strainer basket device and flushing connection
The screen basket device with a novel flushing connection and slanted bearing mechanism addresses the challenges of cleaning complex robotic medical instruments by ensuring secure and efficient cleaning, reducing costs, and facilitating instrument sterilization and transport.
Patent Information
- Application Number
- DE102023004559
- Authority / Receiving Office
- DE · DE
- Patent Type
- Applications
- Current Assignee / Owner
- Filing Date
- 2023-11-10
- Publication Date
- 2025-05-15
AI Technical Summary
Existing cleaning technologies for robotic medical instruments face challenges in effectively cleaning complex, movable parts and require expensive, bulky racks that increase instrument usage costs and complicate the cleaning process.
A screen basket device with a novel flushing connection and screen basket system that allows for secure, machine-independent cleaning of robotic instruments, using a slanted bearing mechanism to ensure a secure flushing connection and reduce residual water content.
The solution enables efficient, cost-effective, and reliable cleaning of robotic instruments, reducing instrument usage costs and allowing for secure transport and sterilization of instruments, while eliminating the need for expensive instrument carriages.
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Abstract
Description
Field of the invention
[0001] The invention relates to a sieve basket device and a rinsing connection for the processing of medical devices in a cleaning machine as well as their sterilization and for use in the operating room. Background of the invention
[0002] Today, complex medical instruments are cleaned using a complex cleaning process. This primarily includes robotic instruments, such as those from Inituitive (Davinci instruments) or CMR Surgical (Versius instruments), and other manufacturers. These instruments have a complex base section for the robot arm and a surgically usable instrument section at the front. The challenge in this instrument segment is that the front functional parts of the instruments are difficult to clean, as many moving parts are combined here to achieve spatial mobility. To ensure that such instruments can be cleaned in a validated and safe manner, cleaning machine manufacturers have developed suitable reprocessing accessories.State-of-the-art ultrasonic baths have been developed for these instruments to achieve improved cleaning through the mobility of the instrument parts.
[0003] However, in the reprocessing process it is important that the instruments are not only cleaned safely, but that a secure cleaning connection and an instrument transport system are used so that these instruments can be stored, transported and used in the operating room in a sterile manner after cleaning.
[0004] The latest technology includes ultrasonic baths, as described in DE 50 2016 003 132, in which the robotic instrument and its movable parts can be moved during cleaning. In addition, instrument racks in cleaning carts from various manufacturers are known that can accommodate and clean multiple DaVici instruments.
[0005] The conventional reprocessing devices in cleaning machines form heavy and complex frames and attempt to clean as many robotic instruments and surgical sets as possible in one cleaning machine. This also cleans robotic instruments that have not been used in the operating room. This type of reprocessing significantly increases instrument usage costs because the reprocessing cycles of the robotic instruments are limited. Furthermore, the existing cleaning approaches for robotic instruments in cleaning machines cannot be used individually without the complex machine trolleys. Summary of the invention
[0006] The invention describes a sustainable, economical, simple, largely machine-independent, and space-saving reprocessing system for robotic instruments and hollow instruments. This system utilizes novel flushing connectors and mesh basket devices in conjunction with an instrument mesh basket. The essential tools used are a simple mesh basket device (mesh basket rack system) that, in conjunction with a flushing connector or connection system, enables instrument lumen cleaning. The mesh basket device is a device that holds mesh baskets. The mesh baskets are removed after cleaning to be made available in the operating room after sterilization or to be used there.
[0007] The object is achieved according to the invention by a sieve basket device for processing medical instruments according to claim 1, by a rinsing connection according to claim 9 and with a movement unit according to claim 11. The dependent claims relate to advantageous embodiments of the invention.
[0008] The object is achieved by a sieve basket device for the processing of medical products and for use in the operating room, wherein during mechanical cleaning the rinsing connection is made via a connection opening in a sieve basket wall, characterized in that a sieve basket device ensures by means of an inclined bearing that at least one groove of a rinsing connection of an instrument or of an inserted rinsing distributor can slide from the connection opening into a fixing opening of the sieve basket wall by itself or with manual assistance in order to produce in this position at least one instrument or rinsing distributor connection which is secure against pulling out and pressure and remains held and arranged in this position.
