JPS63147449A - 処置具 - Google Patents

処置具

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Publication number
JPS63147449A
JPS63147449A JP61296233A JP29623386A JPS63147449A JP S63147449 A JPS63147449 A JP S63147449A JP 61296233 A JP61296233 A JP 61296233A JP 29623386 A JP29623386 A JP 29623386A JP S63147449 A JPS63147449 A JP S63147449A
Authority
JP
Japan
Prior art keywords
force
operating
handle
biopsy
view
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP61296233A
Other languages
English (en)
Other versions
JPH0755222B2 (ja
Inventor
小川　元嗣
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.)
Olympus Corp
Original Assignee
Olympus Optical 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 Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
Priority to JP61296233A priority Critical patent/JPH0755222B2/ja
Priority to US07/130,490 priority patent/US4896678A/en
Priority to DE19873741879 priority patent/DE3741879A1/de
Publication of JPS63147449A publication Critical patent/JPS63147449A/ja
Publication of JPH0755222B2 publication Critical patent/JPH0755222B2/ja
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。

Description

【発明の詳細な説明】 る。
第１図ないし第３図は本発明の第１実施例に係り、第１
図は生検鉗子の要部断面図、第２図は生検カップが開い
た状態の生検鉗子の正面図、第３図は生検カップが閉じ
た状態の生検鉗子の正面図である。
第２図及び第３図に示すように、生検鉗子２１は、シー
ス２２と、このシース２２の先端部に設けられた処置部
２３と、前記シース２２の基端部に設けられた操作部２
４とから構成されている。
前記シース２２は、パイプ３ｏからなり、このパイプ３
０内に、力伝達部材としての操作軸２５が挿通されてい
る。この操作軸２５は、例えば金属棒等から成り、先端
部には、処置部３を構成する一対の生検カップ２６．２
７がろう付は等によって取付けられている。この生検カ
ップ２６．２７は、Ｖ字状に離開するような弾性力が付
与された挟持片２６ａ、２７ａと、この挟持片２６ａ、
２７ａの開放端に形成されたカップ状の切刃２６ｂ。
２７ｂとで構成されている。尚、生検カップ２６゜２７
は、操作軸２５と別体でも良いし、金属等により一体形
成されたものであっても良い。
一方、前記シース２２の後端部には、側部に係入部２８
ａを有する基部部材２８が固設されている。また、操作
部２４には、指掛は部３１ａ、３２ａを有し、中心部３
３が枢支ビン３４で交差することなく枢支された操作部
材としての一対のハンドル３１．３２が設けられている
。前方側のハンドル３１の先端部には、Ｕ字状の溝３５
が形成されており、この溝３５が前記基部部材２８の係
入部２８ａに係入されている。また、第１図に示すよう
に、後方側のハンドル３２の先端部には、前記操作軸２
５の後端部が挿通される挿通孔３６が形成されている。
前記操作軸２５の後端部は、この挿通孔３６に挿通され
て、ハンドル３２の後方側に突出されている。
本実施例では、第１図に示すように、前記ハンドル３２
の先端部に、先端側に開口した凹部４１が設けられてい
る。この凹部４１の底部には、前記挿通孔３６に連通す
る連通孔４２が形成されている。また、前記操作軸２５
の後端側の側部には、前記貫通孔４２に対応する位置に
係合溝４３が形成されている。前記凹部４１内には、係
合ビン４４が収納されている。この係合ビン４４の先端
側は、前記連通孔４２に挿通されて前記挿通孔３６側に
突出され、前記操作軸２５の係合＠４３に係合されてい
る。そして、この係合ビン４４と係合溝４３との係合に
より、前記操作軸２５とハンドル３２とが連結されてい
る。また、前記凹部４１には、前記係合ビン４４を前記
挿通孔３６側に付勢するばね４５が収納されている。前
記凹部４１の間口部分には、蓋体４６が螺着され、この
蓋体４６によって前記ばね４５が凹部４１内に保持され
ている。前記ばね４５の付勢力は、前記係合溝４３と係
合ビン４４との係合部に操作軸２５の軸方向に所定以上
の力が加えられたときに、前記係合溝４３と係合ビン４
４との係合が解除されるような大きさになっている。ま
