JP5503257B2 - Tissue collection bag - Google Patents

Tissue collection bag Download PDF

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JP5503257B2
JP5503257B2 JP2009259100A JP2009259100A JP5503257B2 JP 5503257 B2 JP5503257 B2 JP 5503257B2 JP 2009259100 A JP2009259100 A JP 2009259100A JP 2009259100 A JP2009259100 A JP 2009259100A JP 5503257 B2 JP5503257 B2 JP 5503257B2
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opening
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tissue collection
collection bag
leg
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JP2011103926A (en
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卓也 宮崎
光正 袖山
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本発明は、内視鏡下外科手術において切除された組織を収容して体外に摘出し、回収する組織回収袋に関する。   The present invention relates to a tissue collection bag that accommodates a tissue excised in an endoscopic surgical operation, removes it from the body, and collects it.

従来、前記組織回収袋として、切除された組織を収容する袋状体と、該袋状体の開口部縁辺に列設された複数の紐通し孔と、該紐通し孔に挿通されて該袋状体の開口部を開閉自在とする閉じ紐とを備えるものが知られている(例えば特許文献1参照)。   Conventionally, as the tissue collection bag, a bag-like body for storing the excised tissue, a plurality of string-through holes arranged on the edge of the opening of the bag-like body, and the bag inserted through the string-through hole What is provided with the closing string which can open and close the opening part of a cylindrical body is known (for example, refer patent document 1).

前記組織回収袋は、ポリエチレン等の無毒性で肉薄柔軟な樹脂製であり、前記袋状体は長方形状の底部をくの字型とし、熱溶着によりシールされている。そして、切除された組織を前記袋状体に収容した後、前記閉じ紐を引くことにより、前記開口部を絞って閉じるようになっている。   The tissue collection bag is made of a non-toxic and thin flexible resin such as polyethylene, and the bag-like body has a rectangular bottom and is sealed by heat welding. Then, after the excised tissue is accommodated in the bag-like body, the opening is narrowed and closed by pulling the closing string.

前記組織回収袋の使用に当たっては、前記底部を軸として円柱状に巻き取られ、内径5mm程度の外套管内に収納される。そして、前記組織回収袋は、前記外套管を切開孔から体腔内に導入した後、別の切開孔から体腔内に挿入された鉗子により該外套管から引き出され、展開されることにより使用に供される。   When the tissue collection bag is used, the tissue collection bag is wound into a cylindrical shape with the bottom portion as an axis, and stored in an outer tube having an inner diameter of about 5 mm. The tissue collection bag is used after being introduced into the body cavity through the incision hole, and then pulled out from the outer tube by forceps inserted into the body cavity from another incision hole and deployed. Is done.

実登第3063390号公報Noto 3063390 gazette

しかしながら、前記従来の組織回収袋は、円柱状に巻き取られた状態で外套管内に収納されているので所謂巻き癖がついており、体腔内で該外套管から引き出されたときに、容易に開口することができず、また開口状態を維持することも難しいという不都合がある。   However, since the conventional tissue collection bag is housed in the mantle tube in a state of being wound in a columnar shape, it has a so-called curl so that it can be easily opened when pulled out from the mantle tube in a body cavity. This is disadvantageous in that it cannot be performed and it is difficult to maintain the open state.

本発明は、かかる不都合を解消して、体腔内で容易に開口することができ、開口状態を維持することができる組織回収袋を提供することを目的とする。   An object of the present invention is to provide a tissue collection bag that can be easily opened in a body cavity and can maintain an open state by eliminating such disadvantages.

