JPH06142114A - In-celom treating device - Google Patents
In-celom treating deviceInfo
- Publication number
- JPH06142114A JPH06142114A JP4293400A JP29340092A JPH06142114A JP H06142114 A JPH06142114 A JP H06142114A JP 4293400 A JP4293400 A JP 4293400A JP 29340092 A JP29340092 A JP 29340092A JP H06142114 A JPH06142114 A JP H06142114A
- Authority
- JP
- Japan
- Prior art keywords
- treatment
- sound
- microphone
- celom
- tool
- 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.)
- Withdrawn
Links
- 238000011282 treatment Methods 0.000 claims abstract description 72
- 238000005452 bending Methods 0.000 description 27
- 230000017531 blood circulation Effects 0.000 description 17
- 238000001574 biopsy Methods 0.000 description 15
- 210000004204 blood vessel Anatomy 0.000 description 13
- 238000003780 insertion Methods 0.000 description 13
- 230000037431 insertion Effects 0.000 description 13
- 230000003287 optical effect Effects 0.000 description 13
- 238000010586 diagram Methods 0.000 description 8
- 238000001514 detection method Methods 0.000 description 7
- 230000002183 duodenal effect Effects 0.000 description 6
- 239000000523 sample Substances 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 208000037062 Polyps Diseases 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 238000005286 illumination Methods 0.000 description 3
- 238000002357 laparoscopic surgery Methods 0.000 description 3
- 230000002093 peripheral effect Effects 0.000 description 3
- 206010017472 Fumbling Diseases 0.000 description 2
- 208000031481 Pathologic Constriction Diseases 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 238000002192 cholecystectomy Methods 0.000 description 2
- 239000011162 core material Substances 0.000 description 2
- 206010050031 Muscle strain Diseases 0.000 description 1
- 210000000013 bile duct Anatomy 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- 210000001198 duodenum Anatomy 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 238000007654 immersion Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 210000002429 large intestine Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 210000000277 pancreatic duct Anatomy 0.000 description 1
- 239000004065 semiconductor Substances 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
Landscapes
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Abstract
Description
【０００１】[0001]
【産業上の利用分野】本発明は、処置具等を用いて体腔
内の部位に治療等の処置を施す体腔内処置装置に関す
る。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an intracavity treatment device for performing treatment such as treatment on a site inside a body cavity using a treatment tool or the like.
【０００２】[0002]
【従来の技術】生体への侵襲度の小さな処置法として、
経内視鏡、経腹腔鏡的に体腔内へ処置具を導入して治療
等の処置が行われる。この場合、術者は内視鏡を通じて
の観察情報と処置具を操作する際に手が受ける感覚（押
すと突き当たる、挟むと抵抗がある等）によってその処
置する状況を把握しているが、オープン手術に比べる
と、術者にとって処置状況を充分に把握できにくい。こ
のため、かなりの経験と熟練が必要であるなどの問題が
あった。2. Description of the Related Art As a treatment method with minimal invasion to the living body,
A treatment tool or the like is introduced by introducing a treatment tool into a body cavity through a endoscope or a translaparoscope. In this case, the operator grasps the observation information through the endoscope and the sense of the hand when operating the treatment tool (pushing hits, pinching resistance, etc.), but it is open. Compared to surgery, it is difficult for the operator to fully understand the treatment status. Therefore, there is a problem that considerable experience and skill are required.
【０００３】[0003]
【発明が解決しようとする課題】本発明は前記課題に着
目してなされたもので、その目的とするところは、術者
が、体腔内の処置の状況をより明確に把握でき、安全か
つ確実な処置を行うことができる体腔内処置装置を提供
することにある。SUMMARY OF THE INVENTION The present invention has been made in view of the above-mentioned problems, and an object thereof is to allow a surgeon to more clearly grasp the status of treatment in a body cavity and to ensure safety and reliability. An object of the present invention is to provide an intracorporeal treatment device capable of performing various treatments.
【０００４】[0004]
【課題を解決するための手段および作用】本発明は、処
置具を体腔内に挿入して処置を行う体腔内処置装置にお
いて、体腔内で処置を行う際に発生する音を検出する手
段と、この音検出手段によって検出した音を術者に知ら
せる告知手段とを具備したものである。この体腔内処置
装置によれば、術者が体腔内の処置状況を処置音で把握
しながら作業を行うことができる。The present invention relates to an intracorporeal treatment device for performing treatment by inserting a treatment tool into a body cavity, and means for detecting a sound generated when performing treatment within the body cavity. The sound detecting means is provided with a notifying means for notifying the operator of the sound detected by the sound detecting means. According to this body cavity treatment device, the operator can perform the work while grasping the treatment situation in the body cavity by the treatment sound.
【０００５】[0005]
【実施例】図１ないし図４は本発明の第１の実施例を示
すものである。図１は側視型内視鏡１を用いて高周波切
開具（パピロトミーナイフ）２を経内視鏡的に導入し、
十二指腸乳頭部３を切除する状況を示している。高周波
切開具２は、そのシース４の先端側周部に切開用電極ワ
イヤ５を露出して設けてなり、その電極ワイヤ５をある
程度、引き込むことにより、図１および図２で示すよう
に、シース４の先端部を湾曲させながら直線的に張るよ
うになっている。この状態で電極ワイヤ５を十二指腸乳
頭部３に押し当てて高周波電流を流すことによりその十
二指腸乳頭部３を切除することができる。1 to 4 show a first embodiment of the present invention. FIG. 1 shows a high-frequency incision instrument (papillomy knife) 2 introduced endoscopically using a side-view endoscope 1.
It shows a situation in which the duodenal papilla 3 is excised. The high-frequency incision tool 2 is formed by exposing the incision electrode wire 5 on the distal end side peripheral portion of the sheath 4, and by retracting the electrode wire 5 to some extent, as shown in FIGS. The tip of 4 is curved and stretched linearly. In this state, the electrode wire 5 is pressed against the duodenal papilla 3 and a high-frequency current is passed therethrough to excise the duodenal papilla 3.
