JP6251182B2 - Small surgical pad and method for manufacturing the same - Google Patents

Small surgical pad and method for manufacturing the same Download PDF

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JP6251182B2
JP6251182B2 JP2014550166A JP2014550166A JP6251182B2 JP 6251182 B2 JP6251182 B2 JP 6251182B2 JP 2014550166 A JP2014550166 A JP 2014550166A JP 2014550166 A JP2014550166 A JP 2014550166A JP 6251182 B2 JP6251182 B2 JP 6251182B2
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yarn
pad
drawn
thread
welded
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JPWO2014084146A1 (en
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徹也 小澤
徹也 小澤
信久 清家
信久 清家
強 平野
強 平野
雅喜 川端
雅喜 川端
武之 濱口
武之 濱口
麻衣 谷口
麻衣 谷口
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Kawamoto Corp
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    • DTEXTILES; PAPER
    • D02YARNS; MECHANICAL FINISHING OF YARNS OR ROPES; WARPING OR BEAMING
    • D02GCRIMPING OR CURLING FIBRES, FILAMENTS, THREADS, OR YARNS; YARNS OR THREADS
    • D02G3/00Yarns or threads, e.g. fancy yarns; Processes or apparatus for the production thereof, not otherwise provided for
    • D02G3/22Yarns or threads characterised by constructional features, e.g. blending, filament/fibre
    • D02G3/38Threads in which fibres, filaments, or yarns are wound with other yarns or filaments, e.g. wrap yarns, i.e. strands of filaments or staple fibres are wrapped by a helically wound binder yarn
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/36Surgical swabs, e.g. for absorbency or packing body cavities during surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/44Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators with radio-opaque material or signalling means for residual material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L17/00Materials for surgical sutures or for ligaturing blood vessels ; Materials for prostheses or catheters
    • A61L17/14Post-treatment to improve physical properties
    • A61L17/145Coating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L31/18Materials at least partially X-ray or laser opaque
    • DTEXTILES; PAPER
    • D02YARNS; MECHANICAL FINISHING OF YARNS OR ROPES; WARPING OR BEAMING
    • D02GCRIMPING OR CURLING FIBRES, FILAMENTS, THREADS, OR YARNS; YARNS OR THREADS
    • D02G3/00Yarns or threads, e.g. fancy yarns; Processes or apparatus for the production thereof, not otherwise provided for
    • D02G3/44Yarns or threads characterised by the purpose for which they are designed
    • D02G3/441Yarns or threads with antistatic, conductive or radiation-shielding properties
    • DTEXTILES; PAPER
    • D10INDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
    • D10BINDEXING SCHEME ASSOCIATED WITH SUBLASSES OF SECTION D, RELATING TO TEXTILES
    • D10B2509/00Medical; Hygiene
    • D10B2509/02Bandages, dressings or absorbent pads

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Textile Engineering (AREA)
  • Mechanical Engineering (AREA)
  • Materials Engineering (AREA)
  • Chemical & Material Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Materials For Medical Uses (AREA)
  • Yarns And Mechanical Finishing Of Yarns Or Ropes (AREA)

Description

本発明は、例えば脳外科手術や整形外科手術の際に用いる糸、当該糸を使用した手術用小型パッド及び血管テープであって、X線造影等により体内での存在を見出すことの可能な、即ち遺残防止に寄与し得る糸、手術用小型パッド及び血管テープに関するものである。   The present invention is, for example, a thread used in brain surgery or orthopedic surgery, a small surgical pad and a vascular tape using the thread, and the presence in the body can be found by X-ray imaging or the like. The present invention relates to a thread, a small surgical pad, and a vascular tape that can contribute to the prevention of leftovers.

外科手術の際には、出血の抑制、体液や生理食塩水の吸収、擦過傷・乾燥・汚染からの器官の保護等の目的で多数のガーゼが使用される。これらのガーゼが体内に残ると、例えば痛みや違和感或いは微熱等、様々な身体の不調を招くだけでなく、当該臓器のみならず隣接臓器に悪影響を及ぼすこともあり、ガーゼの遺残部位によっては、消化器系、循環器系、呼吸器系、脳・神経系、骨格系などに対して予測不能の長期的障害を与え、時には感染症を惹起することもある。また、免疫不全の遠因となることもある。このような虞があることから、手術終了に際しては全てのガーゼを体外へ取り出すことが不可欠である。   During surgery, a number of gauze is used for the purpose of suppressing bleeding, absorbing bodily fluids and physiological saline, protecting organs from abrasions, dryness and contamination. If these gauze remain in the body, not only will it cause various physical problems such as pain, discomfort, or slight fever, but it may adversely affect not only the organ but also the adjacent organs. It causes unpredictable long-term damage to the digestive system, circulatory system, respiratory system, brain / nervous system, skeletal system, etc., and sometimes causes infection. It may also be a remote cause of immune deficiency. Because of this concern, it is essential to remove all gauze from the body at the end of the surgery.

そこで手術においては、ガーゼを構成する経糸の1本を造影糸に代えて織り込んだガーゼが用いられることがあり、手術終盤の手術部位を閉じる前にX線造影(レントゲン撮影)を行って、映し出された造影糸を手がかりにガーゼの残留の有無を確認し、発見したものを全て取り除くという方法が採用されることが多くなっている。   Therefore, in surgery, gauze that weaves one of the warps constituting gauze in place of the contrast yarn may be used, and X-ray contrast (X-ray imaging) is performed before closing the surgical site at the end of the surgery. Increasingly, a method is used in which the presence of gauze is checked using the contrasted thread as a clue, and all found ones are removed.

造影糸としては、ポリプロピレン、ポリスチレン系樹脂に硫酸バリウムを練り込んだマルチフィラメント、又はポリ塩化ビニルやシリコン系樹脂に硫酸バリウムを練り込んだ糸状体が用いられている(例えば、特許文献1参照)。これらの樹脂系素材は吸水性に乏しく血液に染まらないことから、ガーゼ本体が血液で染まっていても、例えば青色に染着した造影糸であれば肉眼でも視認し易いという利点がある。肉眼でも発見できないものはX線造影によって検出することができる。   As the contrast yarn, a multifilament in which barium sulfate is kneaded into polypropylene or polystyrene resin, or a filamentous body in which barium sulfate is kneaded into polyvinyl chloride or silicon resin is used (for example, see Patent Document 1). . Since these resin-based materials are poor in water absorption and do not stain blood, there is an advantage that even if the gauze body is stained with blood, for example, if it is a contrasting thread dyed blue, it is easily visible with the naked eye. Things that cannot be detected with the naked eye can be detected by X-ray imaging.

また特許文献2には、ガーゼの繊維がほつれてX線造影糸が外れることを防ぐためのX線造影糸入りガーゼが記載されている。具体的には、織布又は不織布に、熱可塑性繊維を含むX線造影糸を溶着固定することにより、X線造影糸の抜け落ちを防止している。さらに、不織布と不織布との間にX線造影糸を挟んでサンドイッチ状態にして、ウォータージェット等の水圧でX線造影糸を挟み込みながら不織布を合着することによって、X線造影糸の抜け落ち防止を図るものもある。   Patent Document 2 describes a gauze containing an X-ray contrast yarn for preventing the fiber of the gauze from fraying and removing the X-ray contrast yarn. Specifically, the X-ray contrast yarn is prevented from falling off by welding and fixing the X-ray contrast yarn containing the thermoplastic fiber to the woven or non-woven fabric. Furthermore, the X-ray contrast yarn is sandwiched by sandwiching the X-ray contrast yarn between the non-woven fabric, and the non-woven fabric is bonded while the X-ray contrast yarn is sandwiched by water pressure such as a water jet to prevent the X-ray contrast yarn from falling off. There are things to plan.

また特許文献3には、糸(locator string)が取り付けられた吸収性織布が開示されている。この糸は、5本のモノフィラメント(X線造影糸)を束ねたものに糸を螺旋状に巻き付けて構成される(特許文献3の図3)。なお上記モノフィラメントを熱などで結束させることが好ましいと記載されている。   Patent Document 3 discloses an absorbent woven fabric to which a locator string is attached. This yarn is configured by spirally winding a yarn around a bundle of five monofilaments (X-ray contrast yarn) (FIG. 3 of Patent Document 3). It is described that the monofilament is preferably bundled by heat or the like.

