WO2002094106A1 - Surgical operation ligating method and device therefor - Google Patents

Surgical operation ligating method and device therefor Download PDF

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Publication number
WO2002094106A1
WO2002094106A1 PCT/JP2001/004294 JP0104294W WO02094106A1 WO 2002094106 A1 WO2002094106 A1 WO 2002094106A1 JP 0104294 W JP0104294 W JP 0104294W WO 02094106 A1 WO02094106 A1 WO 02094106A1
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WO
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Application
Patent type
Prior art keywords
thread
surgical
yarn
winding shaft
end
Prior art date
Application number
PCT/JP2001/004294
Other languages
French (fr)
Japanese (ja)
Inventor
Kouhei Hasegawa
Original Assignee
Yuugen Kaisha Sakura Medikaru
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Filing date
Publication date

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12009Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0483Hand-held instruments for holding sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/047Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0475Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery using sutures having a slip knot
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0477Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery with pre-tied sutures

Abstract

A surgical operation ligating method comprising the steps of using a unit consisting of a thread winding shaft (1) having one or a plurality of axial thread passing grooves (2) and a rotary body (3) rotatable around the axis of the thread winding shaft (1) while holding one end (4) of the thread, passing the free end (11, 19) of the thread wound around the thread winding shaft (1), through the thread passing groove (2), removing the wound thread from the thread winding shaft (1), and forming a knot (20) between one end side (4) and the free end side (11, 19) of the thread, the method enabling quick reliable ligature based on a simple principle; and a surgical operation ligating device which is simple in construction and easy to use.

Description

The apparatus art the surgical ligation method

The present invention relates to a device of the surgical ligation method and its suitable for endoscopic surgical operation and the like.

Background of the Invention

Description of the Related Art

In surgery in a conventional endoscopic, although thread surgical ligation method can be rapidly reliably ligated and apparatus have been variously proposed, a complicated structure and handling, as well as expensive those that required the skill was not a few.

Problems that the Invention is to you'll solve

The present invention is ligated method and structure for surgery can be rapidly reliably ligated with a simple principle and you'll provide easy surgical ligation equipment used is simple.

Disclosure of the Invention

The present invention, as described in claim 1, by rotating the rotating body centered to the thread winding shaft holding one end of the thread to be Sho ligation, the thread winding shaft having one or more of the threading grooves was wound around the yarn around the free end of the thread was dive under the Certificates thread by passing it through a groove threading the rotary section that holds one end of the thread, with removing the thread winding shaft from the rotating body, the winding yarn thread winding shaft or Rahazushi, there is provided a surgical ligation method of forming a knot between the one end and the free end side of the thread.

According to the present invention, the task of convolutions of yarn around a winding shaft having a threading groove, as possible out to perform easily and quickly by rotating the rotating body. Further, by removing the thread winding shaft from the rotating body, easily 卷糸 can form a knot removed from the yarn winding shaft.

In this case, the yarn after the convolutions, because it is preferable to wind lightly to facilitate removably loosely yarn wound from around the winding shaft, to have a loose tension on the take-yarn with lightly self Yoshitan side yarn it is preferable to rotate the rotating member Te.

Moreover, winding shaft be rotated integrally with the rotating body, only the rotating body be rotated around the yarn 卷軸 can sow yarn around the yarn 卷軸.

The present invention, as set forth in claim 2, the outer department surgical ligation method according to claim 1, after forming the single knot between the one end and the free end of the thread, further by rotating the rotating body to form a knot of a double eye between the one end and the free end of the thread, surgical readily form multiple knot more Mamusubi or reverse knot to repeat these ligation there is provided a ligating methods.

The present invention, as set forth in claim 3, the outer department surgical ligation method according to claim 2, after forming a single knot between the one end and the free end of the thread, the rotation by rotating the body in the opposite direction, by forming a knot double eye between the one end and the free end of the thread, provides a surgical ligation method for easily forming a multi concluding Mamusubi those in Oh ^ O o

The present invention, as set forth in claim 4, the thread in surgical ligation method according to claims 1 to 3 Neu deviation, and wound around the yarn around the winding shaft, the free end of the thread after passing through the through-slot, the thread winding shaft is pulled out in the direction in which the threading groove 避退 the rotary body direction, readily disengages the knot from thread winding shaft, the knot between the one end and the free end of the thread formed is cheat those provides surgical ligation method can be.

