Patent Application
20240130607
Endoscope holding member and endoscope holding method, a cart having the same, a washing sink, a washing and sterilizing apparatus, a stand and a storage cabinet for an endoscope
The present invention relates to a scope hanger for holding an endoscope, a method for holding an endoscope, a cart having the same, a washing sink, a washing and sterilizing apparatus, a stand and a storage cabinet for an endoscope.
When using an endoscope (scope) for examination or treatment, if there is an endoscope holding stand capable of holding the endoscope, the hand of a doctor becomes free, and convenience can be expected such as being able to prevent the doctor's exposure to radiation when using radiation for examination or treatment, being able to do quick treatment at the time of emergency, being able to adjust the instruments used for examination or treatment, being able to rest a weary doctor by long-term treatment it can. As an invention of such an endoscope holding stand, Patent Literature 1 and the like are available. However, as compared with the case that a doctor holds it, there are problems to cause pain to a patient, because the endoscope is rotated counterclockwise by 120 degrees when viewed from above and held vertically from side view, that it is necessary to release the endoscope to be held by the assistant and to operate it with both hands of the doctor and that holding height is not constant depending on the physique difference of the assistants when a doctor releases the endoscope to be held by an assistant.
Therefore, development of a holding member capable of holding an endoscope without causing pain to a patient and a cart and the like having the holding member have been desired.
An endoscope hanger which frees a doctor's hands without causing pain to a patient, and a cart, washing sink, washing and sterilizing apparatus, stand and endoscope storage cabinet having said endoscope hanger are provided. This endoscope hanger is characterized by having a polygonal shape and/or an ellipsoid shape (including a perfect circular shape) or a shape that is a combination of these, and is characterized by having at least one hole that can hold an endoscope at an oblique angle; this cart, washing sink, washing and sterilizing apparatus, stand and endoscope storage cabinet comprise said endoscope hanger.
An endoscope holding member (scope hanger) that a doctor can use hand freely without causing pain to a patient and a cart having it, a washing sink, a washing and sterilizing apparatus, a stand and a storage cabinet for an endoscope.
(1) An endoscope holding member (a scope hanger), characterized by having at least one hole which has a polygonal shape and/or an elliptical shape (including perfect circle) or a mixed shape thereof and which can hold the endoscope at an oblique angle.
(2) The endoscope holding member according to (1), having polygonal and/or elliptical (including perfect circle) or mixed shapes thereof having at least two holes capable of holding an endoscope, wherein the first hole can hold the endoscope vertically, wherein the second hole can hold the endoscope at an oblique angle.
(3) The endoscope holding member according to (1) or (2), characterized by having polygonal and/or elliptical (including perfect circle) or mixed shapes thereof and by having a thickness of 1 cm to 5 cm, a length of 8 cm to 15 cm, a width of 20 cm to 30 cm, a thickness of 1 cm to 5 cm, a major axis of 20 cm to 30 cm, a minor diameter of 8 cm to 15 cm.
(4) The endoscope holding member according to any one of (1) to (3) wherein said oblique angle is 20 to 80 degrees.
(5) The endoscope holding member according to any one of (1) to (4) wherein the number of holes capable to hold said endoscopes is 4 to 24.
(6) The endoscope holding member according to any one of (1) to (5) characterized in that it can respond to changes in the insertion length of the endoscope and the position of the patient by merely rotating the endoscope holding member at the height of the upper end of the support portion which is set to the height held by the doctor in advance.
(7) The endoscope holding member according to any one of (1) to (5), characterized by being capable to hold multiple different kinds of endoscopes.
(8) A cart comprising, an endoscope holding member according to any one of (1) to (7), a support portion supporting the holding member so as to be rotatable in a horizontal direction and vertically movably supporting the holding member, and means for securing the support portion.
(9) A cart according to (8), comprising two or more support portion described in (1) to (7).
(10) A cart according to (8) or (9), comprising said support portion at the front right corner.
(11) A method for holding an endoscope using the cart according to (8) to (10).
(12) A washing sink, a washing and sterilizing apparatus, a stand or an endoscope storage cabinet, comprising the holding member described in any one of (1) to (7).
(13) A washing sink, a washing and sterilizing apparatus, a stand or an endoscope storage cabinet according to (12) wherein said holding member is supported rotatable.
(14) A method for holding an endoscope using a washing sink, a washing and sterilizing apparatus, a stand or an endoscope storage cabinet described in (12) or (13).
(15) A method according to (14), wherein said endoscopes are multiple different kinds of endoscopes.
(16) A method for holding an endoscope stably using the endoscope holding member according to (1) to (7).
