JP2013230249A - Suture thread holding case with needle - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a suture thread holding case with a needle, capable of easily and reliably performing the collection of used needles and the confirmation of the number of the needles, and safely and easily disposing of the used needles by a minimum waste amount.SOLUTION: A suture thread holding case with a needle includes: a holding case body 1 for holding suture thread 3 with a needle, to which an unused needle 4a is separably attached; and a lid body 2 attached to the holding case body 1 so as to be attachable/detachable. The holding case body 1 includes: an unused needle lock part 5 capable of locking multiple unused needles 4a in a line; and a suture thread winding part 6 arranged in a peripheral edge part of the holding case body 1 and capable of winding the suture thread 3 with a needle. The unused needle lock part 5 is arranged inside a recession part 7 that is formed in the holding case body 1 and can be closed by the lid body 2. The lid body 2 includes on a rear surface, a used needle lock part 8 for collecting the multiple used needles 4b by locking them in a line.

Description

  The present invention provides a suture storage case with a needle, in particular, the collection and number of used needles can be easily and reliably confirmed, and the used needle can be disposed of safely and easily with a minimized amount of waste. The present invention relates to a possible suture storage case with a needle.

  An example of a case that accommodates a suture with a needle that is used at the time of surgery is disclosed in Japanese Patent Application Laid-Open No. 2009-261527. Hereinafter, the suture accommodation case with a needle is referred to as a conventional case C.

  Another suture storage case with a needle is disclosed in Patent Document 2 (Japanese Patent Laid-Open No. 2010-5306). Hereinafter, the suture accommodation case with a needle is referred to as a conventional case D.

  First, the conventional case C will be described with reference to the drawings.

  FIG. 7 is a perspective view showing a conventional case C in use, and FIG. 8 is a cross-sectional view showing a state in which a passage into which a suture thread enters is formed between the upper holding part and the lower holding part.

  As shown in FIGS. 7 and 8, the conventional case C includes an oval plate-shaped base 11, and rising portions 12 a and 13 a formed integrally with the base 11 at the peripheral edge of the base 11, respectively. The upper holding part 12 and the lower holding part 13 having the horizontal parts 12b and 13b, and the needle locking part 14 having a plurality of slits 14a formed on the upper surface of the base 11 are configured.

  The upper holding part 12 and the lower holding part 13 are formed at intervals along the peripheral edge of the base 11. The upper holding portion 12 and the lower holding portion 13 are formed so as to mesh with each other and the rising portion 13 a of the lower holding portion 13 faces the horizontal portion 12 b of the upper holding portion 12.

  A slit 15 is formed between the upper holding part 12 and the lower holding part 13. The slit 15 has a function of easily deforming the base 11. That is, when the suture thread 17 to which the needle 16 is separably attached is wound around the base 11, an upper jig and a lower jig of a deformation jig (not shown) made up of an upper jig and a lower jig As shown in FIG. 8, the base 11 is pressed and deformed in the front and back direction (arrow direction in FIG. 8) by sandwiching the base 11 between the two and pushing down the upper jig, so that the upper holding part 12 and the lower part A passage (S1) through which the suture thread 17 enters is formed between the holding portion 13 and the slit 15 has a function of easily forming the passage (S1) by deformation of the base 11.

  According to the conventional case C, the suture thread 17 to which the needle 16 is attached can be accommodated as follows.

  First, the needle 16 is inserted into the slit 14 a of the needle locking portion 14 of the base 11 to fix the needle 16 to the base 11. Next, the base 11 is sandwiched between the upper jig and the lower jig of the deformation jig, the upper jig is pushed down, and the base 11 is pressed and deformed in the front and back directions, so that the upper holding portion 12 and the lower holding portion are held. A passage (S1) through which the suture thread 17 enters is formed between the portion 13 and the portion 13. In this way, when the passage (S1) into which the suture thread 17 enters between the upper holding section 12 and the lower holding section 13 is formed, the suture thread 17 is passed through the passage (S1) to the base 11, that is, the upper holding section. 12 is wound around the rising portion 12a.

