WO2021225136A1 - 内視鏡用ノーズピース及び内視鏡用ノーズピースの廃棄処理方法 - Google Patents

内視鏡用ノーズピース及び内視鏡用ノーズピースの廃棄処理方法 Download PDF

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Publication number
WO2021225136A1
WO2021225136A1 PCT/JP2021/017376 JP2021017376W WO2021225136A1 WO 2021225136 A1 WO2021225136 A1 WO 2021225136A1 JP 2021017376 W JP2021017376 W JP 2021017376W WO 2021225136 A1 WO2021225136 A1 WO 2021225136A1
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WO
WIPO (PCT)
Prior art keywords
nosepiece
drape
endoscope
nose
porous member
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2021/017376
Other languages
English (en)
French (fr)
Japanese (ja)
Inventor
工 出島
友博 大木
豊 千田
諒 石川
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fujifilm Corp
Original Assignee
Fujifilm Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Fujifilm Corp filed Critical Fujifilm Corp
Priority to DE112021002800.6T priority Critical patent/DE112021002800T5/de
Priority to JP2022519963A priority patent/JP7562652B2/ja
Priority to CN202180033644.9A priority patent/CN115515469A/zh
Publication of WO2021225136A1 publication Critical patent/WO2021225136A1/ja
Priority to US18/052,998 priority patent/US20230069180A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00148—Holding or positioning arrangements using anchoring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • C—CHEMISTRY; METALLURGY
    • C09—DYES; PAINTS; POLISHES; NATURAL RESINS; ADHESIVES; COMPOSITIONS NOT OTHERWISE PROVIDED FOR; APPLICATIONS OF MATERIALS NOT OTHERWISE PROVIDED FOR
    • C09J—ADHESIVES; NON-MECHANICAL ASPECTS OF ADHESIVE PROCESSES IN GENERAL; ADHESIVE PROCESSES NOT PROVIDED FOR ELSEWHERE; USE OF MATERIALS AS ADHESIVES
    • C09J7/00—Adhesives in the form of films or foils
    • C09J7/30—Adhesives in the form of films or foils characterised by the adhesive composition
    • C09J7/38—Pressure-sensitive adhesives [PSA]
    • 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
    • A61B1/00147—Holding or positioning arrangements
    • A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
    • 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
    • A61B1/233—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 for the nose, i.e. nasoscopes, e.g. testing of patency of Eustachian tubes
    • 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
    • A61B1/24—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 for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
    • C—CHEMISTRY; METALLURGY
    • C09—DYES; PAINTS; POLISHES; NATURAL RESINS; ADHESIVES; COMPOSITIONS NOT OTHERWISE PROVIDED FOR; APPLICATIONS OF MATERIALS NOT OTHERWISE PROVIDED FOR
    • C09J—ADHESIVES; NON-MECHANICAL ASPECTS OF ADHESIVE PROCESSES IN GENERAL; ADHESIVE PROCESSES NOT PROVIDED FOR ELSEWHERE; USE OF MATERIALS AS ADHESIVES
    • C09J2301/00—Additional features of adhesives in the form of films or foils
    • C09J2301/30—Additional features of adhesives in the form of films or foils characterized by the chemical, physicochemical or physical properties of the adhesive or the carrier
    • C09J2301/302—Additional features of adhesives in the form of films or foils characterized by the chemical, physicochemical or physical properties of the adhesive or the carrier the adhesive being pressure-sensitive, i.e. tacky at temperatures inferior to 30°C

Definitions

  • the present invention relates to a nosepiece for an endoscope and a method for disposing of a nosepiece for an endoscope, which is used by being attached to a patient's nose when the insertion portion of the endoscope is inserted through the nose.
  • the mucous membrane of the inner wall of the nose is weaker than that of the mouth, if the mucous membrane comes into direct contact with a nasal type endoscope and rubs against each other, it is easy to cause epistaxis. Therefore, it has become common to use an endoscopic nosepiece that is inserted into the external nostril.
  • This nosepiece for an endoscope has a conduit through which the insertion portion of the endoscope is inserted, and the insertion portion of the endoscope can be easily introduced into the body through the conduit.
  • the mucous membrane of the nose can be protected (see, for example, Patent Document 1).
  • the nosepiece for the endoscope and the nosepiece for the endoscope that can prevent the diffusion of droplets discharged from the mouth of the subject are disposed of.
  • the purpose is to provide a method.
  • the nosepiece for an endoscope of the present invention includes a nosepiece body and a drape.
  • the nosepiece main body is a nosepiece main body that is inserted into the external nostril of the subject when the insertion portion of the endoscope is inserted into the subject through the nose, and has a conduit through which the insertion portion is inserted.
  • the drape projects from the outer peripheral edge of the nosepiece body and is provided integrally with the nosepiece body to cover at least a part of the subject.
  • the drape is formed in a sheet shape, is folded when not in use, is attached to the drape in the folded state, and is provided with a holding member for holding the drape in the folded state.
