JP2021045240A - Surgical aid engagement tool - Google Patents

Surgical aid engagement tool Download PDF

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JP2021045240A
JP2021045240A JP2019168002A JP2019168002A JP2021045240A JP 2021045240 A JP2021045240 A JP 2021045240A JP 2019168002 A JP2019168002 A JP 2019168002A JP 2019168002 A JP2019168002 A JP 2019168002A JP 2021045240 A JP2021045240 A JP 2021045240A
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surgical
locking tool
surgical aid
aid
tool according
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中村 正一
Shoichi Nakamura
正一 中村
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ACP Japan Co Ltd
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ACP Japan Co Ltd
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Abstract

To provide a surgical aid engagement tool that is available for easily confirming mislaying of a postoperative surgical aid, even if a special member is not given to the surgical aid.SOLUTION: A surgical aid engagement tool 1 is made with a thin plate 2, and including multiple slits 3 for sandwiching and holding a surgical tape on the side of the thin plate 2, respectively. Serial numbers from "1" to "10" are given to the tip end of each slit 3, and a display unit 6 for displaying the serial number given to every notch 3 is provided on the surface of the thin plate 2. The serial number is displayed by being carved or printed on the display unit 6. After surgery, the removed surgical tape is returned to the surgical aid engagement tool 1, and is held in the slit 3 again. Accordingly, it can simply be verified whether or not the collection of the used surgical tape is completed, by confirming the serial number displayed on the display unit 6. When it is not collected, the number of surgical tapes remaining in a patient's body can be known.SELECTED DRAWING: Figure 1

Description

本発明は、外科手術において用いられる外科用テープ、手術パッド、針付き縫合糸を含む手術用補助具の係止具に関する。 The present invention relates to a locking tool for surgical aids including surgical tapes, surgical pads and sutures with needles used in surgery.

手術用補助具としては、外科用テープ、手術用パッド、針付き縫合糸があり、例えば外科用テープは、心臓血管外科や胸部外科手術における血管等の識別、泌尿器科手術での尿管等の一時的保持や識別、整形外科、形成外科の手術における腱、神経、血管等の一時的保持や識別等で用いられる。こうした手術用補助具は、外科手術を遂行する上での補助的な役割を担うものであるため、とかく注意が行き届かず手術の終了後に患者の体内に置き忘れる事故が少なからず発生している。 Surgical aids include surgical tapes, surgical pads, and sutures with needles. For example, surgical tapes are used for identifying blood vessels in cardiovascular surgery and thoracic surgery, urinary tract in urological surgery, etc. It is used for temporary retention and identification, temporary retention and identification of tendons, nerves, blood vessels, etc. in orthopedic and plastic surgery. Since such surgical aids play an auxiliary role in performing surgical operations, there are not a few accidents in which care is not taken and they are left in the patient's body after the operation is completed.

このような外科手術で用いる器具や用材の置き忘れ事故は、外科用テープのみならず、止血用などとして手術で使用される手術用パッドや針付き縫合糸等も同様である。そのため、例えば、手術用パッドに関しては、従来から、手術中において手術用パッドが手術部位に存在していることを明確に表示するための色違いの目印となり体内からパッドを除去する際の引き出し用の糸を縫い付け、この糸の他端を体外に長く引き延ばすための処置が施されている(例えば、特許文献1及び特許文献2を参照)。 Such accidents in which instruments and materials used in surgical operations are misplaced are not limited to surgical tapes, but also surgical pads and sutures with needles used in surgical operations for hemostasis and the like. Therefore, for example, the surgical pad has conventionally been used as a different color mark for clearly indicating that the surgical pad is present at the surgical site during surgery, and is used for pulling out when removing the pad from the body. The thread is sewn and the other end of the thread is stretched out of the body for a long time (see, for example, Patent Document 1 and Patent Document 2).

