JP2010269053A - Medical instrument - Google Patents

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JP2010269053A
JP2010269053A JP2009124981A JP2009124981A JP2010269053A JP 2010269053 A JP2010269053 A JP 2010269053A JP 2009124981 A JP2009124981 A JP 2009124981A JP 2009124981 A JP2009124981 A JP 2009124981A JP 2010269053 A JP2010269053 A JP 2010269053A
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needle
needle tube
cancer
tube
needle body
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Satoshi Miyake
智 三宅
Akiko Takahashi
昭子 高橋
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical instrument with which a therapy can be performed, regardless of the original site of cancer. <P>SOLUTION: The medical instruments 10, 20, 30 include: needle tubes 11, 31 which are formed of conductive cylindrical members to be connected to a positive or negative electrode, and have medicial solution injection holes on the side surfaces of the distal ends; needle bodies 12, 32 which are insertable from proximal end sides into the inner parts of the needle tubes 11, 31, formed of conductive needle shape members to be connected to the opposite electrodes of the needle tubes 11, 31, and provided with insulating parts 15, 33 on the outer peripheral surfaces in contact with the inner surfaces of the needle tubes 11, 31; and heat generation bodies 14, 34 with prescribed heat generation resistances, which are arranged so as to clog the openings at the distal ends of the needle tubes 11, 31 and also to come in contact with the distal ends of the needle bodies 12, 32. When the needle bodies 12, 32 are inserted from the proximal end sides into the inner parts of the needle tubes 11, 31 to thereby allow the distal ends of the needle bodies 12, 32 to come in contact with the heat generation bodies 14, 34, the needle bodies 12, 32 and the needle tubes 11, 31 are energized via the heat generation bodies 14, 34. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

本発明は、癌等腫瘍の生検検査等による器具接触によって引き起こされる腫瘍接触の拡散を器具自体の塩素殺菌効果により低減させると共に、癌等腫瘍を直接加熱殺菌することにより癌等腫瘍治療を行う医療用具に関する。   The present invention reduces the spread of tumor contact caused by instrument contact by biopsy inspection of tumors such as cancer by the chlorine sterilization effect of the instrument itself, and also treats tumors such as cancer by directly heat sterilizing tumors such as cancer It relates to medical devices.

従来、癌等腫瘍の治療方法として、外科(手術)療法、化学療法、ホルモン療法、放射線療法等が広く行われている他、免疫療法、カテーテル治療、穿刺治療、熱凝固療法、温熱療法なども知られている。   Conventionally, surgical (surgical) therapy, chemotherapy, hormone therapy, radiation therapy, etc. have been widely used as treatment methods for tumors such as cancer, as well as immunotherapy, catheter therapy, puncture therapy, thermocoagulation therapy, thermotherapy, etc. Are known.

外科(手術)療法は、患者の体力及び年齢や、病院の設備によっては充分に行うことのできない場合がある。また、患者が外科(手術)療法に耐えられる状況であったにしても、腫瘍を傷つけることなく摘出しなければならないため、広範囲の摘出が必要となる。そのため、乳癌で乳房の全摘出などを行った場合、術後の生活に多大な影響を残すことが多い。さらに、腫瘍細胞の全摘出を行ったにしても、摘出時の腫瘍接触等の播種によって、腫瘍細胞の転移が起こる可能性もある。   Surgery (surgical) therapy may not be adequately performed depending on the physical strength and age of the patient and hospital equipment. In addition, even if the patient can withstand surgical (surgical) therapy, it must be removed without damaging the tumor, so a wide range of extraction is necessary. Therefore, when a breast is completely removed from breast cancer, it often has a great influence on the life after surgery. Furthermore, even if the tumor cells are completely removed, tumor cell metastasis may occur due to seeding such as tumor contact at the time of removal.

化学療法は、癌細胞の活動を抑えるための治療法であるが、抗癌剤投与はそもそも抗癌剤自体が毒であり、癌細胞のみならず体全体に効き渡るため、正常細胞を損傷させることとなり、さまざまな有害事象の発症が懸念される。   Chemotherapy is a treatment method to suppress the activity of cancer cells, but since anticancer drugs themselves are poisons in the first place, they are effective not only for cancer cells but also for the whole body, so that normal cells are damaged. There are concerns about the development of adverse events.

ホルモン療法はホルモン依存性の癌に効果があると言われているが、ホルモンレセプターが陽性の場合には有効な療法であるが、ホルモンレセプターが陰性の場合は、効果が期待できない。   Although hormone therapy is said to be effective for hormone-dependent cancer, it is effective when the hormone receptor is positive, but when the hormone receptor is negative, no effect can be expected.

放射線療法はほぼ確実に癌等腫瘍細胞を破壊することができるが、固定された臓器にのみ照射可能であるため、正常細胞間の腫瘍に放射線を照射することによる正常細胞の被爆損傷も懸念される。   Although radiation therapy can almost certainly destroy tumor cells such as cancer, it is possible to irradiate only fixed organs, so there is a concern about exposure damage to normal cells caused by irradiation of tumors between normal cells. The

粒子線療法は放射線療法の一種である。一般に放射線といわれるエックス線やガンマ線などは、体表面から浅い部分に対する細胞破壊効果が高く、体表面か深い部分の治療には不向きであるが、陽子をサイクロトンや加速器で加速させ得られた陽子線・重粒子線を使用した場合、体表面より深い部分での被爆線量の度合いが大きくなるため、体表面から深い部分の癌に対して有効であると言われている。ただ、放射線には変わりがないため正常細胞の被爆損傷も懸念される。   Particle beam therapy is a type of radiation therapy. X-rays and gamma rays, which are generally referred to as radiation, have a high cell destruction effect on the shallow part from the body surface and are not suitable for treatment of the deep part of the body surface, but protons obtained by accelerating protons with cycloton or accelerator・ When heavy particle beams are used, the amount of radiation exposure at the deeper part of the body surface increases, so it is said to be effective against cancers deeper from the body surface. However, since radiation has not changed, there is concern about damage to normal cells.

免疫療法は増殖させた血中のキラー細胞により癌細胞を死滅させる療法であるが、繁殖に長期間必要であり、またその費用は高額である。   Immunotherapy is a therapy in which cancer cells are killed by killer cells in the blood that has been proliferated, but is necessary for reproduction for a long period of time, and its cost is high.