(17) A method according to (16), characterized in that a hardness adjusting ring is passed vertically through a hole on a back side of the endoscope holding member and then the endoscope is moved and held in a hole in front of the endoscope holding member,
(18) A method according to (16) or (17), characterized in that the endoscope is supported by three points, comprising one point under the endoscope and two points of upper side surface in case of holding at an oblique angle.
According to the present invention, the flexibility of the doctor is raised drastically without causing pain to a patient when using an endoscope.
The present invention comprise a mean that can hold an endoscope at a specific angle and a holding means to hold the holding means rotatable. As a mean for fixing and holding at a specific angle, holding members having the shape of a rectangular parallelepiped or a similar polygon or elliptical shape, or a combination thereof can be used. As a means for fixing and holding the endoscope at a specific angle, it may be a structure like a clamp, but it is necessary to fix it so that the angle does not change during holding.
In the present invention, the term “endoscope” means a medical device aimed at observing the interior of a living body, and has an optical system incorporated in the main body, and watching the image inside the living body by inserting the tip into the living body. Examples of the endoscope include a gastroscope, a colonoscope, an enteroscope, a cholangiopancreatoscope, a laryngoscope, a bronchoscope, a cystoscope, an ureteroscope, a hysteroscope, an arthroscope, a neruoendoscope, and the like, but not limited thereto.
The material of said holding member is not particularly limited as long as it can stably hold the endoscope such as wood, plywood, plastic, metal, rubber, etc.
When there is a hole in the endoscope holding member, it has at least two types of holes that can hold both in the vertical direction and the oblique angle. If necessary, these two holes may be connected. By connecting the two holes, the area of the endoscope holding member can be reduced.
In addition, by connecting the two holes, making the hole on the back side (center side) large enough to pass the hardness adjusting ring vertically and the hole on the front side (end side) as the hole capable of holding the endoscope, after the hardness adjusting ring is passed through the hole on the back side, the endoscope can be stably held by moving it to the hole on the front side. In this case, the diameter of the hole on the back side (center side) is preferably larger than the diameter of the hardness adjusting ring by 2.0 mm to 3.0 mm. More preferably, the diameter is larger by 2.1 mm to 2.7 mm, further preferably by 2.2 mm to 2.4 mm. Further, the length of the boundary part between the hole on the back side (center side) and the hole on the front side (end side) is preferably larger than the diameter of the endoscope operation part of the Olympus by 2.0 mm to 2.5 mm. More preferably, it is larger by 2.1 mm to 2.4 mm, further preferably by 2.2 mm to 2.3 mm.
In the case of wood, the hole of the endoscope holding member may be scraped to optimize the angle. In the case of rubber or plastics, it may be integrally molded with a metal mold or the like, and metal or the like may be manufactured by a manufacturing method well known by those skilled in the art such as press working. In the case of plastic or the like, it may be manufactured using a three-dimensional printer.
A preferable angle when holding the endoscope is a vertical direction when the endoscope is not used. In this case, it may not be completely vertical, and an angle of ±degrees in the vertical direction is preferable. A more preferable angle is ±3 degrees in the vertical direction, further preferably ±1 degree in the vertical direction.
When holding the endoscope obliquely during examination or treatment, the oblique angle is preferably 20 to 80 degrees with respect to the horizontal direction. This angle is the same as the angle at which the doctor holds the endoscope by hand.
In the case of a colonoscope, the oblique angle is preferably 40 to 50 degrees, more preferably 41 to 48 degrees, further preferably 42 to 46 degrees, and most preferably 43 to 45 degrees with respect to the horizontal direction.
In the case of a gastroscope, the oblique angle is preferably 40 to 50 degrees, more preferably 42 to 48 degrees, most preferably 43 to 47 degrees with respect to the horizontal direction.
In the case of a bronchoscope, the oblique angle is preferably 25 to 35 degrees, more preferably 27 to 33 degrees, most preferably 28 to 32 degrees with respect to the horizontal direction.
In the case of an ureteroscope, the oblique angle is preferably 65 to 75 degrees, more preferably 67 to 73 degrees, most preferably 68 to 72 degrees with respect to the horizontal direction.
When the endoscope holding member is attached to a cart, preferably, the endoscope holding member is rotatably supported by the support post. Rotation is horizontal, but it may be within horizontal ±5 degrees even if it is not perfectly horizontal. By making it rotatable, it is possible to adjust so that the endoscope can be easily held. That is, when the longer part is inserted, the holding member is rotated so as to be closer, and when the short part is inserted, by rotating the holding member to be farther away, it is possible to easily hold the surplus endoscope without giving a burden.
