JP4225611B2 - Endoscope pipe cleaning device - Google Patents

Endoscope pipe cleaning device Download PDF

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Publication number
JP4225611B2
JP4225611B2 JP24194798A JP24194798A JP4225611B2 JP 4225611 B2 JP4225611 B2 JP 4225611B2 JP 24194798 A JP24194798 A JP 24194798A JP 24194798 A JP24194798 A JP 24194798A JP 4225611 B2 JP4225611 B2 JP 4225611B2
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Japan
Prior art keywords
water supply
air
cylinder
tip
conduit
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JP24194798A
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Japanese (ja)
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JP2000070218A (en
Inventor
高嗣 山谷
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Olympus Corp
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Olympus Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00131Accessories for endoscopes
    • A61B1/00137End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/121Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use
    • A61B1/125Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use using fluid circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments 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
    • A61B1/00064Constructional details of the endoscope body
    • A61B1/00066Proximal part of endoscope body, e.g. handles
    • A61B1/00068Valve switch arrangements

Description

【0001】
【発明の属する技術分野】
本発明は、内視鏡の先端構成部へ送気/送水するための管路及び先端構成部から吸引するための管路を同時に洗滌可能とする内視鏡用管路洗滌装置に関する。
【0002】
【従来の技術】
一般に内視鏡には、送気送水を操作するための送気送水操作弁と吸引を操作するための吸引操作弁とが操作部に並設されている。そして、従来の内視鏡の管路洗滌装置は、例えば、特開平4−371130号公報のように、操作部に並設された各シリンダの開口部を密閉し、シリンダの開口部から洗滌液等が噴出するのを防止するものであった。
【0003】
図22及び図23は内視鏡の全体構成図で、1は挿入部、2は操作部、3はユニバーサルコード部、4はコネクタ部である。管路内の洗滌は、送気送水シリンダ8及び吸引シリンダ9部へ管路洗滌装置21のセッティング後、例えば図22のように光源の送気ポンプ22及び吸引ポンプ23を使って先端部側送気管路10内と先端部側送水管路11内を送水洗滌したり、先端部側吸引管路12内を先端側から洗滌液を吸引して吸引洗滌していた。
【0004】
【発明が解決しようとする課題】
しかしながら、前記先端部側送気管路10内と先端部側送水管路11内の送水洗滌については確実かつ効率的な洗滌ができていなかった。つまり、単に送気送水シリンダ8及び吸引シリンダ9のシリンダ開口部を密閉する構造のため、送気送水シリンダ8内に供給される流体は水と空気の両方であり、コネクタ部4から送気送水シリンダ8までのコネクタ側送気管路18とコネクタ側送水管路19の両管路抵抗のバランスが悪いと実際にはシリンダ部には水はほとんど送液されず、空気のみが供給される場合が多かった。そのため、先端部側送気管路10内と先端部側送水管路11内の送水洗滌は送水量が少ないため、不十分であり、かつ時間がかかった。
【0005】
また、前記送水洗滌後の先端部側送気管路10内と先端部側送水管路11内の水切り作業も図23のように送水タンク取付部を指で塞ぎ、水切りが完了するまで保持していなければならず非常に面倒だった。
【0006】
本発明は前記事情に着目してなされたもので、その目的とするところは、先端部側送気管路と先端部側送水管路内の送水洗滌及び水切りを先端部側吸引管路内洗滌と同時に確実かつ短時間かつ手間なく行なえる内視鏡用管路洗滌装置を提供することにある。
【0007】
【課題を解決するための手段】
本発明は、前記目的を達成するために、内視鏡の操作部に、流体管路の途中に接続される少なくとも送気送水シリンダおよび吸引シリンダを並設し、前記各シリンダに対して着脱自在に設けた管路操作弁を、前記流体管路を洗滌するために取り外した後、前記各シリンダの開口部を密閉する内視鏡用管路洗滌装置において、洗滌装置本体に、前記吸引シリンダの開口部を密閉する栓体部と前記送気送水シリンダに装着される送気送水切換え弁を設け、前記送気送水切換え弁は、前記送気送水シリンダに対する軸方向の進退操作によって該送気送水シリンダ内のコネクタ側送水管路を先端側送気管路と先端側送水管路およびコネクタ側送気管路を先端側送気管路と先端側送水管路に選択的に連通可能であり、前記洗滌装置本体には、前記送気送水切換え弁と係合して該送気送水切換え弁の前進時および後退時にその状態を保持する係合部を一体もしくは別体で設けたことを特徴とする。
【0008】
【発明の実施の形態】
以下、本発明の各実施の形態を図面に基づいて説明する。
図1〜図4は第1の実施形態を示し、図1は内視鏡用管路洗滌装置の全体構成図である。内視鏡は挿入部1、操作部2、ユニバーサルコード部3及びコネクタ部4とから構成されている。挿入部1の先端側には先端構成部5が設けられ、先端構成部5には図示しない観察窓、照明窓の他、送気送水ノズル6と吸引口7が設けられている。
【0009】
操作部2には送気送水シリンダ8と吸引シリンダ9が設けられている。送気送水シリンダ8、吸引シリンダ9にはそれぞれ図示しない送気送水操作弁と吸引操作弁が着脱自在に装着され、また、本発明の管路洗滌装置も着脱自在に装着できる。
【0010】
挿入部1の内部には先端部側送気管路10、先端部側送水管路11、先端部側吸引管路12が配設され、それらの後端側は各々、前記送気送水シリンダ8及び吸引シリンダ9の内部に開口している。
【0011】
尚、先端部側吸引管路12については途中、管路が分岐しており、その端部は処置具挿入口13に連通している。処置具挿入口13の1つでもある処置具挿入口洗滌チューブ14が着脱自在に装着される。
【0012】
一方、コネクタ部4には、吸引ポンプ接続口15、送水タンク接続口16及び送気ポンプ接続口17が設けられている。吸引ポンプ接続口15には吸引ポンプ23からの接続チューブが接続される。送水タンク接続口16には送水タンク24が接続される。送気ポンプ接続口17には図示しない光源装置内に設けられた送気ポンプ22からの管路が接続される。
【0013】
図1には検査終了後、処置具挿入口13に処置具挿入口洗滌チューブ14を取り付け、先端構成部5を洗滌液25の中に入れ、本発明の管路洗滌装置21を取り付けようとする状態を示している。尚、この時はまだ送気ポンプ22と吸引ポンプ23はOFF状態である。
【0014】
図2は管路洗滌装置21の外観図及び断面図である。この管路洗滌装置21は、大きく別けると、シリンダ口把持部26、本体27及び連結板28から構成されている。シリンダ口把持部26の材質は例えばSUS等の板材でできており、形状は洗滌用排水口52を設けた1辺を含む3辺を折り曲げた形をしている。底面にはU字状スリット54が形成されている。
【0015】
本体27とシリンダ口把持部26は側面から複数個の固定ピン46と接着剤で位置決め固定されている。また、連結板28には主に送気送水切換え弁29と栓体部30が設けられている。送気送水切換え部29は可動軸31、軸受32、第1ばね33及びばね座34から主に構成されており、ばね座34は可動軸31と軸受32との接着ねじ固定ではさみ込まれている。ばね座34にはフランジ部があり、第1ばね33の他端を受けるようになっている。第1ばね33のもう一方の他端は連結板28で受けている。また軸受32の上部にはガイドピン35が水平方向に突出する形で固定されている。
【0016】
さらに、可動軸31には第1ゴムパッキン36、第2ゴムパッキン37、第3ゴムパッキン38、逆止弁39とスライド受け40が設けられている。また可動軸31の中心には流路45が軸方向と外周に形成されている。可動軸31の材質は主にSUS等の金属で、第1ゴムパッキン36、第2ゴムパッキン37、第3ゴムパッキン38、逆止弁39の材質はシリコン系のゴム材、スライド受け40の材質は変性PPO等、PSU等の樹脂ができている。
【0017】
栓体部30は、第2ばね41、栓体部本体42、栓体部本体受け43とからなり、栓体部本体42には第4ゴムパッキン44が設けられている。栓体部本体受け43の他端には連結板28に引っ掛かるフランジ部が設けられている。栓体部本体受け43と栓体部本体42は第2ばね41を図2のように、挟み込んで接着ねじ固定されている。尚、本管路洗滌装置21は耐薬、耐オートクレーブ上、接着剤にはエポキシ系の耐薬、耐熱性のものを使用している。