かかる目的を達成するために、本発明は、内視鏡下外科手術において切除された組織を収容する肉薄柔軟な樹脂からなる袋状体と、該袋状体の開口部縁辺に列設された複数の紐通し孔と、該紐通し孔に挿通されて該袋状体の開口部を開閉自在とする閉じ紐とを備え、該組織を該袋状体に収容して体外に摘出し、回収する組織回収袋において、塑性変形可能な材料からなる1対の脚部と、該脚部の一方の端部で互いに接合する接合部とを有し、前記開口部に沿って着脱自在に装着され、開口時に塑性変形して開口状態を維持する開口維持部材と、前記開口部に沿って列設され、前記開口維持部材の脚部が着脱自在に挿通される複数の脚部挿通孔とを備え、前記複数の脚部挿通孔のうち、前記接合部と反対側の端部に形成された脚部挿通孔は、他の脚部挿通孔よりも小型に形成され、前記脚部は、前記接合部と反対側の端部に細幅部を介して連接され、前記小型に形成された脚部挿通孔を挿通可能であるとともに該脚部挿通孔に係合して抜け止めする係合部を備えることを特徴とする。 In order to achieve such an object, the present invention has a bag-like body made of a thin and flexible resin that accommodates a tissue excised in endoscopic surgery, and is arranged on the edge of the opening of the bag-like body. A plurality of string-passing holes and a closing string that is inserted through the string-passing holes and allows the opening of the bag-like body to be opened and closed; The tissue collection bag includes a pair of legs made of a plastically deformable material and a joint that joins at one end of the legs, and is detachably attached along the opening. An opening maintaining member that is plastically deformed at the time of opening to maintain the opening state; and a plurality of leg insertion holes that are arranged along the opening and through which the legs of the opening maintaining member are detachably inserted. Of the plurality of leg insertion holes, the leg insertion holes formed at the end opposite to the joint are other The leg portion is formed smaller than the leg insertion hole, and the leg portion is connected to an end portion on the opposite side to the joint portion via a narrow width portion, and the leg insertion hole formed in the small size can be inserted. And an engaging portion that engages with the leg insertion hole and prevents it from coming off .

本発明の組織回収袋は、従来の組織回収袋と同様に円柱状に巻き取られて、内径5mm程度の外套管内に収納される。そして、前記外套管を切開孔から体腔内に導入した後、別の切開孔から体腔内に挿入された鉗子により該外套管から引き出され、展開されることにより使用に供される。   The tissue collection bag of the present invention is wound into a cylindrical shape in the same manner as a conventional tissue collection bag and stored in an outer tube having an inner diameter of about 5 mm. Then, after the mantle tube is introduced into the body cavity from the incision hole, the mantle tube is pulled out from the mantle tube by a forceps inserted into the body cavity from another incision hole, and is deployed for use.

このとき、本発明の組織回収袋は、前記開口部に沿って装着された開口維持部材を備えるので、該開口維持部材を塑性変形させることにより、該開口部を容易に開口することができる。また、前記開口維持部材は一旦塑性変形させると、該塑性変形は外力が作用しない状況では不可逆であるので、該開口維持部材により該開口部の開口状態を容易に維持することができる。   At this time, since the tissue collection bag of the present invention includes the opening maintaining member mounted along the opening, the opening can be easily opened by plastically deforming the opening maintaining member. In addition, once the opening maintaining member is plastically deformed, the plastic deformation is irreversible in a state where no external force is applied, and therefore the opening state of the opening can be easily maintained by the opening maintaining member.

さらに、前記開口維持部材は着脱自在に装着されている。従って、切除された組織を本発明の組織回収袋に収容した後は、前記開口維持部材を該組織回収袋から取り去ることにより、前記開口部を閉じることが可能になる。   Further, the opening maintaining member is detachably attached. Therefore, after the excised tissue is stored in the tissue collection bag of the present invention, the opening can be closed by removing the opening maintaining member from the tissue collection bag.

本発明の組織回収袋において、前記開口維持部材は、塑性変形可能な材料からなる1対の脚部と、該脚部の一方の端部で互いに接合する接合部とを備えている。前記塑性変形可能な材料としては、例えば、ポリプロピレン、ポリエチレン、ポリアミド等を挙げることができる。 In tissue collection bag of the present invention, the opening maintaining member includes a leg portion of the pair consisting of of deformable material, and a joint portion for joining to each other at one end of the leg portion. Examples of the plastically deformable material include polypropylene, polyethylene, and polyamide.

また、本発明の組織回収袋は、前記開口部に沿って列設され、前記開口維持部材の脚部が着脱自在に挿通される複数の脚部挿通孔を備えることにより、前記開口維持部材を着脱自在に装着することができる。
また、本発明の組織回収袋において、前記脚部は、前記接合部と反対側の端部に前記脚部挿通孔に係合して抜け止めする係合部を備えることにより、開口を準備する間に意図しない状況での前記開口維持部材の脱落を防止することができる。
Further, the tissue collection bag of the present invention is the column set along the front Symbol opening, by providing a plurality of leg portion insertion hole legs of the opening maintaining member is inserted detachably, the opening maintaining member Can be detachably mounted.
Further, in the tissue collection bag of the present invention, the leg portion is provided with an opening by being provided with an engaging portion that engages with the leg portion insertion hole and prevents the leg portion from being inserted at an end portion opposite to the joint portion. It is possible to prevent the opening maintaining member from dropping off in an unintended situation.

