JP2939949B2 - Surgical organ fixation device - Google Patents
Surgical organ fixation deviceInfo
- Publication number
- JP2939949B2 JP2939949B2 JP3101856A JP10185691A JP2939949B2 JP 2939949 B2 JP2939949 B2 JP 2939949B2 JP 3101856 A JP3101856 A JP 3101856A JP 10185691 A JP10185691 A JP 10185691A JP 2939949 B2 JP2939949 B2 JP 2939949B2
- Authority
- JP
- Japan
- Prior art keywords
- organ
- bag
- present
- fixing device
- fixation device
- Prior art date
- Legal status (The legal status 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 status listed.)
- Expired - Lifetime
Links
Landscapes
- Surgical Instruments (AREA)
Description
【0001】[0001]
【産業上の利用分野】本発明は外科手術用臓器固定具に
関する。本発明の臓器固定具は胆のうなどの臓器に外科
手術を施す際に、切除などの手術の対象となる臓器やそ
の患部を術者が処置し易いように局部的に包囲する場合
や手術中、術野に手術を要しない臓器、例えば腸などを
たれ込ませないようにせき止める場合に用いられる。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a surgical organ fixing device. The organ fixation device of the present invention, when performing a surgical operation on an organ such as a gallbladder, in a case of locally surrounding an organ or an affected part thereof to be subjected to an operation such as excision or the like so as to facilitate treatment by an operator, or during an operation, It is used when damming an organ that does not require surgery, such as the intestine, into the operative field.
【0002】[0002]
【従来の技術】内臓のなかでも胆のうなどの臓器に外科
手術を施し、切除などを要する局所を摘出するとき、術
者が処置し易いように処置を有する局所を包囲できる適
当な臓器固定具は未だ見当たらない。また手術中、手術
を要しない腸などを術野にたれ込ませないようにせき止
める場合には、他の術者が扁平な鈎(こう)で固定して
いるか、タオルやスポンジが使用されていた。2. Description of the Related Art Among organs such as the gall bladder, a surgical operation is performed, and when an area requiring excision or the like is extracted, an appropriate organ fixing device capable of surrounding the area having the treatment so that the operator can easily perform the operation is known. I haven't found it yet. Also, during the operation, if the intestines that do not require surgery are blocked so that they do not fall into the operative field, other surgeons should fix them with flat hooks
Or , towels and sponges were used.
【0003】[0003]
【発明が解決しようとする課題】しかしタオルやスポン
ジのような臓器固定具は体内への挿入時・体内の設置時
・体内からの除去時いずれの時点においても一定の大き
さを持ち、寸法変化がない。このことは手術の切開部分
が大きいときには使用できても、手術の切開部分が小さ
いときには使い勝手の悪いものであった。また、表面の
滑りを止めるため粗面にしてあるため、臓器表面に傷を
つけ腸の癒着を強くすることが多かった。本発明はこの
点を解決するものであり、また処置を有する局所を包囲
できる適当な臓器固定具を提供するものである。However, organ fixation devices such as towels and sponges have a certain size at any time when inserted into the body, installed in the body, or removed from the body, resulting in dimensional changes. There is no. This is usable when the surgical incision is large, but is inconvenient when the surgical incision is small. Also, on the surface
Since the surface is roughened to prevent slippage, scratches on the organ surface
In many cases, the adhesion of the intestine was strengthened. The present invention solves this point and provides a suitable organ fixation device that can surround the area having the treatment.
【0004】[0004]
【課題を解決するための手段】本発明は、柔軟なプラス
チツク材料から作られ縁部を溶融接着することにより流
体を内部に充填できる偏平状の袋であり、これの縁部
に、プラスチツク材料から作られ一端に栓を有し他端は
前記袋内部と連通する一本のチユーブが付設されている
臓器固定具において、上記袋の内部が溶融接着部により
複数個に仕切られていることを特徴とする外科手術用臓
器固定具を要旨とする。SUMMARY OF THE INVENTION The present invention is a flat bag made of a flexible plastic material which can be filled with a fluid by fusing the edges together, the edge of which is made of plastic material. An organ fixing device made and provided with a single tube having a stopper at one end and communicating with the inside of the bag at the other end, wherein the inside of the bag is divided into a plurality of parts by a fusion bonding part. The gist of the surgical organ fixation tool is as follows.
