LV13860B - Endoskops ar vienkanāla endoskopisku caurulīti un vienreizējas lietošanas komplektu, kas savieno tās kanālu ar spiediena avotiem - Google Patents

Endoskops ar vienkanāla endoskopisku caurulīti un vienreizējas lietošanas komplektu, kas savieno tās kanālu ar spiediena avotiem Download PDF

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Publication number
LV13860B
LV13860B LVP-08-44A LV080044A LV13860B LV 13860 B LV13860 B LV 13860B LV 080044 A LV080044 A LV 080044A LV 13860 B LV13860 B LV 13860B
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LV
Latvia
Prior art keywords
channel
tube
endoscope
endoscopic tube
chanel
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LVP-08-44A
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English (en)
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LV13860A (lv
Inventor
Sergejs Matasovs
Original Assignee
Sergejs Matasovs
Contra Concrum Coli, Biedrība
Teko Plus, Sia
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Application filed by Sergejs Matasovs, Contra Concrum Coli, Biedrība, Teko Plus, Sia filed Critical Sergejs Matasovs
Priority to LVP-08-44A priority Critical patent/LV13860B/lv
Publication of LV13860A publication Critical patent/LV13860A/lv
Publication of LV13860B publication Critical patent/LV13860B/lv
Priority to CN2009801099666A priority patent/CN101977540A/zh
Priority to US12/922,851 priority patent/US20110015487A1/en
Priority to JP2011500312A priority patent/JP5331870B2/ja
Priority to PCT/IB2009/005056 priority patent/WO2009115914A2/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/015—Control of fluid supply or evacuation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00112—Connection or coupling means
    • A61B1/00121—Connectors, fasteners and adapters, e.g. on the endoscope handle
    • A61B1/00128—Connectors, fasteners and adapters, e.g. on the endoscope handle mechanical, e.g. for tubes or pipes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131—Accessories for endoscopes
    • A61B1/0014—Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
    • A61B1/018—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor for receiving instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Optics & Photonics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Endoscopes (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Description

LV 13860 ΘΗβΟΟΚΟΠ C OflHOKAHAJlbHOil SHflOCKOnMMECKOM ΤΡΥΕΚΟίί M OflHOPA30BblM ΚΟΜΠΓΙΕΚΤΟΜ, COEfļMHHtOLLļMM EE KAHAJ1 C MCTOHHMKAMM flABJIEHMfl.
OnUCAHUE CyiiļECTBy[OLIļErO yPOBH5ļ. 5 TexHHHecKoe none.
OēnacTb npuMeHeHUJļ Μ3θ6ρβτβΗΜΗ - μθαμμμηοοη 3HflocKonna, o6teKT Μ3θ6ρβτβΗΜΒ -3HflocKon. KoHKpeTHoe HasHaHeHne οδΒβκτβ M3o6peTeHua - očecneMeHne 6bicTporo ποβτορηογο MCn0nb30BaHMfl ΒΗΑΟΟΚΟΠΜΜΘΟΚΟΜ Tpy6KM 10 npefliJuecTBVK?Liinii vpoBeHb.
B MUCPe OCHOBHblX φγΗΚΜΜΪί MeflUL4HHCKHX 3HflOCKOnOB, ΠΟΜΜΜΟ BM3yanbHOM, BKPlOHaiOlHeM ocBemeHne m nepeflany M3o6pa>t<eHMfl οτθηοκ nccneflyeMoii nonocrn, cneflyiouļMe: • noflaHa b nonocTb ra3a v\m >kmakocth, • acnupaMna nonoc™, 15 · 6noncna CTeHPK nccpeflyeMoii nonoc™ m flpyrae MHCTpyMeHTanbHbie MaHMnynaLļMH. 3HA0CK0n ΒΚΠΚ»3ΘΤ ΘΗΑΟΟΚΟΠΜΗθαψΚ) Tpy6Ky, COCTOaLlļytO M3 KOMMyHW<aL|MOHHOM Μ ΒΒΟΑΜΜΟίί MacTeiži, coeAMHeHHbix pyKoaTKoii. flnuHa οηαοοκοπμμθοκομ Tpy6KH Μθ>κβτ 6biTb 3,2 μ m 6oriee. yKa3aHHbie Bbime 0yHKLļnn oāecneHMBaioT: 20 · KaHanbi (cMOTpuTe Endoscope Reprocessing: Current Status of Disinfection
Recommendations; William A. Rutala, Ph. D. M.P.H. (www.unc.edu/depts/spice/dis/endoscope.ppt), cnafiA 10), 3a«n»OHeHHbie b KOMMyHMKaUHOHHOM HaCTM, KOTOpbie COeAMHflIOTCfl C MCTOMHMKaMM AaBneHMB, • KnanaHbi, 3aioiKDMeHHbie b pyKoaTKe, KOTOpbie οοθαμηβιοτ KaHanbi KOMMyHMKai4MOHHOM u 25 ΒΒΟΑΜΜΟίί HaCTeii, • KaHa/ibi, 3aioiK)HeHHbie bo bboaumom nāc™, κοτορωθ OTKpbiBatOTca b nccneAyeMyio nonocTb, b tom nncne MHCTpyMeHTanbHbM KaHan, KOTopbm μμθθτ bxoa Ha pyKoan<e.
