PUNCTURE TOOL AND ULTRASOUND ENDOSCOPE
A puncture tool includes: a needle tube internally including a channel; an opening portion arranged at a proximal end portion of a needle tube turning operation portion; a conical shape portion to be punctured into a subject, the conical shape portion being arranged at a distal end portion of the needle tube; an opening portion arranged on a proximal end side of the conical shape portion and communicating with the channel; a blade capable of being inserted through the channel of the needle tube and capable of causing a cutting portion to project from the opening portion when being inserted through the channel; and a connector for electrically connecting the conical shape portion and a high frequency power supply device.
1 . A puncture tool comprising:
a tubular portion internally including a channel whose distal end side opens on a side surface;
a puncture portion to be punctured into a subject, the puncture portion being arranged on a distal end face of the tubular portion;
an opening portion of the channel provided on a side surface of the puncture portion;
a blade capable of being inserted through the channel, and forming a cutting portion to be exposed from the opening in a state of being bent by a distalmost end part of a distal end portion coming into contact with a distal end side inner wall portion of the channel when being inserted through the channel; and
a first power supply connecting portion for electrically connecting the puncture portion and a power supply.
2 . The puncture tool according to claim 1 , comprising a second power supply connecting portion for electrically connecting the cutting portion of the blade and the power supply.
3 . The puncture tool according to claim 2 comprising a switching portion switching between electrical connection between the cutting portion of the blade and the power supply and electrical connection between the puncture portion and the power supply.
4 . The puncture tool according to claim 2 , wherein electrical resistance of the tubular portion is higher than electrical resistance of the blade.
5 . The puncture tool according to claim 4 , wherein
the tubular portion is made of metal; and
an oxidized layer obtained by oxidizing the metal is arranged on an inner periphery of the channel.
6 . The puncture tool according to claim 1 , wherein the blade includes a projection preventing portion restricting, when the cutting section in a bent shape is formed, movement of the distalmost end part in a side-surface direction of the tubular portion after coming into contact with the distal end side inner wall portion of the channel so that a distal end of the blade does not project from the opening portion.
7 . The puncture tool according to claim 1 , wherein an end surface on a puncture portion side of the opening portion has such an inclined surface that a section on the puncture portion side of the opening portion forms an acute angle when the cutting section in the bent shape is formed to prevent the distalmost end part from projecting from the opening portion.
8 . The puncture tool according to claim 1 , wherein ultrasound reflection processing is applied to a surface of the puncture portion around the opening portion and a surface of the cutting portion.
9 . The puncture tool according to claim 1 , comprising a suction device connecting portion arranged on a proximal end side of the tubular portion so as to communicate with the channel and connected to a suction device.
10 . An ultrasound endoscope comprising:
the puncture tool according to claim 1 ; and
an ultrasound observation portion transmitting ultrasound toward the puncture tool and receiving the ultrasound reflected from the puncture tool.