High-frequency treatment tool
View Patent ↗A high-frequency treatment tool comprising: a flexible sheath to be inserted into a treatment tool insertion channel of an endoscope; a treatment tool body provided inside the flexible sheath and comprising: a flexible cord; and a high-frequency knife to which a high-frequency current is applied, formed to the front end of the flexible cord; and a hard cylinder having an electrical insulating property, inserted and fixed inside the flexible sheath, wherein the high-frequency knife comprises blade portions radially provided in its axial direction, each of the blade portions including an engaging part, and wherein, when the high-frequency knife is made to stick out from the hard cylinder, engaging parts of the blade portions abut against a rear end portion of the hard cylinder so that: the high-frequency knife is engaged with the hard cylinder; and communicating channels that communicate an inside and an outside of the flexible sheath are formed between the blade portions adjacent to each other.
1. A high-frequency treatment tool comprising:
a flexible sheath that can be inserted into a treatment tool insertion channel of an endoscope;
a treatment tool body that is provided inside the flexible sheath, the treatment tool body comprising a flexible cord and a high-frequency knife to which a high-frequency current is applied, the high-frequency knife being formed at a front-end of the flexible cord; and
a hard cylinder having an electrical insulating property, the hard cylinder being inserted and fixed inside the flexible sheath so that a front-end face of the hard cylinder forms almost the same plane as a front-end face of the flexible sheath,
wherein the high-frequency knife comprises a plurality of blade portions radially provided at predetermined positions in an axial direction of the high-frequency knife, each of the plurality of blade portions including an engaging part, and
wherein, when a part of the high-frequency knife protrudes from the hard cylinder, the engaging parts of the plurality of blade portions abut against a rear end portion of the hard cylinder so that: the high-frequency knife is engaged with the hard cylinder; and adjacent communicating channels are formed between the plurality of blade portions, through which liquid flows.
2. The high-frequency treatment according to claim 1 ,
wherein the hard cylinder has a hole diameter larger than an outer diameter of the high-frequency knife,
the rear-end portion of the hard cylinder is formed into a tapered surface inclined inward from its outer circumferential side to its inner circumferential edge,
front-end faces of the plurality of blade portions are formed into inclined portions serving as the engaging parts, the inclined portions corresponding to the tapered surface of the hard cylinder, and
when the part of the high-frequency knife protrudes from the front-end face of the hard cylinder, the inclined portions of the plurality of blade portions abut against the tapered surface of the hard cylinder so that the high-frequency knife is engaged with the hard cylinder.
3. The high-frequency treatment tool according to claim 2 ,
wherein the hard cylinder comprises ceramic, and the plurality of blade portions comprise metal.
4. The high-frequency treatment tool according to claim 2 ,
wherein an annular end wall is formed by the front-end face of the flexible sheath and the front-end face of the hard cylinder, and
the annular end wall occupies an area of 65 through 90 percent of a circle formed by a front-end outer diameter of the high-frequency treatment tool.
5. The high-frequency treatment tool according to claim 1 ,
wherein the high-frequency knife further comprises a rod-like electrode that can be inserted through the hard cylinder in a loosely fitted manner, said plurality of blade portions being provided on a base-end side of the rod-like electrode,
each of the plurality of blade portions has: an outer surface having a size to almost contact with an inner circumferential surface of the hard cylinder; and a stopper surface, serving as the engaging part, formed at a base-end portion of the blade portion, the stopper surface having a length in a radial direction of the hard cylinder, and
when the part of the high-frequency knife protrudes from the hard cylinder, the stopper surfaces of the plurality of blade portions abut against a rear-end face of the rear-end portion of the hard cylinder so that the high-frequency knife is engaged with the hard cylinder.
6. The high-frequency treatment tool according to claim 5 ,
wherein the hard cylinder comprises a ceramic material, the high-frequency knife is formed of a metal material, and
the plurality of blade portions are provided on the rod-like electrode at three points with intervals of 120° or at four points with intervals of 90°.
7. The high-frequency treatment tool according to claim 5 ,
wherein the front-end face and the rear-end face of the hard cylinder having faces orthogonal to an axis line of the hard cylinder, and
wherein the rear-end portion of the hard cylinder has a tapered surface leading a front-end of the high-frequency knife to a through hole of the hard cylinder.