JP2006192206A - Pocket for medical use - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an improved medical pocket which allows only one of the sutures 1 picked up in fingers to be pulled out with a case 2 left in a bag section. <P>SOLUTION: A bag section of this medical pocket consists of a base sheet 3a and a bag sheet 3b. The inside of the bag sheet 3b is provided with a soft inner bag 4 which is filled with a sponge 5 (or a gaseous or fluid material). Since this inner bag 4 in contact with a case 2 makes the frictional resistance appropriate, the case 2 can be smoothly pulled out or put in, and can be securely kept in the bag section of the pocket when a suture 1 is pulled out. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a pocket for temporarily storing a case containing a surgical suture and using the suture for use.

FIG. 3 is a view for explaining an example of a known technique of a suture case and a medical pocket for storing the suture case. FIG. 3A shows a case 2 made of paper in which a suture 1 is put. 2B is an external front view of the paper case 2 'half-opened, and FIG. 2C is an example of two pockets containing many of the paper case 2'. FIG.
The suture case in this example is made of paper, but PP (polypropylene), PET (polyethylene terephthalate), and the like are also widely used.

FIG. 4 shows a suture case according to a known example other than the aforementioned FIG. The suture case (abbreviated case) 2A depicted in FIG. 4A, the case 2B depicted in FIG. 4B, and the case 2C depicted in FIG. 4C are similar suture cases as in FIG. The case 2D depicted in FIG. 4D is composed of a mount 2Da and a transparent cover 2Db, and the suture thread 1 is accommodated between the two. When the transparent cover 2Da is bent at the crease 2Dc, the sutures 1 can be easily pulled out one by one.

(See FIG. 3 (A)) The case of this example is made of cardboard that is folded in three, and contains a large number of sutures (1).
When the paper case 2 'is held with one hand and the suture thread 1 is picked and pulled with the finger of the other hand, the suture thread 1 comes out. For this reason, the paper case 2 'is not opened under normal use.
In these various suture cases, the size, quantity, color tone, material, and the like of the suture that is the contents are displayed with characters, symbols, and color marks.

In order to explain the structure, when the backing paper 2b of the paper case 2 'folded in three is opened, it is as shown by a solid line in FIG. A cover is shown with reference numeral 2a.
From this state, when the mount 2c is further opened, it becomes 2f drawn by an imaginary line.
One turn and a half of the suture thread 1 having a length of about 40 centimeters is wrapped around the mount 2c drawn with a solid line.
In order to keep the paper case 2 'folded as shown in FIG. 6A, a tongue piece 2d is provided on the backing paper 2b. On the other hand, the mount 2c is provided with a notch 2e that engages with the tongue piece. As described above, since the case for the suture thread 1 is not necessarily made of paper, in FIG. 3C and FIG. .

Most surgical procedures require various types of sutures (material, thickness, color, twisting, etc.). For this reason, a large number of cases 2 in which various kinds of sutures are put in the pocket 3 as shown in FIG. 3C are accommodated and used for the use of sutures in the operation.
The left half of FIG. 3 (C) is an example in which a single-stage bag-like portion is formed by the bag sheet 3b.
The right half is an example in which a two-stage bag-like portion is formed by the first-stage bag sheet 3c and the two-stage bag sheet 3d.
Cases 2 are inserted into the respective bag-like portions to expose the upper end portions thereof.
JP 2004-215786 A

As can be understood from the structure of the case shown in FIG. 3A and the wound state of the suture, a slight force is required to extract the suture from the case.
Therefore, when one of the sutures 1 stored in the pocket of the conventional example shown in FIG. 3C is picked and pulled out, the case 2 comes out.
Therefore, when pulling out the suture thread 1, holding the case 2 with one hand and picking the suture thread with the finger of the other hand,
The case 2 must be sandwiched from the top of the pocket 3 with a clip in advance, or some means must be taken.

