JP4058709B2 - Pathological tissue sample cassette and method for forming an embedding block using the same - Google Patents

Pathological tissue sample cassette and method for forming an embedding block using the same Download PDF

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JP4058709B2
JP4058709B2 JP2001105009A JP2001105009A JP4058709B2 JP 4058709 B2 JP4058709 B2 JP 4058709B2 JP 2001105009 A JP2001105009 A JP 2001105009A JP 2001105009 A JP2001105009 A JP 2001105009A JP 4058709 B2 JP4058709 B2 JP 4058709B2
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dish
peripheral surface
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frame
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悌二 竹崎
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悌二 竹崎
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Description

【0001】
【発明の属する技術分野】
この発明は、臨床医が病気の診断及び治療を決めるため、患者の人体から採取した病理組織試料を薄切染色標本にして、それを前記臨床医に返送するまでの間における病理組織試料の管理システムの中で用いる該病理組織試料用カセット及びそれに用いる包埋ブロックの成形方法に関する。
【0002】
また前記病理組織試料を薄切りする前の状態の病理組織試料の包埋ブロックを形成する際、該包埋ブロックにバリが発生しないようにして、前記薄切り時の厚さを均一にして、病理検査の精度を高めようとするものであると共に、従来の包埋作業工程ではその構造上従来のカセット周囲にバリが発生して、ナイフや熱にて該バリを排除している。そのバリ取り作業工程を無くし合理化することと、この従来のカセットと包埋法によるバリ取り作業の際に生じる、カセット周囲に記載印字された試料データ面が損傷して包埋ブロック作製後に試料データの読み取りを困難にする事を防止するものである。
【0003】
さらに述べれば、臨床医が各患者からその患者の試料を採取し、その採取試料を病理検査室等に固定移送し、その後、病理検査側での受付・エントリーから切り出し作業、固定・脱水・脱脂・透徹包埋剤浸透の薬液処理、包埋作業、薄切・切片掬い・切片伸展貼付作業、薄切ブロック試料のシール・保管管理作業、標本染色・封入完成標本の配列整理作業、病理診断時の各患者のスライド標本と依頼書データ等の照合確認と診断データの入力作業、各患者の既往歴データのファイルと検索作業から診断データの発送作業等の完了に至るまでの間における各患者検体(各患者採取試料と依頼情報と記載すべき報告書と既往歴データを添付したもの)の確実な保管とその追跡の管理を可能にする各作業の管理システムに適するバーコードや二次元データコードラベル等を貼り、内部の試料をカセット外部から観察確認できる病理組織試料用カセット及びそれを用いる包埋ブロックの成形方法に関する。
【0004】
またさらに述べれば、上記各患者の病理組織の各管理をその段階毎の事後に追跡して確認するシステムに用いる病理組織試料用カセット及びそれを用いる包埋ブロックの成形方法に関するものである。
【0005】
【従来の技術】
従来、この種の作業に於いては、臨床医によって各患者から採取された病理組織試料を、各患者名またはその他のデータの記載されたラベル等を貼られた容器に収納して、各患者の属性と臨床診断や所見等が記載された検査依頼書と一緒にして、それらを郵送やメッセンジャー等の適宜の手段で移送している。
【0006】
臨床医から離れた場所の病理検査側に移送されてきた上記の容器に収納されている各患者の検体試料を、そこで病理医が病理診断する為の標本作製作業前の患者検体の受付・エントリー時にその患者試料容器と一緒に添付されてきている病理診断検査依頼書と、各患者の名前と依頼内容と病理組織試料の状況等を照合して、その病理組織試料がその患者のものであることを確認する。
【0007】
その後、前記受付・エントリー時に於いて臨床医の病理組織試料採取時の各患者の患者ID番号やカルテ番号にも患者検体の集配員またはメッセンジャーの検体受領時の病理組織試料照合乱数番号にも関係しない、連続スペック番号かサンプル番号で新しくその患者試料番号が記載された別のカセット(処理籠)にトリミングされたその患者の前記病理組織試料や前記生検病理組織試料を収納して、その後標本作製のための薬液処理を行い、各全ての試料をピンセット等で摘んで包埋皿の底部に移して包埋剤で包埋して台木(基台)に付け、その包埋剤の凝固後に形成する包埋剤のブロックの周囲の余分なバリを削り取って排除してブロック試料を作製する。
【0008】
このブロック試料を薄切してスライドグラスに伸展して貼付し、乾燥後脱包埋剤(脱パラフィン)して染色及び封入して染色スライド標本を作製し、それを病理医がそれら各患者の標本試料と依頼書データと既往歴データとを照合して病理診断して、臨床医に病理診断報告を行うものである。
【0009】
上述の行程においては、各患者の病理組織試料データ(採取試料と依頼書データと既往歴データ)の臨床医の試料採取時から病理診断報告完了時までの間において、その各病理組織試料の紛失や混入、入れ替わりの防止のための点検確認は不連続な人手で行われているため、各作業段階における作業者の責任の在処も事後では不明瞭になっている。
【0010】
【発明が解決しようとする課題】
この発明の目的は、臨床医の各患者からの採取した生検試料を含む病理組織検体試料の採取時から病理診断報告完了時迄の間の作業において、それらの各患者の検体試料データ(採取試料と依頼書データと既往歴データ)の紛失や混入及び、入れ替わりの人為的なミスによる危険性を無くし、またそのような間違いが生じた場合はその事後でも、何処でトラブルが発生したかを明確にして、その責任の所在を明らかにすることである。
【0011】
また、上述の作業工程に於いて、人為的な単純なミスで、回復不可能な大きな問題になるトラブルを無くす為に人的作業を短縮若しくは省略して、自動化及び機械化による管理と監視をできる作業工程を増やすことである。
【0012】
その為に、既に本件発明者(「発明者」ということがある)によって特許出願(「発明出願」ということがある)されている固定移送容器の外部やカセットの窓口を通して多孔皿の外部からその中に収納されている病理組織試料が観察確認できるマクロ画像とそれらの試料が臨床側での採取時に記載され附された患者認識データ(患者属性や患者IDや患者カルテ番号等)と病理側での受付整理番号とで、臨床側の患者からの試料採取とその臨床データを含む病理診断検査依頼書データの記載と病理診断依頼提出時から病理検査試料の受領・搬送・受付・切り出し仕分け・薬液処理・包埋・標本作製・既往歴検索・病理診断・データ管理保管・病理報告書発行終了までの全ての作業行程において、統一的に管理使用することである。
【0013】
その為には、前記カセット内の試料のマクロ画像の観察確認の他に各患者データを確実にカセット試料と連結関連づける試料データ番号やバーコードや二次元データコード等の手段が必要であったが、従来の包埋ブロック作製法ではカセット基体のバリ取り作業中にデータ記載面を傷付け機械的な自動読み取りができなかったので、臨床側からの患者データを病理標本作製行程側にそのまま導入できずにいた。この患者試料データでもあるブロック試料データの記載面を確実に守ることである。
【0014】
【課題を解決するための手段】
この発明の小物病理組織試料用カセットは、上下両側に夫々上側に開口部を下側に窓口付多孔支持底板を形成した枠状基体と、該枠状基体内の発明者が既に発明出願している特許第3049537号及び特願平7−300290及び特許第3008078号の多孔皿及び固定支持用ケースと、該枠状基体の上側開口部に嵌合する多孔板状蓋乃至窓口付多孔板状蓋と、該下側の窓口付多孔支持底板の窓口部に着脱自在に嵌合する皿状多孔底板の上面に突設した前記多孔皿の支持体と、同下側窓口付多孔支持底板に着脱自在に嵌合して且つ該生検小型病理組織試料用カセットの枠状基体の外周面と包埋皿の外周面とが殆ど一致する包埋皿とからなる病理組織試料の包埋ブロック用形成器具において、該下側の窓口付多孔支持底板の窓口部の内側周囲に嵌合挿入できる内向き突設された支持体を前記皿状多孔底板に形成し、その前記皿状多孔底板の内周面及び前記包埋皿の内周面を夫々択一的に前記枠状基体の底面外周面より少ない面積にて突設した前記窓口付多孔支持底板の外周面に水密嵌合するものである。