  • the holding member is at least one of an adhesive tape, a locking member, a restraining member and a covering member.
  • the nosepiece body when inserted into the nostril of the subject, has an opening provided at the end of the conduit on the side of the subject that is located outside the body, and is provided in the opening to provide a fluid in the conduit. It is preferable to provide a fluid suppressing member that suppresses the passage of the water.
  • the fluid suppression member includes a first porous member having a first slit formed parallel to the insertion direction of the insertion portion and a second slit formed with a second slit parallel to the insertion direction of the insertion portion and intersecting the first slit. It preferably has a two-porous member and is attached to the opening.
  • the fluid suppression member has a first porous member in which at least three first slits are formed and a second porous member in which at least three second slits are formed, and is attached to the opening. Is preferable.
  • the number of the first slits formed in the first porous member is three and the number of the second slits formed in the second porous member is three.
  • the first porous member and the second porous member have a rectangular outer shape, one of the first slits is arranged orthogonal to one side of the first porous member, and one of the second slits. Is arranged orthogonal to one side of the second porous member, and the first porous member and the second porous member are positioned 180 ° around the central axis parallel to the insertion direction with respect to the first slit. It is preferable that the second slit is attached to the opening in a state where the second slit is arranged.
  • the fluid suppression member is preferably attached to the opening in a state where the first porous member and the second porous member are laminated.
  • the method for disposing of the nosepiece for an endoscope of the present invention includes a nosepiece main body inserted into the nostril of the subject and a nosepiece main body when the insertion portion of the endoscope is inserted into the subject through the nose.
  • This is a method for disposing of an endoscopic nosepiece using an endoscopic nosepiece provided with a drape that is integrally provided with and covers at least a part of the subject. It is removed from the nose of the subject along with the drape and discarded.
  • the method for disposing of the nosepiece for an endoscope of the present invention includes a nosepiece for an endoscope that is inserted into the external nose of the subject when the insertion portion of the endoscope is inserted into the subject through the nose.
  • This is a method for disposing of the nosepiece for an endoscope, which is provided separately from the nosepiece for the endoscope and uses a drape that covers at least a part of the subject. At the same time, it is removed from the nose of the subject and discarded.
  • the present invention when the insertion portion of the endoscope is inserted through the nose, it is possible to prevent the diffusion of droplets discharged from the mouth of the subject.
  • the endoscopic nosepiece 10 of the present invention is used for endoscopy using a nasal type endoscope 2.
  • the endoscope 2 is, for example, an upper gastrointestinal endoscope, and includes an insertion unit 3 inserted into the upper gastrointestinal tract of the patient 1 as a subject, and an operation unit 4 connected to the base end of the insertion unit 3.
  • a universal cord 5 connected to the operation unit 4 is provided.
  • the universal cord 5 is connected to an external device such as a processor device or a light source device via a connector (not shown).
  • An observation window and an illumination window are provided on the tip surface of the insertion portion 3, although not shown.
  • An image sensor (not shown) is placed behind the observation window, and an optical fiber cable (not shown) is placed behind the illumination window.
  • the signal line of the image sensor and the optical fiber cable are connected to the processor device and the light source device, respectively, through the insertion unit 3, the operation unit 4, and the universal cord 5.
  • the processor device performs image processing or the like on the endoscopic image captured by the image sensor and displays it on the monitor.
  • the nose piece 10 for the endoscope is attached to the nose N of the patient 1.
  • the nose piece 10 for an endoscope includes a nose piece main body 11A, a drape 12, a retaining member 14, and an adhesive tape 15.
  • the drape 12 has a small thickness and is formed in the shape of a quadrangular sheet.
  • the drape 12 is formed of a transparent vinyl sheet.
  • the drape 12 has an area that covers at least a part of the subject, for example, the head H (see FIG. 1) of the patient 1.
  • the drape 12 is folded when not in use, and the adhesive tape 15 is attached to the end portion.
  • the adhesive tape 15 is attached to the end portion.
  • the drape 12 is kept in a folded state. The method of folding the drape 12 and the method of attaching the adhesive tape 15 will be described later.
  • the nose piece main body 11A is integrally provided with a tubular portion 16 and a stopper portion 18.
  • the nosepiece body 11A is formed of a soft material such as a soft resin so that it can be easily attached to the nose N of the patient 1.
  • the tubular portion 16 is inserted into the nose N of the patient 1 when the insertion portion 3 of the endoscope 2 is inserted through the nose into the patient 1.
  • the tubular portion 16 has, for example, a circular or elliptical cross section so that it can be easily inserted into the nose N.
  • the length L1 of the tubular portion 16 may be, for example, a dimension within a range longer than the path length from the external nostril to the most narrowed part of the middle nasal meatus and shorter than the path length from the external nostril to the nasopharynx. preferable.
  • the tubular portion 16 Inside the tubular portion 16, there is a pipeline 19 through which the insertion portion 3 is inserted.
