Endoscope cleaning/disinfecting device
6 claims: 1 independent, 5 dependent
- 1内視鏡を収納する内視鏡保持トレーが収容される洗滌槽を備える装置本体と、 この装置本体に設けられ、蓋体開閉機構部によって開状態停止位置から閉状態停止位置までの間を回動動作される蓋体と、 前記内視鏡保持トレー、又は該内視鏡保持トレーに収納される内視鏡の一方に設けられて、内視鏡の種類を特定するための情報を送信する無線送信部と、 前記装置本体に設けられ、前記無線送信部の情報を受信する無線受信部と、 前記装置本体に設けられ、前記無線受信部で取得した情報に基づいて前記蓋体を開動作させるか否かを判定して前記蓋体開閉機構部の回動動作を制御する制御部と、 を具備することを特徴とする内視鏡洗滌消毒装置。
- 2さらに、前記装置本体に、前記内視鏡保持トレーを着脱自在に取り付け可能なトレー保持部材と、このトレー保持部材をトレー着脱停止位置から洗滌消毒停止位置までの間を前記制御部の制御のもと回動動作させるトレー保持部材回動機構部とを設けたことを特徴とする請求項1に記載の内視鏡洗滌消毒装置。
- 3さらに、前記トレー保持部材にトレー検知部を設ける一方、前記装置本体に前記蓋体の開状態停止位置を検出する第1蓋体位置検出部、及び蓋体の閉状態位置を検出する第2蓋体位置検出部と、前記トレー保持部材のトレー着脱停止位置を検出する第1トレー位置検出部、及びトレー保持部材の洗滌消毒停止位置を検出する第2トレー位置検出部と、視覚的、又は聴覚的の少なくとも一方で作業者に警告、又は動作状態を告知する告知手段と、を設けたことを特徴とする請求項2に記載の内視鏡洗滌消毒装置。
- 4さらに、前記装置本体に、洗滌消毒工程終了後において、前記制御部から前記蓋体開閉機構部に前記蓋体を閉状態停止位置から開状態停止位置まで回転移動させる制御信号を出力させるための指示信号を出力する蓋体開指示部検出部を設けたことを特徴とする請求項3に記載の内視鏡洗滌消毒装置。
- 5前記内視鏡保持トレーは、収納される内視鏡の外形形状、及び長さ寸法に対応する収納凹部と、この収納凹部に設けられ、操作部の基端部近傍と、挿入部の先端部近傍にそれぞれ設けられる給排水口と、それぞれの給排水口を閉塞する蓋部材とを具備することを特徴とする請求項1に記載の内視鏡洗滌消毒装置。
- 6前記装置本体に、前記給排水口を閉塞する蓋部材を開放状態にする開放部材を設けたことを特徴とする請求項5に記載の内視鏡洗滌消毒装置。
Independent claims6
79 paragraphs, as filed
The present invention relates to an endoscope cleaning and disinfecting apparatus for cleaning and disinfecting a used endoscope.
The endoscope used for the purpose of examination and treatment in the body cavity is not only the outer surface of the insertion part inserted in the body cavity, but also the suction that doubles as the air supply / water pipe and the forceps channel provided in the insertion part. Dirt adheres to each pipeline such as a pipeline. Therefore, the endoscope is washed and disinfected after use.
For example, Japanese Patent Application Laid-Open No. 2002-263066 discloses an endoscope cleaning and disinfecting device for cleaning and disinfecting an endoscope. In this endoscope washing and disinfecting device, the washing step, the rinsing step and the disinfecting step are performed as the washing and disinfecting steps, and the properties of the electrolyzed water used for the washing and disinfecting can be changed according to the degree of dirt on the endoscope without complicated operations. I'm adjusting.
In the conventional endoscope cleaning and disinfecting device, the endoscope cleaning and disinfecting can be performed so that multiple types of endoscopes, in other words, endoscopes having different lengths, thicknesses, specifications, etc. of the insertion part, can be cleaned and disinfected. The size of the washing tank provided in the device was adapted to the largest endoscope. Further, in facilities having an endoscope for the upper gastrointestinal tract and an endoscope for the lower gastrointestinal tract, in many cases, the cleaning and disinfecting of each endoscope is performed by a dedicated cleaning and disinfecting device.
Then, in the conventional endoscope washing and disinfecting device, when the endoscope is washed and disinfected, the worker carries the used endoscope to the washing and disinfecting device.<patcit num="1"><text>Japanese Unexamined Patent Publication No. 2002-263066</text></patcit>
<p> However, as described above, in an endoscope cleaning and disinfecting device in which the cleaning tank is adapted to the largest endoscope, detergents and disinfectants are used when cleaning and disinfecting small-sized endoscopes. The amount and cleaning and disinfection time are set to be the same as for the largest endoscope. For this reason, even if the endoscope is small in size, detergents and disinfectants are consumed more than necessary, which causes a problem that the washing and disinfecting time becomes long.</p><p> In addition, in facilities that have an endoscope for the upper gastrointestinal tract and an endoscope for the lower gastrointestinal tract, work mistakes such as setting the endoscope for the upper gastrointestinal tract in the washing and disinfecting device for the lower part occur due to carelessness of the operator. There is a risk of</p><p> Further, in order to perform cleaning and disinfection of the endoscope, it is conceivable that the operator holds the used endoscope in his hand and directly transports it to the cleaning and disinfecting device. In this case, when the endoscope is set in the washing tank of the washing and disinfecting device, the lid of the device is grasped with a dirty hand to open the lid of the device, or the open / close switch or the like is operated with a dirty hand. There is a need, which creates the problem of unsanitary cleaning and disinfecting equipment. In order to solve this problem, it is conceivable to provide a foot pedal together with a mechanism for opening and closing the lid of the endoscope cleaning and disinfecting device. However, the position of the foot pedal is confirmed to open and close the lid. There is a risk that the work of making the user will be troublesome for the user.</p><p> The present invention has been made in view of the above-mentioned problems, and an object of the present invention is to provide an endoscope cleaning and disinfecting apparatus capable of hygienically and efficiently cleaning and disinfecting a used endoscope.</p>
<p> The endoscope cleaning and disinfecting device of the present invention is provided in a device main body including a washing tank in which an endoscope holding tray for accommodating an endoscope is housed, and is provided in the device main body and stopped in an open state by a lid opening / closing mechanism. An endoscope is provided on one of a lid that is rotated from a position to a closed state stop position and an endoscope that is housed in the endoscope holding tray or the endoscope holding tray. A wireless transmitter having information for specifying the type of the device, a wireless receiver provided in the device main body to receive information of the wireless transmitter, and a wireless receiver provided in the device main body and acquired by the wireless receiver. It is provided with a control unit that determines whether or not to open the lid body based on the information and controls the rotation operation of the lid body opening / closing mechanism unit.</p><p> According to this configuration, by storing and transporting the endoscope in the endoscope holding tray, it is possible to prevent the hands from getting dirty during the transport of the endoscope and the washing and disinfecting device from becoming unsanitary. .. Further, since the control unit determines whether or not to open the lid from the information of the radio transmission unit and controls the rotation operation of the lid opening / closing mechanism, the upper gastrointestinal endoscope is used for the lower part. Work mistakes such as setting in a washing and disinfecting device are prevented, and the work of opening and closing the lid, which is a troublesome work for the user, is eliminated.</p>
