JP2004360138A - Fabric for surgery - Google Patents

Fabric for surgery Download PDF

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Publication number
JP2004360138A
JP2004360138A JP2003162429A JP2003162429A JP2004360138A JP 2004360138 A JP2004360138 A JP 2004360138A JP 2003162429 A JP2003162429 A JP 2003162429A JP 2003162429 A JP2003162429 A JP 2003162429A JP 2004360138 A JP2004360138 A JP 2004360138A
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Japan
Prior art keywords
gauze
contrast
yarn
yarns
surgical
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JP2003162429A
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Japanese (ja)
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JP4173771B2 (en
Inventor
Mineari Kataoka
峰有 片岡
Hisayasu Yokoi
久泰 横井
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Kawamoto Corp
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Kawamoto Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a fabric for surgery containing a contrasting thread resistant to slip-off. <P>SOLUTION: The fabric is a surgery gauze 30 containing contrasting threads and having a part containing two contrasting threads 34, 35 woven into the gauze adjacent to each other. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

【0001】
【発明の属する技術分野】
本発明は、造影糸を備えた手術用織物に関するものである。尚以下、手術用のガーゼを例に挙げて説明するが、本発明はガーゼの如く平織組織の綿製織物に限るものではなく、各種手術に用いる織物に対して勿論適用できる。
【0002】
【従来の技術】
外科手術の際には、乾燥の防止や出血を拭き取る等の目的で多数のガーゼが使用される。これらガーゼが体内に残ると、例えば痛みや違和感,或いは微熱等、様々な身体の不調をきたす虞があることから、手術終了に際しては全てのガーゼを体内から取り除く必要がある。
【0003】
そこで手術においては、一般にガーゼを構成する1本の経糸の代わりに造影糸を織り込んだガーゼが用いられ、手術終盤の手術部位を閉じる前にX線造影(レントゲン撮影)を行って、映し出された造影糸を手がかりにガーゼの存在の有無を確認し、残っていれば取り除くという方法が採られている。
【0004】
造影糸としては、ポリプロピレン系樹脂に硫酸バリウムを55〜65質量%練り込んだマルチフィラメント、または硫酸バリウムを50〜80質量%練り込んだ塩化ビニル樹脂やシリコーン系樹脂の糸状体が専ら用いられており、これらのものは吸水性に乏しく血液に染まらないことから、ガーゼ本体が血液により染まっていても、該造影糸を肉眼により視認し易いという利点も有する。
【0005】
ところでこの様に視認し易い利点から、体内からガーゼを取り除く際には、造影糸をピンセット等で掴んで取り出すといった操作を行うことが多い。通常の取出操作による力では、ガーゼ本体から造影糸が引き抜けるということは殆どないものの、例えばガーゼが深部に挿入されて臓器に挟まれた為に強く引き抜く必要がある場合等には、造影糸を掴んで引っ張り出すと、該造影糸がガーゼ本体から抜けてしまい、ガーゼ本体を体内に残す懸念がある。この様に造影糸が抜けてしまうと、ガーゼ本体はX線造影を行っても映し出されないから、見つけ出すことが困難となる。
【0006】
そこで造影糸を抜け難くした手術用ガーゼとして、例えば図10[従来例▲1▼の手術用ガーゼを示す正面図]に示す様に、経糸側の切断端部55の近傍において織密度を高くした(この部分を以下、高織密度部分52と称することがある)手術用ガーゼ50が提案されている(従来例▲1▼)(例えば、特許文献1の第2頁,図7参照)。この従来例▲1▼のものはガーゼを構成する経糸のうちの1本に造影糸51を用いたものであり、造影糸51は上記高織密度部分52によって締め付けられるから抜け難くなる。尚図中、53はガーゼ本体、54は緯糸がUターンする織布耳部分である。
【0007】
また短冊形状の内視鏡手術用ガーゼにおいて造影糸の抜け防止を図ったものとして、図11[従来例▲2▼の内視鏡手術用ガーゼ20を示す正面図],図12[(a)は図11に示す内視鏡手術用ガーゼ20における熱融着部11付近を示す拡大図、(b)は(a)に示すB−B線断面図]に示す様に、経糸切断部の近傍部分で、ガーゼ本体を構成する綿糸12に造影糸16を熱融着させた(熱融着部11)ものが提案されている(従来例▲2▼)(例えば、特許文献1(特にその第図2,3)参照)。この従来例▲2▼のものは、熱融着部11において造影糸16がガーゼ本体の綿糸12にしっかりと融着されているから、非常に抜け難い。
【0008】
更に他には、図13[従来例▲3▼の手術用ガーゼの拡大正面図]に示す様に、ガーゼ本体の経糸62のうちの1本(織り糸67)と造影糸66の部分が紗織りとなった手術用ガーゼ60が提案されており(従来例▲3▼)(例えば、特許文献2参照)、このものは織り糸67が造影糸66に絡みつく状態となるから引抜抵抗が上がり、抜け難い。