【0018】
前記本体27の上面にはシリンダ口把持部26と同様、第2のU字状スリット55があり、そのスリット55の底部には、部分的に隆起したピンスライド部47が設けられている。ピンスライド部47には傾斜部48と上部に設けられた凹部49がある。
【0019】
また、凹部49に位置する近傍には、送気モード指標51があり、傾斜部48の途中には送水モード指標50がある。更にスリット55の口元側外側にはすべり止め53が設けられている。更にスリット55の途中には、本管路洗滌装置21のシリンダ部への着脱ポイントを示す凹部49が設けられている。
【0020】
以上のように、送気送水切換え弁29と栓体部30が固定された連結板28は横にスライド可能にシリンダ口把持部26と本体27で覆われている構造である。尚、図2ではケーシングがシリンダ口把持部26と本体27の2体で構成されているが、1体で構成しても構わない。ちなみに本体27の材質は変性PPO.PSU等の樹脂でできている。
【0021】
次に、第1の実施形態の作用について説明する。動作説明の前に図3に示すシリンダ側構造を説明する。操作部本体56に対して送気送水シリンダ8と吸引シリンダ9が固定されている。固定方法は、送気送水シリンダ8、吸引シリンダ9とも端部にフランジ部がある第1止め口金57及び第2止め口金60で外側から操作部本体56を挟み込むように、かつ、第5ゴムパッキン58で水密固定している。
【0022】
送気送水シリンダ8の内面には4つの開口部があり、各開口部はパイプ材59を介して各管路に接続されている。空気入口59aはコネクタ側送気管路18へ、空気出口59bは先端部側送気管路10へ、液体入口59cはコネクタ側送水管路19へ、液体出口59dは先端部側送水管路11へ連通している。
【0023】
一方、吸引シリンダ9の内面には2つの開口部があり、同様に各開口部はパイプ材59を介して各管路に接続されている。洗剤入口59eは、先端部側吸引管路12へ、洗剤出口59fはコネクタ側吸引管路20へ連通している。
【0024】
図3は各シリンダへ送気送水切換え弁29と栓体部30を挿入した後、本体27と一体になったシリンダ口把持部26を横方向へスライドさせガイドピン35を送水モード指標50の位置まで移動させた状態である。
【0025】
この状態はガイドピン35が傾斜部48に接触して係合している。この時本管路洗滌装置21は、操作部側の第1止め口金57及び第2止め口金60を本管路洗滌装置21側のシリンダ口把持部26、ばね座34及び栓体部本体42で挟み込んで固定されている。
【0026】
この状態での各管路の連通状態は以下のようになっている。
液体入口59cが液体出口59dと空気出口59bの両方に連通し、空気入口59aは、逆止弁39と送気送水シリンダ8との密着で遮蔽されている。洗剤入口59eと洗剤出口59fは連通している。尚、両シリンダ開口部は外部に対しシール部材の第1ゴムパッキン36及び第4ゴムパッキン44でシールされている。
【0027】
この状態で他の部分を図1のように接続し、送気ポンプ22と吸引ポンプ23を作動させると次のようになる。コネクタ側送気管路18が送気送水シリンダ8内で閉じているため、送気ポンプ22の送気は全て送水タンク24内へ送られ水面を加圧する。送水タンク24内の水はコネクタ側送水管路19を通り先端部側送気管路10及び先端部側送水管路11へ供給され、両管路10,11内を洗滌する。一方、吸引管路系については吸引口7及び処置具挿入口13から洗滌液を吸引するので、先端部側吸引管路12とコネクタ側吸引管路20の内部は洗滌できる。
【0028】
図4は、図3の状態から更にシリンダ口把持部26、本体27を横方向にスライドさせ、送気モード指標51の位置までガイドピン35を移動させ、結果的に送気送水切換え弁29を軸方向上方へ移動させた状態である。ガイドピン35は傾斜部48に沿って誘導された後、ピンスライド部47の上部に設けられた凹部49に係合している。
【0029】
この状態での各管路の連通状態は以下のようになっている。
空気入口59aが空気出口59bと液体出口59dの両方に連通し、液体入口59cは第3ゴムパッキン38と送気送水シリンダ8の密着により遮蔽されている。洗剤入口59eと洗剤出口59fは図3の状態と変わらず連通したままである。すなわち、コネクタ側送水管路19が送気送水シリンダ8内で閉じているため、送気ポンプ22からの送気は全てコネクタ側送気管路18を通り送気送水シリンダ8内に送られる。更に矢印のように逆止弁39とシリンダ内壁の間を通り、先端部側送気管路10及び先端部側送水管路11へ供給され、両管路10,11の水切りが行なわれる。
【0030】
前述した第1の実施形態によれば、次のような効果がある。
送水洗滌が確実に行なえる。
切り換え操作以外はハンドフリーで管路内洗滌と水切りが可能なため手間がかからない。
【0031】
吸引洗滌も同時にできるので、洗滌時間の短縮ができる。
通常の検査に使用する光源の送気ポンプと吸引ポンプのみあればよく、特別な洗滌用ポンプは必要ない。
【0032】
図5及び図6は第2の実施形態を示し、第1の実施形態と同一構成部分は同一番号を付して説明を省略する。第1の実施形態と異なる所は、送気送水切換え弁29の切換え操作方法の違いのみである。
【0033】
すなわち、軸受32の頭部には、把持用凸部62が設けられている。また本体27の上面にはモード切換え用凸部63が形成されている。モード切換え用凸部63はガイドピン35が突き当たるストッパー面64と上面に設けられた凹部49とからなる。ストッパー面64と凹部49の角度は例えば図5のように90°に形成されている。それに合わせて、送水モード指標50と送気モード指標51の位置を図5のようになっている。
【0034】
次に、第2の実施形態の作用について説明する。
各シリンダ内に送気送水切換え弁29と栓体部30を挿入後、一体化されたシリンダ口把持部26と本体27を横方向にスライドさせ、ガイドピン35がストッパー面64に突き当たった状態が図5であり、第1の実施形態でいうと図3の状態(送水モード)である。この時の各管路の状態も図3と同じである。
【0035】
この状態から、把持用凸部62を指で把持して、いったん上へ引っ張った後、90°回転させてガイドピン35を凹部49に嵌合させた状態が図6である。この状態は第1の実施形態でいう図4の状態(送気モード)であり、この時の各管路の状態も図4と同じである。つまり、送気送水切換え弁29をいったん上へ引っ張った後90°回転させて送気モードに切り換える操作上の違いが第1の実施形態と異なる。
【0036】
第2の実施形態の効果は第1の実施形態と同じ。ただ外形的には、第1の実施形態よりもスライド全長が短く出来る分若干小形化できる。
図7は第3の実施形態を示し、第1及び第2の実施形態と同一構成部分は同一番号を付して説明を省略する。第2の実施形態のモード切換え用凸部63が本体27と別体になったものが本実施形態である。(a)が送水モードで、(b)が送気モードである。
【0037】
モード切換え板65の板厚は、例えば図5のlである。本体27側には送水モード指標50があり、モード切換え板65には送気モード指標51が形成されている。モード切換え板65と連結板28はチェーン等で連結されている。
【0038】
第3の実施形態の作用は、送気送水切換え弁29の頭部に設けられた把持用凸部62を引っ張り上げた後、モード切換え板65を本体27とガイドピン35の間に挿入して送気モードに切り換える。尚、図7(a)が送水状態で、同図(b)が送気状態を示し、効果は第1、第2の実施形態と同じである。
【0039】
図8及び図9は内視鏡の電気コネクター部66に装着する洗滌用防水キャップ67を示し、その防水キャップ67は金属チェーン69等でコネクタ部4に連結されている。検査中は防水キャップ67が不要なため、下に垂らしておくか又はビデオプロセッサー又は光源70の筺体68の上に置くしかなかった。そのため、金属チェーン69が筺体68に触れた状態で万が一、筺体68に内部回路からの洩れ電流があった場合、金属チェーン69を通ってスコープ外装金属に流れる可能性があった。例えば金属チェーン69を絶縁部材にして対策する方法もあるが、外観的にはきまった置き場所がないので非常に見苦しかった。
【0040】
図8は光源70に接続したコネクタ部4の側面図であり、検査時の状態でもある。コネクタ部4は接続部71、コネクタ部本体72、ユニバーサル側折れ止め部73とからなり、一端に防水キャップ67が連結された金属チェーン69の他端が連結される防水キャップ取付部材74はコネクタ部本体72と折れ止め部73の間に挟まれて固定されている。
【0041】
図9(b)は防水キャップ取付部材74の正面図、側面図及び平面図で、図9(a)は防水キャップ取付部材74を取り付けたコネクタ部本体72の後方から見た図である。
【0042】
防水キャップ取付部材74の上部には防水キャップ置き場75が形成されており、組み付けられた状態ではじめて、図8のように防水キャップ置き場75としての機能を持つような形状になっている。つまり、正確には、防水キャップ67の置き場所をコネクタ部本体72のコネクタ部外装部材76と防水キャップ取付部材74とで形成している。
【0043】
前述した構成によれば、防水キャップ取付部材74の大きさは小さくできる。更に防水キャップ取付部材74の形状的な特徴は、図9(b)のごとく略T字形状をしており、機能的に不要な部分は極力えぐられている。また固定においても、挟み込むだけの無接着固定構造である。防水キャップ取付部材74側には回転規制用凸部77、コネクタ部本体72側には回転規制用凹部78が形成されている。その結果、洗滌性及び水切り乾燥性が良い。
【0044】
前述した実施形態によれば、次のような構成が得られる。
(付記1)流体管路の途中に接続された複数のシリンダを操作部に並設し、管路操作弁が外方から前記シリンダに着脱自在な内視鏡の流体管路内を洗滌するために管路操作弁を外した後のシリンダ開口部を外方から密閉する内視鏡用管路洗滌装置において、吸引シリンダ開口部を密閉した状態で、送気送水シリンダ内のコネクタ側送水管路を先端部側送気管路と先端部側送水管路及びコネクタ側送気管路を先端側送気管路と先端部側送水管路に選択的に連通させ、かつ各々の状態を保持できる手段を設けたことを特徴とする内視鏡用管路洗滌装置。
