JP5125715B2 - Laser chip removal tool - Google Patents

Description

  The present invention relates to a tool for detachably mounting a laser chip on a laser handpiece, and more specifically, when the laser chip is removed from the laser handpiece, the laser chip is integrally held and the laser chip is removed. The present invention relates to a laser chip attaching / detaching tool that prevents itself from falling.

  It is well known to perform incision, hemostasis, coagulation, transpiration, cutting of hard tissue, anastomosis of blood vessels and nerves, photopolymerization of resin, sterilization, etc. by continuous or pulsed laser light irradiation. Examples of the laser light source include a semiconductor laser, a YAG laser, and a carbon dioxide gas laser. The laser light from these laser light sources is transmitted to the handpiece through a quartz optical fiber, and is provided at the tip of the handpiece. It is also well known that contact irradiation is performed on an affected part of a living tissue through a conductor chip, or non-contact irradiation is performed through a condenser lens.

  FIG. 4 is a schematic configuration diagram of an essential part for explaining an example of a conventional medical laser apparatus. In the figure, 1 is a laser light source, and the laser light generated by the laser light source 1 is a light such as quartz fiber. The living body tissue is incised, hemostasis, coagulation, transpiration, hard tissue cutting, blood vessel and nerve anastomosis, ablation, and the like are performed by the laser light transmitted to the medical handpiece through the conductor cable 2 and irradiated from the handpiece.

The handpiece 4, as shown in 10 ₁ or 10 _2, has a joint portion 3 which is detachably connected to the optical conductor cable 2 which transmits the laser beam from the laser light source 1, shown at 10 ₁ handpiece, which has an optical fiber 4 and the condenser lens 5 of the quartz to the handpiece 10 ₁ has a tip 6 consisting detachably quartz the tip, and as described above, the optical conductor cable 2 examples of the laser light transmitted was set to introduce silica optical fiber 4 through the condenser lens 5 to the laser chip 6 through handpiece 10 _2, quartz optical fiber 4 through the condenser lens 7, the passage of chips In this example, the living tissue is irradiated directly, that is, without contact.

4 shows an example in which the laser light from the laser light source 1 is transmitted to the laser handpiece 10 ₁ (or 10 ₂ ) through the light guide cable 2, a semiconductor laser is provided in the handpiece. In addition, it will be easily understood that the laser beam transmitted through the light guide cable 2 may be directly irradiated from the optical fiber 4 without using a condensing lens or the like.

Patients Thus, in the laser handpiece 10 ₁ shown in Figure 4, the laser chip 6 freely attached removably to the handpiece 10 _1, a laser beam emitted from the laser handpiece 10 ₁ through the laser chip 6 Irradiate the area to be treated. Moreover, after treatment, so that autoclaving remove the laser chip 6 from the handpiece 10 _1.

When performing laser treatment using the laser handpiece 10 _1, when attaching and detaching the laser chip 6 to the laser handpiece 10 _1, incorrectly, it will drop the laser chip may damage the laser chip, or remove When the laser chip was autoclaved, there was a problem that the laser chip hit and hit other equipment that was autoclaved together.

  The present invention has been made in view of the above circumstances. When the laser chip is attached to or detached from the laser handpiece, the laser chip is protected from external damage and the laser chip is integrally held. The purpose of this invention is to prevent the laser chip from falling and prevent contact with other equipment during autoclaving so as not to be damaged.

The invention of claim 1 is a laser chip attaching / detaching tool for removably screwing a laser chip into a laser light emitting port of a laser handpiece that emits laser light, the laser chip attaching / detaching tool having a cylindrical shape. A cover member, and a laser chip insertion port into which the laser light emitting needle of the laser chip can be inserted and the laser chip can be inserted in a non-rotatable manner at one end of the cylindrical cover member; It has an elastic member for holding the inserted laser beam emitting needle inward from the mouth.

  According to a second aspect of the present invention, in the first aspect of the present invention, the laser chip insertion port of the cylindrical cover member is airtightly separated from the inside and outside of the cylindrical cover member at one end side of the cylindrical cover member. It is formed at the center of the plate, and when the laser chip is inserted, the inside and outside of the laser chip insertion port are hermetically sealed by the laser chip.

