JP2019088353A - Retractor for narrow range surgical operation - Google Patents

Retractor for narrow range surgical operation Download PDF

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JP2019088353A
JP2019088353A JP2017217604A JP2017217604A JP2019088353A JP 2019088353 A JP2019088353 A JP 2019088353A JP 2017217604 A JP2017217604 A JP 2017217604A JP 2017217604 A JP2017217604 A JP 2017217604A JP 2019088353 A JP2019088353 A JP 2019088353A
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retractor
knob
wire spring
wire
plate
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JP6620350B2 (en
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清水 宏和
Hirokazu Shimizu
宏和 清水
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Abstract

To provide a retractor for narrow range surgical operation that can widely secure a surgical operation space in the vicinity of an incision part in the narrow range surgical operation, and is convenient in the attachment/detachment operation.SOLUTION: A retractor for narrow range surgical operation is provided as follows: a convex edge 11 of a line spring 1 comprising an elastic wire rod is bent, and curves 12a are formed at the middle of an arm part 12 symmetrically extended from both sides of this convex edge 11, respectively; alternatively, a pair of left and right knob parts 2 formed by bending the wire rod is protruded to the outside and symmetrically arranged in each end 13 of this line spring 1, respectively; also, the proximal ends 21 of these respective knob parts 2 and the tip 13 of the line spring 1 are fixed and the tip ends 22 of the knob parts 2 and the upper corners 31a in the side edges 31 of plate bodies 3 are fixed, and the plate bodies 3 are supported in an opening state in the pendant direction; and thereby the line spring 1 is elastically deformed and facing surfaces of the plate bodies 3, 3 can be brought into abutment with each other, when the knob parts 2 are pinched by finger pads.SELECTED DRAWING: Figure 1

Description

本発明は、医療用器具の改良、更に詳しくは、狭範囲の手術において切開部分近傍の施術スペースを広く確保することができ、かつ、着脱操作の使い勝手の良い狭範囲手術用開創器に関するものである。   The present invention relates to an improvement of a medical instrument, and more particularly, to a narrow-range surgical retractor which can ensure a wide operation space near an incision in narrow-range surgery and which is easy to use and remove. is there.

外科手術において切開部位を広げた状態で保持しておくためには、助手が横に立って鉤引きを行う必要があるが、バネ指(弾撥指)の手術のような切開範囲が狭い場合においては、助手の身体や鉤引きの器具が術者の邪魔になってしまい、作業性が悪いという問題がある。   In order to hold the incision site wide in the surgical operation, the assistant needs to stand sideways to perform a pulling operation, but in the case where the incision range is narrow like a spring finger (repelling finger) surgery In this case, the body of the assistant and the pulling tool become in the way of the operator, and there is a problem that the workability is bad.

そこで、従来、助手を必要としない開創器として、反発力を有する対向するアームの先端にブレードを備えた開創器が開示されている(例えば、特許文献1参照)。   Therefore, as a retractor that does not require an assistant, a retractor having a blade at the tip of an opposing arm having a repulsive force has been disclosed (see, for example, Patent Document 1).

しかしながら、この<特許文献1>の開創器は、1箇所で折曲されて対向部分が直線状であるアーム形状しか開示されていないことから、かかる構造から推察するに、アームからブレードが垂下されていると、アームの直線部分が切開部分近傍に存在してしまい、施術スペースが十分に確保できず、施術作業の際に術者が使用する他の器具がアームに接触するおそれがあり、接触しないように余計な注意が必要となり、非常に煩わしいという不満がある。   However, since the retractor of <Patent Document 1> discloses only an arm shape which is bent at one place and the opposing portion is linear, it is inferred from such a structure that the blade is dropped from the arm. If this happens, the straight part of the arm will be near the incision and there is a risk that the treatment space can not be secured enough and other tools used by the operator may come into contact with the arm during the treatment operation. There is a dissatisfaction that it takes extra care not to do so and it is very annoying.

また、アームが直線状である場合は、皮膚の起伏においてアームの一部が皮膚に接触すると、この接点がテコの支点となってしまい、不安定になってこの開創器が動いてしまったり、ブレードが浮き上がって切開部分から抜けてしまうおそれもある。   Also, if the arm is straight, if a part of the arm contacts the skin during skin ups and downs, this contact will be the fulcrum fulcrum, becoming unstable and this retractor may move, There is also a possibility that the blade may come up and come out of the incision.

