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WO2022003944A1 - Dispositif de protection pour endoscope, champ opératoire et procédé de fonctionnement d'un dispositif de protection pour endoscope - Google Patents

Dispositif de protection pour endoscope, champ opératoire et procédé de fonctionnement d'un dispositif de protection pour endoscope Download PDF

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Publication number
WO2022003944A1
WO2022003944A1 PCT/JP2020/026165 JP2020026165W WO2022003944A1 WO 2022003944 A1 WO2022003944 A1 WO 2022003944A1 JP 2020026165 W JP2020026165 W JP 2020026165W WO 2022003944 A1 WO2022003944 A1 WO 2022003944A1
Authority
WO
WIPO (PCT)
Prior art keywords
port
endoscope
subject
protective device
drape
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2020/026165
Other languages
English (en)
Japanese (ja)
Inventor
大記 有吉
寛 江澤
由典 松脇
大輔 菊池
修一 吉田
浩一 西村
慧輔 加藤
絵美 飯塚
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.)
Olympus Medical Systems Corp
Original Assignee
Olympus Medical Systems Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Olympus Medical Systems Corp filed Critical Olympus Medical Systems Corp
Priority to PCT/JP2020/026165 priority Critical patent/WO2022003944A1/fr
Priority to JP2022534136A priority patent/JP7455210B2/ja
Priority to PCT/JP2021/025367 priority patent/WO2022004897A1/fr
Publication of WO2022003944A1 publication Critical patent/WO2022003944A1/fr
Anticipated expiration legal-status Critical
Priority to JP2024038219A priority patent/JP7656748B2/ja
Priority to JP2025048615A priority patent/JP7738790B2/ja
Ceased legal-status Critical Current

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    • 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

