WO2002045601A1 - Surgical knife - Google Patents

Surgical knife Download PDF

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Publication number
WO2002045601A1
WO2002045601A1 PCT/JP2000/008574 JP0008574W WO0245601A1 WO 2002045601 A1 WO2002045601 A1 WO 2002045601A1 JP 0008574 W JP0008574 W JP 0008574W WO 0245601 A1 WO0245601 A1 WO 0245601A1
Authority
WO
WIPO (PCT)
Prior art keywords
blade
surgical scalpel
hole
handle
incision
Prior art date
Application number
PCT/JP2000/008574
Other languages
French (fr)
Japanese (ja)
Inventor
Shoichi Nakamura
Nagahisa Machida
Original Assignee
Acp Japan Co., Ltd.
Machida Toolex Co., Ltd.
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority to JP11136565A priority Critical patent/JP2000325355A/en
Application filed by Acp Japan Co., Ltd., Machida Toolex Co., Ltd. filed Critical Acp Japan Co., Ltd.
Priority to PCT/JP2000/008574 priority patent/WO2002045601A1/en
Priority to US10/415,368 priority patent/US20040010278A1/en
Publication of WO2002045601A1 publication Critical patent/WO2002045601A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/3211Surgical scalpels, knives; Accessories therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/062Measuring instruments not otherwise provided for penetration depth

Definitions

  • the present invention relates to a surgical scalpel used as a medical instrument for the human body and livestock.
  • a scalpel used in a surgical operation is composed of a blade portion and a handle portion, and there are several hundred types of blades having different shapes according to purposes, and several thousand types or more when considering the size.
  • the incision scalpel In order to make an accurate incision, the incision scalpel must have a cutting blade with a blade that can transmit the feeling of the incision to the surgeon as much as possible. What could satisfy the demands could not be realized.
  • the scalpel for incision requires that the incised surface or cut site be visible to the surgeon as much as possible in order to prevent the incision deeper than necessary because the biological tissue at the incised site opens. could not be realized to satisfy these requirements. Disclosure of the invention
  • the present invention provides a relief hole for air in the vicinity of the cutting edge of a blade, thereby achieving both rigidity and sharpness when cutting living tissue, and furthermore, the relief hole has a role of an incision depth scale.
  • the purpose is to provide a scalpel.
  • the present invention provides a surgical scalpel having good visibility of an incision surface or a cut site at the time of incision, without the incised body tissue sticking to the blade surface due to an air escape hole provided in the blade.
  • the purpose is to:
  • the scalpel according to the present invention is provided near the cutting surface formed on the blade of the blade. It has a through hole extending from the front surface to the back surface.
  • the surgical scalpel according to the present invention has a plurality of through holes near the cutting surface formed on the blade of the blade portion and extending from the front surface to the back surface of the blade along the cutting surface.
  • This through hole may be an elongated slit or a minute hole, and the shape of the through hole may be a circle, an ellipse, a triangle, a square, a polygon, or a slit arranged in a radial pattern.
  • the surgical scalpel according to the present invention has a through hole extending from the front surface to the rear surface in the vicinity of the cutting surface formed on the blade of the blade portion, and the blade portion can be removed from the handle and replaced.
  • the blade is attached to the handle by screwing screws or elasticity of a panel or collet chuck.
  • FIG. 1 is a view showing a first embodiment of a scalpel according to the present invention.
  • FIG. 2 is a view showing the blade part of FIG.
  • FIG. 3 shows an embodiment in which one circular through hole is provided at the tip of the blade.
  • FIG. 4 shows an embodiment in which two elliptical through holes are provided at the tip of the blade.
  • FIG. 5 shows an embodiment in which through holes are provided in a line along the cutting edge surface.
  • FIG. 6 shows an embodiment in which a number of minute holes are provided in a portion where the cutting surface of the blade is provided.
  • FIG. 7 is a view showing a second embodiment of the scalpel of the present invention.
  • FIG. 8 is a view showing the blade portion of FIG.
  • FIG. 9 shows an embodiment in which slits arranged radially are provided at the tip of the blade.
  • FIG. 10 shows a third embodiment in which the blade is attached to the handle by a collet chuck.
  • FIG. 11 shows an embodiment in which a through hole is provided along the cutting edge surface and a substance having water repellency is applied to the tip of the blade.
  • FIG. 1 is a view showing a first embodiment of a scalpel according to the present invention.
  • the blade 2 is detachably fixed to the handle 3 of the scalpel 1.
  • the blade portion 2 is formed by integrating a blade 4 and a mounting portion 5 to the handle portion 3.
  • the blade 4 is formed into a desired shape by precisely pressing a steel material capable of achieving both rigidity and sharpness, for example, molybdenum vanadium steel. Then, the blade 4 is subjected to electrolytic polishing to remove burrs formed by press working, so that the blade 4 is securely mounted on a special jig.