<p> According to the present invention, it is possible to realize an endoscope cleaning and disinfecting apparatus capable of hygienically and efficiently cleaning and disinfecting a used endoscope.</p>
Hereinafter, embodiments of the present invention will be described with reference to the drawings. 1 to 10 relate to one embodiment of the present invention, FIG. 1 is a diagram illustrating the relationship between the tray in which the endoscope is housed and the main body of the apparatus, and FIG. 2 is a lid provided on the washing and disinfecting apparatus. A diagram illustrating the configuration and operation of the tray opening / closing mechanism, FIG. 3 is a diagram illustrating a state immediately before the tray is set in the engagement groove of the tray holding member, and FIG. 4 is a diagram in which the tray engages the tray holding member. FIG. 5 is a diagram illustrating a state of being set in the groove, FIG. 5 is a diagram illustrating a configuration example of a lid opening / closing mechanism for opening / closing the top cover, and FIG. 6 is a perspective view showing a washing / disinfecting device in a state where the top cover is closed. 7 and 7 show a configuration example of the tray opening / closing mechanism for rotating the tray holding member, and show a state in which the endoscope is housed in the tray holding member located at the tray attachment / detachment stop position, FIG. Is a diagram showing a state in which the endoscope is housed in the tray holding member located at the cleaning disinfection stop position, FIG. 9 is a flowchart diagram showing the operation and operation of the cleaning disinfecting device, and FIG. 10 is a cleaning disinfecting device following FIG. It is a flowchart which shows the action operation of.
As shown in FIGS. 1 and 2, the endoscope cleaning and disinfecting device 1 includes a device main body 2, a top cover 3 which is a lid that can be opened and closed with respect to the device main body 2, and an endoscope holding tray ( It is mainly composed of 4 (hereinafter abbreviated as tray).
A storage recess 11 which is a recess for storing the endoscope 5 is provided on the upper surface side in the drawing, which is one surface side of the tray 4. The endoscope 5 to be washed and disinfected includes, for example, an operation portion 5a and a flexible insertion portion 5b extending from the operation portion 5a. The shape of the storage recess 11 is formed into a predetermined shape according to the external shape and the length dimension of the operation portion 5a and the insertion portion 5b of the endoscope 5 to be stored. That is, the tray 4 is configured as a dedicated type provided with a storage recess 11 for storing a predetermined endoscope. As a result, the storage operation of storing the used endoscope 5 in the storage recess 11 of the tray 4 in a desired state can be easily performed.
In medical facilities equipped with multiple types of endoscopes having different external shapes and lengths of the operation unit 5a and the insertion unit 5b, trays corresponding to each type of endoscope are prepared. ..
The storage recess 11 of the tray 4 is provided with a first water supply / drainage port 12 and a second water supply / drainage port 13 for supplying and draining cleaning water, disinfecting water, and the like to the endoscope 5. The first water supply / drainage port 12 is arranged near the proximal end side of the operation unit 5a of the endoscope 5. On the other hand, the second water supply / drainage port 13 is arranged near the tip surface side of the insertion portion 5b of the endoscope 5. Lid members 12a and 13a that can be opened and closed are provided at the water supply and drainage ports 12 and 13, respectively. The lid members 12a and 13a are configured to always close the water supply / drainage ports 12 and 13 by their own weight or the urging force of the urging member (not shown).
Therefore, the tray 4 is in a state where the lid members 12a and 13a are closed in the state of the tray alone. Therefore, when the used endoscope 5 is stored in the storage recess 11 of the tray 4, dirt and liquid adhering to the endoscope 5 are prevented from leaking from the water supply / drainage ports 12 and 13. Therefore, the endoscope 5 can be hygienically transported in a state where the endoscope 5 is housed in the storage recess 11 of the tray 4.
In the present embodiment, the cleaning liquid, the disinfecting liquid, and the like are sent from the first water supply / drainage port 12 to the storage recess 11. On the other hand, from the second water supply / drainage port 13, the washing liquid, the disinfecting liquid, and the like sent into the storage recess 11 are discharged toward the washing tank described later.
When the cleaning liquid, disinfectant, etc. is sent from the first water supply / drainage port 12 to the storage recess 11, the disinfectant, etc. is sufficiently distributed to the outer surfaces of the operation part 5a and the insertion part 5b of the stored endoscope 5. The storage recess 11 is configured as described above.
A wireless tag (hereinafter abbreviated as a tag) 14 which is a wireless transmitter is mounted at a predetermined position of the tray 4 configured as a dedicated type, for example, in the upper right corner of the drawing. Identification information indicating the type and the like of the endoscope stored in the storage recess 11 provided in the tray 4 is registered in the tag 14. The identification information stored in the tag 14 is, for example, information for determining "upper gastrointestinal endoscope" or "lower gastrointestinal endoscope", or the endoscope size from the external shape and length dimension. Information for specifying, that is, determining whether the endoscope is large, medium, small, or the like.