Definitions

  • the present invention is a protective device for an endoscope provided with a first port into which the insertion portion of the endoscope is inserted, and a drape for an insertion portion provided in the protective device into which the insertion portion of the endoscope is inserted. , And a method of operating an endoscope protective device having a first port into which an endoscope insertion portion is inserted.
  • Embodiments of the present invention include a protective device for an endoscope that reduces the risk of infection by a medical worker, a drape for an insertion portion that reduces the risk of infection by a medical worker, and a drape that reduces the risk of infection by a medical worker. Regarding the operation method of the protective equipment for the endoscope.
  • the endoscope protective device of the embodiment has a main body that is attached to the subject and forms a substantially enclosed space between the subject and the body, and a first port into which the insertion portion of the endoscope is inserted. A second port through which outside air flows into the space is provided.
  • the drape of the embodiment has a ring connected to the first port of the protective device including the first port into which the insertion part of the endoscope is inserted, and a cylindrical shape containing the insertion part in a substantially sealed state. Equipped with a bag.
  • the method of operating the protective device for an endoscope according to the embodiment is such that the main body having a first port into which the insertion portion of the endoscope is inserted forms a substantially sealed space between the body and the body. It is attached to the subject, the insertion portion is inserted into the subject's body via the first port, the insertion portion is removed from the subject's body, and the insertion portion is inserted. During the period from the time of removal to the time of removal, the substance in the space is sucked through the third port, and the outside air flows into the space via the second port.
  • a protective device for an endoscope that reduces the risk of infection by a medical worker that reduces the risk of infection by a medical worker, a drape that reduces the risk of infection by a medical worker, and an endoscope that reduces the risk of infection by a medical worker.
  • FIG. 6 is a cross-sectional view of the protective device for an endoscope according to the sixth embodiment. It is a perspective exploded view of the protective equipment for an endoscope of the sixth embodiment. It is a side view of the protective equipment for an endoscope of the sixth embodiment. It is a perspective view of the protective equipment for an endoscope of the 7th embodiment.
  • the endoscope protective device (hereinafter, may be referred to as “protective device”) 1 of the first embodiment will be described with reference to FIGS. 1 and 2.
  • the drawings based on each embodiment are schematic views. It should be noted that the relationship between the thickness and width of each part, the ratio of the thickness of each part, etc. are different from the actual ones. There may be parts where the dimensional relationships and ratios of the drawings are different from each other. Illustration of some components and addition of reference numerals may be omitted.
  • the endoscope 90 has an insertion unit 91, an operation unit 92, and a universal cord 93.
  • An imaging device (not shown) is arranged at the tip 91A of the insertion portion 91 to be inserted into the body of the subject 100.
  • the protective device 1 is attached to the subject 100 and includes a mask body 5 that forms a substantially sealed space between the subject and the body.
  • the mask body 5 is in close contact with the face so as to cover the nose and mouth.
  • the mask body 5 is fixed to the head using a string 19.
  • the string 19 may be hung on the ear, may be hung not only on the back of the head but also on the top of the head, or may be made of an elastic material.
  • the mask body 5 may be fixed to the face by the elasticity or structure of the mask body 5 or an adhesive member (tape or the like).
  • the shape of the mask body 5 is set so that the volume of the internal space formed to improve air circulation is small and the mouth and nose do not come into contact with the mask body 5.
  • the shape of the mask body 5 is designed on the premise of the subject 100 wearing the mouthpiece.
  • the protective device 1 includes at least the first port 10 and the second port 20.
  • One first port 10 into which the insertion portion 91 of the endoscope 90 is inserted is provided at a position facing the mouth and nose of the subject 100.
  • the first port 10 is sized and positioned for nasal and oral endoscopic insertion.
  • the first port 10 has a shutter 6 arranged on the ring 10A in order to prevent droplets and aerosol from flowing out during insertion of the endoscope.
  • the shutter 6 of the first port 10 is composed of a plurality of tongue pieces divided by a radial slit SL so as not to impair the airtightness inside the mask body 5.
  • resin or rubber which is softer and more elastic than the outer skin constituting the outer peripheral surface of the insertion portion 91 so as not to damage the outer peripheral surface of the insertion portion 91, is suitable.
  • the plurality of tongue pieces of the shutter 6 come into contact with the outer peripheral surface of the insertion portion 91 and elastically deform. No large opening is created around the insertion portion 91.
  • the protective device 1 allows outside air to flow into a substantially sealed space inside the mask body 5 via the second cylindrical port 20.
  • the protective device 1 is a mask body 5 that does not prevent the subject 100 from spontaneously inhaling outside air, so that droplets, aerosols, and the like generated by the subject stay in a substantially enclosed space inside the mask body 5 and surround the mask body 1. Hard to be released. Therefore, the protective device 1 can reduce the risk of infection of the medical staff.