【0015】
また大物病理組織試料用またはフラグメント試料用カセットには、上下両側に夫々上側に開口部を下側に多孔支持底板を形成した枠状基体と、該枠状基体の上側開口部に嵌合する多孔板状蓋と、該下側窓口開口部に着脱自在に嵌合する支持体を持たない皿状多孔底板とからなる病理組織試料の包埋ブロック用形成器具において、前記皿状多孔底板の内周面及び前記包埋皿の内周面を夫々択一的に前記枠状基体の底面外周面より少ない面積にて突設した前記多孔支持底板の外周面に水密嵌合して且つ該病理組織試料用カセットの枠状基体の外周面と包埋皿の外周面とが殆ど一致するものである。この時、確固たる形状を保たないフラグメント試料用の皿状多孔底板には、他の大物用病理組織試料用に用いる該皿状多孔底板の多孔部分よりより孔径の小さな皿状多孔底板を用いるのが望ましい。
【0016】
また、上記のカセットのブロック試料データ記載箇所に印刷または貼られた試料ナンバーやバーコードや二次元データコード等のデータ記載面の損傷や剥離を保護する試料データ記載面保護格子板をカセットの蓋に一体に成形すると共に、従来の包埋成形法ではどうしてもブロック試料のカセットの枠状基体の周囲に余分にはみ出して成形され、ブロック試料の薄切時にミクロトームのアダプターのホルダーにブロック試料を確実に水平に保持するのに邪魔になるバリを前記包埋作業行程で生じさせない為に、該下側窓口開口部に着脱自在に嵌合する支持体を持たない皿状多孔底板とからなる病理組織試料の包埋ブロック用形成器具において、前記皿状多孔底板の内周面及び前記包埋皿の内周面を夫々択一的に前記枠状基体の底面外周面より少ない面積にて突設した前記多孔支持底板の外周面に水密嵌合して且つ該病理組織試料用カセットの枠状基体の外周面と包埋皿の外周面とが殆ど一致するものである。これは皿状多孔底板の多孔の内径を変えることにより、該カセットの底部である該多孔支持底板の多孔の内径を試料の大きさによって変化させずに一定し保つことができ、故に前記枠状基体の底面外周面より少ない面積にて突設した前記多孔支持底板の外周面に水密嵌合する包埋皿にパラフィン等包埋剤を流し込む包埋ブロック成形時にカセット底部下の包埋剤中に泡ができずに且つバリも生じないので、バリ取り作業行程の省略とこの行程で生じるブロック試料記載面の損傷を防止する。
【0017】
【発明の実施の形態】
図1〜図3に示す如く、枠状基体1の上側に開口部2を、また下側に窓口3c付多孔支持底板3を夫々形成し、該開口部2に対する多孔板状蓋4の一端の係止片4aを枠状基体1の一側の係止突起1aに係止め、蓋4の他端の傾斜した試料データ記載面保護格子板4cの手前の係止突片4bを枠状基体1の他側に形成した該枠状基体1の試料データ記載箇所1bの上部の係止溝1cに係合して、枠状基体1の開口部2に前記多孔板状蓋4を着脱自在に取付け、前記窓口3c付多孔支持底板3の外周面3aを枠状基1の下端面1dよりさらに下向きに突設する。
【0018】
その窓口3c付多孔支持底板3の外周面3aに、皿状多孔底板5の内周面5aを水密にかつ着脱自在に嵌合する。
この際、該外周面3aに係止凹み3bを形成し、この係止凹み3bに対して内周面5aに形成する係止突部5bを係脱自在に嵌合すると共に、その際、下端面1dと皿状多孔底板5の上端面5d、及び多孔支持底板3の下端外周面3eと皿状多孔底板5の内面外周5cを夫々密着することが望ましい。
【0019】
さらに、窓口3c付多孔支持底板3の外周面3aに、上記皿状多孔底板5を嵌合する代わりに、生検試料を包埋する際に用いる包埋皿6の内周面6aを択一的に嵌合する際は、該外周面3aに包埋皿6の内周面6aを着脱自在にかつ水密に嵌合すると共に該枠状基体の外周面1d及び下端面1eと前記包埋皿6の外周面6b及び包埋皿の上端面6eも殆ど一致する。
【0020】
同図中7は、比較的サイズの小さな生検試料を収容する際に用いる蓋付多孔皿(発明者が既に出願している特許第3049537号及び特願平7−300290及び特許第3008078号の多孔皿及び固定支持用ケース参照)であって、7aはその蓋である。
その周囲の鍔部7jを前記蓋4の下面と、皿状多孔底板5の上面に突設する支持体5fで挟持保持する。
【0021】
この発明の生検試料用カセットは上述の構造であり、これを用いて臨床医から前記蓋付多孔皿の所定の生検収納区画7dに収納されて、適宜の輸送手段で病理医に輸送された蓋付多孔皿7内の生検試料8を用いてその包埋ブロック10をつくる際は、先ず図3〜図6に示す如く、臨床医から提出された生検試料8を、前記支持体5fが突設さている前記皿状多孔底板5が前記窓口3c付多孔支持底板3に嵌合されることにより該枠状基体の底内部にも突設されている前記支持体5f上に、前記生検試料8ごと該蓋付多孔皿7をピンセット9で摘んではめ込み枠状基体1内に移し換え、図5に示す如く、皿状多孔底板5の上に枠状基体1、蓋付多孔皿7及び蓋4を順次組立てる。その後,該カセットごと病理組織試料を脱水・脱脂・透徹・浸透等の薬液処理工程を行う。
【0022】
また、多孔皿7には入らない大きな病理組織試料の場合は、図6に示す様に前記支持体5fを成形していない皿状多孔底板5使用すればよい。この時、枠状基体内には支持体5fは突設されず広く枠状基体内の最大容積を使用することができ、該枠状基体の内部に大物病理組織試料を切り出したトリミング試料を収納することができる。
【0023】
また、図4に示すごとく該枠状基体の多孔支持底板3に窓口3cを成形しないカセット底部を使用するのも便利である。それは、手術摘出材料8aには必ずしもその組織の形状が定まった物ばかりとは限らず、患部の組織を掻き出す摘出材料(フラグメント試料)も有り、それらは生検試料8の様にカセットの大きな通液孔から流れ出る危険性が強く、また前記生検試料8より多くの量の組織片を処理しなくては成らない場合があります。このような場合の為に、図16に示す様に窓口3cのない多孔支持底板3の通液孔の大きめなカセット底部(枠状基体1)を成形しておき、薬液処理する組織試料の種類やその性状に合わせて前記枠状基体1の多孔支持底板3に嵌合させる該皿状多孔底板5の通液多孔の口径を選択して用いることができる。この時、図16の右図に示すような多孔板をカセット底部(枠状基体1)の内側底面にはめ込む形式でも同様な結果を期待することができる。
【0024】
薬液処理行程が終了して包埋剤が浸透した試料を包埋する場合には、図7乃至図8に示す様に生検試料の場合は発明者が既に発明出願している多孔皿または固定支持用ケースからピンセット25で生検試料を摘んで包埋皿6の内部底面に載置する。またその他の大物試料の場合には図6に示す如く枠状基体1からピンセット25で試料を摘んで以下生検試料と同様に包埋皿6の底面に薄切検査面を下側に向けて面一に載置する。その後、図8に示す状態の枠状基体1と包埋皿6の内側における多孔支持底板3の上下に形成された空間14に溶融状態のパラフィン15を流し込み、それを包埋皿6の保持部6dを親指と人差し指で持ち包埋皿6ごと図示してないが包埋装置のコールドプレート上に移して冷却して、生検試料8を多孔支持底板3と共に埋め込んで一体的にした固体状態にして包埋皿のタブ6cを指で下げて包埋皿6を外して薄切用の包埋ブロック試料10を形成する。
【0025】
この際、枠状基体1の底部を構成する多孔支持底板3の外周面3aと包埋皿6の内周面6aとが水密に嵌合しているので、前記空間14内に溶融パラフィン15を充填した際、その嵌合した部分の隙間を通り、さらに枠状基体1の下端面1dと包埋皿6の上端面6eとの間隙を通って外部空間13に流れ出すことがないし、また枠状基体1の外周面1dと包埋皿6の外周面6bが面一に嵌合しているので枠状基体1の周辺に付いていた溶融パラフィン(包埋剤)15は枠状基体1と包埋皿6との境界に殆ど留まることなく包埋皿6の下に流れ落ちる。そのため、それらの間隙内のパラフィン15が冷却して包埋作業を完了して該包埋皿6を該包埋ブロック試料10から外してしまうと、該包埋ブロック試料10の基台でもある枠状基体1の試料データ記載箇所1bを含んだ周辺に固化したパラフィン(包埋剤)のバリを生ずることがない。
【0026】
また、病理組織試料8乃至8aの大きさに因って、従来のカセットではその多孔3fの内径の大きさを替えなくてはいけないが、図16に示す如くに、この発明におけるカセットの枠状基体1の多孔支持底板3は窓口3cの有無に関わらず皿状多孔底板5の多孔5hの大きさを替えれば、その役割存在に因って一定の内径に固定することができる。故に、多孔3fの内径をあまり小さくしなくてすみ、包埋時の溶融パラフィン(包埋剤)15を枠状基体(カセット底部)1の空間14から病理組織試料8乃至8aを底面に載置した包埋皿6内に注入する際に生じやすい気泡が生じ難くすることができる。斯様にして形成された固形の包埋ブロック10の両側を図9に示すミクロトーム用アダプター18のホルダー18a,18b間に挟んで、そこに固定して、薄切刀16で薄切りし、スライドガラスに貼付してプレパラートを形成する。
【0027】
この際、この発明の包埋ブロックの形成器具を用いて形成する包埋ブロック10は、その包埋ブロック10の周囲に包埋剤のバリが発生しないので、それをミクロトーム用アダプター18のホルダー18a,18bの圧着面で圧着保持する際、正確に面接触し、安定して支持することができ、その後薄切刀16で薄切する際に得られる薄切片の厚さの均一性とその精度を高めることができ、病理の検査がし易くなる。
