ITTO20110111A1 - WASHING / SUCTION EQUIPMENT FOR USE IN LAPAROSCOPY AND LAPAROTOMY - Google Patents
WASHING / SUCTION EQUIPMENT FOR USE IN LAPAROSCOPY AND LAPAROTOMY Download PDFInfo
- Publication number
- ITTO20110111A1 ITTO20110111A1 IT000111A ITTO20110111A ITTO20110111A1 IT TO20110111 A1 ITTO20110111 A1 IT TO20110111A1 IT 000111 A IT000111 A IT 000111A IT TO20110111 A ITTO20110111 A IT TO20110111A IT TO20110111 A1 ITTO20110111 A1 IT TO20110111A1
- Authority
- IT
- Italy
- Prior art keywords
- tube
- collar
- around
- cannula
- casing
- Prior art date
Links
- 238000002357 laparoscopic surgery Methods 0.000 title claims description 5
- 238000002350 laparotomy Methods 0.000 title claims description 5
- 238000005406 washing Methods 0.000 title claims description 5
- 239000012530 fluid Substances 0.000 claims description 6
- 230000002262 irrigation Effects 0.000 claims description 5
- 238000003973 irrigation Methods 0.000 claims description 5
- 230000002572 peristaltic effect Effects 0.000 claims description 2
- 238000011144 upstream manufacturing Methods 0.000 claims description 2
- 238000012795 verification Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 229920002457 flexible plastic Polymers 0.000 description 2
- 230000005764 inhibitory process Effects 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000036512 infertility Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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
- A61B1/012—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 characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- 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
- A61B1/00002—Operational features of endoscopes
- A61B1/00059—Operational features of endoscopes provided with identification means for the endoscope
-
- 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
- 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
- A61B90/90—Identification means for patients or instruments, e.g. tags
- A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
- A61B90/96—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
- A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Pathology (AREA)
- Public Health (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Optics & Photonics (AREA)
- Radiology & Medical Imaging (AREA)
- Paper (AREA)
- Details Of Rigid Or Semi-Rigid Containers (AREA)
- Hooks, Suction Cups, And Attachment By Adhesive Means (AREA)
Description
"Apparecchiatura di lavaggio/aspirazione per l'impiego in laparoscopia e laparotomia" "Washing / suction equipment for use in laparoscopy and laparotomy"
DESCRIZIONE DESCRIPTION
La presente invenzione si riferisce ad un'apparecchiatura di lavaggio/aspirazione per l’impiego in laparoscopia e laparotomia. The present invention refers to a washing / suction apparatus for use in laparoscopy and laparotomy.
Più in dettaglio, una tale apparecchiatura comprende: More specifically, such equipment includes:
- un involucro entro il quale à ̈ ricavata una vasca per il contenimento di un fluido termostatante in cui à ̈ immersa una sacca di soluzione fisiologica, - a casing in which a tank is made to contain a thermostatic fluid in which a bag of physiological solution is immersed,
- una cannula, - a cannula,
- un primo tubo di irrigazione che collega la sacca alla cannula, - a first irrigation tube that connects the bag to the cannula,
- una pompa atta a provocare un flusso di soluzione fisiologica nel primo tubo, e - a pump capable of causing a flow of physiological solution in the first tube, e
- un secondo tubo di aspirazione che collega la cannula ad uno scarico. - a second suction tube that connects the cannula to a drain.
Nell’uso, l’apparecchiatura à ̈ manovrata da un chirurgo per alternativamente irrigare di soluzione fisiologica la cavità addominale del paziente ed aspirarvi fluidi organici. In use, the equipment is operated by a surgeon to alternately irrigate the patient's abdominal cavity with physiological solution and suck in organic fluids.
Di conseguenza, per garantire la sterilità dei tubi utilizzati nell’apparecchiatura, questi ultimi dovrebbero essere sostituiti dopo ogni intervento. Consequently, to ensure the sterility of the tubes used in the equipment, they should be replaced after each intervention.
Vice versa, nel caso in cui tale sostituzione non venga debitamente effettuata, si corre un serio rischio di trasmissione di infezioni da un paziente all’altro. Conversely, in the event that this replacement is not duly carried out, there is a serious risk of transmission of infections from one patient to another.
Scopo della presente invenzione à ̈ dunque quello di fornire un’apparecchiatura esente per quanto possibile da tale rischio. The aim of the present invention is therefore to provide an apparatus which is as free as possible from this risk.
