JP7182267B2 - Set product of artificial bone and storage container - Google Patents

Set product of artificial bone and storage container Download PDF

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JP7182267B2
JP7182267B2 JP2019002444A JP2019002444A JP7182267B2 JP 7182267 B2 JP7182267 B2 JP 7182267B2 JP 2019002444 A JP2019002444 A JP 2019002444A JP 2019002444 A JP2019002444 A JP 2019002444A JP 7182267 B2 JP7182267 B2 JP 7182267B2
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artificial bone
guide wire
storage container
divided
hole
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JP2020028700A (en
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秀行 河津
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CATALYMEDIC Inc
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Description

本発明は,人工骨と収納容器のセット製品に関する。具体的に説明すると,本発明は,ガイドワイヤを挿入可能な筒状の人工骨と,それを収納するのに適した収納容器とを備えるセット製品に関するものである。 TECHNICAL FIELD The present invention relates to a set product of an artificial bone and a storage container . More specifically, the present invention relates to a set product comprising a cylindrical artificial bone into which a guide wire can be inserted and a storage container suitable for storing it.

近年の傾向として,治療部分の皮膚切開部(皮切部)を小さくすることで低侵襲を目指す手術が多くみられる。その一種としてガイドワイヤを用いた手術が行われている。ガイドワイヤを用いることで皮切部を最小限に留めつつ,目的部位の治療を行なうことができる。 A recent trend is to reduce the size of the skin incision (skin incision) in the area to be treated, aiming for minimally invasive surgery. Surgery using a guide wire is performed as one of them. By using a guide wire, the target area can be treated while minimizing the incision.

また,従来から,ガイドワイヤを挿通するための貫通孔が設けられたカニューレ型人工骨が知られている(特許文献1)。皮膚を切開した後に,X線透視下においてガイドワイヤの一端を治療の目的部位まで挿入し,ガイドワイヤの他端をカニューレ型人工骨の貫通孔に挿入する。そして,人工骨をガイドワイヤの軸方向に沿って摺動させることにより,治療の目的部位まで人工骨を導入することができる。 Further, conventionally, a cannulated artificial bone having a through hole for inserting a guide wire is known (Patent Document 1). After incising the skin, one end of the guide wire is inserted to the target site of treatment under X-ray fluoroscopy, and the other end of the guide wire is inserted into the through hole of the cannulated artificial bone. By sliding the artificial bone along the axial direction of the guide wire, the artificial bone can be introduced to the target site for treatment.

国際公開WO2006/020463号パンフレットInternational publication WO2006/020463 pamphlet

ところで,カニューレ型人工骨は割れやすく,また滅菌製品であることから,生体内に導入される直前まで容器に収納された状態とし,外部からの衝撃や雑菌から保護することが求められる。そこで,本発明は,人工骨を収納容器内に収納して保護した状態のまま,人工骨の貫通孔にガイドワイヤを挿入可能な製品を提供することを目的とする。 By the way, since the cannulated artificial bone is fragile and is a sterile product, it is required to keep it in a container until just before it is introduced into the living body, and to protect it from external shocks and germs. SUMMARY OF THE INVENTION Accordingly, an object of the present invention is to provide a product in which a guide wire can be inserted into a through-hole of an artificial bone while the artificial bone is stored and protected in a container.

本発明の発明者は,従来技術が抱える課題の解決手段について鋭意検討した結果,ガイドワイヤを挿通可能な貫通孔が形成された人工骨と,このガイドワイヤが挿通した状態の人工骨を収納可能で且つ開閉自在の収納容器とをセット製品とすることにより,ガイドワイヤに挿通された人工骨を適切に保護できるという知見を得た。そして,本発明者は,上記知見に基づけば従来技術の課題を解決できることに想到し,本発明を完成させた。具体的に説明すると,本発明は以下の構成を有する。 The inventor of the present invention, as a result of intensive studies on means for solving the problems faced by the prior art, found that an artificial bone having a through hole through which a guide wire can be inserted and an artificial bone with the guide wire inserted therein can be stored. The present inventors have found that the artificial bone inserted through the guide wire can be appropriately protected by making a set product including a storage container that can be freely opened and closed . Based on the above findings, the inventors of the present invention conceived that the problems of the prior art can be solved, and completed the present invention. Specifically, the present invention has the following configurations.

