DE10209993B4 - Device for the preparation of balloon catheters, in particular heart catheters - Google Patents

Abstract

A device for processing at least one balloon catheter (37) with a balloon attachment part (44) at a proximal end, which is connected via a balloon lumen (42) to a balloon (38) arranged at the distal end region of the catheter (37), and to a guide wire lumen ( 40) leading to a guidewire exit site (72) or to a separate guidewire port (147),
wherein an ultrasonic tub (3) with at least one ultrasonic probe (21) for generating ultrasonic waves in a provided in the ultrasonic tub (3) fluid is provided, wherein a heating device (19) for heating the fluid contained in the ultrasonic tub (3) to a predetermined Temperature is provided, to achieve a homogeneous heat distribution of the ultrasonic tub (3) fluid via a supply line (11) can be supplied, from the ultrasonic tub (3) and removable via a circulating pump (17) back to the supply line (11) can be fed,
wherein in the ultrasonic tub (3) containing a cleaning and disinfecting solution receptacle (5) is immersed in the fluid, wherein in the receptacle ...

Description

The The present invention relates to a device for processing at least one balloon catheter.

Known Balloon catheter of the short wire technique, for example, used usually used to dilate stenoses of the coronary arteries from a poximal section and a distal section. With the proximal section is connected to a balloon connector where an inflation syringe can be connected. Through this a medium is introduced to dilate the balloon. At A location away from the balloon connector begins with this type of catheter a guidewire lumen extending in the balloon lumen toward the distal end, where there is a wire exit point at the place. When used of the catheter becomes a so-called guide wire through the wire exit point pushed forward during dilatation initially to the stenosis and then the catheter with its distal end in front is moved until the balloon is in the area of the stenosis.

at Balloon catheters of long wire technique that are used to treat stenoses peripheral blood vessels, the Coronary arteries or of parts or duct systems of the gastrointestinal tract to widen, runs the lumen for the guidewire inside or parallel to the balloon lumen from its own fitting to the distal tip.

The 1 and 2 show sketches of both catheter types and techniques.

It It can be seen that balloon catheter after use with known Cleaning devices in compliance with the required hygienic Conditions are not reprocessed to reuse them supply. Since balloon catheters are relatively expensive, a treatment would be such Balloon catheter, however, desirable.

The US 5,871,592 A describes sterilizing balloon catheters with a liquid sterilant on the outer surface. The balloon lumen and guidewire lumen may be sterilized by filling with a sterilant by means of a pump and evacuating by evacuation. The catheters are located in a bath, which is acted upon by ultrasound.

In the DE 43 17 601 A1 The sterilization of balloon catheters with a liquid sterilant is also described. The source of sterilant is connected to the balloon lumen and to the guidewire lumen. By shaking the cleaning effect can be strengthened.

One Problem can arise from the fact that when heating one in the ultrasonic tub befindliches cleaning or sterilizing liquid, the surface of a Heating element a surface temperature that leads to injury cleaning and sterilizing fluid, whereby the cleaning and sterilization effect is significantly reduced. In addition, can in the ultrasonic bath this liquid heated by the heating element in a non-homogeneous manner, so that they do not have a uniform temperature in the area of the catheter has. This can become uneven and uncontrollable Purification or sterilization effect.

The The object of the present invention is a device to create a hygienically safe treatment of balloon catheters, with their help a defined and reproducible contact of the to be cleaned surfaces is reached with the cleaning and sterilizing liquid to clean, disinfect and rinse the balloon catheter so that they are at least once reusable after a first use.

These Task is by a device for the preparation of balloon catheters solved with the features of claim 1.

The from reuse of the catheters also necessary Procedural steps of the test, Drying, if necessary, balloon folding, packaging and sterilization not fulfilled by the described device.

