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JP6133594B2 - Medical tube and flexible variable mechanism - Google Patents
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JP6133594B2 - Medical tube and flexible variable mechanism - Google Patents

Medical tube and flexible variable mechanism Download PDF

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JP6133594B2
JP6133594B2 JP2012285254A JP2012285254A JP6133594B2 JP 6133594 B2 JP6133594 B2 JP 6133594B2 JP 2012285254 A JP2012285254 A JP 2012285254A JP 2012285254 A JP2012285254 A JP 2012285254A JP 6133594 B2 JP6133594 B2 JP 6133594B2
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node ring
tube
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JP2014124475A (en
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一雄 飯嶋
一雄 飯嶋
徳宮　孝弘
孝弘 徳宮
賢 正宗
賢 正宗
思洋 左
思洋 左
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Samsung Electronics Co Ltd
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/00078—Insertion part of the endoscope body with stiffening means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • A61B1/008—Articulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes

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Description

本発明は医療用チューブ及び可撓性可変機構に関する。   The present invention relates to a medical tube and a flexible variable mechanism.

特許文献１には、細長部材である管と、当該管の外周に設けられた突起（係止受け部）と、当該突起に係止可能な係止部と、管の外周を覆う密閉カバーと、密閉カバーと管との間の密閉空間に接続された流体の出入部と、を有する柔剛可変装置が記載されている。そして、特許文献１には、出入部から密閉空間の内部の空気を外部に排出することにより、係止部が管の突起に係止し、管の形状を固定状態とすることができることが記載されている。   Patent Document 1 discloses a tube that is an elongated member, a protrusion (locking receiving portion) provided on the outer periphery of the tube, a locking portion that can be locked to the protrusion, and a sealing cover that covers the outer periphery of the tube. A flexible device having a fluid inlet / outlet connected to a sealed space between the sealed cover and the tube is described. Patent Document 1 describes that by discharging the air inside the sealed space from the entrance / exit part to the outside, the engaging part can be engaged with the protrusion of the pipe so that the shape of the pipe can be fixed. Has been.

特許文献２には、患者の身体の内部に挿入される本体が、偏向可能又は操向可能な軸を有し、当該軸は、互いに嵌め込み可能な複数の要素を備えることが記載されている。また、特許文献２には、当該要素の中心には、プルワイヤが貫通するプルワイヤ管腔、スコープ用管腔等を有し、プルワイヤに張力を印加すると、要素が圧迫され軸を所定の位置に固定することができることが記載されている。   Patent Document 2 describes that a main body inserted into a patient's body has a deflectable or steerable shaft, and the shaft includes a plurality of elements that can be fitted to each other. In Patent Document 2, the center of the element has a pull wire lumen through which the pull wire penetrates, a scope lumen, and the like. When tension is applied to the pull wire, the element is compressed and the shaft is fixed at a predetermined position. It is described that it can be done.

特許文献３には、内側導管と外側導管とを有する可撓性の操縦自在探査器具が記載されている。また、特許文献３には、内側導管が複数のほぼ円筒状のセグメントが可撓性ケーブルによって数珠つなぎに連結された構成を有することが記載されている。また、特許文献３には、ケーブルに弾性を与えると各セグメントが摩擦力によって動かないように固定されることが記載されている。   Patent Document 3 describes a flexible steerable exploration instrument having an inner conduit and an outer conduit. Patent Document 3 describes that the inner conduit has a configuration in which a plurality of substantially cylindrical segments are connected in a daisy chain by a flexible cable. Patent Document 3 describes that when the cable is given elasticity, each segment is fixed so as not to move by a frictional force.

特表２００７−５１１２４７号公報Special table 2007-511247 gazette 特表平０６−５１１１６３号公報Japanese Translation of National Publication No. 06-511163 国際公開２００９／１０７７９２号International Publication No. 2009/107792

しかしながら、特許文献１及び２では、ワイヤを用いて軸又は内側導管の固定化を行っているため、患者の身体に挿入する部分の径が太くなるという問題がある。
また、特許文献２に記載のセグメントは、ケーブルに弾性を与えていないとき、互いに空回りを起こしてしまうという問題がある。
なお、医療用チューブの可撓性としては、処置の部位に応じてある程度の柔軟性を備えた固定状態となるように医療用チューブを制御できることが求められる。しかし、特許文献１及び２に記載の医療用チューブは、当該固定状態となるように、制御することができないという問題がある。
また、特許文献３では、剛性の高い保持部材が管の長手方向に沿って設置されているため、管が湾曲する方向によって可撓性が異なってしまうという問題がある。すなわち、特許文献３に記載の導管は、可撓性に関して異方性を有してしまうという問題がある。 However, in Patent Documents 1 and 2, since the shaft or the inner conduit is fixed using the wire, there is a problem that the diameter of the portion to be inserted into the patient's body becomes large.
Further, the segments described in Patent Document 2 have a problem in that they cause idling when the cables are not given elasticity.
The flexibility of the medical tube is required to be able to control the medical tube so that it is in a fixed state with a certain degree of flexibility according to the treatment site. However, the medical tubes described in Patent Documents 1 and 2 have a problem that they cannot be controlled so as to be in the fixed state.
Moreover, in patent document 3, since the highly rigid holding member is installed along the longitudinal direction of a pipe | tube, there exists a problem that flexibility changes with the directions in which a pipe | tube curves. That is, the conduit described in Patent Document 3 has a problem that it has anisotropy with respect to flexibility.