【0009】
【特許文献1】
特開2002−52038号公報
【特許文献2】
特開2002−143212号公報
【0010】
【発明が解決しようとする課題】
以上の様に造影糸を抜け難くした手術用ガーゼ(手術用織物)が種々提案されているが、本発明は異なる手法によって造影糸を極めて抜け難くした手術用織物を提供することを目的とする。
【0011】
【課題を解決するための手段】
本発明に係る手術用織物は、造影糸を備えた手術用織物であって、前記造影糸が隣接して2本以上織り込まれた部分が存在することを特徴とする。
【0012】
この様に2本以上の造影糸が隣接して織り込まれたものは、後述する実験の様に非常に引抜抵抗が高いことを確認している。引抜抵抗が高くなる理由としては確実なことは言えないが、大凡以下の(1)〜(3)の理由によると考えられる。尚手術用織物として手術用ガーゼを例にとって説明する。
【0013】
(1):一般に造影糸の太さはガーゼ本体を構成するガーゼ糸に比べて太い。従って仮に従来の様に1本の造影糸が織り込まれたものであっても、造影糸と交差するガーゼ糸(以下、交差ガーゼ糸と称することがある)は造影糸との交差部分で比較的大きな角度をつけてうねることになるところ、本発明では上記の如く2本以上の造影糸が隣接して織り込まれているから、この隣接する造影糸部分において交差ガーゼ糸は造影糸1本の場合よりも極めて急な角度で立ち上がりまた立ち下がって挿通されることになる。この為に造影糸に対する交差ガーゼ糸の締め付けが非常に強いものとなり、その結果造影糸が抜け難くなる。
【0014】
(2):更に交差ガーゼ糸の締め付けによって造影糸が変形し、挿通方向に凹凸のある形状となるから、引き抜くには、変形した凸部分を交差ガーゼ糸が乗り越えなければならず、引抜抵抗が高い。
【0015】
(3):例えばガーゼ用製織機を用いてその経糸のうちの2本以上を造影糸に代えて製織した場合には、造影糸が太い為に他のガーゼ本体部分に比べて該造影糸同士の隙間及び隣接するガーゼ糸との隙間が小さくなり、従って締め付け力が上がると共に摩擦抵抗も上がり、抜け難くなる。
【0016】
尚仮に造影糸を隣接させずに、離間させて2本以上入れた場合は、交差ガーゼ糸の締め付け力の向上が期待できないので、上記(1)〜(3)の様な引抜抵抗の向上が望めない。
【0017】
ガーゼ本体等の手術用織物本体を構成する糸(ガーゼ糸)の太さは一般に直径0.1〜0.2mm程度であり、これに対して造影糸の太さは一般に直径0.5〜0.9mm程度である。この様に太さに差がある為に上記(1)〜(3)の如く抜け難くなるものと考えられる。上記(1)〜(3)の作用を有効に発揮させる為に、手術用織物本体(ガーゼ本体)を構成する糸(ガーゼ糸)の太さに対する造影糸の太さは3倍以上が好ましく、より好ましくは5倍以上である。
【0018】
造影糸としては、硫酸バリウムや硫酸銀,酸化チタン,シリコーン等のX線非透過性物質を樹脂に練り込んで糸条としたものや、2枚の樹脂フィルムの間に銀等のX線非透過性物質を挟み、これを細くカットして糸状にしたもの等が挙げられ、具体的には上記の如くポリプロピレン系樹脂に硫酸バリウムを練り込んだマルチフィラメントや、硫酸バリウムを練り込んだ塩化ビニル樹脂やシリコーン系樹脂の糸状体が挙げられる。
【0019】
更に前記造影糸がマルチフィラメントの場合には、モノフィラメントに比べて太さ方向に変形し易く、従って交差糸(上記交差ガーゼ糸の様に、造影糸と交差する手術用織物本体の糸)によって少しの締め付け力が作用するだけで、マルチフィラメントの造影糸が変形し、上記の如く抜け難くなるから、より好ましい。
【0020】
本発明の手術用織物としては、2本以上の造影糸が隣接する部分が、挿入されている造影糸の長さの全てにわたっていることが最も好ましいが、この様に全てが隣接している必要はなく、或る程度の長さだけ隣接していれば、この隣接した箇所において上記(1)〜(3)の様に作用して造影糸が抜け難くなる。
【0021】
造影糸の本数としては2本以上であれば良く、即ち3本、4本であっても良いが、造影糸は吸水性に乏しく、手術用織物(ガーゼ)の風合いを固くする懸念があるから、あまり多く挿入することは推奨できない。この様な観点から、2〜3本が好ましく、最も好ましくは2本である。
【0022】
また本発明は、上述の如く造影糸が抜け難くなるという効果に加えて、X線造影による視認性に優れるという効果もある。つまり、造影糸が2本以上隣接したものの場合、X線造影を行った際に、造影方向に対して造影糸2本(或いは3本以上)が平行に列んだ箇所では造影糸が太く見え、また造影糸2本(或いは3本以上)が重なった箇所では、X線非透過性物質(硫酸バリウム等)の密度(X線透過線上にある量)が見かけ上高くなる為に造影糸がより明るく見え、いずれにせよ視認性が向上する。尚複数の造影糸を離間させて(隣接させずに)配置したガーゼにおいても、ガーゼは不定形に折り畳まれて(クシャクシャになって)体内に存在することが多いから、造影方向に対して造影糸が重なる箇所も存在するものの、本発明の様に隣接させたものにあっては、折り畳まれることによって重なる場合だけでなく、平行に列ぶ2本の造影糸の側方から造影した場合も重なることになり、従って造影糸が重なる確率が非常に高くなるので、視認性に優れる。
【0023】
【発明の実施の形態】
以下、本発明に係る手術用織物に関して、例を示す図面を参照しつつ具体的に説明するが、本発明はもとより図示例に限定される訳ではなく、前・後記の趣旨に適合し得る範囲で適当に変更を加えて実施することも可能であり、それらはいずれも本発明の技術的範囲に包含される。
【0024】
<実施形態1>
図1の(a)は本発明の実施形態1に係る手術用ガーゼ(手術用織物)の部分拡大図であり、(b)は(a)に示すA−A線断面図である。
【0025】
この手術用ガーゼ30は、綿製ガーゼ糸31,32(15tex(綿糸40番手))が経糸及び緯糸に配されてガーゼ本体33を構成し(図中、31が経方向のガーゼ糸、32が緯方向のガーゼ糸である)、このガーゼ本体33に2本の造影糸34,35(3800dtex)が隣接して経方向に織り込まれたものであって、造影糸34,35,経方向ガーゼ糸31と緯方向ガーゼ糸32により平織組織が形成されている。大きさは30cm×30cmである。
【0026】