In this case, the winding shaft is also possible to slippery when removing the yarn winding with a slight inclination to the yarn removing direction, a large spiral slope winding yarn from the rotating side to the tip direction of the bobbin axis if Kere with wound to wind and easily lightly remove the wound yarn from the bobbin axis can loose winding yarn when pulled out thread winding shaft to the rotary section.

The present invention, as set forth in claim 5, threading by rotating the surgical ligation method according to claims 1 to 4 noise deviation, a rotating body thread winding shaft and one body groove surgical ligation methods without to easily reliably wound around the yarn around a winding shaft having a there is provided a.

The present invention, as set forth in claim 6, in surgical ligation method according to claims 1 to 5 Noi displacement, the thread winding shaft to the caul plates to urchin position by rotating body relative tip parts closed against the open tip end of the bobbin shaft after winding reliably prevent removal of the yarn, through the free end of the thread to the threading groove in winding axis between the rotor and those of a plate portion surgical ligation method of forming a ligation disconnect the winding yarn and is intended to provide.

The present invention, as set forth in claim 7, against the the ligation method for outer family surgery, the rotational member through the abutting plate section of the thread winding shaft to the yarn 卷後 in the opposite direction according to claim 6 Remove the wound yarn by opening the rotary body or et yarn 卷軸 pull the plate portion direction through the yarn, the ligature practitioner pull to the left or right rotator direction or caul plate section direction thread winding shaft surgical ligation how to become Te'll form Unishi is intended to provide.

The present invention, as set forth in claim 8, claim 1 to 7 noise in surgical ligation method according to any deviation, caused to rotatably support the rotating body guiding Dubai one and Guy Dubai one in which it moves, to provide a surgical ligation method comprising the so that to form a freely smoothly ligated to the relative movement between the rotor and the yarn 卷軸 as necessary along.

The present invention, as set forth in claim 9, in surgical ligation method according to claims 1 to 8 noise deviation, the Itoren Tsumizo continuous threading groove of the thread winding shaft to the rotary member provided, the free end side after wound around the yarn around accompanied a connexion yarn 卷軸 the rotation of the rotating body that holds one end of the thread, and Itoren communicating groove of the rotary member by the yarn feeding rod from the rear of the rotary body led from the tip of the thread winding shaft to the outside through the threading groove of the thread winding shaft to hold the free end side of the thread, pulling the thread reel and the yarn feeding rod, stretched Hikitsu with one end and the free end of the thread there is provided a surgical ligation how capable of forming a ligated readily allowed dive threading groove of the bobbin shaft even when there is no needle is the free end side of the yarn by.

The present invention, as set forth in claim 1 0, in surgical ligation method according to any one of claims 1 to 9, freely one end of the thread by the thread holding means provided on the rotating body also of the is to provide a surgical ligation method comprising as can Fit winding yarn winding axis grasped.

Further, as described in claim 1 1, according to the surgical suturing device according to the present invention, a winding shaft having one or more of the threading grooves in releasably axially from the rotating body, one end of the thread by having to consist of a rotating body that rotates around the bobbin axis configuration holding a yarn to be cane ligature - by rotating body rotates around the yarn 卷軸 to hold the end, it has a threading groove can be wound around the yarn around the winding shaft, the free end of the thread were allowed dive under the 卷糸 by passing the threading groove from rotary section that holds one end of the yarn, the yarn from the rotating member by removing the 卷糸 disengaged the thread winding shaft having a through-slot from the yarn 卷軸 can single yarn ;; Bi Yoshi eyes between one side and the free end of the thread, then the rotary member in the reverse direction rotation to Mamusubi, can be ligated reverse knot and rotated in the same direction, these ligature Multiplex ligation by and the child repeats can be easy.

The present invention, as set forth in claim 1 2, the direction in surgical ligating apparatus according to claim 1 1, the threading groove thread winding shaft against rotation body to 避退 the rotary body direction by chromatic withdrawal capable provided comprising configuration, and wound around the yarn around the yarn 卷軸, 避退 the free end of the yarn passed through a threading groove, a thread winding shaft to the threading groove rotator direction because it can be pulled out in the direction of, Gil with be removed smoothly 卷糸 from thread winding shaft.

