Soft polluted endoscope bedside pretreatment, transfer and leak detection integrated vehicle and operation method thereof

Abstract

The invention belongs to the field of medical instruments, and particularly relates to a bedside pretreatment, transfer and leak detection integrated trolley for soft contaminated endoscopes and an operation method of the bedside pretreatment, transfer and leak detection integrated trolley. Wheels are arranged at the bottom of a trolley frame, a trolley handle is arranged at the top of the trolley frame, and a transfer box body is arranged on the upper middle portion of the trolley frame; a pedal is connected with a cover shaft of the transfer box body; the cover shaft is connected with a box cover; a lamp strip is arranged on the periphery of the upper part of the transfer box body; a lamp controller is arranged on a handlebar; the soft silica gel pad is provided with different identification areas, and a replaceable multi-enzyme cleaning liquid container is arranged at the position, below the transfer box body, of the tip containing area. The device is reasonable in structural function setting, collision and positioning placement are effectively prevented, bedside pretreatment, transfer and leak hunting operations of polluted endoscopes are facilitated, and the working efficiency is improved.

Description

Technical Field

[0001] The invention belongs to the field of medical devices and relates to a soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle and an operation method thereof. Background Art

[0002] Endoscopy is a tool widely used for diagnosis and treatment in clinical settings. It is a common device in emergency treatment testing and is also suitable for patients with gastrointestinal diseases and healthy people who need physical examinations or tests. Due to the complex structure of flexible endoscopes and the fact that they are usually reused in clinical practice, they are easily contaminated by organic matter such as patient blood and secretions. In particular, flexible endoscopes often come into contact with mucous membranes or non-intact skin, which poses a high risk of infection. The World Health Organization emphasizes that cleaning of endoscopes is a necessary step in disinfection and sterilization. Any organic residue is likely to prevent pathogenic microorganisms from effectively contacting disinfectants, thereby reducing the disinfection effect. Therefore, flexible endoscopes must undergo strict pretreatment, cleaning and disinfection procedures before use by patients to ensure that the endoscopes are sterile and clean and free of any pathogenic substances, thereby reducing the risk of pathogen transmission.

[0003] Bedside pretreatment is to perform preliminary cleaning on the outer surface and internal pipes of the endoscope to reduce biofilm formation. Clinically, after diagnosis and treatment, it takes a certain amount of time to transport the contaminated endoscope to the cleaning and disinfection room. The blood, secretions and other dirt left on the outer surface and pipes of the contaminated endoscope are easy to dry and coagulate, and bacteria are easy to form biofilm in the endoscope channel. Therefore, the contaminated endoscope needs to be pretreated at the bedside in time. After the endoscope is taken out of the patient's body, before it is separated from the light source and video processor, immediately wipe the outer surface dirt with a wet wipe or wet gauze containing multi-enzyme cleaning solution; repeatedly supply air and water for at least 10 seconds; place the tip of the endoscope in a container filled with multi-enzyme cleaning solution, start the suction function, and repeatedly aspirate the multi-enzyme cleaning solution until clear liquid is aspirated to remove blood, mucus and organic matter on the inner and outer pipe walls of the endoscope.

[0004] Leak detection is a leak test, which is one of the important links in the cleaning and disinfection of flexible endoscopes. Flexible endoscopes are advanced consumable medical devices that are prone to fatigue, aging and damage. The correct leak detection method can not only reduce the damage and maintenance costs of endoscopes, but also reduce the probability of potential cross-infection of patients. The Technical Specifications for Cleaning and Disinfection of Flexible Endoscopes provide relevant requirements for leak detection of endoscopes.

[0005] The existing bedside pretreatment process is an independent space next to the bed, and independent supplies are separated from transportation. The existing soft endoscope transport device has a clean endoscope on the upper layer and a contaminated endoscope on the lower layer. The tray on the vehicle is made of polymer composite materials and equipped with a lid. The tray can store endoscopes. When storing contaminated endoscopes, you need to bend down and squat to place them on the lower layer for transportation. The existing leak detection process uses a separate box with leak detection water at the bedside or leak detection at a designated location in the disinfection room, which is not convenient for clinical work.

[0006] The prior art has the following problems:

[0007] 1. Pretreatment supplies:

[0008] The items pre-processed by the endoscopy centers of various hospitals in China are generally held in iron bowls or plastic boxes for wet gauze containing multi-enzyme cleaning solution. The multi-enzyme cleaning solution used for endoscope suction is held in various cups or buckets, and the amount used for one day is prepared before the start of work every day; but the multi-enzyme cleaning solution needs to be prepared on the spot, and the preparation of the multi-enzyme cleaning solution requires a lot of preparation work, such as measuring a certain amount of multi-enzyme cleaning solution and water, heating the water to a certain temperature, and mixing the multi-enzyme cleaning solution stock solution and water in a certain proportion. In addition, the general multi-enzyme cleaning solution requires a water temperature of 30-40°C. When the water temperature is higher than 40°C, the activity of the enzyme will decrease. Therefore, it is necessary to maintain a constant temperature of the multi-enzyme cleaning solution and a suitable ratio of the multi-enzyme cleaning solution to water. Therefore, ensuring that the water temperature and the preparation ratio meet the requirements of the multi-enzyme cleaning solution can maximize the activity of the enzyme and achieve better pretreatment effects for the endoscope. The endoscopes used by this host on that day were pretreated with the prepared wet gauze and multi-enzyme cleaning solution. The multi-enzyme cleaning solution in the bucket was discarded after the work was completed. The soaked gauze was not used up and was used again the next day to avoid waste. Since the multi-enzyme cleaning solution and cleaning gauze cannot be prepared on site, there is a risk of contamination during the preparation and storage of the cleaning gauze and multi-enzyme cleaning solution, which makes it difficult to meet the requirements of endoscope pretreatment effects.