TexHMHecKaa npo6neMa. Θηαοοκοπν ctobt Aoporo, nx ncnonb3yioT μηογοκρθτηο, μθμ naiiļe -30 ΤΘΜ Bbliue MX SKOHOMMMeCKafl 300eKTMBHOCTb. MaCTOTa MCn0/lb30BaHMa 3aBMCMT OT CKOpOCTH o6pa6oTKH 3HAOCKoni/iHecKOM Tpy6«n: MbiTba, Αβ3ΜΗφβκμι/ιι/ι ι/ι, npn ηθοΘχοαμμοοτμ, CTepnrtn3ai4MM. Θηαοοκοπμηθοκθβ Tpy6ica noTeHLļnanbHbii/ί nepeHOCHMK BnpycHoro renaTma, CnH/ļa vt APymx ΜΗφβΚΜΜΟΗΗωχ 3a6oneBaHnti. MecTOM Haxox<AeHM5i κροΒΜ, TKaHeii, SuonorunecKoro ceKpeTa, coAep>KMMoro nccneAyeMoro opraHa npeAbiAyu4ero nai-ļneHTa Moryr 35 6biTb KaHa/ibi m KnanaHbi 3HAOCKonnHecKoii Tpy6KM.
KmoneBbiM μομθητομ o6pa6oTKH HBnaeTca MbiTbe. Hapy>KHan noBepxHOCTb SHAOCKonnHecKOM Tpy6xii Moetcn jierKO. KnanaHbi mokjt b pa3o6paHHOM coctobhmm b cb33M c μχ οπο>κηομ KOHcf>MrypauMeii, HanunneM ymoBbix, TynwKOBbix μ οκρωτωχ ηοηοοτβίί. l/lHCTpyMeHTanbHbiii KaHan (ero fluaMeTp οκοηο 3 mm) μοιοτ μ meTKOii μ ποτοκομ >khakoctu. B KaHanbi αμθμθτρομ 1,2 mm, npeflHa3Ha4eHHbie flna ποαθμμ ra3a n >khakoctm, ββθοτμ LLļeTKy ηθβομοκηο. CKopocTb MX MblTbfl 33ΒΜ0ΜΤ ΟΤ CKOpOCTM ΠΟΤΟΚΘ ΜΟΚ31ΑΘΜ ΧΜΑΚΟΟΤΜ, a ΠΟΟΠΘΑΗΒΒ - OT θθ AaBneHHfl, οΑΗθκο AaeneHMe 6onee 0,2 6apa HOAonycTHMO, nocKonbKy μομθτ pa3repMeTH3npoBaTb cncTeMy. riyHicryanbHoe οοβηιοΑβΗΜβ pynHbix τθχηοπογμμ MbiTbfl Tpe6yeT μηογο ΒρβΜβΗΜ, ynponeHne - yrpo>KaeT nepeKpecTHbiM μηΦμαμροβθημθμ πθμμθητοβ, ποΒρθ>ΚΑβΗΜβΜ 3ηαοοκοπμηθοκομ Tpy6Kn. MotoiAne MamuHbi ctoht Aoporo m mx ncnojib30BaHne ηθ ηθμηογο coKpamaeT BpeMn o6pa6oTKH. B more mo>kho 3aKntoMMTb: MbiTbe SHAOCKonnHecKoPi Tpy6xn - τθχημηθοοη npoēneMa. ripo6neMy MbiTba KaHanoB A^aMeTpoM 1,2 mm Μ/ιπκχπρι/ιργΘΤ paA CTaTeii, bot 3aKn(OHeHne ΟΑΗΟίί ΙΛ3 HMX: «fl03T0My BC6M Μ3ΓΟΤΟΒΜΤΘΑΗΜ peKOMeHAyeTCfl yCOBepULieHCTBOBaTb KOHcrpyKLļmo SHAOCKona c τθμ, HTo6bi cAenaTb KaHanbi B03Ayxa n BOAbi AOCTynHbiMn απη οδρθδοτκΜ ΐΑβτκοίί m yMeHbLUMTb pncK BHyTpn6onbHMHHbix ΜΗφβΚΜΜίί» (ISHIDO Yumiko; IDO Kenichi; KOIVVAI Hirobumi; SUGANO