造影糸34,35は、ポリプロピレン系樹脂に硫酸バリウムを55〜65質量%練り込んでフィラメントを紡糸し、これを40本束ねて更にポリエステルフィラメントを巻き付けたマルチフィラメントである。尚実施形態1の造影糸34,35及びガーゼ糸31,32の太さとしてその断面直径を測定したところ、造影糸34,35は直径0.53mmで、ガーゼ糸31,32は直径0.15mmであり、造影糸34,35はガーゼ糸31,32の約3.5倍の太さであった。
【0027】
この手術用ガーゼ30の製造にあたっては、通常のガーゼ用織機を使用し、2本のガーゼ用経糸に代えて2本の造影糸34,35を用いて製織することにより得られる。尚織り上がった手術用ガーゼ30は適宜脱脂,漂白,滅菌等を行って、日本薬局方に規定するガーゼに適合するものとする。
【0028】
尚例えば上記従来例▲3▼ではもじり織りのできる特種な織機を必要とするが、上記の様に本実施形態では通常のガーゼ用織機を用いて製織できるから、従来の製造設備をそのまま利用でき、また通常のガーゼの製造工程と同じ様に製造できるから、製造過程が煩雑になることもない。従ってコスト上昇を招くことがない。
【0029】
手術用ガーゼ30の造影糸34,35はガーゼ糸31,32に比べて太く、該造影糸34,35及びこれらに隣接する経方向ガーゼ糸31a,31bの部分では、糸−糸間隔が狭く密に織られた状態であるから、摩擦抵抗が上がり、また造影糸34,35部分では緯方向ガーゼ糸(交差ガーゼ糸)32が急峻に立ち上がりまた立ち下がってうねることになるので、緯方向ガーゼ糸32に強い締め付け力が生じ、造影糸34,35を強力に締め付ける。更にこの締め付けにより、図2[手術用ガーゼ30中の造影糸34(或いは造影糸35)を表す側面図]に示すように造影糸34,35に凹凸状の変形を生じさせる。この様な摩擦抵抗の上昇、強い締め付け、凹凸状の変形といった要素が絡み合って、造影糸34,35が非常に抜け難いものとなる。仮に造影糸が抜けてしまうと、X線造影を行っても手術用ガーゼが映し出されず、その為に手術用ガーゼを見つけ難くなって体内に残すという懸念があるが、上記の如く本実施形態では造影糸34,35に引き抜き力が作用しても容易には抜けないから、上記懸念が殆どなくなり、安全性がより向上する。
【0030】
加えて2本の造影糸34,35が隣り合って列んでいるので、X線造影を行った際に、平面的に列んで見える方向からの造影では造影糸が太く見え、重なって見える方向(側端方向(図1の矢印C方向))からの造影では1本の場合よりも明るく輝いて見えるから、見つけやすい。尚従来の手術用ガーゼのように造影糸が1本織り込まれたものであっても、体内では不定形に折り畳まれて存在するので、造影糸の重なり部分は少なからず生じ、当該部分が明るく輝いて見えることになるものの、本実施形態1のように造影糸34,35が隣接しているものでは、折り畳まれて重なるだけでなく、側端方向(図1の矢印C方向)からの造影の場合でも重なって見え、この様に造影糸が重なる確率が高くなるので、より視認性が向上する。
【0031】
<実施形態2>
図3は本発明の実施形態2に係る手術用ガーゼ(手術用織物)40を示す正面図である。尚図1,10と同じ構成部分については同一の符号を付して重複説明を避ける。
【0032】
この実施形態2の手術用ガーゼ40は、経糸側の切断端部55の近傍において織密度の高い高織密度部分52を形成したものであり、他の構成は上記実施形態1と同様である。
【0033】
この手術用ガーゼ40においては更に高織密度部分52による締め付け力も加わり、造影糸34,35がより一層抜け難くなる。従って造影糸が抜けた為に手術用ガーゼ40が見つけられなくなるという事態を防止することができる。また手術用ガーゼ40も上記実施形態1と同様に、2本の造影糸34,35が隣接しているから造影糸が重なってX線造影される確率が高くなり、当該重なり部分が明るく輝いて視認性に優れる。
【0034】
尚上記実施形態1,2では造影糸の太さとして直径0.53mmのものを挙げたが、一般にはこの太さのものの他、直径0.57mm,0.65mm,0.85mmのものが汎用されており、これらの造影糸を使用した場合であってもガーゼ糸(一般に直径0.15mm程度)に対して十分に太く、交差ガーゼ糸によって強く締め付けられる等により非常に抜け難いものとなる。
【0035】
また上記実施形態1,2では造影糸を2本織り込んだ手術用ガーゼ30,40を示したが、3本以上織り込んだものであっても良い。但し、造影糸の本数が多すぎると、吸水性や柔軟性が損なわれる虞があるから、これらを勘案してあまり多く織り込まない方が良い。
【0036】
加えて上記実施形態1,2では造影糸を経糸として織り込んだものを示したが、緯糸として織り込んでも良い。
【0037】
また上記実施形態1,2ではガーゼ本体として40番手の綿糸からなるものを示したが、これに限るものではなく、他の太さの綿糸(例えば30番手等)を用いても勿論良く、更にレーヨンやキュプラ等の他の繊維を単独或いは混紡,合糸等した糸を用いて製織したものであっても良い。
【0038】
更に上記実施形態1,2においては、30cm×30cmの手術用ガーゼを示したが、これに限らず、例えば1cm×15cm等の圧迫止血用ガーゼ、3cm×20cm等の内視鏡用ガーゼ、更にガーゼを折り畳んで3cm×3cmとした剥離用ガーゼ等の、手術に用いる各種織物に本発明を適用できる。
【0039】
<実験>
実施形態2と同様の手術用ガーゼ40(試料No.1〜6)、及び上記従来例▲1▼の手術用ガーゼ(試料No.7〜9)について、造影糸の引抜(脱落)強度試験を行った。尚これらの試料No.1〜9はいずれも経30cm×緯30cmであり、試料No.1〜6は造影糸が2本隣接して経方向に織り込まれ、試料No.7〜9は造影糸が1本経方向に織り込まれたものである。また造影糸が織り込まれていないガーゼのみのもの(経30cm×緯30cm)(試料No.10〜12)に関しても、このガーゼを構成するガーゼ糸1本についての引抜(脱落)強度試験を行った。尚いずれもガーゼ糸の太さは直径0.15mm、造影糸の太さは直径0.53mmである。
【0040】
試験方法は、試料No.1〜9については造影糸が長手方向の中心になる様にして5cm幅に試料をカットし(30cm×5cmの短冊状となる)、長手方向の一方端5cmの部分においてガーゼ糸のみを切除して造影糸だけとし、長手方向の他方端5cmの部分においては造影糸のみを切除してガーゼ糸だけとした。試料No.4〜6に関しては、更に長手方向の一方端5cmの部分における造影糸2本のうちの1本を切除した。そしてこれら切除部分を掴み部とした(図4:引抜強度試験の方法を説明する為の図(その1))。試料No.10〜12については経方向の1本のガーゼ糸を上記造影糸と見立てて、上記と同様に長手方向の一方端5cm及び他方端5cmをそれぞれ切除し、掴み部とした。尚いずれも掴み間隔は25cmとなる。
