JPH08173451A - Housing means of appliance for specularly inspecting surgery - Google Patents

Abstract

PURPOSE: To enable an operator himself to surely and easily handle an appliance for operation without deviating his visual field from a TV monitor by constituting a housing means of plural pieces of housing parts which are mounted at a base plate and vary in length and hooks for hanging the base plate and inclining the housing parts by specific angle from the horizontal plane. CONSTITUTION: This housing means of appliances for specularly inspecting surgery is produced by mounting plural pieces of the housing parts 2 for inserting and holding the long-sized appliances for surgery, such as ultrasonic knives and pincers, at the base plate 1 and mounting the hooks 5 for hanging the housing parts at the upper part of the base plate 1. Further, the housing parts 2 are provided with an angle of inclination of about 5 to 30 deg., more preferably 15 to 25 deg.C from the horizontal plane. The lower parts of the insertion ports 7 are respectively provided with notches 3 to facilitate rapid taking out of clip appliers, etc. The bottom parts are provided with openings 4 to prevent the stagnation of the water sticking at the time of washing after use in the housing parts 2. Further, the area of the openings 4 is confined to <=4cm<2> .

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a storage tool for inserting and holding a long surgical instrument used in arthroscopic surgery and the like.

[0002]

2. Description of the Related Art While various techniques and devices for performing minimally or non-invasive treatment are being developed, laparoscopic cholecystectomy and thoracoscopic bractomy (natural pneumothorax), etc. Lower surgery is performed. The background of enabling these arthroscopic surgery includes the improvement of the operator's technique and the development of a long treatment tool such as ENDO GIA, which is used by inserting it into a trocar.

On the other hand, the arthroscopic surgery is less invasive than the abdominal (chest) surgery, so that recovery is quicker, the number of days of hospitalization is shorter and the time to return to society can be shortened. However, unlike the laparotomy (chest) surgery, the surgeon did not directly see or touch the affected area, but it was reflected on the TV monitor. Since the operation is performed through a long-length device while looking at the affected area, it is a task that requires a lot of nerves.

[0004] By the way, since surgical instruments in such arthroscopic surgery are long and many kinds, the instrument table is liable to be messed up, and the delivery from the assisting nurse is also long, so it is not smooth. In addition, since the development speed of the equipment is fast, communication may not work well with regard to names etc.
The surgeon must remove his sight from the TV monitor,
There was a problem that the burden on the operator could not be reduced at the surgery site where safety, reliability and speed were required.

[0005]

SUMMARY OF THE INVENTION The present invention has been made for the purpose of solving such a problem, and the operator himself / herself can surely and easily perform the operation without taking his / her eyes off the TV monitor. It is possible to handle surgical instruments,
The present invention provides a device for storing instruments for arthroscopic surgery.

[0006]

[Means for Solving the Problems] That is, the present invention hangs a plurality of storage units, each having a different length, attached to a substrate for inserting and holding a long surgical instrument. A storage device for the arthroscopic surgical instrument, wherein the storage portion is inclined at an angle of 5 to 30 degrees with respect to a horizontal plane. Furthermore, each storage section is provided with a notch below the insertion port,
The bottom is characterized by an opening having an area of 4 cm ² or less.

The present invention will be described in detail below with reference to the drawings. FIG. 1 is a schematic view showing the basic structure of an instrument housing for arthroscopic surgery according to an embodiment of the present invention, and FIG. 2 is a typical laparoscopic cholecystectomy for arthroscopic surgery. FIG. 6 is a diagram for explaining an example of use of the.

As shown in FIG. 1, a storage device for an endoscopic surgical instrument according to the present invention has a plurality of storage portions for inserting and holding long surgical instruments such as ultrasonic scalpels and forceps. (2) is attached to the substrate (1), and a structure in which a hook (5) for suspending the main storage device is attached to the upper portion of the substrate (1) is a base.

Although the number of the storage portions (2) may be any number, when considering the problem to be solved by the present invention, the effect of the present invention is small when the number is small and the problem is rather unsolvable when the number is large. Therefore, it is preferable that the number is 3 to 7. Each storage part may be formed individually, or may be formed individually on the insertion port (7) side and may be formed in common on the bottom side without a partition. Also, by changing the length of each storage unit, it is possible to handle surgical instruments of different lengths, and it is easy to take them out.