The present invention, as set forth in claim 1 3, in surgical ligating apparatus according to claim 1 1 or 1 2, has a structure in which rotating body is no so as to rotate integrally with winding shaft it makes since threading groove rotates integrally with the rotation of the rotating body can be visually recognized, practitioner threading check the winding yarn state and yarn 卷数 at a comfortable eye grooved threading can.

Further, the slide freely configured in relation to the rotating body and the key shaft-like or Supurain shaft-like thread winding shaft having a boss hole, with the threading groove one or yarn 卷軸 can be provided on multiple conditions , can be rotatable in the rotating body and the yarn 卷軸 the slide can and integrally.

The present invention, as set forth in claim 1 4, in surgical ligating apparatus according to claim 1 1, 1 2 or 1 3, and the rotary body relative to openably closing the winding shaft by a this having the structure against formed by providing a plate portion, the rotating body and it is possible to wind easily and reliably yarn without departing the winding shaft between the caul plate section, caul plate portion thread winding shaft after winding the wound yarn through the yarn opening can make a knot readily removed from.

The present invention, as set forth in claim 1 5, provided in the surgical ligating apparatus according to any one of claims 1 1 to 1 4, the extractable in caul plate portion thread winding shaft penetrates by having the configurations, by pulling the caul portion direction yarn winding shaft, the winding yarn through the yarn by opening the thread winding shaft from the rotating body after the winding can be made the ligature readily removed.

In this case, so that it is possible to count on the plate portion just as rotatably configured to hold one end of the thread and the rotating body, the practitioner selects and uses one of the rotating body and the contact plate portion it can be.

The present invention, as set forth in claim 1 6, in surgical ligating apparatus according to any one of claims 1 1 to 1 5, the rotating body along the axis Direction of the bobbin shaft rotatable by having a structure in which a guide Doba one to and movably supported with the rotary member can be rotatably supporting and moving along the guide Doba, rotor and the winding shaft if necessary can allow the relative movement can be made easily and reliably ligation.

Further, the present invention is as claimed in claims 1-7, in surgical ligating apparatus according to claim 1 6, by having a configuration that rely provided with plate portions Guy Doba, if necessary against moving the rotating body and the yarn winding axis along the guide Doba respect to the plate portion, Ru can be easily prepared ligation o

The present invention, as set forth in claim 1 8, in surgical ligating apparatus according to any one of claims 1 1 to 1 7, Itoren through continuous threading groove of the thread winding shaft to the rotary member provided with a groove, by having a structure in which a yarn feeding rod extending through the threading groove, the rotation of the rotating body that holds one end of the thread Te Natsu Ban after wound around the yarn around the winding shaft the free end is guided from the tip of the thread 卷軸 through the threading groove of Itoren communicating groove and winding shaft of the rotary member by the yarn feeding rod from the rear of the rotating body to the outside, one end of the thread brought hold, the yarn feeding rod it is possible to leave the wound yarn from the bobbin axis, knotted yarn without due connexion needle pulling with one end and the free end of the thread with pulling.

The present invention, as set forth in claim 1 9, in surgical ligating apparatus according to any one of claims 1 4 to 1 8, continuous threading groove of the thread winding shaft rely plate portion provided with a Itorendorimizo, by having a structure in which a yarn feeding rod which penetrates the yarn communicating groove penetrates the yarn communicating groove more caul unit to the thread feed rod plate against the free end of the thread pull the tip of the thread winding shaft located outside the part, because Shi not hold the one end of the thread, the yarn wound off from the thread winding shaft with withdrawal of the yarn feeding rod leaves one end portion side and the free end of the thread You can make the knot eyes to thread without needle by pulling with.

The present invention, as set forth in claim 2 0, in surgical ligating apparatus according to any one of claims 1 1 to 1 9, the thread retaining member grippable holding the yarn on the rotating body Ri by to having provided comprising configuration, a thread holding member can allowed to hold the grip at any time anywhere in the one end of the thread to the rotating body, in correspondence with the length and ligation products of yarn it can make appropriate ligation by adjusting the length of the yarn.

BRIEF DESCRIPTION OF THE DRAWINGS

Figure 1

Schematic view of a main part of an embodiment of the present invention device.

Figure 2

Using embodiments described view of the main part.

