DE19544392A1 - Steriliser for medical instruments, implants etc. - Google Patents

Abstract

The sterilisation system for medical instruments and implants is an assembly combining one or more of the following devices: a UV radiator (154), esp. radiating UV-C; a heater (153a), esp. an IR heater; a device to prepare a fluid bath (157), esp. a liq. bath, an aerosol mist (155, 156, 157) and/or a gas atmosphere with oxidative effect; and an ultrasound generator. The devices are located individually or together in any part of lid or casing. The box-shaped unit is equipped to accept a transportable storage pan with handle (153b) for the objects to be sterilised.

Description

The invention relates to a disinfection system for Ent germination of medical devices including devices for Body care and other items such as implants or the like.

Infections as a result of microbial complications still complicate Germination of the postoperative courses in the medical field. Similar problems also exist in the context of outpatient, primarily invasive medicine as well as a number of paramedizi professional groups such as podiatrists, hairdressers, cosmetics directions u. the like; they give rise to a noticeable Reduce the number of bacteria. This is especially true Measures for the known AIDS dangers with the accompanying ones Fears.

The high risk of infection is also well known in intensive care units by so-called nosocomial pathogens, which unfortunately defy antibiotic therapies all too often.

Disinfection advances with regard to the conventional and proven, pre-operative applied Heat, steam and plasma sterilization undisputed; however they still did not lead to completely satisfactory results Results.

Since the persistently high bacterial loads mainly come from Konta minations of the integuments, the instruments and not finally come from the air or breathing air, it turns out to be necessary, even more intensely than before the areas of the environment operational events including room hygiene and Include equipment in germ-reducing measures.

Discussions about how to optimally use medical items were to be sterilized, however, through misunderstandings and  Controversy marked, but this makes it more understandable is that all-encompassing germ killing in the sense of a sterile sation within the measures accompanying the operation postulate still unmatched, at best a hope Show shimmer, so intense and persistent on one Work is being done to improve existing conditions.

Of course, some efforts have already been successful: In ophthalmology, it was a long time ago that Ultraviolet radiation brings about maximum germ reduction feed (see also: DE-G 92 01 201).

Disregarding the fact that in all cases examined Always absolutely smooth, polished surfaces from Tonometer-Meß heads with germicidal radiation Some authors questioned the favorable results and these microbicidal measures as insufficient discretion animals.

However, because the irradiated functional parts thanks to their procurement No so-called "micro-shadows" against UV rays throw, they also do not represent an obstacle to disinfection, and in fact within decades, despite the eyes Device contacts never occurred eye infections - on Proof of the efficiency of the procedure.

For promising operations in the context of perioperative Medicine, of course, is only possible for one person Principle of application hardly enough, like chemical, physical or other suitable agents with mikrobizi the effects already have very positive characteristics: yours they only develop highly potent effects in the context of a summarized, namely synergistic bundling.

To put this theoretical knowledge into practice there is therefore a need for a new disinfection system, the sheep Fung object of the present invention.  

The object is achieved in that the Ent germination system

• - A device for the emission of UV radiation, in particular re UV-C radiation and / or
• a device for emitting heat, in particular IR Radiation and / or
• a device for providing a fluid bath, in particular a liquid bath and / or an aero sol mist and / or a gas atmosphere with oxidative Effect and / or
• - An ultrasound delivery device

includes, the above Facilities individually or collectively in or on one or more box-like, roof-like or crucible-like housings are arranged and the box like housing preferred to accommodate a manually handled Transportable and storage element for the sterilized goods is trained.

Advantageous further developments of the invention and preferred Exemplary embodiments are the subject of the dependent claims.

The perioperative disinfection system according to the invention differs significantly from the - admittedly still indispensable - pre-operative steri systems.

Regarding technical solutions as well as applications included either one, but usually at least two one other complementary and intensifying institutions in Verbin with corresponding work steps.

Box-like housings have proven to be advantageous (in the following which is also called a container) and / or roof-like housing (hereinafter also called roofs), supplemented by crucibles like containers in the form of crucibles, bowls, cuvettes or the like (also called crucible below); they are for Recording of the sterilized material and in cooperation with the  Transport and storage functions of the manually manageable Transport and storage element (in the following also Trans called porter) for its transfer to the disinfection stocks ven areas and agents of the containers, roofs or crucibles intended.

The agents include fluids, such as disinfectant solutions and / or aerosols, for example oxidants such as H₂O₂, further gaseous oxidants such as ozone (O₃), also UV radiation, especially UV-C radiation, ultrasound and heat (ins special infrared radiation).

In order to influence and irritate people avoid, but nevertheless optimum disinfection effects solutions had to be found which were undesirable additions exclude effects.

A container usually consists of a lower part, the to accommodate the transporter that can be inserted through openings or the manually insertable disinfectant is suitable. An integrated or attachable upper part serves for protection of the container and the sterilized goods before the ingress of Airborne germs or electromagnetic radiation. If necessary sidewalls are completely or partially interchangeable or expandable.

To use a firm base as a stable counterweight and also to unite the manual perioperative operations fold, are preferred in the area of the walls and / or upper surfaces of the container contain a liquid disinfectant Ending crucible-like container installed, these walls of the container in whole or in part as an integration aid be used as appropriate arrangements in other areas of the surgical instrument table does not exclude.

Each crucible of the type described is preferred by one Lid or an easy-to-remove or pierceable,  opaque film closed because of open containers under the influence of the oxidant inactivating effect of Daylight, UV radiation or surgical lights Reduction of the microbe-killing properties accordingly Solutions.

Crucibles, bowls or cuvettes are considerably more practical Significance for the disinfection of functional ends and device parts of devices, as they include the possibility of being in one mechanical rinsing and disinfection summarize. The establishment of a non-rotatable connection between the crucible-like containers containing an oxidant ters and the function ends of important disinfection-relevant Device parts that can be put into their typical rotation is of particular value.

Such intensive cleaning in the sense of disinfection also create favorable conditions for a successor UV-C radiation. This leads to repeated effi Increased ciency at a high level.

Heat transmitters can be considered as adjuvants. Of course They are often unnecessary, but can help maintain one constant temperature increase of approx. 20 ° C can be used, around the necessary for the UV-C emission optimum of approx. 40 ° C To ensure steam pressure as well as faster drying damp equipment, if necessary. For this are u. a. PTC thermistor, other thermostats as well Surface heating elements.

UV lasers are of course also suitable for microbicidal applications conditions as devices for the emission of UV radiation. In the front However, horizontal lamp lamps deserve preference: they affect much larger areas.

In connection with the introductory and exemplary On the other hand, eye tonometer disinfection mentioned earlier is more likely  Light guide into consideration. They also offer advantages in therapeu tical area, namely bacterial and viral, yes mycotic infections of the corneas and conjunctiva of the eyes (see also DE-P 35 02 412).

The reaction synergism "Oxidantium + UV-C" brings so-called te "radicals", desired in the disinfection context, very beneficial compounds that have the microbicidal potential increase by several orders of magnitude.

If mechanical fixation of equipment is provided, to cover them with germicidal UV radiation, for example through Clamps, screws, eyelets, magnets or the like form naturally according to shadows and associated reductions in UV-In intensity. Therefore, it appears appropriate to the sterilized material to start rotating within the acted upon space, to irradiate as many surface areas as possible. this applies however, only for individual parts, which you can only do individually can attach - undoubtedly a cumbersome process. about Shading can be overlooked, however only functional ends, i.e. those in contact with tissues bringable instrument parts that require disinfection or relevant individual parts of the fixation device for UV-C Emission are transmissible; such applications are before partial in the context of dentistry.

So - called "compact units", smaller devices, contain in Development of the invention two or more units. By Rotation of a carrier plate or the UV lamp are the Surface areas of the sterilized material with microbicidal emis sion verifiable. In other advantageous embodiments can the tray by a stamp-like Vorrich lift so that UV-C radiation acts or lower, a fluid, such as disinfectant solution, through openings for example an oxidatium in the lower part of the housing, the disinfectant is flooded and flooded. Such models bie particular advantages in the field of personal care, in which  Infection prophylaxis, e.g. B. HIV / AIDS, as well as in hairdressing salons, Pedicure facilities, home obstetrics u. at the.

Containers with UV or UV-C and are particularly useful additionally ozone (O₃) -generating light-emitting radiators as well as H₂O₂ atomizing nozzles, in which the sterilized material through a transport and storage element ("transporter") is feasible and during the disinfection process on this can remain.

Transporters with a raised rear wall are advantageous in Container can be snapped into place, this also on the otherwise open one Side against gases and radiation inside the system arise, be sealed, whereby the disinfectant ent is ready to germinate. Are preferred at the same time as the rest Connection made contacts, which are optionally sprayed with an oxidant and / or - subsequently - UV-C emission in Trigger the inside of the housing. The same applies to ozone generators.

Shaft-like facilities and heights in instrument tables Movable containers (thus two floors) allow in further education of the invention - especially in connection with a roof-like shielding device - the shielding of the areas Heat, UV (C) radiation, oxidants and ultrasound in the Un the area opposite the incidence of light and that with the opera tive events. During the upper container ner, in one level with the instrument table top, in Working position can be within the the lower floor disinfection for any length of time respectively.

By lowering both rigidly connected container levels the upper container is in the sterilization position, while the lower container generally a locking device close to the ground lies on. The maximum elevation of both floors promotes the lower container to the tabletop level. Usually fin only the exchange of equipment takes place here.  

The upper container gets through from the under-table position Lift the sterilized material to reuse it The table top level, i.e. upwards, is the roof like cover, according to its purpose, top and serves thus keeping away as well as, in cooperation with the UV-Emis sion, the killing of airborne germs. This is the roof front direction of their importance, according to their capacity Reduce number of pathogenic airborne germs; they play one crucial role in causing infections. As is well known, in addition to virulence and toxicity, their men come ge, i.e. the number of germs, is of crucial importance.

Since this tends to increase with the duration of the operation, take countermeasures at an early stage; Last but not least, this applies for trans or implant surgery. Problems can already result from the fact that implants, made of plastic or titanium, for repeated adaptations Tender tissue contacts require later positioning and finally to measure the implant to size men.

Those inevitable touches with the integument or the Wound areas on which contaminated, moist-sticky material al liable, provide the ground for germ colonization and infectious diseases tions that painfully change the image of the operational moder tarnish medicine.

Investigations have shown that agar plates in one morning showed 12 nucleus centers after incubation. Con Troll plates in the preparation room of the operating room also occupied 24 colonies twice as high in germs, with certainly the Air as a vehicle plays an essential role for the pathogen server there is drag.

Also because the storage of instruments in drums and sterile vessels and their repeated removal per is blematic, devices with the aim of perio  improve relative conditions in the microbicidal sense, to be provided.

The erection of roof-like or curtain-like, microbe-repellent Shielding is a first step in disinfection. Appropriately Increase attached UV-C lamps and / or H₂O₂ atomizing nozzles hen the effect. Your attachment including that against it Moisture shielding plastic or quartz screens as well if necessary of UV-repellent curtains is of course on compliance with the guidelines for "maximum workplace con centration "(M.A.K.). The condition is undoubtedly also the use of surgical gloves and drapes made of resistant material.

Thanks to new developments, disinfection options are available O₃ (ozone) within reach: new filter or Kataly Sensor materials convert this through the emission of UV-C radiation (with the wavelength about 185 nanometers; nm) recoverable O₃ within a few seconds in harmless O₂, so that special le sensors for the detection of any ozone residues now ent have become honorable.