Kentaro; Gastrointestinal endoscopy, 2001, vol. 53, n°2, pp. 165-168 (23 ref.). ncKAionaio ρθκομθηαοβθηηβιμ nyTb n npeAnaraio cbom. CYLlļHOCTb H30EPETEHHfl. Τθχημηθοκθλ npo6neMa 03HaHtina qenb m 3aAany μοαμΦμκθμμμ 5nn>KaMUiero npoTOTuna HacTonuļero M3o6peTeHnn. Τθκοβνμ ββπηθτοπ οηαοοκοπ, κοτορΗϋ BKnioMaeT: • MCTOHHMKM ΑΒΒΑΘΗΜΗ, • 3HAOCKonnMecKyto Tpy6Ky, KOTopaa ΒκηιοΗββτ KaHanbi n «nanaHbi, κοτορωβ cooāLiļaiOT hctohhmkm AaBneHMa c nccneAyeMoii nonocTbto, b tom Mucne MHCTpyMeHTanbHbiM KaHa/i.
Uerib HacTOflmero Μ3θ6ρθτβΗΜη - o6ecneHeHne 6bicTporo ποβτορηογο ncnonb30BaHna 3ΗΑθοκοπΜΗβοκοίί Tpy6KM, τθχημμθοκββ 3aAasa - C03AaHne SHAOCKona c θηαοοκοπμηθοκομ Tpy5KOM 6β3 nonocTefi, Tpe6ytomnx A^nTenbHoiži n cjitokhom o6pa5oTKM. ΤβΧΗΜΗβοκΜΜ pe3vnbTaTOM peujeHMH 3τοιλ 3aAam/i cTan 3ηαοοκοπ, BKmoMaraiiļMii: • 3HAOCKonnHecKyK) Tpy6xy, BKnKwaK)myio TonbKO HHCTpyMeHTanbHbiiži KaHan, • ΒΗΘΙΑΗΜΜ Tpy6HaTblM 3ΑΘΜΘΗΤ B BHA© Tpy6KM, OAHH KOHeiļ ΚΟΤΟροίί ρθ3ΑΒΟΘΗ Μ npncnoco6neH pj\n οοθαμηθημη c HHCTpyMeHTanbHbiM KaHanoM μ ββθαβημη MHCTpyMeHTa, a APyrow pa3BeTBneH m npncnoco6neH A^n οοθαμηθημη c μοτοηημκθμμ AaeneHMn, LV 13860 • KnanaHbi, κοτορωβ b βνκπιοηθηηομ ποπο>κθημμ nepeflaBJinBatoT οτβθτβπθημη Tpy6HaToro aneivieHTa, a bo βκπκμθηομ - ocBo6o>KflaK)T, • MHCTpyMeHTanbHbiii KaHan c naTepanbHbiM BbixoflOM Ha nMH3y οδ-beKTHBa, • 3amyiiiKy npnMoro Bbixofla HHCTpyMeHTanbHoro KaHana, • 3amyiiiKy exofla Tpy6naToro aneMemra, npeflHa3HaHeHHoro flna MHCTpywieHTa. llepeMMcneHHbie Bbime θπθμθητν cocTaBnntoT cucTeMy, coeflHHatou4yK) mctohhmkm αθβπθημβ c nccne,qyeMOM nonocTbio. Bot Ha3HaHeHMe aneMeHTOB: • HHCTpyi\/ieHTa/ibHbiM KaHan θηαοοκοπμηθοκομ Tpy6KM yHMBepcanbHbiPi, oh očecneHMBaeT, πομμμο cbomx TpaflHLļMOHHbix cpyHKL(Mi/i, noAany b MccneflyeMyio nonocTb ra3a m >KMflKOCTM. Ero ΑΜΘΜΘΤρ MO>KHO yBej1MHMTb 3a ΟΗβΤ ΜΘΟΤΘ yflanēHHblX KaHanOB. • Tpy6MaTbiii θπθμθητ - 0AHopa3OBan nacTb ci/iCTeMbi, to