本発明の組織回収袋において、前記脚部挿通孔は、例えば、前記開口部と前記紐通し孔との間に設けられていてもよく、前記紐通し孔に対して前記開口部と反対側に設けられていてもよい。   In the tissue collection bag of the present invention, the leg insertion hole may be provided, for example, between the opening and the string passage hole, and on the side opposite to the opening with respect to the string passage hole. It may be provided.

本発明の組織回収袋の一構成例を示す斜視図。The perspective view which shows the example of 1 structure of the structure | tissue collection bag of this invention. 図1に示す組織回収袋の開口操作を示す斜視図。The perspective view which shows opening operation of the structure | tissue collection bag shown in FIG. 図1に示す組織回収袋の開口部を閉じる操作を示す斜視図。The perspective view which shows operation which closes the opening part of the structure | tissue collection bag shown in FIG. 本発明の組織回収袋の他の構成例の要部を拡大して示す斜視図。The perspective view which expands and shows the principal part of the other structural example of the structure | tissue collection bag of this invention. 本発明の組織回収袋のさらに他の構成例を示す斜視図。The perspective view which shows the further another structural example of the structure | tissue collection bag of this invention.

次に、添付の図面を参照しながら本発明の実施の形態についてさらに詳しく説明する。   Next, embodiments of the present invention will be described in more detail with reference to the accompanying drawings.

図1に示すように、本実施形態の組織回収袋1は、切除された組織を収容する袋状体2と、袋状体2の開口部3の開口状態を維持する開口維持部材4とを備えている。   As shown in FIG. 1, the tissue collection bag 1 of the present embodiment includes a bag-like body 2 that accommodates the excised tissue, and an opening maintaining member 4 that maintains the opening state of the opening 3 of the bag-like body 2. I have.

袋状体2は、例えば、ポリエチレン等の無毒性で肉薄柔軟な樹脂からなる円筒状体において、開口部3と反対側の端部が熱溶着されたシーム部5により閉塞されることにより形成されている。また、袋状体2は、開口部3に沿って列設された複数の紐通し孔6と、紐通し孔6に挿通されて開口部3を開閉自在とする閉じ紐7と、開口部3と紐通し孔6との間に列設された脚部挿通孔8とを備えている。   The bag-like body 2 is formed by, for example, a cylindrical body made of a non-toxic and thin flexible resin such as polyethylene, and the end opposite to the opening 3 is closed by a seam portion 5 that is heat-welded. ing. In addition, the bag-like body 2 includes a plurality of string passage holes 6 arranged along the opening 3, a closing string 7 that is inserted through the string passage hole 6 to open and close the opening 3, and the opening 3 And a leg insertion hole 8 arranged between the string passage hole 6 and the leg insertion hole 6.

開口維持部材4は、例えば、ポリエチレン等の塑性変形可能な材料からなる1対の脚部9,9と、脚部9,9の一方の端部で互いに接合する接合部10とを備えている。開口維持部材4は、袋状体2の側方から、脚部9,9が脚部挿通孔8に着脱自在に挿通されている。   The opening maintaining member 4 includes, for example, a pair of leg portions 9 and 9 made of a plastically deformable material such as polyethylene, and a joint portion 10 that is joined to each other at one end portion of the leg portions 9 and 9. . In the opening maintaining member 4, the leg portions 9 and 9 are detachably inserted into the leg insertion holes 8 from the side of the bag-like body 2.

組織回収袋1は、使用に当たっては、例えば、開口維持部材4又はシーム部5を軸として円柱状に巻き取られ、内径5mm程度の外套管(図示せず)内に収納される。そして、前記外套管を切開孔から体腔内に導入した後、別の切開孔から体腔内に挿入された鉗子により該外套管から引き出され、展開される。   In use, for example, the tissue collection bag 1 is wound into a cylindrical shape with the opening maintaining member 4 or the seam portion 5 as an axis, and is stored in an outer tube (not shown) having an inner diameter of about 5 mm. Then, after the mantle tube is introduced into the body cavity from the incision hole, the mantle tube is pulled out from the mantle tube by a forceps inserted into the body cavity from another incision hole and deployed.

前記外套管から引き出された組織回収袋1は、図2に示すように、鉗子(図示せず)により開口維持部材4の脚部9,9をその中央部で互いに離間するように塑性変形させることにより開口部3が開口される。開口維持部材4の脚部9,9は一旦塑性変形させると、該塑性変形は外力が作用しない状況では不可逆であるので、開口維持部材4により開口部3の開口状態が容易に維持される。組織回収袋1は、前述のように開口部3が開口されたならば、ついで開口部3から袋状体2に切除された組織を収容する。   As shown in FIG. 2, the tissue collection bag 1 pulled out from the mantle tube is plastically deformed by forceps (not shown) so that the leg portions 9, 9 of the opening maintaining member 4 are separated from each other at the center portion thereof. As a result, the opening 3 is opened. Once the leg portions 9 and 9 of the opening maintaining member 4 are plastically deformed, the plastic deformation is irreversible in a state where no external force is applied, and therefore the opening state of the opening 3 is easily maintained by the opening maintaining member 4. When the opening 3 is opened as described above, the tissue collection bag 1 accommodates the tissue cut out from the opening 3 into the bag 2.

