JPS5883949A - Drill apparatus for treating body cavity - Google Patents
Drill apparatus for treating body cavityInfo
- Publication number
- JPS5883949A JPS5883949A JP56181950A JP18195081A JPS5883949A JP S5883949 A JPS5883949 A JP S5883949A JP 56181950 A JP56181950 A JP 56181950A JP 18195081 A JP18195081 A JP 18195081A JP S5883949 A JPS5883949 A JP S5883949A
- Authority
- JP
- Japan
- Prior art keywords
- drill
- shaft
- optical viewing
- viewing tube
- treatment
- 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.)
- Granted
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
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
Landscapes
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.
Description
【発明の詳細な説明】
この発明は、関節腔内の軟骨等を切除する電気ドリルを
挿入した挿入軸内に、光学視管を挿入し得るようにして
、観察と共に、切削操作ができるようにすることにより
、操作機能性を向上させた体腔内処置用ドリル装置に関
するものである。DETAILED DESCRIPTION OF THE INVENTION The present invention enables an optical viewing tube to be inserted into an insertion shaft into which an electric drill for resecting cartilage, etc. in a joint cavity is inserted, so that not only observation but also cutting operations can be performed. The present invention relates to a drill device for intrabody cavity treatment that has improved operational functionality.
近年、腹腔内あるいは関節腔内に挿入して、患部等の観
察及び診断をする手段として、光学視管が広く用いられ
ている。この光学視管は、処置具による治療等の際にも
観察用として広く用いられている。In recent years, optical viewing tubes have been widely used as a means for observing and diagnosing affected areas by being inserted into the abdominal cavity or joint cavity. This optical viewing tube is widely used for observation during treatment using a treatment tool.
第１図は、関節腔内の骨に突出するようにできた軟骨を
取シ除く場合に、従来別々に挿入して使用される光学視
管１及びドリル２を示す。FIG. 1 shows an optical viewing tube 1 and a drill 2 that are conventionally inserted and used separately when removing cartilage that protrudes into a bone within a joint cavity.
上記光学視ｖｔ１は、先端に観察照明用の照明光出射端
及び観察光学系を配設した細長の挿入部３と、この挿入
部３の手元側端部が接続され、他端側に接眼光学系が配
設されて形成された接眼部４を有する把持部５とよりな
る。The above-mentioned optical vision VT1 has an elongated insertion section 3 having an illumination light output end for observation illumination and an observation optical system disposed at its tip, a proximal end of this insertion section 3, and an eyepiece optical system at the other end. It consists of a grip part 5 having an eyepiece part 4 in which a system is disposed.
上記把持部５の側部にはライトガイトロ金部６が形成さ
れ、照明用のライトソース７と照明光伝達用のライトガ
イドケーブル８を介して接続され、このライトガイドケ
ーブル８によって伝達された照明光を、挿入部３内を挿
通されたライトガイドによって先端の照明光出射端から
照射できるようにされている１、
上記光学視管１は、関節腔内に挿入される際、トラカー
ル９の刺入に案内されて、該トラヵ−ル９に挿通して関
節腔内に挿入される。このトラカール９０手元側の側部
には注入口１０が設けられておシ、前記ドリル２によっ
て切削又は切除される部分に潅流液を供給できるように
チュブ１１を介して潅流液容器１２と接続され、一方切
削又は切除された軟骨粒等を潅流液と共に外に取り出さ
せるように、潅流液取り出し管１３が患部近傍の下部に
刺入取り付けられている。 ・
一方、上記切削又は切除等の処置用ドリル２は、駆動用
モータを収容した手元側のモータ把持部１４と、とのモ
ータの回転軸と連結され、先端部に、例えば傘状の切削
刃１５を設けたドリルシャフト１６より構成されている
。このドリルシャフト１６が関節内に挿入される際は、
上記光学視管１の場合と同様トラカール１７の刺入に案
内されることになる。A light guide metal part 6 is formed on the side of the grip part 5, and is connected to a light source 7 for illumination via a light guide cable 8 for transmitting illumination light. Illumination light can be irradiated from the illumination light emitting end at the distal end by a light guide inserted into the insertion section 3.1 When the optical viewing tube 1 is inserted into the joint cavity, the trocar 9 It is guided through the trocar 9 and inserted into the joint cavity. An injection port 10 is provided on the proximal side of the trocar 90, and is connected to an irrigation fluid container 12 via a tube 11 so that irrigation fluid can be supplied to the portion to be cut or excised by the drill 2. On the other hand, a perfusate extraction tube 13 is inserted and attached to the lower part near the affected area so that cut or excised cartilage grains and the like can be taken out together with the perfusate. - On the other hand, the drill 2 for treatment such as cutting or excision is connected to a motor grip part 14 on the hand side that houses a drive motor, and a rotating shaft of the motor, and has, for example, an umbrella-shaped cutting blade at the tip. 15 is provided with a drill shaft 16. When this drill shaft 16 is inserted into the joint,
As in the case of the optical viewing tube 1 described above, the insertion of the trocar 17 is guided.
