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JPH0889518A - Device for connecting hollow organs - Google Patents

Device for connecting hollow organs

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Publication number
JPH0889518A
JPH0889518A JP6256199A JP25619994A JPH0889518A JP H0889518 A JPH0889518 A JP H0889518A JP 6256199 A JP6256199 A JP 6256199A JP 25619994 A JP25619994 A JP 25619994A JP H0889518 A JPH0889518 A JP H0889518A
Authority
JP
Japan
Prior art keywords
tubular member
hollow organ
hollow
tubular
connecting device
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.)
Pending
Application number
JP6256199A
Other languages
Japanese (ja)
Inventor
Yuzo Ezaki
祐造 江崎
Yoshihito Takano
良仁 高野
Yasuhiro Matsui
康浩 松井
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.)
Terumo Corp
Eneos Corp
Original Assignee
Terumo Corp
Japan Energy 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 Terumo Corp, Japan Energy Corp filed Critical Terumo Corp
Priority to JP6256199A priority Critical patent/JPH0889518A/en
Publication of JPH0889518A publication Critical patent/JPH0889518A/en
Pending legal-status Critical Current

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Abstract

(57)【要約】 【目的】 生体内の中空器官の接続を容易に行うことが
でき、かつ、耐腐食性が高く、長期的に使用できる中空
器官接続器具を提供するものである。 【構成】 中空器官接続用器具1は、第1の筒状部材2
と、第2の筒状部材3からなる。少なくとも第1の筒状
部材は、いわゆるプラチナ磁石により形成され、2つの
開口部2b,2cと、生体器官に固定可能な端部と、第
2の筒状部材との接続部を備える。第2の筒状部材は、
第1の筒状部材2の接続部2aに磁石吸着力により付着
する少なくとも1つの接続部3aを有している。
(57) [Abstract] [PROBLEMS] To provide a hollow organ connecting device which can easily connect hollow organs in a living body, has high corrosion resistance, and can be used for a long period of time. [Structure] The hollow organ connecting device 1 includes a first tubular member 2
And a second tubular member 3. At least the first tubular member is formed of a so-called platinum magnet, and includes two openings 2b and 2c, an end portion that can be fixed to a living body organ, and a connecting portion that connects the second tubular member. The second tubular member is
It has at least one connecting portion 3a attached to the connecting portion 2a of the first tubular member 2 by a magnetic attraction force.

Description

【発明の詳細な説明】Detailed Description of the Invention

【0001】[0001]

【産業上の利用分野】本発明は、血管、消化管、器官、
胆管、尿管、卵管などの体内の中空器官の接続用器具に
関する。具体的には、中空器官に形成された腫瘍などを
除去するために、中空器官を部分的に切除した後、切除
された中空器官を接続するために使用される中空器官治
療用器具に関する。
The present invention relates to blood vessels, digestive tracts, organs,
The present invention relates to a device for connecting hollow organs in the body such as the bile duct, ureter and oviduct. Specifically, the present invention relates to a hollow organ treatment instrument used to connect excised hollow organs after partially excising the hollow organs to remove a tumor or the like formed in the hollow organs.

【0002】[0002]

【従来の技術】従来より、腸管に生じたガンなどの除去
のために、腸管の部分切除術が行われている。腸管の部
分切除は腹部切開により行われている。腹部切開による
外科的侵襲は患者に大きな負担を与える。最近では、患
者に対する外科的侵襲を少なくした体腔鏡下外科手術が
行われている。体腔鏡下外科手術は、腹壁をごく部分的
に切開し、この切開部より軟性鏡や硬性鏡などの体腔鏡
を体腔内に挿入し、体腔内を体腔鏡に設けられた小型カ
メラで撮影したモニタ画面を観察しながら行われる。腹
壁にはトロッカー・カニューレを数本穿刺し、鉗子、ハ
サミ、さらに電気メス等の術具機能を先端に備えた長尺
の外科手術器具がこのカニューレより体腔内に挿入さ
れ、これらの器具を用いて、胆嚢摘出などが行われる。
体腔鏡下外科手術は、開腹術に比べて外科的侵襲、術後
の疼痛も少なく、回復が早いなどの利点を有している。
現在では、限られた医療機関、限られた医師のみにて、
日本国内で行われているが、米国などでは、かなり一般
化してきている。
2. Description of the Related Art Conventionally, partial excision of the intestinal tract has been performed in order to remove cancer or the like that has occurred in the intestine. Partial resection of the intestine is performed by an abdominal incision. Surgical invasion by abdominal incision places a great burden on the patient. Recently, a thoracoscopic surgery that reduces surgical invasion of a patient is performed. In laparoscopic surgery, the abdominal wall is partially incised, and a flexible endoscope, a rigid endoscope, etc., is inserted into the body cavity through this incision, and the body cavity is photographed with a small camera installed on the body cavity. It is done while observing the monitor screen. A few trocar cannulas were punctured in the abdominal wall, and a long surgical instrument equipped with surgical instrument functions such as forceps, scissors, and an electric scalpel was inserted into the body cavity through this cannula. Then, cholecystectomy is performed.
The laparoscopic surgery has advantages over surgical laparotomy, such as less surgical invasion and less postoperative pain, and faster recovery.
Currently, only at limited medical institutions and limited doctors,
Although it is conducted in Japan, it has become quite popular in the United States.

【0003】この手術法の適用も、現在では胆嚢摘出な
どに限られているが、範囲拡大が検討されており、例え
ば、腸管吻合への適応が考えられている。しかし、胆嚢
の摘出に比べ、腸管吻合を体腔鏡下外科手術器具により
行うことは極めて困難であり、手術時間も長く、患者に
与える負担が大きい。
Although the application of this surgical method is currently limited to cholecystectomy and the like, expansion of the range is being studied, and for example, application to intestinal anastomosis is considered. However, it is extremely difficult to perform an intestinal anastomosis with a surgical instrument under a body cavity endoscope as compared with the removal of the gallbladder, and the operation time is long and the burden on the patient is large.

【0004】従来より、冠状動脈に生じた閉塞部または
狭窄部の治療のため、人工血管もしくは自家静脈などの
グラフトを用いたバイパス形成術が行われている。この
バイパス形成術では、手術時間がかかるため、心臓を一
時的に停止させ、ポンプおよび人工肺を用いた血液体外
循環を行い、心臓停止中の心臓および肺機能の代替を行
う必要がある。体外循環のためには、心臓に脱血カテー
テルおよび返血カテーテルの接続が必要となり、また、
凝血を防ぐためにヘパリンの投与も不可欠である。
[0004] Conventionally, a bypass operation using a graft such as an artificial blood vessel or an autologous vein has been performed in order to treat an occlusion or a stenosis occurring in a coronary artery. Since this bypass operation requires a long operation time, it is necessary to temporarily stop the heart, perform extracorporeal blood circulation using a pump and an artificial lung, and substitute the heart and lung functions during cardiac arrest. For extracorporeal circulation, it is necessary to connect a blood removal catheter and a blood return catheter to the heart.
Administration of heparin is also essential to prevent clotting.

【0005】このため、バイパス形成術自体ではなく、
それを行うための環境設定による患者に与える負担が大
きい。心臓血管のバイパス形成術においても、バイパス
形成が、許容できる心臓停止時間内に行うことができれ
ば、上記のような血液体外循環を行う必要がない。この
ためには、グラフトの接続作業が容易でなければならな
い。
Therefore, it is not the bypass operation itself,
The burden imposed on the patient by setting the environment for doing so is large. Also in the cardiovascular bypass operation, if the bypass operation can be performed within an allowable cardiac arrest time, it is not necessary to perform the extracorporeal blood circulation as described above. For this purpose, the work of connecting the graft must be easy.