Figure 3

Using embodiments described view of the main part.

Figure 4

Schematic usage mode illustration of main part of another embodiment of the present invention device.

Figure 5

Using embodiments described view of the main part.

Figure 6

Schematic usage mode illustration of main part of another embodiment of the present invention device.

Figure 7

Schematic usage mode illustration of main part of another embodiment of the present invention device.

Figure 8

Sectional illustration of an embodiment of a main portion thereof. Figure 9

Schematic usage mode illustration of main part of another embodiment of the present invention device.

Figure 1 0

Sectional illustration of an embodiment of a main portion thereof.

Figure 1 1

Schematic view of a main part of another embodiment of the present invention device.

Figure 1 2

Schematic usage mode illustration of main part of another embodiment of the present invention device.

Figure 1 3

Summary Using embodiments described view of the main part.

Figure 1 4.

Sectional view of one embodiment of a main portion thereof.

Figure 1 5

Schematic usage mode illustration of main part of another embodiment of the present invention device.

Figure 1 6

Summary Using embodiments described view of the main part.

BEST MODE FOR CARRYING OUT THE INVENTION

Illustrate aspects of the present invention through examples illustrated below.

In the embodiment of FIGS. 1-3, 1 denotes a thread winding shaft that having a groove 2 threading axially, Oh Ru provided integrally with the rotary member 3 rotates about the winding shaft 1. The rotation outer periphery of the bobbin shaft 1 side of the rotary body 3 is provided with a thread fixing unit 4 for fixing one end of the thread 1 0 to be ligated. Rotor 3 is on the guide bar one 5 provided along the axial direction of the bobbin shaft 1, is provided on the movable and rotating self standing. The rotating body 3 it is also possible to rotatably or rotatably shaft receiving configurations on Guy Doba one 5 in the bearing member which is provided to freely move possible or move along the axial direction of the yarn 卷軸 1 is there.

In the above, movable rotating body 3 on the guide Doba 5 is, for example, by a stopper or the like during rotation of the rotating body 3 are restrained to move, be a structure becomes movable begun to release the constraint rotatable means, for example, means Toka are constrained to rotate when moving, Toka stops the count rotation during rotation by a click mechanism for each one, a structure such as that held against rotation 3 or more ing.

The distal end of the guiding Dubai one 5, Yes against plate 6 which releasably closing the tip of the thread winding shaft 1 is provided, the rotation in the illustrated embodiment, yo urchin according to FIG. 2, the rotor 3 when rotation operation at the operating shaft 7, is pressed against the contact plate portion 6 to the tip end of the bobbin shaft 1, rotates the rotor 3 so as not to leave the tip abutting plate portions 6 of the thread winding shaft 1, yarn 1 0 around the winding shaft 1 are constituted to have winds certainty.

As described in FIG. 2, the number of rotation required for the rotation body 3, the thread 1 0 wound so as to pass 1 to 3, 4 times over the threading grooves 2, For example, the ligation product 1 2 needle 1 1 after sewed, the threading groove 2 toward the rotating body 3 side or al caul portion 6 side so dive yarn 1 0 from the tip, as described in FIG. 3, the rotating body 3 moves in the direction away from the backing plate 6 a thread winding shaft 1 with, for removing the yarn 1 0 the open distal end of the bobbin shaft 1, and one end 4 and the free end 1 1 of the yarn 1 0 ligation was 1 second thread singlet eyes tie to; beauty 2nd 0 is the completed.

Then reversing the rotor 3, similarly, on the 1-3 threading groove 2 the yarn 1 0, from wound so as to pass through four, threading groove 2 a rotor 3 side in the needle 1 1 from toward the contact plate portion 6 side so dive yarn 1 0, and moved away from the rotary member 3 abutting plate section 6 yarn 卷軸 1 with, when removing the yarn 1 0 from the yarn 卷軸 1, the yarn 1 0 double th knot tying ligation product 1 2 between the one end 4 and the free end 1 1 of that Do and the Build in the knot. I go-between multiple knot to be repeated this is that Do and can be reliably. Incidentally, the rotary member 3, the reverse knot when tying knots to rotate in the same direction as the previous.

