Endoscope Channel Cleaning With Detergent Flushing and Sealed Air-Water Flow
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Solution Overview
Problem
Current pre-cleaning procedures for endoscopes do not reliably remove biofilm from internal channels, leading to failures in subsequent decontamination processes.
Innovation Solution
A kit comprising a sealing plug, detergent delivery assembly, and cleaning apparatus is used to flush the air/water and suction/biopsy channels of an endoscope, ensuring simultaneous fluid flow and detergent mixing, with a method involving the use of a sealing plug to form a seal at the air/water cylinder and a detergent delivery assembly that mixes detergent concentrate with water to create a detergent solution for thorough channel cleaning.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If routine pre-cleaning procedures are used to flush air and water through the channels, then the procedure is simple and quick, but biofilm is not reliably removed from endoscope channels
Solution Approach 1:
The cleaning system is divided into separate functional modules: a sealing plug module that seals the air inlet, a detergent delivery module that introduces detergent solution, and a flushing module that circulates fluid through the channels. This segmentation allows each module to perform its specific function effectively while maintaining overall system manageability.
Solution Approach 2:
A detergent solution acts as an intermediary substance between the cleaning system and the biofilm. The solution is delivered through the water inlet, circulated through the channels, and allows the distal tip to be submerged in it, enabling effective biofilm removal without requiring direct contact between cleaning devices and the channels.
2Reliability
If the air inlet is sealed to force fluid flow through channels, then flushing effectiveness is improved, but the sealing plug must block both air and water inlets simultaneously
Solution Approach 1:
The sealing plug utilizes pneumatic and hydraulic principles by allowing water to flow through internal passages while blocking air. The plug contains a water inlet passage and an air outlet passage that are interconnected, enabling water to be forced through the endoscope channels under pressure while air is sealed off, creating effective fluid flow without requiring the plug to block both inlets simultaneously.
Solution Approach 2:
The sealing plug performs multiple functions: it seals the air inlet to prevent air leakage, allows water inlet for detergent solution delivery, provides an air outlet for pressure equalization, and enables simultaneous fluid flow through both air and water outlets. This multi-functionality simplifies the sealing operation while maintaining flushing effectiveness.
3Adaptability or versatility
If detergent solution is delivered through the water inlet, then the existing water bottle connector is utilized, but air and water flow paths must be separated and controlled
Solution Approach 1:
The system utilizes the existing water bottle connector and air pump of the endoscope without requiring external complex delivery systems. The detergent solution is delivered through the existing water inlet, and the air pump's natural suction capability is used to draw the solution through the channels, allowing the system to serve itself using its own components.
Solution Approach 2:
The fluid path control leverages pneumatic pressure differentials created by the air pump. Air is introduced through the air inlet (sealed by the plug), creating pressure that forces detergent solution through the water inlet and channels. The interconnected passages in the sealing plug allow automatic separation and control of air and water flow paths through pressure-driven mechanisms rather than complex valves.
4Reliability
If the distal tip is submerged in a bag of liquid during cleaning, then biofilm removal is enhanced and biofilm development is prevented during transportation, but the bag must be securely attached to the endoscope
Solution Approach 1:
A flexible bag containing cleaning liquid is used to submerge the distal tip. The bag can be securely attached to the endoscope using elastic bands or clips that wrap around the insertion tube, providing a simple yet effective attachment system that maintains the liquid environment without requiring complex mechanical fixtures.
Solution Approach 2:
The distal tip is submerged in the liquid bag before transportation and storage, performing preliminary protection against biofilm development. This preliminary action ensures the tip remains clean and free of biofilm during the vulnerable period between cleaning and next use, without requiring active monitoring or control systems.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
The solution effectively removes biofilm from endoscope channels, enhancing the efficacy of cleaning, sterilization, and disinfection processes by ensuring thorough flushing and preventing the development of biofilm during transportation.
Implementation Method 1
a sealing plug for engagement with an air/water cylinder of an endoscope, and the sealing plug being configured, in use, to form a seal at an air inlet of the air/water cylinder
Implementation Method 2
a detergent delivery assembly for connection to a water bottle connector of the endoscope, the detergent delivery assembly comprising a bag holding a volume of liquid
Implementation Method 3
a cleaning apparatus comprising a bag holding a volume of liquid, the bag having a neck portion for insertion of a distal tip of the endoscope into the bag
Data Source
AI summary
A kit for flushing internal channels of an endoscope includes a sealing plug for engagement with an air/water cylinder of an endoscope, a detergent delivery assembly for connection to a water bottle connector of the endoscope, and a cleaning apparatus with a bag holding liquid. The sealing plug seals an air inlet of the air/water cylinder and to permit fluid flow between a water inlet of the air/water cylinder and both an air outlet and a water outlet of the air/water cylinder simultaneously. The detergent delivery assembly includes a bag holding liquid, a first fluid conduit extending out of the bag for connection to the water bottle connector, and a second fluid conduit extending out of the bag for connection to the water bottle connector. The bag of the cleaning apparatus has a neck portion for insertion of the endoscope into the bag.


