JP5204044B2 - Needle holder - Google Patents

Needle holder Download PDF

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JP5204044B2
JP5204044B2 JP2009143955A JP2009143955A JP5204044B2 JP 5204044 B2 JP5204044 B2 JP 5204044B2 JP 2009143955 A JP2009143955 A JP 2009143955A JP 2009143955 A JP2009143955 A JP 2009143955A JP 5204044 B2 JP5204044 B2 JP 5204044B2
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needle holder
holding member
end portion
needle
holding
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JP2011000211A (en
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永嗣 黒島
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Kono Seisakusho Co., Ltd.
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Kono Seisakusho Co., Ltd.
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    • 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
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/062Needle manipulators

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
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  • Surgical Instruments (AREA)

Description

本発明は、切開部等の縫合の際に用いられる手術用縫合針を把持する持針器に関する。   The present invention relates to a needle holder for holding a surgical suture needle used for suturing an incision portion or the like.

一般に、手術等で切開部等を縫合する際に用いられる手術用縫合針は、円弧状に湾曲した形状を備えている。従来、前記手術用縫合針を把持する持針器として、回動する支点部によりX字状に交差し、互いに弾性的に接近及び離間可能とされた1対の操作脚部と、各操作脚部の先端部に設けられ、手術用縫合針を挟持する挟持部とを備えるものが提案されている(例えば特許文献1参照)。前記持針器は、一方の操作脚部が施術者の第1指(親指)で把持されるとともに、他方の操作脚部が第2指(人差指)、第3指(中指)、第4指(薬指)、及び第5指(小指)で把持されて押圧されることにより、各挟持部が接近して手術用縫合針を挟持することができる。   In general, a surgical suture needle used for suturing an incision or the like in surgery or the like has a shape curved in an arc shape. Conventionally, as a needle holder for gripping the surgical suture needle, a pair of operating legs crossing in an X shape by a pivoting fulcrum and elastically approaching and separating from each other, and each operating leg There has been proposed one provided with a clamping part that is provided at the distal end of the part and clamps a surgical suture needle (see, for example, Patent Document 1). In the needle holder, one operating leg is grasped by the practitioner's first finger (thumb), and the other operating leg is the second finger (index finger), third finger (middle finger), and fourth finger. By grasping and pressing with the (ring finger) and the fifth finger (little finger), the respective clamping portions can approach to hold the surgical suture needle.

しかし、前記持針器では、第1指から第5指まで全てを使って把持するので、縫合部位によっては操作しづらいという問題がある。   However, the needle holder grips using all of the first finger to the fifth finger, so that there is a problem that it is difficult to operate depending on the sutured part.

そこで、前記問題を解決するために、基端部で連結されてV字形状をなし、互いに弾性的に接近及び離間可能とされた1対の操作脚部と、各操作脚部の先端部に設けられ、手術用縫合針を挟持する挟持部とを備える持針器が提案されている(例えば特許文献2参照)。前記持針器は、各操作脚部が施術者の第1指と第2指とで把持されて押圧されることにより、各挟持部が接近して手術用縫合針を挟持することができる。このとき、前記持針器は、基端部が第1指と第2指と間の股部に載置され、安定して支持される。   Therefore, in order to solve the above problem, a pair of operating legs connected at the base end portion to form a V shape, which can be elastically approached and separated from each other, and a distal end portion of each operating leg portion There has been proposed a needle holder provided with a holding portion for holding a surgical suture needle (see, for example, Patent Document 2). In the needle holder, each operation leg is grasped and pressed by the first finger and the second finger of the practitioner, so that each holding part approaches and can hold the surgical suture needle. At this time, the needle holder is placed on the crotch portion between the first finger and the second finger and is stably supported.

しかしながら、前記持針器は、それ自体が固有の長さであるので、施術者の手指の大きさによっては、手術用縫合針を挟持した状態で操作することが困難であるという不都合がある。   However, since the needle holder itself has a unique length, depending on the size of the finger of the practitioner, there is an inconvenience that it is difficult to operate with the surgical suture needle held.

実開平5−70514号公報、図1Japanese Utility Model Publication No. 5-70514, FIG. 特開2008−200784号公報、図1Japanese Patent Laid-Open No. 2008-200784, FIG.

