The present invention relates to a surgical fluid-absorbing instrument, which is applicable to a surgical sponge for medical application, for absorbing blood occurring in an ophthalmologic surgery, a surgical operation or the like (hereinafter, simply referred to as “surgery”) using a microscope and/or surgical fluid used for washing a relevant wound, and a method of producing the same.
In the past, the blood occurring in the ophthalmologic surgery or the like using the microscope, the surgical fluid used for washing the relevant wound and/or the like have often considerably deteriorated any visibility. Accordingly, the surgery has been operated while these blood and surgical fluid have been frequently removed by any surgical sponge or the like in the surgery. For example, a surgical sponge used in a present ophthalmologic surgery utilizes a nature of water-absorbing sponge provided at a tip of a shaft in which when it contains the fluid, it swells.
A shape of the surgical sponge 500 after the use thereof becomes a three-dimensional structure having thickness, in which it absorbs any fluid and swells so as to be changed from the compressed, dried and solidified state shown in
As a method of using the surgical sponge 500, it does not absorb the water but the surgical sponge softened by absorbing the fluid may be also used instead of a brush, which forms a flap on a surface of a cornea using a part thereof at a refractive surgery and, when it returns to the cornea transpired by a laser, stretches the returned cornea flap so as to prevent a surface thereof from creasing.
Moreover, as to the surgical fluid-absorbing instrument using the water-absorbing sponge, a patent document 1 discloses an apparatus which absorbs water for a laser-assisted in situ keratomileusis surgery. This apparatus which absorbs water has a handle portion and a sickle-shaped portion and a sponge portion is coupled to the sickle-shaped portion.
A patent document 2 discloses a secretion absorber for medical use. This absorber is provided with a hollow shaft portion and a water-absorbing member which is continuous at a tip and in the shaft. The integrated water-absorbing member absorbs a large amount of secretion, blood and/or the like.
A patent document 3 discloses a suction tool for surgical operation. This suction tool is provided with a hollow soft thin film member, a moisture absorbing member loaded in the thin film member, a tip of which is exposed, and a vacuum apparatus which is connected to a rear end of the thin film member. This suction tool absorbs body fluids, which have been absorbed by the absorbing member attaining any profound relevant wound in a surgical field, by operating the vacuum apparatus.
By the way, in the patent document 1 and the surgical sponge 500 and the like according to the conventional example, there have been problems as follows:
(i) An amount of absorbed water in the surgical sponge 500 is dependent on volume of the tip sponge part 51 at its swelling time and its water absorption rate is about 0.2 ml through 0.3 ml. Therefore, it can absorb a bit amount of blood and/or fluid but an amount of absorbed water by one surgical sponge 500 may be not enough in water absorption such as washing of wound after the surgery. Accordingly, in an ophthalmologic surgery, there is a problem such that many surgical sponges 500 are required. The similar problem is applied to the apparatus which absorbs water described in the patent document 1.
(ii) According to the apparatus which absorbs water described in the patent document 1, the secretion absorber for medical use disclosed in the patent document 2, the surgical sponge 500 and the like, it is a true state of affairs to be unable to understand how degree the tip sponge part 51 in now use absorbs the water and how degree it could absorb the water thereafter. The amount of absorbed water in the surgical sponge 500 in now use reaches a limit thereof so that only a determination method therefor is a determination in a condition where no fluid is contained therein. Therefore, there is any inconvenience such that the surgical sponges 500 have to be changed even during the surgery.
(iii) In this connection, in order to solve the above problems, it is conceivable to move the fluid absorbed by the surgical sponge 500 to another place using a pump or the like (see the patent document 3), but a hose, a tube or the like for moving the fluid from the surgical sponge 500 is required. Accordingly, in a case where the field of surgery is a surface of relevant wound, behavior and/or functionality of the surgical sponge 500 are considerably deteriorated. Therefore, this is inconvenient as the surgical fluid-absorbing instrument which is compatible for both of a corneal surgery in which the field of surgery is the surface of relevant wound and a coronary artery surgery or the like in which the field of surgery is the relevant profound wound, so that there has been a problem of being short of a versatility.
Accordingly, this invention has solved these problems and has an object to provide a surgical fluid-absorbing instrument, which can absorb an amount of fluid several times as large as that of the surgical sponge with the conventional system and can substantially decrease the changing times of the surgical sponges during the surgery, and a method of producing the same.
