JP6538411B2 - Rack for cleaning device - Google Patents

Description

  BACKGROUND OF THE INVENTION Field of the Invention The present invention relates to a rack housed in a cleaning device for cleaning an endoscopic treatment tool and for disposing the endoscopic treatment tool.

In recent surgery, in order to reduce the burden on patients, minimally invasive surgery is often performed, and in this case, an endoscopic treatment tool is used.
As an endoscope treatment tool, one used in da Vinci (registered trademark) Surgical System, which is a robotic surgery system for endoscopic surgery, is known.
Patent Document 1 discloses a robotic surgery system and an endoscopic treatment tool used therefor.

  The endoscope treatment tool disclosed in Patent Document 1 includes a substantially rectangular housing, a shaft extending linearly from the housing, and a treatment tool such as a metal scissors or forceps at the tip of the shaft. It is provided.

In addition, when wash | cleaning the medical instrument which has a hollow part like the shaft of patent document 1, there exists a washing | cleaning apparatus which is disclosed by patent document 2 and patent document 3. FIG.
The cleaning apparatus of Patent Document 2 and Patent Document 3 includes, in the cleaning tank, a plurality of gripping members for gripping one end of the medical device having a hollow portion and flowing the cleaning solution into the hollow portion.

JP, 2014-239923, A JP, 2008-272705, A JP, 2010-201326, A

  In the cleaning apparatus disclosed in Patent Document 2 and Patent Document 3, even if the hollow portion is set to be gripped by the gripping member, the gripping member may be detached from the hollow portion when the washing liquid flows under high water pressure. There is a problem that there is.

  There is also a problem that it takes time and effort to reliably set the gripping member in the hollow portion.

  Therefore, the present invention has been made to solve the above-mentioned problems, and an object of the present invention is to provide a cleaning device for cleaning an endoscope treatment tool having a hollow portion, which does not come out of the hollow portion even under high water pressure. Providing a rack for a washing device that is easy to use.

According to the rack for the cleaning device of the present invention, the endoscope treatment tool to be cleaned includes a rectangular parallelepiped housing, a hollow shaft linearly extended from one surface of the housing, and a tip of the shaft A treatment instrument made of metal and an inlet for a cleaning liquid formed on any surface other than the one surface of the housing, the endoscope being housed in the cleaning tank of the cleaning apparatus, the endoscope A rack in which a plurality of treatment tools are disposed, which is disposed on any surface side of the housing other than the one surface, in a direction orthogonal to the axial direction of the shaft of the endoscope treatment instrument to be disposed, and A horizontally extending hollow first base is provided, and in the first base, a plurality of connection ports to be inserted into the inlet of the housing of the endoscope treatment instrument to be disposed are provided as many as the number of endoscope treatment instruments. , One side of the housing Positioning members are provided in contact with at least two surfaces other than the other surface, in contact with the surface of each housing opposite to the surface on which the inlet is formed, in a direction to press the inlet toward the connection port Movable, one or more holding members are provided, and the position of the holding members can be locked after the one or more holding members are moved to the position where the connection port is completely inserted into the inlet of each housing The lock mechanism is provided one or more , and a plurality of frames extending along the axial direction of the shaft is provided, disposed across the plurality of frames, and the pivoting axis along the axial direction of the first base is centered Each of the frames is provided with an arm portion rotatably attached to each frame, and one or a plurality of the holding members are attached to the arm portion .
According to this configuration, since the holding member may be moved and locked so as to insert the connection port into the injection port after the housing is disposed on the positioning member, the setting is extremely easy. Further, by fixing the position of the holding member by the lock mechanism, it is possible to prevent the connection port from being detached from the inlet of the housing even under high water pressure.
In addition, by rotating the arm portion around the rotation axis, the holding member can be moved close to and away from one surface of the housing around the rotation axis. Further, by making the size of the holding member a size that can be brought into contact with a plurality of housings at one time, the holding members can be brought into contact with a plurality of housings in one action.

Further, the arm portion is a fixing end extending in parallel with the first base by connecting two supporting portions extending in the direction of the first base along the axial direction of the shaft and the ends of the supporting portion. And a fixing device for fixing the fixing end and the first base, and the fixing device is the locking mechanism.
According to this configuration, after the arm portion is rotated to bring the holding member into contact with one surface of the housing, the holding member is brought into contact with the housing since the fixing end is fixed to the first base. It locks in the same position. For this reason, the locking of the holding member is performed easily and reliably.

Further, the holding member may be characterized in that a concave portion in which the shaft can be disposed is formed.
According to this configuration, since the shaft can be disposed in the recess, the shaft can be reliably held during cleaning.

In addition, a hollow second base is provided in the vicinity of the tip of the shaft on one side of the housing and extends in the horizontal direction, and the second base is a metal treatment instrument at the tip of the shaft. It may be characterized in that a nozzle capable of jetting the cleaning liquid is provided.
According to this configuration, cleaning of the treatment instrument is also reliably performed.

Further, a tubular body for housing the metallic treatment instrument may be formed around the nozzle.
According to this configuration, the same effect as immersing the treatment instrument in the cleaning liquid can be obtained by inserting the metal treatment instrument into the cylindrical body and spraying the cleaning fluid from the nozzle, and in particular, the treatment instrument Cleaning of the

  According to the rack for the cleaning device of the present invention, even when high water pressure is applied, the rack can be released from the hollow portion of the housing and setting can be facilitated.