【0041】
定測伸長形引張試験機(JIS L 1906 5.3.1において使用される試験機と同じもの)を用い、この試験機のチャック部71により試料の掴み部をそれぞれ掴んで試料に弛みのない状態とし(初荷重点:0.03N)、20cm/分の引張速度で試料を引っ張り(ロードセル定格:50N)、その際の引抜抵抗の荷重を測定した(図5:引抜強度試験の方法を説明する為の図(その2))。表1にその結果を示すと共に、図6〜9に測定結果のチャートを表す。図6〜9中、縦軸は引抜抵抗の荷重、横軸は伸び(チャック部71の離間幅)を示す。
【0042】
【表1】

Figure 2004360138
【0043】
表1及び図6〜9から分かる様に、造影糸が1本織り込まれた試料No.7〜9に比べて、2本の造影糸が隣接して織り込まれた試料No.1〜6は、いずれも最大荷重が大きく、引抜抵抗性に非常に優れる。特に造影糸2本ともに引抜力を作用させたものにあっては(試料No.1〜3)いずれも造影糸の切断に至り、このことから、ピンセット等で造影糸2本を掴んで引き出す場合には、造影糸が引き抜けるより前に造影糸が切断され、残りの造影糸が手術用ガーゼに残ることが分かる。また試料No.1〜6の引抜抵抗最大荷重の値から分かるように(試料No.1〜3の平均は18.434N、試料No.4〜6の平均は7.265N)、ガーゼ自身が破損しそうになる(或いは破損する)程の大きな力を加えないと造影糸が引き抜けないことが分かる。更に試料No.10〜12はガーゼ糸の引抜抵抗を測定したものであるが、この試料No.10〜12の結果と試料No.1〜6の結果を比較しても分かる様に、試料No.1〜6は造影糸の引抜抵抗が格段に優れる。
【0044】
尚試料No.1〜12はいずれも経糸側の切断端部の近傍に高織密度部分を有するが、長手方向の一方端側では上記ガーゼ糸切除によって該高織密度部分が取り除かれ、長手方向の他方端側においてもチャック部71により掴まれている部分であるから、該高織密度部分は本試験において造影糸或いはガーゼ糸の引抜抵抗荷重について何ら関与しない。従って実施形態2の手術用ガーゼ40はこの高織密度部分52によって実際にはより引抜抵抗が高いものとなる。
【0045】
【発明の効果】
以上の様に本発明の手術用織物においては、造影糸が非常に抜け難いから、手術用織物より造影糸が抜け落ちることは殆どなく、従って造影糸が抜けた為にX線造影で織物(ガーゼ)が映し出されないという事態を防ぐことができ、よってより安全性が向上する。
【図面の簡単な説明】
【図1】本発明の実施形態1に係る手術用ガーゼ(手術用織物)を示す図。
【図2】実施形態1の手術用ガーゼ中の造影糸を表す側面図。
【図3】本発明の実施形態2に係る手術用ガーゼ(手術用織物)を示す正面図。
【図4】引抜強度試験の方法を説明する為の図(その1)。
【図5】引抜強度試験の方法を説明する為の図(その2)。
【図6】試料No.1〜3の引抜強度試験の測定結果を表すチャート。
【図7】試料No.4〜6の引抜強度試験の測定結果を表すチャート。
【図8】試料No.7〜9の引抜強度試験の測定結果を表すチャート。
【図9】試料No.10〜12の引抜強度試験の測定結果を表すチャート。
【図10】従来例▲1▼の手術用ガーゼを示す正面図。
【図11】従来例▲2▼の内視鏡手術用ガーゼを示す正面図。
【図12】(a)は図11に示す内視鏡手術用ガーゼにおける熱融着部付近を示す拡大図、(b)は(a)に示すB−B線断面図。
【図13】従来例▲3▼の手術用ガーゼの拡大正面図。
【符号の説明】
30,40 手術用ガーゼ
31 経方向のガーゼ糸
32 緯方向のガーゼ糸
33 ガーゼ本体
34,35 造影糸
52 高織密度部分
54 織布耳部分
55 経糸側の切断端部
71 チャック部[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a surgical fabric provided with a contrast thread. In the following, a gauze for surgery will be described as an example, but the present invention is not limited to a cotton fabric having a plain weave structure like a gauze, but can be applied to a fabric used for various operations.
[0002]
[Prior art]
At the time of a surgical operation, many gauze are used for the purpose of preventing dryness and wiping bleeding. If such gauze remains in the body, it may cause various physical disorders such as pain, discomfort, or slight fever. Therefore, it is necessary to remove all gauze from the body at the end of the operation.
[0003]
Therefore, in operation, a gauze in which a contrast yarn is woven is generally used instead of one warp constituting the gauze, and X-ray imaging (radiography) is performed before closing the operation site at the end of the operation, and the image is displayed. A method has been adopted in which the presence or absence of gauze is checked by using a contrast yarn as a clue, and if there is remaining gauze, it is removed.
