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WO2014118957A1 - Elément linéaire à usage médical - Google Patents

Elément linéaire à usage médical Download PDF

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Publication number
WO2014118957A1
WO2014118957A1 PCT/JP2013/052269 JP2013052269W WO2014118957A1 WO 2014118957 A1 WO2014118957 A1 WO 2014118957A1 JP 2013052269 W JP2013052269 W JP 2013052269W WO 2014118957 A1 WO2014118957 A1 WO 2014118957A1
Authority
WO
WIPO (PCT)
Prior art keywords
linear member
medical
main body
blood
stained
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.)
Ceased
Application number
PCT/JP2013/052269
Other languages
English (en)
Japanese (ja)
Inventor
和三 赤津
仁二 石川
阿部　隆
博 落合
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
SYNTEC Corp
Original Assignee
SYNTEC Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by SYNTEC Corp filed Critical SYNTEC Corp
Priority to PCT/JP2013/052269 priority Critical patent/WO2014118957A1/fr
Priority to JP2014559448A priority patent/JP6018229B2/ja
Publication of WO2014118957A1 publication Critical patent/WO2014118957A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/82—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin for bone cerclage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84—Fasteners therefor or fasteners being internal fixation devices
    • A61B17/842—Flexible wires, bands or straps

Definitions

  • the present invention relates to a medical linear member implanted in the body.
  • Patent Document 1 a linear member main body in which a plurality of wires are spirally wound so as to have a space portion on the inside is provided from one end thereof. It is known that a core material is inserted over a predetermined region of a space portion and one end of a linear member main body and one end of a core material are joined (see Patent Document 1, paragraphs [0023] and [FIG. 11]). ).
  • one end side inserted into the body can be plastically deformed by the core material (for example, to be wound around the back side of the bone), there is much adhesion of blood, There was a problem that it was difficult for the operator to visually recognize the position.
  • an object of the present invention is to provide a medical linear member that improves the visibility of an operator even in the body and is excellent in operability.
  • the medical linear member of the first invention is a medical linear member that is inserted into the body from one end side and embedded in the body, A linear member body in which a plurality of wires are spirally wound so as to have a space portion inside; A core member inserted from one end of the linear member body over a predetermined region of the space, A joining portion that joins one end of the linear member main body and one end of the core material; The linear member main body has a stained portion in which the predetermined region in which the core material is inserted is stained with a complementary color of blood.
  • the linear member main body has a stained portion in which a predetermined region in which the core material is inserted is stained with a complementary color of blood.
  • a complementary color of blood since blue to green color is selected as the complementary color of blood, even if blood adheres, the operator can surely see one end side of the linear member body inserted into the body. Can do.
  • the operator can recognize at a glance which region is the region where the core material exists and which can be plastically deformed. It is possible to improve the operability of the surgeon.
  • the medical linear member of the first invention can provide a medical linear member with improved operability in the body and excellent operability.
  • the medical linear member of the second invention is the first invention
  • the linear member main body includes an auxiliary staining portion that is dyed with a complementary color of blood at a predetermined interval in the longitudinal direction except for the predetermined region in which the core member is inserted.
  • the medical linear member of the second invention in addition to the predetermined region in which the core material is inserted, by providing an auxiliary dyeing portion that is dyed with a complementary color of blood, blood or the like is attached to the region other than the predetermined region. Even so, the surgeon can visually recognize the state of the entire medical linear member.
  • the core member of the linear member body is inserted, for example, it is used in a state of being slightly stretched by being wound around a bone or the like with a predetermined tension.
  • the surgeon can recognize variations in tension from the change in the interval. For example, when a linear member body is wound around a bone in a double or eight shape, the operator can recognize that the tension is not sufficiently applied to the first winding portion from the interval of the auxiliary dyeing portion. it can.
  • the medical linear member of the third invention is the first or second invention,
  • the wire is made of titanium;
  • the dyeing treatment is characterized in that the titanium is dyed by anodizing.
  • the wire constituting the linear member main body is made of a titanium material, so that the complementary color of blood can be easily dyed depending on the conditions of the anodic oxidation of the titanium material.
  • blue and green which are complementary colors of blood
  • these can be dyed in an intermediate color (blue green). Therefore, it is possible not only to dye the dyed portion (the predetermined region in which the core material is inserted in the linear member body) into one color of blue or green, but also to make a gradation.
  • auxiliary dyeing part when providing the auxiliary dyeing part, not only the same color as the dyeing part but also a different color may make it easier to visually recognize the predetermined area in which the core material is inserted and the other area. it can. Furthermore, by giving gradation to the color in the long direction, it is possible to easily recognize the used area (how far it has been used) as a whole.
  • the medical linear member of the third invention it is possible to specifically realize a medical linear member having improved operability and excellent operability even in the body.
  • the medical linear member of the fourth invention is the first to third invention, A fixing tool that is inserted from one end of the linear member body and used to fix the medical linear member in the body;
  • the fixture has a fixture staining portion in which the whole or a part thereof is dyed with a complementary color of blood.
  • the fixture used together with the medical linear member is also dyed.
