JP2012170552A - Portable endoscope disinfecting apparatus when making house call on patient - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a portable endoscope disinfecting container that can reduce the amount of an antiseptic solution used, facilitate cleaning and disinfection of an endoscope also in a patient's house and prevent the endoscope from being polluted in contact with the container when taking out the endoscope from the antiseptic solution after disinfection.SOLUTION: The endoscope disinfecting container 100 includes an insertion part storage groove 112 for storing an endoscope insertion part 122; an operating part storage groove 111 for storing an endoscope operating part 121; and a light source part storage groove 113 for storing an endoscope light source part 123. The insertion part storage groove is formed such that the width of an antiseptic solution level part is wider than that of a bottom part, more preferably, is formed of a body groove part for storing the endoscope insertion part, and an antiseptic solution receiving groove part larger in diameter than the body groove part and connected to the upper part of the body groove part. An endoscope cleaning container is detachably provided on the outside surface of the endoscope disinfecting container 100. A portable endoscope disinfecting apparatus when making a house call on the patient includes a carrier for storing the endoscope disinfecting container and the endoscope cleaning container.

Description

  The present invention relates to an endoscope disinfecting apparatus for containing an endoscope and a disinfectant and disinfecting and cleaning the endoscope, and more specifically, when performing an endoscopic examination at a patient's home. The present invention relates to a portable endoscope disinfection device that is carried with an endoscope and that is used for disinfecting a used endoscope after completion of an examination.

  Because the endoscope is inserted directly into the patient's body, it can be contaminated with dirt, including the patient's blood, body fluids, and microorganisms. In order to prevent the transmission of illness from patient to patient due to these contaminants and to protect the practitioner from these contaminants, the endoscope must be thoroughly disinfected and cleaned after use. is there. Guidelines regarding the disinfection and cleaning methods for endoscopes are provided (see, for example, Non-Patent Document 1).

  Conventionally, examinations and treatments using an endoscope have been performed in hospitals. For this reason, endoscopes after use are usually sterilized and cleaned using a fully automatic cleaning and disinfecting device installed in a corner of a hospital examination room, or a large bat that can immerse the entire endoscope. In addition, cleaning liquid and disinfecting liquid are put in and disinfected and cleaned. As an endoscope disinfecting solution, a glutaraldehyde aqueous solution or a phthalaldehyde aqueous solution is generally used.

In recent years, endoscopes and peripheral devices have been miniaturized. Among these, portable endoscopes that have a diameter of the insertion portion of the endoscope of 2.4 mm or 3.5 mm and can be used with a battery light source have appeared.
On the other hand, due to the aging of patients, the difficulty of going to hospital and the need to reduce medical costs, examinations such as swallowing and gastrostomy using an endoscope may be performed by visiting patients and visiting business facilities. It has increased. In addition, practitioners need to examine multiple patients in a single visit.

  As a portable container having a disinfecting function, an endoscope carrying case is disclosed which includes a container in which a groove capable of accommodating the whole endoscope is formed and a lid of the container, and accommodates and disinfects the endoscope ( For example, see Patent Document 1). However, the endoscope carried in this carrying case is a large-sized endoscope carrying case that uses an external light source and outputs an image to a display device. The container is large and heavy, and requires a large amount of disinfectant. However, it was not easy to carry around at the visit. Also, portable endoscope disinfection device in terms of practicality, such as the difficulty of collecting chemicals in bottles, etc., and the fact that rinse cleaning is necessary after disinfecting the endoscope It did not meet the current demand for.

Japanese Utility Model Publication No. 60-175217

  Guidelines for endoscope cleaning and disinfection (2nd edition), Japan Gastroenterological Endoscopy Engineers Safety Management Committee, (http://www.ask.ne.jp/~jgets/CD_GL2_main.html, 2011 Search on February 10)

As mentioned above, because a small and portable endoscope has been developed, it is difficult to disinfect and clean the endoscope after using it at the patient's home. There is a problem with the use of the endoscope.
The first problem of the present invention made to solve such a problem is that it is portable so that a small amount of disinfectant to be carried is required, and the endoscope can be easily disinfected even in a patient house that is a general house. An object of the present invention is to provide a portable endoscope disinfection device that can be used.

  When disinfecting an endoscope by putting the disinfectant into an endoscope disinfection container that has a groove that can accommodate the entire endoscope, when the endoscope before disinfection is immersed in the disinfectant, The endoscope before disinfection touches the part of the endoscope disinfection container that is not immersed in the disinfectant, and when the endoscope after disinfection is taken out of the disinfectant, the endoscope after disinfection Touching the same part of the endoscope disinfection container will recontaminate the endoscope. For this reason, when the endoscope is taken in and out of the endoscope disinfection container, it is necessary to prevent the endoscope from coming into contact with the portion of the endoscope disinfection container that is not immersed in the disinfectant.