【0006】[0006]

【発明が解決しようとする課題】磁石を用いた血管吻合
用部品としては、特開昭52−151282号公報に開
示のものがある。この血管吻合部品では、磁性材料によ
り形成されているため血管の吻合を容易に行うことがで
きる。しかし、特開昭52−151282号公報では、
形成材料としてSmCo 5しか開示していない。この種
の部品は、生体内に半永久に埋め込まれる。しかし、S
mCo 5を用いていると、腐食などの問題があり、さら
に、精密加工も困難という問題がある。
[Problems to be Solved by the Invention] Vascular anastomosis using a magnet
For parts for use, see Japanese Unexamined Patent Publication No. 52-151282.
There is one shown. This vascular anastomosis component uses a magnetic material.
It is easy to perform anastomosis of blood vessels because it is formed
Wear. However, in Japanese Patent Laid-Open No. 52-151482,
SmCo as forming material Only 5 is disclosed. This species
The parts are embedded semi-permanently in the living body. But S
mCo When 5 is used, there are problems such as corrosion,
In addition, there is a problem that precision processing is difficult.

【0007】そこで、本発明では、生体内の中空器官の
接続を容易に行うことができ、かつ、腐食の可能性が少
なく長期的に使用できる中空器官接続器具を提供するも
のである。より、具体的には、体腔鏡下外科術における
生体中空器官の部分切除後に、切断された中空器官を容
易に接続でき、かつ、腐食の可能性が少なく長期的に使
用できる中空器官接続器具を提供するものである。ま
た、具体的には、冠状動脈バイパス形成術において、血
液体外循環を必要としないような短時間にてバイパス用
グラフトを接続することができ、かつ、腐食の可能性が
少なく長期的に使用できる中空器官接続器具を提供する
ものである。
Therefore, the present invention provides a hollow organ connecting device which can easily connect hollow organs in a living body and which can be used for a long period of time with less possibility of corrosion. More specifically, it is possible to provide a hollow organ connecting device which can easily connect the cut hollow organs after partial excision of the living hollow organs in the laparoscopic surgery and has a low possibility of corrosion and can be used for a long period of time. It is provided. Further, specifically, in coronary artery bypass grafting, the bypass graft can be connected in a short time so that extracorporeal blood circulation is not required, and there is little possibility of corrosion and long-term use is possible. A hollow organ connecting device is provided.

【0008】[0008]

【課題を解決するための手段】上記目的を達成するもの
は、Ptを33〜47原子%含み、残部がFeと不可避
的不純物よりなる耐腐食性良好なプラチナ磁石により形
成され、少なくとも2つの開口部を有し、かつ、治療対
象の中空器官に少なくとも一端部が固定可能である第1
の筒状部材と、該第1の筒状部材の開口部に磁石吸着力
により付着する少なくとも1つの開口部を有し、かつ、
治療対象の中空器官内もしくは治療対象の中空器官に接
続される管状体に少なくとも一端部が固定可能である第
2の筒状部材とからなる中空器官接続用器具である。
[Means for Solving the Problems] Achieving the above-mentioned object is to form at least two openings with a platinum magnet containing Pt in an amount of 33 to 47 atomic% and the balance being Fe and inevitable impurities and having good corrosion resistance. A first part having at least one end which can be fixed to the hollow organ to be treated
A tubular member, and at least one opening attached to the opening of the first tubular member by a magnetic attraction force, and
A hollow organ connecting device comprising a second tubular member, at least one end of which can be fixed to a tubular body connected to the hollow organ to be treated or to the hollow organ to be treated.

【0009】また、上記目的を達成するものは、Ptを
33〜47原子%とTi,Mo,Nb,Ta,W,C
r,Vの1種又は2種以上を0.1〜10原子%含み、
残部がFeと不可避的不純物よりなる耐腐食性良好なプ
ラチナ磁石により形成され、少なくとも2つの開口部を
有し、かつ、治療対象の中空器官に少なくとも一端部が
固定可能である第1の筒状部材と、該第1の筒状部材の
開口部に磁石吸着力により付着する少なくとも1つの開
口部を有し、かつ、治療対象の中空器官もしくは治療対
象の中空器官に接続される管状体に少なくとも一端部が
固定可能である第2の筒状部材とからなる中空器官接続
用器具である。
In order to achieve the above object, Pt is 33 to 47 atomic% and Ti, Mo, Nb, Ta, W, C is used.
containing 0.1 to 10 atom% of one or more of r and V,
A first tubular shape, the balance of which is formed of platinum magnet having good corrosion resistance, which is composed of Fe and unavoidable impurities, has at least two openings, and at least one end of which can be fixed to the hollow organ to be treated. A member, and at least a tubular body having at least one opening attached to the opening of the first tubular member by a magnetic attraction force and having a hollow organ to be treated or connected to the hollow organ to be treated. It is a hollow organ connecting device including a second tubular member whose one end can be fixed.

【0010】そして、前記第2の筒状部材は、前記第1
の筒状部材と同じプラチナ磁石により形成されているこ
とが好ましい。前記中空器官接続用器具は、例えば、体
腔鏡下外科手術用中空器官接続用器具である。前記中空
器官接続用器具は、例えば、冠状動脈バイパス形成用血
管接続用器具である。前記第1の筒状部材および前記第
2の筒状部材の付着されるそれぞれの開口部は、対のジ
ョイント構造となっていることが好ましい。
The second tubular member is the first tubular member.
It is preferable that it is formed of the same platinum magnet as that of the cylindrical member. The hollow organ connecting device is, for example, a hollow organ connecting device for body arthroscopic surgery. The hollow organ connecting device is, for example, a coronary artery bypass forming vascular connecting device. It is preferable that the openings to which the first tubular member and the second tubular member are attached have a paired joint structure.

【0011】[0011]

【作用】本発明の中空器官接続用器具は、プラチナ磁石
により形成された第1の筒状部材とこの第1の筒状部材
に磁石吸着力により付着する第2の筒状部材を備えてい
る。第1の筒状部材を、接続する生体中空器官の一方に
固定し、第2の筒状部材を、接続する生体中空器官の他
方に固定する。2つの筒状部材は、磁力により吸着固定
するため、接続が容易である。また、筒状部材はプラチ
ナ磁石により形成されているので、生体内に留置しても
腐食することがほとんど無く、長期的に中空器官を接続
できる。
The hollow organ connecting device of the present invention comprises a first tubular member formed of a platinum magnet and a second tubular member which is attached to the first tubular member by a magnetic attraction force. . The first tubular member is fixed to one of the connected living hollow organs, and the second tubular member is fixed to the other of the connected living hollow organs. Since the two tubular members are attracted and fixed by magnetic force, they can be easily connected. Further, since the tubular member is formed of a platinum magnet, it is hardly corroded even when left in the living body, and the hollow organ can be connected for a long period of time.

【0012】[0012]

【実施例】本発明の中空器官接続用器具を図面に示した
実施例を用いて説明する。図1は、本発明の中空器官接
続用器具を体腔鏡下外科手術用中空器官接続用器具に応
用した実施例の部分破断断面図である。本発明の中空器
官接続用器具1は、いわゆるプラチナ磁石により形成さ
れ、少なくとも2つの開口部2b,2cを有し、治療対
象の中空器官内に少なくとも一端部が挿入可能である第
1の筒状部材2と、第1の筒状部材2の開口部2aに磁
石吸着力により付着する少なくとも1つの開口部3bを
有し、治療対象の中空器官もしくは治療対象の中空器官
に接続される管状体(グラフト)に少なくとも一端部が
挿入もしくは固定可能である第2の筒状部材3とからな
る。
EXAMPLES The hollow organ connecting device of the present invention will be described with reference to the examples shown in the drawings. FIG. 1 is a partially cutaway sectional view of an embodiment in which the hollow organ connecting instrument of the present invention is applied to a hollow organ connecting instrument for body cavity endoscopic surgery. The hollow organ connecting device 1 of the present invention is formed of a so-called platinum magnet, has at least two openings 2b and 2c, and has at least one end that can be inserted into the hollow organ to be treated. A member 2 and at least one opening 3b attached to the opening 2a of the first tubular member 2 by a magnetic attraction force, and a hollow body to be treated or a tubular body connected to the hollow organ to be treated ( A second tubular member 3 at least one end of which can be inserted into or fixed to the graft).