In order to solve the above problems, a surgical fluid-absorbing instrument claimed in claim 1 contains a first fluid-absorbing part that absorbs fluid, a second fluid-absorbing part that absorbs the fluid, the second fluid-absorbing part being provided on a portion continued from the first fluid-absorbing part, and a retaining member in which the second fluid-absorbing part is loaded, wherein at least the second fluid-absorbing part is composed of water-absorbing sponge, and two modes of a state in which the water-absorbing sponge is compressed on one direction and solidified and a state in which the water-absorbing sponge is extended on one direction and swollen are born.
According to the surgical fluid-absorbing instrument claimed in Claim 1, the fluid absorbed from the first fluid-absorbing part can be stored in the retaining member so that it is possible to absorb the amount of the fluid several times as large as that of the surgical fluid-absorbing instrument with the conventional system.
In the surgical fluid-absorbing instrument claimed in Claim 2, according to Claim 1, the surgical fluid-absorbing instrument is composed of a water-absorbing sponge in which the first and second fluid-absorbing parts are integrated.
In the surgical fluid-absorbing instrument claimed in Claim 3, according to Claim 2, the first fluid-absorbing part has a compressed and solidified shape in which one of the water-absorbing sponge is compressed on one direction, and the second fluid-absorbing part has a compressed and solidified shape in which the water-absorbing sponge is compressed on a direction that is perpendicular to the compressed direction of the water-absorbing sponge in the first fluid-absorbing part.
In the surgical fluid-absorbing instrument claimed in Claim 4, according to Claim 1, the first fluid-absorbing part is composed of a first fluid-absorbing member in which one of the water-absorbing sponge is compressed on one direction, and the second fluid-absorbing part is composed of a second fluid-absorbing member in which the other water-absorbing sponge is compressed on a direction that is perpendicular to the compressed direction of the water-absorbing sponge in the first fluid-absorbing part.
In the surgical fluid-absorbing instrument claimed in Claim 5, according to Claim 4, the first and second fluid-absorbing parts are configured to be connected to each other with a compressed direction of the first fluid-absorbing part and a compressed direction of the second fluid-absorbing part being perpendicular to each other.
In the surgical fluid-absorbing instrument claimed in Claim 6, according to Claim 1, the retaining member is composed of visible material through which an internal portion thereof is transparently seen.
In the surgical fluid-absorbing instrument claimed in Claim 7, according to Claim 6, the visible material is configured to be a flexible tube having at least any one quality of reversibility and flexibility.
In the surgical fluid-absorbing instrument claimed in Claim 8, according to Claim 6, one water-absorbing sponge or more is loaded into the visible material in their compressed and solidified state, with their swelling directions being aligned.
In the surgical fluid-absorbing instrument claimed in Claim 9, according to Claim 6, a drain port is provided at a rear end of the visible material.
In the surgical fluid-absorbing instrument claimed in Claim 10, according to Claim 9, the visible material has a bellows structure which is expandable to at least a direction that is perpendicular to a longitudinal direction of the visible material.
In the surgical fluid-absorbing instrument claimed in Claim 11, according to Claim 9, a long hose is connected to the drain port of the visible material.
In the surgical fluid-absorbing instrument claimed in Claim 12, according to Claim 11, a drainage device is connected to a rear end of the hose.
In the surgical fluid-absorbing instrument claimed in Claim 13, according to Claim 1, the first fluid-absorbing part is composed of a first fluid-absorbing member in which the isotropic water-absorbing sponge is processed to have a desired shape.
In the surgical fluid-absorbing instrument claimed in Claim 14, according to Claim 1, a window is provided in the water-absorbing sponge constituting the first fluid-absorbing part.
A method of producing a surgical fluid-absorbing instrument claimed in Claim 15 contains a step of processing a water-absorbing sponge to have a desired dimension and forming a tip fluid-absorbing part, a step of compressing and solidifying a water-absorbing sponge which is continued to the tip fluid-absorbing part and forming a retaining fluid-absorbing part which is able to be swollen to one direction, and a step of loading the retaining fluid-absorbing part into a tubular retaining member.
According to the surgical fluid-absorbing instrument claimed in claim 1, it is configured so that the second fluid-absorbing part provided on a portion continued from the first fluid-absorbing part is loaded in the retaining member to absorb the fluid. Further, the second fluid-absorbing part containing the fluid can be swollen on one direction of the retaining member and the fluid can be smoothly moved to one direction of the retaining member.
