JP6486934B2 - 結腸洗浄装置 - Google Patents
結腸洗浄装置 Download PDFInfo
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- JP6486934B2 JP6486934B2 JP2016537540A JP2016537540A JP6486934B2 JP 6486934 B2 JP6486934 B2 JP 6486934B2 JP 2016537540 A JP2016537540 A JP 2016537540A JP 2016537540 A JP2016537540 A JP 2016537540A JP 6486934 B2 JP6486934 B2 JP 6486934B2
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- 210000001072 colon Anatomy 0.000 title claims description 184
- 238000004140 cleaning Methods 0.000 title claims description 167
- 210000003608 fece Anatomy 0.000 claims description 57
- 239000012530 fluid Substances 0.000 claims description 52
- 238000003973 irrigation Methods 0.000 claims description 33
- 230000002262 irrigation Effects 0.000 claims description 33
- 230000007246 mechanism Effects 0.000 claims description 30
- 238000006073 displacement reaction Methods 0.000 claims description 24
- 238000004891 communication Methods 0.000 claims description 15
- 210000005070 sphincter Anatomy 0.000 claims description 15
- 238000010408 sweeping Methods 0.000 claims description 9
- 230000006378 damage Effects 0.000 claims description 6
- 238000005406 washing Methods 0.000 claims description 3
- 210000000813 small intestine Anatomy 0.000 claims description 2
- 230000000968 intestinal effect Effects 0.000 claims 2
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- 230000008878 coupling Effects 0.000 description 19
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- 230000000112 colonic effect Effects 0.000 description 17
- 239000000126 substance Substances 0.000 description 16
- 238000005520 cutting process Methods 0.000 description 10
- 239000000463 material Substances 0.000 description 10
- 238000010586 diagram Methods 0.000 description 7
- 230000002550 fecal effect Effects 0.000 description 7
- 230000002829 reductive effect Effects 0.000 description 7
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 6
- 230000009471 action Effects 0.000 description 6
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- 230000002441 reversible effect Effects 0.000 description 5
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- 229910002092 carbon dioxide Inorganic materials 0.000 description 3
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- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 description 2
- 230000009172 bursting Effects 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
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- 239000008141 laxative Substances 0.000 description 2
- 230000002475 laxative effect Effects 0.000 description 2
- 230000000670 limiting effect Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 229910001000 nickel titanium Inorganic materials 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 230000003313 weakening effect Effects 0.000 description 2
- 201000009030 Carcinoma Diseases 0.000 description 1
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- 241000792859 Enema Species 0.000 description 1
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- 238000007664 blowing Methods 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 210000004534 cecum Anatomy 0.000 description 1
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- 230000021615 conjugation Effects 0.000 description 1
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- 238000012360 testing method Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