  According to a third aspect of the present invention, in the second aspect of the invention, the elastic member is provided inside the blocking plate and presses and holds the outer periphery of the laser beam emitting needle inserted through the insertion port. It is characterized by.

  The invention of claim 4 is the invention of claim 2 or claim 3, further comprising a cap member that is detachably attached to the one end side of the cylindrical cover member and holds the one end side in an airtight manner. It is a thing.

  According to a fifth aspect of the present invention, in the fourth aspect of the present invention, the cap member comprises a plurality of convertible caps, each of which can be identified.

  A sixth aspect of the invention is characterized in that, in any of the second to fifth aspects of the invention, the other end side of the cylindrical cover member is formed as a small air-permeable hole.

According to a seventh aspect of the invention, in any one of the claims 2 to 5, wherein the tubular cover member and the other end detachably attached to the, having a cap member for holding airtightly other end side It is characterized by.

  According to the laser chip attaching / detaching tool according to the present invention, since the laser chip is integrally held when the laser chip is attached to and detached from the laser handpiece, in particular, when removing the laser chip from the laser handpiece, The laser chip is not dropped and there is no possibility of damaging the laser chip. Even if the laser chip is accidentally dropped, it will be dropped together with the laser chip attaching / detaching tool, so that the laser chip is damaged because it is held in the cylindrical cover member. There is nothing.

  When the laser chip is autoclaved (high-temperature high-pressure steam sterilization), the laser chip is mounted in a laser chip attaching / detaching tool, and the laser light receiving end side is sealed with a cover member. The laser light receiving end surface of the chip can be prevented from being exposed to high-temperature steam, so that the laser light receiving surface of the laser chip is not contaminated and the laser light is introduced from the laser handpiece to the laser chip. There is no risk of reduced efficiency. Furthermore, if the end opening is made small on the side of the cylindrical cover member where the laser chip is not mounted, or if it is closed with a plate member having a vent hole, it is autoclaved together in the autoclave unit. This equipment does not hit the laser beam emitting needle of the laser chip, and damage to the laser beam emitting needle can be prevented.

  Further, for each type of laser chip stored in the laser chip mounting / dismounting tool, the type of laser chip stored in the laser chip mounting / dismounting tool (function: The purpose of use) can be identified, the management of the laser chip can be facilitated, and the selection when using the laser chip can be facilitated. Furthermore, by covering the both ends of the cylindrical cover member with the cap, dust or the like does not adhere to the laser chip when storing the laser chip, which is hygienic.

  FIG. 1A shows a laser handpiece 10, a laser chip 20 that is detachably attached to the laser handpiece 10, and a book used for detachably attaching the laser chip 20 to the laser handpiece 10. The exploded view which shows the relationship with the laser chip attachment / detachment tool 30 by invention is shown, FIG.1 (B) shows the state when the laser chip 20 is mounted | worn with the laser handpiece 10. FIG. As described above, the laser handpiece 10 is configured such that, for example, laser light transmitted through the optical conductor cable (optical fiber) 2 is emitted from the opening 11 provided at the tip. A female screw 11a is provided on the inner wall of the opening, and a male screw 21a provided on the laser chip 20 is screwed into the female screw 11a. As described above, when the laser chip 20 is screwed to the laser handpiece 10, a laser light emitting needle (optical fiber) provided integrally with the laser chip 20 on the laser light emitting surface in the laser handpiece 10. The light receiving surfaces 22 face each other, the laser light emitted from the laser handpiece 10 is introduced into the optical fiber 22 in the laser chip 20, and the laser light is emitted from the tip of the optical fiber 22, and desired laser treatment is performed. Is done.

  As described above, the present invention relates to a laser chip attaching / detaching tool suitable for use when detachably screwing and attaching a laser chip to / from a laser handpiece. In FIG. It is an external view which shows an example of the laser chip attachment / detachment tool in. The laser chip attaching / detaching tool 30 includes a cylindrical cover member 31 having a length that accommodates at least the entire length of the laser beam emitting needle (optical fiber) 22. 20 has an opening 31 ′ that has the same shape as the screwing surface 22 a provided in 20 and passes through the screwing surface portion, and the optical fiber 22 of the laser chip 20 is inserted into the cylindrical cover member 31 through the opening 31 ′. As will be described later, the inserted optical fiber 22 is rotatably held in the cylindrical cover member 31, and the cylindrical cover member 31 is rotated in this state, whereby the laser chip 20 is moved to the laser handpiece. 10 is detachably screwable.