【０００６】この高周波切開具２におけるシース４の先
端側周部には、前記切開用電極ワイヤ５側に向けた単一
の超小型マイクロホン６が取り付けられている。この超
小型マイクロホン６はシース４に挿通された図示しない
信号線を通じて図４の（ａ）で示すような体外の増幅器
７に接続され、また、増幅器７はスピーカ８に接続され
ている。マイクロホン６で検出した音の信号は増幅器７
で増幅し、スピーカ８から音を流して処置音を聞く方式
となっている。A single micro-microphone 6 facing the incision electrode wire 5 side is attached to the peripheral portion of the distal end side of the sheath 4 in the high-frequency incision tool 2. The microminiature microphone 6 is connected to an extracorporeal amplifier 7 as shown in FIG. 4A through a signal line (not shown) inserted through the sheath 4, and the amplifier 7 is connected to a speaker 8. The signal of the sound detected by the microphone 6 is the amplifier 7
Is amplified and the sound is emitted from the speaker 8 to hear the treatment sound.
【０００７】図３で示すように、内視鏡１の先端部にお
ける観察光学系９、照明光学系１０及び鉗子口１１を設
けた面部と同一面には、その視野方向に向けて左右一対
の超小型マイクロホン６，６が取り付けられている。こ
の超小型マイクロホン６，６は、その内視鏡１の挿入部
に挿通される図示しない信号線を通じて図４の（ｂ）で
示すような体外の増幅器７に接続されている。また、増
幅器７は左右一対のスピーカ８，８に接続されている。
そして、各マイクロホン６，６で検出した音の信号を増
幅器７で増幅して左右一対のスピーカ８，８から音を流
し、処置する際に発生する音をステレオで聞く方式とな
っている。As shown in FIG. 3, a pair of left and right faces toward the direction of the field of view on the same surface as the surface portion provided with the observation optical system 9, the illumination optical system 10 and the forceps port 11 at the distal end portion of the endoscope 1. Microminiature microphones 6 and 6 are attached. The microminiature microphones 6 and 6 are connected to an extracorporeal amplifier 7 as shown in FIG. 4B through a signal line (not shown) inserted through the insertion portion of the endoscope 1. The amplifier 7 is connected to a pair of left and right speakers 8, 8.
Then, a signal of the sound detected by each of the microphones 6 and 6 is amplified by the amplifier 7 and the sound is played from the pair of left and right speakers 8 and 8 and the sound generated during the treatment is heard in stereo.
【０００８】しかして、内視鏡１の処置具挿通用チャン
ネルを経て、高周波切開具２を十二指腸乳頭部３に導
き、十二指腸乳頭部３を切除すると、その際に発生する
音が各マイクロホン６，６で検出され、術者はスピーカ
８，８で聞ける。スピーカ８，８は例えば、観察モニタ
の近くに置かれ、体腔内での音を術者に伝達する。高周
波切開具２に設けた超小型マイクロホン６では処置音を
発生源近くで検出でき、正確な処置音が確実に得られ
る。また、内視鏡１の先端部に設けた左右一対の超小型
マイクロホン６，６によって処置部位から発生する処置
音の状況を立体的に聞くことができる。例えば、内視鏡
先端での左右一対のスピーカ８，８と観察光学系と対応
で左右一対のスピーカ８，８をモニタ画面の左右に対応
させて設置すれば、処置している音を立体的に認識でき
る。Thus, when the high-frequency incision tool 2 is guided to the duodenal papilla 3 through the treatment instrument insertion channel of the endoscope 1 and the duodenal papilla 3 is excised, a sound generated at that time is generated by the microphones 6, 6. 6 and can be heard by the operator through the speakers 8 and 8. The speakers 8 and 8 are placed, for example, near an observation monitor and transmit sound in the body cavity to the operator. With the microminiature microphone 6 provided in the high-frequency incision tool 2, the treatment sound can be detected near the source, and an accurate treatment sound can be reliably obtained. In addition, the pair of left and right microminiature microphones 6 and 6 provided at the tip of the endoscope 1 can stereoscopically hear the situation of the treatment sound generated from the treatment site. For example, if the pair of left and right speakers 8 and 8 at the tip of the endoscope and the pair of left and right speakers 8 and 8 are installed so as to correspond to the left and right of the monitor screen, the sound being treated is stereoscopically displayed. Can be recognized by.
【０００９】図５ないし図６は本発明の第２の実施例に
係る結石破砕用バスケット鉗子１３を示すものである。
これはシース１４の先端部にワイヤバスケット１５が操
作ワイヤ１６によって突没自在に設けられている。ま
た、図５で示すように、シース１４の先端部には超小型
マイクロホン６が取着されている。この超小型マイクロ
ホン６は前述したようにシース１４に挿通された図示し
ない信号線を通じて体外の増幅器に接続され、また、こ
の増幅器はスピーカに接続される。マイクロホン６で検
出した音の信号を増幅器で増幅し、スピーカから音を流
して聞けるようになっている。FIGS. 5 to 6 show a calculus breaking basket forceps 13 according to a second embodiment of the present invention.
In this, a wire basket 15 is provided at the distal end of the sheath 14 so as to be capable of projecting and retracting by an operation wire 16. Further, as shown in FIG. 5, a microminiature microphone 6 is attached to the tip of the sheath 14. The microminiature microphone 6 is connected to an amplifier outside the body through a signal line (not shown) inserted through the sheath 14 as described above, and the amplifier is connected to a speaker. The signal of the sound detected by the microphone 6 is amplified by the amplifier, and the sound can be heard by the speaker.
【００１０】図６はそのバスケット鉗子１３の使用状況
である。すなわち、このバスケット鉗子１３は十二指腸
までは経内視鏡的に導入され、この後、図６で示す胆・
膵管１７内に挿入される。そして、ワイヤバスケット１
５をシース１４から押し出してこの内部に結石１８を取
り込み、ワイヤバスケット１５をシース１４内に引き込
むことによりその結石１８を押し潰して破砕する。一
方、この結石１８の取り込み作業や破砕音等がマイクロ
ホン６で検出され、術者はスピーカからその処置音が聞
けるため、これを処置状況の判断材料として状況を判別
する。したがって、手探りでのみ作業を行う場合に比べ
てより確実に状況が把握でき、確実かつ容易に作業を行
うことができる。FIG. 6 shows how the basket forceps 13 is used. That is, the basket forceps 13 is introduced endoscopically up to the duodenum, and thereafter, the gallbladder shown in FIG.
It is inserted into the pancreatic duct 17. And wire basket 1
5 is pushed out from the sheath 14 to take in the calculus 18 therein, and the wire basket 15 is pulled into the sheath 14 to crush and crush the calculus 18. On the other hand, the work of taking in the calculus 18 and the crushing sound are detected by the microphone 6, and the operator can hear the treatment sound from the speaker. Therefore, the situation can be grasped more surely and the work can be performed surely and easily as compared with the case where the work is performed only by the fumbling.