For the embodiments described in FIGS. 4 and 5, is provided to allow pulling in the direction of 避退 the thread winding shaft 1 to the rotating body direction relative to the rotating body 3. Therefore, as described in FIG. 4, by winding a yarn winding shaft 1, a front end portion of the thread 1 0 after dive into the groove 2 threading, without moving the rotor 3, Ito卷 shaft 1 it is pulled out only to the rotating body 3 along the bearing hole 8, as described in FIG. 5, the yarn 1 0 which is wound around deviates from thread winding shaft 1, so that the rise can knot 2 0.

For the embodiments described in FIG. 6, against the bearing hole 9 provided in the plate portion 6, and extractable constructed through the caul plate portions 6 yarn 卷軸 1, tying a knot and remove the wound yarn it is configured to allow. In this case, against instead of the plate portion 6 is provided the same as the rotating body 3 on Guy Doba 5, and 揷通 from any direction thread winding shaft 1 practitioner freely selected and, rotation of either it is also possible to configure so as to be able to ligate using the body.

Further, in the embodiment of FIGS. 4 to 6, when the winding shaft 1 is rotatably fitted to the bearing hole 8, 9, a thread by rotating only the rotation body 3 around the winding shaft 1 is a structure which can be wound around, it is also possible to make the rotating body 3 and the yarn 卷軸 1 configured to rotate together.

For the embodiment of FIG. 7, the bearing hole 8 of the rotor 3, a part key for threading engagement in the groove 2 of the bobbin shaft 1 '1 3 is provided with, thread winding shaft 1 can pull the rotary body direction at the same time as it is, are form configured so as to rotate integrally with the rotor 3.

For example a in FIG. 8, in the embodiment of but winding shaft 1 having a plurality of threading groove 2 relative to the bearing hole 8 of the rotor 3 is configured to penetrate rotatably, b ', rotating winding shaft 1 bearing hole of the body 3 has a plurality of threading grooves 2 whereas a boss hole is configured to penetrate to rotate together as a spline shaft.

In the embodiment of FIGS. 9 and 1 0, which was constructed with thread winding shaft 1 having a plurality of threading grooves 2 arranged a large number of fine wire material 1 4 at regular intervals, in the case of a in Figure 1 0, whereas thread winding shaft 1 is fitted rotatably relative to the rotary body 3, in the case of b, includes a protrusion 1 5 boss hole shape with bearing hole 8 is fitted between the fine wire member 1 4 and it is configured to rotate the yarn 卷軸 1 integrally. 2 7 is a lid-like inner frame member inner fixing the thin wire material on the inside.

In the embodiment of FIGS. 9 and 1 0, by configuring the thread 卷軸 1 from fine wire material 1 4, weight reduction with a resilient shaft fitted in the bearing hole 8 can and applying child measurably but, as in FIG. 1 1, it is also possible to configure the thread winding shaft 1 that having a plurality of threading grooves 2 form a bundle of thin wires member 1 6 of the hollow pipe-like or medium circumstances.

Although is not shown in the figure, the outer periphery of the yarn 卷軸 1, requires a fine pore or fine projections or recesses for wind-thread guide about slip does not inhibit the opening and withdrawal of winding shaft 1 yarn it is also possible to provide correspondingly. For example according to FIG. 1 2 to 1 4, provided with a Itorendorimizo 1 I continuous threading groove 2 of the bobbin shaft 1 to the rotating body 3 and the operating shaft I, through the threading groove 2 consist structure in which a yarn feed rod 1 8, the free end 1 9 after wound around the yarn around the winding shaft 1 to rotate Te Natsu Ban of the rotating body 3 for holding the end portion 4 of the yarn 1 0 , and gripped by the forceps 2 1 or the like separately provided at the distal end of the yarn feed rod 1 8 and the rotor 3, threading the Itorendorimizo 1 7 and winding shaft 1 from the operating shaft 7 of the rear of the rotor 3 groove 2 through, guided to the outside from the front end of the bobbin shaft 1 as described in FIG. 1 2, release allowed gripped by another forceps 2 2, disconnect pull the threading bar 1 8 with thread winding shaft 1 to the rotating body 3 side, as described in FIG. 1 3, it is possible to make a knot 2 0 by pulling with one end 4 and the free end 1 9 of the yarn.

