Instrument for an endoscope
An endoscope instrument includes an insertion tube of longitudinal axis possessing a proximal portion for connection to an actuation support and a distal portion presenting an outlet section occupied by a viewing zone and by at least one outlet orifice for passing at least one appliance for occupying a retracted position inside the tube and a working position in which the appliance occupies at least a portion of the outlet section. The distal portion of the insertion tube includes at least one radially deformable wall over a portion of its length extending from the outlet section, enabling the outlet section of the distal portion of the tube to be increased on the appliance passing from its retracted position in which the appliance does not stress the deformable wall to its working position in which the deformable wall is stressed radially.
1. An endoscope instrument comprising an insertion tube possessing a proximal portion for connection to an actuation support and a distal portion presenting an outlet section occupied, firstly, by a viewing zone and, secondly, by at least one outlet orifice of a passage for at least one appliance mounted inside the insertion tube by the proximal portion for occupying a retracted position inside the tube and a working position in which the appliance occupies at least a portion of the outlet section, the cross-section of the appliance being greater than the cross-section of the outlet orifice in the retracted position of the appliance, the instrument being characterized in that the distal portion of the insertion tube includes at least one radially deformable wall over only a portion of its length extending from the outlet section, and in that the insertion tube includes, in its distal portion, a guide system opening out into the passage for guiding the appliance in order to enable the deformable wall to be expanded radially during the movement of the appliance thereby enabling the surface of the outlet section of the distal portion of the tube to be increased on the appliance passing from its retracted position in which the appliance does not stress the deformable wall to its working position in which the deformable wall is stressed radially, the outlet section of the distal portion corresponding to the right cross-section of the insertion tube in the retracted position of the appliance.
2. A medical instrument according to claim 1 , characterized in that the distal portion of the insertion tube is provided with a sealing member closing the outlet orifice of the passage for the appliance.
3. An instrument according to claim 2 , characterized in that the sealing member is a plug that is ejectable or a membrane that is tearable by the appliance or by fluid pressure.
4. An instrument according to claim 1 , characterized in that the appliance includes at least one tool mounted in the tubular duct.
5. An instrument according to claim 1 , characterized in that the distal portion of the tubular duct is provided with at least one sealing envelope.
6. An instrument according to claim 5 , characterized in that the sealing envelope presents mechanical strength that is greater than that of the sealing member carried by the distal portion of the insertion tube.
7. An instrument according to claim 5 , characterized in that the sealing envelope of the tubular duct is an envelope that is tearable by the tooling housed inside the tubular duct.
8. An instrument according to claim 1 , characterized in that the distal portion of the insertion tube defines the passage for the appliance.
9. An instrument according to claim 1 , characterized in that the distal portion of the insertion tube includes a viewing system.
10. An instrument according to claim 9 , characterized in that the viewing system is embedded in the deformable wall.
11. An instrument according to claim 1 , characterized in that the distal portion is removable relative to the insertion tube.
12. An endoscope, characterized in that it includes at least one instrument in accordance with claim 1 .