EP3148401A1 - Aufbereitung von chirurgischen instrumenten - Google Patents
Aufbereitung von chirurgischen instrumentenInfo
- Publication number
- EP3148401A1 EP3148401A1 EP15721259.8A EP15721259A EP3148401A1 EP 3148401 A1 EP3148401 A1 EP 3148401A1 EP 15721259 A EP15721259 A EP 15721259A EP 3148401 A1 EP3148401 A1 EP 3148401A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- adapter
- door
- connection body
- washing compartment
- closing
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Classifications
-
- 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
- A61B1/12—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
- A61B1/121—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 post-use
- A61B1/123—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 post-use using washing machines
-
- 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
- A61B1/00112—Connection or coupling means
- A61B1/00121—Connectors, fasteners and adapters, e.g. on the endoscope handle
- A61B1/00128—Connectors, fasteners and adapters, e.g. on the endoscope handle mechanical, e.g. for tubes or pipes
-
- 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
- A61B1/12—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
- A61B1/121—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 post-use
- A61B1/125—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 post-use using fluid circuits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/70—Cleaning devices specially adapted for surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
- A61L2/16—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
- A61L2/18—Liquid substances or solutions comprising solids or dissolved gases
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/70—Cleaning devices specially adapted for surgical instruments
- A61B2090/701—Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
- A61L2202/20—Targets to be treated
- A61L2202/24—Medical instruments, e.g. endoscopes, catheters, sharps
Definitions
- the invention relates to a method for operating a processing device for surgical instruments for processing surgical instruments, in particular endoscopes. Furthermore, the invention relates to a processing device for processing surgical instruments, in particular endoscopes.
- endoscopes are used for the diagnosis and therapy of diseases.
- endoscopes and other surgical devices it is necessary that these surgical instruments be prepared after use in a patient, i. E. must be cleaned and disinfected.
- Dressers of surgical instruments have devices that clean and disinfect both the outer surfaces of the surgical instruments as well as the inner channels and channel systems using appropriate fluids. For this purge cycles are usually provided.
- the hygienic result in the preparation depends on the flow rates of a treatment fluid.
- a treatment device from Olympus Winter & Ibe GmbH, Hamburg, is known for the treatment and disinfection of flexible endoscopes under the name ETD.
- the channels of the endoscopes are flushed through with a treatment fluid or rinsing, cleaning and / or disinfecting liquids by mechanical cleaning and disinfection of, in particular flexible, endoscopes.
- the preparation of surgical instruments after their use in a reprocessing device places high demands on the clinical area.
- the treatment typically includes the steps of washing, disinfecting and drying the endoscopes. Before disinfecting, one or two washing or pre-washing cycles are carried out. This is followed by rinsing with clear water and further drying steps. For washing and disinfecting, one or more chemicals for disinfecting are added to the washing medium or the cleaning agent.
- the cleaning and disinfection of the endoscope channels is connected to a rinsing circuit of the treatment equipment.
- the channels are connected, for example, to an adapter of a receiving basket, in which the endoscope to be cleaned is arranged, so that subsequently with the introduction of the receiving basket with the endoscope to be cleaned in the washing compartment of the treatment device, the channels with flushing channels of the flushing circuit or Adapter to be connected to a counterpart of the flushing circuit.
- the object is achieved by a method for operating a processing device for surgical instruments for processing surgical instruments, in particular endoscopes, wherein in at least one preparation step at least one or more channels of a surgical instrument by means of a medium, in particular flushing medium or cleaning medium, are acted upon, said or the channels of the surgical instrument are connected to an adapter, wherein for carrying out the at least one treatment step, the adapter is connected to an adapter body provided in the wash compartment for the adapter, wherein the at least one or more treatment steps in a provided with a door and closed wash compartment the treatment device is carried out, a.) Wherein the opened washing compartment before carrying out at least one treatment step for the surgical instrument arranged in the washing compartment in a S closed by a closing movement of the door is closed, wherein the Schl intevorgang for closing the washing compartment, a coupling device for the adapter and the adapter connection body is actuated, wherein the coupling device is arranged such that after the closing of the adapter and the adapter connection body are connected to each other, and
- the invention is based on the idea that a manual automatic coupling between the adapter and the adapter connection body of the rinsing circuit in the washing compartment of the treatment device is achieved because the coupling or decoupling of the adapter and the adapter connection body takes place without additional actuator.