【0028】
また、バリが包埋ブロック試料の基台でもある枠状基体(カセット底部)1の周辺に付着していないので、そのバリ取り作業をする必要がなく、バリを枠状基体(カセット底部)1から取り去る際に生じる枠状基体(カセット底部)1周辺に記載印字したブロック試料データ記載箇所の表面の損傷を与えない。
【0029】
故に、発明者が既に発明出願している多孔皿や固定支持用ケースと固定定着支持剤及び固定移送容器と生検試料収納装置等とこの病理組織試料用カセットとその包埋皿とを併用すると、患者の病理的確定診断や治療をするために臨床側で採取または患部を摘出した病理組織試料8乃至8aとその患者の病理診断依頼書情報に、その患者のID番号や属性やカルテ番号や患者エンボス磁気カード等の患者データを附せば、病理検査受付切り出し時から病理診断報告完了及びその精度管理とデータ管理及び検索の自動化と合理化省力化に、その患者試料や依頼書情報画像とバーコード化または二次元データコード化された患者データと試料整理番号との三情報を活用することが可能に成った。
【0030】
この発明を上述の実施形態について説明したが、その実施形態だけに限定されるものでなく、その実施形態をさらに効果的に実施するための具体的技術手段を付加したり、或いはその実施形態を部分的に変更したりすることが可能である。
【0031】
例えば、図10や図16に示す様な形状をとればカセットの蓋4と皿状多孔底板5や包埋皿6は合成樹脂製でなくて金属ステンレス製の成形もできてリサイクル使用の耐久性も上がる。
【0032】
また、図13から図15の如く多孔皿7の底面7iに生検試料を載置して、発明者が既に発明出願している定着支持剤23(特許第3049537号及び特願平11−76843)を併用すると多孔皿7の底部7hの底面7i外側や内側に固定定着保持できる。即ちカセットや多孔皿7の収納区画7dが一個で区切りのない収納スペースにも、複数または崩れ易く脆い試料も定着保持でき、恰も一個の試料の如くその後の標本作製作業を進めることができる。
【0033】
また、この時、図11乃至図12に示す如くに、本件発明者が既に特許出願している生検試料の収納装置と併用すると、臨床側で患者から生検試料を内視鏡等の鉗子で採取する時点と薄切刀で生検試料を薄切する時以外は生検試料を直接的に器具が触れることが無くなるで、そのどうしても試料に触れる必要のある二時点以外の生検試料の挫滅が無くなる
【0034】
さらに、図13から図15の如くに多孔皿7に前記定着支持剤23とこの窓口3c付多孔支持底板3を備えた枠状基体1と支持体5fを備えた皿状多孔底板5とを組み合わせて使用すると多孔皿7の底部7hの底面7iの外側と前記皿状多孔底板5に囲まれたカセット内空間に確実に生検試料は収納され、且つ多孔皿7の外底面に確実に保持させることができる。その後、標本作製の為の脱水・脱脂・透徹・浸透等の薬液操作の後の包埋作業において図14の如くカセット全体を上下に転倒して皿状多孔底板5を枠状基体1から取り外して、その代わりに前述の包埋皿6を嵌合して、もう一度上下に転倒して図15の状態にして、包埋皿6ごと保持部6dを持ちコールドプレート上に移動して、ゲル化定着支持剤24にて生検試料8が底面7iに定着保持されている多孔皿7を、ピンセット25で包埋皿6の底面に向けて押し下げ、底面に試料の包埋剤(パラフィン)15の冷却固化に因って包埋皿6の底面に試料が付着保持されたら、今度は直ちに多孔皿7をピンセット25にて逆に引き上げると、ゲル化定着支持剤で一体化した生検試料8のみが包埋皿6内の底面上に残り、以下は前述の図8と同様にし、その後は同様の手順で包埋ブロック10を形成することも可能である。即ち、この包埋操作においてはピンセット25は試料に直接には触れないで包埋することができ、生検試料の包埋時の紛失や混入や入れ違いを起こさない。
【0035】
また、図17乃至図18に示す如く、既に発明者が発明出願している多孔皿や固定支持用ケースの蓋7aは分離しても使用することができる。この蓋部分REVERSIBLE LID7bと多孔皿底部7hは図17の如くに蓋部分の係止用突起7gと多孔皿底部7hの係止用孔7cとで嵌合してその機能を発揮できるが、生検試料を多孔皿に収納してその鍔部7jを支持体5fと枠状基体(カセット底部)1の蓋4で挟持する場合には、あえて蓋部分REVERSIBLE LID7bと多孔皿底部7hの係止部分は必要としない。故に、この蓋部分であるREVERSIBLE LID7bを裏表反対に裏返して、図18の如くに既に発明者は発明出願している多孔皿または固定支持用ケースの挟持器具でもある窓口付き枠状基体の蓋4に前記多孔皿底部7hの係止用孔7cと同径で各孔間距離の等しい対称位置にある多孔皿7のREVERSIBLE LID7bの係止用突起の係止用孔4gを成形すれば、カセット内に挟持された多孔皿内の生検試料8は標本作製の薬液処理の間多孔皿7の所定の位置から移動紛失しないで処理でき、且つその生検試料8の観察確認ができ、包埋時のカセットの蓋4を開ける時にはその蓋4と一緒に多孔皿の蓋部分であるREVERSIBLE LID7bも開くことができ、いちいち二枚の蓋を開けなくてもカセット内の多孔皿7の生検試料8を取り出すことができる。
【0036】
【発明の効果】
この発明は上述のとおり、枠状基体の底部を構成する多孔支持底板の外周面と包埋皿の内周面を水密に嵌合且つ枠状基体の外周面と包埋皿の外周面とが面一に嵌合するので、枠状基体内と包埋皿で囲まれている空間に溶融パラフィンを流し込んで病理組織試料と多孔支持底板を一体的に包埋する際、そのパラフィンが上記水密に嵌合した部分を経て外部に流出しないし枠状基体と包埋皿の境に留まらない。
【0037】
そのため、包埋剤(パラフィン)が冷却して固化しても、成形された包埋ブロックにパラフィンのバリを生ずることがないので、その包埋ブロックをミクロトームのホルダーで安定して支持することができ、薄切刀で薄切りする際、その厚さの均一性とその精度を高め、病理検査の質を高めることができるし、バリ取り作業が無いので包埋ブロックの基台である枠状基体(カセット底部)の試料データ記載印字面を損傷させない。
【0038】
またこの発明は、枠状基体の開口部の蓋の一側に試料データ記載面保護格子板を下向きに傾斜して形成し、該試料データ記載面保護格子板が枠状基体の一側に下向きに傾斜して形成した試料データ記載箇所上側を覆う様に保護するので、試料データ記載箇所に記載印字或いは貼付けたバーコードや二次元データコードまたは試料データ番号等が各種作業中にそこから剥離したり、或いは各種処理液によって消失するおそれがない。
【0039】
また、枠状基体の窓口付多孔支持底板或いは窓口付多孔板状蓋の窓口を通して発明者が既に発明出願している透明な多孔皿を通してカセットに収納された多孔皿内部の生検試料を確実に観察確認できマクロ画像としても取り込むことができる。この画像と臨床からの病理検査診断依頼書データの画像と前記バーコードや二次元データコードまたは試料整理番号等とを患者確認と試料追跡管理に使用すると確実な精度管理と人手を少なくした機械化或いは自動化を進める一助となる。故にまた、生検試料の入れ替り等の人為的ミスが生じた場合には、事後でも追跡して責任の所在を明らかにすることができる。
【図面の簡単な説明】
【図1】この発明の生検試料用カセットの実施形態を示す縦断面図である。
【図2】図1を部分毎に分解した縦断図である。
【図3】図1の一部分の斜面図である。
【図4】図1の一部分と他の実施例の一部分の斜面図である。
【図5】図1の一部の部分を使用した実施態様の平面図である。
【図6】図3と図4の一部分を組み合わせた前述図5の実施態様と異なる他の実施態様を示す斜面図である。
【図7】図5の状態に続く状態の平面図である。
【図8】図7の状態の次の状態を示す縦断面図である。
【図9】他の状態を示す縦断面図と平面図である。
【図10】他の実施態様を示す平面図と正面図と側面図と後面図と縦断面図である。
【図11】他の状態を示す横縦断面図である。
【図12】図11の次の状態を示す横縦断面図である。
【図13】図12の次の状態を示す縦断面図である。
【図14】図13の他の状態を示す縦断面図である。
【図15】図14の次の状態を示す縦断面図である。
【図16】図1の一部分と他の実施態様を示す平面図と裏面図と正面図と横断面図と縦断面図である。
【図17】図1の一部分の他の実施態様の平面図と裏面図と横断面図と縦断面図である。
【図18】図17を用いた実施態様の平面図とそのIII−IIIとV−Vの方向の断面図である。
【符号の説明】
1 枠状基体
1b 試料データ記載箇所
1c 係止溝
1d 枠状基体の外周面
1e 下端面
2 開口部
3 多孔支持底板
3a 外周面
3b 係止凹み
3c 窓口
3d 窓口枠
3e 下端外周面
3f 多孔
4 蓋
4a 係止片
4b 係止突片
4c 試料データ記載面保護格子板
4d 蓋のタブ
4e 蓋の窓口
4f 蓋の通液孔
4g 多孔皿のreversible lidの係止用突起の係止用孔
4h 蓋の試料データ記載箇所
5 皿状多孔底板
5a 内周面
5b 係止突部
5c 内面外周
5d 上端面
5f 支持体
5g 皿状多孔底板のタブ
6 包埋皿
6a 内周面
6b 外周面
6c 包埋皿のタブ
6d 包埋皿の保持部
6e 包埋皿の上端面
7 蓋付多孔皿(固定支持用ケース)