[0009] The innovation is further characterized by the fact that, for example, a connected instrument can be mechanically moved in the opening area of the sieve basket and the movable instrument is held securely in place via a flushing connection, consisting of an adapter or adapter system with at least one groove in the sieve basket wall opening, so that it can be pulled out and pressure-proof via the inclined position during cleaning. This change in position creates a change in position during cleaning in order to reduce the residual water content after cleaning and to enable safe flushing. This is important because robotic instruments have a very long shaft and a complex instrument head with a complex movement mechanism, and a lot of residual water may remain here. Furthermore, flushing all internal surfaces is difficult. The inclined and tilted mounting of the inclined instrument mounting enables secure instrument cleaning and ensures that • firstly, the high rinsing pressure cannot decouple the adapter or adapter system from the instrument, • secondly, the connection position is held securely in position, • thirdly, there is no need to repack the instrument to be cleaned, • fourthly, due to the storage, the instrument can move into the lock position by gravity alone and • last but not least, the instrument is held in the basket itself at least via the adapter connection or the adapter system in the basket.
[0010] In a further embodiment, a rinsing distributor is used in a sieve basket with lateral wall openings. The rinsing distributor has end grooves for positioning in spaced-apart sieve basket wall openings. There is a groove at the rinsing connection and one at the end closure part. These grooves can alternatively also be present at the ends and spaced apart on the rinsing pipe. Such rinsing distributors are preferably inserted by hand through an enlarged and tapered breakthrough area. If the rinsing distributor moves backwards, at least the groove on the rinsing distributor or on the pipe slides into the tapered sieve basket wall opening and thus forms an at least pull-out-secure rinsing distributor with a further spaced-apart groove. The rinsing distributor positioned in this way is at least rotatable in the sieve basket wall opening.This rotatable mounting of the irrigation manifold ensures that instruments contained in a mesh basket can be connected more efficiently and safely, while the irrigation manifold is positioned so that it cannot be pulled out and is pressure-tight. The advantage of this design is that the irrigation tube can be removed from the mesh basket, freeing up the space it occupied in the mesh basket.
[0011] Screen baskets made of DE102021000078.1A can also be used, which have a stable enveloping structure or a frame structure and a changeable grid base and / or an open base structure.
[0012] The instrument basket used preferably securely holds a robotic instrument and accompanies the instrument through the entire reprocessing process without repacking, right up to sterile use in the operating room. Alternatively, multiple hollow instruments can be cleaned in the basket using a removable rinsing manifold. This enables sustainable instrument logistics and economical instrument reprocessing.
[0013] The innovation is robust and simple, reducing errors in the cleaning of hollow instruments. Furthermore, it enables economical instrument reprocessing, especially for very high-quality instruments that require extensive securing. It is particularly suitable for instruments whose rinsing connection requires complex securing or which are intended to remain in the basket without repacking, at least during machine cleaning. The advantage of this innovation is that expensive instrument trolleys for robotic instruments or hollow instruments are no longer required, and cleaning can be performed in standard trolleys.
[0014] To achieve this, complex connection techniques are currently used, which require the instrument to be cleaned to be repackaged. However, the innovation aims to ensure that the instrument(s) in the basket undergo the entire reprocessing process, ultimately ensuring safe instrument transport and sterile removal in the operating room.
[0015] To enable a secure, validated, or optimized rinsing connection, the sieve basket device can be provided with an integrated rinsing distributor to avoid long hose lines. This design also allows several sieve baskets to be positioned next to each other on a storage level in a small space. The rinsing distributor can be an integral part of the storage device or, alternatively, can be added later. Furthermore, additional filter devices can make the cleaning process safer by preventing any, or at least a small, number of particles or fibers from being introduced into the instrument shaft. The latter can impede the mobility of, for example, the cables in the shaft and thus cause stiffness.
