# US 10,368,723 B2 · Endoscopic surgery device, method of inserting endoscope and treatment tool, and method of removing endoscope and treatment tool

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- Number: US 10,368,723 B2
- Document ID: US10368723B2
- Status: Granted
- Kind: B2
- Application number: 15/851,702
- Filed: 2017-12-21
- Published: 2018-05-03
- Granted: 2019-08-06
- Earliest claimed: 2013-03-29
- Assignees: FUJIFILM Corporation
- Applicants: FUJIFILM Corporation
- Inventors: Takumi Dejima
- Web page: https://patentgrep.com/patent/US10368723B2

## CPC

- A61B 1/00087: {Tools (A61B17/00234 takes precedence)}
- A61B 1/00154: {using guiding arrangements for insertion}
- A61B 17/3421: {Cannulas}
- A61B 17/3462: {with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals (expandable cannulas A61B17/3417)}
- A61B 2017/3441: {with distal sealing means}
- A61B 2017/3445: {used as instrument channel for multiple instruments}
- A61B 2017/3466: {for simultaneous sealing of multiple instruments}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

An endoscope and a treatment tool which are inserted into an outer tube can move back and forth in interlock with each other, and an operation part of the treatment tool can be prevented from interfering with a proximal end of the endoscope when inserting the treatment tool into the outer tube. An endoscopic surgery device satisfies the following expressions: Lt≤Ls<Lh, and Lh≥Ls1+Ls+t, where Lt is a length of the outer tube, Ls is a length of a hard part of the insertion part of the endoscope, Lh is a length of a hard part of the insertion part of the treatment tool, Ls1 is a minimum projection length of a distal end of the insertion part of the treatment tool with respect to a distal end of the insertion part of the endoscope, and t is an allowance amount.

## Claims

### Claim 1

An endoscopic surgery device comprising:
an endoscope which includes a linear insertion part and includes an image sensor configured to observe a body cavity;
a treatment tool including a linear insertion part having a proximal end provided with an operation part; and
an outer tube which is configured to allow each of the insertion part of the endoscope and the insertion part of the treatment tool to be movable back and forth, wherein the insertion part of the endoscope and the insertion part of the treatment tool are coupled with each other by a coupling part that is arranged inside the outer tube, the insertion part of the endoscope and the insertion part of the treatment tool are in a coupled state so as to move in an axial direction of the outer tube with an allowance amount, when either one of the insertion part of the endoscope and the insertion part of the treatment tool move back and forth within the allowance amount, then another one of the insertion part of the endoscope and the insertion part of the treatment tool does not move back and forth, and when either one of the insertion part of the endoscope and the insertion part of the treatment tool move back and forth beyond the allowance amount, then another one of the insertion part of the endoscope and the insertion part of the treatment tool will move back and forth,
wherein the endoscopic surgery device satisfies expressions of Lt≤Ls<Lh, and Lh≥Ls1+Ls+t, where
Lt (mm) is a length of the outer tube, Ls (mm) is a length of a hard part of the insertion part of the endoscope, Lh (mm) is a length of a hard part of the insertion part of the treatment tool, Ls1 (mm) is a minimum projection length of a distal end of the insertion part of the treatment tool with respect to a distal end of the insertion part of the endoscope, and t (mm) is the allowance amount of the insertion part of the treatment tool with respect to the insertion part of the endoscope,
wherein the endoscopic surgery device further comprises:
a coupling member constituting the coupling part that is arranged inside the outer tube and is configured to couple the insertion part of the endoscope to the insertion part of the treatment tool to allow the insertion part of the treatment tool to move in an axial direction of the outer tube with the allowance amount with respect to the insertion part of the endoscope,
wherein the coupling member includes:
a first movable object which is configured to be movable in the axial direction of the outer tube and hold the insertion part of the endoscope inserted into the outer tube; and
a second movable object which is provided in the outer tube, configured to hold the insertion part of the treatment tool inserted in the outer tube, and move in the axial direction of the outer tube by the allowance amount with respect to the first movable object.

### Claim 2 (depends on 1)

The endoscopic surgery device according to claim 1, wherein the minimum projection length Ls1 satisfies Ls1≥0.

### Claim 3 (depends on 2)

The endoscopic surgery device according to claim 2, wherein the minimum projection length Ls1 is a length with which at least the distal end of the insertion part of the treatment tool is positioned in an observation field of view of the endoscope.

### Claim 4 (depends on 1)

The endoscopic surgery device according to claim 1, wherein a distance between centers of the insertion part of the endoscope and the insertion part of the treatment tool in the outer tube is set shorter than a distance between an axial center of the insertion part of the treatment tool and at least a part of the operation part of the treatment tool.

### Claim 5 (depends on 1)

The endoscopic surgery device according to claim 1, wherein the distal end of the insertion part of the treatment tool has a treatment part, and the operation part of the treatment tool is a handle part configured to operate the treatment part.