このように従来においては、豪察用の光学視管１と、切
削等処置用のドリル２とが別々に刺入されるだめ、患者
の苦痛は倍加し、一方術者においでも挿入操作が倍加す
ると共に光学視管１にて、観察しながらドリル２を操作
することが困難になるという問題があった。In this way, in the past, the optical viewing tube 1 for observation and the drill 2 for cutting and other treatments had to be inserted separately, which doubled the pain for the patient and also doubled the insertion operation for the operator. In addition, there was a problem in that it became difficult to operate the drill 2 while observing with the optical viewing tube 1.
この発明は上述した点に鑑みてなされたもので、処置用
ドリルと、光学視管とを同一の挿入軸内に挿通すること
により、観察並びに切削又は切除の操作を容易にすると
共に、患者に与える苦痛を軽減し得る体腔内処置用ドリ
ル装置を提供することを目的とする。This invention was made in view of the above-mentioned points, and by inserting a treatment drill and an optical viewing tube into the same insertion axis, observation and cutting or resection operations are facilitated, and the patient is It is an object of the present invention to provide a drill device for intrabody cavity treatment that can reduce the pain caused.
以下、図面を参照してこの発明を説明する。The present invention will be described below with reference to the drawings.
第２図は、この発明の第１実施例を示す。同図において
、手元側側部に設けた潅流液注入口２１からコックレバ
ー２２の操作によって潅流液が先端側に潅流される刺入
案内用のトラカール２３には、処置用のドリル装置の挿
入軸２５に設けたチャンネルに前述の構成の光学視管１
が挿抜自在に装着できるように構成されている。FIG. 2 shows a first embodiment of the invention. In the same figure, a trocar 23 for guiding the insertion, through which the irrigant is irrigated from the irrigant inlet 21 provided on the proximal side to the distal end by operating the cock lever 22, has an insertion shaft of a drill device for treatment. Optical viewing tube 1 having the above-mentioned configuration is installed in the channel provided in 25.
It is configured so that it can be inserted and removed freely.
即ち、挿入軸２５には、先端に例えば傘状の切削刃２６
を取υ付けたドリルシャフト２７及びこのドリルシャフ
ト２７の手元側後端部に接続されたフレキシブルな駆動
軸２８が湾曲して挿通され、この駆動軸２８の後端は、
前記挿入軸２５の手元側端部側面に把持し易いように突
設した把持操作部２９に収容された駆動用モータ３０の
回転軸に接続されている。そしてモータ３０による回転
が、これら駆動軸２８．ドリルシャフト２７を介して先
端の切削刃２６に伝達されるように構成されている。That is, the insertion shaft 25 has, for example, an umbrella-shaped cutting blade 26 at its tip.
The drill shaft 27 with the attached drill shaft 27 and the flexible drive shaft 28 connected to the proximal rear end of the drill shaft 27 are inserted in a curved manner, and the rear end of the drive shaft 28 is
It is connected to a rotating shaft of a drive motor 30 housed in a gripping operation part 29 protruding from the side surface of the proximal end of the insertion shaft 25 so as to be easily gripped. The rotation by the motor 30 causes these drive shafts 28. It is configured to be transmitted to the cutting blade 26 at the tip via the drill shaft 27.