[0004]
As the contrast yarn, a multifilament in which 55 to 65% by mass of barium sulfate is kneaded in a polypropylene resin, or a filamentous material of a vinyl chloride resin or a silicone resin in which 50 to 80% by mass of barium sulfate is kneaded is exclusively used. Since these materials have poor water absorption and do not stain blood, they have an advantage that the contrast yarn is easily visually recognized even if the gauze body is stained with blood.
[0005]
By the way, due to such an advantage that it is easy to visually recognize, when removing the gauze from the body, an operation of grasping the contrast yarn with tweezers or the like and removing it is often performed. Although the contrast yarn hardly pulls out of the gauze main body with the force of the normal removal operation, it is necessary to strongly pull out the contrast yarn, for example, when the gauze is inserted deeply and caught between the organs, etc. If it is grasped and pulled out, the contrast yarn may fall out of the gauze main body, and there is a concern that the gauze main body remains in the body. If the contrast yarn comes off in this way, the gauze body will not be projected even when X-ray contrast is performed, and it will be difficult to find it.
[0006]
Therefore, as a surgical gauze that made it difficult for the contrast thread to come off, for example, as shown in FIG. 10 [a front view showing the surgical gauze of the conventional example (1)], the weaving density was increased near the cut end 55 on the warp side. A surgical gauze 50 has been proposed (hereinafter, this portion may be referred to as a high weave density portion 52) (conventional example (1)) (for example, see page 2 of Patent Document 1, FIG. 7). In the conventional example (1), the contrast yarn 51 is used as one of the warp yarns constituting the gauze. The contrast yarn 51 is fastened by the high-woven density portion 52 and thus hardly comes off. In the figure, 53 is a gauze main body, and 54 is a woven fabric ear portion where the weft turns U.
[0007]
Further, as a strip-shaped endoscope surgical gauze for preventing the removal of the contrast thread, FIG. 11 [a front view showing the endoscope surgical gauze 20 of the conventional example (2)] and FIG. 12 (a). Is an enlarged view showing the vicinity of the heat-sealed portion 11 of the gauze 20 for endoscopic surgery shown in FIG. 11, and (b) is a cross-sectional view taken along the line BB shown in FIG. In some parts, a yarn in which a contrast yarn 16 is thermally fused to a cotton yarn 12 constituting a gauze body (heat-fused portion 11) has been proposed (conventional example {circle around (2)}). See FIGS. 2 and 3)). In the conventional example (2), the contrast yarn 16 is firmly fused to the cotton yarn 12 of the gauze main body at the heat fusion portion 11, so that it is very difficult to come off.
[0008]
Furthermore, as shown in FIG. 13 [enlarged front view of the surgical gauze of the conventional example (3)], one of the warp yarns 62 (woven yarn 67) and the portion of the contrast yarn 66 of the gauze main body are woven. Has been proposed (conventional example {circle around (3)}) (for example, see Patent Literature 2). In this case, the weaving yarn 67 is entangled with the contrast yarn 66, so that the pull-out resistance is increased and it is difficult to pull out. .
[0009]
[Patent Document 1]
JP 2002-52038 A [Patent Document 2]
JP, 2002-143212, A
[Problems to be solved by the invention]
As described above, various surgical gauze (surgical fabrics) have been proposed in which the contrast yarn is hardly removed, but an object of the present invention is to provide a surgical fabric in which the contrast yarn is extremely hardly removed by a different method. .
[0011]
[Means for Solving the Problems]
The surgical fabric according to the present invention is a surgical fabric provided with a contrast yarn, wherein there is a portion where two or more of the contrast yarns are woven adjacent to each other.
[0012]
As described above, it has been confirmed that the two or more contrast yarns woven adjacent to each other have a very high pull-out resistance as in the experiment described later. Although the reason why the pull-out resistance becomes high cannot be said to be certain, it is considered to be roughly due to the following reasons (1) to (3). A surgical gauze will be described as an example of the surgical fabric.
[0013]
(1): Generally, the thickness of the contrast yarn is thicker than the gauze yarn constituting the gauze body. Therefore, even if a single contrast yarn is woven as in the prior art, a gauze yarn that intersects with the contrast yarn (hereinafter sometimes referred to as a crossed gauze yarn) is relatively formed at the intersection with the contrast yarn. In the present invention, since two or more contrast yarns are woven adjacently as described above, the crossed gauze yarn in the adjacent contrast yarn portion is a single contrast yarn. It rises and falls at an extremely steep angle, and is inserted. For this reason, the tightening of the crossed gauze yarn to the contrast yarn becomes very strong, and as a result, the contrast yarn hardly comes off.
[0014]
(2): Further, the contrast yarn is deformed due to the tightening of the cross gauze yarn, and the cross gauze yarn has a shape having irregularities in the insertion direction. high.
[0015]
(3): For example, when two or more of the warp yarns are woven using a gauze weaving machine instead of a contrast yarn, the contrast yarns are thicker than other gauze body portions because the contrast yarn is thick. And the gap between adjacent gauze yarns are reduced, so that the tightening force is increased, the frictional resistance is increased, and it is difficult to remove.
[0016]
If two or more contrast yarns are inserted apart from each other without being adjacent to each other, an improvement in the tightening force of the crossed gauze yarn cannot be expected, so that the improvement in the pull-out resistance as described in the above (1) to (3) can be expected. I can't hope.
[0017]
The thickness of the thread (gauze thread) constituting the surgical textile body such as the gauze body is generally about 0.1 to 0.2 mm in diameter, whereas the thickness of the contrast thread is generally 0.5 to 0 in diameter. It is about 0.9 mm. It is considered that the difference in thickness in this manner makes it difficult to come out as described in (1) to (3) above. In order to effectively exert the effects of the above (1) to (3), the thickness of the contrast yarn is preferably at least 3 times the thickness of the yarn (gauze yarn) constituting the surgical woven fabric main body (gauze main body), More preferably, it is 5 times or more.