This configuration enables the fluid absorbed from the first fluid-absorbing part to be stored in the retaining member so that it is possible to absorb the amount of the fluid several times as large as that of the surgical fluid-absorbing instrument with the conventional system. Accordingly, it is possible to decrease the changing times of the surgical sponge substantially during the surgery. Of course, in a surgery using a microscope, an effect such that an operator does not look away from a surgical field largely may be also attained.
According to the method of producing a surgical fluid-absorbing instrument claimed in claim 15, it is configured so that the compressed and solidified retaining fluid-absorbing part, which is able to be swollen to one direction, is attached to the retaining member so as to be loaded.
This configuration enables the surgical fluid-absorbing instrument which can store the fluid absorbed from the tip fluid-absorbing part in the retaining member to be reproducibly produced. Accordingly, it is possible to provide the surgical sponge which can absorb a large amount of blood occurring within an ophthalmologic surgery or the like using a microscope and/or surgical fluid used for washing a relevant wound.
The following will describe a surgical fluid-absorbing instrument and a method of producing the same according to this invention with reference to the drawings. The surgical sponge 100 shown in
The surgical sponge 100 has a tip sponge part 11, a handle part 12 and a retaining sponge part 13. The tip sponge part 11 constitutes an example of the first fluid-absorbing part and absorbs the blood occurring in the surgery and/or fluid (moisture) such as the surgical waste fluid used for washing the relevant wound. The tip sponge part 11 has a previous state before use, namely, a state in which it is dried without absorbing any fluid and solidified. It has a shape which is identical to, for example, an isosceles triangle shown in
To the tip sponge part 11, the handle part 12 is attached. The handle part 12 constitutes an example of the retaining member and has a long and narrow tubular shape (straw shape). It is made by making the conventional toothpick-like handle thicker and hollow. In this embodiment, it is configured that the handle part 12 does not only function as a water-absorbing tank but also moves the fluid absorbed from the tip rearward within the handle part 12. In the drawing, L1 indicates a length of the handle part 12 and φ1 indicates an inside diameter thereof. A terminal of the handle part 12 is squeezed and is provided with a drain port 15 at the terminal thereof. The drain port 15 is provided for draining the fluid retained in the handle part 12 to the outside utilizing the drain port 15.
Dimensions of the handle part 12 vary according to purposes of surgery or the like. When a surgical field is a surface of the relevant wound, the length L1 thereof is, for example, about 5 through 10 cm and the inside diameter φ1 thereof is about 5 through 10 mm. When a surgical field is a profound relevant wound, the length L1 thereof is, for example, about 10 through 30 cm and the inside diameter φ1 thereof is about 10 through 20 mm. A cross-sectional shape of the handle part 12 is not limited to a circular shape; it may be a polygonal shape such as a cross-sectional square. The handle part 12 also may be an oblong shape (an oval type) in planar view.
The retaining sponge part 13 is loaded into the handle part 12 so that it is connected to the tip sponge part 11. The retaining sponge part 13 constitutes the second fluid-absorbing part and absorbs the fluid. The retaining sponge part 13 is provided for moving the fluid or the like absorbed by the tip sponge part 11 to another place.
The retaining sponge part 13 has a previous state before use, namely, a state in which it is dried without absorbing any fluid and solidified similar to the tip sponge part 11. It has, for example, a column shape (a coin shape) as shown in
The surgical sponge 100 shown in
For the water-absorbing sponge, PVA sponge material molded by chemically reacting hydrous polymeric material such as polyvinyl alcohol (PVA) is used. The PVA sponge material has very excellent water absorbing nature and its micropores cause capillary phenomenon so that it has water holding property and has both of flexibility and suitable elasticity. The PVA sponge does not wound a target surface. Of course, the water-absorbing sponge material is not limited to PVA sponge in which polyvinyl alcohol is raw material: It may be PVA sponge in which polyvinylacetal is raw material. The latter is a water-absorbing sponge having porous structure and smooth surface and can absorb the fluid 25 times weight of a manufactured article. PVA-based sponge material is compressed and hardened when it is dried.
