JPS6114822B2 - - Google Patents

Info

Publication number
JPS6114822B2
JPS6114822B2 JP53138265A JP13826578A JPS6114822B2 JP S6114822 B2 JPS6114822 B2 JP S6114822B2 JP 53138265 A JP53138265 A JP 53138265A JP 13826578 A JP13826578 A JP 13826578A JP S6114822 B2 JPS6114822 B2 JP S6114822B2
Authority
JP
Japan
Prior art keywords
forceps
scope
handle
pelvic
lever
Prior art date
Legal status (The legal status 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 status listed.)
Expired
Application number
JP53138265A
Other languages
English (en)
Other versions
JPS5563638A (en
Inventor
Hiroyuki Furuhata
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Olympus Corp
Original Assignee
Olympus Optical 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
Application filed by Olympus Optical Co Ltd filed Critical Olympus Optical Co Ltd
Priority to JP13826578A priority Critical patent/JPS5563638A/ja
Priority to US06/090,279 priority patent/US4300564A/en
Priority to DE2945407A priority patent/DE2945407C2/de
Publication of JPS5563638A publication Critical patent/JPS5563638A/ja
Publication of JPS6114822B2 publication Critical patent/JPS6114822B2/ja
Granted legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Ophthalmology & Optometry (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Description

【発明の詳細な説明】 本発明は、腎盂結石の採取に使用する腎盂鉗子
に関する。
第1図で示すものは従来より広く用いられてい
るてこ式腎盂鉗子である。この腎盂鉗子1は手術
中に腎臓の切開部より一対の把持片2,2を挿入
して盲目的に腎盂結石を採取するものである。そ
して、これは把持片2,2をA−A線で示すとこ
ろまで腎臓内に挿入するが、把持片2,2で把持
する結石の大きさがそのA−A線部における柄
3,3の開きとほぼ等しく対応するため、把持し
た結石は必ず切開部より抜き出すことができる。
また、指掛け4,4の動きがじかに把持片2,2
に伝達されるため、微妙な操作を可能にする利点
がある。
反面、このてこ式腎盂鉗子1は、その採石操作
を盲目的に行なうため、予めX線による観察によ
つて存在が知れても、それだけではどうしても把
持できない場合があり、また、X線によつては感
知できない(結石や陰影としてうつらない)結石
の場合には処置できない欠点があつた。
一方、第2図で示すものは従来知られているテ
レスコープ付腎盂鉗子である。これは屈曲する柄
5の先端に開閉する把持片6,6を枢着するとと
もに、その把持片6,6を柄5の手元部における
指掛け7,7の操作によつて遠隔的に操作するも
のである。すなわち、柄5の内部に設けたワイヤ
ーガイド8に操作ワイヤ9を挿通し、この操作ワ
イヤ9を牽引することにより、遠隔的に操作する
ものである。さらに、その柄5にテレスコープ1
0を付設し、テレスコープ10の先端を把持片
6,6部分に向けて把持する状態を観察できるよ
うになつている。つまり、直視下の採石が可能な
ものである。
しかし、このテレスコープ付腎盂鉗子は、指掛
け7,7の動きを把持片6,6に微妙に伝達でき
ないことや把持した結石の大きさを予め知ること
ができず、せつかく結石を把持しても切開部より
抜き出すことができない不都合がある。つまり、
操作性が悪いとともに、確実性がなく、実用的な
価値としてはきわめて低いものである。
本発明は上記事情に着目してなされたもので、
その目的とするところは、てこ式の腎盂鉗子の操
作性を損うことなく、直視下において採石できる
ようにした腎盂鉗子を提供することにある。
以下、本発明の実施例を図面にもとづいて説明
する。
第3図は本発明の第1の実施例を示すものであ
る。すなわち、てこ式の腎盂鉗子を構成するもの
で、一対の柄11,12はビボツト13によつて
枢着されてなり、各柄11,12の各先端には、
それぞれ把持片14,15が取り付けられてい
る。上記柄11,12は把手部16,17の先端
に杆状の連結部材18,19を連結してなり、そ
の連結部材18,19の先端に上記把持片14,
15を取り付けたものである。そして、把手部1
6,17の先端側部分をビボツト13によつて枢
着してある。さらに、各把手部16,17には、
それぞれ指掛け16a,17aが設けられてい
て、この指掛け16a,17aに親指と中指を掛
けて操作するようになつている。なお、上記連結
部材18,19は第3図で示すように湾曲されて
いる。
また、上記柄11,12の一方の連結部材1
8,19、たとえば左側の連結部材18を中空管
によつて形成し、さらに、この連結部材18を手
元側に延出してなるものである。そして、この連
結部材18の内部によつて後述するスコープ20
を挿通させる挿通孔21を形成するとともに、挿
通孔21の先端を把持片14の根元部分において
開口し、観察窓22を形成するものである。ま
た、連結部材18の手元端には上記スコープ20
を挿入するための挿入口23が形成されている。
さらに、挿入口23の近くの側壁には、送水口2
4を設けてある。
なお、上記挿入口23の内部には水の洩れるの
を防ぐ目的でスコープ20との間を塞ぐパツキン
グ部材(図示しない)が設けられている。
しかして、上記実施例のてこ式の腎盂鉗子を用
いれば、スコープ20を通じて観察しながら採石
操作を行なうことができる。すなわち、挿通孔2
1にスコープ20を挿入し、これによつて把持片
14,15の根元側から直視できる。したがつて
直視下で結石を把持できるため、その操作が容易
かつ確実に行なうことができるとともに、操作時
間を大巾に短縮し、術者、患者双方の負担を軽減
することができる。また、スコープ20によつて
直接に観察するので、結石の取り残しを防ぐこと
ができるとともに、X線によつて写らない結石も
採取可能である。
しかも、てこ式腎盂鉗子の基本構造をくずさな
いので、微妙な操作が可能であるとともに、一旦
把持した結石は、必ず取り出すことができる。
第4図は本発明の第2の実施例を示すもので、
これは送水口25および送水チヤンネル26を他
方の連結部材19に設けるようにしたものであ
る。
なお、第1の実施例では、挿入口23と送水口
24を別々に設けたが、これをまとめて1つにし
ても良い。この場合はスコープ20に内蔵された
送水チヤンネルを使うとよいし、あるいはスコー
プ用挿入口23に3方活栓などを取り付けること
により、スコープ用挿入口と送水口の働きを切り
換えてもよいものである。
第5図は本発明の第3の実施例を示すもので、
これは2つの柄11,12の把手部16,17を
異なる色で着色し、さらに、これと対応して各把
持片14,15にも着色したものである。このよ
うにすれば以下のような効果が得られる。すなわ
ち、本発明による腎盂鉗子の連結部材18,19
は、その内径2mm前后ときわめて細いものである
から、これに挿入するスコープ20も細くねじれ
に対して追従性の悪いものとなつている。もちろ
ん、スコープ20の操作部を額帯あるいは架台に
固定したままで腎盂鉗子を操作するときにはむし
ろねじれやすいほうが都合がよい。しかし、第6
図または第7図で示すように視野内で把持片1
4,15が回転してしまうため、把手部16,1
7の操作と把持片14,15の開閉運動の向きと
の対応が著しく付けにくくなる。しかしながら、
この実施例によれば、色付けによつてその対応の
判別が容易となり、術者は正確かつ迅速に対応し
て処置することができる。すなわち、腎臓壁に損
傷を与えるような誤操作を防止し、かつ把持操作
の時間短縮を図ることができる。
また、第1または第2の実施例において、連結
部材18,19の各延出部分を把手部16,17
の開閉する面と同一面内において外方へ向けて配
置すれば、第8図および第9図でその使用状態を
示すようにその連結部材18,19が手や腹壁と
当り、干渉することがない。したがつて、使用上
きわめて都合がよいものとなる。
以上説明したように本発明は、てこ式の腎盂鉗
子の操作性を損うことなく、スコープによる直視
下において採石操作を行なうことができるもので
ある。したがつて、採石操作を容易かつ確実に行
なうことができるとともに、その操作時間を大巾
に短縮し、術者、患者双方の負担を軽減すること
ができる。さらに、結石を直接に観察するので、
取り残しを防ぐとともにX線によつて写らない結
石までも容易に採取可能である。もちろん、てこ
式の腎盂鉗子としての基本構造をなすので、微妙
な操作が可能であるとともに、一旦把持した結石
は必ず取り出すことができる。
【図面の簡単な説明】
第1図および第2図はそれぞれ異なる従来の腎
盂鉗子の斜視図、第3図は本発明の第1の実施例
の斜視図、第4図は本発明の第2の実施例の斜視
図、第5図は本発明の第3の実施例の斜視図、第
6図および第7図はそれぞれその実施例における
スコープの視野状態を示す説明図、第8図および
第9図は他の実施例における使用状態の説明図で
ある。 11……柄、12……柄、13……ビボツト、
14……把持片、15……把持片、16……把手
部、17……把手部、18……連結部材、19…
…連結部材、20……スコープ、21……挿通
孔、22……観察窓、23……挿入口、24……
送水口、25……送水口、26……送水チヤンネ
ル。