更にまた、直線状アームと皮膚との間には十分な隙間がないため、着脱操作を行うためにアームを摘むとき、術者の摘んだ指先が切開部分近傍の皮膚を不必要に押圧してしまい、出血や痛みを与えてしまうおそれがある。   Furthermore, since there is not a sufficient space between the linear arm and the skin, when the arm is pinched to perform the attaching / detaching operation, the finger pinched by the operator unnecessarily presses the skin in the vicinity of the incision. It may cause bleeding and pain.

この点を改善するためか、同文献の実施形態には、操作性を向上させるために、別部材であるリング状の操作摘み部を付設するものが開示されているが、溶着加工等によって製造コストが増大してしまうし、使用を重ねるうちにこの溶着部分の破断してしまうおそれがある。   Although it is disclosed to attach a ring-shaped operation knob which is a separate member in the embodiment of the same document in order to improve the operability, in order to improve this point, it is manufactured by welding or the like. The cost increases and there is a risk that the welded portion may break while being used repeatedly.

更に、アームが直線状である場合、リング状の操作摘み部を機能させるためには、同文献に図示されているとおり、不可避的にアーム上におけるブレードの反対側に起立して付設せざるを得ず、こうしてブレードの反対側に操作摘み部が突出すると、操作摘み部が施術の際に邪魔になるという問題もある。しかも、操作摘み部を摘んだ場合には、アームを軸回転方向にねじる力がかかるため、アームが弾性変形してブレードの下端部同士が外側にハの字型に離れてしまい、切開部分へのブレードの挿入を円滑に行うことができないおそれがある。かと言って、軸のねじれを防止するためにアームの剛性を大きくすると、ブレードを閉じる際に必要な力が大きくなって操作性が悪くなるとともに、弾性復元力が強くなり過ぎて、切開部分を必要以上に開いてしまうという問題もある。   Furthermore, in the case where the arm is linear, in order to make the ring-shaped operation control part function, as shown in the same document, it is inevitable to be erected and attached to the opposite side of the blade on the arm. If the control knob protrudes to the opposite side of the blade in this way, there is a problem that the control knob becomes an obstacle during the operation. In addition, when the operation knob is pinched, a force is applied to twist the arm in the axial rotation direction, so the arms are elastically deformed and the lower ends of the blades are separated outward in a V shape, leading to the incision portion There is a risk that the insertion of the blade can not be performed smoothly. In other words, if the rigidity of the arm is increased to prevent the twisting of the shaft, the force required to close the blade will increase and the operability will deteriorate, and the elastic restoring force will become too strong. There is also a problem that it opens more than necessary.

特開2007−44266号公報JP 2007-44266 A

本発明は、従来の開創器に上記のような問題があったことに鑑みて為されたものであり、その目的とするところは、狭範囲の手術において切開部分近傍の施術スペースを広く確保することができ、かつ、着脱操作の使い勝手の良い狭範囲手術用開創器を提供することにある。   The present invention has been made in view of the problems as described above in the conventional retractor, and the purpose of the present invention is to secure a wide operation space in the vicinity of the incision in narrow-range surgery. It is an object of the present invention to provide an easy-to-use narrow-range surgical retractor that can be used and removed.

本発明者が上記技術的課題を解決するために採用した手段を、添付図面を参照して説明すれば、次のとおりである。   The means employed by the inventor for solving the above-mentioned technical problems will be described below with reference to the accompanying drawings.