In order to delay the falling of the scope hanger, it is also possible to use an infusion pole (for example, manufactured by AS ONE Corporation) with an air damper on the outer cylinder part and/or the inner cylinder part of the scope hanger. In this case, it is preferable to enlarge the air hole at the lower end of the pole to weaken the effect of the air damper. After weaken the air damper effect, by drilling a hole at the lower end of the pole with the air damper, then a rubber cap is attached to the lower end of the pole to return the air damper effect to the original, furthermore, a small hole may be opened in the rubber cap so that the scope hanger apical end part (endoscope holding member) may have a damper effect such that it naturally lowers slowly. As a result, when the screw is loosened, it naturally lowers slowly, so there is no need to lower with the left hand, and there is no concern of collision due to rapid fall.
In a preferred embodiment, the post supporting the endoscope holding member is attached to the cart. More preferably, the right end of the front face of the cart (the left side facing the front of the cart) is preferable.
The endoscope holding member may be detachable and may be designed to be removable from the pole and sterilized.
When holding the endoscope, it can usually be held with the center of the endoscope operation part. In addition, when holding an Olympus colonoscope, it may be held with the hardness adjusting ring or may be held with the center of the endoscope operation part, but preferably, when holding the Olympus colonoscope at an oblique angle, it is preferable to hold it with the hardness adjusting ring and when holding it in vertical direction, it is preferable to hold it with the center of the endoscope operation part. In the case of holding the endoscope obliquely, the endoscope can be stably held by being supported by the endoscope holding member, with at least a total of three points of one point on the lower surface of the endoscope and two points on the upper surface (
According to another aspect of the present invention, a cart, a washing sink, a washing and sterilization apparatus, a stand, and an endoscope storage cabinet are provided which are attached with a member that holds the endoscope whose holding angle is optimized and that is vertically and rotatably attached. The endoscope holding member is rotatably attached, and washing and sterilization and storage become more convenient. However, in the washing sink, the washing and sterilization apparatus, the stand and the endoscope storage cabinet, means for rotating is not indispensable. In the washing sink, the washing and sterilization apparatus, the stand and the endoscope storage cabinet, means for moving up and down are also not indispensable. Furthermore, not all of the endoscope holding member may be attached, but only a part thereof may be attached.
By using the holding member, the cart, the washing sink, the washing and sterilization apparatus, the stand or the endoscope storage cabinet having such a structure, it is possible to solve the problem at the time of holding the endoscope conventionally and the convenience at the time of examination, treatment, washing, sterilization, storage and taking out remarkably improved.
In addition, according to the present invention, six kind of shapes of the endoscope of at least three manufacturers can be held vertically by a endoscope holding member in a stable manner.
In the present specification, “being able to be held stably” means that it can be held without shake and in a state not to fall.
In the conventional storage cabinet, the place to store was determined for each shape of the endoscope, so it was managed by attaching tags. However, by using the endoscope holding member of the present invention, endoscopes having different shapes can be stored side by side in the same storage cabinet in order of sterilization, so that it can be known at a glance whether or not the endoscope has been sterilized, and there is an effect that it is possible to prevent a medical accident to use an unsterilized endoscope by mistake.
In addition, by using the endoscope holding member of the present invention for the stand temporarily holding the sterilized endoscope, even if the shape of the endoscope is different, the endoscope that has been sterilized is placed in the same place, so that it can be known at a glance whether or not it has been sterilized and there is an effect that it is possible to prevent a medical accident to use an unsterilized endoscope by mistake.
When holding the Olympus colonoscope vertically or at an oblique angle, it is more stable to hold with the center of the endoscope operation part than to hold with the hardness adjusting ring. In order to hold the Olympus colonoscope with the center of the endoscope operation part, the hardness adjusting ring must be passed vertically. However, if the hardness adjusting ring can be passed vertically through the part that holds the endoscope, the size of the part that holds the endoscope becomes large, and the endoscope can not be held stably. Therefore, if the size of the part is increased through which the forceps opening passes up and down and the hardness adjusting ring is allowed to pass up and down, when holding the Olympus colonoscope, hardness adjusting ring is passed from upper to lower at the part passing the forceps opening vertically, and the lower end of the endoscope operation part is moved from the part passing the forceps opening vertically to the part for holding the endoscope so that the endoscope is held vertically or at an oblique angle with the center of the endoscope operation part.
