JP6550266B2 - Immersion holder for medical instruments - Google Patents

Description

  The present invention relates to an immersion holder for performing immersion processing of various medical instruments to be reused after surgery.

  In recent years, in surgery, a robot for endoscopic surgery support has been used to perform minimally invasive surgery that reduces the burden on the patient. This type of surgery support robot performs grasping, dissection, dissection, ligation, suturing, etc. of tissue or foreign body when performing endoscopic surgery in each region such as general digestive surgery and thoracic surgery excluding heart surgery. It is a device that supports the operation of medical instruments for endoscopic surgery by the operator in order to perform the operation accurately. In this operation support robot, an operator operates a command device called a "surgeon console" to remotely control a medical instrument for endoscopic surgery attached to a robot arm of a patient cart and an endoscope (for example, The Da Vinci (R) surgical system) is known (see Patent Documents 1 and 2).

  A medical instrument for endoscopic surgery used in the above-described apparatus is an endorsist, in which one of forceps such as grasping forceps, peeling forceps, scissors, knives, needle holders, etc., is provided at the treatment site at the tip. It is called (registered trademark) instrument and performs the above-mentioned different operation tasks depending on the type of operation site. Such medical instruments can be reused, although they have a limited number of uses, by performing cleaning treatment / sterilization treatment after surgery.

  However, dirt such as blood and body fluid adheres to the medical device after use, and if the dirt is dried and fixed before being subjected to the washing and sterilization treatment, it becomes difficult to remove the dirt in the later washing treatment. Therefore, in order to prevent the dry adhesion of the dirt, the immersion treatment is performed in which the used medical device is temporarily immersed in the cleaning solution until it is subjected to the cleaning treatment. Specifically, a cleaning solution such as water or an enzyme cleaner is contained in a flat tray, and a plurality of medical devices are stacked side by side and immersed in the cleaning solution.

Japanese Patent Application Publication No. 2008-514357 JP, 2013-208506, A

  However, if a plurality of medical devices are laid horizontally and immersed in the washing solution as in the prior art, the treatment portion of the medical device may collide with the bottom or side wall of the tray or the treatment portions of the plurality of medical devices May contact. When the treatment part comes in contact with other parts in this way, the treatment part may be deformed or broken. Since the treatment part of the medical device is a very sophisticated site provided with scissors as described above, if the treatment part is deformed or broken, the medical device can not be reused. In addition, when a plurality of medical instruments are stacked in the horizontal state, there is a problem that the treatment section pops out of the cleaning liquid and can not be immersed in the cleaning liquid.

  SUMMARY OF THE INVENTION In view of the above-described circumstances, the present invention prevents the deformation and breakage of the treatment section to allow reuse of the medical instrument when performing immersion processing of various medical instruments to be reused after surgery. It is an object of the present invention to provide a holder for immersion of a medical instrument capable of immersing a part in a cleaning solution.

If the means for achieving the above object are indicated by reference numerals in the drawings, the immersion holder H for the medical device according to the invention of claim 1 comprises the major axis Ta and the tip of the major axis Ta. An immersion holder H for immersion while holding a medical instrument T1 having a treatment portion Tb provided and an operation portion Tc provided at the proximal end of the long axis portion Ta and having an outer diameter larger than the proximal end. A bottomed vertical cylindrical storage section 1 having an opening 1a at the top and the cleaning liquid L stored inside, the storage section 1 is stored, and the treatment section Tb and the bottom section 1b of the storage section 1 are separated holds the operating portion Tc in height, Bei example a holding part 2 for dipping the treatment unit Tb in the cleaning liquid L, and,
The holding portion 2 has a holding plate 2a for holding the operation portion Tc, and a support stand 2b for supporting the holding plate 2a.
The support stand 2b has a leg seat 2c disposed at the bottom 1b, a support 2d erected at the leg seat 2c and supporting the holding plate 2a at the top, and a handle 2e provided at the upper end of the support 2d. .

According to the invention of claim 2 , in the holder for immersion H of the medical instrument of the above-mentioned claim 1 , the holding plate 2a has through holes 21 and 22 through which the long axis portion Ta can be inserted and the operation portion Tc can not be inserted.