本発明は、施術者が把持し易く容易に操作することができる持針器を提供することを目的とする。   An object of the present invention is to provide a needle holder that is easy for a practitioner to grasp and can be easily operated.

かかる目的を達成するために、本発明の持針器は、基端部で連結されてV字形状をなし、互いに弾性的に接近及び離間可能とされた1対の操作脚部と、各操作脚部の先細となった先端部に設けられ、操作脚部の軸方向及び離間方向に対して互いに直交する方向に湾曲する尖端部により、手術用縫合針を挟持する挟持部とを備える持針器本体と、該持針器本体の基端部に該持針器本体の長手方向に進退自在に装着された保持部材とを備え、該保持部材は、互いに交換可能な複数の保持部材のうちの1つであることを特徴とする。 In order to achieve such an object, the needle holder of the present invention has a pair of operating legs connected to each other at a proximal end portion to form a V-shape and can be elastically approached and separated from each other. A holding needle provided at a tapered tip of the leg and having a pinching portion that holds the surgical suture needle by a sharp tip that curves in a direction perpendicular to the axial direction and the separation direction of the operation leg. A holder body, and a holding member attached to a proximal end portion of the needle holder body so as to be movable forward and backward in the longitudinal direction of the needle holder body , the holding member being a plurality of holding members exchangeable with each other It is one of these.

本発明の持針器では、各操作脚部が施術者の第1指と第2指とで把持されて押圧されることにより、各挟持部が接近して手術用縫合針を挟持することができる。また、本発明の持針器では、基端部に装着された保持部材が、第1指と第2指との間の股部に載置されることにより、安定して支持された状態となる。   In the needle holder according to the present invention, each operating leg can be held and pressed by the first and second fingers of the practitioner so that each holding part approaches and holds the surgical suture needle. it can. Further, in the needle holder of the present invention, the holding member mounted on the proximal end portion is placed on the crotch portion between the first finger and the second finger, so that the state is stably supported. Become.

このとき前記持針器は、持針器本体の長さによっては、施術者の手指の大きさに適合しないことがある。しかし、本発明の持針器は、前記保持部材を前記持針器本体の長手方向に進退させることにより、施術者の手指の大きさに応じて持針器全体の長さを調節することができ、把持し易く容易に操作することができる。
また、本発明の持針器において、前記保持部材は、互いに交換可能な複数の保持部材のうちの1つであるので、一の保持部材を他の保持部材に交換することにより、確実に持針器を把持し易く容易に操作することができる。
At this time, the needle holder may not be adapted to the size of the practitioner's finger depending on the length of the needle holder body. However, the needle holder of the present invention can adjust the length of the entire needle holder according to the size of the operator's finger by moving the holding member forward and backward in the longitudinal direction of the needle holder body. It is easy to grip and can be operated easily.
In the needle holder of the present invention, since the holding member is one of a plurality of holding members that can be exchanged with each other, the holding member can be securely held by replacing one holding member with another holding member. The needle device can be easily gripped and easily operated.

また、本発明の持針器は、挟持部が尖端部となっているので、円弧状に湾曲している手術用縫合針を各挟持部により確実に挟持することができる。また、本発明の持針器は、尖端部が操作脚部の軸方向及び離間方向に対して互いに直交する方向に湾曲しているので、手術用縫合針を挟持した状態で容易に操作することができる。   In the needle holder of the present invention, since the pinching portion is a pointed portion, the surgical suture needle curved in an arc shape can be securely pinched by each pinching portion. In addition, the needle holder of the present invention is easily operated in a state where the surgical suture needle is held because the pointed portion is curved in a direction perpendicular to the axial direction and the separating direction of the operation leg. Can do.

