JPH05277122A - Medical treatment implement - Google Patents

Abstract

PURPOSE:To provide the treating implement which can simplify a hemostatic operation, and can shorten a surgery time. CONSTITUTION:The medical treatment implement is constituted so that a hemostatic pressing piece 1 is constituted by providing an absorber 6 such as a water absorptive gauze patch, etc., in each opposed part of an inserting/holding piece 3, and providing a spring part 4 for energizing this inserting/holding piece 3 in the inserting/holding direction, a sheath which passes through a somatic wall and is inserted into a celom is used as a guide and gripped by a gripping part 10 of a gripping forceps 2 which can be inserted into the celom, the inserting/holding piece 3 is constituted so as to be openable against energizing force of the spring part 4, and bleeding can be stopped by pressing a bleeding part by the hemostatic pressing piece 1.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a treatment instrument which is inserted into the abdominal cavity of a living body to press and stop a bleeding site such as a blood vessel.

[0002]

2. Description of the Related Art When a laparoscope is penetrated through the abdominal wall of a living body and a laparoscope or a treatment tool is inserted into the abdominal cavity using this trocar as a guide to perform a surgical operation for removing the gallbladder, for example, the gallbladder artery is damaged. In some cases a large amount of blood bleeds.

In such a case, there is a method in which a suction tube is inserted into a body cavity through a trocar to suck bleeding blood, but the suction force may damage normal tissue. Therefore, the bleeding blood is wiped off with a water absorbent gauze to stop the bleeding, and the operation is continued.However, when wiping off the blood, conventionally, a gauze is inserted from the trocar and the gauze is pressed against the bleeding point to bleed the blood. Included in.
The gauze containing the blood is taken out of the body cavity through the trocar, a new gauze is inserted into the body cavity through the trocar, and the blood is wiped off repeatedly.

[0004]

However, since the trocar is formed by a pipe having a small diameter, it is difficult to insert the gauze into the trocar, and even if the gauze is inserted into the body cavity through the trocar. However, it is difficult to guide the gauze to the bleeding site.
Furthermore, when the gauze containing blood is taken out through the trocar, it passes through the narrow passage of the trocar, so that the gauze is compressed and the blood contained in the horn is squeezed again and flows into the body cavity. ..

Therefore, the operation of wiping blood and the operation of stopping hemostasis are troublesome, and particularly when the amount of bleeding is large, it is necessary to insert and remove the wiping gauze many times, and there is a problem that the operation time becomes long.

The present invention has been made in view of the above circumstances, and the purpose thereof is to easily lead to a bleeding site and to easily stop bleeding by absorbing bleeding blood or the like. Therefore, it is an object of the present invention to provide a treatment tool capable of shortening the operation time.

[0007]

SUMMARY OF THE INVENTION In order to achieve the above object, the present invention has a compression element having an absorber at portions of a sandwiching piece facing each other and having a biasing means for biasing in the sandwiching direction, A grip that can be inserted into the body cavity by holding the pressure element and penetrating the body wall and being inserted into the body cavity as a guide, and that can release the sandwiching piece against the urging force of the urging means. It is equipped with forceps.

[0008]

[Operation] Gripping forceps is grasped by grasping forceps, inserted into the body cavity by using the sheath as a guide and guided to the bleeding site, and the grasping forceps opens the clamp piece of the compressing device to clamp and compress the bleeding site to absorb blood. It is contained in the body and bleeding is stopped. In addition, after hemostasis, the compression element is collected outside the body cavity by the grasping forceps.

[0009]

Embodiments of the present invention will be described below with reference to the drawings.

1 to 5 show a first embodiment, and FIGS.
Shows a treatment tool, and FIGS. 4 and 5 show a usage state of the treatment tool. The treatment tool is composed of a pressing element 1 and a grasping forceps 2.

The pressing element 1 will be described. Reference numeral 3 is a sandwiching piece, which is bent by bending a linear spring member in two and twisting the bent portion so that the tip end of the sandwiching piece 3 is attached in the sandwiching direction. A spring portion 4 is formed as a biasing means for biasing.

A pair of elliptical reinforcing members 5 are fixed to the tip of the sandwiching piece 3, and absorbers larger than the reinforcing members 5 are mounted on the surfaces of the reinforcing members 5 facing each other. The absorbent body 6 is formed by circularly woven gauze having good water absorbency and formed into a disc shape, or by a sponge, a non-woven fabric, or the like, and its area is expanded when pressed. A thread 7 is connected to the spring portion 4 of the compression element 1 so that it can be collected outside the body cavity.

The gripping forceps 2 will be described. Reference numeral 8 is an insertion portion, and a distal end portion of the insertion portion 8 has a hand operation portion 9 at its distal end.
A forceps unit 10 that is opened and closed by the is provided. A concave groove 11 is provided inside the forceps portion 10, and by sandwiching the spring portion 4 of the compression member 1, the sandwiching piece 3 can be opened against the biasing force of the spring portion 4.

Further, FIGS. 6 to 9 show an absorber used for wiping blood bleeding from an organ in a body cavity.
Reference numeral 12 in FIG. 6 is a gauze, and a flexible pipe 13 is fixed to one side edge of the gauze 12. 14 is a flexible pipe 13
It is a gripping rod that is inserted into the gripper to grip the gauze 12, and has a gripping portion 15 at the base end and a protrusion 16 for preventing slippage at the tip. Further, 17 in FIG. 7 is gauze, which is connected to the thread 18.

