JP3028105B1 - Visible detachable suction type hemorrhoid ligator - Google Patents

Abstract

Abstract: PROBLEM TO BE SOLVED: To visually check the condition of hemorrhoids entering a hemorrhoid suction storage guide, and more accurately and safely ligate a rubber ring to the hemorrhoids. SOLUTION: Using a rubber mounting kit 5, a hemorrhoid ligating rubber ring is gripped on the outer periphery of a rubber ring gripping part of a hemorrhoid suction storage guide 2, a hemorrhoid of an affected part is caught by a front end of the rubber ring gripping part, and suction is started. And pull it into the hemorrhoid suction space. The state of the hemorrhoids entering is visually observed through the rubber ring grip portion, and by operating the lever 8 while confirming the ligation location of the hemorrhoids, the mounting operating body 7 moves forward to push out the rubber ring for hemorrhoid ligation and fit the hemorrhoids. Therefore, the rubber ring can be ligated to the hemorrhoid more accurately and safely.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a visible / removable suction type hemorrhoid ligation device which sucks hemorrhoids and ligates them with a rubber ring. The present invention relates to a visible and removable suction-type hemorrhoid ligation device that allows a hemorrhoid suction state to be visually observed from a cutout portion.

[0002]

2. Description of the Related Art In a treatment in which a hemorrhoid is ligated with a rubber ring and the hemorrhoid is cured by erosion, a hemorrhoid suction guide is formed of metal in a suction type hemorrhoid ligator as a conventional treatment tool. Hemorrhoids sucked into the hemorrhoid suction storage guide could not be visually confirmed in the mounting operation part for pushing out the rubber ring gripped on the outer periphery of the hemorrhoid suction storage guide. Because of this,
The operator (doctor) has had to rely on the operator's experience to check how the hemorrhoids enter the hemorrhoid suction storage guide. As a matter of course, this method cannot objectively grasp the degree of hemorrhoids entering in the hemorrhoid suction storage guide, and the reliability of the operation of fitting the rubber ring to the hemorrhoids in a dimension different from the skill of the operator. It was difficult to keep.

[0003]

SUMMARY OF THE INVENTION An object of the present invention is to ligate hemorrhoids with a rubber ring and cure the hemorrhoids by erosion. Another object of the present invention is to provide a visible / removable suction-type hemorrhoid ligation device capable of safely ligating a rubber ring to the hemorrhoid.

[0004]

According to a first aspect of the present invention, there is provided a visible / removable suction type hemorrhoid ligation device comprising a hollow rubber ring gripping portion forming an outer periphery for gripping a rubber ring for hemorrhoidal ligation, and a rubber ring gripping portion. It has a hollow base formed with a large diameter,
A hemorrhoid suction space for sucking hemorrhoids into the rubber ring grip is provided, and a hemorrhoid suction storage guide that allows visual observation of the inside of the hemorrhoid suction space, and a hemorrhoid suction space of the rubber ring grip that is connected to the base. The suction means and the outer periphery of the rubber ring grip portion are slidably provided, and are placed in a standby state against the base portion, and a part of the rubber ring grip portion is cut off so that the hemorrhoid suction space of the rubber ring grip portion is visible. A mounting movable body for pushing out the rubber ring for hemorrhoid ligation to the ligation place of the hemorrhoid,
Means for operating the mounting movable body so as to push the rubber ring for hemorrhoid ligation gripped by the rubber ring gripping portion to the ligation location of the hemorrhoid, and means for biasing the mounting movable body toward the base side via the operating means In the configuration. According to a second aspect of the present invention, in the hemorrhoid suction / storing guide of the first aspect, the structure in which the inside of the hemorrhoid suction space of the rubber ring gripping portion is visible is configured so that at least a ligated place of the sucked in hemorrhoid can be confirmed. It is characterized by having been done. According to a third aspect of the present invention, in the hemorrhoid suction / storing guide of the first aspect, the structure in which the inside of the hemorrhoid suction space of the rubber ring grip is visible is configured so that the entire rubber ring grip is transparent. .

[0005]

According to the constitution of the present invention, the rubber ring for ligating hemorrhoids is gripped on the outer periphery of the rubber ring grip, the hemorrhoids of the affected part are caught by the front end of the rubber ring grip, suction is started, and hemorrhoid suction is started. Pull in the space. The condition of the hemorrhoids entering is visually observed through the rubber ring grip portion, and the operating means is operated while confirming the ligation location of the hemorrhoids. By this operation, the mounting movable body moves forward, pushes out the rubber ring for ligating hemorrhoids, fits into the hemorrhoids, and is ligated. ADVANTAGE OF THE INVENTION According to this invention, since the entering condition of the hemorrhoid which has entered into the hemorrhoid suction space of a rubber ring holding part by suction can be visually confirmed, the rubber ring can be more accurately and safely ligated to the hemorrhoid. In addition, the mounting movable body is operated
Is biased to the base side via the
Ligature for ligating hemorrhoids to the rubber ring gripper
It is easy to attach the ring, and hemorrhoids
The force for pushing out the rubber ring for ligation is stable and operability is improved.
Will be up.