また、本発明の持針器において、前記複数の保持部材は、前記基端部に装着されたとき前記持針器本体の長手方向軸に対してなす角度が各々異なるように構成されていることが好ましい。前記構成を備える持針器によれば、前記基端部に装着される前記保持部材を、縫合部位に応じた前記角度を備えるものに交換することにより、前記挟持部を該縫合部位に対して所望の角度に向けることができる。
前記構成としては、例えば、前記複数の保持部材の1つは、先端側から末端側へ向けて貫通するとともに長手方向軸上に形成され、前記持針器本体の基端部に装着される第1の装着孔を備え、他の保持部材は、先端側から末端側へ向けて貫通するとともに長手方向軸に対して所定の角度を存して形成され、該持針器本体の基端部に装着される第2の装着孔を備えるものとすることができる。
Further, in the needle holder of the present invention, the plurality of holding members are configured to have different angles with respect to the longitudinal axis of the needle holder body when mounted on the proximal end portion. Is preferred. According to the needle holder having the above-described configuration, the holding member attached to the proximal end portion is replaced with a member having the angle corresponding to the sutured portion, so that the holding portion is made to the sutured portion. It can be directed to a desired angle.
As the configuration, for example, one of the plurality of holding members penetrates from the distal end side toward the distal end side, is formed on the longitudinal axis, and is attached to the proximal end portion of the needle holder body. The other holding member is formed at a predetermined angle with respect to the longitudinal axis, and is formed at the proximal end portion of the needle holder body. A second mounting hole to be mounted may be provided.

本発明の持針器は、前記保持部材を前記持針器本体の長手方向に進退させることにより、持針器全体の長さを調節することができるが、施術者の手指の大きさによってはさらに調節が必要になることがある。そこで、前記複数の保持部材は、長さが各々異なるように構成されていることが好ましい。前記構成を備える持針器によれば、前記保持部材を所望の長さを備えるものに交換することにより、施術者の手指の大きさに応じて持針器全体の長さをさらに適切に調節することができる。 The needle holder of the present invention can adjust the entire length of the needle holder by moving the holding member forward and backward in the longitudinal direction of the needle holder body, but depending on the size of the operator's finger Further adjustment may be required. Therefore, it is preferable that the plurality of holding members are configured to have different lengths . According to the needle holder having the above-described configuration, the length of the entire needle holder is further appropriately adjusted according to the size of the operator's finger by exchanging the holding member with one having a desired length. can do.

本実施形態の持針器を示す斜視図である。It is a perspective view which shows the needle holder of this embodiment. 第1の保持部材が装着された持針器を示す説明図である。It is explanatory drawing which shows the needle holder with which the 1st holding member was mounted | worn. 第2の保持部材が装着された持針器を示す説明図である。It is explanatory drawing which shows the needle holder with which the 2nd holding member was mounted | worn. 第3の保持部材が装着された持針器を示す説明図である。It is explanatory drawing which shows the needle holder with which the 3rd holding member was mounted | worn.

次に、添付の図面を参照しながら本発明の実施形態についてさらに詳しく説明する。図1は本実施形態の持針器を示す斜視図である。図2(a)は第1の保持部材が装着された持針器を示す平面図であり、図2(b)は正面図である。図3(a)は第2の保持部材が装着された持針器を示す平面図であり、図3(b)は正面図である。図4(a)は第3の保持部材が装着された持針器を示す平面図であり、図4(b)は正面図である。   Next, embodiments of the present invention will be described in more detail with reference to the accompanying drawings. FIG. 1 is a perspective view showing a needle holder of the present embodiment. Fig.2 (a) is a top view which shows the needle holder with which the 1st holding member was mounted | worn, and FIG.2 (b) is a front view. Fig.3 (a) is a top view which shows the needle holder with which the 2nd holding member was mounted | worn, and FIG.3 (b) is a front view. Fig.4 (a) is a top view which shows the needle holder with which the 3rd holding member was mounted | worn, and FIG.4 (b) is a front view.

図1に示す持針器1は、手術用縫合針(図示せず)を挟持する持針器本体2と、持針器本体2に装着されて相互に交換可能な複数の保持部材3,4,5とからなる。   A needle holder 1 shown in FIG. 1 includes a needle holder body 2 that holds a surgical suture needle (not shown), and a plurality of holding members 3 and 4 that are attached to the needle holder body 2 and are interchangeable with each other. , 5.