According to the invention of claim 3 , in the holder H for immersion of the medical device according to claim 1 or 2 , the holding portion 2 further has a height adjusting mechanism 25 for adjusting the height of the holding plate 2a.

According to the invention of claim 4, in the holder H for immersion in a medical device according to any one of claims 1 to 3 , the storage portion 1 further has a discharge port 50 for discharging the cleaning liquid L to the bottom portion 1b. .

According to the invention of claim 5, in the holder H for immersion in medical device according to any one of claims 1 to 4 , the storage unit 1 further has a hook-shaped handle 60 as a handle at the upper portion and a moving portion at the lower portion. The caster 72 is further provided.

  Hereinafter, the effects of the present invention will be described with reference to the drawings. First, the holder for immersion H of the medical device according to the invention of claim 1 stores the cleaning liquid L inside the storage portion 1 and holds the holding portion 2 in a state where the medical device T1 is held by the holding portion 2. While holding the medical instrument T1. In this immersion holder H, when the holding unit 2 is loaded into the housing unit 1, the operation unit Tc of the medical tool T1 is held at a height at which the treatment unit Tb of the medical device T1 and the bottom 1b of the housing unit 1 are separated. At the same time, the treatment site Tb of the medical device T1 is immersed in the cleaning solution L. Therefore, according to this immersion holder H, when performing the immersion treatment of the medical device T1 to be reused after the operation, the treatment portion Tb of the medical device T1 collides with or contacts the bottom portion 1b of the storage portion 1 Therefore, the medical device T1 can be reused by preventing deformation or breakage of the treatment portion Tb of the medical device T1.

  Then, according to the invention of claim 1, the treatment portion Tb of the medical instrument T1 is immersed in the cleaning liquid L accommodated in the vertical cylindrical accommodation portion 1 and does not jump out of the cleaning liquid L. Tb can be reliably immersed.

  Furthermore, according to the invention of claim 1, since the storage unit 1 and the holding unit 2 can be separately configured, in the cleaning process performed after the immersion process, the holding unit 2 can be replaced by the medical instrument T1. It can be taken out from the storage unit 1 while being held at 2 and subjected to the cleaning process by the ultrasonic cleaning device.

  Further, according to the invention of claim 1, since the storage portion 1 has a vertical cylindrical shape, space saving can be achieved as compared with the case where a conventional flat tray is used, and the storage portion 1 Movement of the cleaning solution L and discharge of the cleaning solution L are facilitated.

According to the invention of claim 1 , since the holding portion 2 has the holding plate 2a and the support stand 2b, the holding plate 2a and the support stand 2b can be made of different members made of different materials. For example, while the holding plate 2a is formed of a synthetic resin to improve the processability, the support stand 2b can be formed of a metal to maintain high strength.
Further, according to the invention of claim 1, since the support stand 2b has the leg seat 2c and the support 2d, and the support stand 2b is supported by the leg seat 2c in a stable state in the housing portion 1, the holding plate 2a The long axis portion Ta and the treatment portion Tb of the held medical instrument T1 can be further reliably prevented from colliding with or touching each other.
Furthermore, according to the invention of claim 1, since the support stand 2b has the handle 2e provided on the upper end of the support 2d, the holding portion 2 can be easily loaded or removed from the storage portion 1 by the handle 2e.
Further, according to the invention of claim 1, the cleaning liquid L is accommodated inside the accommodation unit 1, and the holding unit 2 is loaded into the accommodation unit 1 in a state where the medical instrument T1 is held by the holding unit 2, and the handle 2e is used. By lifting the holding portion 2 and reciprocatingly operating in the vertical direction, the leg seat 2c reciprocates in the vertical direction in the cleaning liquid L, so that the cleaning liquid L can be uniformly stirred.

According to the invention of claim 2 , since the holding plate 2a has the through holes 21 and 22 through which the long axis portion Ta can be inserted and the operation portion Tc can not be inserted, the long axis portion Ta is inserted into the through holes 21 and 22 The operating portion Tc can be easily locked to the holding plate 2a only by the above.

