JP2007152089A - Apparatus for washing and disinfecting medical instruments with duct, and brushing apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an apparatus for washing and disinfecting a medical instrument with a duct, and a brushing apparatus, which is capable of hygienically, efficiently and securely cleaning and sterilizing a used medical instrument with the duct, especially the duct that has been used, and reducing complicated work following that. <P>SOLUTION: The apparatus 1 for washing and disinfecting the medical instrument 20 with the duct is provided with a mounting member 10 on which the medical instrument is mounted, a bath member 3 to provide a washing bath 5 in which the mounting member is disposed, a washing means to wash at least the duct of the medial instrument placed on the mounting member, and disposed in the washing bath, and a brushing means 85 detachably disposed on the bath body and have a brush to brush the duct in washing the duct by the washing means. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to an apparatus for cleaning and disinfecting a medical instrument having a used pipeline, and a brushing apparatus.

  Endoscopes used for the purpose of inspection and treatment in body cavities are not only the outer surface of the insertion part inserted into the body cavity, but also each of the internal pipes such as suction lines that also serve as forceps channels provided in the insertion part. Body fluid, filth, etc. adhere to the endoscope channel (channel). Therefore, it is necessary for the endoscope to sufficiently clean and disinfect the outer surface of the insertion portion and the endoscope channel after use.

For example, Patent Literature 1 discloses an endoscope washer for washing an endoscope. This endoscope washer includes a brush insertion tube for introducing a cleaning brush toward the back of the endoscope channel in order to clean the endoscope channel.
Japanese Patent Laid-Open No. 11-76145

  However, in the endoscope cleaning device of Patent Document 1, a long cleaning brush for sufficiently cleaning the endoscope channel is inserted into the brush insertion tube, and the endoscope channel is manually advanced and retracted. There is a problem in that it is necessary to perform repetitive operations, and the user is forced to perform a troublesome work that is very troublesome and time-consuming. In addition, there is a problem for the user that when replacing the cleaning brush, it takes a lot of time and effort to compact the used long cleaning brushes to be discarded.

  Therefore, the present invention has been made in view of the above-described problems, and in particular, a medical instrument having a used pipeline can be hygienically and efficiently cleaned and disinfected with certainty, and the associated troubles. An object of the present invention is to provide a device for cleaning and disinfecting a medical instrument having a pipe line that reduces unnecessary work, and a brushing device.

  An apparatus for cleaning and disinfecting a medical instrument having a conduit of the present invention is mounted on a mounting body on which the medical instrument is mounted, a tank body that provides a cleaning tank on which the mounting body is disposed, and the mounting body described above. A cleaning means for cleaning at least the conduit of the medical instrument disposed in the cleaning tank, and the conduit disposed in the tank body so as to be detachable, and when the conduit is cleaned by the cleaning means And a brushing means having a brush for brushing.

  In addition, the brushing device of the present invention is configured to wash and disinfect a medical instrument having a conduit, and to attach and detachably attach to an attachable / detachable portion that provides an entrance path to the conduit, and a flow that communicates with the entrance path. And a detachable brushing means provided with a brush that is placed in the flow path and that brushes the flow path from the entry path to the flow path when the pipe is cleaned.

  ADVANTAGE OF THE INVENTION According to this invention, the medical instrument which has a pipe line which can perform the washing | cleaning disinfection of the said pipe line hygienically and efficiently reliably, and reduces the complicated operation | work accompanying it, especially of the medical instrument which has a used pipe line It is possible to realize a device for washing and disinfecting a brush and a brushing device.

Hereinafter, with reference to the drawings, an embodiment of a device for cleaning and disinfecting a medical instrument having a conduit of the present invention and a brushing device will be described.
(First embodiment)
FIGS. 1 to 13 relate to a first embodiment of the present invention. FIG. 1 shows the configuration of an endoscope cleaning and disinfecting system including an endoscope cleaning and disinfecting apparatus in a state where a top cover including a partial top view is opened. FIG. 2 is a perspective view illustrating an endoscope cleaning / disinfecting apparatus in a state where the endoscope is accommodated in a cleaning tank and the top cover is closed, and FIG. 3 is an outline of the endoscope cleaning / disinfecting apparatus. FIG. 4 is a top view showing the structure of the washing nozzle attaching / detaching mechanism, FIG. 5 is a perspective view showing the washing brush unit, FIG. 6 is a top view of the washing brush unit, and FIG. 7 is a washing brush. FIG. 8 is a partial top view of the endoscope cleaning / disinfecting apparatus showing a state before the cleaning brush unit is installed in the cleaning nozzle attaching / detaching mechanism, and FIG. 9 is a cleaning brush unit attaching the cleaning nozzle attaching / detaching mechanism. Sectional drawing explaining the state installed in a part, FIG. 10 is washing FIG. 11 is a partial top view of the endoscope cleaning / disinfecting apparatus showing a state in which the lashi unit is installed in the cleaning nozzle attaching / detaching mechanism, and FIG. 11 is an endoscope cleaning / disinfecting apparatus in which the endoscope is installed in the endoscope cleaning / disinfecting apparatus. FIG. 12 and FIG. 13 are views for explaining the operation of the cleaning nozzle attaching / detaching mechanism portion in which the cleaning brush unit is installed.

  As shown in FIGS. 1 to 3, an endoscope cleaning and disinfecting apparatus 2 that also cleans and disinfects a medical instrument that is one of the endoscope cleaning and disinfecting system 1 of the present embodiment, and also serves as a brushing apparatus, The apparatus main body 3 and the top cover 4 are provided. A cleaning tank 5 which is a tank body having a predetermined depth is provided on the upper part of the apparatus body 3 which is a tank body, and the top cover 4 is provided so as to close the opening of the cleaning tank 5.

  A tray holding member 6 is rotatably provided at a predetermined position of the washing tub 5. The tray holding member 6 is detachably disposed with an endoscope holding tray 10 which is a mounting body constituting an endoscope mounting portion. A first opening / closing protrusion 7 a and a second opening / closing protrusion 7 b are provided at predetermined positions on the bottom surface of the washing tub 5.

A water supply port 16c is provided in the vicinity of the first opening / closing protrusion 7a, and a cleaning liquid, a disinfecting liquid, or a rinsing water in the cleaning tank 5 is provided in the vicinity of the second opening / closing protrusion 7b to the pipe network in the apparatus body 3. A drain port 17c which is a liquid supply source to be supplied is provided. From the water supply port 16c, washing liquid and rinsing water are supplied into the washing tub 5 and the holding tray. The liquid supplied from the water supply port 16c is discharged out of the washing tank 5 from the drain port 17c.
An operation panel 8 capable of various input operations and display of characters and the like is provided on the front surface of the apparatus main body 3.

  The top cover 4 is a hard and light-transmitting resin member, so-called transparent resin member or translucent resin member, and is formed in a predetermined shape. The top cover 4 is provided at a predetermined position of the washing tub 5 so as to be freely opened and closed. Therefore, the user can visually observe the inside of the washing tub 5 through the top cover 4 in a state where the opening of the washing tub 5 is closed by the top cover 4.

  In addition, in the endoscope cleaning / disinfecting apparatus 2 of the present embodiment, a medical instrument such as a treatment instrument having an opening or an overtube can be cleaned and disinfected in addition to the endoscope described later. At that time, each medical instrument is stored in a dedicated holding tray.

  An endoscope, which is a medical instrument, is stored in the washing tank 5 by being stored in the endoscope holding tray 10 described above, which is a dedicated holding tray. Reference numerals 31, 32, and 33 in the dashed-dotted line ellipse in the figure are pipe cleaning nozzles that are connecting members for cleaning various pipes of the endoscope. These pipe cleaning nozzles 31, 32, 33 constitute a cleaning nozzle attaching / detaching mechanism portion 30, which will be described later, disposed inside the apparatus main body 3. The cleaning nozzle attaching / detaching mechanism unit 30 is provided with a detachable cleaning brush unit 85 on the connecting surface exposed on the upper surface of the endoscope cleaning / disinfecting apparatus 2. In addition, an openable / closable brush unit cover 83 that covers the cleaning brush unit 85 to be installed is provided at the upper corner of the endoscope cleaning / disinfecting apparatus 2.