【００１１】図７ないし図８は本発明の第３の実施例に
係り、生検鉗子を経内視鏡的に使用する体腔内処置装置
の例である。この生検鉗子２０はシース２１の先端部に
開閉自在な一対の生検カップ２２，２２を設け、この生
検カップ２２，２２はシース２１内に挿通した図示しな
い操作ワイヤを介して手元側での押引き操作によって開
閉される。この生検鉗子２０は内視鏡２３の鉗子チャン
ネル２４を通じて体腔内に導入される。FIG. 7 to FIG. 8 relate to a third embodiment of the present invention and show an example of an intracavity treatment device using a biopsy forceps endoscopically. The biopsy forceps 20 is provided with a pair of openable and closable biopsy cups 22 and 22 at the distal end of a sheath 21. The biopsy cups 22 and 22 are provided on the proximal side via an operation wire (not shown) inserted into the sheath 21. It is opened and closed by pushing and pulling. The biopsy forceps 20 is introduced into the body cavity through the forceps channel 24 of the endoscope 23.
【００１２】図８で示すように、内視鏡２３の先端面に
は、鉗子チャンネル２４の先端開口の他に照明光学系２
５と観察光学系２６が設けられ、さらに、その視野方向
に向けて左右一対の超小型マイクロホン６，６が取り付
けられている。この超小型マイクロホン６，６は、その
内視鏡２３の挿入部に挿通される図示しない信号線を通
じて、体外の増幅器に接続されている。また、増幅器は
左右一対のスピーカに接続されている。そして、各マイ
クロホン６，６で検出した音の信号を増幅器で増幅して
左右一対のスピーカから音を流し、処置する際に発生す
る音をステレオで聞ける方式になっている。As shown in FIG. 8, the illumination optical system 2 is provided on the distal end surface of the endoscope 23 in addition to the distal end opening of the forceps channel 24.
5 and an observation optical system 26 are provided, and a pair of left and right microminiature microphones 6 are attached to the viewing direction. The microminiature microphones 6 and 6 are connected to an amplifier outside the body through a signal line (not shown) inserted through the insertion portion of the endoscope 23. The amplifier is connected to the pair of left and right speakers. Then, the signal of the sound detected by each of the microphones 6 and 6 is amplified by an amplifier, the sound is output from a pair of left and right speakers, and the sound generated during the treatment can be heard in stereo.
【００１３】しかして、図８で示すように、経内視鏡的
に生検鉗子２０を体腔内に導入し、体腔内におけるポリ
ープ２７の生体組織を採取する。また、この採取時に生
じる音はマイクロホン６，６によって検出し、術者は一
対のスピーカからその処置する際に発生する音をステレ
オで聞ける。そして、手探りでのみ作業を行う場合に比
べてより確実に状況が把握でき、確実かつ容易に作業を
行うことができる。Then, as shown in FIG. 8, the biopsy forceps 20 is endoscopically introduced into the body cavity and the living tissue of the polyp 27 in the body cavity is collected. Further, the sound generated at the time of this collection is detected by the microphones 6 and 6, and the operator can hear the sound generated during the treatment in stereo from the pair of speakers. Further, the situation can be grasped more surely and the work can be performed surely and easily as compared with the case where the work is performed only by the fumbling.
【００１４】なお、この実施例における生検鉗子２０の
先端に力覚センサを設け、その生検鉗子２０が体腔内の
生体組織に当たってそれに加える力を検出し、その検出
した力に応じて生検鉗子２０の手元操作部に設けた振動
子を振動するようになっている。A force sensor is provided at the tip of the biopsy forceps 20 in this embodiment, the biopsy forceps 20 detects the force applied to the living tissue in the body cavity, and the biopsy is performed according to the detected force. A vibrator provided on the operating portion of the forceps 20 is vibrated.
【００１５】これによると、生検鉗子２０の先端が生体
組織に当たる力の程度に応じて生検鉗子２０の手元操作
部が振動し、術者にその力の程度を伝達する。鉗子先端
と操作部が離れている場合、術者にその反力が伝わらな
くなるが、その力の程度に応じて生検鉗子２０の手元操
作部が振動するため、術者に処置時の情報を伝え、安全
に処置が行える。According to this, the hand-operated portion of the biopsy forceps 20 vibrates according to the degree of the force with which the tip of the biopsy forceps 20 hits the living tissue, and the degree of the force is transmitted to the operator. When the distal end of the forceps and the operating portion are separated, the reaction force is not transmitted to the operator, but the hand operating portion of the biopsy forceps 20 vibrates depending on the degree of the force, so the operator is informed of the information at the time of treatment. You can communicate and handle it safely.
【００１６】また、この生検鉗子２０にも前述したよう
なマイクロホンを取り付け、処置する際に発生する音を
検出してスピーカによってその音を聞けるようにしてあ
る。The microphone as described above is also attached to the biopsy forceps 20 so that the sound generated during the treatment can be detected and the speaker can hear the sound.
【００１７】図９は本発明の第４の実施例に係り、処置
具として高周波スネアを経内視鏡的に使用する体腔内処
置装置の例である。高周波スネア３０はシース３１の先
端部に突没自在なループ状のスネアワイヤ３２を設けて
なり、このスネアワイヤ３２はシース３１内に挿通した
図示しない操作ワイヤを介して手元側での押引き操作に
よって突没操作される。この高周波スネア３０は内視鏡
３３の鉗子チャンネル３４を通じて体腔内に導入され
る。FIG. 9 relates to a fourth embodiment of the present invention and is an example of an intracavity treatment device using a high-frequency snare as a treatment tool endoscopically. The high-frequency snare 30 is provided with a loop-shaped snare wire 32 that is capable of projecting and retracting at the distal end of a sheath 31, and this snare wire 32 is projected by a push-pull operation on the proximal side via an operation wire (not shown) inserted into the sheath 31. It is operated by immersion. The high frequency snare 30 is introduced into the body cavity through the forceps channel 34 of the endoscope 33.