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- General Health & Medical Sciences (AREA)
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- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Vascular Medicine (AREA)
- Pulmonology (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Endoscopes (AREA)
- External Artificial Organs (AREA)
- Devices For Medical Bathing And Washing (AREA)
Description
除去された糞便及び/又は流体を保管するための汚物貯蔵部902。任意選択的な吸引器が結腸外に汚物を能動的に運搬するために、貯蔵部902と流体連通する。貯蔵部902は、例えば、1つ以上の物質排出管によって、洗浄装置914と流体連通する。
*気泡内のガスの種類:例えば、空気、二酸化炭素、又は患者内に注入するのに安全な他のガス。二酸化炭素は、この手順に係る患者の不快さを緩和し得る。
Claims (10)
- 患者の結腸から、液体及び糞便が通って除去される、長手方向軸を有する管と、
前記管の遠位端に位置する洗浄ヘッドであって、前記長手方向軸と同軸の、前記結腸から前記洗浄ヘッドの内部に糞便が進入する大きさを有する少なくとも1つの開口部を有する、洗浄ヘッドと、
前記洗浄ヘッド内に設けられ、前記長手方向軸周りを回転する間に前記糞便を切断して通る、細いロッドである少なくとも1つの分解素子と、
前記少なくとも1つの分解素子が前記長手方向軸周りを回転することで前記糞便を切断するように、前記洗浄ヘッド内でスイープ変位を実行するように前記分解素子を作動させる作動機構と、を備え、
前記ロッドは、前記ロッドの近位端及び遠位端が前記長手方向軸に沿って連結され、前記ロッドの一部が前記長手方向軸と平行に、前記長手方向軸から半径方向に距離をおいて、前記長手方向軸と前記洗浄ヘッドの外周との間を回転するように配置されており、
前記洗浄ヘッドと前記管は、患者の前記結腸に沿って変位する大きさ及び形状を有する、結腸洗浄装置。 - 除去のために排液及び糞便が装置ヘッドに進入する余裕をより多く残せるように、前記分解素子が空間の比較的小さい体積を占める、請求項1に記載の結腸洗浄装置。
- 患者の結腸から、液体及び糞便が通って除去される、長手方向軸を有する管と、
前記管の遠位端に位置する洗浄ヘッドであって、前記長手方向軸と同軸の、前記結腸から前記洗浄ヘッドの内部に糞便が進入する大きさを有する少なくとも1つの開口部を有する、洗浄ヘッドと、
前記洗浄ヘッド内に設けられ、前記長手方向軸周りを回転する間に前記糞便を切断して通る、細いロッドである少なくとも1つの分解素子と、
前記少なくとも1つの分解素子が前記長手方向軸周りを回転することで前記糞便を切断するように、前記洗浄ヘッド内でスイープ変位を実行するように前記分解素子を作動させる作動機構と、を備え、
前記ロッドは、前記ロッドの近位端及び遠位端が前記長手方向軸に沿って連結され、前記ロッドの一部が前記長手方向軸と平行に、前記長手方向軸から半径方向に距離をおいて、前記長手方向軸と前記洗浄ヘッドの外周との間を回転するように配置されており、
前記洗浄ヘッドと前記管は、患者の前記結腸に沿って変位する大きさ及び形状を有し、
前記ロッドが一端では前記長手方向軸に沿って連結され、他端では前記長手方向軸から半径方向に距離をおいて連結されている結果、前記ロッドが前記長手方向軸に対して角度を有して配置されている、結腸洗浄装置。 - 患者の結腸から、液体及び糞便が通って除去される、長手方向軸を有する管と、
前記管の遠位端に位置する洗浄ヘッドであって、前記長手方向軸と同軸の、前記結腸から前記洗浄ヘッドの内部に糞便が進入する大きさを有する少なくとも1つの開口部を有する、洗浄ヘッドと、
前記洗浄ヘッド内に設けられた少なくとも1つの分解素子と、
前記少なくとも1つの分解素子が前記長手方向軸周りを回転することで前記糞便を切断するように、前記洗浄ヘッド内でスイープ変位を実行するように前記分解素子を作動させる作動機構と、を備え、
前記洗浄ヘッドと前記管は、患者の前記結腸に沿って変位する大きさ及び形状を有し、
前記少なくとも1つの分解素子は、前記少なくとも1つの分解素子の少なくとも一部と前記長手方向軸との間に空隙が形成され、かつ、前記一部と前記洗浄ヘッドの内壁との間に別の空隙が形成されており、前記一部が前記長手方向軸から半径方向に距離をおいて回転するように配置されている、結腸洗浄装置。 - 患者の結腸から、液体及び糞便が通って除去される、長手方向軸を有する管と、
前記管の遠位端に位置する洗浄ヘッドであって、前記長手方向軸と同軸の、前記結腸から前記洗浄ヘッドの内部に糞便が進入する大きさを有する少なくとも1つの開口部を有する、洗浄ヘッドと、
前記洗浄ヘッド内に設けられた少なくとも1つの分解素子と、
前記少なくとも1つの分解素子が前記長手方向軸周りを回転することで前記糞便を切断するように、前記洗浄ヘッド内でスイープ変位を実行するように前記分解素子を作動させる作動機構と、を備え、
前記洗浄ヘッドと前記管は、患者の前記結腸に沿って変位する大きさ及び形状を有し、
前記少なくとも1つの分解素子は、前記少なくとも1つの分解素子を回転させるためのトルクを送達するための動力送達機構に、少なくとも1つのベアリングによって連結されている結果、前記少なくとも1つの分解素子は少なくとも部分的に前記動力送達機構とは独立して回転する、結腸洗浄装置。 - 前記少なくとも1つの分解素子に連結された停止素子であって、前記分解素子のスイープ動作の度合いを制限するように配置されていることにより、前記少なくとも1つの分解素子が前記開口部から抜け出て前記結腸の壁を損傷することを防止する停止素子をさらに備える、請求項1に記載の結腸洗浄装置。
- 前記洗浄ヘッドは、互いに略対向して配置されている結果、小腸内の流体及び糞便を前記洗浄ヘッドに流入出可能とする、間隔を空けて設けられる2つの開口部を備える、請求項1に記載の結腸洗浄装置。
- 前記少なくとも1つの開口部は、前記患者の前記結腸の比較的まっすぐの部分の中にある時に、前記少なくとも1つの開口部が前記結腸の壁に面するように位置決めされている、請求項1に記載の結腸洗浄装置。
- 前記管は結腸鏡の付属品であり、前記管は、前記結腸鏡に連結されている時に患者の肛門括約筋を通って結腸に嵌るような大きさを有する、請求項1に記載の結腸洗浄装置。
- 患者の結腸から液体及び糞便が通って除去される、長手方向軸を有する管と、
前記管の内部に設けられている細断ばねと、
前記管の遠位端に位置決めされた洗浄ヘッドであって、前記長手方向軸と同軸の少なくとも1つの開口部を有し、前記少なくとも1つの開口部は、前記洗浄ヘッドの前記管と流体連通している内部に前記結腸から糞便が進入する大きさを有する、洗浄ヘッドと、
前記洗浄ヘッド内に設けられている少なくとも1つの分解素子と、
前記少なくとも1つの分解素子が前記長手方向軸周りを回転して前記糞便を切断して通るように、前記分解素子が前記洗浄ヘッド内でスイープ変位を実行するように作動させる作動機構と、を備え、
前記少なくとも1つの分解素子によって切断された糞便は前記ばねによってさらに細断されて、前記管を通って前記結腸から搬出され、
前記洗浄ヘッド及び前記管は、患者の前記結腸に沿って変位する大きさ及び形状を有する、結腸洗浄装置。
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CN112755297B (zh) * | 2021-01-11 | 2022-05-31 | 樊建红 | 一种肛肠科用清洁灌肠装置 |
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