According to the invention of claim 3 , since the holding portion 2 further has the height adjusting mechanism 25 of the holding plate 2a, the height of the holding plate 2a is set according to the length of the long axis portion Ta of the medical device T1 to be applied. By adjusting, the treatment portion Tb can be reliably prevented from colliding or coming into contact with the bottom portion 1 b of the storage portion 1.

According to the invention of claim 4 , since the storage portion 1 has the discharge port 50 for discharging the cleaning liquid L to the bottom portion 1b, the case where the cleaning liquid L is discharged to the outside from the opening portion 1a of the storage portion 1 is compared. The discharge port 50 can easily discharge the cleaning liquid L to the outside.

According to the invention of claim 5 , since the storage portion 1 has the hook-shaped handle 60 at the upper portion and the caster 72 for movement at the lower portion, the caster 72 holds the storage portion 1 in a state of storing the medical instrument T1. It can be moved from the operating room to the central material room where the cleaning and sterilization processes are performed while being placed on the mounted carriage.

It is a side view which illustrates the operation supporting robot equipped with the medical instrument which applies the holder for immersion concerning an embodiment of the present invention. The medical device is illustrated, (a) is a top view, (b) is a rear end side view. It is a longitudinal cross-sectional view which illustrates the holding state of the same medical device by the holder for immersion. It is a vertical side view which illustrates the state when the height of a holding plate is adjusted in the holding | maintenance part of the holder for immersion. The holding plate of the holding | maintenance part of the holder for immersion is illustrated, (a) is a top view, (b) is a vertical side view. The leg seat of the support stand of the holding | maintenance part of the holder for immersion is illustrated, (a) is a top view, (b) is a vertical side view. It is a vertical side view which illustrates the holding state of the medical device by the holder for immersion concerning a modification.

  Hereinafter, an embodiment of a holder for immersion in a medical device according to the present invention will be specifically described with reference to the drawings.

  The holder for immersion of the medical device according to the present invention is, for example, an operation for the medical devices T1 to T3 detachably mounted on the arms R1 to R3 of the operation support robot R shown in FIG. 1 described above. It is for immersion while temporarily holding in a cleaning solution until being subjected to washing and sterilization treatment for reuse after use.

  The medical instruments T1 to T3 are medical instruments provided with one kind of forceps such as a grasping forceps, peeling forceps, scissors, a knife, a needle holder, etc. in the treatment section, and the above mentioned It is a medical device for performing different treatment tasks. The medical instruments T1 to T3 are medical instruments called Endo-List (registered trademark) instruments described in, for example, Japanese Patent Application Laid-Open No. 2013-208506. As an example of the medical instruments T1 to T3, FIG. 2 shows a medical instrument T1 provided with a needle holder (for example, a large needle driver) at the treatment section.

  The medical instrument T1 shown in FIG. 2 (a) has an outer diameter smaller than the outer diameter of the long axis Ta when provided at the long axis Ta and at the tip of the long axis Ta and viewed from the axial direction of the long axis Ta. And a manipulation portion Tc provided at the base end of the long axis portion Ta and having an outer shape larger than the outer diameter of the long axis portion Ta when viewed from the axial direction of the long axis portion Ta. . The medical instrument T1 is configured such that the motor torque from the arm unit R1 of the patient cart according to the command calculated by the surge motor console is transmitted through the plurality of cables (not shown) inserted into the operation unit Tc and the long axis portion Ta. Then, the treatment site Tb is transmitted to operate the treatment site Tb. The major axis portion Ta is a metal cylindrical member elongated in the axial direction, and the plurality of cables are inserted therein. The operation portion Tb is an operation mechanism (not shown) in which a needle holder for holding a surgical needle, a suture, and a tissue, and a plurality of cables inserted through the needle carrier and the internal space of the long axis portion Ta are connected. And. The needle holder is a metal-made openable / closable jaw-like member, which can hold a surgical needle, a suture and tissue by opening and closing the jaw-like member. The operating mechanism is a mechanism that performs the opening and closing operation of the jaw-like member and the rocking operation (longitudinal movement and lateral movement) of the wrist portion, and performs the opening and closing movement and the rocking operation of the needle holder. The operation unit Tc is a casing-like member having a synthetic resin housing, and has a plurality of attachment / detachment mechanisms (not shown) for detachably attaching to the arm unit R1, and a plurality of motor torques from the arm unit R1. And a transmission mechanism (not shown) for transmitting to the cable. The attaching and detaching mechanism can detach the operating portion Tc from the arm portion R1 by operating release levers provided on both sides of the housing. The transmission mechanism is a mechanism for transmitting the motor torque from the arm unit R1 according to the command calculated by the surge console, and transmits the operation instruction of the opening / closing operation and the oscillating operation of the needle holder described above. The movement instruction of the rotation movement of the long axis portion Ta which can be integrally rotated with the needle holder is transmitted.