本発明は,人工骨と収納容器のセット製品に関する。具体的には,本発明は,ガイドワイヤを挿通するための貫通孔を持つカニューレ型人工骨と,ガイドワイヤが挿通した状態の人工骨を収納可能な開閉自在の収納容器とから構成される。このように,収納容器によってガイドワイヤに挿通された状態の人工骨を保護することで,生体内に導入される直前まで人工骨を外部の衝撃や雑菌から保護することができる。特に,好ましい実施形態において,人工骨を収納容器に収納した状態で本セット製品を販売することで,術者が収納容器内に人工骨を収納する操作を省略できる。また,販売流通時から生体内導入直前まで収納容器によって人工骨を適切に保護できる。このように,収納容器によりカニューレ型人工骨の付加価値を高めることができる。 TECHNICAL FIELD The present invention relates to a set product of an artificial bone and a storage container . Specifically, the present invention comprises a cannula-type artificial bone having a through hole for inserting a guide wire, and an openable and closable storage container capable of storing the artificial bone with the guide wire inserted. In this way, by protecting the artificial bone with the guide wire inserted by the storage container, the artificial bone can be protected from external shocks and germs until just before it is introduced into the living body. In particular, in a preferred embodiment, the set product is sold in a state in which the artificial bone is stored in the storage container, thereby omitting the operator's operation of storing the artificial bone in the storage container. In addition, the artificial bone can be appropriately protected by the storage container from the time of distribution until just before introduction into the living body. Thus, the storage container can increase the added value of the cannulated bone prosthesis.

本発明に係るセット製品において,収納容器は,複数の分割体から構成され,各分割体を係合させることにより人工骨の収容空間が形成されるものであることが好ましい。各分割体を展開することにより,本体部の収納空間から人工骨が解放されて,人工骨のみがガイドワイヤの軸線上を摺動するようになる。このため,術者が任意のタイミングで各分割体の係合状態を解除して,人工骨を生体内に導入できるようになる。 In the set product according to the present invention, it is preferable that the storage container is composed of a plurality of divided bodies, and that the storage space for the artificial bone is formed by engaging the divided bodies. By unfolding each divided body, the artificial bone is released from the storage space of the main body so that only the artificial bone slides along the axis of the guide wire. Therefore, the operator can release the engagement state of each divided body at any timing and introduce the artificial bone into the living body.

本発明によれば,カニューレ型人工骨を保護しつつ,ガイドワイヤを用いた手術の効率化を図ることができる。 According to the present invention, it is possible to improve the efficiency of surgery using a guide wire while protecting the cannulated artificial bone.

図1は,人工骨と収納容器にガイドワイヤを挿通した様子を示す斜視図であり,収納容器を開いた状態を示している。FIG. 1 is a perspective view showing a state in which a guide wire is inserted through an artificial bone and a storage container, showing a state in which the storage container is opened. 図2は,人工骨と収納容器にガイドワイヤを挿通した様子を示す斜視図であり,収納容器を閉じた状態を示している。FIG. 2 is a perspective view showing a state in which a guide wire is passed through an artificial bone and a storage container, and shows a state in which the storage container is closed. 図3は,開いた状態の収納容器の内側を示した斜視図である。FIG. 3 is a perspective view showing the inside of the storage container in an open state. 図4は,開いた状態の収納容器の外側を示した斜視図である。FIG. 4 is a perspective view showing the outside of the storage container in an open state. 図5(a)は,人工骨を収納容器内に収納した状態を示す断面図であり,図5(b)は,人工骨を収納した収納容器にガイドワイヤを挿通した状態を示す断面図である。図5(a)と図5(b)では,主に制動部(羽根部)の形状変化を図示している。FIG. 5(a) is a cross-sectional view showing a state in which the artificial bone is stored in a storage container, and FIG. 5(b) is a cross-sectional view showing a state in which a guide wire is inserted through the storage container in which the artificial bone is stored. be. 5(a) and 5(b) mainly show changes in the shape of the braking portion (blade portion).

以下,図面を用いて本発明を実施するための形態について説明する。本発明は,以下に説明する形態に限定されるものではなく,以下の形態から当業者が自明な範囲で適宜変更したものも含む。 DESCRIPTION OF THE PREFERRED EMBODIMENTS Embodiments for carrying out the present invention will be described below with reference to the drawings. The present invention is not limited to the embodiments described below, and includes appropriate modifications within the scope obvious to those skilled in the art from the following embodiments.