た、前記ばね４５の付勢力は、前記蓋体４６によって調
整できるようになっている。尚、前記所定の力とは、処
置部２３の生検カップ２６．２７が破損または折損され
るときに加えられる力よりも小さい力である。
以上のように構成された本実施例では、第２図に示すよ
うに、ハンドル３１，３．２の指掛は部３１ａ、３２ａ
を開方向へ操作すると、ハンドル３１．３２の先端部が
開方向へ移動し、パイプ３０が操作軸２５に対して後方
へ移動する。すると、生検カップ２６．２７の挟持片２
６ａ、２７ａが前記パイプ３０の外部に突出し、Ｖ字状
に離間する。一方、第３図に示すように、前記ハンドル
３１．３２の指掛は部３１ａ、３２ａを閉方向へ操作す
ると、前記挟持片２６ａ、２７ａが前記パイプ３０内に
収納され、切刃２６ｂ、２７ｂが噛み合わされ、生体組
織を採取できるようになっている。
本実施例において、採取しようとする組織が硬い場合等
に、力を加え過ぎ、ハンドル３１．３２に対する操作力
が所定の力以上に達すると、操作軸２５の係合溝４３と
、係合ビン４４との係合が解除される。すなわち、ハン
ドル３２と操作軸２５との連結が解除され、ハンドル３
１．３２に対する操作力は、処置部２３に伝達されなく
なる。
従って、この処置部２３の生検カップ２６．２７が所定
の力以上に引かれることがなく、生検カップ２６．２７
の破損や折損が防止される。
また、本実施例では、ハンドル３１．３２に対する操作
力が所定以上に達し、操作軸２５の係合溝４３と、係合
ビン４４との係合が解除されたときは、操作軸２５の係
合溝４３と係合ビン４４とを再び係合させることにより
、簡単に再使用できるようになっている。
第４図は本発明の第２実施例に係る生検鉗子の要部断面
図である。
本実施例では、操作軸２５の後端部に、雄ねじ部５１が
形成され、この雄ねじ部５１にコネクタ５２が螺合され
ている。このコネクタ５２は、プラスチック、金属等よ
り成り、全体が略円柱状に形成されていると共に、軸方
向略中央部に細径部５２ａが形成されている。
また、後方側のハンドル３２の先端部には、前記コネク
タ５２が挿通される挿通孔５３が形成されている。前記
コネクタ５２は、この挿通孔５３に挿通されて、ハンド
ル３２の後方側に突出されている。また、前記ハンドル
３２の先端部には、先端側から前記挿通孔５３に連通す
る雌ねじ部５４が設けられている。そして、このｉｎね
じ部５４に固定ねじ５５が螺入されており、この固定ね
じ５５の先端部が前記コネクタ５２の細径部５２ａに係
入されることにより、操作軸２５とハンドル３２とがコ
ネクタ５２を介して連結されている。
また、前記細径部５２ａは、軸方向の引張り力が所定の
力以上になったとぎに破断するようにイ≧っている。尚
、前記所定の力とは、処置部２３の生検カップ２６．２
７が破損または折損されるときに加えられる力よりも小
さい力である。
本実施例では、ハンドル３１．３２に対する操作力が所
定の力以上に達すると、コネクタ５２の細径部５２ａが
破断することによって、ハンドル３２と操作軸２５との
連結が解除され、ハンドル３１．３２に対する操作力が
、処置部２３に伝達されなくなる。
また、本実施例では、ハンドル３１．３２に対する操作
力が所定以上に達し、コネクタ５２の細径部５２ａが破
断したときは、前記コネクタ５２を交換することによっ
て、簡単に再使用できるようになっている。
第５図ないし第７図は本発明の第３実施例に係り、第５
図は生検鉗子の操作部を示す正面図、第６図はハンドル
の断面図、第７図は調整ビンを示す斜視図である。
本実施例では、操作軸２５の後端部には、雄ねじ部が形
成されている。また、後方側のハンドル３２の先端部に
は、前記操作軸２５の後端部が挿通される挿通孔が形成
されている。前記操作＠ｈ２５の後端部は、この挿通孔
に挿通されて、ハンドル３２の後方側に突出されている
。そして、前記操作軸２５の雄ねじ部に、この操作軸２
５の抜は止め用の止めねじ１７が螺合されている。
さらに、前記ハンドル３２の先端部には、前記挿通孔と
直交するねじ孔が設けられ、このねじ孔に前記操作軸２
５を固定する固定ねじ１９が螺入されており、前記操作
軸５の前後位置が調整可能になっている。
ざらに、第６図に示すように、本実施例では、後方側の
ハンドル３２は、中央部３３と指ｌ）（プ部３２ａとの
間で、手元部３２ｂと女手元部３２ｃとに分割されてい
る。この手元部３２ｂと女手元部３２Ｇとは、固定ビン
６１によって回動可能に連結されている。また、前記手
元部３２ｂの先端部と、女手元部３２Ｃには、連通ずる
ビン孔６２ａ、’６２ｂが形成され、このビン孔６２ａ
、６２ｂに調整ビン６３を挿入することによって、手元
部３２ｂと女手元部３２００回動を規制している。
前記調整ビン６３は、プラスチック等からなり、第７図
に示すように軸方向にすり割り部６３ａが形成されてい
る。また、前記調整ビン６３は、前記固定ビン６１を中
心とした回転方向の力が所定の力以上になったときに折
れるまたはビン孔６２ａ、６２ｂから扱けるようになっ
ている。尚、前記所定の力とは、処置部２３の生検カッ
プ２６゜２７が破損または折損されるときに加えられる
力よりも小さい力である。
本実施例では、ハンドル３１．３２に対する操作力が所
定の力以上に達すると、調整ビン６３が折れるまたはビ
ン孔６２ａ、６２ｂから抜けることによって、ハンドル
３２の手元部３２ｂと女手元部３２Ｇとが回動自在にな
り、ハンドル３１゜３２に対する操作力が、処置部２３
に伝達されなくなる。
また、本実施例では、ハンドル３１．３２の操作力が所