The endoscope carrying case described in Patent Document 1 is soaked in the disinfectant solution of the endoscope disinfection container because the endoscope to be disinfected is large and the width of the groove for accommodating the endoscope is sufficiently wide. It was difficult to imagine that the endoscope was in contact with the part that was not there.
On the other hand, in the endoscope disinfection container formed so as to meet the first problem in accordance with the size of a small endoscope whose diameter of an endoscope insertion portion developed in recent years is 3.5 mm, A new problem has arisen in that the endoscope easily comes into contact with a portion of the endoscope disinfection container that is not immersed in the disinfectant, and re-contamination as described above easily occurs.

  A second object of the present invention, which has been made in order to solve such a problem, is a portable device that can be easily put in and out of a container containing an endoscope and a disinfectant after disinfection so as not to recontaminate the endoscope. It is providing an endoscope disinfection device.

A portable endoscope disinfection device of the present invention made to solve such a problem is connected to an endoscope insertion portion having an objective lens at the tip, an endoscope insertion portion at one end, and to the other end. An endoscope disinfection container that disinfects an endoscope including an endoscope operation unit including an eyepiece unit and an endoscope light source unit coupled to the endoscope operation unit in a disinfectant solution is provided. A portable endoscope disinfection device,
The endoscope disinfection container communicates with an insertion portion accommodation groove for accommodating an endoscope insertion portion, an operation portion accommodation groove for communicating with the insertion portion accommodation groove, and an operation portion accommodation groove. An endoscope housing groove having a light source unit housing groove for housing an endoscope light source unit, and a disinfecting liquid discharge port communicating with the endoscope housing groove,
When putting the disinfectant into the endoscope housing groove and immersing the entire endoscope in the disinfectant, the top of each of the endoscope insertion part, endoscope operation part, and endoscope light source part is disinfectant. The insertion portion accommodation groove, the operation portion accommodation groove, and the light source portion accommodation groove are formed to have the same depth from the water surface.

In the present invention, it is preferable that the insertion portion receiving groove is formed so that the width of the portion in contact with the disinfecting liquid surface is wider than the width of the bottom portion.
Here, the insertion portion receiving groove is formed by a main body groove portion in which the endoscope insertion portion is accommodated and a disinfecting liquid receiving groove portion having a diameter larger than that of the main body groove portion and connected to the upper portion of the main body groove portion. Can do.

  In addition, the present invention provides an endoscope cleaning container that is detachably provided so as to be close to the outer surface of the endoscope disinfecting container and to cover the upper surface and side surfaces or the lower surface and side surfaces of the endoscope disinfecting container. It is preferable to further include a carrier for housing the endoscope disinfection container and the endoscope cleaning container.

In the present invention, the endoscope light source part may be a battery light source part, and the light source part accommodating groove may be a battery light source part accommodating groove for accommodating the battery light source part of the endoscope.
According to the present invention, the endoscope light source unit is formed of a light guide cable and a connection unit for connecting the external light source and the light guide cable, and the light source unit receiving groove is ring-shaped and has an operation unit receiving groove. And a light guide cable housing groove that winds and houses the light guide cable of the endoscope, and a connection portion housing groove that houses the connection portion.

  The endoscope disinfection container according to the present invention is formed with an endoscope receiving groove for storing the endoscope in a compact manner, and the width of the endoscope receiving groove is as narrow as possible within a range where the endoscope can be taken in and out. When the entire endoscope is soaked in the disinfecting liquid with the disinfecting liquid being further formed, the uppermost parts of the endoscope insertion part, the endoscope operation part, and the endoscope light source part are Since the insertion portion accommodation groove, the operation portion accommodation groove, and the light source portion accommodation groove are formed so as to have the same depth from the water surface, the amount of the disinfectant necessary for disinfection could be reduced.

In the endoscope disinfection container according to the present invention, the insertion portion receiving groove is formed so that the width of the portion in contact with the disinfection liquid surface is wider than the width of the bottom portion. When putting in and out of the sterilization container, the possibility that the endoscope comes into contact with a portion of the endoscope cleaning container that is not immersed in the disinfectant and is recontaminated can be reduced.
Furthermore, in another embodiment according to the present invention, the insertion portion receiving groove of the endoscope disinfection container is formed by a main body groove portion in which the endoscope insertion portion is accommodated and a receiving groove portion having a larger diameter than the main body groove portion. By inserting the disinfectant until the bottom of the receiving groove is hidden, the endoscope is immersed in the disinfectant of the endoscope cleaning container when the endoscope is removed from or inserted into the endoscope disinfection container. It was possible to further reduce the possibility of recontamination by contacting non-exposed parts and the amount of disinfectant used.