【００１８】また、内視鏡３３の先端面には、鉗子チャ
ンネル３４の先端開口の他に照明光学系３５と観察光学
系３６が設けられ、さらに、その視野方向に向けて左右
一対の超小型マイクロホン６，６が取り付けられてい
る。この超小型マイクロホン６，６は、その内視鏡３３
の挿入部に挿通される図示しない信号線を通じて、体外
の増幅器に接続されている。また、増幅器は左右一対の
スピーカに接続されている。そして、各マイクロホン
６，６で検出した音の信号を増幅器で増幅して左右一対
のスピーカから音を流し、処置する際などに発生する音
をステレオで聞ける方式になっている。An illumination optical system 35 and an observation optical system 36 are provided on the distal end surface of the endoscope 33 in addition to the distal end opening of the forceps channel 34. Further, a pair of left and right microminiatures are provided in the viewing direction. Microphones 6 are attached. The micro microphones 6 and 6 have the endoscope 33.
Is connected to an amplifier outside the body through a signal line (not shown) inserted through the insertion part of the. The amplifier is connected to the pair of left and right speakers. Then, the signal of the sound detected by each of the microphones 6 and 6 is amplified by an amplifier, and the sound is output from a pair of left and right speakers, so that the sound generated during treatment can be heard in stereo.
【００１９】しかして、図９で示すように、経内視鏡的
に高周波スネア３０を体腔内に導入し、体腔内における
ポリープ３７の切除する。また、この採取時に生じる音
はマイクロホン６，６によって検出し、術者は一対のス
ピーカからその処置する音をステレオで聞ける。このた
め、手探りでのみ作業を行う場合に比べてより確実に状
況が把握でき、確実かつ容易に作業を行うことができ
る。Then, as shown in FIG. 9, the high-frequency snare 30 is endoscopically introduced into the body cavity, and the polyp 37 in the body cavity is excised. The sound generated at the time of this collection is detected by the microphones 6 and 6, and the operator can hear the sound to be treated in stereo from the pair of speakers. For this reason, the situation can be grasped more surely and the work can be performed surely and easily as compared with the case where the work is performed only by groping.
【００２０】なお、高周波スネア３０のシース３１にお
ける先端部にマイクロホンを設けて処置する際などに発
生する音を検出するようにしてもよい。A microphone may be provided at the distal end portion of the sheath 31 of the high frequency snare 30 to detect sound generated during treatment.
【００２１】図１０は本発明の第５の実施例に係り、処
置具としてレーザプローブを経内視鏡的に使用する体腔
内処置装置の例である。第４の実施例の場合と同様にレ
ーザポローブ４０のシース４１の先端部又は／及び内視
鏡４２の先端面にマイクロホンを設けてレーザポローブ
４０を使用する際の処置音を検出してこれを体外で術者
が聞くようにしたものである。このため、手探りでのみ
作業を行う場合に比べてより確実に状況が把握でき、ま
た、体腔内のポリープ４３などの患部をレーザ光で焼灼
する作業を確実かつ容易に作業を行うことができる。FIG. 10 relates to a fifth embodiment of the present invention and shows an example of an intracavity treatment apparatus using a laser probe as a treatment tool endoscopically. As in the case of the fourth embodiment, a microphone is provided at the distal end portion of the sheath 41 of the laser probe 40 and / or the distal end surface of the endoscope 42 to detect a treatment sound when the laser probe 40 is used and detect it outside the body. This is what the surgeon listens to. For this reason, the situation can be grasped more reliably as compared with the case where the work is performed only by groping, and the work of cauterizing the affected part such as the polyp 43 in the body cavity with the laser light can be performed reliably and easily.
【００２２】図１１は本発明の第６の実施例に係り、経
腹腔鏡的処置（胆嚢摘出術、産婦人科術等を含む腹腔鏡
下手術）を行う場合の例である。（ａ）はその処置状況
を示しており、硬性鏡４５と剥離用鉗子４６はそれぞれ
別のトラカール４７，４８を介して腹腔４９内に挿入さ
れている。硬性鏡４５の光学系設置（先端）面には、
（ｂ）で示すように、１つの超小型マイクロホン６が設
けられている。そして、このマイクロホン６は、前述し
たように硬性鏡４５のシースに挿通された図示しない信
号線を通じて体外の増幅器に接続され、また、この増幅
器にはスピーカが接続されている。そして、処置部の観
察像検出部と同じ面でマイクロホン６により処置する際
に発生する音を検出し、この音の信号を増幅器で増幅
し、スピーカから音を流して、腹腔鏡下手術において処
置する際に発生する音を術者が聞けるようになってい
る。FIG. 11 relates to the sixth embodiment of the present invention and shows an example of performing a translaparoscopic procedure (laparoscopic surgery including cholecystectomy, obstetrics and gynecology). (A) shows the treatment situation, and the rigid endoscope 45 and the peeling forceps 46 are inserted into the abdominal cavity 49 via separate trocars 47 and 48, respectively. On the optical system installation (tip) surface of the rigid scope 45,
As shown in (b), one microminiature microphone 6 is provided. The microphone 6 is connected to an amplifier outside the body through a signal line (not shown) inserted through the sheath of the rigid endoscope 45 as described above, and a speaker is connected to the amplifier. Then, the sound generated when the treatment is performed by the microphone 6 is detected on the same surface as the observation image detection unit of the treatment unit, the signal of this sound is amplified by the amplifier, the sound is emitted from the speaker, and the treatment is performed in the laparoscopic surgery. The surgeon can hear the sound generated when doing.
【００２３】しかして、術者はスピーカからその処置音
が聞けるため、これを処置状況の判断材料として状況を
より明確に判別できる。したがって、術者はよりよい臨
場感が得られ、確実かつ容易に作業を安全に行うことが
できる。Since the operator can hear the treatment sound from the speaker, the situation can be more clearly discriminated by using this as a material for determining the treatment situation. Therefore, the surgeon can obtain a better sense of presence and can perform the work securely and easily and safely.
【００２４】また、図１１の（ｃ）はそのバスケット鉗
子４６の代わりに組織切開と剥離のために使用する高周
波プローブ５０を用いて処置する例を示している。Further, FIG. 11C shows an example in which the basket forceps 46 is replaced by a high frequency probe 50 used for tissue incision and separation.
【００２５】この場合に使用する処置具にマイクロホン
を設けて処置する際の音を検出してこれを聞くようにし
てもよい。また、処置対象も腹腔だけでなく、胸腔等体
腔内処置を行う場合についても同様である。A microphone may be provided in the treatment tool used in this case to detect a sound when the treatment is performed and listen to the sound. The same applies not only to the abdominal cavity to be treated, but also to the case of performing intracorporeal treatment such as the chest cavity.