The essential advantage of the present invention is that once, in particular used for dilatation balloon catheter can be processed in compliance with the required hygienic conditions so that they can be supplied at least one reuse. In this case, advantageously, a suitable cleaning, disinfection and irrigation of the complicated balloon catheter is made absolutely safe by using suitable devices a defined and reproducible contact with the surfaces to be cleaned with appropriate media and monitors all relevant for the hygienic success of the process physical parameters monitored become. The sterilization and rinsing comprises in particular the entire outside of the catheter, the inner surface of the balloon and its media feeding balloon lumen and the inner surface of the guidewire lumen. Harmful overheating of the cleaning and sterilizing fluid as well as temperature fluctuations of the same can be avoided.

Favorable Way is the inventive device for the preparation of balloon catheters designed so that a simultaneous treatment of several balloon catheters is possible. The inventive device can therefore work very economically. It is more advantageous Make sure that the parallel arranged side by side Balloon catheter non-contact held together, so that cross-contamination by direct Contact can be avoided.

Further advantageous embodiments will become apparent from the dependent claims.

in the In the following, the inventions will be related to their embodiments closer with the figures explained. Show it:

1 a sketch of a catheter of short wire technology

2 a sketch of a catheter of long wire technology;

3 a schematic representation of the side view of a device according to the invention for the preparation of balloon catheters;

4 a view from above of the sieve insert of the device 1 ;

5 to 7 various receiving devices for fixing the catheter on the sieve insert;

8th a longitudinal section of a device for coupling to the guide wire lumen of catheters of the short wire technique of 1 ;

9 a top view of the lower seal of the device 8th and on a catheter thereon;

10 a preferred coupling of the balloon attachment part of the catheter; and

11 a schematic representation of a metering device for controlled, redundantly monitored dosage of a cleaning solution and a disinfectant.

The following is initially related to the 8th the structure of a known balloon catheter of short wire technology explained in more detail.

Essentially, the balloon catheter 37 from a proximal portion, at one end of which is a connector 44 is arranged, to which an inflation syringe for introducing an inflation medium, for example a mixture of a contrast agent and water, can be attached. The proximal portion merges into a distal portion, with the proximal portion and distal portion forming a balloon lumen 42 enclose, the balloon connector 44 to the balloon 38 extends, which is located at the free end of the distal portion. The distal section terminates at a guidewire exit site 72 a tube containing a guidewire lumen 40 encloses. This guidewire lumen 40 Used to push through a guide wire, on which the balloon 38 at the end of the distal portion is displaceable to the location of a stenosis.

Balloon catheter of long wire technology according to 2 have two fittings 44 . 147 and two continuous lumens for balloon inflation 42 or for the guide wire 40 ,

According to 3 exists the present institution 1 for the preparation of balloon catheters essentially from an external ultrasonic tub 3 , an inner receptacle 5 in the ultrasonic bath 3 is arranged, one in the receptacle 5 held sieve insert 7 for receiving medical devices, in particular balloon catheters, and a spray nozzle arrangement 9 inside a cover 146 ,

The ultrasonic tub 3 can via a supply line 11 and a valve 14 a medium, for example, water are supplied. Preferably, the water from the supply line 11 via a supply valve 13 , which is preferably an electromagnetic valve, the ultrasonic tub 3 fed. The water can be via a drain valve 15 , which is preferably also an electromagnetic valve, the ultrasonic tub 3 removed and again the supply line 11 be supplied. In the supply line 11 is located between the supply valve 13 and the discharge valve 15 a circulation pump 17 , with the help of which via the discharge valve 15 Removed water recirculated and again via the supply valve 13 can be fed. This way, in the ultrasonic tub 3 that have a heating device 19 is heated, achieves a homogeneous heat distribution and, if necessary, an exchange of the medium allows. The supply of the medium or water takes place when the supply valve is open 13 , blocked discharge valve 15 and locked valve 16 . that preferably with the supply line 11 in a place behind the circulation pump 17 connected via the valve 14 , At the heater 19 it is preferably an electric heater. Other valve positions and types, such as the use of 3/2-way valves instead of the 2/2-way valves described above, are possible if their arrangement fulfills the described functions of media supply and removal as well as recirculation ,

In the ultrasonic bath 3 are ultrasound probes 21 arbitrarily positionable. In the present example are three ultrasonic probes 21 intended. The separate arrangement of the submerged applicable ultrasonic probes 21 in a separate tub advantageously reduces the contaminated by the catheters to be cleaned and the media used for surfaces of the system and thus the risk of germ transmission.