特開2002−325774号公報Japanese Unexamined Patent Publication No. 2002-325774 特開2009−61186号公報Japanese Unexamined Patent Publication No. 2009-61186

しかしながら、手術用パッドの場合は止血部分を覆うよう平面形状であるためパッドに引き出し糸を取り付けることでパッドの存在を喚起できるのであるが、外科用テープはそれ自体が糸状の形状であるから、結局は必要以上に長く延長させることになり、特に、腱、神経、血管等の一時的保持のために締結するのに用いるなどの場合は長すぎて結ぶのに術者の手間が掛かる。 However, in the case of a surgical pad, since it has a flat shape so as to cover the hemostatic part, the presence of the pad can be aroused by attaching a pull-out thread to the pad, but since the surgical tape itself has a thread-like shape, In the end, it will be extended longer than necessary, and especially when it is used for fastening for temporary retention of tendons, nerves, blood vessels, etc., it is too long and it takes time for the surgeon to tie it.

上記点に鑑み本発明は、手術用補助具に特別な部材を施さなくとも、手術後の置き忘れを容易に確認することに使用可能な手術用補助具の係止具を提供することにある。 In view of the above points, the present invention provides a locking tool for a surgical aid that can be used to easily confirm misplacement after surgery without providing a special member to the surgical aid.

本発明は、外科手術に用いる例えば、外科用テープ、手術パッド、針付き縫合糸等を含む手術用補助具を保持する手術用補助具係止具であって、薄板で構成されて前記薄板の辺にそれぞれ前記手術用補助具を挟持して保持する複数の切込みを備える。 The present invention is a surgical aid locking tool for holding a surgical aid including, for example, a surgical tape, a surgical pad, a suture with a needle, etc. used in a surgical operation, which is composed of a thin plate and is made of the thin plate. Each side is provided with a plurality of notches that sandwich and hold the surgical aid.

そして、前記切込みごとに付した通し番号を表示する表示部を備えることで、保持している手術用補助具の数を明確にできる。 Then, by providing a display unit for displaying the serial number attached to each notch, the number of surgical aids held can be clarified.

この場合、前記切り欠きは前記辺に等間隔で形成することで、複数の手術用補助具を整列させた状態で保持され、手術用補助具の出し入れを容易に行える。 In this case, by forming the notches on the sides at equal intervals, the plurality of surgical aids are held in an aligned state, and the surgical aids can be easily taken in and out.

また、前記表示部にはスケールを設ければ、手術用補助具をカットして用いる際に、カットの長さを測ることができる。この場合、前記通し番号を前記スケールの目盛りの数値としてもよい。 Further, if a scale is provided on the display unit, the length of the cut can be measured when the surgical aid is cut and used. In this case, the serial number may be used as a numerical value on the scale of the scale.

前記切込みは、入口部の間隔は広く、奥行き方向に進むにしたがい間隔が狭くなる形状とすることで、厚さの異なる種々の手術用補助具に対応することができる。 The notch has a shape in which the distance between the entrances is wide and the distance becomes narrower as the depth direction progresses, so that it can correspond to various surgical aids having different thicknesses.

さらに、前記手術用補助具を前記切込みに挿入する際の受部となるよう前記切込みの入口部を拡開させることで、手術用補助具の切込みへの挿入が容易となる。 Further, by expanding the entrance portion of the incision so as to serve as a receiving portion when the surgical assisting tool is inserted into the incision, the surgical assisting tool can be easily inserted into the incision.

加えて、前記手術用補助具は複数の色の種類があって、前記薄板は前記手術用補助具の色とは区別される透明又は半透明の板材で構成することで、色分けされた手術用補助具を容易に見分けることができる。 In addition, the surgical aid has a plurality of color types, and the thin plate is color-coded by being composed of a transparent or translucent plate material that is distinct from the color of the surgical aid. Auxiliary equipment can be easily identified.

前記手術用補助具はシリコンゴム素材で形成されて、さらに放射線への遮蔽性を有するシリコンゴム素材で形成すれば、手術用補助具係止具に戻されておらず未回収が確認された手術用補助具を放射線の照射により回収することができる。 If the surgical aid is made of a silicone rubber material and further has a radiation-shielding property, the surgical aid is not returned to the surgical aid locking tool and has not been recovered. Auxiliary equipment can be recovered by irradiation with radiation.