The water-absorbing sponge material is not limited to PVA-based one: Urethane-based sponge material or cellulose-based sponge material may be used. The urethane is light-weight and is rich in cushion elasticity. The narrower a pore is, it absorbs water. Since hydrophilic urethane has a hydrophilic group, it quickly absorbs water to be swollen. Polyurethane is porous to have continuous porous. Polyurethane is rich in hydrophilicity more than general urethane and is excellent in water absorbing and preserving capacity.
Since cellulose has a hydrophilic group, it is easy to harmonize the water. Capillary phenomenon by its micropores exhibits self-water-absorbing quality and quickly absorbs the water without compulsion. The cellulose has water-absorbing quality that is 20 through 30 times its own weight to preserve the water suitably. It is rare to drop the absorbed water from the cellulose. The cellulose has a soft surface with any suitable elasticity at a wet time thereof and is compressed and hardened to about 60% at a dried time thereof.
By utilizing the nature in a swelling direction, the retaining sponge part 13 is set so as to be swollen rearward within the handle part 12. The anisotropic retaining sponge part 13 is easy to be made by cutting normal (isotropic) water-absorbing sponge material to be made long column shaped, loading the cut water-absorbing sponge material in a visible tubular material having a termination at an end thereof, and compressing it from the other end, drying and solidifying it. Thus, the water-absorbing sponge that has been compressed from one direction, dried and solidified is swollen to the one direction when absorbing the fluid (water) or being not dried nor solidified to return its long column shaped water-absorbing sponge material. By utilizing this nature, it is possible to swell the water absorbed retaining sponge part 13 rearward (to one direction) within the handle part 12 and smoothly move the fluid rearward within the handle part 12.
The following will describe the method of producing the surgical sponge 100 with reference to
First, the tip sponge part 11 shown in
Next, the tip sponge part 11 having the spatial structure shown in
It is to be noted that the compressing, drying and solidifying steps of the attaching portion 11b on the x direction may be omitted and the column shape thereof in the state where it does not absorb water may be remained as it is. Further, when it is difficult to combine the tip portion 11a to the attaching portion 11b as described above, a narrow tube may be provided to skewer (piece) both of the triangular tip portion 11a and the attaching portion 11b and use the capillary phenomenon of the tube.
Next, the retaining sponge part 13 is attached to the handle part 12 shown in
On the other hand, water-absorbing material is processed to have a desired dimension to form the retaining sponge part 13. In this embodiment, the water-absorbing material in a state where it does not absorb water is processed to be a long and narrow column shape. For example, for swelling the retaining sponge part 13 when it absorbs water to be moved rearward, the water-absorbing material is cut so that it has an outer diameter that is just smaller than the inside diameter of the handle part 12. This dimensioning is because it is made easy to insert the retaining sponge part 13 into the handle part 12 (outer casing) and to swell and wring the same. A length of the retaining sponge part 13 is, for example, about 20 mm in a state where it does not absorb any water.
In this embodiment, a case where three retaining sponge parts 13 are loaded in the handle part 12 having a length L1 of 6 cm is exemplified. By compressing, drying and solidifying the column shaped water absorbing material having a height of about 20 mm and an outer diameter of about 6 mm to a thickness of about 4 mm, the anisotropic retaining sponge parts 13 (second fluid-absorbing member) shown in
Of course, the outer diameter of the retaining sponge part 13 is not limited to 6 mm, its thickness is allowed to be an extent such that it is adhered to an interior wall of the handle part 12 when swollen and it does not move. The length of the retaining sponge part 13 is not limited to a tripartite length of the handle part 12: The retaining sponge part 13 may be one water-absorbing sponge material having a length that is identical to the length L1 of the handle part 12 of 6 cm (L1=6 cm). In its compressing processing thereof in this case, it is possible to form the anisotropic large capacity retaining sponge part 13 by loading water-absorbing sponge material having the same as the inside diameter of the handle part 12 into the visible material having one terminal at its end and compressing, drying and solidifying it from the other side.
For example, three retaining sponge parts 13 in their dried and compressed state are loaded into the visible material of the handle part 12 with their anisotropy being aligned. The alignment of their anisotropy allows the retaining sponge parts 13 each absorbing fluid to be successively swollen to one direction, thereby enabling the fluid to be successively moved to one direction. In contrast, in a case of the large capacity retaining sponge part 13, a work of aligning their anisotropy may be omitted.
