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WO2007034712A1 - Device for washing capsule endoscope - Google Patents

Device for washing capsule endoscope Download PDF

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Publication number
WO2007034712A1
WO2007034712A1 PCT/JP2006/318105 JP2006318105W WO2007034712A1 WO 2007034712 A1 WO2007034712 A1 WO 2007034712A1 JP 2006318105 W JP2006318105 W JP 2006318105W WO 2007034712 A1 WO2007034712 A1 WO 2007034712A1
Authority
WO
WIPO (PCT)
Prior art keywords
capsule endoscope
cleaning
cleaning liquid
collecting
washing
Prior art date
Application number
PCT/JP2006/318105
Other languages
French (fr)
Japanese (ja)
Inventor
Takeshi Habu
Haruhiko Sakuma
Toshihisa Takeyama
Narito Goto
Mamoru Umeki
Original Assignee
Konica Minolta Medical & Graphic, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Konica Minolta Medical & Graphic, Inc. filed Critical Konica Minolta Medical & Graphic, Inc.
Priority to JP2007536456A priority Critical patent/JPWO2007034712A1/en
Publication of WO2007034712A1 publication Critical patent/WO2007034712A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/041Capsule endoscopes for imaging
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/121Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0031Implanted circuitry
    • CCHEMISTRY; METALLURGY
    • C11ANIMAL OR VEGETABLE OILS, FATS, FATTY SUBSTANCES OR WAXES; FATTY ACIDS THEREFROM; DETERGENTS; CANDLES
    • C11DDETERGENT COMPOSITIONS; USE OF SINGLE SUBSTANCES AS DETERGENTS; SOAP OR SOAP-MAKING; RESIN SOAPS; RECOVERY OF GLYCEROL
    • C11D2111/00Cleaning compositions characterised by the objects to be cleaned; Cleaning compositions characterised by non-standard cleaning or washing processes
    • C11D2111/10Objects to be cleaned
    • C11D2111/14Hard surfaces
    • C11D2111/20Industrial or commercial equipment, e.g. reactors, tubes or engines

Definitions

  • the present invention relates to a cleaning device for cleaning a capsule endoscope excreted outside the body.
  • a known endoscope apparatus includes a tubular insertion portion having an imaging element or the like at the tip, an operation portion connected to the insertion portion by a flexible tube, an image processing device, a display device, and the like.
  • the insertion portion is inserted into the body of the subject and photographed, and the desired site in the body is displayed on the display device, so that the desired site can be observed and inspected.
  • the subject suffers pain because the flexible tube connected to the insertion portion passes through the throat of the subject while observing the inside of the body.
  • only skilled doctors and medical technicians could operate the device, observe and inspect.
  • an ultra-small endoscope in which a flexible tube is continuously provided and a solid-state image pickup device having a photographing optical system or the like is housed inside a capsule-shaped main body, so-called A capsule endoscope is provided (see Patent Document 1).
  • the capsule endoscope has wireless communication means for transmitting image data captured in the body from the body, and transmits the captured image data to a display device isolated from the capsule endoscope force to display the organ data. It is possible to conduct inspections and inspections.
  • This capsule endoscope keeps taking images of the body of the subject until it is inserted from the subject's throat and excreted from the anus. Inspection is easy and can be expected.
  • a grid-like collecting means is installed in the puddle of the toilet so as to close the drainage groove for collecting the excreted capsule endoscope, and the capsule excreted by the collecting means
  • a method of locking and collecting the endoscope has been proposed (see Patent Document 2). Since the stool adheres to the capsule endoscope locked by the collecting means, water is poured into the toilet bowl, and the stool adhering to the water is washed and collected.
  • Patent Document 1 Japanese Patent Laid-Open No. 7-289504
  • Patent Document 2 JP 2004-267350 A
  • the present invention has been made in view of the above-described points, and an object of the present invention is to reliably clean the capsule endoscope collected by the collecting means and save water. It is an object of the present invention to provide a capsule endoscope cleaning apparatus capable of performing the above.
  • the cleaning liquid is discharged by the cleaning means to the capsule endoscope locked by the collecting means, the capsule endoscope can be reliably cleaned.
  • the water used since it is not necessary to flow water through the toilet bowl to clean the capsule endoscope, the water used can be saved.
  • FIG. 1 is a configuration diagram of a capsule endoscope apparatus and the like as an example of the present invention.
  • FIG. 2 is a cross-sectional view showing an internal configuration of a capsule endoscope.
  • FIG. 3 is a top view of a toilet with a collecting means.
  • FIG. 4 is a cross-sectional view of the toilet shown in FIG.
  • FIG. 5 is a cross-sectional view of the tip of the cleaning means.
  • FIG. 6 is a cross-sectional view of a cleaning means in which spiral grooves are formed in the flow path.
  • FIG. 7 is a schematic view of a collecting means for collecting a capsule endoscope.
  • FIG. 1 shows a configuration of a capsule endoscope apparatus and the like as an example of the present invention
  • FIG. 2 is a cross-sectional view showing an internal configuration of the capsule endoscope shown in FIG.
  • the capsule endoscope apparatus 1 for performing endoscopy according to the present invention is placed in a body cavity duct when passing through the body cavity duct by being swallowed from the mouth of a subject 2.
  • a capsule endoscope 3 that wirelessly transmits an image signal obtained by optically imaging the wall surface and a signal transmitted by the capsule endoscope 3 are received by the antenna unit 4 provided outside the body of the subject 2, and the image is stored.
  • an extracorporeal unit 5 located outside the subject 2).
  • the extracorporeal unit 5 contains a small memory card such as a contact flash (registered trademark) having a capacity of, for example, 1 GB in order to store image data.
  • a small memory card such as a contact flash (registered trademark) having a capacity of, for example, 1 GB in order to store image data.
  • the image data stored in the extracorporeal unit 5 can be connected to the display system 6 during or after the examination to display an image.
  • the extracorporeal unit 5 is detachably connected with a personal computer (hereinafter abbreviated as a personal computer) 7 constituting the display system 6 and a communication cable such as a USB cable 8.
  • a personal computer hereinafter abbreviated as a personal computer 7 constituting the display system 6
  • a communication cable such as a USB cable 8.
  • the image stored in the external unit 5 is captured by the personal computer 7 and stored on the internal hard disk or displayed, and the stored image can be displayed on the display unit 9. .
  • a keyboard 10 is connected to the personal computer 7 as an operation panel for performing data input operations.
  • the USB cable 8 may be any communication standard of USB 1.0, USB 1.1, and USB 2.0. In addition, it may be one that performs serial data communication in accordance with RS-232C and IEEE1394 standards, or one that performs parallel data communication that is not limited to one that performs serial data communication.
  • An antenna unit 4 to which a plurality of antennas 12 are attached is attached to the inside of a shield shirt 11 having a shield function worn by the subject 2.
  • the image data captured by the capsule endoscope 3 is also transmitted to the antenna unit 4 through the transmission / reception antenna force incorporated in the capsule endoscope 3, and connected to the antenna unit 4.
  • the extracorporeal unit 5 is attached to the belt of the subject 2 by a detachable hook, for example.
  • the extracorporeal unit 5 has, for example, a box shape, and is provided with, for example, a liquid crystal monitor 13 as a display device for displaying an image and an operation button 14 for performing a control operation on the front surface.
  • the extracorporeal unit 5 includes a transmission / reception circuit (communication circuit), a control circuit, an image data display circuit, and a power source.
  • the outer shape of the capsule endoscope 3 is an outline of a small egg shape so that it can be quickly moved in the upper and lower digestive tracts.
  • a substantially oval shape is preferable, but it may be a spherical shape or a ratterby ball type.
  • the capsule endoscope 3 includes a transparent front wall portion 21 having a substantially hemispherical front end side, a rear wall portion 23 having a substantially hemispherical rear end side, a front wall portion and a rear wall portion. To fit inside The outer shape is formed by a fitting member 22 that forms a water-tight capsule having a watertight structure.
  • an objective lens 31 Inside the capsule endoscope 3, there are an objective lens 31, an observation optical system 32, an illumination optical system 33, a storage room 34, a capacitor 35, a receiver 36, a transmitter 37, and a wireless transmission / reception antenna 38. It is stored. These parts are integrally attached by a base not shown.
  • the imaging device that constitutes the observation optical system 32 is a device that converts a captured in-vivo image into an electrical signal, and a fine CCD or CMOS, etc. in which one pixel is arranged at intervals of 0.1 ⁇ m to 3 ⁇ m. Individual image sensors are used.
  • the objective lens 31 is a lens for forming an observation image on the image sensor of the observation optical system 32.
  • the objective lens 31 includes a single or a plurality of spherical lenses or aspherical lenses.
  • the objective lens 31 is preferably an aspherical lens rather than a spherical lens! When an aspheric lens is used, the number of objective lenses can be reduced, so that the total length of the capsule endoscope 3 can be shortened and swallowability and excretion can be improved.
  • LEDs white, green, and red light emitting diodes
  • the illumination light that has also been emitted by the illumination element force is emitted through the transparent front wall 21 of the capsule endoscope 3 into the photographing field of view to illuminate the inside of the photographing field of view.
  • the image sensor images the illuminated field of view through the objective lens 31.