【0045】
(付記2)挿入部において少なくともコネクタ側送水管路と先端部側送水管路を連通させる第1の状態と少なくともコネクタ側送気管路と先端部側送気管路で連通させる第2の状態を保持できる手段を設けたことを特徴とする付記1記載の内視鏡用管路洗滌装置。
【0046】
(付記3)操作部において第1の状態と第2の状態を切換える手段をシリンダ部に係止されるシリンダ口把持部に一体に設けたことを特徴とする付記1記載の内視鏡用管路洗滌装置。
【0047】
一方、内視鏡の湾曲管部において、湾曲駒の外周に被嵌する筒状のブレードは特開平4−357921号公報で示される如く、湾曲管部の両端部において着脱自在に固定してブレード部組のみ交換可能にした内視鏡が提案されている。
【0048】
しかし、従来の着脱自在なブレード部組の両端に設けられた取付け用部材はその内径が先端部本体に強固に接着固定した先端カバーの外径より小さい。さらに先端部本体の最大外径より小さいものとがある。後者の場合には先端部本体に段差を設け、その段差の低い面部に取付け用部材を固定している。
【0049】
ブレード部組を取り外す場合、先端カバーより内径を小さくした取付け用部材のものでは、先端カバーを壊すなどにより、先端部本体に接着した先端カバーの固定を外してからブレード部組を取り外さなければならない。一方、先端部本体の最大外径より内径を小さくした取付け用部材のものでは、先端カバーを外してもブレード部組を壊さない限り、先端部から外すことができない。
【0050】
本開示例は、ブレード部組を挿入部の先端側から外せるようにして容易に分解が可能であり、またブレード部組の組み付けが容易であり、修理性の向上を図り、修理費用の低減を図ることができるようにしたものである。
【0051】
図10及び図11は第1の開示例を示す。図11に示すように、ブレード79の先端側内側には係止部材80が固定されている。固定手段は、ハンダ、接着、ビス固定、カシメ等何でも良い。同図(a)はブレード79が自然状態であり、同図(b)はブレード79を軸方向に縮めて内径φB をφB >φA にした状態である。
【0052】
図10(a)は、係止部材付ブレードを図11(b)の状態にして、先端部本体81に先端カバー82が固定された状態で先端部側から通して、前記係止部材80を、湾曲第1駒83の外周に設けられた切り欠き凹部84に嵌合して固定してある。
【0053】
具体的な固定方法は、まず、係止部材80を切り欠き凹部84に嵌合後、シリコン系等の接着剤を係止部材80の近傍ないし全周に塗布後2点鎖線で示した熱収縮チューブ85で熱収縮させ、その状態で接着剤の乾燥を行なう。乾燥後、熱収縮チューブ85をカットし、除去した後、湾曲ゴム86を被覆してある。
【0054】
図10(b)は、図10(a)のB−B線に沿う断面図である。係止部材80が湾曲第1駒83の外径から飛び出ない状態で切り欠き凹部84に嵌合されている。尚、湾曲操作ワイヤー87と湾曲第1駒83とは切り欠き凹部84の所でロー付け固定されている。
【0055】
第1の開示例によれば、何らかの理由でブレード79に異常が発生したときのブレード79を取り外す場合は、湾曲ゴム86を取り外した後、係止部材80の近傍に塗布されている接着剤を除去後、切り欠き凹部84から係止部材80を取り外す。その後、ブレード79を図11(b)のようにして内径が先端カバー82を通るように膨らませて先端側から引き抜く。
【0056】
第1の開示例によれば、先端カバー82を破壊したり除去したりすることなく、先端側からブレード79が取り外し取り付けが出来るので修理性が良い。また修理費用を安くすることができる。切り欠き部の空間を利用しているので軸方向及び回転方向の規制が径を太らせずに行なえる。また、係止部材80はリング状ではないので、係止部材80が先端カバー82の外周を通過する時の自由度が大きく、断面異形の内視鏡には特に有効である。
【0057】
図12は第2の開示例を示し、先端構成部5の送気送水ノズル6の固定構造に関する。送気送水ノズル6の内径と外径を偏心させて、厚肉となった部分に切り欠き部89を設け、この切り欠き部89に固定部材90を当てつけて送気送水ノズル6を先端カバー82に固定している。第2の開示例によれば、簡単な加工で、送気送水ノズル6の固定と回転止めが行える。
【0058】
図13は第3の開示例を示し、先端構成部5の送気送水ノズル6の固定構造に関する。送気送水ノズル6の外面に弾性部材91がアウトサートされており、それが先端カバー82又は先端部本体81に圧入されている。尚、弾性部材91の外面にさらに凹凸をつけて引掛りを設けても良い。第3の開示例によれば、検査時に送気送水ノズル6が外れにくく、しかもリペアー性が非常に良い。
【0059】
図14及び図15は第4の開示例を示し、先端カバー82の一部を延出し、湾曲ゴム86の糸巻きで先端部本体81に対し、先端カバー82を固定する構造を示したものである。従来は、図14に示すように、先端カバー82の後端部に、後端に向かって径の小さくなるテーパ面92をもった延出部93が設けられており、この延出部93の上に湾曲ゴム86の糸巻きがされていた。しかし、後端に向かって径の小さくなるテーパ面92の上で糸巻きをしているので先端カバー82を先端側に向かって押す応力が常に加っていたので先端カバー82が先端部本体81から剥離して水洩れを起こす可能性があった。
【0060】
図15(a)はテーパ面92を後端に向かって径を大きくしたものであり、同図(b)は、延出部93の外周に溝94を設けたものである。従って、両者共、先端カバー82に加わる剥離方向の応力の軽減ができる。
【0061】
図16〜図18は第5の開示例を示し、図16と図17は着脱自在なノズル付き先端カバー95の構造を示す。まず、図16及び図17について説明すると、先端カバーは2体で構成されており、1つは前記ノズル付き先端カバー95でもう1つは固定型先端カバー96である。どちらも電気的絶縁性のある樹脂でできている。
【0062】
固定型先端カバー96は先端部本体81に対し、図17に示すように、固定ピン97で設置決めされ、接着固定されている。固定型先端カバー96の外周には例えば図16に示すように、略H状凸部98が形成されている。また、固定型先端カバー96の外周には、図16、図17に示すように、挿入部1の軸方向にのびるスライド溝99が形成されている。
【0063】
さらに、固定型先端カバー96の先端側端面には観察窓100、照明窓101及び吸引口7が設けられている。先端部本体81の送気送水開口部102の開口周辺にはシール部材103が先端部本体81と固定型先端カバー96にはさまれて配設されており、シール部材103の先端面は表面に露出している。
【0064】
固定型先端カバー96にノズル付き先端カバー95が装着された状態ではノズル付き先端カバー95のノズル部裏面105はノズル開口部106を除き全周が強固に前記シール部材103の先端面と水密的に密着している。
【0065】
また、図18は、ノズル付き先端カバー95の斜視図である。側面にはT字状スリット107が形成され、内面には軸方向にのびる位置決め用凸部108が設けられている。装着方法は位置決め用凸部108をスライド溝99に合わせて挿入し、T字状スリット107にH状凸部98を嵌合させて固定する。H状凸部98の形状がH形状をしているため、回転及び軸方向が規制できる。取り外す時はH状凸部98に設けられた取り外し用凹部109にドライバー等を挿入し、ノズル付き先端カバー95の固定部110を折り曲げて破壊して取り外す。
【0066】
第5の開示例によれば、シール部材103がスコープ本体側に設けられているので、ノズル付き先端カバー95を多少粗雑に取り付いてもノズル部裏面105は確実にシールされるため、脇から液洩れ等が生ぜず、送気及び送水量への影響も少ない。また、ノズル付き先端カバー95側にはシール部材が不要なので、安くできる。
【0067】
図19は第6の開示例を示し、湾曲部のブレード79の固定方法に関する。ブレード79の両端を湾曲ゴム86の糸巻き接着部111の下まで延ばしてあり、ブレード79の固定も糸巻き接着部111で兼ねている。第6の開示例によれば、ブレード79の交換が簡単に行なえ、かつ、その固定部の外径が太くならない。また、組立性を更によくするために、ブレード79の両端に仮固定用の糸しばりを行なってから湾曲ゴム86を被覆し、糸巻き接着しても良い。
【0068】
図20及び図21は第7の開示例を示し、図20及び図21は、下部消化管において腸管を直線化するためのスライディングチューブに関する。従来はスコープとスライディングチューブの間に腸壁がはさみ込まれ、傷つける恐れがあった。図20及び図21は腸壁を傷つけることのない安全なスライディングチューブを提供することを目的とする。
【0069】
図20に示すように、スコープの挿入部1とスライディングチューブ112の間に挿入補助チューブ114が介在しており、その一端は肛門入口近傍で患者に固定されている。挿入部1に沿ってスライディングチューブ112を挿入してゆくと、挿入補助チューブ114が矢印の方向に動くためスライディングチューブ112の先端部で腸壁を巻き込むことがないようになっている。
【0070】
また、図21に示すように、スライディングチューブ112の手元側に挿入部1との間を水密にする水密部115を設け、かつ、スライディングチューブ112と挿入部1との間を送気する送気手段が設けられている。常にスライディングチューブ112と挿入部1との間から空気を送ることにより、スライディングチューブ112の先端部での巻き込みを防止したものである。矢印は空気の流れを示す。
【0071】
前記各開示例によれば、次のように構成が得られる。
(付記4)挿入部が、先端構成部と、この先端構成部より手元側に位置して複数の湾曲駒を傾動自在に連結したものの外周にブレードを被嵌してなる湾曲管部とを有し、前記湾曲駒の先端湾曲駒の外周に湾曲操作ワイヤー固定用の凹部を設けた内視鏡において、前記ブレードの先端側内側に少なくとも1つ以上の係止部材を固定し、その係止部材を前記湾曲操作ワイヤー固定用の凹部に外側から係合させたことを特徴とする内視鏡。