図1及び図2は,収納容器100,人工骨200,及びガイドワイヤ300を含む医療システムを示しており,図3及び図4は,収納容器100のみを示している。特に,図1は,収納容器100を展開した状態を示し,図2は,収納容器100を閉じてその内部に人工骨200を収納した状態を示している。 1 and 2 show a medical system including a storage container 100, an artificial bone 200, and a guide wire 300, and FIGS. 3 and 4 show only the storage container 100. FIG. In particular, FIG. 1 shows a state in which the storage container 100 is expanded, and FIG. 2 shows a state in which the storage container 100 is closed and the artificial bone 200 is stored therein.

図1に示されるように,人工骨200には貫通孔が形成されており,その貫通孔にガイドワイヤ300が挿通される。人工骨200は,ガイドワイヤ300を挿通可能な貫通孔を有するものであれば特に限定されないが,図1に示されるような円筒状であることが好ましい。ただし,人工骨は,その他の筒状(三角筒状,四角筒状,多角筒状)であってもよいし,所定の立体形状に貫通孔が形成されたものであってもよい。また,人工骨200には貫通孔が一箇所だけでなく,複数箇所形成されていてもよい。 As shown in FIG. 1, the artificial bone 200 is formed with a through hole through which a guide wire 300 is inserted. The artificial bone 200 is not particularly limited as long as it has a through hole through which the guide wire 300 can be inserted, but it preferably has a cylindrical shape as shown in FIG. However, the artificial bone may have other tubular shapes (triangular tubular shape, square tubular shape, polygonal tubular shape), or may have a through hole formed in a predetermined three-dimensional shape. In addition, the artificial bone 200 may be formed with not only one through-hole but also a plurality of through-holes.

人工骨200は,公知の生体適合性を有する材料,より具体的には生体骨に対して好適な適合性を示す材料によって形成することができる。人工骨200の材質は,例えば,セラミックスであれば,リン酸カルシウム化合物のハイドロキシアパタイト又はβ-リン酸三カルシウム(β-TCP),あるいは両者の混合物を採用することができる。また,人工骨200を樹脂で製作する場合は,PEEK(ポリエーテルエーテルケトン)等の生体適合性のある材質を採用することが好ましい。金属であればチタン,チタン合金,またはポーラスチタン部材が好ましい。 The artificial bone 200 can be made of a known biocompatible material, more specifically, a material that exhibits suitable compatibility with living bones. If the material of the artificial bone 200 is ceramics, for example, hydroxyapatite, which is a calcium phosphate compound, β-tricalcium phosphate (β-TCP), or a mixture of both can be adopted. Also, when the artificial bone 200 is made of resin, it is preferable to adopt a biocompatible material such as PEEK (polyetheretherketone). As for the metal, titanium, titanium alloys, or porous titanium members are preferable.

ガイドワイヤ300は,公知のものを用いればよい。例えば,ガイドワイヤ300は,管状の外シャフトに内シャフトを内挿した二重管構造を持つ。内シャフトと外シャフトは,生体内で湾曲可能な特性を有するものとして公知の材質で形成される。例えば,ガイドワイヤ300を構成する材料は,ポリアミド,塩化ビニル,ポリウレタン,ポリイミド,ポリエチレン,ポリエステルエラストマー,ポリプロピレン,ポリテトラフルオロエチレン,ポリエーテルエーテルケトン,ポリフッ化ビニリデン等の合成樹脂材料や,ステンレス鋼,ニッケル-チタン合金等の金属材料,あるいはこれらの組み合わせたものを用いればよい。 A well-known guide wire 300 may be used. For example, the guide wire 300 has a double tube structure in which an inner shaft is inserted into a tubular outer shaft. The inner shaft and the outer shaft are made of a material known to have bendable properties in vivo. For example, materials constituting the guide wire 300 include synthetic resin materials such as polyamide, vinyl chloride, polyurethane, polyimide, polyethylene, polyester elastomer, polypropylene, polytetrafluoroethylene, polyetheretherketone, and polyvinylidene fluoride, stainless steel, A metal material such as a nickel-titanium alloy, or a combination thereof may be used.

