WO2001089371A1 - Dispositif de nettoyage d'instrument optique destine a un appareil endoscopique - Google Patents
Dispositif de nettoyage d'instrument optique destine a un appareil endoscopique Download PDFInfo
- Publication number
- WO2001089371A1 WO2001089371A1 PCT/EP2001/005521 EP0105521W WO0189371A1 WO 2001089371 A1 WO2001089371 A1 WO 2001089371A1 EP 0105521 W EP0105521 W EP 0105521W WO 0189371 A1 WO0189371 A1 WO 0189371A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- shell section
- endoscopy
- housing
- fastening
- cleaning device
- Prior art date
Links
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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00101—Insertion part of the endoscope body characterised by distal tip features the distal tip features being detachable
-
- 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
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
- A61B1/00091—Nozzles
-
- 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
- A61B1/12—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 with cooling or rinsing arrangements
- A61B1/126—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 with cooling or rinsing arrangements provided with means for cleaning in-use
-
- 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
- A61B1/12—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 with cooling or rinsing arrangements
- A61B1/127—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 with cooling or rinsing arrangements with means for preventing fogging
Definitions
- the present invention relates to an optical cleaning device for an endoscopic device, which has a housing and an optical unit arranged at the distal end of the housing, with a sleeve device, an insufflation channel and a rinsing channel, the distal end of the endoscopic device, in particular the image entry area of the optical unit, by means of a gas stream can be cleaned by the insufflation channel and a liquid flow through the rinsing channel.
- an endoscopy unit consists of an optical unit used for imaging and a light source, usually implemented in optical waveguide technology, for illuminating the object under consideration.
- the optical unit was conventionally removed from the corresponding body cavity and cleaned extracorporeally with, for example, warmed saline solution and reinserted into the corresponding body cavity through a trocar.
- This is fundamentally time-consuming and involves an increased risk of complications, since during this time the operating area cannot be observed, the operating team is additionally burdened and the operating times are extended. This may result in poor surgical outcomes.
- the laparoscopic operation has to be stopped and the conventional method continues with large body sections.
- the problem underlying the present invention therefore generally consists in creating an optical cleaning device which cleans the optical unit in the body when necessary.
- an instrument which consists of an endoscopy unit and a cladding tube, an insufflation channel, a rinsing / drying channel of the distal image entry surface of the optical unit and heating of the entire instrument being integrated in the cladding tube such that a clear endoscopic view is guaranteed during the entire endoscopic procedure.
- DE 43 40 056 AI describes a surgical laparoscopic device with a protective tube and a handle attached to its rear side, an axial guide channel and a rinsing or suction channel being provided in the protective tube.
- optical cleaning attachment should be applicable to all existing optical units of the endoscopy devices.
- the optics cleaning device has a detachably attachable shell section (2) which has an insufflation channel (3) and a rinsing channel (4), the image entry surface (24) of the optics unit (22) can be cleaned by means of a gas flow through the insufflation channel (3) and a liquid flow through the rinsing channel (4), the flows being able to be conducted onto the image entry surface (24) by means of a current deflection device (7).
- the current deflection device is arranged at the distal end of the shell section.
- the current deflection device is curved and is arranged with its concave inner profile facing the optical unit, but without restricting its field of vision.
- the current deflection device is arranged on the shell section so as to be pivotable with respect to an axis oriented perpendicular to the axis of symmetry of the endoscopy device.
- the angle of the current deflection device with respect to the optical plane can thus be realized for an optimal reflection of the gas and liquid flow onto the image entry surface. This offers a significant advantage in particular in the case of optical units which have a certain inclination with respect to the axis of symmetry of the endoscopy device.
- a fastening device is integrally formed on the shell section. This is intended to achieve an additional clamping effect and to prevent the optical cleaning device from slipping on the endoscopy device housing.
- the shell section is formed from an elastically deformable plastic. This results in low manufacturing costs on the one hand and no major disposal problem on the other.