【0072】
前記構成によれば、ブレードが破損した場合、先端部本体に先端カバーが固定されている場合でも、その先端カバーを取り外すことなく、内視鏡先端部側からブレードを簡単に取り外すことができる。また、新しいブレード部組を挿入して簡単に組み立てることが可能である。
【0073】
【発明の効果】
以上説明したように、本発明によれば、送水洗滌が確実に行なえる。切り換え操作以外はハンドフリーで管路内洗滌と水切りが可能なため、手間がかからない。
また、吸引洗滌も同時にできるので、トータルの洗滌時間が短縮できる。
通常の検査に使用する光源の送気ポンプと吸引ポンプのみあればよく、特別な洗滌用ポンプは必要ないなどの効果がある。
【図面の簡単な説明】
【図1】 本発明の第1の実施形態を示す内視鏡の全体構成図。
【図2】 同実施形態の管路洗滌装置を示し、(a)は平面図、(b)は側面図、(c)はA−A線に沿う断面図、(d)は下面図。
【図3】 同実施形態のシリンダ部を示し、(a)は平面図、(b)は縦断側面図。
【図4】 同実施形態のシリンダ部を示し、(a)は平面図、(b)は縦断側面図。
【図5】 本発明の第2の実施形態のシリンダ部を示し、(a)は平面図、(b)は縦断側面図。
【図6】 同実施形態のシリンダ部を示し、(a)は平面図、(b)は縦断側面図。
【図7】 本発明の第3の実施形態のシリンダ部を示し、(a)は送水モード、(b)は送気モードの平面図。
【図8】 本発明の第4の実施形態を示すコネクタ部の一部切欠した側面図。
【図9】 同実施形態を示し、(a)は防水キャップ取付部材の後面図、(b)は防水キャップ取付部材の正面図、側面図及び平面図。
【図10】 第1の開示例を示し、(a)はブレードの縦断側面図、(b)はB−B線に沿う断面図。
【図11】 同開示例を示し、(a)はブレードの自然状態の正面図及び側面図、(b)はブレードを軸方向に圧縮した状態の正面図及び側面図。
【図12】 第2の開示例の送気送水ノズルを示し、(a)は縦断側面図、(b)はC−C線に沿う断面図。
【図13】 第3の開示例の送気送水ノズルを示す縦断側面図。
【図14】 第4の開示例を示す先端部本体の縦断側面図。
【図15】 同開示例の先端部本体の縦断側面図。
【図16】 第5の開示例のノズル付き先端カバーを示し、(a)は先端部本体の正面図、(b)は矢印D方向から見た図、(c)はE−E線に沿う断面図。
【図17】 同開示例のノズル付き先端カバーの取付状態を示す横断面図。
【図18】 同開示例のノズル付き先端カバーの斜視図。
【図19】 第6の開示例を示す内視鏡の湾曲部の縦断側面図。
【図20】 第7の開示例のスライディングチューブの使用状態図。
【図21】 同開示例のスライディングチューブの使用状態図。
【図22】 従来の内視鏡用管路洗滌装置の全体構成図。
【図23】 従来の内視鏡用管路洗滌装置の全体構成図。
【符号の説明】
2…操作部
8…送気送水シリンダ
9…吸引シリンダ
10…先端部側送気管路
11…先端部側送水管路
18…コネクタ側送気管路
19…コネクタ側送水管路
[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an endoscope conduit cleaning device that can simultaneously clean a conduit for supplying / feeding air to / from a distal end configuration portion of an endoscope and a conduit for suctioning from the distal end configuration portion.
[0002]
[Prior art]
In general, an endoscope is provided with an air supply / water supply operation valve for operating air supply / water supply and a suction operation valve for operating suction in parallel with the operation unit. A conventional endoscope pipe cleaning apparatus, for example, as disclosed in Japanese Patent Laid-Open No. 4-371130, seals the opening of each cylinder arranged in parallel to the operation section, and cleans the cleaning liquid from the opening of the cylinder. Etc. were prevented from being ejected.
[0003]
22 and 23 are diagrams showing the overall configuration of an endoscope. Reference numeral 1 denotes an insertion portion, 2 denotes an operation portion, 3 denotes a universal cord portion, and 4 denotes a connector portion. For cleaning in the pipe, after setting the pipe cleaning device 21 to the air / water supply cylinder 8 and the suction cylinder 9, for example, as shown in FIG. 22, using the air supply pump 22 and the suction pump 23 of the light source, The trachea 10 and the tip-side water supply pipe 11 were washed with water, and the tip-side suction pipe 12 was sucked and washed with suction from the tip side.
[0004]
[Problems to be solved by the invention]
However, the water supply wash in the tip end side air supply conduit 10 and the tip end side water supply conduit 11 has not been reliably and efficiently washed. That is, since the cylinder openings of the air / water supply cylinder 8 and the suction cylinder 9 are simply sealed, the fluid supplied into the air / water supply cylinder 8 is both water and air. If the balance between the resistances of both the connector-side air supply pipe 18 and the connector-side water supply pipe 19 up to the cylinder 8 is poor, in reality, almost no water is supplied to the cylinder, and only air is supplied. There were many. For this reason, the water supply washing in the tip end side air supply conduit 10 and the tip end side water supply conduit 11 is insufficient and takes time because the amount of water supply is small.
[0005]
Further, the water draining operation in the front end side air supply pipe line 10 and the front end side water supply pipe line 11 after the water washing is closed until the water draining is completed by closing the water tank attaching part with a finger as shown in FIG. It was very troublesome.
[0006]
The present invention has been made paying attention to the above circumstances, and the object of the present invention is to clean the water supply wash and drain in the front end side air supply conduit and the front end side water supply conduit with the front end suction tube in the front end side. It is another object of the present invention to provide an endoscope line cleaning apparatus that can be performed reliably, in a short time and without any trouble.
