JPH06327684A - 外科用縫合具 - Google Patents
外科用縫合具Info
- Publication number
- JPH06327684A JPH06327684A JP5117374A JP11737493A JPH06327684A JP H06327684 A JPH06327684 A JP H06327684A JP 5117374 A JP5117374 A JP 5117374A JP 11737493 A JP11737493 A JP 11737493A JP H06327684 A JPH06327684 A JP H06327684A
- Authority
- JP
- Japan
- Prior art keywords
- bioadhesive
- tissue
- cutter
- surgical suturing
- cutting
- 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.)
- Withdrawn
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
Abstract
(57)【要約】
【目的】組織の切断面に生体接着剤を塗布することがで
き、組織の切断部分からの出血を止血することのできる
外科用縫合具を提供する。 【構成】カッター１６の移動方向をガイドするカッター
ガイド溝３０の底部に複数個の流体噴出ノズル３１をカ
ッターガイド溝３０の長手方向に間隔を存して設け、こ
れらの流体噴出ノズル３１から組織の切断面に生体接着
剤を塗布するようにしたことを特徴とする。
き、組織の切断部分からの出血を止血することのできる
外科用縫合具を提供する。 【構成】カッター１６の移動方向をガイドするカッター
ガイド溝３０の底部に複数個の流体噴出ノズル３１をカ
ッターガイド溝３０の長手方向に間隔を存して設け、こ
れらの流体噴出ノズル３１から組織の切断面に生体接着
剤を塗布するようにしたことを特徴とする。
Description
【０００１】
【産業上の利用分野】本発明は、内視鏡下の外科手術に
おいて腸などの管状組織を切断し、その切断部を複数個
のステープルで閉合する外科用縫合具に関する。
おいて腸などの管状組織を切断し、その切断部を複数個
のステープルで閉合する外科用縫合具に関する。
【０００２】
【従来の技術】従来、この種の外科用縫合具は、握り部
と、この握り部の前端から延出した挿入部と、この挿入
部の先端に設けられた切断閉合部とを有しており、この
切断閉合部のカッターで腸などの管状組織を切断すると
ともに、その切断部を切断閉合部のカートリッジに収容
された複数個のステープルで閉合するように構成されて
いる。
と、この握り部の前端から延出した挿入部と、この挿入
部の先端に設けられた切断閉合部とを有しており、この
切断閉合部のカッターで腸などの管状組織を切断すると
ともに、その切断部を切断閉合部のカートリッジに収容
された複数個のステープルで閉合するように構成されて
いる。
【０００３】
【発明が解決しようとする課題】しかしながら、上述し
た従来の外科用縫合具は管状組織をカッターで切断した
り、管状組織にステープルを突き刺した際に出血が生ず
るという問題があった。本発明は上述した問題点に鑑み
てなされたもので、その目的は組織をカッターで切断し
たり、組織にステープルを突き刺した際に出血が生じて
も止血することのできる外科用縫合具を提供することに
ある。
た従来の外科用縫合具は管状組織をカッターで切断した
り、管状組織にステープルを突き刺した際に出血が生ず
るという問題があった。本発明は上述した問題点に鑑み
てなされたもので、その目的は組織をカッターで切断し
たり、組織にステープルを突き刺した際に出血が生じて
も止血することのできる外科用縫合具を提供することに
ある。
【０００４】
【課題を解決するための手段】上記課題を解決するため
に本発明は、握り部と、この握り部の前端から延出し生
体組織をカッターで切断するとともに同組織の切断部を
複数個のステープルで閉合する切断閉合部とを具備して