ecTb oh npeflHa3HaneH TonbKo flnn OflHoro nai4neHTa. Υημτνβθη npocTyio KOHCTpyKL(MK> Tpy6naToro aneMem-a, ero CTomviocTb 6y,qeT He3HaHMTenbHoii. Oh μο>κθτ 6biTb μ3γοτοβπθη, HanpMMep, M3 cnnnKOHa. • KnanaHbi ποΒοηηιοτ BbiāopoiHO coeflMHMTb tot hjim mhom mctohhmk c nHCTpyMeHTanbHbiM KaHanoM. B οπτμμ3πβηομ BapiiaHTe ohm 6yflyT HaxoflMTbca Ha ΟΤΒβΤΒΠΘΗΜΑΧ Tpy6naTOrO 3ΠΘΜΘΗΤ3. Πθ Tpa/ļHLļHH ΚΠΘΠΘΗΝ ΜΟίγΓ 6blTb KnaBMLUHbIMM M b BMfle 6noKa pa3MemeHbi Ha pyKo«TKe θηαοοκοπμηθοκομ Tpy6KH. npenMymecrBO nepeflaBnnBaKDLL(HX «nanaHOB b tom, hto He HapyLuaiOT LļenocTHOCTn Tpy6HaToro aneMeHTa. flonycTMMbi m flpyme KnanaHbi, HanpMMep, nefla/ibHbie m pacnono>KeHHbie Ha ΜΟΤΟΗΗΜΚ3Χ flaBneHHH. • HHCTpyMeHTanbHbiM KaHan c naTepanbHbiM βνχοαομ npeAHa3HaneH Ann ohmctkm nnH3bi OābeKTHBa, χοτη BCe τρίΐ nMH3bl MO>KHO BbIMbITb Μ Ηβρβ3 ΠρΗΜΟΜ BblXOA KaHana. ΠρΜ ΒΒβΑβΗΗΟΜ MHCTpyMeHTe, 3aKpbiBaioii4eM πρηΜΟΜ βηχοα MHCTpyMeHTanbHoro KaHana, CMCTeMa βκπκ)Η3θτ: • Tpy6HaTbiiži aneMeHT, • cBo6oAHyK) ot MHCTpywieHTa nacTb HHCTpyMeHTanbHoro KaHana, • naTepanbHbiiži βηχοα MHCTpyMeHTanbHoro KaHana. ripu A^aMeTpe MHCTpyMeHTa m KaHana, HanpMMep, 2,3 mm m 4 mm, nnouļaAb 3a3opa Mex<Ay hmmm 6yAeT cooTBeTCTBOBaTb Tpy6Ke AnaMeTpoM 3 mm. Οτογο αοοτθτοηηο απη AeKOMnpeccMM MccneAyeMOM nonocTM, noAaHM ra3a mv\ >kmakoctm. • 3amyujKM MHcrpyMeHTanbHoro KaHana mo>kho Mcnonb30BaTb ana θηαοοκοπμμ >KenyAOHHO-KMLueHHoro Tpaicra npn npomo3e, hto 6μοπομη m Apyrne MHCTpyMeHTanbHbie onepaLļui/i ηθ noHafločfiTcn. Ecnu npeflnojio>KeHMe ηθ onpaBflaeTca, 3amyuJKa exofla b KaHan M3BneKaeTca, a 3amyujKa Bbixofla BbiflaBOMBaeTca MHCTpyivieHTOM b Tpaicr.
/1ΠΗ φΐΛΚ03141/1Ι/1 ΟΤΒβΤΒΠβΗΙΛΜ Tpy5MaT0IO SneMeHTa K KOMMyHWKaUMOHHOM MaCTM 3HflocKonnMecKoii Tpy6KM mo>kho ncnonb30BaTb Knuncbi. Προοτθη KOHCTpyKL4MH Tpy6MaToro ajieivieHTa, κπι/ιποοβ m 6noKa nepe,qaBnMBaioiiļMX icnanaHOB πο3βοπβθτ coBMecTMTb mx b OflHOpa30BOM ΚΟΜΠΠΘΚΤΘ.
