CN112274092A - Automatic cleaning device for thoracoscope - Google Patents
Automatic cleaning device for thoracoscope Download PDFInfo
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- CN112274092A CN112274092A CN202011224841.2A CN202011224841A CN112274092A CN 112274092 A CN112274092 A CN 112274092A CN 202011224841 A CN202011224841 A CN 202011224841A CN 112274092 A CN112274092 A CN 112274092A
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- A61B1/12—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
- A61B1/126—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning in-use
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
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Abstract
本发明公开了一种胸腔镜自动清洁装置，包括胸腔镜和配套的自动清洁固定鞘壳装置，所述的自动清洁固定鞘壳装置包括固定鞘壳和设置于固定鞘壳内的自动清洁组件，所述的固定鞘壳的中部设有管道状工作通道，所述的自动清洁组件设于该管道状工作通道内，所述的胸腔镜的前端为镜头，后端为胸腔镜的手柄连接端，靠近手柄连接端的一端的旁侧还设有冷光源连接口，所述的冷光源连接口连接冷光源后，为胸腔镜的镜头提供光源，该镜头通过固定鞘壳的管道状工作通道处伸入至胸腔内，且该胸腔镜的镜头可直接从固定鞘壳的管道状工作通道处伸入或撤出。本发明有效解决了原有的腔镜手术中，腹腔镜、胸腔镜等器材的镜头表面被污染模糊不清时无法及时进行快速清洁、消毒的情况。
The invention discloses an automatic cleaning device for a thoracoscope, comprising a thoracoscope and a matching automatic cleaning and fixing sheath device. The automatic cleaning and fixing sheath device comprises a fixing sheath and an automatic cleaning component arranged in the fixing sheath. The middle part of the fixed sheath is provided with a pipe-shaped working channel, and the automatic cleaning assembly is arranged in the pipe-shaped working channel. The front end of the thoracoscope is the lens, and the rear end is the handle connection end of the thoracoscope. A cold light source connection port is also provided on the side of the end close to the connecting end of the handle. After the cold light source connection port is connected to the cold light source, it provides a light source for the lens of the thoracoscope, and the lens extends into the tube-shaped working channel of the fixed sheath. into the thoracic cavity, and the lens of the thoracoscope can be directly inserted or withdrawn from the tubular working channel of the fixed sheath. The invention effectively solves the situation that in the original laparoscopic operation, when the lens surface of the laparoscope, thoracoscope and other equipment is polluted and blurred, it cannot be quickly cleaned and sterilized in time.
Description
Technical Field
The invention relates to the field of surgical instruments, in particular to an automatic cleaning device for a thoracoscope.
Background
The thoracoscope, laparoscope and arthroscope operations are common medical means in the prior medical means, and solve the problems that the original body surface operation incision is large, the postoperative incision of a patient is severe in pain, the operation incision is not easy to recover and the like. Through cutting a minimal invasive incision on the body surface of a patient, and stretching endoscope equipment into the body from the incision, the position of an operation is subjected to real-time amplification monitoring, so that the size of the incision is reduced, the image of the operation position can be amplified in real time, and the operation is convenient to carry out. However, in the existing operation process, there is a problem that the lens of the endoscope is easily contaminated, and the contaminated lens affects the operation image and needs to be cleaned frequently. If the patient is taken out from the incision of the patient repeatedly, the wound is easy to rub repeatedly, and the infection is easy to occur. In order to improve the efficiency of the operation and save the tedious operation of the operation as much as possible, it is necessary to develop a device which is non-invasive to the operation incision of the patient and convenient for cleaning the endoscopic lens. The existing medical apparatus has high precision, and cannot realize real-time cleaning of the lens in vivo. Therefore, the sheath shell is fixed at the surgical incision of the patient, the thoracoscope stretches into the surgical position from the sheath shell to feed back the real-time image of the surgical position, once the lens is polluted, the thoracoscope is taken out from the sheath shell, cleaned, disinfected and then stretched into the chest cavity from the sheath shell again, and the patient is put into work again. This kind of operating mode's not enough lies in, and the chamber mirror need be put into repeatedly and take out and wash and clean, and the operation is more loaded down with trivial details, and external environment is touched to the chamber mirror moreover, and easy contaminated, the pollutant also enters into thorax or abdominal cavity from the working channel of sheath shell easily, arouses the infection easily. Therefore, there is a need to develop a cleaning device that can automatically clean and disinfect the lens without completely taking out the thoracoscope or laparoscope from the working cavity.
Disclosure of Invention
In order to solve the problems, the invention provides an automatic cleaning device for a thoracoscope.