Next, the tip sponge part 11 prepared regarding
The following will describe a function example of the surgical sponge 100 with reference to
The surgical sponge 100 has two modes of a state in which the tip sponge part 11 and the retaining sponge part 13 are compressed on one direction and dried as shown in
Thus, the states of the surgical sponge 100 before and after the use thereof can be easily distinguished from the state before the tip sponge part 11 and the retaining sponge part 13, which have been dried and compressed state as shown in
The following will describe a checking example of an amount of absorbed water by the surgical sponge 100 with reference to
Here, when the inside diameter φ1 of the visible material (a straw or the like) of the handle part 12 shown in
Here, the following will describe a drain example of the fluid from the surgical sponge 100 with reference to
The use of such visible material allows the fluid retained in the handle part (water storage tank) to be easily drained from the drain port 15 provided at a rear end of the handle part 12. Therefore, the handle part 12 and the retaining sponge part(s) 13 can be repeatedly used so that the fluid is absorbed by the retaining sponge part(s) 13 by utilizing capillary phenomenon and drained to the outside. Any extra effort and a check like the conventional system such that by pushing it against other cloth or the like, an amount of fluid in the water-absorbing sponge is adjusted, and the check is performed on whether or not any fibers and/or foreign matters are adhered to the water-absorbing sponge become unnecessary.
A long hose (tube) 91 shown in
In this embodiment, a syringe 90 may be used so as to be connected to a terminal end of the hose 91 or the like. The syringe 90 constitutes an example of a drainage device and forcibly evacuates the fluid retained in the handle part 12. Such a configuration allows the fluid retained in the handle part 12 to be evacuated to a place away from the relevant wound.
The drainage device is not limited to the syringe 90: A pipette, a suction tube, an electric pump and the like may be used. Of course, when the hose 91 is omitted, the syringe 90 is directly connected to the drain port 15 of the handle part 12 and a nursing assistant or the like performs an evacuation job and the like, it is possible to contain the fluid absorbed by the surgical sponge 100 in the syringe 90 without going through the hose 91. The fluid contained in the syringe 90 can be transferred to an evacuated inspection tube.
Combination of the above-mentioned drainage device enables an amount of drained fluid to be increased so that it is possible to provide the surgical sponge 100 which is convenient and is very versatile, thereby making compatible for both of corneal surgery in which the field of surgery is the surface of relevant wound and coronary artery surgery or the like in which the field of surgery is the profound wound. It is needless to say that a change of the surgical sponge 100 can be avoided in the surgery.
Next, the following will describe a configuration example of a surgical sponge 200 as a variation example with reference to
As to the tip 21a, by using any material having small swelling rate for water-absorbing sponge, it is possible to make a smaller tip sponge part 21, not with a conventional configuration such that the tip is swollen. Of course, solidity of the water-absorbing sponge may alter without changing a dimension thereof. Description of other configurations shown in
In the ophthalmologic surgery using a microscope, the surgical sponge 200 can restrict its expanded volume to have the expanded volume smaller than that of the surgical sponge 100 even when it absorbs the fluid and swollen so that it is possible to prevent visibility of the relevant wound from being deteriorated. This enables the operator's visibility in the surgery to be improved.
Further, the following will describe a configuration example of a surgical sponge 300 as another variation example with reference to
By providing with the window 14, even if the volume of the tip sponge part 31 is less than that of tip sponge part 31 before the window 14 is opened, an amount of absorbed water has never dropped because the retaining sponge part 13 is provided in the handle part 12. Of course, since the relevant wound at an opposite side of the window 14 is seen from the window 14, it is possible to perform the washing (water retaining) operations while looking at a state of the relevant wound.
For example, the surgical fluid is absorbed by gently sliding the surgical sponge 100 or the like along a surface of the eyeball. Thereby, a method of enabling the fluid absorbed by the tip sponge part 11 to be moved to the retaining sponge part 13 within the handle part 12 may be adopted. According to this method, any hose or tube for absorbing the absorbed fluid and moving it to another place by the pump or the like is unnecessary so that its operation has never deteriorated.
By adopting this method, water absorbency of the tip sponge part 11 enables water-absorbing operation to be spread until the water-absorbing rate of the retaining sponge part 13 in the handle part 12 reaches the limit thereof. Accordingly, it is possible to design the tip sponge part 11 to be smaller (narrower) than that of the conventional system, in order to maintain visibility of the operator. It is also possible to avoid a situation in which many surgical sponges 400 are necessary in the surgery like the conventional system.