MbiTbē 3HflocKonMHecKOM Tpy6KM, He MMetometi KnanaHOB, c oahmm KaHanoM, MMetouļUM 6o/ibujyK» nnomaflb nonepenHoro οθμθημβ (npn fluaMeTpe, Hanpmviep, 4 mm oHa b 11 pa3 6ojibiiie nnomafln οθμθημβ KaHana αμθμθτρομ 1,2 mm), 3aiiMeT He 6o/iee 20 mhh. BpeMB MbiTba coKpamaeT pa3HMi4a αθβπθημμ Ha KOHuax KaHana, HanpnMep: +1 6ap Ha npoKCHManbHOM h -0,8 6ap Ha AMCTanbHOM. KPATKOE ΟΠΙ/ICAHHE MEPTE>KEM. M3o6peTeHne nnniocTpiipyeT Ηθρτβ>κ 1/1, rfle b MacujTače 1:1 (Ha φΜΓ. 1-4) m 2,5:1 (Ha φι/ir. 5A, 5B) n3o6pa>t<eHbi:
Ha φΜΓ. 1 - pyKOHTKa SHflocKonMHecKoii Tpy6KM, Tpy6HaTbiii 3πθμθητ c 6jiokom KnanaHOB, Mecia coeflHHeHMa Tpy6HaToro aneMeHTa c MHCTpyMeHTanbHbiM κθηθπομ h Tpy6KaMM HCTOHHHKOB ΑΘΒΠΘΗΜΗ;
Ha φΜΓ. 2 - nonepenHoe ceneHne ββοαμμομ nac™ SHAOCKonMHecKoti Tpy6Kn;
Ha φΜΓ. 3A - nonepeHHoe ceneHi/ie KOMMyHMKaL4MOHHoii Mac™ βηαοοκοπμηθοκομ Tpy6Kw;
Ha φΜΓ. 3B - nonepeHHoe ceneHMe οτβθτβπθημμ Tpy6HaToro aneMeHTa m yAep>KMBa(omei/i nx KTIMnCbi;
Ha φΜΓ. 3B - nonepeHHoe ceneHiie OTBeTBneHMii Tpy6Haioro aneMeHTa, κπμποη, KOMMyHi/iKaqnoHHoii nacTH SHAOCKonnHecKoii Tpy6KM b cēope;
Ha φΜΓ. 4 - npoAonbHoe ceneHMe 6noKa KnanaHOB;
Ha φΐ/ir. 5A - bha c6oKy AncTanbHOH ronoBKH bboahmoh nāc™ c ββθαθηηβιμ HHdpyMeHTOM;
Ha φΜΓ. 5B - τορβΜ AMCTanbHoii ronoBKH bboammom nacTU c ββθαθηηνμ MHCTpyMeHTOM. CBEflEHUfl, nOflTBEP>KflAIHHE BOMO>KHOCTb OCyiiļECTBnEHHP H30BPETEHHR OcHOBHbiMH ηθοτβμμ KOHCTpyKLļnn ABnatoTcn SHAOCKonMHecKan Tpy6Ka, Tpy6HaTbiii SneMeHT, 6ηοκ KnanaHOB. θΗΑΟοκοπΜΗβαοη Tpy6Ka (cm. Ha φΜΓ. 1, 2, 3A, 5A, 5B) ΒκηκίΗθβτ: 1 - pyKOBTKy, 2 - KOMMyHMKai4MOHHyK) nacTb, 3 - BBOAHMyK) HaCTb, 4 - AncTanbHyra ronoBKy nāc™ 3, LV 13860 5 - MHCTpyMeHTanbHbiM KaHan, 6 - Φμτμηγ KaHana 5, 7 - npnMOM Bbixofl KaHana 5, 8 - naīepanbHbiH Bbixofl KaHana 5, 9 - nHH3y OāteKTMBa, 10 - nnH3bi CBeTOBOfla, 11- HHCTpyM6HT, 12 - eflHHM-ļbi BoyfleH-THra, 13 - CBeTOBOfl, 14 - I13C Ka6enb.