[0016] The sieve basket device is also important because the inclined position allows long instruments to be inserted that would be too long for the usual trolleys of cleaning machines when stored horizontally. To achieve this, a sieve basket device can be provided whose storage arrangement height can be adjusted. Preferably, the sieve basket can be stored lengthwise (L in the inclined position) and the sieve basket's broad side (B in a tilted position). This storage arrangement ensures that the instrument head (e.g., in the case of a robotic instrument) and the long instrument shaft can run out safely. Preferably, an instrument lies securely during transport thanks to instrument holders in the sieve basket, and the basket can be wrapped in soft packaging and then sterilized.
[0017] An advantageous design of the storage device for a robotic instrument has a saw-like shape to enable a tilting and tilting function of a sieve basket. If the saw-like storage recesses are geometrically designed and identical on both sides, the sieve baskets can be arranged tilting to the left or right.
[0018] A screen basket device is also conceivable, which can be placed laterally on connecting struts in a storage rack or suspended. This arrangement allows the inclination to be individually adjusted. This, in turn, improves handling and flexibility and reduces the cost of the screen basket device or storage rack.
[0019] The basket device is designed such that it, together with at least one instrument containing the basket, can be moved from an ultrasonic bath to another cleaning device. In conjunction with a protective or additional rack or container device, the basket device can form a transport-safe storage system outside of a cleaning device or sterilizer, or can be used therein.
[0020] The innovation provides a strainer basket with at least one lateral opening in the wall. The opening is designed to be large enough to allow an adapter or adapter system to be inserted or screwed in. The connected, additional opening area decreases in size to perform a holding function. The reduced or decreasing opening area in the strainer basket wall can have a groove-like shape, a conical or serrated shape, or another opening area capable of accommodating an adapter groove and holding the adapter securely in the strainer basket wall, at least at the top and bottom.
[0021] It is further envisaged that a rinsing connection for an instrument is used in the form of a connection adapter or as a connection adapter system. In this case, two adapters can preferably be held together with an elastic sleeve and have a groove at the front to accommodate the sieve basket wall. This creates a pull-out-proof connection for an instrument stored in the sieve basket and connected for cleaning. To prevent this connection from coming loose easily, a slanted position in a sieve basket device is achieved. The sieve basket wall is designed with the rinsing connection in such a way that the connected instrument adapter can slide into this reduced opening area by itself. It goes without saying that the instrument can also be transferred into this area manually, e.g. via the adapter. Sieve basket openings can also be used with wire baskets.The advantage here can be that the grid supports the fixing by means of a clamping function.
[0022] In order to be able to move the instrument or instruments in the sieve basket in terms of their functions, an additional large opening area can be provided. A motor movement unit can be inserted here to move the instrument parts. The movement unit can be inserted from below via an open sieve basket base area or a large opening in the sieve basket wall, or it can be attached to the instrument. The coupling can be supported by a magnetic coupling part to achieve mechanical movement of the internal parts. Depending on the design of the robotic instrument, this coupling part could also contain an adapter system for flushing the inside of the channels. The provided movement unit can, for example, move the front instrument parts using battery-operated micromotors to achieve optimal cleaning in the sieve basket.It is intended that the sieve basket or sieve basket system can be placed in an ultrasonic bath and / or a washer-disinfector (WD) in a sieve basket device. It is conceivable that the movement system could move the rotating parts of the robotic instrument and also enable flushing of the internal channels.
[0023] Furthermore, after cleaning, the robotic instrument can be connected to a detachable movement unit for surgical or functional purposes. The device is characterized in that the instrument is connected to a controllable and independently usable movement unit (portable by hand) in order to move instrument functional parts in a surgical or non-sterile environment with a hand-guided instrument and / or with the support of a robotic arm. The movements performed on the instrument can be coordinated via data glasses in conjunction with a portable hand-held device (control glove).