Further, as described in FIG. 1 3, abutting by providing Itorendorimizo 2 3 continuous to the threading groove 2 of the bobbin shaft 1 to the plate part 6, the rear of the rotor 3 as described in Figure 1 2 through the threading groove 2 from the yarn feed rod 1 8 equivalents to be directed to the outside of the plate portion 6, the yarn feed rod 1 8 free end of the thread to the forceps 2 1 like or al the other forceps 2 2, etc. as possible out to transfer the side 1 9 easily.

Figure 1 For 5 and the embodiment of FIG. 1 6, is provided with a thread holding member 2 4 can be fixed by holding the yarn 1 0 to the rotating body 3, the grip portion 2 5 of the thread holding member 2 4 at any time it can be allowed to hold the rotary body 3 by gripping the one end side of the thread 1 0 by. In the illustrated embodiment, by hooking the yarn 1 0 by bunch sandwiching member 2 5 of the hook-like, by pulling the operation portion 2 6 from the rear side of the rotating body 3, it is possible to secure the thread 1 0 to the rotating body 3 are configured to, it is also possible to adopt a configuration for gripping with something like forceps. Then, disconnect the needle 1 1 is multiplied Certificates thread 1 0 yarn 卷軸 1, the free end of the thread through the groove 2 threading can tie the knot removed from Ito卷 shaft 1.

Embodiment described either et obvious manner based on the example surgical suturing device according to the invention described above, the present invention is intended to encompass surgical ligation method described below in the form of implementation.

The (Embodiment 1) rotor 3 which holds and rotates the one end 4 of the yarn 1 0 to be cane ligature around the thread winding shaft 1, the yarn 1 0 around the winding shaft 1 having a threading groove 2 Certificates Turn, the free end side of the thread 1 1, 1 9 was dive under the more Makiito to be passed through the grooves 2 threading from the rotating body 3 side for holding one end 4 of the thread, then the thread from rotor 3 left the winding shaft 1 having a through-slot 2, remove the 卷糸 from thread winding shaft 1, a surgical ligation method of forming a knot 2 0 between the one end 4 and the free end 1 1, 1 9 of the thread .

In (Embodiment 2) surgical ligation how of embodiment 1, after forming the single knot between the one end and the free end of the thread, one end of the thread by rotating the rotary body and to form the next double-th knot between the free end side, a surgical ligation how to form multiple knot by repeating this.

In (Embodiment 3) surgical ligation how according to embodiment 2, after forming a single knot between the one end and the free end of the thread, by rotating the rotating member in the reverse direction yarns one end and to form the next double-th knot between the free end, surgical surgery for ligation method of forming a multi-knot Mamusubi of. In (Embodiment 4) surgical ligation method of any of embodiments 1 to 3, and wound around the yarn around the yarn 卷軸, the freedom end of the yarn after passing through the threading groove, thread winding shaft 1 the pull out in the direction of threading groove 2 is 避退 countercurrent way rotary member 3, the yarn 卷軸 1 leaves the knot 2 0, forming a knot between the one end and the free end side of the thread: Ru surgery use ligature how.

(Embodiment 5) In a surgical ligation method of any of embodiments 1 to 4, the yarn around the winding shaft 1 having a threading groove 2 by rotating the rotary member 3 integrally with the winding shaft 1 1 0 surgical ligation method without such convolutions a.

In surgical ligation method according to any one of (Embodiment 6) Embodiment 1 through 5, it closed with the rotating body 3 relative to caul section 6 the tip end portion of the bobbin shaft 1, a rotor 3 against thread winding shaft between the plate portion 6

1 winding the yarn 1 0, threading disconnect the winding yarn and released from the caul plate portion tip end of the bobbin shaft 1 after passing through the groove 2 the free ends of the thread 1 to 1, 1 9 to form a ligature surgical ligation method.

In surgical ligation method described in (Embodiment 7) Embodiment 6, the knot 2 0 after molding around the winding shaft 1, against pull the plate portion 6 direction through the abutting plate section 6 a thread winding shaft 1 surgical ligation method comprising the knot 2 0 to release the thread winding shaft 1 from rotating body to so that to form a ligated disengaged from thread winding shaft 1 Te.

In surgical ligation method according to any one of (Embodiment 8) Embodiments 1 to 7, the rotor 3 moves along the rotational friendly supporting the ability and Guy Doba 5 Guy Dubai one 5, needs Correspondingly rotating body 3 and the outer family surgical ligation method by forming a ligated so as to the relative movement between the winding shaft 1.