Reference numeral 19 in FIG. 8 is a soft case, and a large number of through holes 20 are formed in the outer peripheral wall of the soft case 19. A water absorbent material 21 is filled inside the soft case 19. Further, the soft case 19 is provided at a part thereof with a grip portion 22 formed of a projecting piece for gripping with gripping forceps or the like. In FIG. 9, a thread 23 is connected instead of the grip portion 22. Using the treatment tool and the absorbent body configured in this way, wipe the bleeding blood from the organ in the body cavity,
In addition, the action for stopping hemostasis will be described.

First, when the gauze 12 shown in FIG. 6 is used, the flexible pipe 13 is turned to wind the flexible gauze 12 around the flexible pipe 13. In this state, the gauze 12 is inserted together with the flexible pipe 13 into a trocar 30 as a sheath that penetrates the abdominal wall 29 of the living body, is guided to the bleeding site 24 in the body cavity, and the gauze 12 is expanded and pressed against the bleeding site 24. , Wipe the bleeding blood and gauze the blood 12
Absorb it.

Next, the grip bar 14 is inserted through the trocar 30.
Is inserted into the body cavity, and the tip of the gripping rod 14 is attached to the flexible pipe 1.
3, and the projection 16 is projected from the flexible pipe 13. Then, the grip bar 14 is rotated to wind the gauze 12 around the flexible pipe 13, and the grip 15 holds the blood-containing gauze 12 out of the body cavity from the trocar 30.

When the gauze 17 shown in FIG. 7 is used, the gauze 17 is rolled or folded to form the trocar 3.
0, lead to the bleeding site 24 in the body cavity, and gauze 12
Is spread and pressed against the bleeding site 24, so that the bleeding blood is wiped off and the blood is absorbed by the gauze 17. When the gauze 17 containing blood is recovered, it can be easily recovered by pulling the thread 18. It is also possible to insert a plurality of pieces of gauze 17 into the body cavity at one time and collect the pieces one by one.

In the case of the soft case 19 shown in FIGS. 8 and 9, basically, similarly, the soft case 19 is inserted into the body cavity through the trocar 30 and the soft case 19 is pressed against the bleeding site 24, but the bleeding blood is transparent. It is absorbed by the water-absorbent material 21 inside through the holes 20 .... Further, when the soft case 19 is collected, the grasping portion 22 can be grasped by grasping forceps, or the thread 23 can be pulled and pulled out of the body cavity from the trocar 30.

When the blood at the bleeding site 24 was wiped off,
When the bleeding site is found to be the gallbladder artery 24a as shown in FIG. 5 (a), the gallbladder artery 24a is pressed to stop the bleeding. In this case, first, the forceps part 1 of the grasping forceps 2
The spring portion 4 of the compression element 1 is grasped by 0, the compression element 1 is inserted into the trocar 30, and is guided to the gallbladder artery 24a in the body cavity.

Then, the forceps section 10 is operated by the hand operation section 9.
5 is opened, the clamping piece 3 is closed by the urging force of the spring portion 4, and the gallbladder artery 24a is clamped and compressed by the absorber 6, as shown in FIG. 5 (b). In this state, 5-15
If left for a minute, the gallbladder artery 24a is stopped.

After hemostasis, the forceps portion 10 of the gripping forceps 2 is again pressed.
By pressing the spring portion 4 of the compress 1 to release the clamping piece 3 against the biasing force, the compress 1 separates from the gallbladder artery 24a, and the grasping forceps 2 collects the compress 1 outside the body cavity. be able to.

[0023]

As described above, according to the present invention, the compression element having the absorber on the surfaces of the sandwiching pieces facing each other is grasped and inserted into the body cavity, and the bleeding site is compressed by the compression element. , It can absorb bleeding blood and stop bleeding. Therefore, it is possible to provide a treatment tool that is easy to perform hemostasis and that can shorten the operation time.

[Brief description of drawings]

FIG. 1A is a side view of a distal end portion of a treatment tool according to a first embodiment of the present invention, and FIG. 1B is a front view from the direction of arrow A in FIG.

FIG. 2 is a plan view of the compression element according to the embodiment.

FIG. 3 is a side view of the treatment tool of the embodiment with the compression element opened.

FIG. 4 is an explanatory view of a usage state of the treatment tool of the embodiment.

5 (a) and 5 (b) are explanatory views of a usage state of the treatment tool of the embodiment.

FIG. 6 is a perspective view showing a gauze with a flexible pipe.

FIG. 7 is a perspective view showing a gauze with a thread.

FIG. 8 is a perspective view showing a flexible case having a grip portion.

FIG. 9 is a perspective view showing a flexible case having a thread.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 ... Compressor, 2 ... Grasping forceps, 3 ... Clamping piece, 4 ... Spring part (biasing means), 6 ... Absorber.

 ─────────────────────────────────────────────────── ─── Continuation of front page (72) Inventor So Tsukagoshi 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Minor Tsuruta 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Shuichi Kimura 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Yasuhiko Omagari 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Shinichi Nishigaki 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Tsuruo Hatori 2-43-2 Hatagaya, Shibuya-ku, Tokyo Within Olympus Optical Co., Ltd. (72) Inventor Nobuhiko Washizuka 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Gaku Kogyo Co., Ltd. (72) Kenji Yoshino 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Co., Ltd. (72) Inventor Keisuke Saito 2-43-2 Hatagaya, Shibuya-ku, Tokyo Olympus Optical Industry Co., Ltd.

Claims (1)

[Claims] Claims: 1. A compression member having an absorbent body at portions of the sandwiching piece facing each other and having a biasing means for biasing in the sandwiching direction, and a compression member which is grasped and penetrates a body wall to be inserted into a body cavity. A treatment instrument that is capable of being inserted into a body cavity by using the formed sheath as a guide and provided with grasping forceps that can open the holding piece against the urging force of the urging means.