  When the winding of the suture thread 17 to the base 11 is completed, the deformation jig is removed from the base 11. When the deformation jig is removed from the base 11, the base 11 returns to its original state by the elastic force of the base 11, and the passage (S1) between the upper holding part 12 and the lower holding part 13 is Blocked. As a result, the suture thread 17 does not fall off the base 11 and maintains the state of being wound around the base 11.

  In this manner, the suture thread 17 to which the needle 16 is attached can be accommodated in the conventional case C.

  In order to take out the suture thread 17 to which the needle 16 is attached from the conventional case C, the needle 16 is pulled out from the slit 14a of the needle locking portion 14 and then pulled. Thereby, the suture thread 17 to which the needle 16 is attached can be taken out from the conventional case C.

  Next, the conventional case D will be described with reference to the drawings.

  FIG. 9 is a perspective view showing a use state of the conventional case D, and FIG. 10 is a partial front view showing a base around which a suture is wound.

  As shown in FIGS. 9 and 10, the conventional case D includes an oval plate-shaped base 28 and claw portions 29 a and 30 a formed integrally with the base 28 at the peripheral edge of the base 28. The upper holding part 29 and the lower holding part 30 are provided, and the needle locking part 31 having a plurality of slits 31 a formed on the upper surface of the base 28 is configured.

  The upper holding part 29 and the lower holding part 30 are formed at intervals along the peripheral edge of the base 28. The claw portion 29a of the upper holding portion 29 and the claw portion 30a of the lower holding portion 30 are formed so as to mesh with each other.

  According to the conventional case D, the suture thread 17 to which the needle 16 is attached can be accommodated as follows.

  First, the needle 16 is inserted into the slit 31 a of the needle locking portion 31 of the base 28 and fixed to the base 28. Next, the suture thread 17 is wound around the claw part 29 a of the upper holding part 29 and the claw part 30 a of the lower holding part 30. When the suture thread 17 is wound around the claw part 29a and the claw part 30a, the claw part 29a and the claw part 30a are deformed inward by the tightening force of the suture thread 17, and the passage (S2) of the suture thread 17 (FIG. 10). As a result, the suture thread 17 is wound around the side wall of the base 28. After the claw portion 29a and the claw portion 30a are deformed, the claw portion 29a and the claw portion 30a are restored to the original state by the elastic force, and the passage (S2) of the suture thread 17 is closed. As a result, the suture thread 17 does not fall off the base 28 and maintains the state wound around the base 28.

  In this manner, the suture thread 17 to which the needle 16 is attached can be accommodated in the conventional case C.

  In order to take out the suture thread 17 to which the needle 16 is attached from the base 28, the needle 16 is pulled out from the slit 31a of the needle locking portion 31, and then the needle 16 is pulled as it is. Thereby, the suture thread 17 to which the needle 16 is attached can be taken out from the conventional case D.

JP 2009-261527 A JP 2010-5306 A

  According to the conventional case C and the conventional case D, the suture thread 17 to which the needle 16 is attached can be easily stored and taken out, but there are the following problems.

  (1) The total number of unused needle-attached sutures 17 and used needles 16 in order to prevent an accident in which the used needles 16 separated from the sutures 17 remain in the body after the operation is completed. It is necessary to check whether or not the number matches the number before the operation, but simply by inserting the used needle 16 into the slits 14a and 31a of the needle locking portions 14 and 31, and collecting it. This confirmation was difficult.

  (2) Since blood or the like is attached to the used needle 16, and the slits 14a and 31a are narrow, an operation of inserting the used needle 16 into the slits 14a and 31a and collecting it is performed. In some cases, there is a risk that the used needle 16 may fall off the conventional cases C and D.

  (3) When the used needles 16 accommodated in the conventional cases C and D are discarded together with the case, the used needles 16 are exposed, which is dangerous.

  (4) The used needle 16 and the unused needle-attached suture thread 17 are both put in a medical waste safety processing box (trade name: Sharps container, etc.) and processed. Since the used needle 16 and the unused needle-attached suture thread 17 cannot be separated, the used needle 16 must be put in the medical waste safety processing box together with the case for processing. Therefore, the amount of waste increases and waste disposal costs increase.

