JP2015003058A - 穿刺針 - Google Patents
穿刺針 Download PDFInfo
- Publication number
- JP2015003058A JP2015003058A JP2014178693A JP2014178693A JP2015003058A JP 2015003058 A JP2015003058 A JP 2015003058A JP 2014178693 A JP2014178693 A JP 2014178693A JP 2014178693 A JP2014178693 A JP 2014178693A JP 2015003058 A JP2015003058 A JP 2015003058A
- Authority
- JP
- Japan
- Prior art keywords
- puncture needle
- puncture
- surgery
- arm
- hole
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B17/06109—Big needles, either gripped by hand or connectable to a handle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00805—Treatment of female stress urinary incontinence
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06019—Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06019—Means for attaching suture to needle by means of a suture-receiving lateral eyelet machined in the needle
- A61B2017/06023—Multiple eyelets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
- A61B2017/06171—Sutures helically or spirally coiled
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0063—Implantable repair or support meshes, e.g. hernia meshes
- A61F2002/0072—Delivery tools therefor
-
- D—TEXTILES; PAPER
- D05—SEWING; EMBROIDERING; TUFTING
- D05B—SEWING
- D05B85/00—Needles
-
- D—TEXTILES; PAPER
- D05—SEWING; EMBROIDERING; TUFTING
- D05B—SEWING
- D05B85/00—Needles
- D05B85/06—Curved needles
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Gynecology & Obstetrics (AREA)
- Pregnancy & Childbirth (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
Abstract
Description
(2)専用の穿刺針を閉鎖孔から穿刺し、恥骨の裏を通して膣前壁に出す。(この際指を皮下トンネルに入れ、穿刺針を誘導する。)
(3)穿刺針を膣前壁から膣外に誘導させた後、穿刺針の先端部の溝にテープをかけ、穿刺針を皮膚外に引抜いてテープを閉鎖孔より引き出す。
(4)以上の操作を、他方の閉鎖孔側にも行い同様にテープを引き出す。
(5)閉鎖孔から引き出したテープの張力を微調整した後、皮膚、膣を縫合し手術終了。
尚、上記の手術法は閉鎖孔から膣に針を出す(アウトサイドイン)方法を示しており、逆に膣から閉鎖孔に出す(インサイドアウト)方法も同様な工程から実施される。
図1は本発明に係る穿刺針を示す説明図、図2は本発明に係る穿刺針の他の実施例を示す説明図、図3は目標部位の形状を示す説明図、図4は従来のTVT手術を示す説明図、図5は本発明の穿刺針を用いたTVT手術を示す説明図、図6は従来のTVM手術を示す説明図、図7は本発明の穿刺針を用いたTVM手術を示す説明図、図8は従来の穿刺針の先端部を示す部分拡大図、図9は本発明の穿刺針の先端部を示す部分拡大図、図10は本発明の穿刺針の先端部を示す部分拡大図、図11は本発明の穿刺針の全体構造を示す説明図である。
2、43 穿刺針本体
3、42 回動軸
4、41 アーム部
5、44 目標部位
6、45 目標中心部位
12 メッシュテープ
13 専用ハンドル
14 下腹部皮膚
15 恥骨
16、21 膣前壁
22 閉鎖孔
23 開口部
24 貫通穴
25 糸
26 陥凹部
27 フック
28 基部
29 溝部
30 穴部
46 板状体
Claims (5)
- 先端部と基部を有する穿刺針本体と、穿刺針本体の長手方向に離間して設けられた複数の貫通穴と、穿刺針本体の複数の貫通穴の間に形成された陥凹部と、穿刺針本体に設けられた長手方向の溝部とからなり、穿刺針を保持する回動軸に回動可能に装着され穿刺針本体の先端部に対向して回動する回動アームを備え、該回動アームの先端に穿刺針を誘導する目標部位が設けられていることを特徴とする穿刺針。
- 回動アームの回動軸に回動抑制手段を設けたことを特徴とする請求項1に記載の穿刺針。
- 穿刺針本体に、貫通穴と溝部とを連通する穴部をさらに設けたことを特徴とする請求項1又は2に記載の穿刺針。
- 尿失禁手術に使用されることを特徴とする請求項1乃至3のいずれか1項に記載の穿刺針。
- 骨盤内臓器脱手術に使用されることを特徴とする請求項1乃至3のいずれか1項に記載の穿刺針。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2014178693A JP5696337B2 (ja) | 2010-04-01 | 2014-09-03 | 穿刺針 |
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2010085262 | 2010-04-01 | ||
JP2010085262 | 2010-04-01 | ||
JP2014178693A JP5696337B2 (ja) | 2010-04-01 | 2014-09-03 | 穿刺針 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012509635A Division JP5625164B2 (ja) | 2010-04-01 | 2011-04-01 | 穿刺針 |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2015003058A true JP2015003058A (ja) | 2015-01-08 |
JP5696337B2 JP5696337B2 (ja) | 2015-04-08 |
Family
ID=44762885
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012509635A Expired - Fee Related JP5625164B2 (ja) | 2010-04-01 | 2011-04-01 | 穿刺針 |
JP2014178693A Expired - Fee Related JP5696337B2 (ja) | 2010-04-01 | 2014-09-03 | 穿刺針 |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012509635A Expired - Fee Related JP5625164B2 (ja) | 2010-04-01 | 2011-04-01 | 穿刺針 |
Country Status (3)
Country | Link |
---|---|
US (1) | US9433409B2 (ja) |
JP (2) | JP5625164B2 (ja) |
WO (1) | WO2011125947A1 (ja) |
