Ultrasonic endoscope biopsy system with treatment tool having various rigidity sections
A biopsy system includes an endoscope which includes an insertion portion having a channel, and a bendable portion provided in a distal end portion of the insertion portion; a needle tube which includes a distal end region, and a proximal end region having a higher bending rigidity than that of the distal end region; a sheath which can be inserted into the channel and inserted through by the needle tube; an attachment adapter which is provided on a proximal end side of the sheath and is capable of being mounted at the endoscope; and a connection member which connects the distal end region and the proximal end region, wherein the connection member can move within only a range of the insertion portion more proximal than a proximal end of the bendable portion and more distal than a proximal end of a follow-bending region.
1. A biopsy system comprising:
an endoscope having:
an insertion portion having:
a channel; and
a follow-bending region configured to be passively bent along a greater curvature of a stomach when a distal end of the insertion portion is positioned at a duodenal bulb; and
a bendable portion provided at a distal end portion of the insertion portion and configured to be bent;
a needle tube which includes a distal end region, and a proximal end region having a higher bending rigidity than a bending rigidity of the distal end region;
a sheath which is configured to be inserted into the channel and has the needle tube inserted therein;
an attachment adapter which is provided on a proximal end side of the sheath and is configured to be mounted to the endoscope; and
a connection member which connects the distal end region and the proximal end region of the needle tube, the connection member being movable in the insertion portion only in a range from a proximal end of the bendable portion to a proximal end of the follow-bending region, in a state where the sheath is inserted through the channel and the attachment adapter is mounted to the endoscope,
wherein only the distal end region of the needle tube is positioned in a region more distal than the proximal end of the bendable portion inside the insertion portion,
at least either of the distal end region and the proximal end region of the needle tube is positioned between a distal end and the proximal end of the follow-bending region inside the insertion portion, and
only the proximal end region of the needle tube is positioned in a region more proximal than the proximal end of the bendable portion inside the insertion portion.
2. The biopsy system according to claim 1 ,
wherein the proximal end of the follow-bending region is located in a position 41 centimeters from the distal end of the insertion portion.
3. The biopsy system according to claim 1 , further comprising:
a needle tube operation portion which advances and retracts the needle tube relative to the sheath,
wherein the connection member is movable within the range in accordance with an operation of the needle tube operation portion.
4. The biopsy system according to claim 1 , further comprising:
a treatment tool having:
the needle tube;
the sheath;
a needle tube operation portion which advances and retracts the needle tube relative to the sheath; and
the connection member which is movable only in a range from a position 8 centimeters toward a proximal end side of the sheath from a distal end of the sheath to a position 40 centimeters toward the proximal end side of the sheath from the distal end of the sheath in accordance with an operation of the needle tube operation portion.
5. The biopsy system according to claim 4 ,
wherein the sheath includes a first inner sheath disposed on a distal end side, a second inner sheath disposed more proximal than the first inner sheath and spaced from the first inner sheath, and an outer sheath in which the first inner sheath and the second inner sheath are disposed,
an outer diameter of the connection member is larger than an outer diameter of the distal end region and an outer diameter of the proximal end region of the needle tube, and
the connection member is positioned between a proximal end of the first inner sheath and a distal end of the second inner sheath, and is overlapped with the first inner sheath and the second inner sheath along a radial direction of the first inner sheath and the second inner sheath.
6. A treatment tool comprising:
a needle tube which includes a distal end region, and a proximal end region having a higher bending rigidity than a bending rigidity of the distal end region;
a sheath which the needle tube is inserted into;
a needle tube operation portion which advances and retracts the needle tube relative to the sheath; and
a connection member which connects the distal end region and the proximal end region of the needle tube,
wherein the sheath includes a first inner sheath disposed on a distal end side, a second inner sheath disposed more proximal than the first inner sheath and spaced from the first inner sheath, and an outer sheath in which the first inner sheath and the second inner sheath are disposed,
an outer diameter of the connection member is larger than an outer diameter of the distal end region and an outer diameter of the proximal end region of the needle tube, and
the connection member is positioned between a proximal end of the first inner sheath and a distal end of the second inner sheath, and is overlapped with the first inner sheath and the second inner sheath along a radial direction of the first inner sheath and the second inner sheath.
7. The treatment tool according to claim 6 ,
wherein the connection member being movable only in a range from a position 8 centimeters toward a proximal end side of the sheath from a distal end of the sheath to a position 40 centimeters toward the proximal end side of the sheath from the distal end of the sheath in accordance with an operation of the needle tube operation portion.