The tray 4 is provided with, for example, a U-shaped attachment / detachment portion 15 that is engaged and arranged in the engagement groove 7a of the tray holding member 7, which will be described later. Further, on both side portions of the tray 4, transport grip portions 16 for gripping by an operator during transportation are provided. The transport grip portion 16 is provided so as to project from the lower surface side of the tray 4 in order to prevent it from interfering with the top cover 3.
The top cover 3 is formed of a hard and light-transmitting resin member, a so-called transparent resin member or a translucent resin member, in a predetermined shape. The top cover 3 is provided so as to be openable and closable at a predetermined position of the apparatus main body 2, and rotates from the open state stop position shown by the alternate long and short dash line to the closed state stop position shown by the solid line as shown by arrow a. It is configured as follows. The open state stop position is appropriately set in consideration of workability.
A washing tank 6 in which the tray 4 is housed is provided on the upper surface side of the apparatus main body 2. A tray holding member 7 on which the tray 4 is detachably arranged is rotatably provided at a predetermined position on the longitudinal side of the apparatus main body 2 and on the washing tank 6 side. The tray holding member 7 is provided with an engagement groove 7a having a substantially U-shaped bottom surface corresponding to the attachment / detachment portion 15 in which the tray 4 is engaged and arranged. The tray holding member 7 is configured to rotate as shown by an arrow b from the tray attachment / detachment stop position shown by the alternate long and short dash line to the washing / disinfection stop position shown by the solid line. The tray attachment / detachment stop position takes into consideration the attachment / detachment workability when attaching / detaching the tray 4, and the endoscope 5 housed in the storage recess 11 of the tray holding member 7 at the tray attachment / detachment stop position falls off from the storage recess 11. It is set at a predetermined angle to prevent this.
Reference numeral 8 is a first lid opening / closing protrusion, and reference numeral 9 is a second lid opening / closing protrusion 9. The first lid opening / closing protrusion 8 and the second lid opening / closing protrusion 9 are open members that push up the lid members 12a and 13a to open them, and are set to a predetermined height dimension, for example, the bottom surface of the washing tank 6. It is provided at a predetermined position of.
The device main body 2 has an operation panel 20, a cover operation instruction sensor 21 which is a lid opening instruction detection unit, a wireless receiver 22 equipped with a window 22a, a buzzer 23 which is a notification means, and an open / close position of the top cover 3. A cover detection unit for detection, a holding member detection unit for detecting the rotational position of the tray holding member 7, and the like are provided. The operation panel 20, the cover operation instruction sensor 21, the wireless receiver 22, the buzzer 23, the cover detection unit, and the holding member detection unit are connected to a control unit 10 which will be described later and is provided inside the apparatus main body 2. The control unit 10 performs various controls such as opening / closing control of the top cover 3, opening / closing control of the tray 4, and control of the washing / disinfecting process based on signals output from various switches, sensors, and detection units.
The operation panel 20 is provided, for example, on the upper center side of the front center, and is provided with a switch for performing various input operations and a display unit 20a capable of performing various displays as a notification means. Information input via the switch on the operation panel 20 is registered in a storage unit (not shown) via the control unit 10. The data registered in the storage unit can be displayed on the display unit 20a via the control unit 10 by operating the switch on the operation panel 20. The data registered in the storage unit includes data on whether the endoscope cleaning and disinfecting device 1 is for the "upper gastrointestinal endoscope" or the "lower gastrointestinal endoscopy". Data such as the amount of washing liquid used, the amount of disinfecting liquid used, washing time, disinfection time, and rinsing time are registered for each size of the endoscope.
The cover operation instruction sensor 21 is provided on, for example, the left side of the operation panel 20. The cover operation instruction sensor 21 is controlled by, for example, in a state where "the washing and disinfecting process is completed" is displayed on the display unit 20a, and the operator puts his / her hand on the front of the sensor a few centimeters for a predetermined time. A tray removal signal, which is an instruction signal, is output to the unit 10.
The window portion 22a of the wireless receiving portion 22 is provided on, for example, the right side portion of the operation panel 20. The wireless receiver 22 receives identification information indicating the type of endoscope transmitted from the tag 14 mounted on the tray 4. The wireless receiving unit 22 that has received the identification information transmitted from the tag 14 outputs the identification information transmitted from the tag 14 to the control unit 10 as an endoscope identification signal. The tag 14 may be provided on the endoscope 5 instead of the tray 4. When the buzzer 23 receives the warning signal output from the control unit 10, the buzzer 23 issues an alarm notifying the operator of the abnormality. On the other hand, when a notification signal is output from the control unit 10, an electronic sound prompting the operator for the next work is emitted. When a warning signal is output from the control unit 10 to the operation panel 20, a warning message described later is displayed on the display unit 20a, and when a notification signal is output from the control unit 10 to the operation panel 20, the display unit is displayed. A notice, which will be described later, is displayed on 20a.
The cover detection unit for detecting the open / closed position of the top cover 3 is a cover open position detection sensor (hereinafter, abbreviated as cover open position sensor), which is a first lid position detection unit that detects an open state stop position 24. And a cover closed position detection sensor (hereinafter, abbreviated as cover closed position sensor) 25, which is a second lid position detecting unit for detecting the closed state stop position. The cover open position sensor 24 outputs a cover open position signal to the control unit 10 when the top cover 3 is in the open state stop position. On the other hand, the cover closed position sensor 25 outputs a cover closed position signal to the control unit 10 when the top cover 3 is located at the closed state stop position.
The holding member detection unit for detecting the rotation position of the tray holding member 7 is a tray attachment / detachment position detection sensor (hereinafter, abbreviated as attachment / detachment position sensor) which is a first tray position detection unit for detecting the tray attachment / detachment stop position. It is composed of a washing disinfection stop position sensor (hereinafter, abbreviated as a washing disinfection position sensor) 27 which is a second tray position detecting unit for detecting the washing disinfection stop position. The attachment / detachment position sensor 26 outputs a tray attachment / detachment position signal to the control unit 10 when the tray holding member 7 is located at the tray attachment / detachment stop position. On the other hand, the washing / disinfecting position sensor 27 outputs a washing / disinfecting position signal to the control unit 10 when the tray holding member 7 is located at the washing / disinfecting stop position.