組織回収袋1の開口部3を閉じるときには、図3に示すように、まず、鉗子(図示せず)を用いて開口維持部材4の脚部9,9を脚部挿通孔8から引き抜いて、袋状体2から脱離させる。そして、次に、他の鉗子(図示せず)を用いて閉じ紐7の把持部7aを把持し、閉じ紐7を引くことにより開口部3を絞って閉じ、組織回収袋1を体外に摘出する。   When closing the opening 3 of the tissue collection bag 1, as shown in FIG. 3, first, the leg portions 9, 9 of the opening maintaining member 4 are pulled out from the leg insertion hole 8 using forceps (not shown), Detach from the bag 2. Then, using another forceps (not shown), the grasping portion 7a of the closing string 7 is grasped, and the opening 3 is squeezed and closed by pulling the closing string 7, and the tissue collection bag 1 is removed outside the body. To do.

尚、開口維持部材4の脚部9,9を脚部挿通孔8から引き抜いて、袋状体2から脱離させる操作は、閉じ紐7を引くことにより開口部3を絞った後に行うようにしてもよい。また、組織回収袋1の使用に当たっては、上述のように円柱状に巻き取られた状態で、前記外套管内に収納されることなく、切開孔に挿入されたトロカール等を介して、体腔内に導入されてもよい。   The operation of pulling out the leg portions 9, 9 of the opening maintaining member 4 from the leg insertion hole 8 and detaching it from the bag-like body 2 is performed after the opening portion 3 is squeezed by pulling the closing string 7. May be. Further, when using the tissue collection bag 1, it is wound into a body cavity via a trocar inserted into an incision hole without being housed in the outer tube while being wound in a cylindrical shape as described above. May be introduced.

ところで、図1に示す組織回収袋1では、前述のいずれかの方法により体腔内に導入された後、開口部3の開口を準備する間に、意図しない状況で開口維持部材4が脱落することがある。   By the way, in the tissue collection bag 1 shown in FIG. 1, after being introduced into the body cavity by any of the methods described above, the opening maintaining member 4 falls off in an unintended situation while preparing the opening of the opening 3. There is.

そこで、組織回収袋1では、図4に示すように、脚部9は、接合部10と反対側の端部に脚部挿通孔8aに係合して抜け止めする係合部9aを備えるようにしてもよい。係合部9aは、脚部9の端部に細幅部9bを介して連設されており、最大幅が脚部9の幅より大きくなっている。一方、脚部挿通孔8aは、他の脚部挿通孔8より小型であり、細幅部9bは挿通可能であるものの、係合部9aが係合して抜け止めされる大きさに形成されている。   Therefore, in the tissue collection bag 1, as shown in FIG. 4, the leg portion 9 is provided with an engagement portion 9a that engages with the leg insertion hole 8a and prevents it from coming off at the end opposite to the joint portion 10. It may be. The engaging portion 9 a is connected to the end portion of the leg portion 9 via the narrow width portion 9 b, and the maximum width is larger than the width of the leg portion 9. On the other hand, the leg insertion hole 8a is smaller than the other leg insertion holes 8, and the narrow width portion 9b can be inserted, but is formed in a size that prevents the engagement portion 9a from being engaged and retained. ing.

組織回収袋1は、係合部9aが脚部挿通孔8aに係合することにより、開口部3の開口を準備する間に開口維持部材4の脱落を防止することができる。一方、開口部3を閉じるときには、袋状体2は肉薄柔軟な樹脂からなるので、係合部9aを脚部挿通孔8aに挿通させて、開口維持部材4を袋状体2から引き抜くことができる。   The tissue collection bag 1 can prevent the opening maintaining member 4 from falling off while preparing the opening of the opening 3 by engaging the engaging portion 9a with the leg insertion hole 8a. On the other hand, when the opening 3 is closed, since the bag-like body 2 is made of a thin and flexible resin, the opening maintaining member 4 can be pulled out of the bag-like body 2 by inserting the engaging portion 9a into the leg insertion hole 8a. it can.