  The portable endoscope disinfection device according to the present invention includes an endoscope disinfection container having an endoscope receiving groove formed so as to accommodate an endoscope in a compact manner, and an endoscope disinfection container. An endoscope cleaning container detachably provided, and an endoscope disinfection container and an endoscope cleaning container. As a result, the practitioner of the endoscopy could easily carry the endoscope disinfection container and the endoscope cleaning container to the patient's home for the endoscopy.

In addition, the practitioner of the endoscopy, after completing the examination using the endoscope, puts a disinfecting solution into the endoscope disinfecting container and immerses the endoscope in the disinfecting solution for a predetermined time at the visiting site. The endoscope can be easily disinfected, and while the endoscope is immersed in the disinfectant solution, the endoscope disinfection container is covered with the endoscope cleaning container to prevent the bad smell of the disinfectant. The endoscope after disinfection can be taken out into the endoscope cleaning container, and the endoscope can be easily rinsed using the endoscope cleaning container. The disinfectant after use was transferred to a bottle etc. on the mirror cleaning container.
As described above, the endoscope disinfection device according to the present invention is carried along with the endoscope at the time of the home visit along with the portable endoscope disinfection device at the time of the home visit to perform the endoscopy and the endoscope after use. A series of endoscopy work for disinfection and cleaning could be done easily and smoothly.

(A) is a figure of an endoscope provided with a battery light source part as a light source part, (B) is a figure of an endoscope provided with a light guide cable and a connection part. (A) is a top view of the endoscope disinfection container for an endoscope provided with the battery light source part which concerns on 1 Example of 1st Embodiment of this invention, (B) is a of (A). It is the fragmentary sectional view seen from the arrow direction along the -a line. It is a top view of the container for endoscope disinfection for endoscopes provided with the battery light source part which concerns on the other Example of 1st Embodiment of this invention. (A) is a top view of the endoscope disinfection container for endoscopes provided with the battery light source part which concerns on 1 Example of 2nd Embodiment of this invention, (B) is bb of (A). It is the fragmentary sectional view seen from the arrow direction which followed the line. (A) is a top view of the endoscope disinfection container for endoscopes provided with the battery light source part which concerns on the other Example of 2nd Embodiment of this invention, (B) is c- of (A). It is the fragmentary sectional view seen from the arrow direction along c line. It is a top view of the container for endoscope disinfection for endoscopes provided with the light guide cable and connection part which concern on 1 Example of 3rd Embodiment of this invention. It is a top view of the container for endoscope disinfection for endoscopes provided with the light guide cable and connection part which concern on 1 Example of 4th Embodiment of this invention. (A) is a top view of the endoscope cleaning container according to one embodiment of the present invention, the broken line shows the endoscope disinfection container accommodated in the cleaning container, (B) is a front view is there. It is a perspective view which shows the combination condition of the container for endoscope disinfection which concerns on one Example of this invention, the container for endoscope cleaning, and a carrier. It is a graph which shows the usage-amount of the disinfection liquid of the container for endoscope disinfection which concerns on 1 Example of 1st Embodiment of this invention, and the container for endoscope disinfection of a prior art example.

Exemplary embodiments of an endoscope disinfection device according to the present invention will be described in detail with reference to the accompanying drawings. In addition, the element which has the same function attaches | subjects the same code | symbol, and may abbreviate | omit description.
The endoscope to be disinfected by the portable endoscope disinfecting apparatus at the home visit according to the present invention is not particularly limited as long as it is a small portable one. For example, it is possible to disinfect an endoscope that has a light source outside the endoscope, and the endoscope light source unit includes a light guide cable and a connection unit that connects the external light source and the light guide cable. . Moreover, an endoscope provided with a battery light source can be sterilized as an endoscope light source unit.

  1A is a diagram of an endoscope including a battery light source unit as a light source unit, and FIG. 1B is a diagram of an endoscope including a light guide cable and a connection unit. In FIGS. 1A and 1B, elements having the same function are denoted by the same reference numerals.

As shown in FIGS. 1A and 1B, each of the endoscopes 120 and 320 is connected to an endoscope insertion portion 122 having an objective lens 127 at the tip, and the endoscope insertion portion 122, and An endoscope operation unit 121 including an angle knob 125 and an eyepiece unit 126 for operating the mirror insertion unit 122 and an endoscope light source unit 123 connected to the endoscope operation unit 121 can be provided.
An endoscope 120 illustrated in FIG. 1A includes a battery light source unit 124 as an endoscope light source unit 123, and an endoscope 320 illustrated in FIG. 1B includes a light guide cable as an endoscope light source unit 123. 333 and a connection portion 334 are provided.