7a 多孔皿の蓋
7b reversible lid
7c 係止用孔
7d 生検収納区画
7e 試料データ記載箇所
7f 基準マーク
7g 係止用突起
7h 多孔皿底部
7i 多孔皿底面
7j 鍔部
8 生検(小物病理組織)試料
8a 大物病理組織試料
10 包埋ブロック試料
14 空間
15 溶融パラフィン(包埋剤)
16 薄切刀
18 ミクロトーム用アダプター
19 漏斗
20 蓋体
21 減圧筺
22 固定液(固定ゲル化剤)
23 定着支持剤
24 ゲル化定着支持剤
25 ピンセット
26 バーコード
27 ブロック試料データ
28 ラベル
[0001]
BACKGROUND OF THE INVENTION
In the present invention, since a clinician decides a diagnosis and treatment of a disease, a pathological tissue sample collected from a human body of a patient is converted into a thin-stained specimen, and the pathological tissue sample is managed until it is returned to the clinician. The present invention relates to a cassette for a pathological tissue sample used in a system and a method for forming an embedding block used therein.
[0002]
Further, when forming an embedded block of a pathological tissue sample in a state before slicing the pathological tissue sample, the burrs are not generated in the embedded block, the thickness at the time of slicing is made uniform, and a pathological examination is performed. In the conventional embedding process, burrs are generated around the conventional cassette due to its structure, and the burrs are eliminated by a knife or heat. The deburring operation process is eliminated and streamlined, and the sample data printed on the periphery of the cassette and damaged during the deburring operation by the conventional cassette and embedding method is used to prepare the sample data after the embedding block is prepared. This makes it difficult to read the data.
[0003]
Furthermore, the clinician collects the patient's sample from each patient, transfers the collected sample to a pathological examination room, etc., and then cuts out from the reception / entry on the pathological examination side, fixing / dehydrating / degreasing・ Medical treatment for penetration of penetrating embedding agent, embedding work, slice cutting, section scooping, section extending and pasting work, sealing and storage management work for sliced block specimens, specimen staining, encapsulation arrangement arrangement work, pathological diagnosis Each patient sample from the completion of the verification check of each patient's slide specimen and request form data and the input work of diagnostic data, the file and search work of each patient's past history data to the dispatch work of the diagnostic data, etc. Barcode and two-dimensional suitable for each work management system that enables reliable storage and tracking of each patient sample (with attached request information, report to be written, and history data) Paste the chromatography data code label or the like, a related method of forming the embedded block using the same, and pathologic tissue samples cassette can be observed confirmation from the cassette outside the interior of the sample.
[0004]
Still further, the present invention relates to a pathological tissue sample cassette used in a system for tracking and confirming each pathological tissue management of each patient after each stage and a method for forming an embedding block using the cassette.
[0005]
[Prior art]
Conventionally, in this type of work, a pathological tissue sample collected from each patient by a clinician is stored in a container with a label on which the name of each patient or other data is written, and the like. Together with the inspection request document describing the attributes and clinical diagnosis and findings, these are transferred by appropriate means such as mail or messenger.
[0006]
Acceptance and entry of patient specimens before specimen preparation work for pathologists to diagnose specimen specimens of each patient stored in the container above, which has been transported to the pathological examination site away from the clinician Check the pathological diagnosis request form that is sometimes attached together with the patient sample container, the name of each patient, the contents of the request, the status of the pathological tissue sample, etc., and the pathological tissue sample belongs to the patient Make sure.