In surgical ligation method according to any one of (Embodiment 9) Embodiments 1 to 8, provided Itorendorimizo 1 7 consecutive threading groove 2 of the bobbin shaft 1 to the rotor 3, one end of the thread the free end 1 9 after wound around the yarn 1 0 to the rotation of the rotor 3 around accompanied a connexion yarns 卷軸 1 for holding 4, from the rear of the rotating body 3 of the rotary member by the yarn feed rod 1 8 Itorendorimizo 1 7 and guided from threading the tip of the thread 卷軸 1 through grooves 2 of the bobbin axis to the outside, the free end 1 9 allowed held by forceps or the like, pull the yarn 卷軸 1 and the yarn feed rod 1 8, the yarn surgical ligation method of forming a ligation by pulling with one end portion side 4 to the free end 1 9.

(Embodiment 1 0) embodiment wherein the surgical ligation method according to any one of 9, the yarn holding means 2 4 provided on the rotating body 3, 2 5, 2 6 yarn 1 0 one end 4 of the surgical ligation method comprising so as to rotate to grip freely at any time in an arbitrary position.

Claims

1. The rotary body holding the one end of the thread to be cane ligated rotates about the winding axis, and wound around the yarn around the yarn 卷軸 having one or more of the threading groove, the free end of the thread was dive under the 卷糸 by passing the threading groove from rotary section that holds one end of the thread, then remove the yarn winding shaft from the rotating body, remove the 卷糸 from thread winding shaft, freedom and one end of the thread surgical ligation method of forming a knot between the end side.
2. In surgical ligation method according to claim 1, after forming the single knot between the one end and the free end of the thread, and one end of the thread by rotating the rotating body and the free end the next double-th knot is formed, surgical ligation method of forming a multi-knot by repeating these ligation between.
3. In surgical ligation method according to claim 2, after forming a single knot between the one end and the free end of the thread, the free one end side of the thread by rotating the rotary member in the reverse direction form form the knot of the next double eye between the end side, ligating method surgical forming a multi-knot Mamusubi.
4. And have contact to the surgical ligation method according to any one of claims 1 to 3, and wound around the yarn around the winding shaft, the free end of the yarn passed through a threading groove, threading the thread winding shaft pull in the direction in which grooves are 避退 the rotating body direction, it left the knot from thread winding shaft, surgical ligation method of forming a knot between the one end and the free end side of the thread.
5. And have contact to the surgical ligation method according to any one of claims 1 to 4, a yarn around a winding axis that having a threading groove by rotating the rotary body integrally with the winding shaft wound around surgical ligation method without to.
6. And have contact to the surgical ligation method according to any one of claims 1 to 5, closed with the rotating body relative to the distal end portion of the caul of the thread winding shaft, between the rotating body and the backing plate portion winding the yarn winding axis, threading a surgical ligating how to form a ligation remove the wound yarn by opening the tip end of the bobbin shaft after passing through the free end of the thread into the groove.
7. In surgical ligation method according to claim 6, pull out plate portion against the yarn winding axis rely plate portion direction through the yarn 卷後 release the thread winding shaft from the rotating body through the thread knot surgical ligation method comprising as disengaged from thread winding shaft to form a ligated.
8. And have contact to the surgical ligation method according to any one of claims 1 to 7, a rotary member rotatably supporting and along connexion moved to Guy Dubai foremost Guy Doba, a rotating body as needed surgical ligation method by forming a ligated so as to the relative movement of the winding shaft.
9. Claim 1 in have you to surgical ligation method according to any one of 8, provided with a Itoren communication groove that is continuous with the threading groove of the thread 卷軸 the rotating body, the rotating body that holds one end of the thread the free end of the after wound around the yarn around accompanied a connexion yarn 卷軸 in rotation, from the tip of the thread winding shaft through the threading groove of the thread communicating groove and winding shaft of the rotary member by the yarn feeding rod from the rear of the rotary body led to the outside, it holds the free end of the thread, pulling the thread winding shaft and the yarn feeding rod, surgical surgery for ligation method of forming a ligation by pulling with one end and the free end of the thread.
1 0. Oite to surgical ligation method according to any one of claims 1 to 9, comprising so as to rotate freely bunch lifting the one end of the thread by the thread holding means provided on the rotating body surgical ligation method.
1 1. And winding shaft for chromatic possible in the axial direction one or more of the threading groove separated from the rotating body, and a rotating member that rotates around the yarn 卷軸 by holding one end of the thread surgical ligating apparatus .
1 2. In surgical ligating apparatus according to claim 1 1, the rotating body surgical suturing device is threading groove formed by providing possible pulling in the direction 避退 the rotating body direction thread winding shaft against.
1 3. Claim 1 1 or 1 in a surgical ligating apparatus according to 2, rotating body surgical suturing device has no so as to rotate integrally with winding shaft.
1 4. Claim 1 1, 1 2 or 1 3 Oite the surgical ligating apparatus according to the rotating body relative to releasably formed by providing the caul plate section for closing a surgical ligating thread winding shaft apparatus.
1 5. Claim in 1 1 to 1 surgical ligation equipment according to any one of 4, against the plate part surgical ligation apparatus provided to allow withdrawal through the caul plate portion thread winding shaft.
1 6. In the surgical ligation equipment according to any one of claims 1 1 to 1 5, provided with a guide bar one supporting rotatably and movably ability rotator along the axial direction of the bobbin axis Surgery surgical ligation apparatus.
1 7. In surgical ligating apparatus according to claim 1 6, against the surgical suturing device provided in the guide bar scratch plate portion.
1 8. In surgical ligation equipment according to any one of claims 1 1 to 1 7, Rutotomoni provided Itoren communication groove that is continuous with the threading groove of the thread winding shaft to the rotary member, through the threading groove surgical ligation instrumentation 氤 provided with a yarn feed rod.
In surgical ligation equipment according to any one of 1 9-claims 1 4 to 1 8, against with kicking set the Itoren communicating groove continuous to the threading groove of the thread 卷軸 the plate portion, the yarn communicating groove surgical provided with a yarn feed rod that passes through
2 0. Claim in 1 1 1 9 surgical ligation equipment according to any one of the rotary member able to hold a surgical suturing device formed by providing a suture holding member for holding the yarn.
PCT/JP2001/004294 2001-05-23 2001-05-23 Surgical operation ligating method and device therefor WO2002094106A1 (en)