【0013】以下、より具体的に説明する。この実施例
の中空器官接続用器具は、いわゆる体腔鏡下外科手術用
に用いられるものであり、例えば、腫瘍部位の切除のた
めに部分的に切除された腸管を接続するために使用され
る。中空器官接続用器具1は、第1の筒状部材2と第2
の筒状部材3により構成されている。第1の筒状部材
は、例えば、Ptを33〜47原子%含み、残部がFe
と不可避的不純物よりなる耐腐食性良好なプラチナ磁石
により形成されている。Ptが33原子%未満では磁石
性能値である最大エネルギー積が4MGOe以下となり
磁力的に不十分となり、またPtが47原子%を超える
と、残留磁束密度が6kG以下に低下し、磁力的に不十
分となる。より好ましくは、第1の筒状部材は、Ptを
33〜47原子%とTi,Mo,Nb,Ta,W,C
r,Vの1種又は2種以上を0.1〜10原子%含み、
残部がFeと不可避的不純物よりなる耐腐食性良好なプ
ラチナ磁石により形成する。
A more specific description will be given below. The hollow organ connecting instrument according to this embodiment is used for so-called body arthroscopic surgery, and is used, for example, to connect a partially excised intestinal tract to excise a tumor site. The hollow organ connecting device 1 includes a first tubular member 2 and a second tubular member 2.
The tubular member 3 of FIG. The first tubular member contains, for example, 33 to 47 atom% of Pt and the balance is Fe.
It is made of platinum magnet with good corrosion resistance consisting of inevitable impurities. When Pt is less than 33 atomic%, the maximum energy product, which is a magnet performance value, becomes 4 MGOe or less and becomes magnetically insufficient, and when Pt exceeds 47 atomic%, the residual magnetic flux density decreases to 6 kG or less and magnetically becomes insufficient. Will be enough. More preferably, the first tubular member contains 33 to 47 atomic% of Pt and Ti, Mo, Nb, Ta, W, C.
containing 0.1 to 10 atom% of one or more of r and V,
The balance is made of platinum magnet having good corrosion resistance, which is composed of Fe and unavoidable impurities.

【0014】上記の鉄以外の元素を含むことにより、製
造が短時間にて行うことができ、また、精密加工性およ
び磁石性能の安定性も高くなる。なお、上記元素の添加
量が0.1原子%未満または10原子%を超えた場合、
上記効果が得られない。第1の筒状部材は、上述のプラ
チナ磁石により形成されているため、Sm−Co系希土
類磁石とほぼ同等の磁石性能を有するとともに、腐食す
ることがほとんどなく、生体内に埋め込んで長期的に使
用することが可能である。
By containing the element other than iron, the production can be performed in a short time, and the precision workability and the stability of the magnet performance are improved. When the addition amount of the above element is less than 0.1 atom% or exceeds 10 atom%,
The above effect cannot be obtained. Since the first tubular member is formed of the above-mentioned platinum magnet, it has almost the same magnetic performance as the Sm-Co rare earth magnet, and it hardly corrodes and is embedded in the living body for a long term. It is possible to use.

【0015】第1の筒状部材2の磁力性能は、特に限定
されるものではなく、生体内に埋入した際に、第2の筒
状部材と自然に外れる恐れがなく、また手術者がある程
度の力を入れた際に、両者を外すことが可能であればよ
い。具体的には残留磁束密度(Br)が10〜11k
G、保磁力(Hc)が4.5〜5.5kOe、最大エネ
ルギー積((BH)max)が20〜25MGOeの範
囲内にあるものが好ましい。
The magnetic performance of the first tubular member 2 is not particularly limited, and there is no risk of spontaneous detachment from the second tubular member when it is implanted in the living body, and the surgeon does not have to worry about it. It is sufficient if both can be removed when a certain amount of force is applied. Specifically, the residual magnetic flux density (Br) is 10 to 11k.
G, coercive force (Hc) of 4.5 to 5.5 kOe, and maximum energy product ((BH) max) of 20 to 25 MGOe are preferable.

【0016】第2の筒状部材は、生体内に埋入した際
に、第1の筒状部材と自然に外れる恐れがなく、また手
術者がある程度の力を入れた際に、両者を外すことが可
能な程度の強さで付着(吸着固定)されるものであれ
ば、どのような材料でもよい。例えば、磁性材料、ま
た、磁性を持たないものでもよく、鉄、ステンレス鋼、
またそれらに貴金属メッキ(例えば、プラチナ、金)を
したものなどが使用できる。より好ましくは、第1の筒
状部材と同一もしくは同種のプラチナ磁石を用いること
が好ましい。特に、同一のものが好適である。第2の筒
状部材の形成材料が、イオン化傾向が第1の筒状部材形
成材料より卑であると、局部電池作用で第2の筒状部材
が腐食することがあるが、同一材料であればそのような
問題がない。
The second tubular member is not likely to come off from the first tubular member by itself when it is embedded in the living body, and is removed when the surgeon applies a certain amount of force. Any material may be used as long as it is attached (adsorbed and fixed) with a strength that allows it. For example, magnetic materials or non-magnetic materials such as iron, stainless steel,
Further, those plated with a noble metal (for example, platinum or gold) can be used. More preferably, it is preferable to use the same or the same kind of platinum magnet as the first tubular member. Particularly, the same one is preferable. If the material forming the second tubular member has a lower ionization tendency than the material forming the first tubular member, the second tubular member may corrode due to the local battery action. If there is no such problem.

【0017】第1の筒状部材2および第2の筒状部材の
形状について説明する。第1の筒状部材2は、図1に示
すように、全体の内径がほぼ同一であり、外径も接続部
2aを除いて、ほぼ同一となっている筒状体である。接
続部2aは、後述する第2の筒状体の内径が拡径した接
続部3a内に挿入可能な外径を有しており、他の部分に
比べて肉薄かつ外径が小径となっている。また、第1の
筒状部材2の両端2b,2cは、開口しており、内部に
貫通した通路を形成している。筒状部材2の外面には、
結紮用の環状溝2dが形成されている。筒状部材2の端
部を腸管内に位置させた後、この環状溝2d部分にて、
腸管と筒状部材とを結紮糸により縛ることにより、両者
は液密に固定される。
The shapes of the first tubular member 2 and the second tubular member will be described. As shown in FIG. 1, the first tubular member 2 is a tubular body having an overall inner diameter that is substantially the same and an outer diameter that is substantially the same except for the connecting portion 2a. The connecting portion 2a has an outer diameter that can be inserted into the connecting portion 3a in which the inner diameter of the second tubular body, which will be described later, is expanded, and is thinner and smaller in outer diameter than other portions. There is. Further, both ends 2b and 2c of the first tubular member 2 are open and form a passage that penetrates inside. On the outer surface of the tubular member 2,
An annular groove 2d for ligation is formed. After positioning the end of the tubular member 2 in the intestinal tract, at the annular groove 2d portion,
By binding the intestinal tract and the tubular member with a ligature, both are fixed in a liquid-tight manner.

