JPH07328045A - Piercing tool for inserting drain tube - Google Patents
Piercing tool for inserting drain tubeInfo
- Publication number
- JPH07328045A JPH07328045A JP15512194A JP15512194A JPH07328045A JP H07328045 A JPH07328045 A JP H07328045A JP 15512194 A JP15512194 A JP 15512194A JP 15512194 A JP15512194 A JP 15512194A JP H07328045 A JPH07328045 A JP H07328045A
- Authority
- JP
- Japan
- Prior art keywords
- tube
- puncture
- sandwiching
- skin
- drain tube
- 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.)
- Granted
Links
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- 239000007924 injection Substances 0.000 claims abstract description 13
- 241001465754 Metazoa Species 0.000 abstract description 21
- 230000000149 penetrating effect Effects 0.000 abstract description 3
- 210000003491 skin Anatomy 0.000 description 40
- 210000001519 tissue Anatomy 0.000 description 14
- 210000003811 finger Anatomy 0.000 description 12
- 229910052751 metal Inorganic materials 0.000 description 7
- 239000002184 metal Substances 0.000 description 7
- 238000003780 insertion Methods 0.000 description 5
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- 239000007788 liquid Substances 0.000 description 5
- 241000282326 Felis catus Species 0.000 description 4
- 210000003323 beak Anatomy 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 241000282412 Homo Species 0.000 description 3
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- 206010013975 Dyspnoeas Diseases 0.000 description 2
- 206010014568 Empyema Diseases 0.000 description 2
- 241001272720 Medialuna californiensis Species 0.000 description 2
- 208000002151 Pleural effusion Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 210000003815 abdominal wall Anatomy 0.000 description 2
- 238000001574 biopsy Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 239000000645 desinfectant Substances 0.000 description 2
- 230000000249 desinfective effect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 230000035515 penetration Effects 0.000 description 2
- 206010034674 peritonitis Diseases 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 239000002699 waste material Substances 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000019300 CLIPPERS Diseases 0.000 description 1
- 206010008469 Chest discomfort Diseases 0.000 description 1
- 241000293849 Cordylanthus Species 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 240000007049 Juglans regia Species 0.000 description 1
- 235000009496 Juglans regia Nutrition 0.000 description 1
- 241000283080 Proboscidea <mammal> Species 0.000 description 1
- 206010038669 Respiratory arrest Diseases 0.000 description 1
- 208000033809 Suppuration Diseases 0.000 description 1
- 229910001069 Ti alloy Inorganic materials 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
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- 208000021930 chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids Diseases 0.000 description 1
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- 210000004207 dermis Anatomy 0.000 description 1
- 238000011161 development Methods 0.000 description 1
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- 210000002615 epidermis Anatomy 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
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- 238000002695 general anesthesia Methods 0.000 description 1
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- 230000001771 impaired effect Effects 0.000 description 1
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- 230000009545 invasion Effects 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
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- 238000002690 local anesthesia Methods 0.000 description 1
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- 229920001296 polysiloxane Polymers 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
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- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Landscapes
- Surgical Instruments (AREA)
Abstract
Description
【0001】[0001]
【産業上の利用分野】この発明は、ドレン管などを動物
の体腔や空洞性臓器内へ空気の侵入を防ぎつつ挿入する
際、動物の厚くて丈夫な皮膚を容易に突破できて、しか
もドレン管などに簡単に着脱できるようにした、ドレン
管挿入用穿刺具に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention is capable of easily breaking through the thick and durable skin of an animal when inserting a drain pipe or the like into a body cavity or a hollow organ of an animal while preventing air from entering the drain pipe. The present invention relates to a puncture device for inserting a drain pipe, which can be easily attached to and detached from a pipe or the like.
【0002】[0002]
【従来の技術】動物に腹膜炎、肋膜炎、胸水、腹水など
のある場合、体腔内に溜まった液体を排除するために、
従来より人間用の「套管針」が用いられていた。すなわ
ち、釘状の穿刺針に、外套管と呼ばれる中空の金属管を
かぶせて体表面から穿刺し、体腔内に達したら外套管か
ら穿刺針を抜き取り、残置した外套管にドレンと呼ばれ
るゴムやシリコン製の排水管を接続して液体を排出する
ものである。ところが、人間に楽々と穿刺できる套管針
が、動物には非常に刺さりにくかった。それは、動物の
皮膚が人間の皮膚など比べものにならない程、はるかに
厚くて丈夫であるからである。ゾウやカバを別格として
も、牛馬など草食動物の皮膚は、肉食獣の牙で簡単に噛
み破られないようにできているし、犬猫の皮膚でさえ、
喧嘩して噛み合っても致命傷を負わぬだけの強靭性を備
えている。その特性を利用して靴や鞄が作られ、三味線
や太鼓の皮になるわけであるが、このような動物の皮膚
に人間用の套管針を突き刺そうとすると、人間の薄い皮
膚では全く問題にならなかった部分、すなわち穿刺針に
かぶせた外套管の前縁が邪魔になった。つまり、穿刺針
の周囲に外套管の厚みの分だけ環形の段差が形成される
ので、これが邪魔になって動物の皮膚を貫通することが
できなかったのである。2. Description of the Related Art When an animal has peritonitis, peritonitis, pleural effusion, ascites, etc., in order to eliminate the fluid accumulated in the body cavity,
Conventionally, a human "trocar" has been used. That is, a nail-shaped puncture needle is covered with a hollow metal tube called an outer tube to puncture it from the body surface, and when it reaches the inside of the body cavity, the puncture needle is removed from the outer tube, and the remaining outer tube is covered with rubber or silicone called drain. A drain pipe made of water is connected to discharge the liquid. However, trocars that can be easily punctured by humans were very difficult for animals to puncture. This is because animal skin is much thicker and stronger than human skin. Even though elephants and hippos are exceptional, the skin of herbivores such as cows and horses is designed so that they cannot be easily bitten by the fangs of carnivorous animals, and even the skin of dogs and cats.
It is strong enough not to cause fatal injury even if you quarrel and engage with each other. These characteristics are used to make shoes and bags that become the skin of shamisen and drums, but if you try to pierce the skin of such an animal with a human trocar, it will not be The part that didn't matter at all, the leading edge of the mantle over the puncture needle, got in the way. In other words, since a ring-shaped step is formed around the puncture needle by the thickness of the outer tube, this hinders the step from being able to penetrate the skin of the animal.
