CN218951388U - Sampling external member of scope bacterial contamination volume - Google Patents

Sampling external member of scope bacterial contamination volume Download PDF

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Publication number
CN218951388U
CN218951388U CN202223219107.4U CN202223219107U CN218951388U CN 218951388 U CN218951388 U CN 218951388U CN 202223219107 U CN202223219107 U CN 202223219107U CN 218951388 U CN218951388 U CN 218951388U
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pipe
bottle
flushing
sealing
liquid collecting
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陈海城
赵淑好
吴凡
林霄
严寒若
韩秋凤
张馨遥
林欣仪
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First Affiliated Hospital of Fujian Medical University
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First Affiliated Hospital of Fujian Medical University
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Abstract

The utility model discloses a sampling kit for the bacteria infection amount of an endoscope, which belongs to the technical field of endoscope sampling and comprises an extrusion bottle, a liquid collecting bottle, a light guide connecting tube, a single connecting tube, a double connecting tube, a liquid collecting tube, an endoscope hose, a flow stopping clamp, a flushing bin and a flushing bottle; the split-flow bottle is in sealing butt joint with an opening of an endoscope pipeline through a liquid collecting pipe, a light guide connecting pipe, a single connecting pipe, a double connecting pipe and an endoscope hose to form a closed pipeline; flushing storehouse, collector tube, honeycomb duct, flushing bottle and last liquid pipe interconnect be confined return line, can effectively avoid the sampling process to be polluted, can also effectively avoid the loss of eluent, thereby collect the eluent gross, and conveniently collect the eluent that the elution got off, can also be through the cooperation that the stagnant flow pressed from both sides simultaneously, can not need use syringe extraction repeatedly or dismouting pipeline, realize carrying out comprehensive flushing sampling to scope multiple line and tip, effectively improve sampling accuracy, can more accurate aassessment scope washing, disinfection, sterilization effect.

Description

Sampling external member of scope bacterial contamination volume
Technical Field
The utility model relates to the technical field of endoscope sampling, in particular to a device for sampling the bacteria infection amount of a duodenum mirror.
Background
Post-sterilization endoscopic sampling methods described in hospital sterilization sanitation standards (GB 15982-2012): taking a cleaned and sterilized endoscope, adopting a sterile injector to extract 50mL of eluent containing a corresponding neutralizing agent, injecting the eluent into a flushing endoscope pipeline from a biopsy port, collecting and checking the whole amount of the eluent for flushing the endoscope pipeline, judging that the cleaning, sterilizing and sterilizing are unqualified when the total number of microorganisms exceeds a certain standard, and cleaning, sterilizing and sterilizing again until the qualified detection result of the bacterial contamination sampling is usable, wherein a plurality of specialists commonly set a related standardized scheme for the duodenal endoscope sampling, the medical instrument such as the endoscope is widely used in a medical institution, strict cleaning, sterilizing and sterilizing are required before the use and before the use of a new endoscope, and a large class of biological groups including bacteria, viruses, fungi, some small protozoa and the like are required, and if the microorganisms enter a human body, the microorganisms possibly cause infection, the total number of the microorganisms on the endoscope is required to be sampled and detected before the use, the detection is called the bacterial contamination sampling and the bacterial contamination sampling, the defect of any sampling links can be underestimated, and the infection effect can be caused.
The endoscope structure includes: the endoscope comprises an insertion part, an operation part, a universal cable, an optical connector, a related accessory, a forceps pipeline, a suction pipeline, a secondary water supply pipeline, an air/water supply pipeline and the like, wherein the number of the pipelines in the endoscope of different types and models is greatly different, the pipelines are long and short, the pipe diameter is thick and thin, the front end part is positioned at the tail end of the insertion part, the relatively complex front end part of the endoscope is provided with an air/water supply nozzle, a forceps pipeline outlet, an objective lens, a light guide beam, a secondary water supply pipeline outlet and the like, and the structure of the endoscope is more complex, and the endoscope is different from the front end parts of other endoscopes, namely the endoscope is provided with a valve body and a connector.
At present, there are four methods for sampling the bacteria infection amount of an endoscope. In the first method, a tube is connected to the tip of an endoscope at the time of sampling, an eluent is extracted by a sterile syringe, an endoscope line is flushed through a biopsy port of an operation unit, and the eluent flowing out of the endoscope line is collected in a bottle by a peristaltic pump. When the endoscope with a very thin pipeline is used for injecting liquid from a biopsy port, the eluent flows out from the suction piston port due to overlarge force, when the endoscope with a wider biopsy port is used for injecting the eluent from the biopsy port, the size of the syringe injection port is not matched with that of the biopsy port, the eluent can leak out from the biopsy port, so that the eluent can not be collected in full quantity, the collecting operation can only flush the endoscope forceps pipeline once, but the eluent for flushing the endoscope pipeline is quantitative, so that the flushing mode can not be repeatedly flushed for many times, the opening sizes of all the pipelines of the endoscope are different and are not matched with the syringe port, therefore, all the pipelines of the endoscope can not be acquired, the tip of the duodenal endoscope can not be sampled, in addition, the eluent can be exposed outside easily and polluted easily due to uneven force, the intermittent perfusion of the eluent is easy, and the sampling mode can not accurately sample the endoscope, and a peristaltic pump with heaviness is required to be carried, and the operation and the carrying are inconvenient.
In the second method, 50mL of the eluent is withdrawn by a sterile syringe, injected into the irrigation endoscope line from the biopsy port, and collected directly from the tip of the endoscope by a sterile bottle. Besides the defects of liquid leakage, incapability of collecting all pipelines, incapability of collecting the front end part of the duodenoscope, incoherence in sampling and perfusion and sampling pollution problem, the method has the advantages that the repeated flushing links are repeated for a plurality of times, the flushed eluent is required to be pumped out of the liquid collecting bottle for collecting the sample by using a sterile injector, and the pipelines of the endoscope are flushed again.
In the third method, 20mL of eluent is extracted by a sterile injector through a biopsy port to flush a forceps pipeline, liquid is collected in a sterile bottle, a pipeline brush is inserted into the biopsy port, when the brush is inserted into the biopsy port, the liquid flowing out is collected at the front end of an endoscope, the brush is continuously pushed into the pipeline, after the front end of the endoscope appears, the whole brush head is cut by sterile scissors and placed in the sterile bottle, the rest part of the brush is extracted from the biopsy port, and the above flushing and brushing steps are repeated.
In a fourth method, a method for monitoring, sampling and culturing a duodenoscope, and a method for sampling the bacteria infection amount of the duodenoscope, wherein the sampling comprises a front end groove and a forceps pipeline and/or a light guide pipeline, the steps of flushing, brushing and flushing are carried out on the forceps pipeline in two stages, the front end groove is flushed and brushed, the forceps pipeline is sampled in the first stage, 20mL of sterile water is pumped by a sterile syringe, the forceps pipeline is flushed through a biopsy port, liquid is collected in a sterile bottle, a pipeline brush is inserted into the biopsy port, when the brush is inserted into the sterile bottle, the liquid flowing out from the front end of the endoscope is collected, the brush is continuously pushed into the pipeline, the brush head is sheared by the sterile cutter after the brush head appears at the front end of the endoscope, the brush head is placed in the sterile bottle, the rest part of the brush is pulled out from the biopsy port, the flushing and brushing steps are repeated, the front end groove in the second stage, when the front end part of the endoscope is sampled, 1mL of the sterile cutter is sucked by a sterile pipette, the sterile liquid is repeatedly sucked into the front end groove by the sterile cutter, the sterile cutter is sucked into the sterile bottle after the sterile cutter, the sterile cutter is repeatedly sucked into the sterile bottle, and the sterile cutter is sucked into the sterile bottle when the end of the sterile bottle is sucked into the sterile bottle, and the sterile bottle is simultaneously sucked into the sterile bottle. Filling 1mL of sterile water into an endoscope groove, filling the residual liquid in the groove and the liquid flowing out from the front end into a sterile bottle, lifting a forceps lifting device, repeating the actions for two times, soaking the sterile brush by the sterile water, brushing the groove by the brush, lifting the forceps lifting device, finally cutting off a brush head by sterile scissors, falling into the sterile bottle, repeating the steps by a new sterile liquid-transferring device, and finally collecting the sampling liquid and the brush head in two stages into one bottle for inspection.