尚、係合部9aは脚部挿通孔8に係合して抜け止めされる構成となっていればよく、脚部9の端部に細幅部9bを介することなく連設されていてもよい。この場合、脚部挿通孔8aに代えて、通常の脚部挿通孔8が係合部9aを抜け止めする。   The engaging portion 9a only needs to be configured to engage with the leg insertion hole 8 and be prevented from coming off. Even if the engaging portion 9a is connected to the end portion of the leg portion 9 without the narrow width portion 9b. Good. In this case, instead of the leg insertion hole 8a, the normal leg insertion hole 8 prevents the engaging portion 9a from coming off.

本実施形態の組織回収袋1では、開口部3と紐通し孔6との間に脚部挿通孔8が列設されているが、脚部挿通孔8は、紐通し孔6に対して開口部3と反対側に紐通し孔6の列に沿って列設されていてもよい。また、脚部挿通孔8に代えて、図5に示すように、開口部3の端縁を折り返して、シーム部11により袋状体2に熱溶着して、袋状体2の一方の側面に入口と出口とを備えるトンネル状の挿通孔12を形成し、挿通孔12に脚部9を挿通するようにしてもよい。   In the tissue collection bag 1 of the present embodiment, the leg insertion hole 8 is arranged between the opening 3 and the string passage hole 6, but the leg insertion hole 8 is open to the string passage hole 6. It may be arranged along the line of the string passage hole 6 on the side opposite to the part 3. Further, instead of the leg insertion hole 8, as shown in FIG. 5, the end edge of the opening 3 is folded back and thermally welded to the bag-like body 2 by the seam portion 11. Alternatively, a tunnel-shaped insertion hole 12 having an inlet and an outlet may be formed, and the leg 9 may be inserted into the insertion hole 12.

1…組織回収袋、 2…袋状体、 3…開口部、 4…開口維持部材、 7…閉じ紐、 8,8a…脚部挿通孔、 9…脚部、 10…接合部。   DESCRIPTION OF SYMBOLS 1 ... Tissue collection bag, 2 ... Bag-shaped body, 3 ... Opening part, 4 ... Opening maintenance member, 7 ... Closed string, 8, 8a ... Leg part penetration hole, 9 ... Leg part, 10 ... Joint part.

Claims (2)

内視鏡下外科手術において切除された組織を収容する肉薄柔軟な樹脂からなる袋状体と、該袋状体の開口部縁辺に列設された複数の紐通し孔と、該紐通し孔に挿通されて該袋状体の開口部を開閉自在とする閉じ紐とを備え、該組織を該袋状体に収容して体外に摘出し、回収する組織回収袋において、
塑性変形可能な材料からなる1対の脚部と、該脚部の一方の端部で互いに接合する接合部とを有し、前記開口部に沿って着脱自在に装着され、開口時に塑性変形して開口状態を維持する開口維持部材と、
前記開口部に沿って列設され、前記開口維持部材の脚部が着脱自在に挿通される複数の脚部挿通孔とを備え、
前記複数の脚部挿通孔のうち、前記接合部と反対側の端部に形成された脚部挿通孔は、他の脚部挿通孔よりも小型に形成され、
前記脚部は、前記接合部と反対側の端部に細幅部を介して連接され、前記小型に形成された脚部挿通孔を挿通可能であるとともに該脚部挿通孔に係合して抜け止めする係合部を備えることを特徴とする組織回収袋。
A bag-like body made of a thin and flexible resin that accommodates tissue excised in endoscopic surgery, a plurality of string-through holes arranged on the edge of the opening of the bag-like body, and the string-through holes In a tissue collection bag that is inserted and has a closing string that allows the opening of the bag-like body to be opened and closed, accommodated in the bag-like body, removed from the body, and collected,
It has a pair of legs made of a plastically deformable material and a joint that joins at one end of the legs, and is detachably mounted along the opening, and is plastically deformed when opened. An opening maintaining member that maintains the open state ,
A plurality of leg insertion holes that are arranged along the opening and through which the legs of the opening maintaining member are detachably inserted;
Of the plurality of leg insertion holes, the leg insertion hole formed at the end opposite to the joint is formed smaller than the other leg insertion holes,
The leg portion is connected to an end portion on the opposite side to the joint portion via a narrow width portion, and can be inserted through the small leg insertion hole and engages with the leg insertion hole. A tissue collection bag comprising an engaging portion for preventing the removal .
請求項記載の組織回収袋において、前記脚部挿通孔は、前記開口部と前記紐通し孔と
の間に設けられることを特徴とする組織回収袋。
The tissue collection bag according to claim 1 , wherein the leg insertion hole is provided between the opening and the string passage hole.
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