[0006]

Embodiments of the present invention will be described with reference to the drawings. FIG. 1 is a side view of an embodiment of the present invention, FIG. 2 is an enlarged side view of a hemorrhoid suction / storing guide, FIG. 3 is a side view of a mounting movable body, and FIG. 4 is a plan view of the mounting movable body.
The visible / removable suction type hemorrhoid ligation device 1 includes a hemorrhoid suction storage guide 2, a suction tube 3, a grip portion 4, and a rubber mounting kit 5. The hemorrhoid suction guide 2 has a rubber ring grip 2A forming a cylindrical outer periphery for gripping a rubber ring for hemorrhoid ligation and a base 2B having one end side of the suction tube 3 fixed and having an outer diameter larger than the rubber ring grip 2A. The rubber ring gripping portion 2A is open at one end, is made of a transparent material, and has a base 2B of the hemorrhoid suction storage guide 2.
The suction tube 3 is fixed so as to communicate with the hemorrhoid suction space of the rubber ring grip 2A. The other end of the suction tube 3 is fixed to the grip portion 4, and a connection portion 6 for connecting to a vacuum device (not shown) via a tube is provided on the opposite side. Thus, the suction tube 3 and the connection portion 6 are communicated. The suction tube 3 is bent at a predetermined angle with respect to the grip portion 5 as shown in the figure, and has a shape that allows easy access to the affected part. A mounting movable body 7 is slidably fitted to the rubber ring grip portion 2A of the hemorrhoid suction storage guide 2, and the outer periphery of the hemorrhoid suction storage guide 2, that is, a rubber ring, when the mounting movable body 7 advances. Gripping part 2A
The hemorrhoid ligating rubber ring gripped by the above is pushed forward of the hemorrhoid suction storage guide. The mounting movable body 7 is formed of a cylindrical body 7A, and is provided with a window 7a partly cut away as shown in the figure. Through the window 7a, the inside of the hemorrhoid suction space of the hemorrhoid suction storage guide 2 can be visually observed through the transparent rubber ring grip portion 2A. The mounting movable body 7 is fixed to the operating body 8, and is moved forward or backward by operating the operating body 8 with the lever 9 of the grip portion 5. A spring 10 such as a leaf spring is interposed between the grip portion 5 and the lever 9 to urge the lever 9 toward the anti-grip portion so that when the mounting movable body 7 retreats, it comes into contact with the base 2A to be in a standby state. maintain. The base 2A of the hemorrhoid suction storage guide 2 serves as a stopper for restricting the movement of the mounting movable body 7 in the direction of the suction tube 3. Rubber mounting kit 5 includes rubber ring gripper 2
A rubber mounting portion 5A having a base diameter substantially equal to the outer diameter of the rubber mounting portion 5A and an insertion portion 5B fitted inside the rubber ring holding portion 2A. Rubber for ligating hemorrhoids from the tip of the rubber mounting portion 5A. The ring is inserted, pushed along the inclined surface of the rubber mounting portion 5A, expanded in diameter, and held on the outer periphery of the rubber ring holding portion 2A. The holding position of the rubber ring is on the front side in the forward direction of the mounting movable body 7. The operation of the above embodiment is shown in FIG.
This will be described with reference to FIG. In FIG. 5, the rubber ring 11 for gripping hemorrhoids is gripped on the outer periphery of the rubber ring grip portion 2A by using the rubber mounting kit 5, and then the rubber mounting kit 5 is removed from the hemorrhoid suction storage guide 2. The rubber ring grip 2A is inserted into the anus, the hemorrhoid of the affected part is caught at the front end, and the vacuum device is operated to suck and pull the hemorrhoid into the hemorrhoid suction space of the rubber ring grip 2A. At this time, the degree of hemorrhoids entering is visually observed from the window 7a of the mounting movable body 7 and the lever 9 is gripped while confirming the ligation location of the hemorrhoids.
Operate to the side. With this lever operation, the mounting movable body 7 moves forward in the direction of the arrow in FIG. 6, pushes out the rubber ring 11 for ligating hemorrhoids, disengages from the rubber ring holding portion 2A, and is ligated by fitting into the hemorrhoids. In this embodiment, a window is provided in the mounting movable body, and the structure is such that the inside of the hemorrhoid suction space of the rubber ring grip can be visually observed. The hemorrhoid suction space may be configured to be visible. In addition, the hemorrhoid suction storage guide is made of a transparent material and is configured so that the entire hemorrhoid suction space can be seen through, but the ligation place of the hemorrhoid sucked into the hemorrhoid suction space of the rubber ring gripping portion and visually entered can be visually checked. Only the range that can be confirmed may be made transparent. Further, the movement of the mounting movable body is performed by a lever operation, but it may be configured to be performed by a pulling operation such as a trigger.