Further, it is also possible to enlarge the hole on the front side (end side) of the endoscope holding member, pass the hardness adjusting ring vertically and hold the endoscope by the hole on the back side (center side). In this case, since the forceps opening is held toward the center side, it is preferable to provide another hole for the forceps opening (total of 3 holes on one side). In this case, it may be difficult to hold at an oblique angle.
In addition, if the scope hanger apical end part can be integrated into one shape, there is no need to rotate the apical end part, so that a structure for rotation becomes unnecessary.
In order to make the scope hanger apical end part into one shape, it is necessary to make the part that holds the endoscope into one shape that can stably hold the center of the endoscope operation part of six kinds of shapes. In addition, in order to make the scope hanger apical end part into one shape, it is necessary to adjust the size of the part through which the forceps opening is passed up and down so that the hardness adjusting ring can pass through vertically. If the hardness adjusting ring can be passed up and down, the Olympus colonoscope can be held.
By setting the hole on the back side (center side) to a size that allows the hardness adjusting ring to pass up and down and making the hole on the front side (end side) to a shape capable of holding the six types of endoscopes, the scope hanger apical end part can be integrated into one shape. In this case, the diameter of the hole on the back side (center side) is preferably larger than the diameter of the hardness adjusting ring by 2.0 mm to 2.5 mm. More preferably, the diameter is larger by 2.1 mm to 2.4 mm, further preferably by 2.2 mm to 2.3 mm. In addition, the length of the boundary part between the hole on the back side (center side) and the hole on the front side (end side) is preferably larger than the diameter of the endoscope operation part of the Olympus colonoscope by 1.0 mm to 1.8 mm. It is more preferably larger by 1.1 mm to 1.6 mm, further preferably by 1.2 mm to 1.4 mm. Specific examples will be described below with reference to the drawings, but the present invention is not limited by these examples at all.
In addition,
When the endoscope operation part 2 is held by the scope hanger 3 at an oblique angle with the colonoscope 1 inserted in the patient, in order to hold the endoscope operation part 2 at the position closest to the position the doctor holds (or to hold the endoscope operation part 2 at the position closest to the patient), the scope hanger 3 is set up at the right corner of the front face of the cart 4.
If the endoscope is held at the same height and the same angle as the doctor holds it (that is, at an oblique angle), the excessive force is not applied to the patient or the endoscope. When the endoscope operation part 2 is held by the scope hanger 3 while the colonoscope 1 is inserted in the patient, it is necessary to make the shape of the scope hanger apical end part 5 such that the endoscope operation part 2 can be held at an oblique angle.
In addition, while waiting (when the endoscope is not inserted in the patient), since it is necessary to hold the endoscope operation part 2 vertically, it is necessary to make the shape of the scope hanger apical end part 5 to be able to hold the endoscope operation part 2 vertically.
The endoscope operation part 2 of the colonoscope 1 shows various shapes depending on the model. Therefore, in order to cope with the shape of the endoscope operation part 2 of all the colonoscope 1, six models of the colonoscope 1 of each manufacturer (Olympus, Fuji Film, and Pentax) were obtained.
Next, the wood of 2 cm in thickness, 10 cm in length, and 9 cm in width was shaved off, and the shape of the scope hanger apical end part 5 was determined for each type of colonoscope by the following procedure.
Among the six kinds of shapes of the scope hanger apical end part 5 determined as described above, those having similar shapes were examined while holding the endoscope operation part 2 of the colonoscope 1 of each manufacturer to integrate them into two kinds.
The endoscope operation part 2 of each manufacturer's colonoscope 1 could be held at an oblique angle or vertically either on one of the scope hanger apical end parts (49 mm×31 mm in the bottom view) or another one (45 mm×32 mm in the bottom view).
In addition,
In the case that the endoscope operation part 2 is held by the scope hanger 3 at an oblique angle while the colonoscope 1 is inserted in the patient, the height of the scope hanger apical end part 5 needs to be lowered to the height held by the doctor (the height of 125 cm to 130 cm from the floor), that is, to the height of the upper end of the scope hanger outer cylinder part 7, so that the scope hanger inner cylinder part 6 was made possible to be raised and lowered.
When the endoscope operation part 2 is held vertically during standby (when the endoscope is not inserted in the patient), the height of the scope hanger apical end part 5 needs to be increased and the scope hanger inner cylinder part 6 needs to be fixed so that the apical end part of the endoscope does not contact with the floor, so that the scope hanger inner cylinder part 6 was made possible to be fixed to the scope hanger outer cylinder part 7 by screws 8.