- the optical cleaning device can be attached as an attachment to differently dimensioned endoscopy devices, for example with different diameters. As a result, the existing endoscopy devices can continue to be used and high acquisition costs for new endoscopy devices including optics cleaning devices can be avoided.
- the shell section partially encloses the outer circumference of the endoscopy device housing. This depends on the diameter of the corresponding endoscopy device.
- the fastening device is designed as a spring clip or clip.
- the two flow channels are integrated in the shell section.
- no additional hoses, for example, have to be guided on the shell section and the entire arrangement forms a compact part.
- the fastening device is designed as an elastically deformable rail, which can be plugged onto or onto the shell section and clamped onto the housing.
- the two flow channels are integrated in this mounting rail.
- This mounting rail adapts more easily to the curve of the housing than, for example, supply hoses arranged on the housing.
- the fastening rail has plug connections connected to the flow channels at the distal end for a connection to the flow deflecting device, the flow deflecting device having through holes which are designed to conform to the plug connections and thus a gas and / or liquid flow through the flow channels to the flow deflecting device is ensured ,
- the shell section together with the current deflecting device can have a smaller size and no bores in it are necessary for the formation of flow channels.
- the flow is supplied via channels formed in the fastening rail.
- the fastening rail can be mounted on or on the shell section on the endoscopy device housing by means of fastening elements. These fastening elements can be designed as plastically deformable clip-on clips which, spaced apart in the axial direction, press the fastening rail together with flow hoses or the like onto the housing.
- supply elements for supplying the corresponding and / or liquid flows can be connected to the flow channels at the proximal end of the optical cleaning device.
- a metering of the gas and / or liquid flow can be controlled by means of valve devices in the feed lines.
- the liquid flow can be regulated and the consumption of, for example, the saline solution used can be reduced.
- the shell section and the fastening device are formed from materials approved in laparoscopic medicine.
- the shell section and the fastening device are sterile packed and made from recyclable material. As the relevant facilities are used only once due to the risk of infection, attention should be paid to these circumstances.
- the shell section and the fastening device are designed for repeated use and are accordingly completely disinfectable.
- edges and smaller recesses where impurities can stick can be avoided. Understandably, this significantly reduces the cost.
- the optics cleaning device has a preferably additional heating device for heating the optics unit of the endoscopy device.
- the gas and / or liquid flows can be heated to a predetermined temperature, in particular to body temperature, before the supply line. This also prevents fogging of the optical unit.
- the optical cleaning device can be mounted smoothly on the housing of the endoscopy devices without lateral projections for the entire arrangement to slide in the trocar. Since the trocar can easily be damaged in the case of angular projections, all the devices attached to the housing are preferably provided with curves and, due to their plastic deformation, are optimally adapted to the housing shape.
- FIG. 1 shows a perspective view of an endoscopy device with a clamped-on optical cleaning device and supply hoses according to a first exemplary embodiment of the present invention
- Figure 2 is a front view of a mounting bracket for the supply hoses.
- FIG. 3 shows a perspective view of a front section of an endoscopic device with a clamped-on optical cleaning device according to a second
- FIG. 4 shows a side view of the front section of the endoscopy device according to the second exemplary embodiment from FIG. 3;
- FIG. 5 shows a front view of the optical cleaning device according to the second exemplary embodiment from FIGS. 3 and 4;
- FIG. 6a and FIG. 6b shows a perspective view of a front section of an endoscopy device with a clamped-on optical cleaning device according to a third exemplary embodiment of the present invention
- FIG. 7a shows a perspective view of a front section of an endoscopy device with a clamped-on optical cleaning device according to a fourth exemplary embodiment of the present invention
- FIG. 7b shows a plan view of the fastening rail according to the fourth exemplary embodiment from FIG. 7a;
- FIG. 8 shows a perspective view of a front section of an endoscopy device with a clamped-on optical cleaning device according to a fifth exemplary embodiment of the present invention
- FIG. 9 shows a side view of the front section of the endoscopy device with an attached optical cleaning device according to the fifth exemplary embodiment from FIG. 8;
- FIG. 1 shows a perspective view of an endoscopy device 20 with an attached optical cleaning device 1, the endoscopy device 20 having a housing 21 and a handle 29 attached to the proximal end of the housing shaft.