【0018】第1の筒状部材2の外径は、治療対象の部
位により相違するが、治療対象部位の中空器官内に挿入
が可能な外径となっている。具体的には、腸管の場合、
10〜30mm程度が好適である。内部流路確保の点よ
り内径は大きいことが好ましいが、あまり肉厚が薄くな
ると筒状部材の強度が低下するため、内径は、外径より
0.1〜2mm程度小さいことが好ましい。環状溝の幅
は、0.05〜2mmが好適である。環状溝は1本では
なく複数設けてもよい。筒状部材2の全体の長さは、5
〜50mm程度が好適である。また、接続部2aの長さ
は、2〜30mm程度が好適である。
The outer diameter of the first tubular member 2 varies depending on the site to be treated, but is an outer diameter that can be inserted into the hollow organ of the site to be treated. Specifically, in the case of the intestinal tract,
About 10 to 30 mm is suitable. It is preferable that the inner diameter is larger from the viewpoint of securing the internal flow path, but if the wall thickness is too thin, the strength of the tubular member will decrease, so the inner diameter is preferably smaller than the outer diameter by about 0.1 to 2 mm. The width of the annular groove is preferably 0.05 to 2 mm. A plurality of annular grooves may be provided instead of one. The overall length of the tubular member 2 is 5
Approximately 50 mm is suitable. Further, the length of the connecting portion 2a is preferably about 2 to 30 mm.

【0019】第2の筒状部材3は、図1に示すように、
全体の内径がほぼ同一であり、外径も接続部3aを除い
て、ほぼ同一となっている筒状体である。接続部3a
は、第1の筒状部材の接続部2aを挿入可能な内径を有
しており、他の部分に比べて肉薄かつ内径が小径となっ
ている。第2の筒状部材3の両端3b,3cは、開口し
ており、内部に貫通した通路を形成している。筒状部材
3の外面には、結紮用の環状溝3dが形成されている。
管状部材3の端部を腸管内に位置させた後に、この環状
溝3d部分にて、腸管と筒状部材とを結紮糸により縛る
ことにより、両者はほぼ液密に固定される。
The second tubular member 3 is, as shown in FIG.
The overall inner diameter is substantially the same, and the outer diameter is substantially the same except for the connecting portion 3a, which is a tubular body. Connection part 3a
Has an inner diameter into which the connecting portion 2a of the first tubular member can be inserted, and is thinner and smaller in inner diameter than other portions. Both ends 3b and 3c of the second tubular member 3 are open and form a passage that penetrates inside. An annular groove 3d for ligation is formed on the outer surface of the tubular member 3.
After the end of the tubular member 3 is positioned in the intestinal tract, the intestinal tract and the tubular member are tied with a ligature at the annular groove 3d so that the both are almost liquid-tightly fixed.

【0020】第2の筒状部材3の外径は、治療対象の部
位により相違するが、治療対象部位の中空器官内に挿入
が可能な外径となっている。具体的には、腸管の場合、
10〜30mm程度が好適である。内部流路確保の点よ
り内径は大きいことが好ましいが、あまり肉厚が薄くな
ると筒状部材の強度が低下するため、内径は、外径より
0.1〜2mm程度小さいことが好ましい。環状溝の幅
は、0.05〜2mmが好適である。さらに、環状溝は
1本ではなく複数設けてもよい。筒状部材3の全体の長
さは、5〜50mm程度が好適である。また、接続部3
aの長さは、2〜30mm程度が好適である。
The outer diameter of the second tubular member 3 varies depending on the site to be treated, but is such that it can be inserted into the hollow organ of the site to be treated. Specifically, in the case of the intestinal tract,
About 10 to 30 mm is suitable. It is preferable that the inner diameter is larger from the viewpoint of securing the internal flow passage, but if the wall thickness is too thin, the strength of the tubular member decreases, so the inner diameter is preferably smaller than the outer diameter by about 0.1 to 2 mm. The width of the annular groove is preferably 0.05 to 2 mm. Further, a plurality of annular grooves may be provided instead of one. The overall length of the tubular member 3 is preferably about 5 to 50 mm. Also, the connecting portion 3
The length of a is preferably about 2 to 30 mm.

【0021】そして、このような形状の筒状部材2、3
は、上述の材料を用いて、以下のようにして製造され
る。まず、上述した、主成分をプラチナとする材料を真
空高周波溶解後、遠心鋳造し、第1の筒状部材および第
2の筒状部材の基本形状にほぼ合致した空洞部を有する
形状に仕上げる。そして、プラチナ形成物の表面に形成
されているバリの除去および表面研磨を行い、さらに、
ワイヤーソ、放電加工などの方法により、所定位置に環
状溝および接続部を形成する。続いて、プラチナ形成物
を真空中または非酸化性の雰囲気中で、900〜140
0℃の温度で1分〜100時間熱処理し溶体化処理を行
う。その後直ちに、プラチナ成形物を水冷もしくは油冷
し、再び真空中または非酸化性の雰囲気中で、450〜
800℃の温度で1分〜500時間熱処理を行った後、
炉冷する。その後、プラチナ成形物を2ステラ以上の直
流磁場中で着磁することにより、本発明の接続用器具に
使用される着磁した筒状部材が作成される。
The tubular members 2, 3 having such a shape
Is manufactured using the above materials as follows. First, the above-mentioned material containing platinum as a main component is vacuum-high frequency melted, and then centrifugally cast to finish into a shape having a cavity substantially matching the basic shapes of the first tubular member and the second tubular member. Then, the burrs formed on the surface of the platinum forming material are removed and the surface is polished, and further,
The annular groove and the connecting portion are formed at predetermined positions by a method such as wire sawing or electric discharge machining. Subsequently, the platinum formation is subjected to 900-140 in a vacuum or non-oxidizing atmosphere.
Solution treatment is performed by heat treatment at a temperature of 0 ° C. for 1 minute to 100 hours. Immediately after that, the platinum molded product is water-cooled or oil-cooled, and again in vacuum or in a non-oxidizing atmosphere, the temperature of 450-
After heat treatment at a temperature of 800 ° C. for 1 minute to 500 hours,
Cool the furnace. After that, the platinum molded product is magnetized in a direct current magnetic field of 2 stella or more, whereby a magnetized cylindrical member used in the connecting device of the present invention is produced.

【0022】次に、図2に示す実施例の中空器官接続用
器具10について説明する。この中空器官接続用器具1
0は、基本構成においては、上述した接続用器具1と同
じである。第1の筒状部材12は、図2に示すように、
全体の内径がほぼ同一であり、外径は接続部12a方向
に向かって拡径している。言い換えれば、開口端12b
方向に向かって縮径している。また、第1の筒状部材1
2の両端12b,12cは、開口しており、内部に貫通
した通路を形成している。筒状部材12の外面には、結
紮用の環状溝12d、12eが形成されている。筒状部
材12の端部を腸管内に位置させた後、この環状溝12
d,12e部分にて、腸管の外側より縛ることにより、
両者はほぼ液密に固定される。筒状部材12の外径、内
径、および長さになどについては、上述した実施例と同
様である。外面のテーパー度は5〜50%程度が好適で
ある。
Next, the hollow organ connecting device 10 of the embodiment shown in FIG. 2 will be described. This hollow organ connecting device 1
0 has the same basic configuration as that of the connecting device 1 described above. The first tubular member 12 is, as shown in FIG.
The inner diameter of the whole is almost the same, and the outer diameter is expanded toward the connecting portion 12a. In other words, the open end 12b
The diameter is decreasing in the direction. In addition, the first tubular member 1
Both ends 12b, 12c of 2 are open and form a passage that penetrates inside. On the outer surface of the cylindrical member 12, annular grooves 12d and 12e for ligation are formed. After positioning the end of the tubular member 12 in the intestinal tract, the annular groove 12
By binding from the outside of the intestinal tract at d and 12e,
Both are fixed almost liquid-tightly. The outer diameter, the inner diameter, and the length of the tubular member 12 are the same as those in the above-described embodiments. The taper degree of the outer surface is preferably about 5 to 50%.