  • a signal photographed by the image sensor is converted into an image signal by a signal processing circuit (not shown), and then transmitted to the external extracorporeal unit 5 by the transmitter 37 and the transmitting / receiving antenna 38.
  • the image data stored in the extracorporeal unit 5 is connected to the display system 6 in FIG. 1 during the examination or after the examination is completed, and an image is displayed. This makes it possible to observe and examine the organ of the subject.
  • the capacitor 35 functions as a power source for each element and circuit, and may be driven by a hospital power source, a household power source, a solar cell, a fuel cell, or the like, or may be transmitted from the outside.
  • a transformer that converts a sound wave, a magnetic field or an electric field into a power source may be used.
  • the storage chamber 34 is a storage chamber for a chemical solution to be sent to the affected area, and is a sample chamber for storing the collected biological sample of the affected area.
  • the imaging element of the observation optical system 32, the illumination element of the illumination optical system 33, the transmitter 37, and the like may be provided with a program whose settings can be changed. By providing such a program, it is possible to arbitrarily set and change the image capturing speed by the image sensor, the illumination intensity by the illumination element, and the image transmission speed by the transmitter 37. This setting change can be performed by operating an external operation device via the receiver 36 and the transmission / reception antenna 38 of the capsule endoscope.
  • the aZb ratio is defined as the aspect ratio.
  • An aspect ratio between ⁇ and 2.3 is preferable because the capsule endoscope 3 can be easily swallowed and excreted.
  • a particularly preferred range is 1 or more and 2 or less.
  • the capsule endoscope 3 when the capsule endoscope 3 is swallowed, the secretions in the digestive tract and the hydrophilic medium are compatible with each other, improving the lubricity between the capsule endoscope 3 and the digestive tract lumen, It can move quickly and forcefully without damaging the digestive tract.
  • FIG. 3 is a top view of the toilet 40 with the collecting means 45 used in the present invention
  • FIG. 4 is a cross-sectional view of the toilet 40 with the collecting means 45 installed.
  • the collecting means 45 for collecting the capsule endoscope 3 excreted from the body will be described with reference to FIGS.
  • the capsule endoscope 3 that images the inside of the body reaches the anus of the subject 2 after a predetermined time has elapsed.
  • the subject 2 holds a stool at the time when the capsule endoscope 3 reaches the anus, as shown in FIG. 3, the stool is excreted by the toilet with the collecting means 45 disposed therein.
  • the capsule endoscope 3 is excreted along with the excretion of the stool and is locked by the collecting means 45.
  • the locked capsule endoscope 3 is recovered after being cleaned by a cleaning means 50 described later.
  • the collecting means 45 includes a net part 46 for locking the excreted capsule endoscope 3, and a strip-shaped handle part 47 having one end connected to the net part 46.
  • the net 46 is arranged so as to block the drainage groove 43 of the toilet 40, and a handle 47 having one end connected to the net 46 extends upward along the inner surface of the toilet 40, and outwards at the upper edge.
  • the collecting means 45 can be folded so that it can be easily installed in the toilet bowl 40 by folding it.
  • the collection means 45 is configured so that the locked capsule endoscope 3 is immersed in the puddle 42 of the toilet bowl 40. It is installed at the top of the puddle 42 so that there is no such thing. By installing in this way, the cleaning liquid discharged from the cleaning means 50 is not obstructed by the water in the puddle 42.
  • the net 46 is formed in a checkered pattern so that water, endocrine secretions and excretion discharged from the body can be separated.
  • the mesh interval of the mesh part 46 is preferably 20% to 97% of the dimension of the short axis length b of the capsule endoscope 3! /. If it is 97% or less, the capsule endoscope 3 can be reliably collected, and if it is 20% or more, the space part of the mesh part 45 becomes an appropriate size and drops excreted feces into the puddle 42. Can do. More preferably, it is 50% to 90%.
  • the mesh of the net 46 may be a vertical stripe instead of a lattice.
  • the shape of the net portion 46 is a bowl shape in which the central portion is recessed.
  • FIG. 5 is a cross-sectional view of the tip portion of the cleaning means 50 used in the present invention.
  • the cleaning means 50 will be described with reference to this figure.
  • the capsule endoscope 3 locked on the mesh part 46 is washed by the washing means 50 connected to the drying surface 41 of the toilet bowl 40 (see Fig. 4).
  • the cleaning means 50 supplies cleaning liquid from a cleaning liquid tank (not shown) inside the toilet bowl 40, guides the cleaning liquid through the flow path 51, and discharges the cleaning liquid from the discharge hole 52 toward the capsule endoscope 3 on the net 46. To do.
  • the flow path 51 is preferably formed with a spiral groove. By forming this groove, the cleaning liquid vortexes and discharges from the discharge hole 52. Therefore, the capsule endoscope 3 locked to the collecting means 45 is rotated by the flow of the cleaning liquid vortex, and the capsule endoscope The entire mirror 3 can be cleaned.
  • the cleaning means 50 only needs to be made of a material that does not react with the cleaning liquid.
  • a material that does not react with the cleaning liquid for example, polyethylene resin, nylon resin, polypropylene resin, polyimide resin, polyethylene resin
  • synthetic resins such as phthalate resin, liquid crystal polymer, aromatized polyamide resin, polyethylene naphthalate resin, polysulfone resin, etc.
  • metal materials such as stainless steel.
  • the drying surface 41 of the toilet bowl 40 is provided with a groove for storing the cleaning means 50, so that an external force communication means or an operation means connected to the cleaning means 50 can be operated. By doing so, the cleaning means 50 can be activated and stored. With this configuration, the subject can excrete stool without worrying about the cleaning means 50. Further, the cleaning means 50 is moved like a swing motion by the communication means or the operation means, and the discharge direction of the cleaning liquid can be arbitrarily changed. Although the capsule endoscope 3 is locked at which position of the collection means 45, the capsule endoscope 3 can be reliably cleaned by changing the discharge direction of the cleaning liquid. Can do.
  • a reflector that reflects the cleaning liquid discharged from the cleaning means 50 between the collection means 45 and the puddle of the toilet bowl 40. Since the cleaning liquid is reflected by the reflecting plate, the side of the collected capsule endoscope 3 that is in close contact with the collecting means 45 can be washed.
  • the reflector may be made of a material that does not react with the cleaning liquid and may be made of the same material as the cleaning means 50 described above.
  • the cleaning liquid discharged from the cleaning means 50 is preferably composed of a material that has a detergency and does not adversely affect the environment. Therefore, carbonates such as sodium carbonate, sodium bicarbonate, and sodium percarbonate
  • a washing solution is composed of at least one of the compounds.
  • As the total amount of carbonate preferably those containing a range of 1 mol / L from 1 X 10- 2 mol / L.
  • the type of the surfactant is a non-ionic or ionic surfactant, and is preferably one that is easily decomposed in the natural environment. Specifically, there are the following powers that are not particularly limited to these.
  • Nonionic surfactants include sorbitan fatty acid ester, glycerin fatty acid ester, decagrin fatty acid ester, polyglycerin fatty acid ester, propylene glycol 'Pentaerythritol fatty acid ester, polyoxysorbitan fatty acid ester, polyoxyethylene sorbit fatty acid ester, polyoxyethylene glycerin fatty acid ester, polyethylene glycol fatty acid ester, polyoxyethylene alkyl ether, polyoxyethylene polyoxypropylene alkyl ether, poly Oxyethylene / polyoxypropylene, block polymer, polyoxyethylene alkyl phenyl ether, acetylene glycol, polyoxyethylene castor oil, hydrogenated castor oil, polyoxyethylene lanolin, lanolin alcohol, polyoxyethylene alkylamine, fatty acid amide, polyoxyethylene Fluorine series such as alkylphenol formaldehyde condensate and polyoxyethylene perfluoroalkyl There is
  • Examples of the cationic surfactant include alkyl sulfates, polyoxyethylene alkyl sulfates, N-acyl amino acids and salts thereof, N-acylmethyl taurate, dialkyl sulfosuccinates, sulfosuccinates. Acid monoester disodium, N-alkylsulfosuccinic acid monoamide, polyoxyethylene alkyl ether acetate, alkyl sulfocarboxylate, a-olefin sulfonate, alkyl phosphate, polyoxyethylene alkyl ether phosphate, etc. There is.
  • the content of the surfactant in the cleaning liquid is preferably in the range of 0.01 to 10% by mass, particularly preferably in the range of 0.05 to 5.0% by mass. By setting it within this range, the viscosity of the cleaning agent is lowered and the fluidity in the cleaning means 50 is improved, so that a good cleaning effect is exhibited.
  • a sterilizing agent can be added to the cleaning liquid.
  • the sterilizing agent alcohols such as ethanol and isopropyl alcohol, quaternary ammonium salts such as benzalkonium chloride, cresol, sodium hypochlorite and the like can be used.
  • the amount used, concentration, etc. can be referred to the formulation introduced in the handbook.
  • the content of the sterilizing agent in the cleaning solution is preferably in the range of 0.01 to 10% by mass, and more preferably in the range of 0.05 to 5.0% by mass.
  • the capsule endoscope 3 that has been locked by the collecting means 45 and then cleaned by the cleaning means 50 can be stored and stored by the sampling means 60 shown in FIG. it can.