  • the pipeline 19 is a through hole having a circular or elliptical cross section.
  • the inner diameter of the pipeline 19 is formed according to the outer diameter of the insertion portion 3.
  • the tubular portion 16 has a plurality of fitting holes 21 provided at the end of the patient 1 located outside the body when inserted into the nose N.
  • the fitting holes 21 are arranged around the pipeline 19, and fitting pins 26, which will be described later, are fitted.
  • the stopper portion 18 is formed in a disk shape protruding from the outer diameter of the tubular portion 16.
  • the outer diameter of the stopper portion 18 is larger than the diameter of the outer nostril of the nose N.
  • the thickness of the stopper portion 18 is formed to be thicker than, for example, the wall thickness of the pipeline 19. As a result, even when the conduit 19 is pulled into the nasal cavity of the nose N, the rigidity is secured so that the stopper portion 18 is not pulled into the inside of the outer nostril.
  • the stopper portion 18 also serves as a handle when the nose piece main body 11A is inserted into the nose N of the patient 1.
  • the retaining member 14 is formed in a thin plate shape. Specifically, the outer shape of the retaining member 14 is formed in a disk shape that matches the stopper portion 18.
  • the retaining member 14 is formed of a soft material such as a soft resin.
  • the retaining member 14 is formed with an opening 25 and four fitting pins 26 (see FIG. 5).
  • the opening 25 is arranged at a position facing the pipe line 19 of the nose piece main body 11A.
  • the fitting pin 26 projects from a position around the opening 25 and facing the pipeline 19.
  • the fitting pin 26 fits into the fitting hole 21 of the nose piece main body 11A. As a result, the nose piece main body 11A and the retaining member 14 are coupled.
  • the drape 12 has an opening 12A fitted to the pipeline 19 and an opening 12B matched to the fitting hole 21.
  • the drape 12 does not block the pipeline 19, so that the insertion portion 3 can be inserted into the pipeline 19.
  • the drape 12 in FIG. 4 is shown by cutting out only the periphery of the opening 12A (the range surrounded by the alternate long and short dash line), and the actual size is larger than the range surrounded by the alternate long and short dash line. big.
  • the retaining member 14 sandwiches the drape 12 with the nose piece main body 11A. At this time, the retaining member 14 is fixed to the nose piece main body 11A by fitting the fitting pin 26 of the retaining member 14 into the opening 12B of the drape 12 and the fitting hole 21 of the nose piece main body 11A. be able to.
  • the drape 12 is sandwiched and fixed between the nose piece main body 11A and the retaining member 14 as described above. As a result, the drape 12 is located on the side facing the outside of the body of the patient 1 with respect to the stopper portion 18 when the tubular portion 16 is inserted into the nose N.
  • the drape 12 sandwiched between the nose piece main body 11A and the retaining member 14 projects from the outer peripheral edge of the nose piece main body 11A and is provided integrally with the nose piece main body 11A (state shown in FIG. 2), while the drape 12 is provided integrally with the nose piece main body 11A.
  • the drape 12 is folded when the nose piece 10 for an endoscope is not used, and the folded state is maintained by the adhesive tape 15 (the state shown in FIG. 3).
  • a method of folding the drape 12 and a method of attaching the adhesive tape 15 will be described.
  • the drape 12 when folding the drape 12, for example, the drape 12 is rolled from one end in the front-rear direction Y, and the drape 12 is rolled to the position of the nose piece main body 11A located at the center. After that, the drape 12 is also rolled from the other end in the front-rear direction Y. As a result, as shown in FIG. 7B, the drape 12 has a long strip shape.
  • the drape 12 is folded so as to be rolled from one end of the long strip. Then, after the drape 12 is rolled to the position of the nose piece main body 11A located at the center, the drape 12 is also rolled from the other end of the long strip shape. As a result, as shown in FIG. 8B, the drape 12 is in a small folded state. Then, the adhesive tape 15 is attached to the end of the drape 12 from the nose piece main body 11A. The end portion 15A of the adhesive tape 15 does not adhere to the drape 12, but protrudes from the outer shape of the drape 12. In this case, for example, the end portion 15A is folded back and the adhesive surfaces are attached to each other in advance to form a portion where the adhesive surfaces are not exposed on the adhesive tape 15.
  • the folded state of the drape 12 is maintained (the state shown in FIG. 3). Further, by not adhering the end portion 15A to the drape 12, when using the endoscopic nose piece 10, it is easy to grip the end portion 15A and peel off the adhesive tape 15.
  • the doctor first wears the nose mask 31 on the patient 1.
  • the nose mask 31 covers the main part of the nose N of patient 1.
  • the nose mask 31 is formed with a substantially circular opening 31A at a position corresponding to one outer nostril of the nose N.
  • a nose mask of a type that covers the nose N and mouth M of patient 1 may be worn.
