# US 10,368,722 B2 · Endoscopic instrument and endoscopic instrument system > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,368,722 B2 - Document ID: US10368722B2 - Status: Granted - Kind: B2 - Application number: 14/959,123 - Filed: 2015-12-04 - Published: 2016-06-09 - Granted: 2019-08-06 - Earliest claimed: 2014-12-05 - Assignees: Karl Storz GmbH & Co. KG - Applicants: Karl Storz SE & Co. KG - Inventors: Fridolin Preis - Web page: https://patentgrep.com/patent/US10368722B2 ## CPC - A61B 1/00087: {Tools (A61B17/00234 takes precedence)} - A61B 1/00071: {Insertion part of the endoscope body (A61B1/0055 takes precedence)} - A61B 1/0011: {Manufacturing of endoscope parts} - A61B 1/00119: {Tubes or pipes in or with an endoscope} - A61B 1/00121: {Connectors, fasteners and adapters, e.g. on the endoscope handle} - A61B 1/00135: {Oversleeves mounted on the endoscope prior to insertion} - A61B 1/00163: {Optical arrangements (A61B1/002, A61B1/06 take precedence)} - A61B 1/015: Control of fluid supply or evacuation - A61B 1/018: for receiving instruments - A61B 10/04: Endoscopic instruments, e.g. catheter-type instruments - A61B 10/06: Biopsy forceps {, e.g. with cup-shaped jaws} - A61B 17/29: Forceps for use in minimally invasive surgery - A61B 17/3421: {Cannulas} - A61B 1/121: {provided with means for cleaning post-use} - A61B 17/0218: {for minimally invasive surgery (A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence)} - A61B 2017/00296: {mounted on an endoscope} - A61B 2017/00331: {with preformed bends} - A61B 2017/0046: {with a releasable handle; with handle and operating part separable} - A61B 2018/00982: {combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes} - A61B 2090/0813: {Accessories designed for easy sterilising, i.e. re-usable} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract An endoscopic instrument according to the invention includes an elongate tube, which has an axially continuous and substantially cylindrical main lumen for receiving a shaft of an endoscope lens system, and a tool, which is arranged at a distal end of the tube and can be controlled via an elongate transmission element from a proximal end of the tube, wherein the tube has an axially continuous secondary lumen which adjoins the main lumen in a transverse direction, is connected to the main lumen via a narrowed transition area and receives the transmission element. The invention also relates to an endoscopic instrument system. ## Claims ### Claim 1 An endoscopic instrument comprising: an elongate tube having an axially continuous and substantially cylindrical main lumen configured to receive a shaft of an endoscope lens system, a tool, which is arranged at a distal end of the tube and is connected to a distal end region of the tube, the tool having at least one movable tool element, and an elongate transmission element, the tool being controllable via the transmission element from a proximal end of the tube, the transmission element being a pull rod or pull wire, the tool element being movable about a transverse stub by the pull rod or pull wire, the transverse stub being connected to the distal end region of the tube by a holder, wherein the tube has an axially continuous secondary lumen, which is joined next to the main lumen in a direction transverse to a longitudinal axis of the tube, opens into the main lumen via a narrowed transition area, and receives the transmission element, the secondary lumen having a smaller cross-sectional area than the main lumen, wherein the narrowed transition area is narrower than a corresponding transverse dimension of the pull rod or pull wire, wherein the transition area provides passage between the main lumen and the secondary lumen, and wherein the secondary lumen of the tube is stiff and securely guides the transmission element when the transmission element is inserted into the secondary lumen. ### Claim 2 (depends on 1) The endoscopic instrument according to claim 1, wherein the tube is designed with a substantially uniform wall thickness. ### Claim 3 (depends on 2) The endoscopic instrument according to claim 2, wherein the narrowed transition area is axially continuous. ### Claim 4 (depends on 1) The endoscopic instrument according to claim 1, wherein the narrowed transition area is axially continuous. ### Claim 5 (depends on 1) The endoscopic instrument according claim 1, wherein the transmission element is guided at a distance from the shaft of the endoscope lens system inserted into the main lumen. ### Claim 6 (depends on 1) The endoscopic instrument according to claim 1, wherein the transmission element is guided in the secondary lumen with a clearance such that there is a distance between the transmission element and an inner wall of the tube, the distance providing passage of fluid for irrigation of the secondary lumen. ### Claim 7 (depends on 6) The endoscopic instrument according to claim 6, wherein the distance between the transmission element and the inner wall of the tube is on an order of tenths of a millimeter. ### Claim 8 (depends on 1) The endoscopic instrument according to claim 1, wherein the tool is designed as forceps or scissors and comprises at least one forceps or