【0005】[0005]
【作用】本発明の臓器固定具の袋部にチユーブから流体
を充満させたときの形態は、袋内部の溶融接着部の設定
の仕方により平板状に膨張することもあり、すのこ巻状
に膨張することもある。胆のうなどの臓器に外科手術を
施す際、切除などの手術の対象となる臓器やその患部を
術者が腹部のわずかな切開部に引寄せ、それらの臓器だ
けを周りの他の臓器により隠されることがなく、取り上
げるとき、すのこ巻状に膨張する臓器固定具が適当であ
る。また、上述のような手術において、手術対象外の周
りの臓器、例えば大腸・小腸などがたれ込み、術野に移
動し、手術の対象となる臓器やその患部を処置しにくく
なることがある。このようなことを防ぐため、すなわ
ち、この対象外の臓器をせき止める働きを期待すると
き、平板状に膨張する臓器固定具が適当である。外科手
術でまず切開がなされると、偏平状の袋の形態をした本
発明の臓器固定具は膨張させないままこの袋部全体を切
開部から挿入し、しかる後、袋部を膨張させる使い方
と、袋部を上記挿入前から膨張させておく使い方があ
る。When the fluid is filled from the tube into the bag portion of the organ fixing device of the present invention, the bag may expand in a flat plate shape depending on the setting of the fusion bonding portion inside the bag, and may expand in the shape of a roll. Sometimes. When performing surgery on organs such as the gall bladder, the surgeon draws the organ to be operated on, such as resection, or the affected area to a small incision in the abdomen, and only those organs are hidden by other surrounding organs An organ fixation device that expands in a spiral shape when picked up without any problem is suitable. In addition, in the above-described operation, the surrounding organs, for example, the large intestine and the small intestine, which are not to be operated on, may lean and move to the operation field, making it difficult to treat the organ to be operated on and the affected part thereof. In order to prevent such a situation, that is, when expecting a function of damming an organ other than the target, an organ fixing device that expands in a flat plate shape is appropriate. First, when an incision is made in a surgical operation, the organ fixing device of the present invention in the form of a flat bag is inserted from the incision into the entire bag without being inflated, and then the bag is inflated. There is a method of inflating the bag portion before the insertion.
【0006】[0006]
【実施例】以下、本発明の実施例について図面を用いて
説明する。図1は本発明の臓器固定具の1例を説明する
正面図であり、図2は本発明の臓器固定具を膨張させた
状態の1例を示す参考図である。本発明の臓器固定具の
構成は、柔軟なプラスチツク材料から作られ縁部を溶融
接着することにより流体を内部に充填できる偏平状の袋
1であり、これの縁部に、プラスチツク材料から作られ
一端に栓2を有し他端は前記袋内部と連通する一本のチ
ユーブ3が付設されている臓器固定具において、上記袋
の内部が溶融接着部4、5により複数個に仕切られてい
る。本発明において柔軟なプラスチツク材料とはポリ塩
化ビニル・ポリエチレン・ポリプロピレンなどが用いら
れる。本発明で溶融接着する方法には高周波融着か熱融
着によるが、袋部成形のために接着方法を限定する必要
はなく、素材によっては接着剤が使用されることもあり
うる。本発明の袋部1の内部を如何に仕切るかは本発明
の臓器固定具の使用目的により、異なる。例えば、手術
対象外の周りの臓器がたれ込み、それが術野に移動する
ことを防ぐために用いるときには巾・厚み・こし・硬さ
などが要求される。そのためには図1の5に示されるよ
うな長方形の長い辺に対し平行に溶融接着部を3カ所1
列に設けるか、これを2列に増やすなどとする。さらに
患者の体によく沿うように、図1の4に示されるような
短い辺に対し平行に溶融接着部を短い辺各々の近傍に各
々設ける。また、手術の対象となる臓器だけを周りの他
の臓器により隠されることなく、その箇所だけ取り上げ
るとき、すのこ巻状に膨張する本発明の臓器固定具が適
当とされる。これを作るには図1の5に示されるような
長方形の長い辺に平行な溶融接着部を全く設けないで、
図1の4に示されるような短い辺に対し平行な溶融接着
部を数本(例えば1本/2〜3cmの間隔で) 設ける。こ
れが使用時すのこ状になるためには、袋部1作成時の溶
着のプレスで表裏に不均等に熱をかけるとか、モールド
の形態を表裏違えておくなどの方法をとれば可能であ
る。本発明の袋部の大きさの1実施例として、手術対象
外の周りの臓器がたれ込み、それが術野に移動すること
を防ぐための場合、縦6〜13cm、横9〜30cm、膨れたと
きの厚みは2〜5cmであり、手術の対象となる臓器だけ
を取り上げ、すのこ巻状に膨張する本発明の臓器固定具
を作る場合、縦5〜8cm、横9〜15cm、膨れたときの厚
みは2〜3cmである。いずれも本発明のチユーブ3の長
さは通常15〜20cmである。なお、外科手術用補助材であ
る本発明の臓器固定具は、周知のように、X線造影剤又
はX線造影材を組み合わせることが好ましい。Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a front view illustrating an example of the organ fixing device of the present invention, and FIG. 2 is a reference diagram illustrating an example of a state where the organ fixing device of the present invention is expanded. The organ fixing device of the present invention is a flat bag 1 made of a flexible plastic material and capable of filling a fluid inside by melting and bonding the edges, the edge of which is made of a plastic material. In an organ fixing device having a stopper 2 at one end and a tube 3 communicating with the inside of the bag at the other end, the inside of the bag is divided into a plurality of parts by fusion bonding parts 4 and 5. . In the present invention, examples of the flexible plastic material include polyvinyl chloride, polyethylene, and polypropylene. In the present invention, the method of fusion bonding is by high frequency fusion or heat fusion. However, there is no need to limit the bonding method for forming the bag portion, and an adhesive may be used depending on the material. How to partition the inside of the bag 1 of the present invention differs depending on the purpose of use of the organ fixing device of the present invention. For example, width, thickness, stiffness, hardness, and the like are required when used to prevent the surrounding organs outside the operation target from sagging and moving to the operation field. For this purpose, three melt-bonded parts are placed in parallel with the long side of the rectangle as shown in FIG.