The method has the advantages that the total amount of eluent is required to be collected in the process of sampling the bacterial contamination, the less and more accurate the loss is, the less and more accurate the pollution is, the sampling operation is also required to flush and collect all pipelines of the endoscope to be detected, the repeated flushing is also required, the sampling pollution is required to be reduced as much as possible, especially the sampling of the front end part of the duodenum endoscope is required to be sampled in a special mode, the aerosol diffusion generated in the sampling process of the front end part of the duodenum endoscope is also reduced, the structure of the front end part is damaged in the scrubbing operation is reduced, the cleaning, disinfecting and sterilizing effects of the endoscope are more accurately evaluated, the harm of the aerosol to sampling personnel is reduced, and the front end part is also reduced in the sampling operation, so that the current sampling mode and equipment are difficult to simultaneously achieve the conditions.
When performing endoscopic diagnosis, the insertion portion is inserted into the patient, and the distal end portion of the insertion portion acts as an eye and a hand of a doctor. The cleaning, disinfection and sterilization are necessary, the general endoscope is cleaned, only flannelette, a cleaning brush or sponge is used for thoroughly brushing, all the outer surfaces of the endoscope are wiped, only the air supply and water supply nozzle openings and the objective lens at the front end of the insertion part are needed to be paid attention to, all the scraps on all the surfaces of the front end are confirmed to be wiped off, the pipeline is flushed during sampling, the eluent flows out from the front end, the sampling of the front end of the corresponding pipeline can be synchronously completed, and finally the front end is simply flushed through the eluent, so that the general endoscope can be sampled.
The structure of the front end part of the duodenoscope is complex, and has cleaning, disinfection and sterilization blind areas, and the cleaning needs fine brushing. Other endoscopes have simple structures and are easy to clean, disinfect and sterilize without fine brushing, so that the front end part of the duodenum endoscope needs a special sampling mode for sampling, and the sampling is completely different from the sampling of the front end part of other endoscopes, and when the front end part of the duodenum endoscope is cleaned: the protective cap of the tip part is required to be detached from the tip part to enable the tip part to be completely exposed, then the endoscope is soaked in washing liquid, all the outer surfaces of the endoscope are thoroughly brushed or wiped by a soft brush or flannelette, particularly, air supply and water supply nozzle openings are carefully carried out, all the surfaces of the tip part are thoroughly cleaned in place, the soft brush is used for brushing pliers guide wires and pliers pipeline opening grooves, the positions of the pliers lifting device are adjusted, the two sides of the pliers lifting device, the inner grooves of the pliers lifting device and the periphery of the middle shaft of the pliers lifting device are brushed, the other positions of the tip part are respectively inserted into the pliers pipeline openings of the tip part, then the pliers pipeline is pulled out, and other types of endoscope tip parts are brushed in a simple structure without the need of complex cleaning modes.
The method is characterized in that the whole eluent is required to be collected in the pipeline sampling and the front end sampling of the endoscope, when colony counting is carried out, the less and more accurate eluent is lost, the sampling operation is also required to flush and collect all the pipelines of the endoscope to be detected, and the repeated flushing is also required, especially the duodenum endoscope, the front end sampling is required to be carried out in a special mode, the cleaning, disinfection and sterilization effects of the endoscope are underestimated due to the absence of any sampling links, the infection event is possibly caused, the aerosol diffusion generated in the process of sampling the front end of the duodenum endoscope is also reduced, the structure of the front end is damaged by scrubbing operation is reduced, the cleaning, disinfection and sterilization effects of the endoscope are accurately estimated, the harm of the aerosol to sampling personnel is reduced, and the front end is also required to be damaged by the sampling operation.
Based on the above, the utility model designs a sampling kit for the bacteria infection amount of an endoscope so as to solve the problems.
Disclosure of Invention
The utility model aims to provide a sampling kit for the bacteria infection amount of an endoscope, which can more accurately sample the endoscope pipeline and the front end part, can collect the whole amount of eluent, effectively avoid the leakage of the eluent, improve the sampling accuracy, conveniently collect and examine the sampled eluent, can repeatedly use an injector and remove pipelines through the cooperation of a flow stop clamp, can repeatedly flush and sample the endoscope pipeline and the front end part, avoid the exposure pollution in the air, effectively improve the sampling precision, and can prevent the aerosol generated in the sampling process from diffusing and reduce the damage to the front end part caused by the sampling operation when the front end part of a duodenoscope is sampled.
The utility model is realized in the following way: a sampling kit for endoscopic bacterial contamination comprising:
the device comprises an extrusion bottle, a liquid collecting bottle, a light guide connecting pipe, a single connecting pipe, a double connecting pipe, a liquid collecting pipe, an endoscope hose, a flow stopping clamp, a flushing bin and a flushing bottle;
the extrusion bottle is a flexible sealed bottle body, a liquid inlet is formed in the extrusion bottle, a split-flow bottle is also connected to the extrusion bottle in a sealing manner, a plurality of split-flow pipes are connected to the split-flow bottle in a sealing manner, each split-flow pipe is arranged independently, and a flow stopping clamp is arranged on each split-flow pipe;
the light guide connecting pipe is a tree-shaped hose with multiple inlets and multiple outlets, each branch pipeline of the light guide connecting pipe is provided with a flow stopping clamp, the single connecting pipe is a linear hose with two openings, and the double connecting pipe is a three-way hose;
the light guide connecting tube, the single connecting tube and the double connecting tubes can be separated and are in sealing butt joint with any shunt tube;
the flushing bin is a closed flexible cavity, one end of the flushing bin is connected with a butt joint pipe, the bottom of the flushing bin is connected with a flow guide pipe, the butt joint pipe is communicated with the inside of the flushing bin, and the butt joint pipe can be sleeved outside the front end part of the endoscope in a separated mode;
the liquid collecting bottle is a sealed container, a liquid collecting opening is formed in the top of the liquid collecting bottle, and a liquid discharging opening is formed in the bottom of the liquid collecting bottle;
The liquid collecting pipe is a three-way hose, a first port of the liquid collecting pipe is in sealing connection with the shunt bottle, a second port of the liquid collecting pipe is in sealing butt joint with the liquid collecting port in a separable way, and a third port of the liquid collecting pipe is in sealing communication with the endoscope hose or the flow guiding pipe in a separable way;
the flushing bottle is a closed elastic soft bottle, the flushing bottle is also connected with a flushing nozzle and a liquid feeding pipe, the flushing nozzle and the liquid feeding pipe are communicated with the inside of the flushing bottle, the flushing nozzle extends into the flushing bin in a sealing manner, the flushing nozzle faces to an opening of the flushing bin, the liquid feeding pipe is connected with a liquid discharging port in a sealing manner, and a flow stopping clamp is arranged on the liquid feeding pipe and the flow guiding pipe;
the split-flow bottle is in sealing butt joint with all ports of an endoscope pipeline through a liquid collecting pipe, a light guide connecting pipe, a single connecting pipe, a double connecting pipe and an endoscope hose to form a closed pipeline; the flushing bin, the liquid collecting pipe, the flow guiding pipe, the flushing bottle and the liquid feeding pipe are mutually connected to form a closed return pipeline.
Further, the flushing bin is in sealing connection with the liquid collecting bottle through a liquid collecting pipe, the liquid collecting pipe is a three-way pipe, the flow guiding pipe is in sealing connection with one port of the liquid collecting pipe through a sealing joint, and the liquid collecting port is in sealing butt joint with the other port of the liquid collecting pipe through the sealing joint; the outer end of each shunt tube is provided with a sealing joint in a sealing way, and each connecting tube orifice of the light guide connecting tube, the single connecting tube, the double connecting tubes, the liquid collecting tube and the endoscope hose is a sealing joint;
The light guide connecting pipe, the single connecting pipe and the double connecting pipes can be in sealing butt joint with any shunt pipe in a separated mode through the sealing joint;
a flow stopping clamp is arranged on each pipe orifice of the liquid collecting pipe; and a flow stopping clamp is also arranged on the flow guiding pipe.
Further, the extruding bottle and the shunt bottle are of an integral structure made of medical transparent PVC, and the liquid collecting pipe and the shunt bottle are of an integral structure;
the outside of the liquid inlet is covered with a sealing cover through threads;
the extrusion bottle, the shunt bottle and the shunt tube are of an integral structure made of medical transparent PVC, the butt joint tube, the honeycomb duct and the flushing bin are of an integral structure, and the butt joint tube transversely extends out of the flushing bin.
Further, the flushing bottle is a soft sealing bottle made of medical transparent silica gel, the flushing bottle and the flushing bin are connected into an integral structure, the flushing nozzle and the liquid feeding pipe are connected to the top of an inner cavity of the flushing bottle, a water spraying tip nozzle is arranged at the outer end of the flushing nozzle, and a hole with the diameter not more than 2mm is formed in the water spraying tip nozzle of the flushing nozzle;
the liquid feeding pipe is connected with the liquid discharging port in a sealing way through a sealing joint, and the liquid feeding pipe is provided with a flow stopping clamp.