(First embodiment)
FIG. 2A is a plan view of an endoscope disinfection container for an endoscope including a battery light source unit according to an example of the first embodiment of the present invention, and FIG. It is the fragmentary sectional view seen from the arrow direction along line aa.
As shown in FIG. 2 (A), the endoscope disinfection container 100 according to the first embodiment of the present invention includes an operation portion accommodation groove 111 for accommodating an endoscope operation portion 121, an operation portion accommodation groove 111, and the like. It is provided in a long curved shape along the inside of the endoscope disinfection container 100, and is provided in communication with the insertion portion receiving groove 112 for receiving the endoscope insertion portion 122 and the operation portion receiving groove 111. It is preferable that a light source part housing groove 113 for housing the endoscope light source part 123 is provided. This embodiment is characterized in that a battery light source housing groove 114 for housing the battery light source 124 is provided as the light source housing groove 113.

  FIG. 3 is a plan view of an endoscope disinfection container having a battery light source housing groove according to another example of the first embodiment of the present invention. The endoscope 120 'shown in FIG. 3 is different only in the shape of the battery light source 124' from the shape of the battery light source 124 of the endoscope 120 shown in FIG. Since the shape of the battery light source section varies depending on the manufacturer that provides the endoscope, an endoscope disinfection container having a battery light source section housing groove for housing the battery light source section having a shape corresponding to the shape of the endoscope to be used is provided. Can be used.

Returning to FIG. 2A, the endoscope disinfection container 100 further communicates with the endoscope housing groove 115, disinfecting liquid outlet 116 for discharging the disinfecting liquid, and the endoscope disinfecting container 100. And a disinfectant container container 151 provided in the central part of the container.
Further, since the objective lens 127 side of the insertion portion receiving groove 112 is particularly easily contaminated, a communication groove 128 that communicates with another portion of the endoscope receiving groove 115, for example, the battery light source portion receiving groove 114, is provided to distribute the disinfectant solution. It is preferable to aim for.

As shown in FIG. 2 (B), when the endoscope receiving groove 115 according to the present embodiment is filled with the disinfecting solution up to the water surface L and the entire endoscope 120 is immersed in the disinfecting solution, the surface L of the disinfecting solution is obtained. To the top of the endoscope insertion section 122, depth y from the disinfecting liquid surface L to the top of the endoscope operation section 121, and the disinfecting liquid level L to the battery light source section 124. The depth X of the insertion portion accommodation groove 112, the depth Y of the operation portion accommodation groove 111, and the battery light source portion accommodation groove 114 so that the depth z to the top is equal (x = y = z). The depth Z is adjusted.
By forming the endoscope housing groove 115 in this way, the amount of disinfectant used can be reduced.

  When the endoscope 120 is taken in and out of the endoscope disinfection container 100 after disinfection, the endoscope 120 is put in and out so as not to touch a portion of the endoscope disinfection container 100 that is not immersed in the disinfectant solution. There must be. However, since the endoscope insertion portion 122 of the endoscope 120 used for swallowing and gastrostomy observation is thin and flexible, and the insertion portion receiving groove 112 is narrow, the endoscope 120 is used for endoscope disinfection. In many cases, it is difficult to put in and out the container 100 so as not to touch the part not immersed in the disinfectant.

(Second Embodiment)
4A is a plan view of an endoscope disinfection container for an endoscope including a battery light source unit according to an example of the second embodiment of the present invention, and FIG. 4B is a plan view of FIG. It is the fragmentary sectional view seen from the arrow direction along line bb.
The second embodiment of the present invention includes a battery light source housing groove 214 and is characterized in that an insertion housing groove 212 is formed so that the endoscope 120 can be taken in and out without touching the endoscope disinfection container 200. And

  As shown in FIG. 4 (A), the endoscope disinfection container 200 according to the second embodiment communicates with the operation part accommodation groove 211 for accommodating the endoscope operation part 121, the operation part accommodation groove 211, It is provided with a long curve along the inside of the endoscope disinfection container 200, and is provided in communication with the insertion portion receiving groove 212 for receiving the endoscope insertion portion 122 and the operation portion receiving groove 211. It is preferable that a light source unit receiving groove 213 for storing the mirror light source unit 123 is provided. In the present embodiment, an endoscope housing groove 215 formed by including a battery light source unit housing groove 214 for housing the battery light source unit 124 is provided as the light source unit housing groove 213.

  FIG. 4A shows an example in which the battery light source unit 124 is accommodated as the endoscope light source unit 123. However, the battery light source unit accommodation groove 214 of the present embodiment includes the battery light source unit 124 and the battery light source unit 124 ′. An example in which any of these is formed into a shape that can be accommodated is shown.

  The endoscope disinfecting container 200 further communicates with the endoscope receiving groove 215 and accommodates a disinfecting liquid discharge port 216 for discharging the disinfecting liquid and a disinfecting liquid container provided at the center of the endoscope disinfecting container 200. Part 151 can be provided.