The technical scheme includes that the automatic cleaning device of the thoracoscope comprises the thoracoscope and a matched automatic cleaning and fixing sheath shell device, the automatic cleaning and fixing sheath shell device comprises a fixing sheath shell and an automatic cleaning assembly arranged in the fixing sheath shell, a pipeline-shaped working channel is arranged in the middle of the fixing sheath shell, the automatic cleaning assembly is arranged in the pipeline-shaped working channel, a lens is arranged at the front end of the thoracoscope, a handle connecting end of the thoracoscope is arranged at the rear end of the thoracoscope, a cold light source connecting port is further arranged beside one end close to the handle connecting end, the cold light source connecting port is connected with a cold light source and then provides a light source for the lens of the thoracoscope, the lens extends into a thoracic cavity through the pipeline-shaped working channel of the fixing sheath shell, and the lens of the thoracoscope can directly extend into or withdraw from the pipeline-shaped working channel of the fixing sheath shell.
Preferably, fixed sheath shell include that the incision inserts the end, the outer stiff end of incision and camera lens insert the end, the outer stiff end of incision locate the incision insert the top of end, the camera lens insert the end and be located the top of the outer stiff end of incision, the inside entire body of fixed sheath shell be hollow pipeline form working channel, the incision insert the surface of end be equipped with outside bellied external screw thread structure.
Preferably, the tail end of the lens of the thoracoscope is in an inclined state, and the slope surface of the inclined slope faces to one side departing from the direction of the cold light source connecting port; an anti-fog heating device is arranged on the periphery of the lens end of the thoracoscope.
Preferably, the automatic cleaning assembly comprises a cleaning assembly base and a cleaning device arranged on the cleaning assembly base; the cleaning component base is arranged in the pipeline-shaped working channel and is attached to the inner wall of the pipeline-shaped working channel; a working channel for the thoracoscope to pass through is arranged in the center of the cleaning component base; the cleaning device comprises a cleaning liquid injection pipe, a disinfectant injection pipe and a waste liquid negative pressure recovery pipe, and is arranged in the cleaning component base.
Preferably, the lower end of the outlet of the cleaning liquid injection pipe is provided with a cleaning spray head, the cleaning spray head is arranged at the lower end of the cleaning component base, and the outlet of the cleaning spray head is inclined upwards; the lower end of the outlet of the disinfectant injection pipe is provided with a disinfection spray head which is positioned above the cleaning spray head; and the lower end of the waste liquid negative pressure recovery pipe is provided with an elbow which stretches out of the lower part of the cleaning component base, and the waste liquid negative pressure recovery pipe is not fixed with the cleaning component base and can stretch up and down relative to the cleaning component base, or the elbow rotates around the waste liquid negative pressure recovery pipe.
Preferably, fixed sheath shell lower extreme be equipped with the locking cap, this locking cap with fixed sheath shell lower extreme be for dismantling the connection, the lower extreme center of locking cap be equipped with the silica gel leak protection piece, be equipped with the opening that supplies the camera lens of thoracoscope to pass in this silica gel leak protection piece, when the thoracoscope pushes down, the opening of silica gel leak protection piece is pushed away to the camera lens end, this opening is opened, the camera lens surface of open-ended edge laminating thoracoscope strikes off unnecessary antiseptic solution, when the thoracoscope contracts, this opening is closed, the junction of locking cap and fixed sheath shell in be equipped with the sealing washer.
As a further preferred aspect, a fastening device is disposed between the upper end of the cleaning assembly base and the fixed sheath shell, and after the fastening device is fastened, the cleaning assembly base and the fixed sheath shell cannot rotate relatively.
Preferably, the outer diameter of the outer fixed end of the notch is larger than the outer diameter of the inserting end of the notch, the outer edge of the inserting end of the lens is provided with a buckling bulge, and the upper end of the inserting end of the lens is provided with an inward inclined guide section.
Preferably, the negative pressure waste liquid recovering pipe is externally connected with a negative pressure suction device, the upper end of the disinfectant injection pipe is externally connected with a disinfectant supply device, and the upper end of the cleaning liquid injection pipe is externally connected with a cleaning liquid supply device.
