WO2022107629A1 - 内視鏡用カート及び内視鏡用機器 - Google Patents

内視鏡用カート及び内視鏡用機器 Download PDF

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Publication number
WO2022107629A1
WO2022107629A1 PCT/JP2021/040968 JP2021040968W WO2022107629A1 WO 2022107629 A1 WO2022107629 A1 WO 2022107629A1 JP 2021040968 W JP2021040968 W JP 2021040968W WO 2022107629 A1 WO2022107629 A1 WO 2022107629A1
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WIPO (PCT)
Prior art keywords
light source
endoscope
ultraviolet light
ultraviolet
unit
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
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PCT/JP2021/040968
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English (en)
French (fr)
Japanese (ja)
Inventor
康二郎 小谷
豊 千田
勝蔵 井山
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
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Fujifilm Corp
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Publication date
Application filed by Fujifilm Corp filed Critical Fujifilm Corp
Priority to JP2022563696A priority Critical patent/JP7792348B2/ja
Priority to CN202180077866.0A priority patent/CN116648178A/zh
Publication of WO2022107629A1 publication Critical patent/WO2022107629A1/ja
Priority to US18/318,690 priority patent/US20230285614A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Disinfection or sterilisation of materials or objects, in general; Accessories therefor
    • A61L2/02—Disinfection or sterilisation of materials or objects, in general; Accessories therefor using physical processes
    • A61L2/08—Radiation
    • A61L2/10—Ultraviolet [UV] radiation
    • 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
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
    • A61B50/13—Trolleys, e.g. carts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/33—Trays
    • 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
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Disinfection or sterilisation of materials or objects, in general; Accessories therefor
    • A61L2/26—Accessories
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2103/00—Materials or objects being the target of disinfection or sterilisation
    • A61L2103/15—Laboratory, medical or dentistry appliances, e.g. catheters or sharps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/11—Apparatus for generating biocidal substances, e.g. vaporisers, UV lamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/12—Apparatus for isolating biocidal substances from the environment
    • A61L2202/121—Sealings, e.g. doors, covers, valves, sluices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/12—Apparatus for isolating biocidal substances from the environment
    • A61L2202/122—Chambers for sterilisation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/16—Mobile applications, e.g. portable devices, trailers, devices mounted on vehicles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/17—Combination with washing or cleaning means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2209/00—Aspects relating to disinfection, sterilisation or deodorisation of air
    • A61L2209/10—Apparatus features
    • A61L2209/11—Apparatus for controlling air treatment
    • A61L2209/111—Sensor means, e.g. motion, brightness, scent, contaminant sensors

Definitions

  • the present invention relates to an endoscope cart and an endoscope device.
  • endoscopic device In the medical field, it is practiced to observe the gastrointestinal tract using an endoscope.
  • users such as doctors, technicians, and nurses directly contact and operate endoscope devices such as endoscopes, light source devices, and processor devices. ..
  • endoscopic device In order to prevent the infection of pathogens and viruses associated with the contact of the user, the endoscopic device is sterilized or sterilized before the examination or the like.
  • Patent Document 1 in a light source device or a processor device, a plurality of covering members are stacked on an operation portion of a front plate, and the covering members are peeled off after inspection to maintain cleanliness.
  • the touch panel on the front surface of the endoscope processor is covered with a film set on the entire surface, and the film is peeled off after the inspection to save the trouble of cleaning or disinfecting.
  • Patent Document 3 when endoscopy is not performed in an endoscope cart, the monitor is covered with a hood, and at least the front surface of the endoscope device such as a processor mounted on the cart. Is covered with a screen curtain to prevent dust from adhering to endoscopic equipment.