  The endoscope cleaning / disinfecting system 1 includes an endoscope cleaning / disinfecting apparatus 2, an apparatus main body 3, an endoscope holding tray (hereinafter abbreviated as a tray) 10, and an endoscope 20 which is a medical instrument. Is done. A tray 10 is disposed in a holding portion 6a of a tray holding member 6 provided in the endoscope cleaning / disinfecting apparatus 2 as shown by a two-dot chain line. The endoscope 20 is accommodated in the tray 10.

  The endoscope 20 includes a base portion 21 and a flexible insertion portion 22 that extends from the base portion 21. The base 21 is provided with an air / water supply conduit arrangement portion 23 and a suction conduit arrangement portion 24 that are spaced apart from each other by a predetermined distance and project obliquely toward the base end side in the longitudinal axis direction. .

  The air / water connection port 23a of the air / water supply pipe arrangement portion 23 is connected to an end of the air supply pipe and to a water supply connection to which an end of the water supply pipe is connected. Each of the connecting members is disposed. On the other hand, only the suction conduit 22a constituting the endoscope channel is disposed in the suction conduit arrangement portion 24, and the suction conduit 24a of the suction conduit arrangement portion 24 is connected to the suction conduit 24a. A suction connecting member to which the end of 22a is connected is disposed.

  During the endoscopic examination, an air / water supply tube (not shown) for supplying fluid such as water or air to the endoscope 20 is connected to the air / water supply connection port 23a, and the suction connection port 24a. A suction tube (not shown) sucked from the endoscope 20 is connected to the.

  The base 21 is used as a gripping part that is gripped when the endoscope 20 is operated, and when the endoscope 20 is fixed to an arm or the like, this base is used as a fixing part.

  On the upper surface side of the tray 10, a storage recess 11 is provided as a guide groove for storing and arranging the endoscope 20 at a predetermined position. The shape of the storage recess 11 is formed into a predetermined shape in consideration of the outer shape, the length dimension, and the like of the base 21 and the insertion portion 22 of the endoscope 20 to be stored. That is, the tray 10 is configured as a dedicated type having a storage recess 11 in which a predetermined endoscope 20 is stored. Further, in a medical facility including a plurality of types of endoscopes having different outer shapes and length dimensions of the base portion 21 and the insertion portion 22, a plurality of trays 10 corresponding to each type of endoscope are prepared. Also good.

  Specifically, the storage concave portion 11 includes an operation portion storage portion 12 in which the base portion 21 of the endoscope 20 is disposed, and an insertion constituting a groove-like flow path in which the insertion portion 22 of the endoscope 20 is disposed. A part storage part 13 is provided. The operation section storage section 12 includes an air / water supply pipe arrangement section 23 of the endoscope 20, an air / water supply pipe arrangement section receiving section 14 provided with a suction pipe arrangement section 24, and a suction pipe. An arrangement portion receiving portion 15 is provided. The air / water supply pipe arrangement portion receiving portion 14 is provided with an air / water supply pipe opening 14a in which an air / water supply connection port 23a is provided. On the other hand, the suction conduit arrangement receiving portion 15 is provided with a suction conduit opening 15a in which a suction connection port 24a is provided.

  A first water supply / drain port 16 for supplying and discharging cleaning water, disinfecting water, and the like is provided at a predetermined position on the bottom surface of the operation unit storage unit 12. A second water supply / drain port 17 for supplying and discharging cleaning water, disinfecting water, and the like is provided at a predetermined position on the bottom surface of the insertion portion storage portion 13. The first water supply / drain port 16 is provided in the vicinity of the base end side of the base 21 of the endoscope 20. The second water supply / drain port 17 is provided so as to be located in the vicinity of the distal end surface side of the insertion portion 22 of the endoscope 20. Respective water supply / drain ports 16 and 17 are provided with lid members 16a and 17a that can be freely opened and closed. The lid members 16a and 17a are configured so that the water supply / drain ports 16 and 17 are always kept closed by the own weight or the urging force of the urging member (not shown) in addition to the own weight.

  That is, the tray 10 is in a state where the lid members 16a and 17a are closed in the state of the tray alone. Therefore, when the used endoscope 20 is housed and disposed in the housing recess 11 of the tray 10, dirt, body fluid, etc. adhering to the endoscope 20 may be leaked from the water supply / drain ports 16 and 17. Is prevented. For this reason, in a state where the endoscope 20 is housed in the housing recess 11 of the tray 10, the endoscope 20 can be transported hygienically.

  In the present embodiment, a cleaning liquid, a disinfecting liquid, and the like are sent from the first water supply / drain port 16 to the storage recess 11. On the other hand, from the second water supply / drain port 17, the cleaning liquid, the disinfecting liquid, or the like sent into the storage recess 11 is discharged toward the cleaning tank 5. When cleaning liquid, disinfecting liquid, or the like is sent from the first water supply / drain port 16 to the storage recess 11, the disinfecting liquid or the like is sufficiently distributed to the base portion 21 of the stored endoscope 20, the outer surface of the insertion portion 22, etc. A storage recess 11 is formed on the top. Therefore, when a disinfectant solution or the like is fed into the storage recess 11, a useless space is not formed between the endoscope 20 and the storage recess 11, so that disinfection with a small amount of disinfectant can be performed.

  Reference numeral 18 denotes an attachment portion. The mounting portion 18 is provided on one side of the long side of the tray 10. The shape of the attachment portion 18 is formed, for example, in a U shape in accordance with the internal shape of the holding portion 6 a constituting the tray holding member 6. Reference numeral 19 denotes a conveyance gripping portion. The conveyance gripping portions 19 are provided on both sides of the short side of the tray 10, respectively. The conveyance gripping portion 19 is shaped to protrude to the lower surface side of the tray 10 in order to prevent interference with the top cover 4.

  When the endoscope 20 is stored and disposed in the storage recess 11 of the tray 10, the air / water supply connection port 23 a of the air / water supply conduit arrangement portion 23 provided in the base 21 and the suction conduit arrangement portion 24 are arranged. The suction connection port 24a includes an air / water supply pipe opening 14a formed in the air / water supply pipe arrangement receiving part 14 and a suction pipe formed in the suction pipe arrangement receiving part 15. The opening 15a is engaged and arranged. Thus, the used endoscope 20 can be easily housed and arranged in a desired state in the housing recess 11 of the tray 10.

  After the endoscope 20 is stored in the storage recess 11, the tray 10 is disposed on the tray holding member 6 as shown in FIG. At this time, when the mounting portion 18 of the tray 10 is disposed in a predetermined state on the holding portion 6a of the tray holding member 6, the tray holding member 6 is moved in a predetermined direction manually or automatically. As the tray holding member 6 moves, the tray 10 disposed on the tray holding member 6 is accommodated in a predetermined position in the washing tub 5.

  At this time, the first opening / closing projection 7a protruding from the bottom surface of the washing tub 5 pushes up the lid member 16a to open the first water supply / drain port 16, and the second opening / closing projection 7b pushes up the lid member 17a. The second water supply / drain port 17 is opened. Further, as shown in FIG. 4, the air / water supply connection port of the endoscope 20 which is provided so as to protrude from the air / water supply line opening 14a and the suction line opening 15a of the storage recess 11 of the tray 10, respectively. 23a, the suction connection port 24a, the air supply line washing nozzle 31, the water supply line washing nozzle, and the suction pipe washing nozzle 33 are in a predetermined facing relationship with a predetermined distance apart.

Thereafter, the top cover 4 is manually or automatically moved in a predetermined direction to close the opening of the washing tub 5 as shown in FIG.
A packing 5 a is provided at a predetermined position on the upper surface of the cleaning tank 5 on the opening side so as to surround the cleaning tank 5. For this reason, when the opening of the washing tub 5 is closed with the top cover 4, the packing 5 a is in close contact with one surface side of the top cover 4, and watertightness is maintained. This prevents the liquid in the cleaning tank 5 from splashing outside the apparatus body 3 during cleaning and disinfection. Reference numeral 4a denotes a hinge member, which fixes the top cover 4 to the washing tub 5 so as to be freely opened and closed.

Next, based on FIG. 3, the internal conduit configuration of the endoscope cleaning / disinfecting apparatus 2 will be described.
As shown in FIG. 3, in the apparatus main body 3 of the endoscope cleaning / disinfecting apparatus 2, tap water flows into the apparatus through a water supply line 42 connected to the tap. A water filter 41, a reverse branch valve 43, and two three-way switching valves 44 and 45 are interposed in this water supply line 42 in order from the water tap side. The water supply pipe 42 branches from the three-way switching valve 45 into two pipes 46 and 47.