特開2003−319966号公報JP 2003-319966 A 特開2005−177034号公報Japanese Patent Application Laid-Open No. 2005-177034 米国特許第5112325号明細書US Pat. No. 5,112,325

しかしながら、上記特許文献2のX線造影糸入りガーゼでは、ガーゼの一端から他端に亘ってX線造影糸が溶着されているので、ガーゼ全体に占める溶着部分の割合が大きくなる。この溶着部分は硬直性を有するから、特許文献2のガーゼは臓器に損傷を与える可能性が非常に高い。また、ウォータージェットの水圧でX線造影糸を挟み込む方法ではX線造影糸の抜け落ちを防止する目的で、相当の水圧を用いてX線造影糸の挟み込みを強固にするが、この水圧により不織布の厚みが著しく薄くなってしまうので、不織布本来の吸水性や柔軟性が減少してしまう。さらに、上記特許文献3の位置決め糸は、複数(実施例では5本)のモノフィラメントを熱などで結束させた構成であることから、柔軟性が欠如していると考えられる。
また、手術中に血管等を識別したり、血管を牽引したり、組織の一時的な保持などに用いられる血管テープにおいても、上記手術用小型パッドと同様の事情がある。
However, in the gauze containing the X-ray contrast yarn of Patent Document 2, since the X-ray contrast yarn is welded from one end to the other end of the gauze, the ratio of the welded portion in the entire gauze is increased. Since this welded portion has rigidity, the gauze of Patent Document 2 is very likely to damage the organ. In addition, in the method of sandwiching the X-ray contrast yarn with the water pressure of the water jet, for the purpose of preventing the X-ray contrast yarn from falling off, the sandwich of the X-ray contrast yarn is strengthened using a considerable water pressure. Since thickness will become remarkably thin, the original water absorption and a softness | flexibility of a nonwoven fabric will reduce. Furthermore, since the positioning yarn of Patent Document 3 has a configuration in which a plurality of monofilaments (5 in the embodiment) are bundled by heat or the like, it is considered that flexibility is lacking.
In addition, blood vessel tape used for identifying blood vessels and the like during surgery, pulling blood vessels, and temporarily holding tissues has the same situation as the above-described small surgical pad.

本発明は上記のような事情に鑑みてなされたものであり、臓器に損傷を与える虞を低くでき、吸水性及び柔軟性を保持する手術用小型パッド、血管テープ、及びこれらに用いられる糸を提供することを目的とする。   The present invention has been made in view of the circumstances as described above, and it is possible to reduce the risk of damaging an organ, and to provide a small surgical pad, vascular tape, and thread used for these that retain water absorption and flexibility. The purpose is to provide.

本発明に係る糸は、X線非透過性物質を含有するフィラメントからなる芯糸に被覆用繊維を巻き付けてなるカバードヤーンの複数本を組み紐にして構成されたことを要旨とする。   The gist of the yarn according to the present invention is that a plurality of covered yarns obtained by winding a covering fiber around a core yarn made of a filament containing an X-ray non-transparent substance is formed by braiding.

本発明の糸において、前記フィラメントと前記被覆用繊維との融点差が、30〜200℃であることが好ましい。   In the yarn of the present invention, the melting point difference between the filament and the covering fiber is preferably 30 to 200 ° C.

本発明の糸において、前記芯糸として、複数のフィラメントを束ね合わせて構成されたマルチフィラメントを用いることができる。   In the yarn of the present invention, a multifilament configured by bundling a plurality of filaments can be used as the core yarn.

本発明の糸において、前記マルチフィラメントを、2〜50本のフィラメントを束ね合わせて構成することができ、該マルチフィラメントが100〜1500dtexの繊度を有することが好ましい。   In the yarn of the present invention, the multifilament can be constituted by bundling 2 to 50 filaments, and the multifilament preferably has a fineness of 100 to 1500 dtex.

本発明の糸において、前記芯糸として、30〜750dtexの繊度を有するモノフィラメントを用いることができる。   In the yarn of the present invention, a monofilament having a fineness of 30 to 750 dtex can be used as the core yarn.

本発明の糸において、前記フィラメントとして、ポリエチレン、ポリプロピレン、ポリ塩化ビニル、及びポリスチレンから選択される1以上を含むものを用いることができる。   In the yarn of the present invention, a filament containing one or more selected from polyethylene, polypropylene, polyvinyl chloride, and polystyrene can be used as the filament.

本発明の糸において、前記被覆用繊維として、ポリエチレンテレフタレート、ナイロン、及びポリブチレンテレフタレートから選択される1以上を含むものを用いることができる。   In the yarn of the present invention, as the covering fiber, one containing at least one selected from polyethylene terephthalate, nylon, and polybutylene terephthalate can be used.

本発明に係る手術用小型パッドは、1枚の不織布からなる若しくは複数枚の不織布が積層されてなる、又は1枚若しくは複数枚の不織布と1枚若しくは複数枚の織物とが積層されてなる吸収性パッド本体を備え、該パッド本体に上記糸が接合されたことを要旨とする。   The small surgical pad according to the present invention is composed of one non-woven fabric or a laminate of a plurality of non-woven fabrics, or an absorption comprising a laminate of one or a plurality of non-woven fabrics and one or a plurality of fabrics. The gist of the present invention is that the yarn is joined to the pad body.

本発明の手術用小型パッドにおいて、前記吸収性パッド本体が、前記複数枚の不織布を合成繊維、天然繊維、再生繊維、又は半合成繊維からなる縫い糸で縫い付けられたものからなり、上記糸の一部が前記縫い糸の全部又は一部に溶着されることが好ましい。   In the small surgical pad of the present invention, the absorbent pad body is formed by sewing the plurality of nonwoven fabrics with a sewing thread made of synthetic fiber, natural fiber, regenerated fiber, or semi-synthetic fiber. It is preferable that a part is welded to all or a part of the sewing thread.

本発明の手術用小型パッドにおいて、上記糸の一部を前記吸収性パッド本体に縫合して接合することができる。
本発明の手術用小型パッドにおいて、上記糸の一部を前記吸収性パッド本体に糊付けして接合することができる。
In the small surgical pad of the present invention, a part of the thread can be sewn and joined to the absorbent pad main body.
In the small surgical pad of the present invention, a part of the thread can be glued and bonded to the absorbent pad main body.

本発明に係る血管テープは、上記糸を使用したことを要旨とする。
本発明の血管テープにおいて、前記糸は、奇数打ちの平組であることが好ましい。
The vascular tape according to the present invention is characterized by using the above thread.
In the vascular tape of the present invention, it is preferable that the yarn is an odd-numbered flat set.

本発明に係る糸によれば、X線非透過性物質を含有する芯糸に被覆用繊維を巻き付けてなるカバードヤーンの複数本を組み紐にして構成することにより、硬直となることを抑えて曲げ剛性を低くすることができ、高い柔軟性を持たせることができる。   According to the yarn according to the present invention, by forming a plurality of covered yarns obtained by wrapping a covering fiber around a core yarn containing an X-ray impermeable substance as a braid, it is possible to suppress bending and prevent bending. The rigidity can be lowered and high flexibility can be provided.

本発明に係る手術用小型パッドによれば、上記糸を引出糸として採用することにより、該引出糸が臓器などに損傷を与えることを防ぐことができる。また、引出糸が高い柔軟性を備えるので、該引出糸を取り付けた部分(パッドの部分)の柔軟性が損なわれることもない。   According to the small surgical pad according to the present invention, it is possible to prevent the drawn thread from damaging an organ or the like by employing the thread as the drawn thread. Further, since the drawn yarn has high flexibility, the flexibility of the portion (pad portion) to which the drawn yarn is attached is not impaired.

また、従来のようにX線造影糸をパッドに挟み込む必要がないので、該X線造影糸によりパッドが硬くなることがない。従って、本発明の手術用小型パッドは引出糸の取り付け部及び原反部ともに柔軟性を有するので、臓器保護性に極めて優れている。さらに、このような臓器保護性を有する手術用小型パッドを、臓器の乾燥防止手段としても用いることが可能である。   In addition, since it is not necessary to sandwich the X-ray contrast thread between the pads as in the prior art, the pad is not hardened by the X-ray contrast threads. Therefore, the small surgical pad of the present invention is very excellent in organ protection because both the attached portion of the drawn-out thread and the original fabric portion are flexible. Furthermore, such a small surgical pad having organ-protecting properties can be used as a means for preventing dryness of the organ.

また、上記引出糸の芯糸にX線非透過性物質を含有させることで、該引出糸にX線造影糸の機能を付与することができる。その為、X線造影糸と引出糸を別々に設ける必要がなくなる。   In addition, the function of the X-ray contrast yarn can be imparted to the drawn yarn by including an X-ray impermeable substance in the core yarn of the drawn yarn. Therefore, it is not necessary to provide the X-ray contrast yarn and the drawn yarn separately.