  In the rear end face (the left side end face in FIG. 2 (a)) of the operation part Tc shown in FIG. 2 (b), a first cleaning port Td (main flash port) communicating with the internal space of the long axis part Ta And a second cleaning port Te (secondary flush port) communicating with the internal space of Tc. The first cleaning port Td and the second cleaning port Te are water injection ports mainly for injecting water when flushing the internal space of the long axis portion Ta and the internal space of the operation portion Tc in the cleaning process.

  The above-mentioned medical instrument T1 can be reused, for example, about 10 times by performing cleaning treatment / sterilization treatment after use in surgery. In addition, there is a possibility that the contamination such as blood or body fluid adheres to the medical instrument T1 during the operation, and the attached contamination may dry and adhere, so that temporary treatment may be performed until it is subjected to the cleaning treatment to prevent the adhesion of the dirt. An immersion process is performed to immerse the medical instrument T1 in the cleaning liquid. The immersion holder for the medical device according to the present invention is for performing the immersion process while holding the medical device T1 to be reused after the operation. An example of this immersion holder is shown in FIG.

  The immersion holder H shown in FIG. 3 is the most basic form of the immersion holder according to the present invention, and is a state in which the cleaning liquid L is accommodated inside the accommodation unit 1 and the medical instrument T1 is held by the holding unit 2 By loading the holding portion 2 into the housing portion 1, the immersion is performed while holding the medical instrument T1. In this immersion holder H, the operating portion Tc of the medical device T1 is held such that the treatment portion Tb of the medical device T1 and the bottom portion 1b of the housing portion 1 are separated when the holding portion 2 is loaded into the housing portion 1. At the same time, the treatment part Tb of the medical device T1 is immersed in the cleaning liquid L.

  The housing portion 1 is, for example, a vertical cylindrical container which is long in the vertical direction as shown in FIG. 3 and has an opening 1a opening at the top, a disc-like bottom 1b closing the bottom, and the opening 1a. And a bottom portion 1b, and has a cylindrical cylindrical portion 1c which is integrally provided and which is long in the vertical direction. The housing portion 1 is formed of, for example, a transparent synthetic resin such as an acrylic resin, and the appearance of the inside can be visually recognized from the outside. The housing portion 1 is preferably formed of a thermoplastic resin from the viewpoint of processability, and is preferably formed of a polyamide resin, a polycarbonate resin, or the like in addition to the above-described acrylic resin. Depending on the type of the cleaning liquid L to be stored, the housing portion 1 may be formed of a synthetic resin or glass material excellent in chemical resistance.

  In FIG. 3, the cleaning liquid L is accommodated in the accommodation unit 1 so that the treatment unit Tb of the medical instrument T1 can be immersed. Although the storage amount of the cleaning liquid L can be any storage amount up to the upper end position of the storage unit 1, for example, the cleaning liquid L is stored so that the operation portion Tc of the medical instrument T1 can be immersed. You may

  As the cleaning solution L, it is sufficient to have an action capable of preventing the dirt adhering to the treatment part Tb of the medical device T1 from drying and sticking, for example, surfactant, proteolytic enzyme, in water such as distilled water or tap water What added a small amount of drug components, such as a lipolytic enzyme and a bactericidal agent, is used suitably.

  The holding unit 2 supports the medical instrument T1 at the operation unit Tc in the state of being disposed in the housing unit 1, and the cleaning liquid L at a height at which the treatment unit Tb of the medical instrument T1 is separated from the bottom 1 b of the housing unit 1. It has a function to keep it immersed. As shown in FIG. 3 and FIG. 4, the holding unit 2 has a disk-shaped holding plate 2 a for holding the medical instrument T 1 fixed to the upper side of the support stand 2 b, and is an integral structure independent of the storage unit 1. It is possible to form an object, and to load the container 1 from the opening 1a to the inside and take it out to the outside.