When the endoscope operation part 2 is held at an oblique angle by the scope hanger 3 while the colonoscope 1 is inserted in the patient, the operation becomes simple (only lowering the scope hanger apical end part 5 as possible is sufficient) when the height of upper end part of the scope hanger outer cylinder part 7 is set as the lowered height of the scope hanger apical end part 5 becomes the height that a doctor holds (it is changed by doctor's physique), so that the scope hanger outer cylinder part 7 was made possible to be raised and lowered.
When the endoscope operation part 2 is held by the scope hanger 3 at an oblique angle while the colonoscope 1 is inserted in the patient, it was possible to hold the endoscope operation part 2 by simply rotating the scope hanger apical end part 5 with the height held by the doctor, that is, the height of the upper end of the scope hanger outer cylinder part 7, even without changing the height of the scope hanger apical end part 5 every time the depth of insertion of the colonoscope 1 or the position of the patient changes, so that the scope hanger apical end part 5 was made possible to be rotated.
When using a colonoscope, the position of the patient is often changed by position change.
In addition, even when the position of the patient is displaced to the front side or the back side, the scope hanger apical end part 5 is rotated so that the endoscope operation part 2 can be held at the height of the upper end of the scope hanger outer cylinder part 7.
When the cart 4 was used actually on which the scope hanger 3 manufactured as described above is mounted, as shown in
In
Now, at first, the operation to hold the endoscope operation part with the scope hanger is explained.
(1) The colonoscope 1 held with the right hand of the doctor is released (the colonoscope 1 is inserted in the patient so that the right hand can be released). Then the lower end of the endoscope operation part 2 is held with the right hand. Then the left hand becomes free (
(2) The screw 8 is loosen with the left hand, the scope hanger apical end part 5 is lowered to the height of the upper end of the scope hanger outer cylinder part 7 with the left hand, and simultaneously the scope hanger apical end part 5 is rotated to the patient side with the left hand (
(3) The endoscope operation part 2 held by the right hand is held with the left hand, and the endoscope operation part 2 is held with the scope hanger apical end part 5 at an oblique angle (
(4) In that case, the scope hanger apical end part 5 is rotated by the holding operation, when the insertion is shallow, the scope hanger apical end part 5 is rotated so as to be vertical, and when the insertion is deep, the scope hanger apical end part 5 is rotated so as to be oblique, and it is determined to be just right position. Therefore, the screw 8 shall not be tightened (
In the above operation method, there is no need to release the colonoscope 1 which is held by the doctor and of the assistant to hold, and there is no need to operate with both hands of the doctor.
In addition, when a doctor holds the endoscope operation part 2 held by the scope hanger once again, the endoscope operation part 2 can be detached with the left hand of the doctor with ease.
Next, the operation to hold the endoscope operation part by scope hanger after use of the endoscope is explained.
The scope hanger of the present invention can be used for the conventional method of vertically holding the endoscope operation part of the gastroscope.
Also, in a facility where multiple doctors are enrolled, if a doctor does not wish to hold the endoscope operation part of the colonoscope at an oblique angle, the conventional usage method can be selected in which the endoscope operation part of the colonoscope is held vertically.
About Applied Products
By applying the cart having the scope hanger of the present invention, various endoscopes (a gastroscope, an enteroscope, a cholangiopancreatoscope, a laryngoscope, a bronchoscope, a cystoscope, an ureteroscope, a hysteroscope, an arthroscope, a neuroendoscope) can be held with the endoscope operation part while inserting in a patient.
At that time, in order to hold the various endoscopes at the same angle as the doctor holds, the range at which the oblique angle of the scope hanger apical end part can take is 20 to 80 degrees.
Actually, in the case of the bronchoscope, the oblique angle of the scope hanger apical end part takes an angle of 30 degrees, because the bronchoscope comes out upward from the mouth in the supine position, and in the case of the ureteroscope, the oblique angle of the scope hanger apical end part takes an angle of 70 degrees, because the ureteroscope comes out downward from the external urethral meatus in the crushing position.
The scope hanger of the present invention can be applied to a washing sink of an endoscope.
When the endoscope 10 is placed on the bottom surface of the washing sink 9 and the endoscope operation part 2 is held by the scope hanger apical end part 5 at an oblique angle, in order to hold the endoscope operation part 2 at the position closest to the position the endoscopy technician holds, a scope hanger was installed on the left edge of the washing sink 9.
In order to place the endoscope 10 on the bottom surface of the washing sink 9 and to hold the endoscope operation part 2 at the scope hanger apical end part 5, it is thought that less unreasonable force is applied to the endoscope in the case that the endoscope operating part 2 is held at the same height and the same angle (that is, at an oblique angle) as the endoscopy technician holds.
