JPH04150847A - わきが手術装置およびその手術用チップ - Google Patents
わきが手術装置およびその手術用チップInfo
- Publication number
- JPH04150847A JPH04150847A JP2275014A JP27501490A JPH04150847A JP H04150847 A JPH04150847 A JP H04150847A JP 2275014 A JP2275014 A JP 2275014A JP 27501490 A JP27501490 A JP 27501490A JP H04150847 A JPH04150847 A JP H04150847A
- Authority
- JP
- Japan
- Prior art keywords
- suction
- tip
- opening
- handpiece
- armpit
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000007790 scraping Methods 0.000 claims description 15
- 238000001356 surgical procedure Methods 0.000 claims description 10
- 210000000106 sweat gland Anatomy 0.000 abstract description 15
- 206010033675 panniculitis Diseases 0.000 abstract description 4
- 210000004304 subcutaneous tissue Anatomy 0.000 abstract description 4
- 210000001519 tissue Anatomy 0.000 description 3
- 208000032544 Cicatrix Diseases 0.000 description 2
- 206010028347 Muscle twitching Diseases 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000010355 oscillation Effects 0.000 description 2
- 231100000241 scar Toxicity 0.000 description 2
- 230000037387 scars Effects 0.000 description 2
- 239000011324 bead Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 210000004243 sweat Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320004—Surgical cutting instruments abrasive
- A61B2017/320008—Scrapers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/09—Body tissue
- A61M2202/092—Sweat glands
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S604/00—Surgery
- Y10S604/902—Suction wands
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Radiology & Medical Imaging (AREA)
- Surgery (AREA)
- Otolaryngology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgical Instruments (AREA)
Abstract
(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
め要約のデータは記録されません。
Description
【発明の詳細な説明】
(産業上の利用分野)
この発明はわきが手術装置およびその手術用チップに関
する。
する。
(従来の技術)
人体のわきの下から発生する汗が原因となって異臭を放
ついわゆる[わきがJ (Osmidrosis/h
yper hidrosis)に対する有効な治療法と
して、わきの下の汗腺組織部分を手術によって除去する
