經濟部中央樣準局貝工消費合作杜印製 A7 B7 五、發明説明（1 ) 〔發明之領域〕 本發明，係有關係醫療用附線針通過患部的生體之組 織間或組織內，同時接受通過的醫療用附線針進行結紮或 縫合之醫療用附線針的引導具，特別係，關於在所定位置 將裝上線的針收容在將一對槓桿閉合時之閉合面，以將槓 桿閉合的狀態***嫌內之深的部位或狹窄部位，其後，開 啓槓桿把針立起在一方之槓桿而將該針引導至結紮部位或 縫合部位，並且，根據將槓桿閉合而把針從一方的槓桿交 給他方之槓桿，而構成進行結紮或縫合的《療用'‘附線針之 引導具者。 〔習知技藝〕 在外科手術時，將進行把在應摘出的患部周圍之血管 用線結紮，或將切開部位用線縫合。血管的結紮或切開部 位之縫合，將根據把持裝上線的縫合針以持針器或結紮線 引導具操住而使線通過組織間或組織中，把通過組織的線 拉出體外打結而進行。 在賁施結紮，縫合時，》師將在一方的手拿持針器使 縫合針通過組織間或組織中後，將持針器重拿而進行把縫 合針抽起的動作。但是，要結紮之部位或要縫合的部位在 嫌內之深的部位或狹窄部位時，使縫合針正確地刺通該部 位且將刺通之縫合針進行再度把持的操住很困難。因此， 已要求開發能以一隻手迅速且確實實施之結紮具，縫合具 本紙張尺度適用中國國家標準（CNS > A4规格（210X297公釐） (請先閱讀背面之注意事項再填寫本頁) 裝· 訂 經濟部中央揉準局貝工消费合作杜印製 A7 B7 五、發明説明（2 ) 例如，在特公平7 — 6 7 4 5 7號公報（W09 3/ 〇 1 7 5 0 )所述的外科用縫合器具，係以使用內視鏡縫 合患部爲目的而開發者，使用在長方向之兩端形成尖端同 時在兩尖端的中間形成結合縫合線之孔的針，操作握槓桿 使挾緊針之一方的尖端之管，向他方的挾緊機構側移動而 將他方之尖端根據該挾緊機構挾緊，構成以此過程使縫合 線刺通組織內者。 使用上述外科用縫合器具進行血管的結紮或縫合時， 能夠根據一階段之握槓桿的操住進行結紮或縫合‘。因此， 在實施利用內視鏡之腹腔內手術時使用將有利。 但是，在該外科用縫合器具因係將縫合針插通在內視 鏡內部進行縫合手術，在使縫合針移動時需要將驅動力向 直進方向傳達，而該驅動力的傳達機構很複雜，且有挾緊 機構及使挾緊機構解除之機構等複雜的問題。 特別，係在如開腹手術或子宮內手術地不使用內視鏡 而以目視狀態進行的手術，除了操住性良好之外，不發生 故障的可靠性和廉價之問題也很重要，而正在要求開發能 夠滿足這些點的轚療用附線針之引導具。 〔發明之揭示〕 本發明之目的，係在提供進行體內之深的部位或狹窄 部位之結紮或縫合時，使》療用附線針通過生體的組織間 或組織內之β療用附線針的引導具者。 爲了解決上述躲題，有關本發明的Β療用附線針之引 本紙張尺度適用中國國家標率（CNS ) A4规格（2丨0乂297公釐） 111- n * — .1 I 11 - I 、1τ i (請先閱讀背面之注意事項再填寫本頁) 經濟部中央標隼局貝工消费合作社印製 308532 A7 B7 五、發明説明（3 ) 導具，主要係，使由針本體和固定在該針本體的基端且從 基端面向針軸之延長方向延伸的線而成之醫療用附線針， 通過生體組織間或生體組織內部，同時接受通過的》療用 附線針之S療用附線針之引導具，其特徵爲，具有構成互 相能轉勖且在後端部設置操作用的把手之一對槓桿，在一 方的槓桿之前端部設置將和針本體的基端面及/或基端側 之外周面的一部份接觸而使針本體立起之立針部，和使之 與該立針部連接而將線引導的線引導部，在他方之槓桿的 前端部設置接受立起在前述立針部之針本體的接’針部，在 使一對槓桿之前端部互相接近的過程，按壓使之立起在一 方的槓桿之針本體，使之通過生體組織間或生體組織內同 時使針本體的前端部份嵌合在他方之槓桿設置的接針部， 並且在使一對槓桿之前端部互相離開的過程，使之維持對 接針部的針本體之嵌合而從立針部脫離者。 在上述醫療用附線針的引導具（以下簡稱爲「引導具 」），因在一方之槓桿（以下稱爲「第1槓桿」）設置立 針部和線引導部，故能將線穿過線引導部，同時能和醫療 用附線針（以下稱爲「附線針」）的基端面或基端側之外 周面的一部份或雙方接觸而使附線針立起。在立針部的附 線針之立起狀態，由使張力對線作用而能保持。亦即，由 於亊先使附線針在立針部立起之狀態對線賦予張力，或使 之成爲臥倒的狀態對配置在立針部附近之附線針經由線賦 予張力，以附線針和立針部的接觸部位做爲起點使之轉動 ，能使附線針立起同時保持立起狀態。 本紙張尺度適用中國國家標隼（CNS ) A4规格（210X297公釐） (請先閱讀背面之注意事項再填寫本頁) -裝· 訂 A7 ____B7_ 五、發明説明（4 ) 同時，因在他方的槓桿（以下稱爲『第2槓桿」）設 置接針部，故由將第1，第2槓桿的前端向互相接近之方 向操作，使在第1槓桿之立針部立起的附線針之前端嵌合 在第2槓桿的接針部，而能接受該附線針。 因此，將引導具***體內使第1 ，第2槓桿的前端到 達患部，接著，以事先使附線針在立針部立起之狀態*** 時將第1 ，第2槓桿的前端向閉合方向操作，同時在使附 線針在立針部附近以横倒狀態***時以使第1，第2槓桿 之前端分開對線賦予張力而使附線針立起後，將'第1 ，第 2槓桿的前端向閉合之方向操作，以該操作過程對立起在 立針部的附線針使按壓力作用使該附線針通過生體之組織 間或組織內同時使之嵌合在立針部，將該附線針從第1槓 桿引導至第2槓桿，並且，在使第1 ，第2槓桿的前端向 互相分開之方向操作的過程維持根據附線針之接針部的嵌 合狀態，能使該針從第1槓桿脫離。 經濟部中央標準局負工消費合作社印製 讀背面之注意事項再填寫本頁) 在如上述構成的引導具，因爲構成第1 ，第2槓桿能 互相轉動，所以醫師能以和操作鉗子相同之單手的操作容 易地進行結紮或縫合。 在上述引導具，將設在第1槓桿前端部的立針部根據 和針本體之基端面接觸的平坦面構成，或者根據和針本體 之基端面及/或針本體的基端側外周面之一部份接觸的凹 處構成爲理想。 在如上述構成的引導具，能夠隨著第1槓桿之操作和 立起在立針部的附線針之基端面或外周面的一部份，或基 本紙張尺度適用中國國家標準（CNS ) A4規格（210X297公釐) ~ ~ 經濟部中央標準局貝工消费合作杜印製 A7 _B7_ 五、發明説明（5 ) 端面及外周面之—部份接觸而按壓，根據該按壓力使附線 針通過生體組織間或生體組織內。 同時，在上述引導具，將設在第2槓桿前端部的接針 部根據具有和針本髏之粗細略相等或稍小的宽尺寸之長孔 構成，以和將該長孔設在第1槓桿的立針部對向之位置做 爲基準而向第2槓桿的前端側及/或後端側形成爲理想。 在如上述構成的引導具，能夠隨著第1，第2槓桿之 操作使附線針的前端嵌合在長孔而接受。特別係，根據形 成從長孔向槓桿之前端側及/或後端側延伸的縫'隙而對該 長孔賦予彈性，將能把附線針確實接受。 在上述引導具，以在第1，第2槓桿的互相對向之接 合面中的任何一方之面或雙方之面，以設在第1槓桿的立 針部之位置做爲基準，設置收容附線針的收容部爲理想。 如此地，以立針部做爲基準設置附線針的收容部，在 將引導具***至生髏內部時能夠把附線針收容在收容部。 因此，直至進行結紮或縫合前爲止，能夠將附線針收容在 第1 ，第2槓桿的接合面形成之收容部。 因此，至到達患部爲止將不會露出附線針，在實施手 術時即使要事先準備多數的引導具時，也能減少放置處之 面積。同時，因使一對槓桿閉合以將附線針收容在收容部 的狀態使之到達患部，故在移動中附線針不會從引導具脫 落，並且不會根據該針損傷正常的組織。並且，即使患部 在體內之深的部位或狹窄部位，也能使附線針容易地到達 0 本紙張尺度適用中國國家橾準（CNS ) A4規格（210X297公釐） ~ n IJ— IIJ ! II —ΊIIM ^-5 (請先閱讀背面之注意事項再填寫本頁) A7 B7 〇08532 五、發明説明（6 ) 在上述引導具，以在第1槓桿設置將固定在收容部收 容或立起在立針部的針本體之線，沿著第1槓桿引導的導 件爲理想。 (請先閲讀背面之注意事項再填寫本頁) 根據設B上述導件，能夠使從立起在立針部的附線針 延伸之線，或從收容在收容部的附線針延伸之線，沿著第 1槓桿引導至操作部。因此，在進行結紮或縫合時線將不 會纏在第1槓桿，且在把通過生體組織間或生體組織內而 接受在第2槓桿的接針部之附線針拉出生體外部時，能夠 順利地把線抽出。 同時，根據在第1槓桿設e將沿著該槓桿引導的線保 持之保持構件，將能夠把收容在收容部的無張力作用之線 ，或在立針部立起的附線針之有張力作用的線保持。如此 地，根據保持構件將線保持，將能維持附線針在收容部的 收容狀態，及在立針部之立針狀態。 經濟部中央樣準局貝工消费合作社印製 同時，在第1槓桿設置對沿著該槓桿引導的線賦予張 力之張力賦予構件時，能夠使收容在收容部的附線針到達 患部後，根據使附線針在第1槓桿之立針部立起時操作張 力賦予構件而對線賦予張力，根據該張力作用以和立針部 擋接的基端面之角落部做爲中心使附線針榑動而使之立起 0 同時在第1槓桿設置將沿著該槓桿引導的線捲繞之突 起爲理想。根據設置該突起，在對線賦予張力時能夠容易 操作。 本紙張尺度適用中國國家標準（CNS ) A4规格（210X297公釐） A7 B7 五、發明説明（7 ) 〔實施例〕 圆1所示的引導具A，係具有構成能互相轉動之一對 槓桿1 ，2，在一方的槓桿（第1槓桿1)形成使附線針 3立起之立針部4，同時在他方的槓桿（第2槓桿2 )形 成接受附線針3之接針部5，並且，在將槓桿1，2閉合 時的接合面1 a，2 a形成收容附線針3之收容部6者， 將全體形成鉗子狀，構成根據進行和鉗子相同的操作，而 能實施患部之結紮或縫合。 附線針3，係使之不妨害槓桿1 ，2的開閉’操作地， 在3mm〜1 5mm之範圍形成具有根據槓桿1 ，2的長 度選擇性設定之長度的直針狀之本體3 a的一端將線3 b 安裝而構成。前述本體3 a之長度，係設定爲將成爲從槓 桿1 ，2的轉動支點至立針部4之距離的約1/3以下之 値0 構成附線針3的本體3 a，具有使之通過生體的組織 內時能夠容易刺通地形成尖銳狀或能容易通過組織間之球 面狀的前端部3ai ，和具有能充份地與形成在第2槓桿 經濟部中央標率局貝工消費合作社印製 (請先閲讀背面之注意事項再填寫本頁) 2之接針部5卡合的長度之軀幹3a2 ，和基端面3a3 0 上述軀幹部3 a2的粗細並非一致性地設定，而將對 應根據結紮部位或縫合部位設定之線3 b的粗細設定爲該 線3 b之2倍以上。例如，使用在結紮或縫合的線，將使 用0 . 2mm〜0 · 2 4 9mm (USP蕖局方規格3 — 0) ，〇 . 2mm 〜0 . 399mm (同 2 — 0)， 本紙張尺度遑用中國國家標準（CNS ) A4規格（210X297公釐） 1Λ -11)- 經濟部中央標準局負工消費合作社印袋 A7 B7 五、發明説明（8 ) 0 . 35mm 〜0 . 399mm (同 1 — 0) ，0 . 4 mm〜0 . 4 9 9mm (同1 )。因此，細幹3a2 (本 體3 a )係根據前述線3 b的粗細將外徑設定成0 . 7 mm 〜0 . 9 m m 0 如以上所述，根據使本體3 a的粗細成爲線3 b的粗 細之2倍以上，將能使立針部4擋接在基端面3 a3或基 端側外周面而賦予推力。 通常本體3 a係使用不銹鋼。但是，也能夠根據塑膠 的射出成形構成，此時，根據將線3 b嵌入成形'而能將附 線針3以一工程製造。並且，也能將本體3 a根據碳化鎢 或鈦合金構成。特別係，將本體3 a根據磁鐵構成時，能 根據將接針部5根據磁性體構成，而容易進行附線針3之 交接。 無論如何本體3 a的材料並無限制，只要有能刺通生 體之組織間或組織內的强度，和對生體無不良影響者則能 使用。 做爲附線針3，並不需要將本體3 a和線3 b以各別 體構成，也能使用所謂不銹鋼線一體針。該一體針係根據 將本體3 a，線3 b以不銹鋼構成，本體3 a係根據加工 硬化等硬化成所定之硬度，而線3 b係根據熱處理賦予柔 軟性。 本《3 a係如圖7 ( a )〜（d )所示地形成直針狀 。前端部3ai ，係依照要刺通的組嫌如同圖（a)〜（ c )所示地形成球狀，或如同圖（d )所示地形成尖銳狀 11 *-— 11 n n Γ-1 —r 訂 (請先閱讀背面之注意事項再填寫本頁) 本紙張尺度逍用中國國家橾準（CNS > A4规格（210 X 297公釐） 11 經濟部中央標準局負工消費合作社印製 A7 _B7_ _ 五、發明説明（9 ) 0 再者將線3 b安裝在本雅3 a時，可以如同圖（a ) ，（d )所示地根據將本體3 a的基端面側3 a3側之一 部份挾緊予以縮徑而安裝，也可以如同圖（b )所示地不 將本體3 a挾緊而把線3 b根據接著等安裝，並且，也可 以如同圓（c )所示地將本體3 a的基端面3 a3側經所 定長度挾緊成遞變狀而安裝。 如上述地構成的附線針3將在第1槓桿1形成之立針 部4立起，基端面3 a3或本體3 a的基端面3' a3側之 外周面的一部份，或基端面3 a3和外周面之一部份與立 針部4接觸，在該接觸部將有附隨第1槓桿的操作之按壓 力會作用。 以下，根據圖2〜圖4說明引導具A的主要部份之構 成。 在第1槓桿1的接合面1 a而從前端側離開所定距離 之位置形成有立針部4。該立針部4 ，係在具有使本體 3 a的基端面3 a3擋接而使該本體3 a立起之機能的平 坦之面或形成鋸齒狀突起的面構成。 在對應於立針部4的位置形成有向槓桿1之厚度方向 貫穿的孔1 b，連結該孔1 b和槓桿1之尖端形成有縫隙 1 c。前述孔1 b，係具有將附線針3在立針部4立起時 使安裝在該針3的本體3 a之線3 b放跑的機能者，該孔 1 b係形成比本體3 a之粗度小，且比線3 b大的直徑。 同時縫隙1 c係具有將線3 b引導至孔1 b之機能者，以 本紙張尺度適用中國國家揉準（CNS } A4规格（210X297公釐）_ 12 一 ' ----------I — 裝----„---Γ 訂 (請先閱讀背面之注意事項再填寫本頁) S08S32 A7 經濟部中央標隼局員X消费合作社印製 _B7__五、發明説明（l〇 ) 將附線針3著裝在引導具A時容易將線3 b插通的尺寸形 成。 前述孔1b及縫陳1c上面側（立針部4的相反側） 之角部，係在線3 b賦予張力時不會使該線3 b接觸而受 傷地，並非銳利的邊緣而係形成園滑之曲面狀。 在如上述地構成的立針部4，根據在插通在孔1 b之 線3 b賦予張力，使本體3 a的基端面3 a3壓接在構成 立針部4之平坦面或鋸齒狀的面，而能使附線針3保持立 起狀態。特別係，在立針部4立起的附線針3能'容許稍微 之傾斜和偏位爲理想。 在第2槓桿2形成有接針部5。接針部5係在結紮或 縫合時，當附線針3的本體3 a嵌合在立針部4時，具有 將該本體3 a把持而接受之機能者。 接針部5，係在槓桿2的接合面2 a而和形成在槓桿 1之立針部4對向而形成。亦即，接針部5，係形成以和 形成在槓桿1的孔1 b略對向之位置做爲起點，具有和附 線針3的本體3a (軀幹部3a2 )之粗細略相等或稍小 的宽度和所定長度且將第2槓桿2向厚度方向貫穿之長孔 狀’以對該接針部5賦予彈性爲目的，形成有從槓桿2之 前端將該接針部5向長方向貫穿的縫隙2 b。同時構成接 針部5的長孔之對向於第1槓桿1的邊緣，以在立針部4 立立起之附線針3能容許稍微的偏位和傾斜地做爲r面形 成爲理想。 因此，使第1檟样1，第2檟样2分開從使附線針3 本紙張尺度遑用中國國家標準（ CNS ) A4規格（210X297公釐)~ -13 - t---------;—批农-- -s I I ,1T ί (請先聞讀背面之注意事項再填寫本頁) ΑΊ Β7 經濟部中央揉準局貝工消费合作社印製 五、 發明説明 (11) 1 在 立 針 部4 立起 的 狀 態 使 各 槓 桿 1 9 2 接 近 而 閉 合 時 9 本 1 髏 3 a 之前 端部 3 a 1 及 軀 幹 3 a 2 會 壓 入 至 接 針 部 5 0 1 因 此 9 將能 根據 接 針 部 5 將 附 線 針 3 的 本 體 3 a 挾 持 而 接 1 1 1 受 0 請 先 閱 1 1 I 如 上述 地將 附 線 針 3 的 本 體 3 a 壓 入 接 針 部 5 時 9 根 讀 背 | 面 J 據 接 針 部5 之本 體 3 a 的 保 持 力 9 係 設 定 爲 將 成 爲 未 滿線 之 注 1 I 意 1 I 3 b 之 抗拉 强度 或 本 髏 3 a 對 線 3 b 的 固 定 力 〇 事 項 1 I 再 1 線 的抗 拉强 度 雖 根 據 粗 度 及 材 質 而 異 > 但 是 在 U S 藥 填 寫 本 1 裝 局 方 規 格係 做爲 在 將 線 連 結 的 狀 態 拉 緊 而 切 斷 時之 强 度 ( 頁 '—^ 1 I 結 節 張 力） ，在 3 — 0 的 線做 爲 9 6 0 g • f ί 在 2 — 0 1 1 1 之 線 爲 1 4 4 0 g • f 在 1 — 0 的 線 爲 2 1 6 0 8 • f 1 > 在 1 之線 做爲 2 7 2 0 g • f 分 別 規 定 0 該 結 節 張 力 爲 訂 比 單 純 抗拉 强度 低 之 値 0 1 I 在 此， 所謂 本 體 3 a 對 線 3 b 的 固 定 力 9 例 如 9 將 線 1 1 3 b 在 本體 3 a 根 據 鉚 接 固 定 時 9 係 指 給 予 之 鉚 接 力 和 線 1 1 | 3 b 與 本體 3 a 的 摩 擦 力 9 再 者 將 線 3 b 根 據 接 著 固 定 在 X 本 體 3 a時 ，係 指 兩 者 之 接 著 强 度 0 1 1 在 U S 藥局 方 規 格 本 體 3 a 對 線 3 b 的 固 定 力 9 係 1 1 分 別 規 定爲 在3 一 0 之 線 爲 6 8 0 S ♦ f > 在 2 — 0 的 線 1 爲 1 1 0 0 8 · f 9 在 1 — 0 之 線 爲 1 5 0 0 S • f 9 在 1 | 1 的 線 爲1 8 0 0 8 • f 0 1 I 考 慮上 述線 的 抗 拉 强 度 及 固 定 力 之 規 格 f 在 本 實 施 例 1 1 | 係 將 根 據接 針部 5 的 本 體 3 a 之 保 持 力 設 定 在 2 5 0 g • 1 1 I f 5 0 0 S · f 的 範 圍 0 1 1 1 本紙張尺度適用中國國家標準（CNS ) Α4規格（210Χ2<)7公釐） 14 經濟部中央橾準局男工消費合作社印製 A7 _B7___ 五、發明説明（12 ) 在第2槓桿2的接合面2 a，形成有收容附線針3之 收容部6。該收容部6，係具有將各槓桿1 ，2閉合時根 據兩者的共同動作將附線針3收容，且在各槓桿1 ，2閉 合之間保持收容狀態之機能者。 收容部6，係在槓桿2的接合面2 a而和形成在第1 槓桿1之孔1b略對向的位置做爲起點，亦即，和立針部 4連績，具有本體3 a之粗度以上或稍小的寬度和深度， 且形成具有比本體3 a之長度充份長的尺寸之溝狀。 因此，將附線針3收容在收容部6而閉合各’槓桿1， 2時，第1槓桿1的接合面1 a將會被蓋收容部6，能夠 防止附線針3從收容部6脫落而確實收容。同時收容部6 並不一定要只形成在第2槓桿2 ，也可以在第1槓桿1形 成上述溝，而能將收容部6在第1槓桿1單獨形成。此時 ，在第2槓桿2將只形成接針部5 (參照圖8)。同時根 據將上述收容部6向深度方向分割的部份性之溝分別在各 槓桿1 ，2形成，也能夠把收容部6跨越各槓桿1 ，2形 成（參照圖9 ) ° 如以上所述，要將收容部6在第1槓桿1 ，第2槓桿 2的何者單獨形成或跨越各槓桿1 ，2形成，係應根據附 線針3之本《3 a的粗度及各槓桿1，2之厚度等尺寸條 件而適當地設定的設計上之問題。 