JP2014138727A - Medical instrument - Google Patents

Medical instrument Download PDF

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JP2014138727A
JP2014138727A JP2013250703A JP2013250703A JP2014138727A JP 2014138727 A JP2014138727 A JP 2014138727A JP 2013250703 A JP2013250703 A JP 2013250703A JP 2013250703 A JP2013250703 A JP 2013250703A JP 2014138727 A JP2014138727 A JP 2014138727A
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member
sheet
operating rod
axial direction
winding
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JP5768116B2 (en
Inventor
Hideo Fujimori
英男 藤森
Atsushi Akaeda
淳 赤枝
Tsutomu Saito
力 齋藤
Shin Yamamoto
伸 山本
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Genzyme Japan Kk
ジェンザイム・ジャパン株式会社
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Abstract

PROBLEM TO BE SOLVED: To provide a medical instrument capable of molding a sheet-like member in a simplified manner.SOLUTION: A medical instrument 100 for inserting a sheet-like member S into a body, comprises: a cylindrical member 1; an operating rod 2 inserted into the cylindrical member movably in an axial direction and rotatably around the axis, the operating rod 2 having a holding part 21 for holding the sheet-like member S at the tip side along an axial direction of the operating rod; and a winding member 3 for taking up the sheet-like member S. On the winding member 3 is formed a hole 31 at least one end of which opens in a surface of the winding member 3 and the inner diameter of which is equal to or less than that of the cylindrical member 1. Also on the winding member 3 is formed a slit which extends in the direction of the axis of the hole 31 from the surface in which the one end of the hole 31 opens, and which communicates with the hole 31.

Description

本発明は、シート状部材を体内に挿入するための医療器具に関するものである。 The present invention relates to a medical device for inserting a sheet-like member into the body.

一般に、内臓器官に手術を施した後、この内臓器官の損傷部と周辺組織との癒着を防止するため、内臓器官の損傷部はシート状の癒着防止材で覆われる。 In general, after performing surgery visceral organs, this in order to prevent adhesion of the internal organs of the lesion and the surrounding tissue, the lesion of the internal organs are covered with a sheet-like antiadhesive material. この癒着防止材は、切開部が大きい開腹手術の場合は内臓器官の損傷部に直接配置されるが、切開部が小さい内視鏡手術の場合、例えば特許文献1に提案されているような医療器具を使用して内臓器官の損傷部に配置される。 The anti-adhesion material, although if the incision is large laparotomy is placed directly in the damaged portion of the internal organs, for endoscopic surgery incision is small, for example, medical, as proposed in Patent Document 1 using an instrument is disposed damaged portion of the internal organs. この医療器具は、癒着防止材を先端部で挟持する操作ロッド、及び切開部を介して患者の体内に挿入される筒状部材を備えており、使用に際しては操作ロッドの先端部に癒着防止材を挟持させ、これを操作ロッドに巻きつける。 The medical device operating rod for clamping the antiadhesive material at the tip, and through the incision comprises a tubular member which is inserted into a patient's body, antiadhesive material to the distal end of the operating rod is in use It was sandwiched wound it to the operating rod. そして、この操作ロッドを筒状部材に挿入して筒状部材の先端から突出させた後、操作ロッドに巻きつけられていた癒着防止材を広げて内臓器官の損傷部に配置する。 After the protruded from the distal end of the tubular member by inserting the operating rod in the tubular member, expanding the antiadhesive material which has been wound to the operating rod is disposed on the damaged portion of the internal organs.

米国特許第5503623号明細書 US Pat. No. 5503623

しかしながら、上述したような医療器具は、癒着防止材を損傷部に配置する都度、癒着防止材を操作ロッドに手で巻きつけて筒状部材に挿入可能な形状に成形するという作業を要し、特に癒着防止材を損傷部に複数枚配置する場合等は非常に面倒であるという問題があった。 However, medical devices as described above, each time placing the antiadhesive material to the damaged portion, requiring the task of wound by hand antiadhesive material to the operating rod is molded and can be inserted into the tubular member, especially like the case of disposing a plurality of antiadhesive material to the damaged portion had a problem that it is very troublesome.