- a light connection 27 for connecting a light source and a monitor connection 28 for connecting a camera or a monitor are provided on the handle 29.
- An optical unit 22 is attached to the distal end of the housing 23 and is arranged at a distance from one another from an image entry area 24 and around the circumference of the image entry area. Neten optical fibers 30 there.
- the individual optical fibers 30 guide the light fed in by the light source at the light connection 27 to the distal end of the housing 23 in order to ensure sufficient illumination of the optical unit 22 or the image entry surface 24 during operations in, for example, dark body cavities. , ,
- the optical cleaning device 1 is formed in one piece with an elastically deformable shell section 2, advantageously made of an elastic plastic and as a half shell.
- an elastically deformable spring clip 5 bent in the form of a clasp.
- a current deflection device 7 is provided at the distal end 16 of the shell section 2, which projects with a small upper-side section over the optics unit 22 and is formed distally on the shell section 2 as a curved projection.
- two flow channels 3 and 4 are formed in the longitudinal direction, an insufflation channel 3 for a gas flow and a flushing channel 4 for a liquid flow.
- the two channels 3 and 4 have a diameter of about 0.7 mm. However, the diameter is generally chosen so that an adequate gas or liquid supply is ensured.
- the channels 3, 4 are advantageously produced in an injection molding process or injected as cannulas.
- Thin flexible plastic hoses 25 for supplying the gas or liquid are attached to the openings of the channels 3, 4 located at the proximal end of the shell section 2 via small connecting hollow pins 31.
- the hollow pins 31 can already be fitted in the openings of the shell section 2 or can be plugged in together with the plastic hoses 25.
- the two plastic hoses 25 end in two adapter elements 32, which have the shape for the needle attachments common today.
- These adapters 32 can be easily Suitable hoses of containers are connected which contain the gas, for example carbon dioxide (CO 2 ), or the liquid, for example table salt (NaCl).
- the current deflection device 7 has the function of a reflection profile, through which the gas flow or liquid flow from the openings at the distal end of the shell section 2 is deflected onto the image entry surface 24 of the optical unit 22.
- the curved current deflection device 7 is designed and designed such that it does not restrict the field of view of the optical unit 22, i.e. is not inclined in front of the image entry surface 24. In order nevertheless to achieve a sufficient reflection angle, the outlet of the channel openings at the distal end can be inclined in the direction of the concave inside 8 of the current deflection device 7.
- the supply tubes 25 are fastened to the housing 21 of the endoscopy device 20 by means of fastening clips 14, as shown in FIG. 2.
- the fastening clip 14 is made of an elastically deformable material for adaptation to endoscopy housings with different diameters and has two recesses 15 on the inner peripheral surface of the U-shaped clip 14 for receiving the two tubes 25.
- FIGS. 3, 4 and 5 illustrate a front section of an endoscopy device 20 with an attached optical cleaning device 1 according to a second exemplary embodiment of the present invention.
- the optics cleaning device 1 is designed as an elastically deformable shell section 2 and is clamped onto the housing 21 of the endoscopy device 20 by means of two clamping clips 5 formed on the longitudinal sides.
- the shell section 2 is extended at the distal end 16 beyond the plane of the optical unit 22 and forms a current deflection device 7.
- This current deflection device 7 has the function of a reflection profile, its outer edges being chamfered towards the tip of the deflection device 7 and the inside optionally being concave is.
- two flow channels 3, 4 are formed, the openings of which are arranged in the direction of the inside of the current deflection device 7, as can be seen in FIG. 4.
- the flow channels 3, 4 are curved in the end region in the direction of the inside of the deflection device 7.
