US3915157A - Endoscope - Google Patents

Abstract

An endoscope wherein a slotted control member is rockably disposed in a port provided in the distal end section of the endoscope; the forward end portion open to the port of the channel is inclined relative to the axis of the distal end section; a tubular member, for example, forceps inserted into the channel has its tip portion so guided by the inclined forward end portion of the channel as to extend outwardly of the distal end section to one swing limit of said tip portion by being conducted through the slot of the control member; and, where the control member rocks from one position to another by the pulling force of an actuating wire, the tubular member has its tip portion swung to the opposite limit.

Description

' United States Patent Mitsui Oct. 28, 1975 ENDOSCOPE 3,818,902 6/1974 Kinoshita et al 128/6 [75] Inventor. Kazulnko Mltsui, Tokyo, Japan Primary Examiner Richard A. Gaudet [73] Assignee: Olympus Optical Co., Ltd., Tokyo, Assistant Examiner-Henry S. Layton Japan 22 Filed: June 19, 1974 ABSTRACT An endoscope wherein a slotted control member is [21] Appl' 480856 rockably disposed in a port provided in the distal end section of the endoscope; the forward end portion [30] Foreign Application Priority Data open to the port of the channel is inclined relative to June 21, 1973 Japan 48-73590 the axis of the distal end Section; a tubular member, for example, forceps inserted into the channel has its 52 us. (:1. 128/6 tip Portion Se guided y the ihelined forward end P 51 Int. Cl. A61B 1/06 tieh 0f the ehehnel as to extend outwardly of the distal [58] Field of Search 128/4-9, 303 R, end section to one Swing limit of Said p Portiony 12 3 3 303 5 2 B being conducted through the slot of the control member; and, where the control member rocks from one [56] References Cited position to another by the pulling force of an actuating UNITED STATES PATENTS wire, the tubular member has its tip portion swung to the opposite limit. 3,561,432 2/1971 Yamaki et a1. 128/6 3,817,631 6/1974 Kawahara 128/6 4 Claims, 5 Drawing Figures U.S. Patent Oct.2 8,1975 Sheet 1 of2 3,915,157

US. Patent Oct. 28, 1975 Sheet 2 of 2 ENDOSCOPE BACKGROUND OF THE INVENTION This invention relates to an endoscope wherein an inserted elongated flexible tubular member such as forceps has its tip portion guided to any desired part of the body cavity of a human being or patient while observation is being made through the endoscope, because the tip portion of said tubular member can be freely swung outwardly of the distal end section of the endoscope.

With the above-mentioned endoscope provided with a channel for insertion of an elongated flexible tubular member, the direction in which an elongated tubular member inserted into the channel of the endoscope extends outward is controlled by an operator or observer. The control mechanism comprises a control member rockably disposed in a port provided in the end face of the distal end section of the endoscope for engagement with said tubular member and an actuating wire for rocking the control member from the original position to another position through the operation of a control unit, thereby to swing the tip portion of the tubular member from one swing limit to another. The control member has generally been referred to as a forceps raising member, where the elongated tubular member consists of forceps.

Where the actuating wire stops pulling, the control member regains its original position, and in consequence the tubular member has its tip portion swung to one limit by its own righting force to be engaged with the control member.

Further, with the prior art endoscope, the forward end portion of the channel through which an elongated tubular member is inserted is made substantially parallel with the axis of the distal end section, causing the tip portion of the tubular member to extend outwardly of the distal end section substantially parallel with the axis of said section. The direction of said extension constitutes one swing limit of the range through which the tip portion of the tubular member is later swung by the action of the actuating wire. Therefore the swing range of the tip portion of the tubular member is considerably liinited, namely, only accounts for half the area of the open portion of the port, failing freely to shift said tip portion over a broad region within the body cavity of a patient.

Moreover, the control member of the prior art endoscope consists of a plate member provided in the distal end section so as to be made rockable at the base end by means of a pivot pin and engageable with the tip portion of the tubular member at the forward end. When pulled by the actuating wire, the control plate member raises the tip portion of the tubular member by the forward end. Moreover, the forward end of the plate control member engages the tip portion of the tubular member at a point relatively apart from the open end of the channel, failing to attain the broad swing of said tip portion even by the rocking of said plate control member.

SUMMARY OF THE INVENTION It is accordingly the general object of this invention to provide an endoscope which is characterized in that the forward end portion open to the port of the channel formed in the endoscope for insertion of an elongated flexible tubular member is inclined relative to the axis of said distal end section; and the tip portion of the tubular member is made obliquely to extend through the inclined forward end portion of the channel outwardly of the distal end section, the direction of said oblique extension constituting one limit of the range through which the tip portion of one flexible tubular member is later swung. Accordingly, the endoscope of this invention enables the tip portion of an elongated flexible tubular member such as forceps to be swung far more broadly over substantially the whole area of the open portion of the port. Therefore, an operator or observer using the present endoscope can bring the tip portion of the tubular member to any desired affected part of the body cavity of a patient by shifting said tip portion over a broad region therein.