  • the sampling means 60 includes a lid 61 that can be opened and closed, a magnetic field generating member 62 for storing with magnetic force, and a holding part 63.
  • the magnetic field generating member 62 can be arbitrarily selected such as a bright magnet, a neodymium bond magnet, a samarium coronate magnet.
  • the strength of the magnetic field is preferably ImT (T is Tesla) to lOOOmT. By setting the strength of the magnetic field within this range, the capsule endoscope 3 can be smoothly collected and taken out after storage.
  • the magnetic field should not interfere with the operation of the observation optical system 32, the receiver 36, the transmitter 37, the wireless transmission / reception antenna 38, etc. It is necessary to. Arranging in the vicinity of the antenna is preferably arranged farther than the position of the antenna. In addition, it is preferable to use magnetic shielding so that the calculation processing function of imaging communication is not impaired.
  • Subject 2 swallows capsule endoscope 3 with a small amount of water.
  • the swallowed capsule endoscope 3 moves to the lower part of the upper force of the extinguisher according to the peristaltic movement of the subject 2. Meanwhile, the inside of the subject 2 is imaged at regular intervals, and the captured image is transmitted to the external unit 5.
  • the capsule endoscope 3 collects the lesion of the subject 2.
  • the capsule endoscope 3 reaches the anus (approximately 8 to 10 hours after swallowing)
  • the subject excretes the stool in the toilet 40 in which the collecting means 45 and the cleaning means 50 are installed.
  • the capsule endoscope 3 excreted together with the stool is locked to the net 46 by the collecting means 45.
  • the cleaning liquid from the cleaning means 50 is jetted onto the locked capsule endoscope 3 and is collected after being disinfected and cleaned.
  • the doctor causes the display system 6 to display an image of the inside of the subject 2 stored in the extracorporeal unit 5, and takes out a pathological part collected from the collected capsule endoscope 3 for observation and inspection.
  • Example 1 As a sterilizing solution, a solution containing 3% benzalcum in 50% ethyl alcohol was prepared, and the capsule endoscope washed in Example 1 was sterilized. When E. coli was examined using a sterilized capsule endoscope, it was confirmed that E. coli had been killed (negative). The colon test was performed using a commercially available raw CT Sorbit McConkey agar medium (abbreviated CT SMC) (manufactured by Eiken-Igaku Co., Ltd.) to evaluate the presence of E. coli on the agar medium. is there.
  • CT SMC raw CT Sorbit McConkey agar medium

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Abstract

By the existing techniques, it is difficult to sufficiently wash a capsule endoscope that is locked to a collection system. This washing operation is troublesome for a subject collecting the capsule endoscope and, moreover, it requires running water repeatedly, which brings about another problem of waste of water. A capsule endoscope which is collected on a net of a collection system and then washed with a washing system attached to a drying face of a toilet bowl. In the washing system, a washing liquor is supplied from a washing liquor tank (not shown) within the toilet bowl, guided via a channel and then jetted from a jetting hole toward the capsule endoscope on the net.

Description

明 細 書  Specification
カプセル内視鏡の洗浄装置  Capsule endoscope cleaning device
技術分野  Technical field
[0001] 本発明は、体外に排泄されたカプセル内視鏡を洗浄する洗浄装置に関する。  [0001] The present invention relates to a cleaning device for cleaning a capsule endoscope excreted outside the body.
背景技術  Background art
[0002] 周知の内視鏡装置は、先端に撮像素子等を備えた管状の挿入部と、可撓性管によ り挿入部と連設された操作部、画像処理装置並びに表示装置等を有し、挿入部を被 検者の体内に挿入して撮影し、体内における所望の部位を表示装置に映し出すこと により、所望の部位を観察、検査し得るものである。しかし、このような内視鏡装置で は、体内を観察している間、挿入部に連設された可撓性管が被験者の喉を通るため 、被験者の苦痛が伴うという問題があった。また、挿入部の太さ、長さや複雑な形状 等の理由から、熟練した医師や医療技師しか装置の操作、観察や検査等を行うこと ができなかった。  A known endoscope apparatus includes a tubular insertion portion having an imaging element or the like at the tip, an operation portion connected to the insertion portion by a flexible tube, an image processing device, a display device, and the like. The insertion portion is inserted into the body of the subject and photographed, and the desired site in the body is displayed on the display device, so that the desired site can be observed and inspected. However, in such an endoscope apparatus, there is a problem that the subject suffers pain because the flexible tube connected to the insertion portion passes through the throat of the subject while observing the inside of the body. Also, due to the thickness, length, and complicated shape of the insertion section, only skilled doctors and medical technicians could operate the device, observe and inspect.
[0003] このような事情を鑑み、可撓性管が連設されて 、な 、カプセル形状の本体の内部 に、撮影光学系を有する固体撮像素子等を収納した超小型の内視鏡、所謂カプセ ル内視鏡が提供されている (特許文献 1参照)。カプセル内視鏡は、体内で撮像した 画像データを体内から発信する無線通信手段を備えており、撮像した画像データを カプセル内視鏡力 隔離された表示装置に発信して表示させることにより、臓器の観 察や検査等を行うことが可能である。このカプセル内視鏡は、被験者の喉から挿入さ れて肛門から排泄されるまでの間、被験者体内の画像を撮影し続けるため、従来の 内視鏡装置では難しかった小腸等の部位の観察、検査も容易に行うことができ、非 常に期待されている。  In view of such circumstances, an ultra-small endoscope in which a flexible tube is continuously provided and a solid-state image pickup device having a photographing optical system or the like is housed inside a capsule-shaped main body, so-called A capsule endoscope is provided (see Patent Document 1). The capsule endoscope has wireless communication means for transmitting image data captured in the body from the body, and transmits the captured image data to a display device isolated from the capsule endoscope force to display the organ data. It is possible to conduct inspections and inspections. This capsule endoscope keeps taking images of the body of the subject until it is inserted from the subject's throat and excreted from the anus. Inspection is easy and can be expected.
[0004] ところで、近年、検査を終えて体外に排泄されたカプセル内視鏡をそのまま下水道 に放流してしまうと、撮像した被験者体内の画像データを流出してしまう危険性や自 然界を汚染する危険性があるため、排泄されたカプセル内視鏡を回収する必要性が 高まっている。また、体内の病変部を採取し、この病変部を内部に収納する機能を備 えたカプセル内視鏡を用いる場合は、排泄されたカプセル内視鏡カゝら病変部を取り 出す必要があるため、必ず回収しなければならな 、。 [0004] By the way, in recent years, if a capsule endoscope that has been excreted outside the body after being examined is discharged into the sewer as it is, the risk of leaking image data inside the subject's body and the natural environment will be contaminated. There is a growing need to collect excreted capsule endoscopes. In addition, when using a capsule endoscope with a function of collecting a lesion in the body and storing the lesion inside, remove the lesion from the excreted capsule endoscope. Because it is necessary to take out, it must be collected.
[0005] そこで、排泄されたカプセル内視鏡を回収すベぐ排水溝を塞ぐように便器の水た まり内に格子状の捕集手段を設置し、この捕集手段により排泄されたカプセル内視 鏡を係止して回収する方法が提案されている (特許文献 2参照)。そして、捕集手段 にて係止されたカプセル内視鏡には便が付着しているため、便器に水を流し、この 水により付着した便を洗浄してカゝら回収する。  [0005] Therefore, a grid-like collecting means is installed in the puddle of the toilet so as to close the drainage groove for collecting the excreted capsule endoscope, and the capsule excreted by the collecting means A method of locking and collecting the endoscope has been proposed (see Patent Document 2). Since the stool adheres to the capsule endoscope locked by the collecting means, water is poured into the toilet bowl, and the stool adhering to the water is washed and collected.
特許文献 1:特開平 7— 289504号公報  Patent Document 1: Japanese Patent Laid-Open No. 7-289504
特許文献 2:特開 2004— 267350号公報  Patent Document 2: JP 2004-267350 A
発明の開示  Disclosure of the invention
発明が解決しょうとする課題  Problems to be solved by the invention
[0006] しかし、上記した従来技術にお!、て、カプセル内視鏡に付着した便を綺麗に洗 ヽ 流すためには、一度便器に水を流した程度では不十分であった。一度の洗浄では、 水たまり内を洗浄することで精一杯でカプセル内視鏡自体は綺麗に洗浄されな 、た め、少なくとも 2回の洗浄が必要であった。特に、最近使用されているサイフォン式や サイフォンゼット式などのサイフォンの原理を利用した洗浄方法では、排水溝に便を 吸 、込んで洗 、流すことを重視して 、るため、捕集手段に係止されたカプセル内視 鏡を綺麗に洗浄することは困難であった。そのため、カプセル内視鏡を回収する被 験者にとってこの洗浄作業が煩雑になるば力りでなぐ何度も水を流す必要があり、 水を無駄に浪費してしまうと 、う問題が発生した。  [0006] However, in order to clean the stool adhering to the capsule endoscope neatly with the above-described prior art, it is not sufficient to once flush the toilet with water. In a single cleaning, the capsule endoscope itself is not cleaned cleanly by cleaning the inside of the puddle, so at least two cleanings are necessary. In particular, cleaning methods using the siphon principle such as the siphon type and siphon set type, which have been used recently, place emphasis on sucking stool into the drainage channel, washing it, and flowing it. It was difficult to clean the locked capsule endoscope cleanly. Therefore, for the subject who collects the capsule endoscope, if this cleaning operation becomes complicated, it is necessary to flow water many times with a force. If the water is wasted, a problem arises.