【0003】上記の理由によって、獣医師が套管針を使
用するときには、まずメスで動物の厚い皮膚を切開し、
しかる後、その切り口から套管針を体腔壁に穿刺すると
いう二段階の動作を必要とした。例えば、特開昭60−
85741号公報には、腹壁管を患畜の腹腔に挿入する
とき、「腹部を刈毛、消毒し、また局所麻酔を施した
後、メスにて外皮、真皮から成る表皮を1〜2cm程切
開し、該切開部から直径5〜6mmの套管針に依って腹
壁を穿刺、貫通する」と記載されている。このように套
管針の刺入に手間取ることは、呼吸困難など急を要する
手術の場合に致命的な欠陥となりかねなかった。例え
ば、ネコに多発する膿胸(化膿性胸膜炎)の処置は、平
常ならば全身麻酔をして仰向けに寝かせ、口から空気を
肺に送り込む陽圧呼吸を続けながら、胸腔に套管針を刺
して、ドレン管で排膿すれば治療できる。だが、呼吸困
難に陥いるほど悪化してから来院した瀕死のネコには、
麻酔をかけられないし、陽圧呼吸器を装着する時間的余
裕もない。そんな切迫した状況下で、定法どおり皮膚を
剃毛し、切開して套管針を刺していたのでは、助かるも
のも助からなくなる。かといって、套管針を直接皮膚の
上から無理やり刺そうとしても、うまく刺さってくれな
い。そこで、止むを得ざる緊急の便法として、皮膚の上
からメスや釘状穿刺針を胸腔に突き刺し、その切り口に
可撓性の硬質ドレン管を突っ込んで排膿することになる
のであるが、メスを突き刺した瞬間、陰圧の胸腔に空気
が侵入して肺を圧迫し、呼吸停止という最悪の事態を招
く危険が高かった。手術中に落命したりすれば、飼主か
ら損害賠償を請求されかねない。それを恐れる余り、切
迫穿刺を要する救急患畜が運び込まれると、施術を拒否
する獣医師も少なくなかった。For the above reasons, when a veterinarian uses a trocar, he first incises the animal's thick skin with a scalpel,
After that, a two-step operation of puncturing the body cavity wall with the trocar from the incision was required. For example, JP-A-60-
In Japanese Patent No. 85741, when an abdominal wall tube is inserted into the abdominal cavity of a patient, "after cutting the abdomen, disinfecting it, and performing local anesthesia, incising the epidermis consisting of the outer skin and the dermis with a scalpel by about 1 to 2 cm. , Puncture and penetrate the abdominal wall from the incision with a trocar having a diameter of 5 to 6 mm. " Thus, it takes a lot of time to insert the trocar, which may be a fatal defect in an urgent operation such as dyspnea. For example, in the treatment of empyema (suppurative pleurisy) that occurs frequently in cats, under normal conditions, general anesthesia should be used and the patient should be laid on his back. It can be treated by draining the drainage tube. However, for a dying cat who came to the hospital after getting worse enough to have difficulty breathing,
I can't get anesthesia and I don't have the time to wear a positive pressure ventilator. Under such an urgent situation, if the skin is shaved as usual, the incision is made and the trocar is pierced, then nothing can help. However, even if I try to force the trocar directly on the skin, it does not work. Therefore, as an urgent expedient to stop, a scalpel or a nail-like puncture needle is pierced into the chest cavity from above the skin, and a flexible hard drain tube is pierced into the cut end to drain the pus. At the moment of piercing the female, there was a high risk that air would invade the negative pressure chest and press the lungs, resulting in the worst situation of respiratory arrest. If you lose your life during surgery, the owner may claim damages. Many veterinarians refused the operation when an emergency patient who needed urgent puncture was brought in because of fear of it.
【0004】以上の如き事情で、かねてより獣医業界で
は、套管針に代わる獣医専用のドレン管挿入具の開発が
切望されていた。それには、従来の外套管を穿刺針の内
側に収納すればよいわけであるが、これに類するものと
して、例えば、特開昭61−85934号公報に、鳥の
長い嘴に似た「皮膚開口部形成のための外科器具」が開
示されている。すなわち、断面がアーチ状の薄板を先細
りにした一対の挟み部材を、後端部でコの字状に連結し
てピンセット状に一体成形し、後端部に尻穴を開けたも
のである。この尻穴に、従来の外套管に代わるものとし
て、ドレン管を内挿した「ガイド管」を挿入するのであ
るが、これを挟み持っためにゴムの緊縮力を利用し、挟
み部材の大部分をゴム鞘で包んである。故に、鳥の嘴を
閉じるように合致させた挟み部材の間にガイド管を挟持
しつつ、ゴム鞘に包まれていない先端の露出部分を皮膚
に突き刺す。先端が体腔内に達したら、あらかじめ尻穴
に挿入しておいたガイド管を、さらに奥まで突っ込んで
両挟み部材の先端を開ける。そのとき皮膚の切り口が押
し拡げられるので、挟み部材を強く締めつける。そのた
め、ガイド管の押し込みに際し、空気が体腔内に侵入す
るのを防ぐことができるという。そして、ガイド管を体
腔に止めたまま、嘴を開けた状態の挟み部材をドレン管
沿いに後退させ、皮膚の外に引き抜くというものであ
る。Under the circumstances described above, there has been a long-felt need in the veterinary industry for the development of a drainage tube insertion tool for veterinary use in place of a trocar. For this purpose, a conventional mantle tube may be housed inside a puncture needle. As a similar product, for example, in Japanese Patent Laid-Open No. 61-85934, there is a "skin opening" similar to a long beak of a bird. A surgical instrument for plasty "is disclosed. That is, a pair of sandwiching members obtained by tapering thin plates each having an arch-shaped cross section are connected in a U-shape at the rear end and integrally formed in a tweezers shape, and a rear hole is formed at the rear end. As a substitute for the conventional outer tube, a “guide tube” with a drain tube inserted is inserted into this bottom hole, but most of the pinching members are used by using the elastic force of rubber to pinch this. Is wrapped in a rubber sheath. Therefore, while sandwiching the guide tube between the sandwiching members that are matched so as to close the bird's beak, the exposed portion of the tip that is not wrapped in the rubber sheath is pierced into the skin. When the tip reaches the inside of the body cavity, the guide tube inserted into the hip hole in advance is pushed further into the interior to open the tips of both sandwiching members. At that time, since the cut end of the skin is expanded, the pinching member is strongly tightened. Therefore, it is possible to prevent air from entering the body cavity when pushing the guide tube. Then, while holding the guide tube in the body cavity, the sandwiching member with the beak opened is retracted along the drain tube and pulled out to the outside of the skin.
【0006】[0006]
【発明が解決しようとする課題】上記先行技術は、獣医
用にも好適と明細書に記載されている。しかしながら、
獣医師である発明者の経験によれば、嘴状の器具では絶
対に動物の皮膚を突破できない。何となれば、構造上、
メスのように鋭利な刃を形成できず、単に組織を押し分
けることしかできないからである。すなわち、先細に成
形した挟み部材の両方の先端を揃えると、箸みたいに重
なって切っ先を形成できない。そのため、先端を不揃い
にして、片方の先端を他方より突出させている。だが、
突出した方の先端部をいくら鋭く成形しても、先細とい
う制約がある以上、皮膚の切開口は小さなものにならざ
るを得ない。その小さな切り口に、引っ込めた方の先端
が段差となって引っ掛かり、うまく貫通しないはずであ
る。それを解決するために、ゴム鞘から露出した先端部
の両側縁がカッティングエッジの働きをして、組織を切
り拡げることができるとされている。しかし、アーチ状
の薄板一対を向かい合わせに合致させれば、断面が紡錘
形になってしまう。そのため、実際には、あたかもクル
ミの殻の継ぎ目ような厚みが生じ、とうてい刃にはなら
ない。故に、動物の厚くて強靭な皮膚を突破することは
できそうもない。The above-mentioned prior art is described in the specification as being suitable for veterinary use. However,
According to the experience of the inventor who is a veterinarian, the beak-shaped device can never break through the skin of an animal. What is the structure,
This is because it is not possible to form a sharp blade like a scalpel, and it is only possible to push the tissues apart. That is, if both ends of the tapered sandwiching member are aligned, it is impossible to form a cutting point by overlapping like a chopstick. Therefore, the tips are not aligned and one tip is projected from the other. However,
No matter how sharply the protruding tip is formed, the incision in the skin must be small because of the restriction of tapering. The tip of the recessed part should become a step on the small cut end, and it should not penetrate well. In order to solve the problem, it is said that both side edges of the tip end portion exposed from the rubber sheath act as cutting edges to cut and spread the tissue. However, if a pair of arched thin plates are made to face each other, the cross section becomes spindle-shaped. Therefore, in reality, the thickness is as if the seam of a walnut shell is formed, and it does not serve as a blade. Therefore, it is unlikely to break through the thick and tough skin of animals.
