Guidewires
The guidewire design addresses the issue of reduced marker visibility by incorporating a resin layer with specific surface features, reducing light reflection and enhancing marker contrast, thus improving navigation and control during medical procedures.
Patent Information
- Application Number
- JP2024047640
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Filing Date
- 2024-03-25
- Publication Date
- 2025-04-08
- Estimated Expiration
- 2040-02-19
AI Technical Summary
Existing guidewires suffer from reduced visibility of markers when observed with an endoscope camera due to light reflection from the uneven surface, leading to ball blur effects that obscure the markers.
A guidewire design featuring a resin layer with alternating concave and convex portions, where the marker width is greater than the convex portion width, and the pitch of the protrusions can vary, reducing light reflection and improving marker visibility.
The guidewire design effectively minimizes the impact of light reflection, enhancing the visibility of markers by preventing ball blur and improving contrast against the base, thereby facilitating better navigation and control during medical procedures.
Smart Images

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Abstract
Description
[Technical field]
[0001] The present invention relates to a guidewire. [Background technology]
[0002] Conventionally, the position and direction of the tip of a guidewire inserted into a living lumen have been monitored using an endoscopic camera. A guidewire equipped with a marker for observation (visual marker) is known. The present invention provides a method for reducing frictional resistance between a guidewire and a wall of a body cavity when the guidewire is moved in a body cavity. In order to achieve this, a guide wire having a continuous uneven surface is known (for example, Patent No. For example, Patent Document 1 describes a guide covered with resin having protrusions on its surface. Patent Document 2 discloses a guidewire having a function as a visual marker on the outer surface of the guidewire. The present invention discloses a guide wire having a protuberance-forming layer and a surface having projections and recesses. In Patent Document 3, the outer circumference of a core wire having projections and recesses is covered with a resin film, and a spiral pattern is formed on the resin film. Patent Document 4 discloses a guide wire having a visible mark on the outer surface of the inner layer. A guidewire provided with a forceps is disclosed. [Prior art documents] [Patent documents]
[0003] [Patent Document 1] Patent No. 5619426 [Patent Document 2] Patent No. 5509276 [Patent Document 3] International Publication No. 2009 / 004876 [Patent Document 4] JP 2003-275323 A Summary of the Invention [Problem to be solved by the invention]
[0004] However, even with the above-mentioned prior art, the markers on the guidewire cannot be detected by an endoscope camera. There is still room for improvement in technology to improve the visibility of the markers during observation. For example, a guide wire with an uneven surface is irradiated with observation light in a living body lumen. When the light is shone onto the surface and observed with an endoscope camera, the light is reflected by the unevenness of the surface and captured by the endoscope camera. There were cases where light beams (ball-like blur) appeared in the captured image, reducing the visibility of the markers. .
[0005] The present invention has been made to solve the above-mentioned problems, and provides a guide wire having a The objective of the present invention is to provide a technology for improving the visibility of a displayed marker. [Means for solving the problem]
[0006] The present invention has been made to solve at least part of the above problems, and provides the following: It is possible to realize the above-mentioned configuration.
[0007] (1) According to one aspect of the present invention, there is provided a guidewire. A book having a rectangular shape and having a base and linear markers alternately printed on the outer surface along the stretching direction. A body portion and a resin layer having optical transparency covering an outer surface of the body portion, a resin layer having an uneven portion in which concave portions and convex portions are alternately formed along a direction; In a longitudinal cross section along the extension direction of the portion, the width of the marker is wider than the width of the protrusion. .
[0008] According to this configuration, in a longitudinal section along the extension direction of the main body portion, the width of the marker is Since the width is wider than the convex part, even if light is reflected by the concave and convex parts of the resin layer that covers the marker, it will not produce a light beam (ball bokeh). This can suppress the decrease in visibility of the marker due to the
[0009] (2) In the guide wire of the above embodiment, the pitch of the marker is set in the extending direction of the main body. According to this configuration, the pitch of the protrusions may be different from the pitch of the marker. The position of the awn changes for each marker, further improving the visibility of the marker. .
[0010] (3) In the guide wire of the above embodiment, in a longitudinal section taken along the extending direction of the main body portion, The width of the marker may be equal to or less than twice the width of the protrusion. Since the light beams that span multiple convex parts are less likely to appear, the visibility of the marker is reduced due to the light beams. can be further suppressed.
[0011] (4) In the guidewire of the above embodiment, the main body portion has an outer surface having a tubular shape in the extending direction. The surface area of the marker within a range of 20 mm along the direction of the substrate shall be 35% or less of the surface area of the substrate. This configuration further improves the visibility of the marker against the background. It is possible.
[0012] (5) In the guide wire of the above embodiment, the brightness of the marker on the outer surface of the main body is The brightness of the marker may be lower than the brightness of the background. can be further improved.
[0013] (6) In the guidewire of the above embodiment, the base and the marker are disposed on the outer surface of the main body. The boundary between the plate and the plate may be formed flat. This configuration provides a high degree of freedom in designing the projections and recesses. This makes it possible to further improve the slipperiness.