定以上に達し、調整ビン６３が細径部５２ａが折れたと
き、またはビン孔６２ａ、６２ｂから抜けたときは、前
記調整ビン６３を交換することによって、簡単に再使用
できるようになっている。
第８図は本発明の第４実施例に係る生検鉗子の操作部を
示す断面図である。
本実施例では、シース２２の後端部に、操作部本体７１
が接続されている。この操作部本体７１は、軸部７１ａ
と、この軸部７１ａの後端側に形成された指掛はリング
７１ｂとで構成されている。
前記軸部７１ａには、スライダ７２が摺動自在に外嵌さ
れている。このスライダ７２には、力伝達部材としての
操作ワイヤ７３の後端が接続されている。また、前記ス
ライダ７２の外周部には、前端側に厚肉の指掛は部７２
ａが形成され、後端側に雄ねじ部７２ｂが形成されてい
る。そして、この雄ねじ部７２ｂに薄肉の指掛は部材７
３が螺合されている。この指掛は部材７３は、プラスチ
ック等からなり、軸方向の力が所定の力以上になったと
きに折れ曲がるようになっている。尚、前記所定の力と
は、処置部２３の生検カップ２６，２７が破損または折
損されるときに加えられる力よりも小さい力である。
本実施例では、操作部本体７１の指掛はリング７１ｂに
親指を掛け、同じ手の人指し指と中指とをスライダ７２
に掛けて、このスライダ７２を操作部本体７１の軸部７
１ａに沿って前後にスライドさせることによって、操作
ワイヤ７３が軸方向に移動し、処置部２３の生検カップ
２６．２７が開閉操作される。
本実施例において、スライダ７２を強く引き過ぎ、この
操作力が所定以上に達すると、薄肉の指掛は部材７３が
折れ曲がって、操作不能になる。
また、本実施例では、前記指掛は部材７３が折れ曲がっ
たときは、この指掛は部材７３を交換することによって
、簡単に再使用できるようになっている。
第９図は本発明の第５実施例に係る生検鉗子の操作部を
示す正面図である。
本実施例では、後方側のハンドル３２の中央部３３と先
端部との間に切欠部８１が形成されている。そして、ハ
ンドル３１．３２に対する操作力が所定の力以上に達す
ると、ハンドル３２が前記切欠部８１で折れ曲がるよう
になっている。
第１０図は本発明の第６実施例に係る生検鉗子の要部を
示す正面図である。
本実施例では、操作軸２５の後端側に周回状の切欠部９
１が形成されている。そして、ハンドル３１．３２に対
する操作力が所定の力以上に達すると、操作軸２５が前
記切欠部９１で破断するようになっている。
尚、本発明は、上記実施例に限定されず、例えば、第１
図において、ハンドル３１．３２に対する操作力が所定
の力以上に達したとき、シース２２を構成するバイブ３
０と前方側のハンドル３１との連結が解除されるもので
あっても良い。
また、本発明は、生検鉗子に限らず、先９ｖ１：に把持
カップ、把持爪を有する把持鉗子や、バスケット型の把
持鉗子等、また、先端に切除用のワイヤループを有し、
このワイヤループを開閉操作づ−る高周波電気メス等の
種々の処置具に適用することができる。
［発明の効果］ 以上説明したように本発明によれば、操作部材に対する
操作力が所定の力以上になったときに、前記操作部材か
ら！２！ｌ＠部への力の伝達を解除する操作解除手段を
設【プたので、過剰な操作力を加えた場合の処置部の破
損や折損を確実に防止できるという効果がある。
【図面の簡単な説明】
第１図ないし第３図は本発明の第１実施例に係り、第１
図は生検鉗子の要部断面図、第２図は生検カップが開い
た状態の生検鉗子の正面図、第３１は生検カップが閉じ
た状態の生検鉗子の正面図、第４図は本発明の第２実施
例に係る生検鉗子の要部断面図、第５図ないし第７図は
本発明の第３実施例に係り、第５図は生検鉗子の操作部
を示す正面図、第６図はハンドルの断面図、第７図は調
整ビンを示す斜視図、第８図は本発明の第４実施例に係
る生検鉗子の操作部を示す断面図、第９図は本発明の第
５実施例に係る生検鉗子の操作部を示す正面図、第１０
図は本発明の第６実施例に係る生検鉗子の要部を示す正
面図、第１１図及び第１２図は従来例に係り、第１１図
は生検鉗子の正面図、第１２図は操作軸及び生検カップ
を示す正面図である。 ２１・・・生検鉗子　　　　２２・・・シース２３・・
・処置部　　　　　２４・・・操作部２５・・・操作軸 ２６．２７・・・生検カップ ３１．３２・・・ハンドル　４３・・・係合溝４４・・
・係合ビン 第１図 第４図 第８図 ２ａ 第５図 第６図 第１１図 第１２図 手続ネ田正２）（自発） 昭和６３年２月１５日 ２、発明の名称　　　処置具 ３、補正をする者 事件との関係　　特￥Ｆ出願人 住　　所　　　東京都渋谷区幅ケ谷二丁目４３番２号名
　　称　　（０３７）オリンパス光学工業株式会社代表
者　　下　　山　　敏　　部 ４、代理人 ５、補正命令の日付　　　（自　発） ６、補正の対象　　　明細書の「発明の詳細な説明」の
欄図面（第８図） ？ １、明細書中東１６ページの第７行目の「・・・指掛は
部材７３・・・」を［・・・指＋１）け部材７４・・・
」に訂正します。 ２、明細書中東１６ページの第８行目の１・・・指掛【
プ部材７３・・・」を［・・・指掛（プ部材７４・・・
」に訂正します。 ３、明細書中筒１７ページの第２行目ないし第３行目の
「・・・指掛は部材７３・・・」を「・・・指掛は部材
７４・・・」に訂正します。 ４、明細書中筒１７ページの第４行目の「・・・指ｉｔ
）け部材７３・・・」を「・・・指掛【ノ部材７４・・
・」に訂正します。 ５、明細宮中第１７ページの第５行目の１・・・指掛（
プ部材７３・・・」を「・・・指掛は部材７４・・・」
に訂正します。