  (5) When the used needles 16 collected in the conventional cases C and D are accommodated, the used needles 16 come into contact with the unused needle-attached suture thread 17 and the case. In addition to the possibility that the unused needle-attached suture 17 may become unusable, clean surgical materials (such as a scalpel and forceps) around the storage case may be tainted. Therefore, the case itself cannot be placed in a clean place (so-called clean field).

  The present invention has been made to solve the above-described problems, and can easily and reliably collect and check the number of used needles. Furthermore, the used needles can be safely and easily reduced to a minimum. An object of the present invention is to provide a suture storage case with a needle that can be disposed of in a waste amount.

  The present invention has been made to solve the above-described problems, and is characterized by the following.

  The invention according to claim 1 includes a storage case main body for storing a suture with a needle to which an unused needle is detachably attached, and a lid body detachably attached to the storage case main body. The case body can be wound with an unused needle locking portion that can lock one or a plurality of unused needles in a line and the needle-attached suture provided on the peripheral edge of the housing case body. A suture thread winding portion, and the unused needle locking portion is provided in a recessed portion that is formed in the housing case body and can be closed by the lid body. Alternatively, a feature is that a plurality of used needles are arranged and locked in a line, and a used needle locking portion that can be collected is provided.

  According to a second aspect of the present invention, in the first aspect of the present invention, the suture winding portion has a plurality of locking claws formed at intervals along the peripheral edge of the housing case main body. The locking claw is deformed when the suture with a needle is wound around the suture winding portion, and after winding, the locking claw is restored to its original state by an elastic force, and the suture is detached from the housing case body. It has the feature in preventing.

  According to a third aspect of the present invention, in the invention according to the first or second aspect, the used needle locking portion is formed of a locking member having a flexibility into which the used needle can be inserted. It has characteristics.

  The invention according to claim 4 is characterized in that, in the invention according to claim 3, the locking member is made of sponge.

  The invention according to claim 5 is the invention according to any one of claims 1 to 4, wherein the unused needle locking portion and the used needle locking portion of the used needle locking portion are represented by serial numbers. It is characterized by being specified.

  According to a sixth aspect of the present invention, in the fifth aspect of the present invention, the serial number that identifies a needle locking position of the unused needle locking portion is attached to the recessed portion, and the used needle lock The serial number that identifies the needle locking portion of the stopper is characterized by being attached to the back surface of the lid.

  The invention according to claim 7 is the invention according to claim 5 or 6, wherein the sequence of the serial numbers specifying the unused needle locking portion and the needle locking portion of the used needle locking portion is: It is characterized by being opposite to each other.

  According to the present invention, the following effects are brought about.

  (A) Since the unused needle locking portion and the used needle locking portion are provided separately, and the counting numbers are given in the reverse order, the unused suture with needle is used. The total number of needles can be counted, and it can be confirmed easily and in a short time whether it matches the number before the operation. This confirmation can be performed at a glance by specifying the needle locking positions of the unused needle locking portion and the used needle locking portion by the serial number, and can be performed easily and in a short time.

  (B) By disposing the used needle locking portion on the lid body detachably attached to the housing case body, the lid body on which the used needle is locked can be separated from the housing case body and discarded. As a result, the amount of waste is reduced by the amount of the storage case body.

  (C) Since the used needle locking portion is attached to the back surface of the lid, the used needle is not exposed by closing the recessed portion of the housing case body with the lid. Therefore, the used needle can be safely discarded.

  (D) By configuring the used needle locking portion with a locking member such as a sponge that can be used to easily lock the used needle, the used needle can be engaged even if blood is attached to the used needle. Since the stopping operation can be performed easily and reliably, there is no possibility that the used needle will fall out of the housing case body when the used needle is collected.