  • a steel material capable of achieving both rigidity and sharpness for example, molybdenum vanadium steel.
  • grinding is performed using the above-mentioned dedicated tool.
  • an NC-controlled grinding machine so that the grinding direction is a fixed angle from the R center, and interlock with a special jig, Process the shape.
  • the surface of the blade 4 along the cutting surface 6 by laser beam machining, electric discharge machining, plastic working (punch press), etc. near the cutting surface 6 while being fixed to the special jig.
  • the surface is machined to any fine shape (for example, dimple shape, slit shape, etc.) using laser beam machining, electric discharge machining, ion edging, etc. After that, the finishing process is performed using several types of grindstones using a special jig as described above. Then, in order to match the sharpness of the blade to the working characteristics as a final processing step, fine burrs attached to the blade edge are removed again by electrolytic polishing.
  • the combination of the fine processing of the through holes 7 and the surface and the two types of fine shapes allows the escape of air, body fluid (blood), fat, etc. at the time of incision of the living tissue. Cut surface does not stick to blade 4.
  • the blade part 2 is made replaceable with the handle part 3.
  • the handle 3 may be made of metal or plastic, but is provided with a slip stopper 8 so that the scalpel 1 can be securely gripped during surgery.
  • FIG. 2 is a view showing the blade portion 2.
  • the blade 4 is fixed to the mounting part 5 and integrated.
  • a male screw 9 is formed in the mounting portion 5, and the blade portion 2 is screwed to a female screw (not shown) formed in the handle portion 3 and is detachably mounted. Attaching the blade to the handle by screwing in this way does not cause play due to the attachment, and is suitable for a small scalpel with a small blade for performing precise surgery.
  • a mark 15 indicating the distance from the tip of the blade may be engraved on the front or back surface of the blade. At this point, the mark 15 may be used also as a through hole or a slit provided near the cutting edge surface according to the present invention. With such a mark 15, it is possible to easily know the standard of the incision depth of the skin at the time of surgery. Needless to say, the mark 15 indicating the distance from the tip of the blade can be similarly applied to other embodiments according to the present invention.
  • FIGS. 3 to 6 and 9 show the tip of the blade.
  • one circular through hole 7 is drilled from the front surface to the back surface of the blade 4 near the arc-shaped cutting surface 6 provided at the tip of the blade 4 according to the shape.
  • the living tissue is cut with the taper of the cutting edge surface 6, and the incision is opened due to the thickness of the blade and the presence of the through hole 7 that acts as an air escape hole. There is no.
  • the vicinity of the tip of the blade surface 4 can be visually recognized, so that the surgeon can easily perform the incision operation.
  • a small elliptical through hole 7a is provided near the arc-shaped cutting surface 6 provided at the tip of the blade 4 according to the shape thereof, and a larger ellipse is provided next to the hole.
  • the through hole 7b is drilled.
  • the number of elliptical holes is not limited to two, and three or more holes may be provided.
  • the cutting edge 6 is provided near the cutting edge 6 at the tip of the blade 4 and along the cutting edge 6 in comparison with the radius of curvature of the cutting edge 6, about one fifth to one tenth.
  • a number of minute through holes 7d are formed in the blade surface 4 near the portion where the cutting surface 6 is provided.
  • the feeling at the time of incision is slightly different from that of the other embodiments, but the same effect can be obtained.
  • the through hole 7 formed in the blade 4 does not need to be circular, and may be any shape such as an ellipse, a triangle, a square, a polygon, and a star.
  • FIG. 7 is a view showing a second embodiment of the scalpel according to the present invention.
  • the blade 2 is detachably fixed to the handle 3 of the scalpel 1.
  • the blade part 2 and the blade 4 and the mounting part 5 are formed in a body by the same manufacturing method using the same material as in the first embodiment.
  • the peripheral edge of the blade 4 is polished, and the cutting surface 6 is formed in a tapered shape.
  • An elongated slit 10 is formed in the blade 4 near the cutting edge surface 6 so as to penetrate from the front surface to the rear surface.
  • the number of the slits 10 is not limited to one, and a similar effect can be obtained by forming a plurality of slits.
  • FIG. 8 is a view showing the blade portion 2.
  • the insertion portion 11 provided at the other end of the blade 4 is inserted into the handle portion 3 and is attached to the handle portion 3 by means of a panel or the like in a known manner.
  • the slits 10a are provided in the vicinity of the tip of the blade 4 provided with the cutting surface 6 so as to penetrate from the front surface to the rear surface and are arranged in a radial pattern.
  • the surgical scalpel described in the above embodiments can be used not only for the human body but also for the surgical operation of animals such as livestock animals.
