JP2015173692A - Attachment extraction equipment and attachment extraction device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide attachment extraction equipment capable of appropriately extracting and retaining attachment in a conduit of medical equipment, such as an endoscope.SOLUTION: The attachment extraction equipment 1 for extracting attachment in a conduit of medical equipment includes: an extraction unit 13 which can be selectively expanded or reduced so as to extract attachment; a flexible sheath 12 for storing the extraction unit; an operation unit 20 for moving the extraction unit 13 out of the flexible sheath 12; and a ventilation channel 18 which lets an air or liquid for expanding and reducing the extraction unit 13 pass.

Description

  The present invention relates to an attached matter collecting tool and an attached matter collecting device, and more particularly, to an attached matter collecting tool and an attached matter collecting device for collecting an attached matter in a pipeline of a medical device such as an endoscope.

  2. Description of the Related Art Conventionally, endoscope systems capable of observing and imaging a target region by inserting a long and thin endoscope into a patient's body cavity have been widely used. In addition, it is also known that a treatment tool or the like is inserted into a duct provided in an endoscope to perform treatment on a site in a patient's body cavity. After such observation and treatment by the endoscope system, the exterior of the endoscope and the inside of the duct are disinfected and cleaned. And in order to evaluate whether disinfection and washing | cleaning in the pipe line were performed appropriately, the deposit | attachment (dirt substance) in a pipe line is extract | collected and the test | inspection by a reagent is performed.

  Patent Document 1 proposes a collection device for collecting deposits in a pipe line of an endoscope. In the collection device described in Patent Document 1, a shaft portion having a collection portion for collecting dirt at the tip is housed in an insertion sheath. The collection part has an outer shape larger than the inner diameter of the endoscope conduit, and is made of a stretchable material. Then, the shaft portion is drawn forward, the sampling portion is protruded from the insertion sheath, and the deposit in the pipe is collected. Thereafter, the shaft portion is pulled rearward to house the collection portion in the insertion sheath, and the insertion sheath is pulled out from the inside of the duct of the endoscope.

JP 2009-189497 A

  In the sampling device described in Patent Document 1, the outer diameter of the sampling part is configured to be larger than the inner diameter of the insertion sheath, but the sampling part is made of a flexible material so that it can be inserted using elasticity. It can be stored in the sheath. Therefore, when the collection part is stored in the insertion sheath, the collection part may come into contact with and rub against the peripheral edge of the distal end or the inner wall of the insertion sheath, and the dirt attached to the collection part may be peeled off. As a result, there is a possibility that the cleaning state cannot be accurately evaluated, such as underestimation of dirt in the endoscope duct.

  The present invention has been made in view of the above circumstances, and an object of the present invention is to provide an adhering material collecting tool capable of appropriately collecting and holding an adhering material in a pipeline of a medical device such as an endoscope. Is to provide.

  According to the embodiment of the present invention, an attached matter collecting tool for collecting attached matter in a pipeline of a medical device is provided. Further, the deposit collection tool is a collection section for collecting the deposit, and is a collection section that can be selectively expanded and contracted, a sheath that houses the collection section, and for moving the collection section out of the sheath. An operation unit and a channel through which a gas or a liquid for expanding and contracting the sampling unit are provided.

  With such a configuration, the size of the collection part can be selectively changed inside and outside of the sheath, and it is possible to appropriately collect the deposits in the conduit and to hold them appropriately in the sheath. .

  In addition, when the collection unit is housed in the sheath, the collection unit is contracted so that the outer diameter of the collection unit is smaller than the inner diameter of the sheath. The outer diameter may be expanded so as to be larger than the inner diameter of the pipe line.

  The attached matter collecting tool may further include a support portion connected to the collection portion, the support portion supporting the collection portion in the sheath so that a space is formed between the collection portion and the sheath. good. Further, the support portion may include an extension portion having an outer diameter substantially equal to the inner diameter of the sheath. By comprising in this way, it becomes possible to suppress contact with a collection part and a sheath.

  In addition, a connection unit that connects the support unit and the operation unit may be further provided, and the channel may be formed in the support unit, the operation unit, and the connection unit.

  Further, a contact portion may be provided on the inner peripheral surface of the sheath, and the support portion may be removable from the connection portion by bringing the extension portion and the contact portion into contact with each other. By comprising in this way, it becomes possible to remove, without touching a sampling part.