  (E) Since the used needle is locked to the used needle locking portion of the lid that can be removed from the housing case, when a third party such as a staff member who is not engaged in surgery temporarily performs disposal, The one with a used needle that is at risk of infection and the one with an unused needle that is not at risk of infection are the lid and the housing case body, so it can be easily judged and safely disposed of. Can be done. In addition, if it is known that the storage case main body has only unused needle-attached sutures, the needle-attached suture is taken out from the storage case main body, and only this is used as a medical waste safety processing box (trade name: Sharp). Can be processed in a container, etc., and the risk of infection is further reduced. Furthermore, the empty storage case main body can be processed as general medical waste, and this separation leads to minimization of the amount of waste and reduction of waste processing costs.

  (F) Since the used needle is collected in the lid body away from the housing case main body, there is no possibility that the used needle contacts the unused suture thread with the needle and the housing case main body. As a result, the cleanliness of the unused needle-attached suture and the housing case body is maintained, and the place where the housing case body is placed is limited such that the housing case body is clean and the lid is unclean. There is nothing.

It is a perspective view which shows the suture accommodation case with this invention (this invention case A). It is a perspective view which shows the suture accommodation case with this needle | hook (this invention case A) of this invention which opened the cover body. It is a perspective view which shows the use condition of the suture accommodation case with this needle | hook (this invention case A) of this invention. It is the perspective view which looked at the cover body of the suture accommodation case with this needle | hook (this invention case A) of this invention to which the used needle was latched from the back. It is a perspective view which shows the cover of the other suture accommodation case with this needle | hook (this invention case B) of this invention. It is a perspective view which shows the other suture storage case with this needle | hook (this invention case B) of this invention which opened the cover body. It is a perspective view which shows the use condition of the conventional case C. It is sectional drawing which shows the state which formed the channel | path into which a suture thread entered between an upper holding part and a lower holding part. It is a perspective view which shows the use condition of the conventional case D. It is a partial front view which shows the base by which the suture thread was wound.

  One embodiment of a suture storage case with a needle according to the present invention will be described with reference to the drawings.

  FIG. 1 is a perspective view showing a suture storage case with a needle of the present invention, FIG. 2 is a perspective view showing a suture storage case with a needle of the present invention with the lid open, and FIG. 3 is a needle of the present invention. FIG. 4 is a perspective view showing the use state of the attached suture storage case, FIG. 4 is a perspective view of the lid of the suture storage case with a needle of the present invention, in which the used needle is locked, and FIG. FIG. 6 is a perspective view showing a cover for a suture storage case with a needle according to another embodiment of the present invention, and FIG. 6 is a perspective view showing another case for storing a suture with a needle according to the present invention with the lid opened.

  As shown in FIGS. 1 to 4, a suture storage case with a needle of the present invention (hereinafter referred to as “case A of the present invention”) is a rectangular storage case main body for storing a suture with needle 3 (see FIG. 3). 1 and a lid 2 attached to the housing case main body 1 so as to be openable and detachable by a hinge 2a.

  The case A of the present invention is made of, for example, a polypropylene resin that can be deformed relatively easily, and the hinge 2a is a protrusion formed on the lid 2 side in a recess (not shown) formed on the housing case body 1 side. If the housing case body 1 and the lid body 2 are connected to each other so as to be opened and closed (not shown), the lid body 2 can be easily attached to and detached from the housing case body 1. .

  The needle-attached suture 3 includes a suture 3a and an unused needle 4a attached to one end of the suture 3a so as to be separable from the suture 3a.

  The storage case body 1 includes an unused needle locking portion 5 that can lock the unused needles 4a of one or more (in this example, 10) needle-attached sutures 3 in a line, and a storage case body. 1 and a suture wrapping portion 6 provided on the peripheral edge portion of the first portion.

  The housing case body 1 is formed with a recessed portion 7 that can be closed by the lid body 2, and the unused needle locking portion 5 is provided in the recessed portion 7 along the longitudinal direction of the housing case body 1. As shown in FIG. 3, the unused needle locking portion 5 is formed with a plurality of (in this example, 10) slits 5a that lock the unused needle 4a in parallel with an interval.

  On the surface of the recessed portion 7 in the vicinity of the unused needle locking portion 5, a number that identifies the needle locking portion of the unused needle locking portion 5 is continuously attached. That is, a serial number is given to the surface of the recessed portion 7 in the vicinity of each slit 5 a of the unused needle locking portion 5. In this example, numbers are assigned in the order of 0, 9, 8, 7, 6, 5, 4, 3, 2, 1. In addition, you may attach | subject with 10 instead of 0.