Therefore, the height of the upper end of the scope hanger outer cylinder part 7 was adjusted at the height between 15 cm and 18 cm from the bottom surface of the washing sink 9 so that the height of the scope hanger apical end part 5 becomes the same height as the endoscopy technician holds.
Further, the scope hanger apical end part 5 was made possible to be rotated as the endoscope operation part 2 could be held regardless of the length of the endoscope only by rotating the scope hanger apical end part 5 at the height of the upper end of the scope hanger outer cylinder part 7.
The washing sink 9 manufactured as described above was actually used. As shown in
Now, the operation of holding the endoscope operation part on the scope hanger attached to the washing sink is explained.
Further, when the endoscope operation part 2 held by the scope hanger apical end part 5 is held again by the endoscopy technician, the endoscope operation part 2 is easily removed and held with the left hand of the endoscopy technician.
By holding the endoscope operation part 2 by the scope hanger attached to the washing sink 9, the hand of the endoscopy technician becomes free and washing of the endoscope surface and brushing of the endoscope channel becomes easy.
In addition, when the endoscope operation part 2 is held at an oblique angle by the scope hanger attached to the washing sink 9, since each entrance part of the endoscope channels faces upward, the brushing of the endoscope channel is easy to perform.
Since the scope hanger apical end part 5 of the present invention can hold endoscope operation parts 2 of various endoscopes of various manufacturers, various endoscopes of respective manufacturers can be washed with the same sink.
In addition, if the scope hanger of the present invention is attached to the washing and sterilizing apparatus, the endoscope operation part can be fixed in the sterilizing tank, so that the hand of the endoscopy technician becomes free, and attaching and detaching the tube to the endoscope channels can be performed with ease.
In addition, if the scope hanger of the present invention is attached to the stand, various endoscope of each manufacturer can be held at one place, so that a place where the sterilized endoscope is placed can be determined. If the endoscope is placed in that place, it can be recognized that it has been sterilized, so there is convenience that can prevent a medical accident that erroneously uses an unsterilized endoscope.
The scope hanger of the present invention is applicable to an endoscope storage cabinet.
First, as shown in
When actually using the endoscope storage cabinet 12 manufactured as described above, it was possible to store various endoscopes of each manufacturer in the same place.
Therefore, in the endoscope storage cabinet 12 to which the scope hanger of the present invention is applied, it is possible to store endoscopes side by side in order of sterilization. By arranging the endoscopes in the order in which sterilization has been completed, it can be recognized that the endoscope has been sterilized, so that it is possible to prevent a medical accident inadvertently using an unsterilized endoscope.
As described above, by applying the scope hanger of the present invention to equipment such as washing sink, washing and sterilizing apparatus, stand, endoscope storage cabinet etc., while observing various endoscope washing and disinfection guidelines more reliably, it is possible to perform endoscope washing and sterilization.
The present invention can be applicable to manufacturer of medical devices or examination services.
The attachment includes a proximal portion which is configured to be held at the oblique angle by the endoscope holding member, an intermediate tube portion attached to the proximal portion, and a distal portion attached to the intermediate portion which is configured to hold a proximal portion of the rigid endoscope.
The method includes preliminarily attaching the endoscope holding member to an end of an operation table with a support; inserting the rigid endoscope through a port into the body of a patient; attaching a proximal portion of the rigid endoscope to the distal portion of the attachment; inserting a lower end of the proximal portion of the attachment into the hole of the endoscope holding member; rotating the endoscope holding member according to the endoscope position by using a lower end of the proximal portion of the attachment; passing a lower end of the proximal portion of the attachment in an oblique direction through a distal portion of the hole; holding the proximal portion of the attachment at the oblique angle in the hole while rotating and vertically moving the endoscope holding member according to the endoscope position; and directing the tip of the rigid endoscope to the operative field.