如圚1所示，在各槓桿1 ，2的端部設有爲了醫師插 入手指轉動操作用之把持部7。同時設有沿著第1棂桿1 引導線3 b的導件8，將線3 b保持之保持構件9及捲繞 本紙^尺度逋用中國國家橾準（CNS ) A4規格（210X 297公釐） ~ ~~' -1〇 - --------► — 1 裝----^---Γ 訂-------/ (請先閱讀背面之注意事項再填寫本頁) A7 B7 經濟部中央標準局貝工消费合作杜印製 五、發明説明（ 13) 丨 線3 b的突起 1 1 ，並 且 ，在 把 持部 7 或 該 把 持 部 7 附 近 1 設有 對線3 b 賦 予 張力 之 張力 賦 予構 件 1 0 0 1 r 導件8係 根 據 將線 3 b插 通 予以 引 導 9 具 有 防 止 線 1 1 1 3 b 纗繞在第 1 槓 桿使 之 順利 抽 出的 4416 概 能 者 0 導 件 8 只 需 請 先 1 1 I 具有 前述機能 即 可 ，其 構 造並 無 特別 限 制 0 本 例 J 係 根 據 讀 背 1 1 在第 1槓桿1 以 所 定間 隔 設置 的 鈎狀 構 件 構 成 導 件 8 0 dU 去 1 保持構件 9 9 係將 沿 著第 1 槓桿 1 引 導 的 線 3 b 不 論 霧 事 項 J 1 有無 對該線3 b 作 用之 張 力， 向 第1 槓 桿 1 側 按 壓 保 持 者 再 填 寫 本 1 威 〇因 此，保持 構 件 9係 根 據具 有 能向 第 1 槓 桿 1' 方 向 發 揮 頁 1 | 加勢 力的彈性 之 構 件構 成 。然 後 構成 把 線 3 b 挾 在 保 持 構 1 1 件9 和第1槓 桿 1 之間 5 能夠 根 據保 持 構 件 9 的 加 勢 力 保 1 1 持。 訂 將血管結 紮 或 把切 開 部位 縫 合而 由 接 針 部 5 接 受 附 線 1 1 針3 ，使第1 槓 桿 1 ， 第 2槓 桿 2分 開 時 > 線 3 b 將 會 沿 1 1 第1 槓桿1抽 出 0 因此 1 根據 保 持構 件 9 對 線 3 b 作 用 的 1 保持 力，需要 對 前 述抽 出 無障 害 之程 度 > 該 保 持 力 能 由 適 來 I 當地 設定保持 構 件 9向 第 1槓 桿 1側 的 加 勢 力 而 調 整 〇 1 1 I 突起1 0 9 係 形成 對 第1 槓 桿1 的 安 裝 部 份 細 9 且 隨 1 1 著從 該槓桿1 逮 離 而變 粗 之遞 變 狀， 將 張 力 賦 予 線 3 b 使 1 之將 本體3 a 固 定 在立 針 部4 時 維持 更 安 定 的 固 定 狀 態 者 1 1 1 張力賦予 構 件 1 1 > 係使 附 線針 3 到 達 患 部 將 各 棂 桿 1 1 | 1 ， 2的前端 分 開 時， 由 於在 線 3 b 賦 予 張 力 而 拉 一 定 長 1 I 度， 具有使之 在 立 針部 4 立起 的 機能 者 〇 張 力 賦 予 構 件 1 1 1 本紙張尺度逋用中國國家標準（CNS>A4規格（2丨0X297公釐）、16 _ 經濟部中央標準局貝工消费合作社印装 A7 B7 _五、發明説明（14) 11係只獬具有前述機能即可，並不特別限制其構造。在 本例，係構成在把持部7設置能夠沿該把持部7縳動的槓 桿，同時在胲槓桿向箭頭記號a方向轉動時將線3 b把持 而賦予張力，使線3 b能向箭頭記號b方向移動。 張力賦予構件11 ，除了使收容在收容部6的附線針 3在立針部4立起外，在把通過組織間或組織內接受在接 針部5之附線針3回復至立針部4使之再度通過組織間或 組織內時也會利用。 亦即，例如在進行結紮時，如在血管周園把線3 b捲 繞二周以上時，使在立針部4立起的附線針3根據第1槓 桿1 ，第2槓桿2之接近嵌合在接針部5，其後，維持根 據接針部5的附線針3之嵌合狀態使各槓桿1 ，2分開， 使線3 b如捲繞在血管周園也移動。然後，使各槓桿1 ， 2接近而使附線針3的本體3 a接觸在立針部4 ，以此狀 態操作張力賦予構件1 1對線3 b賦予張力，而能夠使本 體3 a從接針部5脫離使之立起在立針部4。 然後，再度使附線針3移動，使各横桿1 ，2接近而 使附線針3嵌合在接針部5，其後，使各槓桿1，2分開 維持使附線針3嵌合在接針部5的狀態拉出體外，而能夠 把線3b在血管周圍捲繞二次予以結紮。 以下，根據圖1 ，圖2，圖5，圓6說明將血管E結 紮時的各槓桿1 ，2之開閉動作和附線針3的姿勢，移動 動作之關係。再者，圔5 (A)〜（C)和圇6 (A)〜 (C)係分別顯示對應的動作。 本紙張尺度適用中固國家橾準（CNS > A4说格（210X 297公釐） (請先閱讀背面之注意事項再填寫本頁) -裝· -17 - Α7 Β7 經濟部中央標準局貝工消费合作杜印製 五、發明説明（15) 首先，操作引導具a的把持部7使第1槓桿1 ，第2 槓桿2分開而將收容部6開放，把附線針3之本體3 a收 容。此時，使本體3 a的基端面3 a側會配置在槓桿1形 成之孔1 b側地收容，使線3 b伸出在第2槓桿2的前端 側。操作把持部7將各楨桿1 ，2關閉，根據第1槓桿1 將收容部6被蓋，根據制動器保持各槓桿1 ，2的封閉狀 態，同時將線3 b經由形成在第1槓桿1之縫隙1 c插通 到孔1 b捲繞在突起1 0，同時經由導件8沿著第1槓桿 1引導，回復至把持部7卡止在保持構件9後，’使之卡合 在張力賦予構件11(參照圖1 ，圖2)。結束該操作時 ，根據引導具A之結紮，縫合準備將終了。 在上述狀態，槓桿1 ，2爲互相閉合的狀態，附線針 3係本體3 a將收容在根據槓桿1之接合面1 a被蓋的收 容部6而不會露出外部。因此，即使患部在體內之深的部 位或狹窄部份，也能夠以和通常的鉗子相同之感覺由將引 導具A***，而不會使附線針3脫落，且不會根據該針3 的本體3 a使正常之組織受損傷地到達患部。 使各槓桿1 ，2到達血管E的結紮部位後，解除制動 器將把持部7操作，如圖5 (a)所示地，使各槓桿1 ， 2分開。同時操作張力賦予構件11對線3b賦予引力時 ，該張力會經由線3 b俥達給本體3 a，將該本體3 a接 近至孔1，以包含孔lb形成的和立針部4接觸之基端面 3 a3的角做爲支點使本髏3 a轉動，如圖6 ( a )所示 地，使本體3 a立起在立針部4。 (請先閱讀背面之注意事項再填寫本頁) 、τ 本紙張疋度遴用中國國家標準（CNS > Α4规格（210Χ297公釐）—18 .. A7 B7 306532 五、發明説明（16 ) (請先閱讀背面之注意事項再填寫本頁) 此時，本體3a的前端部3aa ，因爲移動在第2横 桿2形成之縫隙2 b，形成在接針部5的爲了接受本體 3 a之空間中，所以雖然該前端部3 ai形成尖銳狀，也 能維持銳利。同時根據使本體3 a在立針部4立起使線 3 b保持在保持構件9，而能維持本髏3 a之立起狀態。 然後，從上述狀態操作把持部7如圖5 (b)，圖6 (b)所示地，將各槓桿1 ，2閉合。在此過程中立起在 立針部4的附線針3，將通過在血管E周圍之組織間或組 織內，本體3 a之前端部3 ai將***至接針部’’5，接著 軀幹部3 a2將壓入至接針部5，而以該接針部5挾持。 然後，如圇5 (c)，圖6 (c)所示，操作把持部 7使各槓桿1 ，2分開時，附線針3的本體3 a將維持挾 持在接針部5之狀態，而線3 b將由第1槓桿1的孔1 b 及導件8引導而抽出。保持該狀態如圖5 (d)所示地將 經濟部中央橾準局貝工消费合作社印製 各槓桿1 ，2拉出體外時，隨著本體3a之移動，線3b 將通過組織間或組織內，而端部（安裝在本體3 a的端部 )將會拉出至體外。以此狀態根據將線3 b之拉出體外側 和事先已在把持部7側連結，而能夠進行血管E的結紮。 圖8係顯示在第1槓桿1形成立針部4和收容部6， 同時在接針部5配置彈性構件而構成引導具之例者。再者 ，圖中在和前述例具有相同部份及相同機能的部份，將附 以相同記號而省略說明。 在第1棂桿1的所定位置形成有孔1 b，在該孔1 b 和前端之間形成有縫隙1 c。在和包含孔1 b的周園之槓 本紙張尺度遑用中國國家標準（CNS ) A4規格（210X 297公釐） -19 - 經濟部中央橾準局貝工消费合作社印装 A7 _B7_ 五、發明説明（I7) 桿2對向的面將形成立針部4 ，和該立針部4連績地形成 有和附線針3的本體3 a之粗度相等或稍寬的宽度和深度 且比本體3 a的長度充份長之溝而成的收容部6。 在第2槓桿2的和形成在第1槓桿1之立針部4對向 的位置形成有接針部5。該接針部5，係在第2槓桿2之 厚度方向貫穿形成的孔2 c，將具有事定設定的形狀之接 針構件12嵌合而構成。 接針構件12係由尿烷橡膠等合成橡膠，天然橡膠等 彈性體或磁性體而成，具有和第2槓桿2的厚虔略相等之 長度，和與形成在第2槓桿2的孔2 c略相等或稍大之外 徑，且在內部形成有保持孔1 2 a。該保持孔1 2 a，係 接針構件1 2爲彈性體時具有比附線針3的本體3 a之粗 度稍細的直徑，而接針構件1 2爲磁性體時具有和本髏 3 a之粗度相等的直徑。然後將接針構件1 2嵌合在第2 槓桿2之孔2 c而接著，或根據壓入而構成接針部5。 將接針部5 ，收容部6如上述地構成時，也能夠根據 和前述例一樣的操作使附線針3在立針部4立起，同時使 之通過生體之組織間或組織內進行結紮，縫合。 圖9係顯示在槓桿1設置形成能收容附線針3的本體 3 a之段的立針部4，同時將收容部6跨在槓桿1 ，2形 成的引導具之例者。再者，圚中和前述各例相同部份及具 有相同機能的部份將附以相同之記號而省略說明。 圖中，在槓桿1形成的孔1 b之周園形成有園形的段 部4 a，根搛該段部4 a形成有立針部4。該段部4 a之 本紙張尺度適用中國國家標準（CNS ) A4现格（210X297公着：）ΟΛ ·* 2U - -------------裝----：---r 訂------ (請先閱讀背面之注意事項再填寫本頁) 經濟部中央樣準局員工消费合作社印裝 A7 _ B7 五、發明説明（18 ) 直徑和附線針3的本體3 a之粗度的關係並無特別限制， 段部4 a之直徑比本體3 a的粗度大時，該本體3 a係基 端面3 a3側將嵌合在段部4 a而立起，再者段部4 a之 直徑和本體3 a的粗度略相等時，本體3 a之基端面 3 a3將嵌合在段部4 a同時該段部4 a將和本髏3 a的 外周面接觸而立起，並且，段部4 a之直徑比本體3 a的 粗度小時，本體3 a係軀幹3 a2之基端面3 a3側的一 部份將和段部4 a之邊緣卡合而立起。 同時，在第1槓桿1 ，第2槓桿2的接合面’1 a， 2 a，分別形成有和本髏3 a之粗度相等或將較大尺寸分 割的宽度和深度且比本體3 a之長度充份長的溝6 a， 6 b，將收容部6根據此等溝6 a，6 b形成。 在第2槓桿2和形成在第1槓桿1的孔1 b，段部 4 a對向之位置設有接針部5。在該接針部5配置有由彈 性髓或磁性體而成的接針構件1 2。 如上述地跨在第1槓桿1 ，第2槓桿2形成收容部6 時，如同圖（a)所示地，使各槓桿1 ，2的對應於溝 6 a，6 b部份之厚度相等時在强度上有利，且能將附線 針3安定地收容。 同時，根據在第1檟桿1形成的孔1b之周園形成的 段部4 a將立針部4形成，能夠如同圇（b〉所示，使各 槓桿1 ，2分開同時根據對收容在收容部6的附線針3之 線3 b賦予拉力，使本tt3 a的後端側嵌入段部4 a，使 其端面3 a3擋接在該段部4 a之底面使本«3 a立起， 本^張尺度遑用中國國家標準（CNS ) A4规格（210X297公釐） ~" "" I —Ί I _ I · ； ;訂 ί (請先閱讀背面之注意事項再填寫本頁) 經濟部中央標準局負工消費合作社印製 A7 ___ B7 _ 五、發明説明（！9 ) 或使軀幹3 a2的後端側外周卡合在段部4 a之邊緣使本 ϋ 3 a立起。 如以上所述，根據形成在孔1 b周圍的段部4 a形成 立針部4，而能使附線針3之立起位置安定，能夠在結紮 或縫合時從立針部4對接針部5的附線針之交接以安定的 狀態進行。 圖1 0 ，係說明使用圖7 ( c )所示的附線針同時使 用能接受在該附線針3之本雅3 a形成的球狀體之接針部 5的引導具A之圖。 接針部5，係根據壓入或接著在第2槓桿2形成的孔 2 c之彈性髏而成的接針構件1 3構成。在該接針構件 1 3將形成接受形成在附線針3的本體3 a之球狀的前端 側部3 ai之孔1 3 a，且形成有防止嵌合在孔1 3 a的 前端部3 ai脫離之突起1 3 b。 在如上述地構成的引導具A，當附線針3之本體3 a 的前端部3 at嵌合在接針構件1 3之孔1 3 a時，即使 第1槓桿1從第2槓桿2分開也將維持本體3對接針構件 5之嵌合狀態。將引導具A拉出體外後，當轚師將線3 b 如同圖（b)所示地，使之會成爲和第2槓桿2平行地拉 時，前端部3 ax的基部將和突起1 3 b卡合，以該卡合 部位做爲支點使本體3 a轉動，而能根據該轉動使本體 3 a從接針構件1 3脫離。 圖11係將第1槓桿1和第2槓桿2在端部連接同時 由賦予彈性而構成能夠互相轉動的引導具B之說明圖。該 本紙張尺度適用中國國家標準（CNS ) A4规格（210X297公釐）_ 22 (請先閱讀背面之注意事項再填寫本頁) 裝. 308532 Δ7 A / Β7 經濟部中央橾準局員工消費合作社印製 五 發明説明 ( 20 ) | 引 導 具 B 係 構 成 醫 師 能 以 和 鑷 子 —* 樣 的 感 覺 操 作 〇 1 引 導 具 B > 係 第 1 槓 桿 1 及 第 2 槓 桿 2 的 前 端 部 份 ( 1 | 圖 1 1 之 左 側 ) 具 有 適 度 的 剛 性 形 成 9 且 在 根 基 部 份 ( 圖 r—^ 1 I 1 1 之 右 側 ) 賦 予 彈 性 而 互 相 連 接 〇 如 此 地 構 成 的 引 導 具 請 先 1 1 I B 9 也 能 夠 將 立 起 在 第 1 槓 桿 1 之 前 端 側 設 置 的 立 針 部 4 讀 背 1 1 之 附 線針 3 9 根 據 設在 第 2 槓 桿 2 的 前端側 之 接針 部 5 ( 之 注 1 | 意 4 接 針 構 件 1 2 ) 接 受 0 事 項 1 再 i 第 1 槓 桿 1 第 2 槓 桿 2 並 不 定 要 如 引 導 具 A 和 把 填 寫 本 1 裝 1 持 部 7 — 體 地 構 成 > 也 能 夠 如 圖 1 2 所 示 的 引 m 部 C 地 m 頁 1 | 成 〇 1 圓 中 9 各 槓 桿 1 > 2 係 配 S 在 具 有 所 定 長 度 ( 依 照 患 1 1 *1 部 的 深 度 3 0 0 m m 4 0 0 m m 程 度 ) 的 外 般 1 4 之 前 1 訂 端 9 — 方 的 槓 桿 ( 例 如 形 成 接 針 部 5 及 收 容 部 6 之 第 2 槓 1 1 桿 2 ) 係 對 外 殻 1 4 不 能 轉 動 地 他 方 的 槓 桿 ( 例 如 形 成 1 1 立 針 部 4 之 第 1 槓 桿 1 ) 係 能 夠 轉 動 地 構 成 0 外 殼 1 4 的 1 1 後 端 側 係 固 定 在 操 作 手 柄 1 5 > 在 該 手 柄 1 5 設 有 扳 機 I 1 6 0 第 1 槓 桿 1 和 扳 概 1 6 係 經 由 設 在 外 般 1 4 內 部 的 1 1 1 鋼 線 9 短 桿 等 傳 導 構 件 連 接 > 構 成 將 隨 著 扳 饿 1 6 之 操 作 1 使 第 1 槇 桿 能 轉 動 而 接 近 第 2 槓 桿 2 0 ! 在 如 上 述 地 構 成 的 引 導 具 C 9 能 夠 把 在 髏 內 之 深 部 位 1 1 的 患 部 結 紮 或 縫 合 0 特 別 係 根 據 將 外 般 1 4 使 用 具 有 可 1 | 撓 性 之 材 料 形 成 f 而 能 擴 大 適 用 在 腹 腔 銳 內 手 術 等 利 用 範 1 1 園 0 1 1 1 1 1 本紙張尺度通用中國國家橾準（CNS > A4规格（210X297公釐）_ 23 - A7 B7 五、發明説明（21 ) 四.圖面之簡單說明 圚1，爲說明具有構成能夠轉動的一對槓桿之引導具 的全體形狀之圖。 圖2 ，爲顯示在檟桿的接合面收容附線針的狀態之側 視圖。 圖3 ，爲圖2之III — III矢視圖。 圖4 ，爲圖2之IV — IV矢視圖。 圖5 ，爲說明結紮操作的順序之圇。 圖6 ，爲說明實施縫合時將槓桿關閉而把咐線針交接 的狀態之圓。 圓7 ，爲說明附線針的例之圖。 圖8，爲說明一對槓桿之接合面的其他構成例之圖。 圖9，爲說明一對槓桿之接合面的其他構成例之圚。 圖1 0 ，爲說明接針部的更其他例之圖。 圖11 ，爲說明引導具的其他例之圖。 圖1 2 ，爲說明引導具的更其他例之圖。 ^^^1 nn (I I - —iM n n^i i 士—i—· -- (請先閲讀背面之注意事項再填寫本頁) ---訂The Ministry of Economic Affairs, Central Bureau of Standards, Shellfish Consumer Cooperation Du A5 B7. Description of the invention (1) [Field of the invention] The present invention relates to the inter- or intra-organization of the living body of the affected part of the attached threaded needle for medical use, Guidance tool for medical threaded needles that are simultaneously ligated or sutured by medical threaded needles, in particular, it is about storing a needle with a thread at a predetermined position on the closing surface when closing a pair of levers to Insert the deep part or narrow part in the closed state, and then open the lever to raise the needle to the lever of one side and guide the needle to the ligation site or the suture site, and according to the closing of the lever, the needle is removed from the side The lever of the hand is given to the lever of the other party, and constitutes the guide device of the "therapeutic" with a needle for ligation or suture. [Conventional Techniques] During surgery, the blood vessels around the affected part to be removed are ligated with thread, or the incision site is sutured with thread. The suture of the ligation or incision of the blood vessel will be carried out according to the suture needle holding the upper thread with the needle holder or the ligature guide, so that the thread passes between the tissues or the tissue, and the thread passing through the tissue is pulled out of the body and tied. . When ligating and suturing, the teacher will hold the needle holder in one hand to pass the suture needle between tissues or tissues, and then take the needle holder back to carry out the action of pulling up the stitched needle. However, when the site to be ligated or the site to be sutured is deep or narrow, it is difficult to correctly puncture the site and hold the punctured suture needle again. Therefore, it has been requested to develop a ligation tool that can be implemented quickly and reliably with one hand. The paper standard of this suturing tool is applicable to the Chinese National Standard (CNS> A4 specification (210X297 mm) (please read the precautions on the back before filling this page ) Binding and ordering of the A7 B7 printed by Beigong Consumer Cooperation of the Ministry of Economic Affairs, Central Bureau of Standardization V. Description of the invention (2) For example, in the official publication No. 7-6 7 4 5 7 (W09 3 / 〇1 7 5 0) The surgical suturing device described above was developed for the purpose of suturing the affected part with an endoscope, using a needle that forms a tip at both ends in the longitudinal direction and a hole that joins the suture in the middle of the two tips, and operates the lever to make The tube at the tip of one of the pinching needles is moved to the side of the pinching mechanism of the other side to pinch the tip of the other side according to the pinching mechanism to constitute a person who pierces the suture thread through the tissue through this process. When ligating or suturing a blood vessel, it can be ligated or sutured according to the operation of a one-stage grip lever. Therefore, it will be advantageous when performing intra-abdominal surgery using endoscopy. However, in this surgery The suture device inserts the suture needle inside the endoscope to perform the suture operation. When the suture needle is moved, the driving force needs to be transmitted in a straight direction. The transmission mechanism of the driving force is complicated, and there is a clamping mechanism and Complicated issues such as the mechanism that tightens the mechanism. In particular, operations that are performed visually without using an endoscope, such as laparotomy or intrauterine surgery, are reliable without failure except for good operability The issue of cheapness is also important, and the development of a guide for a threaded needle for acupuncture therapy that meets these points is required. [Disclosure of the Invention] The object of the present invention is to provide a deep part or a narrow part of the body. At the time of ligation or suturing, "therapeutic suture needle is passed through the guide device of the beta therapeutic suture needle between or within the living body. In order to solve the above-mentioned hidden problems, the beta therapeutic suture needle of the present invention The size of the cited paper applies to the Chinese National Standard (CNS) A4 specification (2 丨 0 297 mm) 111- n * — .1 I 11-I, 1τ i (please read the precautions on the back before filling this page) Ministry of Economic Affairs Printed by Central Standard Falcon Bureau Beigong Consumer Cooperatives 308532 A7 B7 V. Description of the invention (3) The guide mainly extends from the needle body and the base end of the needle body and extends from the base end to the extension direction of the needle axis The medical needle attached to the thread is passed through the biological tissue or inside the biological tissue, and at the same time, the guide tool for the S needle attached to the S A pair of levers can be turned and a pair of levers for operation is provided at the rear end, and the front end of one lever is provided to be in contact with the base end surface of the needle body and / or a part of the outer peripheral surface of the base end side to make the needle A standing needle portion where the body stands, and a thread guide portion connected to the standing needle portion to guide the thread, and a receiving portion for receiving the needle body standing on the aforementioned standing needle portion is provided at the front end portion of the lever of the other side In the process of bringing the front ends of a pair of levers close to each other, press the needle body of the lever to stand it up, and let it pass through the biological tissue or the biological tissue while fitting the front end of the needle body in The pin contact part set by the lever of the other side, and in The process of separating the front ends of a pair of levers from each other to maintain the engagement of the needle body of the butt joint with the needle body and detaching from the stand needle. In the guide device (hereinafter referred to as "guide device") for a medical needle attached to a medical needle, since a standing needle portion and a thread guide portion are provided on one lever (hereinafter referred to as "first lever"), the thread can be passed through The thread guide can simultaneously contact a part or both of the base end surface or the outer peripheral surface of the base end side or the base end side of the medical thread attaching needle (hereinafter referred to as "thread attaching needle") to raise the thread attaching needle. The threaded needle in the standing needle portion can be maintained by allowing tension to act on the thread. That is, since the thread attaching needle is first raised in the standing needle portion, tension is applied to the thread, or it is made to lie down. The thread attaching needle disposed near the vertical needle portion is given tension through the thread to attach the thread The contact part of the needle and the standing needle part is used as a starting point to rotate it, so that the attached needle can stand up while maintaining the standing state. This paper scale is applicable to China National Standard Falcon (CNS) A4 specification (210X297mm) (please read the precautions on the back before filling in this page)-Binding · Order A7 ____B7_ V. Description of invention (4) At the same time, due to The lever (hereinafter referred to as "the second lever") is provided with a needle receiving part, so by operating the front ends of the first and second levers closer to each other, the threaded needle standing at the standing needle part of the first lever The front end is fitted into the needle receiving portion of the second lever, so that the attached needle can be received. Therefore, insert the guide into the body so that the front ends of the first and second levers reach the affected part, and then, when inserting the thread-attached needle in the standing needle part in advance, operate the front ends of the first and second levers in the closing direction At the same time, when the thread attaching needle is inserted in the inverted state near the standing needle part, the front ends of the first and second levers are separated to apply tension to the thread and the thread attaching needle is raised, and the 'first 1, second lever The front end of the is operated in the direction of closing, and in this operation process, the attached needle standing on the standing needle portion is pressed to make the attached needle pass through the inter-tissue or tissue of the living body and be fitted in the standing needle portion. Guide the attaching needle from the first lever to the second lever, and maintain the fitting state of the needle receiving portion of the attaching needle during the process of operating the front ends of the first and second levers apart from each other Disengage the needle from the first lever. (Notes on the back of the printed and read back of the Consumer Labor Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs and then fill out this page) In the guide device constructed as above, because the first and second levers can rotate each other, the doctor can use the same