また、同様の免疫療法として、患者の摘出癌等腫瘍細胞を第三者のリンパ球により死滅させ、癌等腫瘍細胞を異物として認識した第三者リンパ球を投与することで、異物である第三者リンパ球を死滅させる療法もある。この療法では、第三者リンパ球に含まれる患者の癌等腫瘍細胞が異物であるという情報が、患者のリンパ球に刷り込まれるため、その情報を基に患者の癌等腫瘍細胞を患者のリンパ球が攻撃し始めるが、癌等腫瘍細胞に正常細胞が含まれていた場合、患者本人のリンパ球が癌等腫瘍細胞のみならず正常細胞までも攻撃することとなり(GVHD(移植片対宿主病)と言う)、ややもすれば自殺行為となりかねない。   In addition, as a similar immunotherapy, tumor cells such as removed cancer of a patient are killed by third party lymphocytes, and third party lymphocytes that recognize tumor cells such as cancer as foreign substances are administered, so that the There are also therapies that kill the tripartite lymphocytes. In this therapy, the information that the patient's cancer tumor cells contained in the third-party lymphocytes is a foreign substance is imprinted on the patient's lymphocytes. The sphere begins to attack, but when normal cells are contained in tumor cells such as cancer, the patient's own lymphocytes attack not only tumor cells such as cancer but also normal cells (GVHD (graft-versus-host disease) )), Or it could be suicide.

カテーテル治療とは癌細胞の癌血管を閉塞させ、癌を弱らせる療法で、癌細胞近傍に直接抗癌剤を投与する療法である。カテーテルを使用して癌血管を閉塞させることは癌血管がひとつではないこと、また、癌近傍にカテーテルを挿入し閉塞抗癌剤等の治療作業を行うことで、癌細胞の転移を促す可能性もある。   Catheter treatment is a therapy that blocks cancer blood vessels of cancer cells and weakens the cancer, and is a therapy in which an anticancer drug is administered directly in the vicinity of the cancer cells. Occlusion of cancer blood vessels using a catheter means that there is no single cancer blood vessel, and there is a possibility of promoting cancer cell metastasis by inserting a catheter in the vicinity of the cancer and performing treatment such as an anticancer agent for obstruction .

穿刺治療として、エタノール注入療法や熱凝固療法があり、熱凝固療法のなかにマイクロ波治療とラジオ波治療とがある。エタノール注入療法では、高濃度のエタノールで癌細胞や癌血管を壊す療法であり、熱凝固法以降の癌血管の除去に十分効果があるが、注入したアルコールが拡散してしまうため、併用療法と考えられる。   Puncture treatment includes ethanol injection therapy and thermocoagulation therapy. Among thermocoagulation therapy, there are microwave therapy and radiofrequency therapy. Ethanol infusion therapy is a therapy that destroys cancer cells and cancer blood vessels with a high concentration of ethanol, and is effective in removing cancer blood vessels after thermocoagulation, but the injected alcohol diffuses. Conceivable.

熱凝固療法のうちマイクロ波治療は、高周波を針先から発生させることにより、細胞を振動させ、その振動熱により癌細胞を死滅させる療法であるが、電子レンジと同様の機構でありマイクロ波自体の人体に対する影響に疑問が残る。   Among thermocoagulation therapy, microwave therapy is a therapy in which cells are vibrated by generating a high frequency from the needle tip, and cancer cells are killed by the vibrational heat. The question remains about the impact on the human body.

また、熱凝固療法のうちラジオ波治療は、電極の放熱により近傍細胞に熱を加え、癌細胞を死滅させる療法であるが、熱量が器具先端に集中する療法であるため、治療中の発熱により癌細胞が焼灼破裂したり、熱で他の臓器に穴を開け患者を死に至らしめたりする事故が起こっており、相当の熟練者でなければ行えない療法である。さらに、熱による焼灼破裂によって癌を撒き散らしているのではないかと言われている。   In addition, radiofrequency therapy among thermocoagulation therapy is a therapy that kills cancer cells by applying heat to neighboring cells by heat dissipation from the electrodes, but because the heat is concentrated at the tip of the instrument, Accidents have occurred where cancer cells have ruptured, or holes have been made in other organs by heat, leading to the death of patients. Furthermore, it is said that cancer is scattered by the burning of the ablation by heat.

温熱療法は癌等腫瘍細胞が42〜43度程度の温度で消滅することが臨床例より確認されていることから考案された療法であり、従来、加熱採血循環法、熱体接着法、ハイパーサーミア等の療法が行われてきた。   Hyperthermia is a therapy devised from the fact that tumor cells such as cancer disappear at a temperature of about 42 to 43 degrees from clinical cases. Conventionally, a heated blood circulation method, a thermal body adhesion method, a hyperthermia, etc. The therapy has been carried out.

加熱採血循環法は、42度程度に加熱した血液を、体内を循環させることで癌等腫瘍細胞を死滅さる療法であるが、現在は行われていない。これは、体表面でなく、体内より体表面までが42度程度の熱を持ち、また、温熱療法は長時間加熱治療することで効果が現れる療法で、相当長時間に渡ってこの治療を受けた場合、強健な体を持つ者であっても相当な苦痛が伴う。   The heated blood collection and circulation method is a therapy that kills tumor cells such as cancer by circulating blood heated to about 42 degrees in the body, but is not currently performed. This is not the body surface, but has a heat of about 42 degrees from the body to the body surface, and thermotherapy is a therapy that is effective when heated for a long time. If you have a strong body, there will be considerable pain.

熱体接着法は、発熱体を患部表皮に押しつけて部分的に加熱することで、深部に有る癌等腫瘍細胞まで加温してゆく療法であるが、やはり現在は殆ど行われていない。前記加熱採決循環法と同様、相当な苦痛が伴う。   The thermal body bonding method is a therapy in which a heating element is pressed against the affected epidermis and heated partially to heat up tumor cells such as cancer in the deep part, but it is hardly performed at present. As with the heating voting circulation method, considerable pain is involved.

ハイパーサーミアは、電磁波により腫瘍を振動発熱させ腫瘍を消滅させる方法である。これは簡単に言えば電子レンジを癌等腫瘍治療に応用したものであり、電磁波による熱以外の影響が少ないとみられていることから、近年、有効な療法として実用化が進んでいる療法であるが、電磁波による正常細胞に対する熱以外の影響がないのであれば、最も有効な癌等腫瘍等腫瘍治療法と考えられる。   Hyperthermia is a method of causing a tumor to vibrate and generate heat by electromagnetic waves so that the tumor disappears. In simple terms, this is an application of microwave ovens to treat tumors such as cancer, and is considered to have little effect other than heat from electromagnetic waves. However, if there is no effect other than heat on normal cells due to electromagnetic waves, it is considered the most effective method for treating tumors such as tumors such as cancer.

温熱療法の類似法として、鍼灸針の摘み部分を熱し、その熱を体表面より患部に伝える方法もあるが、本来、鍼灸の用途に要するものであり、癌等腫瘍細胞の治療用具としては、熱量及び加熱時間が不足するため用をなさない。   As a similar method of thermotherapy, there is a method of heating the picked part of the acupuncture needle and transmitting the heat from the body surface to the affected area, but it is originally required for the use of acupuncture, and as a treatment tool for tumor cells such as cancer, Since the amount of heat and heating time are insufficient, it is not used.

従来、上記したような治療方法を行うため、各種医療器具が開発されている(例えば、特許文献1〜6参照)。   Conventionally, various medical instruments have been developed to perform the above-described treatment methods (see, for example, Patent Documents 1 to 6).