ことが行われている。従来方法では、通常、わきの下の
皮膚を切開しその裏側の汗腺組織を切除しているのであ
るが、この手術法による場合には、皮膚を大きく切開す
るので術後の皮膚のひきつれや傷跡が残り、また傷跡が
治癒するまでに数カ月の期間が必要となるなどの問題が
あった。
ついわゆる[わきがJ (Osmidrosis/h
yper hidrosis)に対する有効な治療法と
して、わきの下の汗腺組織部分を手術によって除去する
ことが行われている。従来方法では、通常、わきの下の
皮膚を切開しその裏側の汗腺組織を切除しているのであ
るが、この手術法による場合には、皮膚を大きく切開す
るので術後の皮膚のひきつれや傷跡が残り、また傷跡が
治癒するまでに数カ月の期間が必要となるなどの問題が
あった。
(発明が解決しようとする課題)
そこで、この発明は、わきの下の皮膚を切開することな
く、また汗腺組織をメス等で切除することなく、極めて
簡単でしかも確実に汗腺組織を除去することができる、
新規なわきが手術装置およびその手術用チップを提案し
ようとするものである。
く、また汗腺組織をメス等で切除することなく、極めて
簡単でしかも確実に汗腺組織を除去することができる、
新規なわきが手術装置およびその手術用チップを提案し
ようとするものである。
また、この発明は、患者に対する心理的かつ肉体的な負
担を大きく低減することができるさきが手術装置を提供
しようとするものである。
担を大きく低減することができるさきが手術装置を提供
しようとするものである。
(課題を解決しようとする手段)
すなわち、この発明に係るわきが手術装置は、内部に吸
取流路を有する管状本体の先端部近傍の上面側に吸取開
口部が設けられ該開口部の前部開口縁に掻取突部が突設
されたチップと、前記チップが着脱自在に装着され、前
記チップに超音波振動を伝達するための振動発生部を有
するとともに、前記チップ部の吸取流路と連通しかつ吸
引管との接続部を有する吸引路を備えたハンドピースと
、前記ハンドピースの変換部に超音波振動を付与するた
めの電気エネルギーを発生し伝達する超音波発振器と、
前記ハンドピースの吸引路と吸引管を介して接続され、
真空ポンプによって強制吸引する吸引部とからなること
を特徴とするものである。
取流路を有する管状本体の先端部近傍の上面側に吸取開
口部が設けられ該開口部の前部開口縁に掻取突部が突設
されたチップと、前記チップが着脱自在に装着され、前
記チップに超音波振動を伝達するための振動発生部を有
するとともに、前記チップ部の吸取流路と連通しかつ吸
引管との接続部を有する吸引路を備えたハンドピースと
、前記ハンドピースの変換部に超音波振動を付与するた
めの電気エネルギーを発生し伝達する超音波発振器と、
前記ハンドピースの吸引路と吸引管を介して接続され、
真空ポンプによって強制吸引する吸引部とからなること
を特徴とするものである。
また、この発明のわきが手術用チップは、上記手術装置
において使用されるもので、超音波発振器に接続された
振動発生部を有するハンドピースに着脱自在に装着され
、前記振動発生部を介して超音波振動が伝達されるよう
に構成されたチップであって、内部に吸取流路を有する
管状本体の先端部近傍の上面側に吸取開口部が設けられ
、該開口部の前端縁に掻取突部が突設されていることを
特徴とするチップに係る。
において使用されるもので、超音波発振器に接続された
振動発生部を有するハンドピースに着脱自在に装着され
、前記振動発生部を介して超音波振動が伝達されるよう
に構成されたチップであって、内部に吸取流路を有する
管状本体の先端部近傍の上面側に吸取開口部が設けられ
、該開口部の前端縁に掻取突部が突設されていることを
特徴とするチップに係る。
(作用)
この発明装置によれば、内部に吸取流路を育する管状の
本体を育するチップが使用される。このチップは、患者
のわきの下の皮膚に該チップの先端が挿入できる5〜1
0■程度の切込みを設けてわきの下の汗腺組織内に挿入
される。
本体を育するチップが使用される。このチップは、患者
のわきの下の皮膚に該チップの先端が挿入できる5〜1
0■程度の切込みを設けてわきの下の汗腺組織内に挿入
される。
このチップは、超音波発振器に接続された振動発生部を
有するハンドピースに着脱自在に装着されて、前記振動
発生部を介して超音波振動が伝達されるように構成され
ている。そして、チップは超音波により超高速振動を起
こし、その振幅運動によって前記汗腺組織を破砕する。
有するハンドピースに着脱自在に装着されて、前記振動
発生部を介して超音波振動が伝達されるように構成され
