Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
  • A61B90/90—Identification means for patients or instruments, e.g. tags
  • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
• • 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
  • A61B1/00002—Operational features of endoscopes
  • A61B1/00059—Operational features of endoscopes provided with identification means for the endoscope
• • 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
  • A61B1/12—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
  • A61B1/121—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 post-use
  • A61B1/123—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 post-use using washing machines
• • 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
  • A61B1/121—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 post-use
  • A61B1/125—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 post-use using fluid circuits
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
  • A61B90/70—Cleaning devices specially adapted for surgical instruments
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
  • A61B90/90—Identification means for patients or instruments, e.g. tags
  • A61B90/94—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
  • A61B90/96—Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
• • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
  • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
  • F16L—PIPES; JOINTS OR FITTINGS FOR PIPES; SUPPORTS FOR PIPES, CABLES OR PROTECTIVE TUBING; MEANS FOR THERMAL INSULATION IN GENERAL
  • F16L21/00—Joints with sleeve or socket
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B17/00—Surgical instruments, devices or methods
  • A61B2017/00477—Coupling
  • A61B2017/00486—Adaptors for coupling parts with incompatible geometries
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
  • A61B90/70—Cleaning devices specially adapted for surgical instruments
  • A61B2090/701—Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes
• • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
  • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
  • F16L—PIPES; JOINTS OR FITTINGS FOR PIPES; SUPPORTS FOR PIPES, CABLES OR PROTECTIVE TUBING; MEANS FOR THERMAL INSULATION IN GENERAL
  • F16L2201/00—Special arrangements for pipe couplings
  • F16L2201/60—Identification or marking

Definitions

• the invention relates to an adapter device for use in a treatment device for reprocessing surgical instruments, in particular endoscopes, wherein the adapter device is provided on the input side with at least one fluid connection for connection to a coupling device of the treatment device and on the output side of which at least one fluid connection is provided Connection with the surgical instrument is used and is geometrically adapted to a connection of the surgical instrument.
• the invention further relates to a treatment system with a treatment device for reprocessing surgical instruments, in particular endoscopes, and with an adapter device, wherein the treatment device has a coupling device for connecting, in particular connecting, with an adapter device comprising the preparation system.
• the invention relates to a method for operating a treatment system comprising
• CONFIRMATION COPY Send at least one adapter device.
• Dressers of surgical instruments typically have systems that clean and disinfect both the outer surfaces of the surgical instruments and the channels or channel systems thereof. For this purge cycles are usually provided.
• the hygienic result of the preparation depends on the flow rates whose size is limited by the maximum flushing pressures permissible for the respective surgical instrument. These maximum permissible flush pressures are set differently for different manufacturers of surgical instruments. These range, for example, in some manufacturers of 0.8 bar differential pressure up to 2.0 bar differential pressure on the part of the applicant.
• the rinsing cycles for the preparation of the channels or channel systems of surgical instruments, in particular flexible endoscopes, are preferably designed for the highest possible flow rate.
• the permissible flow rate is defined by the surgical instrument with the lowest permissible pressure, which is compatible with the treatment device or with the treatment system.
• the treatment devices or processing systems are suitable for various surgical instruments, this results in that in endoscopes with a higher pressure release of the fluid or with a higher permissible fluid pressure, a poorer hygienic result is accepted or the corresponding surgical instrument for a good hygienic He- longer be prepared. This is due to the fact that the treatment device or the treatment system is designed for a pressure that is caused by the surgical instrument that can withstand the lowest maximum pressure.
• an adapter device for use in a processing device for processing surgical instruments, in particular endoscopes, wherein the adapter device is provided on the input side with at least one fluid connection for connection to a coupling device of the treatment device and on the output side of which at least one fluid connection is provided which is for connection to the surgical instrument and is geometrically adapted to a connection of the surgical instrument, which is further developed by the adapter device having an adapter identification feature recognizable by the preparation device.