本発明に係る血管テープによれば、上記糸を使用することにより、X線造影機能を備えつつ、血管テープが臓器などに損傷を与えることを防ぐことができる。また、該血管テープにおいて、使用する糸が組み紐なので、強度と柔軟性とを十分に兼ね備えることができる。また本発明の血管テープにおいて、前記糸を、奇数打ちの平組とすることにより、使い勝手を良くすることができる。   According to the vascular tape concerning the present invention, by using the above-mentioned thread, it is possible to prevent the vascular tape from damaging an organ or the like while having an X-ray contrast function. Moreover, in this blood vessel tape, since the thread | yarn to be used is a braid, it can fully have intensity | strength and a softness | flexibility. Further, in the vascular tape of the present invention, the thread can be made into an odd-numbered flat group to improve usability.

本発明に係る手術用小型パッドを示す斜視図である。It is a perspective view which shows the small surgical pad which concerns on this invention. 吸収性パッド本体に取り付けられる引出糸の写真である。It is a photograph of the drawn-out yarn attached to an absorptive pad main body. カバードヤーンを示す斜視図である。It is a perspective view which shows a covered yarn. (a)〜(c)は組み紐の製法を示す説明図である。(A)-(c) is explanatory drawing which shows the manufacturing method of a braid. 比較例1の引出糸を示す写真である。3 is a photograph showing a drawn yarn of Comparative Example 1. 曲げ剛性測定試験の結果を示すグラフである。It is a graph which shows the result of a bending rigidity measurement test. 実施例2について、(a)は溶着面側(図1の紙面表側)から撮影した3Dデータに係るX線CT画像であり、(b)は不織布面側(図1の紙面裏側)から撮影した3Dデータに係るX線CT画像である。About Example 2, (a) is an X-ray CT image related to 3D data photographed from the welding surface side (the front surface side of FIG. 1), and (b) is photographed from the nonwoven fabric surface side (the back surface of the paper surface in FIG. 1). It is an X-ray CT image concerning 3D data. 実施例4について、(a)は溶着面側から撮影した3Dデータに係るX線CT画像であり、(b)は不織布面側から撮影した3Dデータに係るX線CT画像である。Regarding Example 4, (a) is an X-ray CT image related to 3D data imaged from the welding surface side, and (b) is an X-ray CT image related to 3D data imaged from the nonwoven fabric surface side. 比較例2について、(a)は溶着面側から撮影した3Dデータに係るX線CT画像であり、(b)は不織布面側から撮影した3Dデータに係るX線CT画像である。Regarding Comparative Example 2, (a) is an X-ray CT image related to 3D data imaged from the welding surface side, and (b) is an X-ray CT image related to 3D data imaged from the nonwoven fabric surface side. 比較例4について、(a)は溶着面側から撮影した3Dデータに係るX線CT画像であり、(b)は不織布面側から撮影した3Dデータに係るX線CT画像である。Regarding Comparative Example 4, (a) is an X-ray CT image related to 3D data imaged from the welding surface side, and (b) is an X-ray CT image related to 3D data imaged from the nonwoven fabric surface side. 引張試験の結果を示すグラフである。It is a graph which shows the result of a tension test. (a)は実施例2の引張試験後の引出糸の状態を示す写真であり、(b)は実施例3の同状態を示す写真であり、(c)は比較例2の同状態を示す写真である。(A) is a photograph showing the state of the drawn yarn after the tensile test of Example 2, (b) is a photograph showing the same state of Example 3, and (c) is the same state of Comparative Example 2. It is a photograph. 圧力分布試験の様子を示す図面代用写真である。It is a drawing substitute photograph which shows the mode of a pressure distribution test. (a)〜(h)はそれぞれ実施例5及び比較例5〜11において用いた手術用小型パッドを示す図面代用写真である。(A)-(h) is drawing substitute photograph which shows the small surgical pad used in Example 5 and Comparative Examples 5-11, respectively. (a),(b)は実施例5の圧力分布図であり、(c),(d)は比較例5の圧力分布図であり、(e),(f)は比較例6の圧力分布図である。(A), (b) is a pressure distribution figure of Example 5, (c), (d) is a pressure distribution figure of Comparative Example 5, (e), (f) is a pressure distribution of Comparative Example 6. FIG. (a),(b)は比較例7の圧力分布図であり、(c),(d)は比較例8の圧力分布図であり、(e),(f)は比較例9の圧力分布図である。(A), (b) is a pressure distribution figure of comparative example 7, (c), (d) is a pressure distribution figure of comparative example 8, (e), (f) is a pressure distribution of comparative example 9. FIG. (a),(b)は比較例10の圧力分布図であり、(c)は比較例11の圧力分布図である。(A), (b) is a pressure distribution figure of the comparative example 10, (c) is a pressure distribution figure of the comparative example 11. FIG.

以下、図面に示した実施の形態に基づいて本発明を詳細に説明する。
図1において、本発明に係る手術用小型パッド10は、例えばキュプラレーヨンを素材とした不織布が複数枚積層されてなる吸収性パッド本体1に引出糸3が取り付けられたものである。なお図1では、吸収性パッド本体1が複数枚の不織布から構成されたものを図示したが、1枚の不織布で構成することもできる。また、1枚若しくは複数枚の不織布と1枚若しくは複数枚の織物とを積層することにより吸収性パッド本体1を構成することもできる。また、同図で引出糸3の取り付けを溶着で行ったものを図示しているが、該溶着に代えて縫合又は糊付け等の他の接合方法で行うこともできる。
Hereinafter, the present invention will be described in detail based on the embodiments shown in the drawings.
In FIG. 1, a small surgical pad 10 according to the present invention is one in which a drawn yarn 3 is attached to an absorbent pad main body 1 in which a plurality of nonwoven fabrics made of, for example, cupra rayon are laminated. In FIG. 1, the absorbent pad main body 1 is illustrated as being composed of a plurality of nonwoven fabrics, but may be composed of a single nonwoven fabric. Moreover, the absorptive pad main body 1 can also be comprised by laminating | stacking 1 sheet or several sheets of nonwoven fabric, and 1 sheet or several sheets of fabric. Further, in the same figure, the drawn yarn 3 attached by welding is shown, but it can be replaced by other joining methods such as sewing or gluing instead of the welding.

引出糸3は吸収性パッド本体1を体腔内から体外へ取り出す為のものであり、遺残事故の防止を図ることができる。上記不織布の積層枚数は例えば2〜6枚にする等、任意に設定できる。これら複数の不織布をその幅方向のほぼ中央部分を該不織布の長さ方向に亘って縫い糸2で縫い付けることにより、不織布が積層された吸収性パッド本体1を構成できる。吸収性パッド本体1の通常時の厚みは0.5〜1.5mmであり、湿潤時の厚みは0.3〜1.0mmである。   The drawn-out yarn 3 is for taking out the absorbent pad main body 1 from the body cavity to the outside of the body, and can prevent a residual accident. The number of laminated nonwoven fabrics can be arbitrarily set, for example, 2-6. The absorbent pad main body 1 in which the nonwoven fabrics are laminated can be formed by sewing the plurality of nonwoven fabrics with a sewing thread 2 at substantially the center in the width direction of the nonwoven fabrics. The normal thickness of the absorbent pad body 1 is 0.5 to 1.5 mm, and the wet thickness is 0.3 to 1.0 mm.

縫い糸2としては、合成繊維、天然繊維、再生繊維、又は半合成繊維からなるものを用いることができる。上記合成繊維の例としてはPET(ポリエチレンテレフタレート)、PP(ポリプロピレン)、及びナイロン等を挙げることができ、天然繊維の例としては綿及び麻等を挙げることができ、再生繊維の例としてはレーヨン、ビスコースレーヨン、及びキュプラレーヨン等を挙げることができ、半合成繊維の例としてはアセテート等を挙げることができる。   As the sewing thread 2, one made of synthetic fiber, natural fiber, regenerated fiber, or semi-synthetic fiber can be used. Examples of the synthetic fibers include PET (polyethylene terephthalate), PP (polypropylene), and nylon. Examples of natural fibers include cotton and linen. Examples of regenerated fibers include rayon. , Viscose rayon, and cupra rayon. Examples of semi-synthetic fibers include acetate.

複数の不織布はニードルパンチにより互いに押し付けられて積層されることが望ましい。ウォータージェットで圧縮形成したパッドよりも吸収性パッド本体全体の柔軟性と吸水性を確保できると共に、各不織布が剥れる可能性を低くする為である。   It is desirable that the plurality of nonwoven fabrics be pressed against each other by a needle punch and stacked. This is because it is possible to ensure the flexibility and water absorption of the entire absorbent pad body and to reduce the possibility that each nonwoven fabric will peel off rather than the pad formed by compression with a water jet.

吸収性パッド本体1の大きさは、例えば幅5mm〜30mm×長さ5mm〜60mmであり、本発明に係る手術用小型パッド10は特に脳外科手術や整形外科手術のように細かい部分に対して手術を行う際に用いることでそのメリットを最大限に発揮できるが、大きさは上記に限定されず、従って適用部位も限定されない。   The size of the absorbent pad main body 1 is, for example, 5 mm to 30 mm wide × 5 mm to 60 mm long, and the small surgical pad 10 according to the present invention is operated on a fine part, particularly in brain surgery or orthopedic surgery. However, the size is not limited to the above, and the application site is not limited.