[0014] The present invention can be realized in various aspects, for example, a catheter, an endoscope, This can be realized in the form of mirrors, image generating devices, examination devices, treatment systems, and guidewire manufacturing methods. It is possible. [Brief description of the drawings]
[0015] [Figure 1] FIG. 1 is an explanatory diagram illustrating an example of the overall configuration of a guidewire according to a first embodiment. [Diagram 2] FIG. 2 is an explanatory diagram illustrating a cross-sectional configuration of a guidewire. [Diagram 3] FIG. 3 is an enlarged explanatory diagram of a portion X in FIG. 2. [Figure 4] 1 is an explanatory diagram illustrating a state in which a guidewire is used inside a biological lumen. FIG. [Diagram 5] FIG. 13 is an explanatory diagram showing the state of a guidewire observed with an endoscopic camera. [Figure 6] 13 is a diagram for explaining a state in which observation light is irradiated onto a guidewire. FIG. [Figure 7] FIG. 13 is an explanatory diagram showing a state in which observation light is irradiated onto the guidewire of Comparative Example 1. [Figure 8] FIG. 11 is an explanatory diagram showing a state in which observation light is irradiated onto the guidewire of Comparative Example 2. [Figure 9] FIG. 13 is a diagram showing the state in which a guidewire and a combined device are used. [Figure 10] FIG. 13 is a diagram showing a state in which the guidewire and combined device of Comparative Example 3 are used. [Figure 11] FIG. 11 is an explanatory diagram illustrating the overall configuration of a guidewire according to a second embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0016] First Embodiment FIG. 1 is an explanatory diagram illustrating the overall configuration of a guidewire 1 according to a first embodiment. FIG. 1 is an explanatory diagram illustrating a cross-sectional configuration of a guidewire 1. In the following, the left side of FIG. The right side of FIG. 1 is the “tip side” of the guidewire 1 and each of the components. The tip side of the guide wire 1 is the side that is inserted into the body (distal side). The base end side of the guide wire 1 is the side (proximal side) that is operated by an operator such as a doctor. The left and right directions in FIG. 1 correspond to the "extension direction" or "axial direction" of the guide wire 1 and each of the components. FIG. 2 shows a longitudinal section of the guidewire 1 along the extension direction. The Dwire 1 is a medical device used to insert catheters into blood vessels and digestive organs. A main body 10, a resin layer 50, a coil body 60, a distal joint 70, and a proximal joint 80. , and is equipped with
[0017] The main body 10 has an elongated shape and includes a core shaft 20, a marker 30, and a base 40. A resin layer 50 is formed on the outer surface of the main body 10. A coil body 60 is fixed to the tip.
[0018] The core shaft 20 is configured so that the outer diameter decreases from the base end side to the tip end side. The core shaft 20 is a member having a long (tapered) shape. For example, the core shaft 20 is made of a stainless steel alloy ( SUS302, SUS304, SUS316, etc.), superelastic alloys such as Ni-Ti alloys, It can be made of materials such as nickel wire, nickel-chromium alloy, cobalt alloy, and tungsten. The core shaft 20 may be made of a known material other than those mentioned above. The length of the shaft 20 is not particularly limited, but may be, for example, 1000 mm to 5000 mm. The outer diameter of the core shaft 20 is not particularly limited. However, for example, the range of 0.1 mm to 1.0 mm can be exemplified. At the tip of the core shaft 20, a tip joint 70 is formed. A base end joint portion 80 is formed on the outer periphery of the base end side, which is spaced apart from the tip joint portion 70. The coil body 60 is disposed between the base end joint portions 80 .
[0019] The base (base layer) 40 is a resin formed on the outer surface of the core shaft 20. It covers the outer periphery of the lid 20 on the base end side relative to the position where the base end joint portion 80 is formed. The base 40 is made of, for example, PAI (polyamide imide), PTFE (polytetrafluoroethylene), PVDF (Polyvinylidene fluoride), PFA (Perfluoroalkoxyalanine) can), FEP (perfluoroethylene propene), ETFE (ethylene tetrafluoroethylene) Ethylene), PE (polyethylene), PP (polypropylene), etc. The type of resin constituting the base 40 is not limited to the above and may be any resin. The base 40 is disposed in a portion of the core shaft 20 that is closer to the base end side joint portion 80 than the base end side joint portion 80. The outer periphery of the tip side may be covered as well as the outer periphery of the base side. It is a color with a Munsell value range of 7 to 10.
[0020] The marker 30 is a linear portion formed on a part of the substrate 40 and is indistinguishable from the other part of the substrate 40. The marker 30 is configured to be visually identifiable. When the image is observed through the image sensor 23 of the endoscope 2 shown in FIG. 4, The pattern appears as a line on the ground 40, and the operator can see this pattern when operating the guide wire 1. By observing the changes in the orientation and position of the guidewire, the push-pull and rotation movements of the guidewire 1 can be observed. The marker 30 is located at the tip of the base 40 that is in contact with the base end joint 80. The marker is formed in a section (marker display section) extending a predetermined distance from the front end toward the rear end. Specifically, the image sensor 23 is formed on the portion that protrudes from the tip of the endoscope 2 and is observed through the image sensor 23. In the base 40, the portion where the marker 30 is formed (the marker The length of the display section is not particularly limited, but may be in the range of 100 mm to 500 mm, for example. The main body 10 is a linear marker in the marker display area. The marks 30 are alternately depicted along the stretching direction.