- the coupling or decoupling is used or initiated by the closing mechanism of the door of the washing compartment during the closing process and by an opening mechanism of the door during the opening process, whereby a force is exerted during the closing operation and the opening operation to connect the adapter and the adapter connection body independently or to separate .
- a force is exerted by the movement of the door and by the transmission of the mechanical force generated by the door movement directly on the adapter or on the receiving basket provided with the adapter, so that thereby directly the adapter and the adapter connection body by utilizing the mechanical force the coupling causing door movement are connected together.
- the mechanical force generated by the door movement indirectly via the closing mechanism of the door such as in an automatic door lock, as well as the opening mechanism of the door on the decoupling of Connection body and the adapter connection body is transmitted.
- the, preferably mechanical or electromechanical, coupling device is actuated, so that the adapter and the adapter connection body are approximated to each other and connected to each other after approaching.
- the door is moved simultaneously with the adapter or with the adapter receiving basket during the movement of the door, the adapter, so that the closing movement of the door causes the movement of the adapter to connect the adapter to the adapter connector.
- a, preferably mechanical, actuating mechanism is activated or actuated at or by the closing movement of the door, so that e.g. the adapter body provided in the washing compartment is moved in the direction of the adapter.
- the actuating mechanism is coupled here as a transmission device with the movement of the door.
- the transmission device is designed mechanically or electromechanically.
- a further embodiment of the method is characterized in that the adapter and the Adapteran gleichkorper are connected by a plug connection and / or by a kraftbeaufschlagte coupling fluid-tight with each other or are.
- a plug-in connection or plug-in coupling is provided for a fluid-tight connection between the adapter and the adapter connecting body, whereby no external holding force between the adapter during operation of the processing device and adapter connection body is required to maintain the connection for the treatment steps. Only during Schl intevorgang and during the opening process a force is exerted on the adapter, for example, by a coupling of the closing movement and the opening movement of the door in order to establish or release the connection between the adapter and the adapter connection body.
- the coupling of the adapter and the adapter connection body may be carried out during its connection in the case of a permanently acting holding force.
- a contact pressure e.g. via the recording head for the endoscope, transferred to the adapter and maintained for the duration of the connection.
- the force applied coupling is provided, for example, by a snap connection between the adapter and the adapter connection body.
- Another force-loaded coupling of adapter and adapter connection body is formed in a further embodiment using magnets on the adapter and the adapter connection body.
- negative pressure can be applied to form the connection between the adapter and adapter connection body in a sealed space between the adapter and the adapter connection body, wherein after the generation of a negative pressure in the intermediate space, the adapter and the adapter connection body are connected to one another for carrying out the treatment steps.
- a surgical instrument receiving basket such as endoscope basket
- the adapter for the surgical instrument is moved into the washing compartment by the closing movement of the door of the washing compartment, so that the adapter is approximated to the Adapteran gleichkorper and is subsequently connected.
- the adapter and the Adapteran gleichkorper by acting between the adapter and the AdapteranEnglishkorper, preferably mechanical, holding force or by a snap connection or by a magnetic coupling between the adapter and Adapter Anschlußkorper or by applying negative pressure are connected to each other or are.
- the method is advantageously further developed in that one or the plug connection between the adapter and the Adapteran gleichkorper or the kraftbeaufschlagte coupling of adapter and Adapteran gleichkorper is released during the opening process or is. By the opening movement of the door, the decoupling of adapter and adapter connector is effected.
- an automatic decoupling of adapter and adapter connecting body is preferably carried out by an opening movement of the door.
- a mechanical coupling device such as e.g. Cables or the like, has a corresponding mechanical force can be exerted on the connection between the adapter and Adapteran gleichkorper, whereby the fluid-tight connection is released.
- a, preferably electrical, opening signal is sent to a control device of the processing device, so that the control device controls the coupling device to release the connection of the adapter and the adapter connection body.
- the adapter is connected via hoses to the channels of the ch irurgical instrument, so that when connecting the adapter and the adapter connection piece, the channels and the hoses interact and are connected to lines of the flushing circuit provided on the adapter connection piece.
- a lever or a movable cylinder or a movable actuator of the coupling device can be actuated to open the connection of adapter and adapter connection body to release the connection of the adapter and the adapter connection body.
- the opening signal when opening the flushing chamber can be used to actuate a solenoid valve or an electromagnet, whereby the connection of the adapter and the adapter connection body is released.