吸収性パッド本体1において引出糸3が取り付けられた面と反対側の面を吸水側とすることが好ましい。この反対側の面には引出糸3が存在しない為、吸収性パッド本体1の吸水性を高く保つことができると共に、吸収性パッド本体1の柔軟性も高く保てる。   In the absorbent pad main body 1, the surface opposite to the surface on which the drawn yarn 3 is attached is preferably the water absorption side. Since the withdrawal yarn 3 does not exist on the opposite surface, the water absorption of the absorbent pad body 1 can be kept high, and the flexibility of the absorbent pad body 1 can be kept high.

引出糸3を溶着で取り付ける際には、該引出糸3の一部が縫い糸2の全部又は一部に溶着されることが望ましい。後で詳述する様に引出糸3にはPP製のフィラメントを用いることができ、溶着により該フィラメントが溶け込んで縫い糸2に絡み付くので、糸外れが起き難くなる為である。図1において、引出糸3が溶着される部分の長さLは、吸収性パッド本体1の一端を基準として1〜10mmであることが好ましく、3〜10mmであることがより好ましい。引出糸3の糸外れを防止できる範囲内で引出糸3の溶着領域を小さくすることにより、吸収性パッド本体1の柔軟性を確保する為である。なお引出糸3を縫合する場合でも、縫合部分の長さを上記長さLと同じにすることが望ましい。   When the drawn thread 3 is attached by welding, it is desirable that a part of the drawn thread 3 is welded to all or a part of the sewing thread 2. As will be described in detail later, a filament made of PP can be used for the drawn-out thread 3, and the filament is melted by welding and entangled with the sewing thread 2, so that it is difficult for the thread to come off. In FIG. 1, the length L of the portion where the drawn yarn 3 is welded is preferably 1 to 10 mm, more preferably 3 to 10 mm, based on one end of the absorbent pad main body 1. This is to secure the flexibility of the absorbent pad main body 1 by reducing the welding region of the drawn yarn 3 within a range in which the drawn yarn 3 can be prevented from coming off. Even when the drawn thread 3 is sutured, it is desirable that the length of the stitched portion is the same as the length L.

続いて、本発明の吸収性パッド本体1に取付けられる引出糸3について詳細に説明する。
引出糸3として、図2の様な組み紐を用いる。この組み紐は、図3に示す様なカバードヤーン4を例えば8本用意して、図4で述べる方法で組むことにより形成できる。なお8本の紐を組み紐にすることを一般に8打ちと呼ぶ。図4の組み紐の作り方は一例であって、これに何ら限定されるものではなく、他の公知の作り方によって組むこともできる。
Next, the drawn-out yarn 3 attached to the absorbent pad main body 1 of the present invention will be described in detail.
A braided string as shown in FIG. This braid can be formed by preparing, for example, eight covered yarns 4 as shown in FIG. 3 and assembling them by the method described in FIG. Note that making eight strings into braids is generally called eight strokes. The method of making the braid shown in FIG. 4 is an example, and the present invention is not limited to this, and the braid can be assembled by other known methods.

図3においてカバードヤーン4は、X線非透過性物質(硫酸バリウム等)を練り込んだPP製のフィラメントを例えば5本束ね合わせたマルチフィラメントからなる芯糸5(300dtex)に、被覆用繊維としてPET製の被覆糸6を巻き付けて構成できる。なお上記マルチフィラメントとしては、2〜50本のフィラメントを束ね合わせて構成し、100〜1500dtexの繊度を有するものを用いることができる。また芯糸5としてモノフィラメントを用いる場合、該モノフィラメントの繊度を30〜750dtexの範囲にすることができる。   In FIG. 3, the covered yarn 4 is a core fiber 5 (300 dtex) made of multifilaments in which, for example, five PP filaments kneaded with an X-ray impermeable substance (barium sulfate or the like) are used as coating fibers. A covered yarn 6 made of PET can be wound around. In addition, as said multifilament, what is comprised by bundling 2-50 filaments and having a fineness of 100-1500 dtex can be used. Moreover, when using a monofilament as the core yarn 5, the fineness of this monofilament can be made into the range of 30-750 dtex.

上記フィラメントの例としてPPを挙げ、上記被覆用繊維の例としてPETを挙げたが、該フィラメントと被覆用繊維(該フィラメントより高融点のもの)との融点差が30〜200℃であれば、これらの材料に限定されるものではない。また、上記の様に芯糸5をマルチフィラメントで構成する代わりに、モノフィラメントで構成することもできる。例えば、上記フィラメントは、ポリエチレン、ポリプロピレン、ポリ塩化ビニル、及びポリスチレンから選択される1以上を含むことが好ましい。また例えば、上記被覆用繊維は、ポリエチレンテレフタレート、ナイロン、及びポリブチレンテレフタレートから選択される1以上を含むことが好ましい。   PP is given as an example of the filament, and PET is given as an example of the covering fiber. If the melting point difference between the filament and the covering fiber (having a higher melting point than the filament) is 30 to 200 ° C, It is not limited to these materials. Further, the core yarn 5 can be formed of a monofilament instead of the multifilament as described above. For example, the filament preferably includes one or more selected from polyethylene, polypropylene, polyvinyl chloride, and polystyrene. For example, it is preferable that the coating fiber includes one or more selected from polyethylene terephthalate, nylon, and polybutylene terephthalate.

図4(a)において、8本のカバードヤーン4をそれぞれ4a〜4hとする。カバードヤーン4a〜4dを並べて配置した状態で、カバードヤーン4eを、カバードヤーン4aの上、カバードヤーン4bの下、カバードヤーン4cの上、カバードヤーン4dの下を順に通らせて配置する。カバードヤーン4fについては、カバードヤーン4aの下、カバードヤーン4bの上、カバードヤーン4cの下、カバードヤーン4dの上を順に通らせてカバードヤーン4eに並列して配置する。   In FIG. 4A, the eight covered yarns 4 are 4a to 4h, respectively. In a state where the covered yarns 4a to 4d are arranged side by side, the covered yarn 4e is arranged so as to pass through the covered yarn 4a, below the covered yarn 4b, above the covered yarn 4c, and below the covered yarn 4d. The covered yarn 4f is arranged in parallel with the covered yarn 4e through the covered yarn 4a, under the covered yarn 4b, under the covered yarn 4c, and over the covered yarn 4d in this order.

カバードヤーン4gについては、カバードヤーン4eと同様にしてカバードヤーン4fに並列して配置し、カバードヤーン4hについては、カバードヤーン4fと同様にしてカバードヤーン4gに並列して配置する。   The covered yarn 4g is arranged in parallel with the covered yarn 4f in the same manner as the covered yarn 4e, and the covered yarn 4h is arranged in parallel with the covered yarn 4g in the same manner as the covered yarn 4f.

次に、カバードヤーン4dの、他のいずれのカバードヤーンとも重なっていない部分(紙面下の部分)を図4(b)のように折り曲げて図の鎖線で示す様に最背後でクロスさせると共に、カバードヤーン4eの上、カバードヤーン4fの下、カバードヤーン4gの上、カバードヤーン4hの下を順に通らせる。   Next, the portion of the covered yarn 4d that does not overlap with any other covered yarn (the portion below the paper surface) is folded as shown in FIG. 4B and crossed at the back as shown by the chain line in the figure, The cover yarn 4e, the cover yarn 4f, the cover yarn 4g, and the cover yarn 4h are sequentially passed.

次いで、図4(c)のようにカバードヤーン4eの、他のいずれのカバードヤーンとも重なっていない部分(紙面下の部分)を折り曲げて図の鎖線で示す様に最背後でクロスさせると共に、カバードヤーン4cの上、カバードヤーン4bの下、カバードヤーン4aの上、カバードヤーン4dの下を順に通らせる。以下、同様にして図4(b),(c)の作業を繰り返すことにより組み紐が完成する。   Next, as shown in FIG. 4C, the portion of the covered yarn 4e that does not overlap with any other covered yarn (the portion below the paper surface) is bent and crossed at the back as shown by the chain line in the figure. The yarn is passed through the yarn 4c, under the covered yarn 4b, over the covered yarn 4a, and under the covered yarn 4d. Thereafter, the braid is completed by repeating the operations shown in FIGS. 4B and 4C in the same manner.