scissor part which is pivotable about the transverse stub. ### Claim 9 (depends on 1) The endoscopic instrument according to claim 1, wherein a proximal end area of the tube has an attachment piece for introduction of a cleaning liquid into the main lumen and into the secondary lumen through the narrowed transition area. ### Claim 10 (depends on 1) The endoscopic instrument according to claim 1, wherein at the distal end of the tube, the main lumen has an opening which is configured oblique relative to the longitudinal axis of the tube. ### Claim 11 (depends on 1) The endoscopic instrument according to claim 1, wherein at the distal end of the tube, the secondary lumen has an opening which is configured perpendicular relative to the longitudinal axis of the tube. ### Claim 12 (depends on 1) The endoscopic instrument according to claim 1, wherein the tool is oriented towards the longitudinal axis of the tube, and wherein a distal end of the transmission element is angled towards the longitudinal axis of the tube. ### Claim 13 (depends on 1) The endoscopic instrument according to claim 1, further comprising a joint mechanism connecting the transmission element to the tool, and an enclosure enclosing the joint mechanism, the enclosure being secured to the distal end of the tube. ### Claim 14 (depends on 1) The endoscopic instrument according to claim 1, wherein the tube is configured to be inserted into an outer shaft and fixed to the outer shaft. ### Claim 15 (depends on 1) The endoscopic instrument according to claim 1, wherein the tube has a non-circular cross section perpendicular to the longitudinal axis of the tube as a result of the secondary lumen joined next to the main lumen. ### Claim 16 An endoscopic instrument system comprising: an endoscopic instrument which includes: an elongate tube having an axially continuous and substantially cylindrical main lumen configured to receive a shaft of an endoscope lens system, and a tool, which is arranged at a distal end of the tube and is connected to a distal end region of the tube, the tool having at least one movable tool element, and an elongate transmission element, the tool being controllable via the transmission element from a proximal end of the tube, the transmission element being a pull rod or pull wire, the tool element being movable about a transverse stub by the pull rod or pull wire, the transverse stub being connected to the distal end region of the tube by a holder, the tube having an axially continuous secondary lumen, which is joined next to the main lumen in a direction transverse to a longitudinal axis of the tube, opens into the main lumen via a narrowed transition area, and receives the transmission element, the secondary lumen having a smaller cross-sectional area than the main lumen, the narrowed transition area being narrower than a corresponding transverse dimension of the pull rod or pull wire, the transition area providing passage between the main lumen and the secondary lumen, the pull rod or pull wire is disposed in the secondary lumen; and a rigid endoscope lens system configured to be inserted into the main lumen of the tube of the endoscopic instrument. ### Claim 17 (depends on 16) The endoscopic instrument system according to claim 16, further comprising an outer shaft configured to receive the endoscopic instrument, wherein the outer shaft has a length such that the tool of the endoscopic instrument protrudes from a distal opening of the outer shaft. ### Claim 18 An endoscopic instrument comprising: a proximal end and a distal end; a handle at the proximal end; an elongate tube extending from the distal end to the handle, the tube having a cavity which extends along a longitudinal axis of the tube, the cavity being formed by a main lumen, a secondary lumen, and a transition area between the main lumen and the secondary lumen, the transition area comprising a constriction in a wall of the tube and providing passage between the main lumen and the secondary lumen, the secondary lumen having a smaller cross-sectional area than the main lumen, the tube being designed with a substantially uniform wall thickness; a tool arranged at a distal end of the tube and connected to a distal end region of the tube, the tool having at least one movable tool element; an elongate transmission element connected to the tool, wherein the tool is controlled by the handle via the transmission element, the transmission element being a pull rod or pull wire, the tool element being movable about a transverse stub by the pull rod or pull wire, the transverse stub being connected to the distal end region of the tube by a holder, the pull rod or pull wire being disposed in the secondary lumen; a latch disposed at a proximal end region of the tube, the latch being configured to lock an endoscope lens system to the tube when a shaft of the endoscope lens system is received in the main lumen; wherein the transition area is narrower than a corresponding transverse dimension of the pull rod or pull wire; wherein the latch includes an irrigation attachment piece which provide fluids connection to an irrigation machine to introduce a liquid into the main lumen and the secondary lumen.