そして、上記の手術用補助具係止具は、幅が0.5乃至10ミリメートルの範囲内で厚さが0.2乃至1.5ミリメートルの範囲内の手術用補助具に適用される。 Then, the above-mentioned surgical aid locking tool is applied to a surgical aid having a width of 0.5 to 10 mm and a thickness of 0.2 to 1.5 mm.

本発明の手術用補助具係止具によれば、切込みで手術用補助具を保持するために、手術用補助具の出し入れを容易に行える。よって、手術用補助具を保持していない切込みの数から使用した手術用補助具の数を正確に知ることができ、また使用後に回収した手術用補助具を手術用補助具係止具に戻すようにすれば、回収した手術用補助具の数も正確に知ることができ、手術用補助具の置き忘れの確実な防止具となる。 According to the surgical aid locking tool of the present invention, the surgical aid can be easily taken in and out in order to hold the surgical aid in the incision. Therefore, the number of surgical aids used can be accurately known from the number of incisions that do not hold surgical aids, and the surgical aids collected after use are returned to the surgical aid locking tools. By doing so, the number of surgical aids collected can be accurately known, and it becomes a reliable preventive tool for misplacement of surgical aids.

本発明に係る手術用補助具係止具の一実施形態を平面図で示す。An embodiment of a surgical aid locking device according to the present invention is shown in a plan view. 本発明に係る手術用補助具係止具の他の実施形態を平面図で示す。Other embodiments of the surgical aid locking device according to the present invention are shown in plan view. 本発明に係る手術用補助具係止具に適用する代表的な4種類の外科用テープ5の断面形状と、幅及び厚さ寸法の説明図を示す。The cross-sectional shape, width and thickness dimensions of four typical types of surgical tapes 5 applied to the surgical aid locking tool according to the present invention are shown. 図1の手術用補助具係止具で外科用テープを保持した状態の説明図を示す。An explanatory view of a state in which the surgical tape is held by the surgical aid locking tool of FIG. 1 is shown. 図4の斜視図を示す。The perspective view of FIG. 4 is shown. 手術用補助具係止具の表示部にスケールを設けた例の説明図を示す。An explanatory diagram of an example in which a scale is provided on the display portion of the surgical aid locking tool is shown. 本発明に係る手術用補助具係止具に手術用パッドや針付き縫合糸を係止した状態の説明図を示す。An explanatory diagram of a state in which a surgical pad and a suture with a needle are locked to a surgical aid locking tool according to the present invention is shown.

以下、図面を参照して、本発明による手術用補助具係止具の実施の形態を説明する。この実施の形態においては手術用補助具として外科テープの例で説明する。 Hereinafter, embodiments of the surgical aid locking device according to the present invention will be described with reference to the drawings. In this embodiment, an example of a surgical tape will be described as a surgical aid.

図1において、手術用補助具係止具1は、透明又は半透明の乳白色の樹脂による矩形の薄板2の一辺に、外科用テープ5を、図4に示すように引掛けて保持するよう複数の切込み3が形成されてなる。本例では、10個の切込み3が等間隔に並べて設けられている。 In FIG. 1, a plurality of surgical aid locking tools 1 are provided so that a surgical tape 5 is hooked and held on one side of a rectangular thin plate 2 made of a transparent or translucent milky white resin as shown in FIG. Notch 3 is formed. In this example, 10 notches 3 are provided side by side at equal intervals.

切込み3は、入口部の間隔を広く、奥行き方向に進むにしたがい間隔が狭くなる形状を有している。そして、各切込み3の上部には、外科用テープ5を挿入しやすくするための受部4が設けられている。受部4は、隣接している舌片2aの上縁部を切り欠くことで、切込み3の入口部を拡開して形成される。舌片2aの上縁部に切り欠きを設けずに、切込み3を図2に示すような楔状に形成してもよい。 The notch 3 has a shape in which the distance between the inlets is wide and the distance is narrowed as the depth direction progresses. A receiving portion 4 for facilitating the insertion of the surgical tape 5 is provided on the upper portion of each notch 3. The receiving portion 4 is formed by expanding the entrance portion of the notch 3 by cutting out the upper edge portion of the adjacent tongue piece 2a. The notch 3 may be formed in a wedge shape as shown in FIG. 2 without providing a notch at the upper edge portion of the tongue piece 2a.