- an optimal reflection angle for the reflection of the flows on the inside of the current deflection device 7 onto the image entry surface 24 is created without a complex design of the optics cleaning device and without obstructing the view of the image entry surface 24.
- 6, 6a and 6b show a housing of an endoscopy device with an attached optical cleaning device according to a third exemplary embodiment of the present invention.
- the supply hoses 25 run on the housing 21 and are fastened to the housing 21 by means of clips.
- the hoses do not fit optimally on the housing.
- a fastening rail 10 is preferably coupled to the proximal end of the shell section 2 via plug connections 11, as can be seen from FIG. 6b.
- the fastening rail 10 has two channels 3, 4 and can be clamped to the housing 21 by means of additional fastening elements 13, which can be designed, for example, as additional clamps, the rail 10 likewise being designed as an elastically deformable shell section.
- 10 leads 25 are coupled to the proximal end of the rail.
- FIGS. 7a and 7b show a front section of an endoscopy device 20 with an attached optical cleaning device 1 according to a fourth exemplary embodiment of the present invention.
- the optics cleaning device 1 consists of a sleeve-shaped shell section 2 and a fastening rail 10.
- the shell section 2 is elastically deformable and preferably about 3 cm long and has a deflection device 7 at the distal end, which is arched and at the front end over the plane the optical unit 22 protrudes. Furthermore, the shell section 2 at the transition to the deflection device 7 has two symmetrically arranged through holes 12.
- the shell section 2 which partially encloses the housing 21 of the endoscopy device 20, there is an also elastically deformable fastening rail 10, which in the longitudinal direction preferably has an approximately the same length as the housing 21 of the endoscopy unit 20.
- Two channels 3 are in the fastening rail 10, 4 arranged for a supply line for the gas and liquid flows, two connecting hollow pins 31 being inserted into the openings at the proximal end of the fastening rail 10 analogously to the first exemplary embodiment for connecting the supply line hoses 25.
- the supply hoses 25 are connected to corresponding supply means analogously to what has already been mentioned above.
- plug connections 11 for coupling the fastening rail 10 to the distal end of the shell section 2, the two plug connections 11 being insertable into the conformally designed through holes 12.
- a passage through the two channels 3, 4 onto the inside of the current deflection device 7 is thus ensured for a cleaning flow onto the image entry surface 24.
- fastening elements 13 can be provided, which can be plugged on via the fastening rail 10 and clamp this on the housing 21.
- the deflection device 7 is arranged on the shell section 2 so as to be pivotable with respect to an axis oriented perpendicular to the axis of symmetry of the endoscopy device 20 and is supported via lateral projections 18 outside the image entry surface 24 in an optimal reflection angle in each case.
- an ideal angle of reflection for a reflection of the gas and / or liquid flows on the inside of the deflection device 7 onto the image entry surface 24 can also be set for those optical units that do not run perpendicular to the axis of symmetry of the endoscopy device, but rather certain angles of incidence, as in FIG Fig. 9 indicated by dashed lines.
- the invention thus provides an optics cleaning device which can be attached universally to existing endoscopy devices and enables optimal cleaning of the image entry area.
- 10a and 10b show valve devices 26 which can be integrated into the supply hoses 25 and serve to control the flow, for example the liquid flow.
- valve devices 26 which can be integrated into the supply hoses 25 and serve to control the flow, for example the liquid flow.
- a two-way lever valve or, as can be seen in FIG. 10b, a spring-loaded valve can be used.
- all parts of the optical cleaning device used are preferably made of materials approved in laparoscopic medicine, for example silicone, in order to rule out any danger to the patient.
- heating of the optical unit for example warm air heating
- it is provided to heat the gas and / or liquid streams externally to a predetermined temperature, in particular to body temperature, before a supply line.
- a trocar into which the endoscopy device is inserted during surgical interventions can be easily damaged if angular spots prevent optimal sliding when inserting and executing the endoscopy device together with the optical cleaning device.