Tpy6HaTbiM sneivieHT BKntoMaeT: 15 - L4eHTpanbHyto Tpy6Ky, 16 - 6nφypκa^nκ), 17 - ΟΤΒΘΤΒηθΗΜΗ, 18 - κοηθμ, HafleBaeMbiii Ha Φμτμηγ 6, 19 - Βχο/ļ b KaHan 5, 20 - ynnoTHeHne nHCTpyMeHTa. Βηοκ KnanaHOB 21 ΒκηκίΗθθτ: 22 - Aep>KaTenb, 23 - KnanaHbi, 24 - npy>KMHbi KnanaHOB.
Tpy6HaTbiižl aneMeHT c ηθαθτημι/ι Ha ero OTBeTBneHMfl 17 KnanaHaMM 23, bxoahlammm b 6ηοκ 21 (cm. Ha Φμγ. 1 m 4), m KnnncaMW 25 (cm. Ha Φμγ. 3B m 3C), yAep>KHBatolaumu οτΒΘΤΒηβΗΜΗ 17 Ha HacTM 2 3HAOCKonnHecKoii Tpy6KM, cociaBBT 0AH0pa30Bbiii CTepnnbHbiM κοΜπηβκτ. 3arnyuJKa 26 bxoa3 19 m 3arnyujKa 27 BbixoAa 7 KaHana 5 MoryT AononHHTb KOMnneKTbi pf\n racTpo3HTeponornMecKHX 3ηαοοκοποβ. floAroTOBKa κ 3ηαοο<οπμμ βκπιοηθθτ: • HaAeeaHue 6noKa KnanaHOB 21 Ha pyKOHTKy 1 (cm. Φμγ. 1 μ Φμγ. 4), • Η3Α6Β3ΗΜΘ ΚΠΜΠϋΟΒ 25 Ha HaCTb 2 (cm. φΜΓ. 3A, 3B, 3C), • HaAeeaHMe kohiab 18 Ha Φμτμηγ 6 (cm. Φμγ. 1), • COeAMHeHMe KOHLļOB ΟΤΒΘΤΒηθΗΜΜ 17 C MCTOHHMKaMM AaeneHMB (cm. φΜΓ. 1), • 3aKpbiTMe BXOAa 19 m BbixoAa 7 3arnyiiJKaMM 26, 27, v\m ββθαθημθ b KaHan 5 MHCTpyMeHTa 11. Πρι/ι ncnonb30BaHMM 3amyiiieK 26, 27 noflflyB, fleKOMnpeccnn nccne,qyeMOM nonocni, οημοτκθ nnH3bi oā^beKTUBa 9 ocyu4ecTBnBeTca KaK n paHbLue - Η3>κ3τι/ιβΜ cooTBeTCTByu4eii κηοπκι/ι 6noKa 21, /ļnn nHCTpyi\/ieHTanbHoro BMemaTenbCTBa, Hanpmviep, 6noncnn Haflo M3Bnenb 3amyLUKy 26, nepe3 Bxofl 19 BBecrn b KaHan 5 MHCTpyMeHT 11 m BbiflaBUTb mm 3arnyiiiKy 27. B flanbHeMineM 5 ecē βηαοοκογμηθοκμθ cf)yHKLļMM TaioKe peann3yK)TCH KaK oSbiHHO, c yHeTOM, mto OHMCTKy oāiaeKTMBa 9 Ha/ļo npoBOflUTb npn 3aKpbiTOM Bbixofle 7 (cm. Ha Φμγ. 5A μ 5B).
Ilocne ocMOTpa Ha/ļo ocBoāoflmb 3HflocKonMHecKyro Tpy6xy m mctohhmkm flaBneHMfl ot Tpy6HaToro sneMema. 06pa6oTKa βηαοοκοπμηθοκομ Tpy6KM Μθ>κβτ 6biTb py-iHOM nnn 10 MamuHHoPi, oflHaKo, nocKonbKy b Ηθίί ηθτ «nanaHOB m TonbKO oflUH KaHan, fluaMeTp κοτοροΓΟ 6onbLue ηθμ y npoTOTuna, npoi4eflypa MbiTbfl 6y/ļeT npocToiži n Henpo,qo>KMTenbHOM.