[0007] 本発明は、上述した点に鑑みてなされたものであって、その目的とするところは、捕 集手段によって捕集されたカプセル内視鏡を確実に洗浄し、かつ、水を節約すること ができるカプセル内視鏡の洗浄装置を提供することである。  [0007] The present invention has been made in view of the above-described points, and an object of the present invention is to reliably clean the capsule endoscope collected by the collecting means and save water. It is an object of the present invention to provide a capsule endoscope cleaning apparatus capable of performing the above.
課題を解決するための手段  Means for solving the problem
[0008] 本発明は、以下の手段により達成される。 [0008] The present invention is achieved by the following means.
( 1)体外に排泄されたカプセル内視鏡を係止させて捕集する捕集手段と、前記捕集 手段により捕集されたカプセル内視鏡を洗浄するための洗浄液を供給する供給手段 と、前記供給手段により供給された洗浄液を吐出する洗浄手段と、を有することを特 徴とするカプセル内視鏡の洗浄装置。 (2)前記洗浄手段は、洗浄液を回転させた状態で吐出することを特徴とする(1)に記 載のカプセル内視鏡の洗浄装置。 (1) A collection means for locking and collecting the capsule endoscope excreted outside the body, and a supply means for supplying a cleaning liquid for washing the capsule endoscope collected by the collection means; And a cleaning device for discharging the cleaning liquid supplied by the supplying device. (2) The capsule endoscope cleaning apparatus according to (1), wherein the cleaning means discharges the cleaning liquid in a rotated state.
(3)前記捕集手段は、椀形状を有することを特徴とする(1)または (2)に記載のカブ セル内視鏡の洗浄装置。  (3) The capsule endoscope cleaning apparatus according to (1) or (2), wherein the collection means has a bowl shape.
(4)前記洗浄液は、炭酸塩ィ匕合物を含有するものであることを特徴とする(1)乃至(3 )のいずれか 1つに記載のカプセル内視鏡の洗浄装置。  (4) The cleaning device for a capsule endoscope according to any one of (1) to (3), wherein the cleaning liquid contains a carbonate compound.
(5)前記捕集手段の下側に、前記洗浄手段から吐出された洗浄液を反射させる反射 板を有することを特徴とする(1)乃至 (4)のいずれか 1つに記載のカプセル内視鏡の 洗浄装置。  (5) The capsule endoscope according to any one of (1) to (4), further comprising a reflector that reflects the cleaning liquid discharged from the cleaning unit below the collecting unit. Mirror cleaning device.
発明の効果  The invention's effect
[0009] 本発明によれば、捕集手段により係止されたカプセル内視鏡に対して洗浄手段に より洗浄液を吐出するので、確実にカプセル内視鏡を洗浄することが可能となる。ま た、カプセル内視鏡を洗浄するために便器に水を流す必要がないので、用いる水を 節約することができる。  [0009] According to the present invention, since the cleaning liquid is discharged by the cleaning means to the capsule endoscope locked by the collecting means, the capsule endoscope can be reliably cleaned. In addition, since it is not necessary to flow water through the toilet bowl to clean the capsule endoscope, the water used can be saved.
図面の簡単な説明  Brief Description of Drawings
[0010] [図 1]本発明の一例であるカプセル内視鏡装置等の構成図である。 FIG. 1 is a configuration diagram of a capsule endoscope apparatus and the like as an example of the present invention.
[図 2]カプセル内視鏡の内部構成を示す断面図である。  FIG. 2 is a cross-sectional view showing an internal configuration of a capsule endoscope.
[図 3]捕集手段を配置した便器の上面図である。  FIG. 3 is a top view of a toilet with a collecting means.
[図 4]図 3に示す便器の断面図である。  4 is a cross-sectional view of the toilet shown in FIG.
[図 5]洗浄手段の先端分の断面図である。  FIG. 5 is a cross-sectional view of the tip of the cleaning means.
[図 6]流路に渦巻き状の溝を形成した洗浄手段の断面図である。  FIG. 6 is a cross-sectional view of a cleaning means in which spiral grooves are formed in the flow path.
[図 7]カプセル内視鏡を回収する採取手段の概略図である。  FIG. 7 is a schematic view of a collecting means for collecting a capsule endoscope.
符号の説明  Explanation of symbols
[0011] 3 カプセノレ内視鏡 [0011] 3 Capsenore endoscope
4 アンテナユニット  4 Antenna unit
5 体外ユニット  5 Extracorporeal unit
6 表示システム  6 Display system
7 パーソナルコンピュータ 31 対物レンズ 7 Personal computer 31 Objective lens
32 観察光学系  32 Observation optical system
33 照明光学系  33 Illumination optics
35 蓄電器  35 battery
36 受信機  36 Receiver
37 送信機  37 Transmitter
38 送受信用アンテナ  38 Transmitting and receiving antenna
45 捕集手段  45 Collection means
46 網部  46 Net
47 取手  47 Toride
50 洗浄手段  50 Cleaning means
51 流路  51 flow path
52 吐出穴  52 Discharge hole
60 採取手段  60 Collection means
発明を実施するための最良の形態  BEST MODE FOR CARRYING OUT THE INVENTION
[0012] 以下、本発明についての実施の形態を図面に基づいて説明する。なお、本発明を 実施するための形態の説明において用いる用語や断定的な記載により、本発明の 技術的範囲が限定されることはない。  Hereinafter, embodiments of the present invention will be described with reference to the drawings. Note that the technical scope of the present invention is not limited by the terms used in the description of the embodiments for carrying out the present invention or the assertive description.
[0013] 図 1は本発明の 1例であるカプセル内視鏡装置等の構成を示し、図 2は図 1に示す カプセル内視鏡の内部構成を示す断面図である。  FIG. 1 shows a configuration of a capsule endoscope apparatus and the like as an example of the present invention, and FIG. 2 is a cross-sectional view showing an internal configuration of the capsule endoscope shown in FIG.
[0014] 図 1に示すように、本発明の内視鏡検査を行うカプセル内視鏡装置 1は、被験者 2 の口から飲み込まれることにより体腔内管路を通過する際に体腔内管路内壁面を光 学的に撮像した画像信号を無線で送信するカプセル内視鏡 3と、このカプセル内視 鏡 3で送信された信号を被験者 2の体外に設けたアンテナユニット 4により受け、画像 を保存する機能を有する、(被験者 2の体外に配置される)体外ユニット 5とから構成 される。  As shown in FIG. 1, the capsule endoscope apparatus 1 for performing endoscopy according to the present invention is placed in a body cavity duct when passing through the body cavity duct by being swallowed from the mouth of a subject 2. A capsule endoscope 3 that wirelessly transmits an image signal obtained by optically imaging the wall surface and a signal transmitted by the capsule endoscope 3 are received by the antenna unit 4 provided outside the body of the subject 2, and the image is stored. And an extracorporeal unit 5 (located outside the subject 2).
[0015] この体外ユニット 5には、画像データを保存するために、容量が例えば 1GBのコン ノ クトフラッシュ (登録商標)等の小型メモリーカードが内蔵されて 、る。 [0016] そして、体外ユニット 5に蓄積された画像データは検査中或いは検査終了後に表示 システム 6に接続して、画像を表示することができる。 [0015] The extracorporeal unit 5 contains a small memory card such as a contact flash (registered trademark) having a capacity of, for example, 1 GB in order to store image data. [0016] The image data stored in the extracorporeal unit 5 can be connected to the display system 6 during or after the examination to display an image.
[0017] つまり、この体外ユニット 5は、表示システム 6を構成するパーソナルコンピュータ(以 下、パソコンと略記) 7と USBケーブル 8等の通信を行う通信ケーブルで着脱自在に 接続される。 That is, the extracorporeal unit 5 is detachably connected with a personal computer (hereinafter abbreviated as a personal computer) 7 constituting the display system 6 and a communication cable such as a USB cable 8.
[0018] そして、パソコン 7により体外ユニット 5に保存した画像を取り込み、内部のハードデ イスクに保存したり、表示するため等の処理を行い表示部 9により保存した画像を表 示できるようにしている。このパソコン 7にはデータ入力操作等を行う操作盤としての 例えばキーボード 10が接続されている。  [0018] Then, the image stored in the external unit 5 is captured by the personal computer 7 and stored on the internal hard disk or displayed, and the stored image can be displayed on the display unit 9. . For example, a keyboard 10 is connected to the personal computer 7 as an operation panel for performing data input operations.
[0019] USBケーブル 8としては、 USB1. 0、 USB1. 1、 USB2. 0のいずれの通信規格で も良い。また、この他に RS— 232C、 IEEE1394の規格のシリアルのデータ通信を 行うものでも良いし、シリアルのデータ通信を行うものに限定されるものでなぐパラレ ルのデータ通信を行うものでも良 、。  [0019] The USB cable 8 may be any communication standard of USB 1.0, USB 1.1, and USB 2.0. In addition, it may be one that performs serial data communication in accordance with RS-232C and IEEE1394 standards, or one that performs parallel data communication that is not limited to one that performs serial data communication.