また、各切込み3先端部には、「1」から「10」までの通し番号が付されていて、薄板2の表面には、切込み3ごとに付された通し番号を表記する表示部6が設けられている。通し番号は表示部6に刻印又は印刷されて表示される。 Further, a serial number from "1" to "10" is attached to the tip of each notch 3, and a display unit 6 for indicating the serial number assigned to each notch 3 is provided on the surface of the thin plate 2. ing. The serial number is stamped or printed on the display unit 6 and displayed.

外科用テープ5は、放射線への遮蔽性を有する伸縮自在なシリコンゴム素材で成形される。そして、外科用テープ5は、心臓血管外科や胸部外科手術における血管等の識別、泌尿器科手術での尿管等の一時的保持や識別、整形外科、形成外科の手術における腱、神経、血管等の一時的保持や識別等の用途に応じて、幅が0.5乃至5ミリメートルの範囲内、厚さが0.2乃至1.5ミリメートルの範囲内、長さが400乃至500ミリメートルの範囲内のものが用いられる。 The surgical tape 5 is formed of a stretchable silicone rubber material that has a shielding property against radiation. The surgical tape 5 is used for identification of blood vessels in cardiovascular surgery and chest surgery, temporary retention and identification of urinary tracts in urological surgery, tendons, nerves, blood vessels, etc. in orthopedic surgery and plastic surgery. Width in the range of 0.5 to 5 mm, thickness in the range of 0.2 to 1.5 mm, length in the range of 400 to 500 mm, depending on the application such as temporary holding and identification of Is used.

外科用テープ5は、その断面を楕円形状となるよう成形すれば、外科用テープ5を締結するのに用いたとき解けにくくなる。図3は、最適な例として、サイズの異なる4種類の外科用テープ5の断面形状と、幅及び厚さ寸法とが示されている。切込み3の間隔は、この範囲内寸法の幅と厚さを有する外科用テープ5が挟持できる寸法に設定することで、図4及び図5に示すように、外科用テープはその上端が切込み3に挟持されて垂下した状態で薄板2に保持される。 If the surgical tape 5 is formed so that its cross section has an elliptical shape, it becomes difficult to unravel when used for fastening the surgical tape 5. FIG. 3 shows, as an optimal example, the cross-sectional shape, width and thickness dimensions of four types of surgical tapes 5 having different sizes. By setting the distance between the notches 3 to a size that can be sandwiched by the surgical tape 5 having a width and thickness within this range, as shown in FIGS. 4 and 5, the upper end of the surgical tape is the notch 3 It is held by the thin plate 2 in a state of being sandwiched between the two and hanging.

また、外科用テープ5は、赤・青・黄・白等の複数の色の種類がある。したがって、手術用補助具係止具1を透明又は半透明の乳白色の薄板2で形成することで、薄板2に保持されている外科用テープ5を色で容易に見分けて取り出すことができる。 Further, the surgical tape 5 has a plurality of color types such as red, blue, yellow, and white. Therefore, by forming the surgical aid locking tool 1 with a transparent or translucent milky white thin plate 2, the surgical tape 5 held by the thin plate 2 can be easily distinguished by color and taken out.