  • Japanese Unexamined Patent Publication No. 10-309262 Japanese Unexamined Patent Publication No. 2012-135471 Japanese Unexamined Patent Publication No. 2007-75392
  • Patent Document 1 or 2 When a covering member or a film is used as in Patent Document 1 or 2, it is complicated to replace each inspection. In addition, it may not be possible to determine whether or not the covering member or the like has been replaced. Furthermore, the peeled covering member or the like needs to be disposed of, and infection control measures are required in the disposal. Further, with respect to Patent Document 3, since it is necessary to open the hood or the screen curtain during the inspection, droplets or the like may adhere to the endoscope device or the like. In this case, the virus or the like attached to the endoscope device or the like cannot be removed. Therefore, instead of preventing the adhesion of droplets to the endoscope equipment, it has been required to be able to sterilize the endoscope equipment even if the droplets or the like adhere to the endoscope equipment.
  • An object of the present invention is to provide an endoscope cart and an endoscope device capable of sterilizing the endoscope device even when droplets or the like adhere to the endoscope device. do.
  • the endoscope cart of the present invention includes a mounting section for mounting the endoscope device and an ultraviolet light source section for irradiating the endoscope device with ultraviolet rays.
  • the top plate provided above the mounting portion and the handle portion provided in front of the top plate are provided, and the ultraviolet light source portion is provided on the handle portion.
  • the ultraviolet light source unit is provided on the slide plate.
  • the endoscope device is irradiated with ultraviolet rays from at least either upward or diagonally upward.
  • a top plate provided above the mounting portion and a drawer portion provided between the top plate and the mounting portion and having a slide plate movable between the storage position and the drawer position pulled out from the storage position. It is preferable that the rotating panel is rotatably attached to the slide plate between the closed position and the open position, and the ultraviolet light source unit is provided on the rotating panel.
  • a light source housing provided with an ultraviolet light source unit and a light source holding unit that holds the light source housing, which can be moved in the first direction and rotates in a second direction orthogonal to the first direction. It is preferable to include an ultraviolet light source unit composed of a possible light source holding portion.
  • the ultraviolet light source unit has an ultraviolet light source that emits ultraviolet rays and an emission unit that emits ultraviolet rays toward an endoscope device, and it is preferable that the ultraviolet light source and the emission unit face each other.
  • the ultraviolet light source unit has an ultraviolet light source that emits ultraviolet rays, a light guide plate that guides ultraviolet rays emitted from the ultraviolet light source, and an emission unit that emits ultraviolet rays toward an endoscope device, and has a light guide plate and an emission unit. Is preferably opposed to each other.
  • the ultraviolet light source is preferably either an excimer lamp or an LED.
  • the endoscope device is one or more of a processor device, a light source device, a balloon controller, a water supply device, an air supply device, a navigation device, a diagnostic support device, an ultrasonic observation device, and a treatment tool power supply. It is preferably a combination.
  • the endoscope device of the present invention includes an ultraviolet light source unit that irradiates ultraviolet rays.
  • a light source housing provided with an ultraviolet light source unit and a light source holding unit that holds the light source housing, which can be moved in the first direction and rotates in a second direction orthogonal to the first direction. It is preferable to include an ultraviolet light source unit composed of a possible light source holding portion.
  • the ultraviolet light source unit has an ultraviolet light source that emits ultraviolet rays and an emission unit that emits ultraviolet rays toward an endoscope device, and it is preferable that the ultraviolet light source and the emission unit face each other.
  • the ultraviolet light source unit has an ultraviolet light source that emits ultraviolet rays, a light guide plate that guides ultraviolet rays emitted from the ultraviolet light source, and an emission unit that emits ultraviolet rays toward an endoscope device, and has a light guide plate and an emission unit. Is preferably opposed to each other.
  • the ultraviolet light source is preferably either an excimer lamp or an LED.
  • a processor device a light source device, a cleaning and disinfecting device, a balloon controller, a water supply device, an air supply device, a navigation device, a diagnostic support device, an ultrasonic observation device, and a treatment tool power supply. Is preferable.
  • the endoscope device can be sterilized.
  • the endoscope system 10 includes an endoscope 12, a light source device 14, a processor device 15, a display 16, and an endoscope cart 20 on which and transports these devices. And prepare.
  • the endoscope 12 photographs the observation target.
  • the light source device 14 emits illumination light to irradiate the observation target.