[0020] 被験者 2が着るシールド機能を持つシールドシャツ 11の内側には、複数のアンテナ 12が取り付けられたアンテナユニット 4が装着されている。内視鏡検査を行う場合に は、カプセル内視鏡 3により撮像された画像データは、カプセル内視鏡 3に内蔵され た送受信アンテナ力もアンテナユニット 4に送信され、このアンテナユニット 4に接続さ れた体外ユニット 5に保存される。この体外ユニット 5は、例えば被験者 2のベルトに着 脱自在のフックにより取り付けられる。  [0020] An antenna unit 4 to which a plurality of antennas 12 are attached is attached to the inside of a shield shirt 11 having a shield function worn by the subject 2. When performing endoscopy, the image data captured by the capsule endoscope 3 is also transmitted to the antenna unit 4 through the transmission / reception antenna force incorporated in the capsule endoscope 3, and connected to the antenna unit 4. Stored in the extracorporeal unit 5. The extracorporeal unit 5 is attached to the belt of the subject 2 by a detachable hook, for example.
[0021] また、この体外ユニット 5は例えば箱形状であり、前面には画像表示を行う表示装置 としての例えば液晶モニタ 13と、制御操作を行う操作ボタン 14とが設けてある。また、 体外ユニット 5の内部には、送受信回路 (通信回路)、制御回路、画像データ表示回 路、電源を備えている。  The extracorporeal unit 5 has, for example, a box shape, and is provided with, for example, a liquid crystal monitor 13 as a display device for displaying an image and an operation button 14 for performing a control operation on the front surface. The extracorporeal unit 5 includes a transmission / reception circuit (communication circuit), a control circuit, an image data display circuit, and a power source.
[0022] 図 2に示すように、カプセル内視鏡 3の外形は、上部消化器及び下部消化器内を 速やかに移動できるように概略鶏卵形を小さくしたものであって、上面、側面から概 略楕円形が好ましいが、球形、ラタビーボール型のようであっても良い。  [0022] As shown in FIG. 2, the outer shape of the capsule endoscope 3 is an outline of a small egg shape so that it can be quickly moved in the upper and lower digestive tracts. A substantially oval shape is preferable, but it may be a spherical shape or a ratterby ball type.
[0023] カプセル内視鏡 3は、その前端側をほぼ半球形状にした透明な前壁部 21と、その 後端側をほぼ半球形状にした後壁部 23と、前壁部及び後壁部を嵌合させてその内 部に水密的な密閉構造のカプセルを形成する嵌合部材 22とによりその外形が形成 されている。 [0023] The capsule endoscope 3 includes a transparent front wall portion 21 having a substantially hemispherical front end side, a rear wall portion 23 having a substantially hemispherical rear end side, a front wall portion and a rear wall portion. To fit inside The outer shape is formed by a fitting member 22 that forms a water-tight capsule having a watertight structure.
[0024] カプセル内視鏡 3の内部には、対物レンズ 31、観察光学系 32、照明光学系 33、格 納室 34、蓄電器 35、受信機 36、送信機 37、無線の送受信用アンテナ 38が収納さ れている。なお、これらの部品は、図示しない基盤により一体的に取り付けられている  [0024] Inside the capsule endoscope 3, there are an objective lens 31, an observation optical system 32, an illumination optical system 33, a storage room 34, a capacitor 35, a receiver 36, a transmitter 37, and a wireless transmission / reception antenna 38. It is stored. These parts are integrally attached by a base not shown.
[0025] 観察光学系 32を構成する撮像素子は、撮影した体内の画像を電気信号に変換す る装置であり、 1画素が 0. 1 μ m〜3 μ m間隔に並ぶ微細 CCD又は CMOS等の個 体撮像素子が用いられる。 [0025] The imaging device that constitutes the observation optical system 32 is a device that converts a captured in-vivo image into an electrical signal, and a fine CCD or CMOS, etc. in which one pixel is arranged at intervals of 0.1 μm to 3 μm. Individual image sensors are used.
[0026] 対物レンズ 31は、観察光学系 32の撮像素子に観察像を結像させるためのレンズ であり、例えば、単又は複数の球面レンズ又は非球面レンズにより構成される。なお、 この対物レンズ 31は球面レンズよりも非球面レンズで構成するのが好まし!/、。非球面 レンズで構成した場合、対物レンズのレンズ枚数を減らすことが可能となるため、カブ セル内視鏡 3の全長を短くして、嚥下性、排泄性を向上させることができる。  [0026] The objective lens 31 is a lens for forming an observation image on the image sensor of the observation optical system 32. For example, the objective lens 31 includes a single or a plurality of spherical lenses or aspherical lenses. The objective lens 31 is preferably an aspherical lens rather than a spherical lens! When an aspheric lens is used, the number of objective lenses can be reduced, so that the total length of the capsule endoscope 3 can be shortened and swallowability and excretion can be improved.
[0027] 照明光学系 33を構成する照明素子は、白色、緑色、赤色の発光ダイオード (以下 LEDともいう)が常用される。  [0027] As the illumination elements constituting the illumination optical system 33, white, green, and red light emitting diodes (hereinafter also referred to as LEDs) are commonly used.
[0028] 照明素子力も放出された照明光は、カプセル内視鏡 3の透明な前壁部 21を透して 撮影視野内に放出されて撮影視野内を照明する。撮像素子はこの照明された撮影 視野内を対物レンズ 31を介して撮影する。この撮像素子により撮影された信号は、 図示しない信号処理回路で画像信号に変換された後、送信機 37、送受信用アンテ ナ 38により外部の体外ユニット 5に送信される。体外ユニット 5に蓄積された画像デー タは検査中或いは検査終了後に図 1の表示システム 6に接続して、画像を表示され る。これにより被験者の臓器の観察や検査等を行うことができる。  [0028] The illumination light that has also been emitted by the illumination element force is emitted through the transparent front wall 21 of the capsule endoscope 3 into the photographing field of view to illuminate the inside of the photographing field of view. The image sensor images the illuminated field of view through the objective lens 31. A signal photographed by the image sensor is converted into an image signal by a signal processing circuit (not shown), and then transmitted to the external extracorporeal unit 5 by the transmitter 37 and the transmitting / receiving antenna 38. The image data stored in the extracorporeal unit 5 is connected to the display system 6 in FIG. 1 during the examination or after the examination is completed, and an image is displayed. This makes it possible to observe and examine the organ of the subject.
[0029] 蓄電器 35は、各素子や回路の電源として機能するものであり、病院内電源又は家 庭用電源、太陽電池、燃料電池等で駆動されるものでも良いし、外部から送信される 超音波、磁界や電界を電源に変換する変電器でも良い。  [0029] The capacitor 35 functions as a power source for each element and circuit, and may be driven by a hospital power source, a household power source, a solar cell, a fuel cell, or the like, or may be transmitted from the outside. A transformer that converts a sound wave, a magnetic field or an electric field into a power source may be used.
[0030] 格納室 34は、患部に送る薬液の格納室であり、また、採取した患部の生検体試料 を格納する試料室である。 [0031] なお、観察光学系 32の撮像素子、照明光学系 33の照明素子、送信機 37等には、 設定変更可能なプログラムを備えても良い。このようなプログラムを備えることにより、 撮像素子による画像の撮影速度、照明素子による照明強度、送信機 37による画像 の送信速度を任意に設定し、変更することができる。この設定変更は、カプセル内視 鏡の受信機 36、送受信アンテナ 38を介して、外部の操作装置を操作することにより 行うことができる。 [0030] The storage chamber 34 is a storage chamber for a chemical solution to be sent to the affected area, and is a sample chamber for storing the collected biological sample of the affected area. [0031] The imaging element of the observation optical system 32, the illumination element of the illumination optical system 33, the transmitter 37, and the like may be provided with a program whose settings can be changed. By providing such a program, it is possible to arbitrarily set and change the image capturing speed by the image sensor, the illumination intensity by the illumination element, and the image transmission speed by the transmitter 37. This setting change can be performed by operating an external operation device via the receiver 36 and the transmission / reception antenna 38 of the capsule endoscope.
[0032] また、図 2に示すように、直径をカプセル内視鏡の短軸長 b、円柱の長さをカプセル 内視鏡の長軸長 aとすると、 aZb比をアスペクト比と定義する。このアスペクト比力 ^以 上、 2. 3以下では、カプセル内視鏡 3を飲み込み易くまた排泄し易いので好ましい。 特に好ましい範囲は 1以上、 2以下である。また、カプセル内視鏡 3の外表面に潤滑 性材料である親水性媒体を塗工又は表面処理することが好ましい。これにより、カブ セル内視鏡 3を嚥下した際、消化器内の分泌物と親水性媒体とが親和して、カプセ ル内視鏡 3の消化管腔との間の潤滑性が向上し、消化管を損傷させることなぐ速や 力 こ移動することができる。  [0032] As shown in FIG. 2, if the diameter is the short axis length b of the capsule endoscope and the length of the cylinder is the long axis length a of the capsule endoscope, the aZb ratio is defined as the aspect ratio. An aspect ratio between ^ and 2.3 is preferable because the capsule endoscope 3 can be easily swallowed and excreted. A particularly preferred range is 1 or more and 2 or less. Further, it is preferable to apply or surface-treat a hydrophilic medium, which is a lubricating material, on the outer surface of the capsule endoscope 3. As a result, when the capsule endoscope 3 is swallowed, the secretions in the digestive tract and the hydrophilic medium are compatible with each other, improving the lubricity between the capsule endoscope 3 and the digestive tract lumen, It can move quickly and forcefully without damaging the digestive tract.