[0007]
After that, at the time of acceptance / entry, it is related to the patient ID number and medical record number of each patient at the time of collecting the pathological tissue sample of the clinician and the pathological tissue sample collating random number number at the time of receiving the patient sample collection / delivery person or messenger sample Do not store the pathological tissue sample or the biopsy pathological tissue sample of the patient that has been trimmed in another cassette (processing rod) in which the patient sample number is newly described with the serial specification number or the sample number, and then the specimen Process the chemicals for preparation, pick all the samples with tweezers, transfer them to the bottom of the embedding dish, embed them with the embedding agent, attach them to the rootstock (base), and solidify the embedding agent A block sample is prepared by scraping and removing excess burrs around the embedding block to be formed later.
[0008]
This block sample is sliced, stretched and pasted on a slide glass, dried, decapsulated (deparaffinized), and stained and sealed to prepare a stained slide specimen, which is then passed to each patient by a pathologist. The pathological diagnosis is performed by collating the specimen sample, the request form data and the past history data, and a pathological diagnosis report is made to the clinician.
[0009]
In the above-mentioned process, each pathological tissue sample is lost between the time when the clinician samples the pathological tissue sample data (collected sample, request form data and past history data) of each patient until the completion of the pathological diagnosis report. Since inspections and checks to prevent contamination, mixing, and replacement are performed by discontinuous human resources, the location of the responsibility of the worker at each work stage is also unclear after the fact.
[0010]
[Problems to be solved by the invention]
The object of the present invention is to collect specimen sample data (collection) of each patient in the work from the time of collection of a histopathological specimen sample including a biopsy sample collected from each patient of the clinician until the completion of the pathological diagnosis report. The risk of loss of sample, request form data, and past history data) due to loss or mixing, and human error in replacement is eliminated, and if such an error occurs, where the trouble occurred after that Clarify and clarify where the responsibilities are.
[0011]
Also, in the above-mentioned work process, human work can be shortened or omitted to eliminate troubles that become a major problem that cannot be recovered by simple human mistakes, and management and monitoring by automation and mechanization can be performed. It is to increase the work process.
[0012]
  Because of that, alreadyThis caseInventor(Sometimes called "inventor")ByPatentapplication(Sometimes referred to as “invention application”)Macro images that can be used to observe and confirm the pathological tissue samples stored in the perforated dish from the outside of the fixed transfer container or through the cassette window, and those samples were described and attached at the time of collection on the clinical side Patient identification data (patient attributes, patient ID, patient chart number, etc.) and the path number on the pathology side, sampling from patients on the clinical side, description of pathological diagnosis examination request data including clinical data and pathology In all work processes from the time of submitting a diagnosis request to receiving, transporting, receiving, sorting, chemical processing, embedding, specimen preparation, history search, pathological diagnosis, data management storage, and pathological report issuance It is to be used in a unified manner.
[0013]
To that end, in addition to the observation and confirmation of the macro image of the sample in the cassette, means such as a sample data number, bar code, two-dimensional data code, etc., for associating and associating each patient data with the cassette sample are necessary. In the conventional embedded block manufacturing method, the data description surface was damaged during the deburring operation of the cassette substrate, and automatic mechanical reading could not be performed, so patient data from the clinical side could not be directly introduced to the pathological specimen preparation process side. I was in It is to protect the description surface of the block sample data which is also the patient sample data.
[0014]
[Means for Solving the Problems]
The cassette for small pathological tissue samples of the present invention is a frame-shaped substrate in which an opening is provided on the upper and lower sides, and a porous support bottom plate with a window is formed on the lower side, and the inventor in the frame-shaped substrate has already applied for an invention. Patent No. 3049537, Japanese Patent Application No. 7-300290 and Japanese Patent No. 3008078, and a porous plate-shaped lid or a window-shaped porous plate-shaped lid fitted into the upper opening of the frame-shaped base And a support for the perforated plate protruding on the upper surface of the dish-shaped porous bottom plate that is detachably fitted to the window portion of the lower porous support bottom plate with a window, and the porous support bottom plate with the same lower window A device for embedding a block of a pathological tissue sample, which comprises an embedding plate that is fitted to the outer periphery of the cassette for biopsy small pathological tissue sample and the outer peripheral surface of the embedding plate almost coincides with the outer peripheral surface of the embedding plate In the inner circumference of the window portion of the porous support bottom plate with a window on the lower side An inwardly projecting support body that can be fitted and inserted into the dish-shaped porous bottom plate is formed on the dish-shaped porous bottom plate, and the inner peripheral surface of the dish-shaped porous bottom plate and the inner peripheral surface of the embedding dish are alternatively selected from the frame. And watertight fitting to the outer peripheral surface of the porous support bottom plate with a window protruding in a smaller area than the outer peripheral surface of the bottom surface of the substrate.
[0015]
Further, the cassette for a large pathological tissue sample or fragment sample has a frame-like base body having an opening on the upper and lower sides and a porous support bottom plate on the lower side, and a porous fitting fitted into the upper opening of the frame-like base. A pathological tissue sample embedding block forming instrument comprising a plate-shaped lid and a dish-shaped porous bottom plate having no support that is detachably fitted to the lower window opening, and the inner periphery of the dish-shaped porous bottom plate A surface and an inner peripheral surface of the embedding dish alternatively water-tightly fitted to the outer peripheral surface of the porous support bottom plate projecting with an area smaller than the outer peripheral surface of the bottom surface of the frame-shaped substrate, and the pathological tissue sample The outer peripheral surface of the frame-shaped substrate of the cassette for use and the outer peripheral surface of the embedding dish almost coincide with each other. At this time, for the dish-shaped porous bottom plate for fragment samples that does not maintain a firm shape, a dish-shaped porous bottom plate having a smaller pore diameter than the porous portion of the dish-shaped porous bottom plate used for other large-sized pathological tissue samples is used. Is desirable.
[0016]
Also, a sample data description surface protection grid plate that protects the data description surface such as the sample number, bar code, and two-dimensional data code printed or pasted on the block sample data description location of the cassette from the cassette lid In the conventional embedding molding method, it is inevitably overmolded around the frame base of the block sample cassette, and when the block sample is sliced, the block sample is securely placed in the holder of the microtome adapter. A pathological tissue sample comprising a plate-like porous bottom plate having no support that is detachably fitted to the lower window opening so as not to cause burrs that hinder horizontal holding in the embedding process. In the embedding block forming instrument, the inner peripheral surface of the dish-shaped porous bottom plate and the inner peripheral surface of the embedding dish are alternatively selected from the outer peripheral surface of the bottom surface of the frame-shaped substrate. The outer peripheral surface and the outer peripheral surface of the embedding dish of the frame-shaped substrate watertight fitted and the pathology tissue samples cassette on the outer peripheral surface of the porous support bottom plate which projects with no space and is one that most matches. By changing the porous inner diameter of the dish-shaped porous bottom plate, the porous inner diameter of the porous support bottom plate, which is the bottom of the cassette, can be kept constant without changing depending on the size of the sample. In the embedding agent below the bottom of the cassette when embedding an embedding block in which an embedding agent such as paraffin is poured into an embedding dish that is watertightly fitted to the outer peripheral surface of the porous support bottom plate protruding in a smaller area than the bottom outer peripheral surface of the base Since bubbles are not formed and burrs are not generated, the deburring process is omitted and damage to the block sample description surface that occurs in this process is prevented.
[0017]
DETAILED DESCRIPTION OF THE INVENTION
  As shown in FIGS. 1 to 3, an opening 2 is formed on the upper side of the frame-shaped substrate 1, and a porous support bottom plate 3 with a window 3 c is formed on the lower side, and one end of the porous plate-like lid 4 with respect to the opening 2 is formed. The locking piece 4a is locked to the locking protrusion 1a on one side of the frame-shaped substrate 1, and the locking projection piece 4b on the front side of the inclined sample data describing surface protection grid plate 4c on the other end of the lid 4 is fixed to the frame-shaped substrate 1. The porous plate-like lid 4 is detachably attached to the opening 2 of the frame-shaped substrate 1 by engaging with the locking groove 1c on the upper side of the sample data description location 1b of the frame-shaped substrate 1 formed on the other side. The outer peripheral surface 3a of the porous support bottom plate 3 with the window 3c is a frame-shaped base.body1 is protruded further downward than the lower end surface 1d.