【００２６】なお、設けるマイクロホンの数は、前述し
た各実施例のものに限定されるものではなく、さらに、
多く設けてもよいものである。また、以下に述べるよう
な処置具や内視鏡に前述したようなマイクロホンを取り
付け、処置する際に発生する音を検出してそれをスピー
カによって聞けるようにしてもよいものである。The number of microphones to be provided is not limited to that of each of the above-mentioned embodiments.
Many may be provided. Further, a microphone as described above may be attached to a treatment tool or an endoscope as described below, and a sound generated during the treatment may be detected and heard by a speaker.
【００２７】図１２は管腔狭窄部を拡張するためのバル
ーンカテーテル５１の例である。このバルーン５２の外
周には前面にわたり分散して複数の圧力センサ５３が取
り付けられている。圧力センサ５３は、例えば半導体セ
ンサ・感圧ゴム等からなっている。各圧力センサ５３
は、図示しない信号線を通じて体外の圧力−音声変換器
に接続されている。FIG. 12 shows an example of a balloon catheter 51 for expanding the lumen stricture. A plurality of pressure sensors 53 are attached to the outer circumference of the balloon 52 over the front surface in a dispersed manner. The pressure sensor 53 is made of, for example, a semiconductor sensor or pressure sensitive rubber. Each pressure sensor 53
Is connected to a pressure-sound converter outside the body through a signal line (not shown).
【００２８】そこで、例えば血管５４における狭窄部５
５を拡張する場合、図１２で示すように、バルーンカテ
ーテル５１を血管５４内に導入し、そのバルーン５２を
狭窄部５５に位置させて膨脹させる。この血管５４の狭
窄部５５を拡張するとき、圧力センサ５３は、バルーン
５２が接触する管壁から受ける圧力を検出する。この検
出する圧力に応じて体外の圧力−音声変換器は発生する
音の大きさ・高さ・音色等を変えることで、術者にその
圧力状態を知らせるとともに、過剰に圧力が管腔にかか
り、管腔にダメージを与えることを防止する操作を行わ
せることができる。この手技は、胆管、尿道、食道等の
管腔における狭窄部位のバルーンダイレーションにも同
様に適用することができる。Therefore, for example, the narrowed portion 5 in the blood vessel 54.
In the case of expanding 5, the balloon catheter 51 is introduced into the blood vessel 54, and the balloon 52 is positioned at the narrowed portion 55 and inflated, as shown in FIG. When expanding the narrowed portion 55 of the blood vessel 54, the pressure sensor 53 detects the pressure received from the tube wall with which the balloon 52 contacts. The pressure-sound converter outside the body changes the volume, pitch, tone color, etc. of the generated sound according to the detected pressure, so that the operator is informed of the pressure state and excessive pressure is applied to the lumen. It is possible to perform an operation that prevents damage to the lumen. This procedure can be similarly applied to balloon dilation of a narrowed site in a lumen such as the bile duct, urethra, and esophagus.
【００２９】図１３ないし図１５は血流検知機能付把持
具６０の例である。この把持具６０は図１３で示すよう
に、シース６１の先端には、開閉自在な一対の把持片６
２，６３からなる先端把持部が設けられ、シース６１の
手元端には操作ハンドル６４が取り付けられている。そ
して、先端把持部の把持片６２，６３は操作ハンドル６
４により前記シース６１内に挿通した図示しない操作ワ
イヤを介して開閉操作される。13 to 15 show an example of the grasping tool 60 with a blood flow detecting function. As shown in FIG. 13, this gripping tool 60 has a pair of gripping pieces 6 that can be opened and closed at the tip of a sheath 61.
A distal end grip portion composed of 2, 63 is provided, and an operation handle 64 is attached to the proximal end of the sheath 61. Then, the gripping pieces 62, 63 of the tip gripping portion are the operation handle 6
The opening / closing operation is performed by means of 4 through an operation wire (not shown) inserted in the sheath 61.
【００３０】図１４で示すように、先端把持部の一方の
把持片６２の内面には、超小型のマイクロホン６６が取
着されている。このマイクロホン６６は、シース６１に
挿通された図示しない信号線を通じて体外の信号検出器
６７に接続される。この場合の信号検出器６７は、増幅
器を含むスピーカであり、マイクロホン６６で検出した
音の信号を増幅器で増幅し、そのスピーカから音を出力
し、これを術者が聞けるようになっている。As shown in FIG. 14, a microminiature microphone 66 is attached to the inner surface of one gripping piece 62 of the tip gripping portion. The microphone 66 is connected to a signal detector 67 outside the body through a signal line (not shown) inserted through the sheath 61. The signal detector 67 in this case is a speaker including an amplifier. The signal of the sound detected by the microphone 66 is amplified by the amplifier, and the sound is output from the speaker so that the operator can hear it.
【００３１】この血流検知機能付把持具６０は、例えば
胆嚢摘出術などの腹腔鏡下手術において、鈍的な剥離血
管６８の把持等を行う場合に使用される。図１４の
（ｂ）で示すように把持具６０における先端把持部の把
持片６２，６３の間に血管６８を挟み込み、その血管６
８を把持した場合、その血管６８に血液の流れがある
と、その流れる音がマイクロホン６６で検出できる。血
液の流れる音がスピーカから聞こえれば、血流があるこ
とが知れ、安全に対処できる。また、把持する生態組織
の内部に血管があっても同じくその血流を検出して血管
の存在が知れ、知らないまま処置する事態を回避し安全
な処置ができる。The grasping tool 60 with a blood flow detecting function is used, for example, in laparoscopic surgery such as cholecystectomy when grasping the blunt dissected blood vessel 68. As shown in FIG. 14B, the blood vessel 68 is sandwiched between the grip pieces 62 and 63 of the tip grip portion of the grip tool 60, and the blood vessel 6 is inserted.
When 8 is grasped, if there is blood flow in the blood vessel 68, the flowing sound can be detected by the microphone 66. If you hear the sound of blood flowing from the speaker, you know that there is blood flow and you can safely deal with it. In addition, even if there is a blood vessel inside the grasped ecological tissue, the blood flow is also detected, the existence of the blood vessel is known, and it is possible to avoid the situation of treating without knowing it and to perform a safe treatment.