[0009] 2. Pre-processing process:

[0010] During pretreatment, the doctor needs to remove the endoscope, which is about 1-1.3 meters long, from the patient's body and hang it on a rack. The nurse then takes it down and wipes off the dirt on the outer surface with a wet wipe or wet gauze containing a multi-enzyme cleaning solution, and then places the insertion part of the endoscope into a 20-cm bucket filled with a multi-enzyme cleaning solution for cleaning. It is inconvenient for medical staff to use a multi-enzyme cleaning solution gauze to clean the parts above the liquid surface, and the multi-enzyme cleaning solution is also easy to splash and pollute the surrounding environment. Because the multi-enzyme cleaning solution bucket or cup is placed at a low position, medical staff need to bend over or squat to take it out, which is inconvenient for medical staff to use. At the same time, when the endoscope is pretreated, multiple endoscopes are inserted into a multi-enzyme cleaning solution, which can easily cause cross-contamination of the endoscopes. However, it is more troublesome to use a separate multi-enzyme cleaning solution for each endoscope, which is not only cumbersome to operate but also time-consuming.

[0011] 3.Transfer process:

[0012] Existing endoscope transport carts are generally equipped with multiple layers for placing endoscopes. Some endoscope transport carts have a lid function, but the lid needs to be taken manually. During the operation, the personnel must first remove the lid of the tray before storing the mirror. After the lid is removed, it is difficult to place due to its large size; after the used endoscope is placed, the contaminated gloves need to be taken off and the lid of the tray needs to be covered. Existing endoscope transport carts are inconvenient to operate and are prone to secondary contamination. They also increase the operation time and workload. In addition, some transport carts do not have obvious markings on used contaminated endoscopes, which may pose a risk of cross-contamination.

[0013] 4. Leak detection process:

[0014] Existing leak detection process. 1. Preparation (leak detector, cold light source or leak detector, large basin filled with clean water or other) 2. Insert the leak detector plug into the light source light guide interface, turn on the power, set the air pressure to a high position, press the leak detection valve several times by hand, and make sure the air pressure is intact when there is a sound and feeling of air pressure. 3. Connect the leak detection valve to the leak detection port of the endoscope (press down with the notch facing each other and rotate it into place), and the electronic endoscope should wear a waterproof cap. 4. Confirm whether the bent rubber of the endoscope expands after inflation, which preliminarily indicates that there is no major leak in the endoscope; if the rubber does not expand and there is a "chirp" sound, it is preliminarily judged to be leaking. 5. Put the entire endoscope coil into the water, use a syringe to inject water into each pipe, expel the remaining air in the pipe, and continuously make angles in the water. Observe carefully for 30 seconds to observe whether there are continuous bubbles. If there are continuous bubbles, it means that the endoscope is leaking and the endoscope needs to be taken out of the water immediately. A large basin filled with clean water beside the bed needs to be prepared separately each time, and it is inconvenient to transport it to the bedside for clinical work. In addition, there is no warning sign on the leak detection water level line, which makes it easy to fail to detect leaks fully. Summary of the invention

[0015] In order to solve the above problems, the present invention provides a soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle and an operation method thereof, and provides a three-dimensional soft silicone pad with a mark to effectively prevent bumps and positioning. The soft silicone pad is provided with different marking areas, and the outer layer of the lower column structure of the transport box body is a constant temperature device to keep the multi-enzyme cleaning solution in a constant temperature state. The constant temperature device and the frame handle are connected with a multi-enzyme cleaning solution temperature display block, which facilitates the operations of bedside pretreatment, transportation and leak detection of contaminated endoscopes and improves work efficiency.

[0016] The present invention achieves the above-mentioned purpose through the following technical solutions: a soft contaminated endoscope bedside pretreatment transport and leak detection integrated vehicle, including a vehicle frame, wheels, a vehicle handle, a transport box body, a box cover, and an endoscope operating unit bracket, wherein the bottom of the vehicle frame is provided with wheels, the top of the vehicle frame is provided with the vehicle handle, the middle and upper part of the vehicle frame is provided with a transport box body, the box cover is provided on the transport box body, and the vehicle frame is provided with the endoscope operating unit bracket on the upper part of the transport box body, characterized in that it also includes a pedal and a cover shaft, the pedal is connected to the cover shaft of the transport box body, the cover shaft is connected to the box cover, a three-dimensional soft silicone pad with a logo is provided inside the transport box body, and the soft silicone pad is provided with a first logo area, a second logo area, a third logo area, and a fourth logo area;

[0017] Wherein, the first identification area is an endoscope light guide plug placement area, which is used to place the endoscope light guide plug;

[0018] The second marking area is an insertion portion placement area for placing the insertion portion of the endoscope;

[0019] The third marking area is an operating part placement area, which is used to place the operating part of the endoscope;

[0020] The fourth marking area is a tip placement area for placing the tip of the endoscope;

[0021] The tip placement area is provided with a replaceable multi-enzyme cleaning liquid container under the transport box body.

[0022] Preferably, a light strip is provided on the outer periphery of the upper part of the transfer box body, and a light-controlled switch is provided on the handlebar, the light-controlled switch is connected to the light strip and controls the opening and closing state, and a voice-controlled button is also provided on the handlebar, the voice-controlled button includes a 30s button, a 10s button and a reset button, which is convenient for visual use; and a multi-enzyme cleaning liquid temperature display block is provided on the handlebar.

[0023] Preferably, the light-controlled switch, the voice-controlled button, and the multi-enzyme cleaning liquid temperature display block are all connected to a circuit board. The circuit board is mainly provided with a microprocessor, and the microprocessor adopts an STM32 single-chip microcomputer. When the light-controlled switch is pressed, the box cover is opened, and the light strip is turned on; when the light-controlled switch is lifted, the box cover is closed, and the light strip is turned off.

[0024] Press the 30s button or the 10s button to start timing. A light will light up during the last five seconds of timing. Press the reset button to stop timing.