According to this invention, the control member rockably disposed in the port is bored with a slot for insertion ofa tubular member. When the control member is in its original position, the slot is substantially aligned with the inclined forward portion of the channel enabling the tip portion of the tubular member to extend through the slot without any obstruction. When the I control member rocks from its original position by the pulling action of the actuating wire, then the slot of said control member causes the tip portion of the tubular member to be forcefully swung to the opposite limit over a broader range than has been possible with the prior art endoscope.

According to a preferred embodiment of this invention, the control member has a triangular form and can repeatedly rock through a broad angle in the distal end section with good durability. The base side of the triangular control member normally faces the bottom plane of the port. Provided near one apex of the base side is a support means, for example, a pair of pivot pins for rockably holding the control member. Fitted near the opposite apex of the base side is theactuating wire. Accordingly the control member can rock through a very broad angle, enabling the tip portion of a flexible tubular member such as forceps to be swung over a wide range.

It is, therefore, an object of this invention to provide an endoscope capable of swinging the tip portion of an elongated flexible tubular member through a broad angle.

Another object of the invention is to provide an endoscope equipped with a durable mechanism of simple construction for attaining the broad swing of the tip portion of said tubular member.

Other features and objects of the invention will be easily understood from the description of the preferred embodiment and accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS line 3-3 of FIG. 2 as viewed in the direction of the indicated arrows, showing that the control member disposed in the port of the endoscope for controlling the movement of the tip portion of the forceps is held in an original position, causing the tip portion of the forceps to extend slightly downward out of the port of the distal end section;

FIG. 4 is a sectional view on line 44 of FIG. 3 as viewed in the direction of the indicated arrows; and

FIG. 5 is a similar longitudinal sectional view of the distal end section of the endoscope to that of FIG. 3, showing that the control member provided in the port of the endoscope is shifted to another position, causing the tip portion of the forceps to be swung out of the port in a different direction from FIG. 3.

DESCRIPTION OF THE PREFERRED EMBODIMENTS The endoscope of this invention whose whole view is given in FIG. 1 comprises adistal end section 10,control unit 11 positioned at the proximal end andtube section 12 whose ends are connected to said distal end section andcontrol unit 11. As illustrated in FIG. 2, thedistal end section 10 has anopen port 13 formed in theend face 10a. The end face 100 is provided with awindow 15 for an image guide 14 (FIG. 1) and a pair ofwindows 17 for illumination light guides 16 (FIG. 1). Thecontrol unit 11 controls the insertion of thedistal end section 10 of the endoscope into the body cavity (not shown) ofa human being or patient while observation is made through an eyepiece member 11a. Thecontrol unit 11 is fitted with aknob 18 rotatable by an operator or observer. Thetube section 12 should preferably be made of sufficiently pliant material to allow the free insertion of thedistal end section 10 into the body cavity. Where, however, the endoscope is, for example, a rectoscope, or cystoscope, thetube section 12 may be formed of a straight metal tube difficult to bend.

Referring to FIG. 3, thedistal end section 10 is provided with abase frame 19 defining theport 13. Acylindrical cover 20 is rigidly secured to the periphery of thebase frame 19. Bored in thebase frame 19 are a one end opening or a forward end portion 22a of a channel '22 through which an elongated flexible tubular member orforceps 21 is inserted and a one end opening 240 ofachannel 24 through which the later described actuatingwire 23 is inserted. Theseopenings 22a, 24a communicate with theport 13. Theforceps channel 22 is formed of atube 25 lengthwise extending through thetube section 12 into thecontrol unit 11. Thewire channel 24 is defined by atube 26 extending lengthwise through thetube section 12 similarly into thecontrol unit 11.

Acontrol member 27 disposed in theport 13 is rockably mounted on thebase frame 19 by a pair of pivot pins 28 (FIG. 4) penetrating thecontrol member 27 at right angles. Thecontrol member 27 rocks on a plane including the axial line 29 (FIG. 3) of thedistal end section 10 from its original position in FIG. 3 to another position in FIG. 5. As apparent from FIGS. 3 and 5, thecontrol member 27 has its triangular surface made parallel with the plane on which it rotates, all the apices being rounded. One side 27a of thetriangular control member 27 which normally faces the bottom of theport 13 is bored with aninlet 30 for insertion offorceps 21, which in turn faces the forward end opening or portion 22a of theforceps channel 22. Oneadjacent side 27b of thecontrol member 27 is bored with anoutlet 31 through which theforceps 21 are drawn outward. Thecontrol member 27 is further provided with a slot 32 (FIGS. 3 and 4) whose ends communicate with theinlet 30 andoutlet 31. The upper andlower walls 33, 34 of theslot 32 define its height. The upper and lowerinner walls 33, 34 of thecontrol member 27 which constitute thelengthwise side walls 35 of theslot 32 define its width.