Further, the liquid collecting bottle body is provided with scale marks for marking the volume, and the liquid collecting bottle is a soft sealing bottle body made of medical transparent PVC; the sealing cover with the liquid collecting port and the liquid draining port being separated is provided with a cover cap.
Further, the sealing joint comprises an inserting joint and a sleeving joint, the inserting joint and the sleeving joint can be separated to be in press-fit sealing, and the sealing joint is a luer joint.
Further, the butt joint pipe is in clearance fit with the front end part of the endoscope, the clearance is not more than 2mm, and the butt joint pipe is connected to the middle height position of the flushing bin;
the butt joint pipe and the flushing bin are connected into an integral pipeline in a sealing mode through a telescopic corrugated hose, and the butt joint pipe is located obliquely below the flushing nozzle.
Further, the light guide connecting pipe is an integral hose with 1 main pipeline and 5 branch pipelines connected, the light guide connecting pipe is of an integral structure, the main pipeline of the light guide connecting pipe is in sealing connection with one shunt pipe through a sealing joint, and all ports of the 5 branch pipelines of the light guide connecting pipe and the endoscope light guide joint pipeline are in sealing connection.
The beneficial effects of the utility model are as follows: 1. according to the utility model, the flexible extrusion bottle is used for extruding and pushing out liquid, so that the eluent in the split-flow bottle and the extrusion bottle is pumped out manually, the eluent can be simply flushed to the split-flow pipe with pressure, the split-flow pipe of the device is hermetically connected with the pipelines of all parts of the endoscope through the light guide connecting pipe, the single connecting pipe, the double connecting pipe and the liquid collecting pipe, so that the device can flush the pipelines of the endoscope in a sealed environment, flushing is convenient, flushing is not needed by using an external injector for flushing the pipelines of the endoscope, collection pollution is effectively reduced, the eluent is not lost during sampling, full-quantity collection of the eluent is realized, sampling accuracy and effectiveness are improved, the device is completely suitable for counting the bacterial contamination of the endoscope, and is suitable for suspected hospital infection outbreak investigation caused by disqualification of disinfection and sterilization of the endoscope, and under the condition of the environment outside the sampling, the device can also be used for determining that the endoscope is sterile;
2. According to the device, the extruding bottle, the liquid collecting pipe and the flow stopper with unified types are combined with the light guide connecting pipe, the single connecting pipe, the double connecting pipes and the endoscope hose which are matched with the closed butt joint of the openings of the endoscope pipelines according to different types and types, when the tip part of the duodenum endoscope is sampled, the endoscope hose is replaced by the Cheng Chong washing bin, the washing bottle and the liquid feeding pipe in different combined installation modes, and the device can be suitable for butt joint of the pipe orifices of the endoscopes with different types and types, so that the butt joint sampling can be carried out on the endoscopes with different types and types, and the device is more convenient to use;
3. the utility model wraps and sleeves the front end part of the endoscope, so that the front end part of the endoscope is positioned in the flushing bin to form a relatively environment without external pollution, the front end part of the endoscope is prevented from being exposed in the air, the sampling pollution is effectively reduced, the whole flushing and sampling process is carried out in the flushing bin, the eluent can not splash and fall off, the sampled eluent can be fully collected, and the aerosol diffusion is effectively reduced, thereby greatly reducing the infection risk of sampling personnel, protecting the sample from pollution and protecting the sampling personnel from infection;
4. This device has all set up the stagnant flow clamp on every pipeline, open and closed adjustment through the stagnant flow clamp, thereby the flow direction of the inside eluent of this device pipeline of control that can be convenient, make this device when washing with the eluent, can not need the dismouting, repeated washing is carried out to the endoscope that is examined in same sealed environment, can wash more thoroughly, can collect the microorganism in all pipelines of scope more complete, can collect the eluent that has washed in the liquid collecting bottle in the full quantity, and this device can wash the tip earlier of scope through washing storehouse and washing bottle's circulation loop, can use the repeated probability of washing as much as possible of microorganism on the tip earlier end, the sampling validity is high, realize more accurate aassessment scope washing, disinfection, sterilization effect, provide more accurate reliable data for infection prevention and control.
Drawings
The utility model will be further described with reference to examples of embodiments with reference to the accompanying drawings.
FIG. 1 is a schematic view showing the whole connection state of the present utility model with the endoscope whole pipeline and the tip part;
FIG. 2 is a schematic view of the internal piping connection of the present utility model to an endoscope;
FIG. 3 is a schematic view of the overall butt joint structure of the pipeline of the present utility model;
fig. 4 is a schematic view of the structure of two single connecting tubes of the present utility model abutting against a shunt;
FIG. 5 is a schematic view showing the assembled state of the tip part of the endoscope and the present utility model;
FIG. 6 is a schematic view of the structure of the liquid collection bottle of the present utility model;
FIG. 7 is a schematic view of a seal joint structure according to the present utility model;
FIG. 8 is a schematic view of a flow stop clip according to the present utility model.
In the drawings, the list of components represented by the various numbers is as follows:
the device comprises a 1-extrusion bottle, a 11-liquid inlet, a 12-shunt bottle, a 13-shunt tube, a 14-liquid collecting tube, a 15-endoscope hose, a 2-liquid collecting bottle, a 21-cap, a 22-liquid outlet, a 23-liquid collecting port, a 3-light guide connecting tube, a 31-single connecting tube, a 32-double connecting tube, a 4-flushing bin, a 41-opposite connecting tube, a 42-flow guiding tube, a 5-sealing joint, a 51-plug, a 52-sleeving head, a 6-flow stopping clamp, a 7-flushing bottle, a 71-flushing nozzle and a 72-liquid feeding tube.
Detailed Description
Referring to fig. 1 to 8, the present utility model provides a technical solution: a sampling kit for endoscopic bacterial contamination comprising:
squeeze bottle 1, liquid collecting bottle 2, light guide connecting tube 3, single connecting tube 31, double connecting tube 32, liquid collecting tube 14, flow stopping clamp 6, endoscope hose 15, flushing bin 4 and flushing bottle 7;
The extrusion bottle 1 is a flexible sealed bottle body, a liquid inlet 11 is formed in the extrusion bottle 1, a shunt bottle 12 is also connected to the extrusion bottle 1 in a sealing manner, a plurality of shunt tubes 13 are connected to the shunt bottle 12 in a sealing manner, each shunt tube 13 is arranged independently, and a flow stopping clamp 6 is arranged on each shunt tube 13;
the light guide connecting pipe 3 is a tree-shaped hose with multiple inlets and multiple outlets, each branch pipeline of the light guide connecting pipe 3 is provided with a flow stopping clamp 6, the single connecting pipe 31 is a linear hose with two openings, and the double connecting pipes 32 are three-way hoses;
the light guide connecting tube 3, the single connecting tube 31, the double connecting tube 32 and the endoscope hose 15 are connecting tubes which are matched with each other according to the closed butt joint of openings of endoscope pipelines of different types and models, and are used for being applicable to different endoscopes, and when the tip part of the duodenoscope is sampled, the endoscope hose 15 is replaced by a flow guide tube, and can be separated from any shunt tube 13 in a sealing butt joint manner;
the flushing bin 4 is a closed flexible cavity, one end of the flushing bin 4 is connected with a butt joint pipe 41, the bottom of the flushing bin 4 is connected with a guide pipe 42, the butt joint pipe 41 is communicated with the inside of the flushing bin 4, and the butt joint pipe 41 can be sleeved outside the front end part of the endoscope in a separated manner;
The liquid collecting bottle 2 is a sealed container, a liquid collecting opening 23 is formed in the top of the liquid collecting bottle 2, and a liquid outlet 22 is formed in the bottom of the liquid collecting bottle 2;
the liquid collecting pipe 14 is a three-way hose, a first port of the liquid collecting pipe 14 is in sealing connection with the shunt bottle 12, a second port of the liquid collecting pipe 14 is in sealing butt joint with the liquid collecting port 23 in a separable way, and a third port of the liquid collecting pipe 14 is in sealing communication with the flow guiding pipe 42 in a separable way;
the flushing bottle 7 is a closed elastic soft bottle, the flushing bottle 7 is also connected with a flushing nozzle 71 and an upper liquid pipe 72, the flushing nozzle 71 and the upper liquid pipe 72 are communicated with the inside of the flushing bottle 7, the flushing nozzle 71 is sealed and stretches into the flushing bin 4, the flushing nozzle 71 faces the butt joint pipe 41 and is arranged at the opening of the flushing bin 4, the upper liquid pipe 72 is in separable sealing connection with the liquid outlet 22, and the upper liquid pipe 72 and the guide pipe 42 are provided with a flow stopping clamp 6;
the shunt bottle 12 forms a closed integrated return line through the sealed connection of the liquid collecting pipe 14, the light guide connecting pipe 3, the single connecting pipe 31, the double connecting pipes 32, the endoscope hose 15, the flushing bin 4, the liquid collecting pipe 14, the flow guide pipe 42, the flushing bottle 7 and the liquid feeding pipe 72 with the endoscope pipeline and all ports of the front end part, can sample the pipeline and the front end part of the endoscope more accurately, can effectively avoid the loss of eluent, collect the eluent in full quantity, improve the sampling accuracy, collect and send the sampled eluent conveniently, and can repeatedly use the injector and remove the pipelines through the cooperation of the flow stop clamp 6, repeatedly flush and sample the endoscope pipeline and the front end part, extrude the liquid through the flexible flushing bottle, the flushing force is much larger than that of a single-tube injector, the elution and the perfusion are coherent, especially when the tip of the duodenoscope is sampled, the principle of the high-pressure water gun is adopted, the tip of the duodenoscope is sprayed and washed at multiple angles by adjusting the angle between the tip of the endoscope and the washing nozzle, the washing is thorough, the repeated water pumping and washing of a syringe and a pipette are not needed during the washing, the operation is more convenient and simple, the impact force of spraying water from the washing nozzle can be controlled by adjusting the extrusion force, the residual microorganisms adhered to the gap of the tip can be effectively eluted, the damage such as scratches and the like can not be generated on the tip, the sampling precision is effectively improved, the exposure pollution in the air is avoided, the aerosol diffusion is effectively reduced, the risk of infection to sampling personnel is greatly reduced, the sample is protected from being polluted, the sampling personnel is protected from being infected, the device is applicable to various different endoscopes, and the cooperation of the flow stopping clamp 6 is also realized, can not change the eluent, also need not dismouting pipeline, can be repeated wash the sampling to the scope that is sampling to can collect the eluent volume entirely, improve sampling accuracy.