  • the outside air is the air in the examination room / treatment room, but may be oxygen or the like shared from a gas cylinder or the like.
  • the protective device 1 is provided with a cylindrical third port 30. Air in the internal space of the mask body 5 is sucked through the third port 30.
  • the third port 30 is connected to the suction device 200 by a suction tube 210.
  • the pressure reducing tube arranged on the wall of the room may be connected instead of the suction device 200. It goes without saying that not only air but also droplets and aerosols scattered in the air are sucked. That is, the substance in the space inside the mask body 5 is sucked.
  • the protective device 1 sucks the air in the internal space of the mask body 5, it is possible to reduce the risk of infection by the medical staff.
  • the protective device 1 is provided with a fourth port 40 through which the tube is inserted.
  • the fourth port 40 of the protective device 1 is a notch on the outer circumference of the cannula 98 or the mask body 5 into which the intubation tube is inserted.
  • Cannula 98 may be inserted through the second port 20.
  • the hole of the second port 20 is sized so that the cannula 98 can be inserted.
  • the opening of the second port 20 and the notch of the adapter which will be described later, are also set to a size that allows the cannula 98 to be inserted.
  • the third port 30 and the fourth port 40 are not essential elements.
  • the protective device 1 is further provided with ports 61 and 62.
  • the port 61 since the port 61 is not used, it is blocked by the adapter 71.
  • the port 62 into which the outside air flows like the second port 20 is provided with an adapter 72 which is a flow rate adjusting member having a through hole for limiting the size of the opening of the port 62. ..
  • the endoscope 90 includes a channel tube 95 having an opening in the tip portion 91A and inserting the insertion portion 91.
  • An adapter 96 which is a plug for closing the opening, is disposed at the treatment tool insertion port H95, which is an opening on the base end side of the channel tube 95.
  • Step S10> Wearing step The mask body 5 of the protective device 1 is mounted on the subject 100 in a state where a substantially sealed space is formed between the mask body 5 and the face.
  • the mask body 5 is made of a flexible material such as vinyl chloride or silicone rubber that can be reliably adhered to the face and can ensure hermeticity.
  • the region facing the nose is bent in advance in the shape of the nose.
  • the region facing the nose may be made of a mariable material which is a freely bendable material that can be bent according to the shape of the nose of the subject.
  • a mask body 5 of a size according to individual differences is prepared.
  • the outer peripheral portion of the mask body 5 may be made of a mariable material which is a freely bendable material so that the overall shape can be adjusted.
  • the first port 10 includes a circular ring (cylinder) 10A arranged in the central opening of the mask body 5 and a shutter 6 attached to the ring 10A.
  • the ring 10A is made of a rigid resin such as nylon, polyacetal, or polypropylene.
  • the shutter 6 is made of so-called chrysanthemum cracking rubber having radial slits SL.
  • the mask body 5 has an opening of the first port 10, but the mechanical strength is guaranteed by the ring 10A and the shape is maintained.
  • the shutter 6 of the first port 10 can be replaced depending on the application.
  • the protective device 1 is sterilized and packed in a bag.
  • Step S20> Insertion step The insertion unit 91 is inserted into the body of the subject 100 via the first port 10.
  • the insertion portion 91 is removed from the body of the subject 100.
  • the risk of infection of medical staff can be reduced.
  • the examination / treatment using the above-mentioned protective device 1 for an endoscope will be described from the standpoint of the subject 100.
  • the subject 100 wears the mask body 5 in the (A) waiting room.
  • (B) Receive pretreatment such as anesthesia.
  • (C) The subject 100 moves to the examination room / treatment room.
  • the third port 30 is connected to the suction device 200 by the suction tube 210.
  • (D) The space inside the mask body 5 is sufficiently ventilated while the examination / treatment using the endoscope is performed.
  • the subject 100 may wear the mask body 5 in the examination room / treatment room and remove the mask body 5 in the examination room / treatment room when the examination / treatment is completed.
  • the shutter 6 of the first port 10 is not limited to the so-called chrysanthemum cracked rubber having a radial slit SL so as not to deteriorate the degree of sealing of the substantially sealed space of the protective device 1.
  • the shutter 6 shown in FIGS. 4A and 4B has a straight slit SL.
  • the shutter 6 shown in FIG. 4C has an opening H11 for an oral endoscope, a cover 11A closing the opening H11, an opening H12 for a nasal endoscope, and a cover 12A closing the opening H12.
  • the shutter 6 shown in FIGS. 4D and 4E has a slit SL11 for an oral endoscope and a slit SL12 for a nasal endoscope.
  • the shutter 6 shown in FIG. 4F has only an opening H11 for an oral endoscope.
  • At least one opening of the first port 10 may be provided at a position facing at least one of the subject's mouth or nose. It is preferable that one opening of the first port 10 is provided at a position facing the mouth and the nose because it can be used for oral and nasal purposes.
  • the shutter 6 is removable from the first port 10. Further, a plurality of shutters 6 may be mounted on the first port 10 in an overlapping manner.
  • the aperture size can be adjusted by configuring the shutter 6 to have a plurality of diaphragm blades in the same manner as the iris diaphragm of a photography lens.