なる外科用縫合具において、前記切断閉合部に流体噴出
ノズルを設けたことを特徴とする。
に本発明は、握り部と、この握り部の前端から延出し生
体組織をカッターで切断するとともに同組織の切断部を
複数個のステープルで閉合する切断閉合部とを具備して
なる外科用縫合具において、前記切断閉合部に流体噴出
ノズルを設けたことを特徴とする。
【０００５】
【作用】本発明においては切断閉合部に流体噴出ノズル
を設けることにより、この流体噴出ノズルから組織の切
断部に向けて噴出する生体接着剤により組織の出血を止
血することができる。
を設けることにより、この流体噴出ノズルから組織の切
断部に向けて噴出する生体接着剤により組織の出血を止
血することができる。
【０００６】
【実施例】以下、本発明の実施例を図面を参照して説明
する。図１ないし図８は本発明の第１実施例を示し、図
１は本発明の第１実施例に係る外科用縫合具の概略構成
を示す図である。同図において符号１１は外科用縫合具
の握り部であり、この握り部１１の前端からは挿入部と
してのシース１２が延設されている。このシース１２は
トラカールを介して体腔内に挿入できるように細径に形
成されており、その先端には切断閉合部１３が設けられ
ている。
する。図１ないし図８は本発明の第１実施例を示し、図
１は本発明の第１実施例に係る外科用縫合具の概略構成
を示す図である。同図において符号１１は外科用縫合具
の握り部であり、この握り部１１の前端からは挿入部と
してのシース１２が延設されている。このシース１２は
トラカールを介して体腔内に挿入できるように細径に形
成されており、その先端には切断閉合部１３が設けられ
ている。
【０００７】前記切断閉合部１３は、腸などの管状組織
を切断すると共にその切断部を複数個のステープルで閉
合するためのものであり、図２に示すようにカートリッ
ジ１４と、このカートリッジ１４に対して開閉自在に設
けられたアンビル１５とで構成されている。
を切断すると共にその切断部を複数個のステープルで閉
合するためのものであり、図２に示すようにカートリッ
ジ１４と、このカートリッジ１４に対して開閉自在に設
けられたアンビル１５とで構成されている。
【０００８】前記カートリッジ１４は図３および図４に
示すようにカッター１６を備えており、このカッター１
６をシース１２の内部に設けられたカムプッシャ１７
（図２参照）でカートリッジ１４の先端側にスライドさ
せると、カートリッジ１４とアンビル１５との間に挟ま
れた管状組織１８が切断されるようになっている（図７
および図８参照）。なお、カムプッシャ１７は握り部１
１に設けられたスライダ１９（図１参照）を握り部１１
の前後方向にスライド操作することによりシース１２の
軸方向に移動するようになっている。
示すようにカッター１６を備えており、このカッター１
６をシース１２の内部に設けられたカムプッシャ１７
（図２参照）でカートリッジ１４の先端側にスライドさ
せると、カートリッジ１４とアンビル１５との間に挟ま
れた管状組織１８が切断されるようになっている（図７
および図８参照）。なお、カムプッシャ１７は握り部１
１に設けられたスライダ１９（図１参照）を握り部１１
の前後方向にスライド操作することによりシース１２の
軸方向に移動するようになっている。
【０００９】また、前記カートリッジ１４は図４に示す
ようにカッター１６の両側にステープルプッシャバー２
０ａ，２０ｂを備えており、これらのステープルプッシ
ャバー２０ａ，２０ｂを前述したカムプッシャ１７でカ
ートリッジ１４の先端側にスライドさせると、図５に示
すようにステープルプッシャバー２０ａ，２０ｂの先端
がステープルプッシャ２１に係合し、このステープルプ
ッシャ２１を介してＵ字状のステープル２２がカートリ
ッジ１４から押し出されるようになっている。なお、ス
テープル２２は図４に示すようにカッター１６のスライ
ドをガイドするガイド溝２３の両側に３列ずつ配列され
ている。
ようにカッター１６の両側にステープルプッシャバー２
０ａ，２０ｂを備えており、これらのステープルプッシ
ャバー２０ａ，２０ｂを前述したカムプッシャ１７でカ