As still further preferable, the automatic cleaning device for the thoracoscope comprises the following steps in operation:
A. opening a minimally invasive incision at the chest of a patient;
B. combining the fixed sheath shell and the fixed cap together, screwing the fixed sheath shell into the minimally invasive incision in a spiral mode until the fixed end outside the incision of the fixed sheath shell is abutted against the external skin of the patient;
C. inserting the cleaning component base in place from the lens insertion end of the fixed sheath shell, and fastening and fixing the fastening device and the fastening bulge on the lens insertion end of the fixed sheath shell to ensure that the cleaning component base and the fixed sheath shell do not move mutually; the waste liquid negative pressure recovery pipe is externally connected with a negative pressure suction device, the upper end of the disinfectant injection pipe is externally connected with disinfectant supply equipment, and the upper end of the cleaning liquid injection pipe is externally connected with cleaning liquid supply equipment; connecting a cold light source with a cold light source interface of the thoracoscope, and connecting a handle connecting end of the thoracoscope with a handle of the thoracoscope;
D. the lens of the thoracoscope is inserted into the working channel in the cleaning component base by holding the handle of the thoracoscope until the lens passes through the silica gel anti-leakage sheet and reaches the inside of the thoracoscope; when the thoracoscope is inserted, the cold light source interface of the thoracoscope is kept facing to the side far away from an operating doctor, and the lens of the thoracoscope faces to the angle of the organ part to be operated in the thoracic cavity of a patient;
E. when the lens (7) is polluted and unclear in the operation process, the thoracoscope is retreated until the lens of the thoracoscope is retreated to the position above the silica gel leak-proof sheet, and the opening of the silica gel leak-proof sheet is closed;
F. starting a cleaning liquid supply device, spraying cleaning liquid onto the slope of the lens from a cleaning spray head, and cleaning the lens;
G. after cleaning, closing the cleaning liquid supply equipment, starting the negative pressure suction device, sucking the cleaned liquid from the elbow to the waste liquid negative pressure recovery pipe, meanwhile, extending the depth of the waste liquid negative pressure recovery pipe up and down and rotating the position of the elbow to perform adaptive position adjustment, and sucking the liquid flowing down after the thoracoscope is cleaned;
H. after the suction is clean, closing the negative pressure suction device, starting the disinfectant supply equipment, draining the disinfectant to the lower end of the thoracoscope, and flushing and disinfecting the lower end of the whole thoracoscope;
I. after disinfection, closing the disinfectant supply equipment, starting the negative pressure suction device, sucking the washed liquid from the elbow to the waste liquid negative pressure recovery pipe, meanwhile, extending the depth of the waste liquid negative pressure recovery pipe up and down and rotating the position of the elbow to perform adaptive position adjustment, sucking the liquid flowing down after the thoracoscope is disinfected completely, and closing the negative pressure suction device after the liquid is sucked completely;
J. when the lens is fogged, the anti-fog heating device is started to perform defogging work; when the lens is not fogged, the step is omitted;
K. pressing down the thoracoscope, wherein when the thoracoscope is pressed down, the end of the lens props open the opening of the silica gel anti-leakage sheet, the opening is opened, the edge of the opening is attached to the surface of the lens of the thoracoscope, and redundant disinfectant water stains are scraped;
l, repeating the step D-K.
The invention has the beneficial effects that: the invention effectively solves the problem that the lens surfaces of the laparoscope, the thoracoscope and other equipment cannot be cleaned and disinfected in time after being polluted in the original endoscopic surgery. The fixed sheath can be fixed on the minimally invasive incision part and cannot be moved. The minimally invasive incision of the surgical patient in the existing structure has small damage, and the endoscopic instruments can be conveniently cleaned and disinfected and then put into the surgical operation again from the pipeline-shaped working channel of the fixed sheath shell. The invention can realize the automatic cleaning and disinfection work in the automatic cleaning sheath shell device, and timely and cleanly pumps the waste liquid, and puts the residual liquid on the surface of the lens into the thoracic cavity or the abdominal cavity again after timely scraping. The situation that bacteria are brought in by repeated plugging and unplugging is avoided. And the fixing cap belongs to a replaceable consumable, and is discarded and replaced in time after being used, so that the condition of cross infection caused by repeated use is avoided.
Drawings
Fig. 1 is a schematic structural view of the present invention.
Fig. 2 is a schematic full-section view of a stationary sheath of the present invention.
FIG. 3 is a schematic view of the configuration of a thoracoscope of the present invention as it extends into a stationary sheath.
FIG. 4 is a schematic view of the configuration of the thoracoscope of the present invention as it extends into the base of the cleaning assembly.
Description of reference numerals:
1: a cold light source connector; 2: a handle connecting end; 3: a thoracoscope; 4: cleaning the component base; 5: fixing the sheath shell; 6: cutting; 7: a lens; 8: a tubular working channel; 9: a lens insertion end; 10: a guide section; 11: buckling the bulges; 12: an outer fixed end of the notch; 13: a notched insertion end; 14: an external thread; 15: a fixing cap; 16: a silica gel leak-proof sheet; 17: a seal ring; 18: a fastening device; 19: a disinfectant liquid injection pipe; 20: a cleaning liquid injection pipe; 21: a disinfection nozzle; 22: cleaning the spray head; 23: bending the pipe; 24: an anti-fog heating device; 25: a slope; 26: and a waste liquid negative pressure recovery pipe.