Because ozone, be it gaseous or dissolved in liquid, is different as mere UV-C radiation not only smooth, but also uneven surfaces and even hollow bodies are reached and sterilized capable of being included in perioperative medicine Techniques of increasing importance to: By the ozone inacti procedure due to their sluggish way of working - after disinfection - gain in importance, encourage they in turn for frequent use and thus upgrading ozone forming UV lamp with an effective wavelength of approx. 185 nanometers.

The disinfectant is preferably used on the innovative transporter stored and then in a radiation and gas-tight containers, the hoisted Transporter rear wall acts as an end (shield) and inso  far an integrating, namely an outer wall of the Contai ners constituting constituent. The elimination of the After intermediate disinfection has been completed, ozone is preferred by using a filter, a granulate in plate or shredded form. In addition, they are clearly existent ozone-depleting effects of UV-C radiation (with the Wavelength 253.7 nm) also with regard to a relevant one Deactivation of ozone can be used.

The generation of an air stream is also advantageous. However, this does not require external air supply; it is completely sufficient within the closed system to move existing air enriched with ozone zen to accelerate ozone depletion.

To the ozone formation and ozone germination operations in one It is useful to be able to carry out a continuous sequence moderate, the ozone-depleting devices in the form of wind turbines and / or rotating, with lamellas, filaments and / or granules latent rollers to be used, however after complete disinfection. Suitable devices are explained in more detail in the exemplary embodiments.

Hermetically closable containers provide additional protection were dispensable since the release of ozone-forming emis sions and their later inactivation during the completion phase within the container occur.

However, the microbicide is not used in ozone for disinfection purposes Claimed, it is appropriate to shit or with liquid oxidants, such as H₂O₂, treated items one UV-C radiation, preferably of the wavelength 253.7 nano meters to undergo.

Provide always available oxidant depots - apart from the Solutions to be atomized by nozzles - the one H₂O₂ solution  containing crucible-like container, especially when in Containers or roofs installed, integrated. You allow the simultaneous rinsing and disinfection of disinfected material, what has already been pointed out.

Other embodiments, such as storage containers with a li quid oxidantium, are broken through predetermined breaking points by means of and / or wedge-shaped devices of transporters easily open so that the disinfectant liquid on and in the transport and storage area containing the sterilized goods of the transporter, which is also a tub-like container forms can be poured out.

The increase in sterilization after immersing the sterilized material in H₂O₂ solution followed by UV-C radiation Range of several orders of magnitude. As basic information it may sufficient that only (e) total spraying with 3% -H₂O₂- Solution also cause considerable germ reductions.

Otherwise, it is in the case of the oxidium H₂O₂ - although only in small quantities - naturally occurring Product. So it can It may even be advantageous to you Instrument as a film of moisture adhering oxidant residue because it germinates due to its microbicidal potential can cause killing effects. Clinical observations prove, moreover, that residual damage is not worth mentioning Role play: self-induced tissue irritation, even Corneal damage, led to restitutio ad integrum.

The favorable disinfection effects of the agents described are undoubtedly based on their toxicity and aggressiveness against about organic substances and thus against microbes: under the conditions of use of the specially developed device but they are for the human organism harmless.

Of course, there are also undesirable ones, some of them  relevant effects on the disinfectant, which does not ver is whimsical in connection with the knowledge that one already won with the pre-operative sterilization procedures has one. These are supported by clinical findings.

Therefore, the stated and necessary in principle apply microbicidal perioperative applications not unrestricted; they are to be chosen so that intense, however, if possible short-term exposure to the sterilized material under be special consideration of its material properties are accomplished.

The descriptions of the numerous exemplary embodiments and the exemplary drawings represent the advantageous applications in the context of perioperati ven medicine.

It is very conceivable that other areas of the daily Chen and / or industrial life such sterilization make use of opportunities, especially as they are efficient and inexpensive and are easy to use. This applies in particular to the ergonomically oriented way of working with its uncomplicated processes.

The sterilization system according to the invention is described below hand of several embodiments explained in more detail. In the attached drawings show:

Fig. 1 bottom view of an embodiment of a manually manageable transport and storage element - in the fol lowing called transporter - for the entanglement goods;

Fig. 2 transporter of Figure 1 in sectional side view.

Fig. 3 transporter of Figure 1 in side view.

FIG. 4 transporter of FIG. 1 in a view from above with an implant inserted as a sterilization product;

Fig. 5 sectional side view of another game Ausführungsbei a manually manageable transport and storage element - in the following called transporter ge - for the sterilized material, with a drill placed therein as a sterilized material;

Fig. 6 sectional side view of another game Ausführungsbei of a transporter according to the invention;

Fig. 7 sectional side view of an instrument table with transporters within an embodiment of a sterilization device with a box-like housing (container), for. T. combined with a device for delivering ultrasound;

Fig. 8 demonstration (in partial view) of the advantageous interaction of an embodiment of the transporter with an embodiment of a storage container with oxidant solution in the container of Fig. 7;

Fig. 9 plan view of an embodiment of a grid-shaped storage rack, which can be set or used in a transporter or in a container or can be placed under a roof-like disinfection device (roof);

Fig. 10 sectional side view of an embodiment of a transporter in cooperation with another ren embodiment of a storage container with oxidant solution;

Fig. 11 side view of an embodiment of a scal pell with movable in the handle cutting edge;

Fig. 12 is a perspective view of a game Ausführungsbei a box-like Entkei mentungsvorrichtung (container) with a device for emitting UV radiation, in particular UV-C radiation, and a device for providing an aerosol mist with an oxidative effect;

Fig. 13 front view of the sterilization device of Fig. 12;

FIG. 14 is sectional side view of the sterilizing device of Fig. 12;

FIG. 15 is sectional side view of the sterilizing device of Figure 12 in a central sectional plane, wherein the roof-shaped cover is not shown.

FIG. 16 is sectional side view of the sterilizing device of Figure 12 in a laterally offset sectional plane, wherein the roof-shaped cover is not shown.

Fig. 17 side view of a surgical instrument table with an embodiment of a roof-like Ent germination device (roof) with a device for emitting UV radiation, wherein the roof-like Ent germination device is adjustable in height;

Figure 18 is sectional side view of another Ausführungsbei play of a box-type sterilization device (container) with a device for delivery of UV radiation and a means for providing a fluid bath having oxidative effect, with a further embodiment of a transporter partially inserted in the sterilizing device.

Fig. 19 sectional front view of the sterilization device of Fig. 18;

FIG. 20 View of the transporter of FIG. 18 looking in the direction of FIG. 19;

FIG. 21 view of the transporter of FIG. 18 against the viewing direction of FIG. 19;

Fig. 22 top view of the transporter of Fig. 18;

FIG. 23 is sectional front view of an embodiment ei ner box-like Entkeimungsvor inventive device (container) with a device for ABGA be of ultraviolet radiation and a device for loading woman on top of an ozone-containing gas atmosphere with oxidative effect;

Fig. 24 sectional side view of the fan chamber of the Ent germinating device of Fig. 23;

FIG. 25 is sectional side view through the laterally displaced portion of the box-like housing (container) of the sterilizing device of Fig. 23;

Fig. 26 view from the outside of the drawer of the disinfection device of Figure 23 in the viewing direction of Fig. 25.

FIG. 27 side view of a further embodiment of a transporter according to the invention for cooperation with the disinfection device of FIG. 23;

FIG. 28 is rear view of the transporter of Figure 27 looking in the direction of Fig. 23.;

FIG. 29 is sectional front view of another kung Ausführungsbei game sterilizing a box-like (container) with a device for delivery of UV radiation and a means for providing an ozone-containing gas atmosphere with oxidative We;

FIG. 30 is rear view of the sterilizing device of Figure 29 opposite to the viewing direction of Fig. 29.;

FIG. 31 is sectional side view of the sterilizing device of Figure 29 in the amount of the rotating roller.

Fig. 32 is a schematic perspective view of parts of the interior of another embodiment of a disinfection device similar to the Entkeimungsvor direction of Figure 29 to show another embodiment of the rotating roller.

Fig. 33 is cross-sectional view through the rotating roller of Fig. 32;

Fig. 34, 35 sectional front view of a further exemplary embodiment of a disinfection device similar to the Ent germination device of Fig. 29, but this exemplary embodiment works with foils for regulating the ozone gas exchange;

Fig. 36 as used in medicine or in the personal care side view of a typical drilling rig;

Fig. 37 is a longitudinal sectional view of an embodiment of a receiving device (push-fit capsule) for the drilling device of Fig. 36 for use in cooperation with a box-like housing (container) with Oxi dantienlösung, similar to Figs. 38 to 40;

Fig. 38 embodiment of a box-like housing (container) with Oxidantienlösung for introducing medical devices to entkeimender function ends;

Fig. 39 another embodiment of a Entkeimungsvor direction similar to Figure 38, combined with a device for emitting ultrasound (ultrasound head).

Fig. 40 shows another embodiment of a Entkeimungsvor direction similar to Figures 38 and 39 in a not plugged together state.

Fig. 41 another embodiment of a Entkeimungsvor direction similar to Figures 38, 39 and 40;

FIG. 42 is sectional view of another embodiment of a receiving device (Aufsteckkapsel), the Screw-on to a medical device or can be pushed, together with the medical device prior to coupling;

FIG. 43 receiving device and medical device from FIG. 42 in the coupled state; FIG.

Fig. 44 is side view of another embodiment of a recording apparatus;

Fig. 45 cradle of Fig 44 in side view of a 90 ° rotation direction of view.

Fig. 46 embodiment of a heatable crucible-like container (crucible) with the functional end of a medical device to be sterilized;

Fig. 47 bottom view of the crucible-like container of Fig. 46;

Fig. 48 sectional side view of an ensemble of various embodiments of crucible-like containers with Oxi dantienlösung and schematic representation of a medical device with a functional end to be sterilized;

Fig. 49 sectional side view of another game Ausführungsbei a crucible-like container (crucible) with an oxidant solution, which due to its shape is rotatably inserted in a recess of a receiving device;

Fig. 50 bottom view of the crucible-like container of Fig. 49;

Fig. 51 is a perspective view of the crucible-like container age of Figs. 49 and 50;

Fig. 52 is side view of an ensemble of several pan-like container on an instrument table;

FIG. 53 is box-like housing (container) with integrated retaining devices for a plurality of pan-like container in a schematic perspective view;

FIG. 54 is front view of an embodiment of a sterilizing device OF INVENTION to the invention the box-like (container) with a device for releasing heat, which is mounted at an instrument table;

FIG. 55 is sectional side view of an operating table with another exemplary embodiment of a fiction, modern box-like sterilizing device comprising means for releasing heat;

Fig. 56 front view of a further embodiment of a box-like disinfection device (container) with a device for emitting heat;

Fig. 57 Side view of an instrument table with a heating device of Fig. 56;

Fig. 58 is a sectional view of an embodiment of an inventive disinfection device with a box-like housing (container) with a device for emitting UV radiation, a device for emitting heat, a device for providing a liquid bath and a device for providing an aerosol mist with oxi dative effect (so-called compact unit);

FIG. 59 is perspective view of the shelf plate and the stem-like handle of the compact unit of Fig. 58;

FIG. 60 is front view of an embodiment of a raisable and lowerable double container for the sterilization (so-called two-level container.);

FIG. 61 is sectional side view of the double container of FIG. 60;

Fig. 62 is a perspective view of an embodiment of a lifting and lowering roof-like Entkei maneuvering device (roof) with a slidable instru ment table and rotatable storage disc;

Fig. 63-sectional view of the roof-like Entkeimungsvorrich processing of FIG. 62,.

Figs. 1 to 10 show embodiments and application examples games manually manageable transport and storage elements according to the invention, named transporter in the following.