[0033] 図 3は、本発明に用いられる捕集手段 45を配置した便器 40の上面図であり、図 4 は、捕集手段 45を設置した便器 40の断面図である。この図 3乃至図 4を参照しなが ら、体外に排泄されたカプセル内視鏡 3を捕集する捕集手段 45について説明する。  FIG. 3 is a top view of the toilet 40 with the collecting means 45 used in the present invention, and FIG. 4 is a cross-sectional view of the toilet 40 with the collecting means 45 installed. The collecting means 45 for collecting the capsule endoscope 3 excreted from the body will be described with reference to FIGS.
[0034] 体内を撮像したカプセル内視鏡 3は、所定時間が経過すると被験者 2の肛門に到 達する。被験者 2は、カプセル内視鏡 3が肛門に到達する時間に便を催すと、図 3に 示すように、捕集手段 45を配置した便器で便を排泄する。便の排泄とともにカプセル 内視鏡 3も排泄され、捕集手段 45によって係止される。係止されたカプセル内視鏡 3 は、後述する洗浄手段 50により洗浄された後、回収される。  [0034] The capsule endoscope 3 that images the inside of the body reaches the anus of the subject 2 after a predetermined time has elapsed. When the subject 2 holds a stool at the time when the capsule endoscope 3 reaches the anus, as shown in FIG. 3, the stool is excreted by the toilet with the collecting means 45 disposed therein. The capsule endoscope 3 is excreted along with the excretion of the stool and is locked by the collecting means 45. The locked capsule endoscope 3 is recovered after being cleaned by a cleaning means 50 described later.
[0035] 捕集手段 45は、排泄されたカプセル内視鏡 3を係止する網部 46と、この網部 46に 一端が接続された帯状の取手部 47とからなる。網部 46は便器 40の排水溝 43を塞ぐ ように配置され、この網部 46に一端が接続された取手部 47は便器 40の内面に沿つ て上方に延出され、上縁で外側に折り曲げる等して捕集手段 45を便器 40に設置し やす 、ように折り曲げ可能にして 、る。  [0035] The collecting means 45 includes a net part 46 for locking the excreted capsule endoscope 3, and a strip-shaped handle part 47 having one end connected to the net part 46. The net 46 is arranged so as to block the drainage groove 43 of the toilet 40, and a handle 47 having one end connected to the net 46 extends upward along the inner surface of the toilet 40, and outwards at the upper edge. The collecting means 45 can be folded so that it can be easily installed in the toilet bowl 40 by folding it.
[0036] なお、捕集手段 45は、係止したカプセル内視鏡 3が便器 40の水たまり 42に浸から ないよう、水たまり 42の上部に設置されている。このように設置することで、洗浄手段 50から吐出される洗浄液が水たまり 42の水に邪魔されることがなくなる。 It should be noted that the collection means 45 is configured so that the locked capsule endoscope 3 is immersed in the puddle 42 of the toilet bowl 40. It is installed at the top of the puddle 42 so that there is no such thing. By installing in this way, the cleaning liquid discharged from the cleaning means 50 is not obstructed by the water in the puddle 42.
[0037] 網部 46は、体内から排出される水分、内分泌物、排泄物を分離できるように、格子 縞となるように形成されている。この網部 46の網目間隔は、カプセル内視鏡 3の短軸 長 bの寸法の 20%〜97%であることが好まし!/、。 97%以下であるとカプセル内視鏡 3を確実に捕集することができるし、 20%以上であると網部 45の空間部分が適度な 大きさとなり排泄された便を水たまり 42に落とすことができる。 50%〜90%であるの が更に好ましい。この網部 46の網目は、格子状でなく縦縞状であっても良い。  [0037] The net 46 is formed in a checkered pattern so that water, endocrine secretions and excretion discharged from the body can be separated. The mesh interval of the mesh part 46 is preferably 20% to 97% of the dimension of the short axis length b of the capsule endoscope 3! /. If it is 97% or less, the capsule endoscope 3 can be reliably collected, and if it is 20% or more, the space part of the mesh part 45 becomes an appropriate size and drops excreted feces into the puddle 42. Can do. More preferably, it is 50% to 90%. The mesh of the net 46 may be a vertical stripe instead of a lattice.
[0038] また、図 4に示すように、網部 46の形状を中央部が凹んだ椀状にすることが好まし い。このような形状を有することで、体外に排泄されたカプセル内視鏡 3は重力により 凹んだ中央部で係止されるため、後述する洗浄手段 50によるカプセル内視鏡 3の洗 浄が容易になる。  [0038] Further, as shown in FIG. 4, it is preferable that the shape of the net portion 46 is a bowl shape in which the central portion is recessed. By having such a shape, the capsule endoscope 3 excreted outside the body is locked at the center portion recessed by gravity, so that the capsule endoscope 3 can be easily cleaned by the cleaning means 50 described later. Become.
[0039] 図 5は、本発明に用いられる洗浄手段 50の先端部分の断面図である。この図を参 照しながら洗浄手段 50について説明する。  FIG. 5 is a cross-sectional view of the tip portion of the cleaning means 50 used in the present invention. The cleaning means 50 will be described with reference to this figure.
[0040] 網部 46上に係止されたカプセル内視鏡 3は、便器 40の乾燥面 41に連設された洗 浄手段 50により洗浄される(図 4参照)。洗浄手段 50は、便器 40内部の図示しない 洗浄液タンクから洗浄液を供給し、流路 51を介して洗浄液を案内し、吐出穴 52から 網部 46上のカプセル内視鏡 3に向けて洗浄液を吐出する。 [0040] The capsule endoscope 3 locked on the mesh part 46 is washed by the washing means 50 connected to the drying surface 41 of the toilet bowl 40 (see Fig. 4). The cleaning means 50 supplies cleaning liquid from a cleaning liquid tank (not shown) inside the toilet bowl 40, guides the cleaning liquid through the flow path 51, and discharges the cleaning liquid from the discharge hole 52 toward the capsule endoscope 3 on the net 46. To do.
[0041] 吐出穴 52の面積を小さくし、これを複数設けることでシャワー状の洗浄液を吐出す ることができる。また、吐出穴 52を設ける位置や角度を変えることで、例えば、シャヮ 一状の洗浄液を一点に集中するように吐出したり、捕集手段 45全面に広がるように 吐出したりすることができる。 [0041] By reducing the area of the discharge hole 52 and providing a plurality of the discharge holes 52, it is possible to discharge the shower-like cleaning liquid. Further, by changing the position and the angle at which the discharge holes 52 are provided, for example, a uniform cleaning liquid can be discharged so as to be concentrated at one point, or can be discharged so as to spread over the entire surface of the collecting means 45.
[0042] 流路 51には、図 6に示すように、渦巻き状の溝を形成することが好ましい。この溝を 形成することにより、吐出穴 52から洗浄液が渦を巻いて吐出するため、捕集手段 45 に係止されたカプセル内視鏡 3がこの洗浄液の渦の流れにより回転し、カプセル内 視鏡 3全体を洗浄することができる。 [0042] As shown in FIG. 6, the flow path 51 is preferably formed with a spiral groove. By forming this groove, the cleaning liquid vortexes and discharges from the discharge hole 52. Therefore, the capsule endoscope 3 locked to the collecting means 45 is rotated by the flow of the cleaning liquid vortex, and the capsule endoscope The entire mirror 3 can be cleaned.
[0043] 洗浄手段 50は、洗浄液と反応しな ヽ材料により構成されて ヽれば良ぐ例えば、ポ リエチレン榭脂、ナイロン榭脂、ポリプロピレン榭脂、ポリイミド榭脂、ポリエチレンテレ フタレート榭脂、液晶ポリマー、ァロマティックポリアミド榭脂、ポリエチレンナフタレー ト榭脂、ポリサルフォン榭脂等の合成樹脂のほか、ステンレス等の金属材料を用いる ことちでさる。 [0043] The cleaning means 50 only needs to be made of a material that does not react with the cleaning liquid. For example, polyethylene resin, nylon resin, polypropylene resin, polyimide resin, polyethylene resin In addition to synthetic resins such as phthalate resin, liquid crystal polymer, aromatized polyamide resin, polyethylene naphthalate resin, polysulfone resin, etc., it is possible to use metal materials such as stainless steel.