It is explanatory drawing which shows the endoscope treatment tool used as the washing | cleaning object. 1 is a perspective view of a first embodiment of a rack for a cleaning device according to the present invention. It is a top view of 1st Embodiment. It is a side view of 1st Embodiment. It is explanatory drawing which looked at the 1st base side from the holding member of 1st Embodiment. It is an explanatory view showing a place where an arm part of a 1st embodiment was opened. It is an explanatory view showing a place where a plurality of endoscope treatment tools were arranged in a 1st embodiment. After arranging a plurality of endoscope treatment tools in a 1st embodiment, it is an explanatory view showing the place where an arm part was closed. FIG. 7 is a perspective view of a second embodiment of a rack for a cleaning device according to the present invention. It is explanatory drawing which shows the place which 1st base vicinity of 2nd Embodiment was expanded. It is explanatory drawing which shows the place which arrange | positioned several endoscopic treatment tools in 2nd Embodiment. It is a side view of FIG. FIG. 7 is a perspective view of a third embodiment of a rack for a cleaning device according to the present invention. FIG. 10 is a perspective view of a fourth embodiment of a rack for a cleaning device according to the present invention; It is explanatory drawing which shows the other structure of the endoscope treatment tool used as the washing | cleaning object. It is explanatory drawing of 1st base vicinity of 5th Embodiment of the rack for washing | cleaning apparatus which concerns on this invention. It is explanatory drawing of 1st base vicinity of 5th Embodiment of the rack for washing | cleaning apparatus which concerns on this invention. FIG. 7 is a side view of a fifth embodiment of a rack for a cleaning device according to the present invention; FIG. 10 is a perspective view of a fifth embodiment of a rack for a cleaning device according to the present invention; It is explanatory drawing which shows the place which arrange | positioned several endoscopic treatment tools in 5th Embodiment. It is explanatory drawing of 2nd base vicinity of 6th Embodiment of the rack for washing | cleaning apparatuses which concerns on this invention.

First Embodiment
The rack for the cleaning device according to the present embodiment will be described below based on the drawings.
The rack for the cleaning device in the present embodiment (hereinafter sometimes referred to simply as a rack) is assumed to be housed in the cleaning device provided with a lid for opening the cleaning tank on the upper surface of the cleaning tank. is there.

First, FIG. 1 shows a surgical instrument used in the da Vinci (registered trademark) Surgical System, which is a robot surgical system for endoscopic surgery, as an example of an endoscope treatment instrument to be cleaned.
The endoscope treatment tool 60 includes a substantially rectangular housing 62, a hollow shaft 63 linearly extending from the housing 62, and a treatment tool 64 such as a metal scissors or forceps at the tip of the shaft 63. Is provided. In the endoscope treatment tool 60, the treatment instrument 64 is made of metal such as stainless steel, and the housing 62 and the shaft 63 are made of resin. In the housing 62 and the shaft 63, parts using an aluminum alloy, a copper alloy or the like are accommodated.

The shaft 63 is disposed on the side of one surface 62 a of the housing 62, and the inlet for cleaning liquid (not shown in the drawing) is formed on the side of the other surface 62 b of the housing 62.
The cleaning solution injected from the inlet cleans the inside of the housing 62, and flows into a tube (not shown) in the shaft 63 to be directed to the distal end side of the shaft 63. The cleaning fluid reaching near the tip of the shaft 63 slightly leaks from the tip of the shaft 63, and most of the remainder returns to the housing 62 through the gap between the tube and the inner wall surface of the shaft 63 and It will flow out through the gap.

2 to 8 show the rack 30 of the present embodiment.
The rack 30 includes a first base 32, a second base 34 parallel to the first base 32 and disposed on the distal end side of the endoscope treatment tool 60, an end of the first base 32 and a second base 34. The two side frames 36a and 36b are disposed to connect the end portions of the two base portions 34, respectively. Thus, the rack 30 has a rectangular shape in which the first base 32, the second base 34, and the two side frames 36a and 36b are connected to each other.

The first base 32 is disposed on the other surface 62 b side of the housing 62, and the extension direction thereof is a direction orthogonal to the axial direction of the shaft 63 of the endoscope treatment instrument 60 to be disposed, and It is a direction extending in the horizontal direction.
The first base 32 is in the form of a hollow pipe inside, and the cleaning liquid can flow in the hollow inside. Further, the first base 32 is provided with a plurality of connection ports 38 inserted into the inlet (not shown) of the other surface 62 b of the housing 62 as many as the number of endoscope treatment tools 60 disposed.

In the present embodiment, in addition to the first base 32, the second base 34 and the side frame 36a (front side in FIG. 2) are formed in the shape of a hollow pipe inside. The side frame 36a is formed with an inlet 40 for introducing the cleaning liquid from the outside into the inside.
The side frame 36a, the first base 32, and the second base 34 are connected to one another such that the hollow portion inside communicates. For this reason, the cleaning liquid introduced from the inlet 40 flows into the first base 32 and the second base 34. Then, the cleaning liquid is discharged from each connection port 38 of the first base 32, and the cleaning liquid is also discharged from the plurality of nozzles 42 (described later) of the second base 34.