  • the doctor grasps the stopper portion 18 and the tubular portion 16 and inserts the tubular portion 16 into the outer nostril of the nose N of the patient 1 through the opening 31A.
  • the tubular portion 16 is inserted until the stopper portion 18 comes into contact with the nose mask 31.
  • the nose piece 10 for the endoscope is attached to the nose N.
  • the doctor removes the adhesive tape 15 from the nose piece body 11A and the drape 12. By peeling off the adhesive tape 15, the drape 12 can be returned from the folded state to the original state, that is, the unfolded state. Then, as shown in FIG. 10, the head H of the patient 1 can be covered with the drape 12 by attaching the endoscopic nose piece 10 to the nose N and keeping the drape 12 in an expanded state.
  • the doctor passes through the conduit 19 of the endoscopic nosepiece 10.
  • the insertion portion 3 of the endoscope 2 is inserted into the body of the patient 1 from the nose N along the insertion direction Z.
  • the drape 12 covers the head H of the patient 1 and therefore is discharged from the mouth M (see FIG. 1) of the patient 1.
  • the drape 12 can prevent the spread of the droplets. Therefore, it is possible to prevent a person around the patient from inhaling the droplets discharged from the mouth M of the patient 1, so that droplet infection can be reliably prevented.
  • the nosepiece 10 for an endoscope is a disposable type in which the insertion portion 3 is removed from the mouth of the patient 1 and then removed from the nose N of the patient 1 together with the drape 12 and discarded.
  • the endoscopic nosepiece 10 can be removed from the nose of the patient 1 and then wrapped in the drape 12 for disposal, so that the attached nosepiece for the endoscope 1 does not diffuse. 10 can be discarded.
  • the endoscopic nose piece 40 includes a mouthpiece 41, a nose piece main body 11A, a drape 42, and a retaining member 14.
  • the nose piece main body 11A and the retaining member 14 have the same configuration as the endoscope nose piece 10 of the first embodiment, and the same parts and the like are designated by the same reference numerals and description thereof will be omitted. ..
  • the drape 42 has a small thickness and is formed in the shape of a quadrangular sheet.
  • the drape 42 is formed of a transparent vinyl sheet.
  • the drape 42 has an area that covers at least a part of the subject, for example, the head H of the patient 1.
  • an opening 42A is formed in addition to the opening 12A and the opening 12B similar to the drape 12 of the first embodiment.
  • the opening 12A has a shape that matches the outer shape of the porous member 43 described later.
  • the drape 42 does not block the porous member 43, so that the patient 1 can breathe through the porous member 43.
  • the drape 42 in FIGS. 12 and 13 is shown by cutting out only the periphery of the opening 12A, the opening 12B, and the opening 42A (the range surrounded by the alternate long and short dash line). The size is larger than the range surrounded by the alternate long and short dash line.
  • the retaining member 14 sandwiches the drape 42 between the nose piece main body 11A and the nose piece main body 11A, as in the first embodiment.
  • the drape 42 is sandwiched and fixed between the nose piece main body 11A and the retaining member 14.
  • the mouthpiece 41 is composed of a porous member 43, a mouthpiece main body 44, and a retaining member 45.
  • the mouthpiece body 44 is integrally provided with a tubular portion 46 and a frame portion 47.
  • the mouthpiece body 44 is made of a soft material such as a soft resin so that it can be easily attached to the mouth M of the patient 1.
  • the tubular portion 46 is a portion held in the mouth M of the patient 1.
  • the tubular portion 46 has, for example, an elliptical cross section.
  • the frame portion 47 is connected to the tubular portion 46 and is formed in a quadrangular frame shape.
  • the frame portion 47 is located outside the body of the patient 1 when the tubular portion 46 is held in the mouth M.
  • a pipeline 48 for passing air is provided inside the tubular portion 46 and the frame portion 47.
  • the pipeline 48 is a through hole having a circular or elliptical cross section.
  • the pipeline 48 has an opening 49 provided at the end of the patient 1 located outside the body when the tubular portion 46 is held in the mouth M.
  • the opening 49 is a rectangular opening that matches the frame 47.
  • Fitting holes 49A into which fitting pins 52, which will be described later, are fitted are formed at the four corners of the opening 49.
  • the porous member 43 is fine enough to allow air necessary for breathing to pass through and to block liquids such as droplets.
  • the porous member 43 is formed in the shape of a rectangle or a rectangular plate, and is formed in a size that can be accommodated in the opening 49. Further, the porous member 43 has fitting holes 43A formed at positions near the four corners. The fitting hole 43A is arranged at a position corresponding to the fitting hole 49A of the mouthpiece main body 44.
  • the retaining member 45 is formed in a thin plate shape.
  • the outer shape of the retaining member 45 is a shape that matches the frame portion 47.
  • the retaining member 14 is formed of a soft material such as a soft resin.
  • the retaining member 45 is formed with an opening 51 and four fitting pins 52 (see FIG. 13).