本発明によれば、複数のカバードヤーン4を組み紐にして引出糸3を形成することにより、該引出糸3が非常にしなやかになり柔軟性を持つものとなる。従って、引出糸3が臓器などに損傷を与えることを防止できる。また、引出糸3の芯糸5にX線非透過性物質を含有させることで、引出糸3にX線造影糸の機能を付与することができる。その為、X線造影糸を引出糸3とは別に設ける必要がなくなる。   According to the present invention, when the drawn yarn 3 is formed by using a plurality of covered yarns 4 as a braid, the drawn yarn 3 becomes very supple and flexible. Accordingly, it is possible to prevent the drawn yarn 3 from damaging an organ or the like. Moreover, the function of the X-ray contrast yarn can be imparted to the drawn yarn 3 by including the X-ray non-permeable substance in the core yarn 5 of the drawn yarn 3. Therefore, it is not necessary to provide an X-ray contrast yarn separately from the drawn yarn 3.

また上述の特許文献2のX線造影糸入りガーゼでは、ガーゼの一端から他端に亘ってX線造影糸が溶着されているので、ガーゼ全体に占める溶着部分の割合が大きくなりガーゼ本体が著しく硬直してしまうが、本発明では引出糸3を溶着又は縫合により吸収性パッド本体1の小領域に固定することで、引出糸3の糸外れ防止を図りつつ、吸収性パッド本体1全体のしなやかさを確保することができる。よって、パッド本体1が臓器などに損傷を与えることを防止できる。   Moreover, in the gauze containing the X-ray contrast thread of the above-mentioned patent document 2, since the X-ray contrast thread is welded from one end of the gauze to the other end, the ratio of the welded portion in the entire gauze is increased, and the gauze body is extremely rigid. However, in the present invention, the drawn-out yarn 3 is fixed to a small region of the absorbent pad main body 1 by welding or stitching, so that the drawn-out yarn 3 is prevented from coming off and the entire absorbent pad main body 1 is flexible. Can be secured. Therefore, it is possible to prevent the pad main body 1 from damaging an organ or the like.

さらに、PET製の被覆糸6を巻き付けた複数のカバードヤーン4を組み紐にして引出糸3を形成することで、20〜40本のPP製フィラメントを束ねたマルチフィラメントにPET製の被覆糸を巻き付けた従来の引出糸よりも、断面当たりのPET量を多くすることができる。従って、引出糸3の強度が強まり切れ難い。   Furthermore, the drawn yarn 3 is formed by using a plurality of covered yarns 4 around which the PET coated yarn 6 is wound to form a drawn yarn 3, thereby winding the PET coated yarn around a multifilament in which 20 to 40 PP filaments are bundled. The amount of PET per cross section can be increased as compared with the conventional drawn yarn. Therefore, the strength of the drawn-out yarn 3 is increased and is difficult to cut.

なお、上記では本発明の引出糸3を手術用小型パッドに用いたが、これに限定されるものではなく、外科手術において標的臓器又は標的外臓器(標的近傍の臓器)を圧排する際に用いられる圧排体などにも適用できる。   In the above, the drawn-out thread 3 of the present invention is used for a small surgical pad, but the present invention is not limited to this, and is used when excluding a target organ or an off-target organ (an organ near the target) in a surgical operation. It can also be applied to an extruding body.

以上が本発明を実施するための形態であり、以下、更に実施例を挙げて本発明をより具体的に説明するが、本発明はもとより上記実施形態によって制限を受けるものではなく、本発明の趣旨に適合し得る範囲で適当に変更を加えて実施することも勿論可能であり、それらはいずれも本発明の技術的範囲に包含される。   The above is a mode for carrying out the present invention, and the present invention will be described more specifically with reference to examples. However, the present invention is not limited by the above embodiment and is not limited to the above. Needless to say, the present invention can be carried out with appropriate modifications within a range that can be adapted to the spirit of the present invention, and all of them are included in the technical scope of the present invention.

本発明の引出糸の柔軟性を確認する試験として、曲げ剛性測定試験及び引張試験を行った。また引張試験を行う前の引出糸の溶着状態を確認する為、後述の実施例2,4及び比較例2,4についてX線CT撮影を行った。   As tests for confirming the flexibility of the drawn yarn of the present invention, a bending stiffness measurement test and a tensile test were performed. Further, in order to confirm the welded state of the drawn yarn before the tensile test, X-ray CT imaging was performed on Examples 2 and 4 and Comparative Examples 2 and 4 described later.

(1)曲げ剛性測定試験
組み紐からなる引出糸の曲げ剛性を測定する試験を行った(実施例1)。比較例1に係る引出糸として、図5の写真の様なX線造影糸(40本のフィラメントを束ねて構成したマルチフィラメント(3800dtex)にPET製糸を巻き付けたもの)を用いた。
(1) Flexural rigidity measurement test A test was performed to measure the flexural rigidity of the drawn yarn made of braid (Example 1). As the drawn yarn according to Comparative Example 1, an X-ray contrast yarn as shown in the photograph in FIG. 5 (a PET filament wound around a multifilament (3800 dtex) formed by bundling 40 filaments) was used.

曲げ剛性測定試験では、引出糸を一定速度で最大曲率になるまで変形させ、その間の曲げ剛性を測定した。なお、曲げ剛性の数値が高いほど硬い糸となる。試験条件は以下の通りである。   In the bending stiffness measurement test, the drawn yarn was deformed at a constant speed until the maximum curvature was reached, and the bending stiffness was measured during that time. Note that the higher the bending stiffness value, the harder the yarn. The test conditions are as follows.

試験機器:自動化純曲げ試験機(KESFB2−AUTO−A)
クランプ幅:1cm
測定数:5検体
状態:湿潤状態(精製水に浸して30分間湿潤させる)
Test equipment: Automated pure bending tester (KESFB2-AUTO-A)
Clamp width: 1cm
Number of measurements: 5 samples State: wet state (soaked in purified water for 30 minutes)

試験結果を図6に示す。図6において、比較例1の曲げ剛性の平均値は0.1045gf・cm/cmとなったが、実施例1の曲げ剛性の平均値は、比較例1の約1/2である0.0536gf・cm/cmとなった。この結果より、本発明の引出糸の柔軟性が高いことが確認された。The test results are shown in FIG. In FIG. 6, the average value of the bending rigidity of Comparative Example 1 was 0.1045 gf · cm 2 / cm, but the average value of the bending rigidity of Example 1 was about ½ that of Comparative Example 1. 0536 gf · cm 2 / cm. From this result, it was confirmed that the drawn yarn of the present invention has high flexibility.

(2)引張試験及びX線CT撮影
本発明の引出糸の溶着強度を測定する引張試験を行った。該試験では溶着強度として引張強度を測定した。なお試験条件は以下の通りである。
(2) Tensile test and X-ray CT imaging A tensile test was performed to measure the welding strength of the drawn yarn of the present invention. In this test, the tensile strength was measured as the welding strength. The test conditions are as follows.

試験機器:定速伸長型引張試験機
引張速度:100mm/min
掴み距離:15cm
測定数:5検体
状態:湿潤状態(精製水に浸して30分間湿潤させる)
Test equipment: Constant speed extension type tensile tester Tensile speed: 100 mm / min
Gripping distance: 15cm
Number of measurements: 5 samples State: wet state (soaked in purified water for 30 minutes)

各実施例及び比較例では以下のパッドを用いて引張試験を行った。また、実施例2,4及び比較例2,4においてX線CT撮影に用いた撮像機器は、TOSCANER−32300μFPD(東芝ITコントロールシステム株式会社製)であり、管電圧を160kV、管電流を80μA、出力を12.8Wとした。   In each Example and Comparative Example, a tensile test was performed using the following pads. The imaging device used for X-ray CT imaging in Examples 2 and 4 and Comparative Examples 2 and 4 is TOSCANER-32300 μFPD (manufactured by Toshiba IT Control System Co., Ltd.), the tube voltage is 160 kV, the tube current is 80 μA, The output was 12.8W.

(2−1)実施例2
縫い糸としてのPET製糸により6枚の不織布(キュプラレーヨン)を縫製し、このPET製糸の上に組み紐からなる引出糸を溶着したパッドについてX線CT撮影を行った。図7(a)は溶着面側(図1の紙面表側)から撮影した3Dデータに係るX線CT画像であり、図7(b)は不織布面側(図1の紙面裏側)から撮影した3Dデータに係るX線CT画像である。図7(b)において細かな斑点の様なものが不織布への溶け込みを表している。なお以下の図8〜図10に示すX線CT画像も同様である。
また、上記パッドを用いて引張試験を行った。
(2-1) Example 2
Six nonwoven fabrics (cupra rayon) were sewed with PET yarn as a sewing thread, and X-ray CT imaging was performed on a pad in which a drawn yarn made of braid was welded onto this PET yarn. FIG. 7A is an X-ray CT image related to 3D data photographed from the welding surface side (the front surface side of FIG. 1), and FIG. 7B is a 3D image photographed from the nonwoven fabric surface side (the back surface of the paper surface of FIG. 1). It is an X-ray CT image concerning data. In FIG.7 (b), a thing like a fine spot represents the melt | dissolution to a nonwoven fabric. The same applies to the X-ray CT images shown in FIGS.
Moreover, the tension test was done using the said pad.