### Claim 6 (depends on 1)

The endoscopic surgery device according to claim 1, wherein a flexible cable is coupled to a proximal end of the insertion part of the endoscope.

### Claim 7 (depends on 1)

The endoscopic surgery device according to claim 1, wherein the distal end of the insertion part of the endoscope has the image sensor.

### Claim 8 (depends on 1)

The endoscopic surgery device according to claim 1, wherein
the first movable object is engaged with the outer tube with a first frictional force, and
the second movable object is engaged with the insertion part of the treatment tool with a second frictional force greater than the first frictional force, engaged with the first movable object with a third frictional force less than the first frictional force, and slides against the first movable object by the allowance amount.

### Claim 9 (depends on 1)

A method of inserting the endoscope and the treatment tool into the outer tube by using the endoscopic surgery device according to claim 1, the method comprising:
a first insertion step of inserting the insertion part of the endoscope into the outertube; and
a second insertion step of inserting the insertion part of the treatment tool into the outer tube into which the insertion part of the endoscope has been inserted.

### Claim 10 (depends on 1)

A method of removing the endoscope and the treatment tool from the outer tube by using the endoscopic surgery device according to claim 1, the method comprising:
a first removal step of removing the insertion part of the treatment tool from the outer tube; and
a second removal step of removing the insertion part of the endoscope from the outer tube from which the insertion part of the treatment tool has been removed.

### Claim 11

An endoscopic surgery device comprising:
an endoscope which includes a linear insertion part is configured to observe a body cavity;
a treatment tool including a linear insertion part having a proximal end provided with an operation part;
an outer tube;
a slider provided in the outer tube; and
a sleeve provided in the outer tube,
wherein the slider has a first stopper and a second stopper which are provided separately from each other in a longitudinal direction of the outer tube,
wherein the sleeve is slidably located on a first path formed between the first stopper and the second stopper,
wherein the slider has a first holding part configured to hold the insertion part of the endoscope and a second path through which the insertion part of the endoscope is inserted,
wherein the sleeve has a third path through which the insertion part of the treatment tool is inserted and a second holding part configured to hold the insertion part of the treatment tool inserted through the third path, and
wherein the endoscopic surgery device satisfies expressions of Lt≤Ls<Lh, and Lh≥Ls1+Ls+t, where
Lt (mm) is a length of the outer tube, Ls (mm) is a length of a hard part of the insertion part of the endoscope, Lh (mm) is a length of a hard part of the insertion part of the treatment tool, Ls1 (mm) is a minimum projection length of a distal end of the insertion part of the treatment tool with respect to a distal end of the insertion part of the endoscope, and t (mm) is an allowance amount of the insertion part of the treatment tool with respect to the insertion part of the endoscope.

### Claim 12 (depends on 11)

The endoscopic surgery device according to claim 11, wherein the minimum projection length Ls1 satisfies Ls1≥0.

### Claim 13 (depends on 12)

The endoscopic surgery device according to claim 12, wherein the minimum projection length Ls1 is a length with which at least the distal end of the insertion part of the treatment tool is positioned in an observation field of view of the endoscope.

### Claim 14 (depends on 11)

The endoscopic surgery device according to claim 11, wherein a distance between centers of the insertion part of the endoscope and the insertion part of the treatment tool in the outer tube is set shorter than a distance between an axial center of the insertion part of the treatment tool and at least a part of the operation part of the treatment tool.

### Claim 15 (depends on 11)

The endoscopic surgery device according to claim 11, wherein the distal end of the insertion part of the treatment tool has a treatment part, and the operation part of the treatment tool is a handle part configured to operate the treatment part.

### Claim 16 (depends on 11)

The endoscopic surgery device according to claim 11, wherein a flexible cable is coupled to a proximal end of the insertion part of the endoscope.

### Claim 17 (depends on 11)

The endoscopic surgery device according to claim 11, wherein the distal end of the insertion part of the endoscope has an observation device.

### Claim 18 (depends on 11)

The endoscopic surgery device according to claim 11, wherein
the slider is engaged with the outer tube with a first frictional force, and
the sleeve is engaged with the insertion part of the treatment tool with a second frictional force greater than the first frictional force, engaged with the slider with a third frictional force less than the first frictional force, and slides against the slider.

### Claim 19 (depends on 11)

A method of inserting the endoscope and the treatment tool into the outer tube by using the endoscopic surgery device according to claim 11, the method comprising:
a first insertion step of inserting the insertion part of the endoscope into the outer tube; and
a second insertion step of inserting the insertion part of the treatment tool into the outer tube into which the insertion part of the endoscope has been inserted.

### Claim 20 (depends on 11)

A method of removing the endoscope and the treatment tool from the outer tube by using the endoscopic surgery device according to claim 11, the method comprising:
a first removal step of removing the insertion part of the treatment tool from the outer tube; and
a second removal step of removing the insertion part of the endoscope from the outer tube from which the insertion part of the treatment tool has been removed.