  2A is a sectional configuration diagram of the laser chip attaching / detaching tool 30 shown in FIG. 1, FIG. 2B is a sectional configuration diagram of the laser chip 20, and FIG. 2C is FIG. 1A. The CC line cross-section block diagram of the shown laser chip attachment tool 30 is shown. The laser chip 20 has a male screw part 21a that is screwed into the female screw part 11a of the laser handpiece 10 and a screw driver 21b that allows the male screw part 21a to be attached to and detached from the female screw part 11a. The collar member 21 includes an optical fiber holding member 23 that can be inserted into and removed from the center hole 21c of the collar member 21 and that integrally holds an optical fiber (laser light emitting needle) 22 at the center.

  The optical fiber holding member 23 has the optical fiber 22 integrally fixed at the center, and is inserted from the direction of the arrow E into the hole 21c provided at the center of the collar member 21, and is inserted at a predetermined amount. Then, it collides with the step portion 21d provided in the hole 21c and stops at this position. Thus, after the optical fiber holding member 23 is inserted into the collar member 21, the fixing member 24 is attached to the optical fiber holding member 23, and the optical fiber holding member 23 is fixed to the collar member 21. An O-ring 25 is provided on the outer periphery of the optical fiber holding member 23, and the O-ring 25 seals the space between the inner wall of the collar member 21 and the outer wall of the optical fiber holding member 25. The laser light receiving surface 22a side is kept airtight between the laser light emitting side 22b and high temperature and high pressure steam applied to the laser light emitting side 22b does not reach the laser light receiving side 22a during autoclaving.

  In the laser chip 20 according to the present invention, as described above, the optical fiber 22 is integrally incorporated in the collar member 21 and the optical fiber holding member 23, and the integrally configured laser chip 20 is in the direction of the arrow. Since it is inserted into the cylindrical cover member 31, the operator's hand does not touch the optical fiber when attaching or detaching the laser chip.

  The inner wall portion 31 a of the one end portion 31 ′ of the cylindrical cover member 31 has the same polygonal shape as the screwdriver portion 21 b of the collar member 21 of the laser chip 20 and has a slightly larger diameter than the screwdriver portion 21. When the laser chip 20 is inserted into the cylindrical cover member 31, the surfaces 21b and 31a engage with each other, and when the cylindrical cover member 31 is rotated, the laser chip 20 is also rotated integrally. Thus, that is, by rotating the cylindrical cover member 31, the laser chip 20 is rotated, and the laser chip 20 can be attached to and detached from the laser handpiece 10.

An elastic member 32 is attached to the inner side of the end portion 31 ′ of the cylindrical cover member 31, and the end portion 23 a of the optical fiber holding member is pushed against the elasticity of the elastic member 32. Yes. In the illustrated example, the elastic member 32 bends a single rod-like elastic body to hold the outer periphery of the end of the optical fiber holding member 23 at three points a, b, and c. The method is not limited to the illustrated example, and can be fixed by any desired method. The elastic member 32 is accommodated in the container 33, and the container 33 is fixed in the cylindrical cover member 31, but the present invention is not limited to such a configuration. For example, the elastic member may be directly fixed in the cover member.
The container 33 serves as a blocking plate for airtightly separating the inside and outside of the cylindrical cover member 31 on one end side of the cylindrical cover member 31, and is provided at the center as shown in FIG. When the laser chip 20 is inserted into the laser chip insertion slot, the inside and outside of the laser chip insertion slot are shut off in an airtight manner.

  As described above, according to the present invention, when the laser chip 20 is attached / detached to / from the laser handpiece 10, the laser chip 20 is fixedly held by the laser chip attaching / detaching tool 30, so that the laser chip 20 is accidentally dropped. In addition, even if the laser light emitting fiber 22 is accidentally dropped, the laser light emitting fiber 22 is accommodated in the cover member 31, so that there is no possibility that the optical fiber 22 is damaged.