ている。そして、チップは超音波により超高速振動を起
こし、その振幅運動によって前記汗腺組織を破砕する。
チップの先端部近傍の上面側には吸取開口部が設けられ
、かつ該開口部の前部開口縁には掻取突部が突設されて
いて、前記のように、チップの超高速撮動によって破砕
された組織を皮膚下の部分からていねいに掻き取りかつ
吸い取る。
、かつ該開口部の前部開口縁には掻取突部が突設されて
いて、前記のように、チップの超高速撮動によって破砕
された組織を皮膚下の部分からていねいに掻き取りかつ
吸い取る。
チップの吸取流路はハンドピースの吸引路と連通されて
いて、該吸引路に接続された吸引管を経て、真空ポンプ
を備えた吸引部に強制吸引される。
いて、該吸引路に接続された吸引管を経て、真空ポンプ
を備えた吸引部に強制吸引される。
(実施例)
以下添付の図面に従ってこの発明の詳細な説明する。
第1図はこの発明のわきが手術装置の概略を示す一部を
切欠断面とした側面図、第2図はこの発明の手術用チッ
プの要部を示す平面図、第3図はその断面図、第4図は
他の実施例を示す平面図、第5図はその断面図、第6図
はこの発明装置の使用状態を表す概略断面図である。
切欠断面とした側面図、第2図はこの発明の手術用チッ
プの要部を示す平面図、第3図はその断面図、第4図は
他の実施例を示す平面図、第5図はその断面図、第6図
はこの発明装置の使用状態を表す概略断面図である。
第1図に図示したように、この発明のわきが手術装置は
、チップ】0とハンドピース2oと超音波発振器30と
吸引部4oとから構成されている。
、チップ】0とハンドピース2oと超音波発振器30と
吸引部4oとから構成されている。
チップ10は金属製の管状本体11がらなり、先端部は
丸い先細部として形成されている。管状本体11の内部
は破砕された汗腺組織を吸い取る吸取流路12として構
成されている。そして管状本体11の先端部近傍の上面
部には吸取開口部13が形成されているとともに、該開
口部13の前部間口縁には前記組織を掻き取るための掻
取突部15が突設されている。この掻取突部15は、図
のように僅かな鋭角状の立ち上り部より形成されていて
、その高さは1011程度が好ましい。
丸い先細部として形成されている。管状本体11の内部
は破砕された汗腺組織を吸い取る吸取流路12として構
成されている。そして管状本体11の先端部近傍の上面
部には吸取開口部13が形成されているとともに、該開
口部13の前部間口縁には前記組織を掻き取るための掻
取突部15が突設されている。この掻取突部15は、図
のように僅かな鋭角状の立ち上り部より形成されていて
、その高さは1011程度が好ましい。
なお、第2図以下に示す実施例のように複数の吸取開口
部を設けることもできる。
部を設けることもできる。
第2図および第3図に図示したチップ50は、管状本体
51の上面部の前後に二つの吸取開口部53.54を設
けたものである。この例では掻取突部55は前側の吸取
開口部53の前端縁に突設されている。
51の上面部の前後に二つの吸取開口部53.54を設
けたものである。この例では掻取突部55は前側の吸取
開口部53の前端縁に突設されている。
また、第4図および第5図に図示したチップ60は、管
状本体61の先端部近傍の上面部に吸取開口部63を設
けるとともに、管状本体61の側面部にも吸取開口部6
4.65を設けた例である。
状本体61の先端部近傍の上面部に吸取開口部63を設
けるとともに、管状本体61の側面部にも吸取開口部6
4.65を設けた例である。
符号66は掻取突部である。
ハンドピース20は手術を行う者が手で掴む部分であっ
て、前記チップ10を着脱自在に装着するようになって
いる。このハンドピース20には振動発生部21と吸引
路25を備えている。
て、前記チップ10を着脱自在に装着するようになって
いる。このハンドピース20には振動発生部21と吸引
路25を備えている。
振動発生部21はハンドピース20に装着されたチップ
lOに超音波振動を与えるためのものであって、後述す
る超音波発振器30と接続されていて、該発振器30か
らの電気エネルギーを振動に変換して前記チップlOに
伝達している。実施例の振動発生部では最大300μm
の振幅で24000回/秒の超高速振動をするよう構成
されている。
lOに超音波振動を与えるためのものであって、後述す
る超音波発振器30と接続されていて、該発振器30か
らの電気エネルギーを振動に変換して前記チップlOに
伝達している。実施例の振動発生部では最大300μm
の振幅で24000回/秒の超高速振動をするよう構成
されている。