一実施の形態に係る医療用チューブは、内蔵チューブと、前記内蔵チューブを内挿する複数の円筒形状の節輪と、を備える。また、前記医療用チューブは、前記複数の節輪が、前記内蔵チューブを内挿しながら順次互いに連結することにより構成される。また、前記節輪は、当該節輪の内側に他の前記節輪を嵌合可能な嵌合部と、他の前記節輪の嵌合部に嵌合可能な被嵌合部と、を備える。また、前記嵌合部は、前記節輪の端部に向かう程径が大きくなっており、径方向と交わる方向に延在する切欠部を少なくとも１つ備える。また、前記節輪の前記嵌合部の前記切欠部の間隔が狭まることにより、当該節輪の当該嵌合部と他の前記節輪の被嵌合部とが嵌合して、当該節輪と他の前記節輪とが固定される。   A medical tube according to an embodiment includes a built-in tube and a plurality of cylindrical node rings into which the built-in tube is inserted. In addition, the medical tube is configured such that the plurality of node rings are sequentially connected to each other while inserting the built-in tube. Further, the node ring includes a fitting portion that can fit another node ring inside the node ring, and a fitted portion that can be fitted to the fitting portion of the other node ring. . The fitting portion has a diameter that increases toward the end of the node ring, and includes at least one cutout portion that extends in a direction intersecting the radial direction. Further, when the interval between the notches of the fitting portion of the node ring is narrowed, the fitting portion of the node ring and the fitted portion of the other node ring are fitted, and the node ring And the other node ring are fixed.

一実施の形態に係る可撓性可変機構は、前記複数の節輪が順次互いに連結することにより形成される管の周囲に設けられる管状の被覆チューブを備える前記医療用チューブと、前記内蔵チューブと前記被覆チューブとの内圧を制御する内圧制御部と、を備える。また、前記内圧制御部が、前記内蔵チューブと前記被覆チューブとの内圧を外圧より下げることにより、前記節輪の前記切欠部の間隔が狭まり、複数の前記節輪同士が嵌合し、前記医療用チューブの形状が固定される。また、前記内圧制御部が、前記内蔵チューブと前記被覆チューブとの内圧を外圧と略同じにすることにより前記節輪の前記切欠部の間隔が元に戻り、複数の前記節輪同士の嵌合が解除され、前記医療用チューブが湾曲可能となる。   The flexible variable mechanism according to an embodiment includes the medical tube including a tubular covering tube provided around a tube formed by sequentially connecting the plurality of node rings to each other, and the built-in tube. An internal pressure control unit for controlling an internal pressure with the coated tube. In addition, the internal pressure control unit lowers the internal pressure between the built-in tube and the coated tube from the external pressure, thereby reducing the interval between the cutout portions of the node ring, and fitting the plurality of node rings together, The shape of the tube is fixed. In addition, the internal pressure control unit makes the internal pressure of the built-in tube and the covering tube substantially the same as the external pressure, so that the interval between the cutout portions of the node ring is restored, and the plurality of the node rings are fitted to each other. Is released, and the medical tube can be bent.

本発明により、より柔軟性が高く且つ径のより小さい、可撓性可変な医療用チューブを提供することができる。   According to the present invention, it is possible to provide a flexible medical tube that is more flexible and smaller in diameter.

実施の形態１に係る医療用チューブの節輪を示す斜視図である。2 is a perspective view showing a node ring of a medical tube according to Embodiment 1. FIG. 実施の形態１に係る医療用チューブの節輪を示す断面図である。3 is a cross-sectional view showing a node ring of the medical tube according to Embodiment 1. FIG. 実施の形態１に係る節輪を連結した状態を示す断面図である。It is sectional drawing which shows the state which connected the node ring which concerns on Embodiment 1. FIG. 実施の形態１に係る節輪を連結した状態を示す断面図である。It is sectional drawing which shows the state which connected the node ring which concerns on Embodiment 1. FIG. 実施の形態２に係る医療用チューブの節輪を示す断面図である。6 is a cross-sectional view showing a node ring of a medical tube according to Embodiment 2. FIG. 実施の形態２に係る節輪を連結した状態を示す断面図である。It is sectional drawing which shows the state which connected the node ring which concerns on Embodiment 2. FIG. 実施の形態２に係る節輪を連結した状態を示す断面図である。It is sectional drawing which shows the state which connected the node ring which concerns on Embodiment 2. FIG. 実施の形態３に係る医療用チューブの節輪を示す斜視図である。10 is a perspective view showing a node ring of a medical tube according to Embodiment 3. FIG. 実施の形態３に係る医療用チューブの節輪を示す側面図である。6 is a side view showing a node ring of a medical tube according to Embodiment 3. FIG.

以下、本発明を適用可能な実施の形態について説明する。なお、本発明は、下記の実施の形態に限定されるものではない。   Embodiments to which the present invention can be applied will be described below. In addition, this invention is not limited to the following embodiment.