  In addition, according to the embodiment of the present invention, there is provided an attached matter collecting apparatus including any one of the attached matter collecting tools and an injection / suction mechanism for injecting or sucking a gas or a liquid through a channel.

  Furthermore, according to an embodiment of the present invention, a collection tool for collecting deposits in a pipeline of a medical device, the collection unit for collecting the deposits, which can be selectively expanded and contracted, and the collection A sheath for storing the part and an operation part for moving the sampling part to the outside of the sheath, and the sampling part is stored in the sheath so that a space is formed between the sampling part and the sheath. A deposit collecting tool is provided.

  As described above, according to the present invention, it is possible to appropriately collect and hold deposits in a duct such as an endoscope, and it is possible to accurately evaluate the cleaning state of the endoscope.

It is sectional drawing which shows the structure of the deposit | attachment collection tool which concerns on embodiment of this invention. It is an expanded sectional view showing composition of a tip part of a deposit collecting tool concerning an embodiment of the present invention. It is the schematic of the endoscope in which the deposit | attachment collection tool which concerns on embodiment of this invention is used. It is a figure explaining collection of the deposit by the deposit collecting tool concerning the embodiment of the present invention. It is a figure explaining collection of the deposit by the deposit collecting tool concerning the embodiment of the present invention. It is a figure explaining collection of the deposit by the deposit collecting tool concerning the embodiment of the present invention.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. In addition, the same number is attached | subjected, when showing the same member over several figures.

  Fig.1 (a) is a figure which shows schematic structure of the deposit | attachment collection tool 1 which concerns on embodiment of this invention. FIG. 1A is a cross-sectional view of the deposit collecting tool 1 cut in the longitudinal direction. As shown in FIG. 1A, the deposit collecting tool 1 according to this embodiment includes an insertion portion 100 including a distal end portion 10 and a gripping portion 200 including an operation portion 20. In the description of each member and operation in the text, the side closer to the distal end portion 10 is referred to as the distal end side, and the side closer to the operation portion 20 is referred to as the proximal end side.

  The insertion portion 100 is a long portion that is inserted into the duct of the endoscope 3 and is covered with the flexible sheath 12. At the distal end of the insertion portion 100, a distal end portion 10 is provided on which a collection portion 13 for collecting the deposit is disposed. The grip unit 200 is connected to the insertion unit 100 and is gripped by an operator. An operation unit 20 that is movable in the longitudinal direction is provided at the proximal end of the grip unit 200. One end of the operation shaft 17 is fixed to the operation unit 20. The operation shaft 17 is formed of a hollow and flexible material (such as a PEEK tube) and extends from the operation unit 20 to the distal end portion 10. The operator can move the collection unit 13 arranged at the distal end portion 10 in the longitudinal direction by moving the operation unit 20 in the longitudinal direction of the deposit collecting tool 1.

  The operation unit 20 and the operation shaft 17 are provided with a ventilation channel 18 for supplying and sucking air to the sampling unit 13. The ventilation channel 18 extends from an opening 20 a provided at the base end of the operation unit 20 to an opening 14 b provided at the distal end of the support unit 14 that supports the sampling unit 13. As shown in FIG. 1B, the opening 20a of the operation unit 20 is connected to a syringe 5 for performing air supply and intake, and is collected via the ventilation channel 18 by operating the syringe 5. It is possible to supply air to the unit 13 and intake air from the sampling unit 13. In addition, not only air but also other gases and liquids such as water can be injected and sucked into the collection unit 13.

  FIG. 2 is an enlarged cross-sectional view of the distal end portion 10 of the deposit collecting tool 1. FIG. 2A shows a state where the collection unit 13 is housed in the flexible sheath 12, and FIG. 2B shows a state where the collection unit 13 protrudes from the flexible sheath 12. Inside the flexible sheath 12 of the distal end portion 10, a collection portion 13, a support portion 14, a connection portion 15, a connecting member 16, and a contact portion 19 are disposed. The collection unit 13 is a balloon that can be expanded and contracted, and is made of a material such as a thermoplastic elastomer excellent in durability and stretchability, silicon rubber, urethane rubber, or the like. The sampling part 13 has a substantially cylindrical shape in order to increase the contact area with the pipe line. In addition, the outer peripheral surface of the sampling unit 13 is subjected to a process of roughening the surface so that the attached matter is easily attached. The sampling part 13 is fitted to the support part 14 and is hermetically fixed to the support part 14 by adhesion or fusion. Further, as shown in FIG. 2A, the collection unit 13 has an outer diameter smaller than the inner diameter of the flexible sheath 12 in the contracted state.