[0018]
As the contrast yarn, a yarn obtained by kneading an X-ray opaque substance such as barium sulfate, silver sulfate, titanium oxide, or silicone into a resin, or an X-ray opaque material such as silver between two resin films is used. Examples thereof include a material in which a permeable substance is sandwiched, and this is cut into small pieces to form a thread.Specifically, as described above, a multifilament in which barium sulfate is kneaded in a polypropylene-based resin or a vinyl chloride in which barium sulfate is kneaded Threads of resin or silicone-based resin are exemplified.
[0019]
Further, when the contrast yarn is a multifilament, the yarn is easily deformed in the thickness direction as compared with the monofilament. Therefore, the cross yarn (the yarn of the surgical fabric main body that intersects with the contrast yarn like the above-mentioned cross gauze yarn) is slightly deformed. It is more preferable that the multifilament contrast yarn is deformed and hard to come off as described above only by the application of the tightening force.
[0020]
In the surgical fabric of the present invention, it is most preferable that the portion where two or more contrast yarns are adjacent extends over the entire length of the inserted contrast yarn. However, if they are adjacent to each other by a certain length, they act as described above in (1) to (3) at the adjacent locations, making it difficult for the contrast yarn to come off.
[0021]
The number of contrast yarns may be two or more, that is, three or four. However, since the contrast yarns have poor water absorbability, there is a concern that the texture of surgical fabric (gauze) may be hardened. It is not recommended to insert too much. From such a viewpoint, the number is preferably two or three, and most preferably two.
[0022]
Further, the present invention has an effect that the visibility by X-ray contrast is excellent, in addition to the effect that the contrast yarn hardly comes off as described above. In other words, when two or more contrast yarns are adjacent to each other, when the X-ray contrast is performed, the contrast yarn appears thick at a place where two (or three or more) contrast yarns are arranged in parallel to the contrast direction. Also, in a place where two (or three or more) contrast yarns overlap, the density (the amount existing on the X-ray transmission line) of the radiopaque substance (such as barium sulfate) becomes apparently high, so that the It looks brighter and the visibility is improved in any case. Even in a gauze in which a plurality of contrast yarns are arranged apart from each other (not adjacent to each other), the gauze is often folded in an irregular shape (crumple) and is present in the body, so that the contrast is enhanced in the contrast direction. Although there are places where the yarns overlap, in the case of the adjacent ones as in the present invention, not only the case where the yarns are overlapped by folding but also the case where the two contrast yarns arranged in parallel are imaged from the side. As a result, the probability of overlapping of the contrast yarns becomes extremely high, and thus the visibility is excellent.
[0023]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, the surgical fabric according to the present invention will be specifically described with reference to the drawings showing examples. However, the present invention is not necessarily limited to the illustrated examples, and a range that can conform to the purpose of the preceding and following descriptions. It is also possible to carry out the present invention with appropriate modifications, and all of them are included in the technical scope of the present invention.
[0024]
<First embodiment>
FIG. 1A is a partially enlarged view of a surgical gauze (surgical fabric) according to Embodiment 1 of the present invention, and FIG. 1B is a cross-sectional view taken along the line AA shown in FIG.
[0025]
In this surgical gauze 30, cotton gauze yarns 31, 32 (15 tex (cotton yarn 40th count)) are arranged on a warp and a weft to constitute a gauze main body 33 (in the figure, 31 is a warp-direction gauze yarn, and 32 is a gauze yarn. A gauze yarn in the weft direction), and two contrast yarns 34, 35 (3800 dtex) are woven in the warp direction adjacent to the gauze body 33, and the contrast yarns 34, 35, the warp gauze yarn A plain weave structure is formed by 31 and the weft gauze yarn 32. The size is 30 cm × 30 cm.
[0026]
The contrast yarns 34 and 35 are multifilaments obtained by kneading 55 to 65% by mass of barium sulfate into a polypropylene resin, spinning filaments, bundling 40 filaments, and further winding polyester filaments. When the cross-sectional diameters of the contrast yarns 34 and 35 and the gauze yarns 31 and 32 of Embodiment 1 were measured as the thickness, the contrast yarns 34 and 35 were 0.53 mm in diameter, and the gauze yarns 31 and 32 were 0.15 mm in diameter. The contrast yarns 34 and 35 were about 3.5 times as thick as the gauze yarns 31 and 32.
[0027]
In manufacturing the surgical gauze 30, it is obtained by using a normal gauze loom and weaving using two contrast yarns 34 and 35 instead of two gauze warps. The woven surgical gauze 30 is appropriately degreased, bleached, and sterilized to conform to the gauze specified in the Japanese Pharmacopoeia.
[0028]
In addition, for example, in the above-mentioned conventional example (3), a special loom capable of weaving is required, but in this embodiment, as described above, weaving can be performed using a normal gauze loom, so that conventional manufacturing equipment can be used as it is. In addition, since the gauze can be produced in the same manner as a normal gauze production process, the production process does not become complicated. Therefore, the cost does not increase.
[0029]
The contrast yarns 34 and 35 of the surgical gauze 30 are thicker than the gauze yarns 31 and 32. In the contrast yarns 34 and 35 and the portions of the longitudinal gauze yarns 31a and 31b adjacent thereto, the yarn-to-yarn spacing is narrow and dense. In this case, the frictional resistance increases, and the weft gauze yarn (crossed gauze yarn) 32 rises and falls sharply in the contrast yarns 34 and 35, so that the weft gauze yarn is formed. A strong tightening force is generated at 32, and the contrast yarns 34 and 35 are strongly tightened. Further, by this tightening, as shown in FIG. 2 [a side view showing the contrast yarn 34 (or the contrast yarn 35 in the surgical gauze 30)], the contrast yarns 34 and 35 are deformed in an uneven shape. Elements such as the increase in frictional resistance, strong tightening, and irregular deformation are intertwined, and the contrast yarns 34 and 35 are very difficult to come off. If the contrast thread comes off, the surgical gauze will not be projected even if X-ray imaging is performed, and there is a concern that the surgical gauze will be difficult to find and remain in the body, but as described above, in this embodiment, Even if the pull-out force acts on the contrast yarns 34 and 35, they do not come off easily, so that the above-mentioned concerns are almost eliminated and the safety is further improved.