【００３２】図１６ないし図１７はその把持具６０の変
形例を示すものである。これは先端把持部の一方の把持
片６２の内面に超音波発信用振動子７１を設け、これに
対向して他方の把持片６３の内面に超音波受信用振動子
７２を設ける。図１７で示すように、超音波受信用振動
子７２は前述したと同じくシース６１に挿通された図示
しない信号線を通じて体外の信号検出器６７に接続され
る。超音波発信用振動子７１は振動子ドライバ７３によ
って駆動される。16 to 17 show a modified example of the gripping tool 60. This is provided with an ultrasonic wave transmitting oscillator 71 on the inner surface of one gripping piece 62 of the tip grip portion, and an ultrasonic wave receiving transducer 72 is provided on the inner surface of the other gripping piece 63 facing it. As shown in FIG. 17, the ultrasonic wave receiving oscillator 72 is connected to the extracorporeal signal detector 67 through a signal line (not shown) inserted through the sheath 61 as described above. The ultrasonic wave transmitting oscillator 71 is driven by the oscillator driver 73.
【００３３】しかして、これの把持具６０によれば、そ
の把持片６２，６３の間に挟み込んだ組織中に血管があ
り、それに血流があると、超音波発信用振動子７１から
発信した超音波が受信用振動子７２に受信された状態
で、受信周波数がドプラーシフトを受ける。その受信周
波数のドプラーシフトを検出することにより、血流の有
無を知る。例えば血管をクリップで止血する手技が確実
に行われたかを確認することもできる。また、血管が豊
富な組織を把持することで、その内部の血流の状態を大
まかに知ることができ、多大な出血を未然に防ぐ処置が
でき、安全な手術を行うことができる。However, according to the grasping tool 60 of this, when there is a blood vessel in the tissue sandwiched between the grasping pieces 62 and 63, and there is blood flow in the tissue, it is transmitted from the ultrasonic wave transmitting oscillator 71. The reception frequency is Doppler-shifted while the ultrasonic wave is received by the reception transducer 72. The presence or absence of blood flow is known by detecting the Doppler shift of the received frequency. For example, it is possible to confirm whether the procedure of stopping the bleeding of a blood vessel with a clip has been performed reliably. In addition, by grasping a tissue rich in blood vessels, the state of blood flow inside the tissue can be roughly known, a treatment for preventing a large amount of bleeding can be performed, and a safe operation can be performed.
【００３４】なお、この超音波発信用振動子７１の代わ
りにレーザ光を発するレーザダイオード、超音波受信用
振動子７２の代わりにレーザ光を受信するレーザ検出器
を設けてもよく、この場合も、その受信するレーザ光の
周波数が、血流があると、ドプラーシフトを受ける。そ
の受信周波数のドプラーシフトを検出することにより、
血流の有無が知れる。A laser diode for emitting a laser beam may be provided instead of the ultrasonic wave transmitting oscillator 71, and a laser detector for receiving a laser beam may be provided instead of the ultrasonic wave receiving oscillator 72. In this case as well. , If the frequency of the received laser light is blood flow, it undergoes Doppler shift. By detecting the Doppler shift of the received frequency,
The presence or absence of blood flow is known.
【００３５】図１８は前述した血流検知機能付把持具６
０の先端把持部の各把持片６２，６３の内面にそれぞれ
感圧ゴムを貼り付けて触覚センサ７５を構成したもので
ある。マイクロホン６６はその一方の把持片６２におけ
る中央部分に埋め込まれている。触覚センサ７５は図示
しない信号線を介して同じく図示しない検出器に接続さ
れる。このようにすれば、その把持片６２，６３の間に
挟む組織のかたさも検出することができる。FIG. 18 shows the grasping tool 6 with the blood flow detecting function described above.
The tactile sensor 75 is configured by sticking pressure-sensitive rubber to the inner surfaces of the gripping pieces 62 and 63 of the tip gripping portion of No. 0, respectively. The microphone 66 is embedded in the central portion of the one gripping piece 62. The tactile sensor 75 is also connected to a detector (not shown) via a signal line (not shown). By doing so, the hardness of the tissue sandwiched between the gripping pieces 62, 63 can also be detected.
【００３６】この把持具６０によれば、把持組織部分の
血量の検出に加え、そのかたさ情報も検出することがで
きる。血管・組織の性状に関しての情報の多様化によ
り、よりよい診断を行うことができる。なお、図１９で
示すように前述した他の各血流検知機能付把持具６０に
ついても、同様に触覚センサ７５を組み付けてもよい。According to this grasping tool 60, in addition to detecting the blood volume of the grasped tissue portion, its hardness information can also be detected. Better diagnosis can be performed by diversifying information on the properties of blood vessels and tissues. Note that, as shown in FIG. 19, the tactile sensor 75 may be similarly attached to each of the other grasping tools 60 with a blood flow detecting function described above.
【００３７】図２０ないし図２５は内視鏡の挿入部の例
を示すものである。この挿入部８０は図２０で示すよう
に可撓管８１の先端に湾曲管部８２を連結し、その湾曲
管部８２の先端には先端部８３が連結されている。湾曲
管部８２の芯材は、複数の湾曲駒８４を挿入部８０の長
手軸方向へ並べて配置し、隣接する湾曲駒８４同志を回
動自在に連結してなる。また、その回動枢支位置は１つ
置きに左右と上下に入れ替る。このため、芯材全体とし
て前後左右に湾曲することができる。また、この湾曲管
部８２における複数の湾曲駒８４の側周面には、歪みゲ
ージが張り付けられている。20 to 25 show an example of the insertion portion of the endoscope. As shown in FIG. 20, the insertion portion 80 has a bending tube portion 82 connected to the tip of a flexible tube 81, and a tip portion 83 connected to the tip of the bending tube portion 82. The core member of the bending tube portion 82 is formed by arranging a plurality of bending pieces 84 side by side in the longitudinal axis direction of the insertion portion 80, and adjacent bending pieces 84 are rotatably connected to each other. In addition, the rotational pivotal positions are interchanged between the left and right and the upper and lower every other position. Therefore, the core material as a whole can be curved in the front, rear, left and right directions. Further, strain gauges are attached to the side peripheral surfaces of the plurality of bending pieces 84 in the bending tube portion 82.