The transporters 1 , 1 a shown are each adapted to perioperative disinfection processes, essentially shovel-like or tub-like, manually operable, suitable for the absorption of liquid if necessary and, in this respect, containing a vessel-like front part 4 , 4 a transport and storage element 1 , 1 a with a handle 2 and the transport and storage surface 4 , 4 a and a protective shield 5 ( FIGS. 1-3), which is generally arranged between the two - on the surface of the storage or vessel part 4 , 4 a facing as required Mandrels or wedges 5 a for piercing Ver closing foils o. The like. Can be attached to liquid containers 17 ( Fig. 7, 8, 10) -, the shield 5 also in connection with the container (housing) the persons involved before thermal , chemical and photochemical effects by the sterilized material and by the devices in the container including the gaseous gases emanating from them or radiation-based emissions as well as the stored sterilization goods and radiation-sensitive fluids against penetrating emissions ( Fig. 7).

For ultraviolet radiation (UV) permeable areas of the Bo dens 10 a, 11 are, if necessary, provided on the underside with spacers 12 , in particular longitudinal strips 12 or knobs made of quartz glass or plastic, in order to increase the germ-reducing reflected radiation components.

On the top of the floor or on the inward Be tenflächen fastening and storage devices 13 , 14 may be attached to disinfect material or parts thereof ( Fig. 4-6). Such troughs 6 , compartments 7 , clamps 8 , eyelets, hooks, magnets 9 or clamping brackets 13 , 14 are preferably at least partially made of UV-ray-transmissible material in order to ensure a high disinfection effect.

Equipment that is frequently in use, such as scissors, scalpels, retractors, saws, probes and the like, can be sterilized by means of the transporter 1 , 1 a in the area of action of the solutions 18, for example. B. spend from liquid containers 17 below instrument tables 15 , the liquid can be divided into several storage containers 17 and their side by the instrument table top 15 and / or by box-like housing 15 a, 18 a is shielded from radiation ( Fig. 7, 10) . The box-like housing 15 a, 18 a can be closed by a lid ( Fig. 7); however, covering them is not mandatory if the penetration of inactivating radiation is already prevented by a table top 15 or drapes and / or the like ( FIG. 10).

The walls of the storage container 17 containing the solution 18 consist at least in the area of an intended target passage 5 c, namely at their insertion surface for the transporter 1 , 1 a facing or other suitable surfaces 5 c made of chemically resistant but easily perforable plastic, light metal foil or the like . Like. ( Fig. 8). In order to facilitate the outflow of the solution 18 in the transporter 1 , 1 a, the bottom surface of the container 17 a runs slightly inclined.

The surface of the transporter shield 5 facing the storage container 17 , 17 a or the transporter tip carry one or more integrated mandrels 5 a, 5 b and / or wedge-shaped devices pointing in the direction of advance ( FIGS. 7, 8, 10 ). These serve the purpose of perforating the liquid container 17 , 17 a in the last part of the feed path of the transporter 1 , 1 a on the corresponding container wall 5 c by means of the mandrels 5 a, 5 b and / or wedge-shaped devices, whereupon the disinfectant liquid 18 flows into the interior 4 , 4 a of the transporter and / or into the interior of the box-like housing 18 a in order to rinse off the sterilized material deposited there in one go and to sterilize it and, if necessary, to remain there for a few minutes.

Another embodiment, not shown in the drawing, leaves the transporter 1 , 1 a essentially unchanged, whereas the positioning of the liquid containers 17 , 17 a or the box-like housing 15 a, 18 a is advantageously carried out on or on the outer surfaces of container walls.

All elements can be in common with the transporter floor 10 , 10 a, 11 operatively connected, ultrasound emitting device 16 in common, which contributes by transmission of ultrasound impulses to a further increase in cleaning and microbicidal effects.

The application advantages of the transporter 1 , 1 a are also expressed in that it represents a combined transport and storage element with which the sterilized material can be used at any time, without further measures or manipulations, for example for terminal UV-C exposure (wavelength 253.7 nm ) and / or ozone-forming application of UV-C (wavelength approx. 185 nm), into which UV radiation containers can be placed.

For the disinfection of hollow bodies, drill rings, milling, threads and the like. By means of liquid disinfectants, however, box-like containers with holding devices ( Fig. 36-45) or crucible-like containers ( Fig. 46-53) are connected with larger parts because they contain the Function ends can be put into their function-specific mode of operation by rotating the equipment in order to rinse off and sterilize the material to be disinfected at the same time. The rinsing processes associated with mechanical cleaning of the equipment can also be used to counteract undesirable pyrogen formation on the bottom of cellular residues.

From the point of view of a particularly intensive and frictionless intermediate disinfection, it is advantageous to couple a container with UV-C emitters and / or ozone-generating or emitting devices and H₂O₂-atomizing nozzles to a transporter in such a way that the latter in the container is insertable and so far forms part of the overall housing in functional terms ( Fig. 12-22).

A deposited on the transporter floor 10 and with inserted into the container grid 19 made of light metal or plastic enables the gentle placement and irradiation of the sterilized material with UV "light", with a constructive and practical simplification consists in the transporter floor 10 and 10th a Execute at least partially grid-like made of flexible light metal or plastic that is transmissible for UV-C radiation, so that the sterilized material can be deposited on it.

Further embodiments provide a tank or box-like container 18 a which is open at the top and into which a transporter 1 a with an integrated floor grid 10 a made of a suitable, flexible material can be admitted and parked. The transporter 1 a with handle 2 does not have a separate protective shield 5 in this case, because the container 17 and generally the instrument table top 15 largely prevent light from entering.

The inflow of the oxidant solution 18 is started by pushing the transporter 1 a introduced into the container 18 a as far as possible. As a result, the mandrels or wedges 5 b of the transporter 1 a open the predetermined breaking point 5 c of the container 17 , since the former in the front part 4 of the transporter 1 a are directed at the predetermined breaking point 5 c of the container 17 .

Thus, the solution 18 flows into the open-topped container 19 a and at the same time into the transporter 1 a, where it flushes and rinses the disinfectant placed on the grid-like bottom 10 a (“rust”) of the transporter 1 a on all sides, which makes this an efficient one Disinfection experiences.

After removal of the transporter 1 a remains Entkei ment liquid 18 b in the container 18 a. It can continue to be used if it has not been exposed to electromagnetic radiation for too long, for example due to daylight, surgical lights or UV-C radiation, and so its disinfection potential has not yet been significantly reduced or exhausted.

Anyhow, thin oxidant films remaining on the transporter 1 a and disinfectant material generally have no relevant, disadvantageous significance within the operational process. If inactivation is nevertheless intended, short-term heating and / or UV-C radiation within the container is advisable.

In a certain analogy to the attachment options for crucible-like containers (see FIG. 53), it is possible to ergonomically adapt the container 18 a or box-like housing 15 a to the proportions of the transporter 1 a in the container 15 positioned in the area of the instrument table advantageous to integrate and integrate radiation-protected.

Fig. 11 shows an example of a possible Entkeimungsguts a scalpel 21 whose b with a finger abutment 22 provided cutting edge 21 b during storage, transport and treatment in the sterilization system by means of a of Sca Pell 21 slidable in the handle 21 of plastic rail 22 against damage protectable is .

In FIGS. 12-22 embodiments are box-shaped or roof-like Entkeimungsvorrichtungen shown, in addition to a device for delivery of UV radiation, particularly UV-C radiation (namely, one or more UV-C lamps), usually via a device to provide an aerosol mist (namely an H₂O₂ nebulizing nozzle) or a liquid bath with an oxidative effect.

Generally, UV radiation can be used efficiently for disinfection be set. Under the conditions of operative medicine however, it is not always sufficient to use just one procedure to use; rather, there are further paths to be taken  step because UV radiation due to the design one equipment does not have access to all surfaces, since not all devices have absolutely smooth surfaces, that are amenable to radiation and germicidal effects.

First of all, it is advantageous to include the roofing (s) 23 b, 28 b according to the innovation (roof-like housing) in the disinfection system and to provide a UV-C lamp 23 a, 30 b therein ( FIGS. 12-16, Fig. 17). With sufficient shielding against the acting people, the radiation thus exerts a germicidal influence both on the air in the covered room and on the deposited germination material there.

In addition to the under the instrument table top box-like disinfection devices with UV radiation sources (so-called UV containers) can contain additional UV containers in other, such as upper areas.

In order to block the escape of unwanted and harmful radiation from the UV containers, panels or flaps 24 a, 24 b, 25 , 25 a, 30 a made of UV-absorbing material such as glass, plastic, ceramic or the like should be provided ( Fig . 12-16, Fig. 17). So-called UV-C small emitters (low-pressure mercury lamps with the predominant wavelength 253.7 nm) do not contain any relevant hazard potential anyway, because the range of their UV spectral components is extremely limited and if the emitters and apertures are used appropriately and suitable transporters are used extremely low importance and is therefore negligible.

Since it can happen that a larger number of instruments accumulates in the container, it is still advantageous to use the container to divide it into individual chambers. This allows ver different chambers each have specific instruments or assign groups of instruments, which improves clarity is increased.  

Even more expedient, albeit more complex, is the attachment of a roof-like shield 30 a, for example by means of pedal pressure, to raise or lower the irradiation device 30 ( FIG. 17). This can, depending on the distance of the radiation source 30 b in relation to the disinfectant, coupled with an on / off switch and thus either, due to the roof structure 30 a, shielding (rest position) or (when switched on) also bactericidal his.

If this device 30 is raised and at the same time its radiation is switched off, there is room for comfortable handling, of course without the slightest radiation risk. Conversely, a highly efficient UV disinfection takes place when lowering to a distance of only a few centimeters from the disinfectant.

During this phase, however, no access is possible, so that for this reason at least one further container should advantageously be seen when using the device of FIG. 17.

The use of an appliqued below a table top Containers allow the sterilized goods to be irradiated the total duration of the operation, basically just the radio ends of the instruments are relevant. At the same time solves the task of adhering H₂O₂ film or the Residues remaining on the surface due to UV radiation inactivate, by itself. Floor perforations are used to drain any residues of solution.

As already happened in connection with FIGS. 1-10, at this point the application of integrated spacing 47 d or knobs is pointed out as protection for the UV-transmissible surfaces of the plastic or quartz glass plates; in particular, the surfaces of the UV-C containers 34 and the transporter bottoms 47 a are affected ( FIGS. 18-22). The like strips 47 d or knobs avoid erosions when moving material back and forth, primarily the transporter, whereby the transmission performance is in no way impaired when using small dimensions for knobs or strips.

The combination of a UV radiation source 23 a, 35 a with one or more H₂O₂-spraying aerosol device (s) 23 c, 36 b in a container 23 , 34 also offers advantages. Spray bursts, emitted when the UV lamp is switched off, help to improve disinfection within a short period of time if there is a subsequent UV radiation.

When using the capsules (or screw-on or slide-on) or the crucible-like containers ( Fig. 36-53) - primarily with the aim of radically sterilizing the important functional ends of the devices - it is more advantageous than disadvantageous, including those to deposit capsules or crucibles filled with an oxidant within the effective range of UV radiation. Of crucial importance, however, is only that the capsules or crucibles, which are generally arranged in rows, consist of UV-impermeable material or are shielded by devices made of non-transmissible material and are thus protected against the penetration of the oxidizing agents inactivating UV rays.

An easy-to-use UV-C sterilizer 34 is shown in Figs. 12-16. It also allows the placement of larger instruments, which are inserted at an oblique angle, due to the design characteristics of the device, which has optical protective shields or screens 24 a, 24 b, 25 , 25 a. Manual loading is possible, as is the use of the transporter.