  The pipe line 46 communicates with a cleaning agent bottle 48 that is a cleaning liquid supply source, and one pipe line 47 communicates with a chemical liquid bottle 49 that is a disinfecting liquid supply source. From each of the bottles 48 and 49, the cleaning agent or the disinfecting liquid flows into the agitation tank 52 through the cleaning agent supply pipe 50 communicating with the cleaning bottle 48 or the chemical supply pipe 51 communicating with the chemical bottle 49. The

  That is, tap water from the tap is first filtered by the water filter 41. Then, the tap water flows through the water supply pipe 42 and the pipes 46 and 47 to the cleaning agent bottle 48 or the chemical liquid bottle 49. Thereafter, the detergent or disinfectant in each bottle 48, 49 is diluted with this tap water to become a solution having a predetermined concentration of detergent or disinfectant, and the detergent supply line 50 Alternatively, the liquid flows into the agitation tank 52 through the chemical solution supply pipe 51.

  Note that the three-way switching valves 44 and 45 are automatically switched by the control unit 26 as a control means in the predetermined direction corresponding to the washing process, the disinfection process, or the rinsing process. In the rinsing process, the three-way switching valve 44 is switched in a direction in which the water supply line 42 and the circulation line 57 communicate with each other. Therefore, tap water flows from the tap to the circulation line 57 side, and the outer surface of the endoscope 20 and various endoscope lines are rinsed.

  The agitation tank 52 is connected to one end of the liquid supply conduit 53. The liquid supply line 53 is connected to the circulation line 57 and the other end via a three-way switching valve 56, and counter-supported valves 54, 55 are provided at both ends of the stirring tank 52 and in the vicinity of the three-way switching valve 56. Is intervening.

  The circulation pipe 57 has ends connected to the water supply port 16c and the drainage port 17c of the washing tub 5, respectively. The circulation pipe 57 is provided with a circulation pump 58 and two three-way switching valves 59 and 60 in order from the portion where the three-way switching valve 56 is interposed toward the water supply port 16c.

  One end of a channel line 62 is connected to the three-way switching valve 60. The other end of the channel pipe line 62 branches into two paths and is connected to the cleaning nozzle attaching / detaching mechanism 30.

  When the circulation pump 58 is driven under the control of the control unit 26, the cleaning liquid or the disinfecting solution stored in the stirring tank 52 is supplied from the liquid supply line 53 through the three-way switching valve 56 to the circulation pipe. It flows to the road 57. Then, the solution selectively flows through the three-way switching valve 60 to the water supply port 16c and the channel conduit 62 under the control of the control unit 26, and the outer surface of the endoscope 20 and various endoscopes. The pipe line is washed or sterilized and stored in the washing tank 5.

  The circulation line 57 is provided with a three-way switching valve 76 and a reverse branch valve 77 in order from the drain port 17 c between the drain port 17 c and the three-way switching valve 56. The three-way switching valve 76 is also connected to the drain pipe 75 and the internal valve is switched under the control of the control unit 26. Therefore, the solution in the washing tub 5 is discharged from the drain port 17 c through the drain line 75 through the three-way switching valve 76 of the circulation line 57 to the external drain port.

  Note that one end of an air supply pipe 74 is connected to the three-way switching valve 59. The air supply pipe 74 is provided with a compressor 72 and an air filter 73. The air from the compressor 72 is used to dehydrate moisture in the outer surface of the endoscope 20 after washing and disinfection and various channels under the control of the control unit 26, and the washing nozzle attaching / detaching mechanism unit 30. It is sent to.

  The washing nozzle attaching / detaching mechanism 30 is connected to one end of a water leakage detection pipe 63 in which a reverse support valve 64 and a three-way switching valve are interposed. The other end of the water leakage detection pipe 63 is connected to a water leakage detection compressor 66.

  The 3 release switching valve 65 is connected to the other end of a pipeline 67 having one end communicating with the alcohol tank 68. One end of an alcohol pipe 69 is connected to the alcohol tank 68. The other end of the alcohol conduit 69 is connected to the channel conduit 62, and a reverse valve 70 is interposed.

  In other words, the water leakage detection compressor 66 supplies air to the water leakage detection pipe 63 when detecting water leakage of the endoscope 20 under the control of the control unit 26, or alcohol flushes various channels of the endoscope 20. At this time, the alcohol in the alcohol tank 68 is sent to the alcohol conduit 69 and the channel conduit 62.

The washing tank 5 communicates with the outside through a deodorizing filter 71 that deodorizes the internal odor.
Further, in the endoscope cleaning / disinfecting apparatus 2 according to the present embodiment, a water supply port 16c, a drain port 17c, a control unit 26, and a pipeline network disposed in the apparatus body 3, pumps, compressors, tanks, A cleaning unit that constitutes a cleaning means that is a unit for cleaning and disinfecting the endoscope is configured by components such as each valve and each filter.

Next, with reference to FIG. 4, the structure of the washing nozzle attaching / detaching mechanism portion 30 including the pipe washing nozzles 31, 32, 33 will be described.
As shown in FIG. 4, a cleaning nozzle attaching / detaching mechanism portion (hereinafter abbreviated as a mechanism portion) 30 which is a nozzle coupler is provided in various endoscopes 20 provided in the storage recess 11 of the tray 10. A state in which the opening of the connecting member connected to the endoscope channel and the two tube cleaning nozzles provided in the endoscope cleaning / disinfecting device 2 are mounted or automatically released. Mechanism.

  Specifically, in one operation, the opening of the suction conduit 22a provided in the suction connection port 24a and the suction conduit cleaning nozzle 33 provided in the endoscope cleaning / disinfecting apparatus 2 Are automatically installed, and an opening of an air supply pipe (not shown), an opening of a water supply pipe (not shown) provided in the air / water supply connection port 23a, and endoscope cleaning / disinfecting The air supply line washing nozzle 31 and the water supply line washing nozzle 32 provided in the apparatus 2 are automatically put into a mounted state. Moreover, the wearing state is released by a single operation. Therefore, the mechanism unit 30 is provided in a predetermined positional relationship with respect to the operation unit storage unit 12 of the tray 10 stored in the washing tub 5.

  The suction conduit 22 a, the air supply conduit (not shown), and the water supply conduit (not shown) are arranged from the base 21 of the endoscope 20 to the distal end of the insertion portion 22. This is an endoscope duct that is open at the surface.

  The mechanism part 30 mainly includes a suction pipe connection part 40a, an air / water supply pipe connection part 40b, a pair of rail members 81a and 81b constituting a guide part 81, for example, a latch type solenoid 80, and a nozzle. The block 82 and the brush unit installation portion 84 are configured.

  The nozzle block 82 is a hollow box composed of a suction conduit block 82a on the suction conduit connection portion 40a side and an air / water supply conduit block 82b on the air / water supply conduit connection portion 40b side. The brush unit installation portion 84 is a hollow box connected on the base end side opposite to the suction pipe cleaning nozzle 33 of the suction pipe block 82 a of the nozzle block 82.

  The rail members 81 a and 81 b are disposed in parallel to a predetermined position of the apparatus main body 3 to constitute a guide portion 81. The nozzle block 82 is slidably disposed between the guide portions 81 constituted by the rail members 81a and 81b. The nozzle block 82 arranged in the guide part 81 is movable together with the brush unit installation part 84 to the washing tub housing 5b side and the opposite side.

  The nozzle block 82 includes a sliding surface that contacts the rail members 81a and 81b, a solenoid fixing surface to which a solenoid is attached, and a nozzle fixing surface having a step portion to which the pipe cleaning nozzles 31, 32 and 33 are fixed. And. The tip of the solenoid shaft 80a of the latch type solenoid 80 is integrally fixed to the solenoid fixing surface. One end of a plurality of connection springs (not shown) is connected to the back side of the nozzle block 82. Further, the other ends of these connection springs are coupled to one of the rail members 81a and 81b.

  A mounting plate 81 b provided on the latch solenoid 80 is fixed at a predetermined position of the apparatus main body 3. In this embodiment, the latch type solenoid 80 is fixed at a position where the solenoid shaft 80a is pulled into the solenoid by the magnetic force inside the solenoid when the endoscope cleaning / disinfecting apparatus 2 is in the cleaning / disinfecting standby state. Is located in the vicinity of the latch-type solenoid 80.