CneflyeT οτμθτμτβ, hto 3arnyLiiKy 27 mo>kho ncnonb30BaTb TonbKO ripu 3HflocKonnn >KenyflOMHO-KMLueHHoro Tpaicra, nocKonbKy οηθ μο>κθτ ββιμτμ ecTecTBeHHbiM nyīeM. 15 LV 13860
IIpeTeH3HH 1. 3Hfl0CK0n, BKnKHaiUMM l/ICTOHHMKM ΑβΒΠΘΗΜΛ, 3HflOCKOni1MeCKyiO Tpy6Ky, BKTllOHaiOmyiO MHCTpywieHTajibHbiii KaHan (5), O T J1 Μ Η A fO LLļ 1/11/1 C τθμ, hto BKmonaeT Tpy6MaTbiii 5 θπθμθητ b Bi/ifle Tpy6KM (15), οαμη ΚΟΗΘ14 κοτοροίί pa3flBoeH (16) m npncnoco6neH flna coeflMHeHna c MHCTpyMeHTanbHbiM KaHanoM (5) n ββθαθημβ MHCTpyMeHTa (11), a APyroii Ρ33ΒβΤΒΧ1βΗ (17) Μ ΠρΗΟΠΟΟΟβηθΗ PJRfl ΟΟΘΑΜΗΘΗΙΊΗ C MCTOHHMKaMH ΑΘΒΠΘΗΜΒ. 2. Θηαοοκοπ non. 1, OTJlMMAlOLLļHi/ICfl τθμ, ητο βκγκομθθτ KnanaHbi (23), κοτορΗθ b 10 BblKTIKDHeHHOM Πθηθ>ΚΘΗΜΙΊ ΠΘρθΑΘΒΠΜΒΘΙΟΤ ΟΤΒΘΤΒΠΘΗΜΛ (17) Tpy6MaTOrO ΘΠΘΜΘΗΤΘ, a ΒΚΠΙΟΗΘΗΗΟΜ - OCB06o>KAaK)T. 3. Θηαοοκοπ no π. 1, OTJlMHAlOLLlUMCfl τθμ, mto MHcrpyMeHTanbHbiM KaHan (5) μμθθτ naTepanbHbiii βνχοα (8) Ha nnH3y (9) oā-beKTHBa. 15 4. Θηαοοκοπ no n. 3, OTJlMHAlOlHHI/ICfl τθμ, mto MHCTpyMeHTanbHbiM KaHan (5) μμθθτ 3arnyujKy (27) BbixoAa (7) HHCTpyMeHTa (11). 20 25 30 35 40 LV 13860 ΡΕΦΕΡΑΤ. Lļenb Μ3θ6ρΘΤΘΗΜΒ - ΟββΟΠβΗΘΗΜΘ 6blCTporO ΠΟΒΤΟρΗΟΓΟ MCnonb30BaHMfl 3HflOCKOna, TexHHMecKaa 3a/ļaHa - co3flaHMe SHAOCKona c βηαοοκοπμηθοκοη τργδκοίί 6e3 ποηοστβΜ, Tpe6yK)innx οπο>κηογο MbiTbn.
Pe3yjribTaTOM pemeHna 3aflann cran 3ηαοοκοπ BKTHOHatoinnii: • 3HAOCKonimecKyio Tpy6Ky, BKnt04atouļyio ronbKO HHCipyMeHTanbHbiM KaHan, • Tpy6HaTbiii θπθμθητ b BUfle TpyčKH, oamh KOHeu κοτοροκ pa3AB08H v\ npucnocoāneH a*w οοθαηηθημη c HHCTpyMeHTanbHbiM KaHanoM n ββθαβημη nHCTpyMeHTa, a APyrofi pa3BeTBneH n npucnocoSneH απη οοθαμηθημ^ c μοτοηημκθμμ αββπθημλ, • KnanaHbi, KOTopbie nepeAaBnuBatOT οτβθτβ/ιθημ^ Tpy6HaToro sneivieHTa, a ripu ΒΚΠΚΜΘΗΙ/ΙΜ - OCB06o>KAaK)T, • MHCTpyMeHTa/ibHbM KaHan c naTepanbHbiM βνχοαομ Ha nnH3y ο6βθκτμβ3.