In the ultrasonic bath 3 is the receptacle 5 into the via a supply line 23 in which is a pump 25 is a mixture of a cleaning solution and a disinfectant through the spray nozzle assembly 9 and / or a direct feed 25 can be fed. The mixture can through a drain 27 the receptacle 5 taken and a valve 29 again the supply line 23 be supplied. In this way, the mixture can be circulated. Preferably, this recirculation contains not shown filter, which serve the backing of the catheter removed particles. By the schematically illustrated level measuring devices 31 be the mixture level in the receptacle 5 and the water level in the ultrasonic bath 3 preferably maintained at an equal level, taking care that this level is so high that on the Siebeinsatz 7 located catheter 37 completely immerse in the mixture. Other valve positions, such as the use of 3/2-way valves instead of in 3 sketched 2/2-way valves, are possible if their arrangement, the described functions of media supply and removal and circulation are met.

Preferably, that is in the ultrasonic tub 3 hanging receptacle 5 on the upper side of the ultrasonic bath 3 with the help of a seal 33 and fasteners (not shown) tightly secured to prevent, when the weight of the receptacle 5 with the medical devices or catheters contained therein 37 less than the weight of the ultrasonic tub 3 displaced water, the resulting buoyancy the position of the receptacle 5 can not change.

In the receptacle 5 is the sieve insert 7 , in the following in connection with the 4 described manner the catheter to be spread are kept.

The 4 shows a plan view of a section of the sieve insert 7 in which preferably adjacent to each other several receiving channels 35 for catheters 37 are arranged. The bottom of the sieve insert 7 includes in each receiving channel 35 several breakthroughs in a row 39 , in each case between two breakthroughs 39 catheter fixation 41 can be arranged. In the catheter fixations 41 Beyond the breakthroughs 39 designed catheter 37 for example, held on swivel and / or plug-in brackets or wires or rubber rings or the like.

On one side of the receiving channel 35 is a first breakthrough 43 that is sized to the balloon 38 of the catheter 37 starting from the catheter fixation 41 between the first breakthrough 43 and the subsequent breakthrough 39 or between further subsequent breakthroughs 39 runs obliquely downwards, so that it is inclined obliquely downwards, so that its venting by raising and sucking air bubbles is possible. This is in the 7 shown in more detail.

From the first breakthrough 43 to the other side of the recording channel 35 spaced is an area 45 for coupling the guidewire lumen 40 for the guidewire at the guidewire exit site 72 (please refer 1 ) of a catheter 37 shortwire technology. The design of this area will be described below in connection with 8th and 9 explained in more detail. In the case of catheters of the long-wire technique, the coupling device described below, if present, is opened, since a direct connection of the supply lines 62 (please refer 8th ) with the standardized connector of the guide wire lumens 147 is possible.