[0024] This design enables novel instruments with connectable, preferably mechanical, movement systems that optimally capture the surgical field via a camera in conjunction with data glasses, allowing surgery to be performed under sterile conditions with or without the assistance of robot-guided support systems. For this purpose, the instruments have a detachable coupling unit for an instrument that can be designed so that the movement unit can be used with different instruments and does not require a complicated robot-guided movement apparatus, as is the case with robotic instruments. The advantage of such a movement unit is that the movable functional parts on the instrument are improved in terms of their applicability and degrees of freedom, and instrument preparation and surgical guidance can be visually supported. Furthermore, a robotic instrument can also be used independently of a robot.
[0025] Another advantage of this innovation is that instruments that are at least rinsable no longer need to be repackaged during the entire reprocessing process. For example, a reprocessable robotic instrument is sterilized after cleaning and transported to the operating room for use. After use, it is returned to the mesh basket and safely returned to the reprocessing process. Each instrument can remain in its own mesh basket cover or in a mesh basket container (a mesh basket with a lid). Instruments that have not been used can then be removed from the further instrument reprocessing process to increase their service life in the system.
[0026] This reprocessing method for individual instruments or entire instrument sets reduces the reprocessing costs for robotic instruments or high-quality hollow instruments, while maintaining the sustainability of this high-tech surgical technology. Furthermore, it ensures safe, long-term transport and will enable, for example, the rental of robotic instruments.
[0027] From a technical perspective, the sieve basket device is designed to be usable in all known cleaning machines and to accommodate at least one sieve basket containing an instrument. This sieve basket can be used with a soft packaging to form a sterilization container for the sterilized medical instrument or entire surgical sets after sterilization in the operating room. Areas of application and designs
[0028] The invention is used, in particular, for cleaning robotic instruments and long hollow instruments for surgical use. The instrument basket is designed to undergo the entire reprocessing process without repacking and can also be used in the operating room in a sterile environment.
[0029] The main application of this innovation is the storage and maintenance of medical devices and instruments during a reprocessing process, in which the instrument(s) contained within the basket are efficiently rinsed. To achieve this, a basket device and accessories (rinsing connectors, flushing strips, movement units, etc.) for cleaning the external and internal lumens are required. These should be installed in or on the basket, depending on the application and instrument.
[0030] A preferred embodiment of the screen basket device consists of saw-shaped storage troughs in which at least screen baskets are accommodated in an inclined and tilted position. The length of the opposing storage troughs can be adjusted via a rail system. This allows the inclined position of the screen baskets to be changed.
[0031] Another embodiment arises when the sieve basket device has a rinsing distributor in order to be able to connect the stored sieve baskets and the instruments contained therein via flexible lines. In this case, it can be provided that the movement unit receives control signals across the space and that the energy is supplied via a battery or via an aqueous or gaseous medium. It is conceivable here that at least one internal movement unit is detachably attached to the instrument. The energy can also be supplied via an induction unit on the sieve basket device part. It is advantageous if the movement unit can also be used in an ultrasonic bath. Alternatively, the sieve basket can also be rotated in the sieve basket device and immersed at least at the front in a suitable ultrasonic bath in order to be able to sonicate this area.
[0032] In a further embodiment, a sieve basket device is used, which can be suspended from a suitable rack. This rack can, in turn, form the storage units of a shelf trolley. The advantage of this embodiment is that the sieve basket device is easily removable. This makes it possible to use racks or rack components for storage during sterilization.
[0033] In another embodiment, a grid shelf can be provided in the bottom area of the basket rack to accommodate additional baskets or instruments. This bottom area can also be removed for use in another location within the basket rack.
[0034] The design of the strainer basket device and the possible combinations are diverse. These include strainer basket devices: 1. where the device length can be changed 2. where the device can be hung 3. in which the device has sawtooth-like storage areas for screen baskets 4. in which the device receives or holds a flushing manifold 5. in which the device has a changeable floor grid 6. in which the device enables energy transmission to supply a motor-driven instrument movement unit.