[0025] Preferably, multiple racks are hung on the outside of the transfer box body; there are three racks, namely a wet wipes rack, a clean water tank rack, and an accessory tank rack. The wet wipes rack is provided with wet wipes containing multi-enzyme cleaning solution, the clean water tank rack is provided with a clean water tank with a cover, and the accessory tank rack is provided with an accessory tank with a cover containing multi-enzyme cleaning solution.

[0026] Preferably, there are four wheels, which are universal wheels, and a locking structure is provided on the universal wheels to prevent the integrated transfer vehicle from moving; and a cover buckle matching the transfer box body is provided on the box cover.

[0027] Preferably, the replaceable multi-enzyme cleaning liquid container is made of soft silicone material, and after the pretreatment is completed, the replaceable multi-enzyme cleaning liquid container can be pulled out and placed horizontally as a tip protective cover.

[0028] Preferably, the outer layer of the lower column structure of the transport box body is a constant temperature device, which keeps the multi-enzyme cleaning solution in a constant temperature state, and the lower side of the column structure of the constant temperature device is a sealing plug.

[0029] The replaceable multi-enzyme cleaning liquid container is built into the column structure of the constant temperature device.

[0030] Preferably, the thermostat is connected to a multi-enzyme cleaning liquid temperature display block on the handlebar, and the temperature is displayed in real time through the multi-enzyme cleaning liquid temperature display block.

[0031] Preferably, a leak detection water level line is provided inside the transfer box body, and the leak detection water level line is provided with an alarm prompt device.

[0032] Preferably, the leak detection water level line warning device is arranged inside the transfer box body, and the water level can submerge the endoscope.

[0033] The method for operating the soft contaminated endoscope bedside pretreatment transport side leakage integrated vehicle is characterized by comprising the following steps:

[0034] Step A, the integrated vehicle is in a standby state beside the bed in the endoscopy treatment room, the box cover is naturally placed on one side of the transport box body by stepping on the pedal, the two rear wheels are fixed by the locking structure, the multi-enzyme cleaning liquid wipes on the outside of the transport box body are in a standby state, the lids of the clean water tank and the accessory container tank are in an open state, the multi-enzyme cleaning liquid in the multi-enzyme cleaning liquid container inside the transport box body is filled with multi-enzyme cleaning liquid, and the external constant temperature device is turned on to keep the multi-enzyme cleaning liquid active;

[0035] Step B: After the contaminated endoscope is removed from the patient's body, the doctor directly places the endoscope operating part on the endoscope operating part bracket on the upper frame of the transport box, and the insertion part and the tip end are placed in the integrated vehicle body. The nurse takes the multi-enzyme cleaning liquid wipes on the outside of the transport box, wipes off the dirt on the outer surface in the order from the protective cover of the operating part to the tip end, and wipes along the opening direction of the water / air supply nozzle, presses the 10s button on the handlebar, and repeatedly supplies air and water for at least 10s;

[0036] Step C, the light strip of the transport box is always on, and a visual inspection is performed using the light strip and a magnifying glass; evaluate the clarity and integrity of the endoscope lens; evaluate the integrity of the seals and gaskets of the endoscope accessories; check whether the endoscope body is cracked, peeled, detached, stretched, or has holes; check the endoscope function to see if the bends are broken, kinked, angled, or the focusing function is changed; check whether the endoscope has bite marks or damage on its exterior.

[0037] Step D, place the tip of the endoscope insertion part under the liquid level of the replaceable multi-enzyme cleaning solution container at the bottom of the transport box; at this time, start the suction function, press the 30s button on the handlebar 3 and the suction button, suck the multi-enzyme cleaning solution until the liquid in the suction tube is clear, lift the insertion part from the multi-enzyme cleaning solution container to the liquid level, press the suction button and the 10s button on the handlebar 3, and suck the air for at least 10s; stop the air pump from delivering air, turn on the light source, remove the endoscope water / air supply button, and after taking the accessories out of the endoscope, immediately wipe off the dirt on the outer surface with a wet wipe containing multi-enzyme cleaning solution on the outside of the transport box, and use the light strip to illuminate and check whether the accessories are damaged; put them into the multi-enzyme cleaning solution accessory container with a cover on the outside of the transport box; install the water / air supply pipeline cleaning pipe joint that matches the product on the water / air supply piston of the endoscope; place the tip of the insertion part in the clean water in the clean water tank with a cover on the outside of the transport box. Turn on the air pump and adjust the air supply to the maximum gear, press the 10s button on the handlebar and the water / air supply button, flush the water / air supply pipeline with sterile water from the water injection bottle for more than 10s, release the button, press the 10s button on the handlebar, and supply air for more than 10s; remove the suction tube from the suction connector of the optical connector. Then remove the metal head of the water injection bottle from the water / air supply connector and put the metal head into the socket of the water injection bottle cap;

[0038] Step E: After the pretreatment is completed, leak detection is performed. A leak detector is used for bedside leak detection. Clean water is directly filled into the transfer box according to the leak detection water level line inside the transfer box. The leak detection water level line has an alarm prompt device. The water level warning device is set inside the transfer box. It is best if the water level can submerge the endoscope. The water and air buttons of various endoscope operating parts can be covered to facilitate bedside leak detection. When the water is filled to the water level line, the warning system will prompt that the appropriate water level line has been reached. Perform the leak detection operation.

[0039] Step F, after the leak detection is completed, place the endoscope on a three-dimensional soft silicone pad with a label, and place it according to the endoscope light guide plug part, insertion part, operation part and tip placement areas inside the transfer box; place the endoscope light guide plug in the first label, place the endoscope insertion part in the second label area, place the endoscope operation part in the third label area, and place the tip of the endoscope in the fourth label area; pull out the replaceable multi-enzyme cleaning liquid container and place it horizontally on the tip of the endoscope as a protective cover for protection; use the foot pedal to buckle the cover of the integrated box cover onto the transfer box, press the close button to turn off the light strip for transfer; open the sealing plug after transporting to the contaminated endoscope disinfection room, and connect the connecting pipe to the sewage treatment site for terminal disinfection.