上記把持操作部２９内には、回転駆動用モータ３０の電
源としてバッテリ３１が収容され、把持した手で前記モ
ータ３０を回転駆動できるように、把持操作部２９の側
部には、駆動スイッチ３２が設けである。A battery 31 is housed in the gripping operation section 29 as a power source for the rotational drive motor 30, and a drive switch 32 is provided on the side of the gripping operation section 29 so that the motor 30 can be rotationally driven by the gripping hand. is the provision.
上記先端に切削刃２６を取ｐ付けたドリルシャフト２７
が挿通された体腔内処置用ドリル装置における挿入軸２
５には、ドリルシャフト２７と平行して前述と同様の構
成の光学視管１の挿入部３が挿抜自在で装着できるチャ
ンネルが設けである。Drill shaft 27 with a cutting blade 26 attached to the tip
Insertion shaft 2 in a drill device for intrabody cavity treatment through which the
5 is provided with a channel parallel to the drill shaft 27 into which the insertion portion 3 of the optical viewing tube 1 having the same configuration as described above can be inserted and removed.
このように構成されたこの実施例の体腔内処置用ドリル
装置にて、前述のように軟骨等を切削又は切除する場合
には、トラカール２３を薗節腔に刺入した後に、このト
ラカール２３内にこのドリル装置の挿入軸２５を挿入し
、さらにこの挿入軸２５内のチャンネルに観察用の光学
視管１を挿入して装着する３、この揚台、術者は把持操
作部２９を把持し、装着された光学視管１の挿入部３先
端に配設された観察光学系の視野前方位置に、前記切削
刃２６が観察できるように構成しであるので、光学視管
１にＪ、って切削刃２６と共に患部を観察しながら切削
刃２６による切削の様子を観察でき、同時に把持した処
置用ドリル装置・にて切削ができる。When cutting or resecting cartilage or the like as described above with the drill device for intrabody cavity treatment of this embodiment configured as described above, after inserting the trocar 23 into the canal cavity, the inside of the trocar 23 is Insert the insertion shaft 25 of this drill device, and further insert and attach the optical viewing tube 1 for observation into the channel in this insertion shaft 25. , the cutting blade 26 is configured so that it can be observed at a position in front of the field of view of the observation optical system disposed at the tip of the insertion section 3 of the optical viewing tube 1 attached. While observing the affected area with the cutting blade 26, the patient can observe the state of cutting by the cutting blade 26, and at the same time can perform cutting with the treatment drill device held.
このように術者は、従来装置における別々に光学視管１
とドリル２とを挿入して操作していた場合に比べて、観
察及びドリルによる処置の操作が大変便利になる。従っ
て、施術においてミスすることもなく、有益であシ、又
患者にとっても挿入箇所が少くなシ、苦痛が軽減される
。In this way, the operator can separate the optical viewing tube and
Compared to the case where the drill 2 and the drill 2 are inserted, observation and treatment operations using the drill become much more convenient. Therefore, there are no mistakes in the procedure, which is beneficial, and there are fewer insertion points, which reduces pain for the patient.
第３図に示す第２実施例値、第２図に示す第−声部動用
バツテリ３１の代りに、外部電源を用いたものである。In the second embodiment shown in FIG. 3, an external power source is used in place of the battery 31 for operating the first voice section shown in FIG.
即ちこの実施例においては、モータ３０を駆動するため
に電力を供給する電気コード４１が付設され、この電気
コード４１の先端のプラグを外部の商用の交流電源に接
続して使用できるように構成されている。この場合モー
タ４２は、交流にて動作するものが使用される。この他
は、上記第１実施例と同様である。That is, in this embodiment, an electric cord 41 for supplying electric power to drive the motor 30 is attached, and the plug at the end of the electric cord 41 is configured to be connected to an external commercial AC power source. ing. In this case, the motor 42 used is one that operates on alternating current. The rest is the same as in the first embodiment.