- an automatic decoupling of adapter and adapter connection body in the washing compartment can be effected by the pressure exerted by the door on the adapter contact pressure by the opening movement of the door, such as a swinging movement, is removed, whereby the connection of adapter and adapter connection body solved becomes .
- a latching connection between adapter and adapter connection body can be unlocked by a mechanical transmission device. It is also possible that when using magnets to form a magnetic coupling between adapter and adapter Closing body, the magnets are removed by a mechanical movement device from each other, whereby the connection of adapter and adapter connection body is released.
- the intermediate space can be ventilated or vented by actuation of a valve, whereby the negative pressure is released, and thus the under-pressurized connection of adapter and adapter connection body is released.
- a processing device for processing surgical instruments with a washing compartment for receiving an instrument
- the washing compartment is provided for opening and / or closing the washing compartment with a movable door
- an instrument to be cleaned connectable and provided with connections for the channels of the instrument adapter being provided in the washing compartment of the processing device cooperating with the adapter and function complimentärer Adapter connection body
- an operable coupling device is provided for the adapter and for the adapter connection body, wherein the coupling device is arranged such that a.
- the processing device for carrying out the Formed above method to easily provide a releasable coupling or decoupling of adapter and adapter terminal body or effect.
- the adapter and the adapter connection body are fluid-tightly connected to one another by a plug connection or a force-loaded coupling for carrying out a treatment step with the wash compartment closed.
- the treatment device that during closing a loaded with a surgical instrument receiving basket for the surgical instrument, which is provided with the adapter for the surgical instrument in the washing compartment by a closing movement of the door of the washing compartment is movable, so that at the closing movement of the door of the adapter with the receiving basket is approximated or approachable to the adapter connecting body and is fluid-tightly connected or connectable.
- the treatment device in the acted upon by force coupling of adapter and adapter terminal body of the adapter and the adapter body by a force acting between the adapter and the adapter body connecting mechanical holding force or by a snap connection or by a magnetic coupling of adapter and adapter connection body or are connected to each other by applying negative pressure.
- Figure 1 shows schematically a cross section through a
- Fig. 1 is a schematic illustration of a treatment device 10 for endoscopes in cross-section.
- the treatment device 10 has a housing with a washing chamber 1 2 formed in the interior of the housing (not shown here).
- the surgical instruments to be cleaned such as e.g. Endoscopes, placed in baskets.
- An endoscope processing device is known, for example, under the name ETD of Olympus Winter & Ibe GmbH, Hamburg.
- FIG. 1 schematically shows a receiving basket 14, in which a schematically designated endoscope 20 is arranged.
- the washing compartment 1 2 has on its introduction side a pivotally mounted door 1 6, which is hinged on a corresponding hinge ier 1 5 at the bottom of the washing compartment 1 2.
- the arranged in the receiving basket 14 endoscope 20 has (not shown here) channels in the interior, wherein the channels of the endoscope 20 for Cleaning be connected with a hose 17.1, 17.2.
- each channel of the endoscope 20 is connected to a hose 17.1, 17.2, etc.
- the tubes 17.1, 17.2 are connected to an adapter 18, which is arranged on an end face of the receiving basket 14, for the preparation of the endoscope 20.
- the door 16 After arranging the receiving basket 14 in a receiving compartment in the washing compartment 12, the door 16 is pivoted to close the washing compartment 12, so that the washing compartment 12 is closed for the implementation of the treatment process.
- the receiving basket 14 is pressed together with its adapter 18 against a provided on or in the Spülraum 12 Adapteran gleichkorper 22, so that in this way the adapter 18 is connected to the Adapteran gleichkorper 22.
- the coupling of the adapter 18 is triggered with the Adapteran gleichkorper 22 and causes, whereby a fluid-tight connection between the adapter 18 and Adapteran gleichkorper 22 is made.
- a door lock 24 is provided on the introduction side, so that when closing the washing compartment 12 by a pivoting movement of the door 16, the door 16 by means of a locking mechanism with the door lock 24 in Engaged, whereby when closing the door 16 of the door lock 24 is operated between the door lock 24 and the Adapteran gleichkorper 22 provided cable 26, whereby the Adapteran gleichkorper 22 is pressed against the adapter 18.
- a closing movement of the door 16 is carried out, wherein due to the closing movement of the door 1 6 in a self-mechanical manner, a coupling and connection between the adapter 1 8 and the adapter connection body 22 is made.