When the case must be pressed with one hand, the suture pulling operation is significantly restricted.
In addition, when the case is sandwiched in advance with a clip, it takes a lot of time and labor to change the type of suture.
Depending on the prior art, a. Putting the case in and out of the pocket freely,
B. Picking a single suture and pulling it out quickly and easily has never been compatible. The present invention has been made in view of the above-mentioned circumstances, and the object is as follows.
It is an object of the present invention to provide a medical suture pocket in which a suture case can be freely inserted and removed, and one of the sutures can be picked and pulled out quickly and easily.
However, the present invention is not necessarily limited to sutures, and can be applied to storage of tubes and tapes.

The configuration of the invention according to claim 1 (see FIG. 1) is to accommodate a case (2) containing a medical suture thread (1) and to use the suture thread in a pocket (3).
A flexible inner bag (4) is attached to the inner side of the bag sheet (3b) attached to the base sheet (3a) to form a bag-like portion, and a sponge (5) or It is characterized by being filled with a substance having physical properties similar to sponge.
For convenience of explanation, the sponge or a material having physical properties similar to the sponge, that is, a sponge-like member having contraction elasticity is referred to as sponges.

According to the invention of claim 1 described above, the case inserted into the bag-like portion of the pocket is sandwiched by the elasticity of the sponge. For this reason, friction resistance is applied both when the case is inserted into the bag-like part and when it is pulled out from the bag-like part (the magnitude of the frictional force is arbitrarily controlled by the shape, dimensions, and material of the inner bag and sponge. it can).
By appropriately adjusting the frictional resistance, it becomes possible to “pull out only the sutures that are picked up easily while leaving the case in the bag-like portion” without disturbing the insertion and removal of the case.

The configuration of the invention according to claim 2 (see FIG. 1) is to accommodate a case (2) containing a medical suture thread (1) and to use the suture thread in a pocket (3),
A flexible inner bag 4 is attached to the inside of the bag sheet (3b) that is attached to the base sheet (3a) to form a bag-like portion, and gas, liquid, or fluidity is attached to the inner bag. It is characterized by being filled with the substance.

The structure of the invention according to claim 2 described above is filled with a fluid substance instead of the sponge in claim 1. As the fluid substance, air, water, glycerin, petrolatum or the like can be appropriately selected and used.
According to the second aspect of the present invention, as in the first aspect, the friction resistance can be given to the insertion / removal of the case, and by adjusting the friction resistance appropriately, the insertion / removal of the case is not obstructed. It is possible to easily pull out only the sewn suture while leaving the case in the bag-like portion ”.

According to a third aspect of the invention, in addition to the constituent features of the first or second aspect of the invention (see FIGS. 2C and 2D), the bag sheet is configured in a plurality of stages. And at least a first-stage bag sheet (3c) and a second-stage bag sheet (3d),
An inner bag (4) is attached in each of a plurality of bag-like portions formed by the plurality of bag sheets.

  According to the invention of claim 3 described above, the case can be freely inserted and removed with respect to each of the bag-shaped portions configured in a plurality of stages, and each of the bag-shaped sections configured in a plurality of stages. Only one desired suture can be quickly and easily pulled out from the inserted case.

  In addition to the constituent features of the inventions of the first to third aspects, the configuration of the invention according to the fourth aspect (see FIG. 2E) is in a bag-like portion formed by the bag sheet. The tube or the rod or the ball (7) is arranged so as to face the inner bag (4).

  According to the invention of claim 4 described above, the frictional force applied by the inner bag is concentrated locally by the pipe (or bar or ball). For this reason, a case is hold | maintained in a bag-shaped part with moderate frictional force.

  According to a fifth aspect of the invention, in addition to the constituent features of any one of the first to fourth aspects, the surface of the inner bag (4) and / or the sheet-like member Fine irregularities are formed on the surface facing the inner bag.