A positioning member 44 for positioning the housing 62 of each endoscope treatment instrument 60 is provided on one side of the first base 32 toward the second base 34.
The positioning member 44 is provided on the top surface of the connecting member 45 bridged between the side frames 36a and 36b.

  The positioning members 44 are provided by the number of the housings 62 to be disposed. Each positioning member 44 has a side contact portion 44 a that contacts one side of the housing 62 and a bottom contact portion 44 b that contacts the bottom of the housing 62. That is, the positioning member 44 has an L-like shape that abuts on at least two adjacent sides of the housing 62. Furthermore, in the present embodiment, the recess 44c for accommodating a protrusion (not shown) formed on the bottom surface of the housing 62 is an end of the bottom surface contact portion 44b (a boundary portion with the adjacent side surface contact portion 44a) Is formed.

  In addition, the positioning member 44 may attach to the connection member 45 what was separately formed according to the number of the housings 62 respectively, and what was integrally formed several positioning member 44 is used for the connection member 45. You may attach it.

A holding member 46 that abuts on one surface 62 a of the housing 62 disposed in the positioning member 44 is provided on one side (the second base 34 side) of the positioning member 44. In the present embodiment, the holding member 46 is made of an elastic member made of resin such as polyacetal. Therefore, even if the holding member 46 presses the one surface 62 a of the housing 62, the housing 62 is not damaged or the like.
Further, the holding member 46 is elongated along the arrangement direction of the plurality of housings 62 (the extending direction of the first base 32 and the second base 34), and contacts the one surface 62a of the plurality of housings 62. It can be connected.

  The holding member 46 is attached to an arm portion 52 rotatably provided with respect to a rotational shaft 50 whose axis is the arrangement direction of the plurality of housings 62 (the extending direction of the first base 32 and the second base 34). It is done. The pivot shaft 50 is attached to the upper end of each of the side frames 36a and 36b.

The arm portions 52 extend from the respective pivot shafts 50 along the axial direction of the shaft 63, and then extend substantially upward L-shaped two first arm portions 52a and each first arm The upper end portions of the portions 52a are connected to each other, and a second arm portion 52b extending in parallel to the first base portion 32 is provided. The holding member 46 is attached to the surface of the second arm 52b on the first base 32 side.
Further, two support portions 52c are provided, which extend from both end portions of the second arm portion 52b toward the first base 32. The shape of each support portion 52 c may be any shape, but the tip end portion needs to have a length reaching the first base 32.

  The end on the first base 32 side of each support 52 c is provided with a fixing end 52 d disposed parallel to the first base 32. The support 52 c and the fixing end 52 d may be configured by connecting separate members, or may be configured by bending one member.

The fixing end 52 d and the first base 32 are provided with fixing devices 54 for fixing each other. As an example of a fixing tool, as shown in FIG. 4, a hook 56 extending downward at the center of the fixing end 52 d is provided, and a ring that can be hooked on the hook 56 at the upper center of the first base 32. There is a device provided with a portion 58 and a pulling portion 59 connected to the ring portion 58 so as to move the ring portion 58 up and down and pulling the hook 56 hooked downward.
However, as an example of a fixing tool, it does not limit to such a thing, For example, the end 52d for fixation and the 1st base 32 are provided with a metal piece which mutually engages and the metal pieces are engaged. It is good also as a fixing tool by making it match.

The operation of the arm unit 52 will be described.
In the state where the arm 52 is pivoted in the direction of the second base 34 (the state of FIG. 6), since the upper portion of the positioning member 44 is open, the endoscope treatment tool 60 can be housed and arranged in the positioning member 44 .
After the endoscope treatment tool 60 is disposed on the positioning member 44 (the state of FIG. 7), when the arm portion 52 is rotated in the direction of the first base 32 (the state of FIG. 8), it is attached to the arm portion 52 The holding member 46 moves toward the one surface 62 a of the housing 62. When the surface on the first base 32 side of the holding member 46 abuts on the one surface 62 a of the housing 62, the rotation of the arm portion 52 is ended.

  When the holding member 46 pivots toward the one surface 62 a of the housing 62, the holding member 46 gradually presses the one surface 62 a of the housing 62. Therefore, the housing 62 moves toward the first base 32, and the connection port 38 of the first base 32 is securely inserted into the inlet formed on the other surface 62b of the housing 62.

  Further, since the holding member 46 can simultaneously press the plurality of housings 62 disposed, the connection port 38 can be connected to the plurality of endoscope treatment tools 60 in one operation, and setting is easy. is there.

  After the rotation of the arm 52 is completed, the arm 52 and the first base 32 are fixed by the fixing tool 54 in order to lock the position of the holding member 46. When fixing with the fixing tool 54, if the arm 52 is pulled more toward the first base 32 side, the connection between the inlet of the housing 62 and the connection port 38 is further ensured, which is preferable.

  The holding member 46 is formed with a recess 37 in which the shaft 63 of the disposed endoscope treatment tool 60 is accommodated. Since the shaft 63 can be housed and held in the holding member 46, the shaft 63 can be reliably held during cleaning.