Detailed Description
The invention is further explained below with reference to the drawings and examples.
As shown in fig. 1-4, the invention comprises a thoracoscope 3 and a matched automatic cleaning and fixing sheath shell device, the automatic cleaning fixed sheath shell device comprises a fixed sheath shell 5 and an automatic cleaning component arranged in the fixed sheath shell 5, the middle part of the fixed sheath shell 5 is provided with a pipeline-shaped working channel 8, the automatic cleaning component is arranged in the pipeline-shaped working channel 8, the front end of the thoracoscope 3 is a lens 7, the rear end is a handle connecting end 2 of the thoracoscope 3, a cold light source connecting port 1 is arranged beside one end close to the handle connecting end 2, the cold light source connector 1 is connected with a cold light source and provides a light source for the lens 7 of the thoracoscope 3, the lens 7 extends into the thoracic cavity through the pipeline-shaped working channel 8 of the fixed sheath 5, and the lens 7 of the thoracoscope 3 can directly extend into or withdraw from the pipeline-shaped working channel 8 of the fixed sheath 5. The handle and the cold light source are a thoracoscope 3, a laparoscope, a handle for endoscope conventional use and a cold light source for conventional use. During operation, the cold light source is connected with the cold light source interface to provide a light source for the lens 7 and provide a power supply for the anti-fog heating device 24, and the specific connection mode is the same as that of the existing laparoscopic, thoracoscopic 3 and endoscopic operations.
In this embodiment, fixed sheath shell 5 include that the incision inserts 13, the outer stiff end 12 of incision and camera lens insert the end 9, the outer stiff end 12 of incision locate the incision insert the top of end 13, the camera lens insert the end 9 and be located the top of the outer stiff end 12 of incision, fixed sheath shell 5's inside entire body be hollow pipeline form working channel 8, the incision insert the surface of end 13 and be equipped with outside bellied external screw thread 14 structure. The external thread 14 raised on the outer surface of the cut insertion end 13 is a right-hand thread. When fixing this fixed sheath shell 5, the right-handed screw thread is in incision 6 with clockwise mode screw in, accords with ordinary people's rotatory operation mode, and the back of screwing in, the outer stiff end 12 of incision leans on outside incision 6, avoids whole fixed sheath shell 5 whole screw in incision 6 carelessly, and this fixed sheath shell 5 can be fixed in incision 6 department, can not take place to slide.
In this embodiment, the end of the lens 7 of the thoracoscope 3 is in an inclined state, and the slope surface of the inclined slope 25 faces to the side away from the direction of the cold light source connecting port 1; an anti-fog heating device 24 is arranged at the periphery of the end 7 of the thoracoscope 3. In actual operation, the design of the structure can ensure that the cold light source connecting port 1 faces upwards, the wiring does not affect the operation position, the lens 7 is an inclined slope 25, after the thoracic cavity is inserted, the inclined slope 25 of the lens 7 is just aligned to the organ to be operated from top to bottom in an inclined mode, the visual field is wider, and no shielding exists. When the operation process, because the difference in temperature of body temperature and surgical equipment, fog on the lens surface easily, when the fog, only need the circular telegram to open antifog heating device 24, just can realize carrying out the defogging work to the lens surface. The power supply of the anti-fog heating device can be supplied through the cold light source connecting port connected with the anti-fog heating device.
In this embodiment, the automatic cleaning assembly includes a cleaning assembly base 4 and a cleaning device disposed on the cleaning assembly base 4; the cleaning component base 4 is arranged in the pipeline-shaped working channel 8 and is attached to the inner wall of the pipeline-shaped working channel 8; a working channel for the thoracoscope 3 to pass through is arranged in the center of the cleaning component base 4; the cleaning device comprises a cleaning liquid injection pipe 20, a disinfectant injection pipe 19 and a waste liquid negative pressure recovery pipe 26, and is arranged in the cleaning component base 4. The automatic cleaning device is independent of the thoracoscope, so that the processing is convenient, and the common thoracoscope is a standard medical device, so that the cleaning device is inconvenient to produce and process and does not meet the standard of the standard medical device if directly arranged on the thoracoscope. And once a certain structure is damaged, the whole thoracoscope can not work normally, and the replacement cost is too large. The independent automatic cleaning assembly is convenient to process, reduces the production cost, is convenient to disassemble and is convenient for the subsequent cleaning and disinfection work of medical instruments.