  That is, when the nozzle block 82 is disposed in the vicinity of the latch type solenoid 80, the magnetic force inside the solenoid 80 resists the biasing force of the elastically deformed connection spring (not shown), and the nozzle block 82. Is the amount of force that can be held in the vicinity of the latch solenoid 80. When the magnetic force inside the solenoid is released, the nozzle block 82 is moved to the washing tub housing 5b side by the urging force of a connection spring (not shown).

  The suction line connecting portion 40a includes a suction line cleaning nozzle 33, a suction side buffer spring 39, and a suction L-shaped pipe 38 serving as an outflow side communication path. On the other hand, the air / water supply pipe connection section 40b includes an air supply pipe washing nozzle 31, a water supply pipe washing nozzle 32, an air supply side buffer spring 34, a water supply side buffer spring 35, an air supply L-shaped pipe 36, and An L-shaped pipe 37 for water supply is provided.

  The pipe cleaning nozzles 31, 32, and 33 are integrally fixed to the nozzle block 82, respectively. At this time, the longitudinal axes of the pipe cleaning nozzles 31, 32, and 33 are parallel to each other in one plane, for example.

  The suction line cleaning nozzle 33 protrudes by a predetermined amount from the nozzle fixing surface side on one surface of the suction pipe block 82a constituting the nozzle block 82 (on the side of the cleaning tank housing 5b). On the other hand, the air supply pipe line washing nozzle 31 and the water supply line washing nozzle 32 are provided on one surface of the air supply / water supply line block 82b constituting the nozzle block 82 (on the washing tub housing 5b side). A predetermined amount protrudes from the nozzle fixing surface.

  These pipe washing nozzles 31, 32, 33 are inserted through through holes (not shown) provided in the washing tub housing 5 b, and their tip portions are projected into the washing tub 5. Reference numeral 33a denotes a watertight holding member made of an elastic member having a covering portion and a bellows-like portion covering the washing nozzle 33, and reference numeral 34a denotes a covering portion and a bellows covering the pipe washing nozzles 31 and 32, respectively. It is a watertight holding member comprised with the elastic member which has a shape part.

  The pipe cleaning nozzles 31, 32, and 33 located between the nozzle block 82 and the cleaning tank casing 5b have an air supply side buffer spring 34, a water supply side buffer spring 35, and a suction side buffer spring 39, respectively. It is intervened. The buffer springs 34, 35, 39 are sucked into the opening of the connecting member 25 d in which the pipe cleaning nozzles 31, 32, 33 are provided in the air / water connection port 23 a, and the opening of the connecting member 25 e. It is a member that softens the impact when it is attached to the opening of the connecting member 25f provided in the connection port 24a.

  On the other hand, L-shaped pipes 36, 37, and 38 are connected and fixed to the base ends of the pipe cleaning nozzles 31, 32, and 33. An air supply tube and a water supply tube (not shown) are connected to the L-shaped pipes 36 and 37 on the back side. These air supply tube and water supply tube are connected so as to communicate with the channel line 62 inside the apparatus.

  The L-shaped pipe 38 is extended to the distal end portion of the brush unit installation portion 84, and the opening portion on the proximal end side is opened on the upper surface of the endoscope cleaning / disinfecting apparatus 2. The brush unit installation section 84 is provided with a motor 92 that is a drive section that is driven and controlled by the control section 26, and a pipe detachable pipe 93 that is an inflow side communication path. A liquid supply tube (reference numeral 62a shown in FIG. 10) connected to the channel pipe 62 is connected to the lower end of the pipe detachable pipe 93.

  Next, with reference to FIGS. 5 to 13, a cleaning brush unit 85 that constitutes the brushing means disposed in the brush unit installation portion 84 and is a brushing unit will be described.

  As shown in FIGS. 5 and 6, the cleaning brush unit 85 includes a discharge side connection pipe 86, a roller storage portion 87, a base body 88, a cleaning brush storage portion 89, and a suction side connection pipe 90. It is configured.

  The discharge-side connection pipe 86 has a substantially L shape, and extends downward from substantially the front center of the roller accommodating portion 87. The discharge side connection pipe 86 has an O-ring 86a on the outer periphery near the opening.

  As shown in FIG. 7, the roller accommodating portion 87 is formed in a hollow communicating with the discharge side connection pipe 86, and has a substantially elliptical shape when viewed from the upper surface portion as shown in FIG. 6. A driving roller 87a and a passive roller (not shown) are provided. The driving roller 87a has a roller shaft 87b that is rotatable on the lower surface of the roller accommodating portion 87 and is rotatably supported in an airtight state. At the lower end of the roller shaft 87b, an engaging portion 87B that is cut out in a predetermined shape is provided.

  Further, at the proximal end portion of the inner space of the roller accommodating portion 87, two rod-shaped brush guides 87c holding the wire 27b of the cleaning brush 27 in the vertical direction extend in the width direction of the roller accommodating portion 87. Has been.

  The base body 88 has two protrusions 88 a (only one is shown in FIG. 7) on the lower surface portion, and a communication path 88 b communicating with the internal space of the roller accommodating portion 87 is formed.

  The cleaning brush accommodating portion 89 is a hollow substantially cylindrical member fixed to the upper portion of the base body 88 so as to be inclined obliquely, and is accommodated in a state where the wire 27b of the cleaning brush 27 is wound in this internal space. . Further, the internal space of the cleaning brush accommodating portion 89 communicates with the communication passage 88 b of the base body 88.

  The suction side connection pipe 90 is connected to a substantially central portion of the inclined base end surface of the cleaning brush accommodating portion 89 so as to be bent in a dogleg shape and extend downward. The suction-side connection pipe 90 communicates with the internal space of the cleaning brush accommodating portion 89, and has an O-ring 90a on the outer peripheral portion near the opening end below it.

  Accordingly, in the cleaning brush unit 85, the connection pipes 86 and 90 are openings, and the discharge side connection pipe 86, the internal space of the roller storage portion 87, the communication path 88b of the base body 88, the cleaning brush storage portion. The internal space 89 and the suction side connection pipe 90 communicate with each other.

  In addition, the cleaning brush 27 in the cleaning brush accommodating portion 89 is pressed against each roller surface facing the driving roller 87a and the passive roller in the roller accommodating portion 87 through the communication path 88b of the base body 88. The cleaning brush unit 85 is provided so as to extend from the discharge side connection pipe 86.

The cleaning brush unit 85 configured as described above is placed on the brush unit installation portion 84 of the mechanism unit 30 exposed at the edge of the endoscope cleaning / disinfecting apparatus 2.
More specifically, first, as shown in FIGS. 8 and 9, a substantially rectangular slide hole is formed at the edge of each of the endoscope cleaning / disinfecting apparatuses 2 in the vicinity of the pipe cleaning nozzles 31, 32, 33. 91 is formed. Engagement recesses 91 a and 91 b that are cut out in a substantially semicircular shape are formed at the center of both ends along the longitudinal direction of the slide hole 91. From the slide hole portion 91, the unit installation surface 84a of the brush unit installation portion 84 of the mechanism unit 30 is exposed.

  The unit installation surface 84a of the brush unit installation unit 84 is exposed in substantially the same position as the surface of the edge of the endoscope cleaning / disinfecting apparatus 2, and the opening of the L-shaped pipe 38 is formed on the distal end side and on the proximal end side. An opening of the pipe detachable pipe 93 is disposed. Around each opening part of these pipes 38 and 93, substantially semicircular engaging convex parts 38a and 93a are disposed. Further, the unit installation surface 84a has a roller shaft connector portion 92a connected to the motor shaft 92b of the motor 92 and two engagement hole portions 84b. The roller shaft connector portion 92a is rotatable with respect to the unit installation surface 84a, and a seal member (not shown) is provided so that the airtightness between the roller shaft connector portion 92a and the unit installation surface 84a is maintained.

  Note that the length of the unit installation surface 84a in the longitudinal axis direction is detachable from the pipe cleaning nozzles 31, 32, 33 to the connection ports 23a, 24a (see FIG. 5) of the endoscope 20 by the mechanism 30. In doing so, the length of the slide hole 91 is set to be shorter than the length in the longitudinal axis direction so as not to inhibit the slide movement.

  When the washing brush unit 85 described above is placed on the unit installation surface 84a, as shown in FIG. 9, the discharge-side connection pipe 86 is connected to the L-shaped pipe 38, and the suction-side connection pipe 90 is connected to the pipe attachment / detachment pipe 93. The roller shaft 87b of the driving roller 87a is inserted into the roller shaft connector portion 92a of the motor 92, and the two projections 88a are respectively engaged with the corresponding engagement hole portions 84b. The connecting pipes 86 and 90 are airtightly connected to the pipes 38 and 93 by respective O-rings 86a and 90a. Thus, the mechanism part 30 has an installation mechanism for detachably positioning and mounting the cleaning brush unit 85 on the upper surface thereof.