【0007】上記先行技術には、さらに別の欠点があ
る。すなわち、両挟み部材が一体に成形され、後端部が
連結している関係で、ガイド管を挿入するための尻穴を
後端部に設けているのであるが、この尻穴があるため
に、穿刺後に皮膚から引き抜いた挟み部材をドレン管か
ら取り外すことができない。長々とドレン管伝いに引き
ずり出すのも面倒臭いし、ドレン管の管端に吸引ポンプ
を接続している場合が多いから、手術終了まで放置して
おくことになる。その間、挟み部材に付着した血液が乾
燥してこびりつき、見た目も悪いし、洗浄するのに手間
がかかる。結局、ドレン管ごと使い捨てにせざるを得な
い。また、ドレン管をガイド管に内挿しなければ尻穴に
引っ掛かるから、外径の小さな薄肉のドレン管しか使用
できず、真空ポンプ用の肉厚管を装着できない。それ
に、切り口の小さいことが空気侵入防止に有効に作用す
るとされているが、ガイド管を押し込んで両挟み部材を
開いた瞬間、両脇の隙間からドッと空気が入ってしまい
そうに思われる。製品がないので断言はしかねるもの
の、どうもアイデア倒れ臭い。いずれにせよ、以上のよ
うな欠点をもつ上記穿刺具は、獣医療の役に立たない。
この発明が解決しようとする課題は、ドレン管などを挟
持しながら楽々と動物の皮膚を貫通でき、かつ絶対に体
腔へ空気を入れないようにして、しかもドレン管などに
簡単に着脱できるようにしたドレン管挿入用穿刺具を実
現するためには、どのような手段を講じればよいかとい
う点にある。The above-mentioned prior art has another drawback. That is, since both sandwiching members are integrally formed and the rear end portions are connected to each other, a rear hole for inserting the guide tube is provided at the rear end portion. , The pinching member pulled out from the skin after puncturing cannot be removed from the drain tube. It is troublesome to pull it out along the drain pipe for a long time, and since a suction pump is often connected to the end of the drain pipe, it will be left until the end of surgery. During that time, the blood adhering to the sandwiching member dries and sticks, which is unsightly and takes time to clean. After all, the drain tube must be disposable. Further, if the drain pipe is not inserted into the guide pipe, the drain pipe will be caught in the bottom hole, so only a thin drain pipe having a small outer diameter can be used, and a thick pipe for a vacuum pump cannot be mounted. Besides, it is said that the small cut-out effectively acts on the air invasion prevention, but at the moment when the guide tube is pushed in to open both the sandwiching members, it seems that air is likely to enter through the gaps on both sides. There is no product, so I can't make an affirmation, but it smells like I've collapsed. In any case, the puncture device having the above-mentioned drawbacks is not useful for veterinary medicine.
The problem to be solved by the present invention is to make it possible to easily penetrate the skin of an animal while holding a drain pipe or the like, and to never let air into the body cavity, and to easily attach and detach it to the drain pipe and the like. In order to realize such a drain tube insertion puncture device, what kind of means should be taken?
【0008】[0008]
【課題を解決するための手段】この発明の発明者は、注
射針や注射針タイプの生検用穿刺針に着目した。これら
はメスの切れ味に匹敵する組織貫通性能をもち、牛馬に
も人間用の針がそのまま使用できる。中空の注射針や穿
刺針が動物の厚くて丈夫な皮膚を容易に貫通する理由
は、針先が両刃の剣状に尖っているので、鋭利なメスの
ように皮膚組織を切り裂くこと。および、針先に斜めに
開口する略楕円形の穴の周縁全体が刃先として有効に機
能し、堅い皮膚組織を切り拡げながら貫通するためであ
るとされている。そこで、動物の皮膚を突破するための
格好の手段として、ゴム製ドレン管の先端に接続した金
属製ガイド管やガイド管不要の硬質ドレン管を挿入でき
る太さの金属管を用い、これの前端を斜めに切って注射
針状の穿刺管を作ればよいはずだと考えた。The inventor of the present invention has focused on an injection needle and an injection needle type biopsy puncture needle. These have the tissue penetrating performance comparable to the sharpness of a female, and a human needle can be used as it is for a cow and horse. The reason why a hollow injection needle or puncture needle easily penetrates the thick and strong skin of an animal is that the needle tip is pointed like a double-edged sword, so that the skin tissue is cut like a sharp scalpel. Also, it is said that the entire peripheral edge of the substantially elliptical hole that is opened obliquely to the needle tip effectively functions as a cutting edge and penetrates the hard skin tissue while cutting it open. Therefore, as a good way to break through the skin of an animal, use a metal pipe connected to the tip of a rubber drain pipe or a metal pipe of a thickness that can insert a hard drain pipe that does not require a guide pipe. I thought that it would be better to make a needle-like puncture tube by cutting it diagonally.
【0009】だが、上記先行技術が嘴を閉じた状態で組
織を押し分けて進入するのに対し、穿刺管は嘴を拡げて
組織を呑み込みながら進入する新規の技術であるため、
次のような未知の不安が懸念された。一つは、既存の生
検用穿刺針よりも太い管を刺すことで、皮膚に大きな丸
い穴を開けてしまうのではないか。そうなったら傷口が
治りにくいし、醜い傷跡を残してしまうという不安であ
る。もう一つは、穿刺管内に挿入したガイド管などの前
縁が邪魔な段差になり、うまく皮膚を貫通しないのでは
ないかという不安である。そうなれば、先端の塞がった
横穴式ドレン管を使用できなくなる。さらに、コルクポ
ーラーのように組織が円筒状に切り抜かれたら、それが
ガイド管に詰まってしまい、肝腎の排液ができなくなる
のではないかという心配である。だが実験をした結果、
いずれも杞憂であることが確認された。すなわち、注射
針の針先状に成形した略楕円形の刃先は、動物の皮膚を
半月状に切開するだけであり、皮膚が円形に切り取られ
る恐れは全くなかった。また、穿刺管内に段差があって
も、組織貫通性能を損なうことはなく、期待どおり易々
と皮膚を穿刺することができた。意外なほど抵抗感がな
いわけは、恐らく、皮膚の強靭性の源である結合繊維
が、管口周縁の略楕円形の刃先によって寸断され、軟弱
なクズ組織の固まりが管内に詰め込まれるためであろう
と考察された。従って、ガイド管の前端部を閉塞するほ
どクズ組織が詰まっても、ドレン管に接続したポンプで
吸引すれば容易に排除できる。よって、排液には全く支
障のないことが判明した。同様の理由で、ガイド管の代
わりに硬質の横穴式ドレン管を使用しても全く支障がな
く、穿刺管の中に詰まったクズ組織は、ドレン管の閉じ
た管端でいったん体腔内に押し出した後、横穴から吸引
すればよい。However, in contrast to the above-mentioned prior art in which the tissue is pushed in while the beak is closed, the puncture tube is a new technique in which the beak is expanded and the tissue is swallowed while entering.