[0021] The marker 30 is partially colored in the color of the substrate 40 by penetrating a pigment into a part of the substrate 40. (at least one of hue, brightness, and saturation) is changed to produce a linear pattern of a certain width. That is, here, the marker 30 is depicted as a main body portion with respect to the other portions of the substrate 40. The boundary between the substrate 40 and the marker 30 is The marker 30 is substantially black in color and has a Munsell value in the range of 0 to 7. The Munsell value of the marker 30 is preferably in the range of 0 to 2. 0 has different brightness, the brightness of the marker 30 is lower than the brightness of the background 40. is relatively closer to white, and the marker 30 is relatively closer to black.
[0022] The marker 30 is a development of a cylindrical base 40 that covers the outer periphery of the core shaft 20. In other words, the base 40 is formed in a corrugated pattern. The shaft 20 is rotated at a predetermined angle (for example, 180°) to the left and right with the extension direction (axial direction) as the rotation axis. While rotating the roller back and forth at 90°, the pigment dripped onto the substrate 40 is moved along the stretching direction. The wavy pattern can be formed by applying a pressure to the marker 30. In other words, the core shaft on which the substrate 40 is formed may be formed in a spiral shape. The substrate 20 is rotated in one direction with the stretching direction (axial direction) as the rotation axis, and then attached to the substrate 40. By moving the pigment along the stretching direction, a spiral pattern can be formed. This can be done.
[0023] The resin layer 50 is a light-transmitting resin film formed on the marker 30 and the base 40. The resin layer 50 is a transparent film. Fluororesins such as perfluoroethylene and PFA (perfluoroalkoxyalkane), silicone resins , polyurethane, polyethylene, polyvinyl chloride, polyester, polypropylene, poly Alternatively, amide, polystyrene, etc. may be used. The outer surface of the resin layer 50 is The lid 20 has an uneven portion in which recesses and protrusions are alternately formed along the extension direction of the lid 20. The uneven portion is formed on the entire circumferential direction of the guide wire 1, and therefore, The outer diameter of the guide wire 1 changes. Specifically, the outer diameter of the guide wire 1 changes at the convex portion of the resin layer 50. The outer diameter of the guide wire 1 is expanded, and the outer diameter of the guide wire 1 is reduced at the recessed portion of the resin layer 50. The uneven portion will be described in detail later.
[0024] The tip joint 70 is made of a metal such as silver solder, gold solder, zinc, Sn-Ag alloy, Au-Sn alloy, etc. The tip of the coil body 60 and the core shaft 20 are connected by the metal solder. The tip of the tip joint 70 is fixed to the tip of the tip joint 70 by using an adhesive such as an epoxy adhesive. The tip of the coil body 60 and the tip of the core shaft 20 are fixed to each other by an adhesive. It may be possible.
[0025] The coil body 60 is composed of one or more coils, and is connected to the core shaft 20. The coil body 6 is wound around the core shaft 20 so as to cover the outer periphery of the tip end of the coil body 6. The wire 0 is wound around the thin-diameter portion and part of the tapered portion on the tip side of the core shaft 20. The coil constituting the coil body 60 is formed into a cylindrical shape by winding a single wire having a circular cross section in a spiral shape. The coil may be a single coil formed by twisting a plurality of wires together, or may be a twisted wire formed into a cylindrical shape. The coil body 60 may be a combination of a single coil and a hollow stranded coil. The coil body 60 may be made of, for example, a stainless steel alloy (SUS3 02, SUS304, SUS316, etc.), superelastic alloys such as Ni-Ti alloys, piano wire, Nickel-chromium alloys, cobalt alloys, radiotransparent alloys such as tungsten, gold, platinum, Radiopaque metals such as tungsten and alloys containing these elements (e.g. platinum-nickel alloys) The coil body 60 may be formed of a known material other than the above. The length of the coil body 60 is not particularly limited, but may be, for example, 10 m. The outer diameter of the coil body 60 is not particularly limited, but for example, For example, the range can be 0.1 mm to 1.0 mm, and the thickness is constant from the tip to the base. The coil body 60 has a sparsely wound portion and a densely wound portion with different coil pitches. It may have.
[0026] The tip of the coil body 60 is joined to the tip of the core shaft 20 by a tip joint 70. The base end of the coil body 60 is joined to the core shaft 20 by a base end side joint portion 80. The coil body 60 is connected to a core shaft by a distal joint portion 70 and a proximal joint portion 80. The base end joint 80 is fixed to the core shaft 20 by a ring provided on the outer periphery of the core shaft 20. The portion is shaped (ring-shaped) and is made of the same material as the tip joint portion 70. The base end joint portion 80 is made of a material different from that of the tip joint portion 70. This is also fine.
[0027] FIG. 3 is an explanatory diagram showing an enlarged view of the X portion of FIG. 2. The detailed configurations of the marker 30, the base 40, and the resin layer 50 will be described. The recessed portions 51 and the protruding portions 52 are alternately connected along the extending direction of the main body portion 10 (the left-right direction in FIG. 3). Here, the uneven portion 55 is connected to the main body 10 in the extending direction (main body 10 The width of the marker 30 in the longitudinal section of the main body 10 is Wm, The width of the base 40 in the longitudinal section of the base 40 is Wb, and the width of the base 40 in the longitudinal section of the base 40 is Wb. The width of the protrusion 52 in the vertical cross section of the marker 50 is Wa. The distance between the markers 30 is equal to the distance between the markers 30. The width Wm is the width of each marker 30 arranged in the longitudinal section of the main body 10 in the extension direction of the main body 10. The width Wb of the base 40 is the average value of the distance from one end to the other end. In the longitudinal section of FIG. 0, the distance between the end of one adjacent marker 30 and the end of the other marker 30 is The width Wa of the protrusion 52 is the average distance from the main body 10 to the protrusion 52 in the longitudinal section of the main body 10. is the average value of the distance from one end to the other end of each of the protrusions 52 aligned in the extension direction of the portion 10. do.