forceps as the pliers. One-handed operation makes ligation or suture easy. In the above guide, the standing needle portion provided at the front end portion of the first lever is configured based on a flat surface in contact with the base end surface of the needle body, or based on the outer surface of the base end surface of the needle body and / or the base end side of the needle body A part of the concave contact is ideal. The guide device constructed as described above can be applied to the part of the base end surface or the outer peripheral surface of the thread-attached needle that stands on the standing needle portion according to the operation of the first lever, or the basic paper scale is applicable to the Chinese National Standard (CNS) A4 Specification (210X297mm) ~ ~ A7 _B7_ produced by the Beigong Consumer Cooperation Department of the Central Bureau of Standards of the Ministry of Economic Affairs 5. Description of the invention (5) Partial contact of the end face and the outer peripheral face is pressed, and the attached needle is passed according to the pressing force Between biological tissues or within biological tissues. At the same time, in the guide tool described above, the needle receiving portion provided at the front end portion of the second lever is constituted by a long hole having a wide size slightly equal to or smaller than the thickness of the needle skeleton, and the long hole is provided in the first The position where the standing needle portion of the lever faces is used as a reference and is preferably formed toward the front end side and / or the rear end side of the second lever. In the guide device configured as described above, the tip of the wire-attached needle can be fitted into the long hole and accepted as the first and second levers are operated. In particular, by providing a slit extending from the long hole to the front end and / or the rear end of the lever to give elasticity to the long hole, the thread attaching needle can be surely accepted. In the above-mentioned guide, on the side of either one or both of the opposing surfaces of the first and second levers facing each other, the position of the standing needle portion of the first lever is used as a reference, and the storage accessory is provided. The thread accommodating part is ideal. In this way, the accommodating portion of the thread-attached needle is provided with the stand-up needle portion as a reference, and the thread-attached needle can be accommodated in the accommodating portion when the guide is inserted into the raw skull. Therefore, until the ligation or suturing is performed, the thread-attaching needle can be accommodated in the accommodating portion formed by the joint surface of the first and second levers. Therefore, the attached needle will not be exposed until it reaches the affected part, and even when a large number of guides are prepared in advance during the operation, the area of the placement can be reduced. At the same time, since the pair of levers are closed to receive the thread-attached needle in the receiving portion so as to reach the affected part, the thread-attached needle does not fall off from the guide during movement, and normal tissue is not damaged by the needle. Moreover, even if the affected part is deep or narrow in the body, the attached needle can easily reach 0. This paper standard is applicable to the Chinese National Standard (CNS) A4 specification (210X297 mm) ~ n IJ— IIJ! II — ΊIIM ^ -5 (Please read the precautions on the back before filling in this page) A7 B7 〇08532 V. Description of the invention (6) In the above guides, the first lever set will be fixed in the storage section or stand upright The thread of the needle body of the needle portion is ideally guided along the first lever. (Please read the precautions on the back before filling out this page) According to the above-mentioned guide, the thread extending from the needle attached to the needle stand or the thread extending from the needle attached to the housing can be extended , Guide to the operation part along the first lever. Therefore, when the ligation or suture is performed, the thread will not be wrapped around the first lever, and when the attached needle that is received at the needle receiving portion of the second lever through the biological tissue or within the biological tissue is pulled outside the body , Can draw the line smoothly. At the same time, according to the holding member that holds the thread guided along the lever on the first lever, the tension-free thread housed in the accommodating portion or the thread-attached needle standing on the stand needle portion can be tensioned The line of action remains. In this way, by holding the thread according to the holding member, it is possible to maintain the accommodating state of the thread-attached needle in the accommodating portion and the state of the needle in the standing needle portion. At the same time as the first lever is provided with a tension-imparting member that provides tension to the thread guided along the lever at the same time printed by the Beigong Consumer Cooperative of the Central Bureau of Economics of the Ministry of Economic Affairs, Operate the tension-applying member to raise the thread when the stand-up needle part of the first lever is raised, and apply the tension to the corner of the base end surface that is in contact with the stand-up needle part as the center It is ideal to move it up to 0 while providing the first lever with a protrusion that winds the line guided along the lever. According to the provision of this protrusion, it is easy to operate when tension is applied to the thread. This paper scale is applicable to the Chinese National Standard (CNS) A4 specification (210X297 mm) A7 B7 5. Description of the invention (7) [Example] The guide A shown in circle 1 has a pair of levers 1 that can rotate with each other. , 2, on one side of the lever (the first lever 1) to form the stand-up needle portion 4 for erecting the attached needle 3, and on the other side of the lever (second lever 2) to form the receiving portion 5 that accepts the attached needle 3, In addition, when the joint surfaces 1 a, 2 a when the levers 1 and 2 are closed form a housing portion 6 for accommodating the wire-attached needle 3, the whole is formed into a forceps shape, and the structure can be implemented by performing the same operation as the forceps Ligation or suture. The threaded needle 3 is designed so as not to interfere with the opening and closing of the levers 1 and 2. A straight needle-shaped body 3 a having a length selectively set according to the length of the levers 1 and 2 is formed in the range of 3 mm to 15 mm. The cable 3b is installed at one end. The length of the aforementioned main body 3 a is set to be a value of about 1/3 or less of the distance from the pivot point of the levers 1 and 2 to the stand-up needle portion 4 to constitute the main body 3 a of the thread-attached needle 3 with the passage It can be easily penetrated into a sharp shape or a spherical front end portion 3ai that can easily pass through between tissues in a living tissue, and can be fully formed with the Beigong Consumer Cooperative in the Central Leverage Bureau of the Ministry of Economic Affairs. Printed (please read the precautions on the back before filling in this page) The trunk 3a2 of the length of the pin contact portion 5 engaged with the base end surface 3a3 0 The thickness of the trunk portion 3 a2 is not set uniformly, but will correspond The thickness of the thread 3 b set according to the ligation site or suture site is set to be more than twice the thread 3 b. For example, the thread used in ligation or suture will use 0.2mm ~ 0.249mm (USP bureau specifications 3-0), 0.2mm ~ 0.399mm (same as 2-0), this paper size Use the Chinese National Standard (CNS) A4 specification (210X297 mm) 1Λ -11) -Ministry of Economic Affairs Central Standards Bureau Negative Consumer Cooperative Printed Bag A7 B7 5. Description of the invention (8) 0.35mm ~ 0.399mm (same as 1 — 0), 0.4mm ~ 0.49mm (same as 1). Therefore, the thin stem 3a2 (body 3a) sets the outer diameter to 0.7 mm to 0.9 mm 0 according to the thickness of the aforementioned wire 3 b. As described above, according to the