(2−2)実施例3
綿糸により6枚の不織布を縫製し、この綿糸の上に組み紐からなる引出糸を溶着したパッドを用いて引張試験を行った。
(2-2) Example 3
Six nonwoven fabrics were sewed with cotton yarn, and a tensile test was performed using a pad in which a drawn yarn made of braid was welded onto the cotton yarn.

(2−3)実施例4
6枚の不織布を縫製せずに、最上層の不織布に組み紐からなる引出糸を溶着したパッドについてX線CT撮影を行った。X線CT画像を図8(a),(b)に示す。
また、上記パッドを用いて引張試験を行った。
(2-3) Example 4
X-ray CT imaging was performed on the pad in which the drawn yarn made of braid was welded to the uppermost nonwoven fabric without sewing the six nonwoven fabrics. X-ray CT images are shown in FIGS.
Moreover, the tension test was done using the said pad.

(2−4)比較例2
PET製糸により6枚の不織布を縫製し、このPET製糸の上に、比較例1と同じX線造影糸(前記の図5)からなる引出糸を溶着したパッドについてX線CT撮影を行った。X線CT画像を図9(a),(b)に示す。
また、上記パッドを用いて引張試験を行った。
(2-4) Comparative Example 2
Six nonwoven fabrics were sewed with PET yarn, and X-ray CT imaging was performed on the pad on which the drawn yarn made of the same X-ray contrast yarn as in Comparative Example 1 (FIG. 5 above) was welded. X-ray CT images are shown in FIGS. 9 (a) and 9 (b).
Moreover, the tension test was done using the said pad.

(2−5)比較例3
綿糸により6枚の不織布を縫製し、この綿糸の上に、比較例1と同じX線造影糸からなる引出糸を溶着したパッドを用いて引張試験を行った。
(2-5) Comparative Example 3
Six nonwoven fabrics were sewed with cotton yarn, and a tensile test was performed using a pad on which a drawn yarn made of the same X-ray contrast yarn as in Comparative Example 1 was welded.

(2−6)比較例4
6枚の不織布を縫製せずに、最上層の不織布に比較例1と同じX線造影糸からなる引出糸を溶着したパッドについてX線CT撮影を行った。X線CT画像を図10(a),(b)に示す。
また、上記パッドを用いて引張試験を行った。
(2-6) Comparative Example 4
X-ray CT imaging was performed on a pad in which a drawn yarn made of the same X-ray contrast yarn as in Comparative Example 1 was welded to the uppermost nonwoven fabric without sewing the six nonwoven fabrics. X-ray CT images are shown in FIGS.
Moreover, the tension test was done using the said pad.

(2−7)X線CT画像の評価
引出糸として従来のX線造影糸を用いた比較例2では、図9(b)に示す様に、該引出糸がPET縫製糸以外の部分でほぼ一様に溶け込んでいるのが確認された。
(2-7) Evaluation of X-ray CT image In Comparative Example 2 using a conventional X-ray contrast yarn as the drawn-out yarn, as shown in FIG. 9B, the drawn-out yarn is almost the portion other than the PET sewing yarn. It was confirmed that it had melted uniformly.

一方、組み紐からなる引出糸を用いた実施例2では、図7(b)に示す様に、PET縫製糸以外の部分でも溶け込み量が少ない。これはPP製のフィラメントが不織布に全て溶け込み、PPよりも高融点のPET製の被覆糸の一部又は全部が溶け込まずに残留している為と考えられる。これに加えて、引出糸がPET縫製糸と結合することにより、後でも述べるが、実施例2の引出糸の引張強度は比較例2のものより高くなったと考えられる。   On the other hand, in Example 2 using the drawn yarn made of braided cord, as shown in FIG. 7B, the amount of penetration is small even in portions other than the PET sewing yarn. This is presumably because the PP filaments are completely dissolved in the nonwoven fabric, and part or all of the PET coated yarn having a higher melting point than PP remains without being melted. In addition to this, it is considered that the tensile strength of the drawn yarn of Example 2 was higher than that of Comparative Example 2, as will be described later, by combining the drawn yarn with the PET sewing yarn.

また、引出糸として従来のX線造影糸を用いた比較例4では、図10(b)に示す様に、引出糸が一様に溶け込んでいるのが確認された。   Further, in Comparative Example 4 using a conventional X-ray contrast yarn as the drawn yarn, it was confirmed that the drawn yarn was uniformly melted as shown in FIG. 10B.

一方、組み紐からなる引出糸を用いた実施例4では、図8(b)に示す様に、上記と同様の理由で引出糸の溶け込み量が比較例4(図10(b))のものより少なくなった。   On the other hand, in Example 4 using the drawn yarn made of braid, as shown in FIG. 8 (b), the amount of the drawn yarn melted compared to that of Comparative Example 4 (FIG. 10 (b)) for the same reason as described above. Less.

(2−8)引張試験の結果
各試験結果を図11に示す。図11において、実施例2では引張強度の平均値が1006gfとなり、引張強度の平均値が530gfとなった比較例2を大きく上回った。また、実施例3では引張強度の平均値が888gfとなり、引張強度の平均値が665gfとなった比較例3を大きく上回った。これにより、従来のX線造影糸よりも本発明の組み紐からなる引出糸の方が引っ張りに強いことを確認できた。
(2-8) Results of tensile test Each test result is shown in FIG. In FIG. 11, in Example 2, the average value of tensile strength was 1006 gf, which was significantly higher than Comparative Example 2 in which the average value of tensile strength was 530 gf. Moreover, in Example 3, the average value of tensile strength was 888 gf, which was significantly higher than that of Comparative Example 3 in which the average value of tensile strength was 665 gf. Thus, it was confirmed that the drawn yarn made of the braid of the present invention was more resistant to pulling than the conventional X-ray contrast yarn.

また、実施例2と3とを比較すると、引張強度をより高くするには、引出糸をPET製糸の上に溶着するのが望ましいことが分かった。これは、溶着によって、PP製のフィラメントが不織布に全て溶け込み、PPよりも高融点のPET製の被覆糸の一部又は全部が溶け込まずに残留している為と考えられる。さらに、PET製糸で縫製を行った実施例2の方が、綿糸で縫製を行った実施例3よりも引張強度のバラツキが非常に小さくなることが確認できた。   Further, comparing Examples 2 and 3, it was found that it is desirable to weld the drawn yarn on the PET yarn in order to further increase the tensile strength. This is considered to be because all the filaments made of PP are melted into the non-woven fabric by welding, and some or all of the coated yarn made of PET having a melting point higher than PP is left undissolved. Furthermore, it was confirmed that the variation in tensile strength was much smaller in Example 2 in which sewing was performed with PET yarn than in Example 3 in which sewing was performed with cotton yarn.

また実施例4及び比較例4の結果から、不織布を縫製せずに引出糸を溶着したパッドでは、引張強度については本発明の組み紐及び従来のX線造影糸共に近い値となった。   Further, from the results of Example 4 and Comparative Example 4, in the pad in which the drawn yarn was welded without sewing the nonwoven fabric, the braided cord of the present invention and the conventional X-ray contrast yarn were close to each other in terms of tensile strength.

図12(a)〜(c)に、実施例2,3及び比較例2に係る引張試験後の写真をそれぞれ示す。図12(a)から分かる様に、縫い糸は一部破断したが、引出糸は破断しないことが確認できた。また図12(b)では、不織布は一部破断したが、引出糸は破断しないことが確認できた。さらに図12(c)では、X線造影糸のPPの含有量が多くPETの含有量が少ない為、不織布へのPPの溶け込み量が過多になり、残留しているPETが少なくなるので、縫い糸や不織布の破断よりも先に該X線造影糸の破断が生じる結果となった。以上により、PET製糸による縫製及び綿糸による縫製のどちらでも、本発明の引出糸では破断を生じないことが確認された。   FIGS. 12A to 12C show photographs after tensile tests according to Examples 2 and 3 and Comparative Example 2, respectively. As can be seen from FIG. 12A, it was confirmed that the sewing thread was partially broken, but the drawn thread was not broken. In FIG. 12B, it was confirmed that the nonwoven fabric was partially broken, but the drawn yarn was not broken. Furthermore, in FIG. 12C, since the PP content of the X-ray contrast yarn is large and the PET content is small, the amount of PP dissolved into the nonwoven fabric is excessive, and the remaining PET is reduced. As a result, the X-ray contrast yarn breaks before the nonwoven fabric breaks. From the above, it was confirmed that the drawn yarn of the present invention did not break both in the sewing with PET yarn and the sewing with cotton yarn.