  • the opening 51 is arranged at a position facing the opening 49 of the mouthpiece main body 44.
  • the fitting pin 52 projects from a position around the opening 51 and facing the opening 49.
  • the fitting pin 52 fits into the fitting hole 49A of the mouthpiece main body 44. As a result, the mouthpiece main body 44 and the retaining member 45 are coupled.
  • the retaining member 45 sandwiches the drape 42 with the mouthpiece main body 44 in a state where the porous member 43 is housed in the opening 49. At this time, by fitting the fitting pin 52 of the retaining member 45 into the fitting hole 43A of the porous member 43 and the fitting hole 49A of the mouthpiece main body 44, the retaining member 45 is fitted into the mouthpiece main body 44. Can be fixed to. Since the position of the porous member 43 is restricted by the retaining member 45, the porous member 43 does not separate from the opening 49.
  • the drape 42 sandwiched between the mouthpiece main body 44 and the retaining member 45 protrudes from the outer peripheral edge of the mouthpiece 41 and is provided integrally with the mouthpiece 41 (state shown in FIG. 12). ). Similar to the drape 12 of the first embodiment, the drape 42 is folded when the nose piece 40 for the endoscope is not used, and the folded state is maintained by the adhesive tape 15. preferable.
  • the doctor After attaching the nose piece body 11A to the nose N and the mouthpiece body 44 to the mouth M, the doctor removes the adhesive tape 15. By peeling off the adhesive tape 15, the drape 42 can be changed from the folded state to the unfolded state. Then, by attaching the nose piece main body 11A to the nose N and the mouthpiece main body 44 to the mouth M and keeping the drape 42 in an expanded state, the head H of the patient 1 can be covered with the drape 12.
  • the doctor examines the endoscopic nosepiece 40.
  • the insertion portion 3 of the endoscope 2 is inserted into the body of the patient 1 from the nose N along the insertion direction Z through the conduit 19 of the endoscope 2.
  • the drape 42 covers the head H of the patient 1, the drape 42 prevents the diffusion of the droplets discharged from the mouth M of the patient 1. be able to.
  • the mouth M of the patient 1 is equipped with the mouthpiece 41 that allows air to pass through, the mouth M of the patient 1 does not interfere with the breathing of the patient 1.
  • the endoscopic nose piece 10 can be removed from the nose of the patient 1 and then wrapped in the drape 42 for disposal, so that the attached droplets of the patient 1 are diffused. Can be discarded without.
  • the mouthpiece 41 is composed of a porous member 43, a mouthpiece main body 44, and a retaining member 45, but the present invention is not limited to this, and the entire mouthpiece 41 is a sponge member. It may be composed of.
  • the nose piece 60 for an endoscope includes a nose piece main body 11B, a drape 12, a retaining member 14, and a fluid suppressing member 61.
  • the retaining member 14 has the same configuration as the endoscope nose piece 10 of the first embodiment, and the same parts and the like are designated by the same reference numerals and description thereof will be omitted.
  • the conduit 19 has an opening 62 provided at the end of the patient 1 located outside the body when the tubular portion 16 is inserted into the outer nostril of the nose N.
  • the nose piece main body 11B is the same as the nose piece main body 11A of the first embodiment except that it has an opening 62.
  • the opening 62 is a rectangular opening. Fitting holes 62A into which the fitting pins 26 are fitted are formed at the four corners of the opening 62.
  • the opening 62 is provided with a fluid suppression member 61.
  • the fluid suppressing member 61 suppresses the passage of fluid in the conduit 19 leading into the body of the patient 1.
  • the fluid suppression member 61 allows a gas such as air necessary for respiration to pass through and blocks a liquid such as droplets.
  • the stopper portion 18 in the present embodiment has a larger axial dimension than the stopper portions 18 in the first and second embodiments because the fluid suppressing member 61 is housed in the stopper portion 18.
  • the fluid suppression member 61 has a first porous member 63 and a second porous member 64.
  • the first porous member 63 is formed by forming a flexible porous material into a rectangular plate shape.
  • the first porous member 63 has a first slit 63A.
  • the first porous member 63 is formed in a size that can be accommodated in the opening 62.
  • the first slit 63A is formed parallel to the left-right direction X and parallel to the insertion direction Z of the insertion portion 3.
  • the left-right direction X is a direction orthogonal to the insertion direction Z.
  • the first porous member 63 has fitting holes 63B formed at positions near the four corners and at positions that do not interfere with the first slit 63A.
  • the fitting hole 63B is arranged at a position corresponding to the fitting hole 62A of the nose piece main body 11B.
  • the second porous member 64 is formed of a flexible porous material in a disk shape.
  • the second porous member 64 has a second slit 64A.
  • the second porous member 64 is formed in a size that can be accommodated in the opening 62.
  • the second slit 64A is formed in a direction parallel to the insertion direction Z and intersecting the first slit 63A. More specifically, the second slit 64A is formed parallel to the insertion direction Z and parallel to the front-rear direction Y.