【0023】第2の筒状部材13は、図2に示すよう
に、全体の内径がほぼ同一であり、外径は接続部13a
方向に向かって拡径している。言い換えれば、開口端1
3c方向に向かって縮径している。第2の筒状部材13
の両端13b,13cは、開口しており、内部に貫通し
た通路を形成している。筒状部材13の外面には、結紮
用の環状溝13d,13eが形成されている。筒状部材
13の端部を腸管内に位置させた後、この環状溝13
d,13e部分にて、腸管を外側より縛ることにより、
両者はほぼ液密に固定される。なお、筒状部材13の外
径、内径、および長さになどについては、上述した実施
例と同様である。外面のテーパー度は5〜50%程度が
好適である。
As shown in FIG. 2, the second tubular member 13 has a substantially same inner diameter as a whole and an outer diameter of the connecting portion 13a.
The diameter increases in the direction. In other words, open end 1
The diameter is reduced in the 3c direction. Second tubular member 13
Both ends 13b and 13c are open and form a passage that penetrates inside. On the outer surface of the tubular member 13, annular grooves 13d and 13e for ligation are formed. After positioning the end of the tubular member 13 in the intestinal tract, the annular groove 13
By binding the intestinal tract from the outside at the d and 13e parts,
Both are fixed almost liquid-tightly. The outer diameter, the inner diameter, and the length of the tubular member 13 are the same as those in the above-described embodiments. The taper degree of the outer surface is preferably about 5 to 50%.

【0024】接続部12a、13aの形状、言い換えれ
ば、第1の筒状部材および第2の筒状部材の接続構造
(ジョイント構造)は、図1および図2に示したものに
限られず、両者を接続できればどのようなものでもよ
い。例えば、第1の筒状部材および第2の筒状部材の接
続される端部にそれぞれ、係合するような、凹凸(例え
ば、歯車状の凹凸)を設けてもよい。また、本発明の中
空器官接続用器具では、第1の筒状部材および第2の筒
状部材の接続部が磁力吸着するものであればよく、その
他の部分は、磁性材料である必要はない。つまり、接続
部のみを上述したプラチナ磁石により形成し、これらを
軟質樹脂製チューブの端部に取り付けた構造のものでも
よい。
The shapes of the connecting portions 12a and 13a, in other words, the connecting structure (joint structure) of the first tubular member and the second tubular member is not limited to those shown in FIGS. Anything can be used as long as it can be connected. For example, concavities and convexities (for example, gear-shaped concavities and convexities) that engage with each other may be provided at the connected ends of the first tubular member and the second tubular member. Further, in the hollow organ connecting device of the present invention, the connecting portion of the first tubular member and the second tubular member may be magnetically attracted, and the other portions need not be magnetic materials. . That is, the structure may be such that only the connecting portion is formed of the platinum magnet described above and these are attached to the end portion of the soft resin tube.

【0025】次に、図3に示す実施例の中空器官接続用
器具について説明する。この実施例の中空器官接続用器
具は、冠状動脈バイパス形成術用中空器官接続用器具で
ある。この接続用器具30は、一つの分岐部35を持つ
第1の筒状部材31(T字状筒状部材、冠状動脈挿入用
部材)と、分岐部35に形成された接続部31aと接続
される接続部32bを備えた第2の筒状部材32により
構成されている。筒状部材31は、図3に示すように、
本体部34はほぼ同一外径および同一内径を有する筒状
体であり、両端に開口31b,31cを有している。
Next, the hollow organ connecting device of the embodiment shown in FIG. 3 will be described. The hollow organ connecting device of this embodiment is a hollow organ connecting device for coronary artery bypass graft surgery. The connecting device 30 is connected to a first tubular member 31 (T-shaped tubular member, a member for inserting a coronary artery) having one branch portion 35, and a connecting portion 31 a formed in the branch portion 35. The second tubular member 32 is provided with the connecting portion 32b. The tubular member 31, as shown in FIG.
The main body 34 is a tubular body having substantially the same outer diameter and the same inner diameter, and has openings 31b and 31c at both ends.

【0026】分岐部35は、先端部に形成された接続部
31aと、この接続部の端部にて開口する開口31fを
備えている。接続部31aは、他の部分に比べて外径が
小さくなっており、後述する第2の筒状部材(グラフト
接続用部材)の接続部32a内に挿入および固定(液密
固定)可能となっている。3つの開口31b,31c、
31fはそれぞれ筒状部材31の内部にて連通してい
る。筒状部材31の本体部の端部付近には、結紮用の環
状溝31d,31eが形成されている。
The branch portion 35 has a connecting portion 31a formed at the tip and an opening 31f opened at the end of this connecting portion. The connecting portion 31a has an outer diameter smaller than that of the other portions, and can be inserted and fixed (liquid-tight fixing) in the connecting portion 32a of the second tubular member (graft connecting member) described later. ing. Three openings 31b, 31c,
31 f communicates with each other inside the tubular member 31. Annular grooves 31d and 31e for ligation are formed near the end of the main body of the tubular member 31.

【0027】本体部34の外径としては、2〜30mm
が好ましく、より好ましくは、2〜6mmである。本体
部の内径としては、外径より0.1〜2mm程度小さい
ことが好ましい。分岐部35の外径としては、2〜8m
mが好ましく、より好ましくは、2〜4mmである。分
岐部の内径としては、外径より0.1〜2mm程度小さ
いことが好ましい。本体部に対する分岐部の形成角度
は、10〜60°程度が好適である。分岐部35の位置
は、図3に示すように、本体部34のほぼ中央部である
ことが好ましいが、一方の端部に近いものであってもよ
い。
The outer diameter of the main body 34 is 2 to 30 mm.
Is preferable, and more preferably 2 to 6 mm. The inner diameter of the main body is preferably smaller than the outer diameter by about 0.1 to 2 mm. The outer diameter of the branch portion 35 is 2 to 8 m.
m is preferable, and more preferably 2 to 4 mm. The inner diameter of the branch portion is preferably smaller than the outer diameter by about 0.1 to 2 mm. The angle of formation of the branch with respect to the main body is preferably about 10 to 60 °. As shown in FIG. 3, it is preferable that the position of the branch portion 35 is substantially the central portion of the main body portion 34, but it may be near one end portion.

【0028】第2の筒状部材32(グラフト接続用部
材)は、外径はほぼ同一であり、上述した接続部32a
を除き、ほぼ同一の内径を有する筒状体である。接続部
32aは、第1の筒状部材31の接続部31aを収納可
能な形状となっている。筒状部材32のほぼ中央部に
は、治療対象の中空器官に一端が接続された管状体(グ
ラフト)との結紮用の環状溝32dが形成されており、
筒状部材32の開口端32cよりこの環状溝32dを若
干越える部分までは、グラフト内に挿入可能な外径とな
っている。
The second tubular member 32 (graft connecting member) has substantially the same outer diameter, and has the above-mentioned connecting portion 32a.
Except for, it is a cylindrical body having almost the same inner diameter. The connecting portion 32a has a shape capable of accommodating the connecting portion 31a of the first tubular member 31. An annular groove 32d for ligation with a tubular body (graft), one end of which is connected to the hollow organ to be treated, is formed in approximately the center of the tubular member 32,
From the open end 32c of the tubular member 32 to a portion slightly beyond the annular groove 32d, the outer diameter is such that it can be inserted into the graft.