• the adapter device according to the invention in a processing device for processing surgical instruments, it can be quickly recognized which surgical instrument is to be cleaned, so that the fluid pressure can be adapted to the respective surgical instrument so that a very good hygienic result can be achieved in a relatively short time Time is possible.
• the end pieces of the fluid connections of the adapter device or the end piece of the fluid connection of the adapter device only with one type of surgical instrument or the channel connections fits, so as to provide a clear assignment of an adapter device to a surgical instrument. Due to the mechanical coding of the fluid connections or the fluid connection and the counterpart provided for this purpose on the channel of the surgical instrument, swapping of the adapter device is precluded.
• the adapter device is also provided according to the invention with an adapter identification feature, by means of which the processing device can recognize which adapter device is used, so that the processing device or in the processing device, the correct pressure to be provided for flushing the surgical instrument, are provided can.
• the adapter identification feature comprises an RFI D transponder, a bar code and / or a magnetic coding.
• an RFID transponder in or on an adapter device.
• the adapter device when it is arranged in a washing compartment of the processing device, can be identified or identified by means of an RFID reading device, which is included in the processing device. This information can then subsequently be used to provide the ideal irrigation system for the surgical instrument connected to the adapter device. to adjust pressure.
• An eminent advantage here is that it is ensured via the adapter identification feature that there is always the information as to which adapter device, which is designed, for example, as an adapter plate, is connected to the processing device.
• a processing device for the preparation of surgical instruments, in particular endoscopes, and provided an adapter device, wherein the processing device comprises a coupling device for connecting, in particular connecting, with the adapter device.
• a detection device is provided which, in particular in an adapter device connected to the processing device or in an adapter device connected to the processing device, recognizes the adapter identification feature of the adapter device.
• the recognition device is preferably on, in or in arranged near the coupling device.
• the coupling device By means of the coupling device, in particular, a fluid connection of the processing device to the adapter device takes place.
• an RFID reading device Preferably, an RFID reading device, a bar code reading device and / or a magnetic field recognition device is or are provided.
• the recognition devices it is preferred for reasons of cost if only one of the recognition devices is provided, that is to say either an RFID reading device, a bar code reading device or a magnetic field recognition device.
• two or more of these detection devices may also be provided in order to enable a very reliable detection of the adapter device.
• a plurality of coupling devices are provided, each of which is connectable or connected to an adapter device or a plurality of adapter devices.
• a plurality of, in particular also different, surgical instruments can be connected to the processing device via the respective adapter device, which makes the processing system extremely efficient.
• a control or controllable pump is provided in the treatment device for each provided in the treatment device adapter device. This can efficiently different fluid pressures are supplied to the various surgical instruments.
• a basket for storing a surgical instrument is provided in the preparation device, wherein the basket has a basket identification feature recognizable by the preparation device, which is in particular dependent on the recognition device. tion of the treatment device is recognizable or recognized.
• the system thus includes a basket in which a surgical instrument can be stored or received.
• the basket has a basket identification feature with which identification of the basket and thus also of a surgical instrument introduced into the basket is possible in accordance with the identification feature for the adapter device.
• the same recognition device could be used for recognizing the basket identification feature as that which also recognizes the adapter identification feature.
• the basket identification feature comprises an RFI D transponder, a bar code or a magnetic coding.
• the RFID transponder is particularly preferred in this case.
• an RFI D reading device serves as a recognition device, which recognizes in particular both the RFI D transponder of the basket and the RFI D transponder of the adapter device.
• the information as to which basket is or will be incorporated into the conditioning device in connection with an adapter device could be used to release certain baskets only for particular editing programs. This can be useful, for example, if the treatment device or the treatment system also offers the possibility of thermal treatment. This could prevent damage to flexible endoscopes due to high temperatures and the damage of other surgical instruments, for example by chemicals.
• the object is further achieved by a method for operating a processing system described above comprising at least one adapter device described above the following process steps:
• At least one channel of the surgical instrument is flushed with the fluid at the set fluid pressure. It is particularly preferred if a plurality of adapter devices are connected or connected to the processing device and an individual fluid pressure is set for each adapter device. By means of this individual fluid pressure then various surgical instruments can be processed, for example, be rinsed.