即ち、本発明は、弾性線材からなる線バネ1を、凸端11を折曲して、かつ、この凸端11の両側から対称的に延成される腕部12の中間にそれぞれカーブ12aを形成する一方、
この線バネ1の各先端13には、線材を折曲してなる左右一対のツマミ部2をそれぞれ外側に膨出して対称的に配設するとともに、
これら各ツマミ部2の基端部21と前記線バネ1の先端13とを固定して、かつ、当該ツマミ部2の先端部22と板体3の側縁31における上角部31aとを固定して、当該板体3を垂下方向に拡開状態で支持して、前記ツマミ部2が指腹で摘まれるとき、線バネ1が弾性変形して前記板体3・3の対向面同士を当接可能にするという技術的手段を採用したことによって、狭範囲手術用開創器を完成させた。
That is, the present invention bends the convex end 11 of the wire spring 1 made of an elastic wire, and curves 12 a in the middle of the arms 12 symmetrically extended from both sides of the convex end 11. While forming
At each end 13 of the wire spring 1, a pair of left and right knobs 2 formed by bending a wire is bulging outward and arranged symmetrically,
The base end 21 of each knob 2 and the tip 13 of the wire spring 1 are fixed, and the tip 22 of the knob 2 and the upper corner 31a of the side edge 31 of the plate 3 are fixed. And the plate 3 is supported in the drooping direction in an expanded state, and when the knob 2 is pinched by a finger pad, the wire springs 1 are elastically deformed and the opposing surfaces of the plates 3 and 3 are The narrow-range surgical retractor was completed by adopting the technical means of making it abutable.

また、本発明は、上記課題を解決するために、必要に応じて上記手段に加え、線バネ1本体およびツマミ部2本体を、側面視において線バネ1の凸端11および板体3の上角部31aを結ぶ直線を挟んで板体3の反対側に位置させるという技術的手段を採用することもできる。   Further, in order to solve the above problems, the present invention adds the wire spring 1 main body and the knob 2 main body to the convex end 11 of the wire spring 1 and the plate 3 in side view It is also possible to employ a technical means of positioning the plate 3 on the opposite side of a straight line connecting the corner portions 31a.

更にまた、本発明は、上記課題を解決するために、必要に応じて上記手段に加え、ツマミ部2の側方に折曲部23を形成するという技術的手段を採用することもできる。   Furthermore, in order to solve the above-mentioned subject, the present invention can adopt not only the above-mentioned means but the technical means of forming the bending part 23 in the side of the knob part 2 as needed.

更にまた、本発明は、上記課題を解決するために、必要に応じて上記手段に加え、板体3の下端部32に外側に末広がりな係止部を形成するという技術的手段を採用することもできる。   Furthermore, in order to solve the above problems, the present invention adopts technical means to form an outwardly extending locking portion at the lower end portion 32 of the plate 3 in addition to the above means as necessary. You can also.

更にまた、本発明は、上記課題を解決するために、必要に応じて上記手段に加え、線バネ1とツマミ部2とを、同一線材により一体成形するという技術的手段を採用することもできる。   Furthermore, in order to solve the above problems, the present invention can adopt technical means of integrally molding the wire spring 1 and the knob portion 2 with the same wire, in addition to the above means as necessary. .

更にまた、本発明は、上記課題を解決するために、必要に応じて上記手段に加え、ツマミ部2をコの字型またはU字型の線材にするという技術的手段を採用することもできる。   Furthermore, in order to solve the above problems, the present invention can adopt technical means to make the knob portion 2 a U-shaped or U-shaped wire in addition to the above-described means as necessary. .

本発明は、弾性線材からなる線バネを、凸端を折曲して、かつ、この凸端の両側から対称的に延成される腕部の中間にそれぞれカーブを形成する一方、この線バネの各先端には、線材を折曲してなる左右一対のツマミ部をそれぞれ外側に膨出して対称的に配設するとともに、これら各ツマミ部の基端部と前記線バネの先端とを固定して、かつ、当該ツマミ部の先端部と板体の側縁における上角部とを固定して、当該板体を垂下方向に拡開状態で支持して、前記ツマミ部が指腹で摘まれるとき、線バネが弾性変形して前記板体の対向面同士を当接可能にすることによって、狭範囲の手術において切開部分近傍の施術スペースを広く確保することができる。   The present invention bends a convex end of a wire spring made of an elastic wire, and forms a curve in the middle of arms symmetrically extended from both sides of the convex end, while the wire spring A pair of left and right knobs formed by bending a wire are bulging outward and arranged symmetrically at each tip of the wire, and the base end of each knob and the tip of the wire spring are fixed. And the top end of the knob and the upper corner of the side edge of the plate are fixed, and the plate is supported in the drooping direction in an expanded state, and the knob is pinched by the finger pad When the wire spring is elastically deformed to allow the opposing surfaces of the plate members to be in contact with each other, the operation space in the vicinity of the incision can be widely secured in the narrow-range operation.