  The holding plate 2a is made of a thermoplastic resin such as hard polyvinyl chloride resin, and as shown in FIGS. 3 and 5, has a central hole 20 at the center of its disk shape and a peripheral portion of the central hole 20. A plurality of (10 in FIG. 5) through holes 21 and 22 are equally formed along the circumferential direction. On the upper surface side of the holding plate 2a, a rectangular stepped recess 23 facing each other half (five in FIG. 5) of the through holes 21 arranged alternately is provided. Further, on the upper end side of each of the through holes 21 and 22, countersunk portions 21 a and 22 a which are expanded in diameter upward are formed. Each of the through holes 21 and 22 is set to a diameter through which the treatment portion Tb and the long axis portion Ta of the medical instrument T1 can be inserted and the operation portion Tc can not be inserted, and the stepped recess 23 facing the through hole 21 is The front end side of the operation portion Tc is sized to be fitted.

  Therefore, by inserting the medical instrument T1 from above into the through hole 21 with the treatment part Tb side down, as shown in FIG. 3, the operation part Tc is fitted to the stepped recess 23 and is held on the holding plate 2a. It is locked and held by the holding portion 2 in a state in which the long axis portion Ta hangs down from the holding plate 2a. Then, since the held medical instrument T1 is restricted from being biased in the lateral direction by the stepped recess 23, the storage unit 1 is moved with the holding unit 2 held by the medical instrument T1 loaded in the storage unit 1 Even in this case, a stable holding state is maintained without positional deviation. The through hole 22 without the stepped concave portion 23 has a shape different from that illustrated in FIGS. 1 and 2 in the operation part Tc, for example, the front end side of the operation part Tc is tapered or manual operation It corresponds to the medical instrument etc. which became a form for grasping with forceps. Further, the shaft insertion portion for inserting the long axis portion Ta is not limited to the through holes 21 and 22, and is a notch formed so as to be able to insert the long axis portion Ta from the side portion of the holding plate 2a It is also good.

  As shown in FIG. 3, in the support stand 2b, a column 2d having an upper half as an externally threaded portion 41 is vertically erected at the center of the leg seat 2c, and a synthetic resin such as polyamide resin is molded on the top of the column 2d. The T-shaped handle 2e made of an object is screwed and fixed, and the male screw portion 41 of the support 2d is penetrated into the central hole 20 of the holding plate 2a and between the upper and lower nuts 24a and 24b screwed to the male screw portion 41. The holding plate 2a is sandwiched and fixed at a predetermined height (position A in FIG. 4). The nut 24c is provided on the lower side of the nut 24b for locking. The male screw 41 and the nuts 24a to 24c constitute the height adjusting mechanism 25 of the holding plate 2a. As shown in FIG. 4, the height of the holding plate 2a is lower than the A position B The position or the upper C position can be changed according to the length of the medical instrument T1. The leg seats 2c and the columns 2d of the support stand 2b are made of stainless steel such as SUS304.

  As shown in FIG. 6, the leg seat 2c is formed of a plate in which five band-plate shaped leg pieces 31 are integrated in a radial arrangement, and has a bolt insertion hole 30 in the center and each leg A through hole 32 is provided on the tip end side of 31. Then, as shown in FIG. 3, the column 2d is inserted into the bolt insertion hole 30 of the leg seat 2c in the screw hole 42 provided at the lower end thereof, and the bolt 43 is screwed from the lower side. It is set up on 2c. Further, as shown in FIG. 4, a plug cushion 33 made of chloroprene rubber or the like is press-fit fitted in a downward projecting state in the through hole 32 of each leg portion 31 of the leg seat 2c. The plug cushion 33 functions as a cushion that contacts the bottom portion 1b of the storage portion 1 when the holding portion 2 is loaded into the interior of the storage portion 1, and prevents the bottom portion 1b from being damaged at the time of contact. When the holding portion 2 holding the is loaded into the ultrasonic cleaning device, it has a function of absorbing the vibration and causing the holding portion 2 to stand upright on the ultrasonic cleaning device.

