US3924608A - Endoscope - Google Patents

Endoscope Download PDF

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Publication number
US3924608A
US3924608A US472343A US47234374A US3924608A US 3924608 A US3924608 A US 3924608A US 472343 A US472343 A US 472343A US 47234374 A US47234374 A US 47234374A US 3924608 A US3924608 A US 3924608A
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United States
Prior art keywords
suction port
valve member
distal end
end section
port
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Expired - Lifetime
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US472343A
Inventor
Kazuhiko Mitsui
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Olympus Corp
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Olympus Optical Co Ltd
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Publication date
Priority claimed from JP1973060532U external-priority patent/JPS5327434Y2/ja
Priority claimed from JP6053073U external-priority patent/JPS527113Y2/ja
Priority claimed from JP1973060531U external-priority patent/JPS527996Y2/ja
Application filed by Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/012Instruments 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 characterised by internal passages or accessories therefor
    • A61B1/018Instruments 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 characterised by internal passages or accessories therefor for receiving instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00091Nozzles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00071Insertion part of the endoscope body
    • A61B1/0008Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00098Deflecting means for inserted tools
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00163Optical arrangements
    • A61B1/00165Optical arrangements with light-conductive means, e.g. fibre optics

Definitions

  • This invention relates to endoscope and more particularly to an improvement in the distal end section of the endoscope.
  • Difficulties are presented when the body cavity or body organ is visually observed, or photographed, through a view window of an endoscope i.e. through a view window leading through objective lenses to an image guiding fiber bundle and then to an eyepiece. That is, a field of view is often shut out, because a body fluid or fluid substance present within the body organ of a patient is deposited onto the outer surface of the view window. For this reason, the affected portion of the body organ or body cavity has not been fully observed or clearly photographed.
  • a suction port is provided at the outer surface of its distal end section and a body liquid or liquid substance is suctioned through the suction port into the-interior of the endoscope.
  • the suction port is provided on the same plane as the outer surface of the distal end section, a suction force is directed in a direction substantially perpendicular to the outer surface of the distal end section of the endoscope and a suction force does not work directly on a body fluid or fluid substance deposited onto the outer surface of the view window. It is therefore impossible to remove the liquid substance relatively firmly deposited onto the outer surface of the view window.
  • a valve member is located within a suction port and adapted to be swung from a first position in which a suction port is fully opened, to a second position in which the suction port is restricted in its opening area. In the second position of the valve member the suction port is caused to be opened substantially along a view window.
  • the valve member acts as a forceps raising member for controlling the direction in which the tip of the forceps extends.
  • a valve member is made of a flexible material and located within the distal end section of the endoscope in a manner to be slidably movable in the neighborhood of a suction port.
  • the valve member is slidably moved from a first position in which the suction port is fully opened, to a second position in which the suction port is restricted in its opening area.
  • the suction port is caused to be opened along a view window and a suction force acts directly on a body fluid or fluid substance deposited onto the view window and the deposited substance is rapidly removed under an increased suction force from the view window.
  • the valve member serves as a forceps raising member.
  • a large-mouthed main suction port and an auxiliary suction port smaller in opening area than the main suction port are opened in the outer surface of a distal end section of the endoscope.
  • the auxiliary suction port leading to an auxiliary suction channel communicates with a main suction channel leading to the main suction port. That is, the auxiliary suction channelis branched from the main channel.
  • a valve member is located within the main suction port and is adapted to be swung from a first position in which the main suction port is fully opened, to a second position in which the main suction port is closed.
  • auxiliary port In the second position of the valve member only the auxiliary port remains opened and a body fluid or fluid substance is suctioned through the auxiliary port into the auxiliary suction channel. Since the auxiliary suction port is opened along a view window, a suction force acts directly on a fluid substance deposited onto the view window and the deposited fluid substance is rapidly suctioned under an increased suction force into the endoscope.
  • the advantages of this embodiment reside in that the auxiliary port can be easily provided in proximity to the view window and that a suction device needs only to be connected to the main suction channel, since the auxiliary suction port leading to the auxiliary suction channel communicates with the main suction channel.
  • a primary object of this invention is to provide an endoscope equipped with an improved distal end section capable of rapidly removing, under an increased suction force, any body liquid or fluid substance deposited onto a view window.
  • a second object of this invention is to provide an endoscope equipped with an improved distal end section capable of removing any body liquid or fluid substance deposited onto the view window, without involving any complicated construction or operational difficulty.
  • FIG. 1 is an end view of the distal end section of an endoscope according to a first embodiment of this invention
  • FIG. 2 is a perspective view of the distal end section of FIG. 1;
  • FIG. 3 is a perspective view of a valve member provided at the distal end section. of FIG. 1;
  • FIG. 4 is a sectional side view showing the distal end section of FIG. 1;
  • FIG. 5 is a sectional side view of the distal end section of FIG. 1 in which the valve member is in a raised position;
  • FIG. 6 is a sectional side view of the distal end section of FIG. 1, in which a forceps is inserted through a suction channel;
  • FIG. 7 is a sectional side view of a proximal end of an endoscope according to the first embodiment of this invention.
  • FIG. 8 is a perspective view showing the distal end section of an endoscope according to a second embodiment of this invention.
  • FIG. 9 is a perspective view of a valve member provided at the distal end section of FIG. 8;
  • FIG. 10 is a sectional side view of the distal end section of FIG. 8;
  • FIG. 11 is a sectional side view of the distal end section of FIG. 10, in which the valve member is in a shifted position;
  • FIG. 12 is an end view showing the distal end section of an endoscope according to a third embodiment of this invention.
  • FIG. 13 is a perspective view showing a valve member provided at the distal end section of FIG. 12;
  • FIG. 14 is a sectional side view of the distal end section shown in FIG. 12;
  • FIG. 15 is a sectional side view of the distal end section of FIG. 12, in which the valve member is in a closed position;
  • FIG. 16 is a sectional side view of the distal end section of FIG. 12, in which a forceps is inserted through a suction channel;
  • FIG. 17 is a sectional side view of the distal end section of an endoscope according to a fourth embodiment of this invention.
  • FIGS. 1 to 7 show a first embodiment of an endoscope according to this invention.
  • FIG. 1 shows an outer end surface 2 of a distal end section 1 of the endoscope.
  • the endoscope is of a forward view type and has a view window 4 at the end surface 2 of the endoscope.