[0040] The beneficial effects of the present invention are as follows: the structure and functions are reasonably arranged, a three-dimensional soft silicone pad with a mark is arranged, which can effectively prevent bumps and position the pad, different marking areas are arranged on the soft silicone pad, and the outer layer of the column structure at the lower part of the transport box is a constant temperature device, so that the multi-enzyme cleaning solution is in a constant temperature state, and a multi-enzyme cleaning solution temperature display block is connected to the constant temperature device and the handlebars of the vehicle frame, which is convenient for the bedside pretreatment, transport, and leak detection of contaminated endoscopes and improves work efficiency. BRIEF DESCRIPTION OF THE DRAWINGS

[0041] Figure 1 It is a structural schematic diagram of the soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle of the present invention.

[0042] Figure 2 It is a schematic diagram of the internal structure of the transport box of the soft contaminated endoscope bedside pretreatment transport and leak detection integrated vehicle of the present invention.

[0043] Figure 3 It is a schematic diagram of different identification areas of the soft silicone pad in the transport box of the soft contaminated endoscope bedside pretreatment transport and leak detection integrated vehicle of the present invention.

[0044] Figure 4 It is a side schematic diagram of the transport box body of the soft contaminated endoscope bedside pretreatment transport and leak detection integrated vehicle of the present invention.

[0045] Figure 5 The present invention is a circuit diagram of a microprocessor of the soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle.

[0046] Figure 6 This is a circuit diagram of a circuit board of the soft contaminated endoscope bedside pretreatment, transport and leak detection integrated vehicle of the present invention.

[0047] Figure 7 The bottom surfaces of different marking areas of the soft silicone pad in the transport box of the soft contaminated endoscope bedside pretreatment transport and leak detection integrated vehicle of the present invention are in a cross-sectional shape.

[0048] Figures: 1. Frame, 2. Wheels, 3. Handlebars, 4. Transport box, 5. Box cover, 6. Endoscope operating unit bracket, 7. Pedal, 8. Cover shaft, 9. Soft silicone pad, 10. First identification area, 11. Second identification area, 12. Third identification area, 13. Fourth identification area, 14. Replaceable multi-enzyme cleaning liquid container, 15. Light-controlled switch, 16. Voice-controlled button, 17. Hanging rack, 18. Constant temperature device, 19. Cover buckle, 20. Multi-enzyme cleaning liquid temperature display block, 21. Light strip, 22. Leakage detection water level line. DETAILED DESCRIPTION

[0049] It should be noted that, in the absence of conflict, the embodiments of the present invention and the features in the embodiments may be combined with each other.

[0050] In the description of the present invention, it should be understood that, unless otherwise specified, "plurality" means two or more than two.

[0051] In the description of the present invention, it should be noted that, unless otherwise clearly specified and limited, a person skilled in the art can understand the specific meanings of the above terms in the present invention according to specific circumstances.

[0052] The soft contaminated endoscope bedside pretreatment transport leak detection integrated vehicle includes a vehicle frame 1, wheels 2, vehicle handles 3, a transport box body 4, a box cover 5, and an endoscope operating unit bracket 6. The vehicle frame 1 is provided with wheels 2 at the bottom, the vehicle frame 1 is provided with a vehicle handle 3 at the top, the vehicle frame 1 is provided with a transport box body 4 in the middle and upper part, the box cover 5 is provided on the transport box body 4, and the vehicle frame 1 is provided with an endoscope operating unit bracket 6 at the upper part of the transport box body 4, including a pedal 7 and a cover shaft 8. The pedal 7 is connected to the cover shaft 8 of the box body, and the cover shaft 8 is connected to the box cover 5. A three-dimensional soft silicone pad 9 with a logo is provided inside the box body to prevent bumps and position placement. The soft silicone pad 9 is provided as a first identification area 10, a second identification area 11, a third identification area 12, and a fourth identification area 13;

[0053] The first identification area 10 is an endoscope light guide plug placement area, which is used to place the endoscope light guide plug;

[0054] The second marking area 11 is an insertion portion placement area for placing the insertion portion of the endoscope;

[0055] The third marking area 12 is an operation part placement area, which is used to place the operation part of the endoscope;

[0056] The fourth marking area 13 is a tip placement area for placing the tip of the endoscope;

[0057] Located on the same horizontal plane and having a certain depth, it is used for the endoscope light guide plug part, the insertion part, and the operation part. The second identification area 11 for placing the insertion part is located at the circular channel, and the first identification area 10, the third identification area 12 and the fourth identification area 13 are connected to the second identification area 11. The bottom surface of each identification area is a trapezoidal through groove a with an arc cross section, a chamfered rectangular trapezoidal through groove b or a chamfered trapezoidal through groove c.

[0058] The tip placement area is provided with a replaceable multi-enzyme cleaning liquid container 14 under the transport box body.

[0059] A light strip 21 is arranged on the outer periphery of the upper part of the transport box body 4, and a light-controlled switch 15 is arranged on the handlebar 3. The light-controlled switch 15 is connected to the light strip 21 and controls the opening and closing state. A voice-controlled button 16 is also arranged on the handlebar 3. The voice-controlled button 16 includes a 30s button, a 10s button and a reset button for easy visual use; a multi-enzyme cleaning liquid temperature display block 20 is arranged on the handlebar.

[0060] The light-controlled switch 15, the voice-controlled button 16, and the multi-enzyme cleaning liquid temperature display block 20 are all connected to the circuit board. The circuit board is mainly provided with a microprocessor, and the microprocessor adopts an stm32 single-chip microcomputer. When the light-controlled switch 15 is pressed, the corresponding box cover 5 is opened, and the light strip 21 is lit; when the light-controlled switch 15 is lifted, the corresponding box cover 5 is closed, and the light strip 21 is off; the voice-controlled button 16 includes a 30s button, a 10s button, and a reset button. Pressing the 30s button and the 10s button starts timing. There will be a light prompt for the last five seconds of timing. Pressing the reset button can stop timing.