収納容器100は,人工骨200を収納するための容器であり,人工骨200を内部に収容した状態のまま,人工骨200の貫通孔にガイドワイヤ300を挿通することのできる構成を有している。つまり,収納容器100は,人工骨200の貫通孔とほぼ同位置にガイドワイヤ300を差し込むための開口を有する。このため,収納容器100内に人工骨200を収納した後,人工骨200を収納容器100から取り出さなくてもその貫通孔にガイドワイヤ300を差し込むことができる。例えば,収納容器100と人工骨200をセットにした製品を販売する場合に,人工骨200は流通時から生体内に導入する直前まで収納容器100に収納しておくことが可能である。 The storage container 100 is a container for storing the artificial bone 200, and has a structure in which the guide wire 300 can be inserted through the through-hole of the artificial bone 200 while the artificial bone 200 is stored inside. there is That is, the storage container 100 has an opening for inserting the guide wire 300 at substantially the same position as the through hole of the artificial bone 200 . Therefore, after storing the artificial bone 200 in the storage container 100 , the guide wire 300 can be inserted into the through hole without removing the artificial bone 200 from the storage container 100 . For example, when selling a product in which the storage container 100 and the artificial bone 200 are set, the artificial bone 200 can be stored in the storage container 100 from the time of distribution until just before introduction into the living body.

収納容器100の材質は特に制限されないが,ポリエチレン,ポリプロピレン,ポリ塩化ビニル,ポリスチレン,ポリ酢酸ビニル,ポリウレタンなどのプラスチック製とすればよい。ただし,収納容器100は,プラスチック製のものに限らず,例えば金属製やガラス製,カーボン製とすることもできる。 The material of the storage container 100 is not particularly limited, but plastics such as polyethylene, polypropylene, polyvinyl chloride, polystyrene, polyvinyl acetate, and polyurethane may be used. However, the storage container 100 is not limited to being made of plastic, and may be made of metal, glass, or carbon, for example.

図1から図4に示されるように,収納容器100は,主に,人工骨200の収納空間を持つ本体部10と,この本体部10がガイドワイヤ300の軸線上に沿って摺動することを制止するための制動部20とを備えている。収納容器100に制動部20が設けられていない場合,収納容器100内に収納された人工骨200にガイドワイヤ300を挿通させると,収納容器100と人工骨200がそれらの自重でガイドワイヤ300に沿って摺動することになるが,収納容器100に制動部20を設けておくことで,人工骨200が収納容器100によってガイドワイヤ300上の任意の位置に固定され,不用意にガイドワイヤ300の軸線上を移動してしまう事態を防ぐことができる。 As shown in FIGS. 1 to 4, the storage container 100 mainly consists of a main body 10 having a storage space for the artificial bone 200 and a structure that allows the main body 10 to slide along the axis of the guide wire 300 . and a braking portion 20 for stopping the When the storage container 100 is not provided with the braking portion 20, when the guide wire 300 is passed through the artificial bone 200 stored in the storage container 100, the storage container 100 and the artificial bone 200 are attached to the guide wire 300 by their own weight. However, by providing the storage container 100 with the braking portion 20, the artificial bone 200 can be fixed at an arbitrary position on the guide wire 300 by the storage container 100, and the guide wire 300 can be inadvertently moved. It is possible to prevent a situation in which it moves on the axis of

収納容器100の本体部10の形状は,収納対象となる人工骨200の形状に合わせて適宜設計すればよい。例えば,図1から図4に示された実施形態では,円筒状の人工骨200を収納することを想定しているため,本体部100の収納空間も人工骨200を収納可能な円柱状に設計されている。 The shape of the main body 10 of the storage container 100 may be appropriately designed according to the shape of the artificial bone 200 to be stored. For example, in the embodiment shown in FIGS. 1 to 4, since it is assumed that the cylindrical artificial bone 200 is stored, the storage space of the main body 100 is also designed to be cylindrical so that the artificial bone 200 can be stored. It is