Reference numeral 28 is a tray detection switch 28 that serves as a tray detection unit. As shown in FIGS. 3 and 4, a plurality of tray detection switches 28 are arranged, for example, at predetermined intervals in the longitudinal direction at the bottom of the engagement groove 7a of the tray holding member 7. The tray detection switch 28 is, for example, a push-type switch, and includes a switch portion 28a that can be raised and lowered. The switch portion 28a is provided so as to protrude from the bottom surface of the engagement groove 7a. Therefore, as shown in FIG. 3, the attachment / detachment portion 15 of the tray 4 is engaged with the engagement groove 7a of the tray holding member 7, and the outer surface of the attachment / detachment portion 15 is engaged with the bottom surface of the engagement groove 7a as shown in FIG. When arranged in a predetermined arrangement state in close contact with each other, the switch unit 31a is pushed in to output a tray arrangement signal to the control unit 10. The tray detection switch 28 is not limited to the push type switch, but may be a slide type switch, an optical sensor, a magnetic detection type reed switch, or the like, and the installation location is not limited to the tray holding member 7. It may be provided in the washing tank 6 without any problem.
Further, various pipelines (not shown), various pumps, various tanks, and the like for cleaning and disinfecting are provided inside the apparatus main body 2. Specifically, as a pipeline, a pump, and a tank, a pipeline, a pump, and a cleaning liquid for supplying or circulating a washing water, a washing liquid, or a disinfecting liquid to a tray 4 housed in the washing tank 6. A tank for storing the liquid and the disinfectant, a pipeline for discharging the washing water, the washing liquid, or the disinfecting liquid discharged into the washing tank 6 from the second water supply / drain port 13, and a pump. In compressors and pipelines for sending compressed air for quick drying after washing and disinfection, pipelines for supplying alcohol with compressed air to promote evaporation of residual moisture, tanks, etc. is there.
The configuration of the lid opening / closing mechanism for opening / closing the top cover 3 of the endoscope cleaning / disinfecting device 1 and the tray opening / closing mechanism for rotating the tray 4 will be described with reference to FIGS. 2 and 5 to 8. To do. As shown in FIGS. 2 and 5, the lid opening / closing mechanism for opening / closing the top cover 3 includes a cover drive motor (hereinafter abbreviated as a cover motor) 30 provided inside the device main body 2. It is mainly composed of a reduction mechanism portion 31 for a cover, a rotation shaft 32, and a hinge member 33.
The cover motor 30 is a motor that rotates clockwise and counterclockwise, and rotates and moves the top cover 3 from the open state stop position to the closed state stop position and from the closed state stop position to the open state stop position. The cover deceleration mechanism unit 31 is a mechanism that decelerates the rotation of the cover motor 30 to a predetermined amount and changes the opening / closing speed of the top cover 3 to a desired speed. The cover reduction mechanism 31 is configured to include, for example, a plurality of pulleys and belts (not shown). The rotating shaft 32 is arranged parallel to the long surface of the top cover 3 on the washing tank side. A pulley 34 is fixed to one end of the rotating shaft 32. A belt 35 constituting the cover reduction mechanism 31 is hung on the pulley 34. The hinge member 33 is formed of, for example, a plate member having an L-shaped cross section. The hinge member 33 is integrally fixed to a rotating shaft 32 protruding from both side portions of the hinge member 33. Further, the hinge member 33 and the cleaning tank side end of the top cover 3 are integrally fixed.
Therefore, when the cover motor 30 is driven, the rotation of the cover motor 30 is decelerated by the cover reduction mechanism portion 31 and then transmitted to the pulley 34 via the belt 35, and the rotation shaft 32 is transferred to the pulley 34. Rotate. When the rotation shaft 32 starts to rotate, the hinge member 33 integrally fixed to the rotation shaft 32 also rotates with the rotation of the rotation shaft 32. At this time. Since the hinge member 33 is integrally fixed to the top cover 3, the top cover 3 is rotationally moved with the rotation of the hinge member 33, in other words, with the rotation of the rotation shaft 32.
The rotation direction of the cover motor 30 can be switched based on the drive signal output from the control unit 10. By rotating the cover motor 30 under the control of the control unit 10, for example, clockwise (hereinafter referred to as forward rotation), the top cover 3 rotates and moves toward the open state stop position. On the other hand, when the cover motor 30 is reversed under the control of the control unit 10, the top cover 3 rotates and moves toward the closed state stop position.
Further, when the top cover 3 is arranged in the closed state stop position as shown in the solid line of FIG. 2 and FIG. 6, the opening of the washing tank 6 is covered by the top cover 3. A packing (not shown) for maintaining watertightness is provided at a predetermined position of the top cover 3, and when the cover is closed as shown in the figure, the packing adheres to the upper surface of the apparatus main body 2 to maintain watertightness. It has become like.
On the other hand, as shown in FIGS. 2 and 7, the tray opening / closing mechanism for rotating the tray holding member 7 is a tray holding member rotating motor (hereinafter, abbreviated as a tray motor) provided inside the apparatus main body 2. It is mainly composed of 40 and the reduction mechanism for tray 41. The tray motor 40 is a motor for rotating the tray holding member 7, and rotates clockwise and counterclockwise. The tray deceleration mechanism unit 41 is a mechanism that decelerates the rotation of the tray motor 40 to a predetermined amount and changes the rotation speed of the tray holding member 7 to a desired speed. Like the cover deceleration mechanism portion 31, the tray deceleration mechanism portion 41 is also configured to include a plurality of pulleys and belts (not shown). Protrusions 7b, which serve as rotation shafts, project from both sides of the tray holding member 7. A pulley 42 is integrally fixed to one of the protrusions 7b. A belt 43 constituting a tray reduction mechanism 41 is hung on the pulley 42. Therefore, when the tray motor 40 is driven, the rotation of the tray motor 40 is decelerated by the tray reduction mechanism 41, and then the pulley provided on the protrusion 7b of the tray holding member 7 via the belt 43. The tray holding member 7 starts rotational movement by being transmitted to 42.