  With the configuration described above, the user can easily attach and detach the cleaning brush unit 85 to and from the unit installation surface 84a disposed at the edge of the endoscope cleaning and disinfecting apparatus 2 in the state shown in FIG. ing.

  The roller shaft 87b of the drive roller 87a is inserted into a joint hole 92c formed in the roller shaft connector portion 92a. The joining hole 92c has a hole shape that can be engaged with a notch formed at the end of the roller shaft 87b. Therefore, the rotational force of the motor 92 is reliably transmitted to the roller shaft 87b via the roller shaft connector portion 92a, and the drive roller 87a is rotated.

  As shown in FIG. 11, the endoscope cleaning / disinfecting apparatus 2 according to the present embodiment configured as described above includes an operation section storage section 12 in which a used endoscope 20 forms a storage recess 11, and The tray 10 placed in the insertion portion storage portion 13 is installed in the washing tub 5 and the top cover 4 is closed.

  Further, a cleaning brush unit 85 is installed at the edge of the endoscope cleaning / disinfecting apparatus 2 and the brush unit cover 83 is closed. Thereafter, when the user presses the start switch on the operation panel 8, the endoscope cleaning / disinfecting apparatus 2 sequentially executes a cleaning process, a rinsing process, a disinfecting process, and a rinsing process again in accordance with a prescribed program. Finally, a dehydration process is performed with an alcohol flush to perform a series of operations for cleaning and disinfecting the endoscope 20.

  More specifically, when the start switch is pressed, first, the endoscope cleaning / disinfecting apparatus 2 sets the pipe cleaning nozzles 31, 32, 33 to the connection member 25d provided in the air / water supply connection port 23a. The mechanism 30 is moved forward by the solenoid 80 in order to be mounted on the opening, the opening of the connecting member 25e, and the opening of the connecting member 25f provided in the suction connection port 24a.

  Further, the cleaning brush unit 85 placed on the unit installation surface 84a also moves forward together. At this time, as shown in FIG. 12, the engaging convex portion 38 a of the unit installation surface 84 a is engaged with the engaging concave portion 91 a of the slide hole portion 91.

  Then, the endoscope cleaning / disinfecting apparatus 2 performs a cleaning process of the endoscope 20. During the cleaning process, the cleaning liquid circulating in the apparatus flows through the storage recess 11 of the tray 10 through the water supply port 16c of the circulation pipe 57 by driving the circulation pump 58 shown in FIG. Wash the outer surface of the. In addition, the washing liquid is sent from the circulation pipe 57 to the mechanism unit 30 through the channel pipe 62, and is sent from the pipe washing nozzles 31, 32, 33 to various endoscope pipes of the endoscope 20. After the liquid is fed, these endoscope lines are washed.

  The washing liquid sent from the channel pipe 62 to the liquid feeding tube 62a is fed into the washing brush unit 85 from the pipe attachment / detachment pipe 93 shown in FIG. The cleaning liquid passes through the suction side connection pipe 90, the internal space of the cleaning brush storage portion 89, the communication path 88b of the base body 88, the internal space of the roller storage portion 87, and the discharge side connection pipe 86, and is L-shaped. The liquid is fed to the pipe 38 and flows into the suction conduit 22 a of the endoscope 20.

  At this time, under the control of the control unit 26, the motor 92 is driven and the drive roller 87a is rotated. That is, the rotation direction of the driving roller 87a to which the rotational force from the motor 92 is transmitted is controlled by the control unit 26, and the cleaning brush 27 sandwiched between the passive roller (not shown) while being pressed by the respective roller surfaces. The wire 27b is repeatedly fed back and forth.

  The cleaning brush 27 repeats moving forward or backward from the suction line cleaning nozzle 33 in the suction line 22a of the endoscope 20, and the brush part 27a brushes and cleans the suction line 22a. Further, the washing liquid is always supplied to the suction pipe 22 a of the endoscope 20 by driving the circulation pump 58 during the washing process.

  When the washing process is completed and the next rinsing process is executed, the control unit 26 returns to the initial position where the brush part 27a of the washing brush 27 is accommodated in the discharge-side connection pipe 86 of the washing brush unit 85. In this state, the driving of the motor 92 is stopped.

  Thus, the endoscope cleaning / disinfecting apparatus 2 according to the present embodiment cleans the outer surface of the endoscope 20 and the suction conduit 22a, and then executes various processes to clean and disinfect the endoscope 20. .

  When a series of various steps for cleaning and disinfecting the endoscope 20 is completed, the user takes out the endoscope 20 together with the tray 10 from the cleaning tank 5 and ends the cleaning and disinfecting of the endoscope 20. Further, when replacing the cleaning brush unit 85, the user can easily remove the cleaning brush unit 85 simply by pulling it out of the unit installation surface 84a. The cleaning brush unit 85 may be reused or disposable.

  The endoscope cleaning and disinfecting apparatus 2 according to the present embodiment cleans and disinfects the outer surface of the endoscope 20 that is a medical device in the above-described cleaning unit that is a pipe network in the apparatus main body 3. Each component constitutes a first cleaning / disinfecting unit which is a first cleaning / disinfecting means, and the suction conduit 22a, the air supply conduit (not shown) and the water supply conduit (not shown) of the endoscope 20 are cleaned. Each component to be sterilized constitutes a second cleaning / disinfecting unit which is a second cleaning / disinfecting means.

  Specifically, the first cleaning / disinfecting unit includes the drain port 17c and the circulation pipes 57, 3 which are components in the apparatus body 3 for circulating the cleaning liquid or the disinfecting liquid on the outer surface of the endoscope 20. It is a flow path network constituted by the direction switching valves 56, 59, 60, 76, the reverse support valve 77, and the water supply port 16c. On the other hand, the second cleaning / disinfecting unit refers to each component in the apparatus main body 3 for circulating the cleaning liquid or the disinfecting liquid through the endoscope line including the suction line 22a of the endoscope 20. A flow passage network including a drain port 17c, a circulation pipe 57, a three-way switching valve 56, 59, 60, 76, a reverse support valve 77, a channel pipe 62, and a washing nozzle attaching / detaching mechanism 30 described later. is there.

  Furthermore, the endoscope cleaning / disinfecting apparatus 2 includes a circulation conduit 57 that is a part corresponding to the first cleaning / disinfecting unit connected to the three-way switching valve 44, and each component provided on the conduit. In addition to the elements, the water filter 41, water supply, which is a component for supplying the rinse water to the outer surface of the endoscope 20, more specifically, each of the components for feeding the rinse water from the tap to the water supply port 16c. The pipe 42, the reverse support valve 43, and the three-way switching valve 44 constitute a first liquid circulation means.

  On the other hand, the endoscope cleaning / disinfecting apparatus 2 is provided on the circulation line 57 which is also a part corresponding to the above-described second cleaning / disinfecting unit connected to the three-way switching valve 44 and on this line. In addition to each component, a path through which rinsing water is further circulated to an endoscope line including the suction line 22 a of the endoscope 20, specifically, rinsing water from a water tap is supplied to the washing nozzle attaching / detaching mechanism unit 30. For each of the components, a water pipe 41, a water supply pipe 42, a reverse support valve 43, and a channel pipe connected to the three-way switching valve 60 from the three-way switching valve 44 through the circulation pipe 57 62 constitutes a second liquid circulation means. In addition, the above-mentioned channel network that constitutes a flow path that circulates in the endoscope conduit including the suction conduit 22a of the endoscope 20 disposed in the apparatus main body 3 also constitutes a liquid flow means. .

  Further, the endoscope cleaning / disinfecting apparatus 2 includes a stirring tank 52 for diluting the cleaning agent stored in the cleaning agent bottle 48 or the disinfecting liquid stored in the chemical liquid bottle 49, and any bottle 48 in the stirring tank 52. , 49, a pipeline network for supplying dilution water from the water tap, more specifically, pipelines 46, 47 communicating from the water filter 41, the water supply pipeline 42, the reverse branch valve 43, and the three-way switching valve 44. , 50, 51 constitute a diluting means. In addition, the water supply means is comprised including the dilution water of a water tap.