  • the view window 4 is defined by a window opening 5 and a transparent cover glass constituting the view window is fitted to the opening 5.
  • An outer surface 4a of the view window 4 is placed on the same plane as the end surface 2 of the distal end section.
  • Objective lenses 3 constitute an image guide means, together with a fiber bundle 6 and an eyepiece 8 provided in a control unit 7 which is located at the proximal end of the endoscope.
  • An observer can observe a body cavity or body organ -hereinafter referred to merely as a body organ through the view window leading to the image guide means.
  • a pair of illumination windows 9 are provided one on the right side of the view window 4 and one on the left side thereof.
  • a light source is provided, for example, at the control unit 7.
  • a light from the light source is directed through fiber bundles to the illumination window 9 so as to illuminate the body organ.
  • a relatively widemouthed suction port 10 having a predetermined opening area is provided immediately below the view window 4.
  • the suction port 10 communicates with a suction channel 11 formed in the longitudinal direction of the endoscope, and serves as means for receiving a body liquid or fluid substance from the body organ.
  • the suction channel 11 permits the body liquid to be passed up to the control unit 7. That is, a tube 12 having the suction channel 11 extends into the control unit 7 of the endoscope and communicates with one end of a suction tube 14 through a switching valve 13. The other end (not shown) of the suction tube 14 extends outwardly of the endoscope and is connected to a suitable suction device.
  • An operating button 15 with the switching valve 13 can be manually depressed in a direction indicated by an arrow in FIG. 7. Upon depression of the operating button 15 the suction channel 11 of the tube 12 communicates with the suction device through the suction tube 14 and suction is effected. Upon release of the operating button 15, communication with the suction device is cut off.
  • a body liquid within the body organ is suctioned from the suction port 10 into the suction channel 11 of the tube 12 and discharged outside of the endoscope. Since the suction channel 11 has a relatively great inner diameter, the body liquid can be very rapidly suctioned and discharged outside of the endoscope.
  • a biopsy forceps 16 for treating the interior of the body organ can be inserted, for example, as shown in FIG. 6. That is, the suction channel 11 of the tube 12 can be utilized as a forceps channel. Where the forceps is inserted through the suction tube 12, the entry end of the suction tube 12 may be open to the exterior of the endoscope without being connected to the operating valve 13, through such a construction is not shown in the Figures.
  • a substantially rectangular projecting frame 17 is formed on the end surface 2 of the distal end section in a manner to surround the suction port 10.
  • a cutout 18 is provided in that portion of the projecting frame 17 which is closest to the view window 4.
  • a plate-like valve member 19 is swingably supported. To the valve member 19 one end of an operating wire 21 is fixed. The other end, not shown, of the wire 21 extends into the control unit 7 of the endoscope. The other end of the wire 21 can be pulled or pushed by an operating means provided at the control unit 7.
  • the valve member 19 When the wire 21 is pulled, the valve member 19 is swung about an axis 20 Le. from an open position shown in FIG. 4 to a restricted position shown in FIG. 5 where the suction port 10 is restricted in its opening area.
  • the valve member 19 is returned to the open position. The extent of pulling or pushing the wire 21 can be adjusted.
  • the angle through which the valve member 19 is swung from the open position to the restricted position can be adjusted.
  • the valve member 19 is swung from the open position to the restricted position shown in FIG. 6.
  • the direction in which the tip of the forceps 16 extends can be controlled by the swinging movement of the valve member 19. That is, the valve member 19 acts as what is called a forceps raising member.
  • the endoscope comprises the distal end section 1, control unit 7 disposed at the proximal end, and flexible tube 24 connecting the distal end section 1 to the control unit 7.
  • the flexible tube 24 is partially shown in FIGS. 4 to 7, the construction and material of the flexible tube, per se, are known in the art.
  • the fiber bundle 6 and suction tube 12 with the suction channel 11 are received along the longitudinal direction of the flexible tube 24. Let us explain the operation of an endoscope so constructed.
  • the distal end section 1 of the endoscope is inserted into a human body and the suction port 10 is fully opened by bringing the valve member 19 into the open position.
  • suction is effected by the suction device provided at the control unit 7
  • a body fluid or fluid substance is suctioned through the suction port 10 into the suction channel 11 and discharged outside the endoscope.
  • the interior of the body organ is observed or photographed through the view window 4 leading to the image guide means.
  • the body liquid or fluid substance present within the body organ of a patient is deposited onto the outer surface 4a of the view window 4 as shown in FIG. 5, it is necessary to remove it from the outer surface 4a of the view window 4.
  • the valve member 19 is swung, under the suction force, into the restricted position as shown in FIG. 5 to cause the suction port to be opened substantially along the view window 4 to permit the fluid substance to be flowed along the view window 4 at an increased speed.
  • the suction port 10 is defined by the valve member 19, end surface 2, cutout l8 and projecting frame 17, and the suction force acts directly on the fluid substance deposited onto the outer surface 421 of the view window 4 to cause it to be suctioned along the outer surface 4a of the view window 4 as shown in FIG. 5.
  • the fluid substance firmly deposited onto the outer surface 4a of the view window 4 can be easily removed. After the fluid substance is so removed, the interior of the body organ is fully observed, or photographed, through the view window 4 led to the image glide means. As a result, a clear-cut image of an affected portion of the body organ can be obtained.
  • FIGS. 8 to 11 show a second embodiment of an endoscope according to this invention.
  • a valve member 31 performing the similar function as the valve member 19 of the first embodiment is provided.
  • the valve member 31 is slidably fitted to a curved slot 32 provided near a suction port 37.
  • One end of the valve member 31 is connected to an operating wire 33.
  • the valve member 31 Upon pulling the wire 33 the valve member 31 is moved from a position shown in FIG. 11 to a retracted position shown in FIG. 10 and, upon pushing the wire 33, it is moved from the retracted position to the position shown in FIG. 11 where a suction port 37 is restricted in its opening area.
  • the valve member 31 is made of a flexible material and can be flexibly and pliably bent when it is slid from one position to the other position.
  • a guide rail 34 is provided in each of a pair of projecting members 35.
  • the guide rail 34 is curved in a manner to meet the curve of the slot 32 and constitutes an extension of the curved slot 32.
  • the pair of projecting members 35 are provided one at each side of the suction port 37 i.e. one at the right side of the suction port and one at the left side thereof. Consequently, the valve member 31 is guided along the right and left guide rails 34 and moved from the retracted position to the restricted or shifted position.