In this embodiment, the lower end of the outlet of the cleaning liquid injection pipe 20 is a cleaning nozzle 22, the cleaning nozzle 22 is arranged at the lower end of the cleaning component base 4, the outlet of the cleaning nozzle 22 is inclined upwards, and when the cleaning nozzle 22 works, the sprayed cleaning liquid can be directly sprayed onto the slope 25 of the lens 7 of the thoracoscope 3, so that the dirt on the surface of the lens 7 can be conveniently washed away; the lower end of the outlet of the disinfectant injection pipe 19 is a disinfection spray nozzle 21, the disinfection spray nozzle 21 is positioned above the cleaning spray nozzle 22, the outlet end of the disinfection spray nozzle 21 can guide the disinfectant to the lower end of the thoracoscope 3, and the lower end of the whole thoracoscope 3 is washed and disinfected; and this waste liquid negative pressure recovery pipe 26's lower extreme be equipped with elbow 23, this elbow 23 stretch out in clean subassembly base 4's below, and waste liquid negative pressure recovery pipe 26 and clean subassembly base 4 unfixed, can stretch out and draw back from top to bottom relatively clean subassembly base 4, perhaps realize elbow 23 and do the rotation around waste liquid negative pressure recovery pipe 26, can be like this wash and disinfect the back, take out washing waste water and antiseptic solution through elbow 23 and waste liquid negative pressure recovery pipe 26 to the raffinate that will remain in the bottom of locking cap 15 adsorbs totally.
In this embodiment, fixed sheath 5 lower extreme be equipped with locking cap 15, this locking cap 15 with fixed sheath 5 lower extreme be for dismantling the connection, locking cap 15's lower extreme center be equipped with silica gel leak protection piece 16, be equipped with the opening that supplies the camera lens 7 of thoracoscope 3 to pass in this silica gel leak protection piece 16, when thoracoscope 3 pushed down, the opening of silica gel leak protection piece 16 was opened at the camera lens 7 end, this opening was opened, the camera lens 7 surface of open-ended edge laminating thoracoscope 3 strikes off unnecessary antiseptic solution or water stain, when thoracoscope 3 contracts, this opening was closed, locking cap 15 and fixed sheath 5 junction in be equipped with sealing washer 17. The shape of the opening of the silica gel leakage-proof sheet 16 can be designed according to the shape of the attached lens 7, so that the edge is attached to the outer edge of the lens 7, and leakage is prevented; the fixing cap 15 and the fixing sheath shell 5 can be in threaded connection and clamping connection. Because the silica gel leak-proof sheet 16 is made of elastic silica gel, the service life is limited, the sterilization is not easy, the cross infection is easy to form after the repeated use, and the general thoracoscope 3 and the automatic cleaning sheath shell device are usually made of stainless steel medical instruments, so the cleaning and the sterilization work are more convenient. Therefore, the detachable fixing cap 15 is adopted, so that the fixing cap 15 is a disposable article, and is discarded and replaced after each operation, thereby avoiding the cross infection and the leakage caused by the aging of the silica gel leakage-proof sheet 16.
In this embodiment, a fastening device 18 is disposed between the upper end of the cleaning component base 4 and the fixed sheath 5, and after the fastening device 18 is fastened, the cleaning component base 4 and the fixed sheath 5 cannot rotate relatively.
In this embodiment, the outer diameter of the outer fixing end 12 is larger than the outer diameter of the insertion end 13, the outer edge of the lens insertion end 9 is provided with a buckling protrusion 11, and the upper end of the lens insertion end 9 is provided with an inwardly inclined guide section 10.
In this embodiment, the waste liquid negative pressure recycling pipe 26 is externally connected with a negative pressure suction device for sucking out waste water or disinfectant generated in the cleaning and disinfecting processes; the upper end of the disinfectant injection pipe 19 is externally connected with disinfectant supply equipment, generally, the disinfectant supply equipment can supply diluted iodophor for disinfection or liquid for cleaning and disinfecting a thoracoscope in other operation processes, and in order to sterilize the surface of a cleaned lens for the second time, the surface of the lens is drier and more comfortable, and the lens is clearer; the external washing liquid supply apparatus in upper end of washing liquid injection tube 20, the washing liquid can be water, normal saline water etc. and is used for washing the normal medical use cleaning fluid of lens surface bloodiness, in order to in time wash clean the bloodiness that adheres to the lens surface in the operation process, avoid influencing going on of operation. The negative pressure suction device, the disinfectant supply equipment and the cleaning liquid supply equipment all belong to external existing equipment, and are not described herein.