特許文献1に記載の発明は、治療具内部の絶縁芯材を治療具の前後に固定した発熱治療具であり、注射針として利用することができず、絶縁芯材の先端及び治療具全体より腫瘍及び治療具の自体の殺菌を行うことができない。   The invention described in Patent Document 1 is a fever treatment tool in which an insulating core material inside a treatment tool is fixed before and after the treatment tool, and cannot be used as an injection needle. The tumor and the treatment device itself cannot be sterilized.

特許文献2に記載の発明は、マイクロ波発熱作用を利用した発熱治療具であり、その先端を広くとることにより、マイクロ波の影響範囲を広げる発明であり、本発明による電熱発電方式とは根本的に異種の発明である。   The invention described in Patent Document 2 is a fever treatment tool that utilizes microwave heat generation action, and is an invention that widens the range of influence of microwaves by taking a wide tip, and is fundamentally different from the electrothermal power generation method according to the present invention. It is a heterogeneous invention.

特許文献3に記載の発明は、治療具の先端より、マイクロ波アンテナを横出しにすることによってマイクロ波の影響範囲を広げる発明であり、針先若しくは針芯材に発熱体を有していないため、特許文献2同様、本発明による電熱発電方式とは根本的に異種の発明である。   The invention described in Patent Document 3 is an invention in which the microwave antenna is extended from the distal end of the treatment tool to extend the microwave influence range, and the needle tip or needle core does not have a heating element. Therefore, like Patent Document 2, the invention is fundamentally different from the electrothermal power generation method according to the present invention.

特許文献4に記載の発明は、交流磁場で患部を加熱する生体加熱針で針管の空芯部の全部又は一部に充填してなることを特徴とする発明であり、生体加熱針を発熱させるため交流磁場誘導コイルが必要であり、注射針としての機能はない。さらに、移動可能とした芯材先端及び治療具全体より電気分解による消毒液を発生させ腫瘍及び治療具自体の殺菌を行うことはできない。そのため、本発明は根本的に異種の発明である。   The invention described in Patent Document 4 is an invention characterized in that all or part of the air core part of the needle tube is filled with a living body heating needle that heats the affected part with an alternating magnetic field, and the living body heating needle is heated. Therefore, an AC magnetic field induction coil is necessary and there is no function as an injection needle. Furthermore, it is impossible to sterilize the tumor and the treatment tool itself by generating a disinfecting solution by electrolysis from the movable core material tip and the entire treatment tool. Therefore, the present invention is fundamentally a heterogeneous invention.

特許文献5に記載の発明は、モノポーラ及びバイポーラ電極を持つ治療用または診断用薬剤送出装置である。モノポーラ電極は、高周波電流発生装置に接続して生体組織の凝固、切開に用いる電極であり、バイポーラ電極は、先端に陽極と陰極を交互に螺旋上に配したものであり、隣り合う2極間に電流が流れるため侵襲が深部に至らない等の特徴を有するものである。また、その形状は内筒と外筒の間に空間を持つ二重針構造であり、外筒側面に吸引ポートを有するものであり、二重筒構造になっている。以上からも、本発明は根本的に異種の発明である。   The invention described in Patent Document 5 is a therapeutic or diagnostic drug delivery device having a monopolar and bipolar electrode. A monopolar electrode is an electrode that is connected to a high-frequency current generator and used for coagulation and incision of living tissue. A bipolar electrode has an anode and a cathode alternately arranged at the tip on a spiral, and is between two adjacent electrodes. Since the current flows through, the invasion does not reach the deep part. Further, the shape is a double needle structure having a space between the inner cylinder and the outer cylinder, and a suction port is provided on the side surface of the outer cylinder, thus forming a double cylinder structure. From the above, the present invention is fundamentally different.

特許文献6に記載の発明は、高周波温熱治療電極であり、絶縁部材に針状導体を差し込んだ構造であるため、単独での発熱は不可能であり、本発明とは根本的に異種の発明である。   The invention described in Patent Document 6 is a high-frequency thermotherapy electrode, and has a structure in which a needle-like conductor is inserted into an insulating member. Therefore, independent heat generation is impossible, and the invention is fundamentally different from the present invention. It is.

特表2003−511211号公報Japanese translation of PCT publication No. 2003-511211 特表2004−518471号公報JP-T-2004-518471 特表2006−503630号公報JP-T-2006-503630 特開2007−244748号公報JP 2007-244748 A 特表2006−520663号公報JP 2006-520663 A 特開平6−190059号公報JP-A-6-190059

しかしながら、上記した従来の医療器具では、癌の発生部位によっては治療を行うことができないといった問題があった。   However, the above-described conventional medical devices have a problem that treatment cannot be performed depending on the cancer occurrence site.

また、患者の体力の消耗が大きく、薬害等後遺症や放射線や電磁波による正常細胞の損傷後遺症のおそれがあるといった問題があった。   In addition, there is a problem that the patient's physical strength is greatly consumed, and there is a possibility of sequelae such as phytotoxicity and sequelae of normal cell damage due to radiation or electromagnetic waves.

さらに、腫瘍に接触することによって腫瘍転移が起きたり、転移を抑えるために細胞の焼灼破裂が起きたりするおそれがあるといった問題があった。   Furthermore, there has been a problem that tumor metastasis may occur due to contact with the tumor, or cell ablation rupture may occur to suppress metastasis.

さらにまた、高度で高額の施設や設備を必要とし、簡便に誰でも治療することができず、治療費が嵩むといった問題もあった。   Furthermore, there is a problem that an expensive and expensive facility and equipment are required, and no one can easily treat, and the treatment cost increases.

本発明は、上記した課題を解決すべくなされたものであり、癌の発生部位に拘らず治療を行うことができ、後遺症や腫瘍転位のおそれがなく、治療費の低減化を図ることのできる医療器具を提供することを目的とするものである。   The present invention has been made to solve the above-described problems, can be treated regardless of the site of occurrence of cancer, has no risk of sequelae or tumor metastasis, and can reduce the cost of treatment. The object is to provide a medical device.

上記した目的を達成するため、本発明に係る医療器具は、正電極と負電極のいずれか一方の電極に接続される電導性筒状部材により形成され、先端側面に薬液注入孔を有する針管と、基端側から該針管の内部に挿入可能に設けられ、該針管と反対の電極に接続される電導性針状部材により形成され、前記針管の内面に接触する外周面に絶縁部が形成された針体と、前記針管の先端側開口を閉塞可能且つ前記針体の先端に接触可能に設けられた所定の発熱抵抗を有する発熱体とを備え、前記針体を基端側から前記針管の内部に挿入し、前記針体の先端を前記発熱体に接触させると、該発熱体を介して前記針体と前記針管とが通電するように構成されていることを特徴とする。   In order to achieve the above-described object, a medical device according to the present invention is formed by a conductive cylindrical member connected to one of a positive electrode and a negative electrode, and has a needle tube having a drug solution injection hole on the side surface of the distal end. The conductive needle-like member is provided so as to be inserted into the needle tube from the base end side and is connected to an electrode opposite to the needle tube, and an insulating portion is formed on the outer peripheral surface contacting the inner surface of the needle tube. And a heating element having a predetermined heating resistance provided so as to be able to close the opening on the distal end side of the needle tube and to be in contact with the distal end of the needle body, and the needle body from the proximal end side of the needle tube The needle body and the needle tube are energized through the heating element when inserted inside and the tip of the needle body is brought into contact with the heating element.