It is provided in a row or the number is increased to two rows. Further, in order to better conform to the patient's body, a fusion bonding portion is provided near each of the short sides in parallel with the short side as shown in FIG. In addition, when only an organ to be operated is taken up without being hidden by other surrounding organs, the organ fixing device of the present invention which expands in a spiral shape is suitable. To make this, do not provide any fusion bonding parallel to the long side of the rectangle as shown in FIG.
As shown in FIG. 1, several melt-bonded portions parallel to the short side are provided (for example, at one / two to three cm intervals). This can be made into a saw-tooth shape by using a method in which heat is applied unevenly to the front and back surfaces by a welding press at the time of forming the bag portion 1 or the shape of the mold is reversed. As an example of the size of the bag portion of the present invention, in order to prevent the surrounding organs outside the operation target from sagging and moving to the operative field, the length is 6 to 13 cm, the width is 9 to 30 cm, and the bag is swollen. When the thickness is 2 to 5 cm, pick up only the organ to be operated on, and make the organ fixation device of the present invention that expands in a spiral shape, 5 to 8 cm in length, 9 to 15 cm in width, when expanded The thickness is 2-3 cm. In any case, the length of the tube 3 of the present invention is usually 15 to 20 cm. As is well known, the organ fixing device of the present invention, which is an auxiliary material for surgery, is preferably combined with an X-ray contrast agent or an X-ray contrast material.
【0007】[0007]
【発明の効果】本発明の臓器固定具は、手術の対象とな
る臓器やその患部を切開部に引寄せた後、それらの臓器
が他の周りの臓器により隠されることがないよう周りの
臓器を手術の対象となる臓器から隔てることができる。According to the organ fixing device of the present invention, after an organ to be operated or an affected part thereof is drawn to an incision, the surrounding organs are not hidden by other surrounding organs. Can be separated from the organ to be operated on.
【図1】本発明の臓器固定具の1例を説明する正面図で
ある。FIG. 1 is a front view illustrating an example of an organ fixing device of the present invention.
【図2】本発明の臓器固定具を膨張させた状態の1例を
示す参考図である。FIG. 2 is a reference view showing an example of a state where the organ fixing device of the present invention is expanded.
1 袋 2 栓 3 チユーブ 4 溶融接着部 5 溶融接着部 DESCRIPTION OF SYMBOLS 1 bag 2 stopper 3 tube 4 fusion bonding part 5 fusion bonding part
Claims (1)
を溶融接着することにより流体を内部に充填できる偏平
状の袋であり、これの縁部に、プラスチツク材料から作
られ一端に栓を有し他端は前記袋内部と連通する一本の
チユーブが付設されている臓器固定具において、上記袋
の内部が溶融接着部により複数個に仕切られていること
を特徴とする外科手術用臓器固定具。1. A flat bag made of a flexible plastic material which can be filled with a fluid by melt-adhering an edge portion thereof, the edge portion of which is made of a plastic material and has a stopper at one end. The other end is an organ fixing device provided with a single tube communicating with the inside of the bag, wherein the inside of the bag is partitioned into a plurality of pieces by a fusion bonding portion, .
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP3101856A JP2939949B2 (en) | 1991-04-05 | 1991-04-05 | Surgical organ fixation device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP3101856A JP2939949B2 (en) | 1991-04-05 | 1991-04-05 | Surgical organ fixation device |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH04309339A JPH04309339A (en) | 1992-10-30 |
JP2939949B2 true JP2939949B2 (en) | 1999-08-25 |
Family
ID=14311670
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP3101856A Expired - Lifetime JP2939949B2 (en) | 1991-04-05 | 1991-04-05 | Surgical organ fixation device |
Country Status (1)
Country | Link |
---|---|
JP (1) | JP2939949B2 (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8465515B2 (en) * | 2007-08-29 | 2013-06-18 | Ethicon Endo-Surgery, Inc. | Tissue retractors |
-
1991
- 1991-04-05 JP JP3101856A patent/JP2939949B2/en not_active Expired - Lifetime
Also Published As
Publication number | Publication date |
---|---|
JPH04309339A (en) | 1992-10-30 |
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