thickness of the body 3 a becomes the wire 3 b At least twice the thickness, the standing needle portion 4 can be blocked against the base end surface 3 a3 or the outer peripheral surface of the base end side to give thrust. Generally, stainless steel is used for the main body 3a. However, it can also be formed by injection molding of plastic. In this case, the threaded needle 3 can be manufactured in one process by insert molding the thread 3b. In addition, the body 3a may be composed of tungsten carbide or titanium alloy. In particular, when the main body 3a is constituted by a magnet, the needle-connecting portion 5 can be constituted by a magnetic body, so that the wire-attached needle 3 can be easily transferred. In any case, the material of the body 3a is not limited, as long as it can penetrate the inter- or intra-tissue strength of the organism and has no adverse effects on the organism, it can be used. As the thread-attached needle 3, it is not necessary to separately constitute the body 3a and the thread 3b, and a so-called stainless steel thread integrated needle can also be used. The integrated needle system is based on the main body 3 a, the thread 3 b is made of stainless steel, the main body 3 a is hardened to a predetermined hardness according to work hardening, etc., and the thread 3 b is imparted with flexibility according to the heat treatment. This "3 a" is formed as a straight needle as shown in Fig. 7 (a) ~ (d). The front end portion 3ai is formed into a spherical shape as shown in Figures (a) to (c) according to the group to be pierced, or a sharp shape as shown in Figure (d) 11 * -— 11 nn Γ-1 — r Order (please read the precautions on the back and then fill out this page) The paper size is free to use the Chinese National Standard (CNS > A4 specifications (210 X 297 mm) 11 A7 printed by the Consumer Labor Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs _B7_ _ Fifth, the description of the invention (9) 0 Furthermore, when the wire 3b is installed in Benya 3a, the base end surface side 3a3 side of the body 3a can be as shown in the figures (a), (d) A part of it is tightened to be reduced in diameter and installed. It is also possible to install the wire 3 b according to the bonding process without tightening the body 3 a as shown in the figure (b), and also as shown in the circle (c) The base end surface 3 a3 side of the body 3 a is clamped into a tapered shape by a predetermined length and installed. The thread-attached needle 3 configured as above will stand up on the standing needle portion 4 formed by the first lever 1 and the base end surface 3 a3 Or a part of the outer peripheral surface on the base end surface 3 'a3 side of the body 3 a, or a part of the base end surface 3 a3 and the outer peripheral surface is in contact with the standing needle portion 4, and there will be an attachment at the contact portion The pressing force with the operation of the first lever will act. The structure of the main part of the guide A will be described below with reference to FIGS. 2 to 4. The position of the first lever 1 at the joint surface 1 a away from the front end by a predetermined distance A standing needle portion 4 is formed. The standing needle portion 4 is formed on a flat surface having a function of stopping the base end surface 3 a3 of the main body 3 a and erecting the main body 3 a or a surface formed with zigzag protrusions. A hole 1 b penetrating in the thickness direction of the lever 1 is formed at a position corresponding to the standing needle portion 4, and a slit 1 c is formed to connect the hole 1 b and the tip of the lever 1. The hole 1 b has a threaded needle 3 When the standing needle part 4 is raised, the thread 3 b of the body 3 a mounted on the needle 3 is allowed to run away, and the hole 1 b is formed to have a thickness smaller than that of the body 3 a and larger than the thread 3 b At the same time, the gap 1 c has the function of guiding the wire 3 b to the hole 1 b, and it is applicable to the Chinese national standard (CNS} A4 specification (210X297 mm) _ 12 一 '----- ----- I — outfit ---- „--- Γ order (please read the precautions on the back before filling in this page) S08S32 A7 Printed by the member of the Central Standard Falcon Bureau of the Ministry of Economy X Consumer Cooperative _B7__ V. Description of the invention (10) The size of the thread 3 b can be easily inserted when the thread-attached needle 3 is attached to the guide A. The upper side of the hole 1b and the seam 1c (the opposite side of the standing needle part 4) The corner of the needle is attached to the wire 3 b and does not cause the wire 3 b to contact and be injured. It is not a sharp edge but is formed into a rounded curved surface. The thread 3 b passing through the hole 1 b is given tension so that the base end surface 3 a3 of the main body 3 a is crimped to the flat surface or the zigzag surface constituting the stand-up needle portion 4, so that the thread-attached needle 3 can be kept upright. In particular, it is desirable that the thread-attached needle 3 erected at the standing needle portion 4 can be slightly tilted and deviated. The second lever 2 has a needle receiving portion 5. When the needle receiving portion 5 is ligated or sutured, when the main body 3a of the threaded needle 3 is fitted into the standing needle portion 4, it has a function of holding the main body 3a and accepting it. The needle receiving portion 5 is formed on the engaging surface 2a of the lever 2 to face the standing needle portion 4 formed on the lever 1. That is, the needle receiving portion 5 is formed with the position slightly opposed to the hole 1 b formed in the lever 1 as a starting point, and has a thickness equal to or slightly smaller than that of the body 3a (trunk portion 3a2) of the thread-attached needle 3 The width and the predetermined length and the long hole shape that penetrates the second lever 2 in the thickness direction are formed to penetrate the needle portion 5 from the front end of the lever 2 in the longitudinal direction for the purpose of giving elasticity to the needle portion 5 Gap 2 b. At the same time, the long hole constituting the contact portion 5 is opposed to the edge of the first lever 1, and it is desirable that the thread-attached needle 3 erected on the standing needle portion 4 can be slightly r-shaped and inclined with a slight deviation and inclination. Therefore, separate the first sample 1 and the second sample 2 from the attached needle 3 to the paper size and use the Chinese National Standard (CNS) A4 specification (210X297mm) ~ -13-t ------ ---;-Banong-- -s II, 1T ί (please read the notes on the back before filling in this page) ΑΊ Β7 Printed by the Ministry of Economic Affairs, Central Bureau of Economic Development, Beigong Consumer Cooperative V. Description of the invention (11) 1 When the upright needle part 4 is in the upright state, each lever 1 9 2 is approached and closed 9 Ben 1 Skull 3 a Before the end 3 a 1 and the trunk 3 a 2 will be pressed into the needle receiving part 5 0 1 Therefore 9 will Hold the body 3 a of the threaded needle 3 according to the needle connector 5 and connect it 1 1 1 Accept 0 Please read 1 1 I Press the body 3 a of the threaded needle 3 into the needle portion 5 as described above 9 Read back | Face J According to the holding force of the body 3 a of the contact part 5 9 is set to be the underlined note 1 I meaning 1 I 3 b tensile strength or fixing of the skeleton 3 a to the wire 3 b Force 1 Matter 1 I Furthermore, the tensile strength of the thread varies according to the thickness and material> However, the specifications of the US National Drug Administration Bureau 1 are used as the strength when the thread is tightly connected and cut (page '-^ 1 I nodule tension), the line at 3-0 is 9 6 0 g • f ί at 2-0 1 1 1 line is 1 4 4 0 g • f at 1-0 line is 2 1 6 0 8 • f 1 > the line 1 is 2 7 2 0 g • f is defined as 0. The nodule tension is set to a value lower than the simple tensile strength 0 1 I. Here, the so-called body 3 a is fixed to the line 3 b Force 9 such as 9 when the wire 1 1 3 b is fixed to the body 3 a by riveting 9 refers to the riveting force and the friction force between the wire 1 1 | 3 b and the body 3 a 9 and then fixes the wire 3 b according to When X