Thus, according to the surgical sponge 100 as the first embodiment, it is so configured that the retaining sponge part(s) 13 provided at a position which is continuous from the tip sponge part 11 is loaded into the handle part 12 to absorb the fluid.
Under this configuration, since the fluid absorbed from the tip sponge part 11 can be stored in the handle part 12, it is possible to absorb the fluid some time the conventional surgical sponge 100. This enables changing times of the surgical sponge 100 in the surgery to be considerably decreased.
According to the above-mentioned surgical sponge 100, since the water-retaining state of the retaining sponge part(s) 13 in the handle part 12 is seen from the outside thereof, it is possible to perform the washing (water retaining) operation while checking water-retaining state of the handle part 12.
Moreover, according to the surgical sponge 100, the fluid absorbed from the tip sponge part 11 and stored in the retaining sponge part(s) 13 is moved from a side of the tip sponge part 11 to the drain port 15 proved at a rear end. Further, by squeezing the flexible tube (visible material) from the outside, the fluid contained in the retaining sponge part(s) 13 therein can be disposed to the outside. Therefore, the retaining sponge part(s) 13 in the handle part 12 can be used over and over.
According to the method of producing the surgical sponge 100, it is also so configured that after the anisotropic retaining sponge part(s) 13 is (are) loaded in the tubular handle part 12, the anisotropic tip sponge part 11 is loaded in the handle part 12 from a side of the open end 16 so as to contact the retaining sponge part(s) 13.
By this configuration, it is possible to produce the surgical sponge 100 which can store the fluid absorbed from the tip sponge part 11 in the handle part 12 with excellent reproducibility. This enables the surgical sponge 100 which can absorb a large amount of surgical fluid or the like to be presented.
Further, when such a configuration that the handle part 12 has both open terminal ends, not squeezed terminal end, an order of lading and attaching the tip sponge part 11 and the retaining sponge part(s) 13 may alter. For example, such a method of loading the retaining sponge part(s) 13 in the handle part 12 so that it (they) contacts the tip sponge part 11, after the tip sponge part 11 is previously attached to the tubular handle part 12, may be adapted. It is also possible to use the handle part 12 according to this invention in place of the sickle-shaped portion of the conventional apparatus which absorbs water (see the above-mentioned US patent).
Although the case where the tip sponge part 11 and the retaining sponge part 13 are configured to be two water-absorbing materials has been described in the above-mentioned embodiment, this invention is not limited thereto: It is composed of a water-absorbing sponge in which the tip sponge part 11 and the retaining sponge part 13 are integrated. As a method of producing it, one end of one of the water-absorbing sponge is compressed from a desired direction to be a compressed and solidified shape so that the tip sponge part 11 is formed on the one end thereof. Next, the water-absorbing sponge is compressed in a direction that is perpendicular to the compressed direction of the tip sponge part 11 to be a compressed and solidified shape so that the retaining sponge part 13 is formed on the other end thereof. When the surgical sponge 100 is thus configured, its assembly becomes made easy.
The following will describe a handy surgical sponge 400 of bellows operating type as a second embodiment with reference to
The surgical sponge 400 has a tip sponge part 41, the hollow handle part 42 which attaches the tip sponge part 41 and a retaining sponge part 43 to be stored in the handle part 42 (see
The tip sponge part 41 can use the first fluid-absorbing material which is identical to the tip sponge part 11 described in the first embodiment. Since its details have been described on the tip sponge part 11, they will be omitted. A rear end of an attaching portion 41b of the tip sponge part 41 is attached into an open hole 46b of the open end 46 of the handle part 42 with it being adhered by a water-soluble adhesive to a forward end of the retaining sponge part 43 shown in
The handle part 42 shown in
Pushing plates 42U, 42D are attached to upper and lower open ends of the bellows portion 42S. Each pushing plate has the same dimension and shape as those of each of the upper and lower open ends. In this embodiment, the bellows portion 42S of the handle part 42 has any one quality of reversibility and flexibility. Accordingly, the bellows portion 42S is squeezed when the pushing plates 42U, 42D are nipped by a hand and any force is applied thereto.
A column like open end 46 is provided at one arc portion (a corner of the track field) of the bellows portion 42S. The drain port 45 is provided at the other arc portion of the bellows portion 42S.