Secondo l’invenzione, tale scopo viene raggiunto grazie ad un’apparecchiatura del tipo indicato all’inizio della presente descrizione e caratterizzata dal fatto che comprende inoltre un dispositivo di lettura e verifica di un codice di identificazione che à ̈ associato ad almeno uno di detti tubi, in modo tale per cui il funzionamento dell’apparecchiatura viene inibito se detta verifica dà esito negativo. According to the invention, this object is achieved thanks to an apparatus of the type indicated at the beginning of the present description and characterized in that it also comprises a device for reading and verifying an identification code which is associated with at least one of said pipes, in such a way that the operation of the equipment is inhibited if said check gives a negative result.
La procedura di verifica del codice identificativo, vantaggiosamente a barre, di almeno uno dei tubi può essere condotta secondo qualsivoglia criterio o pluralità di criteri ed in particolare prevedere che venga negata l’idoneità di tubi i cui codici sono già stati letti in precedenza dal dispositivo e che quindi sono già stati utilizzati. The verification procedure of the identification code, advantageously in bar form, of at least one of the pipes can be carried out according to any criterion or plurality of criteria and in particular provide that the suitability of pipes whose codes have already been previously read by the device and therefore have already been used.
Inoltre, la procedura di verifica può essere impostata in modo tale da inibire il funzionamento dell’apparecchiatura anche quando i codici a barre letti non garantiscono la provenienza dei tubi e/o l’idoneità dei materiali costitutivi. Furthermore, the verification procedure can be set in such a way as to inhibit the operation of the equipment even when the bar codes read do not guarantee the origin of the tubes and / or the suitability of the constituent materials.
Ulteriori vantaggi e caratteristiche della presente invenzione risulteranno evidenti dalla descrizione dettagliata che segue, fornita a titolo di esempio non limitativo con riferimento ai disegni annessi, in cui: Further advantages and characteristics of the present invention will become evident from the following detailed description, provided by way of non-limiting example with reference to the attached drawings, in which:
la figura 1 à ̈ una vista prospettica di un’apparecchiatura dell’invenzione, figure 1 is a perspective view of an apparatus of the invention,
la figura 2 una vista prospettica dall’alto dell’apparecchiatura di figura 1, figure 2 is a perspective view from above of the apparatus of figure 1,
la figura 3 à ̈ una vista in scala ingrandita di particolari dell’apparecchiatura delle precedenti figure privata dei tubi, e figure 3 is an enlarged scale view of details of the apparatus of the previous figures without the tubes, e
la figura 4 à ̈ una vista in scala ingrandita di ulteriori particolari dell’apparecchiatura delle figure 1 e 2. figure 4 is an enlarged scale view of further details of the apparatus of figures 1 and 2.
Un’apparecchiatura di lavaggio/aspirazione per l’impiego in laparoscopia e laparotomia comprende un involucro 10 entro il quale à ̈ ricavata una vasca 12 per il contenimento di un fluido termostatante in cui à ̈ immersa una sacca 14 di soluzione fisiologica. A washing / suction apparatus for use in laparoscopy and laparotomy comprises a casing 10 within which a tank 12 is made for containing a thermostatic fluid in which a bag 14 of physiological solution is immersed.
Un primo tubo 16 di irrigazione, convenientemente realizzato di plastica flessibile, collega la sacca 14 ad una cannula 18. Un collarino 20 riportante un codice di identificazione a barre à ̈ fissato coassialmente intorno ad un tratto del primo tubo 16 a monte di un ulteriore tratto di tubo su cui agisce una pompa 22 convenientemente di tipo peristaltico. Quest’ultima à ̈ atta a provocare in modo di per sé convenzionale un flusso di soluzione fisiologica nel primo tubo 16. Sempre convenzionalmente, il fissaggio del collarino 20 intorno al primo tubo 16 à ̈ realizzato in modo tale da essere sostanzialmente permanente e da rendere comunque evidenti le tracce di eventuali manomissioni. A first irrigation tube 16, conveniently made of flexible plastic, connects the bag 14 to a cannula 18. A collar 20 bearing a bar identification code is fixed coaxially around a section of the first tube 16 upstream of a further section of a tube on which a pump 22 conveniently of the peristaltic type acts. The latter is capable of causing in a conventional manner a flow of physiological solution in the first tube 16. Again conventionally, the fixing of the collar 20 around the first tube 16 is made in such a way as to be substantially permanent and in any case, the traces of any tampering must be made evident.