[0018]
The inner peripheral surface 5a of the dish-shaped porous bottom plate 5 is fitted in a watertight and detachable manner on the outer peripheral surface 3a of the porous support bottom plate 3 with the window 3c.
At this time, a locking recess 3b is formed on the outer peripheral surface 3a, and a locking projection 5b formed on the inner peripheral surface 5a is detachably fitted to the locking recess 3b. It is desirable that the end surface 1d and the upper end surface 5d of the dish-shaped porous bottom plate 5 and the lower end outer peripheral surface 3e of the porous support bottom plate 3 and the inner peripheral surface 5c of the dish-shaped porous bottom plate 5 are in close contact with each other.
[0019]
Further, instead of fitting the plate-shaped porous bottom plate 5 to the outer peripheral surface 3a of the porous support bottom plate 3 with the window 3c, the inner peripheral surface 6a of the embedding plate 6 used when embedding the biopsy sample is selected. When fitting, the inner peripheral surface 6a of the embedding dish 6 is detachably and watertightly fitted to the outer peripheral surface 3a, and the outer peripheral surface 1d and lower end surface 1e of the frame-like base and the embedding dish The outer peripheral surface 6b of 6 and the upper end surface 6e of the embedding dish almost coincide with each other.
[0020]
7 is a perforated dish with a lid used for accommodating a biopsy sample of a relatively small size (Japanese Patent No. 3049537 and Japanese Patent Application No. 7-3000290 and Japanese Patent No. 3008078 already filed by the inventor). 7a is a lid.
The surrounding flange portion 7j is sandwiched and held by a support 5f protruding from the lower surface of the lid 4 and the upper surface of the dish-shaped porous bottom plate 5.
[0021]
The biopsy sample cassette of the present invention has the above-described structure, and is used by the clinician to be stored in a predetermined biopsy storage section 7d of the lid-coated perforated plate and transported to a pathologist by appropriate transport means. When making the embedding block 10 using the biopsy sample 8 in the perforated plate 7 with a lid, first, as shown in FIGS. 3 to 6, the biopsy sample 8 submitted by a clinician is used as the support. By fitting the dish-shaped porous bottom plate 5 on which the projection 5f is provided to the porous support bottom plate 3 with the window 3c, the support 5f is also provided on the inside of the bottom of the frame-shaped substrate. The biopsy sample 8 and the perforated plate 7 with a lid are picked with tweezers 9 and transferred into the frame-like base 1 to be fitted. As shown in FIG. 5, the frame-like base 1 and the perforated plate with a lid are placed on the plate-like perforated bottom plate 5. 7 and the lid 4 are assembled in sequence. Thereafter, a chemical treatment process such as dehydration, degreasing, penetration, and permeation is performed on the pathological tissue sample together with the cassette.
[0022]
Further, in the case of a large pathological tissue sample that does not enter the perforated dish 7, a dish-like perforated bottom plate 5 in which the support 5f is not formed may be used as shown in FIG. At this time, the support 5f is not projected in the frame-shaped substrate, and the maximum volume in the frame-shaped substrate can be widely used, and a trimmed sample obtained by cutting out a large pathological tissue sample is stored in the frame-shaped substrate. can do.
[0023]
Further, as shown in FIG. 4, it is also convenient to use a cassette bottom portion in which the window 3c is not formed on the porous support bottom plate 3 of the frame-like substrate. This is because the surgically-extracted material 8a is not necessarily limited to the one whose shape of the tissue is fixed, but there is also an extractive material (fragment sample) that scrapes the tissue of the affected area. There is a high risk of flowing out of the fluid hole, and it may be necessary to process a larger amount of tissue than the biopsy sample 8. For such a case, as shown in FIG. 16, the cassette bottom portion (frame-like substrate 1) having a large fluid passage hole of the porous support bottom plate 3 without the window 3c is formed, and the kind of tissue sample to be processed with the chemical solution. Depending on the properties of the plate-like substrate 1, the diameter of the liquid-permeable pores of the dish-like porous bottom plate 5 to be fitted to the porous support bottom plate 3 of the frame-like substrate 1 can be selected and used. At this time, a similar result can be expected even if the perforated plate as shown in the right diagram of FIG. 16 is fitted into the bottom surface inside the cassette bottom (frame base 1).
[0024]
When embedding a sample in which the embedding agent has penetrated after completion of the chemical treatment process, in the case of a biopsy sample, as shown in FIGS. A biopsy sample is picked from the support case with tweezers 25 and placed on the inner bottom surface of the embedding dish 6. In the case of other large samples, as shown in FIG. 6, the sample is picked from the frame base 1 with tweezers 25, and the sliced inspection surface is directed downward on the bottom surface of the embedding dish 6 in the same manner as the biopsy sample. Place it flush. Thereafter, molten paraffin 15 is poured into the space 14 formed above and below the porous support bottom plate 3 inside the frame-like substrate 1 and the embedding dish 6 in the state shown in FIG. 6d is held with the thumb and index finger and the embedding dish 6 is not shown, but is transferred onto the cold plate of the embedding device and cooled to embed the biopsy sample 8 together with the porous support bottom plate 3 into a solid state. Then, the tab 6c of the embedding dish is lowered with a finger to remove the embedding dish 6, and the embedding block sample 10 for slicing is formed.
[0025]
At this time, since the outer peripheral surface 3 a of the porous support bottom plate 3 constituting the bottom of the frame-shaped substrate 1 and the inner peripheral surface 6 a of the embedding dish 6 are watertightly fitted, the molten paraffin 15 is placed in the space 14. When it is filled, it does not flow out to the external space 13 through the gap between the fitted portions, and further through the gap between the lower end surface 1d of the frame-shaped substrate 1 and the upper end surface 6e of the embedding dish 6, and the frame shape. Since the outer peripheral surface 1d of the substrate 1 and the outer peripheral surface 6b of the embedding dish 6 are flush with each other, the molten paraffin (embedding agent) 15 attached to the periphery of the frame-shaped substrate 1 is wrapped with the frame-shaped substrate 1. It flows down under the embedding dish 6 almost without staying at the boundary with the embedding dish 6. Therefore, when the paraffin 15 in the gap is cooled to complete the embedding operation and the embedding dish 6 is removed from the embedding block sample 10, a frame that is also a base of the embedding block sample 10. The burr of the solidified paraffin (embedding agent) does not occur in the periphery including the sample data description location 1b of the substrate 1.
[0026]
In addition, depending on the size of the pathological tissue samples 8 to 8a, in the conventional cassette, the size of the inner diameter of the porous 3f must be changed. However, as shown in FIG. The porous support bottom plate 3 of the substrate 1 can be fixed to a constant inner diameter due to the existence of the role if the size of the porous 5h of the dish-shaped porous bottom plate 5 is changed regardless of the presence or absence of the window 3c. Therefore, it is not necessary to make the inner diameter of the porous 3f very small, and the embedding molten paraffin (embedding agent) 15 is placed on the bottom surface of the pathological tissue samples 8 to 8a from the space 14 of the frame base (cassette bottom) 1. It is possible to make it difficult for air bubbles that are likely to be generated when injected into the embedded dish 6. The both sides of the solid embedding block 10 thus formed are sandwiched between the holders 18a and 18b of the microtome adapter 18 shown in FIG. 9, fixed there, sliced with a thin knife 16, and slide glass Paste to form a preparation.
[0027]
At this time, the embedding block 10 formed using the embedding block forming tool of the present invention does not generate burrs of the embedding agent around the embedding block 10, so that it is used as the holder 18 a of the microtome adapter 18. , 18b can be pressed and held accurately, and can be brought into surface contact accurately and stably supported, and then the thickness uniformity and accuracy of the thin section obtained when slicing with a thin cutting knife 16 can be performed. The pathology can be easily examined.