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PCT/JP2001/004294 WO2002094106A1 (en) 2001-05-23 2001-05-23 Surgical operation ligating method and device therefor

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2289427A1 (en) * 2009-08-25 2011-03-02 Tyco Healthcare Group, LP System and method for creating end effector
US8323316B2 (en) 2008-10-09 2012-12-04 Covidien Lp Knotted suture end effector
US8333788B2 (en) 2008-10-09 2012-12-18 Covidien Lp Knotted suture end effector

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Publication number Priority date Publication date Assignee Title
US5336230A (en) * 1992-11-04 1994-08-09 Charles S. Taylor Endoscopic suture tying method
US5810852A (en) * 1995-03-22 1998-09-22 Greenberg Surgical Technologies Llc Endoscopic intracorporeal suture tying aid
JP2000175921A (en) * 1998-12-16 2000-06-27 Kohei Hasegawa Multiple ligation method and implement for it

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5336230A (en) * 1992-11-04 1994-08-09 Charles S. Taylor Endoscopic suture tying method
US5810852A (en) * 1995-03-22 1998-09-22 Greenberg Surgical Technologies Llc Endoscopic intracorporeal suture tying aid
JP2000175921A (en) * 1998-12-16 2000-06-27 Kohei Hasegawa Multiple ligation method and implement for it

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8323316B2 (en) 2008-10-09 2012-12-04 Covidien Lp Knotted suture end effector
US8333788B2 (en) 2008-10-09 2012-12-18 Covidien Lp Knotted suture end effector
US9017379B2 (en) 2008-10-09 2015-04-28 Covidien Lp Knotted suture end effector
US9023081B2 (en) 2008-10-09 2015-05-05 Covidien Lp Knotted suture end effector
EP2289427A1 (en) * 2009-08-25 2011-03-02 Tyco Healthcare Group, LP System and method for creating end effector
CN101991443A (en) * 2009-08-25 2011-03-30 Tyco医疗健康集团 System and method for creating end effector

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