  In addition, since the objective lens 127 side of the insertion portion receiving groove 212 is particularly easily contaminated, a communication groove 228 that communicates with another portion of the endoscope receiving groove 215, for example, the battery light source portion receiving groove 214, is provided. It is preferable to promote distribution.

As shown in FIGS. 4A and 4B, the second embodiment of the present invention is characterized in that the width of the disinfecting liquid surface portion is wider than the width of the bottom portion.
By forming the insertion portion receiving groove 212 in this manner, the endoscope 120 can be easily put in and out without touching a portion of the endoscope disinfection container 200 that is not immersed in the disinfecting liquid. 120 re-contamination can be prevented.

As shown in FIG. 4B, when the endoscope receiving groove 215 according to the present embodiment is filled with the disinfecting liquid up to the water surface L and the entire endoscope 120 is immersed in the disinfecting liquid, the water surface L of the disinfecting liquid. Depth x from the surface of the endoscope insertion section 122 to the top of the endoscope insertion section 122, depth y from the water surface L of the disinfecting liquid to the top of the endoscope operation section 121, and the endoscope light source from the water surface L of the disinfecting liquid Depth X of the insertion portion receiving groove 212, depth Y of the operating portion receiving groove 211, and battery light source portion accommodation so that the depth z to the top of the portion becomes equal (x = y = z). The depth Z of the groove 214 is adjusted.
By forming the endoscope housing groove 115 in this way, the amount of disinfectant used can be reduced.

FIG. 5A is a plan view of an endoscope disinfection container for an endoscope provided with a battery light source unit according to another example of the second embodiment of the present invention, and FIG. It is the fragmentary sectional view seen from the arrow direction along the cc line | wire of ().
In this embodiment, as shown in FIGS. 5A and 5B, the insertion portion receiving groove 212 has a larger diameter than the main body groove portion 217 in which the endoscope insertion portion 122 is accommodated and the main body groove portion 217. The receiving groove 218 is connected to the upper part of the main body groove 217.

By forming the insertion portion receiving groove 212 in this way, the endoscope 120 can be more easily put in and out so as not to touch the portion of the endoscope disinfection container 200 that is not immersed in the disinfectant solution. Recontamination of the mirror 120 can be prevented and the amount of disinfectant used can be further reduced.
Since the structure of the other part of a present Example is the same as the structure of the Example demonstrated using FIG. 4 (A) and (B), description is abbreviate | omitted.

(Third embodiment)
FIG. 6 is a plan view of an endoscope disinfection container for an endoscope including a light guide cable and a connection portion according to an example of the third embodiment of the present invention. The third embodiment of the present invention includes an insertion portion receiving groove 312 having the same shape as the insertion portion receiving groove 112 of the first embodiment, and an endoscope including a light guide cable 333 and a connection portion 334 as an endoscope light source portion 123. The mirror 320 is accommodated, and a light guide cable accommodation groove 331 and a connection portion accommodation groove 332 are provided as the light source portion accommodation groove 313.

  As shown in FIG. 6, the endoscope disinfection container 300 according to the third embodiment communicates with an operation part accommodation groove 311 for accommodating an endoscope operation part 121 and an operation part accommodation groove 311, and an endoscope. A long curved line is provided along the inside of the sterilization container 300, and is provided in communication with the insertion portion receiving groove 312 for receiving the endoscope insertion portion 122 and the operation portion receiving groove 311. A light guide cable housing groove 331 that is housed so as to be wound, and a connection portion housing groove 332 that is coupled to the light guide cable housing groove 331 and houses a connection portion 334 that couples the light guide cable 333 and an external light source (not shown). And preferably.

  Here, the depth of the endoscope accommodation groove 315 including the operation portion accommodation groove 311, the insertion portion accommodation groove 312, and the light source portion accommodation groove 313 including the light guide cable accommodation groove 331 and the connection portion accommodation groove 332 is as follows. Similarly to the first embodiment and the second embodiment, when the disinfecting liquid is put in the endoscope housing groove 315 and the entire endoscope 320 is immersed in the disinfecting liquid, the endoscope insertion portion 122, the endoscope The insertion portion accommodation groove 312, the operation portion accommodation groove 311 and the light source portion accommodation groove 313 are formed so that the uppermost portions of the operation portion 121 and the endoscope light source portion 123 are at the same depth from the surface of the disinfecting liquid. It is preferred that

The endoscope disinfection container 300 can further be provided with a disinfecting liquid discharge port 316 that communicates with the endoscope housing groove 315 and discharges the disinfecting liquid.
In addition, the objective lens 127 side of the insertion portion receiving groove 312 is particularly easily contaminated. Therefore, a communication groove 328 communicating with another portion of the endoscope receiving groove 315, for example, the operation portion receiving groove 411 or the connection portion receiving groove 332 is provided. It is preferable to distribute the disinfectant solution.