The flushing bin 4 is in sealing connection with the liquid collecting bottle 2 through a liquid collecting pipe 14, the liquid collecting pipe 14 is a three-way pipe, the flow guiding pipe 42 is in sealing connection with one port of the liquid collecting pipe 14 through a sealing joint 5, and the liquid collecting port 23 is in sealing butt joint with the other port of the liquid collecting pipe 14 through the sealing joint 5;
a flow stopping clamp 6 is arranged on each pipe orifice of the liquid collecting pipe 14;
the flow stopping clamp 6 is also arranged on the flow guiding pipe 42, so that the flow direction of a pipeline is controlled conveniently, and therefore, eluent can be conveniently guided into the flushing bin 4, the flushing bottle 7 or the liquid collecting bottle 2 by adjusting the opening or closing of the pipeline of the liquid collecting pipe 14, the purpose of repeated flushing is achieved, the pipeline is not required to be disassembled and assembled in the whole process, the front end part is not required to be pulled out of the device, the use is simple, the whole operation process is more convenient, and the repeated flushing is not easy to pollute;
the butt joint pipe 41, the guide pipe 42 and the flushing bin 4 are of an integral structure, and the butt joint pipe 41 transversely extends out of the flushing bin 4;
the butt joint tube 41 is in clearance fit with the front end part of the endoscope, the clearance is not more than 2mm, the butt joint tube 41 is connected to the middle height position of the flushing bin 4, the outer end of the butt joint tube 41 is an elastic connecting hose, and the butt joint tube 41 can be in sealing connection with an endoscope insertion tube;
The inner end of the butt joint pipe 41 is a telescopic corrugated hose, the butt joint pipe 41 and the flushing bin 4 are in a whole structure through the telescopic corrugated hose in a sealing manner, so that the position of the front end part in the flushing bin 4 in the process of telescopic adaptation sampling is facilitated, the butt joint pipe 41 can be bent and inclined, the outer end of the butt joint pipe 41 faces upwards, the front end part is lifted, flushing water is prevented from flowing out along the butt joint pipe 41, the corrugated hose at the inner end can be telescopic, when the front end part of an endoscope is inserted into different depths, the position of the front end part inserted into the flushing bin 4 can be regulated in a telescopic manner through the corrugated hose on the butt joint pipe 41, the front end part can be conveniently stretched into the position opposite to the flushing nozzle 71, the butt joint pipe 41 is positioned obliquely below the flushing nozzle 71, the flushing nozzle 71 is opposite to the front end part of the endoscope stretched into the flushing bin 41 through the corrugated hose, the telescopic corrugated hose is convenient to regulate, the whole butt joint is convenient to use, the front end part can be conveniently inserted into the flushing bin 4 for flushing sampling, the inside of the flushing bin is convenient to sample, the sampling is effectively avoided, the air pollution in the sampling process can be prevented from being lifted upwards through the corrugated pipe, and the flushing liquid is prevented from running off;
the flushing bottle 7 is a soft sealing bottle made of medical transparent silica gel, the flushing bottle 7 and the flushing bin 4 are connected into an integral structure, the flushing nozzle 71 and the liquid feeding pipe 72 are connected to the top of an inner cavity of the flushing bottle 7, a water spraying tip nozzle is arranged at the outer end of the flushing nozzle 71, and a hole with the diameter not exceeding 2mm is formed in the water spraying tip nozzle of the flushing nozzle 71;
The upper liquid pipe 72 is in sealing connection with the liquid outlet 22 through the sealing joint 5, the flow stopping clamp 6 is arranged on the upper liquid pipe 72, so that the pressurized flushing bottle 7 can conveniently flush and sample the front end part, the operation is simple, the flushing force is larger than that of the liquid transfer device, and the use is convenient;
the extruding bottle 1 and the shunt bottle 12 are of an integral structure made of medical transparent PVC, and the liquid collecting tube 14 and the shunt bottle 12 are of an integral structure;
the outside of the liquid inlet 11 is covered with a sealing cover through threads;
the extruding bottle 1, the shunt bottle 12 and the shunt tube 13 are of an integral structure made of medical transparent PVC, the butt joint tube 41, the guide tube 42 and the flushing bin 4 are of an integral structure, and the butt joint tube 41 transversely extends out of the flushing bin 4; the operation of being convenient for, through squeezing bottle 1 can be convenient carry out the pressurization pumping to pipeline eluent, also can be convenient with the liquid suction in the liquid collecting bottle 2, can also blow residual eluent in the scope pipeline, effectively avoid remaining, be convenient for carry out the full dose to the eluent and collect, do not need other pressure device moreover, convenient to use, simple structure.
The light guide connecting pipe 3 is an integral hose with 1 main pipeline connected with 5 branch pipelines, the light guide connecting pipe 3 is of an integral structure, the main pipeline of the light guide connecting pipe 3 is in sealing connection with one branch pipe 13 through a sealing joint, the 5 branch pipelines of the light guide connecting pipe 3 are in sealing connection with all pipeline openings of an endoscope light guide joint, the connection is convenient, the light guide connecting pipe can be in sealing connection with the branch pipe 13 only by plugging one pipe, and the use and the installation are simpler;
The liquid collecting bottle 2 is provided with scale marks for marking the volume, and the liquid collecting bottle 2 is a soft sealing bottle body made of medical transparent PVC; the sealing cover with the liquid collecting port 23 and the liquid discharging port 22 being separated is provided with the cap 21, so that the eluent can be conveniently collected, the total amount can be observed, the bottle body can be extruded, the front end part of the endoscope is repeatedly washed, a pipeline does not need to be disassembled and assembled, the operation is simple, the liquid collecting bottle 2 can be conveniently sealed through the cap 21, and the transportation and the inspection are convenient;
the sealing joint 5 comprises an inserting joint 51 and a sleeving joint 52, the inserting joint 51 and the sleeving joint 52 can be in separated pressing sealing insertion connection, the sealing joint 5 is a luer joint, the sealing joint 5 can be in separated sealing insertion connection through the sealing joint, the operation of the sealing joint 5 is simple, the butt joint is sealed, the butt joint is convenient, and the luer joint is of a common structure in a medical hose and is simple to use;
the flow stopping clamp 6 can be a Robert flow stopping clamp, is convenient to operate and is convenient to lock and open;
the outer end of the butt joint pipe 41 is higher than the joint with the flushing bin 4, the flushing bin 4 is of a balloon-shaped structure and is made of transparent flexible medical silica gel, so that squeezing drainage is facilitated, and an eluent sample can be conveniently collected.