Families Citing this family (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPWO2014148606A1 (ja) * | 2013-03-22 | 2017-02-16 | テルモ株式会社 | 医療器具 |
CN105073039A (zh) * | 2013-04-01 | 2015-11-18 | 泰尔茂株式会社 | 穿刺装置 |
JP6092368B2 (ja) * | 2013-04-01 | 2017-03-08 | テルモ株式会社 | 医療用チューブおよび医療用チューブ組立体 |
CN105120767A (zh) * | 2013-04-01 | 2015-12-02 | 泰尔茂株式会社 | 医疗用管、医疗用管组装体及盆腔内治疗用套件 |
US9675340B2 (en) * | 2013-11-20 | 2017-06-13 | Covidien Lp | Stitching device with long needle |
JP6168104B2 (ja) * | 2015-06-11 | 2017-07-26 | 株式会社システム技研 | 穿刺針 |
CN105434000B (zh) * | 2016-01-25 | 2018-02-27 | 王中显 | 一种医疗用缝针装置 |
US10806441B2 (en) | 2017-11-03 | 2020-10-20 | Covidien Lp | Endoscopic stitching device |
US10881391B2 (en) | 2017-11-03 | 2021-01-05 | Covidien Lp | Sealing pack assembly for use with endoscopic stitching device |
US11058413B2 (en) | 2017-12-15 | 2021-07-13 | Covidien Lp | Endoscopic stitching device |
USD912819S1 (en) | 2019-08-13 | 2021-03-09 | Ethicon, Inc. | Suture needle having a rotatable joint |
USD912251S1 (en) | 2019-08-13 | 2021-03-02 | Ethicon, Inc. | Suture needle having a wave shape |
US11234691B2 (en) * | 2019-08-13 | 2022-02-01 | Ethicon, Inc. | Composite suture needles having rotatable sections |
TR202012933A2 (tr) * | 2020-08-17 | 2020-10-21 | Orhan Seyfi Aksakal | Geliştirilmiş Güvenli Doku Tünel Açıcısı |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20020068948A1 (en) * | 2000-05-01 | 2002-06-06 | Johan Stormby | Aiming device for surgical instrument and method for use for treating female urinary incontinence |
US20020091373A1 (en) * | 2000-09-26 | 2002-07-11 | Yitzhak Berger | Surgical apparatus and methods for delivery of a sling in the treatment of female urinary incontinence |
JP2003038495A (ja) * | 2001-06-07 | 2003-02-12 | Olympus Optical Co Ltd | 内視鏡用縫合器 |
JP2003512123A (ja) * | 1999-10-22 | 2003-04-02 | ジョージ・カラデルフォス | 外科手術用器具 |
JP2007260385A (ja) * | 2006-03-03 | 2007-10-11 | Miyazaki Tlo:Kk | 手術補助器具 |
JP2009183502A (ja) * | 2008-02-07 | 2009-08-20 | Univ Of Miyazaki | 手術補助器具 |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7131943B2 (en) | 2000-03-09 | 2006-11-07 | Ethicon, Inc. | Surgical instrument and method for treating organ prolapse conditions |
CA2936752A1 (en) * | 2006-06-22 | 2007-12-27 | Ams Research Corporation | Adjustable tension incontinence sling assemblies |
-
2011
- 2011-04-01 JP JP2012509635A patent/JP5625164B2/ja not_active Expired - Fee Related
- 2011-04-01 WO PCT/JP2011/058445 patent/WO2011125947A1/ja active Application Filing
- 2011-04-01 US US13/638,857 patent/US9433409B2/en not_active Expired - Fee Related
-
2014
- 2014-09-03 JP JP2014178693A patent/JP5696337B2/ja not_active Expired - Fee Related
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2003512123A (ja) * | 1999-10-22 | 2003-04-02 | ジョージ・カラデルフォス | 外科手術用器具 |
US20020068948A1 (en) * | 2000-05-01 | 2002-06-06 | Johan Stormby | Aiming device for surgical instrument and method for use for treating female urinary incontinence |
US20020091373A1 (en) * | 2000-09-26 | 2002-07-11 | Yitzhak Berger | Surgical apparatus and methods for delivery of a sling in the treatment of female urinary incontinence |
JP2003038495A (ja) * | 2001-06-07 | 2003-02-12 | Olympus Optical Co Ltd | 内視鏡用縫合器 |
JP2007260385A (ja) * | 2006-03-03 | 2007-10-11 | Miyazaki Tlo:Kk | 手術補助器具 |
JP2009183502A (ja) * | 2008-02-07 | 2009-08-20 | Univ Of Miyazaki | 手術補助器具 |
Also Published As
Publication number | Publication date |
---|---|
JPWO2011125947A1 (ja) | 2013-07-11 |
WO2011125947A1 (ja) | 2011-10-13 |
JP5696337B2 (ja) | 2015-04-08 |
JP5625164B2 (ja) | 2014-11-19 |
US9433409B2 (en) | 2016-09-06 |
US20130023725A1 (en) | 2013-01-24 |
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