  On the base end side of the support portion 14, an extension portion 14 a extending outward in the radial direction is formed. The extending portion 14 a has an outer diameter that is substantially equal to the inner diameter of the flexible sheath 12. As shown in FIG. 2A, the extending portion 14 a can support the collection portion 13 in the flexible sheath 12 so that a space is formed between the collection portion 13 and the flexible sheath 12. It becomes possible. In other words, the contact between the outer periphery of the collection part 13 and the inner wall of the flexible sheath 12 can be suppressed by the extension part 14a.

  The connection portion 15 has a proximal end side fixed to the other end of the operation shaft 17 and a distal end side connected to the support portion 14. The connection part 15 and the support part 14 are connected by the connection material 16 which consists of flexible tubes, such as a silicon | silicone.

  The contact portion 19 is formed on the inner peripheral surface of the flexible sheath 12. By pulling the operation unit 20 toward the base end side, the base end side surface of the extending portion 14 a of the support portion 14 contacts the contact portion 19. Then, by further pulling the operation unit 20 toward the proximal end side, the connection by the connection unit 16 is released, and the support unit 14 can be detached from the connection unit 15. With such a configuration, the collection unit 13 can be detached from the deposit collection tool 1 without touching the collection unit 13.

  A ventilation channel 18 is formed in the support portion 14 and the connection portion 15. As illustrated in FIG. 2B, when the operation unit 20 is pushed toward the distal end side, the collection unit 13 protrudes out of the flexible sheath 12. In this state, air sent from the syringe 5 is injected into the collection unit 13 through the operation unit 20, the operation shaft 17, the connection unit 15, and the ventilation channel 18 formed in the support unit 14. As a result, the sampling part 13 expands to be larger than the outer diameter of the flexible sheath 12 and further to be larger than the inner diameter of the pipe line in order to contact the pipe line of the endoscope 3.

  FIG. 3 is a schematic view of an endoscope 3 in which the deposit collecting tool 1 of the present embodiment is used. As shown in FIG. 3, the endoscope 3 includes an insertion portion 31 having an image pickup device at the tip, a grip portion 32 where various operation switches are arranged, and a connector portion 33 connected to a video processor. A forceps port 34 is provided in the vicinity of the grasping portion 32 of the endoscope 3 for inserting a treatment tool for performing treatment into the patient's body, and the connector portion 33 is used for sending air into the body. A mouth 35 is provided. Further, a pipe line extending from the forceps port 34 and the air supply port 35 to the distal end of the endoscope 3 is provided in the endoscope 3. Usually, in the pipe line of the endoscope 3, dirt is most likely to adhere to the connecting portion A indicated by a circle in FIG. Therefore, when the cleaning state of the endoscope 3 is evaluated, the dirt on the connecting portion A is collected by the deposit collecting tool 1.

  Subsequently, collection of deposits in the deposit collection tool 1 of the present embodiment will be described with reference to FIGS. 4 to 6. First, the insertion part 100 of the deposit collecting tool 1 is inserted from the air supply port 35 of the endoscope 3 after disinfection and cleaning. Then, as shown in FIG. 4, the distal end portion 10 is inserted to the connecting portion A of the pipe line of the endoscope 3. Here, in order to notify the operator that the distal end portion 10 has reached the connecting portion A, an index such as a scale may be provided on the outer periphery of the proximal end side of the flexible sheath 12 of the insertion portion 100. Then, when the distal end portion 10 reaches the connecting portion A, as shown in FIG. 5, the operation portion 20 is pushed toward the distal end side to cause the sampling portion 13 to protrude out of the flexible sheath 12. Then, air is sent from the syringe 5 connected to the deposit collecting tool 1. Air sent from the syringe 5 is injected from the opening 20 a of the operation unit 20 through the ventilation channel 18 into the collection unit 13 through the opening 14 b of the support unit 14. Thereby, as shown in FIG. 6, the collection unit 13 expands and contacts the inner wall of the duct of the endoscope 3. In this state, the deposit collection tool 1 is moved to collect deposits such as dirt in the duct of the endoscope 3.