実施の形態１．
実施の形態１に係る医療用チューブ１００の構成について図１〜図３を参照して説明する。図１は、実施の形態１に係る医療用チューブ１００の節輪１を示す斜視図である。図２は、実施の形態１に係る医療用チューブ１００の節輪１を示す断面図である。図３は、実施の形態１に係る節輪１を連結した状態を示す断面図である。
医療用チューブ１００は、図３に示すように、内蔵チューブ２００と、内蔵チューブ２００を内挿する複数の円筒状の節輪１を備えている。また、医療用チューブ２００は、複数の節輪１が、内蔵チューブ２００を内挿しながら順次互いに連結するころにより構成される。 Embodiment 1 FIG.
The configuration of the medical tube 100 according to the first embodiment will be described with reference to FIGS. FIG. 1 is a perspective view showing a node ring 1 of a medical tube 100 according to Embodiment 1. FIG. FIG. 2 is a cross-sectional view showing the node ring 1 of the medical tube 100 according to the first embodiment. FIG. 3 is a cross-sectional view showing a state in which the node ring 1 according to Embodiment 1 is connected.
As shown in FIG. 3, the medical tube 100 includes a built-in tube 200 and a plurality of cylindrical node rings 1 into which the built-in tube 200 is inserted. The medical tube 200 is configured by rollers in which a plurality of node rings 1 are sequentially connected to each other while the built-in tube 200 is inserted.

具体的には、図３に示すように、節輪１は、当該節輪１の円筒の穴部に内蔵チューブ２００を内挿する。また、複数の節輪１は、当該節輪１の円筒の穴部に内蔵チューブ２００を内挿しながら、互いに連結する。
また、図３に示すように、医療用チューブ１００は、複数の節輪１が連結することにより形成される管の周囲に設けられる管状の被覆チューブ３００をさらに備える。換言すれば、被覆チューブ３００は、複数の節輪１が連結することにより形成される管の外周を覆っている。
なお、内蔵チューブ２００及び被覆チューブ３００は、湾曲可能な素材で形成されている。また、被覆チューブ３００は、患者の身体の内部に挿入可能な素材で形成されている。
また、医療用チューブ１００は、以下に詳述するように、複数の節輪１同士が固定されずに連結している場合湾曲可能であり、複数の節輪１同士が固定されて連結している場合その形状が固定される。
また、節輪１の製造方法としては、節輪１に用いられる素材により各種一般的な方法が使用可能であり、特に限定されるものではなく、例えば、各種の樹脂、金属等の加工方法等を用いることができる。例えば、節輪１は、金型成形により製造されてもよいし、切削加工により製造されてもよい。 Specifically, as shown in FIG. 3, the node ring 1 has a built-in tube 200 inserted in a cylindrical hole of the node ring 1. The plurality of node rings 1 are connected to each other while the internal tube 200 is inserted into the cylindrical hole of the node ring 1.
In addition, as shown in FIG. 3, the medical tube 100 further includes a tubular coated tube 300 provided around a tube formed by connecting a plurality of node rings 1. In other words, the covering tube 300 covers the outer periphery of the tube formed by connecting the plurality of node rings 1.
The built-in tube 200 and the covering tube 300 are made of a material that can be bent. The covering tube 300 is formed of a material that can be inserted into the patient's body.
In addition, as will be described in detail below, the medical tube 100 can be bent when a plurality of node rings 1 are connected without being fixed, and the plurality of node rings 1 are fixed and connected with each other. If it is, its shape is fixed.
Moreover, as a manufacturing method of the node ring 1, various general methods can be used with the material used for the node ring 1, and it is not specifically limited, For example, processing methods, such as various resin, a metal, etc. Can be used. For example, the node ring 1 may be manufactured by die molding or may be manufactured by cutting.

また、節輪１は、図１、図２に示すように、当該節輪１の内側に他の節輪１を嵌合可能な嵌合部１１と、他の節輪１の嵌合部１１に嵌合可能な被嵌合部１２と、を備える。
また、嵌合部１１の径は、節輪１の端部に向かう程大きくなっている。また、嵌合部１１は、径方向と交わる方向に延在する切欠部１３を少なくとも１つ備える。
本実施の形態１では、切欠部１３は、２つ設けられている。なお、切欠部１３の形状及び数は本実施の形態に限定されるものではない。 As shown in FIGS. 1 and 2, the node ring 1 includes a fitting portion 11 capable of fitting another node ring 1 inside the node ring 1 and a fitting portion 11 of the other node ring 1. And a fitted portion 12 that can be fitted.
Further, the diameter of the fitting portion 11 increases toward the end of the node ring 1. Moreover, the fitting part 11 is provided with at least 1 notch part 13 extended in the direction which cross | intersects a radial direction.
In the first embodiment, two notches 13 are provided. The shape and number of the notches 13 are not limited to the present embodiment.

また、節輪１は、嵌合部１１の切欠部１３の間隔が狭まったり元に戻ったりすることが可能な程度に、柔軟な素材で形成されている。
図３Ａに、節輪１と他の節輪１とが固定されずに連結している状態を示し、図３Ｂに、節輪１と他の節輪１とが固定されて連結している状態を示す。また、図３は、簡略的な図であるが、図３Ａは、節輪１の嵌合部１１の切欠部１３の間隔が狭まっていない状態を示す。一方、図３Ｂは、節輪１の嵌合部１１の切欠部１３の間隔が狭まっている状態を示す。そして、図３に示すように、節輪１の嵌合部１１の切欠部１３の間隔が狭まることにより、当該節輪１の当該嵌合部と他の節輪１の被嵌合部１２とが嵌合して、当該節輪１と他の節輪１とが固定される。 Further, the node ring 1 is formed of a flexible material to such an extent that the interval between the notch portions 13 of the fitting portion 11 can be reduced or returned to the original position.
FIG. 3A shows a state where the node ring 1 and the other node ring 1 are connected without being fixed, and FIG. 3B shows a state where the node ring 1 and the other node ring 1 are fixedly connected. Indicates. FIG. 3 is a simplified diagram, but FIG. 3A shows a state in which the interval between the notches 13 of the fitting portion 11 of the node ring 1 is not narrowed. On the other hand, FIG. 3B shows a state in which the interval between the notches 13 of the fitting portion 11 of the node ring 1 is narrowed. And as shown in FIG. 3, when the space | interval of the notch part 13 of the fitting part 11 of the node ring 1 narrows, the said fitting part of the said node ring 1 and the to-be-fitted part 12 of the other node ring 1 and Are fitted, and the node ring 1 and the other node ring 1 are fixed.