The following unknown concerns were worried. One is that by inserting a tube that is thicker than the existing biopsy needle, it may open a large round hole in the skin. If that happens, the wound will be hard to heal and I'm worried that it will leave an ugly scar. Another concern is that the front edge of the guide tube inserted into the puncture tube may be an obstacle and may not penetrate the skin well. If this happens, it will not be possible to use a side-hole drain pipe with a closed tip. Furthermore, there is a concern that if the tissue is cut out into a cylindrical shape like cork polar, it will be clogged in the guide tube, and it will be impossible to drain the liver and kidney. However, as a result of the experiment,
It was confirmed that both were melancholy. That is, the substantially elliptical cutting edge formed in the needle tip shape of the injection needle only cuts the skin of the animal in a half-moon shape, and there was no fear that the skin would be cut into a circle. Further, even if there was a step in the puncture tube, the tissue penetration performance was not impaired, and the skin could be punctured easily as expected. Unexpectedly, it is probably because the binding fibers, which are the source of skin toughness, are fragmented by the approximately elliptical cutting edge around the mouth of the tube, and a lump of soft scrap tissue is packed in the tube. I was considered. Therefore, even if the waste tissue is clogged to the extent that the front end of the guide tube is closed, it can be easily removed by suctioning with a pump connected to the drain tube. Therefore, it was found that the drainage had no problem. For the same reason, the use of a rigid side-drain drain tube in place of the guide tube does not cause any problems, and the waste tissue stuck in the puncture tube is pushed into the body cavity once at the closed end of the drain tube. After that, suction from the side hole.
【0010】以上の実験結果によって、注射針状の穿刺
管が有望であるとの自信を得たのであるが、このままで
はドレン管挿入具として不都合である。すなわち、穿刺
管の内径とガイド管の外径を等しくして、ガイド管を穿
刺管の中にピッタリ挿入するようにしても、組織貫通中
にガイド管が穿刺管の外に押し出されがちである。その
ため、穿刺管を握る片手の小指でガイド管を押さえ続け
なければならない。また、体腔内にガイド管を挿入した
後、ガイド管に接続するドレン管から穿刺管を離脱させ
るには、上記先行技術の場合と同様、ドレン管をガイド
管に内挿して、その管端から引き抜く以外に方法がな
い。これでは不便きわまりなく、実用価値がない。そこ
で、ガイド管を確実に挟み持つことができて、しかもガ
イド管から簡単に取り外せるようにするにはどうすれば
よいかと、あれこれ思案し試作を重ねた結果、中空の穿
刺管を縦半分に割って2個の独立した挟み部材に分離す
ればよいことに気付き、ようやく本発明を完成させるこ
とができた。From the above experimental results, we have gained confidence that an injection needle-like puncture tube is promising, but it is inconvenient as a drain tube insertion tool as it is. That is, even if the inner diameter of the puncture tube and the outer diameter of the guide tube are made equal and the guide tube is inserted exactly into the puncture tube, the guide tube tends to be pushed out of the puncture tube during tissue penetration. . Therefore, it is necessary to continue to hold the guide tube with the little finger of one hand that holds the puncture tube. In addition, after inserting the guide tube into the body cavity, in order to separate the puncture tube from the drain tube connected to the guide tube, in the same manner as in the above-mentioned prior art, the drain tube is inserted into the guide tube, and from the tube end. There is no other way than to pull it out. This is not inconvenient and has no practical value. Therefore, as a result of repeated trials and thought about how to make it possible to securely hold the guide tube and to easily remove it from the guide tube, the hollow puncture tube was divided into two halves vertically. I realized that it was enough to separate the individual sandwiching members, and finally the present invention could be completed.
【0011】この発明に係る獣医用ドレン管挿入具は、
前記課題を解決したものであって、次のようなものであ
る。すなわち、ドレン管に接続したガイド管やガイド管
不要の硬質ドレン管などの外径に合う太い注射針状の穿
刺管を長手方向に両分して、2個の挟み部材1、1’を
断面が半円形の樋状に成形すると共に、この挟み部材の
各後端部に指などを引っ掛けて牽引することのできる指
掛け部2、2’を設けている。この指掛け部の代わり
に、支持部6、6’を介して可動性の把握部7を接続さ
せてもよい。The veterinary drainage tube insertion tool according to the present invention is
This is a solution to the above-mentioned problems and is as follows. That is, a thick needle-like puncture tube that fits the outer diameter of a guide tube connected to the drain tube or a hard drain tube that does not require a guide tube is divided into two parts in the longitudinal direction, and the two sandwiching members 1, 1 ′ are cross-sectioned. Is shaped like a semi-circle gutter, and finger holding portions 2 and 2'that can be pulled by hooking a finger or the like on each rear end portion of the sandwiching member are provided. Instead of the finger-holding portion, the movable grasping portion 7 may be connected via the supporting portions 6 and 6 ′.
【0012】2個の挟み部材1、1’の各先端部に弧状
の刃3、3’を設け、両挟み部材を向かい合わせに合致
させれば、注射針の針先に似た略楕円形の穿刺部4が形
成される。弧状の刃3、3’の形は、注射針状の穿刺管
を分断する位置によって多様に変化するが、製造しやす
さ、使いやすさを総合すると、図1および図2に示した
2型が最適である。すなわち、図1は略楕円形の穿刺部
4の長径を両分し、刃3、3’を左右対称形にしたもの
であり、図2は穿刺部4の短径を両分し、刃3、3’を
非対称形にしたものである。いずれの場合も、図1の矢
印Aおよび図2の矢印Bの如く両挟み部材を合致させる
と、略楕円形の穿刺部4が形成される。穿刺部4の形状
は、なるべく注射針の針先に似せることが望ましいので
あるが、特に限定するものではない。図1に示した穿刺
部4のように、ただ単に金属管を斜めに切断した形のも
のでも、十分な切れ味を発揮する。図2に示した非対称
形の刃3、3’によって形成される穿刺部4では、図3
の側面図に示したように、刃の傾斜角度を深浅2段にし
て切っ先の鋭さを加減してある。また、図6の平面図に
示すように、鋭い切っ先にすることもできる。If arc-shaped blades 3 and 3'are provided at the tip ends of the two sandwiching members 1 and 1 ', and both sandwiching members are faced to each other, they are substantially oval in shape similar to the needle tip of an injection needle. The puncture part 4 is formed. The shape of the arc-shaped blades 3 and 3'varies variously depending on the position where the injection needle-shaped puncture tube is divided, but when the ease of manufacture and the ease of use are combined, the type 2 shown in FIGS. Is the best. That is, FIG. 1 divides the major axis of the substantially oval puncture part 4 into two parts, and the blades 3 and 3 ′ are bilaterally symmetrical, and FIG. 2 divides the minor axis of the puncture part 4 into both parts, and the blade 3 3'is an asymmetrical shape. In either case, when the two sandwiching members are aligned as indicated by arrow A in FIG. 1 and arrow B in FIG. 2, the substantially oval puncture portion 4 is formed. The shape of the puncture portion 4 is preferably as similar to the needle tip of the injection needle as possible, but is not particularly limited. Even the puncture part 4 shown in FIG. 1 that is formed by simply cutting the metal tube at an angle can exhibit sufficient sharpness. In the puncture portion 4 formed by the asymmetrical blades 3 and 3 ′ shown in FIG.
As shown in the side view of FIG. 1, the inclination angle of the blade is set to two deep and shallow, and the sharpness of the cutting edge is adjusted. Further, as shown in the plan view of FIG. 6, it is possible to make a sharp cutting point.