  • the processor device 15 controls the endoscope system 10.
  • the display 16 is a display unit that displays an observation image or the like based on an endoscopic image.
  • the endoscope 12 includes a soft portion 12a to be inserted into the subject, an operation portion 12b provided at the base end portion of the soft portion 12a, a curved portion 12c provided on the distal end side of the flexible portion 12a, and a tip portion 12d. have.
  • the angle knob 12e of the operation portion 12b By operating the angle knob 12e of the operation portion 12b, the curved portion 12c is curved.
  • the tip portion 12d faces in a desired direction.
  • the endoscope 12 includes a cord 12f connected to the light source device 14 and the processor device 15, is optically connected to the light source device 14, and is electrically connected to the processor device 15.
  • the insertion portion of the endoscope 12 is composed of a flexible portion 12a, a curved portion 12c, and a tip portion 12d.
  • the endoscope cart 20 includes a frame pedestal portion 21, four casters 22, columns 23 and 24, a top plate 26, shelf plates 27 and 28, a stand 29, and two hangers 32.
  • the frame pedestal portion 21 is formed in a substantially rectangular shape, and casters 22 are provided at four corners.
  • the columns 23 and 24 are columnar members erected upward from both side ends of the frame pedestal portion 21.
  • the top plate 26 is formed in a substantially rectangular shape and is arranged at the upper ends of the columns 23 and 24. Both end portions of the top plate 26 are fixed to the inside of the upper end portions of the columns 23 and 24.
  • the shelves 27 and 28 are mounting portions for mounting endoscopic equipment and the like, are formed in a substantially rectangular shape, and are fixed to the inside of the intermediate portions of the columns 23 and 24.
  • the endoscope device includes a balloon controller, a water supply device, an air supply device, a navigation device, a diagnostic support device, an ultrasonic observation device, a treatment tool power supply, and the like.
  • Each caster 22 is provided with a stop lever 22a for restricting its rotation. The rotation of the caster 22 is restricted when the stop lever 22a is raised, and the caster 22 can be rotated when the stop lever 22a is lowered.
  • the top plate 26, the shelf plate 27, and 28 are panels on which an endoscope device or the like is placed on the upper surface thereof.
  • the processor device 15 and the light source device 14 are mounted on the upper surface of the shelf plate 27. It is placed.
  • the top plate 26 is provided with a handle portion 25a in front. The user can easily move the endoscope cart 20 by holding the handle portion 25a by hand. Between the top plate 26 and the shelf plate 27, a drawer portion 25b that can be moved between the storage position (state in FIG. 2) and the drawer position pulled out from this storage position (state in FIG. 4) is provided. ing.
  • the drawer portion 25b houses a keyboard 30 (see FIGS. 4 and 5) used for input to the processor device 15 and the like.
  • the display 16 is fixed to a stand 29 attached to the upper end of the left column 24, and is connected to the processor device 15 via wiring in the stand 29 and the column 24.
  • a hanger stand 31 is attached to the upper end of the support column 23 on the right side.
  • the hanger stand 31 is composed of an L-shaped stand member 31a and a linear stand member 31b. One end of the stand member 31a is rotatably attached to the support column 23.
  • Two hangers 32 are fixed to the stand member 31b.
  • the hanger 32 has a notch or a groove, and the operation portion 12b of the endoscope 12 can be held in the notch or the groove to suspend the endoscope 12 on the hanger 32.
  • the stand member 31b is rotatably connected to the other end of the stand member 31a. As a result, the position of the endoscope 12 held by the hanger 32 can be adjusted by rotating the stand members 31a and 31b with respect to the support column 23.
  • the endoscope cart 20 is provided with an ultraviolet light source unit that irradiates the endoscope device with ultraviolet rays.
  • an ultraviolet light source unit 40 is provided with respect to the handle unit 25a.
  • the ultraviolet light source unit 40 is provided on the lower surface of the handle portion 25a, and irradiates the light source device 14 or the processor device 15 with ultraviolet UV rays.