ートリッジ１４の先端側にスライドさせると、図５に示
すようにステープルプッシャバー２０ａ，２０ｂの先端
がステープルプッシャ２１に係合し、このステープルプ
ッシャ２１を介してＵ字状のステープル２２がカートリ
ッジ１４から押し出されるようになっている。なお、ス
テープル２２は図４に示すようにカッター１６のスライ
ドをガイドするガイド溝２３の両側に３列ずつ配列され
ている。
【００１０】前記アンビル１５は図６に示すようにカー
トリッジ１４から押し出されたステープル２２の脚部を
内側に折り曲げるためのステープル受け面２９を備えて
おり、このステープル受け面２９の中央にはカッターガ
イド溝３０がアンビル１５の長手方向に沿って形成され
ている。なお、前記アンビル１５はシース１２の先端か
ら突出したスライド管２４（図２参照）の先端がアンビ
ル１５に設けられた段部２５に係合すると、図３に示す
板ばね２６の付勢力に抗してアンビル固定ピン２７を中
心に図２中反時計方向に回動するようになっている。ま
た、前記スライド管２４は握り部１１に設けられたアン
ビル開閉レバー２８を回動操作することによりシース１
２の先端側にスライドするようになっている。
トリッジ１４から押し出されたステープル２２の脚部を
内側に折り曲げるためのステープル受け面２９を備えて
おり、このステープル受け面２９の中央にはカッターガ
イド溝３０がアンビル１５の長手方向に沿って形成され
ている。なお、前記アンビル１５はシース１２の先端か
ら突出したスライド管２４（図２参照）の先端がアンビ
ル１５に設けられた段部２５に係合すると、図３に示す
板ばね２６の付勢力に抗してアンビル固定ピン２７を中
心に図２中反時計方向に回動するようになっている。ま
た、前記スライド管２４は握り部１１に設けられたアン
ビル開閉レバー２８を回動操作することによりシース１
２の先端側にスライドするようになっている。
【００１１】前記カッターガイド溝３０はカッター１６
の移動路を形成するものであり、このカッターガイド溝
３０の底部には、図３に示すように複数個の流体噴出ノ
ズル３１がカッターガイド溝３０の長手方向に間隔を存
して穿設されている。これらの流体噴出ノズル３１は組
織の切断部にフィブリン糊等の生体接着剤を塗布するた
めのものであり、シース１２の内部に設けられた生体接
着剤供給管路３２に連通している。
の移動路を形成するものであり、このカッターガイド溝
３０の底部には、図３に示すように複数個の流体噴出ノ
ズル３１がカッターガイド溝３０の長手方向に間隔を存
して穿設されている。これらの流体噴出ノズル３１は組
織の切断部にフィブリン糊等の生体接着剤を塗布するた
めのものであり、シース１２の内部に設けられた生体接
着剤供給管路３２に連通している。
【００１２】前記生体接着剤供給管路３２は握り部１１
の後端に設けられた生体接着剤注入ノズル３３に連通し
ており、この生体接着剤注入ノズル３３には開閉コック
３４が設けられているとともに、生体接着剤注入シリン
ジ３５ａ，３５ｂおよび生体接着剤注入ポンプ（送気ポ
ンプ）３６が接続されている。なお、この実施例では生
体接着剤注入シリンジ３５ａ，３５ｂの一方にはフィブ
リノーゲン溶液が収容され、他方のシリンジには酵素ト
ロンビン溶液が収容されている。
の後端に設けられた生体接着剤注入ノズル３３に連通し
ており、この生体接着剤注入ノズル３３には開閉コック
３４が設けられているとともに、生体接着剤注入シリン
ジ３５ａ，３５ｂおよび生体接着剤注入ポンプ（送気ポ
ンプ）３６が接続されている。なお、この実施例では生
体接着剤注入シリンジ３５ａ，３５ｂの一方にはフィブ
リノーゲン溶液が収容され、他方のシリンジには酵素ト
ロンビン溶液が収容されている。
【００１３】したがって、本発明の第１実施例では管状
組織１８をカッター１６で切断すると共に管状組織１８
の切断部を複数個のステープル２２で縫合した後に生体
接着剤注入ノズル３３から生体接着剤供給管路３２にフ
ィブリン糊等の生体接着剤を注入すると、カッターガイ
ド溝３０の底部に穿設された流体噴出ノズル３１から生
体接着剤が管状組織１８の切断縫合部に向けて噴出され