[0028] The marker 30, the base 40, and the resin layer 50 are arranged in the extension direction of the main body 10. The pitch Pm of the mold 30 and the pitch Pp of the protrusions 52 of the resin layer 50 are different (Pm≠Pp). The pitch of the markers 30 here refers to the number of markers 30 arranged in the vertical cross section of the main body 10. This is the average value of the distance between the centers of the markers 30 aligned in the extension direction of the body 10. The pitch of the protrusions 52 is the number of protrusions arranged in the extension direction of the main body 10 in the vertical cross section of the main body 10. The pitch Pm of the marker 30 is the average value of the distance between the center positions of the markers 30 and the width W m and the width Wb of the base 40 (Pm=Wm+Wb). p is equal to the width Wa of the protrusion 52 (Pp=Wa). , and the resin layer 50 satisfies the following formula (1). Wm + Wb ≠ Wa (1)
[0029] As a result, the position at which the light beam (ball blur) appears on the marker 30 changes for each marker 30. This improves the visibility of the marker 30. The reason for this will be described later.
[0030] Furthermore, the marker 30, the base 40, and the resin layer 50 are such that the width Wm of the marker 30 is The width Wa of the protrusion 52 is larger than the width Wa of the protrusion 52, but is smaller than twice the width Wa of the protrusion 52. The marker 30, the base 40, and the resin layer 50 satisfy the following formula (2). Wa <Wm<2×Wa ···(2)
[0031] As a result, even if light is reflected by the uneven portion 55 of the resin layer 50 covering the marker 30, the light is not reflected as a light beam (a ball). This can suppress the decrease in visibility of the marker 30 due to the above-mentioned reason (i). The reason for this will be described later.
[0032] In addition, the marker 30 and the base 40 are displayed on the surface of the marker 30 during the marker display section. The area Am is 35% or less of the surface area Ab of the substrate 40 (Am≦0.35×Ab). That is, the marker 30 and the base 40 satisfy the following formula (3). Wm≦0.35×Wb (3)
[0033] This makes it possible to improve the visibility of the marker 30 against the substrate 40. In other words, when the surface area Am of the marker 30 becomes larger than 35% of the surface area Ab of the substrate 40, the image When the proportion of the marker 30 in the image increases and a light beam (ball blur) appears, the marker 30 This makes it difficult to grasp the number of lines, and reduces the visibility of the markers.
[0034] The width Wm of the marker 30, the width Wb of the base 40, and the width Wa of the protrusion 52 are the same as those of the main body. In the marker display section of the main body 10, the marker is included in a range of 20 mm along the extension direction of the main body 10. The average width of the marker 30, the average width of the base 40, and the average width of the protrusion 52 are Specifically, in the vertical section of the marker display section of the main body 10, The sum of the widths of the markers 30 included in the range divided by the number of markers 30 included in the range. The width Wm is the sum of the widths of the substrate 40 between the markers 30 included in that range. The width Wb is calculated by dividing the width Wb by the number of backgrounds between the markers 30 included in the range. The sum of the widths of the protrusions 52 included in that range divided by the number of protrusions 52 included in that range The width is Wa.
[0035] FIG. 4 is an explanatory diagram illustrating a state in which the guidewire 1 is used inside a biological lumen. FIG. 5 is an explanatory diagram showing the state of the guide wire 1 observed in a living body lumen by an endoscopic camera. In FIG. 4, a guide wire is inserted from the tip of an endoscope (rear oblique endoscope) 2 advanced into the duodenum. The distal end of the guide wire 1 is advanced from the duodenal papilla DP to the distal bile duct LBD. In FIG. 4, the thin shaded area indicates the wall of the duodenum (Bcw The thick two-dot chain line indicates the field of view Vi of the endoscope camera (image sensor 23). The small dots inside the field of view Vi represent the depth of field Df, and the blank areas represents the out-of-focus range Rof outside the depth of field Df. The depth of field Df indicates the range in which an endoscope camera appears to be in focus. The out-of-depth range Rof indicates the range near the endoscopic camera that is out of focus. 5 is a captured image (captured image) from the endoscope viewpoint captured by the endoscope camera (image sensor 23). ), and the object located outside the range Rof of the depth of field is displayed in the lower right corner of the image (video). In the other areas, objects located at the depth of field Df are displayed.
[0036] The endoscope 2 is an electronic endoscope that uses a simultaneous imaging method. The endoscope 2 includes a light emitting unit 22 and an image sensor 23. The opening 21 is located inside the endoscope 2. The opening 21 communicates with a lumen (not shown), and the tip of the guide wire 1 in the lumen is The opening 21 is formed such that the protruding direction of the distal end of the guide wire 1 is the same as that of the distal end of the guide wire 1 when viewed from the inside. The light irradiation unit 22 is disposed at the tip of the endoscope 2 and is configured to intersect with the extension direction of the mirror 2. It is equipped with a halogen lamp, xenon lamp, LED lamp, or white light such as laser. The image sensor 23 is illuminated with white light (observation light) OL from a source. It is a color image sensor equipped with a color filter, and functions as an endoscope camera. The electronic endoscope 2 may be an electronic endoscope using a so-called frame sequential imaging method.