(Fourth embodiment)
FIG. 7 is a plan view of an endoscope disinfection container for an endoscope including a light guide cable and a connection portion according to an example of the fourth embodiment of the present invention. The fourth embodiment of the present invention includes an insertion portion receiving groove 412 having the same shape as the insertion portion receiving groove 212 of the second embodiment, and an endoscope including a light guide cable 333 and a connection portion 334 as the endoscope light source portion 123. The light guide cable housing groove 431 and the connection portion housing groove 432 are provided as the light source housing groove 413 so that the endoscope 320 can be inserted and removed without touching the endoscope disinfection container 400. It is characterized by that.

  As shown in FIG. 7, the endoscope disinfection container 400 according to the fourth embodiment communicates with an operation part accommodation groove 411 that houses an endoscope operation part 121 and an operation part accommodation groove 411, and A long curved line is provided along the inside of the sterilization container 400, and is provided in communication with the insertion portion receiving groove 412 for receiving the endoscope insertion portion 122 and the operation portion receiving groove 411. The light guide cable housing groove 431 that is housed so as to be wound, and the connection portion housing groove 432 that houses the connection portion 334 that connects the light guide cable 333 and an external light source (not shown). And preferably.

  Here, the depth of the endoscope accommodation groove 415 including the operation portion accommodation groove 411, the insertion portion accommodation groove 412, and the light source portion accommodation groove 413 including the light guide cable accommodation groove 431 and the connection portion accommodation groove 432 is as follows. As in the first to third embodiments, when the disinfectant is put in the endoscope housing groove 415 and the entire endoscope 320 is immersed in the disinfectant, the endoscope insertion part 122 and the endoscope operation part 121 are inserted. In addition, the insertion portion accommodation groove 412, the operation portion accommodation groove 411, and the light source portion accommodation groove 413 are formed so that the uppermost portions of the endoscope light source portion 123 are at the same depth from the surface of the disinfecting liquid. Is preferred.

In the fourth embodiment of the present invention, as shown in FIG. 7, the insertion portion receiving groove 412 has a main body groove portion 417 in which the endoscope insertion portion 122 is accommodated and a larger diameter than the main body groove portion 417, and the main body groove portion 217. A receiving groove 418 connected to the top of the
By forming the insertion portion receiving groove 412 in this way, the endoscope 320 can be easily put in and out so as not to touch the portion of the endoscope disinfection container 400 that is not immersed in the disinfectant solution. 320 re-contamination can be prevented, and the amount of disinfectant used can be further reduced.

The endoscope disinfection container 400 can further be provided with a disinfecting liquid discharge port 416 that communicates with the endoscope housing groove 415 and discharges the disinfecting liquid.
Further, the objective lens 127 side of the insertion portion receiving groove 412 is particularly easily contaminated. Therefore, a communication groove 428 communicating with another portion of the endoscope receiving groove 415, for example, the operation portion receiving groove 411 or the connection portion receiving groove 432 is provided. It is preferable to provide and distribute the disinfectant solution.

  Here, the endoscope disinfection containers 100, 100 ′, 200, 200 ′, 300, and 400 (hereinafter abbreviated as the endoscope disinfection container 100) are, for example, plastic rectangular tray-shaped containers. It is preferable that The size of the endoscope disinfection container 100 is not particularly limited as long as it is a portable size and can be accommodated by the endoscope.

  Endoscopy by home visit is most frequently performed for swallowing and gastrostomy observation, and houses the endoscopes 120, 120 ′, and 320 (hereinafter abbreviated as endoscope 120) used for this. For this purpose, the endoscope disinfection container 100 is preferably formed to have a size in the range of, for example, a long side of 330 to 450 mm and a short side of 200 to 330 mm. If the long side is 330 mm or less, it is difficult to accommodate the endoscope 120 without difficulty. If the long side is 450 mm or more, it is too large to be portable. More preferably, the long side is 350 to 400 mm and the short side is 250 to 300 mm.

  As the endoscope 120 used for swallowing and gastrostomy observation, the endoscope insertion portion 122 having a length of 300 to 600 mm is often used. Therefore, the insertion portion receiving grooves 112, 212, 212 ′, 312, 412 (hereinafter abbreviated as the insertion portion receiving groove 112) is preferably in the range of 300 to 700 mm in length. In order to accommodate the endoscope 120 including the longer endoscope insertion portion 122, a longer insertion portion accommodation groove 112 is formed.

The dimensions of the insertion portion receiving groove 112 are not particularly limited as long as the width can suitably accommodate the endoscope insertion portion 122 of the endoscope 120 to be used. If the purpose is to store the endoscope 120 used for swallowing and gastrostomy observation, the thickness of the endoscope insertion portion 122 of the endoscope used for this purpose is 2.4 to 3.5 mm. Therefore, the width of the insertion portion receiving groove 112 is preferably formed in the range of 5 to 15 mm. If the width is 5 mm or less, there is a possibility that the endoscope insertion part 122 cannot be accommodated. If the width is 15 mm or more, it becomes unnecessarily large and only the necessary amount of the disinfectant increases.
When an endoscope having an endoscope insertion portion 122 having a larger function and a larger diameter is accommodated, a thicker insertion portion accommodation groove 112 is formed.