また、線バネの腕部に形成したカーブにより、板体の対向面同士を安定的に当接させることができ、着脱操作もスムースに行うことができて使い勝手が良い。   Further, the opposing surfaces of the plate can be stably brought into contact with each other by the curve formed on the arm portion of the wire spring, and the mounting and demounting operation can be smoothly performed, which is convenient.

更にまた、線バネ本体およびツマミ部本体を、側面視において線バネの凸端および板体の上角部を結ぶ直線を挟んで板体の反対側に位置させることによって、患者の皮膚との間にスペースができるため、ツマミ部を指腹で摘んで着脱操作する際に、術者の指先が皮膚を無理に押圧するのを防止することができ、出血や痛みを与えてしまうこともないことから、産業上の利用価値は頗る大きい。   Furthermore, by positioning the wire spring main body and the knob portion main body on the opposite side of the plate across a straight line connecting the convex end of the wire spring and the upper corner of the plate in side view, Space, so that the operator's fingertips can be prevented from pressing the skin forcefully when the knob part is pinched and removed by finger pads, and there is no bleeding or pain. From the above, industrial use value is great.

本発明の実施形態の開創器を表わす全体斜視図である。It is a whole perspective view showing the retractor of the embodiment of the present invention. 本発明の実施形態の開創器を表わす平面図である。It is a top view showing the retractor of the embodiment of the present invention. 本発明の実施形態の開創器を表わす底面図である。It is a bottom view showing the retractor of the embodiment of the present invention. 本発明の実施形態の開創器を表わす正面図である。It is a front view showing a retractor according to an embodiment of the present invention. 本発明の実施形態の開創器を表わす背面図である。It is a rear view showing the retractor of the embodiment of the present invention. 本発明の実施形態の開創器を表わす右側面図である。It is a right side view showing the retractor of the embodiment of the present invention. 本発明の実施形態の開創器の変形例を表わす背面図である。It is a rear view showing the modification of the retractor of the embodiment of the present invention. 本発明の実施形態の開創器の使用状態を表わす上面図である。It is a top view showing the use condition of the retractor of the embodiment of the present invention. 本発明の実施形態の開創器の使用状態を表わす側面図である。It is a side view showing the use condition of the retractor of an embodiment of the present invention. 本発明の実施形態の開創器の変形例を表わす側面図である。It is a side view showing the modification of the retractor of the embodiment of the present invention. 本発明の実施形態の開創器の使用状態を表わす上面図である。It is a top view showing the use condition of the retractor of the embodiment of the present invention.

本発明の実施形態を図1から図11に基づいて説明する。図1中、符号1で指示するものは線バネであり、符号2で指示するものはツマミ部である。また、符号3で指示するものは板体である。なお、図2から図6は本発明の開創器の六面図である。   Embodiments of the present invention will be described based on FIGS. 1 to 11. In FIG. 1, the one designated by the reference numeral 1 is a wire spring, and the one designated by the reference numeral 2 is a knob portion. Moreover, what is designated by the code 3 is a plate. 2 to 6 are six views of the retractor according to the present invention.

本発明の狭範囲手術用開創器の構成について以下に説明する。まず、弾性線材からなる線バネ1を、凸端11を折曲する。本実施形態では、弾性線材として金属(例えば、防錆ステンレス)を採用し、凸端11を略U字状に折曲したものが好ましい。丸みを帯びていることにより、安全性が高いとともに、反復する弾性変形に対しても材料疲労や局部的な負荷による塑性変形や脆性破壊などが起こり難く形態安定性が高い。   The configuration of the narrow-range surgical retractor according to the present invention will be described below. First, the convex end 11 of the wire spring 1 made of an elastic wire is bent. In the present embodiment, it is preferable to use a metal (for example, rustproof stainless steel) as the elastic wire and to bend the convex end 11 into a substantially U shape. By being rounded, safety is high, and plastic deformation or brittle fracture due to material fatigue or local load does not easily occur even in repeated elastic deformation, and the form stability is high.