  According to the invention of claim 5 described above, the “coefficient of friction of the inner surface of the pocket bag-like portion with respect to the case” can be easily controlled with a simple structure, and is necessary for obtaining a desired frictional force. The total pressure can be made relatively small.

  The structure of the invention according to claim 6 is characterized in that, in addition to the constituent elements of any one of the inventions according to claims 1 to 4, the bag sheet is made of a transparent material. To do.

  According to the invention of claim 6 described above, since the bag sheet is transparent, the suture case can be seen through, and the indication of the specification of the suture can be read.

The configuration of the invention according to claim 7 (see FIG. 5) is that a rubber band (9) is attached to the base plate (7),
And the rubber band is arranged almost horizontally in the use state of the medical pocket,
The both ends and the middle N place are fixed to the base plate. However, N is 0 or an integer greater than or equal to 1.

According to the invention of claim 7 described above, since the base plate is a member having an appropriate rigidity, handling is easy,
In addition, since the base plate has an appropriate rigidity, the rubber band can be supported with a slight tension.
Further, when the middle N portion of the rubber band is attached to the base plate, a plurality of suture cases can be held side by side, and all of the plurality of suture cases can be visually observed. For this reason, it is easy to select and pull out the suture, and it is effective in preventing medical mistakes though it is indirect.

In the configuration of the invention according to claim 8, in addition to the configuration requirements of claim 7, (see FIG. 5B), the number of installed rubber bands is a plurality, and are arranged in parallel.
Alternatively (see FIG. 5C), the rubber band is wide and sheet-like, and the width dimension W in the cross-sectional shape is three times or more the thickness dimension t.

  According to the invention of claim 8 described above, since the suture case is sandwiched between the plurality of rubber bands or the wide rubber belt, the support state is stable and reliable.

According to invention of Claim 1, the case inserted in the bag-shaped part of the pocket is pinched | interposed by the elasticity of sponge. For this reason, friction resistance is applied both when the case is inserted into the bag-like part and when it is pulled out from the bag-like part (the magnitude of the frictional force is arbitrarily controlled by the shape, dimensions, and material of the inner bag and sponge. it can).
By appropriately adjusting the frictional resistance, it becomes possible to “pull out only the sutures that are picked up easily while leaving the case in the bag-like portion” without disturbing the insertion and removal of the case.

  According to the invention of claim 2, as in the case of claim 1, friction resistance can be given to the insertion / removal of the case, and by adjusting the friction resistance appropriately, the insertion / removal of the case is not disturbed. It is possible to easily pull out only the sewn suture while leaving the case in the bag-like portion ”.

  According to invention of Claim 3, a case can be freely inserted and extracted with respect to each of the bag-shaped part comprised in multiple steps, and it is inserted in each of the bag-shaped parts comprised in multiple steps. Only one desired suture can be quickly and easily pulled out from the case.

  According to the invention of claim 4, the frictional force provided by the inner bag is locally concentrated by the pipe (or bar or ball). For this reason, a case is hold | maintained in a bag-shaped part with moderate frictional force.

  According to the invention of claim 5, the “coefficient of friction of the inner surface of the pocket bag-like portion with respect to the case” can be easily controlled with a simple structure, and the total pressure required for obtaining a desired frictional force is compared. Can be made smaller.

  According to the invention of claim 6, since the bag sheet is transparent, the case of the suture can be seen through, and the brand of the suture can be read.

According to the invention of claim 7, since the base plate is a member having an appropriate rigidity, it is easy to handle,
In addition, since the base plate has an appropriate rigidity, the rubber band can be supported with a slight tension.
Further, when the middle N portion of the rubber band is attached to the base plate, a plurality of suture cases can be held side by side, and all of the plurality of suture cases can be visually observed. For this reason, it is easy to select and pull out the suture, and it is effective in preventing medical mistakes though it is indirect.