そこで、本発明は、シート状部材の成形を簡易に行うことができる医療器具を提供することを課題とする。 The present invention aims to provide a medical device capable of performing molding of a sheet-like member easily.

本発明に係る第1の医療器具は、上記課題を解決するためになされたものであり、シート状部材を体内に挿入するための医療器具であって、筒状部材と、軸方向に移動可能且つ軸周りに回転可能に前記筒状部材内に挿入される操作ロッドであって、当該操作ロッドの軸方向に沿うよう前記シート状部材を保持する保持部を先端側に有する前記操作ロッドと、前記シート状部材を巻き取るための巻取部材と、を備え、前記巻取部材は、少なくとも一方端が当該巻取部材の表面に開口し且つ内径が前記筒状部材の内径以下の孔が形成されるとともに、前記孔の一方端が開口する面から前記孔の軸方向に沿って延びるとともに前記孔と連通するスリットが形成されている。 First medical instrument according to the present invention has been made to solve the above problems, a medical device for inserting a sheet-like member in the body, and the cylindrical member, movable in the axial direction and a control rod to be inserted into rotatable the cylindrical inside member about the axis, said operating rod having a holding portion for holding said sheet-like member so that along the axial direction of the operating rod to the distal end side, and a winding member for winding the sheet-like member, the winding member has an inner diameter less than the bore surface opened and an inner diameter in at least one end the winding member said tubular member is formed with the slit in communication with the bore with one end of said holes extending along the axial direction of the hole from the surface to the opening is formed.

上記第1の医療器具は、使用に際し、その表面が操作ロッドの軸方向に沿うようシート状部材を保持部に保持させ、巻取部材の表面に開口する孔の一方端側から操作ロッドをこの孔内に挿入するとともにシート状部材をスリットに差し込む。 The first medical instrument is in use, the sheet-like member so that along the axial direction of the surface operating rod is held by the holding unit, the operating rod from one end side of the opening holes on the surface of the winding member inserting the sheet-like member is inserted into the hole in the slit. この状態で操作ロッドを軸周りに回転させると、シート状部材は、操作ロッドによってスリットから孔内に引き込まれ、筒状部材の内径以下の内径を有する孔の側面に沿ったロール状となる。 Rotating the operating rod in this state around the axis, the sheet-like member is drawn from the slit in the hole by the operation rod, a rolled along the sides of the hole having an inner diameter less of the inner diameter of the tubular member. このように、上記第1の医療器具によれば、シート状部材を筒状部材内に収容可能な形状に簡易に成形することができる。 Thus, according to the first medical device, it can be molded in a simple sheet-like member in the housing can be shaped into tubular member.

本発明に係る第2の医療器具は、上記課題を解決するためになされたものであり、シート状部材を体内に挿入するための医療器具であって、先端から軸方向に沿って延びるスリットが形成された筒状部材と、軸方向に移動可能且つ軸周りに回転可能に前記筒状部材内に挿入される操作ロッドであって、当該操作ロッドの軸方向に沿うよう前記シート状部材を保持する保持部を先端側に有する前記操作ロッドと、を備えている。 Second medical instrument according to the present invention has been made to solve the above problems, a medical device for inserting a sheet-like member in the body, the slit extending along the axial direction from the distal end holding a tubular member formed, in an operation rod that is inserted rotatably into the cylindrical inside member to the movable and axially about the axial direction, the sheet-like member so that along the axial direction of the operating rod and a, and the operating rod with the distal end side of the holding portion for.

上記第2の医療器具は、操作ロッドの保持部を筒状部材の先端から突出させ、その表面が操作ロッドの軸方向に沿うようシート状部材を保持部に保持させた後、シート状部材が筒状部材のスリットに差し込まれるように操作ロッドを後端側に移動させる。 The second medical instrument, the holding portion of the operating rod to protrude from the distal end of the tubular member, after the surface was held by the holding portion of the sheet-like member so that along the axial direction of the operating rod, sheet-like member the operating rod so inserted into the slit of the tubular member is moved to the rear side. そして、操作ロッドを軸周りに回転させると、シート状部材は、操作ロッドによってスリットから筒状部材内に引き込まれ、ロール状となって筒状部材内に収容される。 Then, by rotating the operating rod about the axis, the sheet-like member is drawn from the slit in the cylindrical inner member by the operation rod is accommodated in the cylindrical inner member is a roll-like. このように、上記第2の医療器具によれば、シート状部材を筒状部材内に収容可能な形状に簡易に成形することができる。 In this way, according to the second medical device can be molded in a simple sheet-like member in the housing can be shaped into tubular member.