より具体的には、節輪１の被嵌合部１２は、外面に、当該節輪１の円筒の円周方向に沿って複数の凸部１４を備える。また、節輪１の嵌合部１１は、内面に、他の節輪１の凸部１４と嵌合可能な複数の凹部１５を備える。そして、図３に示すように、節輪１の嵌合部１１の切欠部１３の間隔が狭まることにより、一の節輪１の被嵌合部１２の複数の凸部１４と、他の節輪１の嵌合部１１の複数の凹部１５とが嵌合する。これにより、当該一の節輪１と他の節輪１とが固定される。   More specifically, the fitted portion 12 of the node ring 1 includes a plurality of convex portions 14 on the outer surface along the circumferential direction of the cylinder of the node ring 1. In addition, the fitting portion 11 of the node ring 1 includes a plurality of recesses 15 that can be fitted to the protrusions 14 of the other node rings 1 on the inner surface. Then, as shown in FIG. 3, the interval between the notches 13 of the fitting portion 11 of the node ring 1 is reduced, so that the plurality of convex portions 14 of the fitted portion 12 of one node ring 1 and the other nodes are connected. The plurality of concave portions 15 of the fitting portion 11 of the wheel 1 are fitted. Thereby, the said 1 node ring 1 and the other node ring 1 are fixed.

なお、嵌合部１１の凹部１５、及び、被嵌合部１２の凸部１４は、節輪１同士を互いに嵌合可能とするための形状の一例である。そのため、嵌合部１１と被嵌合部１２との嵌合面の形状は、本実施の形態に限定されるものではない。例えば、嵌合部１１の凹部１５及び被嵌合部１２の凸部１４は、節輪１の円周方向に沿って設けられていなくてもよい。
また、嵌合部１１の凹部１５の深さ、及び、被嵌合部１２の凸部１４の高さを調節することにより、節輪１同士の嵌合力を調節することができる。また、嵌合部１１に設けられる凹部１５の長さ、及び、被嵌合部１２の凸部１４の長さを調節することにより、節輪１同士の嵌合力を調節することができる。 In addition, the recessed part 15 of the fitting part 11 and the convex part 14 of the to-be-fitted part 12 are examples of the shape for enabling the node rings 1 to be fitted to each other. Therefore, the shape of the fitting surface of the fitting part 11 and the to-be-fitted part 12 is not limited to this Embodiment. For example, the concave portion 15 of the fitting portion 11 and the convex portion 14 of the fitted portion 12 may not be provided along the circumferential direction of the node ring 1.
Further, the fitting force between the node rings 1 can be adjusted by adjusting the depth of the concave portion 15 of the fitting portion 11 and the height of the convex portion 14 of the fitting portion 12. Further, the fitting force between the node rings 1 can be adjusted by adjusting the length of the concave portion 15 provided in the fitting portion 11 and the length of the convex portion 14 of the fitted portion 12.

また、実施の形態１に係る可撓性可変機構は、上述の医療用チューブ１００と、内蔵チューブ２００と被覆チューブ３００との内圧を制御する内圧制御部（図示省略）と、を備える。
そして、内圧制御部が、内蔵チューブ２００と被覆チューブ３００との内圧を外圧より下げることにより、節輪１の切欠部１３の間隔が狭まり、複数の節輪１同士が嵌合し、医療用チューブ１００の形状が固定される。
一方、内圧制御部が、内蔵チューブ２００と被覆チューブ３００との内圧を外圧と略同じにすることにより節輪１の切欠部１３の間隔が元に戻り、複数の節輪１同士の嵌合が解除され、医療用チューブ１００が湾曲可能となる。 The flexible variable mechanism according to Embodiment 1 includes the medical tube 100 described above, and an internal pressure control unit (not shown) that controls the internal pressure of the built-in tube 200 and the coated tube 300.
Then, the internal pressure control unit lowers the internal pressure between the built-in tube 200 and the coated tube 300 from the external pressure, whereby the interval between the cutout portions 13 of the node ring 1 is narrowed, and the plurality of node rings 1 are fitted to each other. 100 shapes are fixed.
On the other hand, when the internal pressure control unit makes the internal pressure of the built-in tube 200 and the covering tube 300 substantially the same as the external pressure, the interval between the notches 13 of the node ring 1 is restored to the original, and the plurality of node rings 1 are fitted together. The medical tube 100 can be bent.