具体的に説明すると,本実施形態において,本体部10は,第1分割部11と第2分割部12に分割されており,これらの分割部11,12がヒンジ部13によって開閉自在に連結されている。第1分割部11と第2分割部12をヒンジ部13を介して閉じることで人工骨200の収納空間が形成されることになるが,これらの分割部11,12を展開することでその収納空間が開放されて人工骨200を取り出すことができるようになる。また,各分割部11,12のそれぞれには,ガイドワイヤ300の軸線上の前後両端部に切欠き11a,11b,12a,12bが形成されている。各切欠き11a,11b,12a,12bは半円形であり,第1分割部11の切欠き11a,11bと第2分割部12の切欠き12a,12bを合わせるとガイドワイヤ300を挿通可能な円形の開口となる。これにより,収納容器100の本体部10内に人工骨200を収納した状態のままで,これらの収納容器100と人工骨200とを貫通するようにガイドワイヤ300を差し込むことができる。 Specifically, in this embodiment, the main body 10 is divided into a first divided portion 11 and a second divided portion 12, and these divided portions 11 and 12 are connected by a hinge portion 13 so as to be openable and closable. ing. A storage space for the artificial bone 200 is formed by closing the first divided portion 11 and the second divided portion 12 via the hinge portion 13. By unfolding these divided portions 11 and 12, it is possible to store the artificial bone 200. A space is opened and the artificial bone 200 can be taken out. Notches 11 a , 11 b , 12 a , 12 b are formed at both front and rear end portions on the axis of the guide wire 300 in each of the divided portions 11 , 12 . Each of the notches 11a, 11b, 12a, 12b is semicircular, and when the notches 11a, 11b of the first divided portion 11 and the notches 12a, 12b of the second divided portion 12 are combined, the guide wire 300 can be inserted. becomes the opening of As a result, the guide wire 300 can be inserted through the storage container 100 and the artificial bone 200 while the artificial bone 200 is stored in the main body 10 of the storage container 100 .

また,本体部10を構成する第1分割部11と第2分割部12には,それぞれ係止片14,15が設けられている。図1及び図2に示されるように,第1分割部11に突設された第1係止片14の先端部と第2分割部12に突設された第2係止片15の先端部とを突き合わせた後,それらの先端部を弾性変形させて,両先端部の位置を入れ替えることで,これらの係止片14,15が係合する。これにより,第1分割部11と第2分割部12の嵌合状態が維持される。反対に,第1分割部11と第2分割部12との嵌合状態を解除する際には,第1係止片14の先端部と第2係止片15の先端部とを再び弾性変形させて,両先端部の位置を逆方向に入れ替えればよい。このようにすれば,収納容器100の本体部10の開閉操作を片手で行なうことができる。 Locking pieces 14 and 15 are provided on the first divided portion 11 and the second divided portion 12 that constitute the body portion 10, respectively. As shown in FIGS. 1 and 2, the tip of the first locking piece 14 projecting from the first split portion 11 and the tip of the second locking piece 15 projecting from the second split portion 12 are shown. After they are butted against each other, these locking pieces 14 and 15 are engaged by elastically deforming their tip portions and exchanging the positions of both tip portions. As a result, the fitted state of the first divided portion 11 and the second divided portion 12 is maintained. On the contrary, when the first split portion 11 and the second split portion 12 are released from the fitted state, the tip of the first locking piece 14 and the tip of the second locking piece 15 are elastically deformed again. Then, the positions of both ends should be exchanged in the opposite direction. In this way, the main body portion 10 of the storage container 100 can be opened and closed with one hand.

なお,本実施形態は,収納容器100の本体部10は,第1分割部11と第2分割部12とに2分割されているが,3分割あるいは4分割以上とされていてもよい。収納容器100を3分割以上する場合であっても,複数の分割体を嵌合させることで人工骨200の収納空間が形成されるように構成されていれば問題はない。 In this embodiment, the body portion 10 of the storage container 100 is divided into the first divided portion 11 and the second divided portion 12, but it may be divided into three or four or more. Even if the storage container 100 is divided into three or more pieces, there is no problem as long as the storage space for the artificial bone 200 is formed by fitting a plurality of divided bodies.

収納容器100の制動部20は,本体部10の摺動を制止して,ガイドワイヤ300上の任意位置に本体部10を保持する機能を持つ。図1から図5に示した実施形態において,制動部20は,本体部10に突設された一対の羽根部21,22によって構成されている。各羽根部21,22は,ガイドワイヤ300の外表面に圧接されて,ガイドワイヤを挟み込む。これにより,羽根部21,22とガイドワイヤ300の摩擦係数が大きくなるため,羽根部21,22の作用により本体部10の摺動が制止される。 The braking portion 20 of the storage container 100 has a function of restraining the sliding of the body portion 10 and holding the body portion 10 at an arbitrary position on the guide wire 300 . In the embodiment shown in FIGS. 1 to 5, the braking portion 20 is composed of a pair of blade portions 21 and 22 projecting from the body portion 10. As shown in FIG. Each vane 21, 22 is pressed against the outer surface of the guide wire 300 to sandwich the guide wire. As a result, the coefficient of friction between the vanes 21 and 22 and the guide wire 300 increases, and the action of the vanes 21 and 22 prevents the main body 10 from sliding.