  According to the invention of claim 8, since the suture case is sandwiched between the plurality of rubber bands or the wide rubber belt, the support state is stable and reliable.

FIG. 1 is a perspective view showing a medical pocket according to an embodiment of the present invention, with a part of a state in which a suture case is inserted and housed in a bag-like portion being broken.
The difference from the conventional medical pocket shown in FIG. 3C, that is, the components improved by applying the present invention are as follows.
An inner bag 4 is provided inside the bag sheet 3b.

The material of the inner bag is not limited, but it is desirable that the inner bag is composed of a flexible sheet. In this example, the inner bag 4 was configured using a flexible synthetic resin sheet.
If the bag sheet 3b is made of a transparent material, it is convenient because the brands and symbols printed on the suture case 2 can be visually observed.
In addition, what was shown with the code | symbol 3e is the bag sheet | seat folding | turning provided in the entrance of the bag-like part.

A sponge 5 is filled into the inner bag 4. Thereby, the middle of the bag-like part into which the case 2 is inserted becomes narrow.
It is not only narrowed, but partially narrowed by a flexible bulge. For this reason, when the case 2 is inserted, a slight resistance is felt, but no particular trouble occurs.
Considering this in terms of production, the size and shape of the inner bag 4 and the packing of the sponge 5 are appropriately adjusted so as to “provide resistance that does not hinder the insertion and removal of the case 2”.
In this state (FIG. 1), when one of the sutures 1 is picked up with a fingertip and pulled up, only the suture is pulled out of the case 2 leaving the case 2 in the bag-like portion of the pocket.

As can be easily understood from the above structural function, the medical pocket of this embodiment exhibits the desired effect because the inner bag 4 elastically contacts the case 2.
The reason why the sponge 5 is put in the inner bag 4 is to inflate the inner bag 4 softly.
When paying attention to such a mechanism, it is understood that the insertion into the inner bag 4 is not necessarily limited to a narrowly defined sponge.
In the present invention, an object similar to a sponge (for example, cotton, wool, lint, etc.) may be put into the inner bag. In the present invention, a sponge refers to a “soft object that can be elastically deformed”. Sponges have a broader meaning and collectively refer to members having physical properties similar to sponges.

As described above, the sponge 5 in the embodiment of FIG. 1 can be replaced with “an object similar to a sponge (sponges)”, but the sponge 5 can be replaced with a wider range.
Although illustration is omitted, if the sealing performance of the inner bag is improved, the same effect can be obtained even if the inner bag is filled with air or water.
In addition, fluid materials such as petrolatum and jelly can be filled.

  Although not drawn on the scale of FIG. 1, fine irregularities are formed on the surface of the inner bag 4 (the surface facing the base sheet). If comprised in this way, the friction coefficient of the inner bag surface with respect to a case can be adjusted, and suitable response can be obtained (If there is too little friction coefficient, case 2 will fall out easily, and if the friction coefficient is too large, insertion operation of a case will be carried out. Since it is not easy, it is desirable to have an appropriate coefficient of friction).

  2A and 2B show five types of embodiments according to the present invention. FIG. 2A is a schematic sectional view of the medical pocket of FIG. 1 and FIG. 2B shows an inner bag portion of the medical pocket of the present invention. Schematic cross-sectional view showing an example substituted by "folded portion of bag sheet", (C) is a schematic cross-sectional view showing a first example of a plurality of bag sheets of the medical pocket of the present invention formed FIG. 4D is a schematic cross-sectional view showing a second example of the medical pocket bag sheet according to the present invention formed in a plurality of stages, and FIG. 4E shows a tube, stick or ball in the medical pocket of the present invention. It is typical sectional drawing which shows the example provided.

FIG. 2A schematically shows the cross section appearing in FIG. 1 and is enlarged in the thickness direction of the sheet-like member for easy drawing and reading (drawing the sheet thicker than the actual one, The inner cavity of the bag is drawn wider than the actual one).
Instead of narrowing a part of the bag-like part as described above, FIG. 2 (B) folds a part of the bag sheet 3b to form a folded part denoted by reference numeral 6. According to the configuration shown in FIG. (B), an effect similar to that shown in FIG.