body is 3 a, it means the bonding strength of the two. 0 1 1 The fixing force of the body 3 a to the line 3 b in the US Pharmacopoeia specification 9 series 1 1 3-0 line is 6 8 0 S ♦ f > Line 2-0 line 1 is 1 1 0 0 8 · f 9 line 1-0 line is 1 5 0 0 S • f 9 in 1 | 1 The thread is 1 8 0 0 8 • f 0 1 I Consider the tensile strength and fixing force specification f of the above thread. In this embodiment 1 1 | The holding force of the body 3 a of the contact part 5 is set to 2 5 0 g • 1 1 I f 5 0 0 S · range of f 0 1 1 1 The paper size is applicable to China National Standard (CNS) Α4 specification (210Χ2 <) 7mm) 14 Printed A7 _B7___ by the Male Workers ’Consumer Cooperative of the Central Department of Economics of the Ministry of Economic Affairs 5. Description of the invention (12) On the joining surface 2a of the second lever 2, a housing section for accommodating the threaded needle 3 is formed 6. The accommodating portion 6 has a function of accommodating the needle 3 according to the common action of the two levers 1 and 2 when they are closed, and maintaining the accommodating state between the closing of the levers 1 and 2. The accommodating portion 6 is attached to the joint surface 2 a of the lever 2 and is slightly opposed to the position formed in the hole 1 b of the first lever 1 as a starting point, that is, it is connected to the standing needle portion 4 and has the thickness of the body 3 a It has a width and depth of more than a degree or slightly smaller, and is formed in a groove shape having a size sufficiently longer than the length of the body 3 a. Therefore, when the wire attaching needle 3 is housed in the housing portion 6 and the respective levers 1 and 2 are closed, the engaging surface 1 a of the first lever 1 will be covered by the housing portion 6, which can prevent the wire attaching needle 3 from falling out of the housing portion 6 And indeed contain. At the same time, the accommodating portion 6 does not necessarily need to be formed only in the second lever 2, but the above-mentioned groove may be formed in the first lever 1, and the accommodating portion 6 may be formed in the first lever 1 alone. At this time, only the contact portion 5 will be formed on the second lever 2 (see FIG. 8). At the same time, the partial grooves that divide the accommodating portion 6 in the depth direction are formed in the levers 1, 2 respectively, and the accommodating portion 6 can also be formed across the levers 1, 2 (refer to FIG. 9). As described above, To form the housing section 6 on the first lever 1 and the second lever 2 separately or across each lever 1, 2 should be based on the text of the attached needle 3 "3 a thickness and each lever 1, 2 Design issues that are appropriately set based on dimensional conditions such as thickness. As shown in Fig. 1, at the end of each lever 1, 2 is provided a grip portion 7 for a doctor to insert a finger to rotate the operation. At the same time, there is a guide 8 that guides the wire 3 b along the first boom 1, the holding member 9 that holds the wire 3 b and the winding paper ^ The standard adopts China National Standards (CNS) A4 specifications (210X 297 mm ) ~ ~~ '-1〇- -------- ► — 1 Pack ---- ^ --- Γ Order ------- / (Please read the notes on the back before filling in this Page) A7 B7 Printed by Duongong Consumer Cooperation, Central Bureau of Standards, Ministry of Economic Affairs 5. Description of Invention (13) 丨 The protrusion of line 3 b 1 1, and a line 3 is provided in the grip 7 or near the grip 7 b Tension-providing member 1 0 0 1 r The guide 8 is guided by inserting the wire 3 b through the wire 9 It has a 4416 capable of preventing the wire 1 1 1 3 b from winding around the first lever and pulling it out smoothly 0 The guide 8 only needs to be first 1 1 I has the aforementioned function, and its structure is not particularly limited. 0 In this example, the J is based on the reading back 1 1 and the hook-shaped member provided at a predetermined interval on the first lever 1 constitutes the guide 8 0 dU go to 1 holding member 9 9 will follow the line guided by the first lever 1 3 b Mist Matter J 1 Is there any tension acting on the thread 3 b, press the holder towards the first lever 1 side and fill in this book. Therefore, the holding member 9 is able to play in the direction of the first lever 1 'according to the availability page 1 | The elastic component of the force. Then, the line 3b is held between the retaining structure 1 1 9 and the first lever 1 5 to be able to maintain 1 1 according to the additional force of the retaining structure 9. When the blood vessel is ligated or the incision site is sutured, the attached portion 5 receives the attached thread 1 1 needle 3 to separate the first lever 1 and the second lever 2 > line 3 b will be drawn along 1 1 first lever 1 0 Therefore 1 According to the 1 holding force of the holding member 9 acting on the line 3 b, the degree of unobstructed extraction is required for the aforementioned > This holding force can be set locally by the appropriate force of the holding member 9 on the first lever 1 side. Adjustment 〇1 1 I protrusion 1 0 9 forms a tapered shape to the mounting portion of the first lever 1 and becomes thicker as 1 1 gets caught from the lever 1 and gives tension to the thread 3 b to make 1 When the main body 3 a is fixed to the standing needle part 4, a more stable and stable state is maintained 1 1 1 Tension-applying member 1 1 > When the attached needle 3 reaches the affected part and the front end of each sling rod 1 1 | 1, 2 is separated ， Because the wire 3 b gives tension and stretches to a certain length of 1 I degree, it has the function of making it stand on the stand needle 4 〇Tensist member 1 1 1 This paper scale uses the Chinese National Standard (CNS> A4 specification (2 丨 0X297 mm), 16 _ Printed and printed on the A7 B7 by the Beigong Consumer Cooperative of the Central Bureau of Standards of the Ministry of Economic Affairs _ 5. Description of the invention (14) 11 series only It is only necessary to have the aforementioned function, and the structure is not particularly limited. In this example, the lever 7 is provided with a lever capable of being restrained along the lever 7 and the line 3 is turned when the girdle lever is turned in the direction of arrow mark a b Hold and apply tension so that the thread 3 b can move in the direction of the arrow mark b. The tension imparting member 11 not only erects the thread-attached needle 3 accommodated in the accommodating portion 6 at the standing needle portion 4, but also passes between tissues or It is also used when the thread-attached needle 3 received in the needle receiving section 5 returns to the standing needle section 4 to pass through the inter-tissue or the tissue again. That is, for example, when performing ligation, such as threading 3 in the perivascular garden b When winding for more than two weeks, the threaded needle 3 standing on the standing needle portion 4 is fitted to the needle receiving portion 5 according to the first lever 1 and the proximity of the second lever 2, and thereafter, the needle receiving portion 5 is maintained The fitting state of the thread-attached needle 3 separates the levers 1 and 2 so that the thread 3 b is wound around the vessel Then, the levers 1 and 2 are brought close to bring the main body 3 a of the threaded needle 3 into contact with the standing needle portion 4, and the tension applying member 1 1 is operated in this state to apply tension to the thread 3 b to make the main body 3 a It detaches from the needle receiving part 5 and stands up on the needle standing part 4. Then, move the thread attaching needle 3 again to bring the crossbars 1 and 2 closer to fit the thread attaching needle 3 to the needle receiving portion 5. After that, separate the levers 1 and 2 to maintain the thread attaching needle 3 fitted When the needle-connecting portion 5 is pulled out of the body, the thread 3b can be wound around the blood vessel twice and ligated. Hereinafter, the relationship between the opening and closing operations of the levers 1 and 2 when the blood vessel E is ligated and the posture and movement of the attached needle 3 will be described based on FIGS. 1, 2, 5 and circle 6. In addition, 圔 5 (A) ~ (C) and 囵 6 (A) ~ (C) respectively