また、本発明に係る医療器具において、前記薬液注入孔は前記針体の先端部が前記針管から出入り可能なように形成されていてもよい。   Moreover, the medical device which concerns on this invention WHEREIN: The said chemical | medical solution injection hole may be formed so that the front-end | tip part of the said needle body can enter / exit from the said needle tube.

また、本発明に係る医療器具は、正電極と負電極のいずれか一方の電極に接続される電導性筒状部材により形成された針管と、基端側から該針管の内部に挿入可能に設けられ、該針管と反対の電極に接続される電導性針状部材により形成され、前記針管の内面に接触する外周面に絶縁部が形成された針体と、前記針管の先端と前記針体の先端の少なくともいずれか一方に設けられた所定の発熱抵抗を有する発熱体とを備え、前記針体を基端側から前記針管の内部に挿入すると、前記針体と前記針管とが前記発熱体を介して接触し、通電するように構成されていることを特徴とする。   The medical instrument according to the present invention is provided with a needle tube formed of a conductive cylindrical member connected to one of the positive electrode and the negative electrode, and inserted into the needle tube from the proximal end side. A needle body formed by a conductive needle-like member connected to an electrode opposite to the needle tube and having an insulating portion formed on an outer peripheral surface thereof in contact with the inner surface of the needle tube; a tip of the needle tube; A heating element having a predetermined heating resistance provided at at least one of the distal ends, and when the needle body is inserted into the needle tube from the proximal end side, the needle body and the needle tube cause the heating element to It is comprised so that it may contact and may energize.

さらに、本発明に係る医療器具において、前記針管及び前記針体が可撓性材料により形成されていてもよい。   Furthermore, in the medical instrument according to the present invention, the needle tube and the needle body may be formed of a flexible material.

本発明によれば、癌の発生部位に拘らず治療を行うことができ、後遺症や腫瘍転位のおそれがなく、治療費の低減化を図ることができる等、種々の優れた効果を得ることができる。   According to the present invention, it is possible to perform treatment regardless of the site of occurrence of cancer, there is no risk of sequelae or tumor rearrangement, and various excellent effects can be obtained, such as reduction in treatment costs. it can.

(a)〜(c)はいずれも本発明の第1の実施の形態に係る医療器具を示す断面図である。(A)-(c) is sectional drawing which shows the medical device which concerns on the 1st Embodiment of this invention altogether. (a)〜(e)はいずれも本発明の第1の実施の形態に係る医療器具の使用方法を示す断面図である。(A)-(e) is sectional drawing which shows the usage method of the medical device which concerns on the 1st Embodiment of this invention. (a)〜(c)はいずれも本発明の第2の実施の形態に係る医療器具を示す断面図である。(A)-(c) is sectional drawing which shows all the medical devices which concern on the 2nd Embodiment of this invention. (a)〜(e)はいずれも本発明の第2の実施の形態に係る医療器具の使用方法を示す断面図である。(A)-(e) is sectional drawing which shows the usage method of the medical device which concerns on the 2nd Embodiment of this invention. (a)〜(c)はいずれも本発明の第2の実施の形態に係る医療器具の別の使用方法を示す断面図である。(A)-(c) is sectional drawing which shows another usage method of the medical device which concerns on the 2nd Embodiment of this invention. (a)〜(c)はいずれも本発明の第3の実施の形態に係る医療器具を示す断面図である。(A)-(c) is sectional drawing which shows all the medical devices which concern on the 3rd Embodiment of this invention. (a)〜(e)はいずれも本発明の第3の実施の形態に係る医療器具の使用方法を示す断面図である。(A)-(e) is sectional drawing which shows the usage method of the medical device which concerns on the 3rd Embodiment of this invention. (a)〜(c)はいずれも本発明の第3の実施の形態に係る医療器具の変形例を示す断面図である。(A)-(c) is sectional drawing which shows the modification of the medical device which concerns on the 3rd Embodiment of this invention. (a)〜(c)はいずれも本発明の第3の実施の形態に係る医療器具の別の変形例を示す断面図である。(A)-(c) is sectional drawing which shows another modification of the medical device which concerns on the 3rd Embodiment of this invention. (a)〜(c)はいずれも本発明の第3の実施の形態に係る医療器具のさらに別の変形例を示す断面図である。(A)-(c) is sectional drawing which shows another modification of the medical device which concerns on the 3rd Embodiment of this invention.

以下、図面を参照しつつ、本発明の実施の形態について説明する。   Hereinafter, embodiments of the present invention will be described with reference to the drawings.

先ず、図1(a)〜(c)を参照しつつ、本発明の第1の実施の形態に係る医療器具の構成について説明する。   First, the configuration of the medical device according to the first embodiment of the present invention will be described with reference to FIGS.

図1(a)〜(c)はいずれも本発明の第1の実施の形態に係る医療器具を示す断面図であり、本実施の形態に係る医療器具10は、電導性の細い円筒状部材により形成された針管11と、電導性の細い針状部材により形成された針体12とを備えており、針体12は基端側から針管11の内部に挿入可能となっている。   1 (a) to 1 (c) are cross-sectional views showing a medical instrument according to the first embodiment of the present invention. The medical instrument 10 according to the present embodiment is a thin cylindrical member having electrical conductivity. And a needle body 12 formed by a thin conductive needle-like member. The needle body 12 can be inserted into the needle tube 11 from the base end side.

針管11は、先端が斜めに切断された尖形形状を成し、先端側面には薬液注入孔13が穿設されており、基端部には正電極と負電極のいずれか一方の電極が接続されるようになっている。また、針管11の先端には、針管11の先端側開口を閉塞するように所定の発熱抵抗を有する金属製の発熱体14が溶着されており、発熱体14は針管11の先端形状に合致する尖形形状を成している。   The needle tube 11 has a pointed shape with a distal end cut obliquely, a chemical solution injection hole 13 is formed in the side surface of the distal end, and either a positive electrode or a negative electrode is formed at the proximal end portion. Connected. Further, a metal heating element 14 having a predetermined heat generation resistance is welded to the tip of the needle tube 11 so as to close the opening on the distal end side of the needle tube 11, and the heating element 14 matches the tip shape of the needle tube 11. It has a pointed shape.

針体12は、発熱体14に合致するように先端が斜めに切断された尖形形状を成し、針管11の内面に接触する外周面には絶縁部15が形成されており、基端部には針管11と反対の電極が接続されるようになっている。   The needle body 12 has a pointed shape with a distal end obliquely cut so as to match the heating element 14, and an insulating portion 15 is formed on the outer peripheral surface contacting the inner surface of the needle tube 11. Is connected to an electrode opposite to the needle tube 11.