吸引路25はチップ10の前記吸取流路12と連通され
ているとともに、後述する吸引部40の吸引管41を接
続するための接続部26が設けられている。
ているとともに、後述する吸引部40の吸引管41を接
続するための接続部26が設けられている。
超音波発振器30は前記ハンドピース20の振動発生部
21に超音波振動に変換可能な電気エネルギーを送るも
のであり、実施例に用いられた発振器は電歪型振動子P
ZTによる発振方式で、発振周波数24kHz、超音波
出力最大100W(負荷追随回路内蔵)のものが用いら
れる。
21に超音波振動に変換可能な電気エネルギーを送るも
のであり、実施例に用いられた発振器は電歪型振動子P
ZTによる発振方式で、発振周波数24kHz、超音波
出力最大100W(負荷追随回路内蔵)のものが用いら
れる。
吸引部40は前記ハンドピース20の吸引路25と前記
吸引管41を介して連通されているとともに、真空ポン
プ45によって強制的に吸引されていて、前記吸取開口
部13から吸い込んだ破砕された汗腺組織を取り込んで
いる。
吸引管41を介して連通されているとともに、真空ポン
プ45によって強制的に吸引されていて、前記吸取開口
部13から吸い込んだ破砕された汗腺組織を取り込んで
いる。
次に、第6図に従ってこの発明装置の用法を説明する。
図示したようにわきの下の皮膚70が約5〜10mm切
り込まれ、その切りロア1から皮下組織72内にチップ
10が挿入される。
り込まれ、その切りロア1から皮下組織72内にチップ
10が挿入される。
この皮下組織72にはわきがの原因となる汗腺組織73
が数−の厚みをもって存在する。
が数−の厚みをもって存在する。
前述したように、前記チップ10は超音波発振器に接続
された振動発生部を有するハンドピースに装着されてい
て、前記振動発生部を介して超音波振動が伝達されるよ
うになっている。
された振動発生部を有するハンドピースに装着されてい
て、前記振動発生部を介して超音波振動が伝達されるよ
うになっている。
そして前記皮下組織72内に挿入された前記チップ10
の超高速振動によって汗腺組織73が破砕される。
の超高速振動によって汗腺組織73が破砕される。
破砕された前記汗腺組織73は、前記チップ10の吸取
用開口部13から吸い取られ、また皮膚下面に付着した
部分は開口部前端縁に設けられた掻取突部15によって
皮膚下から掻き取られて、管状本体11内の吸取流路1
2へ取り込まれる。
用開口部13から吸い取られ、また皮膚下面に付着した
部分は開口部前端縁に設けられた掻取突部15によって
皮膚下から掻き取られて、管状本体11内の吸取流路1
2へ取り込まれる。
前記吸取流路12に吸い取られた組織は、ノ1ンドビー
スの吸引路25および吸引管41を経て吸引部40へ送
り込まれる。
スの吸引路25および吸引管41を経て吸引部40へ送
り込まれる。
なお、吸引部の真空ポンプの吸引圧力は実施例では最大
−650mmHgに達するので、吸引された汗腺組織や
血液は吸引路や吸引管内で滞留することなく吸引部へ送
り込まれることができる。
−650mmHgに達するので、吸引された汗腺組織や
血液は吸引路や吸引管内で滞留することなく吸引部へ送
り込まれることができる。
(作用・効果)
以上図示し説明したように、この発明装置および手術用
チップによれば、従来わきの下を切開して行われていた
わきが手術が、5〜10−程度の切込を設けるだけで行
えるようになった。そのため傷の治癒も早いだけでなく
、術後にひきつれたりすることもなく美容上大変効果的
である。
チップによれば、従来わきの下を切開して行われていた
わきが手術が、5〜10−程度の切込を設けるだけで行
えるようになった。そのため傷の治癒も早いだけでなく
、術後にひきつれたりすることもなく美容上大変効果的
である。
また、この発明装置によれば従来の方法に比べて大きく
切開する必要もなく、簡便に行えるものであるから手術
時の患者の心理的かつ肉体的負担を大きく低減すること
ができ、この発明のもたらす効果は大きい。
切開する必要もなく、簡便に行えるものであるから手術
時の患者の心理的かつ肉体的負担を大きく低減すること
ができ、この発明のもたらす効果は大きい。
第1図はこの発明のわきが手術装置の概略を示す一部を
切欠断面とした側面図、第2図はこの発明の手術用チッ
プの要部を示す平面図、第3図はその断面図、第4図は
他の実施例を示す平面図、第5図はその断面図、第6図
はこの発明装置の使用状態を表す概略断面図である。 10.50.60・・・チップ、11,51.61・・
・管状本体、12・・・吸取流路、13,53゜54.