  On the other hand, as shown in FIG. 3, the housing portion 1 is mounted and fixed on a carriage 70 to which the direction changeable casters 72 are attached at the four corners of the base plate 71. A drainage hose 53 is connected to a L-shaped drainage pipe 51 having a discharge port 50 and extending laterally from the discharge port 50 via a connector 52. Then, a hose locking portion 55 capable of locking the hose joint 54 with a cock provided at the tip of the drainage hose 53 is protruded from the upper outer side surface of the housing portion 1. Further, in the vicinity of the opening 1 a of the housing portion 1, a hook-shaped handle 60 as a handle is pivotally mounted on both sides in the radial direction of the housing portion 1 so as to be raised and lowered. The housing portion 1 is fixed on the carriage 70 by fixing the outside projecting portion of the bottom plate 1d provided at the lower end thereof to the base plate 71 via the pressing fitting 73 and the butterfly screw 74, and the pressing fitting By removing 73, the carriage 70 can be detached.

  The procedure for immersing the medical device T1 in the cleaning liquid L using the immersion holder H of the present embodiment will be described below.

  First, the stop valve inside the hose joint 54 is closed by operating the cock of the hose joint 54. Next, 5 L of water is injected into a separately prepared container, and 50 mL of an enzyme cleaner (a protease-containing neutral cleaner manufactured by Clean Chemical: trade name S CLEAN EM) is further injected, and the enzyme cleaner is diluted by 1%. A cleaning solution L to be a solution is prepared. Next, an appropriate amount of cleaning liquid L is injected into the inside of the housing 1 from the opening 1 a of the housing 1. Next, the nuts 24a to 24c are loosened, the holding plate 2a is adjusted to a predetermined height, and then the nuts 24a to 24c are tightened again. Then, the treatment part Tb and the long axis part Ta of the used medical instrument T1 are inserted into the through hole 21 and the operation part Tc of the medical instrument T1 is held in the stepped recess 23a of the holding plate 2a. In this state, the holder 2 is loaded into the housing 1. At this time, by reciprocating the support stand 2b in the vertical direction, the cleaning solution L is uniformly stirred, and the treatment portion Tb of the medical instrument T1 is made to conform to the cleaning solution L. In the present embodiment, the leg seats 2c of the support stand 2b are radially formed, and a sufficient liquid passage is secured between the adjacent leg pieces 31 and 31. Therefore, the leg seat 2c is formed in a disk shape. The liquid stirring operation by reciprocating movement of the support stand 2b is easy as compared with the case where it is carried out. Then, the holder 2 is loaded into the inside of the housing 1 so that the plug cushion 33 of the leg seat 2 c contacts the bottom 1 b of the housing 1. Thus, the operation portion Tc of the medical device T1 is held so that the treatment portion Tb of the medical device T1 and the bottom portion 1b of the storage portion 1 are separated, and the treatment portion Tb of the medical device T1 is immersed in the cleaning liquid L .

  In addition, in the above-mentioned immersion treatment, 10 mL of the cleaning solution L, in which the enzyme cleaner becomes a 1% dilution solution, is injected into the first cleaning port Td and the second cleaning port Te of the operation portion Tc using a syringe. It is also good. Alternatively, as shown in FIG. 7, the pump 56 and the supply pipe 57 corresponding to each medical instrument are connected to the distal end of the drainage hose 53 and the hose joint 54, and the distal end of the supply pipe 57 is the operation unit of each medical instrument. The cleaning liquid L discharged to the outside from the discharge port 50 by connecting to the first cleaning port Td of Tc and driving the pump 56 is inserted into the cylinder via the first cleaning port Td and the internal space of the long-axis portion Ta. It may be refluxed inside part 1c. In the case of using other manual operation type forceps or the like, the cleaning liquid L pumped up by the pump 56 may be directly returned to the inside of the cylindrical portion 1c.

  In addition, the above-mentioned immersion treatment may be performed in the operating room, or may be performed in the central material room where the cleaning treatment / sterilization treatment is performed. When the immersion process is performed in the central material chamber, by pulling the wedge-shaped handle 60, the carriage 2 is mounted on the carriage 1 with the holding unit 1 loaded in the holding unit 1 with the holding unit 2 held by the medical instrument T1. Move from the operating room to the central material room with it placed on 70.