The rotation direction of the tray motor 40 can also be switched based on the drive signal output from the control unit 10. By rotating the tray motor 40 under the control of the control unit 10, for example, in the normal direction, the tray holding member 7 rotates and moves toward the tray attachment / detachment stop position. On the other hand, when the tray motor 40 is reversed under the control of the control unit 10, the tray holding member 7 rotates and moves toward the washing / disinfecting stop position.
Further, when the tray holding member 7 with the tray 4 attached is arranged at the washing disinfection stop position as shown in FIGS. 2 and 8, the tray 4 is housed in the washing tank 6. Become in a state. At this time, the lid members 12a and 13a provided on the tray 4 are lifted by a predetermined amount by the lid opening / closing protrusions 8 and 9. Therefore, the water supply / drainage ports 12 and 13 are in a predetermined open state. As a result, the cleaning liquid and the disinfecting liquid can be sent from the first water supply / drainage port 12, while the cleaning liquid and the disinfecting liquid can be discharged from the second water supply / drainage port 13 into the washing tank 6.
Further, in consideration of the fact that the top cover 3 and the tray holding member 7 are manually rotated, safety devices such as torque limiters are provided in advance in the reduction mechanism units 31 and 41 to provide the reduction mechanism units 31 and 41. It may be protected.
The operation of the endoscopic cleaning and disinfecting device 1 configured as described above will be described with reference to FIGS. 9 and 10. In the endoscopic cleaning and disinfecting device 1 of the present embodiment used in cleaning and disinfecting, a plurality of types of trays 4 are provided, and these trays 4 are stored in a predetermined place in a cleaning and disinfected state. That is, the tray 4 is not arranged in the washing tank 6 of the apparatus main body 2, in other words, the tray 4 is not attached to the tray holding member 7. Further, the top cover 3 provided on the apparatus main body 2 is arranged at the closed state stop position. Further, the endoscope cleaning and disinfecting device 1 is a device for cleaning and disinfecting the endoscope for the upper gastrointestinal tract.
In cleaning and disinfecting the used endoscope 5, the operator first prepares a tray 4 corresponding to the endoscope 5 and turns on the main power supply of the apparatus main body 2. Then, the control unit 10 confirms that the cover closing position sensor 25 outputs the cover closing position signal and that the cleaning disinfection position sensor 27 outputs the cleaning disinfection position signal. Then, the control unit 10 outputs a notification signal to the operation panel and displays a notification message such as "Ready for washing and disinfection" on the display unit 20a of the operation panel 20 to urge the operator to work. ..
As shown in step S1, the operator stores the used endoscope 5 in the storage recess 11 provided in the tray 4. After that, the operator grips the transport grip portion 16 provided on the tray 4 and transports the tray 4 in which the endoscope 5 is housed to the apparatus main body 2.
Next, in order to open the closed top cover 3 provided in the apparatus main body 2, the identification information registered in the tag 14 is provided as shown in step S2. Therefore, the worker brings the tag 14 provided on the tray 4 closer to the window portion 22a provided on the apparatus main body 2. Then, the identification information output from the tag 14 is received by the wireless receiver 22 provided in the device main body 2, and the endoscope identification signal corresponding to the identification information is output from the wireless receiver 22 to the control unit 10. To.
When the endoscope identification signal is input, the control unit 10 collates the endoscope identification signal with the data registered in advance in the recording unit as shown in step S3. Here, when the endoscope identification signal is a signal for notifying the "endoscope for the upper gastrointestinal tract", it matches the data registered in the storage unit. Move to step S4.
On the other hand, when the notification signal transmitted from the radio receiving unit 22 is a signal for notifying the "endoscope for the lower gastrointestinal tract", the control unit 10 determines that the data does not match the data registered in the storage unit. Then, the process proceeds to the warning process in step S5. In step S5, the control unit 10 outputs a warning signal to the buzzer 23 and the operation panel 20. As a result, the buzzer 23 issues an alarm to warn the operator, while a warning message such as "The endoscope is not for the upper gastrointestinal tract" is displayed on the display unit 20a of the operation panel 20. Therefore, the operator can quickly recognize that the combination of the endoscope cleaning and disinfecting device 1 and the endoscope 5 is incorrect. At this time, the top cover 3 is held in the closed state stop position without being opened.
In step S4, the control unit 10 outputs a control signal for moving the top cover 3 from the closed state stop position to the open state stop position to the cover motor 30. After that, the process proceeds to step S6. When the control signal is output from the control unit 10 to the cover motor 30, the cover motor 30 is rotated in the normal direction. Then, the top cover 3 starts rotational movement toward the open state stop position. Then, as the top cover 3 moves, the output of the cover closing position signal from the cover closing position sensor 25 stops. At this time, the control unit 10 is in a confirmation state for confirming whether or not the cover open position signal is output from the cover open position sensor 24 as shown in step S6. Then, the cover motor 30 continues to drive in the normal direction until it is confirmed by the control unit 10 that the cover open position signal is output from the cover open position sensor 24.
When the control unit 10 confirms that the cover open position signal has been output from the cover open position sensor 24, the control unit 10 controls to stop the drive of the cover motor 30. Then, the process proceeds to step S7. When the drive of the cover motor 30 is stopped, the top cover 3 is held in the open state stop position. Further, the control unit 10 confirms the cover open position signal output from the cover open position sensor 24 instead of the cover close position signal output from the cover close position sensor.
In step S7, the top cover 3 is held in the open state stop position, and here, the control unit 10 causes the tray motor 40 to move the tray holding member 7 from the cleaning disinfection stop position to the tray attachment / detachment stop position. Output the control signal. After that, the process proceeds to step S8. When the control signal is output from the control unit 10 to the tray motor 40, the tray motor 40 rotates in the normal direction. Then, the tray holding member 7 starts rotationally moving toward the tray attachment / detachment stop position. Then, as the tray holding member 7 moves, the output of the washing / disinfecting position signal from the washing / disinfecting position sensor 27 stops. At this time, the control unit 10 is in a confirmation state for confirming whether or not the tray attachment / detachment position signal is output from the attachment / detachment position sensor 26 as shown in step S8. Then, the tray motor 40 continues to drive in the normal direction until it is confirmed that the tray attachment / detachment position signal is output from the attachment / detachment position sensor 26 by the control unit 10.
