# US 8,147,401 B2 · Endoscope insertion support tool and endoscope device > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 8,147,401 B2 - Document ID: US8147401B2 - Status: Granted - Kind: B2 - Application number: 12/066,172 - Filed: 2006-06-01 - Published: 2009-07-02 - Granted: 2012-04-03 - Earliest claimed: 2005-09-30 - Assignees: Olympus Medical Systems Corp. - Inventors: Koji Yamaya - Web page: https://patentgrep.com/patent/US8147401B2 ## CPC - A61B 1/01: Guiding arrangements therefore - A61B 1/00082: {Balloons} - A61B 1/00101: {the distal tip features being detachable} - A61B 1/00133: {Drive units for endoscopic tools inserted through or with the endoscope} - A61B 1/0014: {Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands} - A61B 1/00154: {using guiding arrangements for insertion} - A61M 25/04: in the body, e.g. expansible {(A61M25/10, A61M16/0488 take precedence)} - A61B 1/005: Flexible endoscopes - A61M 25/10: Balloon catheters ({A61M25/0125 takes precedence; embolectomy A61B17/22032; retractors A61B17/02;} inflatable balloons for placing stents or stent-grafts A61F2/958 {; stomach balloons for treatment of obesity A61F5/0003; oesophagal tubes A61J15/00}) - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)} ## Abstract An endoscope insertion support tool includes an advancing and retracting member that is disposed in an insertion section of an endoscope, capable of advancing and retracting in a hollow passage, a distal end portion of which communicates with the outside, and has length projected from a distal end of the insertion section, a balloon member that includes an attaching portion attachable to an outer surface side of the insertion section of the endoscope and is connected to the distal end of the advancing and retracting member and capable of projecting from the distal end of the insertion section according to an advancing and retracting movement of the advancing and retracting member, and a fluid supplying and discharging unit including a conduit that is connected to the balloon member and inflates and deflates the balloon member according to supply and discharge of a fluid to and from the balloon member. ## Claims ### Claim 1 An endoscope insertion support tool comprising: an advancing and retracting member that is inserted through a channel disposed in an insertion section of an endoscope to be capable of advancing and retracting in the channel, a distal end side of the advancing and retracting member being capable of projecting from a distal end opening of the channel; a balloon member that includes an attaching portion capable of attaching a cylindrical inner peripheral surface of the balloon member to an outer peripheral surface of the insertion section on a distal end side thereof including at least a distal end portion, over a substantially whole length of the balloon member when the advancing and retracting member is maximally retracted, the balloon member being connected to the distal end of the advancing and retracting member and capable of projecting from the distal end of the insertion section according to an advancing movement of the advancing and retracting member; and fluid supplying and discharging means including a conduit that is connected to the balloon member and inflates and deflates the balloon member according to supply and discharge of a fluid to and from the balloon member with a diameter of the cylindrical inner peripheral surface of the balloon member maintained. ### Claim 2 (depends on 1) The endoscope insertion support tool according to claim 1, wherein the balloon member is formed in a hollow shape in a central axis side portion in the cylindrical shape and has the inner peripheral surface that forms an attaching portion attachable to the outer peripheral surface of the insertion section on the distal end side thereof. ### Claim 3 (depends on 1) The endoscope insertion support tool according to claim 1, wherein the balloon member is formed in a C shape in a section in a radial direction having the inner peripheral surface as the attaching portion. ### Claim 4 (depends on 1) The endoscope insertion support tool according to claim 1, wherein the advancing and retracting member is a shaft body insertable through the channel. ### Claim 5 (depends on 4) The endoscope insertion support tool according to claim 4, wherein the shaft body includes the conduit in the inside thereof and is a hollow body insertable through the channel. ### Claim 6 (depends on 4) The endoscope insertion support tool according to claim 4, further including driving means for causing the shaft body to perform at least one operation of advancing and retraction and rotation with respect to the insertion section. ### Claim 7 (depends on 4) The endoscope insertion support tool according to claim 4, further comprising fixing means for detachably fixing the balloon member or the shaft body to the insertion section. ### Claim 8 (depends on 1) The endoscope insertion support tool according to claim 1, further comprising: a balloon that is inflated by supply of the fluid; and a balloon holding member that holds the balloon and includes the attaching portion that is detachably attached to the outer peripheral surface on the distal end side of the insertion portion. ### Claim 9 (depends on 8) The endoscope insertion support tool according to claim 8, wherein an inner peripheral surface of the balloon holding member is formed in a shape that fits on the outer peripheral surface of the distal end side of the insertion section. ### Claim 10 (depends on 1) The endoscope insertion support tool according to claim 1, wherein the attaching portion makes the whole of the cylindrical inner peripheral surface of the balloon member be capable of being attached to the outer peripheral surface of the distal end portion of the insertion section and a bending portion which is provided at a proximal end of the distal end portion when the balloon member is either in an inflated state or in. a deflated state. ### Claim 11 (depends on 1) The endoscope insertion support tool according to claim 1, wherein when the balloon member is attached to the outer peripheral