【0013】2個の挟み部材1、1’は、ステンレスス
チールやチタン合金などの金属管を、回転カッターで縦
に分断すれば簡単に製造できる。その際、カッターの厚
みの分だけ削り屑として消失するから、分断によって得
られた2個の挟み部材の両側縁が薄く削り取られてい
る。従って、厳密に言えば断面が完全な半円形にならな
いのであるが、限りなく半円形に近いので、これを半円
形と表現した。しかし、実用上、断面が完全な半円形で
ないことに意味がある。すなわち、図3におけるX−X
部分の断面を示した図4で明らかなように、ガイド管8
の周囲に両挟み部材1、1’をかぶせたとき、カッター
で削り取られた分だけ、挟み部材の側縁と側縁の間に細
い隙間5、5’が生じる。この隙間があるからこそ、両
挟み部材でガイド管8や硬質ドレン管をしっかりと挟み
持つことができるわけである。薄刃のカッターを用いれ
ば、隙間の幅が0.5mm以下の微々たるものになる。
この程度の隙間が穿刺部4にあっても、実際上、刃先の
切れ味を損なう恐れは全くない。なお、金属板を樋状に
プレス成形すれば、挟み部材の断面を完全な半円形にす
ることができるが、その場合でも若干の隙間が作れるよ
うにした方がよい。The two sandwiching members 1 and 1'can be easily manufactured by vertically cutting a metal tube such as stainless steel or titanium alloy with a rotary cutter. At that time, since it is lost as shavings by the thickness of the cutter, both side edges of the two sandwiching members obtained by the cutting are thinly shaved off. Therefore, strictly speaking, the cross section does not have a perfect semicircular shape, but it is expressed as a semicircular shape because it is as close as possible to a semicircular shape. However, in practice, it is significant that the cross section is not a perfect semicircle. That is, XX in FIG.
As can be seen in FIG. 4, which shows a cross section of the part, the guide tube 8
When both the sandwiching members 1 and 1'are covered around, the thin gaps 5 and 5'are formed between the side edges of the sandwiching members by the amount scraped by the cutter. Because of this gap, it is possible to firmly hold the guide pipe 8 and the hard drain pipe by both the sandwiching members. If a thin blade cutter is used, the width of the gap becomes 0.5 mm or less.
Even if there is such a gap in the puncture portion 4, there is practically no fear of impairing the sharpness of the cutting edge. If the metal plate is press-formed into a gutter shape, the sandwiching member can have a completely semicircular cross section. However, even in that case, it is better to allow a slight gap.
【0014】[0014]
【作用】この発明に係るドレン管挿入用穿刺具は、次の
ように使用する。まず、片方の挟み部材1の樋状にした
凹所に、ドレン管9の先端に接続したガイド管8、また
はガイド管不要の硬質ドレン管をあてがう。そこに他方
の挟み部材1’をかぶせて、両挟み部材1、1’の後端
を揃える。このとき、ガイド管8や硬質ドレン管が軸芯
となるので、断面を半円形にした両挟み部材の側縁どう
しが自動的に合致し、断面が正円形の管状体を形成す
る。実際には、側縁どうしの間に細い隙間5、5’が生
じるため、合致した挟み部材を片手で把握することによ
って、両挟み部材で確実にガイド管や硬質ドレン管を挟
み持つことができる。それと同時に、各挟み部材の先端
部に設けられた弧状の刃3、3’も合致するので、管状
体の先端に略楕円形の穿刺部4が形成される。このた
め、別体に成形された2個の挟み部材1、1’を、簡単
に注射針状の穿刺管に早変わりさせることができる。The puncture device for inserting a drain tube according to the present invention is used as follows. First, the guide pipe 8 connected to the tip of the drain pipe 9 or a hard drain pipe that does not require a guide pipe is applied to the trough-shaped recess of the one sandwiching member 1. The other sandwiching member 1'is covered there, and the rear ends of both sandwiching members 1, 1'are aligned. At this time, since the guide tube 8 and the hard drain tube serve as the shaft core, the side edges of both sandwiching members having a semicircular cross section are automatically aligned with each other to form a tubular body having a regular circular cross section. Actually, since narrow gaps 5 and 5 ′ are formed between the side edges, by grasping the matched sandwiching member with one hand, both the sandwiching members can reliably sandwich and hold the guide pipe or the hard drain pipe. . At the same time, the arcuate blades 3 and 3'provided at the tip of each sandwiching member also match, so that a substantially oval puncture portion 4 is formed at the tip of the tubular body. For this reason, the two sandwiching members 1, 1 ′ that are molded separately can be easily changed to an injection needle-shaped puncture tube.
【0015】両挟み部材1、1’をガイド管などにかぶ
せる際、消毒液が濡れたままにしておくとよい。そうす
ると、挟み部材の内面とガイド管の外面との間に、消毒
液が毛管現象によって拡がるから、強力な密着性が生ず
る。この密着力によって、ガイド管に吸着した挟み部材
は、手を離しても簡単には脱落しなくなる。つまり、断
面が半円形である樋状の挟み部材は、液体の助けを借り
て優れた吸盤の働きをするわけである。従って、上記先
行技術のようなゴム鞘など特別の挟持手段は不要であ
る。また、密着によって空気の侵入する間隙がどこにも
なくなるし、隙間5、5’にも、穿刺中に出血した血液
が毛管現象で充満するので空気の侵入路にならない。故
に、安心して動物に刺すことができる。It is preferable to keep the disinfectant solution wet when the both sandwiching members 1 and 1'are covered with a guide tube or the like. Then, the disinfecting liquid spreads between the inner surface of the sandwiching member and the outer surface of the guide tube due to the capillarity, so that strong adhesion is produced. Due to this close contact force, the sandwiching member attracted to the guide tube does not easily fall off even if the hand is released. That is, the gutter-shaped sandwiching member having a semicircular cross section acts as an excellent suction cup with the help of the liquid. Therefore, no special holding means such as a rubber sheath as in the above-mentioned prior art is required. Further, due to the close contact, there is no gap for air to enter, and the gaps 5 and 5 ′ are filled with blood bleeding during puncture due to a capillary phenomenon, so that they do not serve as an air entry path. Therefore, the animal can be stabbed with confidence.
【0016】穿刺部4が体腔内に到達したら、挟み部材
を握っていた右手を緩め、左手でガイド管8を体腔内に
押し込む。このとき、握りを緩めた挟み部材と前進する
ガイド管との間に、血液や体腔内の胸水・腹水などが流
入するので、空気の体腔内侵入は起こらない。次に、左
手でガイド管を支持しながら、挟み部材の後端部に設け
た指掛け部2、2’に右手の指先を引っ掛け、両方の挟
み部材を一緒に、または片方ずつ素早く引き抜く。その
際、ガイド管との間に流入した血液などが潤滑油の働き
をするので、挟み部材をガイド管の表面に滑走させるよ
うにして、直線状に真っすぐ抜き取ることができる。こ
うすれば皮膚の切り口を拡張しないので、挟み部材を抜
き出すときに空気が体腔内に侵入しない。また、皮膚は
半月状に切開されただけで強い緊張力が保たれているか
ら、挟み部材の周囲をきつく締めつけている。このた
め、挟み部材を引き抜くと同時に皮膚の切開口が瞬間的
に緊縮するので、体腔内に空気が侵入する恐れはない。When the puncture portion 4 reaches the inside of the body cavity, the right hand holding the pinching member is loosened and the guide tube 8 is pushed into the body cavity by the left hand. At this time, since blood and pleural effusion / ascites in the body cavity flow between the nipping member whose grip is loosened and the advancing guide tube, air does not enter the body cavity. Next, while supporting the guide tube with the left hand, the fingertips 2, 2'provided at the rear end of the sandwiching member are hooked with the fingertips of the right hand, and both sandwiching members are quickly pulled out together or one by one. At this time, since the blood and the like that have flowed into the space between the guide tube and the guide tube act as a lubricating oil, the pinching member can be slid out straight in a straight line by sliding it on the surface of the guide tube. In this way, since the cut end of the skin is not expanded, air does not enter the body cavity when the clip member is extracted. Further, since the skin maintains a strong tension just by being cut into a half moon shape, the periphery of the sandwiching member is tightly tightened. For this reason, since the incision of the skin is momentarily tightened at the same time as the clip member is pulled out, there is no possibility that air will enter the body cavity.