If necessary, facilities are provided for spraying the sterilized material with an oxidant 23 c and for the exposure to UV-C radiation 23 a. The floor covering 26 of the container 23 of FIGS . 12-16 consists of corresponding resistive material which is soft and elastic enough to avoid damage to the sterilized material.

While the roof-like cover 23 b, 25 and the upper part of the device do not require sterilization, such a method is recommended for the lower device body. A single pre-operative sterilization is sufficient.

The possibility of starting from is not shown in the drawing removable cover also with a horizontal, facing forward ne, that is to say the aperture area facing the operating area Mistake. Such prophylactic measures are in the Usually unnecessary because the UV emission in question given their short range and precautionary construction that prevents harmful radiation poses no risk.

In FIGS. 18-22, a further embodiment of a box-like sterilizing device 34 in addition to more UV-C radiators is shown, 35 a has an H₂O₂-misting nozzle 36 b. The nebulizing nozzle 36 b is automatically triggered when the imaged transporter 44 is fully inserted into the box-like container 34 when the front tip 49 of the transporter meets the buffer button 41 for the trigger switch 40 b. The transporter 44 can be locked by means of interacting locking devices 42 , 43 , 45 a on the transporter 44 and container 34 , essentially light and gas-tight on the con tainer 34 .

In FIGS. 23-35, several embodiments are ge of the invention the box-like Entkeimungsvorrichtungen shows, each having at least one means for delivery of UV radiation (namely, a UV lamp) and at least one means for providing an ozone-containing Gasatmosphä re with oxidative effect.

A housing (container) 34 is used to accommodate the germicidal agents (UV radiation and ozone) providing UV lamps 35 a - which are also the ozone generators - and to accommodate ozone inactivating materials in the form of filters 51 c, films 62 and / or rotating rollers 54 a, 54 c. Ozone-forming UV lamps 35 a (with the particularly effective emission wavelength of approx. 185 nm) can be used advantageously when using special types of glass while avoiding materials that absorb the ozone-generating wavelengths of UV-C radiation.

In order to degrade the existing irritant gas ozone within the closed system 34 , including the transporter 44 after the germ killing has ended, inactivating ozone filters 51 a, 51 c, 54 a, 54 c z. B. in the form of foils and / or fan wheels or rollers, which are inactive during the disinfection phase characterized by the ozone build-up, ie are shielded or out of operation and are only started after they have ended.

Fig. 29 illustrates an O₃ inactivation process by opening the fan chamber 54 , which can be accelerated by the fact that the ozone-depleting filter material itself partially or entirely forms the air-circulating fan roller 54 c (with), its surface through recesses, lamellae, filaments and / or granules can be enlarged ( 59; 59 a; 59 b; 59 c according to FIGS. 29, 31, 32, 33, 34 and 35).

By means of a mechanical device 57 for manual pressure, approximately in the manner of a punch, including the lateral pins the magnetic contacts are separated 58 a, wherein the if necessary with a replaceable inner layer occupied 54 e or slip bare channel-shaped Okklusionswanne 58 downwardly, in the for their recording provided, a portion of the container outer wall 34 a forming lateral bulge rotates and a snugly into this bulge of the lateral wall 34 into or on these, the 35 a is with O₃ enriched air through UV-C emitter in container Interior 35 c in the fan chambers 54 , from where it comes within 35 c to complete O₃ inactivation in seconds by the filter effect of the O₃-inactivating layer 54 e and the rotating rollers 54 c without the aid of outside air.

The axes of rotation 60 of the occlusion troughs 58 protrude from the container rear wall 34 c by millimeters or centimeters from their axle bearing backwards, from where they are swiveled back to the medial ver by means of knurls 61 and by means of the magnetic contacts 58 a between them Build chambers 35 c and 54 a gas-tight barrier ( Fig. 29 and 30).

Instead of tubs 58 can be used for sealing between 35 c and 54 continuous, back and forth movable after disinfection, a roller blind-like, wide films 62 for binding or re-establishing the gas exchange ( Fig. 34 and 35).

According to FIGS. 29 and 30, it is also advantageous at suitable points of the outer walls, suitably on the side walls 34 a of the container 34 liquid oxidants SEN in easily accessible Gefä 36 a (o crucible wells, cuvettes. The like.) To be arranged to ent Dip the functional tips of instruments that require germination into the strongly disinfectant solution (see also Fig. 53).

As shown in FIG. 23, other exemplary embodiments provide a container 34 with two laterally attached chambers 51 and 54 , the container interior 35 c serving to insert the transporter 55 , on which the sterilized material rests ( FIGS. 27 and 28). The chamber 54 ( FIG. 24) receives the fans 54 a (in this case generally filter and catalyst-free). A drawer 51 a can be inserted into the chamber 51 located opposite ( FIG. 25). It is guided by a guide bar 34 e in engagement with recesses 52 b in the cassette 51 a. The latter includes a handle located in its front part and on its side 52, and a transition from the radiation under binding Strahlenokkluder 51 b in the front part and an ozone filter compartment 51 c in the rear part.

If the drawer 81 a is inserted as far as it will go into the side chamber 51 which activates the ozonin, no O₃ degradation takes place at first because the jet gas occluder 51 b, part of the drawer 51 a, the transfer of the gas mixture from the main chamber 35 c foiled.

This O₃ gas owes its origin to the emission of the emitters 35 a in the emitter chamber 35 and b is for the purpose of sterilization product sterilization in the main chamber 35 c of the Contai ners 34th It is important to ensure that a sufficient number of UV-C lamps for the wavelength 185 nm is available.

After the end of the sterilization material disinfection, which usually takes place within the space formed by the transporter 55 and the container 34 , namely the main chamber 35 c, the gas exchange leading to ozone deactivation is initiated by the fact that in the side chamber 51 in the drawer 51 is pulled out until it stops on the locking pin 53 . This blocks the locking bar 52 a before it is not pulled up.

Now the drawer 51 a protrudes by about half its length from the side chamber 51 , so that it is positioned with its O₃ filter compartment 51 c in the window area of the two chambers 35 c and 51 such that the gas mixture by means of the perforations 51 d with the Filter mass 51 c comes into contact.

An additional intensity and speed out of the gas exchange and thus the decomposition of the ozone gas through the starting of the fans 54 a ensembles opposite, namely beyond the chamber 35 c in the fan chamber 54 located.

Until the end of the ozone depletion phase, the insert element (cassette) 51 a and also the transporter 55 remain in their positions.

Since the O₃ inactivation period is only a few seconds, in principle, applied to security considerations, however, suggest a longer duration is ten abzuwar about 30 seconds. After that, the plug-in unit 51 a and the Trans porter 55 about the same time from the container 34 or the chambers 35 c and 51 removed. Pulling out the slide-in cassette 51 a only succeeds after pulling up the locking pin 53 , which blocked the locking bar 52 a.

For the transporter 55 , elements are provided which serve to seal off the chamber 35 c against gases (namely, for example seals) and electromagnetic radiation (namely, for example wall mirrorings 46 a). The devices 45 a and 45 b, which are in the areas 34 f in engagement with the container 34 and are intended to be locked, are closed and unlocked as required.

The operation of the UV lamps and fans or the Rota tion rollers 54 c is expediently carried out by pedal pressure, whereas the controls of the transporter and the A slide-in cassettes 51 a are designed more for manual operation.

In the embodiment of FIG. 31, a gas shielding tube 51 e is inserted into a container 34 as far as it will go. Her in an annular trough 51 h of a partition 34 j inside the container 34 , acting as a gas-tight buffer 51 f, also consisting of elastic, ozone-resistant material, ring widens - still ring-shaped - centrally and surrounds the rotary roller 54 in a concentric collar-like manner 51 g c from preferably ozone-depleting filter substance, which is equipped with a lamellar thread 63 and is secured within the tube 51 e against the ingress of air containing O₃.

With the pulling out of the tube 51 e and the starting of the ventilation-generating roller 54 c, the complete elimination of ozone within the interior 35 c of the container 34 takes place within seconds.

After completion of the ozone disinfection, the device 51 e is retracted until it stops, namely to the locking device 64 , the tube 51 e remaining to a small extent within the container 34 and gases cannot escape.

By means of an electric motor or manually, the roller 54 c consisting of ozone-depleting filter material is set in rotation, so that the ozone depletion is accelerated.

Figs. 36-45 and 46-53 show embodiments of recording devices (Aufsteckkapseln) for preferred Ver application in cooperation with the box-like housings (Contai partners) with or Oxidantienlösung of pan-like containers (crucibles), in each case in particular for the sterilization of the function of forming medical or personal care devices.

Fig. 36 shows an example of a typical motor-driven device, as it is used many times in medicine or in personal care. The device has a handle 69 , a switch 70 , a power supply cable 71 and a conical projection, generally designated 72 . The conical extension 72 has a clamping strip 73 as a locking aid for a receiving device (push-fit capsule) 77 . Also part of the conical extension 72 are a taper 74 and an extension 75 for attaching Bohrvor directions, in this case a milling head 76th

Fig. 37 shows a sectional view of a clampable receiving device (push-fit capsule) 77 . The push-on capsule 77 has an elastic edge 78 which can be brought into a clamping engagement with the terminal strip 73 on the device of FIG. 36, so that the push-on capsule 77 can be fastened on the device of FIG. 36. (Alternatively, for example, screw or bayonet connections are also possible.) The push-on capsule 77 further includes a ring 79 for gripping and for radiation shielding, as is clear from FIGS. 38 to 41. In the exemplary embodiment in FIG. 37, the ring 79 is at right angles to the wall of the push-fit capsule 77 .

The conical front part 80 of the push-fit capsule 77 is designed to be suitable for receiving the functional end (milling head 76 ) of the device of FIG. 36. It can have perforations 81 for the passage of liquid, namely oxidant solution 87 . The tip 82 of the conical front part 80 can optionally be open or closed.

Referring to Figs. 38 and 39 demonstrates how one of the like receptacle (Aufsteckkapsel) 77 and 88, respectively solution in a box-like container (container) 84 with a oxidants 87 can be inserted. The exemplary embodiment 77 in FIG. 38 has a ring 79 which attaches to the push-on capsules 88 at an oblique angle. In this way, it is avoided that the direct light can fall through the insertion channel 86 into the inside of the box-like housing 84 a and can impair the disinfection effectiveness of the liquid with an oxidative effect 87 . The wall of the box-like container 84 a (container) has a wall reinforcement 84 b in the region of the insertion channel 86 . On the lower part 84 c of the box-like container 84 a of FIG. 39, there is an ultrasound head 85 for enhancing the cleaning effect of the oxidant solution.

The push-fit capsule 88 of FIG. 39 can - since it is designed to be open at its tip - either remain permanently (as an attachment) on the medical device and, if necessary, be immersed in the oxidant solution together with the functional end (milling head 76 ), or it remains ( as a receiving device) in the insertion channel 86 , and the device is inserted into the capsule opening 83 during breaks in use.

The Aufsteckkapseln 77 of Fig. 37, 38 and 40, in contrast, have a conical front part 82 with perforations 81 for the passage of Oxidantienlösung 87, so that they must remain tung ver for the medical device on the box-like housing as Aufnahmevorrich. If, for example, the push-on capsule 77 of FIG. 37 had no perforations 81 and no opening at its tip 82 , it could also be clamped to the conical shoulder 72 of the device as a crucible-like container 84 d — filled with oxidant solution.