[0035] Furthermore, flushing connections as in DE10 2013 002 763 A1 can be used, which with a strainer basket wall enable a holding device for connection adapters or flushing distributors in the form 1. that a pluggable breakthrough part for adapters or flushing pipes with a groove is provided in order to enable movable positioning in a groove-like breakthrough part of a strainer basket wall via this groove. 2. that the opening in the strainer basket wall is designed in a “+” shape to enable fixing by a lateral movement of the connection adapter or a flushing distributor to the left or right. 3. that the opening in the screen basket wall narrows conically at least on one side. 4. that the sieve basket opening is located in a wire mesh and the mesh is shaped in such a way that an adapter with a groove can be fixed here. 5. that the flushing connection consists of at least two adapters and these are held together by elastic bands or a hose holder. 6. that the adapter device has a spring-guided engagement part, via which the engagement part is fixed to or in a breakthrough wall part. 7. that the screen basket wall surfaces in the fixing area at least upwards and downwards hold the inserted adapters or flushing distributors securely and prevent them from being pulled out and pressure-proof. 8. that the opening area for the adapter holder, in which the connected instrument is positioned by an inclination and the associated movement of the inserted adapter, the adapter system or the irrigation distributor. 9. that identical and spaced openings in the screen basket wall are provided for the positioning of flushing distributors.
[0036] An economical embodiment of the innovation provides a sieve basket device that securely accommodates at least one sieve basket at an angle to position the hollow instruments stored in the sieve basket. To clean the hollow instruments, a movable flushing manifold with end grooves is first inserted into the enlarged and spaced openings in the sieve basket wall. The instruments are then connected to the sieve basket directly or, for example, via hose lines. Due to the inclined mounting of the instrument sieve basket in the sieve basket device, the flushing manifold slides into the intended stabilization position in the sieve basket wall and is then positioned pressure-tight. The front flushing bar connection section can thus be stabilized and coupled in a cleaning machine trolley with suitable coupling parts or coupling valves to receive cleaning solution and drying medium.After the cleaning process, the instrument connection hoses and the movable rinsing manifold are removed from the sieve basket.
[0037] One technical application of this innovation is that a robotic instrument located in a sieve basket is connected to a detachable motion unit that can move the rotary discs for the ropes or rods inside the instrument. The motion unit has an internal gear or turbine to drive coupling parts that match the rotary discs on the instrument. Once coupled, these are moved by a motor or a medium such as air or water, and thus also the rotary discs on the instrument. This allows the movable parts on the instrument to be moved during the cleaning process, which improves cleaning results. The self-contained, attachable motion unit can be used in a variety of cleaning devices.
[0038] The above sieve basket devices and the resulting application possibilities aim to arrange the instruments to be cleaned in a way that is easy to remove and clean. Further advantageous applications and configurations of the innovation are presented in the examples below, which, in turn, are the subject of the innovation, unless already mentioned or described in the above text. Examples of implementation
[0039] In the following, the invention is explained in more detail using exemplary embodiments in conjunction with the drawing. Fig. 1 shows a side view of a sieve basket device with a rinsing instrument in a sieve basket. Fig. Figure 2 shows a side view of a sieve basket device with a connected robot instrument and a movement unit in a sieve basket. Fig. 3 shows a side view of a sieve basket device with a connected robot instrument, a movement unit and a movable rinsing distributor in a sieve basket. Fig. 4 shows a front view of a screen basket device with screen basket storage troughs. Fig. 5 shows a front view of a strainer basket device with a flushing distributor. Fig. 6 shows a front view of a hanging or depositing sieve basket device. Fig. Figure 7 shows a sieve basket for robotic instruments with a detailed view in a fixing function of an inserted rinsing connection in a sieve basket wall. Fig. 8 shows different strainer basket wall cutouts for a flushing connection with suitable wall openings with a fixing option.