  • the shutter 6 with seven blades forms a heptagonal opening, but the opening can also be closed completely.
  • a cover made of a vinyl resin having excellent ductility or a soft and non-ventilating material such as cloth may be placed on the shutter 6 having an opening.
  • a cover is arranged on the mask body 5 so as to close the entire surface of the shutter 6 having a hole at a position facing the mouth and nose of the subject 100.
  • the upper or lower half of the hole is exposed by shifting or folding the cover.
  • the cross-sectional area of the joint portion of the second port 20 shown in FIG. 5A with the mask body 5 is wider than the cross-sectional area of the tip portion. If the mask body 5 is in close contact with the cheek of the subject, the second port 20 may be blocked and sufficient ventilation may not be possible. In the port having a wide bottom surface, the second port 20 is less likely to be blocked by the face surface of the subject.
  • the second port 20 has an adapter 72A that can be removed from the port to which a suction tube or various luer connectors are joined.
  • the second port 20 shown in FIG. 5B has an opening W20 on the side surface and a cylindrical adapter 71A which is a stopper with a brim (umbrella).
  • the size of the opening W20 that is, the flow rate can be adjusted by adjusting the depth at which the adapter 71A is pushed into the hole H20. Since the adapter 71A with a brim is not pushed deeply into the hole H20, it does not protrude from the inner surface of the mask body 5. Further, since the adapter 71A does not abut on the orifice plate described later, the hole of the orifice plate is not blocked by the adapter 71A. Further, since the second port 20 has an opening on the side surface, it is possible to prevent direct splash diffusion.
  • the adapters 71 and 72 shown in FIG. 2 or the adapter 72A shown in FIG. 5A may also have a brim.
  • the adapter 73 of the second port 20 shown in FIG. 5C has a notched contact portion 73A and a cylindrical contact portion 73B.
  • the flow rate can be adjusted by adjusting the depth at which the contact portion 73A is pushed into the hole H20.
  • the adapter 73 can direct the notch, which is a ventilation port, in the direction in which the medical staff is not present, and can ventilate in the direction in which the medical staff is not present.
  • the brim preferably has a mark (such as an arrow) indicating the direction of the notch. Further, when the contact portion 73B is pushed into the hole H20, the flow path can be blocked.
  • a second port 20 having an opening W20 on the side surface shown in FIG. 5B may be combined with an adapter 73 having a notch shown in FIG. 5C.
  • an adapter 73 having a notch shown in FIG. 5C By changing the overlapping state of the opening W20 of the second port 20 and the notch of the adapter 73, the direction of ventilation and the flow rate can be adjusted.
  • the second port 20 shown in FIG. 6A has an orifice plate having a plurality of circular holes H20A in the holes H20.
  • the second port 20 shown in FIG. 6B has an orifice plate having a plurality of elliptical holes H20A in the holes H20.
  • the orifice plate may have only one hole having a size through which the cannula 98 can be inserted.
  • the third port 30 may have the same configuration as the second port 20 described above. Also, the port may have a check valve. Further, the port may have a filter having high filtration efficiency (N95 or the like).
  • the space formed by the mask body 5 is a substantially sealed space connected to the outside only by a port.
  • the protective device 1 has at least one first port 10 and one second port 20, it does not prevent the subject 100 from spontaneously inhaling outside air, and the risk of infection of the medical staff is not prevented. Can be reduced.
  • the most effective port arrangement can be obtained by considering the air flow in the internal space of the mask main body 5. For example, as shown in FIG. 2, when the drawing has the second port 20 on the left side of the mask body 5 and the third port 30 on the right side of the mask body 5, the air is. It flows from left to right in the internal space of the mask body 5.
  • the protective device 1 shown in FIG. 7 has four second ports 20 at the upper part of the mask main body 5 and two third ports 30 at the lower part of the mask main body 5. Air flows in the internal space from the top to the bottom of the mask body 5. As shown in FIG. 8, when the mask main body 5 has the second port 20 on the upper right and the third port 30 on the lower left of the mask main body 5, the air is the internal space of the mask main body 5. It flows from the upper right to the lower left.
  • the fourth port is a cylinder 40 through which the intubation tube is inserted.
  • the number, arrangement, and shape of the ports of the protective device 1 are appropriately set according to the application.
  • the mask body 5 may have a third port 30 on only one side (for example, the right side), or a third port on both sides. You may have 30.
  • the opening of the first port 10 may be smaller than that of the second port.
  • the protective device 1 may have two first ports 10 of a gastrointestinal endoscopic port and a bronchoscopic port.
  • the mask body 5 may cover up to the eyes of the subject, or may cover the entire face. Conversely, a mask that covers only the upper half of the face may be used to secure surgical space. That is, as shown in FIG. 9, the mask body 5 has a shape in which the lower part of the mask body 5 in FIG. 2 is cut off, and a gap is formed between the mask body 5 and the face only in the vicinity of the nose. You may cover it with tape so that there are no gaps except near the nose.
  • the third port 30 is connected to the suction device 200 via the suction tube 210. Since the aerosol generated by the subject 100 is sucked from the gap between the mask body 5 and the face, the risk of infection by the medical staff can be reduced. As shown in FIG. 9, the suction tube 210 may be passed through the mask body 5 so that the tip thereof is located near the nose of the subject 100.