[0028]
Further, since the burrs are not attached to the periphery of the frame-shaped substrate (cassette bottom) 1 which is also a base for the embedded block sample, it is not necessary to remove the burrs, and the burrs are removed from the frame-shaped substrate (cassette bottom) 1. No damage is caused to the surface of the block sample data description portion printed on the periphery of the frame-shaped substrate (cassette bottom portion) 1 that is generated when the sample is removed.
[0029]
Therefore, when the inventor has already applied for a perforated plate, a fixed support case, a fixed fixing support, a fixed transfer container, a biopsy sample storage device, etc., this pathological tissue sample cassette and its embedding plate The pathological tissue samples 8 to 8a collected from the clinical side or excised from the affected part for the purpose of pathological definitive diagnosis and treatment of the patient and the pathological diagnosis request form information of the patient include the patient ID number, attribute, chart number, If patient data such as a patient embossed magnetic card is attached, the pathological diagnosis report will be completed, the accuracy management, data management, and retrieval will be automated and streamlined. It has become possible to utilize the three information of patient data and sample reference number encoded or two-dimensional data.
[0030]
Although the present invention has been described with reference to the above-described embodiment, the present invention is not limited to that embodiment, and specific technical means for more effectively implementing the embodiment or adding the embodiment to the embodiment is described. It is possible to change it partially.
[0031]
For example, if the shape as shown in FIGS. 10 and 16 is taken, the cassette lid 4 and the dish-like porous bottom plate 5 and the embedding dish 6 can be made of stainless steel, not made of synthetic resin, and can be recycled. Also goes up.
[0032]
Further, as shown in FIGS. 13 to 15, a biopsy sample is placed on the bottom surface 7i of the perforated dish 7, and the fixing support agent 23 (Japanese Patent No. 3049537 and Japanese Patent Application No. 11-76843, which the inventor has already applied for an invention). ) Can be fixed and held on the outside or inside of the bottom surface 7i of the bottom 7h of the perforated dish 7. That is, a plurality of or fragile samples can be fixed and held in a single storage section 7d of the cassette or the perforated plate 7 without any separation, so that the subsequent specimen preparation work can be advanced like a single specimen.
[0033]
  At this time, as shown in FIGS.This caseInventor alreadyPatentWhen used in combination with the biopsy sample storage device that has been applied for, biopsy is performed except when the biopsy sample is collected from the patient with a forceps such as an endoscope and when the biopsy sample is sliced with a thin knife. The instrument does not touch the sample directlyofThis eliminates the destruction of biopsy samples other than the two time points that must be touched..
[0034]
Further, as shown in FIG. 13 to FIG. 15, the perforated plate 7 is combined with the fixing support 23, the frame-like substrate 1 provided with the perforated support bottom plate 3 with the window 3c, and the dish-like perforated bottom plate 5 provided with the support 5f. When used, the biopsy sample is surely stored in the cassette inner space surrounded by the bottom 7i of the bottom 7h of the perforated dish 7 and the dish-shaped perforated bottom plate 5, and securely held on the outer bottom of the perforated dish 7. be able to. Thereafter, in the embedding operation after the chemical operation such as dehydration, degreasing, penetration, and infiltration for specimen preparation, the whole cassette is turned upside down as shown in FIG. Instead, the above-mentioned embedding dish 6 is fitted, and it is turned down again and again to the state shown in FIG. 15, and the embedding dish 6 is moved to the cold plate with the holding part 6d and moved to the gel plate. The perforated dish 7 in which the biopsy sample 8 is fixedly held on the bottom surface 7i by the support 24 is pushed down toward the bottom surface of the embedding dish 6 with tweezers 25, and the sample embedding agent (paraffin) 15 is cooled on the bottom surface. If the sample is adhered and held on the bottom surface of the embedding dish 6 due to solidification, the perforated dish 7 is immediately pulled up reversely with the tweezers 25, and only the biopsy sample 8 integrated with the gelation fixing support agent is obtained. It remains on the bottom surface in the embedding dish 6 and the following is the same as in FIG. And, then it is also possible to form the embedded block 10 in the same procedure. That is, in this embedding operation, the tweezers 25 can be embedded without directly touching the sample, and the biopsy sample is not lost, mixed or misplaced when embedded.
[0035]
Further, as shown in FIGS. 17 to 18, the perforated plate and the lid 7a of the case for fixing support which the inventors have already applied for the invention can be used even if separated. The lid part REVERSIBLE LID 7b and the perforated dish bottom part 7h can be fitted with a latching projection 7g of the lid part and the retaining hole 7c of the perforated dish bottom part 7h as shown in FIG. When the sample is stored in a perforated dish and the flange 7j is sandwiched between the support 5f and the lid 4 of the frame-like base (cassette bottom) 1, the locking part between the lid part REVERSIBLE LID 7b and the perforated dish bottom 7h is do not need. Therefore, the REVERSIBLE LID 7b, which is the lid portion, is turned upside down, and the inventor has already applied for the invention as shown in FIG. If the locking hole 4g of the locking projection of the REVERSIBLE LID 7b of the perforated dish 7 having the same diameter and the same distance between the holes as the locking hole 7c of the perforated dish bottom 7h is formed in the cassette, The biopsy sample 8 in the perforated plate sandwiched between the two can be processed without being lost from the predetermined position of the perforated plate 7 during the preparation of the chemical solution for specimen preparation, and the biopsy sample 8 can be observed and confirmed. When opening the lid 4 of the cassette, REVERSIBLE LID 7b, which is the lid portion of the perforated dish, can be opened together with the lid 4, and the biopsy sample 8 of the perforated dish 7 in the cassette can be opened without opening two lids one by one. Can be taken out.
[0036]
【The invention's effect】
As described above, according to the present invention, the outer peripheral surface of the porous support bottom plate constituting the bottom of the frame-shaped substrate and the inner peripheral surface of the embedding dish are water-tightly fitted, and the outer peripheral surface of the frame-shaped substrate and the outer peripheral surface of the embedding dish are Since it fits flush, when the paraffin tissue sample and the porous support bottom plate are embedded integrally by pouring molten paraffin into the space surrounded by the frame-shaped substrate and the embedding dish, the paraffin becomes water tight. It does not flow out to the outside through the fitted part, and does not stay at the boundary between the frame-shaped base and the embedding dish.
[0037]
Therefore, even if the embedding agent (paraffin) is cooled and solidified, the molded embedding block does not generate paraffin burrs. Therefore, the embedding block can be stably supported by the microtome holder. When cutting with a thin sword, the thickness uniformity and accuracy can be improved, the quality of pathological examination can be improved, and there is no deburring work, so there is no deburring work, so the frame-like base that is the base of the embedding block Do not damage the printed surface of the sample data (at the bottom of the cassette).
[0038]
Further, according to the present invention, a sample data description surface protection grid plate is formed to be inclined downward on one side of the lid of the opening of the frame-shaped substrate, and the sample data description surface protection grid plate faces downward on one side of the frame-shaped substrate. Since the upper part of the sample data description part that is inclined to cover the upper part is protected, the barcode, two-dimensional data code, or sample data number etc. printed or affixed to the part of the sample data description part peels off during various operations. Or disappear by various treatment liquids.
[0039]
In addition, the biopsy sample inside the perforated dish stored in the cassette is surely passed through the transparent perforated dish that the inventor has already applied for, through the perforated support bottom plate with the window of the frame-shaped substrate or the window of the perforated plate lid with the window. Observation can be confirmed and it can be captured as a macro image. When this image and the image of pathological examination diagnosis request form data from the clinic and the bar code, two-dimensional data code, sample reference number, etc. are used for patient confirmation and sample tracking management, reliable accuracy control and mechanization with less manpower It helps to advance automation. Therefore, when a human error such as replacement of a biopsy sample occurs, it can be traced even after the fact and the location of responsibility can be clarified.
[Brief description of the drawings]
FIG. 1 is a longitudinal sectional view showing an embodiment of a biopsy sample cassette of the present invention.
FIG. 2 is a longitudinal sectional view of FIG.