持針器本体2は、1対の操作脚部6,7と、前記手術用縫合針を挟持する挟持部8とを備えている。一対の操作脚部6,7は、基端部9で連結されてV字形状をなし、互いに弾性的に接近及び離間可能となっている。各操作脚部6,7は、施術者の手指により押圧される中央部の互いに対向しない面に、合成樹脂製の弾性体からなる防滑部材10が取り付けられている。防滑部材10は、表面に多数の突起を備え、把持する指の滑りを防止する。   The needle holder main body 2 includes a pair of operating leg portions 6 and 7 and a clamping portion 8 for clamping the surgical suture needle. The pair of operating leg portions 6 and 7 are connected at the base end portion 9 to form a V shape, and can be elastically approached and separated from each other. Each of the operation legs 6 and 7 is provided with a non-slip member 10 made of an elastic body made of a synthetic resin, on the surface of the central portion pressed by the practitioner's fingers that does not face each other. The anti-slip member 10 has a large number of protrusions on the surface, and prevents the gripping finger from slipping.

一方の操作脚部6は、挟持部8の基端側に、他方の操作脚部7に向けて突出する突出部11を備えていて、他方の操作脚部7は、一方の操作脚部6が密接したときに突出部11を係止する係止孔12を備えている。   One operating leg 6 is provided with a projecting portion 11 that protrudes toward the other operating leg 7 on the proximal end side of the sandwiching section 8, and the other operating leg 7 is connected to one operating leg 6. Is provided with a locking hole 12 that locks the protrusion 11 when they are in close contact with each other.

基端部9は、両端面に、複数の第1の凹凸部13を備えている。   The proximal end portion 9 includes a plurality of first uneven portions 13 on both end surfaces.

挟持部8は、各操作脚部6,7の先細となった先端部に設けられ、各操作脚部6,7の軸方向及び離間方向に対して互いに直交する方向に湾曲する尖端部14からなり、尖端部14により前記手術用縫合針を挟持する。尖端部14,14は、突出部11が係止孔12に係止されることにより、相互のズレを防止することができる。また、突出部11が係止孔12に係止されることにより、先端部14,14に掛かる力を制御することができ、前記手術用縫合針や組織に損傷を与えることが防止することができる。   The sandwiching portion 8 is provided at a tapered tip end portion of each operation leg portion 6, 7, and has a pointed end portion 14 that curves in a direction perpendicular to the axial direction and the separation direction of each operation leg portion 6, 7. Thus, the surgical suture needle is clamped by the tip portion 14. The tip portions 14 and 14 can prevent the mutual displacement when the protruding portion 11 is locked in the locking hole 12. In addition, the protrusion 11 is locked in the locking hole 12, so that the force applied to the distal ends 14, 14 can be controlled, and the surgical suture needle and tissue can be prevented from being damaged. it can.

また、各操作脚部6,7の防滑部材10から先の部分は、サンドブラスト処理による曇り加工が施されていることが好ましい。前記曇り加工を施すことにより、手術の際に無影灯によるハレーションを防止することができる。   Moreover, it is preferable that the part ahead of the anti-slip | skid member 10 of each operation leg part 6 and 7 is given the fogging process by a sandblast process. By applying the fogging process, halation due to a surgical light can be prevented during the operation.

各保持部材3,4,5は、合成樹脂製の弾性体からなる略円筒体であり、表面に多数の突起を備えている。各保持部材3,4,5は、端側から末端側へ向けて貫通し、持針器本体2の基端部9に装着される装着孔3a,4a,5aを備えている。各装着孔3a,4a,5aは、その天井面及び底面に、基端部9の第1の凹凸部13に係合可能に形成された複数の第2の凹凸部(図示せず)を備えている。 Each holding member 3, 4, 5 is a substantially cylindrical body made of an elastic body made of synthetic resin, and has a large number of protrusions on the surface. Each holding member 3, 4, 5 is provided through toward the preceding end to the distal, mounting hole 3a which is attached to the proximal end 9 of the needle holder body 2, 4a, and 5a. Each mounting hole 3a, 4a, 5a includes a plurality of second concavo-convex portions (not shown) formed on the ceiling surface and the bottom surface thereof so as to be engageable with the first concavo-convex portion 13 of the base end portion 9. ing.