[0037] As shown in FIG. 4, the guide wire 1 is projected from the opening 21, and the light is emitted from the light irradiating unit 22. When the observation light OL is irradiated from the guide wire 1 to the guide wire 1, the observation light In this state, the image sensor 23 (endoscopic camera) Therefore, when the guide wire 1 is imaged, as shown in FIG. A part of the reflected light RL reflected by the uneven portion 55 of the resin layer 50 becomes a light beam (reflected light beam) Ko. This light beam Ko is what is known as a "ball blur" and appears when photographed with an endoscope camera. It is a vague point of light that appears in the captured image (captured video). Since the focus is on the uneven portion 55 of 0, a light beam (ball blur) appears in the portion of the depth of field Df. Ko almost never appears.
[0038] The reason why the light beam Ko appears outside the range Rof of the subject is explained. When the observation light (illumination light) OL is irradiated onto the surface of the guide wire 1, the surface of the resin layer 50 The uneven portion 55 acts as a light source that reflects the observation light OL and irradiates the reflected light RL. In the range Rof outside the subject depth, the reflected light RL from the uneven portion 55 is optically “outside the subject depth.” In the image (image) captured by the endoscopic camera, a light beam ( The light beams Ko appear on the uneven portions 55 of the resin layer 50. This causes what is called "flickering," reducing the visibility of the marker 30 in the captured image.
[0039] FIG. 6 is an explanatory diagram showing a state in which the guide wire 1 is irradiated with an observation light OL. The figure shows the same part as in FIG. 3. As described above, the imaging method of the endoscope 2 is a so-called simultaneous imaging method. Therefore, the light emitting unit 22 of the endoscope 2 emits white observation light OL from a xenon lamp. When the white observation light OL is irradiated onto the outer surface of the guide wire 1, the surface of the resin layer 50 and the base 4 In FIG. 6, the observation light OL and the observation light OL are irradiated onto the surface of the resin layer 50, respectively. The reflected light RL is indicated by a thin line, and the observation light OL irradiated onto the surface of the substrate 40 is indicated by a thin line. , and its reflected light RL are indicated by thick lines. The surface of the marker 30 hardly reflects the observation light OL.
[0040] Since the observation light OL emitted from the light emitting unit 22 and the base 40 are both white, The reflected light RL reflected by the marker 30 becomes a relatively strong white light. The resin layer 50 covers both the surfaces of the substrate 40 and the concave and convex portions 5 of the resin layer 50 covering the surface of the substrate 40. In the case of 5, strong light (reflected light RL) is irradiated from the light source (base 40) behind. In the resin layer 50 covering the surface of the substrate 40, the light beam Ko is reflected by the white light RL reflected from the substrate 40. In other words, the resin layer that covers both the surface of the marker 30 and the surface of the base 40 50, a light beam Ko appears in the uneven portion 55 of the resin layer 50 covering the surface of the marker 30, The light beam Ko is cancelled out and does not appear in the uneven portion 55 of the resin layer 50 covering the surface of the base 40 .
[0041] Among the concave and convex portions 55 of the resin layer 50, the reflected light RL reflected by the resin layer 50 is incident on the concave portions 51. Since the light beams Ko are concentrated, they appear near the recesses 51 in the resin layer 50 covering the surface of the marker 30 . In other words, the light beam Ko is formed in the vicinity of the valley of the uneven portion 55 of the resin layer 50 covering the marker 30. In the guide wire 1 of this embodiment, as shown in the above formula (2), Since the width Wm is wider than the width Wa of the convex portion 52, the light beam Ko that appears near the valley of the concave-convex portion 55 Therefore, the resin layer 50 covering the marker 30 is not irradiated with light. Even if the visibility of a part of the marker 30 is reduced by the appearance of Ko, the same marker 30 Since there are parts that are not under the light beam Ko, the image (captured image) The marker 30 can be seen. The left marker of the two markers 30 in FIG. In the example shown in FIG. 30, the left side of the marker 30 is less visible due to the light beam Ko, but the right side of the marker 30 is less visible due to the light beam Ko. The right marker 30 in FIG. 6 is visible without overlapping with the light beam Ko. At 0, the visibility of the center of the marker 30 is reduced by the light beam Ko, but the visibility of the right side of the marker 30 is reduced. The edges and the left edge are visible without overlapping with the light beam Ko.
[0042] In addition, in the guide wire 1 of this embodiment, as shown in the above formula (1), The pitch (=Wm+Wb) of the protrusions 52 of the resin layer 50 is different from the pitch (=Wa) of the protrusions 52 of the resin layer 50. This allows the position where the light beam Ko appears on the marker 30 to vary for each marker 30. This makes it easier to grasp the actual width of the marker 30, improving the visibility of the marker 30. Moreover, as shown in the above formula (3), the guide wire 1 of the present embodiment has the following: The surface area of the marker 30 is 35% or less of the surface area of the base 40. That is, the width Wm of the marker 3 0 is smaller than 0.35 times the width Wb of the base 40. As a result, when the flare Ko appears on the marker 3 0, it becomes easier to identify whether the markers 30 on both sides of the flare Ko are the same single marker or two different markers 30.