D’altro canto, un secondo tubo 24 di aspirazione, su cui à ̈ disposta una valvola 26 di intercettazione, collega la cannula 18 ad uno scarico non illustrato nelle figure. Anche il tubo 24 à ̈ convenientemente realizzato di plastica flessibile. Su di una porzione adiacente alla vasca 12 della superficie orizzontale esterna dell’involucro 10 sono collocati due sopporti 28 atti a sostenere rispettive estremità del tratto del primo tubo 16 intorno a cui à ̈ fissato coassialmente il collarino 20. In particolare, ciascun supporto 28 presenta una coppia di branche 30 elasticamente divaricabili atte a serrare una rispettiva estremità del tratto del primo tubo 16 intorno a cui à ̈ fissato coassialmente il collarino 20. Quest’ultimo risulta così disposto al di sopra di un dispositivo 32 di lettura e verifica del codice di identificazione a barre. Il dispositivo 32 à ̈ di per sé noto ed à ̈ collocato entro l’involucro 10. On the other hand, a second suction pipe 24, on which an interception valve 26 is arranged, connects the cannula 18 to an outlet not shown in the figures. Tube 24 is also conveniently made of flexible plastic. Two supports 28 are placed on a portion adjacent to the tank 12 of the external horizontal surface of the casing 10 and are adapted to support respective ends of the section of the first tube 16 around which the collar 20 is coaxially fixed. In particular, each support 28 it has a pair of elastically divaricable jaws 30 suitable for clamping a respective end of the portion of the first tube 16 around which the collar 20 is coaxially fixed. The latter is thus arranged above a reading and checking device 32 of the bar identification code. The device 32 is known per se and is placed inside the casing 10.
Il lato anteriore dell’involucro 10 presenta ancora un display 34 per l’impostazione/lettura dei parametri di funzionamento dell’apparecchiatura ed una pulsantiera 36. All’involucro 10 sono collegati comandi a pedale 38 delle funzioni di aspirazione ed irrigazione. The front side of the casing 10 still has a display 34 for setting / reading the operating parameters of the equipment and a push-button panel 36. Foot controls 38 for the suction and irrigation functions are connected to the casing 10 .
Per l’uso, la vasca 12 à ̈ dapprima riempita del fluido termostatante, in particolare acqua distillata che può essere riscaldata in modo convenzionale da un resistore elettrico alloggiato entro l’involucro 10 e nella quale à ̈ immersa la sacca 14 di soluzione fisiologica. Per maggior chiarezza, il fluido termostatante non à ̈ illustrato nelle figure. For use, the tank 12 is first filled with the thermostating fluid, in particular distilled water which can be heated in a conventional way by an electric resistor housed inside the casing 10 and in which the bag 14 of solution is immersed. physiological. For greater clarity, the thermostatic fluid is not shown in the figures.
Quindi il primo tubo 16 Ã ̈ collegato alla sacca 14 ed alla cannula 18, con il tratto di tubo 16 racchiuso dal collarino 20 che si dispone fra i sopporti 28 ed un tratto ulteriore del tubo 16 che passa attraverso la pompa 22. Dal canto suo, il secondo tubo 24 Ã ̈ collegato alla cannula 18 disponendo su di un suo tratto la valvola 26. Then the first tube 16 is connected to the bag 14 and to the cannula 18, with the tube section 16 enclosed by the collar 20 which is arranged between the supports 28 and a further section of the tube 16 which passes through the pump 22. For its part , the second tube 24 is connected to the cannula 18 by arranging the valve 26 on one of its sections.
A questo punto à ̈ possibile accendere l’apparecchiatura ed attivare il dispositivo 32 di lettura e verifica del codice di identificazione a barre riportato sul collarino 20 e di cui à ̈ visibile un lembo 40 in figura 4. At this point it is possible to switch on the equipment and activate the device 32 for reading and checking the bar identification code shown on the collar 20 and of which a flap 40 is visible in figure 4.
Se tale verifica dà esito negativo, il funzionamento dell’apparecchiatura viene inibito, cosicché per poter procedere occorre sostituire i tubi 16, 24 e procedere ad una nuova verifica. I criteri in base ai quali impostare la procedura di verifica possono essere qualsiasi: in particolare il dispositivo può memorizzare tutti i codici a barre già letti, che sono diversi per ciascun tubo, così da inibire il funzionamento quando il medesimo codice venisse letto una seconda volta. Ulteriormente, il dispositivo potrebbe comandare l’inibizione qualora il codice a barre – sebbene non già letto in precedenza – non certificasse la provenienza dei tubi da un’origine garantita. If this check gives a negative result, the operation of the equipment is inhibited, so in order to proceed it is necessary to replace the pipes 16, 24 and proceed with a new check. The criteria on the basis of which to set the verification procedure can be any: in particular, the device can memorize all the bar codes already read, which are different for each tube, so as to inhibit operation when the same code is read a second time. time. Furthermore, the device could command the inhibition if the bar code - although not previously read - does not certify the origin of the tubes from a guaranteed origin.