【0029】グラフト(管状体)は、人工血管もしくは
あらかじめ準備した自家大腿静脈が用いられる。グラフ
トの一端には上述のように筒状部材が取り付けられる。
グラフトの他端は、狭窄部位より下流側の冠状動脈に接
続される。筒状部材32の具体的な外径としては、2〜
8mmが好ましく、より好ましくは、2〜6mmであ
る。分岐部の内径としては、外径より0.1〜2mm程
度小さいことが好ましい。本体部に対する分岐部の形成
角度は、10〜60°程度が好適である。
As the graft (tubular body), an artificial blood vessel or an autologous femoral vein prepared in advance is used. The tubular member is attached to one end of the graft as described above.
The other end of the graft is connected to the coronary artery downstream of the stenosis site. The specific outer diameter of the tubular member 32 is 2 to
It is preferably 8 mm, more preferably 2 to 6 mm. The inner diameter of the branch portion is preferably smaller than the outer diameter by about 0.1 to 2 mm. The angle of formation of the branch with respect to the main body is preferably about 10 to 60 °.

【0030】次に、本発明の中空器官接続用器具の使用
方法について説明する。図1に示した中空器官接続用器
具1の使用方法は以下の通りである。まず、第1の筒状
部材2および第2の筒状部材3の内径より膨張時の外径
が大きいバルーンを先端部に備えたカテーテルを準備す
る。そして、カテーテルの先端部を筒状部材2内に挿通
し、バルーンを膨張させてカテーテルに筒状部材2を固
定する。次に第1の筒状部材を取り付けたカテーテルを
患者の肛門より挿入し、腸管の切除部位より若干胃側の
位置に第1の筒状部材を到達させる。留置位置をX線造
影、もしくはバルーンカテーテルのルーメン内に内視鏡
を挿通確認後、バルーンカテーテルを収縮させ抜去す
る。
Next, a method of using the hollow organ connecting device of the present invention will be described. The method of using the hollow organ connecting device 1 shown in FIG. 1 is as follows. First, a catheter having a balloon whose distal end has a larger outer diameter when expanded than the inner diameters of the first tubular member 2 and the second tubular member 3 is prepared. Then, the distal end portion of the catheter is inserted into the tubular member 2, and the balloon is inflated to fix the tubular member 2 to the catheter. Next, the catheter to which the first tubular member is attached is inserted from the anus of the patient, and the first tubular member is made to reach a position slightly on the stomach side from the excision site of the intestinal tract. After the indwelling position is X-ray contrasted or the endoscope is confirmed to be inserted into the lumen of the balloon catheter, the balloon catheter is deflated and removed.

【0031】また、同様にして第2の筒状部材を取り付
けたカテーテルを患者の肛門より挿入し、腸管の切除部
位より若干肛門側の位置に第2の筒状部材が到達するま
で挿入する。この状態をX線造影等により確認する。第
1および第2の筒状部材は、プラチナ磁石により形成さ
れているため、X線造影による確認が容易である。筒状
部材の留置部位は、バルーンカテーテルのルーメン内に
内視鏡を挿通して直接確認してもよい。気腹装置の気腹
針を腹壁より挿入し、腹腔内に炭酸ガスを充満させ、腹
腔内部を膨張させる。腹壁に小切開を設け、内径5mm
または10mmの筒状のトラッカー・カニューレを4本
または5本、腹腔内に挿入する。腹腔鏡および体腔鏡下
外科手術器具を、トラッカー・カニューレ内に挿通し
て、腹腔鏡の小型カメラ部分および体腔鏡下外科手術器
具の先端部分が腹腔内に位置するようにする。腹腔鏡お
よび内視鏡からの映像はモニターに映し出される。
Similarly, a catheter to which the second tubular member is attached is inserted from the patient's anus until the second tubular member reaches a position slightly on the anus side of the excision site of the intestinal tract. This state is confirmed by X-ray contrast or the like. Since the first and second tubular members are formed of platinum magnets, they can be easily confirmed by X-ray imaging. The indwelling site of the tubular member may be directly confirmed by inserting an endoscope into the lumen of the balloon catheter. The pneumoperitoneum of the pneumoperitoneum device is inserted through the abdominal wall, and the abdominal cavity is filled with carbon dioxide gas to inflate the abdominal cavity. A small incision is made in the abdominal wall, and the inner diameter is 5 mm
Alternatively, insert four or five 10 mm tubular tracker cannulas into the abdominal cavity. A laparoscopic and laparoscopic surgical instrument is inserted through the tracker cannula so that the miniature camera portion of the laparoscope and the tip of the laparoscopic surgical instrument are located within the abdominal cavity. Images from the laparoscope and endoscope are displayed on the monitor.

【0032】モニターの観察下、体腔鏡下外科手術器具
を用いて、腫瘍が形成されている部位の腸管を切除す
る。外科手術器具は、複数腹腔内に挿入されており、そ
れらの先端には異なった手術用具が取り付けられてい
る。切除は以下のようにして行われる。鉗子状先端部を
有するものを2本用いて切除部位の前後をクランプす
る。結紮器具を先端に有する手術器具を用いて、腸管の
外側より結紮し筒状部材を腸管に固定する。
Under the observation of the monitor, the intestinal tract at the site where the tumor is formed is excised using a surgical instrument under the endoscope. A plurality of surgical instruments are inserted into the abdominal cavity, and different surgical instruments are attached to their tips. Excision is performed as follows. Two pieces having forceps-like tips are used to clamp the front and back of the resection site. Using a surgical instrument having a ligation instrument at its tip, the tubular member is fixed to the intestine by ligating it from the outside of the intestine.

【0033】そして、電気メスを先端に有する手術器具
を用いて、腸管をそれぞれの筒状部材の外側かつ結紮部
位より切除部位側の位置にて切断する。腸管切除物の除
去が必要な場合には、切除物をいくつかに分断し、内部
に形成されたガン細胞などにレーザーを照射して死滅さ
せた後、カテーテルのルーメン内に挿入されていた内視
鏡を抜去し、分断した切除片を手術器具の鉗子を用い
て、カテーテル内に押し込むとともに、カテーテルの後
端より吸引し、カテーテルを通して外部に、取り出す。
そして、第1および第2の筒状部材の接続部を近づけ、
両者の磁力吸引力により吸着させて固定する。そして、
バルーンを収縮させた後、カテーテルを体内より抜去
し、さらに、体腔鏡下外科手術器具およびトラッカー・
カニューラを抜去し、その穿刺部位を縫合することによ
り手技を終了する。
Then, using a surgical instrument having an electric knife at the tip, the intestinal tract is cut outside each tubular member and at a position closer to the resection site than the ligation site. When it is necessary to remove the intestinal resection material, the resection material is divided into several pieces, and the cancer cells that have formed inside are cut off by irradiating them with a laser, and then inserted into the lumen of the catheter. The endoscope is removed, and the cut off piece is pushed into the catheter using the forceps of the surgical instrument, sucked from the rear end of the catheter, and taken out through the catheter.
Then, the connecting portions of the first and second tubular members are brought close to each other,
Both are attracted and fixed by the magnetic attraction. And
After the balloon is deflated, the catheter is removed from the body, and the endoscopic surgical instrument and tracker
The procedure is completed by removing the cannula and suturing the puncture site.