[0043] Note that although the endoscope 2 has been described as having an imaging method called the simultaneous method, it may be in the area sequential method. When the imaging method of the endoscope 2 is the area sequential method, the light irradiation unit 22 splits and irradiates the white light of the xenon lamp with an RGB rotating filter. Also, the image sensor 2 3 becomes a monochromatic CCD image sensor. Even in this case, the observation light OL is captured as white light by the human eye viewing the captured image (captured video), and is captured as the same color as the base 40 . Therefore, as described above, in the resin layer 50 covering both the surface of the marker 30 and the surface of the base 40, the flare Ko appears in the uneven portion 55 of the resin layer 50 covering the surface of the marker 30, and the flare Ko is canceled out and does not appear in the uneven portion 55 of the resin layer 50 covering the surface of the base 40. From this, according to the guide wire 1, the same effect can be obtained regardless of the imaging method of the endoscope 2.
[0044] FIG. 7 is an explanatory diagram showing a state in which the observation light OL is irradiated on the guide wire 1A of Comparative Example 1. The guide wire 1A of Comparative Example 1, when compared with the guide wire 1 (FIG. 6) of the first embodiment, has a width Wm1 of the marker 30a in Comparative Example 1 smaller than the width Wm of the marker 30 (FIG. 6) in the first embodiment (Wm1 < Wm). Also, the width Wb1 of the base 40a in Comparative Example 1 is larger than the width Wb of the base 40 in the first embodiment (Wb1 > Wb). Other configurations are the same as those of the first embodiment. is the same as the guide wire 1. That is, the width Wa of the convex portion 52 of the resin layer 50 is the same .
[0045] The guide wire 1A of Comparative Example 1 does not satisfy the above formula (2), and the width Wm1 of the marker 30a is smaller than the width Wa of the convex portion 52 (Wm1 < Wa). Therefore, the width of the light beam Ko appearing near the valley of the uneven portion 55 becomes substantially the same as the width Wma of the marker 30a. That is, as shown in FIG 7, the overall visibility of the marker 30a is reduced by the light beam Ko appearing in the resin layer 50 covering the marker 30a .
[0046] FIG. 8 is a diagram for explaining a state in which observation light is irradiated on the guide wire 1B of Comparative Example 2 . The guide wire 1B of Comparative Example 2 is compared with the guide wire 1 (FIG. 6) of the first embodiment , and the width Wm2 of the marker 30b of Comparative Example 2 is the width Wm of the marker 30 (FIG. 6) of the first embodiment is larger (Wm2 > Wm). Also, the width Wb2 of the base 40b of Comparative Example 2 is the width Wb of the base 40 of the first embodiment is smaller (Wb2 < Wb). Other configurations are the same as those of the guide wire 1 of the first embodiment . That is, the width Wa of the convex portion 52 of the resin layer 50 is the same .
[0047] The guide wire 1B of Comparative Example 2 does not satisfy the above formula (2), and the width Wm2 of the marker 30b is larger than twice the width Wa of the convex portion 52 (Wm2 > 2 × Wa). Therefore, a plurality of concave portions 51 of the resin layer 50 are located on one marker 30b, and a light beam K o appears in each of the plurality of concave portions 51. Since the plurality of light beams Ko close to each other appear to be connected into one large light beam Ko , the visibility of the marker 30b between the two light beams Ko is greatly reduced. Therefore, as shown in FIG. 8 As shown, the marker 30b is centered by a large light beam Ko that is made up of multiple connected light beams Ko. The visibility of the entire vicinity is reduced, and only the right and left ends of the marker 30b are visible without overlapping with the light beam Ko. In this way, the width Wm2 of the marker 30b is set to be greater than twice the width Wa of the protrusion 52. In this case, the decrease in visibility due to the light beam Ko cannot be suppressed in proportion to the width of the marker 30b. If the width of the marker 30b becomes large, it becomes difficult to grasp the entire marker 30b in the captured image. This reduces visibility.
[0048] FIG. 9 is an explanatory diagram showing a state in which the guidewire 1 and the combined device 90 are used. 9 shows the same part as in FIG. 3. As described above, the marker 30, the base 40, and the tree In the fat layer 50, the width Wm of the marker 30 is larger than the width Wa of the protrusion 52 (Wa <Wm)。そ Therefore, the surface of the portion EA of the resin layer 50 located above the marker 30 has an uneven portion 55. Since the marker 30 contains a large amount of pigment, the resin layer 50 Therefore, the compatibility of the combination device 90 with the resin layer 50 is low, and the adhesion is relatively low. When the marker comes into contact with the surface, it is caught by the frictional force between the marker and the resin layer 50, and the resin layer 50 becomes a marker. According to the guide wire 1 of the present embodiment, unevenness is formed. Therefore, when the combination device 90 and the resin layer 50 come into contact with each other, the friction between the combination device 90 and the resin layer 50 is small. Since the force is reduced (slidability is improved), peeling of the resin layer 50 can be suppressed.
[0049] FIG. 10 is an explanatory diagram showing a state in which the guide wire 1D of Comparative Example 3 and the combined device 90 are used. The guidewire 1D of Comparative Example 3 is the same as the guidewire 1 of the first embodiment (FIG. 6). In comparison, the resin layer 50 has a different configuration. Specifically, the resin layer 50d of Comparative Example 3 has a convex portion The width Wa3 of the marker 52d is larger than the width Wm of the marker 30 (Wa3>Wm). The structure is the same as that of the guide wire 1 of the first embodiment. The width Wb of the base 40 is the same.