[0061] Multiple racks are hung outside the transfer box body 4; there are three racks, namely a wet wipes rack, a clean water tank rack, and an accessory tank rack. The wet wipes rack is equipped with wet wipes containing multi-enzyme cleaning solution, the clean water tank rack is equipped with a clean water tank with a cover, and the accessory tank rack is equipped with an accessory tank with a cover containing multi-enzyme cleaning solution.

[0062] There are four wheels 2, which are universal wheels. A locking structure is provided on the universal wheels to prevent the transfer vehicle from moving; a cover buckle 19 matching the transfer box body 4 is provided on the box cover 5.

[0063] The replaceable multi-enzyme cleaning liquid container is made of soft silicone material. After the pretreatment, the replaceable multi-enzyme cleaning liquid container can be drawn out and laid horizontally as a tip protective cover.

[0064] The outer layer of the column structure at the lower part of the transport box body 4 is a constant temperature device 18, which keeps the multi-enzyme cleaning solution at a constant temperature. The lower side of the column structure of the constant temperature device 18 is a sealing plug;

[0065] The replaceable multi-enzyme cleaning solution container 14 is built into the column structure of the constant temperature device 18 .

[0066] The thermostat 18 is connected to the multi-enzyme cleaning liquid temperature display block 20 on the handlebar 3, and the temperature is displayed in real time through the multi-enzyme cleaning liquid temperature display block.

[0067] A leak detection water level line 22 is arranged inside the transfer box body 4, and the leak detection water level line 22 has an alarm prompting device.

[0068] The leak detection water level line 22 early warning device is arranged inside the transport box body, and the water level can submerge the endoscope.

[0069] Example 1

[0070] A soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle comprises a vehicle frame 1, four wheels 2, a vehicle handle 3, a transportation box body 4, a pedal 7, a cover shaft 8 connected to the box body by the pedal 7, a box cover 5 connected to the cover shaft 8, and a cover buckle 19 connected to the transportation box body by the box cover 5. An endoscope operating unit bracket 6 is provided on the upper vehicle frame 1 of the transportation box body.

[0071] The cover shaft 8 of the integrated vehicle is stepped on by pedal 7 to automatically open the box cover 5, and the four universal wheels at the bottom end of the vehicle frame 1 are in a blocked state to prevent movement.

[0072] The size of the transport box can ensure that the endoscope can be placed therein without excessive bending; a wet wipes rack containing multi-enzyme cleaning solution, a covered clean water tank rack, and a covered accessory tank rack containing multi-enzyme cleaning solution are hung on the outside of the transport box;

[0073] The upper periphery of the transport box body is a light belt 21 for visual inspection, and the light belt 21 has a light-controlled switch 15 connected to the handlebar. The handlebar is provided with a voice-activated button 16, which has two buttons of 30s and 10s.

[0074] In order to prevent the endoscope from being bumped, a three-dimensional soft silicone pad 9 with a logo is provided inside the transport box to prevent bumping and position the endoscope. The soft silicone pad 9 is provided with different logo areas: the soft silicone pad 9 is provided with a first logo area 10, a second logo area 11, a third logo area 12, and a fourth logo area 13;

[0075] The first identification area 10 is an endoscope light guide plug placement area, which is used to place the endoscope light guide plug;

[0076] The second marking area 11 is an insertion portion placement area for placing the insertion portion of the endoscope;

[0077] The third marking area 12 is an operation part placement area, which is used to place the operation part of the endoscope;

[0078] The fourth marking area 13 is a tip placement area for placing the tip of the endoscope. The tip placement area is provided with a replaceable multi-enzyme cleaning liquid container under the transport box body, and the replaceable multi-enzyme cleaning liquid container is built into the column structure of the constant temperature device 18. The replaceable multi-enzyme cleaning liquid container is made of soft silicone and can be pulled out and placed horizontally as a tip protection cover after pretreatment.

[0079] The outer layer of the column structure at the lower part of the transport box body is a constant temperature device 18 to keep the multi-enzyme cleaning liquid in a constant temperature state. The constant temperature device 18 is connected to the handlebar of the frame 1 with a multi-enzyme cleaning liquid temperature display block 20. The lower side of the column is a sealing plug, and there is a leak detection water level line 22 inside the transport box body. The leak detection water level line 22 has an alarm prompt device. The water level line warning device is set on the inside of the transport box body. The water level can submerge the endoscope, and the water and air buttons of various endoscope operating parts can be covered to facilitate bedside leak detection. When the water is filled to its water level line, the early warning system will prompt that the appropriate water level line has been reached. When the leak detection is completed, the liquid inside the transport box body can be drained to the sewage treatment through the drainage connection pipe here.

[0080] The light strip 21, the alarm, and the reminder device realize functions realized by circuit connection.

[0081] Function of the light strip 21: The light strip 21 is controlled by the light control switch 15 on the handlebar, and the light strip 21 is in the on state when the box cover is opened for standby. When the box cover is closed for the final transportation, the light strip 21 is turned off by pressing the close button.

[0082] Early warning function: The water level warning device is installed inside the transport box. The water level can submerge the endoscope and cover the water and air buttons of various endoscope operating parts, so as to facilitate bedside leak detection. When the water is filled to the water level, the early warning system will prompt that the appropriate water level has been reached.

[0083] Voice control reminder function: the voice control button 16 is set on the handlebar, and has two buttons of 30s and 10s. During pretreatment, the nurse presses the 30s button for suction and the 10s button for water and air delivery to remind the nurse to perform standard operations.