  • the ultraviolet light source unit 40 is preferably provided so that the ultraviolet UV is irradiated to at least one of the operation panel 14a of the light source device 14 or the operation panel 15a of the processor device 15 (irradiation from above or diagonally above).
  • Ultraviolet UV is used for sterilization or sterilization of endoscopic equipment, as will be described later.
  • the upper direction means an upward direction with respect to the vertical direction V (see FIGS. 2 and 3), and the diagonally upper direction means an oblique direction having a predetermined angle with respect to the vertical direction V. Represents.
  • the operation panel 14a is a touch panel or the like, and is used to perform various setting operations on the light source device 14 by directly touching and pressing the user such as a doctor, a technician, or a nurse. The same applies to the operation panel 15a.
  • a human sensor (not shown) is provided in the endoscope cart 20, and when the human sensor detects that there is no person near the endoscope cart 20, the ultraviolet light source unit 40 automatically emits ultraviolet UV rays. May illuminate the light source device 14 or the processor device 15.
  • the ultraviolet light source unit 43 is provided.
  • the ultraviolet light source unit 44 is provided on the lower surface of the slide plate 42, and when the slide plate 42 is in the drawer position, it irradiates the light source device 14 or the processor device 15 with ultraviolet UV rays.
  • the ultraviolet light source unit 43 is preferably provided so that the ultraviolet UV is irradiated to at least one of the operation panel 14a of the light source device 14 or the operation panel 15a of the processor device 15 (irradiation from above or diagonally above).
  • FIGS. 6 and 7 when a rotating panel 45 that can rotate between the closed position (state in FIG. 6) and the open position (state in FIG. 7) is provided on the lower surface of the slide plate 42.
  • the ultraviolet light source unit 47 may be provided in the rotating panel 45.
  • the rotating panel 45 is rotatably attached to the lower surface of the slide plate 42 by a hinge 48. When the rotating panel 45 is in the closed position, the rotating panel 45 is in parallel contact with the slide plate 42. By closing the rotating panel 45, the slide plate 42 can be moved to the storage position.
  • the rotating panel 45 when the rotating panel 45 is in the open position, the rotating panel 45 has a certain angle (greater than 0 degrees) with respect to the slide plate 42, and the ultraviolet light source unit 47 connects the ultraviolet light source unit 47 to the light source device 14 or the processor device 15. On the other hand, it is possible to irradiate ultraviolet rays and UV rays.
  • the angle of the rotating panel 45 at the opening position so that the ultraviolet UV rays irradiate at least one of the operation panel 14a of the light source device 14 or the operation panel 15a of the processor device 15.
  • the angle of the rotating panel 45 with respect to the slide plate 42 is approximately 90 degrees, and the ultraviolet light source unit 47 is in a state of facing the operation panels 14a and 15a.
  • the endoscope cart 20 has a light source housing 51 provided with an ultraviolet light source unit 50 and a light source holding unit 52 for holding the light source housing 51.
  • An ultraviolet light source unit 53 composed of a light source holding unit 52 that can move in the first direction and can rotate in the second direction orthogonal to the first direction may be provided.
  • the ultraviolet light source unit 53 is preferably provided along the side surface 27a of the shelf board 27.
  • the light source holding portion 52 is attached to the side surface of the shelf board 27.
  • the light source holding portion 52 holds the fixed plate 55 fixedly attached to the side surface 27a of the shelf board and the light source housing 51, and extends the position of the light source housing 51 to the front side of the processor device 15.
  • the ultraviolet light source unit 53 is composed of three members, a light source housing 51, a fixing plate 56, and an extension plate 56.
  • the ultraviolet light source unit 53 includes a light source housing 51 and a fixing plate 56. It may be configured only by the two members of.
  • the light source housing 51 can be moved in the depth direction X (first direction) and can be rotated in the width direction Y (second direction) orthogonal to the depth direction X. It is preferable to have. Therefore, the fixing plate 55 is provided with a rail 55a through which one long protrusion 56a provided on the extension plate 56 is inserted. The extension plate 56 can be moved between the extension plate extension position extended from the fixing plate 55 and the extension plate storage position (see FIG. 9) for accommodating a part of the fixing plate 55 by the protrusions 56a and the rail 55a. Will be.