また、上記第1及び第2の医療器具において、保持部は、シート状部材を挟持するよう二股状に形成されていてもよい。 In the first and second medical instrument, the holding portion may be formed in a bifurcated shape so as to sandwich the sheet-shaped member.

また、上記第1及び第2の医療器具において、保持部は、シート状部材が載置されるようシート状に形成されていてもよい。 In the first and second medical instrument, the holding portion may be formed into a sheet so that the sheet-like member is placed. この構成によれば、シート状部材がロール状になった際、保持部がシート状部材の外側に配置されることとなるため、シート状部材を体液等から保護することができる。 According to this arrangement, when the sheet-like member is turned into a roll, since the holding portion is to be located outside of the sheet member, the sheet-like member can be protected from body fluids and the like.

また、上記第1及び第2の医療器具において、操作ロッドは、先端部の径が前記筒状部材の内径以上となるよう構成することができる。 In the first and second medical devices, the operating rod may be configured such that the diameter of the tip portion is equal to or greater than the inner diameter of the tubular member. この構成によれば、操作ロッドの先端部で筒状部材の先端を封鎖することができるため、筒状部材内に収容されたシート状部材を体液等から保護することができる。 According to this arrangement, it is possible to seal the distal end of the tubular member at the distal end of the operating rod, a sheet-like member which is accommodated in the tubular member can be protected from body fluids and the like.

本発明によれば、シート状部材の成形を簡易に行うことができる。 According to the present invention, it is possible to perform molding of the sheet-shaped member easily.

本発明の第1実施形態に係る医療器具の平面図である。 It is a plan view of a medical instrument according to the first embodiment of the present invention. 本発明の第1実施形態に係る医療器具における筒状部材及び操作ロッドの(a)平面図、及び(b)部分側面断面図である。 (A) a plan view of the tubular member and the operating rod in a medical instrument according to the first embodiment of the present invention, and (b) a partial side sectional view. 本発明の第1実施形態に係る医療器具における巻取部材の(a)側面図、及び(b)平面図である。 (A) a side view of the take-up member in a medical device according to the first embodiment of the present invention, and (b) is a plan view. 本発明の第1実施形態に係る医療器具における板体の平面図である。 It is a plan view of a plate body in a medical instrument according to the first embodiment of the present invention. 本発明の第1実施形態に係る医療器具の使用方法を示す平面図である。 The use of a medical instrument according to the first embodiment of the present invention is a plan view showing. 本発明の第2実施形態に係る医療器具の平面図である。 It is a plan view of a medical instrument according to a second embodiment of the present invention. 本発明の第2実施形態に係る医療器具における筒状部材及び操作ロッドの(a)部分側面図、及び(b)正面断面図である。 (A) partial side view of the tubular member and the operating rod in a medical instrument according to a second embodiment of the present invention, and (b) is a front sectional view. 上記第1及び第2実施形態の変形例に係る医療器具における操作ロッドの部分平面図である。 It is a partial plan view of the operating rod in a medical instrument according to a modification of the first and second embodiments.

以下、本発明に係る医療器具の実施形態について図面を参照しつつ説明する。 Hereinafter, an embodiment of a medical instrument according to the present invention will be described with reference to the drawings.

(第1実施形態) (First Embodiment)
第1実施形態に係る医療器具100は、図1に示すように、筒状部材1と、筒状部材1内に挿入された操作ロッド2と、シート状部材Sを巻き取るための巻取部材3と、を備えている。 Medical instrument 100 according to the first embodiment, as shown in FIG. 1, a tubular member 1, an operating rod 2 inserted into the tubular member 1, the take-up member for winding the sheet member S and a 3, a.