  FIG. 3 is a diagram for explaining a state when the laser chip is autoclaved. In FIG. 3, reference numeral 40 denotes a cap that covers the laser light receiving surface 22a of the laser chip 20 in an airtight manner. By covering the light receiving surface 22a of the laser chip 20 with the cap 40 in an airtight manner, vapor in the autoclave does not reach the laser light receiving surface 22a, and the light receiving end surface can be kept clean.

  Further, during autoclaving, the laser beam emitting needle (optical fiber) 22 is housed in the cylindrical cover member 31, so that it does not hit other equipment that is autoclaved together, and the optical fiber 22 is damaged. There is nothing to do. Furthermore, by making the opening end side of the cover member 31 a small hole 31 ″ that does not interfere with the autoclave, or by meshing the cover member 31, other equipment or a part of other equipment is placed in the cover member 31. The optical fiber 22 can be more reliably protected without entering.

  As described above, the cap member 40 is for protecting the light receiving end 22a of the optical fiber 22 from contamination due to high-temperature and high-pressure steam during autoclaving. Further, the cap member 40 can be identified by color-coding. In this case, when not in use (storage, etc.), the function, purpose of use, etc. of the laser chip housed inside can be distinguished by the color of the cover member 31 and the like, which makes storage and management very easy.

  Further, reference numeral 50 denotes a cap member for sealing the other end side (the side where the laser chip 20 is not mounted) of the cover member 31. The cylindrical cover member 31 is stored by the cap member 50 and the cap member 40 during storage. When both ends of the laser beam are sealed, there is no risk of dust or the like entering the cover member 31 during storage, and the laser chip 20 can be stored hygienically.

It is a figure for demonstrating the usage method of the laser chip attachment / detachment tool by this invention. It is a figure for demonstrating the relationship between the laser chip attachment tool by this invention, and a laser chip. It is sectional drawing for demonstrating the relationship between the laser chip attachment tool by this invention, and a protective cap. It is a figure for demonstrating the example of the conventional laser handpiece.

Explanation of symbols

1 ... laser light source, 2 ... optical conductor cable, 10, 10 _1, 10 ₂ ... laser handpiece, 20 ... laser chip, 22 ... laser light emitting needle (optical fiber), 30 ... laser chip detachment apparatus 31 ... cover member 40, 50 ... Cap.

Claims (7)

A laser chip attaching / detaching tool for detachably screwing a laser chip into a laser light emitting port of a laser handpiece that emits laser light, the laser chip attaching / detaching tool comprising a cylindrical cover member and the cylindrical member At one end of the cover member, a laser light emitting needle of the laser chip can be inserted, and the laser chip can be inserted so that the laser chip cannot be rotated. A laser chip attaching / detaching tool comprising an elastic member for holding the laser beam emitting needle.   The laser chip insertion port of the cylindrical cover member is formed at a central portion of a blocking plate that hermetically separates the inside and outside of the cylindrical cover member on one end side of the cylindrical cover member, and the laser chip is 2. The laser chip attaching / detaching tool according to claim 1, wherein when the laser chip is inserted, the inside and outside of the laser chip insertion port are hermetically sealed by the laser chip.   3. The laser chip attaching / detaching tool according to claim 2, wherein the elastic member is provided inside the blocking plate and presses and holds an outer periphery of a laser beam emitting needle inserted through the insertion port. 4. .   The laser chip attaching / detaching tool according to claim 2, further comprising a cap member that is detachably attached to the one end side of the cylindrical cover member and holds the one end side in an airtight manner.   The laser chip attaching / detaching tool according to claim 4, wherein the cap member includes a plurality of convertible members, and each cap member is identifiable.   The laser chip attaching / detaching tool according to any one of claims 2 to 5, wherein the other end side of the cylindrical cover member is formed in an air-permeable small hole. Said tubular cover member and the other end detachably attached to the laser chip detachment tool according to any one of claims 2 to 5, characterized in that it has a cap member for holding airtightly other end side .

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