  One or a plurality of (in this example, 10) used needles 4b are locked in a row on the back surface of the lid 2, and a collectable used needle locking portion 8 is locked to an unused needle. It is provided in parallel with the part 5. The used needle locking portion 8 is provided at a position where it does not interfere with the unused needle locking portion 5 when the lid 2 is closed.

  The used needle locking portion 8 is formed of a locking member such as a sponge (polyethylene or polyurethane sponge) having flexibility that can be easily inserted and locked. On the back surface of the lid body 2 in the vicinity of the used needle locking portion 8, a number for specifying the needle locking position of the used needle 4b to the used needle locking portion 8 is continuously attached. In this example, the numbers are assigned in the order of 1, 2, 3, 4, 5, 6, 7, 8, 9, 0, contrary to the numbers assigned to the recessed portions 7. In addition, you may attach | subject with 10 instead of 0.

  The suture winding part 6 is formed on the peripheral part of the housing case main body 1 and has a plurality of locking claws 6a formed at intervals along the peripheral part. The locking claws 6a are formed so as to mesh with each other vertically, and are deformed when the suture thread 3 with a needle is wound around the suture winding part 6, and after the winding, the original state is restored by the elastic force and the needle is attached. The suture thread 3 is prevented from falling off from the housing case body 1.

  The locking claw 6a is deformed by holding the other end of the needle-attached suture thread 3 with a winding jig (not shown), and deforming the locking claw 6a with the winding jig, Either a method of winding the suture thread winding portion 6 or a method of deforming the needle-attached suture thread 3 lock by the pressure when the hooked suture thread 3 is wound around the claw 6a as in the above-described conventional case C may be used.

  According to the present invention case A, the suture thread 3 with a needle can be accommodated as follows.

  First, as shown in FIG. 2, the lid 2 is opened. Next, as shown in FIG. 3, the unused needle 4 a of the needle-attached suture thread 3 is inserted into the slits 5 a of all the unused needle locking portions 5 and locked to the housing case body 1. Next, for example, the other end of the needle-attached suture thread 3 is gripped by a winding jig (not shown), and the suture thread 3a is wound around the suture thread while deforming the locking claw 6a of the suture winding part 6 with the winding jig. It is wound around the attaching part 6.

  In this way, the needle-attached suture thread 3 can be accommodated in the case A of the present invention.

  In order to take out the suture thread 3 with the needle from the case A of the present invention, the unused needle 4a is pulled out from the slit 5a of the unused needle locking portion 5, and then the unused needle 4a is pulled as it is. Thereby, the suture thread 3 with a needle | hook can be taken out from this invention case A. FIG. At this time, the unused needle 4a is extracted from the slit 5a sequentially from the number 0.

  As shown in FIG. 3, the used needle 4b separated from the needle-attached suture thread 3 is locked to the used needle locking portion 8 of the lid 2 and collected. Since the used needle locking portion 8 is made of a flexible resin such as sponge, the locking operation of the used needle locking portion 8 can be easily inserted and reliably locked. At this time, the used needle 4b is locked to the used needle locking portion 8 sequentially from the number 1.

  In this way, by taking out and collecting the needle-attached suture thread 3 in the order of the attached numbers, the total number of the unused needle-attached suture thread 3 and the used needle 4b is counted, and the number before the operation is calculated. It is possible to check at a glance whether or not they match. That is, in the example shown in FIG. 3, the number of unused needle-attached sutures 3 is eight, and the number of used needles 4b is two at a glance from the number assigned without counting. I understand. Therefore, it can be confirmed easily and reliably in a short time whether or not the total number matches the 10 before surgery.

  Moreover, since the used needle locking portion 8 is provided on the lid 2 that is detachably attached to the housing case main body 1, the lid 2 on which the used needle 4b is locked is removed from the housing case main body 1. Since it can be separated and discarded, the amount of waste is reduced by the amount of the housing case body 1.