【0017】体腔、特に陶腔に空気を侵入させないこと
は、ネコの膿胸手術などにおいて絶対条件であるが、こ
の発明のドレン管挿入用穿刺具は、この条件を確実に達
成している。空気の体腔内侵入を防ぐために、挟み部材
をガイド管に沿って真っすぐ後退させなければならない
から、ガイド管の長さを挟み部材の長さの2倍以上にし
なくてはならない。この点、硬質のドレン管を使用した
場合、多少たわむことがあっても、片手で支持してやれ
ば直線状態を維持することができる。挟み部材は断面が
半円形であるから、皮膚の外に引き出せば、その場で即
座にガイド管の上から取り外すことができる。このた
め、ドレン管の口をガイド管の上に外挿することができ
るので、真空ポンプ用の肉厚なドレン管を接続すること
ができる。また、取り外しが簡単であるので、手術終了
後、他の外科器具と一緒に洗浄、滅菌して、再使用する
ことができる。使い捨てでないから高品質の金属で製造
することができ、それだけ切れ味のよい製品にすること
ができる。従って、動物病院にとっては、使い捨て用よ
りも経済的である。It is an absolute condition in the cat empyema operation to prevent air from invading the body cavity, especially the ceramic cavity, but the drainage tube puncture device of the present invention surely achieves this condition. In order to prevent air from entering the body cavity, the pinching member must be receded straight along the guide tube. Therefore, the length of the guide tube must be at least twice the length of the pinching member. In this respect, when a hard drain tube is used, even if it is bent to some extent, it can be maintained in a straight state by supporting it with one hand. Since the clip member has a semicircular cross section, it can be immediately removed from the guide tube on the spot by pulling it out of the skin. For this reason, since the mouth of the drain pipe can be externally inserted on the guide pipe, a thick drain pipe for a vacuum pump can be connected. Moreover, since it is easy to remove, it can be washed and sterilized together with other surgical instruments and reused after the operation. Since it is not disposable, it can be made of high quality metal, resulting in a sharp product. Therefore, it is more economical for veterinary hospitals than disposable ones.
【0018】[0018]
【実施例】実施例1 この発明の実施例1を図1および図3〜5に基づいて説
明する。図1は、実施例1の構造と作用を示す斜視図で
ある。図3と図5は、その使用状態を示す側面図であ
る。図4は、図3のX−X線を切断した断面図である。
実施例1では、それぞれ断面を半円形の樋状に成形した
2個の挟み部材1、1’の各後端部外縁に、半環形の指
掛け部2、2’を設けている。これとは別に爪状の突起
でもよく、指掛け部の形状を特に限定するものではな
い。このような突起物があると、図3に示すように、両
挟み部材の後端を揃えやすくなるから、先端の鋭い刃先
に手を触れずに穿刺管を形成することができる。しか
も、挟み部材を体外に抜き出すときに、突出した指掛け
部2に指先を引っ掛けて、図5の矢印Dに示すように簡
単に引き抜くことができる。図5では、片方の挟み部材
1を引き出す状態を示しているが、使い慣れれば両方の
挟み部材を一緒に抜き取ることができ、非常に便利であ
る。皮膚の外に引き出した挟み部材は、図4の矢印Cの
ように、ガイド管8の上から簡単に除去することができ
る。Embodiment 1 Embodiment 1 of the present invention will be described with reference to FIG. 1 and FIGS. FIG. 1 is a perspective view showing the structure and operation of the first embodiment. 3 and 5 are side views showing the usage state. FIG. 4 is a cross-sectional view taken along line XX of FIG.
In the first embodiment, semicircular finger hooks 2 and 2'are provided on the outer edges of the rear end portions of the two sandwiching members 1 and 1'each of which has a semicircular trough shape. Apart from this, a claw-shaped projection may be used, and the shape of the finger hook is not particularly limited. With such protrusions, as shown in FIG. 3, the rear ends of both the sandwiching members can be easily aligned, so that the puncture tube can be formed without touching the sharp cutting edges. Moreover, when pulling out the sandwiching member from the outside of the body, it is possible to easily pull it out by hooking the fingertip on the protruding finger hooking portion 2 as shown by an arrow D in FIG. FIG. 5 shows a state in which one of the sandwiching members 1 is pulled out, but if both are used well, both of the sandwiching members can be pulled out together, which is very convenient. The pinching member pulled out of the skin can be easily removed from the top of the guide tube 8 as shown by the arrow C in FIG.
【0019】図1に示した挟み部材1、1’は、略楕円
形の穿刺部4の長径を左右対称に両分したものである。
従って、各挟み部材の先端部に設けられた弧状の刃3、
3’が互いに鏡像関係にある。このように成形された両
挟み部材1、1’を向かい合わせにして、図1の矢印A
に示す如く互いに合致させることにより、ガイド管8を
軸芯にして注射針状の穿刺管を形成することができる。
このとき、図4に示すように、両挟み部材の側縁どうし
の間に細い隙間5、5’が生じるために、実施例1の場
合には、穿刺部4の切っ先に細い割れ目ができる。しか
し、隙間の幅が0.5mm以下であれば、組織貫通性能
には全く支障を来さない。むしろ、図6の平面図に示し
た穿刺部4の如く、割れ目を利用して鋭利な切っ先を形
成することができるので有利である。また、図4のとお
り、両挟み部材1、1’の内面とガイド管8の外面とは
密接し、しかも両者の間に消毒液などが毛管現象で浸透
して吸着効果を発揮するから、格別の固定具を使用しな
くても挟み部材の合致状態を維持することができる。こ
のため、両挟み部材を片手で握りつつ、ドレン管を抱え
ながら動物の厚くて強靭な皮膚を貫通することができ
る。ただし、過剰穿刺の事故を防止するための目印10
として、図3に示すような固定機能を兼ねた着脱自在の
環形クリップを使用したり、ヒモやゴムバンドなどで縛
ってもよい。そうすれば、片手で強く握り続ける必要が
なくなり、穿刺作業が楽になることはなる。しかし、目
印10の装着は緊急時に面倒であり、あれば便利である
ものの決して不可欠のものではない。The sandwiching members 1, 1'shown in FIG. 1 are obtained by bisecting the major axis of the substantially oval puncture part 4 into two parts.
Therefore, the arc-shaped blade 3 provided at the tip of each sandwiching member,
3'are mirror images of each other. The two sandwiching members 1, 1'formed in this way are faced to each other, and an arrow A in FIG.
By making the guide tubes 8 coincide with each other as shown in FIG. 5, an injection needle-like puncture tube can be formed with the guide tube 8 as an axis.
At this time, as shown in FIG. 4, since narrow gaps 5 and 5 ′ are formed between the side edges of both the sandwiching members, in the case of the first embodiment, a fine crack is formed at the cutting point of the puncture portion 4. However, if the width of the gap is 0.5 mm or less, the tissue penetrating performance is not hindered at all. Rather, it is advantageous because it is possible to form a sharp cutting edge by utilizing a crack as in the puncture portion 4 shown in the plan view of FIG. In addition, as shown in FIG. 4, the inner surfaces of both the sandwiching members 1, 1 ′ and the outer surface of the guide tube 8 are in close contact with each other, and the disinfectant solution and the like penetrate between them to exert an adsorption effect. It is possible to maintain the fitted state of the sandwiching member without using the fixing tool. Therefore, it is possible to pierce the thick and strong skin of the animal while holding the drain pipe while grasping both sandwiching members with one hand. However, the mark 10 for preventing the accident of excessive puncture
As an alternative, a detachable ring-shaped clip having a fixing function as shown in FIG. 3 may be used, or it may be bound with a string or a rubber band. By doing so, it is not necessary to hold firmly with one hand, and the puncturing operation will be easier. However, the mounting of the mark 10 is troublesome in an emergency, and although it is convenient if it is present, it is not indispensable.