In essence, the area includes 45 per channel 35 one below the catheter 37 arranged first elastic seal 47 , which consists for example of EPDM sponge rubber. This first elastic seal 47 is on a cross to the channels 35 running underlay 49 recorded, with the middle range 73 the seal 47 , which has a square shape, for example, by a hold-down 51 towards the pad 49 is pulled, so the middle area 73 the seal 47 has a smaller thickness than the outer portion of the gasket 47 , Above, that is above the catheter 37 arranged, there is a second seal 53 preferably according to the first seal 47 is formed and at a cross to the channels 35 extending, in the example movable base or plate 55 is attached. The middle area 50 of the poetry 53 is also made by a hold-down 57 towards the plate 55 pulled so that its thickness is smaller than that of the outer region of the seal 53 , Preferably, the lower hold-down 51 the shape of a on a shaft 52 attached hold-down plate, wherein the shank 52 with the aid of a thread and a nut or the like. Adjustable, so that the hold-down plate in a predetermined manner for determining the thickness of the central region of the seal 47 towards the pad 49 is drawable. Accordingly, the upper hold-down 57 also a hold-down plate on a shaft 58 that is fixed in the plate 55 is adjustable fixable. Through the shaft 58 runs a vertical hole 59 , which opens on one side through the hold-down plate to the outside and on the other side via a radially extending bore 60 to one side of the shaft 58 molded connection element 61 for a hose line 62 or the like. leads. The plate 55 preferably has guide rods extending perpendicular to its plane 64 on that through guide holes 66 run, which is in one above the plate 55 located guide plate 68 are located. This is the plate 55 and thus also the seal 53 so movable that they are in a first position against the catheter 37 and the lower seal 47 is pressed so that the middle areas 50 and 73 the seals 53 and 47 form a closed space in which the opening 72 of the guidewire lumen 40 of the catheter 37 located, and that in a second position, in which the upper seal 53 above the catheter 37 and the lower seal 47 is a catheter 37 between the seals 47 . 53 can be inserted or removed from these. The movement of the upper seal 53 or the plate 55 is preferably done by a hydraulic or pneumatic mechanism 70 , the Indian 8th is shown schematically. However, this mechanism may also be formed electromagnetically or mechanically (for example, rack).

The 9 shows a plan along the line AA of 8th on a catheter 37 and the lower seal 47 ,

To the bottom position of the seal 53 To be able to approach exactly, are located to the travel limit, for example, on the guide rods 64 at the plate 55 opposite side of the guide plate 68 stop parts 74 when reaching the first position on the guide plate 68 attacks. Alternatively, stops can also occur between the plates 55 and 49 or within the mechanism 70 be positioned, provided they fulfill the function of a Wegbegrenzung.

According to 4 are on the other side of the catheter 37 in the longitudinal direction of the channel 35 moving pickup parts 76 to which the balloon connector 44 of the catheter 37 can be coupled in the manner explained in more detail later. Preferably, the receiving parts 76 the shape of in the longitudinal direction of the channel 35 at the bottom of the sieve insert 7 movable blocks, according to 4 via two connecting lines or hoses, namely an elastic supply line 78 and an elastic discharge line 80 with one on the sieve insert 7 attached block part 84 are connected. The block part 84 has a connection part 86 for the supply line 78 and a connector 88 for the discharge line 80 on. The supply lines 78 . 80 stand inside the receiving part 76 according to 6 each via one of the passages 99 respectively. 97 with the connection to the balloon connector 44 of the catheter 37 in connection. The connection of the block part 84 with the plant is for the purpose of removal / deposit stocked Siebeinsätze 7 separable executed. The necessary, mobile coupling device of the block part 84 is for example via an O-ring sealed cone connection 86 respectively 88 , as in 5 represented, ensured. The movement of this seal is preferably carried out with a device analogous to the already described movement device for the seal 47 is constructed.

According to 6 and 4 can the recording parts 76 for adaptation to catheters 37 different lengths at different locations of the sieve insert 7 or the channel 35 preferably be fixed by simply in different holes of the sieve 7 with the help of rod-shaped plug-in parts 90 , eg with dowel pins in combination with fuses at the position, for example O-rings, are fixed. The variability of the position of the receiving part 76 advantageously allows the positioning of the guidewire exit point 72 of catheters of shortwire technology in the coupling area 45 ( 4 ), although the catheters have different lengths.

The 6 shows a vertical section through the block part 76 , The branch of the feeding and discharging channel and the channel for connection of the balloon is preferably located immediately in front of the balloon port, so that the dead space upstream of the balloon is reduced to a minimum (see 6 ).