With additional reference to
The procedure which is applied can be a laparoscopic cholecystectomy, a laparoscopic hepatectomy, a laparoscopic pancreatectomy, a laparoscopic choledocholithotomy, a laparoscopic gastrectomy, a laparoscopic total gastrectomy, a laparoscopic sleeve gastrectomy, a laparoscopic colectomy, a laparoscopic appendectomy, a laparoscopic hysterectomy, a laparoscopic salpingectomy, a laparoscopic oophorectomy, a laparascopic splenectomy, a laparoscopic adrenalectomy, a laparoscopic nephrectomy, a laparoscopic cystectomy, a laparoscopic prostatectomy, a laparoscopic vesiculectomy, a laparoscopic nephrolithotomy, a laparoscopic pyelolithotomy, a laparoscopic cystolithotomy, a laparoscopic inguinal hernia repair, a laparoscopic femoral hernia repair, a laparoscopic obturator hernia repair, a laparoscopic umbilical hernia repair, a laparoscopic hiatal hernia repair, a laparoscopic biopsy, a endoscopic thyroidectomy, a endoscopic parathyroidectomy, a thoracoscopic lung resection, a thoracoscopic bullectomy, a thoracoscopic lung volume reduction surgery, a thoracoscopic esophagectomy, a thoracoscopic thymectomy, a thoracoscopic sympathectomy, a throacoscopic lung biopsy, a endoscopic spine surgery, a spinal endoscopy, a arthroscopic surgery, a arthroscopy, a rigid cystoscopy, and/or a rigid hysteroscopy.
With additional reference to
The rigid endoscope can be held and operated by a single individual. The cost can be reduced by dismissing the assistant which holds the rigid endoscope. The space can be reduced by dismissing the assistant which holds the rigid endoscope. The endoscope holding member can be fixed by itself at an arbitrary rotation angle and an arbitrary height after manually being rotated and vertically moved according to the endoscope position. The endoscope holding member can be rotated and vertically moved by an electric motor that is controlled by a foot switch.
The method can include attaching the endoscope holding member to an operation table with a support, wherein the endoscope holding member is movable in a vertical direction and is rotatable. The endoscope holding member can be fixed by itself at an arbitrary rotation angle and an arbitrary height after manually being rotated and vertically moved according to the endoscope position. The endoscope holding member can be rotated and vertically moved by an electric motor that is controlled by a foot switch.
The method can include attaching the endoscope holding member to a support; and attaching the support to an upper end of a stand with a support, wherein the endoscope holding member is movable in a vertical direction and is rotatable.
The method can include attaching the endoscope holding member to a support; and attaching the support to an arm which is attached to a side wall of an operation room, wherein the endoscope holding member is movable in a vertical direction and is rotatable.
The method can include attaching the endoscope holding member to a support; and attaching the support to an arm which is attached to a ceiling of an operation room, wherein the endoscope holding member is movable in a vertical direction and is rotatable.
A method for holding a flexible endoscope with an endoscope holding member, includes: holding the flexible endoscope with the endoscope holding member, the flexible endoscope configured to be held at the oblique angle by the endoscope holding member. The endoscope holding member includes: a body comprising opposed major surfaces, a perimeter of a portion of the body defining a polygonal shape as viewed in a plan view of one of the opposed major surfaces; and a recess formed in the body as viewed in the plan view, the recess having a shape wherein a portion of the recess has an elliptical curvature as viewed in the plan view and another portion of the recess has a circular curvature as viewed in the plan view, the recess defining a hole through the body as viewed in the plan view configured to hold an endoscope operation portion of an endoscope in the hole at an oblique angle with respect to one of the opposed major surfaces by a face and two contact points, the face contacting a lower surface of the endoscope operation portion and both a first point and a second point of the two contact points contacting an upper surface of the endoscope operation portion, the recess also defining an opening at the perimeter of the body in fluid communication with the hole that allows a forceps channel of the endoscope operation portion to be unobstructed with the endoscope operation portion held at the oblique angle.
The method can include attaching the endoscope holding member to an examination table with a support, wherein the endoscope holding member is movable in a vertical direction and is rotatable. The endoscope holding member can be fixed by itself at an arbitrary rotation angle and an arbitrary height after manually being rotated and vertically moved according to the endoscope position. The endoscope holding member can be rotated and vertically moved by an electric motor that is controlled by a foot switch.
The method can include attaching the endoscope holding member to a support; and attaching the support to an upper end of a stand with a support, wherein the endoscope holding member is movable in a vertical direction and is rotatable.
The method can include attaching the endoscope holding member to a support; and attaching the support to an arm which is attached to a side wall of an examination room, wherein the endoscope holding member is movable in a vertical direction and is rotatable.
The method can include attaching the endoscope holding member to a support; and attaching the support to an arm which is attached to a ceiling of an examination room, wherein the endoscope holding member is movable in a vertical direction and is rotatable.
A method for washing, sterilizing, and storing multiple different shapes of endoscopes by using the endoscope holding member configured to hold multiple different shapes of endoscopes includes: washing any one of multiple different shapes of endoscopes at one washing sink which is decided as the dirty area; washing and sterilizing any one of multiple different shapes of endoscopes at one washing and sterilizing apparatus; storing any one of multiple different shapes of endoscopes at one stand which is decided as the clean area; storing multiple different shapes of endoscopes at one endoscope storage cabinet which is decided as the clean area; and storing multiple different shapes of endoscopes side by side in order of sterilization in the endoscope storage cabinet which is decided as the clean area.