In this embodiment, the automatic cleaning device for a thoracoscope comprises the following steps in operation:
A. a minimally invasive incision 6 is made at the chest of the patient;
B. combining the fixing sheath shell 5 and the fixing cap 15 together, screwing the fixing sheath shell 5 into the minimally invasive incision 6 in a spiral manner until the incision outer fixing end 12 of the fixing sheath shell 5 abuts against the external skin of the patient;
C. inserting the cleaning component base 4 into place from the lens insertion end 9 of the fixed sheath shell 5, and fastening and fixing the fastening device 18 and the fastening bulge 11 on the lens insertion end 9 of the fixed sheath shell 5 to ensure that the two do not move mutually; the waste liquid negative pressure recovery pipe 26 is externally connected with a negative pressure suction device, the upper end of the disinfectant injection pipe 19 is externally connected with disinfectant supply equipment, and the upper end of the cleaning liquid injection pipe 20 is externally connected with cleaning liquid supply equipment; connecting a cold light source with a cold light source interface of a thoracoscope 3, and connecting a handle connecting end 2 of the thoracoscope 3 with a handle of the thoracoscope 3;
D. the lens 7 of the thoracoscope 3 is inserted into the working channel in the cleaning component base 4 by holding the handle of the thoracoscope 3 until the lens 7 passes through the silica gel anti-leakage sheet 16 and reaches the inside of the thoracic cavity; when the thoracoscope is inserted, the cold light source interface of the thoracoscope 3 is kept facing to the side far away from an operating doctor, and the lens 7 of the thoracoscope 3 faces to the angle of the organ part to be operated in the thoracic cavity of the patient;
E. when the lens (7) is polluted and unclear in the operation process, the thoracoscope 3 is retreated until the lens (7) of the thoracoscope 3 is retreated to the position above the silica gel leakage-proof sheet (16), and the opening of the silica gel leakage-proof sheet (16) is closed;
F. starting a cleaning liquid supply device, spraying cleaning liquid onto the slope 25 of the lens 7 from the cleaning spray head 22, and cleaning the lens 7;
G. after cleaning, closing the cleaning liquid supply equipment, starting the negative pressure suction device, sucking the cleaned liquid from the elbow 23 to the waste liquid negative pressure recovery tube 26, meanwhile, extending the depth of the waste liquid negative pressure recovery tube 26 up and down and rotating the position of the elbow 23 to perform adaptive position adjustment, and completely sucking the liquid flowing down after the thoracoscope is cleaned;
H. after the suction is clean, the negative pressure suction device is closed, the disinfectant supply equipment is started, the disinfectant is drained to the lower end of the thoracoscope 3, and the lower end of the whole thoracoscope 3 is washed and disinfected;
I. after the disinfection is finished, closing the disinfectant supply equipment, starting the negative pressure suction device, sucking out the washed liquid from the elbow 23 into the waste liquid negative pressure recovery tube 26, meanwhile, extending the depth of the waste liquid negative pressure recovery tube 26 up and down and rotating the position of the elbow 23 for adaptive position adjustment, completely sucking the liquid flowing down after the thoracoscope disinfection, and closing the negative pressure suction device after the liquid is completely sucked;
J. when the lens 7 is fogged, the anti-fog heating device 24 is started to perform defogging work; when the lens 7 is not fogged, the step is omitted;
K. the thoracoscope 3 is pressed downwards, when the thoracoscope 3 is pressed downwards, the end of the lens 7 props open the opening of the silica gel anti-leakage sheet 16, the opening is opened, the edge of the opening is attached to the surface of the lens 7 of the thoracoscope 3, and redundant disinfectant water stains are scraped;
l, repeating the step D-K.
In the embodiment, the device is not limited to the thoracoscope 3, and the corresponding thoracoscope 3 can be replaced by corresponding laparoscope, arthroscope and other cavity instruments, so that the principle is the same, and the application range is wide.
In the description of the present invention, it is to be understood that the terms "front", "back", "upper", "lower", "inner", "outer", and the like, indicate orientations or positional relationships based on those shown in the drawings, are only for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element referred to must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention.
Finally, it should be noted that: the above embodiments are only used to illustrate the technical solution of the present invention, and not to limit the same; while the invention has been described in detail and with reference to the foregoing embodiments, it will be understood by those skilled in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions depart from the scope of the technical solutions of the embodiments of the present invention.