Fig. 40 is an illustration of the interaction of three components: device function end 76 Aufsteckkapsel 77 and box-like container 84 with a Oxidantienlösung 87th The structure of the embodiment of FIG. 40 is otherwise almost identical to the embodiment of FIG. 38.

Fig. 41 shows another embodiment of a box-like container 104 having a Oxidantienlösung 99th An intermediate piece 100 is inserted into an opening 98 . The intermediate piece 100 with its integrated ring 101 serves firstly to further shield the liquid with an oxidative effect 99 from the surrounding daylight or artificial light, and secondly to grip the intermediate part 100 . In the opening of the intermediate piece either the medical device itself, or a connector connected to the medical device can be inserted and clamped. The conical front portion 102 of the adapter 100 receives the functional end of the medical device, and perforations 103 allow access of the oxidant solution to the functional end. The opening 98 of the container 104 has a wall reinforcement 105 .

Fig. 42 and 43 show a further embodiment of a receiving device (attachment capsule) for connecting to a hub 75 of a medical device, the end tion with a wireless (eg. As drill bits or milling head 76) is provided. The edge of the attachment capsule 77 is provided with a screw thread 92 a for engagement with a corresponding thread on the attachment piece 75 of the medical device. The mode of operation of the exemplary embodiment of FIGS. 42 and 43 otherwise corresponds to the exemplary embodiments already described.

The exemplary embodiments in FIGS . 44 and 45 show attachment capsules 77 which have laterally attached slats 95 which form an insertion compartment 96 for inserting implants 97 or other parts.

FIGS. 46 and 47 show an embodiment of a tie gel-like container 84 d, which can be heated. For this purpose, the crucible 84 d has two channels 89 in its bottom, into each of which a graphite heating electrode 89 a can be inserted. Otherwise, the bottom 90 and parts of the wall 90 of the tie 84 d of FIGS. 46 and 47 consist of quartz glass in order to let UV radiation pass through. The effect can be enhanced by partially reflecting the inside of the container 84 d. The end of the function to be sterilized is simply immersed through the insertion channel 86 of the crucible 84 d into the oxidant solution 87 located in the crucible 84 d and is generally rotated there to increase the cleaning action.

Fig. 48 shows several different crucible-like containers 109 , which are designed for single use, in a receiving device 107 . The crucible-like container 109 are each filled with a disinfectant solution with oxidative effect 117 . To protect against ambient light, the tie gel 109 are provided with covers 113 , 114 , which are either designed to be removable ( 113 ) or are provided for piercing with the functional end 122 of a device 120 ( 114 ).

The crucibles 109 are inserted into openings, recesses or containers 106 in the holding device 107 . Prevent from the crucibles 109 mounted lamellae 116, possibly in cooperation mi 39239 00070 552 001000280000000200012000285913912800040 0002019544392 00004 39120t corresponding recesses 115 at the openings 106 or other formations on the receiving device 107, co-rotation of the crucible 109 when the solution in the oxidant 117 submerged function end 122 of the device 120 rotated.

The Fig. 49, 50 and 51 show another embodiment of a rotationally fixed manner in a receiving device 107 arranged pan-type can 109. The crucible-like container 109 of FIGS . 49-51 has a substantially cuboid body, which is inserted into an insert container 108 in an opening 106 of the receiving device 107 . The lid of the crucible 109 can be folded up on a hinge 112 by means of a gripping tongue 111 and then exposes an oval opening 118 for inserting a device part or a functional end 122 of a device 120 .

Fig. 52 shows an ensemble 119 of several crucibles 109 in a receiving device 107 , which are arranged on an instrument table below a roof-like cover. The roof-like cover serves as protection against the ingress of dust, airborne germs and electromagnetic radiation.

Fig. 53 finally shows several crucible-like containers 109 , which are in recesses 106 on a box-like housing, for. B. a container with another disinfection device are arranged. The crucible 109 are rotationally fixed in the openings 106 arranged by means of fins 116 engage recesses 115 in the openings 106 and filled with Oxidantienlösung 118th

FIGS. 54-57 illustrate several embodiments OF INVENTION dung according Entkeimungsvorrichtungen box-like with a device for releasing heat, in particular infrared (IR) radiation is (so-called. IR container).

An IR container provides a device for heat exposure  of the sterilized material. It solves tasks by means of exclusive use of oxidants and / or UV-C Irradiations are not fully disinfected are solvable.

This applies to devices, instruments or their parts in which there are cavities, recesses, threads or the like at which organic residues or body fluids adhere as are contaminated to look at and because of their moist sticky Condition favor the propagation of pathogenic germs.

PTC thermistors, the heatability of which appears sluggish, can generate considerable warming; mere "base" tempera tures around 25 ° C to 50 ° C are not desirable, since they become one within a few minutes Germination can lead.

Thus, (additional) high-performance heat radiators are more likely to be considered as heat sources; cover layer films are even more advantageous as functional heating elements in heat devices. Cover layer film heaters 128 ( FIGS. 54 and 55) are used as medical body radiation systems (cf. DE-P 31 12 676). The top layer films can reach temperatures up to 120 ° C. As can be seen from FIGS. 54 and 55, they can be introduced into the IR container 124 a in a simple manner.

Commercially available heating wires with a quartz glass sheath 129 are also suitable (FIGS . 56 and 57). The use of high-power emitters can also be recommended because they have advantageous dimensions as small modules; However, their absolutely reliable thermal insulation is required so as not to interfere with the operational manipulations in the prevailing high temperature (not shown).

The heat chamber is primarily intended for quick drying of those solution residues that - as a liquid film - lead to  Bacteria adhering, be it after pretreatment in the Oxi bath or after spraying with an oxidant.

As is known, the boiling point for H₂O₂ (usually comes 3% solution into consideration) at 152 ° C. Given the thin Liquid films already have much lower temperatures to their evaporation and thus inactivation. Therefore, heat drying as such is sufficient.

Overall, the insertion of IR containers 124 a, 124 b, 124 c, preferably with integrated top layer film heaters 128 , to a certain extent as a reserve or recourse option at any time, is highly recommended in the overall system, like the agents H₂O₂ and for larger numbers of cases UV (C) radiation is completely sufficient to achieve the required microbial effects.

However, if a heat application is unavoidable, there are Cover layer films because they are "unsteri len "heaters do not require any special pretreatment, but by people who are not involved in the operational process are directly involved, can be served, i.e. by auxiliary person nal. Therefore, the operational actors of such handha exercises exempt. Insofar there is with regard to the infrared loading spreads a difference to the other treated Containers.

The possibility of temperature control is provided; it can also be performed by persons who are not directly part of the surgical team. In any case, the residence time of the heat-emitting elements 128 in the container 124 a is practically unlimited.

Heat-resistant storage grids 127 a above the container 124 a, 124 b (see FIGS. 54 and 55) are not mandatory. Under certain conditions, the design features allow the sterilized material to be placed below the heat source 128 ( 127 b, FIG. 55). This can be the case for reasons of space saving, it being possible to attach them at uneven intervals. Using only a single heating element 128 can result in different degrees of heat. This results in options within the various storage levels, depending on whether there is more or less hurry with the drying speed.

Instead of a "grate", storage areas are also conceivable if namely small objects of the sterilized material for heating are provided without the risk of the parts to fall through. Well-known works come as materials substances that qualifi by heat resistance must adorn. Commercial high heat is to be added solid glass.

In order to further minimize the risk of heat, for example, the attachment of a heating element 128 to a spacer, such as a "spacer arm" 131 or a separate instrument table, so that expensive, space-consuming and space-consuming, heat-impeding operations in the immediate perioperative area are unnecessary ( Fig. 55). Devices of this type, which function at a heat-safe distance, do not represent a disadvantage; Rather, they offer advantages that are particularly evident when interacting with top layer film heaters 128 . In addition, they allow the storage grids or plates to be positioned above ( 127 a) or below ( 127 b) the heat emitters 128 . A special advantage of "spacer arms" 131 is that the heat regulation can be carried out by auxiliary persons, as has already been pointed out.

With regard to the top layer film heaters 128 , it should be emphasized once again that the complete top layer film heater 128 only has to be inserted from the outer areas of the instrument table 123 , 125 into the special insert device 132 a suitable for the device and is also ready for use at any time ( Fig . 54).

If the instrument holder 127a provided above the equipped for example with a cover layer film heater 128 IR container, the emitting surface of the device 128 upward, as it reproduces the Fig. 54.

If the storage surface (plate, grate) 127 b is below half, the top layer film heater 128 is positioned with the heat-radiating side down, which requires simple devices on the container.

The degrees of heat emitted by the cover layer foils sufficient with absolute certainty, especially those Sterilize materials that u. a. with the HIV virus (AIDS) are or could be affected.

The storage devices 127 a, 127 b, 127 c can be sterilized preoperatively if they have protruding edges 136 . After inserting them into the recesses in the container, they require no further maintenance.

FIGS. 58 and 59 show an embodiment of a so-called compact unit, a compact sterilizing device according to the invention having a box-like housing (Con tainer) 153 b with a device for delivery of UV radiation (Bactericidal 154), means for delivering heat (heater 153 a), a device for providing a liquid bath (oxidant solution 157 ) and a device for providing an aerosol mist with an oxidative effect (aerosol spraying device 155 with nozzles 156 ).

A container (container) 153 b allows considerable Keimre duzierungen in that a geplatte on a stamp-like Abla 144 deponierbares sterilization product dipped by pressing it into a designated to Entkeimungszwecken Oxidantienbad 157 and / or nebulized with a disinfectant, example as Oxidantium aerosol by means of a Bedüsungsgeräts 155 and is therefore sterilized. In order to increase the germicidal effects, after the shelf plate 144 has been raised again , that is to say above or above. outside of the sterilization solution 157 , intensive irradiation with ultraviolet light (UV-C) from the sterilization lamp 154 takes place.

The storage system, at the same time carrier plate 144 , can - depending on its position - perform both functions, namely both immersion and surfacing, and thus two types of disinfection, because its essentially porous plate body 145 is permeable to solutions.

The plate body 145 is stabilized by a lateral casing 146 and surface coatings 147 of the carrier or storage plate 144 .

For mechanical protection of the sterilized material, knobs and / or strips 148 made of soft, elastic material, preferably suitable plastic, are used.

The liquid permeability of the vertically movable carrier support plate 144 is ensured by round and / or lamellar, continuous perforations 149 .

In the event that heat is used (heating element 153 a), a heat-insulating layer 152 that extends across the storage plate is to be provided in order to prevent heat inactivation of the oxidant solution 157 .

In order to avoid an unintentional or uncontrolled excess of the stroke of the manually height-adjustable system, for example by lifting the stamp too much (handle 151 , handle of the same 150 ), there are detents 160 in the container on its wall or 160 a on the stamp handle 150 .

To cushion the stamp plate system in the event of inadvertently excessive lowering, a layer of chemically resistant plastic 158 a is provided on the container base and - for mechanical stabilization - a ceramic plate 158 b is provided.

The perforations 149 mentioned in the storage plate 144 advantageously have an oblique course in order to allow the smallest possible amount of heat, but above all not to let pass the UV radiation from the upper container chamber, which inactivates the oxidant solution. The direction of the course is chosen so that the emission cannot penetrate into the openings 149 .

The dividing line 159 denotes the connection of the lower to the upper container part, 153 b being the housing (container) for receiving the disinfection solution 157 , 153 c, however, the removable housing cover (upper part) with the elements UV lamp 154 , aerosol nozzles 155 and 156 , heating element 153 a and stem 150 as part of the stamp system.

While the rear walls of the disinfection device from opaque gem, be at least impermeable to UV radiation stand, which also applies to the side walls, it is expedient, at least part of the front container sections wise - for the purpose of optical control - out though more visible, but not transmissible for UV radiation punched so that UV radiation does not penetrate to the outside can.