[0007]
[Means for Solving the Problems]
  In order to achieve the above object, the present invention providesAt least an air / water supply cylinder and a suction cylinder connected in the middle of the fluid conduit are arranged in parallel in the operation portion of the endoscope, and a conduit operation valve provided detachably with respect to each cylinder is provided with the fluid pipe. After removing to clean the road, open each cylinder openingIn the endoscope pipe cleaning device for sealing,The cleaning device main body is provided with a plug body portion that seals the opening of the suction cylinder and an air / water supply switching valve that is attached to the air / water supply cylinder, and the air / water supply changeover valve is a shaft with respect to the air / water supply cylinder. The connector-side water supply conduit in the air / water supply cylinder is selectively selected as the tip-side air supply conduit, the tip-side water supply conduit, and the connector-side air supply conduit as the tip-side air supply conduit and the tip-side water supply conduit by the forward / backward operation in the direction. The cleaning device main body has an engaging part that is engaged with the air / water supply switching valve and maintains the state when the air / water supply switching valve moves forward and backward, either integrally or separately. ProvidedIt is characterized by that.
[0008]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
1 to 4 show a first embodiment, and FIG. 1 is an overall configuration diagram of an endoscope pipe cleaning device. The endoscope includes an insertion portion 1, an operation portion 2, a universal cord portion 3, and a connector portion 4. A distal end configuration portion 5 is provided on the distal end side of the insertion portion 1. The distal end configuration portion 5 is provided with an air / water supply nozzle 6 and a suction port 7 in addition to an observation window and an illumination window (not shown).
[0009]
The operation unit 2 is provided with an air / water supply cylinder 8 and a suction cylinder 9. An air supply / water supply operation valve and a suction operation valve (not shown) are detachably attached to the air supply / water supply cylinder 8 and the suction cylinder 9, respectively, and the duct cleaning device of the present invention can also be attached detachably.
[0010]
Inside the insertion portion 1, a tip end side air supply conduit 10, a tip end side water supply conduit 11, and a tip end side suction conduit 12 are disposed, and the rear end sides thereof are respectively the air supply / water supply cylinder 8 and An opening is formed in the suction cylinder 9.
[0011]
In addition, about the front-end | tip part side suction pipeline 12, the pipeline has branched on the way, The edge part is connected to the treatment tool insertion port 13. FIG. A treatment instrument insertion port cleaning tube 14 that is also one of the treatment instrument insertion ports 13 is detachably attached.
[0012]
On the other hand, the connector portion 4 is provided with a suction pump connection port 15, a water supply tank connection port 16 and an air supply pump connection port 17. A connection tube from the suction pump 23 is connected to the suction pump connection port 15. A water tank 24 is connected to the water tank connection port 16. A pipe line from an air supply pump 22 provided in the light source device (not shown) is connected to the air supply pump connection port 17.
[0013]
In FIG. 1, after completion of the inspection, the treatment instrument insertion port washing tube 14 is attached to the treatment instrument insertion port 13, the distal end component portion 5 is placed in the washing liquid 25, and the conduit washing device 21 of the present invention is to be attached. Indicates the state. At this time, the air supply pump 22 and the suction pump 23 are still in the OFF state.
[0014]
FIG. 2 is an external view and a cross-sectional view of the pipe cleaning device 21. The pipe cleaning device 21 is roughly composed of a cylinder port gripping portion 26, a main body 27, and a connecting plate 28. The material of the cylinder port gripping portion 26 is made of, for example, a plate material such as SUS, and the shape is formed by bending three sides including one side provided with the cleaning drain port 52. A U-shaped slit 54 is formed on the bottom surface.
[0015]
The main body 27 and the cylinder port gripping portion 26 are positioned and fixed by a plurality of fixing pins 46 and an adhesive from the side. The connecting plate 28 is mainly provided with an air / water switching valve 29 and a plug body 30. The air / water supply switching unit 29 mainly includes a movable shaft 31, a bearing 32, a first spring 33, and a spring seat 34, and the spring seat 34 is sandwiched by fixing the adhesive screw between the movable shaft 31 and the bearing 32. Yes. The spring seat 34 has a flange portion and receives the other end of the first spring 33. The other end of the first spring 33 is received by the connecting plate 28. A guide pin 35 is fixed to the upper portion of the bearing 32 so as to protrude in the horizontal direction.
[0016]
Further, the movable shaft 31 is provided with a first rubber packing 36, a second rubber packing 37, a third rubber packing 38, a check valve 39 and a slide receiver 40. A flow path 45 is formed at the center of the movable shaft 31 in the axial direction and the outer periphery. The material of the movable shaft 31 is mainly a metal such as SUS, and the materials of the first rubber packing 36, the second rubber packing 37, the third rubber packing 38, and the check valve 39 are silicon rubber materials and the material of the slide receiver 40. Is made of resin such as modified PPO and PSU.
[0017]
The plug body portion 30 includes a second spring 41, a plug body portion main body 42, and a plug body portion main body receiver 43, and the plug body portion main body 42 is provided with a fourth rubber packing 44. At the other end of the plug body receiver 43, a flange portion that is hooked on the connecting plate 28 is provided. The plug body main body receiver 43 and the plug body main body 42 are fixed with adhesive screws by sandwiching the second spring 41 as shown in FIG. In addition, the main line washing apparatus 21 uses a chemical resistant and autoclave resistant adhesive, and an epoxy based chemical resistant and heat resistant adhesive.
[0018]
Similar to the cylinder port gripping portion 26, the upper surface of the main body 27 has a second U-shaped slit 55, and a partially raised pin slide portion 47 is provided at the bottom of the slit 55. The pin slide part 47 has an inclined part 48 and a concave part 49 provided on the upper part.
[0019]
Further, there is an air supply mode indicator 51 in the vicinity of the concave portion 49, and a water supply mode indicator 50 in the middle of the inclined portion 48. Further, a slip stopper 53 is provided on the outer side of the slit 55 on the mouth side. Further, in the middle of the slit 55, a concave portion 49 is provided that indicates an attachment / detachment point to / from the cylinder portion of the main line cleaning device 21.
[0020]
As described above, the connection plate 28 to which the air / water supply switching valve 29 and the plug body 30 are fixed is covered with the cylinder port gripping portion 26 and the main body 27 so as to be slidable horizontally. In FIG. 2, the casing is composed of two bodies, the cylinder port gripping portion 26 and the main body 27, but may be composed of one body. Incidentally, the material of the main body 27 is modified PPO. It is made of resin such as PSU.
[0021]
Next, the operation of the first embodiment will be described. Prior to the description of the operation, the cylinder side structure shown in FIG. 3 will be described. The air / water supply cylinder 8 and the suction cylinder 9 are fixed to the operation portion main body 56. The fixing method is such that both the air supply / water supply cylinder 8 and the suction cylinder 9 sandwich the operation portion main body 56 from the outside by the first stopper base 57 and the second stopper base 60 having flange portions at the ends, and the fifth rubber packing. 58 is watertight.
[0022]
There are four openings on the inner surface of the air / water supply cylinder 8, and each opening is connected to each pipe line via a pipe material 59. The air inlet 59a communicates with the connector-side air supply conduit 18, the air outlet 59b communicates with the distal-end-side air-feed conduit 10, the liquid inlet 59c communicates with the connector-side water-feed conduit 19, and the liquid outlet 59d communicates with the distal-end-side water-feed conduit 11. is doing.
[0023]
On the other hand, there are two openings on the inner surface of the suction cylinder 9. Similarly, each opening is connected to each pipe line via a pipe material 59. The detergent inlet 59e communicates with the distal end side suction line 12, and the detergent outlet 59f communicates with the connector side suction line 20.
[0024]
In FIG. 3, after the air / water supply switching valve 29 and the plug body 30 are inserted into each cylinder, the cylinder port gripping portion 26 integrated with the main body 27 is slid in the lateral direction to move the guide pin 35 to the position of the water supply mode index 50. It is in the state moved to.
[0025]
  In this state, the guide pin 35 contacts the inclined portion 48.Are engaged.At this time, the main line cleaning device 21 is configured such that the first stopper base 57 and the second stopper base 60 on the operation portion side are connected to the cylinder port gripping portion 26, the spring seat 34, and the plug body main body 42 on the main passage cleaning device 21 side. It is pinched and fixed.
[0026]
The communication state of each pipeline in this state is as follows.
The liquid inlet 59c communicates with both the liquid outlet 59d and the air outlet 59b, and the air inlet 59a is shielded by the close contact between the check valve 39 and the air / water supply cylinder 8. The detergent inlet 59e and the detergent outlet 59f communicate with each other. Both cylinder openings are sealed to the outside by a first rubber packing 36 and a fourth rubber packing 44 as seal members.