• Fig. 1 shows schematically a processing system according to the invention.
• FIG. 1 shows schematically a treatment system 1 according to the invention which comprises a treatment device 2.
• the treatment device 2 has sufficient space or space to three endoscopes 7, 7 ', 7 "in designated baskets 1 5, 1 5', 15" stored.
• the endoscopes have corresponding channels that are to be rinsed.
• the endoscopes with hoses 1 3 are connected, which are to be connected to different endoscope terminals 1 8.
• the endoscope connections 18 are mechanically coded differently depending on the channel or depending on the type of endoscope and also, depending on the manufacturer of an endoscope, so that the respective tubes 1 3 with their end pieces (not shown) fit exactly onto the channel inputs.
• each endoscope which are to be connected accordingly.
• the hoses 13 are on the output sides 17, 17 'and 17 "of the Adapter devices 3, 3 ', 3 "are connected to the input side 16, 16', 16" of the adapter device 3, 3 ', 3 ", each with a coupling device 8, 8', 8". the processing device 2 connected.
• a control or regulating device 11 is used, which receives corresponding signals from the reading devices 6, 6' and 6 via the signal lines, which are shown in dashed lines. receives. These signals are processed accordingly.
• An association with the respective surgical instrument takes place so that the pressure suitable for the respective surgical instrument 7, 7 'and 7 "is adjusted by means of the pumps 10, 10' and 10".
• a rinsing circuit is used for rinsing the channels of the endoscopes 7, 7 ', 7 ", for which purpose rinsing fluid is conveyed through the channels of the endoscopes and sprayed or sprayed onto the endoscopes from the outside via fluid distributors 14 and 14 ', which are preferably rotatably mounted.
• the respective rinsing cycle looks like that rinsing liquid is removed by means of the circulation pump 19 from the washroom of the treatment device 2 and the fluid manifolds 14 and 14 'is supplied.
• the conduit 12 is provided, by means of which the rinsing fluid is then supplied to the pumps 10, 10' and 10 ", in which case the conduit 12 'is eliminated
• a line 12' is provided. The line 12 "then falls away, in which case the pumps 10, 10 'and 10" flushing liquid automatically drain from the washing area of the treatment device 2.
• the respective baskets 15, 1 5 'and 15 may have a RFI D transponder 5, 5', 5", so that a unique identification of the respective basket is possible.
• RFID transponders and an RFID reader or an RFI D reading device
• other recognition devices can also be used, as already mentioned above.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Surgery (AREA)
• Engineering & Computer Science (AREA)
• Medical Informatics (AREA)
• Veterinary Medicine (AREA)
• Pathology (AREA)
• Public Health (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• General Health & Medical Sciences (AREA)
• Biomedical Technology (AREA)
• Heart & Thoracic Surgery (AREA)
• Animal Behavior & Ethology (AREA)
• Molecular Biology (AREA)
• Physics & Mathematics (AREA)
• Biophysics (AREA)
• Radiology & Medical Imaging (AREA)
• Optics & Photonics (AREA)
• Oral & Maxillofacial Surgery (AREA)
• Mechanical Engineering (AREA)
• General Engineering & Computer Science (AREA)
• Electromagnetism (AREA)
• Surgical Instruments (AREA)
• Endoscopes (AREA)

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• 2012
  • 2012-10-16 DE DE102012218811.8A patent/DE102012218811B4/de active Active
• 2013
  • 2013-10-07 JP JP2015537159A patent/JP2015532156A/ja not_active Ceased
  • 2013-10-07 CN CN201380053595.0A patent/CN104717934B/zh not_active Expired - Fee Related
  • 2013-10-07 WO PCT/EP2013/003005 patent/WO2014060076A1/de not_active Ceased
  • 2013-10-07 EP EP13776722.4A patent/EP2908760A1/de not_active Withdrawn
• 2015
  • 2015-04-15 US US14/687,160 patent/US9775679B2/en active Active

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