上述の第２実施例において、電気コード４１に接続され
る外部電源として、交流電源に限定されるものでなく、
交流を直流に変換した直流電源に接続して使用できるよ
うにすることもできる。In the second embodiment described above, the external power source connected to the electric cord 41 is not limited to an AC power source,
It can also be used by connecting to a DC power source that converts AC to DC.
尚、関節腔に挿入して処置する場合についで述べである
が、％１１ちろん他の部分に挿入して１史用できること
は註う１でもない。It should be noted that when inserting into a joint cavity for treatment, it is of course possible to insert it into other parts for one-time use, as mentioned above.
又、ドリルの刃は切削刃２６に１畏定されるものでない
ことは勿論である。Further, it goes without saying that the drill blade is not limited to the cutting blade 26.
以」二述べたように、この発明によれば、手元側に把持
操作部を設け、切削等の処置用のドリルを挿通した挿入
軸に、観察用の光学視管を挿抜自在に装着できるように
しであるので、術者は操作しやすい観察下においで処１
Ｎができると共に、ミスする危険が防止できるという効
果がある。又、患者にとっても刺入される箇所が減り、
苦痛が大幅に観減されるという効果がある。As described above, according to the present invention, a grip operation section is provided on the hand side, and an optical viewing tube for observation can be freely inserted and removed from the insertion shaft into which a drill for cutting or other treatments is inserted. Because of the small size, the operator should perform the procedure under observation for easy operation.
This has the effect of not only allowing N but also preventing the risk of making mistakes. In addition, the number of insertion points for the patient is reduced,
It has the effect of significantly reducing pain.
第１図は、関節腔内に挿入してドリルによる処置をする
従来の装置及びその様イを示す説明図、第２図及び第３
図はとの発明に係り、第２図はトラカールを切断した第
１実施例を示す正面図、第３図はトラカールを切断した
第２実施例を示す正面図である。
１・・・光学視管
３・・・挿入部
４・・・接眼部
２１・・・潅流液注入口
２２・・・コックレバー
２３・・櫓トラカール
２５・・・挿入軸
２６・・・切削刃
２７・＠ｅドリルシャフト
２８・・・ｊ駆１ｖｂ軸
２９・・・把持操作部
３０・ｅ・モータ
３１・・・バッテリ
３２・・・駆動スイッチ
４１・・・電気コード
代理人 弁理士 ｔＰ 藤 進Fig. 1 is an explanatory diagram showing a conventional device for inserting into the joint cavity and performing treatment using a drill, and Figs.
FIG. 2 is a front view showing a first embodiment in which the trocar is cut, and FIG. 3 is a front view showing the second embodiment in which the trocar is cut. 1... Optical viewing tube 3... Insertion section 4... Eyepiece section 21... Irrigation fluid inlet 22... Cock lever 23... Turret trocar 25... Insertion shaft 26... Cutting Blade 27・@e drill shaft 28・j drive 1vb shaft 29・grip operation part 30・e・motor 31・battery 32・drive switch 41・・electrical code agent patent attorney tP Fuji Susumu
Claims (1)
接続されるドリルシャフトと、該ドリルシャフトを挿通
する挿入軸と、該挿入軸と一体化した操作部とを有し、
該挿入軸に設けたチャンネルに光学視管を挿抜自在に装
着できるようにしたことを特徴とする体腔内処置用ドリ
ル装置、。A drill shaft that is rotatable and has a drill cutting edge at its tip and whose rear end is connected to a motor, an insertion shaft that passes through the drill shaft, and an operation unit that is integrated with the insertion shaft,
1. A drill device for intrabody cavity treatment, characterized in that an optical viewing tube can be inserted into and removed from a channel provided on the insertion shaft.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP56181950A JPS5883949A (en) | 1981-11-12 | 1981-11-12 | Drill apparatus for treating body cavity |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP56181950A JPS5883949A (en) | 1981-11-12 | 1981-11-12 | Drill apparatus for treating body cavity |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS5883949A true JPS5883949A (en) | 1983-05-19 |
| JPH0243501B2 JPH0243501B2 (en) | 1990-09-28 |
Family
ID=16109705