各保持部材3,4,5は、持針器本体2の基端部9に着脱させることにより、相互に交換可能となっている。また、各保持部材3,4,5は、持針器本体2の基端部9に装着された状態で該持針器本体2の長手方向に進退されると、基端部9の第1の凹凸部13と各装着孔保持部材3,4,5の前記第2の凹凸部とが係合することにより、任意の位置で係止される。 Each holding member 3, 4, 5 can be mutually exchanged by being attached to and detached from the proximal end portion 9 of the needle holder body 2. Further, when each holding member 3, 4, 5 is attached to the proximal end portion 9 of the needle holder body 2 and is advanced and retracted in the longitudinal direction of the needle holder body 2, the first of the proximal end portion 9 is moved. By engaging the uneven portion 13 and the second uneven portion of each mounting hole holding member 3, 4, 5, the uneven portion 13 is locked at an arbitrary position.

図2に示す第1の保持部材3は、所定の長さL(例えばL=30mm)を有していて、長手方向軸上に形成された第1の装着孔3aを備えている。これにより、第1の保持部材3は、基端部9に装着されたときに、持針器本体2の長手方向軸の延長上に位置することとなる。 The first holding member 3 shown in FIG. 2 has a predetermined length L 1 (for example, L 1 = 30 mm), and includes a first mounting hole 3a formed on the longitudinal axis. Thereby, the first holding member 3 is positioned on the extension of the longitudinal axis of the needle holder body 2 when the first holding member 3 is attached to the base end portion 9.

また、図3に示す第2の保持部材4は、所定の長さLを有していて、略円筒体の側面に開口する第2の装着孔4aを備えている。第2の装着孔4aは、第2の保持部材4の長手方向軸に対して所定の角度θ(例えばθ=10°)を存している。これにより、第2の保持部材4は、基端部9に装着されたときに、持針器本体2の長手方向軸に対してθの角度をなすこととなる。第2の保持部材4は、図3(a)では、持針器本体2の長手方向軸に対して右側に傾いた状態で基端部9に装着されているが、上下逆方向に装着することにより、持針器本体2の長手方向軸に対して左側に傾いた状態で装着することもできる。 The second holding member 4 shown in Figure 3, have a predetermined length L 1, and a second mounting hole 4a which opens in the side surface of the substantially cylindrical body. The second mounting hole 4 a has a predetermined angle θ (for example, θ = 10 °) with respect to the longitudinal axis of the second holding member 4. Thereby, when the second holding member 4 is attached to the proximal end portion 9, the second holding member 4 forms an angle θ with respect to the longitudinal axis of the needle holder body 2. In FIG. 3A, the second holding member 4 is mounted on the base end portion 9 in a state of being tilted to the right with respect to the longitudinal axis of the needle holder body 2, but is mounted in the upside down direction. Accordingly, the needle holder main body 2 can be mounted while being inclined to the left with respect to the longitudinal axis.

また、図4に示す第3の保持部材5は、所定の長さL(例えばL=40mm)を有していて、長手方向軸上に形成された第3の装着孔5aを備えている。第3の保持部材5は、基端部9に装着されたときに、持針器本体2の長手方向軸の延長上に位置することとなる。 The third holding member 5 shown in FIG. 4 has a predetermined length L 2 (for example, L 2 = 40 mm) and includes a third mounting hole 5a formed on the longitudinal axis. Yes. The third holding member 5 is located on the extension of the longitudinal axis of the needle holder body 2 when mounted on the proximal end portion 9.

次に、図1を参照して本実施形態の持針器1の使用方法について説明する。まず、複数の保持部材3,4,5から選択された1つの保持部材、例えば第1の保持部材3が、持針器本体2の基端部9に装着される。次に、第1の保持部材3を持針器本体2の長手方向に進退させて、施術者の手指の大きさに応じて持針器1全体の長さが調整される。そして、各操作脚部6,7が例えば施術者の第1指と第2指とで把持されて押圧されることにより、各挟持部8が接近して前記手術用縫合針を挟持する。 Next, the usage method of the needle holder 1 of this embodiment is demonstrated with reference to FIG. First, one holding member selected from the plurality of holding members 3, 4, 5, for example, the first holding member 3 is mounted on the proximal end portion 9 of the needle holder body 2. Next, the first holding member 3 is moved back and forth in the longitudinal direction of the needle holder main body 2, and the entire length of the needle holder 1 is adjusted according to the size of the operator's finger. Then, when the operating leg portions 6 and 7 are held and pressed by, for example, the first and second fingers of the practitioner, the holding portions 8 approach to hold the surgical suture needle.