  The shaft support portion 70 may be provided on the second base 34 side more than the holding member 46. The shaft support 70 is disposed so as to be bridged between the side frames 36a and 36b. The shaft support portion 70 is formed with a plurality of concave portions 72 in which the shaft 63 is accommodated.

  As described above, the second base 34 is provided with the plurality of nozzles 42. The nozzle 42 can eject the cleaning solution toward the treatment instrument 64 at the tip of the endoscope treatment instrument 60 disposed. Since pieces of meat and the like are stuck to the treatment instrument 64, the cleaning solution can be sprayed toward the treatment instrument 64 to reliably clean the dirt.

  By arranging the plurality of endoscope treatment tools 60 in the rack 30 of the present embodiment and washing with the washing device, the inside of the endoscope treatment tool 60 can be reliably washed.

Second Embodiment
A second embodiment is shown in FIGS.
The rack 80 in the present embodiment is assumed to be housed in a cleaning device provided with a lid for opening the cleaning tank on the side surface of the cleaning tank. In addition, the same components as those of the first embodiment may be denoted by the same reference numerals and descriptions thereof may be omitted.

  Further, the rack 80 of the present embodiment holds the endoscopic treatment tool 60 so that the treatment tool 64 at the tip end faces downward. By doing this, it is possible to store the cleaning liquid to such an extent that the treatment instrument 64 at the tip can be immersed in the cleaning tank of the cleaning apparatus, and ultrasonic cleaning and the like can be performed only on the treatment instrument 64.

  The rack 80 of the present embodiment includes a base 81 formed in a rectangular or square shape, and is attached to the base 81 so as to extend in the vertical direction, and has a hollow first support column 82 inside. The base 81 includes four metal frames 81a... Forming respective sides of a rectangle or a square, and beams 81b connecting the opposite frames 81a. Further, the base 81 is provided with a pair of handles 83 which can be held by the operator.

  In the base 81, a box-like basket 86 whose upper surface is opened is disposed. In the basket 86, it is considered that a trocker (a tubular instrument used for a laparoscopic surgery: not shown) or the like can be placed. In particular, the basket 86 may not be provided.

A first base 32 provided with a plurality of connection ports 38 extends horizontally and is detachably attached to a predetermined position of the first support 82. Further, the first support 82 is formed with an introduction port 40 (not shown) for introducing the cleaning liquid into the interior of the first support 82 from the outside.
For this reason, the cleaning liquid is introduced into the first base 32 from the first support 82.

A plurality of frames 87 extending along the longitudinal direction of the endoscope treatment instrument 60 to be disposed is attached to the first base 32. The frame 87 may be disposed at least at both ends of the first base 32 and may also be disposed in the middle of the first base 32. In the example shown in the drawings, the frames 87a and 87b are provided at both ends of the first base 32, and the frames 87c and 87d are provided at two places in the middle of the first base 32.
Further, at one end (the second base 34 side) end of each frame 87, a connecting member 88 for connecting each frame 87 is provided.

  The first base 32 is provided with a plurality of connection ports 38 connected to an inlet formed on the other surface 62 b of the housing 62 of the endoscope treatment instrument 60. Each connection port 38 is provided to project obliquely downward so that the treatment instrument 64 at the tip of the endoscope treatment tool 60 is positioned lower than the housing 62 in the treatment tank of the washing apparatus. Be placed.

A positioning member 44 for positioning the housing 62 of each endoscope treatment instrument 60 is provided on one side of the first base 32 toward the second base 34.
The positioning member 44 is provided on the top surface of the connecting member 45 bridged between the side frames 36a and 36b. Similar to the first embodiment, the positioning member 44 has a side contact portion 44a that is in contact with one side surface 62c of the housing 62 and a bottom contact portion 44b that is in contact with the bottom surface 62d of the housing 62. ing.

On one side of the positioning member 44, a holding member 46 that abuts on one surface 62a of the housing 62 disposed in the positioning member 44 is provided. In the present embodiment, a plurality of (three in the illustrated example) holding members 46 are provided, and are individually operable.
That is, in the present embodiment, the three holding members 46 are provided with the three arm portions 90, 92, 94 attaching the holding members 46, and the three arm portions 90, 92, 94 are It is provided to be operable independently of each other.

  As shown in FIG. 10, the right arm unit 90 of FIG. 10 can be rotated relative to the frame 87a and the frame 87c by a rotation shaft 91 which rotates around the same direction as the first base 32. It is. That is, the pivot shaft 91 of the arm unit 90 is stretched over the frame 87a and the frame 87c or is separately attached.

  The arm portion 90 has two second arm portions 90 a extending in a direction orthogonal to the axial direction of the rotation shaft 91. A holding member 46 is provided between the two second arm portions 90a. The holding member 46 provided in the arm 90 is sized to abut on one surface 62 a of the two housings 62.

A support 90 b extends in the direction of the first base 32 from each second arm 90 a. In addition, an end portion of the supporting portion 90b connected to the first base portion 32 side is provided, and a fixing end portion 90c extending in parallel with the first base portion 32 is provided.
Further, the fixing end 90 c is provided with a fixing tool 54 for fixing the fixing end 90 c and the first base 32.