In the two-stage pocket as shown in the right half portion of the conventional example of FIG. 3 (C), as shown in FIG. 2 (C), each of the first-stage bag sheet 3c and the second-stage bag sheet 3d ( An inner bag 4 is provided on the inner side. In this example, the two inner bags 4 are arranged in a different manner, but the two inner bags 4 may be arranged to face each other as shown in FIG.
As shown in FIG. (D), the lower end portion (indicated by a chain line) of the two-stage bag sheet 3d can be omitted (since there is a one-stage bag, there is no actual harm even if the two-stage bag is bottomed out.

FIG. 2E is an improved example of FIG. A tube or rod 7 is provided so as to face the inner bag 4. Although it appears as a small circle in this cross-sectional view, it is a pipe or bar having a length in a direction perpendicular to the paper surface. In this example, a thin vinyl pipe was used. When the tube or rod 7 is arranged in this manner, the compression force of the suture case (not shown in the figure) by the inner bag 4 is concentrated locally, and the suture case is securely held. If the pressure force concentration becomes excessive, the insertion and removal of the suture case is hindered. Therefore, it is desirable to obtain the optimum shape and dimension of the tube or the rod 7 by a trial experiment.
A ball may be used in place of the tube or rod 7 described above.

  Although not shown in the figure, the friction coefficient increases when the outer peripheral surface of the inner bag 4 is subjected to a satin treatment or an embossing process to provide minute irregularities. In this way, it is preferable to control the frictional force so as to obtain an appropriate case holding force.

FIG. 5 illustrates a use state in an embodiment different from the above-described FIGS.
The base plate 7 of the present embodiment is made of a synthetic resin material and does not need to be particularly hard, but has an appropriate rigidity.
(See FIG. 5 (A)) The rubber band 9 is disposed horizontally, and both ends thereof are attached to the base plate 7, and the middle N places (N is a positive integer, 3 places in this example) are attached to the base plate 7. It is stopped.

As attachment and fastening means, adhesion, embedding, or needle stick (stapling) is appropriately selected and applied.
As a result, N + 1 portions into which the case can be inserted are formed.
Since N = 3 in FIG. 5A, four insertion portions are formed, and the case 2A, the case 2B, and the case 2C are inserted and held at three of them.

The case can be held as shown in FIG. 5 because the base plate 7 has rigidity and can give a slight tension to the rubber band 9.
The “rubber” of the rubber band in the present invention is a general term for substances having rubber-like elasticity, and is not limited to rubber in a narrow sense, and synthetic resin materials such as urethane can also be used.
By applying this principle, a metal member exhibiting rubber-like elasticity (for example, an elongated coil spring) is also within the technical scope of the present invention.

FIG. 5B shows an embodiment different from the above. In this example, two rubber bands 9 are arranged in parallel.
Compared with the above-mentioned embodiment (FIG. 5A), this is a pros and cons, and (B) can hold the case more securely, and (A) is easier to insert the case. .
It is up to the user to decide which to choose, but from the standpoint of a manufacturing engineer, giving the user freedom of choice and exerting a practical effect is also important in the medical device manufacturing industry. It is a way to contribute to development.

FIG. 5C shows a further different embodiment. Instead of using the rubber band 9 in the above embodiment (FIGS. 5A and 5B), a wide rubber belt 10 is used.
The wide width in the present invention refers to a member having a width dimension W of three times or more as compared with the thickness dimension t.
Such a wide rubber belt is suitable for a wide and relatively heavy case like the case 2D illustrated in FIG. 4D.