[0040] Fig. 1 shows a side view of a sieve basket device with a robotic instrument in a sieve basket. Illustration 10 shows a sieve basket 5 with a robotic instrument 6, mounted at an angle in a storage device with spaced-apart storage supports 1 and 2. The two device parts 1 and 2 are preferably movably connected by a connector 3. The device can be designed such that the storage supports 1 and 2 can be adjustably arranged on the connector 3 via a fixing part 19. In order to securely accommodate the instrument 6 and the front instrument functional part 12, suitable storage parts are provided in the sieve basket.
[0041] Fig. Figure 2 shows a side view of a sieve basket device with a connected robot instrument 6 and a movement unit 11 in a sieve basket 5. In illustration 20, the inclined robot instrument 6 in the sieve basket is supplied with cleaning solution via a flushing connection 9, which can be a connection adapter or system, via a media line 8, and via a flushing distributor 7. Arrow a illustrates that the instrument 6 has at least slipped backward due to the inclined position. The aim of this is to secure the connection 9 in a sieve basket opening so that it cannot be pulled out (see Fig. 7). In the illustrated basket storage system for cleaning a robotic instrument, the instrument 6 is connected to, for example, an autonomous movement unit 11. The movement unit 11 has the task of moving the front instrument functional parts 12 during cleaning so that, for example, the cables and the existing joints in the guide area are more easily accessible to the cleaning medium. The front functional parts 12 are moved as in an operation, for example via control discs (illustrated by the arrows b). It can be provided that the movement unit can communicate with a cleaning machine across the room in order to be able to execute the optimal time for, for example, a defined movement program or movement sequence.
[0042] Fig. Figure 3 shows a side view of a sieve basket device with a connected robot instrument, a movement unit, and a movable flushing distributor in a sieve basket. Illustration 30 shows a technically sophisticated robot reprocessing system with a coupling unit 11 in a cleaning machine with a connecting line 23 for introducing the media supplied therein in conjunction with suitable adapters 9 and 22. The special feature of the system is that it also drives a movement unit 11, which may contain turbines, via water and / or air. The arrow is intended to clarify that the internal arrangement shown with the instrument 6, the flushing distributor 7, and the instrument connections 9 and 22 are movable. This design ensures safe and efficient cleaning of at least the front instrument functional parts 12.The basket storage device enables pull-out-proof positioning when the connected instrument has been moved from opening 14 to position 15.
[0043] Fig. Figure 4 shows a front view of a screen basket device with screen basket storage troughs 4. The storage trough 4 or the screen basket support of the screen basket device 40 is designed at an angle to enable tilted screen basket storage. To achieve inclined storage of screen baskets, the device has a raised support 1 and a lower support 2. The spaced-apart support supports 1 and 2, together with connectors 3, form the screen basket device 40 in the form of a frame.
[0044] Fig. Figure 5 shows a front view of a strainer basket device with a flushing distributor. The device 50 shown here for holding strainer baskets has a fixed flushing distributor 7 with a front connection for a media line to introduce and distribute media. The device is similar in design to the Fig. 4.
[0045] Fig. 6 shows a front view of a suspended or depositable sieve basket device. Device 60, like devices 40 and 50, has inclined sieve basket supports 4 to also create a tilted sieve basket support for improved residual solution drainage. Device 60 rests on a connecting strut 13, e.g., via a foot part 21 (support foot in T-position) to stabilize the support and ensure stability. The advantage of this device is that the support part 1 can preferably be fixed and / or moved on the struts 13. This design does not necessarily require a second, lower-lying support component. Alternatively, this support part 1 can also be used independently for sieve basket support.
[0046] Fig. Figure 7 shows a sieve basket for robotic instruments with a detailed view of the securing function of an inserted flushing connection in a sieve basket wall. The sieve basket has wall-mounted and stepped molded parts for receiving instrument storage components, which are particularly flexible. On the long side of spaced sieve basket walls there is a through-opening 14 / 15 for receiving and securing a robotic instrument. Partial illustration A shows a wall area of the sieve basket. The internal robotic instrument 6 is received by a flushing connection 9. Preferably, two adapters 9 are elastically connected together via an elastic connecting element 18, for example. The flushing connection 9 has a groove 24 and is plug-connected to the instrument 6 via a large through-opening area 14 in the sieve basket side wall 16. The arrow is intended to illustrate that the connected instrument can be moved back and forth. Illustration B.shows how a retracted instrument 6 is secured in a through-hole 15. The basket wall 16, guided in an adapter groove, is thus prevented from being pulled out by the retracted instrument. For better instrument guidance and stabilization, the instrument can be guided on the opposite side, e.g., via a pin or retaining part, and brought closer to the through-hole side in a defined manner. This type of instrument storage prevents the irrigation connection from loosening backwards on its own.
