Treatment instrument and endoscope apparatus
A treatment instrument used together with an endoscope includes a distal end grasping portion. The distal end grasping portion includes a distal end movable member capable of moving forward and backward along a longitudinal axis of the distal end grasping portion, and a distal end fixation member including a bending portion provided on a distal end side along the longitudinal axis with respect to a tilt portion of the distal end movable member. The bending portion of the distal end fixation member and the tilt portion of the distal end movable member constitute a grasping portion.
1. A treatment instrument for use with an endoscope, the treatment instrument comprising
an insertion portion; and
a grasping portion disposed on a distal end of the insertion portion, wherein the grasping portion includes:
a movable member including a first proximal end portion inserted in the insertion portion and a first distal end portion, the first distal end portion configured to move forward and backward along a longitudinal axis of the insertion portion, and
a fixation member having a second proximal end portion fixed to the insertion portion, the fixation member including a second distal end portion provided on a distal end side along the longitudinal axis, the second distal end portion being fixed relative to the insertion portion and the first distal end portion of the movable member being movable relative to the second distal end portion,
wherein the second distal end portion of the fixation member is located distally relative to the first distal end portion of the movable member throughout an entire movable range of the first distal end portion,
the first distal end portion is provided on a distal end side of the movable member, the first distal end portion extends in a first direction offset relative to the longitudinal axis,
the second distal end portion is provided on the distal end side of the fixation member, the second distal end portion extends in a second direction, different from the first direction, offset relative to the longitudinal axis, and
the grasping portion is configured to grasp an object by sandwiching the object between a proximal surface of the second distal end portion and a distal surface of the first distal end portion as the first distal end portion moves in a distal end direction relative to the second distal end portion.
2. The treatment instrument according to claim 1 , wherein the first distal end portion is offset at an angle smaller than 90° relative to the longitudinal axis.
3. The treatment instrument according to claim 1 , wherein the second distal end portion is offset at an angle equal to or larger than 90° relative to the longitudinal axis.
4. The treatment instrument according to claim 1 , wherein the second distal end portion is offset at two stages or more relative to the longitudinal axis.
5. The treatment instrument according to claim 1 , wherein the fixation member is detachably connected to a distal end portion of the insertion portion.
6. The treatment instrument according to claim 1 , wherein
the grasping portion includes a pipe sleeve,
the fixation member is fixed to the pipe sleeve,
the movable member is inserted into a hole formed at the pipe sleeve, and
a distal end portion of the endoscope is insertable into a lock hole formed at the pipe sleeve.
7. The treatment instrument according to claim 1 , wherein
the grasping portion includes a pipe sleeve,
the fixation member is fixed to the pipe sleeve,
the movable member is inserted into a hole formed at the pipe sleeve,
a distal end portion of the endoscope is insertable into a lock hole formed at the pipe sleeve, and
the lock hole is formed between the fixation member and the movable member.
8. The treatment instrument according to claim 1 , wherein
the grasping portion includes a pipe sleeve,
the pipe sleeve includes a fixation member insertion hole, and
the fixation member is rotatable about an axis of the fixation member in the fixation member insertion hole.
9. The treatment instrument according to claim 1 , wherein one end of the fixation member is pivotally supported so that the fixation member is rotatable about a predetermined axis.
10. The treatment instrument according to claim 1 , wherein
the fixation member includes a tubular portion provided with an opening portion, and
the movable member is insertable into the tubular portion.
11. The treatment instrument according to claim 1 , wherein
the distal end grasping portion includes a pipe sleeve,
the pipe sleeve has a fixation member insertion hole, and
the movable member is movable forward and backward along the longitudinal axis in the fixation member insertion hole.
12. An endoscope apparatus comprising:
the treatment instrument according to claim 1 ; and
the endoscope.