また、前記凸端11の両側から対称的に延成される腕部12の中間にそれぞれカーブ12aを形成する。このカーブ12aは、所定範囲を緩やかに曲げて角度を付与するものや、一部分を折曲して角度を付与することができ、側面視において約120〜170°の範囲が好ましい。こうすることにより、線バネ1の凸端11を支点、ツマミ部2を力点、板体3を作用点として、線バネ1を撓曲(弾性変形)させる場合に、これら3点のズレによって、板体3の開閉軌道を同一平面の円弧軌道上から偏倚させることができ、板体3・3の対向面同士をなるべく平行に近い角度で移動させて安定的に当接させることができる。   In addition, a curve 12 a is formed in the middle of the arm portion 12 extended symmetrically from both sides of the convex end 11. The curve 12a may be formed by gently bending a predetermined range to give an angle, or partially bending it to give an angle, and a range of about 120 to 170 degrees in a side view is preferable. By doing this, when the wire spring 1 is bent (elastically deformed) with the convex end 11 of the wire spring 1 as a fulcrum, the knob portion 2 as a force point, and the plate 3 as an action point, The open / close trajectory of the plate 3 can be deviated from the same circular arc trajectory, and the facing surfaces of the plates 3 and 3 can be moved at an angle as close as possible parallel to each other to be stably in contact.

そして、この線バネ1の各先端13には、線材を折曲してなる左右一対のツマミ部2をそれぞれ外側に膨出して対称的に配設する。こうすることによって、この膨出部分に施術スペースを作出することができる。   Then, at each end 13 of the wire spring 1, a pair of left and right knobs 2 formed by bending a wire are respectively expanded outward and disposed symmetrically. By doing this, a treatment space can be created in this bulging portion.

また、本実施形態では、ツマミ部2をコの字型またはU字型の線材にすることができ、術者が摘みやすく、操作性を向上させることができる。   Further, in the present embodiment, the knob portion 2 can be formed into a U-shaped or U-shaped wire, so that the operator can easily pick and improve the operability.

次に、これら各ツマミ部2の基端部21と前記線バネ1の先端13とを固定する。本実施形態では、線バネ1とツマミ部2とを、同一線材により一体成形することができ、加工を簡素化して製造コストを下げることができる。   Next, the base end 21 of each of the knobs 2 and the tip 13 of the wire spring 1 are fixed. In the present embodiment, the wire spring 1 and the knob portion 2 can be integrally formed of the same wire, so that the processing can be simplified and the manufacturing cost can be reduced.

そして、当該ツマミ部2の先端部22と板体3の側縁31における上角部31aとを固定して、当該板体3が垂下方向に拡開状態で支持する。このようにツマミ部2と板体3とは端部同士で固定することにより、両部材をできるだけ離すことができ、板体3の切開部分への挿入に対して、ツマミ部2の干渉を最小限にすることができる。   Then, the distal end portion 22 of the knob portion 2 and the upper corner portion 31a of the side edge 31 of the plate 3 are fixed, and the plate 3 is supported in the drooping direction in the expanded state. Thus, by fixing the knob portion 2 and the plate 3 at the end portions, both members can be separated as much as possible, and the interference of the knob portion 2 with the insertion into the cut portion of the plate 3 is minimized. Can be limited.

本実施形態では、図7に示すように、板体3の下端部32に外側に末広がりな係止部を形成することができ、切開部分から抜け難く、かつ、内部奥側に確実に係止させることができる。更に、この際、ツマミ部2と板体3とのなす角度を鋭角(好ましくは約85°)にすることができ、板体3が内部で広がって係止力を上げることができる。   In the present embodiment, as shown in FIG. 7, an outwardly extending locking portion can be formed at the lower end portion 32 of the plate 3, so that it is difficult to come off from the cut portion and reliably locked to the inner back side. It can be done. Further, at this time, the angle formed between the knob portion 2 and the plate 3 can be made acute (preferably about 85 °), and the plate 3 can be spread inside to increase the locking force.

こうして開創器が構成されることによって、前記ツマミ部2が指腹で摘まれるとき、線バネ1が弾性変形して前記板体3・3の対向面同士が当接可能である(図8参照)。   Thus, by configuring the retractor, when the knob 2 is pinched by the finger pad, the wire spring 1 is elastically deformed so that the opposing surfaces of the plates 3 can contact each other (see FIG. 8). ).