Further, the accommodating part (2) preferably has an inclination angle for the purpose of taking in and out the surgical instrument, and the angle A shown in FIG. 1 is 5 to 30 degrees with respect to the horizontal plane.
It is preferably 15 to 25 degrees. Further, since the cutouts (3) are provided in the lower portion of the insertion opening (7) respectively, quick removal of the clip applier or the like is facilitated, and the bottom portion is provided with the opening (4). It prevents the water attached during cleaning after use from staying in the storage part (2). The area of the opening (4) is 4 cm for that purpose
^It is preferably ² or less.

A hook (5) is provided on the back of the upper part of the substrate (1).
Is attached, and can be hung from the side of the operating table or an arch or the like provided on the operating table. Further, even when it is not hung on the arch, it is possible to stop it with a cloth forceps or the like by passing a part of the drape or a string through the small hole (6) provided near the hook. The size of the small hole (6) is preferably 10 mm or less for the purpose of use.

Further, it is preferable to provide an accessory case (8) at the lower part of the storage part (2) on the insertion port (7) side. It is convenient for storing small parts that are easy to lose, such as trocar converters used during surgery, and helps the operation proceed smoothly. As for its size, if it is too large, it will interfere with putting in and out of surgical instruments, so width 8 cm, depth 4 cm, height (depth) 3
It is preferably about cm or less.

The material constituting the container of the present invention is not particularly limited, but the substrate (1) is required to have the rigidity necessary to maintain the shape of the entire container, and the container (2). ), It is preferable to use a transparent one so that the type and state of the surgical instrument stored can be confirmed.

Next, an example of use of the instrument housing for arthroscopic surgery according to the present invention will be described. FIG. 2 shows the arrangement around the operating table (10) during laparoscopic cholecystectomy.
Depending on the facility, assistants (16, 17), nurses (18),
The position of the anesthesiologist (19) may be different, but the positional relationship between the operator (15) and the TV monitor (12) is generally as shown in FIG.
Since it is as described above, the description will be given accordingly.

Two TV monitors (12, 12 '), anesthesia table (13), and instrument table (14) are arranged around the patient's head side lying on the operating table (10), respectively. ) Has an arch (11) attached to the patient's face. Since this arch is in the line of sight of the operator (15) to the TV monitor (12), by hooking the hook (5) of the storage device of the present invention on this arch (11),
It is possible for the operator himself / herself to put in and take out the surgical instrument without removing the line of sight from the TV monitor (12). Further, even if the hook (5) is not used, it can be easily attached to an appropriate place within the operator's visual field by passing a part of the drape or a string through the small hole (6) near the hook.

[0016]

EFFECTS OF THE INVENTION According to the present invention, a surgical instrument for a long object can be organized and mounted in the field of view of the operator so that the operator can easily take in and out the surgical instrument without the help of a support nurse. Since it can be performed, it saves the labor of delivery as in the past and keeps the field of view constant, which enables safe and quick surgery, and is extremely useful as an auxiliary tool for surgery that reduces the burden on the operator. is there.

[Brief description of drawings]

FIG. 1 is a schematic view showing a basic structure of an instrument housing for arthroscopic surgery according to an embodiment of the present invention.

FIG. 2 is a view for explaining an example of use of the instrument housing for arthroscopic surgery according to the present invention.

[Explanation of symbols]

 1 Board 2 Storage Section 3 Cut 4 Opening 5 Hook 6 Small Hole 7 Insertion Port 8 Small Item Storage 10 Operating Table 11 Arch 12, 12 'TV Monitor 15 Operator

Claims (4)

[Claims] 1. An accommodating unit for inserting and holding a long surgical instrument, the accommodating units having different lengths attached to a substrate, and a hook for suspending the substrate. The part is inclined at an angle of 5 to 30 degrees with respect to the horizontal plane, and is a container for an instrument for arthroscopic surgery. 2. The mirror according to claim 1, wherein each storage portion has a notch formed in a lower portion of the insertion opening, and an opening having an area of 4 cm ² or less is provided in a bottom portion. Storage device for visual surgical instruments. 3. A storage device for an endoscopic surgical instrument according to claim 1, wherein a small hole having a diameter of 10 mm or less is provided in the vicinity of the hook of the base plate. . 4. A part of the substrate has a width of 8 cm, a depth of 4 cm, and a height of 3.
A storage device for an endoscopic surgical instrument according to any one of claims (1) to (3), characterized in that an accessory case having a size of cm or less is additionally provided.