- the entire arrangement is preferably to be provided in a compact manner without lateral projections and protruding edges for the entire arrangement to slide in the trocar without damage.
- Optic cleaning device shell section, insufflation channel, flushing channel, fastening device, current deflection device, concave inside, spacer, fastening rail, plug connections, through holes, fastening elements, clamp, recess, distal end of the sleeve device, proximal end of the optics cleaning device, shaping, endoscopy device, housing, optic unit, distal end of the housing, image inlet area, supply line elements, valve devices, light connection, fiber optic connector, monitor connection, handle connection
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Abstract
La présente invention concerne un dispositif de nettoyage d'instrument optique (1), destiné à un appareil endoscopique (20) qui comprend un boîtier (21) et une unité d'instrument optique, située à l'extrémité distale dudit boîtier (23). Ce dispositif de nettoyage d'instrument optique comprend une partie de coque (2), un canal d'insufflation (3) et un canal de rinçage (4). L'extrémité distale de l'appareil endoscopique (23), notamment la surface d'entrée d'image (24) de l'unité d'instrument optique (22), peut être nettoyée au moyen d'un courant gazeux à travers le canal d'insufflation (3) et d'un courant liquide à travers le canal de rinçage (4), après déviation par un dispositif de déviation de courant (7). Ladite partie de coque (2) est conçue sous forme de demi-coque à déformation élastique, permettant de serrer ledit dispositif de nettoyage d'instrument optique sur divers boîtiers d'appareil endoscopique présentant différents diamètres.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2001262290A AU2001262290A1 (en) | 2000-05-19 | 2001-05-15 | Lens cleaning device for an endoscope |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE2000124728 DE10024728A1 (de) | 2000-05-19 | 2000-05-19 | Optikreinigungsvorrichtung für ein Endoskopiegerät |
DE10024728.8 | 2000-05-19 |
Publications (1)
Publication Number | Publication Date |
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WO2001089371A1 true WO2001089371A1 (fr) | 2001-11-29 |
Family
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/EP2001/005521 WO2001089371A1 (fr) | 2000-05-19 | 2001-05-15 | Dispositif de nettoyage d'instrument optique destine a un appareil endoscopique |
Country Status (3)
Country | Link |
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AU (1) | AU2001262290A1 (fr) |
DE (1) | DE10024728A1 (fr) |
WO (1) | WO2001089371A1 (fr) |
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EP2106739A3 (fr) * | 2008-04-04 | 2010-01-06 | Olympus Medical Systems Corporation | Endoscope, endoscope équipé d'un couvercle à extrémité distale et gaine de nettoyage d'endoscope |
US7976501B2 (en) | 2007-12-07 | 2011-07-12 | Ethicon Endo-Surgery, Inc. | Trocar seal with reduced contact area |
US8100929B2 (en) | 2007-06-29 | 2012-01-24 | Ethicon Endo-Surgery, Inc. | Duckbill seal with fluid drainage feature |
US8273060B2 (en) | 2008-04-28 | 2012-09-25 | Ethicon Endo-Surgery, Inc. | Fluid removal in a surgical access device |
US8419624B2 (en) | 2009-10-12 | 2013-04-16 | Endoguard Limited | Flow guide |
US8579807B2 (en) | 2008-04-28 | 2013-11-12 | Ethicon Endo-Surgery, Inc. | Absorbing fluids in a surgical access device |
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USD735852S1 (en) | 2008-04-28 | 2015-08-04 | Ethicon Endo-Surgery, Inc. | Fluid remover |
USD736926S1 (en) | 2008-04-28 | 2015-08-18 | Ethicon Endo-Sugery, Inc. | Trocar housing |
US9358041B2 (en) | 2008-04-28 | 2016-06-07 | Ethicon Endo-Surgery, Llc | Wicking fluid management in a surgical access device |
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DE10024728A1 (de) | 2001-11-22 |
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