In one embodiment of the utility model:
the embodiment of the utility model provides a sampling kit for the bacteria-contaminated amount of an endoscope, which is various in types of the endoscope, including but not limited to a bronchoscope, a nasopharynx laryngoscope, a choledochoscope, a gastroscope, a enteroscope and a duodenum scope, the endoscope is thoroughly cleaned, disinfected and sterilized, the endoscope comprises the outer surface of the endoscope and all pipelines, if the duodenum scope is involved, the endoscope also comprises a front end part, the different types of the endoscope comprise but not limited to forceps pipelines, suction pipelines and auxiliary water supply pipelines, the pipelines are long and short in pipe diameter and thick and thin, the disinfection and sterilization failure are usually caused by factors, disinfectant concentration, a failure of a decontamination device and the like, the endoscope is mainly cleaned and sterilized through eluent, then the eluent is collected in full amount, the total number of the micro-organisms in the eluent is cultivated and calculated through a thin film filtering method and a pouring flat plate method in a laboratory, the endoscope with a disinfection level is required to be aseptically grown, otherwise, the endoscope with different types of the endoscope comprises but not qualified and unqualified, the endoscope is not required to be sterilized, the endoscope is subjected to be reused, the disinfection and sterilization is required to be reused by a plurality of the medical devices, and the medical treatment can be widely cleaned and sterilized before the medical treatment is subjected to the medical treatment has the medical treatment and the medical treatment has the requirements of the problems of the disinfection and the disinfection.
The technical problems encountered by the utility model are as follows: 1. the endoscope structures required to be sampled and inspected are different, the number of pipelines is large, the number of pipelines is small, and the disinfected endoscope sampling method recorded in the hospital disinfection sanitation standard is only used for sampling the forceps pipelines and cannot accurately evaluate the disinfection and sterilization effects of the multi-pipeline endoscope; 2. in the existing sampling technology, after eluent is injected into a pipeline of an endoscope every time, the eluent flows out along the pipeline, then the eluent is collected by a collecting container and can only be washed once, and when the eluent is required to be washed again, the eluent is required to be pumped again from the collecting container by an injector for repeated washing, so that the operation is complicated, the probability of pollution of the eluent can be increased by repeatedly using the injector for sucking and washing, and the sampling is unqualified; 3. in the existing sampling technology, when the endoscope with a very thin pipeline is used for injecting liquid from a biopsy port, eluent often flows out from an attraction piston port due to overlarge force, when the endoscope with a wider biopsy port is used for injecting liquid from the biopsy port, the size of the injector injection port is not matched with that of the biopsy port, the eluent can leak out from the biopsy port, so that the eluent cannot be collected in full quantity, and the detection result is caused to be error; 4. the peristaltic pump is used for assisting in sampling, the peristaltic pump is heavy to carry, and the operation and the carrying are inconvenient. 5. The existing duodenoscope bacteria-infection amount sampling technology firstly only samples biopsy pipelines and lacks specialized sampling of the front end part, secondly adopts two stages, namely, a forceps pipeline is flushed, scrubbed and flushed, a front end groove is flushed and scrubbed, all pipelines and the front end part are not sampled at the same time except for the problems of 1-4, the effects of cleaning, disinfecting and sterilizing the endoscope are underestimated, and the method of scrubbing is not easy to scrub the gap of the front end part in place, a bristle brush is used or excessive force scrubbing is used during scrubbing, so that scratches appear on the front end part, water leakage is caused, a forceps lifter guide wire falls off from the front end part, the forceps lifter guide wire is bent or twisted, the forceps lifter cannot work, the force is heavy, the splash is easy, the force is light, the scrubbing is not thorough, the operation is complicated, the collected microorganisms are adhered on the brush and are difficult to elute, the colony counting is not suitable for evaluating the effects of disinfecting and sterilizing the endoscope, and the method can generate aerosol in sampling, and the risk of infection to sampling personnel is increased; 6. a plurality of endoscope manufacturers and authoritative mechanism specialists jointly make related standardized schemes, but the scheme has certain defects, is not beneficial to popularization and use, and is urgently needed to provide a set of reliable and stable device at present, so that accurate sampling of the duodenal mirror bacterial infection amount is realized, and a relatively reliable scheme is provided for making related standards of the duodenal mirror bacterial infection amount.
The technical problems solved by the utility model are as follows: through the butt joint collocation of simple and easy device and accessory use for this device is applicable to the sampling operation of the scope bacterial contamination volume of various different grade types and model, can also sample the pipeline and the tip of scope at the sampling internal environment that does not have external pollution relatively, seals moreover well, makes the eluent can not lose, also can effectively avoid the sample to be polluted by external microorganism, can effectively prevent the aerosol diffusion in the sampling process, still can not cause the damage to the duodenum mirror tip, can also wash the sampling repeatedly to different pipelines, and the sample validity is higher, can more accurate aassessment scope washs, disinfects, sterilization effect.
The technical effects are realized as follows: 1. according to the utility model, the extruding bottle 1, the liquid collecting bottle 2, the liquid collecting pipe 14, the flow stopping clamp 6, the light guide connecting pipe 3, the single connecting pipe 31, the double connecting pipe 32 and the endoscope hose 15 which are matched with the sealing butt joint of the opening of the endoscope pipeline according to different types and types are combined, then the extruding bottle is assembled through the sealing joint 5, the opening of the endoscope pipeline is butt jointed, and the flushing bin 4 and the flushing bottle 7 are additionally arranged when the front end part of the duodenum endoscope is sampled, so that the pipeline and the front end part of the endoscope with different types and types can be sampled.
2. According to the utility model, the extrusion bottle 1, the liquid collecting bottle 2, the light guide connecting tube 3, the single connecting tube 31, the double connecting tubes 32, the liquid collecting tube 14, the flow stopping clamp 6, the flushing bin 4 and the flushing bottle 7 are in sealed butt joint with the opening of the endoscope pipeline, so that a sealed sampling internal environment is formed, the sampling process can be prevented from being polluted by external microorganisms, meanwhile, no liquid leakage can be caused, and the eluent can be collected in a full amount.
3. When the device is used for sampling, the eluent perfusion direction is controlled by controlling the flow stopping clamp 6, different pipelines of the eluent elution endoscope are realized, the eluent after the cyclic sampling is concentrated in the liquid collecting bottle 2, the liquid collecting bottle 2 is extruded through the opening and closing adjustment of the flow stopping clamp 6, the eluent is driven back to the flow dividing bottle 12, and the repeated operation is realized, so that repeated perfusion elution of the pipelines can be realized.
4. When the device is used for sampling the front end of the duodenoscope, the flexible flushing bottle 7 is extruded to push out the eluent, the eluent is sprayed out from the flushing nozzle 71, the positions and angles of the front end of the endoscope and the flushing nozzle 71 are regulated by the connecting pipe 41, the front end of the endoscope can be sprayed at different angles, the gap which cannot be brushed by the sterile brush can be flushed, the flushing is thorough, the repeated water pumping flushing of the injector and the pipette can be omitted during flushing, the operation is more convenient and simple, the impact force of the water spraying of the flushing nozzle can be controlled by regulating the extrusion force, residual microorganisms adhered to the gap of the front end can be effectively eluted, scratches and other damages can not be generated on the front end, the flushing chamber 4 is a closed environment, the eluent sprayed in the flushing process is completely limited in the flushing chamber and isolated from the outside, the aerosol diffusion is effectively reduced, the infection risk of sampling personnel is greatly reduced, the sample is prevented from being polluted, and the sampling personnel is prevented from being infected.
5. The device is a complete endoscopic sampling device, can finish the sampling of all pipelines and the front end part of the endoscope at one time by only filling eluent for 1 time without step by step, is a set of more mature endoscopic sampling device, and can evaluate the cleaning, disinfection and sterilization effects of the endoscope more accurately.
The technical scheme in the embodiment of the utility model aims to solve the problems, and the overall thought is as follows:
in order to better understand the above technical solutions, the following detailed description will refer to the accompanying drawings and specific embodiments.