FIG. 8A is a plan view of an endoscope cleaning container according to one embodiment of the present invention, and FIG. 8B is a front view.
The dotted line in FIG. 8A shows the endoscope disinfection container 100 accommodated in the endoscope cleaning container 130. As shown in FIGS. 8A and 8B, the endoscope cleaning container 130 is adjacent to the outer surface of the endoscope disinfection container 100, and the upper surface and side surfaces of the endoscope disinfection container 100, or It is preferable to be detachable so as to cover the lower surface and the side surface.
The endoscope cleaning container 130 is preferably formed of the same material as or different from the endoscope disinfection container 110.

  The depth of the endoscope cleaning container 130 is not particularly limited as long as it covers the lower surface and the outside of the side surface of the endoscope disinfection container 100. When the endoscope disinfection container 100 is overlaid, the edge of the endoscope disinfection container 100 is positioned close to the upper surface of the endoscope cleaning container 130, and the endoscope disinfection container It is preferable to form so that 100 can be easily taken in and out.

FIG. 9 is a perspective view showing a combination state of carriers that house an endoscope disinfection container and an endoscope cleaning container according to one embodiment of the present invention.
As shown in FIG. 9, the endoscope disinfection container 100, the endoscope cleaning container 130, the carrier 140, and the disinfecting liquid container 150 are combined and stored as shown in FIG. 9, and can be easily taken out. By closing the carrier 140, the portable endoscope disinfection device 1 at the time of home visit of the present invention can be easily carried. In addition, the container 100 for endoscope disinfection which concerns on this invention can also be installed and used in a hospital.

Below, the effect | action of the container 100 for endoscope disinfection of this invention is demonstrated.
When using the endoscope after visiting the hospital, the practitioner stores the endoscope 120, the endoscope disinfection container 100, the endoscope cleaning container 130, and the disinfecting liquid container 150 containing the disinfecting liquid in the carrier 140. Bring it with you and take it out at your home for endoscopy.

After the inspection is completed, the endoscope 120 is preliminarily washed with running water, the disinfecting liquid contained in the disinfecting liquid container 150 is poured into the endoscope disinfecting container 100, and the endoscope 120 is immersed in the disinfecting liquid to perform the endoscope. The mirror 120 can be sterilized. At this time, the endoscope disinfection container 100 can be covered with the endoscope cleaning container 130 to prevent the bad smell of the disinfectant.
After a predetermined time, after the disinfection of the endoscope 120 is completed, the endoscope 120 is taken out into the endoscope cleaning container 130, sufficiently washed with water using the endoscope cleaning container 130, and moisture is removed with gauze or the like. The endoscope 120 can be rinsed and cleaned by wiping.

  The disinfecting liquid remaining in the endoscope disinfecting container 100 can be reused as it is or after being transferred to the disinfecting liquid container 150. When transferring the disinfecting liquid, the disinfecting liquid container 150 is placed on the endoscope cleaning container 130, and the disinfecting liquid is transferred from the disinfecting liquid discharge port 116 of the endoscope disinfecting container 100 to the disinfecting liquid container 150. be able to. As described above, by using the portable endoscope disinfection device 1 at the home visit of the present invention, the endoscope inspection and the used endoscope 120 can be easily disinfected and cleaned at the patient home of the home visit destination. be able to.

(Test Example 1)
The endoscope disinfection container 100 according to the first embodiment of the present application and a conventional endoscope disinfection container as a comparative example are accommodated with a disinfectant to a predetermined depth, and the endoscope is immersed in each of them. The amount of disinfectant used in each endoscope cleaning device was measured and compared. The average value of 10 measurements is shown in FIG. The endoscope disinfection container 100 according to the first embodiment of the present application was 1245.8 ± 34.0 cc, and the conventional endoscope disinfection container of the comparative example was 5919.8 ± 59.8 cc. Thus, the endoscope disinfection container 100 according to the first embodiment of the present application was able to reduce the amount of disinfectant used to about 1/5 of the conventional type.