  • the material of the mounting part 5 is a material that can securely fix the blade 4 to the mounting part 5,
  • the material of the mounting part 5 is a material that can securely fix the blade 4 to the mounting part 5
  • both parts may be formed as an integral structure without having to replace the blade part 2 with the handle part 3.
  • FIG. 10 is a diagram showing a third embodiment in which the blade portion 2 is attached to the handle portion 3 by the collet chuck 13.
  • a plurality of through holes 7 are formed in the cutting surface 6 of the blade portion 2.
  • the blade portion 2 may have any cutting surface as long as it can be fixed by the collet chuck 13.
  • FIG. 11 is basically the same as the first embodiment in that a plurality of through holes 7 are formed along the cutting surface 6 of the blade 4. However, a substance 12 having water repellency is applied near the tip of the blade 4. As the substance having water repellency, synthetic resin, paraffin, casein, soybean protein, ⁇ , and the like are suitable. In the examples, one type was selected and applied.
  • the cut portion of the incised portion becomes sharp and opens naturally, and furthermore, the escape hole has a necessary minimum incision. It becomes a depth scale. Therefore, the cut living tissue does not stick to the blade surface, and the incision operation can be easily performed. In addition, since the cut surface of the living tissue is not destroyed, anastomosis is easy, and the wound is healed quickly.

Abstract

A surgical knife which is formed with air vent holes in the vicinity of the cutting edge of the blade to provide improved sharpness during the incision without the possibility of incised living tissue sticking to the blade surface and improved visibility of the incised surface or cut region. The surgical knife has a stem and a cutting edge, wherein one or a plurality of through-holes extending from the front to the back to serve as air vent holes during the incision of living tissue are formed in the vicinity of the cutting edge surface formed on the blade. The through-holes are not limited in shape to a circle; they may be oval or polygonal or in the form of slits or other elongated openings. They may also be a plurality of very small holes.

Description

明 細 書  Specification
外科用メス Surgical scalpel
技術分野 Technical field
この発明は人体及び家畜等の医療器具として用いる外科用メスに関する ものである。 背景技術  The present invention relates to a surgical scalpel used as a medical instrument for the human body and livestock. Background art
一般に外科手術において用いるメスは刃部と柄部からなり、 用途別に刃 部の形状の異なるものが数百種、 大小も考慮に入れると数千種又はそれ以 上の数が存在する。  Generally, a scalpel used in a surgical operation is composed of a blade portion and a handle portion, and there are several hundred types of blades having different shapes according to purposes, and several thousand types or more when considering the size.
切開用のメスは、 正確な切り口を作るため、 手術を行う医師に切開時の 感触を可能な限り伝えることのできるブレードを持った切刃部が形成され ていることが必要であるが、 この要求を満足するものを実現することがで きなかった。  In order to make an accurate incision, the incision scalpel must have a cutting blade with a blade that can transmit the feeling of the incision to the surgeon as much as possible. What could satisfy the demands could not be realized.
また、 切開用のメスは、 切開した部位の生体組織が開き、 必要以上深く 切開しないためには、 切開面若しくは切断部位が可能な限り手術を行う医 師に見えることが必要であるが、 従来のこのような要望を満足するものを 実現することができなかった。 発明の開示  In addition, the scalpel for incision requires that the incised surface or cut site be visible to the surgeon as much as possible in order to prevent the incision deeper than necessary because the biological tissue at the incised site opens. Could not be realized to satisfy these requirements. Disclosure of the invention
本発明は、ブレードの切刃部の近傍に空気の逃し穴を設けることにより、 生体組織の切開時に剛性と鋭利な切れ味とを両立させ、 しかも逃がし穴が 切開深度目盛の役割を持った外科用メスを提供することを目的とする。  The present invention provides a relief hole for air in the vicinity of the cutting edge of a blade, thereby achieving both rigidity and sharpness when cutting living tissue, and furthermore, the relief hole has a role of an incision depth scale. The purpose is to provide a scalpel.
さらに、 本発明は、 ブレードに設けられた空気の逃し穴により、 切開し た生体組織がブレード面に貼り付くことがなく、 切開時に切開面若しくは 切断部位の視認性の良い外科用メスを提供することを目的とする。  Further, the present invention provides a surgical scalpel having good visibility of an incision surface or a cut site at the time of incision, without the incised body tissue sticking to the blade surface due to an air escape hole provided in the blade. The purpose is to:
本発明による外科用メスは、 刃部のブレードに形成した切刃面の近傍に 表面から裏面に達する貫通穴を備えている。 The scalpel according to the present invention is provided near the cutting surface formed on the blade of the blade. It has a through hole extending from the front surface to the back surface.