内圧制御部は、例えば、内蔵チューブ２００と被覆チューブ３００との間の流体（気体や液体等）を出し入れすることにより、内蔵チューブ２００と被覆チューブ３００との内圧を制御する。なお、内圧制御部は、節輪１の切欠部１３の間隔を狭めたり、元に戻したりする制御を行うもの一例である。よって、可撓性可変機構は、内圧制御部の代わりに、被覆チューブ３００を外周側から押圧することにより、節輪１の切欠部１３の間隔を狭めるものを備えてもよい。   The internal pressure control unit controls the internal pressure between the built-in tube 200 and the coated tube 300 by, for example, taking in and out fluid (gas, liquid, etc.) between the built-in tube 200 and the coated tube 300. The internal pressure control unit is an example of a control that narrows the interval between the notches 13 of the node ring 1 or returns it to the original state. Therefore, the flexible variable mechanism may include a mechanism that narrows the interval between the notches 13 of the node ring 1 by pressing the covering tube 300 from the outer peripheral side instead of the internal pressure control unit.

以上、説明したように、実施の形態１に係る医療用チューブ１００は、内蔵チューブと、内蔵チューブ２００を内挿する複数の円筒形状の節輪１を備える。また、医療用チューブ１００は、複数の節輪１が内蔵チューブ２００を内挿しながら順次互いに連結することにより構成される。換言すれば、内蔵チューブ２００を内挿するように、複数の節輪１を当該内蔵チューブに順次装着することにより、医療用チューブ１００が構成される。また、節輪１は、当該節輪１の内側に他の節輪１を嵌合可能な嵌合部１１と、他の節輪１の嵌合部１１に嵌合可能な被嵌合部１２と、を備える。嵌合部１１は、節輪１の端部に向かう程径が大きくなっており、径方向と交わる方向に延在する切欠部１３を少なくとも１つ備える。また、節輪１の嵌合部１１の切欠部１３の間隔が狭まることにより、当該節輪１の当該嵌合部１１と他の節輪１の被嵌合部１２とが嵌合して、当該節輪１と他の節輪１とが固定される。   As described above, the medical tube 100 according to the first embodiment includes the built-in tube and the plurality of cylindrical node rings 1 into which the built-in tube 200 is inserted. In addition, the medical tube 100 is configured by a plurality of node rings 1 sequentially connected to each other while inserting the built-in tube 200 therein. In other words, the medical tube 100 is configured by sequentially attaching the plurality of node rings 1 to the internal tube so that the internal tube 200 is inserted. Further, the node ring 1 includes a fitting portion 11 that can fit another node ring 1 inside the node ring 1 and a fitted portion 12 that can be fitted to the fitting portion 11 of the other node ring 1. And comprising. The fitting portion 11 has a diameter that increases toward the end of the node ring 1 and includes at least one notch portion 13 that extends in a direction intersecting the radial direction. In addition, since the interval between the notches 13 of the fitting portion 11 of the node ring 1 is narrowed, the fitting portion 11 of the node ring 1 and the fitted portion 12 of the other node ring 1 are fitted, The node ring 1 and the other node ring 1 are fixed.

これにより、医療用チューブ１００に駆動ワイヤを設けたり、内蔵チューブ２００の外周に剛性の高い保持部材との係止部を設けたりしなくとも、節輪１同士を嵌合させるだけで医療用チューブ１００の形状を固定することができる。そのため、より柔軟性が高く且つ径のより小さい、可撓性可変な医療用チューブ１００を提供することができる。   Thus, the medical tube can be obtained by simply fitting the node rings 1 together without providing a drive wire in the medical tube 100 or providing a locking portion with a highly rigid holding member on the outer periphery of the built-in tube 200. 100 shapes can be fixed. Therefore, it is possible to provide a medical tube 100 that is more flexible and has a smaller diameter and is flexible.

また、実施の形態１に係る可撓性可変機構は、複数の節輪１が順次互いに連結することにより形成される管の周囲に設けられる管状の被覆チューブ３００を備える医療用チューブ１００と、内蔵チューブ２００と被覆チューブ３００との内圧を制御する内圧制御部と、を備える。そして、内圧制御部が、内蔵チューブ２００と被覆チューブ３００との内圧を外圧より下げることにより、節輪１の切欠部１３の間隔が狭まり、複数の節輪１同士が嵌合し、医療用チューブ１００の形状が固定される。一方、内圧制御部が、内蔵チューブ２００と被覆チューブ３００との内圧を外圧と略同じにすることにより、節輪１の切欠部１３の間隔が元に戻り、複数の節輪１同士の嵌合が解除され、医療用チューブ１００が湾曲可能となる。   The flexible variable mechanism according to Embodiment 1 includes a medical tube 100 including a tubular covering tube 300 provided around a tube formed by sequentially connecting a plurality of node rings 1 to each other, and a built-in An internal pressure control unit that controls the internal pressure of the tube 200 and the coated tube 300. Then, the internal pressure control unit lowers the internal pressure between the built-in tube 200 and the coated tube 300 from the external pressure, whereby the interval between the cutout portions 13 of the node ring 1 is narrowed, and the plurality of node rings 1 are fitted to each other. 100 shapes are fixed. On the other hand, when the internal pressure control unit makes the internal pressure of the built-in tube 200 and the covering tube 300 substantially the same as the external pressure, the interval between the notches 13 of the node ring 1 is restored to the original, and the plurality of node rings 1 are fitted together. Is released, and the medical tube 100 can be bent.

これにより、内蔵チューブ２００と被覆チューブ３００との内圧を制御するだけで医療用チューブ１００の可撓性を制御することができる。換言すれば、より容易な構成で、医療用チューブ１００の可撓性を制御することができる。   Thereby, the flexibility of the medical tube 100 can be controlled only by controlling the internal pressure of the built-in tube 200 and the coated tube 300. In other words, the flexibility of the medical tube 100 can be controlled with an easier configuration.