  The fixing device 54 may have any configuration, but the fixing device 54 of this embodiment is the same as the first embodiment, and is a hook 56 extending downward at the center of the fixing end 90c. The ring portion 58 can be hooked to the hook 56 at the upper center of the first base 32, and is connected to the ring portion 58 so as to move the ring portion 58 up and down, and pulls the hook 56 downward. The thing provided with the tow part 59 is adopted.

The basic configuration of the arm 92 provided at the center and the arm 94 provided at the left is the same as that of the arm 90.
That is, the center arm 92 is pivotable about the pivot shaft 91 between the frames 87c and 87d, and a holding member 46 is provided. The holding member 46 is sized to abut on one surface 62 a of the six housings 62. Further, a fixing tool 54 for fixing the fixing end 92 c and the first base 32 is provided at the fixing end 92 c of the center arm 92.

  The left arm portion 94 is pivotable about the pivot shaft 91 between the frames 87d and 87b, and a holding member 46 is provided. The holding member 46 is sized to abut on one surface 62 a of the six housings 62. Further, a fixing tool 54 for fixing the fixing end 92 c and the first base 32 is provided at the fixing end 94 c of the left arm 94.

  Each holding member 46 is formed with a recess 37 in which the shaft 63 of the disposed endoscope treatment tool 60 is accommodated. Since the shaft 63 can be housed and held in the holding member 46, the shaft 63 can be reliably held during cleaning.

In the present embodiment, the position of the right arm portion 90 is provided on the second base 34 side relative to the positions of the center and left arm portions 92 and 94. Therefore, the two endoscope treatment tools that can be placed on the right side can place and clean ones that are larger in housing size (longer in the axial direction of the shaft) than those that can be placed on the center and left side.
In addition, since a plurality of arm portions can be operated independently of one another, locking of the disposed endoscope treatment tool can be performed separately (though in this embodiment, at three locations).

The second base 34 in the present embodiment is provided at a predetermined position of a second support 84 provided at a position facing the first support 82. The second base 34 is provided with a plurality of nozzles 42.
The second support 84 is in the form of a hollow pipe in the inside, and is connected to the first support 82 by a connecting pipe 85 having a hollow inside. The cleaning liquid introduced from the outside into the first support 82 is introduced into the connection port 38 of the first base 32 and also flows into the second support 84 via the connecting pipe 85.
The cleaning liquid introduced into the second support 84 can be discharged from the nozzle 42 of the second base 34.

Third Embodiment
A third embodiment will be described based on FIG.
In addition, about the component same as embodiment mentioned above, the same code | symbol may be attached | subjected and description may be abbreviate | omitted.
A feature of the present embodiment is that the endoscope treatment tool in the second embodiment has the housing in the downward direction and the treatment instrument can be disposed upward with the housing turned downward.

  The first base portion 32 is located below the second support columns 84, and each housing 62 has an inlet disposed obliquely downward. Further, the second base 34 is provided closer to the first support 82 of the connecting pipe 85.

Fourth Embodiment
A fourth embodiment will be described based on FIG.
In addition, about the component same as embodiment mentioned above, the same code | symbol may be attached | subjected and description may be abbreviate | omitted.
A feature of the present embodiment is that the first base in the second embodiment is provided not only to the first support 82 but also to the second support 84 to increase the number of endoscope treatment tools that can be cleaned.

The first base 32 is provided at a predetermined position on the upper side of the first support 82, and another first base 32 is provided at a predetermined position on the upper side of the second support 84.
The first base 32 of the first support 82 is disposed obliquely downward so that the tip of the endoscope treatment tool 60 faces the lower part of the second support 84, and the second base provided at the lower part of the second support 84 The jet of the cleaning liquid from the nozzle 42 of 34 is received.

  The first base 32 of the second support 84 is disposed obliquely downward so that the tip of the endoscope treatment tool 60 is directed to the lower part of the first support 82, and a second base provided at the lower part of the first support 82 The jet of the cleaning liquid from the nozzle 42 of 34 is received.

Fifth Embodiment
Another example of the endoscope treatment tool which is the cleaning target is shown in FIG.
The endoscopic treatment tool shown in FIG. 15 is also a surgical instrument used in da Vinci (registered trademark) Surgical System, which is a robotic surgical system for endoscopic surgery. The endoscope treatment tool 100 includes a substantially rectangular housing 102, a hollow shaft 103 linearly extending from the housing 102, and a treatment tool 104 such as a metal scissors or forceps at the tip of the shaft 103. Is the same as the endoscope treatment tool 60 of the embodiment described above. Furthermore, in the endoscopic treatment tool 100, the treatment instrument 104 is made of metal such as stainless steel, the housing 102 and the shaft 103 are made of resin, and in the housing 102 and the shaft 103, aluminum alloy or copper alloy The point where the component which uses etc. is stored is also the same as the endoscope treatment tool 60 of the embodiment mentioned above.

The difference between the endoscope treatment tool 100 of this embodiment and the embodiment described above is that the position of the injection port is different.
In the endoscope treatment tool 100 of the present embodiment, the injection port 101 is formed on the lower surface 102 c located in the direction orthogonal to the one surface 102 a which is the mounting surface of the shaft 103 of the housing 102. In the drawing, the inlet 101 is formed on the lower surface of the housing 102.