本実施形態では,ガイドワイヤ300の軸線方向において,第1分割部11と第2分割部12の一端から突出するように,それぞれ第1羽根部21と第2羽根部22が設けられている。各羽根部21,22は,第1分割部11と第2分割部12とをヒンジ部13を介して閉じたときに,それらの先端部がガイドワイヤ300の表面に接触する形状に構成されている。また,各羽根部21,22の先端部には,ガイドワイヤ300の周面形状に適合するように半円形状の切欠き21a,22aが形成されている。このため,第1分割部11と第2分割部12を閉じると,第1羽根部21の切欠き21aと第2羽根部22の切欠き22aにガイドワイヤ300が嵌まり込み,ガイドワイヤ300が各羽根部21,22に接触することとなる。特に,第1分割部11と第2分割部12を閉じた状態において,第1羽根部21と第2羽根部22は互いに反対方向からガイドワイヤ300を押圧する。すなわち,第1羽根部21と第2羽根部22によってガイドワイヤ300を挟み込むこととなる。なお,図示は省略するが,第1分割部11と第2分割部12の両端に羽根部を設けることも可能である。 In this embodiment, the first blade portion 21 and the second blade portion 22 are provided so as to protrude from one end of the first split portion 11 and the second split portion 12 in the axial direction of the guide wire 300 . The blades 21 and 22 are configured such that their distal ends contact the surface of the guide wire 300 when the first divided portion 11 and the second divided portion 12 are closed via the hinge portion 13. there is Semicircular cutouts 21 a and 22 a are formed at the distal ends of the blades 21 and 22 so as to fit the peripheral shape of the guide wire 300 . Therefore, when the first divided portion 11 and the second divided portion 12 are closed, the guide wire 300 is fitted into the notch 21a of the first blade portion 21 and the notch 22a of the second blade portion 22, and the guide wire 300 is It comes into contact with each blade portion 21 , 22 . In particular, when the first divided portion 11 and the second divided portion 12 are closed, the first blade portion 21 and the second blade portion 22 press the guide wire 300 from opposite directions. That is, the guide wire 300 is sandwiched between the first blade portion 21 and the second blade portion 22 . Although illustration is omitted, it is also possible to provide blade portions at both ends of the first divided portion 11 and the second divided portion 12 .

具体的に説明すると,図5には,収納容器100,人工骨200,及びガイドワイヤ300の断面図が模式的に示されている。図5に示されるように,ガイドワイヤ300の直径をφとし,ガイドワイヤ300の接触点における各羽根部21,22の間隙距離(具体的には切欠き21a,22aの最深点間の距離)をDとすると,各羽根部21,22の間隙距離Dはガイドワイヤ300の直径φよりも小さい値に設計される(D<φ)。例えば,ガイドワイヤ300の直径φは2~5mmであることが一般的である。各羽根部21,22の間隙距離Dは,この直径φに対して20~90%又は30~80%の値に設定すればよい。このようにすることで,図5(b)示されるように,収納容器100内にガイドワイヤ300を差し込むと,各羽根部21,22が弾性変形し,その復元力によって各羽根部21,22がガイドワイヤ300の表面に圧接する(なお,図示した例では図中の左側から右側に向かってガイドワイヤ300が差し込まれている)。これにより,各羽根部21,22の先端部とガイドワイヤ300の表面との摩擦係数が大きくなり,収納容器100と人工骨200がそれらの自重によってガイドワイヤ300の軸線上を摺動することが阻止される。 Specifically, FIG. 5 schematically shows a sectional view of the storage container 100, the artificial bone 200, and the guide wire 300. As shown in FIG. As shown in FIG. 5, the diameter of the guide wire 300 is φ, and the gap distance between the blades 21 and 22 at the contact point of the guide wire 300 (specifically, the distance between the deepest points of the notches 21a and 22a) is D, the gap distance D between the blades 21 and 22 is designed to be smaller than the diameter φ of the guide wire 300 (D<φ). For example, the diameter φ of the guidewire 300 is generally 2-5 mm. The gap distance D between the blades 21 and 22 may be set to a value of 20 to 90% or 30 to 80% of the diameter φ. By doing so, as shown in FIG. 5(b), when the guide wire 300 is inserted into the storage container 100, the blades 21 and 22 are elastically deformed, and the restoring force of the blades 21 and 22 causes the blades 21 and 22 to deform. is pressed against the surface of the guide wire 300 (in the illustrated example, the guide wire 300 is inserted from left to right in the drawing). As a result, the coefficient of friction between the tips of the blades 21 and 22 and the surface of the guide wire 300 increases, and the container 100 and the artificial bone 200 can slide on the axis of the guide wire 300 due to their own weight. be blocked.