また、 本発明による外科用メスは、 刃部のブレードに形成した切刃面の 近傍に該切刃面に沿ってブレードの表面から裏面に達する複数の貫通穴を 備えている。  The surgical scalpel according to the present invention has a plurality of through holes near the cutting surface formed on the blade of the blade portion and extending from the front surface to the back surface of the blade along the cutting surface.
この貫通穴は、 細長いスリッ ト又は微小穴であっても良く、 貫通穴の形 状は円形、 楕円形、 三角形、 四角形、 多角形、 放射線状に配列したスリツ 卜であっても良い。  This through hole may be an elongated slit or a minute hole, and the shape of the through hole may be a circle, an ellipse, a triangle, a square, a polygon, or a slit arranged in a radial pattern.
さらに、 本発明による外科用メスは、 刃部のブレードに形成した切刃面 の近傍に表面から裏面に達する貫通穴を有し、 刃部は柄部から取り外して 交換することができる。 そして、 刃部の柄部への取付けは、 ネジの螺合又 はパネの弾性若しくはコレッ ト ·チヤヅクを利用したものである。  Further, the surgical scalpel according to the present invention has a through hole extending from the front surface to the rear surface in the vicinity of the cutting surface formed on the blade of the blade portion, and the blade portion can be removed from the handle and replaced. The blade is attached to the handle by screwing screws or elasticity of a panel or collet chuck.
さらに、 ブレードに撥水性を有する物質を塗布する。 簡単な図面の説明  Further, a substance having water repellency is applied to the blade. Brief description of the drawings
第 1図は、 本発明の外科用メスの第 1の実施例を示す図である。  FIG. 1 is a view showing a first embodiment of a scalpel according to the present invention.
第 2図は、 図 1の刃部を示す図である。  FIG. 2 is a view showing the blade part of FIG.
第 3図は、 ブレードの先端部分に一個の円形の貫通穴を設けた実施例で ある。  FIG. 3 shows an embodiment in which one circular through hole is provided at the tip of the blade.
第 4図は、 ブレードの先端部分に二個の楕円の貫通穴を設けた実施例で ある。  FIG. 4 shows an embodiment in which two elliptical through holes are provided at the tip of the blade.
第 5図は、 切刃面に沿って一列に貫通穴を設けた実施例である。  FIG. 5 shows an embodiment in which through holes are provided in a line along the cutting edge surface.
第 6図は、 ブレードの切刃面を設けた部分に多数の微小穴を設けた実施 例である。  FIG. 6 shows an embodiment in which a number of minute holes are provided in a portion where the cutting surface of the blade is provided.
第 7図は、 本発明の外科用メスの第 2の実施例を示す図である。  FIG. 7 is a view showing a second embodiment of the scalpel of the present invention.
第 8図は、 図 7の刃部を示す図である。  FIG. 8 is a view showing the blade portion of FIG.
第 9図は、 プレードの先端部分に放射線状に配列したスリツ トを設けた 実施例である。  FIG. 9 shows an embodiment in which slits arranged radially are provided at the tip of the blade.
第 1 0図は、 刃部をコレヅ ト ·チャックにより柄部に取付けた第 3の実 施例である。 第 1 1図は、 切刃面に沿って貫通穴を設けるとともにブレードの先端部 分に撥水性を有する物質を塗布した実施例である。 発明を実施するための最良の形態 FIG. 10 shows a third embodiment in which the blade is attached to the handle by a collet chuck. FIG. 11 shows an embodiment in which a through hole is provided along the cutting edge surface and a substance having water repellency is applied to the tip of the blade. BEST MODE FOR CARRYING OUT THE INVENTION
以下、 図面とともに本発明の実施例について説明する。 各図に於て同じ 参照番号を付した部分は同様の部分を表しているので詳細な説明は省略す る。  Hereinafter, embodiments of the present invention will be described with reference to the drawings. In each figure, the parts denoted by the same reference numerals represent the same parts, and the detailed description is omitted.
図 1は、 本発明の外科用メスの第 1の実施例を示す図である。 メス 1の 柄部 3には刃部 2が着脱自在に固定されている。 刃部 2はブレード 4と柄 部 3への取付部 5が一体化されて形成されている。  FIG. 1 is a view showing a first embodiment of a scalpel according to the present invention. The blade 2 is detachably fixed to the handle 3 of the scalpel 1. The blade portion 2 is formed by integrating a blade 4 and a mounting portion 5 to the handle portion 3.
ブレード 4は剛性と鋭い切れ味を両立させることのできる鋼材、 例えば モリブデンバナジウム鋼を精密にプレスすることにより、 所望の形状に加 ェされる。 そして、 ブレード 4に電解研磨を行いプレス加工で出来たバリ を取り除く事により、 専用治具への取付けを確実なものとする。  The blade 4 is formed into a desired shape by precisely pressing a steel material capable of achieving both rigidity and sharpness, for example, molybdenum vanadium steel. Then, the blade 4 is subjected to electrolytic polishing to remove burrs formed by press working, so that the blade 4 is securely mounted on a special jig.