【0020】実施例2 実施例2を図2および図3〜5に基づいて説明する。図
2は、実施例2を示す斜視図である。実施例2では、指
掛け部2、2’を穴にしている。実施例1のように挟み
部材の後端外縁に突起物を付加することは、製造コスト
の面で難点があるが、穴を開けるだけなら、はるかに安
上がりで済むし、製品の包装もかさばらない。指を引っ
掛けることのできる大きな穴でもよいが、小さな穴や、
穴の代わりに窪みを設けるだけでもよい。ピンセットな
どの両先端を内側へ鉤状に曲げ、この鉤先を穴や窪みに
引っ掛ければ、両方の挟み部材を同時に抜き出すことが
できる。図2に示した挟み部材1、1’は、略楕円形の
穿刺部4の短径を両分したものである。従って、各挟み
部材は非対称になり、先端部に設けられた弧状の刃3、
3’を鏡像関係に成形する必要がない。このため、例え
ば、図3の側面図に示すように、片方の刃3’の先端を
削り落として鋭利さを適当に加減することができる。切
っ先を鈍らせれば、皮膚の薄い人間用の穿刺具になる。 Example 2 Example 2 will be described with reference to FIG. 2 and FIGS. FIG. 2 is a perspective view showing the second embodiment. In the second embodiment, the finger hooks 2 and 2'are holes. Although it is difficult to add a protrusion to the outer edge of the rear end of the sandwiching member as in the first embodiment, the manufacturing cost is difficult, but it is much cheaper to make a hole and the packaging of the product is not bulky. . It may be a large hole that you can hook your finger on, but a small hole or
It is also possible to simply provide a recess instead of the hole. By bending both ends of tweezers inward in a hook shape and hooking the tip of the hook into a hole or a recess, both sandwiching members can be pulled out at the same time. The sandwiching members 1 and 1'shown in FIG. 2 are obtained by dividing the minor diameter of the substantially oval puncture portion 4 into two parts. Therefore, each sandwiching member becomes asymmetrical, and the arc-shaped blade 3 provided at the tip portion,
There is no need to shape 3'to a mirror image. Therefore, for example, as shown in the side view of FIG. 3, the sharpness can be appropriately adjusted by scraping off the tip of one blade 3 ′. A puncture tool for humans with thin skin can be obtained by blunting the tip.
【0021】実施例3 実施例3を図6に基づいて説明する。図6は、実施例3
を示す平面図である。上記のように、2個の挟み部材を
片方ずつツータッチでガイド管に装着し、指掛け部に指
を引っ掛けて体外に引き出すことに格別の不便はないの
であるが、既存の各種挟み具を応用すれば、両方の挟み
部材をワンタッチで着脱することができるようになる。
すなわち、前記指掛け部2、2’を設ける代わりに、挟
み部材1、1’の各後端部に支持部6、6’を介して可
動性の把握部7を一体成形、または着脱自在に取り付け
ればよい。ただし、両挟み部材の先端部が「ハの字」状
に開いてしまうと、穿刺後に引き出すことができない
し、無理に引っ張り出せば、皮膚の切り口が拡がって空
気が侵入してしまう。それ故、両挟み部材を平行的に分
離できる挟み具を選択しなければならない。例えば、図
6に示した把握部7は、既存の「試験管挟み」を応用し
たものであり、挟み部材1、1’の各後端に、それぞれ
ガイド管よりも長い支持部6、6’を介して(図中一部
省略)、片手で握れる把握部7が接続している。把握部
に力を入れなければ、両挟み部材が合致してガイド管を
挟み、把握部7を握れば両挟み部材が平行的に分離す
る。このため、ワンタッチでガイド管や硬質ドレン管を
挟み持つことができるし、両方の挟み部材を同時に体外
に抜き出して、ワンタッチで取り外すことができる。 Third Embodiment A third embodiment will be described with reference to FIG. FIG. 6 shows the third embodiment.
FIG. As mentioned above, there is no particular inconvenience in attaching the two clip members to the guide tube by two-touch one by one, and hooking the finger on the finger hook and pulling it out of the body. For example, both the sandwiching members can be attached / detached with one touch.
That is, instead of providing the finger hooks 2 and 2 ', the movable grasping portion 7 is integrally molded or detachably attached to each rear end of the sandwiching members 1 and 1'via the supporting portions 6 and 6'. Good. However, if the end portions of both the sandwiching members are opened in a “C” shape, they cannot be pulled out after puncturing, and if they are forcibly pulled out, the cut end of the skin expands and air enters. Therefore, it is necessary to select a clipper that can separate the two clip members in parallel. For example, the grasping portion 7 shown in FIG. 6 is an application of the existing “test tube sandwich”, and the supporting portions 6, 6 ′ longer than the guide tube are respectively provided at the rear ends of the sandwiching members 1, 1 ′. The grasping portion 7 that can be grasped with one hand is connected via (partially omitted in the figure). If no force is applied to the grasping portion, both sandwiching members are aligned and sandwich the guide tube, and if the grasping portion 7 is grasped, both sandwiching members are separated in parallel. Therefore, the guide tube and the hard drain tube can be held with one touch, and both holding members can be simultaneously pulled out of the body and removed with one touch.
【0022】実施例4 実施例4を図7に基づいて説明する。図7は、実施例4
を示す斜視図である。実施例4に例示した把握部7は、
既存の「鼻鏡鉗子」を応用したものであり、鉗子の係合
手段によってガイド管8を確実に挟持することができ
る。また、直角に曲げた支持部6、6’は、長い内挿管
8の邪魔にならないので短くて済む。この点、実施例3
は把握部7のバネ力によってガイド管を挟むものであ
り、しかも支持部が長くなるので挟持力がやや劣る。そ
れに対し、この実施例4は、鉗子の係合手段を解除して
挟み部材1、1’を分離するものであるから、係合中に
ガイド管がズレ動くことは絶対にない。体腔内に穿刺し
たら鉗子を僅かに緩め、挟み部材を皮膚の外まで引き出
す。そこで鉗子を大きく開けば、ガイド管8からワンタ
ッチで離脱させることができる。このように穿刺具がガ
イド管の上から簡単に離脱できることが実施例1〜4に
共通する重要な効果であり、図7に示すように、ドレン
管9をガイド管8に外挿して接続することができる。こ
のため、随意に肉厚のドレン管を使用できるから、真空
ポンプでの排液が可能になる。 Fourth Embodiment A fourth embodiment will be described with reference to FIG. FIG. 7 shows the fourth embodiment.
FIG. The grasping unit 7 illustrated in the fourth embodiment is
This is an application of the existing “nasal speculum forceps”, and the guide tube 8 can be reliably clamped by the engaging means of the forceps. Further, since the supporting portions 6 and 6'bent at right angles do not interfere with the long insertion tube 8, they can be short. In this respect, Example 3
Is for sandwiching the guide tube by the spring force of the grasping portion 7, and the supporting portion is long, so the sandwiching force is slightly inferior. On the other hand, in the fourth embodiment, the engaging means of the forceps is released to separate the sandwiching members 1, 1 ', and therefore the guide tube never moves during the engagement. After puncturing into the body cavity, loosen the forceps slightly and pull out the pinching member to the outside of the skin. Therefore, if the forceps are opened wide, they can be detached from the guide tube 8 with one touch. It is an important effect common to the first to fourth embodiments that the puncture tool can be easily detached from the guide tube in this manner, and as shown in FIG. 7, the drain tube 9 is externally inserted and connected to the guide tube 8. be able to. For this reason, a thick drain pipe can be used optionally, so that the liquid can be drained by the vacuum pump.