FIG. 3 is a partial perspective view of FIG. 1;
FIG. 4 is a perspective view of a portion of FIG. 1 and a portion of another embodiment.
FIG. 5 is a plan view of an embodiment using a part of FIG. 1;
6 is a perspective view showing another embodiment different from the embodiment shown in FIG. 5 in which a part of FIGS. 3 and 4 is combined.
7 is a plan view of a state following the state of FIG.
8 is a longitudinal sectional view showing a state next to the state of FIG.
FIG. 9 is a longitudinal sectional view and a plan view showing another state.
FIG. 10 is a plan view, a front view, a side view, a rear view, and a longitudinal sectional view showing another embodiment.
FIG. 11 is a horizontal and vertical sectional view showing another state.
12 is a horizontal and vertical cross-sectional view showing the next state of FIG.
13 is a longitudinal sectional view showing the next state of FIG.
14 is a longitudinal sectional view showing another state of FIG.
15 is a longitudinal sectional view showing the next state of FIG.
16 is a plan view, a back view, a front view, a cross-sectional view, and a vertical cross-sectional view showing a part of FIG. 1 and another embodiment.
17 is a plan view, a back view, a cross-sectional view, and a vertical cross-sectional view of another embodiment of a part of FIG. 1;
18 is a plan view of the embodiment using FIG. 17 and a sectional view in the directions of III-III and VV.
[Explanation of symbols]
1 Frame base
1b Sample data location
1c Locking groove
1d Outer peripheral surface of frame-shaped substrate
1e Lower end surface
2 opening
3 Porous support bottom plate
3a outer peripheral surface
3b Locking dent
3c window
3d window
3e Bottom outer peripheral surface
3f porous
4 lid
4a Locking piece
4b Locking protrusion
4c Sample data description surface protection grid plate
4d lid tab
4e Lid window
4f Liquid hole in the lid
4g Locking hole of reversible lid locking protrusion of perforated dish
4h Sample data location on the lid
5 Dish-shaped perforated bottom plate
5a Inner peripheral surface
5b Locking protrusion
5c Inner circumference
5d top surface
5f Support
5g Plate-like perforated bottom tab
6 Embedding dishes
6a Inner peripheral surface
6b outer peripheral surface
6c Embedding dish tab
6d Embedding dish holder
6e Top surface of the embedding dish
7 Porous dish with lid (case for fixed support)
7a Perforated plate lid
7b reversible lid
7c Locking hole
7d biopsy storage compartment
7e Sample data location
7f Reference mark
7g Locking protrusion
7h perforated plate bottom
7i perforated dish bottom
7j Isobe
8 Biopsy (small pathological tissue) sample
8a Large pathological tissue sample
10 Embedded block samples
14 space
15 Molten paraffin (embedding agent)
16 Thin sword
18 Microtome adapter
19 Funnel
20 Lid
21 Depressurization
22 Fixing solution (fixing gelling agent)
23 Fixing support
24 Gelling fixing support
25 tweezers
26 Barcode
27 block sample data
28 labels

Claims (5)

上側に開口部を形成し、その下側に底面外周面より少ない面積にて突設した窓口付多孔支持底板を形成した枠状基体と、該枠状基体内に配置する蓋付多孔皿と、該窓口付多孔支持底板の外周面に着脱自在に嵌合する支持体付皿状多孔底板からなる病理組織試料用カセットに於いて、
前記窓口付多孔支持底板の外周面を病理組織試料の包埋皿の内周面と水密に嵌合する形状にし、且つ包埋皿の外周面と該病理組織試料用カセットの枠状基体の外周面とが殆ど一致することを特徴とする生検小型病理組織試料の包埋ブロックを形成する病理組織試料用カセットとその包埋皿。
An opening is formed on the upper side, and a frame-shaped base on which a porous support bottom plate with a window projecting in an area smaller than the outer peripheral surface of the bottom is formed on the lower side, a porous dish with a lid disposed in the frame-shaped base, In a cassette for pathological tissue sample comprising a plate-like porous bottom plate with a support that is detachably fitted to the outer peripheral surface of the porous support bottom plate with a window,
The outer peripheral surface of the window-supported porous support bottom plate is shaped to fit water tightly with the inner peripheral surface of the pathological tissue sample embedding dish, and the outer peripheral surface of the embedding dish and the outer periphery of the frame-shaped substrate of the pathological tissue sample cassette A cassette for a pathological tissue sample forming an embedding block of a biopsy small histopathological tissue sample characterized in that the surfaces almost coincide with each other, and an embedding dish thereof.
上側に開口部を形成し、その下側に底面外周面より少ない面積にて突設した多孔支持底板を形成した枠状基体と、該多孔支持底板の外周面に着脱自在に嵌合する皿状多孔底板からなる病理組織試料用カセットに於いて、
前記多孔支持底板の外周面を病理組織試料の包埋皿の内周面と水密に嵌合する形状にし、且つ包埋皿の外周面と該病理組織試料用カセットの枠状基体の外周面とが殆ど一致することを特徴とする病理組織試料の包埋ブロックを形成する病理組織試料用カセット。
A frame-shaped base having a porous support bottom plate formed with an opening on the upper side and projecting on the lower side with a smaller area than the outer peripheral surface of the bottom surface, and a dish-like shape that is detachably fitted to the outer peripheral surface of the porous support bottom plate In a cassette for pathological tissue sample comprising a porous bottom plate,
The outer peripheral surface of the porous support bottom plate is shaped to fit water tightly with the inner peripheral surface of the embedding dish of the pathological tissue sample, and the outer peripheral surface of the embedding dish and the outer peripheral surface of the frame-shaped substrate of the cassette for pathological tissue sample A cassette for a pathological tissue sample which forms an embedded block of the pathological tissue sample, characterized in that
枠状基体の開口部の蓋の一側に試料データ面保護格子板を下向きに傾斜して形成し、ブロック試料データラベルやバーコードラベルを該枠状基体の一側に下向きに傾斜して形成した該枠状基体の試料データ記載箇所との間に挟持貼り付け前記ラベルやそのブロック試料データやバーコード記載印字面を保護することを特徴とする請求項2記載の病理組織試料用カセット。A sample data surface protection grid plate is inclined downward on one side of the lid of the opening of the frame-shaped substrate, and a block sample data label or bar code label is inclined downward on one side of the frame-shaped substrate. 3. The cassette for pathological tissue sample according to claim 2, wherein the label, the block sample data, and the barcode-printed printing surface are protected by being sandwiched between the frame-shaped substrate and the sample data-written portion. 蓋付多孔皿を、前記枠状基体の開口部の蓋の下面と、皿状多孔底板の上面に突設した支持体との間で挟持することを特徴とする請求項1記載の病理組織試料用カセットとその包埋皿The pathological tissue sample according to claim 1, wherein the lid-equipped porous dish is sandwiched between a lower surface of the lid of the opening of the frame-shaped substrate and a support projecting from the upper surface of the dish-shaped porous bottom plate. Cassette and its embedding dish . 枠状基体の下側に形成した多孔支持底板の外周面に着脱自在に嵌合する皿状多孔底板を該多孔支持底板の外周面から取り脱し、包埋皿上に病理組織試料を載置し、その外周に該包埋皿の内周面を水密嵌合し、その状態の枠状基体の内側及び包埋皿の上側で囲まれた空間に溶融パラフィンを注入し、その中に多孔支持底板と病理組織試料を一体的に埋設することを特徴とする包埋ブロックの成形方法。 The dish-shaped porous bottom plate that is detachably fitted to the outer peripheral surface of the porous support bottom plate formed on the lower side of the frame-shaped substrate is removed from the outer peripheral surface of the porous support bottom plate, and the pathological tissue sample is placed on the embedding plate. The inner peripheral surface of the embedding dish is water-tightly fitted to the outer periphery, and molten paraffin is injected into a space surrounded by the inside of the frame-like base body and the upper side of the embedding dish, and a porous support bottom plate therein And a method for forming an embedding block, wherein a pathological tissue sample is embedded integrally.
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