このとき、本実施形態の持針器1は、施術者の手指の大きさに応じて適切な位置に調節された第1の保持部材3が、第1指と第2指との間の股部に載置されることにより、持針器1は安定して支持された状態となる。第1の保持部材3は、弾性体からなり表面に多数の突起を備えているので、前記股部に安定して支持される。したがって、本実施形態の持針器1は、容易に操作することができる。   At this time, in the needle holder 1 of the present embodiment, the first holding member 3 adjusted to an appropriate position in accordance with the size of the practitioner's fingers has a crotch between the first finger and the second finger. By being placed on the part, the needle holder 1 is stably supported. Since the first holding member 3 is made of an elastic body and has a large number of protrusions on the surface, the first holding member 3 is stably supported by the crotch portion. Therefore, the needle holder 1 of this embodiment can be easily operated.

尚、各操作脚部6,7を把持する手指は、第1指と第2指とには限定されず、第1指と他の複数の手指とであってもよい。また、第1の保持部材3は、必ずしも第1指と第2指との間の股部に設置されなくてもよい。   The fingers that hold the operation legs 6 and 7 are not limited to the first finger and the second finger, and may be the first finger and a plurality of other fingers. Moreover, the 1st holding member 3 does not necessarily need to be installed in the crotch part between a 1st finger and a 2nd finger.

また、本実施形態の持針器1は、挟持部8が尖端部14となっているので、円弧状に湾曲している前記手術用縫合針を各挟持部8により確実に挟持することができる。また、本実施形態の持針器1は、尖端部14が操作脚部6,7の軸方向及び離間方向に対して互いに直交する方向に湾曲しているので、前記手術用縫合針を挟持した状態で容易に操作することができる。さらに、尖端部14は、先細で湾曲しているので、持針器1を操作する際に視野を妨げることがない。   Further, in the needle holder 1 of the present embodiment, since the holding portion 8 is the pointed portion 14, the surgical suture needle curved in an arc shape can be reliably held by each holding portion 8. . Further, in the needle holder 1 of the present embodiment, the pointed end portion 14 is curved in a direction orthogonal to the axial direction and the separating direction of the operation leg portions 6 and 7, so that the surgical suture needle is sandwiched. Can be easily operated in the state. Furthermore, since the tip portion 14 is tapered and curved, the visual field is not disturbed when the needle holder 1 is operated.

また、本実施形態の持針器1は、第1の保持部材3に代えて、持針器本体2の長手方向軸に対してなす角度が第1の保持部材3とは異なる第2の保持部材4を用いることにより、挟持部8を縫合部位に対して所望の角度に向けることができる。   Moreover, the needle holder 1 of this embodiment replaces with the 1st holding member 3, and the 2nd holding | maintenance from which the angle made with respect to the longitudinal direction axis | shaft of the needle holder main body 2 differs from the 1st holding member 3 is. By using the member 4, the sandwiching portion 8 can be oriented at a desired angle with respect to the suture site.

また、本実施形態の持針器1は、第1の保持部材3に代えて、第1の保持部材3とは異なる長さを有する第3の保持部材5を用いることにより、施術者の手指の大きさに応じて持針器1全体の長さをさらに適切に調節することができる。   In addition, the needle holder 1 of the present embodiment uses the third holding member 5 having a length different from that of the first holding member 3 in place of the first holding member 3, so that the operator's fingers The length of the entire needle holder 1 can be further appropriately adjusted according to the size of the needle holder 1.

また、本実施形態の持針器1では、第2の保持部材4が長手方向軸に対して所定の角度θ=10°傾いているとしたが、これに限定されることなく任意の角度とすることができる。また、第2の保持部材4がL=30mmの長さを有するとしたが、これに限定されることなく任意の長さとすることができる。また、第2の保持部材4が、持針器本体2の長手方向軸に対して左右いずれかの方向に傾いた状態で基端部9に装着可能に形成された第2の装着孔4aを備えるとしたが、持針器本体2の長手方向軸に対して上下いずれかの方向に傾いた状態で装着可能に形成された装着孔を備えていてもよい。 In the needle holder 1 of the present embodiment, the second holding member 4 is inclined at a predetermined angle θ = 10 ° with respect to the longitudinal axis. can do. In addition, although the second holding member 4 has a length of L 1 = 30 mm, the length is not limited to this and can be set to an arbitrary length. In addition, a second mounting hole 4 a formed so that the second holding member 4 can be mounted on the base end portion 9 in a state where the second holding member 4 is tilted in either the left or right direction with respect to the longitudinal axis of the needle holder body 2. Although it is provided, it may be provided with a mounting hole formed so that it can be mounted in a state of being tilted in either the vertical direction with respect to the longitudinal axis of the needle holder body 2.