上記の手術用補助具係止具1の使用の一例を説明すると、手術用補助具係止具1は全ての切込み3に外科用テープ5が保持されている状態で手術現場に供される。そして、外科手術の状況に応じて、外科用テープ5は切込み3から適宜取り外されて、血管等の識別、尿管等の一時的保持や識別、腱、神経、血管等の一時的保持や識別のために使用される。よって、使用された外科用テープ5の数は、薄板2の表示部6に示された通し番号で確認できる。 To explain an example of using the surgical aid locking tool 1 described above, the surgical assisting tool locking tool 1 is provided to the surgical site in a state where the surgical tape 5 is held in all the cuts 3. Then, depending on the situation of the surgical operation, the surgical tape 5 is appropriately removed from the incision 3, and the blood vessels and the like are identified, the ureters and the like are temporarily held and identified, and the tendons, nerves, blood vessels and the like are temporarily held and identified. Used for. Therefore, the number of surgical tapes 5 used can be confirmed by the serial number shown on the display unit 6 of the thin plate 2.

手術後、外科用テープ5は、取り外された外科用テープ5は手術用補助具係止具1に戻されて、切込み3に再び保持される。よって、表示部6に示される通し番号を確認することにより、使用した外科用テープ5の回収が完了したか否かを簡単に確認でき、未回収の場合には患者の体内に残留している外科用テープ5の数を知ることができる。 After the operation, the surgical tape 5 is removed, and the surgical tape 5 is returned to the surgical aid locking tool 1 and held again in the incision 3. Therefore, by confirming the serial number shown on the display unit 6, it is possible to easily confirm whether or not the collection of the used surgical tape 5 has been completed, and if it has not been collected, the surgery remaining in the patient's body. The number of tapes 5 can be known.

手術用補助具係止具1の表示部6には、図6に示すように、スケール6aを設けることができる。図示の例では、1から10までの通し番号がスケール6aの目盛りの数値とすることができる。スケール6aは、例えば、外科用テープ5をカットして使用するとき、長さを測るために用いられる。勿論、スケールの目盛りの数値と通し番号とを、それぞれ別に表示させてもよい。そして、別表示とする場合には、通し番号どうしの間の間隔の寸法とスケールの目盛り間の寸法とは必ずしも一致させる必要もない。 As shown in FIG. 6, a scale 6a can be provided on the display portion 6 of the surgical aid locking tool 1. In the illustrated example, the serial numbers from 1 to 10 can be the numerical values on the scale 6a. The scale 6a is used, for example, to measure the length when the surgical tape 5 is cut and used. Of course, the numerical value and the serial number on the scale scale may be displayed separately. In the case of separate display, it is not always necessary to match the dimension of the interval between the serial numbers and the dimension of the scale between the scales.

このように、手術用補助具係止具1は、外科用テープ5の使用した数及び回収した数をカウントする機能を有することで、外科用テープ5の置き忘れを未然に防止できる。 As described above, the surgical aid locking tool 1 has a function of counting the number of used surgical tapes 5 and the number of collected surgical tapes 5, so that the surgical tape 5 can be prevented from being misplaced.

外科用テープ5は、放射線への遮蔽性を有するシリコンゴム素材で形成することで、存在が不明な外科用テープを、放射線の照射にて発見することができる。したがって、外科用テープに注意を喚起するための特別な部材を装着せずとも、手術用補助具係止具により未回収の外科用テープを確認できるため置き忘れを防止できる。 By forming the surgical tape 5 with a silicon rubber material having a shielding property against radiation, a surgical tape whose existence is unknown can be found by irradiation with radiation. Therefore, even if a special member for calling attention is not attached to the surgical tape, the uncollected surgical tape can be confirmed by the surgical aid locking tool, so that it can be prevented from being misplaced.

そして、手術用補助具係止具1は、図7に示すように、手術時の出血や体液などを拭き取ったり吸収したりするため手術パッド7や針付き縫合糸8等、手術での補助具に用いられる糸状のまたは一部に糸を備える手術用補助具全般に用いることができる。 Then, as shown in FIG. 7, the surgical assisting tool locking tool 1 is a surgical assisting tool such as a surgical pad 7 or a suture with a needle 8 for wiping or absorbing bleeding or body fluid during surgery. It can be used for all surgical aids that are thread-like or partially provided with sutures.