[0027]
In this state, the other parts are connected as shown in FIG. 1, and the air supply pump 22 and the suction pump 23 are operated as follows. Since the connector-side air supply line 18 is closed in the air / water supply cylinder 8, all the air supply of the air supply pump 22 is sent into the water supply tank 24 and pressurizes the water surface. The water in the water supply tank 24 passes through the connector-side water supply pipe 19 and is supplied to the tip-end-side air supply pipe 10 and the tip-end-side water supply pipe 11 to wash both pipes 10 and 11. On the other hand, since the washing liquid is sucked from the suction port 7 and the treatment instrument insertion port 13 in the suction line system, the inside of the tip side suction line 12 and the connector side suction line 20 can be washed.
[0028]
  4 further slides the cylinder port gripping part 26 and the main body 27 in the lateral direction from the state of FIG. 3 to move the guide pin 35 to the position of the air supply mode index 51, and as a result, the air supply / water supply switching valve 29 is set. It is in the state of being moved upward in the axial direction. Guide pin 35 is inclined48After being guided along the recess 49 in the upper part of the pin slide 47Is engaged.
[0029]
The communication state of each pipeline in this state is as follows.
The air inlet 59a communicates with both the air outlet 59b and the liquid outlet 59d, and the liquid inlet 59c is shielded by the close contact between the third rubber packing 38 and the air / water supply cylinder 8. The detergent inlet 59e and the detergent outlet 59f remain in communication with each other as in the state of FIG. That is, since the connector-side water supply line 19 is closed in the air / water supply cylinder 8, all the air supply from the air supply pump 22 passes through the connector-side air supply line 18 and is sent into the air / water supply cylinder 8. Further, it passes between the check valve 39 and the inner wall of the cylinder as indicated by an arrow, and is supplied to the distal end side air supply conduit 10 and the distal end portion water supply conduit 11, so that both the conduits 10 and 11 are drained.
[0030]
The first embodiment described above has the following effects.
Water supply and washing can be performed reliably.
Other than the switching operation, it is hand-free and can be washed and drained in the pipeline, so it does not take time.
[0031]
Since suction cleaning can be performed at the same time, the cleaning time can be shortened.
Only an air supply pump and a suction pump of a light source used for normal inspection are required, and no special cleaning pump is required.
[0032]
5 and 6 show the second embodiment, and the same components as those of the first embodiment are denoted by the same reference numerals and the description thereof is omitted. The difference from the first embodiment is only the difference in the switching operation method of the air / water supply switching valve 29.
[0033]
That is, a gripping convex portion 62 is provided on the head of the bearing 32. A mode switching convex portion 63 is formed on the upper surface of the main body 27. The mode switching convex portion 63 includes a stopper surface 64 against which the guide pin 35 abuts and a concave portion 49 provided on the upper surface. The angle between the stopper surface 64 and the concave portion 49 is 90 °, for example, as shown in FIG. In accordance with this, the positions of the water supply mode index 50 and the air supply mode index 51 are as shown in FIG.
[0034]
Next, the operation of the second embodiment will be described.
After the air / water supply switching valve 29 and the plug body 30 are inserted into each cylinder, the integrated cylinder port gripping portion 26 and the main body 27 are slid laterally, and the guide pin 35 is in contact with the stopper surface 64. FIG. 5 shows the state (water supply mode) shown in FIG. 3 in the first embodiment. The state of each pipeline at this time is also the same as in FIG.
[0035]
From this state, the gripping convex portion 62 is gripped with a finger, pulled upward, and then rotated 90 ° to fit the guide pin 35 into the concave portion 49 as shown in FIG. This state is the state of FIG. 4 (air supply mode) in the first embodiment, and the state of each pipeline at this time is also the same as FIG. That is, the difference in operation in which the air / water supply switching valve 29 is once pulled upward and then rotated 90 ° to switch to the air supply mode is different from that of the first embodiment.
[0036]
The effect of the second embodiment is the same as that of the first embodiment. However, in terms of the outer shape, the slide overall length can be made shorter than in the first embodiment, so that the size can be slightly reduced.
FIG. 7 shows a third embodiment, and the same components as those in the first and second embodiments are denoted by the same reference numerals and description thereof is omitted. In this embodiment, the mode switching convex portion 63 of the second embodiment is separated from the main body 27. (A) is a water supply mode and (b) is an air supply mode.
[0037]
The thickness of the mode switching plate 65 is, for example, l in FIG. There is a water supply mode indicator 50 on the main body 27 side, and an air supply mode indicator 51 is formed on the mode switching plate 65. The mode switching plate 65 and the connecting plate 28 are connected by a chain or the like.
[0038]
The action of the third embodiment is that after pulling up the gripping convex portion 62 provided on the head of the air / water supply switching valve 29, the mode switching plate 65 is inserted between the main body 27 and the guide pin 35. Switch to air supply mode. FIG. 7A shows the water supply state, and FIG. 7B shows the air supply state. The effect is the same as in the first and second embodiments.
[0039]
8 and 9 show a washing waterproof cap 67 attached to the electrical connector portion 66 of the endoscope, and the waterproof cap 67 is connected to the connector portion 4 by a metal chain 69 or the like. Since the waterproof cap 67 is not required during the inspection, it must be hung down or placed on the housing 68 of the video processor or light source 70. Therefore, if there is a leakage current from the internal circuit in the case 68 when the metal chain 69 is in contact with the case 68, the metal chain 69 may flow through the metal chain 69 to the scope exterior metal. For example, there is a method of taking a countermeasure by using a metal chain 69 as an insulating member, but it is very unsightly because there is no place for appearance.
[0040]
FIG. 8 is a side view of the connector portion 4 connected to the light source 70 and is also in a state at the time of inspection. The connector part 4 includes a connection part 71, a connector part main body 72, and a universal side folding prevention part 73, and a waterproof cap mounting member 74 to which the other end of a metal chain 69 having a waterproof cap 67 connected to one end is connected is a connector part. It is sandwiched and fixed between the main body 72 and the bend preventing part 73.
[0041]
9B is a front view, a side view, and a plan view of the waterproof cap attachment member 74, and FIG. 9A is a view as seen from the rear of the connector portion main body 72 to which the waterproof cap attachment member 74 is attached.
[0042]
A waterproof cap storage space 75 is formed on the upper portion of the waterproof cap mounting member 74, and is shaped so as to have a function as the waterproof cap storage space 75 as shown in FIG. 8 only when assembled. That is, precisely, the place where the waterproof cap 67 is placed is formed by the connector portion exterior member 76 of the connector portion main body 72 and the waterproof cap attachment member 74.
[0043]
According to the configuration described above, the size of the waterproof cap mounting member 74 can be reduced. Further, the shape characteristic of the waterproof cap attaching member 74 is substantially T-shaped as shown in FIG. 9B, and the functionally unnecessary portions are eliminated as much as possible. Moreover, also in fixation, it is a non-adhesive fixing structure which only inserts | pinches. A rotation restricting convex portion 77 is formed on the waterproof cap attaching member 74 side, and a rotation restricting concave portion 78 is formed on the connector portion main body 72 side. As a result, the washing and draining drying properties are good.
[0044]
According to the embodiment described above, the following configuration is obtained.
(Additional remark 1) In order to wash the inside of the fluid line of the endoscope in which a plurality of cylinders connected in the middle of the fluid line are arranged in the operation unit and the line operation valve is detachable from the outside to the cylinder In the endoscope line cleaning device for sealing the cylinder opening from the outside after removing the pipe operation valve, the connector side water supply pipe in the air / water supply cylinder with the suction cylinder opening sealed Provide means for selectively connecting the tip-side air supply conduit, tip-end-side water supply conduit, and connector-side air-supply conduit to the tip-side air-feed conduit and tip-end-side water supply conduit and maintaining each state. Endoscope pipe cleaning apparatus characterized by that.
[0045]
(Appendix 2) At least the first state in which the connector side water supply conduit and the tip end side water supply conduit communicate with each other in the insertion portion and the second state in which at least the connector side air supply conduit and the tip end side air supply conduit communicate with each other are maintained The endoscope pipe cleaning apparatus according to appendix 1, characterized in that a means capable of performing the same is provided.
[0046]
(Supplementary note 3) The endoscope tube according to supplementary note 1, wherein means for switching between the first state and the second state in the operation portion are integrally provided in a cylinder port gripping portion locked to the cylinder portion. Road washing device.
[0047]
On the other hand, in the bending tube portion of the endoscope, the cylindrical blade fitted on the outer periphery of the bending piece is detachably fixed at both ends of the bending tube portion as shown in JP-A-4-357211, and the blade portion. An endoscope in which only a pair can be exchanged has been proposed.