更に、前記線バネ1本体およびツマミ部2本体は、側面視において線バネ1の凸端11および板体3の上角部31aを結ぶ直線(図中の一点鎖線)を挟んで板体3の反対側に位置させることもできる(図9参照)。こうすることによって、患者の皮膚との間にスペースができるため、ツマミ部2を指腹で摘んで着脱操作する際に、術者の指先が皮膚を無理に押圧するのを防止することができる。本実施形態では、ツマミ部2の側方に折曲部23を形成することができ、このスペースを更に大きくすることができる。   Furthermore, the wire spring 1 main body and the knob portion 2 main body of the plate 3 are sandwiching a straight line (one-dot chain line in the figure) connecting the convex end 11 of the wire spring 1 and the upper corner 31a of the plate 3 in side view. It can also be located on the opposite side (see FIG. 9). By doing this, since there is a space between it and the patient's skin, it is possible to prevent the operator's fingertips from forcibly pressing the skin when the knob portion 2 is pinched by the finger pad and the detachment operation is performed. . In the present embodiment, the bending portion 23 can be formed on the side of the knob portion 2, and this space can be further enlarged.

なお、この際、図10に示すように、側面視において線バネ1の凸端11および板体3の上角部31aを結ぶ直線(図中の一点鎖線)と板体3の側縁31とのなす角度αを90°よりも大きくすることによって、切開部分への着脱操作時の使い勝手をより向上させることができる。   At this time, as shown in FIG. 10, a straight line (dot and dash line in the figure) connecting the convex end 11 of the wire spring 1 and the upper corner 31a of the plate 3 in side view and the side edge 31 of the plate 3 By setting the angle α to be larger than 90 °, usability at the time of attachment / detachment operation to the incision portion can be further improved.

以上のように構成された本発明の開創器は、ツマミ部2・2を摘んで板体3・3の対向面同士を当接させ、この当接状態の板体3・3を切開部分Pに挿入した後、弾性復元により拡開させることによって、切開部分Pの近傍に十分な施術スペースを形成しつつ、切開部分Pを広げた状態で保持することができる(図11参照)。   In the retractor according to the present invention configured as described above, the knobs 2 and 2 are pinched to bring the opposing surfaces of the plates 3 and 3 into contact with each other, and the plates 3 and 3 in this contact state are cut out P After the insertion, the elastic portion can be expanded to thereby maintain the incision P in a spread state while forming a sufficient treatment space in the vicinity of the incision P (see FIG. 11).

本発明は、概ね上記のように構成されるが、図示の実施形態に限定されるものでは決してなく、「特許請求の範囲」の記載内において種々の変更が可能であって、例えば、線バネ1の凸端11の形状は略U字状に限らず、V字状やコの字状、W字状などを採用することができる。   Although the present invention is generally configured as described above, it is by no means limited to the illustrated embodiment, and various modifications can be made within the scope of the claims, for example, a wire spring The shape of the convex end 11 of 1 is not limited to a substantially U-shape, and a V-shape, a U-shape, a W-shape, or the like can be adopted.

また、線バネ1、ツマミ部2および板体3の結合は一体成形や、溶接、貼着、接着剤などの手段を採用することができる。   Further, the connection of the wire spring 1, the knob portion 2 and the plate 3 can be carried out by means of integral molding, welding, sticking, an adhesive or the like.

更にまた、線バネ1およびツマミ部2の使用材料は、金属に限らず他の弾性材料を採用することができるし、板体3も大きさや形状などを設計変更することができ、これら何れのものも本発明の技術的範囲に属する。   Furthermore, the material used for the wire spring 1 and the knob portion 2 is not limited to metal, and other elastic materials can be adopted, and the plate 3 can also be designed and changed in size, shape, etc. Those also fall within the technical scope of the present invention.

1 線バネ
11 凸端
12 腕部
12a カーブ
13 先端
2 ツマミ部
21 基端部
22 先端部
23 折曲部
3 板体
31 側縁
31a 上角部
32 下端部
P 切開部分
One-wire spring
11 convex end
12 arms
12a curve
13 tip 2 knob part
21 base end
22 tip
23 bend 3 board
31 side edge
31a upper corner
32 Lower end P incision

Claims (6)