FIG. 16 and FIG. 17 show an endoscope treatment tool placement portion 111 which is a partial configuration of the rack 110 of the present embodiment.
In the endoscope treatment tool placement portion 111, the first base 112, two side frames 118a and 118b extending forward from both ends of the first base 112, and the tips of the side frames 118a and 118b are connected. And a tip frame 118c disposed in parallel with the first base 112. As described above, the location where the endoscope treatment tool 100 of the rack 110 is disposed is a rectangular shape in which the first base 112, the two side frames 118a and 118b, and the tip frame 118c are connected to each other. There is. However, the two side frames 118a and 118b and the tip frame 118c may be configured by bending one frame.

  A shaft support 117 that supports the shaft 103 is attached to the distal end frame 118 c. In the shaft support portion 117, a plurality of concave portions 119 for housing the shaft 103 are formed.

  The first base 112 is disposed on the direction surface side orthogonal to the extension direction of the shaft 103 of the housing 102 (in the drawing, the surface facing the lower surface of the housing 102), and the extension direction is disposed The direction perpendicular to the axial direction of the shaft 103 of the endoscope treatment tool 100 is a direction extending in the horizontal direction.

  The first base 112 is in the form of a hollow pipe inside, and the cleaning liquid can flow in the hollow inside. Further, the first base 112 is provided with a plurality of connection ports 120 inserted into the injection port 101 of the lower surface 102 c of the housing 102 by the number of endoscope treatment tools 100 to be disposed.

  A positioning member 122 for positioning the housing 102 of each endoscope treatment instrument 100 is provided on the front side of the first base 112. The positioning member 122 is provided on a connecting member 125 bridged between the side frames 118a and 118b. The positioning members 122 are provided by the number of the housings 102 to be disposed. The positioning member 122 is disposed to abut on both sides of the housing 102, and determines the position of the housing 102 along the extension direction of the first base 112.

  A plurality of positioning members 122 separately formed according to the number of housings 102 may be attached to the connecting member 125 respectively, or a plurality of integrally formed positioning members 122 may be attached to the connecting member 125. You may attach it.

  Above the positioning member 122, a holding member 126 that abuts on the top surface 102d and one surface 102a of the housing 102 disposed in the positioning member 122 is provided. In the present embodiment, the holding member 126 is made of an elastic member made of resin such as polyacetal. Therefore, even if the holding member 126 presses the upper surface 102d and the one surface 102a of the housing 102, the housing 102 is not damaged or the like.

  Further, the holding member 126 is configured to extend from the upper end portion of the one surface holding portion 126a to the first surface holding portion 126a which is elongated along the arrangement direction of the plurality of housings 102 (the extending direction of the first base 112). And an upper surface holding portion 126b bent in the direction of the base portion 112. That is, the holding member 126 is configured as an L-shaped member including the one surface holding portion 126a and the upper surface holding portion 126b.

  The holding member 126 is attached to a pivoting base 132 provided so as to be pivotable with respect to a pivoting axis 130 whose axis is the arrangement direction of the plurality of housings 102 (the extension direction of the first base 32). The pivot shaft 130 is attached to each of the side frames 118a and 118b.

A plurality of arm portions 134 for fixing the holding member 126 are attached to the pivoting base 132 so as to straddle the upper side of the disposed housing 102 and descend toward the end on the rear side of the first base 112. .
In the present embodiment, the three arm portions 134 are provided along the extension direction of the first base 112, but one arm portion may be provided as a whole.

  One arm portion 134 includes two first arm portions 134a extending upward from the rotation base 132, a second arm portion 134b extending in the direction of the first base 112 from the upper end portion of each first arm portion 134a, and A third arm portion 134c extending downward from an end of the second arm portion 134b, and a fixing end portion 134d parallel to the extending direction of the first base 112 so as to connect the third arm portions 134 Have. Each of these arm portions may be configured by bending one member, or another member may be connected to configure one arm portion 134.

  The fixing end 134 d and the first base 112 are provided with fixing devices 136 for fixing each other. As an example of a fixing tool, as shown in FIG. 16, a hook 138 extending downward at the center of the fixing end 134d is provided, and a ring portion 140 which can be hooked on the hook 138, and the ring portion 140 up and down In some cases, there is provided a pulling portion 142 connected to the ring portion 140 so as to be moved and pulling the hook 138 hooked downward. The pulling portion 142 is provided on a fixing member 144 extending rearward from the first base 112.

  However, the fixing tool 136 is not limited to such an example. For example, the fixing end portion 134d and the first base portion 112 are provided with metal pieces that engage with each other to form metal pieces. It is good also as a fixing tool by making it engage.

The operation of the arm unit 134 will be described.
In the state (not shown) in which the arm portion 134 is separated from the upper side of the positioning member 122 and rotated in the direction of the shaft support portion 117, the upper portion of the positioning member 122 is opened. The positioning member 122 can be accommodated and disposed.
After the endoscope treatment tool 100 is disposed on the positioning member 122, when the arm portion 134 is rotated in the direction of the first base 112, the holding member 126 together with the rotation base 132 is formed on the one surface 102a and the upper surface 102d of the housing 102. It will move toward you. When the one surface holding portion 126a and the upper surface holding portion 126b of the holding member 126 abut on the one surface 102a and the upper surface 102d of the housing 102, the rotation of the arm portion 134 is finished.