[Brief description of the drawings]

FIG. 1 is a side view of an embodiment of a suction type hemorrhoid ligation device according to the present invention.

FIG. 2 is an enlarged side view of a hemorrhoid suction storage guide.

FIG. 3 is a side view of the mounting movable body.

FIG. 4 is a plan view of a mounting movable body.

FIG. 5 is a diagram showing a hemorrhoid ligation rubber ring before ligation.

FIG. 6 is a view showing the movement of the mounting movable body when the hemorrhoid ligation rubber ring is ligated.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Suction type hemorrhoid ligation device 2 Hemorrhoid suction suction guide 3 Suction tube 4 Grip part 5 Rubber mounting kit 6 Connection part to a vacuum device 7 Mounting movable body 8 Operating body of mounting movable body 9 Lever

──────────────────────────────────────────────────続 き Continuing on the front page (72) Inventor Yukihiro Adachi 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa Prefecture St. Marianna University School of Medicine 1st Surgery (72) Inventor Ken Tsukikawa 2 Sugao, Miyamae-ku, Kawasaki City, Kanagawa Prefecture -16-1 St. Marianna University School of Medicine 1st Surgery (72) Inventor Kazuyuki Tanaka 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa Prefecture 1st St. Marianna University School of Medicine 1st Surgery (72) Inventor Hiromitsu Matsuoka Kawasaki City, Kanagawa Prefecture 2-16-1 Sugao, Miyamae-ku St. Marianna University School of Medicine 1st Surgery (72) Inventor Hiroshi Yamaguchi 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa Prefecture St. Marianna University School of Medicine 1st Surgery (72) Inventor Takuya Yamamura 2-1-16 Sugo, Miyamae-ku, Kawasaki-shi, Kanagawa St. Marianna University School of Medicine 1st Surgery (72) Inventor Hiroki Tomioka 3-3 Hongo, Bunkyo-ku, Tokyo 1-20 Yufu Seiki Co., Ltd. (72) Inventor Takashi Sugawara 3-31-20 Hongo, Bunkyo-ku, Tokyo Yufu Seiki Co., Ltd. (56) References JP-A-9-28714 (JP, A) JP JP-A-8-52147 (JP, A) JP-A-8-52148 (JP, A) JP-A 8-322845 (JP, A) JP-A 9-140718 (JP, A) JP-A 7-184901 (JP) JP-A-47-12492 (JP, A) JP-A-53-38185 (JP, A) JP-A-10-14930 (JP, A) JP-A-10-201765 (JP, A) (58) Field surveyed (Int. Cl. ⁷ , DB name) A61B 17/22 A61B 17/12

Claims (3)

(57) [Claims] 1. An outer periphery for gripping a rubber ring for hemorrhoid ligation
FormHollowRubber ring gripperAnd the rubber ring gripper
Hollow base with larger diameterHaving the rubber ring
Hemorrhoid suction space is provided in the grip for sucking hemorrhoids
Hemorrhoid suction storage guide that allows visual observation of the inside of the hemorrhoid suction space.
And saidConnected to the base, the rubber ring gripHemorrhoid suction
Means for sucking the space, and slidably provided on the outer periphery of the rubber ring gripping portion.Or
To the baseAnd cut out some
A structure in which the inside of the hemorrhoid suction space of the rubber ring gripper is visible.
And the rubber ring for ligating the hemorrhoids held is
A mounting movable body that is pushed out to a ligating place of a nucleus;
Manipulating the mounting movable body so that the rod is pushed out to the ligation site of the hemorrhoid.
Means to make,Attaching the mounting movable body to the base side via the operating means
Means to energize,  With visible desorption type suction hemorrhoids
Ligator. 2. The hemorrhoid suction / storing guide according to claim 1, wherein the structure in which the inside of the hemorrhoid suction space of the rubber ring gripping portion is visible is transparent at least in a range where a ligation location of the sucked and drawn hemorrhoid can be confirmed. A visible / removable suction type hemorrhoid ligation device, characterized in that: 3. The hemorrhoid suction storage guide according to claim 1, wherein the structure in which the inside of the hemorrhoid suction space of the rubber ring grip is visible is such that the entire rubber ring grip is configured to be transparent. Type suction type hemorrhoid ligator.