  Moreover, since the used needle | hook latching | locking part 8 is attached to the back surface of the cover body 2, when the recessed part 7 of the storage case main body 2 is obstruct | occluded with the cover body 2, there exists a possibility that the used needle | hook 4b may be exposed. Disappear. Therefore, when the used needle 4b is discarded together with the case, it can be safely discarded.

  Furthermore, by configuring the used needle locking portion 8 with a locking member such as a sponge that can be easily locked by the used needle 4b, the used needle can be used even if blood or the like adheres to the used needle 4b. The locking operation 4b can be performed easily and reliably. Therefore, when the used needle 4b is collected, the used needle 4b is not likely to fall out of the housing case body 1.

  Next, another suture storage case with a needle according to the present invention will be described with reference to the drawings.

  FIG. 5 is a perspective view showing a cover of another suture storage case with a needle according to the present invention. FIG. 6 is a perspective view showing another suture storage case with a needle according to the present invention with the lid opened. FIG. 5 and 6, the same reference numerals as those in FIGS. 1 to 4 denote the same items.

  As shown in FIGS. 5 and 6, another suture storage case with a needle of the present invention (hereinafter referred to as “case B of the present invention”) includes a storage case main body 1 of the case A of the present invention and a cover 9 with a lid 2. The cover 9 with the lid 2 is fitted into the housing case main body 1. Other configurations and operations are the same as those of the case A of the present invention.

  According to the case B of the present invention, the suture winding part 6 of the housing case main body 1 can be covered with the cover 9, so that the suture 3a can be more reliably prevented from falling off from the suture winding part 6.

  In addition, although the said example is a case where the cover body 2 is one, you may divide the cover body 2 into two or more. In this way, by separating the lid 2, the collection place can be divided into two or more. For example, there are cases where it is more convenient to have different collection locations due to surgical site, procedure, and operating room.

1: storage case body 2: lid 2a: hinge 3: suture thread 3a with needle: suture thread 4a: unused needle 4b: used needle 5: unused needle locking part 5a: slit 6: suture winding part 6a : Locking claw 7: Recessed part 8: Used needle locking part 9: Cover 11: Base 12: Upper holding part 12a: Rising part 12b: Horizontal part 13: Lower holding part 13a: Rising part 13b: Horizontal part 14 : Needle locking part 14a: Slit 15: Slit 16: Needle 17: Suture

Claims (7)

  An accommodation case main body that accommodates a suture with a needle to which an unused needle is detachably attached, and a lid that is detachably attached to the accommodation case main body. An unused needle locking portion that can be locked by aligning the unused needles in a row, and a suture winding portion that is provided on a peripheral edge portion of the housing case body and can wind the suture thread with the needle, The unused needle locking portion is provided in a recessed portion formed in the housing case main body, which can be closed by the lid, and the lid has a row of one or more used needles on the back surface. A suture storage case with a needle, which is provided with a used needle locking portion that can be locked side by side and collected.   The invention according to claim 1, wherein the suture wrapping portion has a plurality of locking claws formed at intervals along a peripheral edge portion of the housing case body, It is deformed when the suture thread with a needle is wound around the suture winding part, and after being wound, it returns to its original state by elastic force, and prevents the suture from falling off from the housing case body. The suture storage case with a needle according to claim 1.   The suture storage case with a needle according to claim 1, wherein the used needle locking portion is formed of a locking member having flexibility that allows the used needle to be inserted.   The suture retaining case with a needle according to claim 3, wherein the locking member is made of sponge.   The needle attachment portion according to any one of claims 1 to 4, wherein the needle engagement portions of the unused needle engagement portion and the used needle engagement portion are specified by serial numbers. Suture storage case.   The serial number for specifying the needle locking portion of the unused needle locking portion is attached to the recessed portion, and the serial number for specifying the needle locking portion of the used needle locking portion is the lid. The suture storage case with a needle according to claim 5, wherein the suture storage case is attached to the back surface of the needle.   The order of the serial numbers that specify the needle locking locations of the unused needle locking portion and the used needle locking portion are opposite to each other. Suture storage case with needle.

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