[0047] Fig.Figure 8 shows different screen basket wall cutouts for a flushing connection with suitable wall openings with a fixing option. In A., a wall cutout is shown which has a + shape 14 / 15 in the wall surface 16. This design has the advantage that the connection can be fixed on the left or right, depending on the direction in which the inclination has taken place. Figure B. shows a wall surface 16 with a large plug-in opening 14 which narrows laterally to the fixing 15 of a suitable flushing pipe 7. The flushing pipe 7 is inserted from the outside into the large and spaced-apart screen basket wall openings 14 and has a groove 24 at its end (shown in a sectional view). This groove 24 can move into the fixing opening 15. This design has the advantage that it fixes an entire flushing distribution system, at least to the rear.The advantage of this design is that the flushing pipe 7 can be rotated, safely, and easily prepared in the screen basket for coupling in the cleaning machine. Illustration C is a schematic drawing of an opening structure in a wire mesh with an enlarged wire aperture 14 for accommodating a connection adapter and a tapered wire structure 15 for defining an adapter groove. List of reference symbols 1 high screen basket storage section 2 low strainer basket storage section 3 Connecting part between the strainer basket bearing parts 4 Storage trough or sieve basket support for tilting storage 5 strainer basket 6 medical instrument or robotic instrument or instrument part 7 Flushing manifold with connection adapter, e.g. for hoses 8 Flushing line or hose 9 Flush connection or connection adapter with a groove 11 Moving part or unit for front robotic instrument tips or functional parts 12 Instrument tip or functional part 13 Rack connector or strut of a storage rack 14 Connection opening for adapter in a strainer basket wall 15 Fixing molding for adapter in a screen basket wall or in a wire mesh 16 Screen basket side wall or wall surface 17 Sieve basket grid 18 Connecting element for adapter 19 Fixing part for sieve basket storage or frame parts 21 Foot part to increase the stability of the device 22 Connection adapter for the moving part 23 Flushing manifold connecting line (preferably rigid) 24 grooves of an adapter or a flushing distributor 40 Flushing distribution device 50 Flushing distributor device with flushing distributor 60 attachable strainer basket device QUOTES CONTAINED IN THE DESCRIPTION
[0000] This list of documents submitted by the applicant was generated automatically and is included solely for the convenience of the reader. This list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions. Cited patent literature
[0000] DE 50 2016 003 132
[0004] DE 102021000078.1A
[0011] DE 10 2013 002 763 A1
[0035]
Claims
[1] Sieve basket device for the processing of medical devices and for use in the operating room, whereby during mechanical cleaning the rinsing connection is made via a connection opening in a sieve basket wall (16), characterized by that a sieve basket device (40, 50, 60) ensures by means of a sieve basket inclined bearing that at least one groove (24) of a rinsing connection (9) of an instrument (6) or of an inserted rinsing distributor (7) can slide from the connection opening (14) into a fixing opening (15) of the sieve basket wall by itself or with manual assistance in order to produce in this position at least one instrument or rinsing distributor connection which is secure against being pulled out and pressure-proof and remains held and arranged in this position. [2] Screen basket device according to claim 1, characterized bythat the connected instrument (6) or the instruments in a stored sieve basket (5) are not repacked, at least during cleaning, and are stably prepared for coupling in a cleaning machine by the sieve basket device (40, 50, 60) used, or at least the instrument is held in a pull-out-proof and pressure-stable manner via the rinsing connection in the sieve basket wall (16). [3] Screen basket device according to claim 1 and 2, characterized by that the sieve basket device has an integrated or insertable rinsing distributor (7) in order to avoid long hose lines, wherein an upstream filter device can be provided in order to at least reduce the proportion of particles or fibers introduced into the instrument shaft. [4] Screen basket device according to claims 1 to 3, characterized bythat the inclined position of the sieve baskets (5) allows long instruments (6) to be inserted which, when stored