  Then, when the collection of the adhering matter is finished, the syringe 5 is operated to suck the air injected into the collection unit 13. As a result, the collection unit 13 contracts and enters the state shown in FIG. Thereafter, as illustrated in FIG. 4, the operation unit 20 is pulled toward the proximal end side, and the collection unit 13 is accommodated in the flexible sheath 12. At this time, since the outer diameter of the sampling part 13 is smaller than the inner diameter of the flexible sheath 12, and the axis is taken by the extending part 14a, the sampling part 13 is almost in contact with the flexible sheath 12. It is stored without doing. Thereby, the collection part 13 is accommodated in the flexible sheath 12 without deposits such as dirt adhering to the outer peripheral surface of the collection part 13 being peeled off by the peripheral edge and the inner wall of the flexible sheath 12. be able to.

  Thereafter, the insertion unit 100 is pulled out from the air supply port 35 of the endoscope 3. Then, the collection unit 13 and the support unit 14 are removed from the connection unit 15 as described above. Then, the collection unit 13 is soaked in a reagent (ATP: adenosine triphosphate or the like) to inspect the attached matter, and the cleaning state of the endoscope 3 is evaluated.

  As described above, in the present embodiment, the collection unit 13 can be selectively expanded and contracted, so that dirt or the like in the duct of the endoscope 3 can be appropriately collected and flexible. It becomes possible to appropriately retain the dirt collected when stored in the sheath 12. Thereby, it is possible to accurately evaluate the cleaning state of the endoscope 3. In addition, since the collection unit 13 is configured to be selectively expandable / deflated, it is not necessary to prepare a plurality of types of collection tools according to the diameter of the pipeline, It becomes possible to deal with pipes having a plurality of types of diameters.

  The above is the description of the embodiment of the present invention, but the present invention is not limited to the above-described configuration, and various modifications can be made within the scope of the technical idea of the present invention. For example, in the above embodiment, the collection unit 13 is configured by a balloon having a substantially cylindrical diameter, but the balloon may be a sphere. Moreover, it is good also as a structure which adhere | attaches the sponge etc. for extract | collecting a deposit | attachment to a part of outer peripheral surface of the collection part 13. Furthermore, other configurations (such as a bellows structure) other than the balloon can be used as long as the configurations can be selectively expanded and contracted. In addition, the deposit collecting tool 1 can be used not only for an endoscope but also for other medical devices provided with a conduit.

DESCRIPTION OF SYMBOLS 1 Adhering material collection tool 12 Flexible sheath 13 Sampling part 14 Support part 14a Extension part 15 Connection part 16 Connection material 17 Operation shaft 18 Ventilation channel 19 Contact part 20 Operation part 3 Endoscope 5 Syringe

Claims (8)

A collection tool for collecting deposits in the pipeline of a medical device,
A collecting part for collecting the adhering matter, which can be selectively expanded and contracted;
A sheath for housing the sampling part;
An operation unit for moving the sampling unit out of the sheath;
A channel for passing a gas or a liquid for expanding and contracting the sampling part;
A deposit collecting tool, comprising:   When the sampling part is housed in the sheath, the sampling part is contracted so that the outer diameter of the sampling part is smaller than the inner diameter of the sheath, and when the sampling part moves out of the sheath, The deposit collecting tool according to claim 1, wherein the collecting portion is expanded so that an outer diameter of the collecting portion is larger than an inner diameter of the conduit.   The support unit connected to the collection unit, further comprising a support unit that supports the collection unit in the sheath so that a space is formed between the collection unit and the sheath. The deposit collecting tool described in 1.   The said support part is a deposit | attachment collection tool of Claim 3 provided with the extension part which has an outer diameter substantially equal to the internal diameter of the said sheath. It further comprises a connection part for connecting the support part and the operation part,
The deposit collecting tool according to claim 3 or 4, wherein the channel is formed in the support portion, the operation portion, and the connection portion. A contact portion is provided on the inner peripheral surface of the sheath,
The said support part is a deposit | attachment collection tool of Claim 5 which quotes Claim 4 which can be removed from the said connection part by making the said extension part and the said contact part contact | abut. The deposit collecting tool according to any one of claims 1 to 6,
A deposit collection device comprising: an injection / suction mechanism that injects or sucks gas or liquid through the channel. A collection tool for collecting deposits in the pipeline of a medical device,
A collecting part for collecting the adhering matter, which can be selectively expanded and contracted;
A sheath for housing the sampling part;
An operation unit for moving the sampling unit out of the sheath,
The adhering material collecting tool, wherein the collecting portion is housed in the sheath so that a space is formed between the collecting portion and the sheath.

Images