Treatment device for endoscope
This treatment device for endoscope is used for cutting body tissue while the treatment device is retractably projected from a catheter. The treatment device includes: a control wire inserted into the catheter; and a cutting electrode mounted at the distal end of the control wire with the cutting electrode being imparted a bent configuration in advance. The cutting electrode elastically deforms in a state where the cutting electrode is retracted into the catheter, thereby assuming such a shape as to resemble the configuration of the catheter.
1. A treatment device for endoscope used for cutting body tissue, the treatment device being capable of projecting to and retracting from a catheter of the endoscope, the treatment device comprising:
a control wire inserted into the catheter;
a restraint instrument provided in the catheter so as to be capable of being projected from the catheter; and
a cutting electrode in which a proximal end portion thereof is connected with a distal end of the control wire; wherein
the restraint instrument is configured to move freely on an axial line which is approximately parallel to the control wire;
the cutting electrode has a bent configuration when unrestrained such that a leading end of the cutting electrode curves towards a proximal end direction when projected from the catheter, and the cutting electrode is capable of deforming elastically so as to fit within the catheter when the cutting electrode is retracted inside the catheter, the cutting electrode being configured to be capable of recovering the bent configuration when projecting the leading end of the cutting electrode from the catheter so that the leading end of the cutting electrode is provided to intersect the axial line; and
the restraint instrument and the leading end of the cutting electrode are arranged such that the restraint instrument is capable of restraining the leading end of the cutting electrode along the axial line.
2. The treatment device for endoscope according to claim 1 , wherein the restraint instrument is a grasping forceps for grasping the leading end of the cutting electrode.
3. The treatment device for endoscope according to claim 1 , wherein
a loop is provided at one of the leading end of the restraint instrument and the leading end of the cutting electrode, and
a hook portion of hooking the loop is provided at the other of the leading end of the restraint instrument and the leading end of the cutting electrode.
4. The treatment device for endoscope according to claim 1 , wherein
the restraint instrument is projected from an opening at the distal end of the catheter, and
the cutting electrode is projected from a through hole formed on the side wall at the distal end of the catheter.
5. The treatment device for endoscope according to claim 1 , wherein the bent configuration of the cutting electrode comprises a three-dimensional bent configuration.
6. The treatment device for endoscope according to claim 5 , further comprising:
a flexible sheath into which the control wire is inserted, the flexible sheath and the control wire being inserted into the catheter; wherein
the distal end of the flexible sheath is imparted in advance with a bent configuration, and
the control wire is rotated with respect to the flexible sheath in a circumferential direction, thereby imparting the cutting electrode with the three-dimensional bent configuration.
7. The treatment device for endoscope according to claim 1 , wherein
the cutting electrode is bent approximately in a V-letter shape,
the cutting electrode has a proximal portion continuing to the control wire and a distal portion continuing to the proximal portion, the distal portion being folded back with respect to the proximal portion, and
a space between the proximal portion and the distal portion is made narrower as it moves away from the distal end of the control wire.
8. The treatment device for endoscope according to claim 1 , wherein the cutting electrode has a cross section in which the length of the arc of the cutting electrode in the direction of a first axis from inside to outside is longer than the length in the direction of a second axis orthogonal to the first axis.
9. The treatment device for endoscope according to claim 1 , wherein the cutting electrode is covered with an insulator at a portion excluding a portion which is pressed to the body tissue to be cut.
10. The treatment device for endoscope according to claim 1 , further comprising:
a projected-length adjusting portion for adjusting a projected length from the distal end of the catheter in the cutting electrode.
11. The treatment device for endoscope according to claim 10 , wherein the projected-length adjusting portion is provided with a stopper for regulating a maximum projected length of the cutting electrode.
12. The treatment device for endoscope according to claim 1 , wherein
the catheter is made of an insulating material,
a metal sheath is fitted inside the distal end of the catheter, and
the leading end of the cutting electrode is disposed inside the metal sheath in a state where the cutting electrode is retracted into the catheter.
13. The treatment device for endoscope according to claim 1 , wherein an insulator is provided at the leading end of the cutting electrode.
14. The treatment device for an endoscope according to claim 1 , wherein the catheter has a first lumen into which the control wire is inserted and a second lumen into which the restraint instrument is inserted.