[0048]
However, the mounting members provided at both ends of the conventional detachable blade part set have an inner diameter smaller than the outer diameter of the tip cover firmly fixed to the tip body. Furthermore, there are some which are smaller than the maximum outer diameter of the tip body. In the latter case, a step is provided on the tip body, and a mounting member is fixed to a surface portion having a low step.
[0049]
When removing the blade assembly, if the mounting member has an inner diameter smaller than that of the tip cover, the tip cover must be removed and the blade assembly must be removed after breaking the tip cover. . On the other hand, in the case of a mounting member having an inner diameter smaller than the maximum outer diameter of the tip body, it cannot be removed from the tip unless the blade cover is broken even if the tip cover is removed.
[0050]
In the present disclosure, the blade assembly can be easily disassembled so that it can be removed from the distal end side of the insertion portion, and the assembly of the blade assembly is easy, improving repairability and reducing repair costs. It is designed to be able to plan.
[0051]
10 and 11 show a first disclosed example. As shown in FIG. 11, a locking member 80 is fixed to the inside of the blade 79 on the tip side. The fixing means may be anything such as solder, adhesion, screw fixing, and caulking. FIG. 6A shows a state in which the blade 79 is in a natural state, and FIG. 6B shows a state in which the blade 79 is contracted in the axial direction so that the inner diameter φB satisfies φB> φA.
[0052]
FIG. 10A shows a state in which the blade with the locking member is in the state shown in FIG. 11B and is passed through the distal end portion side with the distal end cover 82 being fixed to the distal end portion main body 81 so that the locking member 80 is moved. The curved first piece 83 is fitted and fixed in a notch recess 84 provided on the outer periphery.
[0053]
A specific fixing method is as follows. First, after the locking member 80 is cut and fitted into the notch 84, a silicon-based adhesive is applied to the locking member 80 in the vicinity or all around the heat shrinkage indicated by a two-dot chain line. It heat-shrinks with the tube 85, and the adhesive is dried in that state. After drying, the heat-shrinkable tube 85 is cut and removed, and then the curved rubber 86 is covered.
[0054]
FIG.10 (b) is sectional drawing which follows the BB line of Fig.10 (a). The locking member 80 is fitted in the notch recess 84 so as not to protrude from the outer diameter of the curved first piece 83. The bending operation wire 87 and the bending first piece 83 are fixed by brazing at the notch recess 84.
[0055]
According to the first disclosed example, when removing the blade 79 when an abnormality occurs in the blade 79 for some reason, the adhesive applied in the vicinity of the locking member 80 is removed after removing the curved rubber 86. After removal, the locking member 80 is removed from the notch recess 84. Thereafter, the blade 79 is inflated so that the inner diameter passes through the tip cover 82 as shown in FIG.
[0056]
According to the first disclosed example, the blade 79 can be detached and attached from the tip side without destroying or removing the tip cover 82, so that the repairability is good. In addition, repair costs can be reduced. Since the space of the notch is used, the axial direction and the rotational direction can be regulated without increasing the diameter. In addition, since the locking member 80 is not ring-shaped, the degree of freedom when the locking member 80 passes the outer periphery of the tip cover 82 is large, and is particularly effective for an endoscope having a deformed cross section.
[0057]
FIG. 12 shows a second disclosed example and relates to a structure for fixing the air / water supply nozzle 6 of the tip structure portion 5. The inner and outer diameters of the air / water supply nozzle 6 are decentered, a notch 89 is provided in the thickened portion, and a fixing member 90 is applied to the notch 89 to attach the air / water supply nozzle 6 to the tip cover 82. It is fixed to. According to the second disclosed example, the air / water nozzle 6 can be fixed and stopped by simple processing.
[0058]
FIG. 13 shows a third disclosed example and relates to a structure for fixing the air / water supply nozzle 6 of the tip structure portion 5. An elastic member 91 is outserted on the outer surface of the air / water feeding nozzle 6, and is pressed into the tip cover 82 or the tip portion main body 81. Note that the outer surface of the elastic member 91 may be further provided with an unevenness to provide a hook. According to the third disclosed example, the air / water supply nozzle 6 is unlikely to be detached at the time of inspection, and the repairability is very good.
[0059]
14 and 15 show a fourth disclosed example, which shows a structure in which a part of the tip cover 82 is extended and the tip cover 82 is fixed to the tip body 81 with a thread of a curved rubber 86. FIG. . Conventionally, as shown in FIG. 14, an extension portion 93 having a tapered surface 92 whose diameter decreases toward the rear end is provided at the rear end portion of the tip cover 82. A curved rubber 86 was wound on the top. However, since the bobbin is wound on the tapered surface 92 whose diameter decreases toward the rear end, stress that pushes the front end cover 82 toward the front end is always applied. There was a possibility of peeling and causing water leakage.
[0060]
FIG. 15A shows a taper surface 92 with a diameter increasing toward the rear end, and FIG. 15B shows a case where a groove 94 is provided on the outer periphery of the extension portion 93. Therefore, both can reduce the stress in the peeling direction applied to the tip cover 82.
[0061]
16 to 18 show a fifth disclosed example, and FIGS. 16 and 17 show the structure of a detachable tip cover 95 with a nozzle. 16 and FIG. 17, the tip cover is composed of two bodies, one is the tip cover with nozzle 95 and the other is a fixed tip cover 96. Both are made of electrically insulating resin.
[0062]
As shown in FIG. 17, the fixed tip cover 96 is installed and fixed to the tip body 81 with a fixing pin 97 and fixedly adhered thereto. A substantially H-shaped convex portion 98 is formed on the outer periphery of the fixed tip cover 96, for example, as shown in FIG. Further, as shown in FIGS. 16 and 17, a slide groove 99 extending in the axial direction of the insertion portion 1 is formed on the outer periphery of the fixed tip cover 96.
[0063]
Further, an observation window 100, an illumination window 101, and a suction port 7 are provided on the distal end side end face of the fixed tip cover 96. A seal member 103 is disposed around the opening of the air supply / water supply opening 102 of the tip main body 81 so as to be sandwiched between the tip main body 81 and the fixed tip cover 96, and the tip surface of the seal member 103 is on the surface. Exposed.
[0064]
In a state where the tip cover 95 with nozzle is attached to the fixed tip cover 96, the entire back surface of the nozzle portion 105 of the tip cover 95 with nozzle except the nozzle opening 106 is firmly and watertight with the tip surface of the seal member 103. It is in close contact.
[0065]
FIG. 18 is a perspective view of the tip cover 95 with a nozzle. A T-shaped slit 107 is formed on the side surface, and a positioning projection 108 extending in the axial direction is provided on the inner surface. As the mounting method, the positioning convex portion 108 is inserted in accordance with the slide groove 99, and the H-shaped convex portion 98 is fitted and fixed to the T-shaped slit 107. Since the shape of the H-shaped convex portion 98 is H-shaped, the rotation and the axial direction can be regulated. When removing, a screwdriver or the like is inserted into the removal recess 109 provided in the H-shaped projection 98, and the fixing portion 110 of the tip cover 95 with nozzle is bent and broken and removed.
[0066]
According to the fifth disclosed example, since the seal member 103 is provided on the scope main body side, the nozzle portion back surface 105 is surely sealed even if the tip cover 95 with the nozzle is attached somewhat roughly. Leakage does not occur, and there is little influence on air supply and water supply. Further, since a seal member is not necessary on the side of the tip cover 95 with nozzle, the cost can be reduced.
[0067]
FIG. 19 shows a sixth disclosed example and relates to a method of fixing the blade 79 of the curved portion. Both ends of the blade 79 are extended under the bobbin adhering portion 111 of the curved rubber 86, and the braided adhering portion 111 also serves to fix the blade 79. According to the sixth disclosed example, the blade 79 can be easily replaced, and the outer diameter of the fixing portion does not increase. In order to further improve the assemblability, the curving rubber 86 may be covered after thread fixing for temporary fixing at both ends of the blade 79, and then wound and bonded.
[0068]
20 and 21 show a seventh disclosed example, and FIGS. 20 and 21 relate to a sliding tube for straightening the intestinal tract in the lower digestive tract. In the past, the intestinal wall was sandwiched between the scope and the sliding tube, and there was a risk of injury. 20 and 21 are intended to provide a safe sliding tube that does not damage the intestinal wall.
[0069]
As shown in FIG. 20, an insertion assisting tube 114 is interposed between the insertion portion 1 of the scope and the sliding tube 112, and one end thereof is fixed to the patient near the anal entrance. When the sliding tube 112 is inserted along the insertion portion 1, the insertion assisting tube 114 moves in the direction of the arrow, so that the intestinal wall is not caught at the distal end portion of the sliding tube 112.