次に上記専用器具を用い、 研削加工を行う。 この際、 R等複雑な刃形状 に対して常に同一な切れ味を保っため、研削方向を R中心より一定角度と なるように NC制御の研削機を用い、 専用治具と連動させて、 任意な形状 の加工を行う。 この後、 専用治具に固定したままの状態で、 切刃面 6の近 傍にレーザビーム加工、 放電加工、. 塑性加工 (パンチプレス) 等により、 切刃面 6に沿ってブレード 4の表面から裏面に達する一列又は二列以上の 複数の貫通穴 7を鑽孔する。  Next, grinding is performed using the above-mentioned dedicated tool. At this time, in order to always maintain the same sharpness for complicated blade shapes such as R, use an NC-controlled grinding machine so that the grinding direction is a fixed angle from the R center, and interlock with a special jig, Process the shape. After that, the surface of the blade 4 along the cutting surface 6 by laser beam machining, electric discharge machining, plastic working (punch press), etc. near the cutting surface 6 while being fixed to the special jig. One or two or more rows of through holes 7 reaching from the bottom to the back.
又レザービーム加工、 放電加工、 イオンエッジング加工等を用い表面に 任意の微細形状 (例えばディンプル形状、 スリッ ト形状等) を加工する。 この後、数種類の砥石を用い仕上げ加工を上記同様専用治具を用いて行う。 そして最終加工工程として刃の切れ味を使用特性に合わせるため、 もう 一度電解研磨により刃先に付いた微細なバリを取り去る。 この貫通穴 7及 び表面の微細加工と、 2種類の微細形状 (例えばディンプル形状、 スリツ ト形状等) の組み合わせが生体組織の切開時に空気、 体液(血液)、 脂肪等 の逃がしとなり、 生体組織の切開面がブレード 4に貼りつくことが無い。 近年、 汚染した血液に接触することに伴う病気の感染を防ぐため、 刃部 2は一回しか使用しないのが一般的である。 そのため、 実施例においては 刃部 2を柄部 3に対し交換可能にした。 柄部 3は金属製でもプラスチック 製でも良いが、 手術時にメス 1を確実に把持できるように、 すべり止め 8 が設けられている。 Also, the surface is machined to any fine shape (for example, dimple shape, slit shape, etc.) using laser beam machining, electric discharge machining, ion edging, etc. After that, the finishing process is performed using several types of grindstones using a special jig as described above. Then, in order to match the sharpness of the blade to the working characteristics as a final processing step, fine burrs attached to the blade edge are removed again by electrolytic polishing. The combination of the fine processing of the through holes 7 and the surface and the two types of fine shapes (for example, dimple shape, slit shape, etc.) allows the escape of air, body fluid (blood), fat, etc. at the time of incision of the living tissue. Cut surface does not stick to blade 4. In recent years, it is common practice to use blade 2 only once to prevent disease transmission associated with contact with contaminated blood. Therefore, in the embodiment, the blade part 2 is made replaceable with the handle part 3. The handle 3 may be made of metal or plastic, but is provided with a slip stopper 8 so that the scalpel 1 can be securely gripped during surgery.
図 2は刃部 2を示す図である。 ブレード 4は取付部 5に固定され一体化 されている。 取付部 5には雄ネジ 9が形成され、 刃部 2は柄部 3に形成さ れた雌ネジ (図示せず) に螺合して着脱自在に取付けられる。 このように ネジの螺合によって刃部を柄部に取付けることは、 取付けによる遊びが生 じないので、精密な手術を行うブレードの小さい外科用メスに適している。 尚, 図 1乃至 3に示したように、 ブレードの表面又は裏面には、 ブレー ドの先端からの距離を示す標 1 5を刻み込ませるようにしてもよい。 とこ ろで、 当該標 1 5は、 本発明に係る切刃面近傍に設けられた貫通穴又はス リッ トに兼用させてもよい。 このような標 1 5によって、 手術の際に、 皮 膚の切開深度の目安を容易に知ることが出来る。 当該ブレードの先端から の距離を示す標 1 5は、 本発明に係る他の実施例に同様に適用できること は言うまでもない。  FIG. 2 is a view showing the blade portion 2. The blade 4 is fixed to the mounting part 5 and integrated. A male screw 9 is formed in the mounting portion 5, and the blade portion 2 is screwed to a female screw (not shown) formed in the handle portion 3 and is detachably mounted. Attaching the blade to the handle by screwing in this way does not cause play due to the attachment, and is suitable for a small scalpel with a small blade for performing precise surgery. As shown in FIGS. 1 to 3, a mark 15 indicating the distance from the tip of the blade may be engraved on the front or back surface of the blade. At this point, the mark 15 may be used also as a through hole or a slit provided near the cutting edge surface according to the present invention. With such a mark 15, it is possible to easily know the standard of the incision depth of the skin at the time of surgery. Needless to say, the mark 15 indicating the distance from the tip of the blade can be similarly applied to other embodiments according to the present invention.