  As described above, the endoscope cleaning / disinfecting system 1 according to the present embodiment is a long cleaning brush 27 for sufficiently cleaning the suction conduit 22a of the endoscope 20 to the endoscope cleaning / disinfecting apparatus 2. The cleaning brush unit 85 in which is stored can be easily attached and detached. Further, the endoscope cleaning / disinfecting apparatus 2 can clean the long cleaning brush 27 by automatically repeating the suction pipe 22a of the endoscope 20 back and forth. Further, when the user discards the cleaning brush 27 after use, since the long cleaning brush 27 is accommodated in the cleaning brush unit 85, the cleaning brush unit 85 can be easily used as medical waste together with the cleaning brush unit 85. Can be disposed of.

  As a result of the above, the endoscope cleaning / disinfecting system 1 including the endoscope cleaning / disinfecting apparatus 2 according to the present embodiment ensures the hygienically and efficiently particularly the endoscope channel of the used endoscope. Cleaning and disinfection can be performed, and complicated operations for the user can be reduced.

(Second Embodiment)
Next, a second embodiment of the present invention will be described. In the description of the present embodiment, the same components as those in the first embodiment described above are denoted by the same reference numerals, and detailed description thereof is omitted.

  14 to 21 relate to the second embodiment, FIG. 14 is a perspective view showing a cleaning brush unit, FIG. 15 is a top view of the cleaning brush unit, and FIG. 16 is a cleaning nozzle installed in the cleaning nozzle attaching / detaching mechanism section. FIG. 17 is a cross-sectional view of the brush unit, FIG. 17 is a cross-sectional view illustrating the inside of the cleaning brush unit, and explaining each solenoid provided with a cleaning liquid storage part, a disinfecting liquid storage part, and a needle part of the cleaning nozzle attaching / detaching mechanism part. 18 and 19 are cross-sectional views for explaining the action of the cleaning agent or the disinfecting liquid flowing out by the cleaning brush unit, and FIGS. 20 and 21 show the schematic pipeline configuration of the endoscope cleaning and disinfecting apparatus. FIG.

  As shown in FIG. 14 and FIG. 15, the cleaning brush unit 85 of the present embodiment is a rear portion of the roller housing portion 87, and a cleaning solution or a disinfecting solution on both sides so as to sandwich the cleaning brush housing portion 89. Is stored in the tank 94 (a, b).

  In the present embodiment, these tanks 94 (a, b) are, for example, the cleaning agent tank 94a on the left side (downward in FIG. 15) and the cleaning agent tank 94a on the right side (upward in FIG. 15) in the delivery direction of the cleaning brush 27. It is a chemical solution tank 94b.

The cleaning agent tank 94a is formed of a hollow box and has a first storage part 95a in which the cleaning agent is stored. On the other hand, the chemical tank 94b is also formed of a hollow box and has a second storage part 95b in which a disinfectant is stored. As shown in FIGS. 16 and 17, a thin film 99 (a, b) made of polyester or the like is disposed on the bottom surface of each of the storage portions 95 (a, b). On the bottom surface of each tank 94 (a, b) that constitutes a part of the bottom surface portion of each of the thin film 99 (a, b), there is a protrusion member 98 that is a needle-like piercing means (portion) on the vertically upper surface portion. There are provided two plate bodies 97 constituting a wall body made of an elastic member in which is disposed. Further, between the bottom surface portion of the cleaning brush unit 85 and each of the storage portions 95 (a, b), there is a communication path that becomes a space communicating with the internal space of the roller accommodating portion 87, and the cleaning agent and the disinfecting liquid An outflow passage 95c constituting a port for discharging the stock solution is formed.

  The cleaning brush unit 85 configured as described above is placed on the unit installation surface 84a of the brush unit installation section 84 as shown in FIG. 16 in the same manner as in the first embodiment. This brush unit installation part 84 has two holes 84c in the unit installation surface 84a on which the two plates 97 of the cleaning brush unit 85 are respectively located.

  A cylinder 96a is inserted into each of the holes 84c. A solenoid 96, which is a drive source including a solenoid shaft 96b connected to each cylinder 96a, is provided in the brush unit installation portion 84. The solenoid 96 is driven and controlled by the control unit 26.

  The endoscope cleaning / disinfecting apparatus 2 of the present embodiment configured as described above is under the control of the control unit 26 from the state of FIG. 16 when the cleaning process or the disinfection process starts, as shown in FIG. Then, one of the solenoids 96 corresponding to the cleaning agent storage part 95a or the disinfecting liquid storage part 95b is driven, and the plate body 97 of the cleaning brush unit 85 is pushed up by the cylinder 96a. At this time, the plate body 97 is pushed up together with the protruding member 98 on the upper surface portion due to its elastic deformation, and the protruding member 98 breaks through the thin film 99 of the cleaning agent reservoir 95a or the disinfectant storage reservoir 95b.

  In other words, the control unit 26 of the endoscope cleaning / disinfecting apparatus 2 uses the thin film 99 of the cleaning agent storage unit 95a at the start of the cleaning process by the protruding member 98, and the thin film 99 of the disinfectant storage unit 95b at the start of the disinfecting process. The control signals are output to the solenoids 96 corresponding to the respective storage portions 95 so as to be pierced by 98, respectively. Then, the control unit 26 returns the solenoid 96 driven by outputting a control signal to the initial position.

  Thus, as shown in FIG. 19, the cleaning agent or the disinfectant stored in each storage unit 95 flows from the pierced thin film 99 to the outflow path 95c. At this time, the control unit 26 drives the circulation pump 58 to supply tap water into the cleaning brush unit 85, so that the cleaning agent or the disinfecting solution is diluted to become the cleaning solution or the disinfecting solution. The cleaning tank 5 is connected to the inner space of the roller accommodating portion 87, the discharge-side connection pipe 86, the L-shaped pipe 38, and the suction conduit 22a of the endoscope 20 connected to the suction conduit cleaning nozzle 33. Flowing.

  Thereafter, the cleaning liquid or the disinfecting liquid is stirred into a solution having a predetermined concentration by circulating through various pipes in the apparatus. Note that, as described in the first embodiment, in the cleaning step, the suction conduit 22a of the endoscope 20 is brushed and cleaned by the cleaning brush 27.

  Thus, the endoscope cleaning / disinfecting apparatus 2 according to the present embodiment is provided with the tank 94 including the storage portions 95 in which the cleaning agent and the disinfecting liquid are stored in the cleaning brush unit 85, thereby cleaning the cleaning agent bottle 48. And the trouble of setting the chemical solution bottle 49 in the apparatus can be saved.

  Moreover, the cleaning brush unit 85 may have only the cleaning agent tank 94a, for example. As a result, as shown in FIG. 20, the endoscope cleaning / disinfecting apparatus 2 need not be provided with the cleaning agent bottle 48, the conduit 46, and the three-way switching valve 45 shown in FIG.

  Furthermore, as described above, the cleaning brush unit 85 includes both the cleaning agent tank 94a and the chemical solution tank 94b, thereby simplifying the pipeline configuration of the endoscope cleaning / disinfecting apparatus 2 as shown in FIG. can do. Specifically, the endoscope cleaning / disinfecting apparatus 2 includes three three-way switching valves 44, 45, 56, two reverse support valves 54, 55, and five in the first embodiment shown in FIG. It is not necessary to provide the pipes 46, 47, 50, 51, 53, the two bottles 48, 49, and the stirring tank 52.

  As described above, the thin film 99 (a, b) disposed in each storage portion 95 (a, b) of the cleaning brush unit 85 is driven by the solenoid 96 under the control of the control unit 26, so that the protruding member 98 is provided. As a result, the outflow mechanism for automatically flowing out the cleaning agent or the disinfecting liquid from the respective reservoirs 95 (a, b) into the flow path in the apparatus main body 3 is configured.

  As a result of the above, the endoscope cleaning / disinfecting apparatus 2 according to the present embodiment not only achieves the effects of the first embodiment, but also can simplify the complicated pipeline structure and reduce the space in the apparatus. Therefore, further downsizing can be realized.

  The invention described in each of the above embodiments is not limited to each embodiment, and various modifications can be made without departing from the scope of the invention in the implementation stage. Further, the above embodiments include inventions at various stages, and various inventions can be extracted by appropriately combining a plurality of disclosed constituent elements.

  For example, even if some constituent elements are deleted from all the constituent elements shown in each embodiment, the problems described in the column of problems to be solved by the invention can be solved, and the effects described in the effects of the invention can be achieved. In the case of being obtained, a configuration from which this configuration requirement is deleted can be extracted as an invention.