  When the cleaning process using the ultrasonic cleaning device is performed, the holding unit 2 holding the medical instrument T1 is taken out of the storage unit 1, and the holding unit 2 is loaded in the ultrasonic cleaning device in that state. And may be washed. When loading the holding unit 2 holding the medical instrument T1 into the ultrasonic cleaning apparatus, the height of the treatment section Tb of the medical instrument T1 is the cavitation height (bubble height) of the ultrasonic cleaning apparatus. The height of the holding plate 2a may be adjusted by the adjustment mechanism 25.

  Thus, according to the present invention, as suggested from the above-described embodiment, in the holder for immersion H, when the holding unit 2 is loaded into the housing unit 1, the treatment unit Tb of the medical instrument T1 and the housing unit 1 The operation portion Tc of the medical device T1 is held so as to be separated from the bottom portion 1b, and the treatment portion Tb of the medical device T1 is immersed in the cleaning liquid L. Therefore, according to the immersion holder H, the medical instrument T1 to be reused after the operation can be temporarily kept in the state of being immersed in the cleaning liquid L until the medical instrument T1 is reused for the cleaning and sterilization treatment. Since it is possible to prevent dry adhesion and prevent the treated portion Tb of the medical device T1 from colliding with or contacting the bottom portion 1b of the storage portion 1, the deformation or breakage of the treated portion Tb of the medical device T1 is prevented The appliance T1 can be reused. Then, according to the present invention, the treatment part Tb of the medical instrument T1 is immersed in the cleaning liquid L accommodated in the vertical cylindrical storage part 1 and does not jump out of the cleaning liquid L. Can be immersed in

DESCRIPTION OF SYMBOLS 1 accommodation part 1a opening part 1b bottom part 1c cylindrical part 1d bottom plate 2 holding part 2a holding plate 2b support stand 2c leg seat 2d post 2e handle 20 central hole 21, 22 through hole 21a, 22a counterbore 23 stepped recess 24a-24c Nut 25 Height adjustment mechanism 30 Bolt insertion hole 31 Leg piece 32 Through hole 33 Plug cushion 41 Male thread 42 Screw hole 43 Bolt 50 Discharge port 51 Discharge pipe 52 Connector 53 Drain hose 54 Hose joint 55 Hose locking portion 56 Pump 57 Supply tube 60 Flat handle 70 Carriage 71 Base plate 72 Caster 73 Clamp hardware 74 Butterfly screw H Immersion retainer L Cleaning fluid R Operation support robot R1 to R3 Arm part T1 to T3 Medical instrument Ta Long axis part Tb Treatment part Tc Operation Part Td 1st cleaning port Te 2nd cleaning port

Claims (5)

Immerse while holding a medical instrument having a long axis part, a treatment part provided at the tip of the long axis part, and an operation part provided at the base end of the long axis part and having an outer shape larger than the base end For the immersion holder,
A bottomed vertical cylindrical housing portion having an opening at the top and in which the cleaning liquid is housed;
Wherein stored in the storage unit holds the operating portion at a height and bottom of the receiving portion and the treatment portion is separated, Bei example and a holder for immersing the treatment portion in the cleaning solution,
The holding unit includes a holding plate for holding the operation unit, and a support stand for supporting the holding plate,
The support stand includes a leg seat disposed at the bottom, a post erected at the leg seat and supporting the holding plate at the top, and a handle provided at an upper end of the post . Immersion holder. The holder for immersion of the medical instrument according to claim 1 , wherein the holding plate has a shaft insertion portion through which the long axis portion can be inserted and the operation portion can not be inserted. The holding portion is immersed retainer medical instrument according to claim 1 or 2 further comprising a height adjusting mechanism for adjusting the height of the holding plate. The holder for immersion of the medical instrument according to any one of claims 1 to 3 , wherein the storage portion further has a discharge port for discharging the cleaning liquid to the outside at the bottom portion. The holder for immersion of the medical instrument according to any one of claims 1 to 4 , wherein the housing portion further has a handle at an upper portion and a caster for movement at a lower portion.

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