[0030]
In addition, since the two contrast yarns 34 and 35 are arranged adjacent to each other, when performing X-ray contrast, the contrast yarns appear thick and overlap with each other when viewed from a direction in which the contrast yarns appear to be lined up in a plane ( In contrast imaging from the side end direction (the direction of arrow C in FIG. 1), the image looks brighter and brighter than in the case of one image, so that it is easy to find. Even if a single contrast thread is woven like a conventional surgical gauze, it is folded in an irregular shape in the body, so that the overlapping part of the contrast thread is not small and the part is bright and bright. However, when the contrast yarns 34 and 35 are adjacent to each other as in the first embodiment, the contrast yarns 34 and 35 are not only folded and overlapped but also contrasted from the side end direction (the direction of arrow C in FIG. 1). Even in this case, they appear to overlap, and the probability that the contrast yarns overlap increases in this way, so that the visibility is further improved.
[0031]
<Embodiment 2>
FIG. 3 is a front view showing a surgical gauze (surgical fabric) 40 according to the second embodiment of the present invention. The same components as those in FIGS. 1 and 10 are denoted by the same reference numerals, and redundant description will be avoided.
[0032]
The surgical gauze 40 of the second embodiment has a high weaving density portion 52 having a high weaving density formed in the vicinity of the cut end 55 on the warp side, and the other configuration is the same as that of the first embodiment.
[0033]
In this surgical gauze 40, the tightening force by the high-woven density portion 52 is further applied, so that the contrast yarns 34 and 35 are more difficult to come off. Therefore, it is possible to prevent a situation in which the surgical gauze 40 cannot be found due to the removal of the contrast thread. Also, in the surgical gauze 40, as in the first embodiment, since the two contrast yarns 34 and 35 are adjacent to each other, there is a high probability that the contrast yarns are overlapped and X-ray contrast is increased, and the overlapping portion is brightly shined. Excellent visibility.
[0034]
In the first and second embodiments, the diameter of the contrast yarn is 0.53 mm. However, in general, the diameter of the contrast yarn is 0.57 mm, 0.65 mm, or 0.85 mm. Even when these contrast yarns are used, they are sufficiently thick with respect to gauze yarns (generally, about 0.15 mm in diameter), and are very difficult to come off because they are strongly tightened by crossed gauze yarns.
[0035]
In the first and second embodiments, the surgical gauze 30, 40 in which two contrast yarns are woven is shown. However, three or more gauze yarns may be woven. However, if the number of contrast yarns is too large, water absorption and flexibility may be impaired. Therefore, it is better not to weave in too much in consideration of these.
[0036]
In addition, in Embodiments 1 and 2, the contrast yarn is woven as the warp, but may be woven as the weft.
[0037]
In the first and second embodiments, the gauze body is made of the 40th cotton thread. However, the gauze body is not limited to this. Of course, another thickness of cotton thread (for example, the 30th thread) may be used. Other fibers, such as rayon and cupra, may be woven alone or by using a blended or combined yarn.
[0038]
Furthermore, in the first and second embodiments, a 30 cm × 30 cm surgical gauze is shown. However, the present invention is not limited to this. For example, a 1 cm × 15 cm gauze for compressing and stopping blood, an endoscope gauze having a size of 3 cm × 20 cm, and the like. The present invention can be applied to various fabrics used in surgery, such as a gauze for peeling, which is formed by folding gauze and measuring 3 cm × 3 cm.
[0039]
<Experiment>
With respect to the surgical gauze 40 (sample Nos. 1 to 6) similar to the second embodiment and the surgical gauze (samples Nos. 7 to 9) of the conventional example (1), a pull-out (drop-off) strength test of the contrast yarn was performed. went. In addition, these sample Nos. Sample Nos. 1 to 9 each have a size of 30 cm × 30 cm. In Sample Nos. 1 to 6, two contrast yarns were woven in the warp direction adjacent to each other. Nos. 7 to 9 are formed by weaving one contrast yarn in the warp direction. Further, with respect to the gauze only (contrast 30 cm × weft 30 cm) (contrast 30 cm × weft 30 cm) in which no contrast yarn was woven (sample Nos. 10 to 12), a pull-out (drop-off) strength test was performed on one gauze yarn constituting the gauze. . In each case, the gauze thread has a diameter of 0.15 mm and the contrast thread has a diameter of 0.53 mm.
[0040]
The test method was as follows. For samples 1 to 9, the sample was cut into a 5 cm width so that the contrast thread was at the center in the longitudinal direction (a strip of 30 cm x 5 cm), and only the gauze thread was cut off at one end 5 cm in the longitudinal direction. Only the contrast yarn was used, and only the gauze yarn was cut off at the other end 5 cm in the longitudinal direction by cutting only the contrast yarn. Sample No. With respect to Nos. 4 to 6, one of the two contrast yarns at one end 5 cm in the longitudinal direction was further cut off. These cut portions were used as grip portions (FIG. 4: A diagram for explaining a pull-out strength test method (No. 1)). Sample No. Regarding 10-12, one gauze yarn in the warp direction was regarded as the above-mentioned contrast yarn, and one end 5 cm and the other end 5 cm in the longitudinal direction were cut off in the same manner as above to obtain a grip portion. In each case, the gripping interval is 25 cm.
[0041]
Using a fixed-measurement elongation-type tensile tester (the same as the tester used in JIS L 1906 5.3.1), the gripping portions of the sample are gripped by the chuck portions 71 of the tester, and the sample is not loosened. The sample was pulled (initial load point: 0.03 N), the sample was pulled at a pulling speed of 20 cm / min (load cell rating: 50 N), and the load of pull-out resistance at that time was measured (FIG. 5: Method of pull-out strength test is described). (No. 2). Table 1 shows the results, and FIGS. 6 to 9 show charts of the measurement results. 6 to 9, the vertical axis indicates the load of pullout resistance, and the horizontal axis indicates elongation (the separation width of the chuck portion 71).