るので、切断縫合部からの出血を生体接着剤で止血する
ことができる。
組織１８をカッター１６で切断すると共に管状組織１８
の切断部を複数個のステープル２２で縫合した後に生体
接着剤注入ノズル３３から生体接着剤供給管路３２にフ
ィブリン糊等の生体接着剤を注入すると、カッターガイ
ド溝３０の底部に穿設された流体噴出ノズル３１から生
体接着剤が管状組織１８の切断縫合部に向けて噴出され
るので、切断縫合部からの出血を生体接着剤で止血する
ことができる。
【００１４】なお、上述した第１実施例では生体接着剤
としてフィブリン糊を使用したが、アロンアルファ（商
標名）などの接着剤を使用しても良い。また、上述した
第１実施例では流体噴出ノズル３１をアンビル側のカッ
ターガイド溝３０に設けたが、カートリッジ側のガイド
溝２３やアンビル１４のステープル受け面２９などに流
体噴出ノズル３１を設けても良い。さらに、上述した第
１実施例では握り部１１の後端に生体接着剤注入ノズル
３３を設けたが、図９に示す第２実施例のようにフィブ
リノーゲン溶液３７ａを収容した容器３８ａと酵素トロ
ンビン溶液３７ｂを収容した容器３８ｂを握り部１１の
内部に設け、これら容器３８ａ，３８ｂの後端開口に開
閉弁３９を介して生体接着剤注入ポンプ３６を接続し、
握り部１１に設けたスイッチ４０で開閉弁３９を開閉操
作してフィブリン糊を流体噴出ノズル３１から噴出する
ようにしても良い。
としてフィブリン糊を使用したが、アロンアルファ（商
標名）などの接着剤を使用しても良い。また、上述した
第１実施例では流体噴出ノズル３１をアンビル側のカッ
ターガイド溝３０に設けたが、カートリッジ側のガイド
溝２３やアンビル１４のステープル受け面２９などに流
体噴出ノズル３１を設けても良い。さらに、上述した第
１実施例では握り部１１の後端に生体接着剤注入ノズル
３３を設けたが、図９に示す第２実施例のようにフィブ
リノーゲン溶液３７ａを収容した容器３８ａと酵素トロ
ンビン溶液３７ｂを収容した容器３８ｂを握り部１１の
内部に設け、これら容器３８ａ，３８ｂの後端開口に開
閉弁３９を介して生体接着剤注入ポンプ３６を接続し、
握り部１１に設けたスイッチ４０で開閉弁３９を開閉操
作してフィブリン糊を流体噴出ノズル３１から噴出する
ようにしても良い。
【００１５】次に本発明の第３実施例を図１０乃至図１
２を参照して説明する。なお、図１乃至図９に示したも
のと同一部分には同一符号を付し、その部分の詳細な説
明は省略する。図１０において符号４１はフィブリノー
ゲン溶液を収容したバルーンであり、このバルーン４１
は図１１に示すようにカートリッジ１４に形成されたカ
ッターガイド溝２３内に設けられている。また、４２は
酵素トロンビン溶液を収容したバルーンであり、このバ
ルーン４２は図１１に示すようにアンビル１５に形成さ
れたカッターガイド溝３０内に設けられている。
２を参照して説明する。なお、図１乃至図９に示したも
のと同一部分には同一符号を付し、その部分の詳細な説
明は省略する。図１０において符号４１はフィブリノー
ゲン溶液を収容したバルーンであり、このバルーン４１
は図１１に示すようにカートリッジ１４に形成されたカ
ッターガイド溝２３内に設けられている。また、４２は
酵素トロンビン溶液を収容したバルーンであり、このバ
ルーン４２は図１１に示すようにアンビル１５に形成さ
れたカッターガイド溝３０内に設けられている。
【００１６】このような構成において、カッター１６を
カートリッジ１５の先端側にスライドさせると、カッタ
ーガイド溝２３，３０内に設けたバルーン４１，４２が
破裂し、バルーン４１，４２に収容されたフィブリノー
ゲン溶液と酵素トロンビン溶液が混合してフィブリン糊
となるので、第１実施例と同様に組織の切断縫合部に出
血が生じてもフィブリン糊で止血することができる。
カートリッジ１５の先端側にスライドさせると、カッタ
ーガイド溝２３，３０内に設けたバルーン４１，４２が
破裂し、バルーン４１，４２に収容されたフィブリノー
ゲン溶液と酵素トロンビン溶液が混合してフィブリン糊
となるので、第１実施例と同様に組織の切断縫合部に出