When the endoscope is manufactured, firstly, a saccular transparent sealing container is manufactured as the flushing bin 4, the middle height position of the flushing bin 4 is connected with the butt joint pipe 41, the inner end of the butt joint pipe 41 is in sealing connection with the side wall of the flushing bin 4, the butt joint pipe 41 is a flexible pipe with certain elasticity, the general endoscope insertion pipe comprises a circular pipe at the front end part, the front end part of the duodenoscope is irregular, the cross section diameter is smaller than the cross section of an insertion part, namely, the front end part inserted into the butt joint pipe 41 is thicker, the long rod is thinner, the sealing effect can be achieved only by inserting the front end part of the endoscope into the butt joint pipe 41 by force, the front end part is inserted into the butt joint pipe 41 by force, the front end part extends into the flushing bin 4, the outer end part of the butt joint pipe 41 is in sealing connection with the endoscope insertion pipe, the middle part of the flexible pipe is provided with a flexible pipe with telescopic adjustment, the pipe diameter of the flexible pipe is larger than the pipe diameter of the butt joint endoscope, when the front end part of the endoscope is inserted into the butt joint pipe 41, the sealing effect is achieved, the front end part of the endoscope is inserted into the butt joint pipe by stretching and retracting the flexible pipe to adjust the position of the front end part in the butt joint pipe 41, and the flexible pipe is matched with the flexible pipe by rotating angle; the capacity of the whole flushing bin 4 is larger than the capacity required by one time sampling, namely the capacity of the flushing bin 4 below the butt joint pipe 41 is more than 50ml, and the capacity of a larger syringe is 50ml in general, which is the sampling amount of the eluent which is determined for flushing convenience, but the standard positioning of the eluent which is actually sampled is 50ml, and the microorganisms on the front end part cannot be completely collected, so the device can fill the eluent with larger capacity without considering the sucking capacity of the syringe, the flushing bin 4 of the device can be set with larger capacity, the capacity of the flushing bin 4 below the butt joint pipe 41 is 100ml, namely the flushing sampling of the eluent with 100ml can be achieved by one time complete flushing, and the eluent with 100ml can be contained in the bottom space of the flushing bin 4, therefore, the butt joint pipe 41 needs to be arranged as close to the upper part of the flushing bin 4 as possible, the bottom of the flushing bin 4 needs to be completely connected with a flow guide pipe 42, 42 and the butt joint pipe 41, the flow guide pipe 4 is the whole structure, and the flow guide pipe 4 is completely filled with the eluent, and the liquid collecting bottle 4 is conveniently sealed and sealed by the flow guide pipe 4 and the sealing joint 4 is sealed by the sealing joint 4 and the sealing joint 4 is convenient for sealing the sealing bottle 7 and the sealing joint 4 and the sealing bottle 2.
The outside of the flushing bin 4 is connected with a flushing bottle 7, the volume of the flushing bottle 7 is larger than 100ml, the capacity of the flushing bottle 7 below the flushing nozzle 71 is larger than 100ml, the position of the front end part of an endoscope in the flushing bin 4 can be conveniently adjusted to achieve the effect of flushing completeness, the flushing bottle 7 and the flushing bin 4 are attached to form an integral structure, the flushing bottle 7 needs to be arranged close to the top of the flushing bin 4, the flushing bin 4 and the flushing bottle 7 are completely separated, one end of the flushing bottle 7 is connected with the flushing nozzle 71, the flushing nozzle 71 is in a structure of a nozzle, the nozzle structure of the nozzle is the same, the flushing nozzle 71 is a nozzle made of transparent flexible medical PVC material, the flushing nozzle 71 is conical, the large end of the flushing nozzle is communicated with the flushing bottle 7 in a sealing mode to form an integral structure, the tip of the flushing nozzle 71 is provided with an opening, the diameter of the opening is 1mm-2mm, the flushing nozzle 71 needs to be fixedly stretched into the flushing bin 4, and the flushing nozzle 7 and the flushing bin 4 are integrally attached to each other in a position fixing mode;
the upper liquid pipe 72 is also connected, the upper liquid pipe 72 is a hose, the upper liquid pipe 72 is communicated with the top of the inner cavity of the flushing bottle 7, the flushing bottle 7 is required to be a flexible bottle body with elasticity, the flushing bottle 7 can be made of transparent silica gel, the flushing nozzle 71 is also communicated with the top of the inner cavity of the flushing bottle 7, namely when the flushing bottle is not extruded, liquid can be remained in the flushing bottle 7 and cannot flow out of the flushing nozzle 71 and the upper liquid pipe 72, the flushing nozzle 71 and the upper liquid pipe 72 are of an integral structure with the flushing bottle 7, the upper liquid pipe 72 is required to be provided with a flow stopping clamp 6, and the lower end of the upper liquid pipe 72 is required to be tightly connected with the liquid collecting bottle 2 in a plugging manner through a sealing joint 5;
The liquid collecting tube 14 is a three-way tube, the liquid collecting tube 14 is a medical transparent PVC hose for intravenous injection, the special material is not limited, the transparent hose can be met, the other two tube orifices of the liquid collecting tube 14 are sealing joints 5 and can be sleeved with the joint 52, however, in standardized configuration, other interfaces which are in butt joint with the liquid collecting tube 14 are required to be plug-in joints 51, so that the liquid collecting ports 23 and the liquid discharging ports 22 of the liquid collecting bottle 2 are required to be plug-in joints 51, and the sealing joints 5 are subjected to standardized setting and matched sealing plug-in according to the butt joint condition;
the flushing bin 4, the liquid collecting bottle 2, the flushing bottle 3, the butt joint pipe 41, the guide pipe 42, the flushing nozzle 71 and the upper liquid pipe 72 are all flexible structures made of medical transparent PVC, and can be made of silica gel materials as same as intravenous catheter materials so as to meet the flexible requirements and sealing requirements which can be extruded, and the optimal selection cost is low and the requirements are met;
the whole liquid collecting bottle 2 is required to be manufactured, the whole liquid collecting bottle 2 is required to be a sealed bottle body, the liquid collecting bottle 2 can be made of medical transparent PVC or transparent silica gel, so that the collecting amount of eluent can be conveniently checked, the cost can be reduced, the whole device is disposable, the top of the liquid collecting bottle 2 is provided with a liquid collecting port 23, the liquid collecting port 23 is required to be matched with the liquid collecting pipe 14 for sealing and inserting, the bottom of the liquid collecting bottle 2 is also required to be provided with a liquid outlet 22 for discharging the eluent, the eluent is convenient to collect and exhaust, and the eluent is completely discharged for detection; the liquid collecting bottle 2 is also provided with scale marks for recording and observing the total amount of the collected eluent, so that the eluent is prevented from leaving in an endoscope pipeline and needs to be completely collected as much as possible; the two caps 21 are additionally needed, the caps 21 are also of a structure of a sealing joint 5, the liquid outlet 22 and the liquid collecting port 23 can be covered and sealed, the liquid outlet 22, the liquid collecting port 23 and the liquid collecting bottle 2 are convenient to carry in a sealing manner in the process of inspection, the sealing joint 5 is needed to be arranged at the port of the liquid outlet 22 and the port of the liquid collecting port 23 in a sealing manner, the sealing joint 5 at the port of the liquid outlet 22 and the port of the liquid collecting port 23 is connected with the sealing joint 5 to form a whole structure, and the sealing joint 5 on the port of the liquid outlet 22 and the port of the liquid collecting port 23 is needed to be in butt joint matching with other butt joint devices.
The extrusion bottle 1 is also required to be manufactured, the extrusion bottle 1 is a flexible sealed bottle body, a liquid inlet 11 is formed in the extrusion bottle 1, a split-flow bottle 12 is also connected to the extrusion bottle 1 in a sealing manner, a plurality of split-flow pipes 13 are connected to the split-flow bottle 12 in a sealing manner, each split-flow pipe 13 is arranged independently, and a flow stopper 6 is arranged on each split-flow pipe 13; the light guide connecting pipe 3 is a tree-shaped hose with multiple inlets and multiple outlets, each branch pipeline of the light guide connecting pipe 3 is provided with a flow stop device 6, the single connecting pipe 31 is a linear hose with two openings, and the double connecting pipes 32 are three-way hoses; the light guide connecting tube 3, the single connecting tube 31 and the double connecting tubes 32 can be separated and are in sealing butt joint with any shunt tube 13; the squeeze bottle 1 and the shunt bottle 12 are of an integral structure made of medical transparent PVC, and the liquid collecting tube 14 and the shunt bottle 12 are of an integral structure; the outside of the liquid inlet 11 is covered with a sealing cover through threads;
the light guide connecting pipe 3 is an integral hose with 1 main pipeline connected with 5 branch pipelines, the light guide connecting pipe 3 is of an integral structure, the main pipeline of the light guide connecting pipe 3 is in sealing connection with one shunt pipe 13 through a sealing joint, and the 5 branch pipelines of the light guide connecting pipe 3 are in sealing connection with all ports of the endoscope light guide joint pipeline.
The sleeve joint 52 is tightly spliced with the splicing head 51 to form a sealing joint 5, the sealing joint 5 is a luer joint, the luer joint used by the device is a joint with a common structure on an intravenous injection hose, namely, the sleeve joint can be sealed and closed after being spliced, and can be separated after being pulled out, and the sleeve joint is frequently used on the intravenous injection hose, is convenient to obtain and is simple to use;
The flow stopping clamp 6 is arranged, the flow stopping clamp 6 is a common medical flow stopping clamp 6, the pipeline is closed after the flow stopping clamp 6 is buckled, the flow stopping clamp 6 comprises but is not limited to a Robert flow stopping clamp, the flow stopping clamp belongs to a common pipeline closing simple device, the flow stopping clamp is easy to obtain and simple to use, and the flow stopping clamp 6 of the Robert flow stopping clamp not only can be used for closing and clamping a closed flexible pipeline, but also can be used for adjusting positions on the pipeline in an open state, so that the clamping and the closing can be carried out at different positions.