実施の形態２．
実施の形態２に係る医療用チューブ１００Ａの構成について図４、図５を参照して説明する。図４は、実施の形態２に係る医療用チューブ１００Ａの節輪１Ａを示す断面図である。図５は、実施の形態２に係る節輪１Ａを連結した状態を示す断面図である。具体的には、図５Ａに、節輪１と他の節輪１とが固定されずに連結している状態を示し、図５Ｂに、節輪１と他の節輪１とが固定されて連結している状態を示す。
図４、図５に示すように、実施の形態２にかかる医療用チューブ１００Ａは、節輪１Ａが突起部１６を備える点のみが、実施の形態１にかかる医療用チューブ１００と異なる。よって、同様の構成については同一の符号を付すとともに、その説明を省略する。 Embodiment 2. FIG.
The configuration of a medical tube 100A according to Embodiment 2 will be described with reference to FIGS. FIG. 4 is a cross-sectional view showing a node ring 1A of a medical tube 100A according to the second embodiment. FIG. 5 is a cross-sectional view showing a state in which the node ring 1A according to Embodiment 2 is connected. Specifically, FIG. 5A shows a state in which the node ring 1 and the other node ring 1 are connected without being fixed, and FIG. 5B shows that the node ring 1 and the other node ring 1 are fixed. Indicates the connected state.
As shown in FIGS. 4 and 5, the medical tube 100A according to the second embodiment is different from the medical tube 100 according to the first embodiment only in that the node ring 1A includes the protrusions 16. Therefore, the same reference numerals are assigned to the same components, and the description thereof is omitted.

節輪１Ａの被嵌合部１２は、他の節輪１Ａの切欠部１３に挿入可能な突起部１６を備える。突起部１６の形状は、切欠部１３に挿入可能な形状であればよい。また、突起部１６の高さは、突起部１６が、嵌合部１１の切欠部１３が形成されている部分の外面より突出する程度に高い。これにより、一の節輪１Ａと他の節輪１Ａとが連結するときに、一の節輪１Ａの突起部１６が他の節輪の切欠部１３に挿入されることにより、当該突起部１６が切欠部１３に引っかかるようになり、一の節輪１Ａと他の節輪１Ａとが空回りするのを防ぐことができる。
なお、突起部１６の形状は、切欠部１３に挿入可能で、かつ、切欠部１３に引っかかるように形成されていればよく、本実施の形態に限定されるものではない。 The fitted portion 12 of the node ring 1A includes a protrusion 16 that can be inserted into the notch 13 of the other node ring 1A. The protrusion 16 may have any shape that can be inserted into the notch 13. In addition, the height of the protruding portion 16 is so high that the protruding portion 16 protrudes from the outer surface of the portion where the cutout portion 13 of the fitting portion 11 is formed. Thereby, when one node ring 1A and another node ring 1A are connected, the protrusion 16 of one node ring 1A is inserted into the notch 13 of the other node ring, whereby the protrusion 16 Can be caught by the notch 13, and it is possible to prevent one node ring 1A and the other node ring 1A from spinning idle.
In addition, the shape of the projection part 16 should just be formed so that it can be inserted in the notch part 13 and it catches in the notch part 13, and is not limited to this Embodiment.

実施の形態２に係る医療用チューブ１００Ａによれば、一の節輪１Ａと他の節輪１Ａとが連結するときに、一の節輪１Ａの突起部１６が他の節輪の切欠部１３に挿入されることにより、当該突起部１６が切欠部１３に引っかかるようになり、一の節輪１Ａと他の節輪１Ａとが空回りするのを防ぐことができる。換言すれば、医療用チューブ１００Ａに回転トルクを加えた場合に、節輪１Ａ同士の空回りが防止され、回転トルクに対する医療用チューブの追従性を向上することができる。   According to the medical tube 100A according to the second embodiment, when one node ring 1A and another node ring 1A are connected, the protrusion 16 of the one node ring 1A is notched 13 of the other node ring. As a result, the protrusion 16 is caught by the notch 13, and it is possible to prevent one node ring 1A and the other node ring 1A from spinning idle. In other words, when rotational torque is applied to the medical tube 100A, idle rotation of the node rings 1A can be prevented, and the followability of the medical tube to the rotational torque can be improved.

実施の形態３．
実施の形態３に係る医療用チューブの構成について図６を参照して説明する。図６は、実施の形態３に係る医療用チューブの節輪１Ｂを示す斜視図である。図７は、実施の形態３に係る医療用チューブの節輪１Ｂを示す側面図である。
図６、図７に示すように、実施の形態３にかかる医療用チューブは、節輪１Ｃが突出部１７及び挿通切欠部１８を備える点のみが、実施の形態２にかかる医療用チューブ１００Ａと異なる。よって、同様の構成については同一の符号を付すとともに、その説明を省略する。 Embodiment 3 FIG.
The configuration of the medical tube according to Embodiment 3 will be described with reference to FIG. FIG. 6 is a perspective view showing a node ring 1B of the medical tube according to the third embodiment. FIG. 7 is a side view showing a node ring 1B of the medical tube according to the third embodiment.
As shown in FIGS. 6 and 7, the medical tube according to the third embodiment is different from the medical tube 100 </ b> A according to the second embodiment only in that the node ring 1 </ b> C includes the protrusion 17 and the insertion notch 18. Different. Therefore, the same reference numerals are assigned to the same components, and the description thereof is omitted.