[0084] The control system on the circuit board is a microcontroller board with a stm3f103c8t6 core. The electronic components used include OLED display OLED12864I2C, ultrasonic sensor HCSR04, temperature sensor DS18B20, switches and LED lights. The control core receives various signals from switches and sensors, and controls the normal operation of LED lights, timers and heating devices after processing.

[0085] The control circuit mainly realizes the following four functions:

[0086] 1. Control light strip 21

[0087] Button 1 controls the on and off of the light strip 21. When button 1 is pressed, PB6 input is low level, PA6 outputs low level, and the light strip 21D1-D6 is lit; when button 1 is lifted, PB6 input is high level, PA6 outputs high level, and the light strip 21D1-D6 is off.

[0088] 2. Timing function

[0089] Press button 2 once, PB3 detects a low-level input, executes 10s timing, and displays the timing time on the LCD1 screen. In the last 5s of the timing, PA2 outputs a low level to light up indicator D7, indicating the end of the timing.

[0090] Press button 3 once, PB4 detects a low-level input, executes 30s timing, and displays the timing time on the LCD1 screen. In the last 5s of the timing, PA2 outputs a low level to light up the indicator light D7, indicating the end of the timing.

[0091] Press button 4 once, PB5 detects a low-level input, performs a reset operation, the timer stops timing, and the timing time displayed on LCD1 is cleared.

[0092] 3. Water level detection

[0093] The ultrasonic sensor U3 can be used to measure the distance between the top of the container and the page, thereby calculating the liquid level at that time. When the liquid level reaches the specified value, PA3 outputs a low level, causing the indicator light D8 to light up, prompting that the liquid level has reached the standard.

[0094] 4. Temperature detection and heating function

[0095] The temperature of the liquid in the container can be measured by the temperature sensor U2. When the temperature is lower than the set value, PA7 outputs a low level to make the heating tube work, and the indicator light D9 lights up, indicating that heating is in progress; when the temperature reaches the specified temperature, PA7 outputs a high level, the heating tube stops working, and the indicator light D9 goes out.

[0096] Example 2

[0097] An operation method for pretreatment, transportation and leak detection of a soft contaminated endoscope bedside pretreatment, transportation and leak detection vehicle of the present application is used, and the steps of the method are as follows:

[0098] Step A, the integrated vehicle is in a standby state beside the bed in the endoscopy treatment room. The cover shaft 8 connected by the foot pedal 7 is stepped on to open the box cover 5. The box cover 5 is naturally on one side of the transport box body 4. The foot brake locking structure fixes the two rear wheels 2, wherein the locking structure adopts a foot brake. The multi-enzyme cleaning liquid wet wipes on the outside of the operating box body transport box body are in a standby state, the lid of the clean water tank and the accessory container tank are in an open state, and the multi-enzyme cleaning liquid in the multi-enzyme cleaning liquid container inside the operating box body transport box body is in a full state. The external thermostat 18 is turned on to keep the multi-enzyme cleaning liquid active. The connected thermostat 18 has a temperature display on the handlebar of the vehicle body. The bottom sealing plug of the replaceable multi-enzyme cleaning liquid container is in a closed state. The light strip 21 switch located on the handlebar is in an open state, so that the light strip 21 around the upper periphery of the operating box body transport box body is in a lit state. The control switch of the light strip 21 is connected to the light strip 21 controller inside the operating box body transport box body by a circuit.

[0099] Step B, after the contaminated endoscope is taken out from the patient's body, the doctor directly places the endoscope operating part on the endoscope operating part bracket 6 on the upper frame 1 of the transport box body, and puts the insertion part and the tip into the integrated vehicle body. The nurse takes the multi-enzyme cleaning liquid wipes from the outside of the transport box body, wipes off the outer surface dirt in the order from the protective cover of the operating part to the tip, and wipes along the opening direction of the water / air supply nozzle, presses the 10s button on the handlebar, and repeatedly supplies air and water for at least 10s.

[0100] Step C, at this time, the light strip 21 of the transport box is always on, ensuring sufficient lighting. Use the light strip 21 and a magnifying glass for visual inspection. Evaluate the clarity and integrity of the endoscope lens; the integrity of the seals and gaskets of the endoscope accessories; whether the endoscope body is cracked, peeled, detached, stretched, has holes, etc.; whether the endoscope function is broken, kinked, angled, the focus function is changed, etc.; whether the appearance of the endoscope has bite marks and other damage.

[0101] Step D, place the tip of the endoscope insertion part under the liquid level of the replaceable multi-enzyme cleaning liquid container at the bottom of the transport box. The multi-enzyme cleaning liquid is in a constant temperature and active state because the outer layer of the column structure is a constant temperature device 18. At this time, start the suction function, press the 30s button on the handlebar and press the suction button to suck the multi-enzyme cleaning liquid until the liquid in the suction tube is clear (at least 30s). Lift the insertion part from the multi-enzyme cleaning liquid container to the liquid level, press the suction button and press the 10s button on the handlebar to suck air for at least 10s. Pause the air pump to deliver air, turn on the light source, remove the endoscope water / air supply button, and after taking the accessories out of the endoscope, immediately wipe the dirt on the outer surface with a wet wipe containing multi-enzyme cleaning liquid on the outside of the transport box, and use the light strip 21 to illuminate and check whether the accessories are defective. Put it into the multi-enzyme cleaning liquid accessory container with a cover on the outside of the transport box. Install the water / air supply pipeline cleaning pipe joint that matches the product on the water / air supply piston of the endoscope. Place the tip of the insertion part in the clean water in the clean water tank covered on the outside of the transport box. Turn on the air pump and adjust the air supply to the maximum gear, press the 10s button on the handlebar and the water / air supply button, flush the water / air supply pipeline with sterile water from the water injection bottle for more than 10s, release the button, press the 10s button on the handlebar, and supply air for more than 10s. Remove the suction tube from the suction connector of the optical connector. Then remove the metal head of the water injection bottle from the water / air supply connector and put the metal head into the socket of the water injection bottle cap. If the endoscope has a waterproof cap, cover it immediately when removing the endoscope.