When the control unit 10 confirms that the tray attachment / detachment position signal has been output from the attachment / detachment position sensor 26, the control unit 10 controls to stop the drive of the tray motor 40. Then, the process proceeds to step S9. When the drive of the tray motor 40 is stopped, the tray holding member 7 is held at the tray attachment / detachment stop position. Therefore, the tray 4 can be attached to the tray holding member 7. Further, the control unit 10 confirms the tray attachment / detachment position signal output from the attachment / detachment position sensor 26 instead of the wash / disinfection position signal output from the wash / disinfection position sensor 27.
In step S9, the control unit 10 outputs a notification signal to the buzzer 23 and the operation panel 20. As a result, the buzzer 23 emits an electronic sound notifying the operator that the tray 4 can be attached to the tray holding member 7. On the other hand, a notice such as "Please attach the tray" is displayed on the display unit 20a of the operation panel 20 to notify the operator that the work of attaching the tray is possible. Then, the process proceeds to step S10.
In step S10, the control unit 10 is in a confirmation state for confirming whether or not the tray arrangement signal has been output from all the tray detection switches 28 provided on the tray holding member 7. When the attachment of the tray 4 to the tray holding member 7 is prompted in step S9, the operator inserts the attachment / detachment portion 15 of the tray 4 being gripped into the engagement groove 7a of the tray holding member 7. At this time, when the attachment / detachment portion 15 of the tray 4 is arranged in the engagement groove 7a in a predetermined state as shown in FIG. 4, the switch portion 28a of the tray detection switch 28 is pushed in. Then, the tray arrangement signal is output from the tray detection switch 28.
When the control unit 10 confirms that the tray arrangement signals have been output from all the tray detection switches 28 provided on the tray holding member 7, the process proceeds to step S11. At this time, as shown in FIG. 7, the tray 4 in which the endoscope 5 is stored in the storage recess 11 has been attached to the tray holding member 7. Further, the control unit 10 newly confirms the tray arrangement signal output from the tray detection switch 28.
When the control unit 10 confirms that the tray arrangement signal is output from a part of the tray detection switch 28, the control unit 10 outputs a warning signal to the buzzer 23 and the operation panel 20. You may. As a result, an alarm is issued from the buzzer 23, and the operator can quickly understand that the tray 4 is not sufficiently attached to the tray holding member 7. On the other hand, a warning message such as "The tray is not sufficiently attached" is displayed on the display 20a of the operation panel 20, and the operator is informed that the tray 4 is not sufficiently attached to the tray holding member 7. Be understood promptly.
In step S11, the control unit 10 outputs a control signal for moving the tray holding member 7 from the tray attachment / detachment stop position to the washing / disinfection stop position to the tray motor 40. After that, the process proceeds to step S12. The tray motor 40 is reversed by outputting a control signal from the control unit 10 to the tray motor 40. Then, the tray holding member 7 to which the tray 4 is attached starts to rotate and move toward the washing / disinfecting stop position. Then, as the tray holding member 7 moves, the output of the tray attachment / detachment position signal from the attachment / detachment position sensor 26 stops. At this time, the control unit 10 is in a confirmation state for confirming whether or not the washing / disinfecting position signal is output from the washing / disinfecting position sensor 27 as shown in step S12. Then, the tray motor 40 continues to reverse drive until it is confirmed that the washing / disinfecting position signal is output from the washing / disinfecting position sensor 27 in the control unit 10.
When the control unit 10 confirms that the cleaning / disinfecting position signal is output from the cleaning / disinfecting position sensor 27, the control unit 10 controls to stop the drive of the tray motor 40. Then, the process proceeds to step S13. When the drive of the tray motor 40 is stopped, the tray 4 is housed in the washing tank 6 as shown in FIG. At this time, the first and second lid members 12a and 13a provided on the tray 4 are lifted by the lid opening / closing protrusions 8 and 9, and the first and second water supply / drainage ports 12 and 13 are opened. .. Further, in the control unit 10, instead of the tray attachment / detachment position signal output from the attachment / detachment position sensor 26, the cleaning / disinfection position signal output from the cleaning / disinfecting position sensor 27 is confirmed.
In step S13, the control unit 10 outputs a control signal to the cover motor 30 to move the top cover 3 from the open state stop position to the closed state stop position. After that, the process proceeds to step S14. When the control signal is output from the control unit 10 to the cover motor 30, the cover motor 30 is reversed. Then, the top cover 3 starts rotational movement toward the closed state stop position. Then, as the top cover 3 moves, the output of the cover open position signal from the cover open position sensor 24 stops. At this time, the control unit 10 is in a confirmation state for confirming whether or not the cover closing position signal is output from the cover closing position sensor 25 as shown in step S14. Then, the cover motor 30 continues to reverse drive until it is confirmed that the cover closing position signal is output from the cover closing position sensor 25 by the control unit 10.
When the control unit 10 confirms that the cover closing position signal is output from the cover closing position sensor 25, the control unit 10 controls to stop the drive of the cover motor 30. Then, the process proceeds to the cleaning / disinfecting step of step S15. When the drive of the cover motor 30 is stopped, the top cover 3 is held in the closed stop position as shown in FIG. 6, and the tray 4 is in a state where it can be washed and disinfected so as to cover the housed washing tank 6. .. Further, the control unit 10 confirms the cover closing position signal output from the cover closing position sensor 25 instead of the cover opening position signal output from the cover opening position sensor 24.
When the process shifts to the washing / disinfecting step of step S15, the control unit 10 automatically starts a series of washing / disinfecting steps registered in the storage unit in advance. The washing and disinfecting step includes, for example, a washing step, a disinfecting step, and a rinsing step.
When the cleaning and disinfecting step is completed, the process proceeds to step S16. In step S16, the control unit 10 outputs a notification signal to the buzzer 23 and the operation panel 20. As a result, the buzzer 23 emits an electronic sound prompting the worker to perform the next work. On the other hand, on the display unit 20a of the operation panel 20, a notice such as "The washing and disinfecting process has been completed" is displayed, which urges the operator to move to the tray removal work. Then, the process proceeds to step S17.