  • the suction port 37 is in a fully opened state.
  • suction port is restricted in its opening area.
  • the restricted opening area 38 is defined by the valve member 31, outer end surface 36 of the distal end section, and the pair of projecting members 35.
  • the suction port 37 communicates with a suction channel 40 of a tube 39 and acts as means for receiving a body fluid or fluid substance.
  • the suction channel 40 is connected to a suction device provided in a control unit which is disposed at the proximal end of the endoscope, and serves as means for passing the body fluid therethrough.
  • a view window 41 made of a cover glass is fitted to an opening 42 provided in the end surface 36 of a distal end section 30.
  • objective lenses 43 and fiber bundle 44 are provided as in the case of the first embodiment.
  • the outer surface 412 of the view window 41 is placed on the same plane as the end surface 36 of the distal end section 30.
  • a pair of illumination windows 45 are provided one at each side of the view window 41 as in the case of the first embodiment.
  • the control unit disposed at the proximal end of the endoscope is omitted and a flexible tube 47 is partially shown.
  • the valve member 31 is pulled by the wire 33 into the retracted position where the suction port 37 is in a fully opened state. Under the influence of the suction device a body liquid or fluid substance is suctioned through the suction port 37 into a suction channel 40 as shown in FIG. 10. At this time, the body liquid is flowed in a direction substantially perpendicular to the outer surface 36 of the distal end section as shown by arrows in FIG. 10. Where the fluid substance is firmly deposited onto the view window 41, no sufficient suction force can be imparted to the fluid substance in an attempt to suction the fluid substance into the suction port 37. In such a case, the wire 33 is pushed to cause the valve member 31 to be moved from the retracted position to the position shown in FIG.
  • the suction channel 40 has a relatively large opening area to permit a fair amount of body liquid to be passed therethrough at rapid speed, and it can also be utilized as a channel for a forceps as in the first embodiment.
  • the valve member 31 can act as a forceps raising member.
  • FIGS. 12 to 16 show a third embodiment of an endoscope according to this invention.
  • the construction of a distal end section 50 of the endoscope is shown.
  • a valve member 51 similar to those valve members shown in the first and second embodiments is mounted within a main suction port 52.
  • the valve mem ber 51 is supported in a manner to be swingable about an axis 53.
  • the valve member 51 can be swung from a fully opened position shown in FIG. 14 to a closed position shown in FIG. 15.
  • the swinging move- 7 ment of the valve member 51 can be effected by an operating wire 54.
  • One end of the tube 55 having a main suction channel 56 communicates with the main suction port 52.
  • the other end, not shown, of the tube 55 is connected, as in the above-mentioned embodiments, to a suction device provided in a control unit which is located at the proximal end of the endoscope.
  • the main suction channel 56 has a relatively large opening area as in the above-mentioned embodiments and it is possible to insert a forceps 57 into the main suction channel 56 as shown in FIG. 16. That is, the main suction channel 56 can also be utilized as a forceps channel.
  • valve member 51 can serve as a forceps raising member.
  • a diameter-reduced tube 58 Short of one end of the tube 55 one end of a diameter-reduced tube 58 is opened and communicates with the main suction channel 56.
  • the tube 58 is bypassed from the tube 55 and has a channel 59 constituting an auxiliary suction channel.
  • the other end of the tube 58 communicates with an auxiliary port 61.
  • the auxiliary port 61 is defined by an outer end surface 60 of the distal end section and a section 62 projecting ahead of the end surface 60.
  • the port 61 is opened along an outer surface 63a of a view window 63.
  • the view window 63 consisting of a cover glass if fitted to a window opening 64, and the outer surface 63a of the view window lies on the same plane as the end surface 60 of the distal end section.
  • objective lenses 65 and fiber bundle 66 are located as in the above-mentioned embodiments.
  • a pair of illumination windows 67 are provided one at each side of the view window 63.
  • a flexible tube 69 is partially shown in FIGS. 14 to 16.
  • the distal end 50 of the endoscope is inserted into the human body and the main suction port 52 is fully opened by bringing the valve member 51 into an open position.
  • a body liquid present within a body organ is suctioned, under the suction force of the suction device, through the main suction port 52 into the main suction channel 56 as indicated by arrows in FIG. 14, while at the same time the body liquid is suctioned through the auxiliary port 61 into the auxiliary channel 59 and then into the main channel 56.
  • the amount of body liquid passed through the port 61 will be much smaller than the amount of body liquid passed through the main port 52.
  • a fluid substance is deposited onto the outer surface 63a of the view window 63 as shown in FIG. 14.
  • the valve member 51 is swung into a closed position as shown in FIG. 15, where the main suction port 52 is closed and only the auxiliary port 61 remains opened.
  • an imaginary suction port having an opening area corresponding to a summed opening area provided by both the main and auxiliary suction ports 52 and 61 is restricted to the opening area of the auxiliary suction port 61.
  • the body fluid or fluid substance is suctioned, under an increased suction force and at increased speed, through the auxiliary port 61 into the auxiliary suction channel 59.
  • the fluid substance is flowed along the end surface 60 of the endo- 8 scope as shown in FIG. 15. Since the suction force acts directly on the fluid substance deposited onto the outer surface 63a of the view window 63, any deposited fluid substance can be removed from the view window 63.
  • the tube 58 is disposed within the distal end section of the endoscope in a manner to cross the fiber bundle 66 without interference.
  • FIG. 17 shows a fourth embodiment of the endoscope according to this invention.
  • the above-mentioned three embodiments are all directed to what is called a forward view type endoscope.
  • the invention can also be applied to what is called a side view type endoscope.
  • the fourth embodiment is directed to a side view type endoscope having main and auxiliary suction channels as in the third embodiment.
  • a main suction port 72 is opened into an outer side surface 71 of a distal end section of the endoscope.
  • the main suction port 72 communicates with a substantially L-shaped main suction channel 73 provided in the distal end section 70 of the endoscope.
  • a valve member 74 similar to the valve member 51 of the third embodiment is swingably mounted within the main suction port 72.
  • the valve member 74 can be swung from an open position as shown in a solid line to a closed position as shown in a broken line.
  • An auxiliary suction channel 75 is branched from the main suction channel 73 and has a smaller opening area than the main suction channel 73.
  • the auxiliary suction channel 75 leads to an auxiliary port 76 which opens along an outer surface 77a of a view window 77.