  • the front-back direction Y is a direction orthogonal to the left-right direction X and the insertion direction Z.
  • the porous material forming the first porous member 63 and the second porous member 64 is a porous material having a pore size and a structure that allows a gas such as air necessary for breathing to pass through and blocks a liquid such as droplets.
  • a synthetic sponge obtained by foam-molding a resin or a natural sponge such as corpus cavernosum is used.
  • the first porous member 63 and the second porous member 64 may be formed separately, and the first slit 63A and the second slit 64A may be bonded and integrated in a crossed state.
  • the first porous member 63 and the second porous member 64 are housed in the opening 62, and the position in the insertion direction Z is regulated by the retaining member 14. As a result, the first porous member 63 and the second porous member 64 are attached to the opening 62 in a laminated state.
  • the retaining member 14 sandwiches the drape 12 between the fluid suppressing member 61 and the nosepiece main body 11B in a state where the fluid suppressing member 61 is housed in the opening 62. At this time, by fitting the fitting pin 26 of the retaining member 14 into the fitting holes 63B and 64B of the fluid restraining member 61 and the fitting hole 62A of the nose piece main body 11B, the retaining member 14 is fitted to the nose piece.
  • the fluid suppressing member 61 can be attached to the opening 62 while being fixed to the main body 11B. Since the position of the fluid suppressing member 61 is restricted by the retaining member 14 in the insertion direction Z, the fluid suppressing member 61 does not separate from the opening 62.
  • the drape 12 is sandwiched and fixed between the nose piece main body 11B and the retaining member 14. As a result, the drape 12 is located on the side facing the outside of the body of the patient 1 with respect to the stopper portion 18 when the tubular portion 16 is inserted into the nose N.
  • the drape 12 sandwiched between the nose piece main body 11B and the retaining member 14 protrudes from the outer peripheral edge of the nose piece main body 11B and is provided integrally with the nose piece main body 11B.
  • the drape 12 is preferably folded when the endoscope nose piece 60 is not used, and the folded state is maintained by the adhesive tape 15.
  • the doctor After attaching the nose piece body 11A to the nose N and the mouthpiece body 44 to the mouth M, the doctor removes the adhesive tape 15. By peeling off the adhesive tape 15, the drape 42 can be changed from the folded state to the unfolded state. Then, by attaching the nose piece main body 11A to the nose N and the mouthpiece main body 44 to the mouth M and keeping the drape 42 in an expanded state, the head H of the patient 1 can be covered with the drape 12.
  • the doctor passes through the conduit 19 of the nosepiece 60 for endoscopy and inserts the endoscope 2 into the insertion portion 3. Is inserted into the body of patient 1 from the nose N along the insertion direction Z. Similar to the endoscopic nosepiece 10 of the first embodiment, since the drape 12 covers the head H of the patient 1, the drape 12 prevents the diffusion of the droplets discharged from the mouth M of the patient 1. be able to.
  • the insertion portion 3 is inserted into the pipeline 19 through the fluid suppressing member 61, but since the first slit 63A and the second slit 64A intersect as described above, the positions of the gaps 63G and 64G are heavy. It doesn't become. That is, even if the insertion portion 3 is inserted through the fluid suppression member 61, or even if the insertion portion 3 is not inserted, the passage of the fluid can be suppressed and the droplets are prevented from leaking from the fluid suppression member 61. be able to.
  • the endoscopic nose piece 60 can be removed from the nose of the patient 1 and then wrapped in the drape 12 for disposal, so that the droplets of the attached patient 1 are diffused. Can be discarded without doing anything.
  • a mouthpiece 41 similar to the endoscope nosepiece 40 in the second embodiment may be provided.
  • the first porous member 63 and the second porous member 64 constituting the fluid suppression member 61 are each formed with one slit, but the present invention is not limited to this, for example.
  • Each porous member may be provided with three or more slits.
  • the fluid suppression member 70 is composed of a first porous member 71 and a second porous member 72, and three slits are arranged in a Y shape.
  • the fluid suppression member 70 is provided in the opening 62 of the nosepiece main body 11B, similarly to the fluid suppression member 61 of the third embodiment.
  • the fluid suppression member 70 has a first porous member 71 and a second porous member 72.
  • the first porous member 71 is formed of a flexible porous material in the shape of a rectangular plate.
  • the first porous member 71 has three first slits 71A to 71C.
  • the first slits 71A to 71C are arranged in a Y shape. More specifically, the first slits 71A to 71C are arranged at equal angle intervals of 120 ° and are connected at the center of the first porous member 71.
  • one first slit 71A is orthogonal to one side of the first porous member 71, that is, orthogonal to the left-right direction X and is arranged parallel to the front-rear direction Y.
  • the first porous member 71 is formed with a fitting hole 63B into which the fitting pin 26 is fitted, similarly to the first porous member 63 of the third embodiment.