The following will be related to the 5 a preferred embodiment for connecting the connector part 44 of the catheter 37 with that in different places in the channel 35 attachable receiving part 76 explained. The recording part 76 indicates at its the catheter 37 facing side a connection element 93 on (see 10 ) to which the balloon connector 44 of the catheter 37 mecha nisch is fixable. The connection element 93 owns a passage 95 , with another passage 97 in the recording section 76 is in communication, which in turn in the manner already explained with the discharge line 80 (please refer 6 ) connected is. The supply line 78 stands with a passage 99 of the recording part 76 in conjunction, in turn, with a cannula insert 101 connected in the direction of the catheter 37 over the end of the connection element 93 in the balloon connector 44 of the catheter 37 protrudes, if this with the connecting element 93 connected is. Here, the free end of the cannula insert protrudes 101 until just before the transition between the balloon connector 44 and the balloon lumen 42 of the catheter 37 , By this arrangement of the cannula insert 101 is achieved that the dead space in the balloon connector 44 when feeding the cleaning and disinfecting mixture through the passage 99 and the cannula insert 101 as far as possible is bridged and does not interfere with the cleaning of small balloons in appearance.

It should be noted that the attachment of the balloon connector 44 of the catheter 37 in the connection element 93 and the design of the cannula insert 101 can be configured as desired. Preferably, the device is adapted to standardized so-called "Luer-cone" connections of catheters according to DIN EN 1707.

The following will be related to the 11 an arrangement for the controlled, redundantly monitored dosage of a mixture of cleaning solution and disinfectant explained. In this case, said mixture in the form of a concentrate from a container 111 over a line 113 in which is a pump 115 is pumped out and a mixture container 117 fed. This container 117 can via a supply line 119 Water are supplied. In the supply line 119 is preferably a volumetric flow sensor 121 , The level in the mixture tank 117 is through a level sensor 123 displayed.

The pump 115 is preferably a pump that pumps or pumps with a constant volume flow. The container 111 is preferably located on a weighing device 125 , by which the amount of the withdrawn concentrate is controllable.

The in the mixture container 117 located mixture is through a schematically illustrated heater 127 , which preferably operates electrically, can be heated to a predetermined temperature. The concentrate / water mixture becomes the container 117 via a drain line 129 with the help of a pump 131 removed and via a supply line 135 the present institution or in connection with the 3 already explained supply line 23 for example via a supply valve 137 ( 3 ). In the drain line 129 is preferably a conductivity sensor 139 for determining the electrical conductivity of the container 117 taken mixture.

Preferably located at the end of the drain line 129 a changeover valve 130 For example, a 3/2-way valve, through which the switching between the return line 133 and the supply line 135 can be done.

The concentrate removal from the container 111 is done by activating the pump 115 , which conveys with a constant volume flow, until the desired target amount, measured by the weighing device 125 , is taken. The redundant monitoring takes place over the running time of the pump delivering the constant volume flow, and preferably additionally via that through the conductivity sensor 139 in the drain line 129 measured conductance, which is useful as a measure of the desired concentrate / water mixture, if this is an electrolyte.

The following is the procedure for preparing catheters 37 explained in more detail with the present device. The container 117 via the supply line 135 ( 11 ) and via the supply valve 137 the supply line 23 ( 3 ) with the valve closed 29 in the process 27 fed concentrate / water mixture is by the feed pump 25 with the valve open 143 and closed valve 145 the supply line 23 supplied and for cleaning the outer surfaces of the on the sieve insert 7 located catheter of the spray nozzle assembly 9 fed.

At the same time, it is about the inlet 24 the concentrate / water mixture directly to the over the block parts 84 of the channels 35 and the corresponding supply lines 78 the individual recording parts 76 of the channels 35 supplied ( 4 ). According to 10 will be in the recording parts 76 the mixture over the passages 99 and the cannula inserts 101 Bridging the dead space directly or via temporary storage in the balloon lumen 42 the catheter 37 for rinsing the inner surface of the balloon lumen 42 and the inner surface of the balloon 38 the catheter 37 fed. The balloon is emptied by applying a negative pressure to the connection 44 or by applying an external pressure on the balloon. The supply lines 78 and the discharge lines 80 are not shown for this purpose pressure or vacuum accumulator and valves upstream. The cleaning effect is due to the bridging of the dead space in the balloon connector 44 through the cannula insert 101 especially effective. The cleaning, disinfecting and rinsing the balloons 38 and their lumens 42 is done by cyclic filling and emptying. The flow through the guidewire lumen 40 can be done continuously. Both the balloon pressures and the volume flows through the guide wire lumens are preferably monitored individually by sensors.