In step S17, the control unit 10 is in a confirmation state for confirming whether or not a tray removal signal is output from the cover operation instruction sensor 21. When the operator removes the tray 4, the operator faces the front surface of the apparatus main body 2. Then, hold a hand or the like in front of the cover operation instruction sensor 21 provided on the device main body 2 for several seconds. Here, when the control unit 10 confirms that the tray removal signal has been output from the cover operation instruction sensor 21, the process proceeds to step S18.
If a tray removal signal is output from the cover operation instruction sensor 21 in the state before the washing and disinfecting process is started, or during the washing process, in other words, the end of the washing and disinfecting process shown in step S16 is notified. When the tray removal signal is output from the cover operation instruction sensor 21 in a state other than the state, the control unit 10 does not output the control signal or the like for opening the top cover 3.
In step S18, the control unit 10 outputs a control signal for moving the top cover 3 from the closed state stop position to the open state stop position to the cover motor 30. After that, the process proceeds to step S19. When the control signal is output from the control unit 10 to the cover motor 30, the cover motor 30 is rotated in the normal direction. Then, the top cover 3 starts rotational movement toward the open state stop position. Then, as the top cover 3 moves, the output of the cover closing position signal from the cover closing position sensor 25 stops. At this time, the control unit 10 is in a confirmation state for confirming whether or not the cover open position signal is output from the cover open position sensor 24 as shown in step S19. Then, the cover motor 30 continues to drive in the normal direction until it is confirmed by the control unit 10 that the cover open position signal is output from the cover open position sensor 24.
When the control unit 10 confirms that the cover open position signal has been output from the cover open position sensor 24, the control unit 10 controls to stop the drive of the cover motor 30. Then, the process proceeds to step S20. When the drive of the cover motor 30 is stopped, the top cover 3 is held in the open state stop position. Further, the control unit 10 confirms the cover open position signal output from the cover open position sensor 24 instead of the cover close position signal output from the cover close position sensor.
In step S20, the control unit 10 outputs a control signal for moving the tray holding member 7 from the washing / disinfecting stop position to the tray attachment / detachment stop position to the tray motor 40. After that, the process proceeds to step S21. When the control signal is output from the control unit 10 to the tray motor 40, the tray motor 40 rotates in the normal direction. Then, as the tray holding member moves, the output of the washing / disinfecting position signal from the washing / disinfecting position sensor 27 stops. At this time, as shown in step S21, the control unit is in the confirmation state of confirming whether or not the tray attachment / detachment position signal is output from the attachment / detachment position sensor 26. Then, the tray motor 40 continues to drive in the normal direction until it is confirmed that the tray attachment / detachment position signal is output from the attachment / detachment position sensor 26 by the control unit 10.
When the control unit 10 confirms that the tray attachment / detachment position signal has been output from the attachment / detachment position sensor 26, the control unit 10 controls to stop the drive of the tray motor 40. Then, the process proceeds to step S22. When the drive of the tray motor 40 is stopped, the tray holding member 7 is held at the tray attachment / detachment stop position. Therefore, the tray 4 can be removed from the tray holding member 7. Further, the control unit 10 confirms the tray attachment / detachment position signal output from the attachment / detachment position sensor 26 instead of the wash / disinfection position signal output from the wash / disinfection position sensor 27.
In step S23, the control unit 10 outputs a notification signal to the buzzer 23 and the operation panel 20. As a result, the buzzer 23 emits an electronic sound notifying the operator that the tray 4 can be removed from the tray holding member 7. On the other hand, a notice such as "Please remove the tray" is displayed on the display unit 20a of the operation panel 20 to notify the operator that the work of removing the tray is possible. Then, the process proceeds to step S23.
In step S23, the control unit 10 is in a confirmation state for confirming whether or not the tray arrangement signals output from all the tray detection switches 28 provided on the tray holding member 7 are stopped. When prompted to remove the tray 4 from the tray holding member 7 in step S22, the operator grips the transport grip 16 to remove the tray arranged on the tray holding member 7. Then, the detachable portion 15 of the tray 4 is pulled out from the engagement groove 7a of the tray holding member 7. Then, as shown in FIG. 4, the switch portion 28a of the tray detection switch 28, which has been pushed by the attachment / detachment portion 15 of the tray 4, becomes a protruding state. Then, the output of the tray arrangement signal from the tray detection switch 28 is stopped.
The operator transports the tray 4 removed from the tray holding member 7 to a predetermined place, takes out the cleaning and disinfecting endoscope 5 from the tray 4, and stores it in a predetermined place. On the other hand, in step S24, the control unit 10 outputs a control signal to the tray motor 40 after a predetermined time has elapsed after confirming that the tray arrangement signal output from the tray detection switch 28 has stopped, and the tray holding member 7 To the washing and disinfecting stop position. After that, a control signal is output to the cover motor 30 to move the top cover 3 to the closed state stop position. As a result, the apparatus main body 2 is moved to the position before the start of washing and disinfection with the top cover 3 closed.
If you want to dry the inside of the washing tank 6, press the drying mode button (not shown) provided on the operation panel 20. As a result, the top cover 3 is held in the open state.
Further, the opening / closing operation of the tray holding member 7 and the top cover 3 can shorten the operation time by increasing the number of sensors that detect the respective positions. That is, depending on the detection position of the added sensor, the tray holding member 7 and the top cover 3 can be rotated and moved at the same time while holding a position where they do not interfere with each other. As a result, the rotational movement time between the tray holding member 7 and the top cover 3 can be shortened.
As described above, according to the endoscope cleaning and disinfecting device of the present embodiment, by using a dedicated tray, filth, body fluid, etc. adhering to the endoscope during transportation may drip from the tray. It can be carried without getting dirty and without getting your hands dirty.
In addition, the tray is provided with a storage recess corresponding to the endoscope, and a water supply / drainage port is provided in the storage recess, and the liquid for cleaning and disinfecting work is supplied and drained through the water supply / drainage port. It is possible to perform the washing and disinfecting work by supplying an amount of liquid corresponding to the size of the mirror. As a result, the processing time can be shortened and the cost can be reduced.