次に、図2(a)〜(e)を参照しつつ、上記した医療器具10の使用方法について癌治療を行う場合を例にとって説明する。ここで、図2(a)〜(e)はいずれも本実施の形態に係る医療器具の使用方法を示す断面図である。   Next, with reference to FIGS. 2A to 2E, a method for using the above-described medical device 10 will be described by taking a case where cancer treatment is performed as an example. Here, FIGS. 2A to 2E are all cross-sectional views illustrating a method of using the medical instrument according to the present embodiment.

先ず、図2(a)に示すように、患者の体表面16若しくは針管11の基端部に負電極を取り付け、患者の体表面16から癌腫瘍部分17まで針管11を体内に挿入し、針管11の内部に麻酔液9を注入する。   First, as shown in FIG. 2A, a negative electrode is attached to the patient's body surface 16 or the proximal end of the needle tube 11, and the needle tube 11 is inserted into the body from the patient's body surface 16 to the cancer tumor portion 17, 11 is injected with an anesthetic solution 9.

次いで、図2(b)に示すように基端側から針管11の内部に針体12を挿入する。その後、図2(c)に示すように、針体12の基端部に正電極を取り付けると共に針管11の基端部に負電極を取り付け、針体12の先端を発熱体14に接触させて通電すると、発熱体14は電気抵抗により定温(例えば42度程度)発熱する。この発熱により、癌腫瘍部分17の体内汚染物質は殺菌消毒され、壊死する。   Next, as shown in FIG. 2B, the needle body 12 is inserted into the needle tube 11 from the proximal end side. 2C, a positive electrode is attached to the proximal end portion of the needle body 12, and a negative electrode is attached to the proximal end portion of the needle tube 11, and the distal end of the needle body 12 is brought into contact with the heating element 14. When energized, the heating element 14 generates heat at a constant temperature (for example, about 42 degrees) due to electrical resistance. Due to this fever, the pollutants in the cancer tumor portion 17 are sterilized and necrotized.

また、図2(d)に示すように、体表面16に負電極を接続すると共に針体12に正電極を接続すれば、生体体液の電気分解が始まり、生体体液に含まれる塩水から塩素18が発生する。この塩素18により、体内汚染微粒物質は殺菌消毒され、壊死する。なお、この時、患者の複数の箇所に針管11が挿入されている場合には、体表面16に負電極を接続する代わりに他の針管11に負電極を接続してもよい。   Further, as shown in FIG. 2 (d), when a negative electrode is connected to the body surface 16 and a positive electrode is connected to the needle body 12, the electrolysis of the biological body fluid starts, and chlorine 18 from the salt water contained in the biological body fluid starts. Will occur. This chlorine 18 sterilizes the body-contaminated particulate matter and necroses it. At this time, when the needle tube 11 is inserted in a plurality of locations of the patient, the negative electrode may be connected to another needle tube 11 instead of connecting the negative electrode to the body surface 16.

その後、図2(e)に示すように、針管11から針体12を抜き取り、針管11の内部に無水エタノールの薬液19を注入し、体内汚染微粒物質用血管を殺菌消毒する。   Thereafter, as shown in FIG. 2 (e), the needle body 12 is removed from the needle tube 11, and a chemical solution 19 of absolute ethanol is injected into the needle tube 11 to sterilize and disinfect the blood vessel for pollutants in the body.

また、図2(e)において針管11及び針体12より発生させた塩素18をチオ硫酸ナトリウム等によって中和も可能となる。   Further, in FIG. 2E, the chlorine 18 generated from the needle tube 11 and the needle body 12 can be neutralized with sodium thiosulfate or the like.

次に、図3〜図5を参照しつつ、本発明の第2の実施の形態に係る医療器具の構成について説明する。なお、以下の説明では、説明の簡略化のため、第1の実施の形態に係る医療器具10と同様の構成については、図3〜図5中、図1及び図2と同一の符号を付し、それらの構成についての詳細な説明は省略する。   Next, the configuration of the medical instrument according to the second embodiment of the present invention will be described with reference to FIGS. In the following description, for simplification of description, the same reference numerals as those in FIGS. 1 and 2 are assigned to the same configurations as those of the medical instrument 10 according to the first embodiment in FIGS. Detailed descriptions of these configurations will be omitted.

図3(a)〜(c)はいずれも本発明の第2の実施の形態に係る医療器具を示す断面図であり、この断面図を見れば分かるように、本実施の形態に係る医療器具20は、針体12の先端部が針管11から出入り可能なように薬液注入孔21が針体12の挿入方向に沿って長く形成されている点を除いては、上記した第1の実施の形態に係る医療器具10と同様の構成を備えている。この場合、薬液注入孔21の周壁部分22と針体12の先端面12aはそれぞれ針管11及び発熱体14の各先端面11a,14aに平行に傾斜して形成されている。これにより、針体12の先端部の針管11からの出入り動作を円滑に行うことができる。   FIGS. 3A to 3C are all cross-sectional views showing a medical device according to the second embodiment of the present invention. As can be seen from this cross-sectional view, the medical device according to the present embodiment is shown in FIGS. 20 is the first embodiment described above except that the chemical solution injection hole 21 is formed long along the insertion direction of the needle body 12 so that the tip of the needle body 12 can enter and exit from the needle tube 11. A configuration similar to that of the medical instrument 10 according to the embodiment is provided. In this case, the peripheral wall portion 22 of the chemical solution injection hole 21 and the distal end surface 12a of the needle body 12 are formed to be inclined in parallel to the distal end surfaces 11a and 14a of the needle tube 11 and the heating element 14, respectively. Thereby, the entrance / exit operation | movement from the needle tube 11 of the front-end | tip part of the needle body 12 can be performed smoothly.

図4(a)〜(e)はいずれも本発明の第2の実施の形態に係る医療器具20を使用して癌治療を行う方法を示す断面図であり、先ず、図4(a)に示すように、針管11の基端部に負電極を取り付け、患者の体表面16から癌腫瘍部分17まで針管11を体内に挿入した後、針体12を針管11の内部に挿入する。   4 (a) to 4 (e) are cross-sectional views showing a method for performing cancer treatment using the medical device 20 according to the second embodiment of the present invention. First, FIG. As shown, a negative electrode is attached to the proximal end of the needle tube 11, the needle tube 11 is inserted into the body from the body surface 16 of the patient to the cancer tumor portion 17, and then the needle body 12 is inserted into the needle tube 11.

次いで、図4(b)に示すように、薬液注入孔21から針体12の先端部を針管11の外部の癌腫瘍部分17に突出させ、体表面16に負電極を接続すると共に針体12に正電極を接続して通電すると、針体12の先端部の近傍において生体体液の電気分解が始まり、生体体液に含まれる塩水から塩素18が発生する。この塩素18により、体内汚染微粒物質は殺菌消毒され、壊死する。なお、この時、患者の複数の箇所に針管12が挿入されている場合には、体表面16に負電極を接続する代わりに他の針管12に負電極を接続してもよい。   Next, as shown in FIG. 4 (b), the tip of the needle body 12 is projected from the drug solution injection hole 21 to the cancer tumor portion 17 outside the needle tube 11, and a negative electrode is connected to the body surface 16 and the needle body 12. When the positive electrode is connected to the electrode and energized, electrolysis of the biological fluid starts near the tip of the needle body 12, and chlorine 18 is generated from the salt water contained in the biological fluid. This chlorine 18 sterilizes the body-contaminated particulate matter and necroses it. At this time, when the needle tube 12 is inserted in a plurality of locations of the patient, the negative electrode may be connected to another needle tube 12 instead of connecting the negative electrode to the body surface 16.