筒状部材1は、図2に示すように、着脱可能な栓体4が後端に装着されており、この栓体4は、操作ロッド2が挿入されるための貫通孔41が形成されている。 The tubular member 1, as shown in FIG. 2, a removable plug 4 is attached to the rear end, the plug 4, the through hole 41 for the operating rod 2 is inserted is formed there. 貫通孔41は、図2(b)に示すように、筒状部材1及び操作ロッド2を受け入れる大径部411と、操作ロッド2のみを受け入れる小径部412とを有しており、これにより、後述する操作ロッド2のストッパ23が当接する肩部413が形成されている。 Through hole 41, as shown in FIG. 2 (b), a large diameter portion 411 for receiving the tubular member 1 and the operating rod 2 and a small diameter portion 412 for receiving only the operating rod 2, thereby, stopper 23 of the operating rod 2 to be described later shoulder 413 abuts is formed. また、栓体4には、その内壁を操作ロッド2側に押圧することで操作ロッド2の位置ずれを抑制するバネ(図示省略)が内蔵されている。 In addition, the plug 4, suppress spring positional displacement of the operating rod 2 by pressing (not shown) is built in the inner wall of the operating rod 2 side.

操作ロッド2は、図1に示すように、軸方向に移動可能且つ軸周りに回転可能なよう筒状部材1内に挿入されており、先端には筒状部材1の内径以上の径を持つ頭部22が設けられている。 Operating rod 2, as shown in FIG. 1, it is inserted axially movable and the rotatable as the tubular member 1 about the axis, with a diameter of more than inner diameter of the tubular member 1 at the tip head 22 is provided. この頭部22は、内臓器官等を傷つけないよう好ましくは先端が湾曲面となっている。 The head 22 is preferably not to damage the internal organs such as the tip is a curved surface. また、操作ロッド2は、図2(a)に示すように、操作ロッド2の軸方向に沿うようにシート状部材Sを保持する保持部21が先端部に設けられており、この保持部21は、シート状部材Sを挟持可能なよう後端が閉じた二股状に形成されている。 Further, the operating rod 2, as shown in FIG. 2 (a), the holding portion 21 for holding the sheet-like member S so as to extend along the axial direction of the operating rod 2 is provided at the distal end portion, the holding portion 21 the rear end so as to be held between the sheet-like member S is formed in a closed bifurcated. この保持部21の軸方向の長さは、挟持するシート状部材Sの寸法にもよるが、例えば、20mm〜70mmとすることができる。 Axial length of the holding portion 21, depending on the dimensions of the sheet member S for clamping, for example, be a 20Mm~70mm. なお、保持部21は、シート状部材Sを確実に保持できるよう表面に凹凸が設けられていることが好ましい。 The holding unit 21 is preferably uneven surface is provided to be able to reliably hold the sheet-like member S. 操作ロッド2は、図2(a)及び図2(b)に示すように、中間部にストッパ23が装着されており、このストッパ23が栓体4における貫通孔41の肩部413に当接することで後側への移動が規制されている。 Operating rod 2, as shown in FIG. 2 (a) and 2 (b), a stopper 23 is attached to the intermediate portion, the stopper 23 abuts against the shoulder portion 413 of the through hole 41 in the plug 4 have moved to the rear side is restricted by. また、操作ロッド2は、貫通孔41の小径部412よりも径が大きい把持部24が後端部に設けられており、この把持部24が栓体4の後端に当接することで前側への移動が規制されている。 Further, the operating rod 2, the grip portion 24 having a larger diameter than the small diameter portion 412 is provided on the rear end portion of the through hole 41, to the front by the gripper 24 abuts against the rear end of the plug 4 movement is restricted of.