図 3乃至図 6及び図 9はブレードの先端部を示す図である。  FIGS. 3 to 6 and 9 show the tip of the blade.
図 3の実施例はブレード 4の先端に設けた円弧状の切刃面 6の近傍に、 その形状に合わせてブレード 4の表面から裏面へ一個の円形の貫通穴 7を 鑽孔したものである。 切開時に切刃面 6のテ一パで生体組織を切り進み、 ブレードの厚みと空気の逃し穴として作用する貫通穴 7の存在により切り 口が開き、 切開面がブレード 4の面に貼りつくことがない。 これにより、 ブレード面 4の先端付近を視認することができるので、 外科医にとって切 開手術がやり易くなる。  In the embodiment of FIG. 3, one circular through hole 7 is drilled from the front surface to the back surface of the blade 4 near the arc-shaped cutting surface 6 provided at the tip of the blade 4 according to the shape. . At the time of incision, the living tissue is cut with the taper of the cutting edge surface 6, and the incision is opened due to the thickness of the blade and the presence of the through hole 7 that acts as an air escape hole. There is no. As a result, the vicinity of the tip of the blade surface 4 can be visually recognized, so that the surgeon can easily perform the incision operation.
図 4の実施例はブレード 4の先端に設けた円弧状の切刃面 6の近傍に、 その形状に合せ先端に近い方に小さい楕円の貫通穴 7 aとその隣にそれよ り大きい楕円の貫通穴 7 bを鑽孔したものである。この実施例においては、 切開時の感触が微妙に異なるにしても、 図 3に示す実施例と同様の効果が 得られる。 なお、 楕円の穴は二個に限定するものではなく、 三個以上複 数個設けても良い。 In the embodiment shown in FIG. 4, a small elliptical through hole 7a is provided near the arc-shaped cutting surface 6 provided at the tip of the blade 4 according to the shape thereof, and a larger ellipse is provided next to the hole. The through hole 7b is drilled. In this embodiment, even if the feeling at the time of incision is slightly different, the same effect as the embodiment shown in FIG. 3 is obtained. can get. The number of elliptical holes is not limited to two, and three or more holes may be provided.
図 5の実施例はブレード 4の先端に設けた切刃面 6の近傍に、 切刃面 6 に沿って切刃面 6の曲率半径に比し、 5分の 1乃至 1 0分の 1程度の半径 の円形の貫通穴 7 cを複数個鑽孔したものである。  In the embodiment of FIG. 5, the cutting edge 6 is provided near the cutting edge 6 at the tip of the blade 4 and along the cutting edge 6 in comparison with the radius of curvature of the cutting edge 6, about one fifth to one tenth. A plurality of circular through holes 7c having a radius of
この実施例においても、 切開時の感触は、 他の実施例と微妙に異なるに しても同様の効果が得られる。  In this embodiment, the same effect can be obtained even if the feel at the time of incision is slightly different from that of the other embodiments.
図 6の実施例は切刃面 6が設けられている部分付近のブレード面 4に、 多数の微小の貫通穴 7 dを鑽孔したものである。 この実施例においても切 開時の感触は他の実施例と多少異なるが、 同様の効果が得られる。  In the embodiment shown in FIG. 6, a number of minute through holes 7d are formed in the blade surface 4 near the portion where the cutting surface 6 is provided. In this embodiment, the feeling at the time of incision is slightly different from that of the other embodiments, but the same effect can be obtained.
ブレード 4に鑽孔された貫通穴 7は円形である必要はなく、 楕円型、 三 角形、 四角型、 多角形、 星型等どのようなものでも良い。  The through hole 7 formed in the blade 4 does not need to be circular, and may be any shape such as an ellipse, a triangle, a square, a polygon, and a star.
図 7は、 本発明の外科用メスの第 2の実施例を示す図である。 メス 1の 柄部 3には刃部 2が着脱自在に固定されている。 刃部 2は、 第 1の実施例 と同様の材料により、 同様の製法でブレード 4と取付部 5がー体に形成さ れる。  FIG. 7 is a view showing a second embodiment of the scalpel according to the present invention. The blade 2 is detachably fixed to the handle 3 of the scalpel 1. The blade part 2 and the blade 4 and the mounting part 5 are formed in a body by the same manufacturing method using the same material as in the first embodiment.