Ha Ηθρτβ>κβ n3o6pa>KeHbi: • pyKonTKa 1 OAHOKaHanbHOM 3HAOCKonnHecKOM Tpy6KH, KOTopan He μμθθτ «nanaHOB, • Tpy6HaTbiM aneivieHT 15, 16, 17 c δηοκοΜ KnanaHOB 21, • MecTa coeAUHeHMM Tpy6Haioro aneivieHTa c Φμτμηγομ 6 nHCTpyMeHTanbHoro KaHana 5 m MCTOHHUKaMM AaBneHHn.
Tpy5MaTbiiži aneivieHT 15, 16, 17, 6ηοκ KnanaHOB 21, HaAeTbix Ha οτΒβτΒηβΗΐιη 17, «nnncbi 25, Φηκο^κκιιμθ οτΒβτεηβΗΜη 17 Ha κομλ/^ημκθμμοηηομ nacTM 2, cocTaBnniOT OAHopa30Bbiii CTepiīnbHbiM κομππθκτ. Θηαοοκοπμμθοκθη Tpy6Ka δβ3 KnanaHOB c yHHBepcanbHbiM KaHanoM 5 h 0AH0pa30Bblii ΚΟΜΠηβΚΤ o6ecneHMBaK)T BCe TpaAHLļM0HHbl6 φyHKL|^IM. MbITbē 3HAOCKOnHHeCKOM Tpy6KM c oahhm KaHanoM 5, μμθιοιιιμμ 6onbwtiii, μθμ y npoTOTMna AMaMeTp, 3aiiMeT οκοηο 20 MI/IH. LV 13860

Claims (5)

  1. PRETENZIJAS 1. Endoskops, kas iekļauj spiediena avotus un endoskopisko caurulīti, kurā iekļauts instrumentālais kanāls (5), kas atšķiras ar to, ka instrumentālajam kanālam (5) ir laterāla izeja (8) uz objektīva lēcu (9), bet taisnās izejas (7) diametrs ir tuvs instrumenta distālās daļas (11) diametram.
  2. 2. Endoskops pēc 1. punkta, kas atšķiras ar to, ka satur cauruļveida elementu caurulītes (15) veidā, kuras viens gals sazajojas vairākās daļās (16, 18, 19) un ir pielāgots savienošanai ar instrumentālo kanālu (6, 5) un instrumenta ievadei, bet otrs gals (17) ir sazarots un ir pielāgots savienošanai ar spiediena avotiem.
  3. 3. Endoskops pēc 2. punkta, kas atšķiras ar to, ka satur vārstuļus (23), kuri izslēgtā stāvoklī noslēdz cauruļveida elementa atzarojumus (17), bet ieslēgtā stāvoklī tos atbrīvo.
  4. 4. Endoskops pēc 2. punkta, kas atšķiras ar to, ka instrumentālajam kanālam (5) ir taisnās izejas (7) noslēgs (27).
  5. 5. Endoskops pēc 2. punkta, kas atšķiras ar to, ka cauruļveida elementam ir instrumenta ievades vietas (19) noslēgs (26).
LVP-08-44A 2008-03-20 2008-03-20 Endoskops ar vienkanāla endoskopisku caurulīti un vienreizējas lietošanas komplektu, kas savieno tās kanālu ar spiediena avotiem LV13860B (lv)

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LVP-08-44A LV13860B (lv) 2008-03-20 2008-03-20 Endoskops ar vienkanāla endoskopisku caurulīti un vienreizējas lietošanas komplektu, kas savieno tās kanālu ar spiediena avotiem
CN2009801099666A CN101977540A (zh) 2008-03-20 2009-03-21 具有单通道内窥镜管的内窥镜及连接该通道与压力源的一次性组件
US12/922,851 US20110015487A1 (en) 2008-03-20 2009-03-21 Endoscope with single-channel endoscopic tube and disposable set, connecting the channel with pressure sources.
JP2011500312A JP5331870B2 (ja) 2008-03-20 2009-03-21 単一経路の内視鏡チューブを有する内視鏡及び圧力源と経路を接続する使い捨てセット
PCT/IB2009/005056 WO2009115914A2 (en) 2008-03-20 2009-03-21 Endoscope with single-channel endoscopic tube and disposable set, connecting the channel with pressure sources

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WO2013030775A1 (en) 2011-08-29 2013-03-07 Art Healthcare Ltd. Postpyloric feeding device and methods for using thereof
US10098523B2 (en) 2015-11-18 2018-10-16 Art Healthcare Ltd. Sheath and hub for imaging endoscope

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