Claims (10)
1. An automatic cleaning device of a thoracoscope is characterized by comprising a thoracoscope (3) and a matched automatic cleaning fixed sheath shell device, wherein the automatic cleaning fixed sheath shell device comprises a fixed sheath shell (5) and an automatic cleaning component arranged in the fixed sheath shell (5), the middle part of the fixed sheath shell (5) is provided with a pipeline-shaped working channel (8), the automatic cleaning component is arranged in the pipeline-shaped working channel (8), the front end of the thoracoscope (3) is a lens (7), the rear end of the thoracoscope (3) is a handle connecting end (2), a cold light source connecting port (1) is further arranged beside one end close to the handle connecting end (2), the cold light source connecting port (1) is connected with the cold light source and then provides a light source for the lens (7) of the thoracoscope (3), and the lens (7) extends into the thoracic cavity through the pipeline-shaped working channel (8) of the fixed sheath shell (5), and the lens (7) of the thoracoscope (3) can be directly extended into or withdrawn from the pipeline-shaped working channel (8) of the fixed sheath shell (5).
2. The automatic cleaning device for the thoracoscope according to claim 1, wherein the fixed sheath shell (5) comprises a notch insertion end (13), a notch outer fixed end (12) and a lens insertion end (9), the notch outer fixed end (12) is arranged above the notch insertion end (13), the lens insertion end (9) is arranged above the notch outer fixed end (12), the inner through body of the fixed sheath shell (5) is a hollow pipeline-shaped working channel (8), and an external thread (14) structure protruding outwards is arranged on the outer surface of the notch insertion end (13).
3. The automatic cleaning device of the thoracoscope according to claim 2, characterized in that the end of the lens (7) of the thoracoscope (3) is inclined, and the slope of the inclined slope (25) faces to the side away from the cold light source connecting port (1); an anti-fog heating device (24) is arranged at the periphery of the end of the lens (7) of the thoracoscope (3).
4. An automatic cleaning device for thoracoscopes according to claim 1, wherein said automatic cleaning assembly comprises a cleaning assembly base (4) and a cleaning device disposed on the cleaning assembly base (4); the cleaning component base (4) is arranged in the pipeline-shaped working channel (8) and is attached to the inner wall of the pipeline-shaped working channel (8); a working channel for the thoracoscope (3) to pass through is arranged in the center of the cleaning component base (4); the cleaning device comprises a cleaning liquid injection pipe (20), a disinfectant injection pipe (19) and a waste liquid negative pressure recovery pipe (26) which are arranged in the cleaning component base (4).
5. The automatic cleaning device for the thoracoscope according to claim 4, characterized in that the lower end of the outlet of the cleaning liquid injection pipe (20) is a cleaning spray head (22), the cleaning spray head (22) is arranged at the lower end of the cleaning component base (4), and the outlet of the cleaning spray head (22) is inclined upwards; the lower end of the outlet of the disinfectant injection pipe (19) is provided with a disinfection spray head (21), and the disinfection spray head (21) is positioned above the cleaning spray head (22); and the lower end of the waste liquid negative pressure recovery pipe (26) is provided with an elbow (23), the elbow (23) extends out of the lower part of the cleaning component base (4), and the waste liquid negative pressure recovery pipe (26) is not fixed with the cleaning component base (4) and can stretch up and down relative to the cleaning component base (4), or the elbow (23) rotates around the waste liquid negative pressure recovery pipe (26).
6. The automatic cleaning device for the thoracoscope according to claim 1, characterized in that a fixing cap (15) is arranged at the lower end of the fixing sheath (5), the fixing cap (15) is detachably connected with the lower end of the fixing sheath (5), a silica gel anti-leakage sheet (16) is arranged at the center of the lower end of the fixing cap (15), an opening for the lens (7) of the thoracoscope (3) to pass through is arranged in the silica gel anti-leakage sheet (16), when the thoracoscope (3) is pressed down, the end of the lens (7) pushes the opening of the silica gel anti-leakage sheet (16), the opening is opened, the edge of the opening is attached to the surface of the lens (7) of the thoracoscope (3), excessive disinfectant is scraped off, when the thoracoscope (3) retracts, the opening is closed, and a sheath sealing ring (17) is arranged in the connection part of the fixing cap (15) and the fixing sheath (5).
7. The automatic cleaning device for thoracoscope according to claim 6, wherein a fastening device (18) is provided between the upper end of the cleaning component base (4) and the fixed sheath (5), and after the fastening device (18) is fastened, the cleaning component base (4) and the fixed sheath (5) cannot rotate relatively.