show the corresponding actions. The size of this paper is applicable to China National Standards (CNS & A4) (210X 297mm) (please read the precautions on the back and then fill out this page) -Installed · -17-Α7 Β7 Ministry of Economic Affairs Central Standards Bureau Bei Gong Consumer Cooperation Du Printing V. Description of the invention (15) First, operate the grip 7 of the guide a to separate the first lever 1 and the second lever 2 to open the housing 6 and house the body 3 a of the needle 3 At this time, the base end surface 3 a side of the main body 3 a is placed on the side of the hole 1 b formed by the lever 1 and the wire 3 b is extended on the front end side of the second lever 2. The operating grip 7 moves each frame The levers 1 and 2 are closed, the accommodating portion 6 is covered by the first lever 1, the closed state of the levers 1 and 2 is maintained by the brake, and the wire 3 b is inserted into the hole through the gap 1 c formed in the first lever 1 1 b is wound around the protrusion 10, while being guided along the first lever 1 via the guide 8 and returned to the grip portion 7 after being locked to the holding member 9, 'it is engaged with the tension imparting member 11 (refer to FIG. 1, Figure 2). At the end of this operation, according to the ligation of the guide A, the preparation for suturing will end. In the above state, the levers 1, 2 are closed to each other The threaded needle 3 body 3 a will be housed in the housing part 6 covered by the joint surface 1 a of the lever 1 without being exposed to the outside. Therefore, even if the affected part is deep or narrow in the body, It is possible to insert the guide A with the same feeling as ordinary pliers, without causing the attached needle 3 to fall off, and not to damage the normal tissue to the affected part according to the body 3 a of the needle 3. After 1, 2 reaches the ligation site of the blood vessel E, the brake is released and the grip 7 is operated, as shown in FIG. 5 (a), the levers 1 and 2 are separated. When the tension imparting member 11 is operated to apply the attraction force to the wire 3b, This tension will reach the body 3 a through the thread 3 b, and approach the body 3 a to the hole 1, using the corner of the base end surface 3 a3 formed by the hole lb and contacting the standing needle portion 4 as a fulcrum to make the skull 3 a Turn, as shown in Fig. 6 (a), make the body 3 a stand on the needle part 4. (Please read the precautions on the back before filling in this page), τ This paper is selected according to Chinese national standards ( CNS > Α4 specification (210Χ297mm)-18 .. A7 B7 306532 V. Description of invention (16) (please read first (Notes on the back and then fill in this page) At this time, the front end 3aa of the body 3a is moved into the space 2b formed in the second crossbar 2 and is formed in the space of the pin portion 5 to receive the body 3a, so Although the tip portion 3 ai is formed into a sharp shape, sharpness can be maintained. At the same time, by raising the main body 3 a on the standing needle portion 4 and keeping the thread 3 b on the holding member 9, the standing state of the main skull 3 a can be maintained. Then, the grip 7 is operated from the above state as shown in FIG. 5 (b) and FIG. 6 (b), and the levers 1, 2 are closed. During this process, the attached needle 3 standing on the standing needle part 4 will pass through the tissue or tissue around the blood vessel E, and the end 3 ai before the body 3 a will be inserted into the needle receiving part 5 and then the trunk part 3 a2 presses into the needle receiving part 5 and holds it with the needle receiving part 5. Then, as shown in Fig. 5 (c) and Fig. 6 (c), when the handle 7 is operated to separate the levers 1, 2, the main body 3a of the threaded needle 3 will remain held in the state of the needle receiving part 5, and The wire 3 b is drawn out by being guided by the hole 1 b of the first lever 1 and the guide 8. Keeping this state as shown in Figure 5 (d), when the levers 1 and 2 are printed out of the Beigong Consumer Cooperative of the Central Bureau of Economic Affairs of the Ministry of Economic Affairs, as the body 3a moves, the line 3b will pass through the inter-organization or organization Inside, and the end (installed at the end of the body 3a) will be pulled out of the body. In this state, the blood vessel E can be ligated by connecting the outer side of the drawn body of the wire 3 b and the side of the grasping portion 7 in advance. FIG. 8 shows an example in which a standing needle portion 4 and a receiving portion 6 are formed on the first lever 1, and an elastic member is arranged on the needle receiving portion 5 to constitute a guide. In addition, in the figure, the parts with the same parts and the same functions as the previous examples will be given the same symbols and the description will be omitted. A hole 1 b is formed at a predetermined position of the first mullion 1, and a gap 1 c is formed between the hole 1 b and the front end. Use the Chinese National Standard (CNS) A4 specification (210X 297mm) for the paper size of the Zhouyuanzhi paper containing hole 1b. -19-Printed by the Central Ministry of Economic Affairs, Beigong Consumer Cooperative A7 _B7_ V. Invention Explanation (I7) The surface opposite to the rod 2 will form a standing needle portion 4, and the standing needle portion 4 is formed with a thickness equal to or slightly wider than the thickness of the body 3 a of the thread-attached needle 3 and the ratio The length of the main body 3 a is a receiving portion 6 formed by a long groove. A needle receiving portion 5 is formed at a position where the sum of the second lever 2 and the standing needle portion 4 of the first lever 1 face each other. The contact portion 5 is a hole 2c formed in the thickness direction of the second lever 2, and is formed by fitting a contact member 12 having a predetermined shape. The contact member 12 is made of synthetic rubber such as urethane rubber, elastomer or magnetic body such as natural rubber, and has a length approximately equal to the thickness of the second lever 2 and a hole 2 c formed in the second lever 2 The outer diameter is slightly equal to or slightly larger, and a holding hole 12 a is formed inside. The holding hole 12 a has a diameter slightly thinner than the thickness of the main body 3 a of the attaching needle 3 when the tie pin member 12 is an elastic body, and has the original skull 3 a when the needle pin member 12 is a magnetic body The diameter of the same thickness. Then, the needle receiving member 12 is fitted into the hole 2 c of the second lever 2 and then, or the needle receiving portion 5 is formed by press-fitting. When the needle receiving portion 5 and the accommodating portion 6 are configured as described above, the thread-attaching needle 3 can be raised on the standing needle portion 4 according to the same operation as the previous example, and at the same time, it can be passed through the inter- or inter-tissue of the living body Ligation and suture. Fig. 9 shows an example in which a standing needle portion 4 is formed on the lever 1 to accommodate the main body 3a of the thread-attached needle 3, and at the same time, the guide portion formed by the receiving portion 6 straddling the levers 1 and 2 is formed. In addition, the same parts and parts with the same functions as those in the previous examples will be marked with the same symbols and their description will be omitted. In the figure, a circular segment 4a is formed around the hole 1b formed in the lever 1, and a standing needle 4 is formed at the root 4a. The standard of the paper in this section 4 a is applicable to the Chinese National Standard (CNS) A4 format (210X297 publication :) ΟΛ · * 2U-------------------------- --r Order ------ (Please read the precautions on the back before filling this page) A7 _ B7 Printed by the Employees ’Consumer Cooperative of the Central Bureau of Prospects of the Ministry of Economic Affairs V. Invention description (18) Diameter and attached needle 3 The relationship of the thickness of the main body 3 a is not particularly limited. When the diameter of the segment 4 a is larger than the thickness of the main body 3 a, the side of the main body 3 a is the