[0102] Step E, after the pretreatment is completed, leak detection is performed. At this time, a leak detector (MB-155) is used for bedside leak detection. Fill the transport box with clean water directly according to the leak detection water level line 22 inside the transport box. The leak detection water level line 22 has an alarm prompt device. The water level line warning device is set inside the transport box. The water level can submerge the endoscope, and the water and air buttons of various endoscope operating parts can be covered to facilitate bedside leak detection. When the water is filled to its water level line, the warning system will prompt that the appropriate water level line has been reached. Install the connector of the leak detector (MB-155) to the output socket of the maintenance device (MU-1). Turn on the maintenance device. Press the pin in the leak detector connector cap, listen for wind blowing, and confirm that the connector cap releases air. Confirm that the connector cap of the leak detector and the ventilation connector of the endoscope are completely dry. Push in the connector cap and rotate it clockwise to the end, and install the connector cap on the ventilation connector. After installing the leak detector, immerse the endoscope in water, rotate the up / down angle control knob of the endoscope, deflect the curved part of the endoscope, and observe for about 30 seconds. Confirm that there are no continuous bubbles in any part of the endoscope. Pull out the leak detector and turn off the power.

[0103] Step F, after the leak detection is completed, place the endoscope on the three-dimensional soft silicone pad 9 with a mark to prevent the endoscope from being bumped, and place it according to the endoscope light guide plug part, insertion part, operation part and tip placement area inside the transport box; place the endoscope light guide plug in the first mark, place the endoscope insertion part in the second mark area, place the endoscope operation part in the third mark area, and place the tip of the endoscope in the fourth mark area. Pull out the replaceable multi-enzyme cleaning liquid container and place it horizontally at the tip of the endoscope as a protective cover for protection; because there is water in the car after the leak detection is completed, take out the cleaning liquid container as a protective cover, but there is a sealing plug at the bottom so that water will not flow out.

[0104] Use the pedal 7 to buckle the cover buckle 19 of the integrated vehicle box cover onto the transport box body, press the closing button to turn off the light strip 21 for transport. After transporting to the contaminated endoscope decontamination room, open the sealing plug and connect the connecting pipe to the sewage treatment site for terminal disinfection.

[0105] Compared with the prior art, the present application has a reasonable structure and function setting. A three-dimensional soft silicone pad 9 with an identification is provided to effectively prevent bumps and position the pad. Different identification areas are provided for the soft silicone pad 9. The outer layer of the lower column structure of the transport box body 4 is a constant temperature device 18, which keeps the multi-enzyme cleaning solution in a constant temperature state. The constant temperature device 18 is connected to the multi-enzyme cleaning solution temperature display block on the handlebar 3. The temperature is displayed in real time through the multi-enzyme cleaning solution temperature display block. The present application facilitates the bedside pretreatment, transport, and leak detection of contaminated endoscopes, thereby improving work efficiency.

[0106] The present invention is not limited to the above-mentioned specific embodiments, which are merely illustrative and not restrictive. Under the guidance of the present invention, ordinary technicians in this field can make many forms without departing from the scope of protection of the present invention and the claims, all of which fall within the scope of protection of the present invention.

Claims

1. A soft contaminated endoscope bedside pretreatment transport leak detection integrated vehicle, comprising a vehicle frame, wheels, a vehicle handle, a transport box, a box cover, and an endoscope operating unit bracket, wherein the vehicle frame is provided with wheels at the bottom, the vehicle frame is provided with the handlebar at the top, the vehicle frame is provided with a transport box in the middle and upper part, the box cover is provided on the transport box, and the vehicle frame is provided with the endoscope operating unit bracket at the upper part of the transport box, characterized in that: It also includes a pedal and a cover shaft, wherein the pedal is connected to the cover shaft of the transfer box body, the cover shaft is connected to the box cover, and a three-dimensional soft silicone pad with a logo is arranged inside the transfer box body, and the soft silicone pad is arranged as a first logo area, a second logo area, a third logo area, and a fourth logo area; Wherein, the first identification area is an endoscope light guide plug placement area, which is used to place the endoscope light guide plug; The second marking area is an insertion portion placement area for placing the insertion portion of the endoscope; The third marking area is an operating part placement area, which is used to place the operating part of the endoscope; The fourth marking area is a tip placement area for placing the tip of the endoscope; The tip placement area is provided with a replaceable multi-enzyme cleaning liquid container under the transport box body.

2. The soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle according to claim 1, characterized in that: A light strip is arranged on the periphery of the upper part of the transport box body, and a light-controlled switch is arranged on the handlebar, which is connected to the light strip and controls the on and off state. A voice-controlled button is arranged on the handlebar, and the voice-controlled button includes a 30s button, a 10s button and a reset button, which is convenient for visual use; a multi-enzyme cleaning liquid temperature display block is arranged on the handlebar.

3. The soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle according to claim 2 is characterized by: The light-controlled switch, the voice-controlled button, and the multi-enzyme cleaning liquid temperature display block are all connected to the circuit board. The circuit board is mainly provided with a microprocessor, and the microprocessor adopts an STM32 single-chip microcomputer. When the light-controlled switch is pressed, the box cover is opened, and the light strip is turned on; when the light-controlled switch is lifted, the box cover is closed, and the light strip is turned off. Press the 30s button or the 10s button to start timing. A light will light up during the last five seconds of timing. Press the reset button to stop timing.

4. The soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle according to claim 1, characterized in that: A plurality of hangers are hung outside the transfer box body; there are three hangers, namely a wet wipe hanger, a clean water tank hanger, and an accessory tank hanger. The wet wipe hanger is provided with wet wipes containing multi-enzyme cleaning solution, the clean water tank hanger is provided with a clean water tank with a cover, and the accessory tank hanger is provided with an accessory tank with a cover containing multi-enzyme cleaning solution.