【0034】次に、図2に示した中空器官接続用器具1
0の使用方法を説明する。まず、肛門より内視鏡を挿入
し、腸管の切除部位を確認する。気腹装置の気腹針を腹
壁より挿入し、腹腔内に炭酸ガスを充満させ、腹腔内部
を膨張させる。つぎに、腹壁に小切開を設け、内径5m
mまたは10mmの筒状のトラッカー・カニューレを4
本または5本、腹腔内に挿入する。さらに、腹腔鏡およ
び体腔鏡下外科手術器具を、トラッカー・カニューレ内
に挿通して、腹腔鏡の小型カメラ部分および体腔鏡下外
科手術器具の先端部分が腹腔内に位置するようにする。
腹腔鏡および内視鏡ならの映像はモニターに映し出され
る。
Next, the hollow organ connecting device 1 shown in FIG.
A method of using 0 will be described. First, insert an endoscope through the anus and check the excised site of the intestinal tract. The pneumoperitoneum of the pneumoperitoneum device is inserted through the abdominal wall, and the abdominal cavity is filled with carbon dioxide gas to inflate the abdominal cavity. Next, make a small incision in the abdominal wall, and have an inner diameter of 5 m.
4 m or 10 mm tubular tracker cannula
Insert 5 or 5 into the abdominal cavity. In addition, the laparoscopic and laparoscopic surgical instruments are inserted through the tracker cannula so that the miniature camera portion of the laparoscope and the distal portion of the laparoscopic surgical instruments are located within the abdominal cavity.
Images of a laparoscope and an endoscope are displayed on a monitor.

【0035】モニターの観察下、体腔鏡下外科手術器具
を用いて、腫瘍が形成されている部位の腸管の切除およ
び切除部位の接合を行う。具体的には、図2に示す筒状
部材が挿入可能な切開部を腹部に形成し、この切開部に
筒状部材挿入用カテーテルを挿入し、このカテーテル内
を通して第1および第2の筒状部材を腹腔内に挿入す
る。そして、鉗子により筒状部材を保持し、電気メスを
先端に有する手術器具を用いて、腸管をそれぞれの筒状
部材の外側より切断する。
Under the observation of the monitor, the intestinal tract at the site where the tumor is formed is excised and the excision site is joined using a surgical instrument under the endoscope. Specifically, an incision portion into which the tubular member shown in FIG. 2 can be inserted is formed in the abdomen, a tubular member insertion catheter is inserted into the incision portion, and the first and second tubular members are passed through the catheter. Insert the member into the abdominal cavity. Then, the tubular member is held by the forceps, and the intestinal tract is cut from the outside of each tubular member using a surgical instrument having an electric knife at the tip.

【0036】切断された腸管の2つの端部に第1および
第2の筒状部材をその小径部側より挿入し、結紮器具を
先端に有する手術器具を用いて、腸管の外側より結紮し
筒状部材を腸管に固定する。そして、第1および第2の
筒状部材の接続部を近づけ、両者の磁力吸引力により吸
着させて固定する。また、腸管切除物は、筒状部材挿入
用カテーテルを通して体外に取り出す。そして、体腔鏡
下外科手術器具、トラッカー・カニューラおよびカテー
テルを抜去し、その穿刺部位を縫合することにより手技
を終了する。
The first and second tubular members are inserted into the two ends of the cut intestinal tract from the small diameter side thereof, and a surgical instrument having a ligation instrument at the tip is used to ligate from the outside of the intestinal tract. The member is fixed to the intestinal tract. Then, the connecting portions of the first and second tubular members are brought close to each other, and are attracted and fixed by the magnetic attraction force of both. In addition, the intestinal resection material is taken out of the body through the catheter for inserting the tubular member. Then, the surgical instrument under the thoracoscope, the tracker cannula, and the catheter are removed, and the puncture site is sutured to complete the procedure.

【0037】次に、図3に示した中空器官接続用器具3
0の使用方法について説明する。第2の筒状部材32が
端部に取り付けられた人工血管(グラフト)を準備す
る。そして、患者の冠状動脈の狭窄部より上流側(主幹
冠状動脈あるいは上行大動脈)を切開し、切開部の両端
を糸で縛り止血し、T字状の筒状部材31を切開部には
め込み、結紮糸により結紮固定する。狭窄部より下流側
の冠状動脈を切開し、第2の筒状部材32が取り付けら
れた人工血管の端部(筒状部材が取り付けられていない
部位)を挿入し縫合する。
Next, the hollow organ connecting device 3 shown in FIG.
A method of using 0 will be described. An artificial blood vessel (graft) having the second tubular member 32 attached to its end is prepared. Then, an upstream side (main trunk coronary artery or ascending aorta) of the stenosis of the coronary artery of the patient is incised, both ends of the incision are tied with a thread to stop bleeding, and a T-shaped tubular member 31 is fitted into the incision and ligated. Secure with a thread. The coronary artery on the downstream side of the stenosis is incised, and the end of the artificial blood vessel to which the second tubular member 32 is attached (the portion where the tubular member is not attached) is inserted and sutured.

【0038】続いて、第2の筒状部材を第1の筒状部材
の分岐接続部に両者の磁石吸着力を用いて固定する。両
者の接続に複雑な縫合をする必要がなく、手技を短時間
で行うことができる。また、血液とグラフト内に残った
空気が接触して凝固し血栓が発生するのを抑えるために
グラフト内の空気を取り除く必要があるが、この接続用
器具では、両者を接続部にて容易に取り外すことができ
るので、空気除去が容易である。
Subsequently, the second tubular member is fixed to the branch connecting portion of the first tubular member by using the magnet attraction force of the two. The procedure can be performed in a short time without the need for complicated stitching to connect the two. In addition, it is necessary to remove the air in the graft in order to prevent blood and the air remaining in the graft from contacting and coagulating to form a thrombus. Since it can be removed, air removal is easy.

【0039】この実施例の中空器官接続用器具によれ
ば、グラフトをあらかじめ第2の筒状部材に固定してお
くことができ、また、主幹冠状動脈の分岐部の形成は、
第1の筒状部材を主幹冠状動脈の切開部に挿入し、筒状
部材の両端を結紮固定することにより行うことができ
る。このため、実際に縫合が必要なのは、グラフトと下
流側の冠状動脈のみとなり、短い手技時間にてバイパス
形成が行える。
According to the hollow organ connecting device of this embodiment, the graft can be fixed to the second tubular member in advance, and the branch portion of the main coronary artery can be formed.
This can be performed by inserting the first tubular member into the incision portion of the main coronary artery and ligating and fixing both ends of the tubular member. Therefore, it is only the graft and the coronary artery on the downstream side that need to be sutured, and bypass formation can be performed in a short procedure time.

【0040】(実験)上述したプラチナ磁石を用いて、
内径5mmの管状体を作成した。麻酔下で実験犬の頸動
脈を露出し、メスにて切開創を作製した。管状体を挿入
し、外科用縫合糸にて両端を結紮固定した。この間、血
流を遮断した時間は約1分であった。閉創した後実験犬
を飼育し、1週間後血管造影を行いその開存性について
観察した。天然血管と管状体両端部に段差が観察された
が、管状体内は良好に開存しており、狭窄も一切認めら
れなかった。犬において内径5mmの開存が示されたこ
とより血液適合性は良好である。
(Experiment) Using the platinum magnet described above,
A tubular body having an inner diameter of 5 mm was prepared. Under anesthesia, the carotid artery of the experimental dog was exposed, and an incision was made with a scalpel. The tubular body was inserted, and both ends were ligated and fixed with a surgical suture. During this time, the time during which the blood flow was blocked was about 1 minute. After the wound was closed, an experimental dog was bred, and after 1 week, angiography was performed to observe its patency. Although a step was observed between the natural blood vessel and both ends of the tubular body, the tubular body was well patented and no stenosis was observed. Hemocompatibility is good as shown by the patency of the inner diameter of 5 mm in dogs.