Nor is it permissible to let oxidant-inactivating electromagnetic emissions enter the lower container chamber 153 b; thus the use of UV-absorbing glasses or plastics is required.

FIGS . 60 and 61 show an exemplary embodiment of a double container which can be raised and lowered (so-called two-tier container) with disinfection devices. The lower container level 161 b of the double container is rigidly connected to the upper container level 161 a. Both can always be raised or lowered at the same time.

Floor or container 161 are both b by UV-C radiation - emitters 162 and window 162 b - as well as by means of a microbicide contained in the container 167 and vaporizable by the nozzle 168 Oxidantiums treatable. The container 161 b gestat tet the storage of a greater amount of Entkeimungsguts and can, if necessary, by lifting or by means of access by a part located in the front opening (not shown) from the surgical team in Claim be taken.

If the unit is lowered and the bottom of the container 161 b is stopped by a locking device 165 b, the container 161 a reaches the under-table position, with the window 162 b which is transmissible for UV-C radiation being UV-C radiation into the interior of the container let in.

Thus also with container 161a an effective disinfection. It is considerably increased by spraying with oxidants by means of the aerosol nozzles 167 or 168 .

By electrical, hydraulic or manual-mechanical Hub take the containers back to their previous position.

However, disinfection is also possible within the working range of 161 a, because a nozzle device emitting a fine oxidant mist can be found in each of the two containers and can be started (container 167 , nozzle 168 ).

The attachment of a UV lamp 162 in the roof area of the unit, in conjunction with reflective mirroring 169 a of the inner roof area and the roof curvature 169 which protects against direct radiation leakage, permits a micro-destructive effect of a larger extent and at the same time also serves to break down and inactivate the oxidants Aerosols.

The mirroring 169 a are attached in such a way that the incident UV radiation is reflected in a way that is harmless to the people involved.

It is advantageous to keep emissions within each un Containers located below the table top alternately use so that UV-C radiation with the oxidant spraying, for example, every 30 or 60 seconds.

To intensify the sterilization measures, an oxidant-containing cuvette 163 is also provided, into which, according to the procedure discussed elsewhere, the function ends of surgical devices can be immersed and extremely effectively sterilized. In order to keep several cuvettes (crucibles, bowls) 163 available, these are arranged in a row next to one another within an attachment device 163 a and are easy to reach.

The height movements of the two-tier container system are made possible by a guide device so that an unhindered vertical transport can take place ( 165 d).

The completely unhindered disinfection option in container 161 b is advantageous, while container 161 a is in the use position, combined with the possibility of also transporting container 161 a to the under-table position and always has a sterilized device or instrument reserve can.

FIGS. 62 and 63, finally, show an embodiment of a raisable and lowerable roof-like Entkeimungsvorrich device (roof) with movable instrument table and rotating storage disc.

The roof-shaped device 170 of the sterilization device of FIGS . 62 and 63 can be raised and lowered and laterally supplemented by the radiation-shielding device 170 a and a radiation-resistant curtain 171 , so that harmful radiation emissions are lowered, only onto the sterilization material or the instrument table 174 directed position cannot take place. The lowering can take place in that the roof-like device 170 is tilted downwards by appropriate rotation in the upper part of the carrier 170 b (not shown). The dimensions of the roof-like device 170 and the radiation shielding curtain 171 preclude direct contact with the instrument storage table 174 . By activating nozzles 173 a on oxidizing aerosol-producing containers 173 and UV-C emitters 172 , there is an intensive disinfection of the sterilization material deposited on the instrument table 174 or the rotatable disc 175 (operating elements not shown; pedal operation is preferred) into consideration).

UV-C radiation and spraying with an oxidant are in usually used alternately, but can also be the same be carried out in good time.

The guide device 166 allows the back and forth pushing the instrument table 174; the disc 175 , which is designed for rotation and if necessary mirrored, can be specially equipped with a drape, the edges of which can be accommodated in column 174 a (recess of the instrument table 174 ). Cover cloths with radiation-resistant properties are otherwise applicable as usual; they can easily cover the storage devices: dents and notches 174 b and strips 174 c, although there is largely no UV reflection.

170 c represents the base of the entire unit 170 and 174 ( FIG. 62). Fig. 63 is a sectional view of the roof-like device 170 and shows the integrated supply lines 172 a and 173 b as well as the UV lamps 172 and the containers for oxidants 173 and 173 a.

For an even better understanding of the invention and the embodiment Rungsbeispiele now becomes a reference numeral below list, which is also part of the description:

Reference list

1 manually manageable transport and storage element (trans porter)
1 a transporter with grid-like bottom 10 a
2 handle
3 Handle handle
4 Transport and storage space in the front of the van
4 a Front part of the transporter, designed with a tub-like container to hold solutions
4 b side wall of the front part 4
4 c upper margin of 4, 4 a and 4 b and 18 a
4 d rear wall of the transporter
5 shield
5 a thorn on the shield 5
5 b thorn on the front part 4 of the transporter
5 c predetermined breaking points, drainage for liquid 18
6 front chamber as storage for sterilized goods
7 Tray for scalpel
8 clamping device
9 magnets
10 floor in the front part 4
10 a lattice-shaped bottom part
11 quartz glass base plate
12 skirting board as a spacer
13 clamping bracket
14 clamping bracket in a housing with the functional end of a device
15 instrument table
15 a box-like housing
16 ultrasound device
17 liquid container
17 a Liquid container with an inclined bottom surface
18 disinfectant liquid with oxidative effect in the container 17
18 a box-like housing for receiving a transporter 1 a and liquid 18 b
18 b disinfectant liquid, formerly liquid 18 from container ter 17th
19 Grid insert for receiving sterilized goods
19 a Leveling feet of the grid insert 19
19 b adjustable feet for 1 a and 10 a
20 roof-like cover of the instrument table 15
21 scalpel
21 a handle
21 b cutting edge
22 Protective rail made of plastic
22 a Guide grooves or strips
22 b roughened area as counter bearing at finger pressure
23 UV-C disinfection device
23 a UV-C lamp
23 b roof-shaped cover
23 c aerosol nebulizer
24 a radiation shielding shield
24 b slanted front side panels
24 c side wall
24 d back wall
25 removable cover
25 a pulled-down panel part
26 Floor cover made of UV-resistant plastic
27 table top
28 instrument table
28 a rigid height arm
28 b roof-like shielding
29 lifting device
29 a variable lifting height
29 b Drive device for lifting device
30 height-adjustable cover device
30 a radiation shielding
30 b UV-C lamp
31 Pedal for height adjustment
32 drape
33 vans
34 containers
34 a container side wall
34 b Container front wall
34 c container rear wall
34 d Guardrail for vans 44
34 e Guide rail for cassettes and / or occlusion devices
34 f Recess for locking container - transporter
34 g roof-like shielding
34 h altitude
34 i shaft for stacked containers
34 j Partition inside the container
35 a UV-C lamp
35 b lamp chamber
35 c container interior
36 a Containers or other (storage) containers with an oxidant solution
36 b atomizer nozzle
37 surgical instrument table
37 a height-variable equipment
38 a drape
38 b opening in the drape 38 a
39 a Radiolucent area
39 b Internal mirroring
40 chamber for ballast and / or choke coil
40 a ballast and / or choke coil for UV lamps
40 b electrical switch
40 c bottom of chamber 40
41 buffer button for switch 40 b
42 Lock inside
43 Lock for transporters
43 a compression spring
44 transporter for locking with container 34
44 a handle
45 transporter shield
45 a locking device
45 b locking device, locking wheel
45 c connecting pin
46 Front surface of the transporter shield rear wall
46 a mirroring of area 46
47 Front part of the transporter with storage space and / or container
47 a bottom part of front part 47
47 b inclined floor surfaces, possibly permeable to UV radiation
47 c floor drain for liquid drainage
47 d floor slide
47 e mandrels on the transporter sign
48 grid-like insert as carrier for the sterilized goods
48 a adjustable feet from insert 48
49 Front tip for contacts with switch 40 b and buffer button 41
50 side locking device for engagement with internal locking device 42
51 ozone inactivation chamber
51 a drawer for radiation occluder
51 b Radiation (and gas) occluder
51 c ozone inactivation filter
51 d perforation for gas exchange with ozone filter 51 c
51 e ozone shielding tube
51 f buffer ring at the open front end of tube 51 e
51 g soft-elastic collar to buffer ring
51 f = aperture-like device with a central opening for roller 54 c
51 h annular trough in partition 34 j
52 Handle for drawer cassette 51 a
52 a locking bar for drawer 51 a; Lock by locking pin 53
52 b recesses for guide rails 34 e
52 c Handle for ozone shielding tube 51
52 d handle, at the same time drive knurl of rotating roller 54 c
53 Locking pin against pulling out the drawer 51 a
54 fan chamber
54 a fan, if necessary made of ozone inactivating material
54 b air outlet openings
54 c rotating roller for air circulation, possibly made of filter material that removes ozone
54 d camp
54 e ozone inactivating layer (catalyst or filter material)
55 transporters for gas-tight occlusion in cooperation with the container 34
56 electric motor for driving the roller 54 c
56 a force-transmitting element for rotating roller 54 c
57 mechanical pressure device for releasing magnetic locks
57 a resilient stamp for retracting the printing device 57
58 channel-shaped, gas-tight occlusion tray secured by wall 58 c and magnetic lock, detachable by device 57 , pivotable by knurl 61
58 a magnets for magnetic lock
58 b channels for stamp-like arms to printing device 57
58 c side wall of occlusion tray 58 , forming a tub-like body
59 channels, grooves and other recesses in the roller body 54 c
59 a fins of the roller 54 c
59 b filaments of the roller 54 c
59 c granules in the roller 54 c
60 axes of rotation of the occlusion tray 58
61 knurl
62 slides
63 slats as part of a rotating roller in the form of a thread
64 lock for buffer ring 51 f
65 Winding roller for occlusion films 62
65 a handle for film transport
66 UV radiation shielding barrier with inclined perforations 67 and guide device 68 for foils
67 perforation for air exchange between fan chamber 54 and container interior 35 c
68 slit-shaped guide device in lock 66 for transporting the occlusion films
69 handle
70 on / off switch
71 Power supply
72 conical approach
73 Terminal strip as a locking aid
74 taper
75 Extension piece for fastening drilling devices
76 functional end of a drilling machine (milling head)
77 push-on capsule (holding device)
78 rim with clamp on the attachment capsule, screwable if necessary or with bayonet lock
79 ring to grasp
80 conical front part
81 perforations
82 top
83 Opening of the push-on / clamping / screwing device
84 a container (oxidant chamber)
84 b wall reinforcement
84 c lower part
84 d crucible-like container
85 ultrasound head
86 insertion channel
87 Oxidant solution
88 push-on capsule (holding device or extension)
89 channel
89 a graphite heating electrodes
90 quartz glass or plastic floor and / or wall
91 capsules containing oxidants
92 cover
92 a screw thread
93 bowl-shaped insert against tilting and for stabilization
94 protrusion against tilting and for stabilization
95 side-mounted slats
96 slot
97 implant
98 opening
99 oxidant solution
100 intermediate piece
101 ring to grasp
102 conical front part
103 perforations
104 containers (oxidant chamber)
105 wall reinforcement
106 opening, recess or container for crucible 109
107 holding device
108 insert container
109 crucibles with disinfectant solution 117
110 hinged lid
111 Tongue for easy lifting of cover 110
112 hinge
113 removable lid
114 penetrable lid
115 recess in 106 as a turnstile element
116 slats as turnstile of crucible 109
117 disinfectant solution in crucible 109
118 opening in crucible 109
119 Ensemble of several crucible-like containers 109
120 device
121 spacer ring
122 End of function
123 instrument table
124 a IR container for attachment below a table top
124 b IR container for attachment above a table top in connection with a spacer arm
124 c IR container with permanently integrated heat sensors
125 instrument table
125 a table top
125 b table leg
126 roof-like cover for shielding
127 a Storage device (plates, grids) above the container
127 b Storage device (plates, grids) below the container
127 c Storage device (plates, grids) inside the container
128 Heater with top layer film as a heat source
129 heating element with quartz glass coated heating wires
130 a device for attaching the container to the instrument table 123
130 b device for fastening the container by means of a spacer arm 131
131 spacer arm
132 a slide-in device for heater 128
132 b Insertion or insertion device for sterilized goods
133 beads of a container that can be attached to the instrument table 123
134 recess for inserting a heater 128
135 a recesses in the instrument table top 125 b
135 b recesses in the upper part of the container
136 margins for storing the sterilized goods
137 edge beads of the heater 128 , fitting in the insertion device 132 a
138 Heat shield of the container 124 b
139 a electrical cable
139 b Mains connection
140 housing opening for air circulation
141 transporters
142 transporter handle
143 Ceramic jacket as heat storage and insulator
144 Carrier and storage plate for equipment
145 porous, fluid-permeable plate body
146 lateral sheathing to stiffen the storage plate 144
147 Surface coating of the shelf 144
148 knobs and / or lasts made of soft elastic material
149 perforations of the shelf 144 for disinfectant solution with oxidative effect
150 stem
151 stamp-like handle for height movement of the shelf 144
152 insulating layer
153 a heating element
153 b container (box-like housing) for oxidant solution
153 c removable housing cover
154 UV lamps
155 aerosol spraying device
156 nozzle
157 Oxidantium
158 a plastic on the case back
158 b ceramic plate on the caseback
159 Limitation of front container parts that are opaque to UV radiation
160 lock for shelf 144
160 a lock on handle 150
161 a upper box-like housing (upper container)
161 b lower box-like housing (lower container)
162 UV-C lamps
162 a UV-C lamp chamber
162 b window permeable to UV radiation, e.g. B. made of quartz glass
163 crucibles for the supply of oxidant solution
163 a mounting device for one or more crucibles
164 surgical instrument table
165 Drive transmission for lifting and lowering the double container 161 a, 161 b
165 a shaft
165 b locking device
165 c supply line device (s)
165 d vertical guide for containers 161 a and 161 b
165 e bottom of the lower container 161 b
166 rear wall of the containers 161 a and 161 b
167 Container and spray device for oxidant solution
168 nozzle
169 roof-shaped cover with UV lamp chamber 162 a
169 a UV radiation reflecting internal mirroring of roof-shaped cover 169
170 roof-like device with integrated device for providing an aerosol mist and integrated UV lamps
170 a radiation shielding cover
170 b carrier for roof-like device 170 with supply lines
170 c base for roof-like device 170
171 radiation-shielding curtain on all sides on the roof-like device 170
172 UV-C lamps
172 a supply line for UV-C lamps 172
173 Containers containing oxidant solution
173 a nozzles
173 b Supply line for oxidant solution after tanks 173
174 instrument storage table
174 a recess in the instrument table for receiving the rotating disk 175
174 b Dents and notches as a storage device for tools
174 c strips as a storage device for equipment
175 rotating disc as a storage device for equipment
175 a rotatable vertical axis
175 b support column for instrument tray 174 and for rotating disc 175
176 Pick-up and guide device for instrument table 174
176 a base of the instrument tray 174 .