血が生じてもフィブリン糊で止血することができる。
【００１７】図１２は本発明の第３実施例に係る外科用
縫合具のカッターを示す図であり、このカッター１６の
両側面にはフィブリン糊を組織の切断面に均一に塗布す
るための溝４３が形成されている。
縫合具のカッターを示す図であり、このカッター１６の
両側面にはフィブリン糊を組織の切断面に均一に塗布す
るための溝４３が形成されている。
【００１８】なお、上述した第３実施例ではフィブリノ
ーゲン溶液を収容したバルーン４１をカートリッジ１４
のカッターガイド溝２３内に設け、酵素トロンビン溶液
を収容したバルーン４２をアンビル１５のカッターガイ
ド溝３０内に設けたが、図１３に示す第４実施例のよう
にフィブリノーゲン溶液を収容したバルーン４１と酵素
トロンビン溶液を収容したバルーン４２をカッターガイ
ド溝２３，３０内にそれぞれ設けても良い。
ーゲン溶液を収容したバルーン４１をカートリッジ１４
のカッターガイド溝２３内に設け、酵素トロンビン溶液
を収容したバルーン４２をアンビル１５のカッターガイ
ド溝３０内に設けたが、図１３に示す第４実施例のよう
にフィブリノーゲン溶液を収容したバルーン４１と酵素
トロンビン溶液を収容したバルーン４２をカッターガイ
ド溝２３，３０内にそれぞれ設けても良い。
【００１９】また、上述した第３実施例ではフィブリン
糊を組織の切断面に均一に塗布するためにカッター１６
の両側面に溝４３を設けたが、カッター１６の両側にス
ポンジ４４（図１４参照）やハケ４５（図１５参照）あ
るいはヘラ４６（図１６参照）を設けても良い。
糊を組織の切断面に均一に塗布するためにカッター１６
の両側面に溝４３を設けたが、カッター１６の両側にス
ポンジ４４（図１４参照）やハケ４５（図１５参照）あ
るいはヘラ４６（図１６参照）を設けても良い。
【００２０】図１７は本発明の第８実施例に係る外科用
縫合具の概略構成図であり、この外科用縫合具のシース
１２の外周には、カニューラ４７がシース１２の長手方
向にスライド可能に設けられている。このカニューラ４
７の基端部には生体接着剤注入ノズル４８が設けられて
おり、この生体接着剤注入ノズル４８から注入された生
体接着剤はカニューラ４７の内部に形成された生体接着
剤供給管路４９（図１８参照）を通り、図１９に示すよ
うにアンビル１５に形成された生体接着剤注入ポート５
０からカッターガイド溝２３内に流入するようになって
いる。
縫合具の概略構成図であり、この外科用縫合具のシース
１２の外周には、カニューラ４７がシース１２の長手方
向にスライド可能に設けられている。このカニューラ４
７の基端部には生体接着剤注入ノズル４８が設けられて
おり、この生体接着剤注入ノズル４８から注入された生
体接着剤はカニューラ４７の内部に形成された生体接着
剤供給管路４９（図１８参照）を通り、図１９に示すよ
うにアンビル１５に形成された生体接着剤注入ポート５
０からカッターガイド溝２３内に流入するようになって
いる。
【００２１】したがって、本発明の第８実施例では第１
実施例と同様に組織の切断面に生体接着剤を塗布するこ
とができ、組織の切断部分から出血が生じても生体接着
剤で止血することができる。また、この第８実施例では
カニューラ４７を外科用縫合具から取り外すことができ
るので、生体接着剤供給管路４９が生体接着剤で詰まっ
た場合にカニューラ４７を別のカニューラ４７と交換す
ることができる。
実施例と同様に組織の切断面に生体接着剤を塗布するこ
とができ、組織の切断部分から出血が生じても生体接着
剤で止血することができる。また、この第８実施例では
カニューラ４７を外科用縫合具から取り外すことができ
るので、生体接着剤供給管路４９が生体接着剤で詰まっ
た場合にカニューラ４７を別のカニューラ４７と交換す
ることができる。
【００２２】図２０乃至図２２は本発明の第９実施例を
示す図であり、この第９実施例の外科用縫合具は、フィ
ブリノーゲン溶液３７ａと酵素トロンビン溶液３７ｂを
収容した生体接着剤収容容器５１をアンビル１５のカッ
ターガイド溝３０に設けている。この生体接着剤収容容
器５１は形状記憶樹脂で形成されており、カートリッジ