  • the extension plate 56 is provided with two rails 56b through which two long protrusions 51a provided at both ends of the light source housing 51 are inserted.
  • the light source housing 51 can be moved between the housing extension position extended from the extension plate 56 (see FIG. 11) and the housing storage position for accommodating the extension plate 56.
  • a moving portion 58 is provided (see FIGS. 12 and 13).
  • the extension plate 56 When the ultraviolet light source unit 53 is not used without irradiation with ultraviolet rays (see FIGS. 8 and 9), the extension plate 56 is placed in the extension plate storage position and the light source housing 51 is placed in the housing storage position. On the other hand, at the time of use for irradiating ultraviolet rays, first, the extension plate 56 is moved to the extension plate extension position, and the light source housing 51 is moved to the housing extension position (see FIGS. 10 and 11). Then, the rotating portion 58 rotates the light source housing 51 from the depth direction X to the width direction Y. As a result, the ultraviolet light source unit 50 in the light source housing 51 faces the operation panel 15a of the processor device 15 (see FIGS. 12 and 13).
  • the operation panel 15a is irradiated with ultraviolet UV rays.
  • the ultraviolet light source unit 53 may be attached to the columns 23 and 24, and the light source housing 51 may be moved or rotated in the same manner as described above to irradiate the light source device 14 with ultraviolet UV rays.
  • the ultraviolet light source unit 40 preferably has an ultraviolet light source 60 that emits ultraviolet UV, and an emission unit 61 that emits ultraviolet UV toward an endoscope device.
  • the emission unit 61 is composed of a transparent member that transmits light on one surface of a light source box 62 having a substantially rectangular parallelepiped shape.
  • the ultraviolet light source 60 and the emitting unit 61 face each other, the ultraviolet UV from the ultraviolet light source 60 is irradiated to the endoscope device through the emitting unit 61.
  • a plurality of ultraviolet light sources 60 are arranged inside the light source box 62 at predetermined intervals. It is preferable that the other ultraviolet light source units 43, 47, and 50 have the same configuration as the ultraviolet light source unit 40.
  • the ultraviolet light source unit 40 uses an ultraviolet light source 60 that emits ultraviolet UV, a light guide plate 63 that guides ultraviolet UV emitted from the ultraviolet light source 60, and an ultraviolet UV device for an endoscope. It is preferable to have an emission unit 64 that emits toward the light source.
  • the light guide plate 63 has an entrance surface 63a and an emission surface 63b.
  • the ultraviolet light source 60 is arranged to face the incident surface 63a of the light guide plate 63.
  • the ultraviolet UV incident from the incident surface 63a from the ultraviolet light source 60 is internally reflected and emitted from the emitting surface 63b.
  • the emission unit 64 is composed of a transparent member that transmits light on one surface of a light source box 65 having a substantially rectangular parallelepiped shape.
  • the ultraviolet light source 60 is either an excimer lamp or an LED for ultraviolet rays (Light Emitting Diode).
  • the excimer lamp preferably emits first ultraviolet rays having a peak wavelength of 222 nm ( ⁇ 10 nm) and a wavelength band of 200 nm to 280 nm as ultraviolet rays.
  • the biological transmittance due to the first ultraviolet ray is smaller than the biological transmittance due to the ultraviolet ray (specific ultraviolet ray) of 254 nm, which increases the light intensity.
  • the transmittance of the cornea of the eye is 0.01 in the case of the first ultraviolet ray and 30% in the case of the specific ultraviolet ray.
  • the first ultraviolet ray is safe for the skin and eyes of humans and animals, but has the original ability of ultraviolet rays to sterilize and inactivate viruses. Since ultraviolet light is invisible light that cannot be recognized by humans, a visible light source may be separately provided to emit visible light such as blue. At that time, in addition to adjusting the shade of visible light over time, it may blink slowly.