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP56181950A Granted JPS5883949A (en) | 1981-11-12 | 1981-11-12 | Drill apparatus for treating body cavity |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPS5883949A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5155941A (en) * | 1989-09-18 | 1992-10-20 | Olympus Optical Co., Ltd. | Industrial endoscope system having a rotary treatment member |
| US5349940A (en) * | 1991-01-10 | 1994-09-27 | Olympus Optical Co., Ltd. | Endoscope system with a rotating treatment adapter at the end |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP4328254B2 (en) * | 2004-03-31 | 2009-09-09 | オリンパス株式会社 | Surgery system |
| US8092455B2 (en) * | 2005-02-07 | 2012-01-10 | Warsaw Orthopedic, Inc. | Device and method for operating a tool relative to bone tissue and detecting neural elements |
| US9050098B2 (en) | 2007-11-28 | 2015-06-09 | Covidien Ag | Cordless medical cauterization and cutting device |
| US8758342B2 (en) * | 2007-11-28 | 2014-06-24 | Covidien Ag | Cordless power-assisted medical cauterization and cutting device |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5671203U (en) * | 1979-11-05 | 1981-06-12 |
-
1981
- 1981-11-12 JP JP56181950A patent/JPS5883949A/en active Granted
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS5671203U (en) * | 1979-11-05 | 1981-06-12 |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5155941A (en) * | 1989-09-18 | 1992-10-20 | Olympus Optical Co., Ltd. | Industrial endoscope system having a rotary treatment member |
| US5349940A (en) * | 1991-01-10 | 1994-09-27 | Olympus Optical Co., Ltd. | Endoscope system with a rotating treatment adapter at the end |
Also Published As
| Publication number | Publication date |
|---|---|
| JPH0243501B2 (en) | 1990-09-28 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| ES2233285T3 (en) | CONTROL DEVICE FOR AN AUTOMATED SURGICAL BIOPSY DEVICE. | |
| US7748979B2 (en) | Device, system and method for dental treatment | |
| JP4153186B2 (en) | Endoscopic suture device | |
| US5947990A (en) | Endoscopic surgical instrument | |
| EP0125070A2 (en) | Surgical cutting instrument | |
| JPH07265329A (en) | Puncture high frequency treatment device | |
| EP0621008A2 (en) | Mechanical morcellator | |
| US20100047733A1 (en) | Device, system and method for procedures associated with the intra-oral cavity | |
| CA2287087A1 (en) | Surgical device for the collection of soft tissue | |
| WO1995030377A1 (en) | A surgical instrument, particularly for operative treatment of the prostate gland | |
| US7186257B2 (en) | Auxiliary apparatus for inserting a pin into a broken bone | |
| WO1993016628A1 (en) | Endoscopic surgical tools | |
| KR101699050B1 (en) | Punching needle and handpiece for hair extraction | |
| US20190133640A1 (en) | Rotary Instruments And Methods For Intrauterine Tissue Resection | |
| JPS60142842A (en) | Surgical incision instrument | |
| JPS61265133A (en) | Incision instrument for surgery | |
| JPS5883949A (en) | Drill apparatus for treating body cavity | |
| KR20170135532A (en) | Handpiece for hair extraction | |
| EP0669107A1 (en) | Surgical Instrument with attached laser instrument | |
| US11571254B2 (en) | Device for laparoscopic surgery | |
| KR20190124575A (en) | Biological tissue dissection device with endoscope | |
| Miller et al. | Review of accessories for percutaneous renal surgery | |
| US20160106300A1 (en) | Flexible Endoscopic Exoskeleton Surgical System | |
| JP3369641B2 (en) | Rigid endoscope | |
| CN213525347U (en) | Anterior cervical vertebra abrasive drilling protective sheath |