ブレード 4の周縁部は研磨され、 テーパ状に切刃面 6が形成される。 ブ レ一ド 4には切刃面 6の近傍に、 表面から裏面に貫通して細長いスリッ ト 1 0が形成されている。 スリッ ト 1 0は 1本に限定するものではなく、 複 数本形成しても同様の効果を得ることができる。  The peripheral edge of the blade 4 is polished, and the cutting surface 6 is formed in a tapered shape. An elongated slit 10 is formed in the blade 4 near the cutting edge surface 6 so as to penetrate from the front surface to the rear surface. The number of the slits 10 is not limited to one, and a similar effect can be obtained by forming a plurality of slits.
図 8は、 刃部 2を示す図である。 ブレード 4の他端に設けた挿入部 1 1 が柄部 3に挿入され、 公知の方法でパネ等により弹性的に柄部 3に着脱自 在に取付けられる (図示せず)。  FIG. 8 is a view showing the blade portion 2. The insertion portion 11 provided at the other end of the blade 4 is inserted into the handle portion 3 and is attached to the handle portion 3 by means of a panel or the like in a known manner.
図 9の実施例は切刃面 6が設けられているブレード 4の先端部付近に、 表面から裏面に貫通してスリッ ト 1 0 aを放射線状に配列して設けたもの である。  In the embodiment shown in FIG. 9, the slits 10a are provided in the vicinity of the tip of the blade 4 provided with the cutting surface 6 so as to penetrate from the front surface to the rear surface and are arranged in a radial pattern.
以上の実施例で述べた外科用メスは、 人体のみならず家畜ゃぺッ ト等の 動物の外科手術に利用できることはいうまでもない。  It goes without saying that the surgical scalpel described in the above embodiments can be used not only for the human body but also for the surgical operation of animals such as livestock animals.
取付部 5の材質は、 ブレード 4を確実に取付部 5に固定できるものなら 特に限定する必要はない。 プレード 4を取付部 5を介することなく直接柄 部 3に着脱自在に取付ける構造とすることも可能である。 If the material of the mounting part 5 is a material that can securely fix the blade 4 to the mounting part 5, There is no particular limitation. It is also possible to adopt a structure in which the blade 4 is detachably mounted directly on the handle 3 without the intervention of the mounting portion 5.
また、柄部 3に対し刃部 2を交換することのできる構造にすることなく、 両者を一体構造としても良い。  Further, the both parts may be formed as an integral structure without having to replace the blade part 2 with the handle part 3.
図 1 0の実施例は刃部 2をコレツ ト ·チャック 1 3により柄部 3に取付 けた第 3の実施例を示す図である。 刃部 2の切刃面 6には複数の貫通穴 7 が鑽孔されている。 なお、 刃部 2はコレッ ト ·チャック 1 3で固定できる ものならどのような切刃面のものでも良い。  The embodiment of FIG. 10 is a diagram showing a third embodiment in which the blade portion 2 is attached to the handle portion 3 by the collet chuck 13. A plurality of through holes 7 are formed in the cutting surface 6 of the blade portion 2. The blade portion 2 may have any cutting surface as long as it can be fixed by the collet chuck 13.
図 1 1の実施例は、 ブレード 4の切刃面 6に沿って複数の貫通穴 7が鑽 孔されている点は基本的に第 1の実施例と同じである。 しかし、 ブレード 4の先端付近には、 撥水性を有する物質 1 2が塗布されている。 撥水性を 有する物質としては、 合成樹脂、 パラフィ ン、 カゼイン、 大豆タンパク、 蠟などが適しており、 実施例においてはこの中から一種類を選択して塗布 した。  The embodiment of FIG. 11 is basically the same as the first embodiment in that a plurality of through holes 7 are formed along the cutting surface 6 of the blade 4. However, a substance 12 having water repellency is applied near the tip of the blade 4. As the substance having water repellency, synthetic resin, paraffin, casein, soybean protein, 蠟, and the like are suitable. In the examples, one type was selected and applied.
これにより、 切開手術中に油分はもちろんのこと水分をも弹くので、 切 開面若しくは切断部位の視認性が良くなり切開手術がやり易くなる。  As a result, not only oil but also moisture is increased during the incision operation, the visibility of the incision surface or the cut site is improved, and the incision operation is facilitated.