  When the upper surface holding portion 126b of the holding member 126 pivots toward the upper surface 102d of the housing 102, the upper surface holding portion 126b gradually presses the housing upper surface 102d. Therefore, the housing 102 moves toward the first base 112, and the connection port 120 of the first base 112 is securely inserted into the inlet 101 formed in the lower surface 102c of the housing 102.

  Further, since the holding member 126 can simultaneously press the plurality of arranged housings 102, the connection port 120 can be connected to the plurality of endoscopic treatment tools 100 in one operation, and setting is easy. is there.

  After the rotation of the arm portion 134 is finished, the arm portion 134 and the first base portion 112 are fixed by the fixing tool 136 in order to lock the position of the holding member 126. It is preferable that the arm portion 134 be pulled downward when fixing with the fixing tool 136, because the connection between the inlet 101 of the housing 102 and the connection port 120 is further ensured.

  The holding member 126 is formed with a recess 147 in which the shaft 103 of the disposed endoscope treatment tool 100 is accommodated. Since the shaft 103 can be housed and held in the holding member 126, the shaft 103 is reliably held during cleaning.

18 to 20 show the overall configuration of the rack 110. FIG.
The rack 110 in the present embodiment is assumed to be housed in a washing apparatus provided with a lid for opening the washing tank on the side surface of the washing tank, and as a whole is the same as that of the second embodiment. It is a structure.

  Further, the rack 110 of the present embodiment holds the endoscopic treatment tool 100 so that the treatment tool 104 at the tip end faces downward. By doing this, it is possible to store the cleaning liquid to such an extent that the treatment instrument 104 at the tip can be immersed in the cleaning tank of the cleaning apparatus, and ultrasonic cleaning and the like can be performed only on the treatment instrument 104.

  The rack 110 of the present embodiment includes a base 151 formed in a rectangular or square shape, and is attached to the base 151 so as to extend in the vertical direction, and has a hollow first support column 152 inside. The base 151 includes four metal frames 151a,... Forming respective sides of a rectangle or a square, and beams 151b connecting the opposite frames 151a. Further, the base 151 is provided with a pair of handles 153 which can be held by the operator.

  In addition, inside the base 151, the box-like basket 156 which the upper surface opened is arrange | positioned. Although a trocker (a tubular instrument used for a laparoscopic surgery: not shown) or the like is considered to be disposed in the basket 156, the basket 156 may not be provided in particular.

The first base 112 of the endoscope treatment instrument placement portion 111 shown in FIGS. 16 to 17 is detachably attached to a predetermined position of the first support post 152.
Further, the first support post 152 is formed with an introduction port (not shown) for introducing the cleaning liquid into the interior of the first support post 152 from the outside.
For this reason, the cleaning liquid is introduced into the first base 112 from the first support post 152.

The second base portion 114 of the present embodiment is provided at a predetermined position of a second support post 154 provided at a position facing the first support post 152. Further, the second base 114 is provided with a plurality of nozzles 116.
The second support 154 is in the form of a hollow pipe inside, and is connected to the first support 152 by a connection pipe 155 having a hollow inside. The cleaning liquid introduced from the outside into the first support 152 is introduced into the connection port 120 of the first base 112 and also flows into the second support 154 via the connection pipe 155.
Then, the cleaning liquid introduced to the second support column 154 can be discharged from the nozzle 116 of the second base 114.

In the fifth embodiment described above, as in the embodiment shown in FIG. 13, the housing 102 may be downward and the treatment instrument 104 may be disposed upward.
In this case, the first base 112 is disposed below the second support post 154, and the second base 114 is provided by the first support post 152 of the connecting pipe 155.

  Furthermore, in the fifth embodiment described above, as in the embodiment shown in FIG. 14, the first base 112 is provided not only to the first support column 152 but also to the second support column 154, and the endoscope can be cleaned. The number of treatment tools 100 may be increased. In this case, the first base 112 is provided at a predetermined position on the upper side of the first support column 152, and another first base 112 is provided at a predetermined position on the upper side of the second support column 154.

The housing 102 may be downward and the treatment instrument 104 may be oriented upward.
In this case, the first base 112 is disposed below the second support post 154, and the second base 114 is provided by the first support post 152 of the connecting pipe 155.

  The first base 112 of the first support 152 is disposed obliquely downward so that the distal end of the endoscope treatment tool 100 faces the lower part of the second support 154, and a second base provided at the lower part of the second support 154 The jet of the cleaning liquid from the nozzle 116 of 114 is received.

The first base 112 of the second support 154 is disposed obliquely downward so that the tip of the endoscope treatment tool 100 is directed to the lower part of the first support 152, and a second base provided at the lower part of the first support 152 The jet of the cleaning liquid from the nozzle 116 of 114 is received.
In the second to fifth embodiments, the first base 32, 112 and the second base 34 from the first support columns 82, 152, the second support columns 84, 154, and the connecting pipes 85, 155. , 114 can be freely attached and detached. In this way, it is possible to easily change one of the modes from the second embodiment to the fifth embodiment.