When the endoscope is used, firstly, the number of the pipeline openings of the endoscope to be detected is observed, then, the light guide connecting pipe 3, the single connecting pipe 31, the double connecting pipes 32 and the endoscope hose 15 are inserted into the shunt pipe 13 with corresponding sizes according to the type and the model of the endoscope, if the duodenoscope is sampled, the endoscope hose 15 is replaced by the front end sampling device flushing bin 4, the flushing bottle 7 and the upper liquid pipe 72, the light guide connecting pipe 3 is used for connecting and flushing the openings to the light guide joint pipeline, such as a suction pipeline, an air/water supply pipeline, a secondary water supply pipeline and the like, and when the light guide connecting pipe 3 is not needed, the corresponding flow stopping clamp 6 on the shunt pipe 13 is closed, such as the gastrointestinal endoscope is needed to be used for the light guide connecting pipe 3, and the bronchoscope is not needed to be used for the pipe; the endoscope hose 15 is a matched hose which is originally in sealing connection on a conventional endoscope, belongs to a sealing hose which is self-contained with the endoscope and can be detached or installed with an endoscope operation part, only a plurality of endoscopes do not need to sample the front end part by using the device, then the endoscope hose 15 is directly in butt joint with the liquid collecting tube 14, such as a bronchoscope, the endoscope hose 15 is directly in butt joint with the liquid collecting tube 14 during sampling, and the duodenum endoscope is connected with the liquid collecting tube and the flushing bin 4.
As shown in fig. 3 and 4, when adapting to different endoscopes, different pipelines are sealed and inserted on the shunt tube 13, and a single connecting tube 31 and a double connecting tube 32 can be selectively inserted.
Then the single connecting tube 31 and the double connecting tube 32 are connected on the shunt tube 13 in a sealing way, and the other ends of the single connecting tube 31 and the double connecting tube 32 are connected on the pipeline opening of the endoscope operation part in a sealing way, because the interfaces on the single connecting tube 31 and the double connecting tube 32 of the device can be in sealing butt joint with the endoscope, the structure needs to be tightly in butt joint with the original joints, one end of the light guide connecting tube 3 needs to be in butt joint with the shunt tube 13, the branch of the light guide connecting tube 3 is tightly in butt joint with the pipeline opening of the endoscope light guide joint, the number of the pipeline openings of the light guide joint is generally 4-5, and the unnecessary interfaces which are not needed to be used are locked and closed by the flow stopping clamp 6;
then the liquid collecting tube 14 is connected with the liquid collecting bottle 2 in a sealing way, a third outlet of the liquid collecting tube 4 is also required to be connected with an endoscope hose 15, the endoscope hose 15 is a hose which is connected with the front end part of the endoscope and is manufactured according to the sizes of the front end parts of different endoscopes, the sealing plug-in connection is ensured, and in the case of a duodenum scope, a honeycomb duct 42 is required to be connected at the position; in general endoscopic sampling, the drain port 22 is sealed by a cap 21, and in the case of duodenal endoscopic sampling, the drain port is connected with an upper liquid pipe 72; closing the flow stopping clamp 6 at the joint of the liquid collecting pipe 14 and the shunt bottle 12, then injecting the eluent with standard quantity into the squeeze bottle 1 from the liquid inlet 11, sealing the liquid inlet 11 by a sealing cover, wherein the liquid inlet 11 can be a sealing joint 5 or a spiral joint, and the sealing cover is used for tightly.
Then pressing the squeeze bottle 1, the eluent can enter the endoscope along the shunt bottle 12 and the shunt tube 13 to wash, then flow into the liquid collecting bottle 2, the eluent is concentrated in the liquid collecting bottle 2, when a certain pipeline needs to be washed for a plurality of times or is mainly irrigated and washed, the flow stopping clamp 6 between the liquid collecting tube 14 and the shunt bottle 12 is opened, the flow stopping clamp 6 of the endoscope hose 15 is closed, when the duodenum is sampled, the flow stopping clamp 6 of the flow guide tube 42 and the upper liquid tube 72 is required to be closed, then the liquid collecting bottle 2 is inverted and extruded, the eluent in the liquid collecting bottle 2 is driven back into the shunt bottle 12, after all injection, all pipelines or a certain pipeline of the endoscope can be washed again, finally the eluent is collected in the liquid collecting bottle 2, and the common endoscope is sampled, so that the simple washing of the front end part can be increased, and the method is concretely implemented as shown in fig. 2, the eluent in the liquid collecting bottle 2 is extruded by controlling the flow stopping clamp 6, and the eluent in the liquid collecting bottle 15 is refluxed to the front end part through the endoscope hose 15, and the front end part is reversely washed.
In the case of the duodenoscope sampling, as shown in fig. 1, the tip of the endoscope is required to be inserted into the flushing bin 4 from the inside of the butt joint pipe 41, the insertion part is ensured to be tightly connected with the outer end of the butt joint pipe 41, the corrugated hose structure on the butt joint pipe 41 is regulated to ensure that the tip is obliquely below the flushing nozzle 71, after the whole sampling of the pipe is completed, the eluent can be discharged without being dismounted and sucked, then the liquid collecting pipe 14 is closed by the flow stopping clamp 6, the flow stopping clamp 6 on the liquid collecting pipe 72 is opened, the liquid collecting pipe 72 is unobstructed, then the flushing bottle 7 is extruded, the flushing bottle 7 discharges gas, the flushing bottle 7 loses the external extrusion force, the rebound starts, the flushing bottle 7 sucks the eluent in the liquid collecting bottle 2 into the inside, the eluent can be properly extruded and lifted, the flowing-in of the eluent is facilitated, after the eluent is remained in the flushing bottle 7, the flow stopping clamp 6 among the liquid collecting pipe 72, the liquid collecting pipe 14 and the flow dividing bottle 12 is closed, opening the flow stop clamp 6 on the flow guide pipe 42 and the liquid collecting bottle 2, then extruding the flushing bottle 7, wherein the eluent can only be sprayed out by the flushing nozzle 71, because the opening of the flushing nozzle 71 is smaller to form impact force and the principle of a high-pressure water gun, the eluent is sprayed into the flushing bin 4, the front end part of the endoscope extending into the flushing bin 4 is sprayed and flushed, the extrusion force is continuously adjusted, the pliers lifting device and the corrugated hose structure on the telescopic butt joint pipe 41 are lifted or put down in the flushing process, so that each part and each direction of the front end part are flushed, the eluent flows into the liquid collecting bottle 2 under the action of gravity in the flushing process, the turbidity condition of the eluent in the liquid collecting bottle can be observed at any time in the flushing process, thereby adjusting the flushing times and the flushing force, after one cycle, the eluent is concentrated in the liquid collecting bottle 2, if the front end part is flushed again, the steps can be repeated, and because the flushing bin 4 is a closed environment, the eluent sprayed in the flushing process is totally limited in the flushing bin and isolated from the outside, so that the aerosol diffusion is effectively reduced, the risk of infection to sampling personnel is greatly reduced, the samples are protected from pollution, and the sampling personnel are protected from infection.
The eluent is always in the closed pipeline communicated with the endoscope, can wash the endoscope multiple pipelines and multiple times, can realize once only sampling to the duodenscope pipeline and the tip, can be applicable to endoscopes of different types, and each pipeline sealing connection, the butt joint is convenient, easy operation, can clearly see whether the eluent is collected in full quantity through the scale mark, whether residual eluent exists in the endoscope pipeline or the connecting pipe, if residues exist, can open the flow stopping clamp 6, repeatedly press the squeeze bottle 1, all eluent is blown into the liquid collecting bottle 2 by air in the pipeline, can collect the eluent in full quantity, finally close the flow stopping clamp 6 on the liquid collecting port 23, open the liquid collecting port connection, cover the cap and seal, then close the honeycomb duct 42, open the flow stopping clamp 6 of the liquid collecting pipe 72, invert the liquid collecting bottle, utilize the air in the circulation to drive the liquid collecting bottle into the liquid collecting bottle, unpack the connection of the liquid discharging port 22, carry out the inspection after sealing with the cap 21, the whole process is not contacted with the repeated pollution, the relative environmental pollution is formed, the relative sample collecting probability is reduced, the whole process is more accurately carried out, the inside the end can be sterilized, the end can be more accurately is completely cleaned, the end can be used for the endoscope, the sample can be more accurately is more easily cleaned, the end can be completely is more completely cleaned, the sample can be obtained.