節輪１Ｂの嵌合部１１は、内面から突出する突出部１７を備える。
また、節輪１Ｂの被嵌合部１２は、他の節輪の突出部１７を挿通可能な挿通切欠部１８を備える。 The fitting portion 11 of the node ring 1B includes a protruding portion 17 protruding from the inner surface.
Further, the fitted portion 12 of the node ring 1B includes an insertion notch 18 through which the protrusion 17 of another node ring can be inserted.

突出部１７は、図６、図７において、突出部１７は、挿通切欠部１８に挿通可能な幅及び長さで嵌合部１１の内面から突出している。図６、図７においては、突出部１７は略直方体形状となっているが、突出部１７の形状は、挿通切欠部１８に挿通可能な形状であればよく、本実施の形態に限定されない。
挿通切欠部１８は、節輪１Ｂの端部から被嵌合部１２が略矩形形状に切り欠かれた部分である。挿通切欠部１８の幅及び長さは、突出部１７を挿通可能な大きさとなっている。なお、挿通切欠部１８の形状は、突出部１７を挿通可能な形状であればよく、本実施の形態に限定されない。 6 and 7, the protruding portion 17 protrudes from the inner surface of the fitting portion 11 with a width and length that can be inserted into the insertion notch portion 18. 6 and 7, the protruding portion 17 has a substantially rectangular parallelepiped shape, but the shape of the protruding portion 17 may be any shape that can be inserted into the insertion notch portion 18, and is not limited to the present embodiment.
The insertion notch 18 is a portion in which the fitted portion 12 is cut out in a substantially rectangular shape from the end of the node ring 1B. The insertion notch 18 has a width and a length that allow the protrusion 17 to be inserted. In addition, the shape of the insertion notch part 18 should just be a shape which can penetrate the protrusion part 17, and is not limited to this Embodiment.

以上、本発明者によってなされた発明を実施の形態に基づき具体的に説明したが、本発明は上述の実施の形態に限定されるものではなく、趣旨を逸脱しない範囲において種々の変更が可能であることはいうまでもない。   As mentioned above, the invention made by the present inventor has been specifically described based on the embodiment. However, the present invention is not limited to the above-described embodiment, and various modifications can be made without departing from the scope of the invention. Needless to say.

１、１Ａ、１Ｂ 節輪
１１ 嵌合部
１２ 被嵌合部
１３ 切欠部
１４ 凸部
１５ 凹部
１６ 突起部
１７ 突出部
１８ 挿通切欠部
１００、１００Ａ 医療用チューブ
２００ 内蔵チューブ
３００ 被覆チューブ DESCRIPTION OF SYMBOLS 1, 1A, 1B Node ring 11 Fitting part 12 Fitted part 13 Notch part 14 Protrusion part 15 Recess part 16 Protrusion part 17 Protrusion part 18 Insertion notch part 100, 100A Medical tube 200 Built-in tube 300 Covered tube

Claims (6)