As the levels of the mixture in the receptacle 5 and the water in the ultrasonic pan 3 be adjusted to a common level, which is above that on the sieve 7 arranged catheters 37 is located, there is support for cleaning the catheters 37 through the ultrasound probes 21 generated ultrasonic waves, passing over the water and the mixture to the catheters 37 transferred and remove superficial contamination. At the same time, the mixture is in the receptacle 5 on the temperature of the water in the heated ultrasonic bath 3 held and serves as a heat storage of high capacity.

In the manner already explained, the cleaning and disinfection of the inner surfaces of the guidewire lumen takes place at the same time 40 the catheter 37 the shortwired technique in that according to 7 and 8th with closed seals 47 and 53 over the hose line 62 and the direct feed 24 ( 3 ) the mixture preferably simultaneously with the introduction of the mixture into the balloon lumen 42 the catheter 37 is introduced. For this purpose, the hose lines 62 preferably directly to the inlet 24 in connection. Catheters of long-wire technology are connected to the existing guidewire connection directly with the tubing 62 connected.

The cleaning and disinfection (germ killing) of the outer surface of the catheter 37 and the balloon 38 over the spray nozzle assembly 9 and supported by ultrasound, the inner surface of the balloon lumen 42 and the balloon 38 and the inner surface of the guidewire lumen 40 about the seals 47 . 53 for catheters of shortwire technology or directly via the connector 147 in catheters of the long wire technique takes place in the circuit by pumping the mixture through the pump 25 with open valves 143 and 141 and with valves closed 137 and 145 ,

It It should be noted that these are all valves preferably is electromagnetic valves. Other valve arrangements, as those outlined, for example, are possible if these are the ones described Fulfill functions.

The receptacle 5 expediently has a bottom wall acting as a drain, leading to the outlet 27 is inclined. To prevent heat loss from the ultrasonic bath 3 To keep as small as possible, this can be outside with an insulating jacket 4 be like this in the 3 is shown schematically.

Claims (25)