巻取部材3は、図3(a)及び図4に示すように、軸方向に延びる凹部321が形成された一対の板体32を有しており、この凹部321同士が対向するよう一対の板体32が重ねられることで孔31が形成されている。 Winding member 3, as shown in FIG. 3 (a) and FIG. 4, has a pair of plate members 32 a recess 321 extending in the axial direction is formed, the pair so that the recess 321 face each other hole 31 is formed by the plate 32 is superposed. 各板体32の先端部には傾斜面322が設けられており、これにより、孔31の先端部がシート状部材Sを受け入れやすいようテーパ状となっている。 Each the distal end portion of the plate member 32 is provided with the inclined surface 322, thereby, the tip portion of the hole 31 is a so tapered that amenable to sheet-like member S. 孔31の内径は、筒状部材1の内径以下であって操作ロッド2を受け入れ可能な大きさであればよく、例えば、1mm〜9mmとすることができる。 The inner diameter of the holes 31 may be any size capable of being equal to or less than the inner diameter of the tubular member 1 accepts operation rod 2, for example, be a 1Mm~9mm. また、巻取部材3は、図3(a)及び図3(b)に示すように、その後端部において、一対の板体32の間にスペーサ33が配置されるとともに一対の板体32及びスペーサ33が締結部材34で固定されており、これにより、巻取部材3の先端面から孔31の軸方向に延びるとともに孔31と連通するスリット35が形成されている。 Further, the winding member 3, as shown in FIG. 3 (a) and 3 (b), at its rear end, a pair of plate members 32 and with the spacer 33 between the pair of plate members 32 are arranged spacer 33 is fixed by a fastening member 34, thereby, a slit 35 which communicates with the hole 31 extends in the axial bore 31 from the distal end surface of the winding member 3 is formed. このスリット35の寸法は、特に限定されるものではないが、例えば、軸方向の長さを30mm〜90mm、幅方向の長さ10mm〜60mm、高さ方向の長さを1mm〜9mmとすることができる。 The dimensions of the slits 35 is not particularly limited, for example, be of the axial length 30Mm~90mm, the width direction of the length 10Mm~60mm, and 1mm~9mm the length of the height direction can.

シート状部材Sとしては、例えば、手術によって生じた内臓器官の損傷部を保護し、内臓器官の損傷部と周辺組織との癒着を防止するための癒着防止材を挙げることができ、この癒着防止材は、通常、一定期間後に溶解して体内に吸収される材料で作製される。 The sheet-like member S, for example, to protect the damaged portion of the internal organs caused by surgery, there may be mentioned anti-adhesion material for preventing adhesions between the visceral organ damage and peripheral tissues, preventing the adhesion wood is usually made of a material that is absorbed into the body by dissolving after a certain period of time. 癒着防止材の材料としては、特に限定されるものではないが、例えば、酸化セルロース、ヒアルロン酸、ポリ乳酸、トレハロース、コラーゲン、ハイドロゲル等を挙げることができる。 As the material of antiadhesive material, is not particularly limited, examples thereof include oxidized cellulose, hyaluronic acid, polylactic acid, trehalose, collagen, hydrogel, and the like.

次に、上述したように構成された医療器具100の使用方法について図5を参照しつつ説明する。 Next, referring to FIG. 5 and the following explains configured using the medical device 100 as described above. なお、以下の説明では、図5における左側を先又は前、右側を後と称することとする。 In the following description, previous or prior to the left side in FIG. 5, it is referred to as post-right.

まず、操作ロッド2の把持部24を前方へと押し、保持部21を筒状部材1の先端から突出させる。 First, pushing the grip portion 24 of the operating rod 2 forward, to protrude the holding portion 21 from the distal end of the tubular member 1. この突出した保持部21を巻取部材3の後端側から孔31内に挿入した後、 After a holding portion 21 which is the projected and inserted from the rear end side of the winding member 3 into the hole 31,
さらに把持部24を前方へと押して保持部21を巻取部材3の先端から突出させ、この保持部21にシート状部材Sを挟持させる(図5(a))。 Further the grip portion 24 is protruded the holding portion 21 by pressing forward from the distal end of the winding member 3, is held between the sheet-like member S into the holding portion 21 (Figure 5 (a)). このとき、筒状部材1の先端は巻取部材3の後端に当接させておくことが好ましい。 At this time, the tip of the tubular member 1 is preferably allowed to contact the rear end of the winding member 3.