  • the fixture since the fixture is inserted from one end of the linear member body, it is desirable that the insertion portion is easily visible. The operator can visually assist the insertion operation.
  • the operability can be further improved through the visibility in the body including the peripheral members.
  • the medical linear member of this embodiment is a medical linear member that is inserted into the body and embedded in the body, and includes a linear member main body 1 and its fixture 2.
  • the linear member body 1 includes a stained portion 11 whose one end is stained with a complementary color of blood over a certain region, and an auxiliary stained portion 12 that is stained and marked at equal intervals in the longitudinal direction in a region other than the stained portion 11. Is provided.
  • the fixture 2 is attached to the other end of the linear member main body 1 and has a cylindrical insertion part 20 so that the linear member main body 1 can be inserted into the insertion part 20.
  • the linear member body 1 has a structure in which a plurality of metal wires 10 are spirally wound so as to have a space 13 inside.
  • the plurality of wires 10 are wound in one layer, but may be wound in two layers in order to increase the strength of the linear member body 1.
  • the core material 14 is inserted in the space part 13 over the predetermined area
  • the core material 14 is made of, for example, a plastically deformable metal material, and thereby enables the linear member body 1 to be plastically deformed in a predetermined region where the core material 14 is inserted.
  • the linear member main body 1 and the core member 14 are joined to the joint 15 at one end thereof.
  • the joining portion 15 is formed by welding one end sides of each other by arc discharge, for example.
  • the linear member main body 1 and the core member 14 are welded to each other by arc discharge, it is preferable that the end of the core member 14 be protruded from one end of the linear member main body 1 and then welded. . Thereby, the junction part 15 can be reliably formed in a center position.
  • the joint 15 may be formed by general welding in addition to arc discharge, or may be formed by integrally attaching a metal spherical bead to the linear member body 1 and the core member 14.
  • the core member 14 may be reduced in diameter in a tapered shape at the other end side inserted into the space portion 13. As a result, the core member 14 can be easily inserted into the space 13, and the other end of the core member 14 is linearly deformed when the linear member body 1 into which the core member 14 is inserted is plastically deformed. It is possible to prevent the main member 1 from being damaged.
  • the surface of the linear member main body 1 is stained with a complementary color of blood so as to coincide with the region of the linear member main body 1 into which the core member 14 is inserted. It becomes part 11.
  • the dyeing portion 11 is dyed in blue, green, or an intermediate color thereof, which are complementary colors of blood, by anodization.
  • the anodic oxidation is performed by connecting the positive electrode of the DC voltage to the linear member body 1 and providing the negative electrode in the phosphoric acid aqueous solution, and then only the region of the linear member body 1 where the core member 14 is inserted. By soaking in an aqueous phosphoric acid solution, only such areas are stained.
  • the color can be changed to blue, green, or an intermediate color thereof.
  • the entire fixture 2 or only the insertion portion 20 is similarly dyed in blue, green, or an intermediate color thereof, which are complementary colors of blood, by anodization (corresponding to the fixture staining portion of the present invention).
  • the auxiliary dyeing portion 12 is dyed in blue, green, or an intermediate color thereof, which are complementary colors of blood, by anodic oxidation.
  • the anodic oxidation is performed by connecting the positive electrode of the DC voltage to the linear member body 1 and adding a phosphoric acid bath solution to the brush connected to the negative electrode and marking with a brush. Is done.
  • the color is blue, green or These can be changed to intermediate colors.
  • the auxiliary dyeing portion 12 has a different color so as to be easily distinguished from the dyeing portion 11. Further, the auxiliary dyeing portion 12 may have a gradation in color from one end side to the other end side, in addition to the case of dyeing with the same color. Thereby, the positional relationship of the whole linear member main body 1 can be visually recognized.
  • the medical linear member of the present embodiment is used, for example, by being wound around a bone W of a fractured part Z exposed by removing the muscle Y from the incised wound X in order to fix a fracture.
  • the linear member body 1 is passed around the bone W from the stained portion 11 side.
  • the surgeon plastically deforms the stained portion 11 in accordance with the shape or the like of the bone W, and then turns this to the back side of the bone W.
  • the stained part 11 adheres to the blood or tissue in the blood, but since it is a complementary color of blood, the linear member body 1 that has passed through the back side of the bone W can be reliably recognized. .
  • the linear member main body 1 needs to be inserted into the insertion portion 20 of the fixture 2, but one end side of the linear member main body 1 becomes the staining portion 11.
  • the insertion part 20 is dye
  • the fixing tool 2 coincides with the region where the dyed portion 11 is inserted into the linear member body 1, where the core member 14 must be fixed in the region where the core member 14 is not inserted into the linear member body 1. Therefore, the operator can easily confirm the fixed region.
  • the medical linear member may be fixed to the bone W in an eight-shaped winding, but the tension variation can be visually recognized by the operator depending on the interval of the auxiliary staining portion 12. can do.
  • the first winding portion The surgeon can recognize that the tension is not working sufficiently.
  • the medical linear member it is possible to provide a medical linear member with improved operability and excellent operability even in the body.
  • the dyeing process is described by anodization.
  • the dyeing process is not limited to this.
  • the dyeing process is performed by plating or the like. May be.
  • the auxiliary dyeing portion 12 is provided in the linear member body 1 and the fixing tool 2 is dyed. However, either one or both of them may be omitted.
  • SYMBOLS 1 Linear member main body, 2 ... Fixing tool, 10 ... Wire, 11 ... Dyeing