Al contrario, se la procedura di verifica dà esito positivo, non viene attivata alcuna inibizione e l’apparecchiatura può funzionare analogamente a come à ̈ previsto dalla tecnica nota. In particolare, una volta che sono stati impostati i parametri di funzionamento desiderati e che à ̈ stata raggiunta la temperatura di regime, il chirurgo può – in modo del tutto convenzionale – agire sui comandi 38 ed attivare alternativamente l’irrigazione di soluzione fisiologica attraverso il primo tubo 16 e l’aspirazione di fluidi corporei attraverso il secondo tubo 24. On the other hand, if the verification procedure gives a positive result, no inhibition is activated and the equipment can operate in the same way as envisaged by the known art. In particular, once the desired operating parameters have been set and the operating temperature has been reached, the surgeon can - in a completely conventional way - act on the controls 38 and alternately activate the irrigation of physiological solution through the first tube 16 and the aspiration of body fluids through the second tube 24.
Naturalmente, fermo restando il principio dell'invenzione, i particolari di realizzazione e le forme di attuazione potranno ampiamente variare rispetto a quanto descritto a puro titolo esemplificativo, senza per questo uscire dall’ambito dell’invenzione come definito nelle rivendicazioni annesse. In particolare, la lettura e la verifica del codice a barre potrebbero essere condotte anche sul secondo tubo, oppure solo su di questo anziché sul primo tubo. Naturally, the principle of the invention remaining the same, the details of construction and the embodiments may vary widely with respect to those described purely by way of example, without thereby departing from the scope of the invention as defined in the attached claims. In particular, the reading and verification of the bar code could also be carried out on the second tube, or only on this one instead of on the first tube.
Claims (9)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ITTO2011A000111A IT1404771B1 (en) | 2011-02-10 | 2011-02-10 | WASHING / SUCTION APPLIANCE FOR USE IN LAPAROSCOPY AND LAPAROTOMY |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| ITTO2011A000111A IT1404771B1 (en) | 2011-02-10 | 2011-02-10 | WASHING / SUCTION APPLIANCE FOR USE IN LAPAROSCOPY AND LAPAROTOMY |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| ITTO20110111A1 true ITTO20110111A1 (en) | 2012-08-11 |
| IT1404771B1 IT1404771B1 (en) | 2013-11-29 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| ITTO2011A000111A IT1404771B1 (en) | 2011-02-10 | 2011-02-10 | WASHING / SUCTION APPLIANCE FOR USE IN LAPAROSCOPY AND LAPAROTOMY |
Country Status (1)
| Country | Link |
|---|---|
| IT (1) | IT1404771B1 (en) |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5443801A (en) * | 1990-07-20 | 1995-08-22 | Kew Import/Export Inc. | Endoscope cleaner/sterilizer |
| US5609561A (en) * | 1992-06-09 | 1997-03-11 | Olympus Optical Co., Ltd | Electronic type endoscope in which image pickup unit is dismounted to execute disinfection/sterilization processing |
| US20020193787A1 (en) * | 2000-01-31 | 2002-12-19 | Curon Medical, Inc. | Graphical user interface for monitoring and controlling use of medical devices |
| WO2005093541A2 (en) * | 2004-03-04 | 2005-10-06 | Minntech Corporation | On board monitor for endoscope reprocessor |
| WO2007056585A1 (en) * | 2005-11-10 | 2007-05-18 | Allegiance Corporation | Multifunctional medical device assembly |
| EP1815782A2 (en) * | 2006-02-02 | 2007-08-08 | Olympus Medical Systems Corp. | Apparatus and method for dewatering endoscope channels |
| WO2009032644A2 (en) * | 2007-08-29 | 2009-03-12 | Ethicon, Inc. | Automated endoscope reprocessor |
-
2011
- 2011-02-10 IT ITTO2011A000111A patent/IT1404771B1/en active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5443801A (en) * | 1990-07-20 | 1995-08-22 | Kew Import/Export Inc. | Endoscope cleaner/sterilizer |
| US5609561A (en) * | 1992-06-09 | 1997-03-11 | Olympus Optical Co., Ltd | Electronic type endoscope in which image pickup unit is dismounted to execute disinfection/sterilization processing |
| US20020193787A1 (en) * | 2000-01-31 | 2002-12-19 | Curon Medical, Inc. | Graphical user interface for monitoring and controlling use of medical devices |
| WO2005093541A2 (en) * | 2004-03-04 | 2005-10-06 | Minntech Corporation | On board monitor for endoscope reprocessor |
| WO2007056585A1 (en) * | 2005-11-10 | 2007-05-18 | Allegiance Corporation | Multifunctional medical device assembly |
| EP1815782A2 (en) * | 2006-02-02 | 2007-08-08 | Olympus Medical Systems Corp. | Apparatus and method for dewatering endoscope channels |
| WO2009032644A2 (en) * | 2007-08-29 | 2009-03-12 | Ethicon, Inc. | Automated endoscope reprocessor |
Also Published As
| Publication number | Publication date |
|---|---|
| IT1404771B1 (en) | 2013-11-29 |
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