次に、把持部24を後方へと引いてシート状部材Sをスリット35内に差し込み、この状態で操作ロッド2を軸周りに回転させる(図5(b))。 Then, the grip portion 24 Plug sheet member S by pulling rearwardly into the slit 35, rotate the operating rod 2 in this state around the axis (Figure 5 (b)). これにより、シート状部材Sは、操作ロッド2によってスリット35から孔31内に引き込まれ、孔31の内側面に沿ったロール状となる。 Thus, the sheet-like member S is drawn from the slit 35 in the hole 31 by the operating rod 2, a roll shape along the inner surface of the hole 31. その後、把持部24を後方に引いて保持部21とともにロール状のシート状部材Sを筒状部材1内に収容し、筒状部材1の先端を頭部22によって封鎖する(図5(c))。 Thereafter, the grip portion 24 to accommodate a rolled sheet-like member S together with the holding portion 21 by pulling backward on the tubular member 1, to block the distal end of the tubular member 1 by the head 22 (FIG. 5 (c) ).

シート状部材Sが癒着防止材の場合、このようにシート状部材Sを収容した筒状部材1は以下のように使用される。 If the sheet-like member S is antiadhesive material, the tubular member 1 thus accommodating the sheet-like member S is used as follows. すなわち、この筒状部材1を患者の体表面の切開部から体内へと挿入し、その先端部を手術後の内臓器官の損傷部近傍に到達させる。 That is, the tubular member 1 is inserted into the body through an incision in the patient's body surface, to reach the damaged portion near the internal organs after surgery the tip. そして、把持部24を前方へと押し、シート状部材Sとともに保持部21を筒状部材1の先端から突出させる。 Then, press the grip portion 24 forward, to protrude the holding portion 21 from the distal end of the tubular member 1 together with the sheet-like member S. これにより、ロール状のシート状部材Sが広げられ、シート状部材Sを損傷部に配置することができる。 Thus, a roll of sheet-like member S is expanded, it is possible to arrange the sheet-like member S to the damaged portion.

以上のように、第1実施形態に係る医療器具100は、シート状部材Sがスリット35に差し込まれるよう巻取部材3の孔31に操作ロッド2を挿入し、この操作ロッド2を軸周りに回転させるだけで、シート状部材Sが孔31の側面に沿って巻き取られるため、シート状部材Sを操作ロッド2に手で巻きつけるといった面倒な作業を行う必要がない。 As described above, the medical instrument 100 according to the first embodiment, the sheet-like member S is inserted the operating rod 2 into the hole 31 of the winding member 3 so to be inserted into the slit 35, the operating rod 2 about the axis only by rotating, since the sheet-like member S is wound along the sides of the hole 31, there is no need to perform troublesome work such as winding by hand sheet member S to the operating rod 2. また、本実施形態に係る医療器具100は、スリット35を筒状部材1とは別体の巻取部材3に設けるとともに筒状部材1の先端を頭部22で封鎖できるよう構成されているため、筒状部材1が体内に挿入された際、筒状部材1内のシート状部材Sが体液等で湿って使用できなくなるのを防止することができる。 The medical instrument 100 according to this embodiment, since the distal end of the tubular member 1 is configured to be blocked by the head 22 with the slit 35 and the tubular member 1 provided on the take-up member 3 separate can the tubular member 1 when inserted into the body, the sheet-like member S of the tubular member 1 is prevented from becoming unusable wet with body fluid or the like.

なお、上記第1実施形態において、巻取部材3のスリット35は、先端側が開放されていたが、保持部21に保持されたシート状部材Sを差し込むことができれば、後端側が開放されていてもよいし、先後端がともに開放されていてもよい。 In the above first embodiment, the slit 35 of the winding member 3 is the distal end side has been opened, if it is possible to insert the sheet-like member S held on the holding portion 21, the rear end side is opened may be, may be leading and trailing edges is not are both open.

また、上記第1実施形態において、孔31は巻取部材3を貫通しその両端が巻取部材3の表面に開口していたが、少なくとも一方端が巻取部材3の表面において開口していればよい。 In the first embodiment, holes 31 are opposite ends thereof to penetrate the winding member 3 is not open to the surface of the winding member 3, if at least one end open at the surface of the winding member 3 Bayoi. 巻取部材3の孔31の一方端のみが巻取部材3の表面に開口している場合は、スリット35はこの面から孔31の軸方向に沿って延びるよう構成される。 If only one end of the hole 31 of the winding member 3 is opened to the surface of the winding member 3, the slit 35 is configured to extend along the axial direction of the hole 31 from the surface.