その後、図4(c)に示すように、針体12を針管11の内部に戻し、針体12の先端面12aを発熱体14に接触させて通電すると、発熱体14は電気抵抗により定温発熱する。この発熱により、癌腫瘍部分17の体内汚染物質は殺菌消毒され、壊死する。   Thereafter, as shown in FIG. 4C, when the needle body 12 is returned to the inside of the needle tube 11 and the distal end surface 12a of the needle body 12 is brought into contact with the heating element 14 and energized, the heating element 14 generates constant temperature heat by electric resistance. To do. Due to this fever, the pollutants in the cancer tumor portion 17 are sterilized and necrotized.

また、図4(d)に示すように、体表面16に負電極を接続すると共に針体12に正電極を接続すれば、生体体液の電気分解が始まり、生体体液に含まれる塩水から塩素18が発生する。この塩素18により、体内汚染微粒物質は殺菌消毒され、壊死する。   As shown in FIG. 4 (d), when a negative electrode is connected to the body surface 16 and a positive electrode is connected to the needle body 12, the electrolysis of the biological body fluid starts, and chlorine 18 from the salt water contained in the biological body fluid begins. Will occur. This chlorine 18 sterilizes the body-contaminated particulate matter and necroses it.

その後、図4(e)に示すように、針管11から針体12を抜き取り、針管11の内部に薬液19を注入し、体内汚染微粒物質用血管を殺菌消毒する。   Thereafter, as shown in FIG. 4 (e), the needle body 12 is removed from the needle tube 11, and the drug solution 19 is injected into the needle tube 11 to sterilize and disinfect the body-contaminated fine substance blood vessel.

このように上記した第2の実施の形態に係る医療器具20によれば、患者の体内において針体12の先端部を針管11の外部に突出させることができるため、広範囲に亘って塩素18を発生させ、体内汚染微粒物質の殺菌消毒効果をさらに高めることができる。   As described above, according to the medical instrument 20 according to the second embodiment described above, the distal end portion of the needle body 12 can be protruded outside the needle tube 11 in the body of the patient. It can be generated to further enhance the sterilizing and disinfecting effect of the pollutant in the body.

図5は本発明の第2の実施の形態に係る医療器具20を使用して体内の検査、切開等の必要処置を行う方法を示す断面図であり、この場合には、先ず、患者の体表面16若しくは針管11の基端部に負電極23を取り付け、患者の体表面16から針管11を体内に挿入し、検査、切開等の必要処置を行う。   FIG. 5 is a cross-sectional view showing a method for performing necessary treatments such as inspection and incision in the body using the medical device 20 according to the second embodiment of the present invention. A negative electrode 23 is attached to the surface 16 or the proximal end of the needle tube 11, and the needle tube 11 is inserted into the body from the body surface 16 of the patient to perform necessary treatments such as examination and incision.

次いで、図5に示すように、針管11に正電極を接続し、体表面に負電極23を接続し、通電させると、針管11の外表面において生体体液の電気分解が始まり、生体体液に含まれる塩水から塩素18が発生し、この塩素18により、体内汚染微粒物質は殺菌消毒され、壊死する。その後、針管11を体内から抜き取る。   Next, as shown in FIG. 5, when a positive electrode is connected to the needle tube 11 and a negative electrode 23 is connected to the body surface and energized, electrolysis of the biological body fluid starts on the outer surface of the needle tube 11 and is included in the biological body fluid. Chlorine 18 is generated from the salt water to be sterilized, and the internal pollutant is sterilized and necrotized by the chlorine 18. Thereafter, the needle tube 11 is removed from the body.

次に、図6(a)〜(c)を参照しつつ、本発明の第3の実施の形態に係る医療器具の構成について説明する。   Next, the configuration of the medical device according to the third embodiment of the present invention will be described with reference to FIGS.

図6(a)〜(c)はいずれも本発明の第3の実施の形態に係る医療器具を示す断面図であり、本実施の形態に係る医療器具30は、電導性の細い円筒状部材により形成された針管31と、電導性の細い針状部材により形成された針体32とを備えており、針体32は基端側から針管31の内部に挿入可能となっている。   6 (a) to 6 (c) are cross-sectional views showing a medical instrument according to the third embodiment of the present invention. The medical instrument 30 according to the present embodiment is a thin cylindrical member having electrical conductivity. And a needle body 32 formed of a thin conductive needle-like member. The needle body 32 can be inserted into the needle tube 31 from the proximal end side.

針管31は、先端が斜めに切断された尖形形状を成し、先端面は開口されており、基端部には正電極と負電極のいずれか一方の電極が接続されるようになっている。   The needle tube 31 has a pointed shape with a distal end cut obliquely, the distal end surface is open, and either the positive electrode or the negative electrode is connected to the proximal end portion. Yes.

針体32には、針管31の内面に接触する外周面に絶縁部33が形成されており、基端部に針管31と反対の電極が接続されるようになっている。針体32の先端には、所定の発熱抵抗を有する金属製の発熱体34が溶着されており、発熱体34の先端面は針管31の先端形状に合致する尖形形状を成している。   In the needle body 32, an insulating portion 33 is formed on the outer peripheral surface contacting the inner surface of the needle tube 31, and an electrode opposite to the needle tube 31 is connected to the proximal end portion. A metal heating element 34 having a predetermined heat generation resistance is welded to the distal end of the needle body 32, and the distal end surface of the heating element 34 has a pointed shape that matches the distal end shape of the needle tube 31.

次に、図7(a)〜(g)を参照しつつ、上記した医療器具10の使用方法について癌治療を行う場合を例にとって説明する。ここで、図7(a)〜(g)はいずれも本実施の形態に係る医療器具の使用方法を示す断面図である。   Next, with reference to FIGS. 7A to 7G, a method for using the above-described medical device 10 will be described by taking as an example a case where cancer treatment is performed. Here, FIGS. 7A to 7G are cross-sectional views each showing a method of using the medical instrument according to the present embodiment.

先ず、図7(a)に示すように、患者の体表面16若しくは針管31の基端部に負電極を取り付け、患者の体表面16から癌腫瘍部分17まで針管31を体内に挿入し、針管31の内部に麻酔液9を注入する。   First, as shown in FIG. 7 (a), a negative electrode is attached to the patient's body surface 16 or the proximal end of the needle tube 31, and the needle tube 31 is inserted into the body from the patient's body surface 16 to the cancer tumor portion 17, Anesthetic liquid 9 is injected into 31.