続いて,上記収納容器100,人工骨200,及びガイドワイヤ300を含む医療システムを用いた手術順序について簡単に説明する。前述のとおり中空形状の人工骨200は割れやすいものであるため,生体内に導入される直前まで収納容器100内に収納された状態とし,外部からの不要な衝撃による裂損から保護しておく。まず,患者の皮膚を切開し,切開部位からガイドワイヤ300の一端を体内に導入して留置する。次に,ガイドワイヤ300の他端を人工骨200の貫通孔の位置に合わせて,その貫通孔の内部にガイドワイヤ300の端部を挿入する。このとき,人工骨200は収納容器100に収納されたままの状態であるため,術者は人工骨200に直接指を触れずに補填作業を行なうことができる。また,収納容器100には人工骨200の貫通孔に対応した位置に開口が設けられているため,人工骨200を収納容器100に収納した状態のままガイドワイヤ300を貫通させることができる。また,人工骨200が収納された収納容器100がガイドワイヤ300上を自重で移動しない構造となっているため,術者は手術の進行に合わせてガイドワイヤ300上の任意の位置に収納容器100を保持することができる。ガイドワイヤ300を人工骨200に貫通させた後,術者が目論む位置で片手作業で収納容器100の固定機能を解除し,収納容器100から人工骨200を離脱させる。すると,人工骨200のみがガイドワイヤ300に沿った摺動を開始し,ガイドワイヤ300に案内されるかたちで切開部位から生体内に導入される。このように,本医療システムによれば,人工骨300を外部の衝撃や雑菌から保護しつつ,安全に生体内へと導くことができる。 Next, a brief description will be given of a surgical procedure using a medical system including the storage container 100, the artificial bone 200, and the guide wire 300. FIG. As described above, since the hollow-shaped artificial bone 200 is fragile, it is stored in the storage container 100 until just before it is introduced into the living body to protect it from tearing due to unnecessary impact from the outside. . First, an incision is made in the patient's skin, and one end of the guide wire 300 is introduced into the body through the incision and left therein. Next, the other end of the guide wire 300 is aligned with the through hole of the artificial bone 200, and the end of the guide wire 300 is inserted into the through hole. At this time, since the artificial bone 200 is still stored in the storage container 100, the operator can perform the filling operation without directly touching the artificial bone 200 with his or her fingers. Further, since the storage container 100 is provided with an opening at a position corresponding to the through hole of the artificial bone 200 , the guide wire 300 can be passed through the storage container 100 while the artificial bone 200 is stored in the storage container 100 . In addition, since the storage container 100 containing the artificial bone 200 does not move on the guide wire 300 by its own weight, the operator can place the storage container 100 at any position on the guide wire 300 as the surgery progresses. can be held. After the guide wire 300 is passed through the artificial bone 200 , the operator removes the artificial bone 200 from the container 100 by releasing the fixing function of the storage container 100 with one hand at the intended position. Then, only the artificial bone 200 starts to slide along the guide wire 300 and is guided by the guide wire 300 to be introduced into the living body through the incision site. As described above, according to this medical system, the artificial bone 300 can be safely introduced into the living body while being protected from external shocks and germs.

なお,本発明において,収納容器100の制動部20は上記した羽根部21,22に限定されるものではなく,本体部10の摺動を制止する機能を果たすものであれば様々な構造を採用し得る。例えば,制動部20としては,容器本体10から延出しガイドワイヤ300に繋止可能な紐状部材や,容器本体10に突設されガイドワイヤ300を挟み込むためのクリップ部材,容器本体10をガイドワイヤ30に止め付けるための粘着部材(粘着テープ等),容器本体10とガイドワイヤ30の隙間に設けられゴムなどの高摩擦材料で形成されたパッキン部材など,様々な態様のものを採用することができる。 In the present invention, the braking portion 20 of the storage container 100 is not limited to the blade portions 21 and 22 described above, and various structures can be employed as long as they function to restrain the sliding of the main body portion 10. can. For example, as the braking portion 20, a string-like member that extends from the container body 10 and can be secured to the guide wire 300, a clip member that protrudes from the container body 10 and is used to sandwich the guide wire 300, Adhesive members (adhesive tape, etc.) for fixing to 30, packing members provided in the gap between the container body 10 and the guide wire 30 and formed of a high-friction material such as rubber, etc. can be adopted. can.

