area, Shanghai, 201203

Patentee after:SHANGHAI RAYKEEN LASER TECHNOLOGY CO.,LTD.

Address before:Room 743, 255 Xinjinqiao Road, Pudong New Area, Shanghai, 20106

Patentee before:SHANGHAI SHENGBOAI MEDICAL TECHNOLOGY Co.,Ltd.

TR01Transfer of patent right
EE01Entry into force of recordation of patent licensing contract

Application publication date:20130417

Assignee:Tianjin jinruihongxiang Technology Co.,Ltd.

Assignor:SHANGHAI RAYKEEN LASER TECHNOLOGY CO.,LTD.

Contract record no.:X2020310000002

Denomination of invention:Detachable endoscope

Granted publication date:20150204

License type:Common License

Record date:20200309

EE01Entry into force of recordation of patent licensing contract
EC01Cancellation of recordation of patent licensing contract

Assignee:Tianjin jinruihongxiang Technology Co.,Ltd.

Assignor:SHANGHAI RAYKEEN LASER TECHNOLOGY CO.,LTD.

Contract record no.:X2020310000002

Date of cancellation:20240508

EC01Cancellation of recordation of patent licensing contract

[8]ページ先頭

©2009-2025 Movatter.jp