【００３８】この歪みゲージの数とその張り付ける向き
は、測定目的とする曲げモーメント、引張り圧縮荷重、
及び捩じモーメント等の外力によって選択がなされる。
例えば図２１で示すように、湾曲駒８４の中心線に対
し、平行な方向に表裏各１個ずつと、垂直な方向に表裏
各１個ずつづ張り付けた場合、その歪みゲージＲ1 ，Ｒ
2 ，Ｒ3 ，Ｒ4 は、図２２で示すようなブリッジ回路に
組み込まれる。Ｅはブリッジ電圧、ｅ1 ，ｅ2 は出力電
圧である。この結果により湾曲駒８４の中心線に対して
平行な方向の表裏各歪み量が計測される。この両者の歪
み量から湾曲駒８４に作用する曲げモーメントと引張り
圧縮荷重が計算される。The number of the strain gauges and the direction in which the strain gauges are attached are determined by the bending moment, tensile compression load,
And the external force such as the twisting moment makes the selection.
For example, as shown in FIG. 21, when the front and back sides are attached in parallel to the center line of the bending piece 84 and the front and back sides are attached in the vertical direction, the strain gauges R 1 , R
2 , R 3 and R 4 are incorporated into a bridge circuit as shown in FIG. E is a bridge voltage, and e 1 and e 2 are output voltages. Based on this result, the front and back strain amounts in the direction parallel to the center line of the bending piece 84 are measured. The bending moment acting on the bending piece 84 and the tensile compression load are calculated from the strain amounts of both.
【００３９】また、図２３で示すように、湾曲駒８４の
中心線に対し、交互に十４５度、−４５度の角度で表裏
各２個ずつ張り付けた場合、その歪みゲージＲ1 ，
Ｒ2 ，Ｒ3 ，Ｒ4 は、図２４で示すようなブリッジ回路
に組み込まれる。これにより湾曲駒８４の中心線回りの
捩り歪み量が計測される。この歪み量から湾曲駒８４に
作用する捩りモーメントが計算される。Further, as shown in FIG. 23, when two front and back sides are alternately attached to the center line of the bending piece 84 at an angle of 1045 degrees and -45 degrees, the strain gauges R 1 ,
R 2 , R 3 and R 4 are incorporated into a bridge circuit as shown in FIG. Thereby, the amount of torsional strain around the center line of the bending piece 84 is measured. The torsion moment acting on the bending piece 84 is calculated from this distortion amount.
【００４０】さらに、前述した図２１と図２３でそれぞ
れ示される各歪みゲージＲ1 ，Ｒ2，Ｒ3 ，Ｒ4 を同じ
湾曲駒８４に張り付けると、その湾曲駒８４に作用する
曲げモーメント、引張り圧縮荷重、および捩りモーメン
トを求めることができる。When the strain gauges R 1 , R 2 , R 3 and R 4 shown in FIGS. 21 and 23 are attached to the same bending piece 84, the bending moment acting on the bending piece 84, The tensile compression load and the torsion moment can be obtained.
【００４１】そして、このような検出手段で外力を求め
ることができる結果、この外力を操作者に伝えることに
よって、過大な外力が働いた場合に危険を知らせる警告
機能が得られる。また、その検出した外力を制御対象と
して使用することもできる。例えば、図２５で示すよう
に大腸９０等の管腔内に内視鏡の挿入部８０を挿入する
場合において、湾曲管部８２が屈曲した管腔部分にある
とき、湾曲駒８４に作用する曲げモーメントを減少させ
る方向へ湾曲管部８２を動作させることにより、湾曲管
部８２を挿入していく方向へ向けさせることが可能であ
る。Then, as a result of being able to obtain the external force with such a detecting means, by transmitting this external force to the operator, a warning function for notifying a danger when an excessive external force is exerted can be obtained. Also, the detected external force can be used as a control target. For example, as shown in FIG. 25, when inserting the insertion portion 80 of the endoscope into the lumen of the large intestine 90 or the like, when the bending tube portion 82 is in the bent lumen portion, the bending piece 84 acts on the bending piece 84. By operating the bending tube portion 82 in the direction of decreasing the moment, it is possible to direct the bending tube portion 82 in the inserting direction.
【００４２】[0042]
【発明の効果】以上説明したように本発明は、処置具を
体腔内に挿入して処置を行う体腔内処置装置において、
体腔内で処置を行う際に発生する音を検出する手段と、
この音検出手段によって検出した音を術者に知らせる告
知手段とを具備したものであるから、術者が体腔内の処
置の状況を音で把握しながら作業を行うことができる。
したがって、術者は、体腔内の処置の状況をより明確に
把握でき、安全かつ確実な処置を行うことができる。INDUSTRIAL APPLICABILITY As described above, the present invention provides an intracorporeal treatment device which inserts a treatment tool into a body cavity to perform treatment.
Means for detecting the sound generated when performing a treatment in the body cavity,
Since the notification means for notifying the operator of the sound detected by the sound detection means is provided, the operator can work while grasping the sound of the condition of the treatment in the body cavity.
Therefore, the operator can more clearly understand the status of the treatment in the body cavity and can perform the safe and reliable treatment.
【図１】本発明の第１の実施例に係る、側視型内視鏡と
高周波切開具の使用状態の説明図。FIG. 1 is an explanatory diagram of a usage state of a side-view endoscope and a high-frequency incision tool according to a first embodiment of the present invention.
【図２】前記高周波切開具の先端部の斜視図。FIG. 2 is a perspective view of a tip portion of the high-frequency incision tool.
【図３】前記側視型内視鏡の先端部の平面図。FIG. 3 is a plan view of a distal end portion of the side-view endoscope.
【図４】同じく本発明の第１の実施例に係る音検出シス
テムのブロック図。FIG. 4 is a block diagram of a sound detection system according to the first embodiment of the present invention.
【図５】本発明の第２の実施例に係る結石破砕用バスケ
ット鉗子の先端部付近を示す斜視図。FIG. 5 is a perspective view showing the vicinity of the tip portion of a calculus crushing basket forceps according to a second embodiment of the present invention.
【図６】同じく本発明の第２の実施例に係る結石破砕用
バスケット鉗子の使用状態を示す説明図。FIG. 6 is an explanatory view showing a usage state of the calculus breaking basket forceps according to the second embodiment of the present invention.
【図７】本発明の第３の実施例に係る生検鉗子を経内視
鏡的に使用する状況を示す説明図。FIG. 7 is an explanatory view showing a situation in which the biopsy forceps according to the third embodiment of the present invention is used endoscopically.
【図８】同じく本発明の第３の実施例に係る生検鉗子を
経内視鏡的に使用する状況の拡大斜視図。FIG. 8 is an enlarged perspective view of a situation in which the biopsy forceps according to the third embodiment of the present invention is also used endoscopically.