また、上記第1実施形態において、巻取部材3は、別体の2つの板体32から構成されていたが、この2つの板体32を一体的に形成することもでき、さらに、筒状や円板状等種々の形状とすることもできる。 In the first embodiment, the winding member 3, which had been composed of two plate members 32 separate, can also form a two plate bodies 32 integrally, further, cylindrical can be a or disc-shaped and the like various shapes.

(第2実施形態) (Second Embodiment)
第2実施形態に係る医療器具200は、図6及び図7に示すように、第1実施形態のような巻取部材3を備えておらず、筒状部材10の両側面において先端から軸方向に沿って延びるスリット350が形成されている。 Medical instrument 200 according to the second embodiment, as shown in FIGS. 6 and 7, not provided with a take-up member 3 as in the first embodiment, the axial direction from the tip end at both sides of the tubular member 10 slits 350 extending along the is formed. なお、その他の構成については、第1実施形態と同様であるため、説明を省略する。 Since the other configurations are the same as the first embodiment, the description thereof is omitted.

この医療器具200は、使用に際し、操作ロッド2の保持部21を筒状部材10の先端から突出させ、保持部21にシート状部材Sを挟持させる。 The medical instrument 200 is in use, the holding portion 21 of the operating rod 2 is protruded from the distal end of the tubular member 10, thereby clamping the sheet-like member S to the holder 21. その後、把持部24を後方に引き、スリット350内にシート状部材Sを差し込むとともに保持部21を筒状部材10 Then, pull the grip portion 24 to the rear, the cylindrical member 10 a holding portion 21 with inserting the sheet-like member S into the slit 350 in the
内に収容する。 To accommodate within. その状態で操作ロッド2を軸周りに回転させると、シート状部材Sは、操作ロッド2によってスリット350から筒状部材10内に引き込まれ、ロール状となって筒状部材10内に収容される。 Rotation of the operating rod 2 in this state around the axis, the sheet-like member S is drawn from the slit 350 by the operating rod 2 into the cylindrical member 10 is housed in a roll-like tubular member 10 .

以上のように、第2実施形態に係る医療器具200は、保持部21に保持されたシート状部材Sを筒状部材10のスリット350に差し込んで操作ロッド2を軸周りに回転させるだけで、シート状部材Sが筒状部材10の側面に沿って巻き取られるため、簡易にシート状部材Sを成形し且つ筒状部材10内に収容することができる。 As described above, the medical instrument 200 according to the second embodiment, only by rotating the operating rod 2 about the axis by inserting the sheet-like member S held in the holding portion 21 into the slit 350 of the tubular member 10, since the sheet-like member S is wound along the sides of the tubular member 10 can be accommodated easily in molding a sheet-like member S and the cylindrical member 10.

以上、本発明の実施形態について説明したが、本発明はこれらに限定されるものではなく、本発明の趣旨を逸脱しない限りにおいて種々の変更が可能である。 Having described embodiments of the present invention, the present invention is not limited thereto, and various modifications are possible without departing from the scope of the present invention. 例えば、上記第1及び第2実施形態においては、スリット35,350は、2つ設けられていたがこれに限定されず、少なくとも1つ設けられていればよい。 For example, in the above first and second embodiments, the slits 35,350 has been provided two not limited thereto, it may be provided at least one.

また、上記第1及び第2実施形態において、操作ロッド2の保持部21は後端が閉じた二股状に形成されていたが、シート状部材Sを保持することができればこれに限定されず、例えば、先端又は先後端が閉じた二股状であってもよい。 In the first and second embodiments, the holding portion 21 of the operating rod 2 was formed in a bifurcated rear end is closed, is not limited to this if it is possible to hold the sheet-like member S, for example, it may be a bifurcated tip or leading end and the trailing end is closed. また、図8に示すように、保持部210は、シート状部材Sを載置することが可能なようシート状に形成されていてもよく、この場合はシート状部材Sを差し込んで保持するためのポケット部2101が設けられていることが好ましい。 Further, as shown in FIG. 8, the holding portion 210 may be formed in a sheet shape so as to be able to mount the sheet-like member S, this case is to retain insert the sheet member S it is preferred that the pocket portion 2101 is provided. この構成によれば、保持部210がシート状部材Sの外側に位置するようシート状部材Sとともに巻き取られるため、シート状部材Sを体液等から保護することができる。 According to this configuration, since the holding portion 210 is wound together with the sheet-like member S so as to be positioned outside of the sheet member S, a sheet-like member S can be protected from body fluids and the like.