[0070]
In addition, as shown in FIG. 21, a watertight portion 115 is provided on the proximal side of the sliding tube 112 to make the space between the insertion portion 1 watertight, and air supply is performed between the sliding tube 112 and the insertion portion 1. Means are provided. The air is always sent from between the sliding tube 112 and the insertion portion 1 to prevent the sliding tube 112 from being caught at the tip portion. Arrows indicate air flow.
[0071]
According to each of the disclosed examples, the configuration is obtained as follows.
(Supplementary note 4) The insertion portion has a tip constituent portion and a curved tube portion formed by fitting a blade on the outer periphery of a plurality of bending pieces that are located on the proximal side of the tip constituent portion and are tiltably connected. In the endoscope in which a concave portion for fixing a bending operation wire is provided on the outer periphery of the bending end of the bending piece, at least one locking member is fixed on the inner side of the blade on the tip side, and the locking member is An endoscope characterized by being engaged with a concave portion for fixing a bending operation wire from the outside.
[0072]
According to the above configuration, even when the blade is broken or the tip cover is fixed to the tip portion main body, the blade can be easily removed from the endoscope tip portion side without removing the tip cover. It is also possible to easily assemble by inserting a new blade part set.
[0073]
【The invention's effect】
As described above, according to the present invention, water washing can be performed reliably. Other than the switching operation, hands-free washing and draining are possible, so it does not take time.
In addition, since the suction cleaning can be performed at the same time, the total cleaning time can be shortened.
Only an air supply pump and a suction pump of a light source used for normal inspection are required, and a special cleaning pump is not necessary.
[Brief description of the drawings]
FIG. 1 is an overall configuration diagram of an endoscope showing a first embodiment of the present invention.
2A is a plan view, FIG. 2B is a side view, FIG. 2C is a cross-sectional view taken along the line AA, and FIG. 2D is a bottom view.
3A and 3B show a cylinder portion of the same embodiment, in which FIG. 3A is a plan view, and FIG. 3B is a longitudinal side view.
4A and 4B show a cylinder portion of the same embodiment, in which FIG. 4A is a plan view, and FIG. 4B is a longitudinal side view.
5A and 5B show a cylinder portion according to a second embodiment of the present invention, in which FIG. 5A is a plan view and FIG. 5B is a longitudinal side view.
6A and 6B show a cylinder portion of the embodiment, wherein FIG. 6A is a plan view and FIG. 6B is a longitudinal side view.
7A and 7B show a cylinder portion according to a third embodiment of the present invention, where FIG. 7A is a water supply mode, and FIG. 7B is a plan view of an air supply mode.
FIG. 8 is a partially cutaway side view of a connector portion showing a fourth embodiment of the present invention.
9A is a rear view of the waterproof cap mounting member according to the embodiment; FIG. 9B is a front view, a side view, and a plan view of the waterproof cap mounting member;
FIGS. 10A and 10B show a first disclosed example, in which FIG. 10A is a longitudinal side view of a blade, and FIG. 10B is a cross-sectional view taken along line BB.
11A is a front view and a side view of the blade in a natural state, and FIG. 11B is a front view and a side view of the blade compressed in the axial direction.
FIGS. 12A and 12B show an air / water supply nozzle according to a second disclosed example, wherein FIG. 12A is a longitudinal side view, and FIG. 12B is a cross-sectional view taken along line CC.
FIG. 13 is a longitudinal side view showing an air / water supply nozzle according to a third disclosed example.
FIG. 14 is a longitudinal side view of a tip body showing a fourth disclosed example.
FIG. 15 is a vertical side view of the tip body of the disclosed example.
16A and 16B show a tip cover with a nozzle according to a fifth disclosed example, wherein FIG. 16A is a front view of the tip body, FIG. 16B is a view seen from the direction of arrow D, and FIG. Sectional drawing.
FIG. 17 is a transverse cross-sectional view showing a mounting state of the tip cover with nozzle of the disclosed example.
FIG. 18 is a perspective view of a tip cover with a nozzle according to the disclosed example.
FIG. 19 is a longitudinal side view of a bending portion of an endoscope showing a sixth disclosed example.
FIG. 20 is a view showing the state of use of the sliding tube of the seventh disclosed example.
FIG. 21 is a diagram showing a usage state of the sliding tube of the disclosed example.
FIG. 22 is an overall configuration diagram of a conventional endoscope pipe cleaning apparatus.
FIG. 23 is an overall configuration diagram of a conventional endoscope pipe cleaning apparatus.
[Explanation of symbols]
2 ... Operation part
8 ... Air / water cylinder
9 ... Suction cylinder
10 ... tip side air supply line
11 ... Tip side water supply pipeline
18 ... Connector side air supply line
19 ... Connector side water supply pipeline

Claims (1)

内視鏡の操作部に、流体管路の途中に接続される少なくとも送気送水シリンダおよび吸引シリンダを並設し、前記各シリンダに対して着脱自在に設けた管路操作弁を、前記流体管路を洗滌するために取り外した後、前記各シリンダの開口部を密閉する内視鏡用管路洗滌装置において、
洗滌装置本体に、前記吸引シリンダの開口部を密閉する栓体部と前記送気送水シリンダに装着される送気送水切換え弁を設け、
前記送気送水切換え弁は、前記送気送水シリンダに対する軸方向の進退操作によって該送気送水シリンダ内のコネクタ側送水管路を先端側送気管路と先端側送水管路およびコネクタ側送気管路を先端側送気管路と先端側送水管路に選択的に連通可能であり、前記洗滌装置本体には、前記送気送水切換え弁と係合して該送気送水切換え弁の前進時および後退時にその状態を保持する係合部を一体もしくは別体で設けたことを特徴とする内視鏡用管路洗滌装置。
At least an air / water supply cylinder and a suction cylinder connected in the middle of the fluid conduit are arranged in parallel in the operation portion of the endoscope, and a conduit operation valve provided detachably with respect to each cylinder is provided with the fluid pipe. In the endoscope pipe cleaning device for sealing the opening of each cylinder after removing to clean the road,
In the washing apparatus main body, a plug body for sealing the opening of the suction cylinder and an air / water supply switching valve mounted on the air / water supply cylinder are provided,
The air / water supply switching valve is configured such that the connector-side water supply line in the air / water supply cylinder is moved forward and backward in the axial direction with respect to the air / water supply cylinder, the tip side air supply line, the tip side water supply line, and the connector side air supply line Can be selectively communicated with the tip-side air supply conduit and the tip-side water supply conduit, and the washing apparatus body engages with the air-supply / water supply switching valve when the air-supply / water-supply switching valve moves forward and backward. An endoscope pipe cleaning device characterized in that an engaging portion for holding the state is sometimes provided integrally or separately .
JP24194798A 1998-08-27 1998-08-27 Endoscope pipe cleaning device Expired - Fee Related JP4225611B2 (en)

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JP24194798A JP4225611B2 (en) 1998-08-27 1998-08-27 Endoscope pipe cleaning device

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JP24194798A JP4225611B2 (en) 1998-08-27 1998-08-27 Endoscope pipe cleaning device

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Publication number Priority date Publication date Assignee Title
JP4661190B2 (en) * 2004-11-30 2011-03-30 富士フイルム株式会社 Cleaning adapter
JP2010042142A (en) * 2008-08-13 2010-02-25 Hoya Corp Cylinder opening blocking device for endoscope
EP2361032B1 (en) 2008-10-13 2013-04-17 Ethicon, Inc Quick disconnect fluid connector
JP5507569B2 (en) 2008-10-13 2014-05-28 エシコン・インコーポレイテッド Endoscope channel separator
ES2791023T3 (en) 2008-10-13 2020-10-30 Asp Global Mfg Gmbh Fluid connector for endoscope reprocessing system
JP5271835B2 (en) * 2009-07-08 2013-08-21 Hoya株式会社 Front-end endoscope tip
JP2011101773A (en) * 2009-11-12 2011-05-26 Hoya Corp Washing adapter for endoscope
EP2628436A4 (en) * 2011-11-10 2014-05-21 Olympus Medical Systems Corp Endoscope cap member
US9161680B2 (en) 2013-11-26 2015-10-20 Bracco Diagnostics Inc. Disposable air/water valve for an endoscopic device
CN105120731B (en) 2014-02-20 2016-12-28 奥林巴斯株式会社 Clean auxiliary implement
DE102017102829A1 (en) * 2017-02-13 2018-08-16 Cardiobridge Gmbh flushing system

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