horizontally, are too long for the usual trolleys of cleaning machines, or the storage arrangement height is adjusted by adjusting the storage parts (1) and / or (2) in the longitudinal direction and by a tilted storage position (4) so that at least the instrument head of a robot instrument can also run out. [5] Screen basket device according to claim 4, characterized bythat the storage troughs (4) in the screen basket device (40, 50, 60) have a saw-like shape in order to bring about an inclined and tilting function of a screen basket, wherein the spaced saw-like storage troughs (4) are designed in the same way in order to arrange the screen baskets in a stable manner so that they can be tilted to the left or to the right, or to be placed, suspended or made stable via a foot (21) on connecting struts (13), in order to thereby individually change the screen basket arrangement option. [6] Screen basket device according to one of the above claims, characterized by that in a sieve basket (5) a movement unit (11) is connected to a robot instrument (6) in order to be able to move the movable instrument functional parts (12) during cleaning, wherein the coupling of the movement unit (11) is supported by a magnetic or mechanical coupling. [7] Screen basket device according to one of the above claims, characterized bythat the movement unit (11) operates autonomously and / or receives control signals and the kinetic energy is provided via a battery or via an aqueous or gaseous medium, wherein an internal motor gear or turbines are used to drive coupling parts matching the coupling parts on the robot instrument. [8] Screen basket device according to one of the above claims, in which a method is used in which at least one reprocessable robot instrument (6) or hollow instruments contained in the screen basket (5) are no longer repackaged during the entire reprocessing process, characterized bythat an instrument connection adapter (9) which is movable in the sieve basket or a movable and externally introduced rinsing distributor (7) in the sieve basket experiences at least one releasable fixing position in a sieve basket opening (15) during cleaning in a sieve basket device (40, 50, 60), in order to be removed again through the wall opening (14), in order to be subsequently sterilized in a sterilization package and brought into the operating room for use and, after use, is reinserted in the sieve basket and safely returned to the processing process. [9] Flushing connection according to one of the above claims, characterized by that connection adapters form the instrument rinsing connection (9), which are supplied with cleaning solution via lines (8, 23) or the adapter is part of a rinsing distributor, wherein the rinsing connection (9) or the rinsing distributor (7) is held at least in a pull-out-proof manner with sieve basket wall surfaces (16) and a rinsing distributor is rotatably mounted. [10] Flushing connection according to claims 8 and 9, characterized by that the rinsing connection (9) has at least one groove (24) and the adapters of the connection are held together by a connecting element (18), wherein at least one pin or holding part secures and / or guides the instrument (6) towards the opposite sieve basket wall so that the rinsing connection cannot become loose to the rear. [11] Movement unit for an instrument in the operative or functional area, characterized by that the instrument (5) is connected to a controllable and independently usable movement unit (11) in order to move instrument functional parts (12) of a hand-held instrument and / or with the support of a robot arm in a non-sterile or sterile environment. [12] Movement unit according to claim 11, characterized bythat an instrument with a mechanical movement system (11) for functional parts (12) has a detachable movement unit, and this can be coupled to different hand-held instruments in order to optimally capture the operating field via a camera in conjunction with data glasses in such a way that at least in the operating field the instrument functional parts can be moved with a portable hand device.
Citation Information
Patent Citations
Adapter device for fixing connections for medium in medical technology field, has molds assembled in or at surfaces over elastic connection elements, where adapters establish connection with connection part through rotatable mobility
DE102013002763A1
DE102021000078.1A
MOTION DEVICE AND SYSTEM FOR CLEANING MEDICAL INSTRUMENTS
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