[0050] In the guide wire 1D of Comparative Example 3, the width Wa3 of the protrusion 52d is larger than the width Wm of the marker 30. Since the thickness W a3 is larger than the thickness W m , the part EA There are no projections and recesses due to the projections and recesses 55d on the surface, or even if there are projections and recesses, the number of projections and recesses is small. Therefore, the surface of the portion EA of the resin layer 50d becomes relatively flat. When the chair 90 comes into contact with the surface of the resin layer 50d, it is pulled by the frictional force between the chair 90 and the resin layer 50d. The resin layer 50d is easily peeled off from the marker 30.
[0051] According to the guidewire 1 of the present embodiment described above, as shown in FIG. In a longitudinal section along the extension direction of the marker 30, the width Wm of the marker 30 is wider than the width Wa of the protrusion 52. Therefore, even if light is reflected by the uneven portion 55 of the resin layer 50 covering the marker 30, the light is not reflected by the light beam (bokeh) Ko. The guide wire 1 of the present embodiment has a concave surface. When the guide wire in which the resin layer 50 with the convex portion 55 is formed is imaged, a light beam appears on the concave portion 55. This solves a new problem that the visibility of the marker 30 is reduced due to the generation of Ko. Such a problem is neither disclosed nor suggested in Patent Documents 1 to 4.
[0052] In addition, according to the guide wire 1 of this embodiment, the uneven portion 55 is formed on the surface of the resin layer 50. This reduces the contact area with the body cavity wall, reducing friction during sliding and improving the smoothness. In addition, the unevenness of the surface of the resin layer 50 can improve the sliding property with the combination device 90. It is possible to achieve this.
[0053] In addition, according to the guide wire 1 of this embodiment, the boundary between the base 40 and the marker 30 is flat. As a result, the recess of the resin layer 50 is smaller than when the marker 30 is protruding. The height (position) of the recessed portion 51 and the protruding portion 52 of the protruding portion 55 can be made more uniform. The pitch of the portion 52 and the pitch of the marker 30 can be easily made different. This increases the freedom of uneven design and improves the slipperiness. By flattening the boundary with the marker 30, the marker 30 is recessed into the base 40. Therefore, the contact area between the base 40 and the marker 30 increases, and the peel strength can be increased.
[0054] In addition, according to the guide wire 1 of this embodiment, since the base 40 is a color close to white, The light beam Ko can be canceled by the resin layer 50 on the guide 0. According to Dwyer 1, the contrast between the marker 30 and the substrate 40 is large, so that the marker 30 The visibility can be improved.
[0055] <Second embodiment> FIG. 11 is an explanatory diagram illustrating the overall configuration of a guidewire 1C according to the second embodiment. The guidewire 1C of the embodiment has the following features in comparison with the guidewire 1 of the first embodiment (FIG. 1): The display mode of the marker 30c is different. The other configuration is the same as the guide wire 1 of the first embodiment. The marker 30c of the second embodiment has a spiral pattern of a constant width. Therefore, the cylindrical base 40c that covers the outer periphery of the core shaft 20 is developed. In the development view, it is formed so that multiple oblique lines are arranged in the axial direction. The core shaft 20 having the 0c formed thereon is rotated in one direction with the extension direction (axial direction) as the rotation axis. In this state, the pigment is dropped onto the base 40c and moved along the stretching direction. Thus, a spiral pattern can be formed. The pitch of the markers 30c is constant.
[0056] Since the marker 30c, the base 40c, and the resin layer 50 satisfy the above formula (1), The position where the light beam (bokeh ball) appears on the marker 30c can be changed for each marker 30c. This improves the visibility of the marker 30. Since the base 40c and the resin layer 50 satisfy the above formula (2), they cover the marker 30c. Even if light is reflected by the uneven portion 55 of the resin layer 50, the visibility of the marker 30 is reduced due to the light beam (ball blur). In addition, the marker 30c and the base 40c satisfy the above-mentioned formula (3). Therefore, the visibility of the marker 30c against the base 40c can be improved.
[0057] <Modifications of this embodiment> The present invention is not limited to the above-described embodiment, and may be modified without departing from the spirit and scope of the present invention. The present invention can be embodied in various ways, and the following modifications are also possible.
[0058] [Variation 1] The markers 30 and 30c in the first and second embodiments have a constant pitch. However, the pitch of the markers 30, 30c does not have to be constant. The width of 30c is assumed to be constant. However, the width of the markers 30 and 30c changes along the way. Good too.
[0059] [Variation 2] The markers 30 and 30c of the first and second embodiments are made of the substrate 40 and 40c. However, the markers 30 and 30c are displayed in a part of the area (the marker display section). The markers 30 and 30c may be formed on the entire substrate 40 and 40c. However, the markers 30 and 30c are of multiple types. In this case, the markers 30 and 30c may have a pattern that changes continuously. The pattern may be different for each predetermined section. The markings 30, 30c may be drawn in a plurality of places, separated from the bases 40, 40c in the middle. For example, the markers 30 and 30c have multiple types of patterns drawn at multiple locations at predetermined intervals. Alternatively, the circular patterns may be drawn continuously at equal intervals.
[0060] [Variation 3] In the first and second embodiments, the uneven portion 55 of the resin layer 50 has a uniform pitch between the projections 52. However, the pitch of the protrusions 52 does not have to be constant. 0 may have a flat portion instead of the uneven portion 55.