１４とアンビル１５との間に組織を挟むと、図２２に示
すように生体接着剤収容容器５１のスリット部５２ａ，
５２ｂが体温によって開口し、生体接着剤収容容器５１
に収容されたフィブリノーゲン溶液３７ａと酵素トロン
ビン溶液３７ｂが組織の切断面に塗布されるようになっ
ている。
示す図であり、この第９実施例の外科用縫合具は、フィ
ブリノーゲン溶液３７ａと酵素トロンビン溶液３７ｂを
収容した生体接着剤収容容器５１をアンビル１５のカッ
ターガイド溝３０に設けている。この生体接着剤収容容
器５１は形状記憶樹脂で形成されており、カートリッジ
１４とアンビル１５との間に組織を挟むと、図２２に示
すように生体接着剤収容容器５１のスリット部５２ａ，
５２ｂが体温によって開口し、生体接着剤収容容器５１
に収容されたフィブリノーゲン溶液３７ａと酵素トロン
ビン溶液３７ｂが組織の切断面に塗布されるようになっ
ている。
【００２３】したがって、本発明の第９実施例では第１
実施例と同様に組織の切断面に生体接着剤を塗布するこ
とができ、組織の切断部分から出血が生じても生体接着
剤で止血することができる。
実施例と同様に組織の切断面に生体接着剤を塗布するこ
とができ、組織の切断部分から出血が生じても生体接着
剤で止血することができる。
【００２４】図２３乃至図２５は本発明の第１０実施例
を示す図であり、この第１０実施例の外科用縫合具は、
ステープル２２が押し出されるカートリッジ１４の下面
に生体接着剤収容容器５３ａ，５３ｂを設けている。こ
れらの生体接着剤収容容器５３ａ，５３ｂにはそれぞれ
フィブリノーゲン溶液３７ａと酵素トロンビン溶液３７
ｂが収容されており、カートリッジ１４の下面からステ
ープル２２が押し出されると、生体接着剤収容容器５３
ａ，５３ｂが破損して組織の切断部分にフィブリノーゲ
ン溶液３７ａと酵素トロンビン溶液３７ｂとからなる生
体接着剤が塗布されるようになっている。
を示す図であり、この第１０実施例の外科用縫合具は、
ステープル２２が押し出されるカートリッジ１４の下面
に生体接着剤収容容器５３ａ，５３ｂを設けている。こ
れらの生体接着剤収容容器５３ａ，５３ｂにはそれぞれ
フィブリノーゲン溶液３７ａと酵素トロンビン溶液３７
ｂが収容されており、カートリッジ１４の下面からステ
ープル２２が押し出されると、生体接着剤収容容器５３
ａ，５３ｂが破損して組織の切断部分にフィブリノーゲ
ン溶液３７ａと酵素トロンビン溶液３７ｂとからなる生
体接着剤が塗布されるようになっている。
【００２５】したがって、本発明の第１０実施例では第
１実施例と同様に組織の切断面に生体接着剤を塗布する
ことができ、組織の切断部分から出血が生じても生体接
着剤で止血することができる。
１実施例と同様に組織の切断面に生体接着剤を塗布する
ことができ、組織の切断部分から出血が生じても生体接
着剤で止血することができる。
【００２６】なお、上述した各実施例では切断閉合部１
３に流体噴出ノズル３１を設け、この流体噴出ノズル３
１から噴出するフィブリン糊、アロンアルファ（商標
名）等の生体接着剤によって組織の出血を止血するよう
にしたが、止血効果のある流体であれば生体接着剤に限
定されるものではない。
３に流体噴出ノズル３１を設け、この流体噴出ノズル３
１から噴出するフィブリン糊、アロンアルファ（商標
名）等の生体接着剤によって組織の出血を止血するよう
にしたが、止血効果のある流体であれば生体接着剤に限
定されるものではない。
【００２７】
【発明の効果】以上説明したように本発明によれば、組
織の切断面に生体接着剤を塗布することができ、組織の
切断部分からの出血を止血することのできる外科用縫合
具を提供できる。
織の切断面に生体接着剤を塗布することができ、組織の
切断部分からの出血を止血することのできる外科用縫合
具を提供できる。
【図１】本発明の第１実施例に係る外科用縫合具の概略
構成図。
構成図。
【図２】同実施例に係る外科用縫合具の切断閉合部の構
成を示す図。
成を示す図。
【図３】同実施例に係る外科用縫合具のアンビルの内部
構造を示す図。
構造を示す図。
【図４】同実施例に係る外科用縫合具のカートリッジの