base end surface 3 a3 to be fitted in the segment 4 a and stand up. , And when the diameter of the segment 4 a and the thickness of the body 3 a are slightly equal, the base end surface 3 a3 of the body 3 a will be fitted in the segment 4 a and the segment 4 a will be the outer periphery of the skeleton 3 a Stand up with surface contact, and the diameter of the segment 4 a is smaller than the thickness of the body 3 a, the part of the body 3 a is the base end surface 3 a3 side of the torso 3 a2 will be engaged with the edge of the segment 4 a and stand Up. At the same time, the joint surfaces' 1 a, 2 a of the first lever 1 and the second lever 2 are respectively formed with a thickness equal to the thickness of the main skeleton 3 a or a width and depth that divide the larger size and are larger than the body 3 a. The grooves 6 a, 6 b having a sufficiently long length form the accommodating portion 6 based on these grooves 6 a, 6 b. The second lever 2 and the hole 1 b formed in the first lever 1 are provided with pin contact portions 5 at positions where the segment portions 4 a face each other. The needle receiving portion 5 is provided with a needle receiving member 12 made of elastic pith or magnetic material. When straddling the first lever 1 and the second lever 2 as described above to form the accommodating portion 6, as shown in FIG. (A), when the thicknesses of the portions of the levers 1 and 2 corresponding to the grooves 6 a and 6 b are equal It is advantageous in terms of strength and can stably accommodate the attached needle 3. At the same time, the vertical needle portion 4 is formed according to the segment 4 a formed around the hole 1 b formed in the first boom 1, and as shown in FIG. The thread 3 b of the wire-attached needle 3 of the receiving portion 6 is given a pulling force, so that the rear end side of the tt3 a is fitted into the segment 4 a, and the end surface 3 a3 is blocked on the bottom surface of the segment 4 a to make the «3 a stand From this, the size of this sheet is not in accordance with the Chinese National Standard (CNS) A4 specification (210X297mm) ~ " " " I —Ί I _ I ·;; Subscribe (Please read the precautions on the back before filling in this Page) A7 ___ B7 _ printed by the Consumer Labor Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs V. Description of the invention (! 9) or the outer periphery of the rear end side of the trunk 3 a2 is snapped to the edge of the segment 4 a to make this 3 a stand As described above, the standing needle portion 4 is formed according to the segment portion 4 a formed around the hole 1 b, so that the standing position of the attaching needle 3 can be stabilized, and can be butted from the standing needle portion 4 during ligation or sewing The delivery of the needle attached to the needle part 5 is carried out in a stable state. Figure 10 shows that the use of the needle attached to the needle shown in Figure 7 (c) can be accepted while using A drawing of the guide A of the contact part 5 of the spherical body formed by ya 3 a. The contact part 5 is a contact part formed by press-fitting or the elastic skeleton of the hole 2 c formed in the second lever 2 1 3. The contact member 13 is formed with a hole 1 3 a for receiving the spherical front end side 3 ai formed in the main body 3 a of the wire-attached needle 3, and a hole 13 a is formed to prevent fitting The front end portion 3 ai of the detached protrusion 1 3 b. In the guide A constructed as described above, when the front end portion 3 at of the main body 3 a of the threaded needle 3 is fitted into the hole 1 3 a of the needle receiving member 1 3 , Even if the first lever 1 is separated from the second lever 2, it will maintain the mating state of the body 3 butt the needle member 5. After pulling the guide A out of the body, when the master will thread 3 b as shown in figure (b) , So that it will be pulled parallel to the second lever 2, the base of the front end 3 ax will engage with the protrusion 1 3 b, and the main body 3 a will be rotated using this engagement portion as a fulcrum, and this rotation can be used to make The main body 3 a is detached from the contact member 13. Fig. 11 is an explanatory diagram of a guide B which can be mutually rotated by imparting elasticity by connecting the first lever 1 and the second lever 2 at the ends. The standard is applicable to the Chinese National Standard (CNS) A4 specification (210X297 mm) _ 22 (please read the precautions on the back before filling in this page). 308532 Δ7 A / Β7 The five inventions printed by the Employee Consumer Cooperative of the Central Bureau of Economics of the Ministry of Economic Affairs Explanation (20) | The guide B constitutes the doctor can operate with the same feeling as tweezers — 〇1 The guide B > is the front end part of the first lever 1 and the second lever 2 (1 | Figure 11 left side ) 9 with moderate rigidity and connected to each other by giving elasticity to the base part (right side of figure r- ^ 1 I 1 1). For guides constructed in this way, please first 1 1 IB 9 can also stand on the 1st The vertical needle part 4 provided on the front end side of the lever 1 is read. The threaded needle 3 9 on the back 1 9 is accepted according to the needle part 5 provided on the front end side of the second lever 2 (Note 1 | Italian 4 needle member 1 2) 0 Matter 1 Then i 1st Lever 1 2nd Lever 2 Not It must be such as a guide A and a filling book 1 installed 1 holding part 7-body structure > can also be introduced as shown in Figure 1 2 part C place m page 1 | into 〇1 circle 9 each lever 1 > 2 S is equipped with a predetermined length (depending on the depth of 1 1 * 1 part of the depth of 3 0 0 mm 4 0 0 mm) of the general 1 4 before 1 end 9-side lever (for example, to form the needle part 5 And the second bar 1 1 bar 2 of the receiving section 6) is the other lever that can not rotate to the housing 1 4 (for example, the first lever 1 forming the 1 1 needle stand 4) is rotatably constituting 0 the housing 1 4 1 1 The rear end side is fixed to the operating handle 1 5 > The handle 1 5 is provided with a trigger I 1 6 0 The first lever 1 and the trigger 1 6 are provided via the outside 1 4 inside 1 1 1 steel wire 9 short Connection of conductive members such as rods > The configuration will be close to the second lever 2 0 with the operation of pulling 1 6 so that the first lever can rotate The guide C 9 constructed as described above can ligature or sutate the affected part in the deep part 1 1 of the skull. In particular, it can be expanded and applied in accordance with the external general 1 4 using a material with flexibility 1 | flexible to form f. The use of intra-abdominal sharp intraoperative surgery, etc. Fan 1 1 Yuan 0 1 1 1 1 1 This paper standard is universal Chinese National Standard (CNS & A4 specifications (210X297 mm) _ 23-A7 B7 V. Description of invention (21) IV. The brief description below is a diagram illustrating the overall shape of a guide having a pair of levers that can rotate. Fig. 2 is a side view showing a state in which the thread-attached needle is accommodated on the joint surface of the boom. Figure 3 is the III-III vector view of Figure 2. Figure 4 is the IV-IV vector view of Figure 2. Figure 5 illustrates the sequence of ligation operations. Fig. 6 is a circle for explaining the state in which the needle is closed when the lever is closed when stitching is performed. Circle 7 is a diagram illustrating an example of a needle with a thread. FIG. 8 is a diagram illustrating another configuration example of the joint surface of a pair of levers. Fig. 9 is a diagram illustrating another configuration example of a joint surface of a pair of levers. FIG. 10 is a diagram illustrating still another example of the needle receiving portion. FIG. 11 is a diagram illustrating another example of the guide. Fig. 12 is a diagram for explaining another example of the guide. ^^^ 1 nn (I I-—iM n n ^ i i 士 —i— ·-(Please read the precautions on the back before filling in this page) --- Subscribe
A 經濟部中央標準局貝工消费合作社印製 本紙浪尺度適用中國國家標準（CNS)A4規格（ 210X297公釐）—24 -A Printed by the Beigong Consumer Cooperative of the Central Standards Bureau of the Ministry of Economic Affairs. The size of this paper is applicable to the Chinese National Standard (CNS) A4 (210X297mm)-24-