内蔵チューブと、
前記内蔵チューブを内挿する複数の円筒形状の節輪と、
前記複数の節輪が前記内蔵チューブを内挿しながら順次互いに連結することにより形成される管の周囲に設けられる管状の被覆チューブと、を備え、
前記節輪は、当該節輪の内側に他の前記節輪を嵌合可能な嵌合部と、他の前記節輪の嵌合部に嵌合可能な被嵌合部と、を備え、
前記嵌合部は、前記節輪の端部に向かう程径が大きくなっており、径方向と交わる方向に延在する切欠部を少なくとも１つ備え、
前記内蔵チューブと前記被覆チューブとの内圧が外圧より下がり、前記節輪の前記嵌合部の前記切欠部の間隔が狭まることにより、当該節輪の当該嵌合部と他の前記節輪の被嵌合部とが嵌合して、当該節輪と他の前記節輪とが固定される医療用チューブ。 A built-in tube;
A plurality of cylindrical node rings for inserting the built-in tube;
A tubular covering tube provided around a tube formed by sequentially connecting the plurality of node rings to each other while inserting the built-in tube;
The node ring includes a fitting portion that can fit another node ring inside the node ring, and a fitted portion that can be fitted to the fitting portion of the other node ring,
The fitting portion has a diameter that increases toward the end of the node ring, and includes at least one cutout portion that extends in a direction intersecting the radial direction,
When the internal pressure between the built-in tube and the covering tube is lower than the external pressure, and the gap between the notches of the fitting portion of the node ring is narrowed, the fitting portion of the node ring and the covering of the other node ring are covered. A medical tube in which a fitting portion is fitted and the node ring and the other node ring are fixed. 前記節輪の前記被嵌合部は、外面に前記円筒の円周方向に沿って複数の凸部を備え、
前記節輪の前記嵌合部は、内面に他の前記節輪の前記凸部と嵌合可能な複数の凹部を備
える請求項１に記載の医療用チューブ。 The fitted portion of the node ring includes a plurality of convex portions on the outer surface along the circumferential direction of the cylinder,
The medical tube according to claim 1, wherein the fitting portion of the node ring includes a plurality of concave portions that can be fitted to the convex portion of another node ring on an inner surface. 前記節輪の前記嵌合部の前記切欠部の間隔が狭まることにより、当該節輪の前記嵌合部の前記複数の凹部と、他の前記節輪の前記被嵌合部の前記複数の凸部とが嵌合し、当該節輪と他の前記節輪とが固定される請求項２に記載の医療用チューブ。 By reducing the interval between the notches of the fitting part of the node ring, the plurality of recesses of the fitting part of the node ring and the plurality of protrusions of the fitted part of the other node ring. The medical tube according to claim 2, wherein the portion is fitted and the node ring and the other node ring are fixed . 前記節輪の前記被嵌合部は、他の前記節輪の前記切欠部に挿入可能な突起部を備える請求項１乃至３の何れか一項に記載の医療用チューブ。 The medical tube according to any one of claims 1 to 3 , wherein the fitted portion of the node ring includes a protrusion that can be inserted into the notch of the other node ring . 前記節輪の前記嵌合部は、内面から突出する突出部を備え、
前記節輪の前記被嵌合部は、他の前記節輪の前記突出部を挿通可能な挿通切欠部を備える請求項１乃至４の何れか一項に記載の医療用チューブ。 The fitting portion of the node ring includes a protruding portion protruding from the inner surface,
The medical tube according to any one of claims 1 to 4 , wherein the fitted portion of the node ring includes an insertion notch portion through which the protruding portion of the other node ring can be inserted . 請求項１乃至５の何れか一項に記載の医療用チューブと、
前記内蔵チューブと前記被覆チューブとの内圧を制御する内圧制御部と、を備え、
前記内圧制御部が、前記内蔵チューブと前記被覆チューブとの内圧を外圧より下げることにより、前記節輪の前記切欠部の間隔が狭まり、複数の前記節輪同士が嵌合し、前記医療用チューブの形状が固定され、
前記内圧制御部が、前記内蔵チューブと前記被覆チューブとの内圧を外圧と略同じにすることにより前記節輪の前記切欠部の間隔が元に戻り、複数の前記節輪同士の嵌合が解除され、前記医療用チューブが湾曲可能となる可撓性可変機構。 The medical tube according to any one of claims 1 to 5 ,
An internal pressure control unit for controlling the internal pressure of the built-in tube and the coated tube,
When the internal pressure control unit lowers the internal pressure between the built-in tube and the coated tube from the external pressure, the interval between the cutout portions of the node ring is narrowed, and the plurality of node rings are fitted to each other, and the medical tube The shape of the
The internal pressure control unit makes the internal pressure of the built-in tube and the coated tube substantially the same as the external pressure, so that the interval between the cutout portions of the node ring is restored to the original, and the fitting of the plurality of node rings is released. A flexible variable mechanism that enables the medical tube to be bent.
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Families Citing this family (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017041052A1 (en) 2015-09-03 2017-03-09 Neptune Medical Device for endoscopic advancement through the small intestine
WO2018035452A1 (en) 2016-08-18 2018-02-22 Neptune Medical Device and method for enhanced visualization of the small intestine
WO2018225124A1 (en) 2017-06-05 2018-12-13 オリンパス株式会社 Medical overtube
WO2018235242A1 (en) 2017-06-22 2018-12-27 オリンパス株式会社 Overtube device
EP3654822B1 (en) 2017-07-20 2023-11-15 Neptune Medical Inc. Dynamically rigidizing overtube
EP3801187B1 (en) 2018-05-31 2024-02-07 Neptune Medical Inc. Device for enhanced visualization of the small intestine
EP3823711A4 (en) 2018-07-19 2022-05-18 Neptune Medical Inc. DYNAMIC STIFFENING COMPOSITE MEDICAL STRUCTURES
KR102167659B1 (en) * 2019-02-08 2020-10-19 재단법인 아산사회복지재단 Segment, medical wrist apparatus for guiding surgery device and medical robot system
US11793392B2 (en) 2019-04-17 2023-10-24 Neptune Medical Inc. External working channels
WO2020214221A1 (en) 2019-04-17 2020-10-22 Neptune Medical Inc. Dynamically rigidizing composite medical structures
CN112568858A (en) * 2019-09-30 2021-03-30 重庆西山科技股份有限公司 Endoscope snake bone unit, snake bone assembly and endoscope
US11744443B2 (en) 2020-03-30 2023-09-05 Neptune Medical Inc. Layered walls for rigidizing devices
US12121677B2 (en) 2021-01-29 2024-10-22 Neptune Medical Inc. Devices and methods to prevent inadvertent motion of dynamically rigidizing apparatuses
CA3211622A1 (en) 2021-03-10 2022-09-15 Neal Tanner Control of robotic dynamically rigidizing composite medical structures
US12564312B2 (en) 2022-04-19 2026-03-03 Neptune Medical Inc. Managing and manipulating a long length robotic endoscope
KR20250003955A (en) 2022-04-27 2025-01-07 넵튠 메디컬 인코포레이티드 Sanitary outer covering for endoscope
AU2024338348A1 (en) 2023-09-07 2026-03-19 Neptune Medical Inc. Pressure rigidization apparatuses and methods
WO2025072977A1 (en) 2023-09-28 2025-04-03 Neptune Medical Inc. Telescoping robot

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
AU2003251528A1 (en) * 2002-06-13 2003-12-31 Usgi Medical, Inc. Shape lockable apparatus and mehtod for advancing an instrument through unsupported anatomy
WO2007033379A2 (en) * 2005-09-14 2007-03-22 Neoguide Systems, Inc. Methods and apparatus for performing transluminal and other procedures
US8047236B2 (en) * 2008-09-12 2011-11-01 Boston Scientific Scimed, Inc. Flexible conduit with locking element

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