平面図。
平面図。
【図５】同実施例に係る外科用縫合具のカートリッジの
一部分を示す図。
一部分を示す図。
【図６】図２のＡ−Ａ線に沿った断面図。
【図７】同実施例に係る外科用縫合具の作用説明図。
【図８】同実施例に係る外科用縫合具の作用説明図。
【図９】本発明の第２実施例に係る外科用縫合具の要部
を示す図。
を示す図。
【図１０】本発明の第３実施例に係る外科用縫合具の切
断閉合部を示す図。
断閉合部を示す図。
【図１１】図１０のＢ−Ｂ線に沿った断面図。
【図１２】同実施例に係る外科用縫合具のカッターを示
す図。
す図。
【図１３】本発明の第４実施例に係る外科用縫合具の要
部を示す図。
部を示す図。
【図１４】本発明の第５実施例に係る外科用縫合具の要
部を示す図。
部を示す図。
【図１５】本発明の第６実施例に係る外科用縫合具の要
部を示す図。
部を示す図。
【図１６】本発明の第７実施例に係る外科用縫合具の要
部を示す図。
部を示す図。
【図１７】本発明の第８実施例に係る外科用縫合具の概
略構成図。
略構成図。
【図１８】同実施例に係る外科用縫合具の切断閉合部の
構成を示す図。
構成を示す図。
【図１９】同実施例に係る外科用縫合具の作用説明図。
【図２０】本発明の第９実施例に係る外科用縫合具の切
断閉合部の構成を示す図。
断閉合部の構成を示す図。
【図２１】図２０のＣ−Ｃ線に沿った断面図。
【図２２】同実施例に係る外科用縫合具の生体接着剤収
容容器の構成図。
容容器の構成図。
【図２３】本発明の第１０実施例に係る外科用縫合具の
切断閉合部の構成を示す図。
切断閉合部の構成を示す図。
【図２４】図２３のＤ−Ｄ線に沿った断面図。
【図２５】同実施例に係る外科用縫合具の作用説明図。
１１…握り部 １２…シース １３…切断閉合部 １４…カートリッジ １５…アンビル １６…カッター ２２…ステープル ３０…カッターガイド溝 ３１…流体噴出ノズル ３２…生体接着剤供給管路 ３３…生体接着剤注入ノズル ３５ａ，３５ｂ…生体接着剤注入シリンジ ３６…生体接着剤注入ポンプ
─────────────────────────────────────────────────────
【手続補正書】
【提出日】平成５年９月８日
【手続補正１】
【補正対象書類名】明細書
【補正対象項目名】０００１
【補正方法】変更
【補正内容】
【０００１】
【産業上の利用分野】本発明は、内視鏡下の外科手術に
おいて腸などの生体組織を切断し、その切断部を複数個
のステープルで閉合する外科用縫合具に関する。
おいて腸などの生体組織を切断し、その切断部を複数個
のステープルで閉合する外科用縫合具に関する。
【手続補正２】
【補正対象書類名】明細書
【補正対象項目名】０００２
【補正方法】変更
【補正内容】
【０００２】
【従来の技術】従来、この種の外科用縫合具は、握り部
と、この握り部の前端から延出した挿入部と、この挿入
部の先端に設けられた切断閉合部とを有しており、この
切断閉合部のカッターで腸などの生体組織を切断すると
ともに、その切断部を切断閉合部のカートリッジに収容
された複数個のステープルで閉合するように構成されて
いる。
と、この握り部の前端から延出した挿入部と、この挿入
部の先端に設けられた切断閉合部とを有しており、この
切断閉合部のカッターで腸などの生体組織を切断すると
ともに、その切断部を切断閉合部のカートリッジに収容
された複数個のステープルで閉合するように構成されて
いる。
【手続補正３】
【補正対象書類名】明細書
【補正対象項目名】０００３
【補正方法】変更
【補正内容】
【０００３】
【発明が解決しようとする課題】しかしながら、上述し
た従来の外科用縫合具は生体組織をカッターで切断した
り、管状組織にステープルを突き刺した際に出血が生ず
るという問題があった。本発明は上述した問題点に鑑み
てなされたもので、その目的は組織をカッターで切断し
たり、組織にステープルを突き刺した際に出血が生じて
も止血することのできる外科用縫合具を提供することに
ある。
た従来の外科用縫合具は生体組織をカッターで切断した
り、管状組織にステープルを突き刺した際に出血が生ず