8. An automatic cleaning device for thoracoscopes according to claim 3, wherein the outer diameter of the external fixing end (12) of the incision is larger than the outer diameter of the insertion end (13) of the incision, the outer edge of the lens insertion end (9) is provided with a buckling protrusion (11), and the upper end of the lens insertion end (9) is provided with an inwardly inclined guide section (10).
9. The automatic cleaning device for thoracoscope according to claim 5, wherein the negative pressure waste liquid recovery tube (26) is externally connected with a negative pressure suction device, the upper end of the disinfectant injection tube (19) is externally connected with a disinfectant supply device, and the upper end of the cleaning liquid injection tube (20) is externally connected with a cleaning liquid supply device.
10. An automatic cleaning device for thoracoscope according to any one of claims 1-9, characterized in that the automatic cleaning device for thoracoscope comprises the following steps:
a minimally invasive incision (6) is made at the chest of a patient;
combining the fixing sheath shell (5) and the fixing cap (15), screwing the fixing sheath shell (5) into the minimally invasive incision (6) in a spiral mode until the incision external fixing end (12) of the fixing sheath shell (5) abuts against the external skin of the patient;
inserting the cleaning component base (4) into place from the lens inserting end (9) of the fixed sheath shell (5), and fastening and fixing the fastening device (18) and the fastening bulge (11) on the lens inserting end (9) of the fixed sheath shell (5) to ensure that the cleaning component base and the fixed sheath shell do not move mutually; the waste liquid negative pressure recovery pipe (26) is externally connected with a negative pressure suction device, the upper end of the disinfectant injection pipe (19) is externally connected with disinfectant supply equipment, and the upper end of the cleaning liquid injection pipe (20) is externally connected with cleaning liquid supply equipment; connecting a cold light source with a cold light source interface of the thoracoscope (3), and connecting a handle connecting end (2) of the thoracoscope (3) with a handle of the thoracoscope;
the lens (7) of the thoracoscope (3) is inserted into the working channel in the cleaning component base (4) by holding the handle of the thoracoscope (3) until the lens (7) passes through the silica gel anti-leakage sheet (16) and reaches the inside of the thoracic cavity; when the thoracoscope is inserted, the cold light source interface of the thoracoscope (3) is kept to face the side far away from an operating doctor, and the lens (7) of the thoracoscope (3) faces the angle of the organ part subjected to the operation in the thoracic cavity of the patient;
when the lens (7) is polluted and unclear in the operation process, the thoracoscope (3) is retreated until the lens (7) of the thoracoscope (3) is retreated to the position above the silica gel leakage-proof sheet (16), and the opening of the silica gel leakage-proof sheet (16) is closed;
starting a cleaning liquid supply device, spraying cleaning liquid onto a slope (25) of the lens (7) from a cleaning spray head (22) to clean the lens (7);
after cleaning, closing the cleaning liquid supply equipment, starting a negative pressure suction device, sucking out the cleaned liquid from the elbow (23) to the waste liquid negative pressure recovery pipe (26), and meanwhile, performing adaptive position adjustment on the depth of the up-down telescopic waste liquid negative pressure recovery pipe (26) and the position of the rotary elbow (23) to ensure that the flowing liquid after the thoracoscope is cleaned is completely sucked;
after the suction is clean, the negative pressure suction device is closed, the disinfectant supply equipment is started, the disinfectant is drained to the lower end of the thoracoscope (3), and the lower end of the whole thoracoscope (3) is washed and disinfected;
after disinfection, closing the disinfectant supply equipment, starting the negative pressure suction device, sucking out the washed liquid from the elbow (23) to the waste liquid negative pressure recovery tube (26), meanwhile, extending the depth of the waste liquid negative pressure recovery tube (26) up and down and rotating the position of the elbow (23) to perform adaptive position adjustment to ensure that the flowing liquid after the thoracoscope is disinfected is sucked completely, and closing the negative pressure suction device after the liquid is sucked completely;
when the lens (7) is fogged, the anti-fog heating device (24) is started to perform defogging work; when the lens (7) is not fogged, the step is omitted;
the thoracoscope (3) is pressed downwards, when the thoracoscope (3) is pressed downwards, the end of the lens (7) props open the opening of the silica gel anti-leakage sheet (16), the opening is opened, the edge of the opening is attached to the surface of the lens (7) of the thoracoscope (3), and redundant disinfectant water stains are scraped;
repeating the D-K steps.
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| Application Number | Priority Date | Filing Date | Title |
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| CN202011224841.2A CN112274092B (en) | 2020-11-05 | 2020-11-05 | Thoracoscope self-cleaning device |
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| CN202011224841.2A CN112274092B (en) | 2020-11-05 | 2020-11-05 | Thoracoscope self-cleaning device |
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