Any one of multiple different shapes of endoscopes can be stored vertically at one stand which is decided as the clean area for recognizing the sterilized endoscope and preventing a medical accident to use an unsterilized endoscope.
Any one of multiple different shapes of endoscopes can be stored vertically at one endoscope storage cabinet which is decided as the clean area for recognizing the sterilized endoscope and preventing a medical accident to use an unsterilized endoscope, and wherein multiple different shapes of endoscopes can be stored vertically side by side in order of sterilization in the endoscope storage cabinet which is decided as the clean area for recognizing the more early sterilized endoscope and preferentially using said endoscope before the expiration date.
In some embodiments, a device used in the method includes: a washing sink, a washing and sterilizing apparatus, a stand, and an endoscope storage cabinet, wherein the washing sink, the washing and sterilizing apparatus, the stand, and the endoscope storage cabinet are arranged in order of procedure for securing one way workflow from dirty to clean areas and separating of dirty and clean areas in order to avoid contamination.
An endoscope may have an endoscope operation portion which is configured to be held by the endoscope holding member.
The endoscope may be held by the attachment which is configured to be held by the endoscope holding member.
A method for holding an endoscope, includes: passing a hardness adjusting ring of the endoscope operation portion in an oblique direction through a distal portion of the hole; and holding the endoscope operation portion at the oblique angle in the distal portion of the hole.
A method for holding an endoscope with an endoscope holding member includes: passing a hardness adjusting ring of the endoscope operation portion vertically through a distal portion of the hole; and holding the endoscope operation portion vertically in the distal portion of the hole.
A method for holding an endoscope with an endoscope holding member includes: passing a lower end of the endoscope operation portion in an oblique direction through a distal portion of the hole; and holding the endoscope operation portion at the oblique angle in the distal portion of the hole.
A method for holding an endoscope with an endoscope holding member includes: passing a lower end of the endoscope operation portion in an oblique direction through a distal portion of the hole; and holding the endoscope operation portion at the oblique angle in the distal portion of the hole.
A method for holding an endoscope with an endoscope holding member includes: passing a lower end of the hardness adjusting ring in an oblique direction through a distal portion of the hole; and holding the hardness adjusting ring at the oblique angle in the distal portion of the hole.
A method for holding an endoscope with an endoscope holding member includes: passing a lower end of the hardness adjusting ring in an oblique direction through a distal portion of the hole; and holding the hardness adjusting ring at the oblique angle in the distal portion of the hole.
A method for holding an endoscope with an endoscope holding member includes: passing a lower end of the hardness adjusting ring vertically through a distal portion of the hole; and holding the hardness adjusting ring vertically in the distal portion of the hole.
A method for holding an endoscope with an endoscope holding member includes: preliminarily setting a height of an upper end of a support portion to the height held by a doctor; loosening a screw which fixed the endoscope holding member to a support portion; lowering a height of the endoscope holding member to the height of an upper end of a support portion; inserting a lower end of the endoscope operation portion into a distal portion of the hole; rotating the endoscope holding member according to an insertion length of the endoscope and a position of a patient by using the lower end of the endoscope operation portion; passing a lower end of the endoscope operation portion in an oblique direction through a distal portion of the hole; and holding the endoscope operation portion at the oblique angle in the distal portion of the hole while rotating the endoscope holding member according to the endoscope position.
A method for holding an endoscope with an endoscope holding member includes: inserting a lower end of the endoscope operation portion into a distal portion of the hole; rotating the endoscope holding member according to the endoscope position by using the lower end of the endoscope operation portion; passing a lower end of the endoscope operation portion in an oblique direction through a distal portion of the hole; and holding the endoscope operation portion at the oblique angle in the distal portion of the hole while rotating the endoscope holding member according to the endoscope position.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2015-040817 | Mar 2015 | JP | national |
This application is a Continuation-In-Part of U.S. application Ser. No. 15/555,274 filed Sep. 1, 2017, which is a national phase of International Application No. PCT/JP2016/056513 filed Mar. 2, 2016, which claims priority to Japanese Application No. 2015-040817 filed Mar. 2, 2015, the disclosures of which are hereby incorporated herein by reference in their entireties.
| Number | Date | Country | |
|---|---|---|---|
| Parent | 15555274 | Sep 2017 | US |
| Child | 17862394 | US |