るという問題があった。本発明は上述した問題点に鑑み
てなされたもので、その目的は組織をカッターで切断し
たり、組織にステープルを突き刺した際に出血が生じて
も止血することのできる外科用縫合具を提供することに
ある。
【手続補正４】
【補正対象書類名】明細書
【補正対象項目名】０００７
【補正方法】変更
【補正内容】
【０００７】前記切断閉合部１３は、腸などの生体組織
を切断すると共にその切断部を複数個のステープルで閉
合するためのものであり、図２に示すようにカートリッ
ジ１４と、このカートリッジ１４に対して開閉自在に設
けられたアンビル１５とで構成されている。
を切断すると共にその切断部を複数個のステープルで閉
合するためのものであり、図２に示すようにカートリッ
ジ１４と、このカートリッジ１４に対して開閉自在に設
けられたアンビル１５とで構成されている。
【手続補正５】
【補正対象書類名】明細書
【補正対象項目名】００２５
【補正方法】変更
【補正内容】
【００２５】したがって、本発明の第１０実施例では第
１実施例と同様に組織の切断面に生体接着剤を塗布する
ことができ、組織の切断部分から出血が生じても生体接
着剤で止血することができる。また、ステープル２２に
も生体接着剤が付着するため、ステープル穿刺部分から
の出血を防げる。
１実施例と同様に組織の切断面に生体接着剤を塗布する
ことができ、組織の切断部分から出血が生じても生体接
着剤で止血することができる。また、ステープル２２に
も生体接着剤が付着するため、ステープル穿刺部分から
の出血を防げる。
───────────────────────────────────────────────────── フロントページの続き (72)発明者 倉本 聖治 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 鈴田 敏彦 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 関根 竜太 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 大明 義直 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内 (72)発明者 備藤 士郎 東京都渋谷区幡ヶ谷２丁目43番２号 オリ ンパス光学工業株式会社内
Claims (1)
- 【請求項１】 握り部と、この握り部の前端から延出し
生体組織をカッターで切断するとともに同組織の切断部
を複数個のステープルで閉合する切断閉合部とを具備し
てなる外科用縫合具において、前記切断閉合部に流体噴
出ノズルを設けたことを特徴とする外科用縫合具。
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP5117374A JPH06327684A (ja) | 1993-05-19 | 1993-05-19 | 外科用縫合具 |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP5117374A JPH06327684A (ja) | 1993-05-19 | 1993-05-19 | 外科用縫合具 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| JPH06327684A true JPH06327684A (ja) | 1994-11-29 |
Family
ID=14710075
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP5117374A Withdrawn JPH06327684A (ja) | 1993-05-19 | 1993-05-19 | 外科用縫合具 |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH06327684A (ja) |
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