  • the size of the mask body of the present invention may be reduced by cutting the upper part of the mask body 5 shown in FIG. 2 or cutting the upper part and the lower part.
  • the endoscope protective device 1A of the present embodiment shown in FIG. 10 has an overmask (full face mask) 15 that covers the subject 100 from the head to the chin and does not cover the first port 10 of the main body 5. Further equipped.
  • overmask full face mask
  • the overmask 15 is a transparent bag with an opening through which the neck can be inserted.
  • the overmask 15 made of a polyethylene film is welded and fixed to the outer peripheral portion of the mask body 5, for example, and is integrated with the mask body 5.
  • the subject 100 wears the mask body 5 and then puts the overmask 15 on his head, and ties the opening of the overmask 15 around his neck with a string or the like to fix it.
  • the overmask 15A shown in FIG. 11 also has an opening in which rubber is arranged on the outer edge, for example, at a position corresponding to the mask main body 5. Therefore, the outer peripheral portion of the mask main body 5 is covered with the overmask 15A.
  • the overmasks 15 and 15A may cover the upper body of the subject 100. Further, the overmasks 15 and 15A may have a port for ventilation.
  • a tube such as a nasal cannula 98
  • overmasks 15 and 15A with a fixing portion for fixing the tube and an opening for inserting the tube are used.
  • the overmask may also have an opening on the crown.
  • the overmask can be kept uncovered until the start of the examination, and just before the start of the examination, the overmask can be extended to the crown and the opening can be closed over the head.
  • the endoscope protector 1B of the present embodiment shown in FIG. 12 has a drape 16 for an insertion portion, which is arranged in the first port 10 and in which the insertion portion 91 of the endoscope 90 is housed in a substantially sealed state. Further equipped.
  • the drape 16 includes a ring 16A arranged in the first port 10 and a drape 16B which is a sterilized cylindrical bag having openings at both ends.
  • the length of the drape 16 is slightly longer than the length of the insertion portion 91.
  • the ring 16A of the opening of the drape 16 is fixed to the mask body 5 without a gap by fitting with the ring 10A of the first port 10.
  • the opening on the side of the operation portion 92 of the drape 16 is fixed to the rear end portion of the insertion portion 91 or the lower portion of the operation portion 92 without a gap by using, for example, tape 16C.
  • the endoscope 90 has a channel tube, it is preferable that the drape 16 covers up to the treatment tool insertion hole of the operation unit 92.
  • the insertion portion 91 inserted into the body of the subject 100 may have a virus or the like attached to the surface thereof.
  • the risk of infection by medical staff can be reduced.
  • the drape 16B is made of a flexible material for gripping and operating the insertion portion 91. Also, the drape 16B is made of a thin material so as not to be bulky. For example, the drape 16B is made of a transparent or translucent flexible resin material such as polyethylene. The cross-sectional area of the cylindrical drape 16B may be larger or smaller as it is separated from the ring 16A.
  • the drape 16B As shown in FIG. 14, as the insertion portion 91 is inserted into the body, the drape 16B is folded into a bellows shape, for example. Then, when the insertion portion 91 is removed, the drape 16B returns to a cylindrical shape.
  • the insertion portion 91 is sealed by being housed in the drape 16 for the insertion portion communicating with the first port 10 in the insertion step and the removal step.
  • the port of the mask body 5 is blocked by the adapter. Then, for example, when the mask body 5 is used together with the overmask 15, the insertion portion 91 is sealed together with the mask body 5 by binding the opening on the neck side of the overmask 15 removed from the subject (for example).
  • FIG. 15
  • the drape 16 for the insertion part allows the medical staff to complete the inspection and processing without touching the insertion part 91. Further, the drape 16 for the insertion portion can reduce the risk of diffusion during movement to the reprocess chamber for sterilization and the like and in the reprocess chamber.
  • a bag may be used to seal the inserted portion 61 after use.
  • the drape 16 may be removed from the mask body 5 and a bag may be used to cover the ring 16A of the drape 16.
  • the drape of the present invention is used to house a contaminated member in a substantially sealed state.
  • the shutter 6 may be arranged not on the mask body 5 but on the ring 16A of the drape 16. Further, at least one of a second port for ventilation and a third port for suction may be provided on the ring 16A instead of the mask body 5.
  • the ring 16A may have a conical shape with a smaller diameter, a vertically long, horizontally long, or a cruciform funnel shape as the diameter increases away from the connection portion of the first port 10 with the ring 10A.
  • the bellows drape 16B does not enter the mask body 5A and come into contact with the mouth and nose of the subject 100 when the endoscope is inserted. Further, the drape 16 can easily pull out the folded drape 16B before use into a cylindrical shape at the time of use.
  • the endoscope shown in FIG. 16 has a channel tube 95 extending from the tip portion 91A of the insertion portion 91 to the treatment tool insertion port H95 of the operation portion 92.
  • the drape 17 for the treatment tool accommodates the treatment tool 99 inserted into the channel tube 95.
  • the drape 17 is a cylinder made of, for example, polyethylene, like the drape 16 for the insertion portion.