- the door 1 6 is pivoted away, which is also solved in an automatic manner, the connection of the adapter 1 8 and the adapter connector body 22.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Physics & Mathematics (AREA)
- Radiology & Medical Imaging (AREA)
- Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Epidemiology (AREA)
- Mechanical Engineering (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Instruments For Viewing The Inside Of Hollow Bodies (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102014210015.1A DE102014210015A1 (de) | 2014-05-26 | 2014-05-26 | Aufbereitung von chirurgischen Instrumenten |
PCT/EP2015/060340 WO2015180951A1 (de) | 2014-05-26 | 2015-05-11 | Aufbereitung von chirurgischen instrumenten |
Publications (1)
Publication Number | Publication Date |
---|---|
EP3148401A1 true EP3148401A1 (de) | 2017-04-05 |
Family
ID=53059124
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP15721259.8A Withdrawn EP3148401A1 (de) | 2014-05-26 | 2015-05-11 | Aufbereitung von chirurgischen instrumenten |
Country Status (3)
Country | Link |
---|---|
EP (1) | EP3148401A1 (de) |
DE (1) | DE102014210015A1 (de) |
WO (1) | WO2015180951A1 (de) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102016212672B3 (de) | 2016-07-12 | 2017-07-06 | Olympus Winter & Ibe Gmbh | Einrichtung zum Prüfen der Dichtigkeit eines chirurgischen Instruments, Aufbereitungseinrichtung zum Aufbereiten von chirurgischen Instrumenten und Verwendung eines quellbaren Materialkörpers |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1785150A1 (de) * | 2005-11-15 | 2007-05-16 | Olympus Medical Systems Corp. | Vorrichtung zum Waschen und Desinfizieren eines Endoskops und Verfahren zum Überprüfen von Leckagen, bei dem Gas einem Endoskop zugeführt wird |
Family Cites Families (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CH679447A5 (de) * | 1990-10-23 | 1992-02-28 | Hamo Ag | |
US5279799A (en) * | 1990-10-23 | 1994-01-18 | Hamo Ag | Apparatus for cleaning and testing endoscopes |
KR100413441B1 (ko) * | 2001-06-09 | 2003-12-31 | 엘지전자 주식회사 | 의료기기 세척기 |
JP2007020729A (ja) * | 2005-07-13 | 2007-02-01 | Olympus Medical Systems Corp | 医療器具洗滌消毒システム |
JP2007275438A (ja) * | 2006-04-10 | 2007-10-25 | Olympus Medical Systems Corp | 内視鏡洗滌消毒装置、及び内視鏡管路洗滌ブラシユニット |
JP4441550B2 (ja) * | 2007-06-14 | 2010-03-31 | オリンパス株式会社 | 内視鏡洗滌消毒装置 |
DE602008006310D1 (de) * | 2007-08-16 | 2011-06-01 | Fujifilm Corp | Endoskopischer Reprozessor |
JP5252935B2 (ja) * | 2008-01-25 | 2013-07-31 | オリンパスメディカルシステムズ株式会社 | 内視鏡保管庫 |
US20130098407A1 (en) * | 2011-10-21 | 2013-04-25 | Timothy J. Perlman | Instrument reprocessors, systems, and methods |
US9282877B2 (en) * | 2012-03-21 | 2016-03-15 | Whirlpool Corporation | Dishwasher with a pivot system for a dish rack |
WO2014045718A1 (ja) * | 2012-09-18 | 2014-03-27 | オリンパスメディカルシステムズ株式会社 | 内視鏡洗浄消毒装置 |
-
2014
- 2014-05-26 DE DE102014210015.1A patent/DE102014210015A1/de not_active Ceased
-
2015
- 2015-05-11 WO PCT/EP2015/060340 patent/WO2015180951A1/de active Application Filing
- 2015-05-11 EP EP15721259.8A patent/EP3148401A1/de not_active Withdrawn
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1785150A1 (de) * | 2005-11-15 | 2007-05-16 | Olympus Medical Systems Corp. | Vorrichtung zum Waschen und Desinfizieren eines Endoskops und Verfahren zum Überprüfen von Leckagen, bei dem Gas einem Endoskop zugeführt wird |
Non-Patent Citations (1)
Title |
---|
See also references of WO2015180951A1 * |
Also Published As
Publication number | Publication date |
---|---|
DE102014210015A1 (de) | 2015-11-26 |
WO2015180951A1 (de) | 2015-12-03 |
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