以上,本願明細書では,本発明の内容を表現するために,図面を参照しながら本発明の実施形態の説明を行った。ただし,本発明は,上記実施形態に限定されるものではなく,本願明細書に記載された事項に基づいて当業者が自明な変更形態や改良形態を包含するものである。 As described above, in the specification of the present application, the embodiments of the present invention have been described with reference to the drawings in order to express the content of the present invention. However, the present invention is not limited to the above embodiments, and includes modifications and improvements that are obvious to those skilled in the art based on the matters described in the specification of the present application.

本発明は,人工骨の収納容器などに関する。従って,本発明は医療産業において好適に利用し得る。 TECHNICAL FIELD The present invention relates to a storage container for artificial bones and the like. Therefore, the present invention can be preferably used in the medical industry.

10…本体部 11…第1分割体
11a,11b…切欠き 12…第2分割体
12a,12b…切欠き 13…ヒンジ部
14…第1係止片 15…第2係止片
20…制動部 21…第1羽根部
21a…切欠き 22…第2羽根部
22a…切欠き 100…収納容器
200…人工骨 300…ガイドワイヤ
DESCRIPTION OF SYMBOLS 10... Main-body part 11... 1st division|segmentation body 11a, 11b... Notch 12... 2nd division|segmentation body 12a, 12b... Notch 13... Hinge part 14... First locking piece 15... Second locking piece 20... Braking part DESCRIPTION OF SYMBOLS 21... 1st blade part 21a... Notch 22... Second blade part 22a... Notch 100... Storage container 200... Artificial bone 300... Guide wire

Claims (2)

ガイドワイヤを挿通可能な貫通孔が形成された人工骨と,
前記ガイドワイヤが挿通した状態の前記人工骨を収納可能な開閉自在の収納容器とを備え
前記収納容器は,複数の分割体から構成された本体部を有し,前記分割体を係合させることにより前記人工骨の収容空間が形成されるものであり,
前記複数の分割体のそれぞれは,前記ガイドワイヤの軸線上の前後両端部に切欠きが形成されており,前記複数の分割体の前記切欠きを合わせると前記ガイドワイヤを挿通可能な開口となり,
前記分割体を係合した状態では前記人工骨が前記収納空間に収納されたままとなり,前記分割体を展開することにより前記人工骨が前記収納空間から解放されて,前記人工骨のみが前記ガイドワイヤの軸線上を摺動するようになる
人工骨及び収納容器のセット製品。
an artificial bone having a through hole through which a guide wire can be inserted;
an openable and closable storage container capable of storing the artificial bone with the guide wire inserted therethrough ;
The storage container has a main body composed of a plurality of divided bodies, and the divided bodies are engaged to form a storage space for the artificial bone,
Each of the plurality of divided bodies has a notch formed at both front and rear end portions on the axis of the guide wire, and when the notches of the plurality of divided bodies are aligned, an opening through which the guide wire can be inserted is formed,
When the split body is engaged, the artificial bone remains stored in the storage space, and when the split body is deployed, the artificial bone is released from the storage space, and only the artificial bone is the guide. Comes to slide on the wire axis
Set product of artificial bone and storage container.
記ガイドワイヤを挿通可能な開口の直径は,前記人工骨の貫通孔のよりも大きい
請求項1に記載のセット製品。
The product set according to claim 1, wherein the diameter of the opening through which the guide wire can be inserted is larger than the through hole of the artificial bone.
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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007152025A (en) 2005-12-08 2007-06-21 Terumo Corp Bone prosthetic material, cartridge and filling instrument set
JP2014200525A (en) 2013-04-05 2014-10-27 Hoya株式会社 Storage container

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007152025A (en) 2005-12-08 2007-06-21 Terumo Corp Bone prosthetic material, cartridge and filling instrument set
JP2014200525A (en) 2013-04-05 2014-10-27 Hoya株式会社 Storage container

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