Claims (4)

    【特許請求の範囲】
  1. （１）手元側の操作部材の操作によつて、この操作部材
    に力伝達部材を介して連設された先端の処置部を操作す
    るようにした処置具において、前記操作部材に対する操
    作力が所定の力以上になつたときに、前記操作部材から
    前記処置部への力の伝達を解除する操作解除手段を設け
    たことを特徴とする処置具。
  2. （２）前記操作解除手段は、前記操作部材に所定以上の
    力が加えられた場合に前記操作部材と前記力伝達部材と
    が解離されるように連結されて構成されていることを特
    徴とする特許請求の範囲第１項記載の処置具。
  3. （３）前記操作解除手段は、前記操作部材に、所定以上
    の力が加えられた場合に折曲して操作不能とする部分が
    設けられて構成されていることを特徴とする特許請求の
    範囲第１項記載の処置具。
  4. （４）前記操作解除手段は、前記操作部材と前記力伝達
    部材の少なくとも一方に、所定以上の力が加えられた場
    合に破断する部分が設けられて構成されていることを特
    徴とする特許請求の範囲第１項記載の処置具。
JP61296233A 1986-12-12 1986-12-12 処置具 Expired - Lifetime JPH0755222B2 (ja)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP61296233A JPH0755222B2 (ja) 1986-12-12 1986-12-12 処置具
US07/130,490 US4896678A (en) 1986-12-12 1987-12-09 Endoscopic treating tool
DE19873741879 DE3741879A1 (de) 1986-12-12 1987-12-10 Endoskopisches instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP61296233A JPH0755222B2 (ja) 1986-12-12 1986-12-12 処置具

Publications (2)

Publication Number Publication Date
JPS63147449A true JPS63147449A (ja) 1988-06-20
JPH0755222B2 JPH0755222B2 (ja) 1995-06-14

Family

ID=17830901

Family Applications (1)

Application Number Title Priority Date Filing Date
JP61296233A Expired - Lifetime JPH0755222B2 (ja) 1986-12-12 1986-12-12 処置具

Country Status (3)

Country Link
US (1) US4896678A (ja)
JP (1) JPH0755222B2 (ja)
DE (1) DE3741879A1 (ja)

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Also Published As

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DE3741879A1 (de) 1988-06-23
US4896678A (en) 1990-01-30
JPH0755222B2 (ja) 1995-06-14
DE3741879C2 (ja) 1992-11-19

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