As shown in
The retaining sponge part 43 has a nature such that it is a compressed state before it absorbs the fluid but it expands (swells) to a fixed direction when it absorbs the fluid. The retaining sponge part 43 before it absorbs the fluid has a compressed (dried) and solidified state, which is similar to the tip sponge part 41, and its shape is, for example, a column-like shape (with its long side surface). Of course, the shape, when solidified, is not limited to the column shape: A rectangular parallelepiped shape, a square and round rectangular shape and the like are available if they could be contained in the handle part 42.
The retaining sponge part 43 shown in
The following will describe a method of producing the surgical sponge 400 with reference to
Next, the handle part 42 shown in
The track-field-like pushing plates 42U, 42D are connected to the square and round rectangular (track-field-like) open ends of the bellows portion 42S as an upper lid and a lower lid. The pushing plates 42U, 42D may use plates such as rigid vinyl, plastics and the like, which are molded to be made track-field-like shaped. It is to be noted that if the bellows portion 42S and the pushing plates 42U, 42D are made from the same material, the bellows portion 42S and the pushing plates 42U, 42D may be molded by integral molding.
On the other hand, the water-absorbing material is cut so that the retaining sponge part 43 shown in
The water-absorbing material is then compressed, dried and solidified to be about 6 mm and a rectangular anisotropic retaining sponge part 43 as shown in
As to a loading direction, for example, it is loaded so that a plane surface of the tip sponge part 41 when it is dried and solidified and a plane surface of the handle part 42 becomes the same plane surface. When loading them like this, the plane surface of the swollen tip sponge part 41 and the plane surface of the handle part 42 are perpendicular to each other, so that the handle part 42 is nipped with it being pinched by the thumb and the index finger, it is possible to improve sweep operability and workability on the field of surgery. The attaching portion 41b of the tip sponge part 41 is inserted into the open hole 46b of the open end 46.
Thus, the surgical sponge 400 in which the tip sponge part 41 and the retaining sponge part 43 are connected to each other in the handle part 42 is completed.
The following will describe a functional example of the surgical sponge 400 with reference to
(1) When the absorption of the fluid starts, the tip sponge part 41 shown in
(2) The fluid absorbed from the tip sponge part 41 is permeated to a side of the attaching portion 41b.
(3) The attaching portion 41b is swollen by the permeated fluid and when the attaching portion 41b pushes the retaining sponge part 43, the fluid is further permeated into the retaining sponge part 43 to swell the retaining sponge part 43.
(4) A swollen state of the retaining sponge part 43 is easily seen by visual inspection from the outside of the handle part 42 so that it is possible to check a permeated state of the fluid. Therefore, it is possible to visually confirm how much the fluid is absorbed or how much it could be still absorbed.
(5) As shown in
(6) A user nips the pushing plates 42U, 42D of a side of the attaching portion 41b as shown in
(7) By applying the force to the pushing plates 42U, 42D, the bellows portion 42S is squeezed so that the fluid within the retaining sponge part 43 is flown out toward a side of the drain pot 45. Further, a part of the fluid is flown backward to a side of the tip sponge part 41.
(8) When the user moves a position to which the force should be applied to a side of the drain port 45 (to a direction shown by black arrows in the drawing) little by little, the absorbed fluid is drained from the drain port 45.
Thus, the surgical sponge 400 takes two modes of a state in which the tip sponge part 41 and the retaining sponge part 43, as shown in
By providing the handle part 42 with the bellows portion 42S, it is possible to easily drain the fluid retained in the handle part 42 from the drain port 45 at a rear end of the handle part 42. Accordingly, any extra effort like the conventional system such that by pushing the fluid against cloth or the like, an amount of fluid in the water-absorbing sponge is adjusted, and a check is performed on whether or not any fibers and/or foreign substances are adhered to the water-absorbing sponge becomes unnecessary. By continuing the drain operation utilizing the bellows function, it is possible to absorb water even after the retaining sponge part 43 absorbs water to lengthen.
Although a case where the retaining sponge part 43 in the surgical sponge 400 has a rectangular parallelepiped having a length of about 6 cm, a width of about 2 cm and a thickness of about 1 cm has been illustrated, the invention is not limited thereto. For example, the retaining sponge part 43 is applicable if it has a dimension and shape such that it extends to an inner wall of the handle part 42 to be not locked when swollen. The retaining sponge part 43 is not limited to one water-absorbing material (illustrated one) having the same length as that of the handle part 42 having the length L2 of 6 cm. Similar to the first embodiment, the retaining sponge part 43 may be selected to have a length (of about 2 cm) divided by three of the handle part 42 and these three parts may be loaded into the handle part 42.