(3)圧力分布試験
手術用小型パッドの臓器保護性を検証するため、該パッドに圧力を負荷したときの圧力分布を測定する試験を行った。圧力分布試験においては、図13に示すように、ゴムマットの上にセンサシートを配設し、そのセンサシートの上に、食塩水(0.9w/v%)で湿潤させたパッドを載置する。この状態のパッドの上に、50gf/cmの錘(φ2.5cm)を載せ、圧力分布を調査した。なお、圧力試験には、面圧力分布測定システムI−SCAN(ニッタ株式会社製)を使用した。
(3) Pressure distribution test In order to verify the organ protection of the small surgical pad, a test was performed to measure the pressure distribution when pressure was applied to the pad. In the pressure distribution test, as shown in FIG. 13, a sensor sheet is disposed on a rubber mat, and a pad moistened with saline (0.9 w / v%) is placed on the sensor sheet. . A 50 gf / cm 2 weight (φ2.5 cm) was placed on the pad in this state, and the pressure distribution was investigated. In addition, the surface pressure distribution measuring system I-SCAN (made by Nitta Corporation) was used for the pressure test.

上記センサシートでは、行方向に配列された銀電極を備えたPET製の第1フィルムと列方向に配列された銀電極を備えたPET製の第2フィルムとが対向配置された構成において圧力が負荷されると、銀電極同士の接触点がセンシングポイントとなって、電気抵抗値が変化するようになっている。なお、銀電極には感圧導電性インクがコーティングされている。   In the sensor sheet, pressure is applied in a configuration in which a first PET film having silver electrodes arranged in a row direction and a second film made of PET having silver electrodes arranged in a column direction are arranged to face each other. When loaded, the contact point between the silver electrodes becomes a sensing point, and the electrical resistance value changes. The silver electrode is coated with pressure sensitive conductive ink.

図14(a)は実施例5の手術用小型パッド(図1と同じもの)を示す写真であり、図14(b)〜(h)はそれぞれ比較例5〜11の小型パッドを示す写真である。なお、表1に実施例5及び比較例5〜11の小型パッドについて、湿潤状態での厚み、引出糸とパッドとの接合方法、及びX線造影性を示す。なお、表1のX線造影性について、「パッドに挟む」とはX線造影糸がパッドに挟まれた状態のものを意味し、「パッドに溶着」とはX線造影糸がパッドの表面に溶着された状態のものを意味している。   14 (a) is a photograph showing a small surgical pad of Example 5 (the same as FIG. 1), and FIGS. 14 (b) to 14 (h) are photographs showing small pads of Comparative Examples 5 to 11, respectively. is there. Table 1 shows the thickness in the wet state, the joining method between the drawn yarn and the pad, and the X-ray contrast properties of the small pads of Example 5 and Comparative Examples 5 to 11. Regarding the X-ray contrast properties in Table 1, “pinned between pads” means that the X-ray contrast yarn is sandwiched between pads, and “welded to the pad” means that the X-ray contrast yarn is on the surface of the pad. It means the one that is welded to.

図15(a),(b)は実施例5の圧力分布図であり、図15(c),(d)は比較例5の圧力分布図であり、図15(e),(f)は比較例6の圧力分布図である。また、図16(a),(b)は比較例7の圧力分布図であり、図16(c),(d)は比較例8の圧力分布図であり、図16(e),(f)は比較例9の圧力分布図である。さらに、図17(a),(b)は比較例10の圧力分布図であり、図17(c)は比較例11の圧力分布図である。図15〜図17中の原反部は、パッドの中央部に圧力を負荷したときの圧力分布を示し、同図の接合部は、パッドと引出糸との接合部分に圧力を負荷したときの圧力分布を示している。なお、上記何れの図においても圧力数値の単位は、kgf/cmである。15 (a) and 15 (b) are pressure distribution diagrams of Example 5, FIGS. 15 (c) and 15 (d) are pressure distribution diagrams of Comparative Example 5, and FIGS. 15 (e) and 15 (f) are diagrams. 10 is a pressure distribution diagram of Comparative Example 6. FIG. 16 (a) and 16 (b) are pressure distribution diagrams of Comparative Example 7, and FIGS. 16 (c) and 16 (d) are pressure distribution diagrams of Comparative Example 8, and FIGS. ) Is a pressure distribution diagram of Comparative Example 9. Further, FIGS. 17A and 17B are pressure distribution diagrams of Comparative Example 10, and FIG. 17C is a pressure distribution diagram of Comparative Example 11. The raw fabric portion in FIGS. 15 to 17 shows the pressure distribution when pressure is applied to the center portion of the pad, and the joint portion in the figure is when pressure is applied to the joint portion between the pad and the drawn yarn. The pressure distribution is shown. In any of the above figures, the unit of the pressure numerical value is kgf / cm 2 .

図15(a),(b)に示すように、本発明の小型パッドにおいては圧力が一様に分布していることが確認できた。特に図15(b)の圧力分布が一様なのは、本発明の小型パッドが、引出糸とパッドとの接合が溶着によって片面のみ(縫製のように貫通していない)である為だと考えられる。また、本発明の小型パッドは嵩高いものであるので、引出糸の溶着部分の立体障害が該パッドの嵩高さで緩和されたことも考えられる。以上により、本発明の小型パッドの、引出糸の接合面と逆側面が臓器に負荷を与えることは少ないと考えられる。   As shown in FIGS. 15A and 15B, it was confirmed that the pressure was uniformly distributed in the small pad of the present invention. In particular, the pressure distribution in FIG. 15 (b) is uniform because the small pad of the present invention has only one side (not penetrated as in the case of sewing) due to welding of the drawn thread and the pad. . In addition, since the small pad of the present invention is bulky, it is considered that the steric hindrance of the welded portion of the drawn yarn is alleviated by the bulk of the pad. From the above, it is considered that the joint surface and the opposite side surface of the drawn-out thread of the small pad of the present invention do not exert a load on the organ.

これに対して、比較例5の小型パッドについては、図15(c),(d)に示すように、水平線状に圧力集中領域が確認された。パッドに挟み込まれたX線造影糸、及び引出糸が立体障害となり、圧力分布が集中したと考えられる。   On the other hand, with respect to the small pad of Comparative Example 5, as shown in FIGS. 15C and 15D, a pressure concentration region was confirmed in a horizontal line shape. It is considered that the X-ray contrast yarn and the drawn yarn sandwiched between the pads became steric hindrance and the pressure distribution was concentrated.

また図15(e),(f)に示すように、比較例6の小型パッドについては、比較例5ほどの圧力集中領域は確認されなかったが、引出糸とパッドとを溶着する構成が起因して、特に図15(f)の下部において比較的高い圧力分布が存在していることが確認された。   Further, as shown in FIGS. 15 (e) and 15 (f), in the small pad of Comparative Example 6, the pressure concentration region as in Comparative Example 5 was not confirmed, but due to the configuration in which the drawn yarn and the pad are welded. Thus, it was confirmed that a relatively high pressure distribution exists particularly in the lower part of FIG.

次いで図16(a),(b)に示すように、比較例7の小型パッドについては、比較例5と同じように、水平線状に圧力集中領域が確認された。パッドの湿潤状態での厚みが薄い上に、パッドに挟み込まれたX線造影糸及びパッドに縫製された引出糸が立体障害となり、圧力分布が集中したと考えられる。   Next, as shown in FIGS. 16A and 16B, in the small pad of Comparative Example 7, as in Comparative Example 5, a pressure concentration region was confirmed in a horizontal line shape. It is considered that the pressure distribution was concentrated because the X-ray contrast yarn sandwiched between the pads and the drawn yarn sewn on the pads became a steric hindrance in addition to the thin pad thickness.

続いて、比較例8の小型パッドについては、湿潤状態での厚みが薄いことから、図16(c)において上部及び下部に圧力集中領域が確認された。また、引出糸をパッドに縫製しているので、図16(d)に示すように、接合部にも水平線状の圧力集中領域が確認された。   Subsequently, for the small pad of Comparative Example 8, since the thickness in the wet state was thin, pressure concentration regions were confirmed in the upper part and the lower part in FIG. Further, since the drawn thread is sewn on the pad, a horizontal line-shaped pressure concentration region was also confirmed at the joint as shown in FIG.

また、比較例9の小型パッドについても、湿潤状態での厚みが薄いことから、図16(e)において中央部から上部に亘って圧力集中領域が確認された。また、X線造影糸を水平方向に溶着し且つ引出糸をパッドに縫製(縫合糸は垂直方向)しているので、図16(f)に示すように、水平線状及び垂直線状の圧力集中領域(T字型)が確認された。   Moreover, since the small pad of the comparative example 9 was also thin in the wet state, a pressure concentration region was confirmed from the central portion to the upper portion in FIG. Further, since the X-ray contrast thread is welded in the horizontal direction and the drawn thread is sewn to the pad (the suture thread is in the vertical direction), as shown in FIG. A region (T-shaped) was confirmed.