  • the view window 77 consisting of a cover glass is fitted to a window opening 78 provided in that side surface 71 of the distal end section 70 which is in close proximity to the auxiliary port 76.
  • the outer surface 77a of the view window 77 is flush with the side surface 71 of the distal end section.
  • a prism 79 which leads to an image guide means such as objective lenses 80, fiber bundle 81 etc. disposed within the distal end section 70 of the endoscope.
  • the distal end section 70 of the endoscope When the interior of the human body is observed, the distal end section 70 of the endoscope is inserted into a body organ and the valve member 74 is brought into an open position. Under the suction force of a suction device a body liquid or fluid substance is rapidly suctioned in greater amounts through the main suction port 72 to the main suction channel 73, while at the same time it is suctioned through the auxiliary port 76.
  • the valve member 74 is swung to a closed position to cause the main suction port 72 to be closed. This permits the fluid substance to be suctioned under an increased suction force and an increased speed.
  • auxiliary port 76 is defined by a projecting waL3 and side surface 71 of the distal end section and opened along the outer surface 77a of the view window 77, the fluid substance is flowed along the side surface 71 of the distal end section 70 and then along the outer surface 77a of the view window 77 as indicated by arrows.
  • a suction force is imparted directly to the fluid substance deposited onto the outer surface 77a of the view window 77 and the deposited fluid substance is easily suctioned through the port 76 into the auxiliary suction channel 75.
  • a forceps can be inserted into the main suction channel 73 and the valve member 74 can act as a forceps raising member, as in the above-mentioned embodiments.
  • the endoscope includes a control unit provided at the proximal end and a flexible tube connecting the control unit to the distal end section.
  • An endoscope to be inserted in the human body cavity including a distal end section having an outer surface provided with a view window, a control unit provided at the proximal end, and a flexible tube connecting said distal end section to said control unit, said endoscope further comprising:
  • port means formed in said distal end section so as to open at the outer surface, including a main suction port, and adapted to receive liquid substance from the body cavity under suction;
  • channel means including a forceps channel communicating with the main suction port of said port means and adapted to let the liquid substance pass therethrough from said port means;
  • valve member disposed in the main suction port of said port means and made movable between an open position in which the opening area of the main suction port is fully open and a restricting position where it restricts the opening area of the main suction port, said valve member being positioned relative to said view window and said suction port such that when the valve member is moved to the restricting position, the direction of flow of the liquid substance being taken into said port means under suction is changed to one substantially parallel to said view window and the flow of the liquid substance is accelerated thereby re- 10 moving the liquid substance deposited on the view window.
  • valve member includes means pivoting said valve member about an axis from the open position to the restricting position thereof.
  • valve member is made of flexible material, retracted in a curved slot formed in said distal end section while resting at the open position, and shifted toward the re stricting position slidably in said curved slot, and guided by a guide rail curving in conformity with said curved slot.
  • said port means includes an auxiliary suction port which opens in a direction parallel to the view window and which has an opening area smaller than that of said main suction port; said channel means including an auxiliary suction channel formed in said distal end section as to have one end communicating with said auxiliary suction port and the other end communicating with said main forceps channel; said main suction port and said auxiliary suction port remaining respectively closed and opened while said valve member rests in the restricting position.
  • auxiliary suction port is defined by the outer surface of the distal end section and a section projecting from the outer surface.
  • An endoscope according to claim 1 in which said valve member in intermediate positions, provides a forceps raising means for controlling the direction of the tip of a forceps which is extended from the main suction port.

Abstract

A suction port is opened at the outer surface of a distal end section of an endoscope and a valve member is located within the suction port. The valve member is adapted to be moved from a first position in which the suction port is fully opened, to a second position in which the suction port is restricted in its opening area. In the first position of the valve member, a body liquid or liquid substance present within the body organ of a patient is suctioned through the suction port. In the second position of the valve member, the suction port is opened substantially along a view window, whereby the liquid substance deposited onto a view window can be removed.

Description

D United States Patent 1191 [111 3,
Mitsui Dec. 9, 1975 ENDOSCOPE 3,726,272 4/1973 Fukami et a1 128/6 Inventor: Kazuhiko Mitsui, y pan 3,835,842 9/1974 Iglesias 128/7 FOREIGN PATENTS OR APPLICATIONS [73] Asslgneez Olympus Optical Company, Ltd., 128 6 Tokyo, p 1,964,603 7/1970 Germany [22] Filed: May 22, 1974 .OTHER PUBLICATIONS Med1ca1-Surg1cal Review (Advertisement), Flrst [21] Appl. No.: 472,343 Quarter, 1969.
o e gn pp cat on ata ExaminerKyle Howell May 23, 1973 Japan 48-60530[U] May 23, 1973 Japan 48-60531[U] May 23, 1973 Japan 48-60532[U] A sumo P Opened at the outer Surface of a tal end section of an endoscope and a valve member 1s 52 us. c1 128/2 B; 128/6; 356/241 Within the Swim ff s is 51 1m. (:1. A61B 1/06 adapted to from a fi hi 3 58 Field Of Search 128/6-8, 3, aff g gP gg.12 3F 9? 52212 1282B,1l,303.l;3269'3 41 e u mSOP I l 56/2 In the first position of the valve member, a body liquid [561 CM 3:3231523232521111211?:12"$2,231,513:ii: UNITED STATES PATENTS second position of the valve member, the suction port 944,830 12/1909 Sussman 128/ 3 is ope d bstantially along a iew window, whereby w 1 g the liquid substance deposited onto a view window arr1ner.... 3,164,904 l/1965 Barnes 32/69 can be removed. 3,561,432 2/1971 Yamaki et a1. 128/6 6 Claims, 17 Drawing Figures US. Patent Dec. 9, 1975 Sheet 1 of 5 3,924,608
US. Patent Dec. 9, 1975 Sheet 2 of5 3,924,608
U.S. Patent Dec. 9, 1975 Sheet 3 of 5 3,924,608
US. Patent Dec. 9, 1975 Sheet4 0f5 3,924,608
US. Patent Dec. 9, 1975 Sheet 5 of5 3,924,608
FIG. 16
ENDOSCOPE BACKGROUND OF THE INVENTION This invention relates to endoscope and more particularly to an improvement in the distal end section of the endoscope.