The perspective view which showed the medical pocket in embodiment corresponding to Claim 1 or Claim 2 of this invention, and fracture | ruptured and depicted a part of the state which inserted and accommodated the suture case in the bag-shaped part. 5 shows five embodiments according to the present invention. 1A is a schematic cross-sectional view of a medical pocket in the embodiment depicted in FIG. 1, and FIG. 1B is an “inner bag portion of the medical pocket according to the present invention” in which a bag sheet portion is folded. (C) is a schematic cross-sectional view in the first example of the case where a plurality of bag sheets of the medical pocket of the present invention are formed, and (D) is a medical cross-sectional view of the medical pocket of the present invention. The typical sectional view in the 2nd example of what a bag sheet of a pocket was formed in two steps, (E) is a typical sectional view in the example which provided the tube or stick, or the ball in the medical pocket of the present invention. 1A and 1B are views for explaining a known technique of a suture case and a medical pocket, in which FIG. 1A is an external front view of a paper case 2 ′ in which a suture 1 is put, and FIG. FIG. 2C is an external front view illustrating two examples of medical pockets containing a large number of the paper cases 2 ′. The front view on which various suture case (known) was drawn. Embodiment corresponding to Claim 7 or Claim 8 of this invention is shown, (A) is a typical perspective view corresponding to Claim 7, (B) is the number of the rubber bands in Claim 8 in plurality. (C) is a typical perspective view in case the rubber band in Claim 8 is a wide sheet form.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Suture 2, 2A, 2B, 2C, 2D ... Case 2 '... Paper case 2a ... Cover 2b ... Back paper 2c ... Mount 2d ... Tongue piece 2e ... Notch
2Da ... Mount 2Db ... Transparent cover 2Dc ... Crease 3 ... Pocket
3a ... Base sheet
3b ... Bag sheet
3c ... 1-stage bag sheet
3d ... Two-stage bag sheet
3e ... turn back
4 ... inner bag
5 ... Sponges
6 ... Folding part
7 ... Tube or rod or ball
8 ... Transparent cover 9 ... Rubber band 10 ... Wide rubber belt

Claims (8)

In the pocket (3) for storing the case (2) containing the medical suture (1) and using the suture for use,
A flexible inner bag (4) is attached to the inside of the bag sheet (3b) that is attached to the base sheet (3a) to form a bag-like portion, and a sponge or sponge is similar to the inner bag. A medical pocket characterized by being filled with a substance (5) having physical properties. In the pocket (3) for storing the case (2) containing the medical suture (1) and using the suture for use,
A flexible inner bag 4 is attached to the inner side of the bag sheet (3b) that is attached to the base sheet (3a) to form a bag-shaped portion, and gas, liquid, or fluid flows in the inner bag. A medical pocket, characterized by being filled with a sex substance. The bag sheet is configured in a plurality of stages, and includes at least a one-stage bag sheet (3c) and a two-stage bag sheet (3d),
The medical pocket according to claim 1 or 2, wherein an inner bag (4) is attached to each of a plurality of bag-like portions formed by the plurality of bag sheets. .   A tube or a rod or a ball (7) is arranged in a bag-like portion formed by the bag sheet so as to face the inner bag (4). The medical pocket according to any one of claims 1 to 3.   The surface of the inner bag (4) and / or the surface on which the sheet-like member faces the inner bag is formed with fine irregularities. A medical pocket according to any one of the above.   The medical pocket according to any one of claims 1 to 4, wherein the bag sheet is made of a transparent material. A rubber band (9) is attached to the base plate (7),
And the rubber band is arranged almost horizontally in the use state of the medical pocket,
A medical pocket characterized in that both ends and an intermediate N portion are fixed to a base plate. However, N is 0 or an integer greater than or equal to 1. A plurality of the rubber bands are installed in parallel, and are arranged in parallel.
The medical band according to claim 7, wherein the rubber band is wide and has a sheet shape, and the width dimension W in the cross-sectional shape is three times or more the thickness dimension t. Pockets.

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