また、本実施形態の持針器1では、第3の保持部材5がL=40mmの長さを有し第1の保持部材3よりも10mm長いとしたが、これに限定されることなく任意の長さとすることができる。 In the needle holder 1 of the present embodiment, the third holding member 5 has a length of L 2 = 40 mm and is 10 mm longer than the first holding member 3. However, the present invention is not limited to this. It can be of any length.

1…持針器、 2…持針器本体、 3,4,5…保持部材、 6,7…1対の操作脚部、 8…挟持部、 9…基端部、 14…尖端部。   DESCRIPTION OF SYMBOLS 1 ... Needle holder, 2 ... Needle holder main body, 3, 4, 5 ... Holding member, 6, 7 ... One pair of operation leg part, 8 ... Holding part, 9 ... Base end part, 14 ... Pointed end part.

Claims (4)

基端部で連結されてV字形状をなし、互いに弾性的に接近及び離間可能とされた1対の操作脚部と、各操作脚部の先細となった先端部に設けられ、各操作脚部の軸方向及び離間方向に対して互いに直交する方向に湾曲する尖端部により、手術用縫合針を挟持する挟持部とを備える持針器本体と、
該持針器本体の基端部に該持針器本体の長手方向に進退自在に装着された保持部材とを備え
該保持部材は、互いに交換可能な複数の保持部材のうちの1つであることを特徴とする持針器。
A pair of operating legs connected to the base end portion to form a V-shape and elastically approaching and separating from each other, and provided at the tapered distal end of each operating leg. A needle holder main body comprising a pinching portion for pinching a surgical suture needle by a sharp end portion that curves in a direction perpendicular to the axial direction and the separation direction of the portion;
A holding member attached to the proximal end portion of the needle holder body so as to be movable forward and backward in the longitudinal direction of the needle holder body ;
The needle holder is one of a plurality of holding members exchangeable with each other .
前記複数の保持部材は、前記基端部に装着されたとき前記持針器本体の長手方向軸に対してなす角度が各々異なるように構成されていることを特徴とする請求項1記載の持針器。 2. The holding device according to claim 1, wherein the plurality of holding members are configured to have different angles with respect to a longitudinal axis of the needle holder body when mounted on the base end portion. Needle tool. 前記複数の保持部材の1つは、先端側から末端側へ向けて貫通するとともに長手方向軸上に形成され、前記持針器本体の基端部に装着される第1の装着孔を備え、One of the plurality of holding members includes a first attachment hole that penetrates from the distal end side toward the distal end side and is formed on the longitudinal axis, and is attached to the proximal end portion of the needle holder body,
他の保持部材は、先端側から末端側へ向けて貫通するとともに長手方向軸に対して所定の角度を存して形成され、該持針器本体の基端部に装着される第2の装着孔を備えることを特徴とする請求項2記載の持針器。  The other holding member penetrates from the distal end side toward the distal end side and is formed at a predetermined angle with respect to the longitudinal axis, and is attached to the proximal end portion of the needle holder body. The needle holder according to claim 2, further comprising a hole.
前記複数の保持部材は、長さが各々異なるように構成されていることを特徴とする請求項1乃至請求項3のいずれか1項記載の持針器。 The needle holder according to any one of claims 1 to 3, wherein the plurality of holding members are configured to have different lengths .
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GB2074080A (en) * 1980-04-23 1981-10-28 Taylor C J Tool for handling articles
JPS5797511U (en) * 1980-12-08 1982-06-15
US4938214A (en) * 1984-09-10 1990-07-03 Micrins Surgical Instruments, Ltd. Hand held surgical tool
US4634165A (en) * 1985-01-17 1987-01-06 Russell Robert C Forceps having replaceable tips
JPS6420837A (en) * 1987-05-11 1989-01-24 Andrew Tool Co Surgical instrument equipped with detachable interchangeable leading end

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