The exemplary embodiments listed serve only the Illustration of the invention, the invention is by no means based on she limited.

Claims (60)

1. disinfection system for the disinfection of medical devices including devices for personal care and other objects such as implants or the like, characterized in that the disinfection system

• - A device ( 23 a, 30 b, 35 a, 154 , 162 , 172 ) for emitting UV radiation, in particular UV-C radiation and / or
• - A device ( 128 , 129 , 153 a) for emitting heat, in particular IR radiation and / or
• - A device for providing a fluid bath, in particular a liquid bath ( 18 b, 87 , 99 , 117 , 157 ) and / or an aerosol mist ( 36 b, 155 , 156 , 167 , 168 , 173 , 173 a) and / or a gas atmosphere ( 35 a) with an oxidative effect and / or
• - A device ( 16 , 85 ) for the emission of ultrasound

comprises, the above-mentioned devices individually or collectively in or on one or more box-like ( 15 a, 18 a, 23, 34, 84 a, 104, 124 a, 124 b, 124 c), roof-like ( 30 a, 170 ) or crucible-like ( 36 a, 84 d, 109 ) housings are arranged and the box-like housing ( 15 a, 18 a, 23 , 34 ) preferably for receiving a manually manageable transport and storage element ( 1 , 1 a, 44 , 55 , 153 b, 161 a, 161 b) is designed for the sterilized material. 2. disinfection system according to claim 1, characterized in that the manually manageable transport and storage element ( 1 , 1 a, 44 , 55 ) substantially scoop or tub-like with a handle ( 2 , 44 a), a transport and Storage area ( 4 , 4 a, 47 ) and at least partially between the handle ( 2 , 44 a) and the transport and storage area ( 4 , 4 a, 47 ) arranged shield ( 5 , 45 ) is formed, the shield ( 5 , 45 ) optionally in cooperation with the box-like housing protects the operator from thermal and / or chemical and / or photochemical effects from the sterilized material and / or from the devices in the box-like housing. 3. disinfection system according to claim 2, characterized in that the manually manageable transport and Abla geelement ( 44 , 55 ) in particular by means of suitably trained snap hooks ( 45 a), cams and / or seals at least substantially gas and light-tight on the box-like housing ( 34 ) can be attached. 4. disinfection system according to claim 2 or 3, characterized in that the transport and storage surface ( 4 , 4 a, 47 ) forming the bottom ( 10 a, 11 , 47 b) and / or possibly the side walls ( 4 b) of the shovel or trough-like trans port and storage element ( 1 , 1 a, 44 ) are at least partially transparent to UV and / or IR radiation, in particular made of quartz glass. 5. disinfection system according to one or more of claims 2-4, characterized in that the areas not permeable to UV and / or IR radiation ( 46 a) of the bottom forming the transport and storage surface and / or the side walls of the shovel or tub-like transport and storage element and or the Schil des ( 45 ) to achieve a high degree of reflection for UV and / or IR radiation are at least partially polished and / or mirrored. 6. Disinfection system according to claim 4 or 5, characterized in that the bottom ( 11 , 47 b) of the scoop or trough-like transport and storage element ( 1 , 44 ) on its underside with spacers, in particular in the longitudinal direction extending strips ( 12 , 47 d) or knobs made of quartz glass or UV-permeable plastic. 7. disinfection system according to one or more of claims 2-6, characterized in that the bottom ( 10 ) on its upper side and / or possibly the inward side surfaces with fastening and / or storage devices, such as clamping brackets ( 8 ), Magnets ( 9 ), troughs ( 6 ), clamping brackets ( 13 , 14 ) or the like are provided for the sterilized goods. 8. disinfection system according to one or more of claims 2-7, characterized in that the transport and storage area ( 4 ) forming the bottom ( 10 a) and / or possibly the side walls of the scoop or tub-like trans port and storage element ( 1 a) are provided with perforations for the passage of the fluid, in particular the liquid ( 18 b) and / or the aerosol mist and / or the gas atmosphere with an oxidative effect. 9. disinfection system according to claim 8, characterized in that the transport and storage area ( 4 ) from the forming bottom ( 10 a) and / or possibly the side walls of the shovel or trough-like transport and storage elements ( 1 a) grid - Or are sieve-shaped. 10. disinfection system according to claim 8, characterized net that the individual perforations at least on one Section of their length at an angle to the floor, at for example, as under 45 ° to the ground in this training te channels are formed. 11. disinfection system according to one or more of the preceding claims, characterized in that in the box-like, preferably at least substantially light-sealing housing one or more chambers ( 35 c) are formed for the treatment of the sterilized material. 12. Disinfection system according to claim 11, characterized net that the partitions of the chambers with perforations for  Passage of the fluid, in particular the liquid and / or the aerosol mist and / or the gas atmosphere are provided with an oxidative effect. 13. Disinfection system according to claim 11 or 12, characterized in that the inner surfaces of the chamber (s) ( 35 c) at least partially polished and / or mirrored ( 39 b) to achieve a high degree of reflection for UV and / or IR radiation. are. 14. Disinfection system according to one or more of the preceding claims, characterized in that the box-like housing ( 153 b) from a sterilizable in a conventional manner lower part, which may be the fluid bath, in particular a liquid bath ( 157 ) and / or an aero contains sol mist and / or a gas atmosphere with an oxidative effect, and an upper part ( 153 c) which can be placed on the lower part to protect the chamber from the ingress of airborne germs and electromagnetic radiation. 15. disinfection system according to one or more of the preceding claims, characterized in that the box-like housing ( 15 a, 18 a, 23 , 24 ) preferably in one or more of its side walls ( 34 b) one or more openings for receiving the manually insertable Ent germination goods and / or the manually manageable transport and storage elements ( 1 , 1 a, 44 , 55 ), the openings preferably with fixed and / or ver swiveling or sliding or folding panels or flaps ( 25 , 25 a , 24 a, 24 b), in particular a roof-like cover ( 25 ) in front of the opening, for protecting the operator from thermal and / or chemical and / or photochemical effects by the devices in the box-like housing ( 15 a, 18 a, 23 , 24 ), possibly in cooperation with the shield ( 5 , 45 ) on the shovel or trough-like transport and storage element ( 1 , 1 a, 44 , 55 ) are provided. 16. Disinfection system according to claim 15, characterized in that in or on the box-like housing ( 15 a, 18 a) one or more storage containers ( 17 ) with the fluid ( 18 ), in particular with the liquid ( 18 ) and / or Aero sol mist and / or the gas with oxidative effect are present, the content ( 18 ) of which is completely or partly due to the transport and when the manually manageable transport and storage element ( 1 , 1 a) is inserted into the openings Storage area ( 4 , 4 a) of the manually manageable transport and storage element ( 1 , 1 a) pours. 17. disinfection system according to one or more of the preceding claims, characterized in that the entanking system a device, in particular one or more electrically operated, switchable UV lamps ( 23 a, 30 b, 35 a, 154 , 162 , 172 ), for emitting UV radiation, in particular UV-C radiation, which is arranged in or on the box-like ( 23, 34, 153 b, 161 a, 161 b) or roof-like ( 30 a, 170 ) housing. 18. Disinfection system according to claim 17, characterized in that the box-like housing ( 34 ) has a footprint ( 39 a) for manually depositing the sterilized material or the manually manageable transport and storage elements ( 44 , 55 ), which at least partially for UV - And / or IR radiation is permeable, and that a device for emitting UV radiation ( 35 a) or corresponding reflectors for the UV light are arranged below this footprint ( 39 a). 19. Disinfection system according to claim 17 or 18, characterized in that in or on the box-like ( 34, 153 b, 161 a, 161 b) or roof-like ( 170 ) housing additionally a device ( 36 b, 155 , 156 , 167 , 168 , 173 , 173 a), for example an ultrasonic atomizer for generating an aerosol mist with an oxidative effect. 20. Disinfection system according to one or more of the claims 17-19, characterized in that the box-like Housing can be attached to the underside of a table. 21. Disinfection system according to one or more of the preceding claims, characterized in that the entanking system is a device, in particular an electrically operated, switchable heating layer film ( 128 ) or a PTC thermistor or a quartz glass heater ( 129 ) for emitting heat, in particular IR -Radiation includes, which is arranged in or on the box-like ( 124 a, 124 b, 124 c) or roof-like housing. 22. Disinfection system according to claim 21, characterized in that a commercially available heater ( 128 ) can be used as a heat source, which can be inserted into a correspondingly formed recess ( 132 a) of the box-shaped housing ( 124 a, 124 b), above Han conventional heater ( 128 ) in the inserted position a storage rack or a heat-conductive Abla geplatte ( 127 a) is arranged for the sterilized material. 23. Disinfection system according to claim 21 or 22, characterized in that the box-like ( 124 a, 124 b, 124 c) or roof-like housing and / or possibly the chamber therein arranged ( 132 b) for reducing the heat emission to the environment is insulated by heat insulating means ( 138 , 143 ), such as insulating foils or the like, and / or is provided with heat storage means ( 143 ), such as chamotte or the like, to increase the uniformity of the temperature in the chamber. 24. Disinfection system according to one or more of claims 21-23, characterized in that the box-shaped housing ( 124 a) on the underside of a table ( 125 a) or between two tables, cupboards or the like. Attachable bar. 25. Disinfection system according to one or more of the preceding claims, characterized in that the entanking system has a device for providing a fluid bath, in particular a liquid bath ( 18 b, 87 , 99 , 117 , 157 ) and / or aerosol mist ( 36 b, 155 , 156 , 167 , 168 , 173 , 173 a) and / or a gas atmosphere ( 35 a) with an oxidative effect, for example a tub-like container filled with the fluid, in particular the liquid ( 15 a, 18 a, 84 a, 104 , 153 b), which is arranged in or on the box-like ( 15 a, 18 a, 84 a, 104, 153 b) or roof-like ( 170 ) housing. 