Landscapes

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

Abstract

L'invention concerne un élément linéaire à usage médical qui possède une excellente capacité fonctionnelle et augmente le niveau de visibilité pour un praticien, même dans le corps. Un corps principal d'élément linéaire (1) comprend : une section colorée (11) qui constitue un côté d'extrémité du corps principal ayant été colorée le long d'une région fixe de manière à avoir une couleur complémentaire à celle du sang ; et une section colorée auxiliaire (12) qui a été marquée par un colorant à des intervalles réguliers dans le sens de la longueur dans une région autre que la section colorée (11).
PCT/JP2013/052269 2013-01-31 2013-01-31 Elément linéaire à usage médical Ceased WO2014118957A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/JP2013/052269 WO2014118957A1 (fr) 2013-01-31 2013-01-31 Elément linéaire à usage médical
JP2014559448A JP6018229B2 (ja) 2013-01-31 2013-01-31 医療用線状部材

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/JP2013/052269 WO2014118957A1 (fr) 2013-01-31 2013-01-31 Elément linéaire à usage médical

Publications (1)

Publication Number Publication Date
WO2014118957A1 true WO2014118957A1 (fr) 2014-08-07

Family

ID=51261701

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2013/052269 Ceased WO2014118957A1 (fr) 2013-01-31 2013-01-31 Elément linéaire à usage médical

Country Status (2)

Country Link
JP (1) JP6018229B2 (fr)
WO (1) WO2014118957A1 (fr)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09510890A (ja) * 1994-03-29 1997-11-04 ダネク・メディカル・インコーポレーテッド 可変角度の手術用ケーブルクリンプ組立体及びその組立て方法
JP2003527190A (ja) * 2000-03-24 2003-09-16 ジンテーズ アクチエンゲゼルシャフト クール 外科用ケーブルクリンプ
WO2008102532A1 (fr) * 2007-02-21 2008-08-28 Syntec Corporation Elément linéaire, procédé de fabrication de l'élément linéaire et ornement personnel
JP2011136143A (ja) * 2009-06-29 2011-07-14 Shintekku:Kk 医療用線状部材
JP2012130465A (ja) * 2010-12-21 2012-07-12 Shintekku:Kk 医療用線状部材

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5540703A (en) * 1993-01-06 1996-07-30 Smith & Nephew Richards Inc. Knotted cable attachment apparatus formed of braided polymeric fibers
US20090204118A1 (en) * 2008-02-13 2009-08-13 William Ralph Pratt Surgical cable with malleable leader segment
JP2013126482A (ja) * 2011-12-19 2013-06-27 Hoya Corp スペーサ固定用糸及びスペーサ固定用糸付きスペーサ

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09510890A (ja) * 1994-03-29 1997-11-04 ダネク・メディカル・インコーポレーテッド 可変角度の手術用ケーブルクリンプ組立体及びその組立て方法
JP2003527190A (ja) * 2000-03-24 2003-09-16 ジンテーズ アクチエンゲゼルシャフト クール 外科用ケーブルクリンプ
WO2008102532A1 (fr) * 2007-02-21 2008-08-28 Syntec Corporation Elément linéaire, procédé de fabrication de l'élément linéaire et ornement personnel
JP2011136143A (ja) * 2009-06-29 2011-07-14 Shintekku:Kk 医療用線状部材
JP2012130465A (ja) * 2010-12-21 2012-07-12 Shintekku:Kk 医療用線状部材

Also Published As

Publication number Publication date
JP6018229B2 (ja) 2016-11-02
JPWO2014118957A1 (ja) 2017-01-26

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