  The present invention has the features described in the following supplementary notes.

(Additional item 1)
A mounting body on which a medical instrument is mounted;
A tank body that provides a washing tank in which the mounting body is disposed;
Washing means for washing at least the conduit of the medical device placed on the mounting body and disposed in the washing tank;
Brushing means provided with a brush that is detachably disposed on the tank body and brushes the pipe line when the pipe line is washed by the washing means;
An apparatus for cleaning and disinfecting a medical instrument having a pipe line.

(Appendix 2)
The medical instrument is an endoscope having the duct and having an insertion portion to be inserted into a subject. apparatus.

(Additional Item 3)
The cleaning means includes first cleaning / disinfecting means for cleaning and disinfecting the outer surface of the medical instrument, and second cleaning / disinfecting means for cleaning and disinfecting the inside of the conduit of the medical instrument,
The pipe according to claim 1, wherein the brush is configured to advance and retreat along the inside of the pipe line when the second cleaning / disinfecting means cleans the inside of the pipe line. A device that cleans and disinfects medical instruments with roads.

(Appendix 4)
The mounting body has a groove-like flow path for mounting the medical device in a predetermined shape,
The first cleaning / disinfecting means includes first liquid circulation means for allowing the cleaning liquid, the disinfecting liquid, and the rinsing water to flow through the groove in a state where the medical instrument is placed along the flow path. An apparatus for cleaning and disinfecting a medical instrument having the conduit according to Item 3.

(Appendix 5)
The second washing and disinfecting means is
A nozzle coupler for detachably coupling a nozzle to the opening of the conduit of the medical instrument;
A second liquid circulation means for circulating at least a cleaning liquid, a disinfectant liquid, and water for rinsing through the nozzle through the nozzle;
Furthermore,
A drive unit for driving the brush forward and backward along the pipeline;
When the cleaning liquid is circulated through the pipeline by the second liquid circulation means, the brush is inserted into the pipeline via the nozzle, and the brush inserted into the pipeline is inserted into the pipeline. A control unit that controls the drive unit to move forward and backward over the entire length of
An apparatus for cleaning and disinfecting a medical instrument having the conduit according to Item 4.

(Appendix 6)
The medical device conduit has a plurality of conduits,
The nozzle has a plurality of nozzles that are individually detachably coupled to the openings of the plurality of pipelines,
The brushing means is configured to be able to insert the brush into a specific pipe line of the plurality of pipe lines, for cleaning and disinfecting a medical instrument having the pipe line according to Additional Item 5. apparatus.

(Appendix 7)
The medical device is an endoscope;
The plurality of conduits include an air supply conduit, a water supply conduit, and a suction conduit,
The apparatus for cleaning and disinfecting a medical instrument having the conduit according to appendix 6, wherein the specific conduit is the suction conduit.

(Appendix 8)
The tank body includes a liquid supply source capable of supplying at least the cleaning liquid, the disinfecting liquid, and the rinsing water to the first and second liquid circulation means, respectively. An apparatus for cleaning and disinfecting a medical instrument having the conduit according to appendix 5.

(Appendix 9)
The liquid supply source is
A tank for storing the washing liquid and the disinfecting liquid in a state of a stock solution;
Diluting means for supplying a diluting solution obtained by diluting the stock solution of the tank with water to the first and second liquid circulating means;
An apparatus for cleaning and disinfecting a medical instrument having the conduit according to appendix 8, characterized by comprising:

(Appendix 10)
The brushing means includes
A mechanism for detachably attaching the brushing means to the nozzle coupler;
A flow path that communicates the inlet through which the diluent flows in and the outlet through which the diluent flows out;
With
The apparatus for cleaning and disinfecting a medical instrument having a conduit according to claim 9, wherein the outlet is connected to the nozzle of the nozzle coupler through an outflow side communication path.

(Appendix 11)
The brushing means includes
A wire disposed so as to be rewound in the flow path and having the brush attached to the tip;
The conduit according to claim 10, further comprising a roller that is disposed in the flow path and moves the wire forward and backward in the extending direction of the wire in accordance with a driving force from the driving unit. A device for cleaning and disinfecting medical instruments.

(Appendix 12)
The brushing means is automatically positioned on the rotating shaft of the roller so that a driving shaft for transmitting the driving force of the driving source biases the roller when the brushing device is attached to the nozzle coupler. Coupled to the rotating shaft, the inflow port is automatically positioned in the inflow side communication passage communicating with the dilution means, coupled to the inflow side communication passage, and the outflow port is automatically connected to the outflow side communication passage. An apparatus for cleaning and disinfecting a medical instrument having a conduit according to Item 11, wherein the medical instrument is positioned to be connected to the outflow side communication passage.

(Additional Item 13)
The cleaning means includes an internal cleaning / disinfecting means for cleaning and disinfecting the inside of the front pipe line of the medical instrument,
The said brush is comprised so that it may advance and retreat along the inside of the said pipe line, when the said internal cleaning disinfection means wash | cleans the inside of the said pipe line, The pipe line of the additional remark 1 characterized by the above-mentioned. A device for cleaning and disinfecting medical instruments.

(Appendix 14)
The internal cleaning and disinfecting means is
A nozzle coupler for detachably coupling a nozzle to the opening of the conduit of the medical instrument;
A liquid distribution means for circulating at least a cleaning liquid, a disinfectant liquid, and water for rinsing through the nozzle through the nozzle;
With
Furthermore,
A drive unit for driving the brush forward and backward along the pipeline;
When the washing liquid is circulated through the pipe line by the flowable means, the brush is inserted into the front pipe line through the nozzle, and the brush inserted in the pipe line is made to the full length of the pipe line. A control unit that controls the drive unit to move forward and backward,
An apparatus for cleaning and disinfecting a medical instrument having the conduit according to Item 13.

(Appendix 15)
The brushing means includes
A flow path that connects the inflow port through which the water flows in and the outflow port through which the water flows out to the nozzle;
A tank storing at least one of the cleaning liquid and the disinfecting liquid;
A mechanism for automatically flowing out the liquid in the tank from the tank to the flow path when the brushing means is attached to the nozzle coupler;
A communication path for guiding the liquid flowing out of the tank pierced by the piercing means to the flow path;
An apparatus for cleaning and disinfecting a medical instrument having the conduit according to Item 5.

(Appendix 16)
The outflow mechanism is
Piercing means attached to the nozzle coupler and piercing the tank in response to a control signal;
Control means for providing the control signal;
An apparatus for cleaning and disinfecting a medical instrument having the conduit according to Item 15.

(Appendix 17)
The tank includes two tanks for separately storing both the cleaning liquid and the disinfecting liquid,
The apparatus for cleaning and disinfecting a medical instrument having a conduit according to Item 16, wherein the piercing means is individually installed corresponding to the two tanks.

(Appendix 18)
The tank has a portion formed of a thin film in part,
The piercing means includes a protrusion, and a drive source that moves the protrusion toward the thin film portion of the tank in response to the control signal;
An apparatus for cleaning and disinfecting a medical instrument having the conduit according to Item 16.

(Appendix 19)
At least one of the washing liquid stored in the tank and the disinfecting liquid is a stock solution,
The apparatus for cleaning and disinfecting a medical instrument having a conduit according to claim 16, further comprising water supply means for diluting the stock solution to be supplied from the tank and flowing out from the tank.

(Appendix 20)
A brushing device for cleaning and disinfecting a medical instrument having a conduit, and an attachable / detachable portion detachably attachable to an attachable / detachable portion that provides an access path to the conduit of the device;
A flow path communicating with the approach path;
Removable brushing means provided with a brush that is placed in the flow path and brushes the flow path from the entry path to the flow path when the pipeline is washed,
Brushing device equipped with.

(Appendix 21)
A tank storing at least one of a cleaning liquid and a disinfecting liquid necessary for cleaning and disinfecting the pipeline;
A communication path for guiding the liquid stored in the tank to the flow path;
The brushing apparatus which has a pipe line of Additional remark 20 characterized by the above-mentioned.

(Appendix 22)
The brushing means includes a winding-type wire that includes the brush at a tip and reciprocates between the brush and the pipe line through the approach path according to a driving force. Item 22. A brushing device having the conduit according to Item 21.

(Appendix 23)
(Supplementary note 21), further comprising a mechanism for causing the liquid in the tank to automatically flow out from the tank to the communication passage when the attaching / detaching portion of the brushing device is attached to the attaching / detaching portion of the device. A brushing device having the described pipeline.