100,200 医療器具1,10 筒状部材2 操作ロッド21,210 保持部3 巻取部材31 孔35,350 スリットS シート状部材 100,200 medical instrument 1,10 tubular member 2 operating rod 21, 210 holding part 3 a winding member 31 hole 35,350 slit S sheet-like member

Claims (5)

  1. シート状部材を体内に挿入するための医療器具であって、 A medical device for inserting a sheet-like member in the body,
    筒状部材と、 And the cylindrical member,
    軸方向に移動可能且つ軸周りに回転可能に前記筒状部材内に挿入される操作ロッドであって、当該操作ロッドの軸方向に沿うよう前記シート状部材を保持する保持部を先端側に有する前記操作ロッドと、 A control rod to be inserted into the rotatably the cylindrical inside member allows and axially about the movement in the axial direction, having a holder for holding said sheet-like member so that along the axial direction of the operating rod to the distal end side and the operating rod,
    前記シート状部材を巻き取るための巻取部材と、 A winding member for winding the sheet-like member,
    を備え、 Equipped with a,
    前記巻取部材は、少なくとも一方端が当該巻取部材の表面に開口し且つ内径が前記筒状部材の内径以下の孔が形成されるとともに、前記孔の一方端が開口する面から前記孔の軸方向に沿って延びるとともに前記孔と連通するスリットが形成されている、医療器具。 The winding member has at least one end an opening to and an inner diameter on the surface of the winding member is an inner diameter less pores of the tubular member is formed, one end of said hole of said hole from the surface to open slit communicating with said aperture extends along the axial direction is formed, medical devices.
  2. シート状部材を体内に挿入するための医療器具であって、 A medical device for inserting a sheet-like member in the body,
    先端から軸方向に沿って延びるスリットが形成された筒状部材と、 A tubular member in which slits are formed extending along the axial direction from the tip,
    軸方向に移動可能且つ軸周りに回転可能に前記筒状部材内に挿入される操作ロッドであって、当該操作ロッドの軸方向に沿うよう前記シート状部材を保持する保持部を先端側に有する前記操作ロッドと、 A control rod to be inserted into the rotatably the cylindrical inside member allows and axially about the movement in the axial direction, having a holder for holding said sheet-like member so that along the axial direction of the operating rod to the distal end side and the operating rod,
    を備える、医療器具。 Provided with a medical instrument.
  3. 前記保持部は、前記シート状部材を挟持するよう二股状に形成されている、請求項1又は2に記載の医療器具。 The holding portion, the is formed in a bifurcated shape so as to sandwich the sheet-like member, medical device according to claim 1 or 2.
  4. 前記保持部は、前記シート状部材が載置されるようシート状に形成されている、請求項1に記載の医療器具。 The holding portion, said sheet-like member is formed into a sheet to be placed, the medical instrument according to claim 1.
  5. 前記操作ロッドは、先端部の径が前記筒状部材の内径以上である、請求項1〜4のいずれかに記載の医療器具。 The operating rod, the diameter of the tip portion is greater than or equal to the inner diameter of the tubular member, the medical device according to any of claims 1 to 4.
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KR101655359B1 (en) * 2015-07-17 2016-09-08 대진글로우텍 주식회사 Antiadhesion Barrier Protection device
KR101742309B1 (en) 2015-11-06 2017-06-01 대진글로우텍 주식회사 Antiadhesion Barrier Protection device with a waterproof and Rotate Restore feature

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JP2011520481A (en) * 2008-05-07 2011-07-21 デボル,インコーポレイテッド Hernia repair method and apparatus therefor

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101655359B1 (en) * 2015-07-17 2016-09-08 대진글로우텍 주식회사 Antiadhesion Barrier Protection device
KR101742309B1 (en) 2015-11-06 2017-06-01 대진글로우텍 주식회사 Antiadhesion Barrier Protection device with a waterproof and Rotate Restore feature

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