  • the ultraviolet LED preferably emits a second ultraviolet ray having a wavelength band of 300 nm or less as the ultraviolet ray.
  • the second ultraviolet light has a function of destroying genetic information of viruses and bacteria, and therefore has a bactericidal effect on water and air.
  • the second ultraviolet ray has a high bactericidal effect against human coronavirus (HCoV-229E) as a virus.
  • HCV-229E human coronavirus
  • it is preferable that the ultraviolet LED has a function such as waterproofing or heat dissipation. Ultraviolet LEDs have a smaller impact on the environment than mercury lamps.
  • the ultraviolet light source unit 53 may be attached to other endoscope equipment.
  • the ultraviolet light source unit 53 may be attached to the side surface 14b of the light source device 14.
  • the extension plate 56 is placed in the extension plate storage position, and the light source housing 51 is placed in the housing storage position.
  • the extension plate 56 is moved to the extension plate extension position, and the light source housing 51 is moved to the housing extension position (see FIG. 17).
  • the rotating portion 58 rotates the light source housing 51 from the depth direction X to the width direction Y.
  • the ultraviolet light source unit 50 in the light source housing 51 faces the operation panel 14a of the light source device 14 (see FIG. 18).
  • the operation panel 14a is irradiated with ultraviolet UV rays.
  • the ultraviolet light source unit 53 may be attached to the processor device 15 and irradiate the processor device 15 with ultraviolet UV rays. Further, when using the product by irradiating with ultraviolet rays, it is preferable that it is in the preparatory stage before the endoscopy or the examination end stage after the endoscopy is completed.
  • the ultraviolet light source unit 53 may be attached to the side surface 70a of the cleaning / disinfecting device 70.
  • the cleaning / disinfecting device 70 includes a storage unit 71 for storing and cleaning or disinfecting the endoscope, a lid 72 for sealing the storage unit 71, and an operation panel 73 for performing operations such as starting cleaning. ing.
  • the extension plate 56 is set to the extension plate storage position
  • the light source housing 51 is set to the housing storage position.
  • the extension plate 56 is moved to the extension plate extension position, and the light source housing 51 is moved to the housing extension position. Then, the rotating portion 58 rotates the light source housing 51 from the height direction K (first direction) to the width direction L (second direction). As a result, the ultraviolet light source unit 50 in the light source housing 51 faces the operation panel 73 (see FIG. 21). In this state, the operation panel 73 is irradiated with ultraviolet UV rays.
  • Appendix 1 A cleaning and disinfecting device equipped with an ultraviolet light source that irradiates ultraviolet rays.
  • Appendix 2 A light source housing provided with the ultraviolet light source unit and a light source holding unit for holding the light source housing, which can be moved in the first direction and in a second direction orthogonal to the first direction.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Epidemiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)
  • Endoscopes (AREA)
PCT/JP2021/040968 2020-11-19 2021-11-08 内視鏡用カート及び内視鏡用機器 Ceased WO2022107629A1 (ja)

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JP2022563696A JP7792348B2 (ja) 2020-11-19 2021-11-08 内視鏡用カート
CN202180077866.0A CN116648178A (zh) 2020-11-19 2021-11-08 内窥镜用推车及内窥镜用设备
US18/318,690 US20230285614A1 (en) 2020-11-19 2023-05-16 Endoscope cart and instrument for endoscope

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JP2020-192470 2020-11-19
JP2020192470 2020-11-19

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US18/318,690 Continuation US20230285614A1 (en) 2020-11-19 2023-05-16 Endoscope cart and instrument for endoscope

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WO2022107629A1 true WO2022107629A1 (ja) 2022-05-27

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US12419718B2 (en) 2019-06-20 2025-09-23 Medivators Inc. Absorbent liner, systems and methods of use
WO2020256990A1 (en) * 2019-06-20 2020-12-24 Medivators Inc. Endoscope storage tray having apertures and method of use
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CN116648178A (zh) 2023-08-25
JP7792348B2 (ja) 2025-12-25

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