  • the second porous member 72 is formed of a flexible porous material in the shape of a rectangular plate.
  • the second porous member 72 has three second slits 72A to 72C.
  • the second porous member 72 is the same as the first porous member 71 and is arranged by rotating the same member by 180 ° around the central axis parallel to the insertion direction Z, and the second slits 72A to 72C.
  • the second slits 72A to 72C are arranged at positions rotated by 180 ° around the central axis parallel to the insertion direction Z with respect to the first slits 71A to 71C.
  • one second slit 72A is orthogonal to one side of the second porous member 72, that is, orthogonal to the left-right direction X, and is arranged parallel to the front-rear direction Y.
  • Cost reduction can be achieved by using two of the same porous members.
  • the porous material forming the first porous member 71 and the second porous member 72 is the same as that forming the porous member in each of the above embodiments.
  • the first porous member 71 and the second porous member 72 are housed in the opening 62, and the position in the insertion direction Z is regulated by the retaining member 14. As a result, the first porous member 71 and the second porous member 72 are attached to the opening 62 in a laminated state.
  • the fluid suppressing member 70, the first porous member 71 and the second porous member 72 are integrally formed, and the integrally formed fluid suppressing member 70 is formed at the opening of the nosepiece main body 11B. It may be attached to 62. Further, the fluid suppressing member 70 may be fixed to the nose piece main body 11B or the like without using the retaining member 14.
  • the first slits 71A to 71C and the second slits 72A to 72C are formed.
  • the insertion portion 3 moves along the insertion direction Z while the outer peripheral surfaces of the insertion portion 3 are in close contact with each other.
  • the slits 63A and 64A are provided one by one.
  • the insertion portion 3 It is possible to insert the insertion portion 3 with a resistance smaller than that of the provided fluid suppression member 61 of the above embodiment, and further, there is a gap from the small diameter insertion portion 3 having a diameter of about 3 mm to the large diameter insertion portion 3 having a diameter of about 16 mm. It can be inserted with a small resistance.
  • the first porous member 71 and the second porous member 72 can be formed from the dense (less void) porous material, and the passage of droplets can be further suppressed.
  • the second porous member 264 must be aimed at the center of the first porous member 63 when the insertion portion 3 is inserted. Since the position of the slit 64A is deviated from the position of the slit 64A, the insertion resistance becomes large, but in the case of the fluid suppressing member 70, the three first slits 71A to 71C and the second slits 72A to 72C are the first porous member 71 and the second. Since the guide is provided at the center of the porous member 72, it is not necessary to aim at the center when inserting the insertion portion 3.
  • each of the first porous member 71 and the second porous member 72 is not limited to this, and four or more slits are provided. It may be provided. Even when four or more slits are provided, it is preferable that these slits are arranged at equal angular intervals and are connected at the center of the first porous member 71 and the second porous member 72.
  • the nosepiece bodies 11A and 11B and the drapes 12 and 42 are integrally provided, and when the drapes 12 and 42 are attached to the nose of the patient, the drapes 12 and 42 prevent the diffusion of droplets, but this is limited.
  • a drape adapter that is separate from the nosepiece for the endoscope may be provided, and the drape adapter may be fixed to the nosepiece for the endoscope.
  • the drape adapter 81 is used by being fixed to the endoscopic nose piece 80.
  • the configuration of the nosepiece 80 for an endoscope is the same as that of the mouthpiece main body 11A of the first and second embodiments, and the configurations of the respective parts are designated by the same reference numerals and the description thereof will be omitted.
  • the drape adapter 81 is composed of a fluid suppression member 83, a frame member 84, and a drape 85.
  • the fluid suppression member 83 has a first porous member 86 and a second porous member 87.
  • the first porous member 86 is formed in a disk shape and has a first slit 86A.
  • the first slit 86A is formed parallel to the left-right direction X and parallel to the insertion direction Z.
  • the second porous member 87 is formed in a disk shape and has a second slit 87A.
  • the second slit 87A is formed in a direction parallel to the insertion direction Z and intersecting the first slit 86A. More specifically, the second slit 87A is formed parallel to the insertion direction Z and parallel to the front-rear direction Y.
  • the frame member 84 is composed of a first frame member 84A and a second frame member 84B.
  • the first frame member 84A and the second frame member 84B are fitted to the outer peripheral surfaces of the first porous member 86 and the second porous member 87, and the first porous member 86 and the second porous member 86 and the second porous member 86 are fitted in the insertion direction Z.
  • the member 87 is sandwiched.
  • the drape 85 has a small thickness and is formed in the shape of a quadrangular sheet.
  • the drape 85 is formed of a transparent vinyl sheet.
  • An opening 85A that matches the outer shape of the drape 85 and the fluid suppression member 83 is formed.
  • the insertion portion 3 can be inserted into the pipeline 19 through the fluid suppression member 83.