surface of the insertion portion on the distal end side thereof by the attaching portion, a distal end surface of the balloon member is capable of being arranged at a more proximal position than a position of the distal end surface of the insertion section. ### Claim 12 (depends on 1) The endoscope insertion support tool according to claim 1, wherein the attaching portion has openings at both ends of the cylindrical inner peripheral surface. ### Claim 13 (depends on 1) The endoscope insertion support tool according to claim 1, wherein the advancing and retracting member is capable of projecting forward by 50 cm or more from the distal end surface of the endoscope. ### Claim 14 An endoscope device comprising: an endoscope including a slim insertion section that is insertable into a body cavity and is provided with an illumination window and an observation window at a distal end surface of at a distal end portion of the endoscope; an advancing and retracting member that is inserted through a channel disposed in the insertion section to be capable of advancing and retracting in the channel, a distal end side of the advancing and retracting member being capable of projecting from a distal end opening of the channel; a balloon member that includes an attaching portion capable of attaching a cylindrical inner peripheral surface of the balloon member to an outer peripheral surface of the insertion section on a distal end side thereof including at least a distal end portion, over a substantially whole length of the balloon member when the advancing and retracting member is maximally retracted, the balloon member being connected to the distal end of the advancing and retracting member and capable of projecting from the distal end of the insertion section according to an advancing movement of the advancing and retracting member; and a conduit that is connected to the balloon member and inflates and deflates the balloon member according to supply and discharge of a fluid to and from the balloon member with a diameter of the cylindrical inner peripheral surface of the balloon member maintained. ### Claim 15 (depends on 14) The endoscope device according to claim 14, wherein the conduit is connected to fluid supplying and discharging means for supplying and discharging the fluid. ### Claim 16 (depends on 14) The endoscope device according to claim 14, wherein the balloon member is formed in a hollow shape in a central axis side portion in the cylindrical shape and has the inner peripheral surface that forms the attaching portion attachable to the outer peripheral surface of the insertion section on the distal end side thereof. ### Claim 17 (depends on 14) The endoscope device according to claim 14, wherein the balloon member is formed in a C shape in a section in a radial direction having the inner peripheral surface as the attaching portion. ### Claim 18 (depends on 14) The endoscope device according to claim 14, wherein the advancing and retracting member is a shaft body insertable through the channel. ### Claim 19 (depends on 18) The endoscope device according to claim 18, wherein the shaft body includes the conduit in the inside thereof and is a hollow body insertable through the channel. ### Claim 20 (depends on 18) The endoscope device according to claim 18, further including driving means for causing the shaft body to perform at least one operation of advancing and retraction and rotation with respect to the insertion section. ### Claim 21 (depends on 18) The endoscope device according to claim 18, further comprising fixing means for detachably fixing the balloon member or the shaft body to the insertion section. ### Claim 22 (depends on 14) The endoscope device according to claim 14, further comprising: a balloon that is inflated by supply of the fluid; and a balloon holding member that holds the balloon and includes the attaching portion that is detachably attached to the outer peripheral surface on the distal end side of the insertion portion. ### Claim 23 (depends on 22) The endoscope device according to claim 22, wherein an inner peripheral surface of the balloon holding member is formed in a shape that fits on the outer peripheral surface of the distal end side of the insertion section. ### Claim 24 (depends on 14) The endoscope device according to claim 14, wherein the balloon member is set to enter a visual field range of the observation window when the balloon member is projected from a distal end of the insertion section by the advancing and retracting member. ### Claim 25 (depends on 14) The endoscope device according to claim 14, wherein the balloon member is set in a visual field range of the observation window when the balloon member is projected from a distal end of the insertion section by the advancing and retracting member and is set outside the visual field range when the balloon member is attached to the insertion section. ### Claim 26 (depends on 14) The endoscope device according to claim 14, wherein the attaching portion makes the whole of the cylindrical inner peripheral surface of the balloon member be capable of being attached to the outer peripheral surface of the distal end portion of the insertion section and a bending portion which is provided at a proximal end of the distal end portion when the balloon member is either in an inflated state or in a deflated state. ### Claim 27 (depends on 14) The endoscope device according to claim 14, wherein when the balloon member is attached to the outer peripheral surface of the insertion portion on the distal end side thereof by the attaching portion, a distal end surface of the balloon member is capable of being arranged at a more proximal position than a position of the distal end surface of the insertion section. ### Claim 28 (depends on 14) The endoscope device according to claim 14, wherein the attaching portion has openings at both ends of the cylindrical inner peripheral surface. ### Claim 29 (depends on 14) The endoscope device according to claim 14, wherein the advancing and retracting member is capable of projecting forward by 50 cm or more from the distal end surface of the endoscope.