1 手術用補助具係止具
2 薄板
3 切込み
4 受部
5 外科用テープ
6 表示部
6a スケール
7 手術パッド
8 針付き縫合糸
1 Surgical aid Locking tool 2 Thin plate 3 Notch 4 Receiving part 5 Surgical tape 6 Display part 6a Scale 7 Surgical pad 8 Suture with needle

Claims (11)

外科手術に用いる外科用テープ、手術パッド、針付き縫合糸を含む手術用補助具を保持する手術用補助具係止具であって、
薄板で構成されて、前記薄板の辺にそれぞれ前記手術用補助具を挟持して保持する複数の切込みを備える手術用補助具係止具。
A surgical aid locking tool that holds surgical aids, including surgical tapes, surgical pads, and sutures with needles used in surgery.
A surgical aid locking tool that is composed of a thin plate and has a plurality of notches that sandwich and hold the surgical aid on each side of the thin plate.
前記切込みごとに付した通し番号を表示する表示部を備える請求項1に記載の手術用補助具係止具。 The surgical aid locking tool according to claim 1, further comprising a display unit that displays a serial number attached to each notch. 前記切込みは前記辺に等間隔で形成される請求項2に記載の手術用補助具係止具。 The surgical aid locking tool according to claim 2, wherein the cuts are formed on the sides at equal intervals. 前記表示部はスケールを有する請求項2又は3に記載の手術用補助具係止具。 The surgical aid locking tool according to claim 2 or 3, wherein the display unit has a scale. 前記通し番号は前記スケールの目盛りの数値である請求項4に記載の手術用補助具係止具。 The surgical aid locking tool according to claim 4, wherein the serial number is a numerical value on the scale of the scale. 前記切込みは、入口部の間隔は広く、奥行き方向に進むにしたがい間隔が狭くなる形状を有する請求項1乃至5の何れか1項に記載の手術用補助具係止具。 The surgical aid locking tool according to any one of claims 1 to 5, wherein the notch has a shape in which the distance between the entrances is wide and the distance is narrowed as the distance advances in the depth direction. 前記手術用補助具を前記切込みに挿入する際の受部となるよう前記切込みの入口部を拡開して成る請求項1乃至6の何れか1項に記載の手術用補助具係止具。 The surgical aid locking tool according to any one of claims 1 to 6, wherein the entrance portion of the incision is widened so as to serve as a receiving portion when the surgical assisting tool is inserted into the notch. 前記手術用補助具(注:外科用テープ、手術パッド、針付き縫合糸を含む手術用補助具の意味です)は、複数の色の種類があって、前記薄板は前記手術用補助具の色とは区別される透明又は半透明の板材で構成される請求項1乃至7の何れかに1項に記載の手術用補助具係止具。 The surgical aid (Note: means a surgical aid including a surgical tape, a surgical pad, and a suture with a needle) comes in multiple color types, and the thin plate is the color of the surgical aid. The surgical aid locking tool according to any one of claims 1 to 7, which is made of a transparent or translucent plate material to be distinguished from the above. 前記手術用補助具を構成する外科用テープは、紙素材又はシリコンゴム素材で形成される請求項1乃至8の何れか1項に記載の手術用補助具係止具。 The surgical aid locking tool according to any one of claims 1 to 8, wherein the surgical tape constituting the surgical aid is made of a paper material or a silicone rubber material. 前記手術用補助具は放射線への遮蔽性を有するシリコンゴム素材で形成される請求項9に記載の手術用補助具係止具。 The surgical aid locking tool according to claim 9, wherein the surgical assisting tool is made of a silicon rubber material having a shielding property against radiation. 前記外科用テープは、幅が0.5乃至10ミリメートルの範囲内で厚さが0.2乃至1.5ミリメートルの範囲内である請求項1乃至10の何れか1項に記載の手術用補助具係止具。 The surgical aid according to any one of claims 1 to 10, wherein the surgical tape has a width of 0.5 to 10 mm and a thickness of 0.2 to 1.5 mm. Tool locking tool.
JP2019168002A 2019-09-17 2019-09-17 Surgical aid engagement tool Pending JP2021045240A (en)

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