[0044] なお、図示していないが、便器 40の乾燥面 41には、洗浄手段 50を収納する溝が 形成されており、外部力もの通信手段あるいは洗浄手段 50に連接された操作手段を 操作することにより、洗浄手段 50を起動、収納させることができる。このように構成す ることで、被験者は洗浄手段 50を気にすることなく便を排泄することができる。また、 上記の通信手段または操作手段により洗浄手段 50が首振り運動の如く移動し、洗浄 液の吐出方向を任意に変化できるように構成されている。捕集手段 45のどの位置に カプセル内視鏡 3が係止されるか分力 ないが、洗浄液の吐出方向を変化させる構 成にしておくことで、カプセル内視鏡 3を確実に洗浄することができる。  [0044] Although not shown, the drying surface 41 of the toilet bowl 40 is provided with a groove for storing the cleaning means 50, so that an external force communication means or an operation means connected to the cleaning means 50 can be operated. By doing so, the cleaning means 50 can be activated and stored. With this configuration, the subject can excrete stool without worrying about the cleaning means 50. Further, the cleaning means 50 is moved like a swing motion by the communication means or the operation means, and the discharge direction of the cleaning liquid can be arbitrarily changed. Although the capsule endoscope 3 is locked at which position of the collection means 45, the capsule endoscope 3 can be reliably cleaned by changing the discharge direction of the cleaning liquid. Can do.
[0045] また、洗浄手段 50の先端に公知の超音波発生器を設けておき、吐出する洗浄液 に超音波振動を与えて、洗浄力を向上させることも可能である。  It is also possible to improve the cleaning power by providing a known ultrasonic generator at the tip of the cleaning means 50 and applying ultrasonic vibration to the cleaning liquid to be discharged.
[0046] また、捕集手段 45と便器 40の水たまりの間に、洗浄手段 50から吐出された洗浄液 を反射する反射板を設けることが好まし 、。この反射板により洗浄液が反射するので 、捕集されたカプセル内視鏡 3の捕集手段 45と密接する側を洗浄することができる。 この反射板は、洗浄液と反応しない材料により構成されていればよぐ上記した洗浄 手段 50と同様の材料を用いることができる。  [0046] Further, it is preferable to provide a reflector that reflects the cleaning liquid discharged from the cleaning means 50 between the collection means 45 and the puddle of the toilet bowl 40. Since the cleaning liquid is reflected by the reflecting plate, the side of the collected capsule endoscope 3 that is in close contact with the collecting means 45 can be washed. The reflector may be made of a material that does not react with the cleaning liquid and may be made of the same material as the cleaning means 50 described above.
[0047] 洗浄手段 50から吐出される洗浄液は、洗浄力がありかつ環境に悪影響を与えない 材料で構成するのが好ましぐしたがって、炭酸ナトリウム、炭酸水素ナトリウム、過炭 酸ナトリウム等の炭酸塩化合物の少なくとも 1つから洗浄液を構成する。炭酸塩の総 量として、 1 X 10— 2モル/ Lから 1モル/ Lの範囲を含むものが好ましい。 [0047] The cleaning liquid discharged from the cleaning means 50 is preferably composed of a material that has a detergency and does not adversely affect the environment. Therefore, carbonates such as sodium carbonate, sodium bicarbonate, and sodium percarbonate A washing solution is composed of at least one of the compounds. As the total amount of carbonate, preferably those containing a range of 1 mol / L from 1 X 10- 2 mol / L.
[0048] 更に洗浄性を向上させるために界面活性剤を添加することが好ましい。界面活性 剤の種類はノ-オン性又はァ-オン性界面活性剤であり、自然環境で分解され易 ヽ ものが好ましい。具体的には以下に挙げられるものがある力 特にこれらに限定され るものではない。  [0048] It is preferable to add a surfactant in order to further improve the detergency. The type of the surfactant is a non-ionic or ionic surfactant, and is preferably one that is easily decomposed in the natural environment. Specifically, there are the following powers that are not particularly limited to these.
[0049] ノニオン性界面活性剤としては、ソルビタン脂肪酸エステル、グリセリン脂肪酸エス テル、デカグリン脂肪酸エステル、ポリグリセリン脂肪酸エステル、プロピレングリコー ル 'ペンタエリスリトール脂肪酸エステル、ポリオキシソルビタン脂肪酸エステル、ポリ ォキシエチレンソルビット脂肪酸エステル、ポリオキシエチレングリセリン脂肪酸エステ ル、ポリエチレングリコール脂肪酸エステル、ポリオキシエチレンアルキルエーテル、 ポリオキシエチレンポリオキシプロピレンアルキルエーテル、ポリオキシエチレン ·ポリ ォキシプロピレン.ブロックポリマー、ポリオキシエチレンアルキルフエニルエーテル、 アセチレングリコール、ポリオキシエチレンひまし油.硬化ひまし油、ポリオキシェチレ ンラノリン'ラノリンアルコール、ポリオキシエチレンアルキルァミン'脂肪酸アミド、ポリ ォキシエチレンアルキルフエ-ルホルムアルデヒド縮合物、ポリオキシエチレンパーフ ルォロアルキル等のフッ素系界面活性剤等がある。 [0049] Nonionic surfactants include sorbitan fatty acid ester, glycerin fatty acid ester, decagrin fatty acid ester, polyglycerin fatty acid ester, propylene glycol 'Pentaerythritol fatty acid ester, polyoxysorbitan fatty acid ester, polyoxyethylene sorbit fatty acid ester, polyoxyethylene glycerin fatty acid ester, polyethylene glycol fatty acid ester, polyoxyethylene alkyl ether, polyoxyethylene polyoxypropylene alkyl ether, poly Oxyethylene / polyoxypropylene, block polymer, polyoxyethylene alkyl phenyl ether, acetylene glycol, polyoxyethylene castor oil, hydrogenated castor oil, polyoxyethylene lanolin, lanolin alcohol, polyoxyethylene alkylamine, fatty acid amide, polyoxyethylene Fluorine series such as alkylphenol formaldehyde condensate and polyoxyethylene perfluoroalkyl There is an active agent, and the like.
[0050] ァ-オン性界面活性剤としては、アルキル硫酸塩、ポリオキシエチレンアルキル硫 酸塩、 N—ァシルアミノ酸とその塩、 N—ァシルメチルタウリン塩、ジアルキルスルホコ ハク酸塩、スルホコハク酸モノエステルジナトリウム、 N—アルキルスルホコハク酸モノ アミド、ポリオキシエチレンアルキルエーテル酢酸塩、アルキルスルホカルボン酸塩、 aーォレフインスルホン酸塩、アルキル燐酸塩、ポリオキシエチレンアルキルエーテ ル燐酸塩等がある。  [0050] Examples of the cationic surfactant include alkyl sulfates, polyoxyethylene alkyl sulfates, N-acyl amino acids and salts thereof, N-acylmethyl taurate, dialkyl sulfosuccinates, sulfosuccinates. Acid monoester disodium, N-alkylsulfosuccinic acid monoamide, polyoxyethylene alkyl ether acetate, alkyl sulfocarboxylate, a-olefin sulfonate, alkyl phosphate, polyoxyethylene alkyl ether phosphate, etc. There is.
[0051] 界面活性剤として中でもノ-オン性のポリオキシアルキレンアルキルエーテルの総 称で呼ばれる、ポリオキシエチレンアルキルエーテル、ポリオキシエチレンポリオキシ プロピレンアルキルエーテル、ポリオキシエチレン.ポリオキシプロピレン.ブロックポリ マー等が効果の点で好ましい。洗浄液中の界面活性剤の含有量は 0. 01〜10質量 %の範囲が好ましぐ特に 0. 05〜5. 0質量%の範囲が好ましい。この範囲とすること で、洗浄剤の粘度を低くして洗浄手段 50内での流動性が向上するので、良好な洗 浄効果が発現される。  [0051] Polyoxyethylene alkyl ether, polyoxyethylene polyoxypropylene alkyl ether, polyoxyethylene, polyoxypropylene, block polymer, which is a generic term for nonionic polyoxyalkylene alkyl ether as a surfactant. Etc. are preferable in terms of effects. The content of the surfactant in the cleaning liquid is preferably in the range of 0.01 to 10% by mass, particularly preferably in the range of 0.05 to 5.0% by mass. By setting it within this range, the viscosity of the cleaning agent is lowered and the fluidity in the cleaning means 50 is improved, so that a good cleaning effect is exhibited.
[0052] また、洗浄液中に滅菌のための薬剤を添加することもできる。滅菌のための薬剤は 、エタノール、イソプロピルアルコール等のアルコール類、塩化ベンザルコ -ゥムのよ うな第四級アンモ-ゥム塩、クレゾール、次亜塩素酸ソーダ等使用することができる。 使用量、使用濃度等は、便覧に紹介されている調合を参考にすることができる。滅菌 剤の洗浄液中の含有量は 0. 01〜10質量%の範囲が好ましぐ特に 0. 05〜5. 0質 量%の範囲が好ましい。 [0053] 次に捕集手段 45により係止された後、洗浄手段 50で洗浄されたカプセル内視鏡 3 は、検査場に運ぶために、図 7に示す採取手段 60によって保管収納することができ る。採取手段 60は、開閉可能な蓋 61、磁力で格納するための磁界発生部材 62、保 持部 63を備えて構成されている。磁界発生部材 62は、フ ライト磁石、ネオジゥムボ ンド磁石、サマリウムコノ レト磁石等任意に選択することができる。磁界の強さは ImT (Tはテスラ)〜 lOOOmTが好ましい。磁界の強度をこの範囲とすることで、カプセル 内視鏡 3の採取と格納後の取り出しを円滑に行えるようにして 、る。 [0052] Further, a sterilizing agent can be added to the cleaning liquid. As the sterilizing agent, alcohols such as ethanol and isopropyl alcohol, quaternary ammonium salts such as benzalkonium chloride, cresol, sodium hypochlorite and the like can be used. The amount used, concentration, etc. can be referred to the formulation introduced in the handbook. The content of the sterilizing agent in the cleaning solution is preferably in the range of 0.01 to 10% by mass, and more preferably in the range of 0.05 to 5.0% by mass. Next, the capsule endoscope 3 that has been locked by the collecting means 45 and then cleaned by the cleaning means 50 can be stored and stored by the sampling means 60 shown in FIG. it can. The sampling means 60 includes a lid 61 that can be opened and closed, a magnetic field generating member 62 for storing with magnetic force, and a holding part 63. The magnetic field generating member 62 can be arbitrarily selected such as a bright magnet, a neodymium bond magnet, a samarium coronate magnet. The strength of the magnetic field is preferably ImT (T is Tesla) to lOOOmT. By setting the strength of the magnetic field within this range, the capsule endoscope 3 can be smoothly collected and taken out after storage.