Claims (1)

    【特許請求の範囲】
  1. 1 てこ式の腎盂鉗子において、一対の柄の各先
    端に把持片を設けるとともに柄の後端に指掛けを
    設けてなり、上記柄の少なくとも一方には把持片
    の根元部に達するスコープ挿通孔を形成したこと
    を特徴とする腎盂鉗子。
JP13826578A 1978-11-09 1978-11-09 Renal pelvis forceps Granted JPS5563638A (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
JP13826578A JPS5563638A (en) 1978-11-09 1978-11-09 Renal pelvis forceps
US06/090,279 US4300564A (en) 1978-11-09 1979-11-01 Forceps for extracting stones in the pelvis of a kidney
DE2945407A DE2945407C2 (de) 1978-11-09 1979-11-08 Zange zum Extrahieren von Nierensteinen

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP13826578A JPS5563638A (en) 1978-11-09 1978-11-09 Renal pelvis forceps

Publications (2)

Publication Number Publication Date
JPS5563638A JPS5563638A (en) 1980-05-13
JPS6114822B2 true JPS6114822B2 (ja) 1986-04-21

Family

ID=15217882

Family Applications (1)

Application Number Title Priority Date Filing Date
JP13826578A Granted JPS5563638A (en) 1978-11-09 1978-11-09 Renal pelvis forceps

Country Status (3)

Country Link
US (1) US4300564A (ja)
JP (1) JPS5563638A (ja)
DE (1) DE2945407C2 (ja)

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Also Published As

Publication number Publication date
DE2945407C2 (de) 1982-08-12
JPS5563638A (en) 1980-05-13
DE2945407A1 (de) 1980-05-14
US4300564A (en) 1981-11-17

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