While thecontrol member 27 remains in its original position as shown in FIG. 3, theforceps channel 22 andslot 32 are aligned with each other, causing thetip portion 210 of theforceps 21 inserted into theforceps channel 22 to extend without any obstruction slightly downward to the left side (FIG. 3) out of theport 13 through theslot 32. As apparent from FIGS. 3 and 5, the forward end portion 22a of theforceps channel 22 communicating with theport 13 is formed in a state slightly inclined relative to theaxis 29 of thedistal end section 10. Therefore, thetip portion 21a of theforceps 21 passing through said inclined forward end portion 22a of thechannel 22 naturally extends obliquely downward as illustrated in FIG. 3. The direction of said extension represents one limit of the swing range through which thetip portion 21a makes the later described swing.

The pairedpivot pins 28 are provided in theneighborhood 270 of one rounded apex of thetriangular control member 27 and penetrate said member substantially at right angles to theaxis 29. Theforward end 23a of the actuatingwire 23 is secured to theproximity 27d of the adjacent apex of thetriangular control member 27. The actuatingwire 23 is slidably inserted into thechannel 24 through itsopen end 24a with the rear end of saidwire 23 mechanically connected to theknob 18 of the control unit 11 (not shown). When an operator or observer rotates theknob 18 in a certain direction, thewire 23 is pulled rearward. When theknob 18 is rotated in the opposite direction, thewire 23 slides forward through thechannel 24.

When thewire 23 is pulled rearward, thecontrol member 27 rocks clockwise about the pivot pins 28 from the original position in FIG. 3 to another position in FIG. 4. The clockwise rocking of thecontrol member 27 causes that portion of theforceps 21 which is inserted into theslot 32 to be forcefully swung obliquely upward from the one limit position of FIG. 3 against the elasticity of thecontrol member 27 in the neighborhood of thelower wall 34 of theslot 32, particularly near theoutlet 31 of saidslot 32 as shown in FIG. 5. Where thetip portion 21a of theforceps 21 is swung upward as shown in FIG. 5, theupper wall 33 of theslot 32, particularly, the neighborhood of theinlet 30 of theslot 32 is pressed against theforceps 21 to depress them downward. Accordingly, thetip portion 21a of theforceps 21 is forcefully swung obliquely upward from one limit position of FIG. 3 to another limit position of FIG. 5 through a very broad angle, because thetip portion 21a is urged by the neighborhoods of theoutlet 31 andinlet 30 of theslot 32.

Where theknob 18 is rotated in the opposite direction to the above-mentioned case to retract theactuating wire 23 into thechannel 24, then thecontrol member 27 rocks counterclockwise from the position of FIG. 5 to the original position of FIG. 3. The counterclockwise rocking of thecontrol member 27 causes that portion of theforceps 21 which is received in theslot 32 to be brought downward by theupper wall 33 of theslot 32, particularly the neighborhood of itsoutlet 31. As the result, thetip portion 21a of theforceps 21 is swung back to the original position of FIG. 3 by the joint action of the righting force of theforceps 21 and the urging force of theupper wall 33 of theslot 32. The withdrawal of theactuating wire 23 can be smoothly effected due to the righting force of theforceps 21, eliminating the possibility of thewire 23 being buckled during retraction.

The shifting of thecontrol member 27 from one position to another carried out by theactuating wire 23 enables thetip portion 21a of theforceps 21 passing through theslot 32 to be swung in either way through a very broad angle fully over the open portion of theport 13. Further, where the extent of pushing and pulling theactuating wire 23 is controlled by regulating the rotation of theknob 18, then thecontrol member 27 and consequently thetip portion 21a of theforceps 21 can be set at any desired swung point between the original and another positions.

The movement of theoutlet 31 of theslot 32 above and below theaxial line 29 according to the position of thecontrol member 27 causes thetip portion 21a of the forceps to be swung over a very broad range, thereby enabling any desired interior tissue of a human being or patient to be collected by the claws fitted to thetip portion 21a of theforceps 21 quickly over the broad region of the body cavity.