  • the drape 85 in FIG. 21 is shown by cutting out only the periphery of the opening 85A (the range surrounded by the alternate long and short dash line), and the actual size is larger than the range surrounded by the alternate long and short dash line. big.
  • the first frame member 84A and the second frame member 84B sandwich the drape 85 in a state of being fitted to the outer peripheral surfaces of the first porous member 86 and the second porous member 87 (state shown in FIG. 20).
  • the first porous member 86 and the second porous member 87 are integrally provided in a laminated state, and the drape 85 is also integrally provided.
  • the first frame member 84A and the second frame member 84B are fixed to each other by adhesion or crimping.
  • a fitting pin may be formed on one of the first frame member 84A and the second frame member 84B, and a fitting hole may be formed on the other, and these may be fixed by fitting them.
  • the first porous member 86 and the second porous member 87 constituting the fluid suppression member 83 are attached to the frame member 84 in a laminated state, but the present invention is not limited to this, and the fluid suppression member 83 is not limited to this.
  • the first porous member 86 and the second porous member 87 may be integrally formed, and the integrally formed fluid suppressing member 83 may be attached to the frame member 84.
  • the drape 85 may be directly fixed to the outer peripheral surface of the integrally formed fluid suppression member 83 without providing the frame member 84.
  • the drape adapter 81 is fixed to the endoscope nose piece 80 via, for example, double-sided tape. In this case, it is preferable to fix the frame member 84 to the endoscopic nose piece 80.
  • the fluid suppressing member 83 is arranged at the end of the conduit 19 on the side outside the body of the patient 1.
  • the drape 85 is located on the side facing the outside of the body of the patient 1 with respect to the stopper portion 18 when the tubular portion 16 is held in the mouth M.
  • the doctor fixes the drape adapter 81 to the endoscopic nose piece 80.
  • the drape adapter 81 By fixing the drape adapter 81 to the nosepiece 80 for an endoscope and keeping the drape 85 in an expanded state, the head H of the patient 1 can be covered with the drape 85.
  • the doctor passes through the conduit 19 of the endoscopic nosepiece 80.
  • the insertion portion 3 of the endoscope 2 is inserted into the body of the patient 1 through the nose N.
  • the drape 85 covers the head H of the patient 1, so that the droplets discharged from the mouth M of the patient 1 are diffused. Can be prevented by the drape 85.
  • the fluid suppressing member 83 can suppress the passage of the fluid, and it is possible to prevent the droplets from leaking from the fluid suppressing member 83.
  • the endoscopic nose piece 80 is a disposable type in which the insertion portion 3 is removed from the nose N of the patient 1 and then removed from the nose N of the patient 1 together with the drape 85 and discarded. As a result, similarly to the first and second embodiments, the endoscopic nose piece 80 can be removed from the nose N of the patient 1 and then wrapped in the drape 85 and discarded. Therefore, the attached patient 1 The nosepiece 80 for the endoscope can be discarded without diffusing the droplets.
  • a pair of band attachment portions 92 may be integrally provided on the nose piece main body 11A, 11B or the retaining member 14. ..
  • a plurality of mounting holes 91A are formed at the end of the fixing band 91.
  • the fixing band 91 is made of a soft material such as rubber, and the end portion of the fixing band 91 can be attached to the attachment hole 91A through the band attachment portion 92.
  • the fixing band 91 As shown in FIG. 23, by attaching both ends of the fixing band 91 to the band mounting portion 92, the fixing band 91 is wound around the head H of the patient 1 to fix the endoscopic nosepiece 10. Can be done. As a result, the endoscopic nose piece 10 can be securely attached to the nose N. By changing the position of the mounting hole 91A through which the band mounting portion 92 is passed, the length of the fixing band 91 wound around the head H of the patient 1 can be adjusted.
  • any sheet-like member that covers at least a part of the subject may be used, for example. It may be formed from paper, cloth, or the like.
  • the upper gastrointestinal endoscope is raised as an example of the endoscope, but the present invention is not limited to this, and any nasal type endoscope may be used, for example, a bronchoscope.

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PCT/JP2021/017376 2020-05-08 2021-05-06 内視鏡用ノーズピース及び内視鏡用ノーズピースの廃棄処理方法 Ceased WO2021225136A1 (ja)

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DE112021002800.6T DE112021002800T5 (de) 2020-05-08 2021-05-06 Endoskop-nasenstück und endoskop-nasenstück-entsorgungsverfahren
JP2022519963A JP7562652B2 (ja) 2020-05-08 2021-05-06 内視鏡用ノーズピース
CN202180033644.9A CN115515469A (zh) 2020-05-08 2021-05-06 内窥镜用鼻架及内窥镜用鼻架的废弃处理方法
US18/052,998 US20230069180A1 (en) 2020-05-08 2022-11-07 Endoscope nosepiece and endoscope nosepiece disposal method

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CN115515469A (zh) 2022-12-23
JPWO2021225136A1 (https=) 2021-11-11

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