次いで、図7(b)に示すように、基端側から針管31の内部に針体32を挿入し、針体32の基端部に正電極を取り付けた後、図7(c)に示すように、針管31の先端から針体32の先端部を針管31の外部の癌腫瘍部分17に突出させ、通電すると、針体32の先端部の近傍において生体体液の電気分解が始まり、生体体液に含まれる塩水から塩素18が発生する。この塩素18により、体内汚染微粒物質は殺菌消毒され、壊死する。   Next, as shown in FIG. 7B, the needle body 32 is inserted into the inside of the needle tube 31 from the proximal end side, and a positive electrode is attached to the proximal end portion of the needle body 32, and then shown in FIG. As described above, when the distal end portion of the needle body 32 protrudes from the distal end of the needle tube 31 to the cancer tumor portion 17 outside the needle tube 31 and is energized, the electrolysis of the biological body fluid starts in the vicinity of the distal end portion of the needle body 32, and the biological body fluid Chlorine 18 is generated from the salt water contained in the water. This chlorine 18 sterilizes the body-contaminated particulate matter and necroses it.

また、この時、図7(d)に示すように、針管31の基端部に正電極を接続し、体表面16に負電極を接続し、通電すると、針管31の外表面において体液の電気分解が始まり、体液から塩素18が発生する。この塩素18により、体内汚染微粒物質は殺菌消毒され、壊死する。なお、この時、患者の複数の箇所に針管12が挿入されている場合には、体表面16に負電極を接続する代わりに他の針管12に負電極を接続してもよい。   At this time, as shown in FIG. 7 (d), when a positive electrode is connected to the proximal end portion of the needle tube 31, a negative electrode is connected to the body surface 16, and energization occurs, Decomposition begins and chlorine 18 is generated from the body fluid. This chlorine 18 sterilizes the body-contaminated particulate matter and necroses it. At this time, when the needle tube 12 is inserted in a plurality of locations of the patient, the negative electrode may be connected to another needle tube 12 instead of connecting the negative electrode to the body surface 16.

次いで、図7(e)に示すように、針体32を針管31の内部に戻し、針体32の先端の発熱体34と針管31の先端部とを接触させて通電すると、発熱体34は電気抵抗により定温発熱する。この発熱により、癌腫瘍部分17の体内汚染物質は殺菌消毒され、壊死する。   Next, as shown in FIG. 7 (e), when the needle body 32 is returned to the inside of the needle tube 31 and the heating element 34 at the tip of the needle body 32 is brought into contact with the tip of the needle tube 31 to energize, the heating element 34 becomes Generates constant temperature heat due to electrical resistance. Due to this fever, the pollutants in the cancer tumor portion 17 are sterilized and necrotized.

また、図7(f)に示すように、通電状態のまま、針管31の内部において針体32を引き抜く方向に移動させると、この移動に伴って発熱箇所8も移動し、この発熱により、癌腫瘍部分17の体内汚染物質は順次、殺菌消毒され、壊死する。   Further, as shown in FIG. 7 (f), when the needle body 32 is moved in the direction of pulling out inside the needle tube 31 in the energized state, the heat generation point 8 is also moved along with the movement, and this heat generation causes cancer. The pollutants in the tumor portion 17 are sequentially sterilized and necrotized.

その後、図7(g)に示すように、針管31から針体32を抜き取り、針管31の内部に無水エタノールの薬液19を注入し、体内汚染微粒物質用血管を殺菌消毒する。   Thereafter, as shown in FIG. 7 (g), the needle body 32 is extracted from the needle tube 31, the chemical solution 19 of absolute ethanol is injected into the needle tube 31, and the blood vessel for in-vivo contaminated particulate matter is sterilized.

また、図7(g)において針管32及び針体32より発生させた塩素18を硫酸ナトリウム等によって中和も可能となる。   In addition, in FIG. 7G, the chlorine 18 generated from the needle tube 32 and the needle body 32 can be neutralized with sodium sulfate or the like.

なお、上記した第3の実施の形態では、針体32の先端にのみ発熱体34を取り付けているが、これは単なる例示に過ぎず、例えば、図8に示すように針体32の先端に加えて針管31の先端にも発熱体34を取り付けたり、或いは、図9に示すように針体32の先端の代わりに針管31の先端にのみ発熱体34を取り付けたりする等、発熱体34は針管32の先端と針体32の先端の少なくともいずれか一方に取り付けられていればよい。   In the third embodiment described above, the heating element 34 is attached only to the tip of the needle body 32. However, this is merely an example. For example, as shown in FIG. In addition, the heating element 34 is attached to the tip of the needle tube 31 or the heating element 34 is attached only to the tip of the needle tube 31 instead of the tip of the needle 32 as shown in FIG. It suffices to be attached to at least one of the tip of the needle tube 32 and the tip of the needle body 32.

また、図10に示すように、針管31及び針体32は電導柔軟性を有するカーボン繊維等の可撓性材料により形成されていてもよく、さらに、針管31内の偏心した位置に針管31の長手方向に沿って芯線(図示省略)を埋め込み、該芯線の基端部を針管31の基端から突出させてもよい。この場合、芯材の基端部を基端方向に引っ張ることにより、針管31の先端部を任意の角度に屈曲させることができる。   Further, as shown in FIG. 10, the needle tube 31 and the needle body 32 may be formed of a flexible material such as carbon fiber having conductive flexibility, and further, the needle tube 31 is disposed at an eccentric position in the needle tube 31. A core wire (not shown) may be embedded along the longitudinal direction, and the proximal end portion of the core wire may protrude from the proximal end of the needle tube 31. In this case, the distal end portion of the needle tube 31 can be bent at an arbitrary angle by pulling the proximal end portion of the core member in the proximal direction.

またさらに、針管31の先端部を屈曲させてフック(図示省略)を設け、該フックより硬質の直材の針体32を針管31の先端部分まで挿入させることにより、針管31のフックを真っ直ぐに延ばすこともできる。   Furthermore, the hook of the needle tube 31 is straightened by bending the tip of the needle tube 31 to provide a hook (not shown) and inserting the needle body 32, which is harder than the hook, up to the tip of the needle tube 31. It can be extended.

そしてこのような構成を採用することにより、本発明の医療器具を使用して固定臓器以外の治療を行うことも可能となり、癌の発生部位に拘らず治療を行うことができるようになる。   By adopting such a configuration, it becomes possible to perform treatments other than fixed organs using the medical instrument of the present invention, and it becomes possible to perform treatment regardless of the site of occurrence of cancer.

さらに、通電状態において針体32を移動させることにより、針管31内の発熱体34の位置において発熱が可能となる。   Furthermore, heat can be generated at the position of the heating element 34 in the needle tube 31 by moving the needle body 32 in the energized state.

またさらに、上記した第1〜第3の各実施の形態において、針管11,31や針体12,32に温度センサを取り付け、発熱体14,34の発熱温度を制御できるようにしてもよい。   Furthermore, in each of the first to third embodiments described above, a temperature sensor may be attached to the needle tubes 11 and 31 and the needle bodies 12 and 32 so that the heat generation temperature of the heat generators 14 and 34 can be controlled.