Difficulties are presented when the body cavity or body organ is visually observed, or photographed, through a view window of an endoscope i.e. through a view window leading through objective lenses to an image guiding fiber bundle and then to an eyepiece. That is, a field of view is often shut out, because a body fluid or fluid substance present within the body organ of a patient is deposited onto the outer surface of the view window. For this reason, the affected portion of the body organ or body cavity has not been fully observed or clearly photographed.
With the conventional endoscope, a suction port is provided at the outer surface of its distal end section and a body liquid or liquid substance is suctioned through the suction port into the-interior of the endoscope.
Since, however, the suction port is provided on the same plane as the outer surface of the distal end section, a suction force is directed in a direction substantially perpendicular to the outer surface of the distal end section of the endoscope and a suction force does not work directly on a body fluid or fluid substance deposited onto the outer surface of the view window. It is therefore impossible to remove the liquid substance relatively firmly deposited onto the outer surface of the view window.
SUMMARY OF THE INVENTION It is accordingly the general object of this invention to provide an endoscope of the type in which a valve member is located within the distal end section thereof and the valve member is adapted to be moved from one position to the other position to cause a suction port to be opened substantially along the outer surface of the distal end section, causing a body fluid or liquid substance to be flowed along the outer surface of the distal end section, while imparting a suction force directly to the liquid substance deposited onto a view window, to permit the deposited liquid substance to be removed from the view window.
According to one embodiment of this invention, a valve member is located within a suction port and adapted to be swung from a first position in which a suction port is fully opened, to a second position in which the suction port is restricted in its opening area. In the second position of the valve member the suction port is caused to be opened substantially along a view window. Where a forceps is inserted into a suction channel, the valve member acts as a forceps raising member for controlling the direction in which the tip of the forceps extends.
According to another embodiment of this invention a valve member is made of a flexible material and located within the distal end section of the endoscope in a manner to be slidably movable in the neighborhood of a suction port. The valve member is slidably moved from a first position in which the suction port is fully opened, to a second position in which the suction port is restricted in its opening area. In the second position of the valve member the suction port is caused to be opened along a view window and a suction force acts directly on a body fluid or fluid substance deposited onto the view window and the deposited substance is rapidly removed under an increased suction force from the view window. The valve member serves as a forceps raising member.
With an endoscope according to a further embodiment of this invention, a large-mouthed main suction port and an auxiliary suction port smaller in opening area than the main suction port are opened in the outer surface of a distal end section of the endoscope. The auxiliary suction port leading to an auxiliary suction channel communicates with a main suction channel leading to the main suction port. That is, the auxiliary suction channelis branched from the main channel. A valve member is located within the main suction port and is adapted to be swung from a first position in which the main suction port is fully opened, to a second position in which the main suction port is closed. In the second position of the valve member only the auxiliary port remains opened and a body fluid or fluid substance is suctioned through the auxiliary port into the auxiliary suction channel. Since the auxiliary suction port is opened along a view window, a suction force acts directly on a fluid substance deposited onto the view window and the deposited fluid substance is rapidly suctioned under an increased suction force into the endoscope. The advantages of this embodiment reside in that the auxiliary port can be easily provided in proximity to the view window and that a suction device needs only to be connected to the main suction channel, since the auxiliary suction port leading to the auxiliary suction channel communicates with the main suction channel.
A primary object of this invention is to provide an endoscope equipped with an improved distal end section capable of rapidly removing, under an increased suction force, any body liquid or fluid substance deposited onto a view window.
A second object of this invention is to provide an endoscope equipped with an improved distal end section capable of removing any body liquid or fluid substance deposited onto the view window, without involving any complicated construction or operational difficulty.
BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is an end view of the distal end section of an endoscope according to a first embodiment of this invention;
FIG. 2 is a perspective view of the distal end section of FIG. 1;
FIG. 3 is a perspective view of a valve member provided at the distal end section. of FIG. 1;
FIG. 4 is a sectional side view showing the distal end section of FIG. 1;
FIG. 5 is a sectional side view of the distal end section of FIG. 1 in which the valve member is in a raised position;
FIG. 6 is a sectional side view of the distal end section of FIG. 1, in which a forceps is inserted through a suction channel;
FIG. 7 is a sectional side view of a proximal end of an endoscope according to the first embodiment of this invention;
FIG. 8 is a perspective view showing the distal end section of an endoscope according to a second embodiment of this invention;
FIG. 9 is a perspective view of a valve member provided at the distal end section of FIG. 8;
FIG. 10 is a sectional side view of the distal end section of FIG. 8;
FIG. 11 is a sectional side view of the distal end section of FIG. 10, in which the valve member is in a shifted position;
FIG. 12 is an end view showing the distal end section of an endoscope according to a third embodiment of this invention;
FIG. 13 is a perspective view showing a valve member provided at the distal end section of FIG. 12;
FIG. 14 is a sectional side view of the distal end section shown in FIG. 12;
FIG. 15 is a sectional side view of the distal end section of FIG. 12, in which the valve member is in a closed position;
FIG. 16 is a sectional side view of the distal end section of FIG. 12, in which a forceps is inserted through a suction channel; and
FIG. 17 is a sectional side view of the distal end section of an endoscope according to a fourth embodiment of this invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS FIGS. 1 to 7 show a first embodiment of an endoscope according to this invention. FIG. 1 shows an outer end surface 2 of a distal end section 1 of the endoscope. The endoscope is of a forward view type and has a view window 4 at the end surface 2 of the endoscope. The view window 4 is defined by a window opening 5 and a transparent cover glass constituting the view window is fitted to the opening 5. An outer surface 4a of the view window 4 is placed on the same plane as the end surface 2 of the distal end section. Objective lenses 3 constitute an image guide means, together with a fiber bundle 6 and an eyepiece 8 provided in a control unit 7 which is located at the proximal end of the endoscope. An observer can observe a body cavity or body organ -hereinafter referred to merely as a body organ through the view window leading to the image guide means. A pair of illumination windows 9 are provided one on the right side of the view window 4 and one on the left side thereof. A light source, not shown, is provided, for example, at the control unit 7. A light from the light source is directed through fiber bundles to the illumination window 9 so as to illuminate the body organ. As shown in FIG. 1 a relatively widemouthed suction port 10 having a predetermined opening area is provided immediately below the view window 4. The suction port 10 communicates with a suction channel 11 formed in the longitudinal direction of the endoscope, and serves as means for receiving a body liquid or fluid substance from the body organ. The suction channel 11 permits the body liquid to be passed up to the control unit 7. That is, a tube 12 having the suction channel 11 extends into the control unit 7 of the endoscope and communicates with one end of a suction tube 14 through a switching valve 13. The other end (not shown) of the suction tube 14 extends outwardly of the endoscope and is connected to a suitable suction device. An operating button 15 with the switching valve 13 can be manually depressed in a direction indicated by an arrow in FIG. 7. Upon depression of the operating button 15 the suction channel 11 of the tube 12 communicates with the suction device through the suction tube 14 and suction is effected. Upon release of the operating button 15, communication with the suction device is cut off. When suction is effected, a body liquid within the body organ is suctioned from the suction port 10 into the suction channel 11 of the tube 12 and discharged outside of the endoscope. Since the suction channel 11 has a relatively great inner diameter, the body liquid can be very rapidly suctioned and discharged outside of the endoscope. Into the suction channel 11 a biopsy forceps 16 for treating the interior of the body organ can be inserted, for example, as shown in FIG. 6. That is, the suction channel 11 of the tube 12 can be utilized as a forceps channel. Where the forceps is inserted through the suction tube 12, the entry end of the suction tube 12 may be open to the exterior of the endoscope without being connected to the operating valve 13, through such a construction is not shown in the Figures.