63,64.65・・・吸取開口部、15゜55.66
・・・掻取突部、20・・・ハンドピース、21・・・
振動発生部、25・・・吸引路、26・・・接続部、3
0・・・超音波発生器、40・・・吸引部、41・・・
吸引管、45・・・真空ポンプ。 第 図 第 図 第 図
切欠断面とした側面図、第2図はこの発明の手術用チッ
プの要部を示す平面図、第3図はその断面図、第4図は
他の実施例を示す平面図、第5図はその断面図、第6図
はこの発明装置の使用状態を表す概略断面図である。 10.50.60・・・チップ、11,51.61・・
・管状本体、12・・・吸取流路、13,53゜54.
63,64.65・・・吸取開口部、15゜55.66
・・・掻取突部、20・・・ハンドピース、21・・・
振動発生部、25・・・吸引路、26・・・接続部、3
0・・・超音波発生器、40・・・吸引部、41・・・
吸引管、45・・・真空ポンプ。 第 図 第 図 第 図
Claims (1)
- 【特許請求の範囲】 1、内部に吸取流路を有する管状本体の先端部近傍の上
面側に吸取開口部が設けられ該開口部の前部開口縁に掻
取突部が突設されたチップと、前記チップが着脱自在に
装着され、前記チップに超音波振動を伝達するための振
動発生部を有するとともに、前記チップ部の吸取流路と
連通しかつ吸引管との接続部を有する吸引路を備えたハ
ンドピースと、 前記ハンドピースの振動発生部に超音波振動を付与する
ための電気エネルギーを発生し伝達する超音波発振器と
、 前記ハンドピースの吸引路と吸引管を介して接続され、
真空ポンプによって強制吸引する吸引部とからなること
を特徴とするわきが手術装置。 2、超音波発振器に接続された振動発生部を有するハン
ドピースに着脱自在に装着され、前記振動発生部を介し
て超音波振動が伝達されるように構成されたチップであ
って、内部に吸取流路を有する管状本体の先端部近傍の
上面側に吸取開口部が設けられ、該開口部の前端縁に掻
取突部が突設されていることを特徴とするわきが手術用
チップ。 3、請求項第2項において、チップの管状本体の上面に
複数の吸取開口部が設けられ、該開口部の先端側開口部
の前端縁に掻取突部が突設されていることを特徴とする
わきが手術用チップ。 4、請求項第2項または第3項において、チップの管状
本体の上面に吸取開口部が設けられ該開口部の前端縁に
掻取突部を突設されているとともに、管状本体の側面に
も吸取開口部が形成されていることを特徴とするわきが
手術用チップ。
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2275014A JPH04150847A (ja) | 1990-10-12 | 1990-10-12 | わきが手術装置およびその手術用チップ |
US07/681,267 US5190518A (en) | 1990-10-12 | 1991-04-08 | Surgical device for the treatment of hyper hidrosis |
EP91105869A EP0480121A1 (en) | 1990-10-12 | 1991-04-12 | Surgical device for the treatment of hyper hidrosis |
KR1019910006856A KR920007605A (ko) | 1990-10-12 | 1991-04-29 | 액취수술장치 및 그 수술용 팁 |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2275014A JPH04150847A (ja) | 1990-10-12 | 1990-10-12 | わきが手術装置およびその手術用チップ |
Publications (2)
Publication Number | Publication Date |
---|---|
JPH04150847A true JPH04150847A (ja) | 1992-05-25 |
JPH0560938B2 JPH0560938B2 (ja) | 1993-09-03 |
Family
ID=17549679
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2275014A Granted JPH04150847A (ja) | 1990-10-12 | 1990-10-12 | わきが手術装置およびその手術用チップ |
Country Status (4)
Country | Link |
---|---|
US (1) | US5190518A (ja) |
EP (1) | EP0480121A1 (ja) |
JP (1) | JPH04150847A (ja) |
KR (1) | KR920007605A (ja) |
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Also Published As
Publication number | Publication date |
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KR920007605A (ko) | 1992-05-27 |
US5190518A (en) | 1993-03-02 |
EP0480121A1 (en) | 1992-04-15 |
JPH0560938B2 (ja) | 1993-09-03 |
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