Device for processing at least one balloon catheter ( 37 ) with a balloon connector ( 44 ) at a proximal end, which via a balloon lumen ( 42 ) with one at the distal end portion of the catheter ( 37 ) arranged balloon ( 38 ) and with a guidewire lumen ( 40 ) leading to a guidewire exit site ( 72 ) or to a separate guidewire connection ( 147 ), wherein an ultrasonic bath ( 3 ) with at least one ultrasound probe ( 21 ) for generating ultrasonic waves in one in the ultrasonic tub ( 3 ) is provided, wherein a heating device ( 19 ) for heating in the ultrasonic bath ( 3 ) is provided to a predetermined temperature, wherein to achieve a homogeneous heat distribution of the ultrasonic tub ( 3 ) Fluid via a supply line ( 11 ), from the ultrasonic bath ( 3 ) and via a circulation pump ( 17 ) again the supply line ( 11 ) can be supplied, wherein in the ultrasonic tub ( 3 ) containing a cleaning and disinfecting solution receiving tub ( 5 ), which dips into the fluid, wherein in the receptacle ( 5 ) a sieve insert ( 7 ), in which the at least one balloon catheter ( 37 ), whereby the balloon ( 38 ) of the balloon catheter ( 37 ) via the balloon connector ( 44 ) and the balloon lumen ( 42 ) Cleaning and disinfecting solution can be supplied and by applying a negative pressure to the balloon connector ( 44 ) or by applying a pressure on the balloon ( 38 ) from the balloon ( 38 ) and the balloon lumen ( 42 ) and wherein cleaning and disinfecting solution via the guidewire outlet point ( 72 ) or the guidewire port ( 147 ) the guidewire volume ( 40 ) can be fed. Device according to claim 1, characterized in that above the sieve insert ( 7 ) a spray nozzle arrangement ( 9 ) is provided to which the cleaning and disinfecting solution can be supplied and that the ultrasonic tub ( 3 ) through a spray nozzle assembly ( 9 ) covering cover ( 146 ) is tightly covered. Device according to claim 1 or 2, characterized in that between the ultrasonic tub ( 3 ) and the circulation pump ( 17 ) an electromagnetic discharge valve ( 15 ) and between the circulation pump ( 17 ) and the ultrasonic bath ( 3 ) a supply valve ( 13 ) are located. Device according to one of claims 1 to 3, characterized in that the at least one ultrasonic probe ( 21 ) into the fluid of the ultrasonic tub ( 3 immersed). Device according to claim 4, characterized in that a plurality of ultrasound probes ( 21 ) are provided. Device according to one of claims 1 to 5, characterized in that in the ultrasonic tub ( 3 ) hanging receptacle ( 5 ) on the upper side with the aid of a seal ( 33 ) close to the upper edge at the top of the ultrasonic bath ( 3 ), so that the receptacle ( 5 ) in the fluid of the ultrasonic tub ( 3 ) experiences no buoyancy. Device according to one of claims 1 to 6, characterized in that on the spray nozzle assembly ( 9 ) facing surface of the sieve insert ( 7 ) at least one receiving channel ( 35 ) for a catheter ( 37 ) is arranged, that the receiving channel ( 35 ) in its longitudinal direction one behind the other several openings ( 39 ) in the sieve insert ( 7 ), that the receiving channel ( 35 ) an area ( 45 ) for coupling the guide wire lumen ( 40 ) and for supplying the cleaning and disinfecting solution, and that on one side of the receiving channel ( 35 ) a receiving part ( 76 ) and with the balloon connection part ( 44 ) of the catheter ( 37 ) is tightly connectable, such that the balloon lumen ( 42 ) of the catheter ( 37 ) the cleaning and disinfecting solution can be supplied and removed. Device according to claim 7, characterized in that on the other side of the receiving channel ( 35 ) a first breakthrough ( 43 ) and dimensioned so that the balloon ( 38 ) of the catheter ( 37 ), starting from a fixing device ( 41 ) between the first breakthrough ( 43 ) following two breakthroughs ( 39 ) below the first breakthrough ( 43 ) adjacent breakthrough ( 39 ) and the first breakthrough ( 43 ) obliquely downward in the direction of the spray nozzle assembly ( 9 ) side facing away and thus inclined obliquely downwards, so that its venting is possible by ascending and sucking air bubbles. Device according to claim 7 or 8, characterized in that in the sieve insert ( 7 ) side by side several parallel to each other extending receiving channels ( 35 ) are arranged. Device according to one of Claims 7 to 9, characterized in that the region ( 45 ) one below a catheter ( 37 ) arranged first elastic seal ( 47 ) resting on a substrate ( 49 ), that in the first seal ( 47 ) a first recessed area ( 73 ) is arranged that above the first seal ( 47 ) and the catheter ( 37 ) a second seal ( 53 ) and at a transversely to the receiving channel ( 37 ) extending plate ( 55 ), that in the second seal ( 53 ) a second recessed area ( 50 ) is arranged, that the second seal ( 53 ) and the first seal ( 47 ) are pressed against each other so that the guide wire exit point of the catheter ( 37 ) is contained in a sealed space formed by the first and second recessed areas, into which for rinsing the guide wire lumen ( 40 ) of the catheter ( 37 ) the cleaning and disinfecting solution is insertable. Device according to