Further, the handle part 12 containing the retaining sponge part 13 as shown in
The following will describe configuration examples of surgical sponges 401 through 403 as variations with reference to
In the surgical sponge 401 shown in
In the surgical sponge 402 shown in
In the surgical sponge 403 shown in
Each of the retaining sponges in the surgical sponges 401 through 403 is contained in each of the handle parts without drying and compressing them when producing them, which is different from the retaining sponge part 43 of the surgical sponge 400. Therefore, any workload as to the drying and compressing at the production thereof may be reduced.
Thus, according to the surgical sponge 400 as the second embodiment, it is configured that the retaining sponge part 43 connected to the tip sponge part 41 is loaded into the bellows handle part 42 to absorb the fluid.
According to this configuration, since the fluid absorbed from the tip sponge part 41 can be stored in the handle part 42 and drained from the drain port 45, it can absorb the fluid without remaining. As compared with the first embodiment, an amount of fluid absorbed by the retaining sponge part 43 is increased.
According to the above-mentioned surgical sponge 400, since a water-retaining condition of the retaining sponge part 43 inside the handle part 42 is seen from the outside thereof, it is possible to perform washing (water-retaining) operation while checking the water-retaining condition thereof. It is also possible to drain the fluid stored in the handle part 42 to the outside by utilizing the bellows structure.
According to this surgical sponge 400, the fluid absorbed from the tip sponge part 41 and retained in the retaining sponge part 43 is disposed to the outside by squeezing the bellows portion 42S from the outside from a side of the tip sponge part 41 toward the drain port 45 at rear end thereof. The bellows portion 42S returns to an original shape thereof when receiving no pushing force from the outside so that the retaining sponge part 43 utilizing the capillary phenomenon can be used time after time. The handle part 42 can be used as a pump. This enables to be provided the surgical sponge 400 which can absorb a large amount of the surgical fluid or the like and can be repeatedly used.
Although a case where the tip sponge part 41 is previously attached to the retaining sponge part 43 and these assemblies are loaded into the handle part 42 has been described in the above embodiment, the loading and attaching order of the tip sponge part 41 and the retaining sponge part 43 may alter. For example, a method such that after the tip sponge part 41 is previously attached to the handle part 42, the retaining sponge part 43 is loaded into the handle part 42 so that it is connected to the tip sponge part 41 may be adapted. It is also possible to use the handle part 42 according to this invention in place of the sickle-shaped portion of the conventional apparatus which absorbs water (see the above-mentioned US patent).
Further, when the syringe 90 is connected to the drain port 45 at a terminal end of the handle part 42 through the hose 91 shown in
By using the above-mentioned device, it is possible to use the surgical sponge 400 without changing the same even in an absorption operation in a case where a wound of a patient is profound. Further, backflow after the water absorption is limited so that a drainage path can be controlled. This allows the surgical sponge 400 to absorb a larger amount of the fluid.
Although a case where the tip sponge part 41 is connected to the retaining sponge part 43 has been described in this embodiment, this invention is not limited thereto: Any of the tip sponge parts 21, 31 shown in
It is to be noted that as to the tip sponge parts 11, 41, they may be hardened sponge material which maintains a certain degree of hardness, if they are sponge material having any water-absorption quality, even when they are not rich in flexibility such that the whole of each of them is softened after they absorb the water. Any sweeping effect such as removal of foreign substances in addition to the water-absorption quality can be also obtained.
Further, when the handle part 42 is treated as an appendage of the handle part 12, the handle part 42 which is provided with a check valve, not shown, at the open end of the handle part 42 may be used. For example, there is a case where the handle part 42 is connected to the drain port 15 of the straw-type handle part 12 of the first embodiment to function as a pump. In this case, it is configured that the check valve provided at the open end of the handle part 42 blocks any backflow of the fluid from the handle part 42 to the handle part 12. The surgical sponge 400 or the like thus configured is preferably available for the absorption operation in a case where a wound is profound.
The present invention is very preferably applied to a surgical sponge for medical application, which absorbs blood occurring in an ophthalmologic surgery using a microscope and/or surgical fluid used for washing a relevant part.
Number | Date | Country | Kind |
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2014-007875 | Jan 2014 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2015/051265 | 1/19/2015 | WO | 00 |