【図９】本発明の第４の実施例に係る高周波スネアを経
内視鏡的に使用する状況を示す説明図。FIG. 9 is an explanatory view showing a situation in which the high-frequency snare according to the fourth embodiment of the present invention is used endoscopically.
【図１０】本発明の第５の実施例に係るレーザプローブ
を経内視鏡的に使用する状況を示す斜視図。FIG. 10 is a perspective view showing a situation in which the laser probe according to the fifth embodiment of the present invention is used endoscopically.
【図１１】本発明の第６の実施例に係り、経腹腔鏡的処
置を行う場合の例であって、（ａ）はその処置状況を示
す説明図、（ｂ）は硬性鏡の先端部の斜視図、（ｃ）は
他の作業状態の状況を示す説明図。FIG. 11 is an example of performing translaparoscopic treatment according to the sixth embodiment of the present invention, (a) is an explanatory view showing the treatment situation, and (b) is a distal end portion of a rigid endoscope. FIG. 3C is an explanatory view showing a situation of another working state.
【図１２】管腔狭窄部を拡張するためのバルーンカテー
テルの使用状況の説明図。FIG. 12 is an explanatory view of a usage state of a balloon catheter for expanding a lumen stricture part.
【図１３】血流検知機能付把持具を示す側面図。FIG. 13 is a side view showing a grasping tool with a blood flow detection function.
【図１４】同じくその血流検知機能付把持具の先端把持
部の側面図。FIG. 14 is a side view of the tip gripping portion of the gripping tool with a blood flow detecting function.
【図１５】同じくその血流検知機能付把持具の検出シス
テムのブロック図。FIG. 15 is a block diagram of the detection system of the gripping tool with the blood flow detection function.
【図１６】前記把持具の変形例を示すその先端把持部の
側面図。FIG. 16 is a side view of a distal end grip portion showing a modified example of the grip tool.
【図１７】同じくその把持具の検出システムのブロック
図。FIG. 17 is a block diagram of a detection system of the gripping tool.
【図１８】他の血流検知機能付把持具の先端把持部の側
面図。FIG. 18 is a side view of the tip gripping portion of another gripping tool with a blood flow detecting function.
【図１９】さらに、他の血流検知機能付把持具の先端把
持部の側面図。FIG. 19 is a side view of a tip gripping portion of another gripping tool with a blood flow detecting function.
【図２０】内視鏡における挿入部の斜視図。FIG. 20 is a perspective view of an insertion portion of the endoscope.
【図２１】同じくその挿入部における湾曲部の湾曲駒に
歪みゲージを取り付ける態様の説明図。FIG. 21 is an explanatory view of a mode in which a strain gauge is similarly attached to a bending piece of a bending portion in the insertion portion.
【図２２】前記歪みゲージを組み込むブリッジ回路図。FIG. 22 is a bridge circuit diagram incorporating the strain gauge.
【図２３】挿入部における湾曲部の湾曲駒に歪みゲージ
を取り付ける態様の説明図。FIG. 23 is an explanatory diagram of a mode in which a strain gauge is attached to a bending piece of a bending portion of an insertion portion.
【図２４】前記歪みゲージを組み込むブリッジ回路図。FIG. 24 is a bridge circuit diagram that incorporates the strain gauge.
【図２５】内視鏡の挿入部の挿入使用状態の説明図。FIG. 25 is an explanatory diagram of the insertion use state of the insertion portion of the endoscope.
１…側視型内視鏡、２…高周波切開具、３…十二指腸乳
頭部、４…シース、５…切開用電極ワイヤ、６…マイク
ロホン、７…増幅器、８…スピーカ、１２…バスケット
鉗子。DESCRIPTION OF SYMBOLS 1 ... Endoscopic endoscope, 2 ... High frequency incision tool, 3 ... Duodenal papilla, 4 ... Sheath, 5 ... Incision electrode wire, 6 ... Microphone, 7 ... Amplifier, 8 ... Speaker, 12 ... Basket forceps.
───────────────────────────────────────────────────── フロントページの続き (72)発明者 上 邦彰 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 高山 修一 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 日比野 浩樹 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 水野 均 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 植田 康弘 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 吉野 謙二 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Kuniaki Kamami 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Shuichi Takayama 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Hiroki Hibino 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Hitoshi Mizuno 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Yasuhiro Ueda 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Kenji Yoshino 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd.
Claims (1)
腔内処置装置において、体腔内で処置を行う際に発生す
る音を検出する手段と、この音検出手段によって検出し
た音を術者に知らせる告知手段とを具備したことを特徴
とする体腔内処置装置。1. An intracorporeal treatment device for performing treatment by inserting a treatment tool into a body cavity, and means for detecting a sound generated when the treatment is performed inside the body cavity and a sound detected by the sound detecting means. An intracorporeal treatment device, comprising: a notification means for informing a person.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP4293400A JPH06142114A (en) | 1992-10-30 | 1992-10-30 | In-celom treating device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP4293400A JPH06142114A (en) | 1992-10-30 | 1992-10-30 | In-celom treating device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH06142114A true JPH06142114A (en) | 1994-05-24 |
Family
ID=17794281
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP4293400A Withdrawn JPH06142114A (en) | 1992-10-30 | 1992-10-30 | In-celom treating device |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH06142114A (en) |
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| DE3904313A1 (en) * | 1989-02-14 | 1990-08-16 | Vacuumschmelze Gmbh | METHOD FOR WINDING A SOFT MAGNETIC TAPE TO A CONCLUDED MAGNETIC CORE |
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| WO2010041629A1 (en) * | 2008-10-07 | 2010-04-15 | オリンパスメディカルシステムズ株式会社 | Bloodstream detecting device |
| US10080659B1 (en) | 2010-12-29 | 2018-09-25 | Neochord, Inc. | Devices and methods for minimally invasive repair of heart valves |
| US10130474B2 (en) | 2010-12-29 | 2018-11-20 | Neochord, Inc. | Exchangeable system for minimally invasive beating heart repair of heart valve leaflets |
| US9044221B2 (en) | 2010-12-29 | 2015-06-02 | Neochord, Inc. | Exchangeable system for minimally invasive beating heart repair of heart valve leaflets |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A300 | Withdrawal of application because of no request for examination |
Free format text: JAPANESE INTERMEDIATE CODE: A300 Effective date: 20000104 |