claim 10, characterized in that the first recessed area ( 73 ) in the first seal ( 47 ) is formed by the fact that the corresponding sealing area by a first hold-down ( 51 ) in the direction of the base ( 49 ) is pulled. Device according to claim 10 or 11, characterized in that the second recessed area ( 50 ) in the second seal ( 53 ) is formed in that the corresponding sealing area by a second hold-down ( 57 ) in the direction of the plate ( 55 ) is pulled. Device according to claim 12, characterized in that the second hold-down device ( 57 ) one through the second seal ( 53 ) extending shaft ( 58 ), in which a bore ( 59 ) is arranged, via which the cleaning and disinfecting solution in the space formed by the first and second recessed area is insertable. Device according to one of claims 7 to 13, characterized in that the base ( 49 ) and the attached first seal ( 47 ) below a catheter ( 37 ) firmly on the sieve insert ( 7 ) is arranged, that the second seal ( 53 ) by a mechanism ( 70 ) perpendicular to the plane of the receiving channel ( 37 ) for opening the first and second seals and for inserting a catheter ( 37 ) and for closing the first and second seals and for forming the space is movable. Device according to one of claims 7 to 14, characterized in that the receiving part ( 76 ) the shape of a block part ( 84 ), which in the longitudinal direction of the receiving channel ( 35 ) at different locations of the sieve insert ( 7 ) for adaptation to different lengths of catheters ( 37 ) is attachable, that the balloon connection part ( 44 ) of a catheter ( 37 ) on a connection element ( 93 ) of the receiving part ( 76 ) is fastened, that the connecting element ( 93 ) a passage ( 95 ) having, the one with another passage ( 97 ) in the receiving part ( 76 ) connected to a discharge line ( 80 ) is connectable to the cleaning and disinfecting solution, and that a supply line ( 78 ) for the cleaning and disinfecting solution with a further passage ( 99 ) of the receiving part, which communicates with the passage ( 95 ) connected is. Device according to claim 15, characterized in that the supply channel ( 78 ) with a cannula insert ( 101 ) passing through the passageway ( 95 ) in the balloon connection ( 44 ), so that its free end just before the transition between the balloon connector ( 44 ) and the balloon lumen ( 42 ) of the catheter ( 37 ) is arranged so that the dead space in the balloon connector ( 44 ) is bridged as far as possible during the supply of the cleaning and disinfecting solution. Device according to one of claims 7 to 16, characterized in that the receiving part ( 76 ) another connection for connecting to the guide wire connection ( 147 ) and for supplying the cleaning and disinfecting solution. Device according to one of claims 1 to 17, characterized in that a mixture of a cleaning and disinfecting agent a container ( 111 ) and a mixture container ( 117 ) can be fed, which via a supply line ( 119 ) Water can be supplied and that in the mixture container ( 117 ) generated cleaning and disinfecting solution from the mixture container ( 117 ) of the spray nozzle arrangement ( 9 ) and the receiving part ( 76 ) can be fed. Device according to claim 18, characterized in that in the mixture container ( 117 ) cleaning and disinfecting solution by a heating device ( 127 ) of the mixture container ( 117 ) Can be heated to a predetermined temperature. Device according to one of claims 1 to 19, characterized in that in the receptacle ( 5 ) the level of the cleaning and disinfecting solution is controllable by a level sensor so that the one or more on the Siebeinsatz ( 7 ) ( 37 ) immerse in the cleaning and disinfecting solution. Device according to one of claims 18 to 20, characterized in that the mixture of the cleaning and disinfecting solution takes place in that the container ( 111 ) via a pump ( 115 ) removed amount of the mixture by a the weight of the container ( 111 ) weighing device ( 125 ) and removed until in the mixture container ( 117 ) the desired target mixture of water and the mixture is formed. Device according to claim 21, characterized in that the pump ( 115 ) with a constant volume flow and that the removal of quantities from the container ( 111 ) is detected and / or monitored by detecting the running time of the pump. Device according to claim 21 or 22, characterized in that the quantity removal from the container ( 111 ) by a in a drain line of the mixture container ( 117 ) arranged conductivity sensor ( 139 ) is determined and / or monitored. Device according to one of claims 18 to 23, characterized in that the cleaning and disinfecting solution from the mixture container ( 117 ) of the spray nozzle arrangement ( 9 ) and the receiving part or parts ( 76 ) and out of the receptacle (( 5 ) into the mixture container ( 117 ) is traceable. Device according to one of claims 7 to 24, characterized in that between adjacent openings ( 39 ) further catheter fixations ( 41 ) are provided so that one on the breakthroughs ( 39 ) in the receiving channel ( 35 ) designed catheter ( 37 ) in the further catheter fixings ( 41 ) is fixable.