According to the foregoing embodiment theslot 32 formed in thecontrol member 27 was defined by fourside walls 33, 34, 35, 35. However, theslot 32 will sufficiently serve the purpose, if it has at least upper and lower walls. In such case, theside walls 35, 35 of theslot 32 may be substituted by the right and left walls of theport 13.

With the endoscope of this invention, the open portion of theport 13 of the distal end section through which an elongated flexibletubular member 21 such as forceps is inserted is inclined, as previously mentioned, relative to theaxis 29 of thedistal end section 10, causing thetip portion 21a of thetubular member 21 to extend obliquely out of the distal end section through theport 13. The direction of the extension constitutes one limit of the range through which saidtubular member 21 is swung. When set at one swing limit, thetip portion 21a is drawn near the lower end of the open portion of theport 13. But when thecontrol member 27 rocks by the pulling action of theactuating wire 23, thetip portion 21a is forcefully swung to another limit to be brought near the upper end of the open portion of theport 13.

According to the preferred embodiment, the elongated flexible tubular member consisted of forceps. But this invention is also applicable to many other tubular members, for example that used to suck a liquid.

What is claimed is:

1. An endoscope having a distal end section, control unit provided at the proximal end section, a tube section connecting the control unit with the distal end section, a port formed in the distal end section so as to be opened to the end face thereof, a channel the forward end portion of which communicates with the port and the oposite end of which reaches the interior of the control unit through the tube section, and an elongated flexible tubular member inserted into the channel so as to have its tip portion made to extend through the port out of the distal end section, a control member disposed in the port and having a slot for slidable insertion of the tip portion of the tubular member, said slot being defined by at least upper and lower walls; support means for rockably holding the control member within the port in a plane including the axial line of the distal end section; and an actuating wire one end of which is connected to the control member and the other end of which reaches the interior of the control unit through the tube section so as to be subjected to the pulling operation of said control unit, said actuating wire rocking the control member from its original position to another position due to the pulling operation of said control unit, thereby swinging the tip portion of the tubular member from one swing limit to another the forward end portion of the channel for insertion of the tubular member being inclined relative to the axis of the distal end section, thereby enabling the tubular member passing through said forward end portion of the channel to be positively guided in the direction of said inclination, and when the control member is in the original position, said slot of the control member is brought into alignment with the inclined forward end portion of the channel thereby causing the tip portion of the tubular member to extend to one swing limit.

2. An endoscope according to claim 1, wherein the control member has a triangular shape as viewed from a plane including the axis of the distal end section and is provided on one side with an inlet communicating with one end of the slot and on the other side with an outlet communicating with the other end of the slot.

3. An endoscope according to claim 2, wherein said support means is a pivot pin secured to the proximity of one apex of the triangular control member, and said one end of the actuating wire is fitted to the proximity of another apex of the triangular control member.

4. An endoscope according to claim 1, wherein said slot of the control member is defined by a pair of side walls in addition to said upper and lower walls.

Claims (4)

1. An endoscope having a distal end section, control unit provided at the proximal end section, a tube section connecting the control unit with the distal end section, a port formed in the distal end section so as to be opened to the end face thereof, a channel the forward end portion of which communicates with the port and the opposite end of which reaches the interior of the control unit through the tube section, and an elongated flexible tubular member inserted into the channel so as to have its tip portion made to extend through the port out of the distal end section, a control member disposed in the port and having a slot for slidable insertion of the tip portion of the tubular member, said slot being defined by at least upper and lower walls; support means for rockably holding the control member within the port in a plane including the axial line of the distal end section; and an actuating wire one end of which is connected to the control member and the other end of which reaches the interior of the control unit through the tube section so as to be subjected to the pulling operation of said control unit, said actuating wire rocking the control member from its original position to another position due to the pulling operation of said control unit, thereby swinging the tip portion of the tubular member from one swing limit to another the forward end portion of the channel for insertion of the tubular member being inclined relative to the axis of the distal end section, thereby enabling the tubular member passing through said forward end portion of the channel to be positively guided in the direction of said inclination, and when the control member is in the original position, said slot of the control member is brought into alignment with the inclined forward end portion of the channel thereby causing the tip portion of the tubular member to extend to one swing limit.

2. An endoscope according to claim 1, wherein the control member has a triangular shape as viewed from a plane including the axis of the distal end section and is provided on one side with an inlet communicating with one end of the slot and on the other side with an outlet communicating with the other end of the slot.

3. An endoscope according to claim 2, wherein said support means is a pivot pin secured to the proximity of one apex of the triangular control member, and said one end of the actuating wire is fitted to the proximity of another apex of the triangUlar control member.

4. An endoscope according to claim 1, wherein said slot of the control member is defined by a pair of side walls in addition to said upper and lower walls.

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