Sixth Embodiment
Further, as shown in FIG. 21, a tubular body 160 for housing the treatment instruments 64 and 104 made of metal may be provided around the nozzles 42 and 116 provided in the second base 34 and 114. .
According to this configuration, the medical treatment instrument 64, 104 is inserted into the housing hole 162 formed at the center of the cylindrical body 160 and the cleaning liquid is jetted from the nozzle, whereby the medical treatment instrument 64, The same effect as immersing 104 can be obtained. For this reason, in particular, the treatment instruments 64 and 104 can be cleaned more reliably.

The diameter of the storage hole 162 of the tubular body 160 may be various depending on the size of the treatment instrument 64 or 104 to be inserted or the difference in the diameter of the shaft 63 or 103.
For example, in the example of FIG. 21, the diameter of the accommodation hole 162 of the cylindrical body 160 provided at the left end of the second base 42 and 114 is larger than the diameter of the accommodation holes of other cylindrical bodies. . For this reason, an endoscope having an endoscope treatment instrument having a treatment instrument 64, 104 larger than the other endoscopic treatment instruments or a shaft 63, 103 thicker than the other endoscope treatment instrument at the left end A treatment tool can be placed.

Reference Signs List 30 rack 32 first base portion 34 second base portion 36a, 36b side surface frame 37 recessed portion 38 connection port 40 inlet port 42 nozzle 44 positioning member 44a side contact portion 44b bottom surface contact portion 44c recess 45 connecting member 46 holding member 50 rotation shaft 52 arm portion 52a first arm portion 52b second arm portion 52c support portion 52d fixing end portion 54 fixing tool 56 hook 58 ring portion 59 pulling portion 60 endoscope treatment tool 62 housing 62a one surface 62b other surface 63 shaft 64 treatment Equipment 70 Shaft support 72 Recess 80 Rack 81 Base 81a Frame 81b Beam 82 First support 83 Handle 84 Second support 85 Connection tube 86 Basket 87 Frame 88 Connection members 90, 92, 94 Arm 91 91 Rotating shaft 100 Inside Endoscope treatment tool 101 inlet 102 housing 102a one side 102c lower surface 102d upper surface 103 shaft 104 instrument for treatment 110 rack 111 endoscope treatment instrument placement unit 112 first base 114 second base 116 nozzle 117 shaft support 118a, 118b side frame 118c tip frame 119 recess 120 connection port 122 positioning member 125 connecting member 126 holding member 126 a one surface holding portion 126 b upper surface holding portion 130 rotating shaft 132 rotating base 134 arm portion 134 a first arm portion 134 b second arm portion 134 c third arm portion 134 d fixing end portion 136 fixing member 138 Hook 140 Ring portion 142 Pulling portion 144 Fixing member 147 Recess 151 Base 151a Frame 151b Beam 152 First support 153 Handle 154 Second support 155 Connection tube 156 Basket 160 Tubular body 162 Storage hole

Claims (5)

The endoscope treatment tool to be cleaned includes a rectangular parallelepiped housing, a hollow shaft extending linearly from one surface of the housing, a treatment tool made of metal at the tip of the shaft, and a housing. A rack having a cleaning solution inlet formed on any surface other than the direction, which is accommodated in the cleaning tank of the cleaning apparatus and in which a plurality of the endoscope treatment tools are arranged,
A hollow first base portion is provided which is disposed on any surface side except the one surface of the housing and extends in a direction perpendicular to the axial direction of the shaft of the endoscope treatment instrument to be disposed and extending in the horizontal direction. And
In the first base, a plurality of connection ports, which are inserted into the inlet of the housing of the endoscope treatment instrument to be arranged, are provided as many as the number of endoscope treatment instruments,
A positioning member is provided for contacting at least two surfaces other than the one surface and the other surface of the housing;
The housing is provided with one or a plurality of holding members that are in contact with the surface on the opposite side of the surface on which the inlet is formed, and can move the inlet in a direction to press the inlet toward the connection port.
One or more lock mechanisms are provided, which can lock the position of the holding member after moving the one or more holding members to a position where the connection port is completely inserted into the inlet of each housing .
A plurality of frames extending along the axial direction of the shaft;
There is provided an arm portion which is disposed straddling a plurality of frames, and is rotatably attached to each frame about a pivoting axis along the axial direction of the first base,
A rack for a washing apparatus , wherein one or more of the holding members are attached to the arm portion . The arm unit is
It has two supporting portions extending in the direction of the first base along the axial direction of the shaft, and a fixing end extending in parallel to the first base by connecting the ends of the supporting portions.
There is provided a fixture for fixing the fixing end and the first base,
The rack for a washing apparatus according to claim 1 , wherein the fixing device is the locking mechanism. The rack for the washing apparatus according to claim 1 or 2 , wherein the holding member is formed with a recess in which a shaft can be disposed. A horizontally extending hollow second base disposed near the tip of the shaft on one side of the housing;
The nozzle according to any one of claims 1 to 3 , wherein the second base portion is provided with a nozzle capable of injecting a cleaning solution toward the treatment instrument made of metal at the tip of the shaft. A rack for the washing device according to the item. The rack for the washing apparatus according to claim 4 , wherein a cylindrical body for housing the treatment instrument made of metal is formed around the nozzle.