[0061] [Variation 4] In the first and second embodiments, the markers 30, 30c and the substrates 40, 40c are arranged in a pitch. The markers 30 and 30c are the same and satisfy the above formula (1). The bases 40 and 40c do not have to have the same pitch and do not have to satisfy formula (1). If the width Wm of the markers 30 and 30c is greater than the width Wa of the protrusion 52, the markers 30 and 30c Even if light is reflected by the unevenness 55 of the resin layer 50 covering the markers 30, 30, the markers 30, 30 are blurred by a light beam (circular blur). The markers 30 and 30c and the substrates 40 and 40c are arranged such that the following formula ( It is preferable to satisfy 1).
[0062] [Variation 5] In the first and second embodiments, the markers 30 and 30c and the resin layer 50 are The width Wm of the protrusion 52 is smaller than twice the width Wa of the protrusion 52. The markers 30, 30c and the resin layer 50 are such that the width Wm of the markers 30, 30c is smaller than the width Wa of the protrusion 52. Even in this case, the width Wm of the markers 30 and 30c may be larger than twice the width Wm of the convex If the width Wa of the portion 52 is larger than the width Wa of the portion 52, the uneven portion 55 of the resin layer 50 covering the markers 30 and 30c Even if light is reflected, it is possible to suppress a decrease in visibility of the markers 30, 30c due to light beams (blurring). The markers 30 and 30c and the resin layer 50 are formed such that the width Wm of the markers 30 and 30c is It is preferable that the width is smaller than twice the width Wa and satisfies the formula (2).
[0063] [Variation 6] In the first and second embodiments, the surface area of the markers 30, 30c is 100% of the surface area of the substrate 40, 40 However, the surface area of the markers 30 and 30c is 35% or more of the surface area of the substrate. Even in this case, the surface area of the markers 30, 40c may be smaller than 35%. If the width Wm of the protrusion 52 is greater than the width Wa of the protrusion 52, the markers 30, 30 The surface area of the markers 30 and 30c is smaller than that of the substrates 40 and 40c. It is preferable that the surface area of the insulating layer is 35% or less of the surface area of the insulating layer, and that the surface area of the insulating layer satisfies the formula (3).
[0064] [Variation 7] In the first and second embodiments, the brightness of the marker 30 is lower than the brightness of the base 40. However, the brightness of the marker 30 may be higher than the brightness of the base 40. Even if the marker 30 is not visible, the contrast between the marker 30 and the substrate 40 makes it possible to visually recognize the marker 30. can be done.
[0065] [Variation 8] The width Wm of the markers 30 and 30c and the bases 40 and 40c of the first and second embodiments The width Wb of the protrusion 51 and the width Wa of the protrusion 52 are within the range of 20 mm of the main body 10. That is, the width Wm of the markers 30 and 30c, the width Wm of the substrate 40 and The width Wb of the 0c and the width Wa of the protrusion 52 partially satisfy the above-mentioned formulas (1) to (3). Even if the thickness is not large enough, the average value within a range of 20 mm of the main body 10 satisfies the formulas (1) to (3). If so, the visibility of the markers 30, 30c can be improved.
[0066] [Variation 9] The guidewires 1 and 1C of the first and second embodiments are provided with a coil body 60 at the tip. However, the guide wires 1 and 1C do not include the coil body 60. This is also fine.
[0067] The present embodiment has been described above based on the embodiment and the modified examples. The form of is for facilitating understanding of this embodiment and is not intended to limit this embodiment. This embodiment may be modified or improved without departing from the spirit and scope of the claims. In addition, the present embodiment includes equivalents thereof. If not explained as such, it may be deleted as appropriate. [Explanation of symbols]
[0068] 1, 1A~1C...Guide wire 2. Endoscope 10...Main body 20…Core shaft 21...Opening 22...Light irradiation unit 23...Image sensor 30, 30a~30c...Marker 40, 40a~40c...Base 50…Resin layer 51…Recess 52…Convex part 55...Uneven part 60...Coil body 70...Tip joint 80...Proximal joint
Claims
1. A guidewire comprising: A main body having an elongated outer shape and having a base and linear markers alternately arranged on an outer surface thereof along an extension direction; a light-transmitting resin layer covering an outer surface of the main body portion, the resin layer having an uneven portion in which concave portions and convex portions are alternately formed along an extension direction of the main body portion; In a longitudinal cross section along the extension direction of the main body portion, the width of the marker is wider than the width of the protrusion, In a longitudinal cross section along the extension direction of the main body portion, a pitch of the protrusions is equal to a width of the protrusions, The uneven portion is formed over the entire circumferential direction of the guide wire. Guidewire.
2. 2. The guidewire of claim 1, In the extension direction of the main body portion, the pitch of the markers and the pitch of the convex portions are different. Guidewire.
3. The guidewire according to claim 1 or 2, In a longitudinal section along the extension direction of the main body portion, the width of the marker is equal to or less than twice the width of the protrusion. Guidewire.
4. The guidewire according to any one of claims 1 to 3, On the outer surface of the main body, the surface area of the marker within a range of 20 mm along the extension direction of the main body is 35% or less of the surface area of the base. Guidewire.
5. The guidewire according to any one of claims 1 to 4, On the outer surface of the main body, the brightness of the marker is lower than the brightness of the base. Guidewire.
6. A guidewire according to any one of claims 1 to 5, On the outer surface of the main body, a boundary between the base and the marker is formed flat. Guidewire.
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