[0054] 磁石に応答させために、カプセル内視鏡内 3に磁性体金属を備える必要がある。力 プセル内視鏡 3の蓄電器 35や回路部材に磁性体金属を使用することもできるが、近 年ナノテクノロジーで微小でも強力な磁力をもつ磁性体が開発されて ヽるので、この ような磁性体をカプセル内視鏡 3内部の任意の位置に設置してもよ 、。磁性体による 磁界がカプセル内視鏡の内部や人体の外部の通信手段の妨害にならないように設 置することは重要である。  In order to make the magnet respond, it is necessary to provide a magnetic metal in the capsule endoscope 3. Although magnetic metal can be used for the battery 35 and circuit members of the Pussel Endoscope 3, magnetic materials with a strong magnetic force have been developed by nanotechnology in recent years. The body can be placed at any position inside the capsule endoscope 3. It is important to install the magnetic field so that it does not interfere with the communication means inside the capsule endoscope or outside the human body.
[0055] このような磁性体をカプセル内視鏡 3内部に配置するには、磁界が観察光学系 32 、受信機 36、送信機 37、無線の送受信用アンテナ 38等の動作の障害しないように することが必要である。アンテナ近傍に配置することは好ましくなぐアンテナの位置 より遠くに配置することが好ましい。また、撮像通信の演算処理する機能が損なわれ な 、ように磁気シールドすることが好ま 、。  In order to arrange such a magnetic body inside the capsule endoscope 3, the magnetic field should not interfere with the operation of the observation optical system 32, the receiver 36, the transmitter 37, the wireless transmission / reception antenna 38, etc. It is necessary to. Arranging in the vicinity of the antenna is preferably arranged farther than the position of the antenna. In addition, it is preferable to use magnetic shielding so that the calculation processing function of imaging communication is not impaired.
[0056] ここで、上述したカプセル内視鏡 3を使用して上部および下部消ィ匕器内の病変部を 検査する検査工程にっ 、て説明する。  Here, an inspection process for inspecting a lesion in the upper and lower extinguishers using the capsule endoscope 3 will be described.
[0057] 被験者 2は、少量の水と共にカプセル内視鏡 3を嚥下する。嚥下されたカプセル内 視鏡 3は、被験者 2の蠕動運動に従い消ィ匕器上部力 下部に移動する。その間、一 定時間毎に被験者 2の体内を撮像し、この撮像された画像を体外ユニット 5に送信す る。場合によっては、カプセル内視鏡 3は被験者 2の病変部を採取する。カプセル内 視鏡 3が肛門に到達 (嚥下して約 8〜10時間後)すると、被験者は捕集手段 45と洗 浄手段 50が設置された便器 40にて便を排泄する。この便とともに排泄されたカプセ ル内視鏡 3は、捕集手段 45により網部 46に係止される。係止されたカプセル内視鏡 3に洗浄手段 50からの洗浄液が噴射され、消毒洗浄された後回収される。 [0058] 医師は、体外ユニット 5に記憶された被験者 2体内の画像を表示システム 6に表示さ せるとともに、回収したカプセル内視鏡 3から採取した病原部を取り出し、観察、検査 する。 [0057] Subject 2 swallows capsule endoscope 3 with a small amount of water. The swallowed capsule endoscope 3 moves to the lower part of the upper force of the extinguisher according to the peristaltic movement of the subject 2. Meanwhile, the inside of the subject 2 is imaged at regular intervals, and the captured image is transmitted to the external unit 5. In some cases, the capsule endoscope 3 collects the lesion of the subject 2. When the capsule endoscope 3 reaches the anus (approximately 8 to 10 hours after swallowing), the subject excretes the stool in the toilet 40 in which the collecting means 45 and the cleaning means 50 are installed. The capsule endoscope 3 excreted together with the stool is locked to the net 46 by the collecting means 45. The cleaning liquid from the cleaning means 50 is jetted onto the locked capsule endoscope 3 and is collected after being disinfected and cleaned. [0058] The doctor causes the display system 6 to display an image of the inside of the subject 2 stored in the extracorporeal unit 5, and takes out a pathological part collected from the collected capsule endoscope 3 for observation and inspection.
実施例  Example
[0059] 実施例 1  [0059] Example 1
洗浄液として、それぞれ炭酸ナトリウム 3%、炭酸水素ナトリウム 3%、過炭酸ナトリウ ム 3%を含む液を調製し、この洗浄液を洗浄手段カゝら吐出させて、捕集手段の網部 上のカプセル内視鏡を洗浄した。洗浄処理したカプセル内視鏡を目視確認したとこ ろ、洗浄されていることが確認された。  Prepare liquids containing 3% sodium carbonate, 3% sodium hydrogencarbonate, and 3% sodium percarbonate as the cleaning liquid, respectively, and discharge the cleaning liquid from the cleaning means to the inside of the capsule on the net of the collecting means. The endoscope was washed. Visual inspection of the cleaned capsule endoscope confirmed that it was washed.
実施例 2  Example 2
滅菌液として、エチルアルコール 50%液にベンザルコ-ゥムを 3%含む液を調製し 、実施例 1で洗浄済みのカプセル内視鏡を滅菌処理した。滅菌処理したカプセル内 視鏡にっ 、て大腸菌検査を行ったところ、大腸菌が死滅して 、ることが確認された ( 陰性)。なお、大腸検査には、市販の生 CTソルビットマッコンキー寒天培地(略号 CT SMC) (栄研ィ匕学社製)を用いて培養試験を行い、寒天培地上での大腸菌の有無を 評価したものである。  As a sterilizing solution, a solution containing 3% benzalcum in 50% ethyl alcohol was prepared, and the capsule endoscope washed in Example 1 was sterilized. When E. coli was examined using a sterilized capsule endoscope, it was confirmed that E. coli had been killed (negative). The colon test was performed using a commercially available raw CT Sorbit McConkey agar medium (abbreviated CT SMC) (manufactured by Eiken-Igaku Co., Ltd.) to evaluate the presence of E. coli on the agar medium. is there.

Claims

請求の範囲 The scope of the claims
[1] 体外に排泄されたカプセル内視鏡を係止させて捕集する捕集手段と、  [1] A collecting means for locking and collecting the capsule endoscope excreted outside the body,
前記捕集手段により捕集されたカプセル内視鏡を洗浄するための洗浄液を供給する 供給手段と、  Supplying means for supplying a cleaning liquid for cleaning the capsule endoscope collected by the collecting means;
前記供給手段により供給された洗浄液を吐出する洗浄手段と、  Cleaning means for discharging the cleaning liquid supplied by the supply means;
を有することを特徴とするカプセル内視鏡の洗浄装置。  A capsule endoscope cleaning device comprising:
[2] 前記洗浄手段は、洗浄液を回転させた状態で吐出することを特徴とする請求の範囲 第 1項に記載のカプセル内視鏡の洗浄装置。  2. The capsule endoscope cleaning device according to claim 1, wherein the cleaning means discharges the cleaning liquid in a rotated state.
[3] 前記捕集手段は、椀形状を有することを特徴とする請求の範囲第 1項または第 2項に 記載のカプセル内視鏡の洗浄装置。 [3] The capsule endoscope cleaning apparatus according to [1] or [2], wherein the collection means has a bowl shape.
[4] 前記洗浄液は、炭酸塩化合物を含有するものであることを特徴とする請求の範囲第[4] The cleaning liquid according to claim 1, wherein the cleaning liquid contains a carbonate compound.
1項乃至第 3項のいずれか 1つに記載のカプセル内視鏡の洗浄装置。 4. The capsule endoscope cleaning apparatus according to any one of items 1 to 3.
[5] 前記捕集手段の下側に、前記洗浄手段から吐出された洗浄液を反射させる反射板 を有することを特徴とする請求の範囲第 1項乃至第 4項のいずれか 1つに記載のカブ セル内視鏡の洗浄装置。 [5] The reflector according to any one of claims 1 to 4, further comprising a reflecting plate that reflects the cleaning liquid discharged from the cleaning unit below the collecting unit. A cleaning device for cub cell endoscopes.
PCT/JP2006/318105 2005-09-20 2006-09-13 Device for washing capsule endoscope WO2007034712A1 (en)

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WO2018111466A1 (en) * 2016-12-14 2018-06-21 Mitchell Lawrence Jones Ingestible device recovery system

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