A substantially rectangular projecting frame 17 is formed on the end surface 2 of the distal end section in a manner to surround the suction port 10. A cutout 18 is provided in that portion of the projecting frame 17 which is closest to the view window 4.
Within the suction port 10 surrounded with the projecting frame 17 a plate-like valve member 19 is swingably supported. To the valve member 19 one end of an operating wire 21 is fixed. The other end, not shown, of the wire 21 extends into the control unit 7 of the endoscope. The other end of the wire 21 can be pulled or pushed by an operating means provided at the control unit 7. When the wire 21 is pulled, the valve member 19 is swung about an axis 20 Le. from an open position shown in FIG. 4 to a restricted position shown in FIG. 5 where the suction port 10 is restricted in its opening area. When the wire 21 is pushed, the valve member 19 is returned to the open position. The extent of pulling or pushing the wire 21 can be adjusted. As a result, the angle through which the valve member 19 is swung from the open position to the restricted position can be adjusted. When the forceps 16 is inserted through the suction channel 11 as shown in FIG. 6, the valve member 19 is swung from the open position to the restricted position shown in FIG. 6. The direction in which the tip of the forceps 16 extends can be controlled by the swinging movement of the valve member 19. That is, the valve member 19 acts as what is called a forceps raising member.
Generally, the endoscope comprises the distal end section 1, control unit 7 disposed at the proximal end, and flexible tube 24 connecting the distal end section 1 to the control unit 7. Though the flexible tube 24 is partially shown in FIGS. 4 to 7, the construction and material of the flexible tube, per se, are known in the art. Within the flexible tube 24 the fiber bundle 6 and suction tube 12 with the suction channel 11 are received along the longitudinal direction of the flexible tube 24. Let us explain the operation of an endoscope so constructed.
The distal end section 1 of the endoscope is inserted into a human body and the suction port 10 is fully opened by bringing the valve member 19 into the open position. When suction is effected by the suction device provided at the control unit 7, a body fluid or fluid substance is suctioned through the suction port 10 into the suction channel 11 and discharged outside the endoscope. The interior of the body organ is observed or photographed through the view window 4 leading to the image guide means. Where the body liquid or fluid substance present within the body organ of a patient is deposited onto the outer surface 4a of the view window 4 as shown in FIG. 5, it is necessary to remove it from the outer surface 4a of the view window 4. It is because that the field of vision is shut out due to the presence of the fluid substance or body fluid and that it is impossible to fully observe the interior of the body organ or sometimes it is impossible to make such an observation. If in such a case a photograph is taken, a blurred image is obtained or in a worst case no image is obtained. When suction is effected with the valve member 19 in the open position, a fluid substance deposited onto the view window 4 is suctioned in a direction indicated by arrows in FIG. 4. If, however, it is firmly deposited onto the view window 4, it can not be removed from the view window 4. Since most of the fluid substance is suctioned in a direction substantially perpendicular to the outer surface 4a of the view window 4, the suction force does not work directly on the deposited fluid substance.
In such a case, the valve member 19 is swung, under the suction force, into the restricted position as shown in FIG. 5 to cause the suction port to be opened substantially along the view window 4 to permit the fluid substance to be flowed along the view window 4 at an increased speed. In the restricted position of the valve member 4 the suction port 10 is defined by the valve member 19, end surface 2, cutout l8 and projecting frame 17, and the suction force acts directly on the fluid substance deposited onto the outer surface 421 of the view window 4 to cause it to be suctioned along the outer surface 4a of the view window 4 as shown in FIG. 5. As a result, the fluid substance firmly deposited onto the outer surface 4a of the view window 4 can be easily removed. After the fluid substance is so removed, the interior of the body organ is fully observed, or photographed, through the view window 4 led to the image glide means. As a result, a clear-cut image of an affected portion of the body organ can be obtained.
FIGS. 8 to 11 show a second embodiment of an endoscope according to this invention. In the respective Figures, the construction of a distal end section 30 to which this invention is directed is shown. In this embodiment, a valve member 31 performing the similar function as the valve member 19 of the first embodiment is provided. The valve member 31 is slidably fitted to a curved slot 32 provided near a suction port 37. One end of the valve member 31 is connected to an operating wire 33. Upon pulling the wire 33 the valve member 31 is moved from a position shown in FIG. 11 to a retracted position shown in FIG. 10 and, upon pushing the wire 33, it is moved from the retracted position to the position shown in FIG. 11 where a suction port 37 is restricted in its opening area. As will be understood from FIGS. 10 and 11 the valve member 31 is made of a flexible material and can be flexibly and pliably bent when it is slid from one position to the other position.
A guide rail 34 is provided in each of a pair of projecting members 35. The guide rail 34 is curved in a manner to meet the curve of the slot 32 and constitutes an extension of the curved slot 32. The pair of projecting members 35 are provided one at each side of the suction port 37 i.e. one at the right side of the suction port and one at the left side thereof. Consequently, the valve member 31 is guided along the right and left guide rails 34 and moved from the retracted position to the restricted or shifted position. When the valve member 31 is moved to the retracted position, the suction port 37 is in a fully opened state. Upon sliding the valve member 31 into the restricted or shifted position, the
suction port is restricted in its opening area. The restricted opening area 38 is defined by the valve member 31, outer end surface 36 of the distal end section, and the pair of projecting members 35. The suction port 37 communicates with a suction channel 40 of a tube 39 and acts as means for receiving a body fluid or fluid substance. The suction channel 40 is connected to a suction device provided in a control unit which is disposed at the proximal end of the endoscope, and serves as means for passing the body fluid therethrough.