上記した本発明に係る医療器具によれば、腫瘍を直接加熱することにより、正常細胞を消滅・損傷させることなく腫瘍のみを消滅させることができるため、患者の体に対する影響を最小限に抑えることができ、薬害等後遺症や放射線や電磁波による正常細胞の損傷後遺症の発生を防止することができる。   According to the above-described medical device according to the present invention, by directly heating the tumor, only the tumor can be extinguished without extinguishing / damaging normal cells, thereby minimizing the influence on the patient's body. It is possible to prevent the occurrence of sequelae such as phytotoxicity and the sequelae of normal cell damage due to radiation or electromagnetic waves.

さらに、針管又は体表面に負電極(又は正電極)を接続し、針体に正電極(又は負電極)を接続して通電することにより生体体液に含まれる塩水から塩素を発生させ、治療箇所の殺菌消毒を行うことができるため、殺菌腫瘍に接触することによる腫瘍転移、転移を抑えるための細胞の焼灼破裂、及び体内からの針管引抜時の腫瘍攪拌の発生を確実に防止することができる。   Furthermore, a negative electrode (or positive electrode) is connected to the needle tube or the body surface, and the positive electrode (or negative electrode) is connected to the needle body and energized to generate chlorine from the salt water contained in the biological body fluid. As a result, it is possible to reliably prevent tumor metastasis caused by contact with a sterilized tumor, cell ablation rupture to suppress metastasis, and tumor agitation during needle tube withdrawal from the body. .

さらにまた、本発明に係る医療器具は外形が細い針状に形成されているため、1人の患者に対して同時に複数箇所の処置を行うことができ、治療の効果を高めることができる。   Furthermore, since the medical device according to the present invention is formed in a needle shape with a thin outer shape, a single patient can be treated at a plurality of locations at the same time, and the therapeutic effect can be enhanced.

さらにまた、高度で高額の施設や設備を必要とせず、簡便に誰でも治療することができるため、治療費の低減化を図ることもできる。   Furthermore, since anyone can treat easily without requiring an expensive and expensive facility or equipment, the treatment cost can be reduced.

10 医療器具
11 針管
12 針体
13 薬液注入孔
14 発熱体
15 絶縁部
20 医療器具
21 薬液注入孔
30 医療器具
31 針管
32 針体
33 絶縁部
34 発熱体
DESCRIPTION OF SYMBOLS 10 Medical instrument 11 Needle tube 12 Needle body 13 Chemical solution injection hole 14 Heating element 15 Insulation part 20 Medical instrument 21 Chemical solution injection hole 30 Medical instrument 31 Needle tube 32 Needle body 33 Insulation part 34 Heating element

Claims (4)

正電極と負電極のいずれか一方の電極に接続される電導性筒状部材により形成され、先端側面に薬液注入孔を有する針管と、
基端側から該針管の内部に挿入可能に設けられ、該針管と反対の電極に接続される電導性針状部材により形成され、前記針管の内面に接触する外周面に絶縁部が形成された針体と、
前記針管の先端側開口を閉塞可能且つ前記針体の先端に接触可能に設けられた所定の発熱抵抗を有する発熱体と、
を備え、前記針体を基端側から前記針管の内部に挿入し、前記針体の先端を前記発熱体に接触させると、該発熱体を介して前記針体と前記針管とが通電するように構成されていることを特徴とする医療器具。
Formed by a conductive cylindrical member connected to one of the positive electrode and the negative electrode, a needle tube having a chemical injection hole on the side surface of the tip;
An electrically conductive needle-like member is provided that can be inserted into the inside of the needle tube from the base end side, and is connected to an electrode opposite to the needle tube, and an insulating portion is formed on the outer peripheral surface that contacts the inner surface of the needle tube Needle body,
A heating element having a predetermined heating resistance provided so as to be able to close the distal end side opening of the needle tube and to be in contact with the distal end of the needle body;
When the needle body is inserted into the needle tube from the base end side and the tip of the needle body is brought into contact with the heating element, the needle body and the needle tube are energized through the heating element. It is comprised in the medical device characterized by the above-mentioned.
前記薬液注入孔は前記針体の先端部が前記針管から出入り可能なように形成されている請求項1に記載の医療器具。   The medical device according to claim 1, wherein the drug solution injection hole is formed so that a distal end portion of the needle body can enter and exit from the needle tube. 正電極と負電極のいずれか一方の電極に接続される電導性筒状部材により形成された針管と、
基端側から該針管の内部に挿入可能に設けられ、該針管と反対の電極に接続される電導性針状部材により形成され、前記針管の内面に接触する外周面に絶縁部が形成された針体と、
前記針管の先端と前記針体の先端の少なくともいずれか一方に設けられた所定の発熱抵抗を有する発熱体と、
を備え、前記針体を基端側から前記針管の内部に挿入すると、前記針体と前記針管とが前記発熱体を介して接触し、通電するように構成されていることを特徴とする医療器具。
A needle tube formed by a conductive cylindrical member connected to one of the positive electrode and the negative electrode;
An electrically conductive needle-like member is provided that can be inserted into the inside of the needle tube from the base end side, and is connected to an electrode opposite to the needle tube, and an insulating portion is formed on the outer peripheral surface that contacts the inner surface of the needle tube Needle body,
A heating element having a predetermined heating resistance provided at at least one of the tip of the needle tube and the tip of the needle body;
And when the needle body is inserted into the needle tube from the proximal end side, the needle body and the needle tube come into contact with each other via the heating element and are energized. Instruments.
前記針管及び前記針体が可撓性材料により形成されている請求項1〜3のいずれか1の請求項に記載の医療器具。   The medical instrument according to any one of claims 1 to 3, wherein the needle tube and the needle body are formed of a flexible material.
JP2009124981A 2009-05-25 2009-05-25 Medical instrument Pending JP2010269053A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106137265A (en) * 2016-07-28 2016-11-23 冯庆宇 A kind of puncture needle
JP2021072916A (en) * 2013-03-12 2021-05-13 マグノリア メディカル テクノロジーズ,インコーポレイテッド Method and apparatus for selectively occluding lumen of needle

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021072916A (en) * 2013-03-12 2021-05-13 マグノリア メディカル テクノロジーズ,インコーポレイテッド Method and apparatus for selectively occluding lumen of needle
JP7106693B2 (en) 2013-03-12 2022-07-26 マグノリア メディカル テクノロジーズ,インコーポレイテッド Method and apparatus for selectively occluding a needle lumen
US11439332B2 (en) 2013-03-12 2022-09-13 Magnolia Medical Technologies, Inc. Methods and apparatus for selectively occluding the lumen of a needle
CN106137265A (en) * 2016-07-28 2016-11-23 冯庆宇 A kind of puncture needle
CN106137265B (en) * 2016-07-28 2023-11-10 青岛健新医疗科技有限公司 Puncture needle

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