5. The soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle according to claim 1, characterized in that: There are four wheels, which are universal wheels. A locking structure is provided on the universal wheels to prevent the integrated transfer vehicle from moving; and a cover buckle matching the transfer box body is provided on the box cover.

6. The soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle according to claim 1, characterized in that: The replaceable multi-enzyme cleaning liquid container is made of soft silicone material. After the pretreatment is completed, the replaceable multi-enzyme cleaning liquid container can be drawn out and placed horizontally as a tip protective cover.

7. The soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle according to claim 1, characterized in that: The outer layer of the column structure at the lower part of the transport box body is a constant temperature device, which keeps the multi-enzyme cleaning solution in a constant temperature state, and the lower side of the column structure of the constant temperature device is a sealing plug; The replaceable multi-enzyme cleaning liquid container is built into the column structure of the constant temperature device.

8. The integrated vehicle for bedside pretreatment, transportation and leak detection of soft contaminated endoscopes according to claim 7, characterized in that: The constant temperature device is connected to the multi-enzyme cleaning liquid temperature display block on the handlebar, and the temperature is displayed in real time through the multi-enzyme cleaning liquid temperature display block.

9. The soft contaminated endoscope bedside pretreatment, transportation and leak detection integrated vehicle according to claim 7, characterized in that: The transfer box body is provided with a leak detection water level line early warning device inside, and the leak detection water level line early warning device includes an alarm prompt device; The leak detection water level line warning device is arranged inside the transfer box body, and the water level can submerge the endoscope.

10. An operating method for using the soft contaminated endoscope bedside pretreatment and transport side leakage integrated vehicle according to any one of claims 1 to 9, characterized in that : Includes the following steps: Step A, the integrated vehicle is in a standby state beside the bed in the endoscopy treatment room, the box cover is naturally placed on one side of the transport box body by stepping on the pedal, the two rear wheels are fixed by the locking structure, the multi-enzyme cleaning liquid wipes on the outside of the transport box body are in a standby state, the lids of the clean water tank and the accessory container tank are in an open state, the multi-enzyme cleaning liquid in the multi-enzyme cleaning liquid container inside the transport box body is filled with multi-enzyme cleaning liquid, and the external constant temperature device is turned on to keep the multi-enzyme cleaning liquid active; Step B: After the contaminated endoscope is removed from the patient's body, the doctor directly places the endoscope operating part on the endoscope operating part bracket on the upper frame of the transport box, and the insertion part and the tip end are placed in the integrated vehicle body. The nurse takes the multi-enzyme cleaning liquid wipes on the outside of the transport box, wipes off the dirt on the outer surface in the order from the protective cover of the operating part to the tip end, and wipes along the opening direction of the water / air supply nozzle, presses the 10s button on the handlebar, and repeatedly supplies air and water for at least 10s; Step C: The light strip of the transport box is always on, and visual inspection is performed using the light strip and a magnifying glass; evaluate the clarity and integrity of the endoscope lens; evaluate the integrity of the seals and gaskets of the endoscope accessories; check whether the endoscope body is cracked, peeled, detached, stretched, or has holes; check the endoscope function to see if the bending part is broken, kinked, angled, or the focusing function is changed; check whether the appearance of the endoscope has bite marks or damage; Step D, place the tip of the endoscope insertion part under the liquid level of the replaceable multi-enzyme cleaning solution container at the bottom of the transport box; at this time, start the suction function, press the 30s button on the handlebar and the suction button, suck the multi-enzyme cleaning solution until the liquid in the suction tube is clear, lift the insertion part from the multi-enzyme cleaning solution container to the liquid level, press the suction button and the 10s button on the handlebar to suck the air for at least 10s; stop the air pump from delivering air, turn on the light source, remove the endoscope water / air supply button, and after taking the accessories out of the endoscope, immediately wipe off the dirt on the outer surface with a wet wipe containing multi-enzyme cleaning solution on the outside of the transport box, and use the light strip to check whether the accessories are damaged; put them into the covered multi-enzyme cleaning solution accessory container on the outside of the transport box; install the water / air supply pipeline cleaning pipe joint that matches the product on the water / air supply piston of the endoscope; place the tip of the insertion part in the clean water in the covered clean water tank on the outside of the transport box. Turn on the air pump and adjust the air supply to the maximum gear, press the 10s button on the handlebar and the water / air supply button, flush the water / air supply pipeline with sterile water from the water injection bottle for more than 10s, release the button, press the 10s button on the handlebar, and supply air for more than 10s; remove the suction tube from the suction connector of the optical connector. Then remove the metal head of the water injection bottle from the water / air supply connector and put the metal head into the socket of the water injection bottle cap; Step E, after the pretreatment is completed, leak detection is performed, and a leak detector is used to perform bedside leak detection, and clean water is directly filled in the transfer box according to the leak detection water level line inside the transfer box; the leak detection water level line has an alarm prompt device; the water level line warning device is arranged inside the transfer box, and the water level can submerge the endoscope, and the water gas buttons of various endoscope operating parts can be covered, so as to facilitate bedside leak detection; when the water is filled to its water level line, the warning system will prompt that the appropriate water level line has been reached; and the leak detection operation is performed; Step F, after the leak detection is completed, place the endoscope on a three-dimensional soft silicone pad with a label, and place it according to the endoscope light guide plug part, insertion part, operation part and tip placement areas inside the transfer box; place the endoscope light guide plug in the first label, place the endoscope insertion part in the second label area, place the endoscope operation part in the third label area, and place the tip of the endoscope in the fourth label area; pull out the replaceable multi-enzyme cleaning liquid container and place it horizontally on the tip of the endoscope as a protective cover for protection; use the foot pedal to buckle the cover of the integrated box cover onto the transfer box, press the close button to turn off the light strip for transfer; open the sealing plug after transporting to the contaminated endoscope disinfection room, and connect the connecting pipe to the sewage treatment site for terminal disinfection.

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