本発明によれば、 ブレードの切刃面の近傍に空気の逃し穴となる貫通穴 を設けたので、 切開部の切り口が鋭利になり自然に開き、 しかも逃がし穴 が必要最小限の切開のため深度目盛となる。 そのため、 ブレード面に切断 した生体組織が貼りつくことがなく、切開手術を容易に行うことができる。 また、 生体組織の切断面を破壊しないので、 吻合が容易であり、 傷口の 快復が早い。  According to the present invention, since a through hole serving as an air escape hole is provided in the vicinity of the cutting surface of the blade, the cut portion of the incised portion becomes sharp and opens naturally, and furthermore, the escape hole has a necessary minimum incision. It becomes a depth scale. Therefore, the cut living tissue does not stick to the blade surface, and the incision operation can be easily performed. In addition, since the cut surface of the living tissue is not destroyed, anastomosis is easy, and the wound is healed quickly.
さらに、 切開面がきれいに開くので、 視認性が良く、 正 ¾な切開深度を 保って手術をすることができ、 下部の血管等を傷つけることがない。  Furthermore, since the incision surface opens cleanly, surgery can be performed with good visibility, maintaining the correct incision depth, and the lower blood vessels and the like are not damaged.

Claims

請求の範囲 The scope of the claims
1 . 柄部と刃部を有する外科手術用のメスであって、 前記刃部のブレード に形成した切刃面の近傍に表面から裏面に達する貫通穴を設けたことを特 徴とする外科用メス。 1. A surgical scalpel having a handle portion and a blade portion, the surgical scalpel having a through hole extending from a front surface to a rear surface in the vicinity of a cutting edge surface formed on a blade of the blade portion. Female.
2 . 柄部と刃部を有する外科手術用のメスであって、 前記刃部のブレード に形成した切刃面の近傍に前記切刃面に沿って前記ブレードの表面から裏 面に達する複数の貫通穴を設けたことを特徴とする外科用メス。  2. A surgical scalpel having a handle portion and a blade portion, the plurality of scalpels reaching from the surface of the blade to the back surface along the cutting surface near the cutting surface formed on the blade of the blade portion. A surgical scalpel having a through hole.
3 . 前記貫通穴は前記ブレードの表面から裏面に達する細長いスリッ 卜で あることを特徴とする請求の範囲第 1項又は第 2項に記載の外科用メス。 3. The surgical scalpel according to claim 1, wherein the through hole is an elongated slit extending from the front surface to the rear surface of the blade.
4 . 前記ブレードに撥水性を有する物質を塗布したことを特徴とする請求 の範囲第 1項又は第 2項に記載の外科用メス。 4. The surgical scalpel according to claim 1, wherein a water-repellent substance is applied to the blade.
5 . 前記貫通穴は複数の微小穴であることを特徴とする請求の範囲第 1項 に記載の外科用メス。  5. The surgical scalpel according to claim 1, wherein the through hole is a plurality of minute holes.
6 . 前記貫通穴の形状は円形、 楕円形、 三角形、 四角形、 多角形、 細長い スリッ ト又は放射線状に配列したスリッ トであることを特徴とする請求の 範囲 1及び 2に記載の外科用メス。  6. The surgical scalpel according to claim 1, wherein the shape of the through hole is a circle, an ellipse, a triangle, a quadrangle, a polygon, an elongated slit, or a slit arranged in a radial pattern. .
7 . 前記ブレードの表面又は裏面には、 ブレードの先端からの距離を示す 標が刻み込まれていることを特徴とする請求の範囲第 6項に記載の外科用 メス。  7. The surgical scalpel according to claim 6, wherein a mark indicating a distance from a tip of the blade is engraved on a front surface or a rear surface of the blade.
8 . 柄部と刃部を有する外科手術用のメスであって、 前記刃部のブレード に形成した切刃面の近傍に表面から裏面に達する貫通穴を有し、 前記刃部 は前記柄部から取り外して交換可能であることを特徴とする外科用メス。 8. A surgical scalpel having a handle portion and a blade portion, wherein the blade portion has a through hole extending from a front surface to a back surface in the vicinity of a cutting surface formed on a blade of the blade portion. A surgical scalpel, which can be removed from and replaced.
9 . 前記刃部の前記柄部への取付けは、 ネジの螺合によることを特徴とす る請求の範囲第 8項に記載の外科用メス。 9. The surgical scalpel according to claim 8, wherein the blade is attached to the handle by screwing screws.
1 0 . 前記刃部の前記柄部への取付けは、 パネの弾性を利用したことを特 徴とする請求の範囲第 9項に記載の外科用メス。  10. The surgical scalpel according to claim 9, wherein the blade is attached to the handle using elasticity of a panel. 10.
1 1 . 前記刃部の前記柄部への取付けは、 コレッ ト ·チャックを利用した ことを特徴とする請求の範囲第 8項乃至第 9項に記載の外科用メス。  11. The surgical scalpel according to claim 8, wherein the blade is attached to the handle using a collet chuck.
PCT/JP2000/008574 1999-05-18 2000-12-04 Surgical knife WO2002045601A1 (en)

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