26. Disinfection system according to claim 25, characterized in that the fluid with an oxidative effect contains a hydrogen peroxide (H₂O₂) and / or ozone (O₃) solution ( 18 b, 87 , 99 , 117 , 157 ) and / or an ozone ( O₃) contains the gas. 27. Disinfection system according to claim 25 or 26, characterized in that the disinfection system further comprises an ultrasonic generator ( 16 , 85 ) for acting on the fluid bath, in particular liquid bath ( 18 b, 87 ) with an oxidative effect with ultrasonic waves. 28. Disinfection system according to one or more of claims 25-27, characterized in that the disinfection system contains a device for providing an ozone-containing gas atmosphere, in particular a UV lamp ( 35 a) for generating ozone (O₃). 29. Disinfection system according to claim 28, characterized net that the UV lamp light of the wavelength λ = 185 nm emitted. 30. disinfection system according to claim 28 or 29, characterized in that the disinfection system one or more device (s) ( 51 , 51 c, 51 d, 54 a, 54 c, 54 e, 58 , 62 ) for removal, removal or Deactivation of the provided ozone contains. 31. disinfection system according to claim 30, characterized net that the device (s) include a UV lamp ten, which emits UV light of wavelength λ = 253.7 nm. 32. Disinfection system according to claim 30 or 31, characterized ge indicates that the device (s) is a filter material involve removing ozone from the gas atmosphere. 33. Disinfection system according to one or more of the claims 30-32, characterized in that the device (s) include an ozone depleting catalytic material. 34. Disinfection system according to one or more of claims 28-33, characterized in that the disinfection system comprises a device for circulating the gas atmosphere ( 54 a, 54 c), for example a fan wheel ( 54 a). 35. Disinfection system according to claim 34 in conjunction with claim 32 or 33, characterized in that the surface of the gas circulation device ( 54 a, 54 c), for example the fan wheel ( 54 a), at least partially with the filter material and / or with the catalytic Material is occupied or consists of it. 36. Disinfection system according to one or more of claims 32-35, characterized in that the filter material and / or the catalytic material by movable, in particular hinged, rotatable, sliding or pivoting screens or flaps ( 51 b, 58 ) of the ozone-containing gas atmosphere is separated and can be connected to it if desired. 37. sterilization system according to one or more of claims 25-27, characterized in that the upper cover in the box-like housing (84 a, 104) disposed fluid bath (87, 99), in particular the liquid bath (87, 99) with oxidative action of at least is partially formed by a preferably removable cover, in which a suitable opening ( 86 , 98 ) is arranged for the partial reception of a medical device, in particular a medical tool with ends designed and / or rotating radio ends ( 76 ). 38. Disinfection system according to claim 37, characterized in that in the opening ( 86 , 98 ) with perforations ( 81 ) provided receiving device ( 77 , possibly 88, 100 ) can be used in particular in a rotationally fixed manner, with the medical device, in particular the medical tool or with an attachment piece ( 75 , possibly 88 ) attached to it by locking, plugging or screwing, the perforations ( 81 ) allowing the passage of the fluid, in particular the liquid ( 87 , 99 ) with an oxidative effect, allow. 39. Disinfection system according to claim 37 or 38, characterized in that the medical device and / or the cover and / or the receiving device ( 77 , possibly 88, 100 ) and / or the extension piece (possibly 88 ) with an opaque light Shoulder, a collar ( 79 ) or the like. Are provided so that the medical device, in particular re the medical tool is essentially light and / or airtight on the box-like housing ( 84 a, 104 ) to be arranged. 40. Disinfection system according to one or more of the preceding claims, characterized in that the box-like ( 161 a, 161 b) or roof-like ( 30 ) housing in particular by means of foot pedal ( 31 ) or switch actuation from a lowered position to a raised position and vice versa can be raised or lowered ( 29, 165 ). 41. Disinfection system according to claim 1, characterized in that the crucible-like housing ( 36 a, 77 , 84 d, 109 ) is a crucible-like, iw cylindrical or cuboid or adapted to the shape of the medical device loading container ( 36 a, 77 , 84 d , 109 ) with a preferably light-tight or dark colored wall and possibly a cover ( 110 , 113 , 114 ) which contains a fluid ( 87 , 117 ), in particular a liquid ( 87 , 117 ) with an oxidative effect. 42. Disinfection system according to claim 41, characterized in that the fluid ( 87 , 117 ) with an oxidative effect contains a hydrogen peroxide (H₂O₂) and / or ozone (O₃) solution ( 87 , 117 ) and / or an ozone (O₃) Is gas. 43. Disinfection system according to claim 41 or claim 42, characterized in that medical devices ( 120 ) in particular medical tools with a hollow body and / or rotating function ends ( 122 ), for the disinfection of these function ends ( 122 ) on the deep gel-like container ( 36 a , 77 , 84 d, 109 ) are preferably essentially light- and / or airtightly attachable or pluggable or screwable. 44. Disinfection system according to one or more of claims 41-43, characterized in that the lid ( 110 , 113 , 114 ) of the crucible-like container ( 109 ) can be easily removed ( 113 ) without additional aids and / or with the medical device ( 120 ) , in particular medical tool is penetrable ( 114 ). 45. Disinfection system according to one or more of claims 41-44, characterized in that the medical device, in particular the medical tool ( 120 ) or an attachment piece ( 88 ) attached to the medical device with a shoulder, a collar ( 101 , 121 ) or the like. is provided, which can be brought into contact with the cover ( 114 ) and / or with the wall of the container ( 84 a) in order to achieve an at least substantial exclusion of light and air. 46. Disinfection system according to one or more of claims 41-45, characterized in that the crucible-like container ( 77 ) has an elastic edge ( 78 ) which can be brought into engagement with clamping strips ( 73 ) or recessed grips of commercially available medical tools. 47. Disinfection system according to one or more of the claims 41-46, characterized in that the crucible Container made of plastic and a lid Has plastic or aluminum foil and for the single use. 48. Disinfection system according to one or more of claims 41-46, characterized in that the crucible-like container ( 84 d) is at least partially made of hard graphite and can preferably be heated by means of a built-in or attachable electrical resistance heater ( 89 a), the container preferably additionally has wall and / or floor areas ( 90 ) which are permeable to UV and / or IR radiation. 49. Disinfection system according to one or more of claims 41-48, characterized in that one or more crucible-like containers ( 36 a, 109 ) are arranged on a box-like ( 34 ) or roof-like housing. 50. disinfection system according to one or more of claims 1-40, characterized in that the disinfection system in the lower region of the box-shaped housing ( 153 b) a device for providing a fluid bath, in particular liquid bath with oxidative effect ( 157 ) and possibly a device for Delivery of ultrasound, and preferably in the upper region of the housing ( 153 b) a device for the emission of UV radiation ( 154 ) and / or a device for the emission of heat ( 153 a) and / or a device for producing an aerosol mist with an oxidative effect ( 155 , 156 ) and / or a device for generating a gas atmosphere with an oxidative effect. 51. Disinfection system according to claim 50, characterized in that the upper region of the box-shaped housing comprises an upwardly pivotable, arranged laterally or in the cover flap, or that the upper region ( 153 c) of the box-like housing ( 153 b) is designed to be removable is. 52. Disinfection system according to claim 50 or 51, characterized in that the disinfection material on a in the chamber of the box-shaped housing ( 153 b) slidably arranged, opaque, preferably fluid-permeable support plate ( 144 ) can be placed, which is in a position outside the fluid bath , in particular liquid keitsbaden with oxidative effect ( 157 ) can be brought. 53. Disinfection system according to claim 52, characterized in that the carrier plate ( 144 ) manually, in particular vertically, in particular by means of a handle ( 151 ) which can be actuated outside the housing or foot pedal for immersion in the fluid bath, in particular liquid bath with oxidative action ( 157 ). is movable. 54. Disinfection system according to claim 52 or 53, characterized in that the carrier plate ( 144 ) has a layer structure of at least a first layer ( 145 ) of an opaque, fluid-permeable material such as porous electrographite or the like and at least one further, second, above the first Layer arranged layer ( 152 ) of a sufficiently soft-elastic, preferably heat-insulating material, for example plastic or the like. At least the plastic layer ( 152 ) is preferably provided with perforations ( 149 ), which are at least on a portion of their length an angle to the support plate ( 144 ), for example as channels formed at 45 ° to the support plate ( 144 ) therein. 55. Disinfection system according to one or more of the preceding claims, characterized in that the entanking system ( 23 , 30 , 119 , 161 a, 161 b) for protection against airborne germs on a table ( 27 , 28 , 164 ) or cabinet below one preferably in particular by foot control ( 31 ) height-adjustable or lowerable ( 29, 29 a) roof-like cover ( 23 b, 28 b, 169 ) is to be arranged, which preferably a switchable, acting in the direction of the disinfection system to be assigned below Release of UV radiation ( 162 ), in particular UV-C radiation and / or an aerosol mist with an oxidative effect. 56. Disinfection system according to one or more of the preceding existing claims, characterized in that the Entkei system at least largely from UV radiation lung, IR radiation, heat and oxidative chemicals resistant materials such as metal, glass, ceramics, art fabric or the like. 57. Disinfection system according to claim 56, characterized net that the metal used free or low in heavy metals is. 58. Disinfection system according to one or more of the preceding existing claims, characterized in that the elec tric operated facilities of the disinfection system at least in part by foot switches and / or buttons are switchable.   59. Disinfection system according to one or more of the preceding claims, characterized in that the material to be removed comprises a scalpel ( 21 ), the cutting edge ( 21 b) of which during storage, transport or treatment in the disinfection system by means of a handle ( 21 a ) of the scalpel ( 21 ) displaceable plastic rail ( 22 ), strip or sheath can be protected from damage.