Patent ID: 8465416
Filing Date: 2013-06-18
Classification: A61B

Abstract:
1. An endoscope comprising: an insertion portion including a distal end on a distal end side thereof and inserted into a body cavity; a treatment instrument insertion channel disposed in the insertion portion and communicating with the distal end; a treatment instrument elevator base rotatably provided at the distal end to elevate a treatment instrument inserted into the treatment instrument insertion channel in accordance with an operation of an operation portion, the treatment instrument including a large-diameter treatment instrument having a radius exceeding a predetermined value and a small-diameter treatment instrument having a radius not exceeding the predetermined value; a contact portion provided at the distal end, the contact portion being configured to be opposed to the treatment instrument elevator base and to hold and fix the treatment instrument by sandwiching the treatment instrument together with the treatment instrument elevator base when the treatment instrument elevator base is elevated; a contact surface formed on the treatment instrument elevator base, the contact surface being configured to come in contact with the treatment instrument when the treatment instrument elevator base is elevated, and to hold and fix the large-diameter treatment instrument by sandwiching the large-diameter treatment instrument together with the contact portion; a holding portion formed on the treatment instrument elevator base, the holding portion being configured to hold and fix the small-diameter treatment instrument thinner than the large-diameter treatment instrument by sandwiching the small-diameter treatment instrument together with the contact portion; a first leading portion provided between the contact surface and the holding portion of the treatment instrument elevator base, the first leading portion being configured to lead the treatment instrument from the contact surface to the holding portion while being in contact with the treatment instrument in accordance with a rotating movement of the treatment instrument elevator base; a first holding fixture portion provided at the contact portion and including a grasping surface of a predetermined width smaller than the radius of the large-diameter treatment instrument, the first holding fixture portion being configured to be opposed to the holding portion in a state where the treatment instrument elevator base is elevated and to hold and fix the small-diameter treatment instrument having the radius not exceeding the predetermined value which is led by the first leading portion by sandwiching the small-diameter treatment instrument together with the holding portion; a second holding fixture portion provided at the contact portion, the second holding fixture portion being configured to be opposed to the contact surface in the state where the treatment instrument elevator base is elevated and to hold and fix the large-diameter treatment instrument having the radius exceeding the predetermined value by sandwiching the large-diameter treatment instrument together with the contact surface; and a second leading portion provided between the first holding fixture portion and the second holding fixture portion of the contact portion, the second leading portion being configured to lead the large-diameter treatment instrument which has the radius exceeding the predetermined width of the grasping surface of the first holding fixture portion from the first holding fixture portion to the second holding fixture portion for sandwiching the large-diameter treatment instrument together with the contact surface on the treatment instrument elevator base in accordance with the elevation of the treatment instrument elevator base.