Above the projecting member 35, a view window 41 made of a cover glass is fitted to an opening 42 provided in the end surface 36 of a distal end section 30. Into a bore provided at the back of the window 41, objective lenses 43 and fiber bundle 44 are provided as in the case of the first embodiment. The outer surface 412 of the view window 41 is placed on the same plane as the end surface 36 of the distal end section 30. A pair of illumination windows 45 are provided one at each side of the view window 41 as in the case of the first embodiment. In this embodiment, the control unit disposed at the proximal end of the endoscope is omitted and a flexible tube 47 is partially shown.
Let us now explain how the interior of the body organ in observed and how a body liquid is discharged outside of the endoscope.
The valve member 31 is pulled by the wire 33 into the retracted position where the suction port 37 is in a fully opened state. Under the influence of the suction device a body liquid or fluid substance is suctioned through the suction port 37 into a suction channel 40 as shown in FIG. 10. At this time, the body liquid is flowed in a direction substantially perpendicular to the outer surface 36 of the distal end section as shown by arrows in FIG. 10. Where the fluid substance is firmly deposited onto the view window 41, no sufficient suction force can be imparted to the fluid substance in an attempt to suction the fluid substance into the suction port 37. In such a case, the wire 33 is pushed to cause the valve member 31 to be moved from the retracted position to the position shown in FIG. 11, where the suction port 37 is restricted in its opening area. When the suction port 37 is so restricted, the fluid substance is suctioned, at an increased speed, along the end surface 36 of the outer and into the suction port through the restricted opening area 38, since a suction force acts directly on the fluid substance. As a result, the interior of the body organ can be fully observed, or photographed, through the view window 41 leading to the object lens 43, fiber bundle 44 etc. As a result, a clear-cut image of the affected portion of the body organ can be obtained.
The suction channel 40 has a relatively large opening area to permit a fair amount of body liquid to be passed therethrough at rapid speed, and it can also be utilized as a channel for a forceps as in the first embodiment. The valve member 31 can act as a forceps raising member.
FIGS. 12 to 16 show a third embodiment of an endoscope according to this invention. In these Figures the construction of a distal end section 50 of the endoscope is shown. In this embodiment a valve member 51 similar to those valve members shown in the first and second embodiments is mounted within a main suction port 52. The valve mem ber 51 is supported in a manner to be swingable about an axis 53. The valve member 51 can be swung from a fully opened position shown in FIG. 14 to a closed position shown in FIG. 15. As in the above-mentioned embodiments, the swinging move- 7 ment of the valve member 51 can be effected by an operating wire 54.
One end of the tube 55 having a main suction channel 56 communicates with the main suction port 52. The other end, not shown, of the tube 55 is connected, as in the above-mentioned embodiments, to a suction device provided in a control unit which is located at the proximal end of the endoscope. The main suction channel 56 has a relatively large opening area as in the above-mentioned embodiments and it is possible to insert a forceps 57 into the main suction channel 56 as shown in FIG. 16. That is, the main suction channel 56 can also be utilized as a forceps channel.
Where the forceps 57 is inserted into the suction channel 56, the valve member 51 can serve as a forceps raising member.
Short of one end of the tube 55 one end of a diameter-reduced tube 58 is opened and communicates with the main suction channel 56. The tube 58 is bypassed from the tube 55 and has a channel 59 constituting an auxiliary suction channel. The other end of the tube 58 communicates with an auxiliary port 61. The auxiliary port 61 is defined by an outer end surface 60 of the distal end section and a section 62 projecting ahead of the end surface 60. The port 61 is opened along an outer surface 63a of a view window 63. The view window 63 consisting of a cover glass if fitted to a window opening 64, and the outer surface 63a of the view window lies on the same plane as the end surface 60 of the distal end section. Into that bore of the distal end section 50 which is provided behind the view window, objective lenses 65 and fiber bundle 66 are located as in the above-mentioned embodiments. A pair of illumination windows 67 are provided one at each side of the view window 63. A flexible tube 69 is partially shown in FIGS. 14 to 16.
Let us now explain how the interior of the body organ is observed and how a body liquid is discharged outside the endoscope.
The distal end 50 of the endoscope is inserted into the human body and the main suction port 52 is fully opened by bringing the valve member 51 into an open position. A body liquid present within a body organ is suctioned, under the suction force of the suction device, through the main suction port 52 into the main suction channel 56 as indicated by arrows in FIG. 14, while at the same time the body liquid is suctioned through the auxiliary port 61 into the auxiliary channel 59 and then into the main channel 56. In this case, the amount of body liquid passed through the port 61 will be much smaller than the amount of body liquid passed through the main port 52.
Suppose that a fluid substance is deposited onto the outer surface 63a of the view window 63 as shown in FIG. 14. Where such fluid substance is removed from the outer surface 63a of the view window 63, the valve member 51 is swung into a closed position as shown in FIG. 15, where the main suction port 52 is closed and only the auxiliary port 61 remains opened. This means that an imaginary suction port having an opening area corresponding to a summed opening area provided by both the main and auxiliary suction ports 52 and 61 is restricted to the opening area of the auxiliary suction port 61. As a result, the body fluid or fluid substance is suctioned, under an increased suction force and at increased speed, through the auxiliary port 61 into the auxiliary suction channel 59. At this time, the fluid substance is flowed along the end surface 60 of the endo- 8 scope as shown in FIG. 15. Since the suction force acts directly on the fluid substance deposited onto the outer surface 63a of the view window 63, any deposited fluid substance can be removed from the view window 63.
In this embodiment the tube 58 is disposed within the distal end section of the endoscope in a manner to cross the fiber bundle 66 without interference.
FIG. 17 shows a fourth embodiment of the endoscope according to this invention. The above-mentioned three embodiments are all directed to what is called a forward view type endoscope. However, the invention can also be applied to what is called a side view type endoscope. The fourth embodiment is directed to a side view type endoscope having main and auxiliary suction channels as in the third embodiment.