さらに、比較例10の小型パッドについては、比較例9の小型パッドよりも湿潤状態での厚みが大きいので、図17(a)に示すように、原反部における圧力分布は比較例9よりも緩和されていることが見受けられる。しかしながら、X線造影糸を水平方向に溶着し且つ引出糸をパッドに縫製(縫合糸は垂直方向)しているので、図17(b)に示すように、水平線状及び垂直線状の圧力集中領域(T字型)が確認された。   Furthermore, the small pad of Comparative Example 10 has a larger wet thickness than the small pad of Comparative Example 9, so that the pressure distribution in the raw fabric portion is larger than that of Comparative Example 9 as shown in FIG. It can be seen that it has been relaxed. However, since the X-ray contrast thread is welded in the horizontal direction and the drawn thread is sewn to the pad (the suture thread is in the vertical direction), as shown in FIG. A region (T-shaped) was confirmed.

また、比較例11の小型パッドについては、湿潤状態での厚みは大きいものの、2本のX線造影糸をパッドに溶着し、且つ、引出糸をパッドの長さ方向の一端側から他端側に亘って比較的長く溶着していることから、図17(c)において略矩形状の圧力集中領域が確認された。   Further, although the small pad of Comparative Example 11 is thick in the wet state, two X-ray contrast yarns are welded to the pad, and the drawn yarn is extended from one end side to the other end side in the pad length direction. As a result, the pressure concentration region having a substantially rectangular shape was confirmed in FIG.

以上のことから、本発明の手術用小型パッドを術中のクッション材として使用する際に、該パッドに対して圧力が負荷されても、パッドにおいて圧力分布が一様になるので、臓器に対して集中的な負荷を与える可能性が低いことが確認できた。したがって、本発明の手術用小型パッドは、臓器保護性においても極めて優れたものであることが証明された。   From the above, when the small surgical pad of the present invention is used as a cushioning material during surgery, even if pressure is applied to the pad, the pressure distribution is uniform in the pad, It was confirmed that the possibility of applying intensive load is low. Therefore, the small surgical pad of the present invention was proved to be extremely excellent in organ protection.

なお、本発明の引出糸3を使用して血管テープ20(図示せず)を作成することができる。ここで血管テープとは、心臓血管外科手術や胸部外科手術等の手術中に血管等を識別したり、血管を牽引したり、組織の一時的な保持などに用いられる外科用テープである。   In addition, the blood vessel tape 20 (not shown) can be created using the drawn-out yarn 3 of the present invention. Here, the vascular tape is a surgical tape used for identifying a blood vessel or the like, pulling a blood vessel, or temporarily holding a tissue during operations such as cardiovascular surgery or thoracic surgery.

血管テープ20に使用する引出糸3は、300dtexの繊度を有するマルチフィラメントとすることが好ましい。また、血管テープ20の幅は2〜6mmであることが好ましい。血管テープ20の長さは用途に応じて適当な長さにすればよいので、特に既定されない。   The drawn yarn 3 used for the vascular tape 20 is preferably a multifilament having a fineness of 300 dtex. Moreover, it is preferable that the width | variety of the vascular tape 20 is 2-6 mm. The length of the vascular tape 20 is not particularly limited because it may be an appropriate length depending on the application.

血管テープ20によれば、引出糸3を使用することにより、X線造影機能を備えつつ、血管テープが臓器などに損傷を与えることを防ぐことができる。また、血管テープ20において、使用する引出糸3が組み紐なので、強度と柔軟性とを十分に兼ね備えることができる。   According to the vascular tape 20, by using the drawn-out thread 3, it is possible to prevent the vascular tape from damaging an organ or the like while having an X-ray contrast function. Moreover, in the vascular tape 20, since the draw-out thread 3 to be used is a braid, it can have sufficient strength and flexibility.

また、引出糸3は、手術用小型パッド10に使用する際には偶数打ちの丸組であることが好ましく、血管テープ20に使用する際には奇数打ちの平組であることが好ましい。
血管テープ20において、引出糸3を奇数打ちの平組とすることにより、使い勝手を良くすることができる。
Further, the drawn yarn 3 is preferably an even-numbered round set when used for the small surgical pad 10, and is preferably an odd-numbered flat set when used for the vascular tape 20.
In the blood vessel tape 20, the usability can be improved by making the drawn yarn 3 into an odd-numbered flat group.

本願は、2012年11月28日に出願された日本国特許出願第2012−259940号に基づく優先権の利益を主張するものである。2012年11月28日に出願された日本国特許出願第2012−259940号の明細書の全内容が本願に参考のため援用される。   This application claims the benefit of priority based on Japanese Patent Application No. 2012-259940 filed on November 28, 2012. The entire contents of the specification of Japanese Patent Application No. 2012-259940 filed on November 28, 2012 are incorporated herein by reference.

本発明の手術用の糸、当該糸を使用した手術用小型パッド及び血管テープは、内視鏡手術や開腹手術(心臓血管外科手術や胸部外科手術を含む)等の種々の手術に有効に利用することができる。   The surgical thread, the small surgical pad and the vascular tape using the thread of the present invention are effectively used for various operations such as endoscopic surgery and open surgery (including cardiovascular surgery and thoracic surgery). can do.

1 吸収性パッド本体
2 縫い糸
3 引出糸(糸)
4,4a〜4h カバードヤーン
5 芯糸
6 被覆糸(被覆用繊維)
10 手術用小型パッド
20 血管テープ
1 Absorbent pad body 2 Sewing thread 3 Pull-out thread (thread)
4, 4a to 4h Covered yarn 5 Core yarn 6 Coated yarn (coating fiber)
10 Small surgical pad 20 Vascular tape

Claims (4)

吸収性パッド本体(1)の片面側の一端に引出糸(3)が溶着された手術用小型パッドの製造方法であり
線非透過性物質を含有するPP製フィラメントからなる芯糸にPET製被覆用繊維を巻き付けたカバードヤーン(4)の複数本を組紐にして引出糸(3)を構成する工程と、
出糸(3)の引張強度を高くすると同時に吸収性パッド本体(1)の柔軟性を確保するために、前記引出糸(3)の溶着部分の長さ(L)が3〜10mmであり、かつPETを全部または一部溶着させない構造となるようにPPを溶着する工程を含むことを特徴とする手術用小型パッドの製造方法。
It is a method for manufacturing a small surgical pad in which a drawn thread (3) is welded to one end of one side of the absorbent pad body (1) ,
Forming a drawn yarn (3) with a plurality of covered yarns (4) in which a PET coating fiber is wound around a core yarn made of a PP filament containing an X- ray impermeable substance ;
To ensure flexibility of the pull date (3) of the tensile strength to increase and at the same time absorbent pad body (1), the length of the welded portion of the lead thread (3) (L) is located in 3~10mm And the manufacturing method of the small pad for surgery characterized by including the process of welding PP so that it may become a structure which does not weld all or a part of PET .
吸収性パッド本体(1)が、その幅方向のほぼ中央部分を長さ方向に亘って縫製糸で縫い付けられている請求項1に記載の手術用小型パッドの製造方法。   The manufacturing method of the small pad for surgery of Claim 1 with which the absorptive pad main body (1) is sewn on the substantially center part of the width direction with the sewing thread over the length direction. 引出糸(3)が、縫製糸と結合されている請求項1または2に記載の手術用小型パッドの製造方法。   The method for manufacturing a small surgical pad according to claim 1 or 2, wherein the drawn thread (3) is combined with a sewing thread. 収性パッド本体(1)の片面側の一端に引出糸(3)が溶着された手術用小型パッドであり、引出糸(3)は、X線非透過製物質を含有するPP製フィラメントからなる芯糸にPET製被覆繊維を巻き付けたカバードヤーン(4)の複数本を組紐にして構成されており、前記引出糸(3)の溶着部分の長さ(L)を3〜10mmとしてPPを溶着し、PETを全部または一部溶着させない構造にして、引出糸(3)の引張強度を高くすると同時に吸収性パッド本体(1)の柔軟性を確保した手術用小型パッド。 Intake Osamusei lead thread on one side of one end of the pad main body (1) (3) is a small pad surgery welded, lead thread (3) from a PP filaments containing X-ray non-transmission made materials The core yarn is composed of a plurality of covered yarns (4) in which PET coated fibers are wound, and the length (L) of the welded portion of the drawn yarn (3) is 3 to 10 mm. A small surgical pad that is welded and has a structure in which all or part of the PET is not welded to increase the tensile strength of the drawn yarn (3) while ensuring the flexibility of the absorbent pad body (1).
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