  • the length of the drape 17 is substantially the same as the length of the treatment tool 99.
  • One opening of the drape 17 covers the lower part of the operation unit 92 so as to seal the treatment tool insertion port H95.
  • the other opening of the drape 17 is fixed by using rubber 17A or the like so as to seal the end portion of the treatment tool 99.
  • the end portion of the treatment tool 99 is not housed in the drape 17, but the entire treatment tool 99 may be housed in the drape 17.
  • the drape 17 becomes, for example, a bellows shape. It will be folded.
  • the treatment tool 99 when the treatment tool 99 is inserted and removed, the treatment tool 99 is housed in a drape 17 for the treatment tool that communicates with the treatment tool insertion port H95 in a substantially sealed state.
  • the drape 17 for the treatment tool allows healthcare professionals to reduce the risk of infection by operating the treatment tool 99.
  • the mask body 5, the overmask 15, and the drape 16 for the insertion portion can be used in combination with the drape 17 for the treatment tool.
  • the operation unit 92 of the endoscope 90 is housed in the drape 18 for the operation unit.
  • the drape 18 is a cylinder made of, for example, polyethylene, like the drape 16 for the insertion portion.
  • the drape 18 covers the operation unit 92 including the treatment tool insertion port H95 of the channel tube 95. That is, one end of the drape 18 is fixed to the tip end side of the universal cord 93, and the other end is fixed to the lower part of the operation portion 92 or the base end side of the insertion portion 91.
  • the hand 120 of the medical worker who operates the operation unit 92 is inserted between the opening O93 on the tip side of the universal cord and the opening O91 on the insertion unit 91 side.
  • the drape 18A has better operability for medical staff than the drape 18.
  • an opening O120 may be simply inserted by a medical worker, such as the drape 18B for the operation unit shown in FIG. 19B.
  • the drape 18 can reduce the risk of infection by a medical worker by operating the operation unit 92. Needless to say, it can be used in combination with the mask body 5, the overmask 15, the drape 16 for the insertion portion, and the drape 17 for the treatment tool. Further, a plurality of drapes may be communicated and integrated. For example, a drape in which the drape 16 for the insertion portion and the drape 18 for the operation portion are integrated is also preferably used.
  • Endoscopy using protective equipment including drapes is performed by the following steps performed by medical staff.
  • the drape 16 for the insertion part and the drape 18 for the operation part are attached to the insertion part 91 and the operation part 92, and the endoscope 90 is hung on the scope hanger.
  • the drape 17 for the treatment tool is attached to the treatment tool 99, and the treatment tool 99 is hung on the treatment tool hanger.
  • the drape 16 for the insertion portion is attached to the mask body 5. Further, the drape 17 for the treatment tool is attached to the treatment tool insertion port H95.
  • D Implementation of inspection / treatment.
  • the drape 17 for the treatment tool is removed from the treatment tool insertion port H95, and the treatment tool 99 is hung on the treatment tool hanger.
  • the medical staff may perform the steps in the following order.
  • A) The drape 17 for the treatment tool is attached to the treatment tool 99, and the treatment tool 99 is hung on the treatment tool hanger.
  • B) The drape 16 for the insertion portion previously attached to the mask main body 5 is stretched and attached to the insertion portion 91. Further, the drape 17 for the treatment tool is attached to the treatment tool insertion port H95.
  • D The drape 16 for the insertion portion is removed from the mask body 5, and the endoscope 90 is placed on the scope hanger.
  • the drapes 16 and 17 are removed from the endoscope 90 and the treatment tool 99, and the reprocess is started.
  • the drape 16 may be taken to the reprocess room together with the mask body 5 without being removed from the mask body 5.
  • the main body is a mouthpiece 5C held in the mouth of the subject.
  • the first port 10 is provided at a position facing the mouth of the subject 100.
  • the mouthpiece 5C is provided with a second port 20 and a third port 30.
  • the mouthpiece 5C is preferably used together with the drape 16 for the insertion portion.
  • the second port 20 and the third port 30 are arranged on the ring 16A of the drape 16 that fits with the ring 10A of the first port 10 of the mouthpiece 5C.
  • the mouthpiece 5C is more preferably used together with the overmask 15B that covers the subject's head. That is, it goes without saying that the mask body 5, the overmask 15, and the drape 16 for the insertion portion can be used in combination with the mouthpiece 5C.
  • the main body is the buttocks main body 5D attached to the buttocks of the subject 100.
  • the first port 10 is provided at a position facing the anus of the subject.
  • the protective device 1D is attached to the pants 5D1 with an insertion port for an endoscope.
  • the pants 5D1 has a ring made of elastic material such as rubber on the waist and both ankles of the subject 100, and the inside is sealed.
  • the protector 1D is provided with a second port and a third port.
  • the protective device 1D shown in FIG. 23 is used together with the drape 16 for the insertion portion. Therefore, the drape 16 may be provided with a second port and a third port. Further, the protective device 1D may be directly fixed to the subject's anus at a position facing the anus of the subject, instead of being attached to the pants 5D1.
  • the endoscope 90 described in the above embodiment is a flexible mirror in which the insertion portion 91 is flexible, but in the endoscope of the present invention, the insertion portion 91 is inflexible like the tip portion 91A. It may be a rigid mirror.