A main suction port 72 is opened into an outer side surface 71 of a distal end section of the endoscope. The main suction port 72 communicates with a substantially L-shaped main suction channel 73 provided in the distal end section 70 of the endoscope. A valve member 74 similar to the valve member 51 of the third embodiment is swingably mounted within the main suction port 72. The valve member 74 can be swung from an open position as shown in a solid line to a closed position as shown in a broken line. An auxiliary suction channel 75 is branched from the main suction channel 73 and has a smaller opening area than the main suction channel 73. The auxiliary suction channel 75 leads to an auxiliary port 76 which opens along an outer surface 77a of a view window 77. The view window 77 consisting of a cover glass is fitted to a window opening 78 provided in that side surface 71 of the distal end section 70 which is in close proximity to the auxiliary port 76. The outer surface 77a of the view window 77 is flush with the side surface 71 of the distal end section. Immediately below the view window 77 is located a prism 79 which leads to an image guide means such as objective lenses 80, fiber bundle 81 etc. disposed within the distal end section 70 of the endoscope.
When the interior of the human body is observed, the distal end section 70 of the endoscope is inserted into a body organ and the valve member 74 is brought into an open position. Under the suction force of a suction device a body liquid or fluid substance is rapidly suctioned in greater amounts through the main suction port 72 to the main suction channel 73, while at the same time it is suctioned through the auxiliary port 76. When any fluid substance 82 deposited onto the outer surface 77a of the view window 77 is desired to be removed, the valve member 74 is swung to a closed position to cause the main suction port 72 to be closed. This permits the fluid substance to be suctioned under an increased suction force and an increased speed. Since the auxiliary port 76 is defined by a projecting waL3 and side surface 71 of the distal end section and opened along the outer surface 77a of the view window 77, the fluid substance is flowed along the side surface 71 of the distal end section 70 and then along the outer surface 77a of the view window 77 as indicated by arrows. In this case, a suction force is imparted directly to the fluid substance deposited onto the outer surface 77a of the view window 77 and the deposited fluid substance is easily suctioned through the port 76 into the auxiliary suction channel 75.
In this embodiment a forceps can be inserted into the main suction channel 73 and the valve member 74 can act as a forceps raising member, as in the above-mentioned embodiments. Though only the distal end sec- 9 tion 70 of the endoscope is shown in this embodiment, it is needless to say that the endoscope includes a control unit provided at the proximal end and a flexible tube connecting the control unit to the distal end section.
It will easily occur to those skilled in the art that this invention can also be applied to the other type endoscope, for example, an oblique view type endoscope.
What is claimed is:
1. An endoscope to be inserted in the human body cavity including a distal end section having an outer surface provided with a view window, a control unit provided at the proximal end, and a flexible tube connecting said distal end section to said control unit, said endoscope further comprising:
port means formed in said distal end section so as to open at the outer surface, including a main suction port, and adapted to receive liquid substance from the body cavity under suction;
channel means including a forceps channel communicating with the main suction port of said port means and adapted to let the liquid substance pass therethrough from said port means; and
a valve member disposed in the main suction port of said port means and made movable between an open position in which the opening area of the main suction port is fully open and a restricting position where it restricts the opening area of the main suction port, said valve member being positioned relative to said view window and said suction port such that when the valve member is moved to the restricting position, the direction of flow of the liquid substance being taken into said port means under suction is changed to one substantially parallel to said view window and the flow of the liquid substance is accelerated thereby re- 10 moving the liquid substance deposited on the view window.
2. An endoscope according to claim 1, in which said valve member includes means pivoting said valve member about an axis from the open position to the restricting position thereof.
3. An endoscope according to claim 1, in which said valve member is made of flexible material, retracted in a curved slot formed in said distal end section while resting at the open position, and shifted toward the re stricting position slidably in said curved slot, and guided by a guide rail curving in conformity with said curved slot.
4. An endoscope according to claim 1, in which said port means includes an auxiliary suction port which opens in a direction parallel to the view window and which has an opening area smaller than that of said main suction port; said channel means including an auxiliary suction channel formed in said distal end section as to have one end communicating with said auxiliary suction port and the other end communicating with said main forceps channel; said main suction port and said auxiliary suction port remaining respectively closed and opened while said valve member rests in the restricting position.
5. An endoscope according to claim 4 in which said auxiliary suction port is defined by the outer surface of the distal end section and a section projecting from the outer surface.
6. An endoscope according to claim 1, in which said valve member in intermediate positions, provides a forceps raising means for controlling the direction of the tip of a forceps which is extended from the main suction port.

Claims (6)

1. An endoscope to be inserted in the human body cavity including a distal end section having an outer surface provided with a view window, a control unit provided at the proximal end, and a flexible tube connecting said distal end section to said control unit, said endoscope further comprising: port means formed in said distal end section so as to open at the outer surface, including a main suction port, and adapted to receive liquid substance from the body cavity under suction; channel means including a forceps channel communicating with the main suction port of said port means and adapted to let the liquid substance pass therethrough from said port means; and a valve member disposed in the main suction port of said port means and made movable between an open position in which the opening area of the main suction port is fully open and a restricting position where it restricts the opening area of the main suction port, said valve member being positioned relative to said view window and said suction port such that when the valve member is moved to the restricting position, the direction of flow of the liquid substance being taken into said port means under suction is changed to one substantially parallel to said view window and the flow of the liquid substance is accelerated thereby removing the liquid substance deposited on the view window.
2. An endoscope according to claim 1, in which said valve member includes means pivoting said valve member about an axis from the open position to the restricting position thereof.
3. An endoscope according to claim 1, in which said valve member is made of flexible material, retracted in a curved slot formed in said distal end section while resting at the open position, and shifted toward the restricting position slidably in said curved slot, and guided by a guide rail curving in conformity with said curved slot.
4. An endoscope according to claim 1, in which said port means includes an auxiliary suction port which opens in a direction parallel to the view window and which has an opening area smaller than that of said main suction port; said channel means including an auxiliary suction channel formed in said distal end section as to have one end communicating with said auxiliary suction port and the other end communicating with said main forcepS channel; said main suction port and said auxiliary suction port remaining respectively closed and opened while said valve member rests in the restricting position.
5. An endoscope according to claim 4 in which said auxiliary suction port is defined by the outer surface of the distal end section and a section projecting from the outer surface.
6. An endoscope according to claim 1, in which said valve member in intermediate positions, provides a forceps raising means for controlling the direction of the tip of a forceps which is extended from the main suction port.
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