Endoscopic surgical device and overtube
Provided is an endoscopic surgical device and an overtube with which a surgeon can easily obtain a desired image and operability is high. The overtube includes a slider within an overtube body, which guides an endoscope and a treatment tool into a body cavity. An endoscope-coupled part and a treatment tool-coupled part are provided inside the slider, and the slider has a dead zone where the forward and backward movement of either the endoscope or the treatment tool does not interlock with the movement of the other and a sensing zone where the forward and backward movement of either the endoscope or the treatment tool interlocks with the movement of the other. F1>F2 is satisfied when a fixing force for fixing the endoscope-coupled part to the endoscope tool is defined as F1 and a fixing force for fixing the treatment tool-coupled part to the treatment tool is defined as F2.
1. An endoscopic surgical device comprising:
an endoscope that observes the inside of a body cavity;
a treatment tool that inspects or treats an affected part within the body cavity; and
an overtube that guides the endoscope and the treatment tool into the body cavity, wherein the overtube includes:
a slider member that is provided inside the overtube; and
a sleeve member that is provided inside the overtube,
wherein the slider member has a first stopper and a second stopper which are provided separately from each other along a longitudinal axis of the overtube,
wherein the sleeve member is slidably disposed on a first path formed between the first stopper and the second stopper,
wherein the slider member has an endoscope-coupled part configured to hold the endoscope and a second path through which the endoscope is inserted,
wherein the sleeve member has a third path through which the treatment tool is inserted, and the sleeve member comprises a pressure-contact member configured to hold the treatment tool inserted through the third path,
wherein a following formula is satisfied when a fixing force for fixing the endoscope-coupled part to the endoscope is defined as F1 and a fixing force for fixing the pressure-contact member to the treatment tool is defined as F2:
F 1 >F 2.
2. The endoscopic surgical device according to claim 1 , further comprising:
a first valve member which is in contact with the endoscope when the encoscope is inserted through the overtube, wherein the first valve member secures airtightness within the body cavity; and
a second valve member which is in contact with the treatment tool when the treatment tool is inserted through the overtube, wherein the second valve member secures airtightness within the body cavity,
wherein following formulas are satisfied when a frictional force that the endoscope receives from the first valve member when the endoscope moves forward and backward is defined as F3:
F 1 >F 3
F 2 >F 3.
3. The endoscopic surgical device according to claim 1 ,
wherein a coupling position of the endoscope to which the endoscope-coupled part is coupled is set so as to satisfy a following formula when the length from the coupling position to the distal end position of the overtube in a longitudinal axis direction of the overtube is defined as L and the length from the coupling position to a distal end position of the endoscope in the longitudinal axis direction of the overtube is defined as Ls, in a state where the slider member has moved to a position closest to a base end position of a movable range thereof:
Ls≥L.
4. An overtube, comprising:
a slider member that is provided inside the overtube; and
a sleeve member that is provided inside the overtube,
wherein the slider member has a first stopper and a second stopper which are provided separately from each other along a longitudinal axis of the overtube,
wherein the sleeve member is slidably disposed on a first path formed between the first stopper and the second stopper,
wherein the slider member has an endoscope-coupled part configured to hold an endoscope and a second path through which the endoscope is inserted, wherein the sleeve member has a third path through which a treatment tool is inserted, and the sleeve member comprises a pressure-contact member configured to hold the treatment tool inserted through the third path,
wherein a following formula is satisfied when a fixing force for fixing the endoscope-coupled part to the endoscope is defined as F1 and a fixing force for fixing the pressure-contact member to the treatment tool is defined as F2:
F 1 >F 2.
5. The overtube according to claim 4 , further comprising:
a first valve member which is in contact with the endoscope when the encoscope is inserted through the overtube, wherein the first valve member secures airtightness within the body cavity; and
a second valve member which is in contact with the treatment tool when the treatment tool is inserted through the overtube, wherein the second valve member secures airtightness within the body cavity,
wherein following formulas are satisfied when a frictional force that the endoscope receives from the first valve member when the endoscope moves forward and backward is defined as F3:
F 1 >F 3
F 2 >F 3.
6. The overtube according to claim 4 ,
wherein a coupling position of the endoscope to which the endoscope-coupled part is coupled is set so as to satisfy a following formula when the length from the coupling position to the distal end position of the overtube in a longitudinal axis direction of the overtube is defined as L and the length from the coupling position to a distal end position of the endoscope in the longitudinal axis direction of the overtube is defined as Ls, in a state where the slider member has moved to a position closest to a base end position of a movable range thereof:
Ls≥L.
7. The overtube according to claim 4 , wherein the sleeve memebr is located inside of the slider member.
8. The endoscopic surgical device according to claim 1 , wherein the sleeve member is located inside of the slider member.