弾性線材からなる線バネ(1)は、凸端(11)が折曲され、かつ、この凸端(11)の両側から対称的に延成される腕部(12)の中間にそれぞれカーブ(12a)が形成されている一方、
この線バネ(1)の各先端(13)には、線材を折曲してなる左右一対のツマミ部(2)がそれぞれ外側に膨出して対称的に配設されているとともに、
これら各ツマミ部(2)の基端部(21)と前記線バネ(1)の先端(13)とが固定され、かつ、当該ツマミ部(2)の先端部(22)と板体(3)の側縁(31)における上角部(31a)とが固定されて、当該板体(3)が垂下方向に拡開状態で支持されており、前記ツマミ部(2)が指腹で摘まれるとき、線バネ(1)が弾性変形して前記板体(3・3)の対向面同士が当接可能であることを特徴とする狭範囲手術用開創器。
In the wire spring (1) made of an elastic wire, the convex end (11) is bent, and a curve (curved) is formed in the middle of the arm portion (12) extending symmetrically from both sides of the convex end (11). While 12a) is being formed,
At each end (13) of the wire spring (1), a pair of left and right knobs (2) formed by bending a wire are respectively arranged to expand outward and are arranged symmetrically,
The base end (21) of each knob (2) and the tip (13) of the wire spring (1) are fixed, and the tip (22) of the knob (2) and the plate (3) The upper edge (31a) of the side edge (31) of the) is fixed, and the plate (3) is supported in the drooping direction in an expanded state, and the knob (2) is pinched by the finger pad When the wire spring (1) is elastically deformed, the opposing surfaces of the plates (3 and 3) can come into contact with each other.
線バネ(1)本体およびツマミ部(2)本体は、側面視において線バネ(1)の凸端(11)および板体(3)の上角部(31a)を結ぶ直線を挟んで板体(3)の反対側に位置していることを特徴とする請求項1記載の狭範囲手術用開創器。   The wire spring (1) main body and the knob portion (2) main body are plate bodies across a straight line connecting the convex end (11) of the wire spring (1) and the upper corner portion (31a) of the plate body (3) in side view The retractor for narrow-range surgery according to claim 1, which is located on the opposite side of (3). ツマミ部(2)の側方に折曲部(23)が形成されていることを特徴とする請求項1または2記載の狭範囲手術用開創器。   A retractor for narrow-range surgery according to claim 1 or 2, wherein a bent portion (23) is formed on the side of the knob portion (2). 板体(3)の下端部(32)に外側に末広がりな係止部が形成されていることを特徴とする請求項1〜3の何れか一つに記載の狭範囲手術用開創器。   The retractor for narrow-range surgery according to any one of claims 1 to 3, wherein an outwardly extending locking portion is formed on the lower end portion (32) of the plate (3). 線バネ(1)とツマミ部(2)とが、同一線材により一体成形されていることを特徴とする請求項1〜4の何れか一つに記載の狭範囲手術用開創器。   The retractor for narrow-range surgery according to any one of claims 1 to 4, wherein the wire spring (1) and the knob portion (2) are integrally formed of the same wire. ツマミ部(2)がコの字型またはU字型の線材であることを特徴とする請求項1〜5の何れか一つに記載の狭範囲手術用開創器。   The retractor for narrow-range surgery according to any one of claims 1 to 5, wherein the knob portion (2) is a U-shaped or U-shaped wire.
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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1389436A (en) * 1919-04-28 1921-08-30 William J Cameron Retractor
US2238563A (en) * 1939-01-24 1941-04-15 Anna J Jacques Embalming instrument
US5441040A (en) * 1994-02-02 1995-08-15 Williams, Jr.; Barney K. RDS speculum
JP2007044266A (en) * 2005-08-10 2007-02-22 Arata:Kk Wound retractor
JP2008525150A (en) * 2004-12-29 2008-07-17 リスト,オロブ Retractor
CN106037841A (en) * 2016-07-11 2016-10-26 张磊 Eye speculum for children

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1389436A (en) * 1919-04-28 1921-08-30 William J Cameron Retractor
US2238563A (en) * 1939-01-24 1941-04-15 Anna J Jacques Embalming instrument
US5441040A (en) * 1994-02-02 1995-08-15 Williams, Jr.; Barney K. RDS speculum
JP2008525150A (en) * 2004-12-29 2008-07-17 リスト,オロブ Retractor
JP2007044266A (en) * 2005-08-10 2007-02-22 Arata:Kk Wound retractor
CN106037841A (en) * 2016-07-11 2016-10-26 张磊 Eye speculum for children

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