【0023】[0023]
【発明の効果】この発明に係るドレン管挿入用穿刺具を
使用するときは、ドレン管を外挿したガイド管やガイド
管不要の硬質ドレン管を軸芯とし、これを2個の独立し
た挟み部材で挟み持つことにより、注射針状の鋭利な穿
刺管を容易に形成することができる。このため、ドレン
管を抱えながら、動物の厚くて強靭な皮膚を楽々と貫通
することができる。しかも、挟み部材はガイド管などの
表面に密着するので、穿刺中に空気が体腔内に侵入しな
い。穿刺後は、指掛け部または把握部を引き抜き手段と
して用い、挟み部材を真っすぐ後退させることによっ
て、空気の体腔内侵入を防ぐことができる。皮膚から引
き出した挟み部材は2個に分離できるので、ガイド管な
どから簡単に離脱する。従って、ドレン管の管端まで引
きずって取り外す従来品と異なり、ガイド管の内側でな
く外側にドレン管を接続できる。このため、肉厚のドレ
ン管を用いて、真空ポンプで効率よく排液することが可
能になる。また、離脱が簡単であるために使用後の洗浄
・滅菌が容易となり、再使用が可能である。さらに、こ
のドレン管挿入用穿刺具は、各種ドレン管の他に、すべ
ての獣医療用管状器具の体内挿入に使用できるし、丸顔
の犬に多発する舌根沈下など緊急の気管切開にも応用で
きる。なお、切っ先の鋭い動物用穿刺具は人間に恐怖感
を与えるのであるが、切っ先を削って鈍角にすれば患者
も恐がらなくなるから、人間の医療にも利用することが
できる。When using the puncture device for inserting a drain pipe according to the present invention, a guide pipe having the drain pipe externally inserted therein or a hard drain pipe not requiring a guide pipe is used as an axial core, and this is sandwiched between two independent members. By sandwiching between the members, an injection needle-shaped sharp puncture tube can be easily formed. Therefore, it is possible to easily penetrate the thick and tough skin of the animal while holding the drain pipe. Moreover, since the sandwiching member is in close contact with the surface of the guide tube or the like, air does not enter the body cavity during puncturing. After the puncture, the finger hooking portion or the grasping portion is used as a pulling-out means, and the pinching member is retracted straight to prevent air from entering the body cavity. Since the sandwiching member pulled out from the skin can be separated into two pieces, it can be easily separated from the guide tube or the like. Therefore, unlike the conventional product in which the drain pipe is removed by dragging it to the pipe end, the drain pipe can be connected not to the inside of the guide pipe but to the outside thereof. Therefore, it is possible to efficiently drain the liquid with a vacuum pump using a thick drain pipe. In addition, since it can be easily removed, it can be easily washed and sterilized after use, and can be reused. Furthermore, this puncture device for inserting a drain tube can be used for inserting all types of veterinary medical instruments other than various drain tubes into the body, and is also used for emergency tracheotomy such as tongue root subsidence that often occurs in dogs with round faces. it can. It should be noted that the animal puncture tool with a sharp cutting edge gives a sense of fear to humans, but if the cutting edge is cut to form an obtuse angle, the patient will not be afraid, so it can be used for human medical treatment.
【図1】実施例1の構造および作用を示す斜視図であ
る。FIG. 1 is a perspective view showing the structure and operation of the first embodiment.
【図2】実施例2を示す斜視図である。FIG. 2 is a perspective view showing a second embodiment.
【図3】本発明の使用状態を示す側面図である。FIG. 3 is a side view showing a usage state of the present invention.
【図4】図3のX−X線を示す断面図である。FIG. 4 is a sectional view taken along line XX of FIG.
【図5】本発明の使用状態を示す側面図である。FIG. 5 is a side view showing a usage state of the present invention.
【図6】実施例3を示す平面図である。FIG. 6 is a plan view showing a third embodiment.
【図7】実施例4を示す斜視図である。FIG. 7 is a perspective view showing a fourth embodiment.
1、1’ 挟み部材 2、2’ 指掛け部 3、3’ 刃 4 穿刺部 5、5’ 隙間 6、6’ 支持部 7 把握部 8 ガイド管 9 ドレン管 1, 1'Clamping member 2, 2'Finger hooking part 3, 3'Blade 4 Puncturing part 5, 5'Gap 6,6 'Support part 7 Grasping part 8 Guide tube 9 Drain tube
Claims (2)
成形し、連結した後端部に設けた尻穴にドレン管などを
挿入して、両挟み部材でドレン管などを挟持しながら皮
膚を貫通するようにしたドレン管挿入用穿刺具におい
て、 ドレン管などが通る太さの注射針状の穿刺管を長手方向
に両分して樋状に形成された2個の挟み部材1、1’
と、この挟み部材の各後端部に設けられた指掛け部2、
2’とからなる、ドレン管挿入用穿刺具。1. A pair of sandwiching members each having a blade at the tip portion are integrally molded, and a drain pipe or the like is inserted into a bottom hole provided at the connected rear end portion while sandwiching the drain pipe or the like by both sandwiching members. In a puncture device for inserting a drain tube that penetrates through the skin, two pinching members 1 formed in a gutter-like shape by bisecting an injection needle-shaped puncture tube having a thickness through which the drain tube and the like pass, 1 '
And a finger hook 2 provided at each rear end of the sandwiching member,
A puncture device for inserting a drain tube, which is composed of 2 '.
挟み部材1、1’の各後端部に支持部6、6’を介して
可動性の把握部7を接続した、請求項1記載のドレン管
挿入用穿刺具。2. The movable grasping portion 7 is connected to each rear end portion of the sandwiching members 1, 1 ′ through a supporting portion 6, 6 ′ instead of the finger hook portions 2, 2 ′. The puncture device for inserting a drain tube according to 1.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP6155121A JP2571193B2 (en) | 1994-06-02 | 1994-06-02 | Puncture device for drain tube insertion |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP6155121A JP2571193B2 (en) | 1994-06-02 | 1994-06-02 | Puncture device for drain tube insertion |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH07328045A true JPH07328045A (en) | 1995-12-19 |
| JP2571193B2 JP2571193B2 (en) | 1997-01-16 |
Family
ID=15599031
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP6155121A Expired - Lifetime JP2571193B2 (en) | 1994-06-02 | 1994-06-02 | Puncture device for drain tube insertion |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2571193B2 (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2004105648A1 (en) * | 2003-05-27 | 2004-12-09 | Hoya Corporation | Injector |
| CN106999639A (en) * | 2014-11-28 | 2017-08-01 | 马哈穆特·图库 | Chest Drain Kits and Chest Drain Methods |
| CN108635655A (en) * | 2018-07-24 | 2018-10-12 | 石伟成 | A kind of closed drainage catheter component |
-
1994
- 1994-06-02 JP JP6155121A patent/JP2571193B2/en not_active Expired - Lifetime
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2004105648A1 (en) * | 2003-05-27 | 2004-12-09 | Hoya Corporation | Injector |
| CN106999639A (en) * | 2014-11-28 | 2017-08-01 | 马哈穆特·图库 | Chest Drain Kits and Chest Drain Methods |
| JP2017537759A (en) * | 2014-11-28 | 2017-12-21 | トクル, マフムトTOKUR, Mahmut | Capsule drainage set |
| EP3223877B1 (en) * | 2014-11-28 | 2021-03-24 | Mahmut Tokur | Pleural drainage set and pleural drainage method |
| CN108635655A (en) * | 2018-07-24 | 2018-10-12 | 石伟成 | A kind of closed drainage catheter component |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2571193B2 (en) | 1997-01-16 |
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