(Appendix 24)
The outflow mechanism is
A piercing portion attached to the device and piercing the tank in response to a control signal;
Control means for providing the control signal;
The brushing apparatus which has a pipe line of Additional remark 23 characterized by the above-mentioned.

(Appendix 25)
The tank includes two tanks for separately storing both the cleaning liquid and the disinfecting liquid,
25. The brushing device having a pipe line according to Additional Item 24, wherein the piercing portion is individually installed corresponding to the two tanks.

(Appendix 26)
The tank has a portion formed of a thin film in part,
The piercing portion is provided opposite to the thin film portion of the tank, and a protrusion that is biased by a drive source that moves the protrusion toward the thin film portion of the tank in response to the control signal,
The brushing apparatus which has a pipe line of Additional remark 20 characterized by the above-mentioned.

(Appendix 27)
A wall body having an elastic portion formed in a position facing the thin film portion of the tank and facing the thin film portion, and defining the communication passage in a watertight manner inside;
27. A brushing device having a pipe line according to additional item 26, wherein said protrusion is protruded in said communication path inside said elastic portion.

(Appendix 28)
At least one of the washing liquid and the disinfecting liquid stored in the tank is a stock solution, and a port for diluting the stock solution that is supplied with water and flows out of the tank is provided in the flow channel. Item 25. A brushing device having the conduit according to Item 24.

(Appendix 29)
In the endoscope cleaning and disinfecting apparatus for cleaning the endoscope channel of the endoscope with a cleaning brush,
An apparatus body including a washing tub in which the endoscope is disposed;
A cleaning brush unit that can be detachably attached to the main body of the apparatus, and contains the cleaning brush;
An endoscope cleaning and disinfecting apparatus comprising:

(Appendix 30)
The endoscope cleaning / disinfecting apparatus according to item 29, wherein the cleaning brush unit includes a first storage unit that stores a cleaning agent for cleaning the endoscope.

(Appendix 31)
31. The endoscope cleaning / disinfecting apparatus according to appendix 29 or appendix 30, wherein the cleaning brush unit includes a second storage unit that stores a disinfecting liquid for disinfecting the endoscope.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a perspective view illustrating a configuration of an endoscope cleaning / disinfecting system including an endoscope cleaning / disinfecting apparatus in a state where a top cover including a partial top view is opened according to a first embodiment of the present invention. FIG. 3 is a perspective view illustrating the endoscope cleaning / disinfecting apparatus in a state where the endoscope is accommodated in the cleaning tank and the top cover is closed. The figure which shows schematic pipe line structure of an endoscope washing and disinfecting apparatus. The top view which shows the structure of the washing nozzle attachment / detachment mechanism part same as the above. The perspective view which shows a washing brush unit same as the above. The top view of a washing brush unit. Sectional drawing of a washing brush unit. FIG. 3 is a partial top view of the endoscope cleaning / disinfecting apparatus showing a state before the cleaning brush unit is installed in the cleaning nozzle attaching / detaching mechanism. Sectional drawing explaining the state by which a washing brush unit is installed in the washing nozzle attachment / detachment mechanism part. FIG. 3 is a partial top view of the endoscope cleaning / disinfecting apparatus showing a state where the cleaning brush unit is installed in the cleaning nozzle attaching / detaching mechanism. The top view of the endoscope cleaning / disinfecting system in which the endoscope is installed in the endoscope cleaning / disinfecting apparatus. The figure for demonstrating operation | movement of the washing nozzle attachment / detachment mechanism part in which the washing brush unit was installed. The figure for demonstrating operation | movement of the washing nozzle attachment / detachment mechanism part in which the washing brush unit was installed. The perspective view which shows the washing brush unit based on the 2nd Embodiment of this invention. The top view of a washing brush unit. Sectional drawing of the washing brush unit of the state installed in the washing nozzle attachment / detachment mechanism part. Sectional drawing for demonstrating the inside of a washing brush unit, and explaining each solenoid provided with the needle part of the washing liquid storage part, the disinfection liquid storage part, and the washing nozzle attachment / detachment mechanism part. Sectional drawing of the washing brush unit by which the unit installation surface was carried out. Sectional drawing of the washing brush unit by which the unit installation surface was carried out. The figure which shows schematic pipe line structure of an endoscope washing and disinfecting apparatus. The figure which shows schematic pipe line structure of an endoscope washing and disinfecting apparatus.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Endoscope cleaning disinfection system 2 ... Endoscope cleaning disinfection apparatus 5 ... Cleaning tank 10 ... Endoscope holding tray 11 ... Storage recessed part 12 ... Operation part storage part 13・ ・ ・ Insertion part storage part 20 ・ ・ ・ Endoscope 22a ・ ・ ・ Suction conduit 26 ・ ・ ・ Control part 27a ・ ・ ・ Brush part 27b ・ ・ ・ Wire 27 ・ ・ ・ Cleaning brush 30 ・ ・ ・ Cleaning nozzle Attaching / detaching mechanism 31 ... Nozzle for air supply pipe washing 32 ... Nozzle for water feeding pipe washing 33 ... Nozzle for suction pipe washing 84 ... Brush unit installation part 84a ... Unit installation surface 85 ..Cleaning brush unit 89 ... Cleaning brush housing

Claims (8)

A mounting body on which a medical instrument is mounted;
A tank body that provides a washing tank in which the mounting body is disposed;
Washing means for washing at least the conduit of the medical device placed on the mounting body and disposed in the washing tank;
Brushing means provided with a brush that is detachably disposed on the tank body and brushes the pipe line when the pipe line is washed by the washing means;
An apparatus for cleaning and disinfecting a medical instrument having a pipe line.   2. The medical instrument having a conduit according to claim 1, wherein the medical instrument is an endoscope having the duct and having an insertion portion that is inserted into a subject. apparatus. The cleaning means includes first cleaning / disinfecting means for cleaning and disinfecting the outer surface of the medical instrument, and second cleaning / disinfecting means for cleaning and disinfecting the inside of the conduit of the medical instrument,
2. The pipe according to claim 1, wherein the brush is configured to advance and retreat along the inside of the pipe line when the second cleaning / disinfecting means cleans the inside of the pipe line. A device that cleans and disinfects medical instruments with roads. The mounting body has a groove-like flow path for mounting the medical device in a predetermined shape,
The first cleaning / disinfecting means includes first liquid circulation means for allowing the cleaning liquid, the disinfecting liquid, and the rinsing water to flow through the groove in a state where the medical instrument is placed along the flow path. An apparatus for cleaning and disinfecting a medical instrument having a conduit according to claim 3. The second washing and disinfecting means is
A nozzle coupler for detachably coupling a nozzle to the opening of the conduit of the medical instrument;
A second liquid circulation means for circulating at least a cleaning liquid, a disinfectant liquid, and water for rinsing through the nozzle through the nozzle;
Furthermore,
A drive unit for driving the brush forward and backward along the pipeline;
When the cleaning liquid is circulated through the pipeline by the second liquid circulation means, the brush is inserted into the pipeline via the nozzle, and the brush inserted into the pipeline is inserted into the pipeline. A control unit that controls the drive unit to move forward and backward over the entire length of
An apparatus for cleaning and disinfecting a medical instrument having a conduit according to claim 4. The brushing means includes
A flow path that connects the inflow port through which the water flows in and the outflow port through which the water flows out to the nozzle;
A tank storing at least one of the cleaning liquid and the disinfecting liquid;
A mechanism for automatically flowing out the liquid in the tank from the tank to the flow path when the brushing means is attached to the nozzle coupler;
A communication path for guiding the liquid flowing out of the tank pierced by the piercing means to the flow path;
An apparatus for cleaning and disinfecting a medical instrument having a conduit according to claim 5. A brushing device for cleaning and disinfecting a medical instrument having a pipeline,
An detachable portion detachably attachable to an detachable portion that provides an approach path to the pipe line of the device;
A flow path communicating with the approach path;
Removable brushing means provided with a brush that is placed in the flow path and brushes the flow path from the entry path to the flow path when the pipeline is washed,
Brushing device equipped with. A tank storing at least one of a cleaning liquid and a disinfecting liquid necessary for cleaning and disinfecting the pipeline;
A communication path for guiding the liquid stored in the tank to the flow path;
The brushing apparatus which has a pipe line of Claim 7 characterized by the above-mentioned.

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