[0042]
[Table 1]
Figure 2004360138
[0043]
As can be seen from Table 1 and FIGS. 6 to 9, Sample No. 1 in which one contrast yarn was woven was used. Sample No. 7 in which two contrast yarns were woven adjacent to each other as compared with Nos. 7 to 9. All of Nos. 1 to 6 have a large maximum load and are extremely excellent in pull-out resistance. In particular, in the case where the drawing force is applied to both of the two contrast yarns (Sample Nos. 1 to 3), all of the contrast yarns are cut. Therefore, when the two contrast yarns are gripped with tweezers and pulled out. Shows that the contrast yarn is cut before the contrast yarn is pulled out, and the remaining contrast yarn remains on the surgical gauze. Sample No. As can be seen from the values of the maximum pull-out resistance loads of Nos. 1 to 6 (the average of samples Nos. 1 to 3 is 18.434N, and the average of samples Nos. 4 to 6 is 7.265N), the gauze itself is likely to be damaged ( It is understood that the contrast yarn cannot be pulled out unless a large force is applied. Further, the sample No. Sample Nos. 10 to 12 measured the pull-out resistance of the gauze yarn. 10 to 12 and the results of Sample Nos. As can be seen by comparing the results of Sample Nos. 1 to 6, Sample Nos. Nos. 1 to 6 have remarkably excellent contrast yarn pull-out resistance.
[0044]
The sample No. Each of 1 to 12 has a high weave density portion near the cut end on the warp side, but at one end side in the longitudinal direction, the high weave density portion is removed by the above-mentioned gauze thread cutting, and the other end side in the longitudinal direction In this test, the high weave density portion does not contribute to the pull-out resistance load of the contrast yarn or the gauze yarn in this test. Accordingly, the surgical gauze 40 according to the second embodiment actually has higher pullout resistance due to the high-woven density portion 52.
[0045]
【The invention's effect】
As described above, in the surgical fabric of the present invention, since the contrast yarn is very difficult to come off, the contrast yarn hardly falls off from the surgical fabric. ) Can be prevented from being projected, thereby improving safety.
[Brief description of the drawings]
FIG. 1 is a view showing a surgical gauze (surgical fabric) according to a first embodiment of the present invention.
FIG. 2 is a side view illustrating a contrast yarn in the surgical gauze according to the first embodiment.
FIG. 3 is a front view showing a surgical gauze (surgical fabric) according to a second embodiment of the present invention.
FIG. 4 is a view for explaining a method of a pull-out strength test (No. 1).
FIG. 5 is a view for explaining a method of a pull-out strength test (part 2).
FIG. 5 is a chart showing measurement results of pull-out strength tests of 1 to 3.
FIG. 7 is a chart showing measurement results of pull-out strength tests of Nos. 4 to 6.
FIG. 10 is a chart showing measurement results of pull-out strength tests 7 to 9.
FIG. 13 is a chart showing measurement results of 10 to 12 pull-out strength tests.
FIG. 10 is a front view showing a surgical gauze of a conventional example (1).
FIG. 11 is a front view showing a conventional example (2) of gauze for endoscopic surgery.
12A is an enlarged view showing the vicinity of a heat-sealed portion of the gauze for endoscopic surgery shown in FIG. 11, and FIG. 12B is a cross-sectional view taken along the line BB shown in FIG.
FIG. 13 is an enlarged front view of a conventional surgical gauze of (3).
[Explanation of symbols]
30, 40 Surgical gauze 31 Warp-direction gauze thread 32 Weft-direction gauze thread 33 Gauze body 34, 35 Contrast thread 52 High-woven density part 54 Woven fabric ear part 55 Warp side cut end 71 Chuck

Claims (2)

造影糸を備えた手術用織物において、
前記造影糸が隣接して2本以上織り込まれた部分が存在することを特徴とする手術用織物。
In surgical fabric with contrast yarns,
Surgical woven fabric, characterized in that there are two or more woven portions adjacent to each other.
前記造影糸がマルチフィラメントである請求項1に記載の手術用織物。The surgical fabric according to claim 1, wherein the contrast yarn is a multifilament.
JP2003162429A 2003-06-06 2003-06-06 Surgical fabric Expired - Lifetime JP4173771B2 (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006218114A (en) * 2005-02-10 2006-08-24 Hakujuji Co Ltd Disposable hygienic member and method for manufacturing the same
JP2007020733A (en) * 2005-07-13 2007-02-01 Hakujuji Co Ltd Gauze
JP2008029549A (en) * 2006-07-28 2008-02-14 Hakujuji Co Ltd Medical gauze
JP2017080044A (en) * 2015-10-27 2017-05-18 マルチゲート メディカル プロダクツ ピーティーワイ リミテッドMultigate Medical Products Pty Ltd Surgical sponge
JP7330562B1 (en) 2022-09-06 2023-08-22 松文産業株式会社 medical gauze

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006218114A (en) * 2005-02-10 2006-08-24 Hakujuji Co Ltd Disposable hygienic member and method for manufacturing the same
JP4669298B2 (en) * 2005-02-10 2011-04-13 白十字株式会社 Disposable sanitary member and method for manufacturing the same
JP2007020733A (en) * 2005-07-13 2007-02-01 Hakujuji Co Ltd Gauze
JP4657041B2 (en) * 2005-07-13 2011-03-23 白十字株式会社 gauze
JP2008029549A (en) * 2006-07-28 2008-02-14 Hakujuji Co Ltd Medical gauze
JP2017080044A (en) * 2015-10-27 2017-05-18 マルチゲート メディカル プロダクツ ピーティーワイ リミテッドMultigate Medical Products Pty Ltd Surgical sponge
JP7330562B1 (en) 2022-09-06 2023-08-22 松文産業株式会社 medical gauze
WO2024053517A1 (en) * 2022-09-06 2024-03-14 松文産業株式会社 Medical gauze

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