The flushing bin 4 and the flushing bottle 7 of the device are specially suitable for the front end part of the duodenum mirror with complex structure, the duodenum mirror needs to be refined and repeatedly flushed, and the microorganisms adhered to the front end part of the duodenum mirror can be thoroughly eluted, so that the accuracy of sampling is improved, and the device is specially suitable for flushing and sampling the front end part of the duodenum mirror.
In addition, in the description of the present utility model, it should be noted that, if terms such as "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", "front", "rear", "top", "bottom", etc. are presented, the indicated orientation or positional relationship is based on that shown in the drawings, only for convenience of describing the present utility model and simplifying the description, and does not indicate or imply that the indicated apparatus or element must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as limiting the present utility model.
While specific embodiments of the utility model have been described above, it will be appreciated by those skilled in the art that the specific embodiments described are illustrative only and not intended to limit the scope of the utility model, and that equivalent modifications and variations of the utility model in light of the spirit of the utility model will be covered by the claims of the present utility model.

Claims (8)

1. A sampling kit for endoscopic bacterial contamination, comprising: the device comprises an extrusion bottle (1), a liquid collecting bottle (2), a light guide connecting tube (3), a single connecting tube (31), a double connecting tube (32), a liquid collecting tube (14), an endoscope hose (15), a flow stopping clamp (6), a flushing bin (4) and a flushing bottle (7);
the extrusion bottle (1) is a flexible sealed bottle body, a liquid inlet (11) is formed in the extrusion bottle (1), a shunt bottle (12) is further connected onto the extrusion bottle (1) in a sealing mode, a plurality of shunt tubes (13) are connected onto the shunt bottle (12) in a sealing mode, each shunt tube (13) is arranged independently, and a flow stopping clamp (6) is arranged on each shunt tube (13);
the light guide connecting pipe (3) is a tree-shaped hose with an inlet and multiple outlets, each branch pipeline of the light guide connecting pipe (3) is provided with a flow stopping clamp (6), the single connecting pipe (31) is a linear hose with two openings, and the double connecting pipes (32) are three-way hoses;
the light guide connecting tube (3), the single connecting tube (31) and the double connecting tubes (32) can be separated and are in sealing butt joint with any shunt tube (13);
the flushing bin (4) is a closed flexible cavity, one end of the flushing bin (4) is connected with a butt joint pipe (41), the bottom of the flushing bin (4) is connected with a flow guide pipe (42), the butt joint pipe (41) is communicated with the inside of the flushing bin (4), and the butt joint pipe (41) can be sleeved outside the front end part of the endoscope in a separated mode;
The liquid collecting bottle (2) is a sealed container, a liquid collecting opening (23) is formed in the top of the liquid collecting bottle (2), and a liquid discharging opening (22) is formed in the bottom of the liquid collecting bottle (2);
the liquid collecting pipe (14) is a three-way hose, a first port of the liquid collecting pipe (14) is in sealing connection with the shunt bottle (12), a second port of the liquid collecting pipe (14) is in sealing butt joint with the liquid collecting port (23) in a separable way, and a third port of the liquid collecting pipe (14) is in sealing communication with the endoscope hose (15) or the flow guide pipe (42) in a separable way;
the flushing bottle (7) is a closed elastic soft bottle, the flushing bottle (7) is further connected with a flushing nozzle (71) and a liquid feeding pipe (72), the flushing nozzle (71) and the liquid feeding pipe (72) are communicated with the inside of the flushing bottle (7), the flushing nozzle (71) is sealed and stretches into the flushing bin (4), the flushing nozzle (71) is arranged towards an opening of the opposite connection pipe (41) in the flushing bin (4), the liquid feeding pipe (72) is in sealing connection with a liquid outlet (22) in a separable mode, and the liquid feeding pipe (72) and the liquid guiding pipe (42) are provided with a flow stopping clamp (6);
the shunt bottle (12) is in sealing butt joint with all ports of an endoscope pipeline through a liquid collecting pipe (14), a light guide connecting pipe (3), a single connecting pipe (31), a double connecting pipe (32) and an endoscope hose (15) to form a closed pipeline; the flushing bin (4), the liquid collecting pipe (14), the flow guide pipe (42), the flushing bottle (7) and the upper liquid pipe (72) are mutually connected to form a closed return pipeline.
2. The endoscopic bacterial contamination sampling kit according to claim 1, wherein: the flushing bin (4) and the liquid collecting bottle (2) are in sealing connection through a liquid collecting pipe (14), the liquid collecting pipe (14) is a three-way pipe, the flow guiding pipe (42) is in sealing connection with one port of the liquid collecting pipe (14) through a sealing joint (5), and the liquid collecting port (23) is in sealing butt joint with the other port of the liquid collecting pipe (14) through the sealing joint (5); the outer end of each shunt tube (13) is provided with a sealing joint (5) in a sealing way, and each connecting tube opening of each light guide connecting tube (3), each single connecting tube (31), each double connecting tube (32) and each liquid collecting tube (14) is provided with a sealing joint (5);
the light guide connecting pipe (3), the single connecting pipe (31) and the double connecting pipes (32) are in sealing butt joint with any shunt pipe (13) in a separable way through the sealing joint (5);
a flow stopping clamp (6) is arranged on each pipe orifice of the liquid collecting pipe (14); a flow stopping clamp (6) is also arranged on the flow guiding pipe (42).
3. The endoscopic bacterial contamination sampling kit according to claim 2, wherein: the extruding bottle (1) and the shunt bottle (12) are of an integral structure made of medical transparent PVC, and the liquid collecting tube (14) and the shunt bottle (12) are of an integral structure;
the outside of the liquid inlet (11) is covered with a sealing cover through threads;
The extrusion bottle (1), the shunt bottle (12) and the shunt tube (13) are of an integral structure made of medical transparent PVC, the butt joint tube (41) and the honeycomb duct (42) are of an integral structure with the flushing bin (4), and the butt joint tube (41) transversely extends out of the flushing bin (4).
4. The endoscopic bacterial contamination sampling kit according to claim 2, wherein: the flushing bottle (7) is a soft sealing bottle made of medical transparent silica gel, the flushing bottle (7) and the flushing bin (4) are connected into an integral structure, the flushing nozzle (71) and the liquid feeding pipe (72) are connected to the top of an inner cavity of the flushing bottle (7), a water spraying tip nozzle is arranged at the outer end of the flushing nozzle (71), and a hole with the diameter not more than 2mm is formed in the water spraying tip nozzle of the flushing nozzle (71);
the upper liquid pipe (72) is in sealing connection with the liquid outlet (22) through a sealing joint (5), and the upper liquid pipe (72) is provided with a flow stopping clamp (6).
5. The endoscopic bacterial contamination sampling kit according to claim 1, wherein: the liquid collecting bottle (2) is provided with scale marks for marking the volume, and the liquid collecting bottle (2) is a soft sealing bottle body made of medical transparent PVC; the sealing cover with the liquid collecting port (23) and the liquid discharging port (22) capable of being separated is provided with a cap (21).
6. The kit for sampling the amount of endoscopic bacteria according to claim 4, wherein: the sealing joint (5) comprises a plug connector (51) and a sleeve connector (52), the plug connector (51) and the sleeve connector (52) can be separated to be plugged and sealed in a pressing mode, and the sealing joint (5) is a luer joint.
7. The endoscopic bacterial contamination sampling kit according to claim 1, wherein: the butt joint pipe (41) is in clearance fit with the front end part of the endoscope, the clearance is not more than 2mm, and the butt joint pipe (41) is connected to the middle height position of the flushing bin (4);
the butt joint pipe (41) and the flushing bin (4) are connected into an integral pipeline in a sealing mode through a telescopic corrugated hose, and the butt joint pipe (41) is positioned obliquely below the flushing nozzle (71).
8. The endoscopic bacterial contamination sampling kit according to claim 1, wherein: the light guide connecting pipe (3) is an integral hose with 1 main pipeline connected with 5 branch pipelines, the light guide connecting pipe (3) is of an integral structure, the main pipeline of the light guide connecting pipe (3) is in sealing connection with one branch pipeline (13) through a sealing joint, and all ports of the 5 branch pipelines of the light guide connecting pipe (3) and the endoscope light guide joint pipeline are in sealing connection.
CN202223219107.4U 2022-12-02 2022-12-02 Sampling external member of scope bacterial contamination volume Active CN218951388U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202223219107.4U CN218951388U (en) 2022-12-02 2022-12-02 Sampling external member of scope bacterial contamination volume

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202223219107.4U CN218951388U (en) 2022-12-02 2022-12-02 Sampling external member of scope bacterial contamination volume

Publications (1)

Publication Number Publication Date
CN218951388U true CN218951388U (en) 2023-05-02

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Country Link
CN (1) CN218951388U (en)

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