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  • Endoscopes (AREA)

Abstract

L'invention concerne un dispositif de protection 1 pour un endoscope comprend un corps principal 5 qui est fixé à un sujet 100 et qui forme un espace sensiblement clos avec le corps, un premier orifice 10 dans lequel une partie d'insertion 91 d'un endoscope est insérée, et un second orifice 20 à travers lequel de l'air extérieur s'écoule dans l'espace susmentionné.
PCT/JP2020/026165 2020-07-03 2020-07-03 Dispositif de protection pour endoscope, champ opératoire et procédé de fonctionnement d'un dispositif de protection pour endoscope Ceased WO2022003944A1 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
PCT/JP2020/026165 WO2022003944A1 (fr) 2020-07-03 2020-07-03 Dispositif de protection pour endoscope, champ opératoire et procédé de fonctionnement d'un dispositif de protection pour endoscope
JP2022534136A JP7455210B2 (ja) 2020-07-03 2021-07-05 内視鏡用保護具および内視鏡用保護システム
PCT/JP2021/025367 WO2022004897A1 (fr) 2020-07-03 2021-07-05 Instrument de protection d'endoscope et système de protection d'endoscope
JP2024038219A JP7656748B2 (ja) 2020-07-03 2024-03-12 内視鏡用保護具および内視鏡用保護具のキャップ
JP2025048615A JP7738790B2 (ja) 2020-07-03 2025-03-24 内視鏡用保護具および内視鏡用保護システム

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/JP2020/026165 WO2022003944A1 (fr) 2020-07-03 2020-07-03 Dispositif de protection pour endoscope, champ opératoire et procédé de fonctionnement d'un dispositif de protection pour endoscope

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WO2022003944A1 true WO2022003944A1 (fr) 2022-01-06

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PCT/JP2020/026165 Ceased WO2022003944A1 (fr) 2020-07-03 2020-07-03 Dispositif de protection pour endoscope, champ opératoire et procédé de fonctionnement d'un dispositif de protection pour endoscope
PCT/JP2021/025367 Ceased WO2022004897A1 (fr) 2020-07-03 2021-07-05 Instrument de protection d'endoscope et système de protection d'endoscope

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PCT/JP2021/025367 Ceased WO2022004897A1 (fr) 2020-07-03 2021-07-05 Instrument de protection d'endoscope et système de protection d'endoscope

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WO (2) WO2022003944A1 (fr)

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CN117378985B (zh) * 2023-12-08 2024-06-18 深圳因赛德思医疗科技有限公司 一种密闭式内窥镜

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JP2025085829A (ja) 2025-06-05
JP7455210B2 (ja) 2024-03-25
JP2024061814A (ja) 2024-05-08
JP7738790B2 (ja) 2025-09-12
JPWO2022004897A1 (fr) 2022-01-06
WO2022004897A1 (fr) 2022-01-06
JP7656748B2 (ja) 2025-04-03

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