(Test Example 2)
Efficacy of the disinfectant solution after performing endoscopy continuously on 4 subjects with eating / swallowing disorders, and disinfecting and washing the endoscope after the end of each subject's endoscopy Tested.
(1) Examination method Insert the endoscope insertion part into the subject nasally, and from the resting nasal cavity to the pharynx, nasopharyngeal closing function during vocalization, glottal closing function, and swallowing dynamics during oral intake Observed.
Endoscope used: FNL-10RP3, PENTAX,
Insertion section: diameter 3.5mm, length 300mm
(2) After the test, the endoscope was disinfected by the following procedure.
1) The endoscope was preliminarily washed.
2) The endoscope after rinsing with water was immersed in an endoscope disinfection container containing a disinfectant solution for 5 minutes.
3) After completion of immersion, the endoscope was transferred to an endoscope cleaning container and washed with running water for 5 minutes.
4) The endoscope after washing was inserted into an elongated sterilized bag for the next use.
Disinfectant: 0.55% aqueous solution of phthalal, Johnson & Johnson (3) After each disinfection operation, the effectiveness of the disinfectant was tested.
Effectiveness test method: Disoper test strip (manufactured by Johnson & Johnson) was used.
(4) Results The insertion time of the endoscope into the subject was 5 minutes, 12 minutes, 7 minutes, and 9 minutes, respectively.
As a result of the effectiveness test of the disinfectant after completion of disinfection, it was shown that the disinfectant after use was effective four times.

DESCRIPTION OF SYMBOLS 1 Portable endoscope disinfection apparatus 100, 100 ', 200, 200', 300, 400 Endoscope disinfection container 111, 211, 211 ', 311, 411 Operation part accommodation groove 112, 212, 212', 312, 412 Insertion part accommodation groove 113, 213, 213 ′, 313, 413 Light source part accommodation groove 114, 114 ′, 214, 214 ′ Battery light source part accommodation groove 115, 215, 215 ′, 315, 415 Endoscope accommodation groove 116, 216, 216 ′, 316, 416 Disinfectant discharge port 120, 120 ′, 320 Endoscope 121 Endoscope operation unit 122 Endoscope insertion unit 123 Endoscope light source unit 124, 124 ′ Battery light source unit 125 Angle knob 126 Eyepiece 127 Objective lens 128, 228, 228 ', 328, 428 Communication groove 130 Endoscope cleaning container 140 Carrier 150 Liquid container 151 disinfectant container holder 217,417 body groove 218,418 accepted grooves 331,431 light guide cable receiving groove 332,432 connecting portion housing groove 333 light guide cable 334 connecting portion

Claims (7)

An endoscope insertion part having an objective lens at the tip, an endoscope operation part having an eyepiece part at the other end connected to the endoscope insertion part, and an endoscope operation part being connected to the endoscope operation part A portable endoscope disinfection device including an endoscope disinfection container that disinfects an endoscope including an endoscope light source unit by immersing the endoscope in a disinfectant solution,
The endoscope disinfection container is
An insertion portion receiving groove for receiving an endoscope insertion portion; an operation portion receiving groove for connecting an endoscope operation portion; communicating with the insertion portion receiving groove; and an endoscope light source portion communicating with the operation portion receiving groove. An endoscope housing groove having a light source housing groove for housing;
A disinfectant discharge port communicating with the endoscope receiving groove,
When the entire endoscope is immersed in a disinfectant solution by putting disinfectant solution in the endoscope receiving groove,
The insertion portion accommodation groove, the operation portion accommodation so that the uppermost portions of the endoscope insertion portion, the endoscope operation portion, and the endoscope light source portion are at the same depth from the surface of the disinfecting liquid. A portable endoscope disinfection device for home visits, characterized in that a groove and the light source housing groove are formed.   The portable endoscope disinfecting apparatus according to claim 1, wherein the insertion portion receiving groove is formed so that a width of a portion in contact with the disinfecting liquid surface is wider than a width of a bottom portion.   The insertion portion accommodating groove is formed by a main body groove portion in which the endoscope insertion portion is accommodated, and a disinfecting liquid receiving groove portion having a diameter larger than that of the main body groove portion and connected to the upper portion of the main body groove portion. The portable endoscope disinfection device according to claim 1 or 2, characterized in that:   It further includes an endoscope cleaning container provided so as to be detachable so as to cover the upper surface and side surface, or the lower surface and side surface of the endoscope disinfection container in the vicinity of the outer surface of the endoscope disinfection container. The portable endoscope disinfection device for home visits according to any one of claims 1 to 3.   The portable endoscope disinfection device for home visits according to claim 4, further comprising a carrier that accommodates the endoscope disinfection container and the endoscope cleaning container.   The said endoscope light source part is a battery light source part, and the said light source part accommodation groove | channel is a battery light source part accommodation groove | channel which accommodates the battery light source part of the said endoscope. A portable endoscope disinfection device according to claim 1.   The endoscope light source unit is formed from a light guide cable and a connection unit that connects an external light source and the light guide cable, and the light source unit receiving groove is ring-shaped, and the operation unit receiving groove 6. The light guide cable housing groove for communicating and winding and housing the light guide cable of the endoscope, and a connection portion housing groove for housing the connection portion. A portable endoscope disinfection device according to claim 1.

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