Further, a tag in which identification information indicating the type of endoscope is registered is provided, the identification information of this tag is collated by the control unit of the device main body by wireless transmission, and the top cover of the device main body is closed based on the collation result. By configuring the operation from the state to the open state, it is possible to prevent work mistakes in which the combination of the endoscope and the washing and disinfecting device is mistaken, and the top cover is opened without touching the device body. be able to.
In addition, by using a buzzer to aurally and visually using a display unit to warn the operator of a problem during work or to give a notification prompting the next work, the washing and disinfecting work can be performed. Efficiency can be improved.
As a result, the used endoscope can be quickly stored and removed in the storage recess. In addition, the endoscope can be transported and the tray can be attached and detached efficiently and hygienically. Furthermore, the cleaning and disinfecting work of the used endoscope can be performed efficiently and hygienically.
In the present embodiment, the identification information registered in the tag is used as information for collating whether the endoscope is an "upper gastrointestinal endoscope" or a "lower gastrointestinal endoscope". However, the identification information is not limited to this, and may be identification information for collating the size of the endoscope. By doing this, by registering in advance in the memory unit a washing and disinfecting pattern in which the amount of chemicals used for washing and disinfection, the washing time, the disinfection time, etc. are changed according to the type of endoscope. By determining the endoscope size from the identification information obtained from the tag and setting the cleaning disinfection pattern corresponding to the endoscope, it is possible to efficiently perform cleaning disinfection in a short time and at low cost.
The present invention is not limited to the above-described embodiments, and various modifications can be made without departing from the gist of the invention.
<figref num="1">The figure explaining the relationship between the tray in which the endoscope is stored and the main body of a device.</figref><figref num="2">The figure explaining the structure and operation of the lid provided in the washing and disinfecting apparatus, and the opening and closing mechanism of a tray.</figref><figref num="3">The figure explaining the state just before the tray is set in the engagement groove of the tray holding member.</figref><figref num="4">The figure explaining the state which the tray was set in the engagement groove of the tray holding member.</figref><figref num="5">The figure explaining the configuration example of the lid opening / closing mechanism part which opens / closes the top cover.</figref><figref num="6">A perspective view showing a washing and disinfecting device with the top cover closed.</figref><figref num="7">A diagram showing a configuration example of a tray opening / closing mechanism for rotating a tray holding member and showing a state in which an endoscope is housed in a tray holding member located at a tray attachment / detachment stop position.</figref><figref num="8">The figure which shows the state which the endoscope is housed in the tray holding member located at the washing disinfection stop position.</figref><figref num="9">Flow chart showing the operation of the washing and disinfecting device</figref><figref num="10">Flow chart showing the operation of the washing and disinfecting device following FIG.</figref>
Code description
1 ... Endoscope cleaning and disinfecting device 2 ... Equipment body 3 ... Top cover 4 ... Tray 5 ... Endoscope 6 ... Cleaning tank 7 ... Tray holding member 10. .Control unit 11 ... Storage recess 14 ... Wireless tag 20a ... Display 21 ... Cover operation indicator sensor 22 ... Wireless receiver 23 ... Buzzer 24 ... Cover open position sensor 25 ... Cover closed position sensor 26 ... Detachable position sensor 27 ... Washing and disinfecting position sensor 28 ... Tray detection switch 30 ... Cover motor 40 ... Tray Motor for
10 sheets
Sheet 1 Sheet 2 Sheet 3 Sheet 4 Sheet 5 Sheet 6 Sheet 7 Sheet 8 Sheet 9 Sheet 10
Every citation, both ways
| Document | Relation | Office |
|---|---|---|
| WO2002032468A1 | Cites | World Intellectual Property Organization (WIPO) |
| JP2002272682A | Cites | Japan |
| US20050000553A1 | Cites | United States of America |
| US20050148819A1 | Cites | United States of America |
| JP2002325719A | Cites | Japan |
12 members in 6 offices
Members12
| Document | Office | Kind | |
|---|---|---|---|
| JP2006296982A | Japan | A | |
| WO2006115177A1 | World Intellectual Property Organization (WIPO) | A1 | |
| KR20070103491A | Republic of Korea | A | |
| EP1875856A1 | European Patent Office (EPO) | A1 | |
| CN101166457A | China | A | |
| US2009065034A1 | United States of America | A1 | |
| KR100911792B1 | Republic of Korea | B1 | |
| CN101166457B | China | B | |
| JP4700397B2This record | Japan | B2 | |
| US8034193B2 | United States of America | B2 | |
| EP1875856A4 | European Patent Office (EPO) | A4 | |
| EP1875856B1 | European Patent Office (EPO) | B1 |
8 legal events, as the office reported them to INPADOC
Over the term
Point at a mark for the eventEvents
| Event | Code | |
|---|---|---|
| Cancellation because of no payment of annual feesLAPS | LAPS | |
| Written notification of registration of transferJAPANESE INTERMEDIATE CODE: R350R350 | R350 | |
| Written request for registration of change of domicileJAPANESE INTERMEDIATE CODE: R313531S531 | S531 | |
| Written notification of registration of transferJAPANESE INTERMEDIATE CODE: R350R350 | R350 | |
| Request for change of ownership or part of ownershipJAPANESE INTERMEDIATE CODE: R313111S111 | S111 | |
| First payment of annual fees (during grant procedure)JAPANESE INTERMEDIATE CODE: A61A61 | A61 | |
| Written decision to grant a patent or to grant a registration (utility model)JAPANESE INTERMEDIATE CODE: A01A01 | A01 | |
| Written request for application examinationJAPANESE INTERMEDIATE CODE: A621A621 | A621 |
Numbers
- Publication
- 4700397
- Application
- 127011
Titles2
- Japanese
- 内視鏡洗滌消毒装置
- English
- Endoscopic cleaning and disinfecting equipment
Classification
- CPC, 6
- A61L2/18
- A61L2/24
- A61B1/123
- A61B90/70
- A61B2090/701
- A61B1/12
- IPC, 4
- A61B1 12
- A61B19 00
- A61L2 24
- A61B90 70