【0041】[0041]

【発明の効果】本発明の中空器官接続用器具は、上述の
プラチナ磁石により形成され、少なくとも2つの開口部
を有し、かつ、治療対象の中空器官に少なくとも一端部
が固定可能である第1の筒状部材と、該第1の筒状部材
の開口部に磁石吸着力により付着する少なくとも1つの
開口部を有し、かつ、治療対象の中空器官もしくは治療
対象の中空器官に接続される管状体に少なくとも一端部
が固定可能である第2の筒状部材とからなる。第1の筒
状部材を接続する中空器官の一方に固定し、第2の筒状
部材を接続する中空器官の他方に固定し、2つの筒状部
材は、磁力により吸着固定するため、接続が容易であ
る。また、筒状部材はプラチナ磁石により形成されてい
るので、生体内に留置しても腐食する危険性がほとんど
無く、長期的に中空器官を接続できる。
The hollow organ connecting device of the present invention is formed of the above-mentioned platinum magnet, has at least two openings, and has at least one end fixable to the hollow organ to be treated. A tubular member, and a tubular member having at least one opening attached to the opening of the first tubular member by a magnetic attraction force, and being connected to a hollow organ to be treated or a hollow organ to be treated. It comprises a second tubular member, at least one end of which can be fixed to the body. The first tubular member is fixed to one of the connected hollow organs, the second tubular member is fixed to the other of the connected hollow organs, and the two tubular members are attracted and fixed by magnetic force, so that the connection is It's easy. Moreover, since the tubular member is formed of a platinum magnet, there is almost no risk of corrosion even when it is left in the living body, and hollow organs can be connected for a long period of time.

【図面の簡単な説明】[Brief description of drawings]

【図1】図1は、本発明の一実施例の中空器官接続用器
具を示す部分破断断面図である。
FIG. 1 is a partially cutaway sectional view showing a hollow organ connecting device according to an embodiment of the present invention.

【図2】図2は、本発明の他の実施例の中空器官接続用
器具を示す部分破断断面図である。
FIG. 2 is a partially cutaway sectional view showing a hollow organ connecting device according to another embodiment of the present invention.

【図3】図3は、本発明の他の実施例の中空器官接続用
器具を示す斜視図である。
FIG. 3 is a perspective view showing a hollow organ connecting device according to another embodiment of the present invention.

【符号の説明】[Explanation of symbols]

1 中空器官接続用器具 2 第1の筒状部材 2a 接続部 2d 環状溝 3 第2の筒状部材 3a 接続部 3d 環状溝 10 中空器官接続用器具 12 第1の筒状部材 13 第2の筒状部材 30 中空器官接続用器具 32 第1の筒状部材 33 第2の筒状部材 DESCRIPTION OF SYMBOLS 1 Hollow organ connecting instrument 2 1st tubular member 2a connection part 2d annular groove 3 2nd tubular member 3a connection part 3d annular groove 10 Hollow organ connecting device 12 1st tubular member 13 2nd tube Member 30 Hollow organ connecting device 32 First tubular member 33 Second tubular member

───────────────────────────────────────────────────── フロントページの続き (72)発明者 松井 康浩 東京都虎ノ門二丁目10番1号 株式会社ジ ャパンエナジー内 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Inventor Yasuhiro Matsui 2-10-1 Toranomon, Tokyo Inside Japan Pan Energy Co., Ltd.

Claims (6)

【特許請求の範囲】[Claims] 【請求項1】 Ptを33〜47原子%含み、残部がF
eと不可避的不純物よりなる耐腐食性良好なプラチナ磁
石により形成され、少なくとも2つの開口部を有し、か
つ、治療対象の中空器官に少なくとも一端部が固定可能
である第1の筒状部材と、該第1の筒状部材の開口部に
磁石吸着力により付着する少なくとも1つの開口部を有
し、かつ、治療対象の中空器官もしくは治療対象の中空
器官に接続される管状体に少なくとも一端部が固定可能
である第2の筒状部材とからなることを特徴とする中空
器官接続用器具。
1. An alloy containing 33 to 47 atomic% of Pt and the balance of F
a first tubular member which is formed of a platinum magnet having good corrosion resistance consisting of e and inevitable impurities, has at least two openings, and at least one end of which can be fixed to the hollow organ to be treated. A tubular body having at least one opening attached to the opening of the first tubular member by a magnetic attraction force and having a hollow body to be treated or a tubular body connected to the hollow organ to be treated And a second cylindrical member that can be fixed.
【請求項2】 前記第2の筒状部材は、前記第1の筒状
部材と同じプラチナ磁石により形成されている請求項1
に記載の中空器官接続用器具。
2. The second tubular member is formed of the same platinum magnet as the first tubular member.
The device for connecting hollow organs according to item 1.
【請求項3】 Ptを33〜47原子%とTi,Mo,
Nb,Ta,W,Cr,Vの1種又は2種以上を0.1
〜10原子%含み、残部がFeと不可避的不純物よりな
る耐腐食性良好なプラチナ磁石により形成され、少なく
とも2つの開口部を有し、かつ、治療対象の中空器官に
少なくとも一端部が固定可能である第1の筒状部材と、
該第1の筒状部材の開口部に磁石吸着力により付着する
少なくとも1つの開口部を有し、かつ、治療対象の中空
器官もしくは治療対象の中空器官に接続される管状体に
少なくとも一端部が固定可能である第2の筒状部材とか
らなることを特徴とする中空器官接続用器具。
3. Pt of 33 to 47 atomic% and Ti, Mo,
One or more of Nb, Ta, W, Cr, and V is 0.1
It is made of a platinum magnet containing 10 atomic% to 10 atomic% and the balance being Fe and unavoidable impurities and having good corrosion resistance, has at least two openings, and at least one end can be fixed to the hollow organ to be treated. A first tubular member,
At least one opening is attached to the opening of the first tubular member by a magnetic attraction force, and at least one end of the tubular body to be treated or the tubular body connected to the hollow organ to be treated has at least one end. A hollow organ connecting device comprising a securable second tubular member.
【請求項4】 前記第2の筒状部材は、前記第1の筒状
部材と同じプラチナ磁石により形成されている請求項3
に記載の中空器官接続用器具。
4. The second tubular member is formed of the same platinum magnet as the first tubular member.
The device for connecting hollow organs according to item 1.
【請求項5】 前記中空器官接続用器具は、体腔鏡下外
科手術用中空器官接続用器具である請求項1ないし4の
いずれかに記載の中空器官接続用器具。
5. The hollow organ connecting device according to claim 1, wherein the hollow organ connecting device is a hollow organ connecting device for body cavity endoscopic surgery.
【請求項6】 前記第1の筒状部材および前記第2の筒
状部材の付着されるそれぞれの開口部は、対のジョイン
ト構造となっている請求項1ないし5のいずれかに記載
の中空器官接続用器具。
6. The hollow according to claim 1, wherein the respective openings to which the first tubular member and the second tubular member are attached have a paired joint structure. Instrument for organ connection.
JP6256199A 1994-09-25 1994-09-25 Device for connecting hollow organs Pending JPH0889518A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP6256199A JPH0889518A (en) 1994-09-25 1994-09-25 Device for connecting hollow organs

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP6256199A JPH0889518A (en) 1994-09-25 1994-09-25 Device for connecting hollow organs

Publications (1)

Publication Number Publication Date
JPH0889518A true JPH0889518A (en) 1996-04-09

Family

ID=17289294

Family Applications (1)

Application Number Title Priority Date Filing Date
JP6256199A Pending JPH0889518A (en) 1994-09-25 1994-09-25 Device for connecting hollow organs

Country Status (1)

Country Link
JP (1) JPH0889518A (en)

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US11844345B2 (en) 2005-06-28 2023-12-19 Transmedics, Inc. Systems, methods, compositions and solutions for perfusing an organ
US11856944B2 (en) 2011-04-14 2024-01-02 Transmedics, Inc. Organ care solution for ex-vivo machine perfusion of donor lungs
US11903381B2 (en) 2014-06-02 2024-02-20 Transmedics, Inc. Ex vivo organ care system
US11917991B2 (en) 2007-03-20 2024-03-05 Transmedics, Inc. Systems for monitoring and applying electrical currents in an organ perfusion system
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US12010987B2 (en) 2004-10-07 2024-06-18 Transmedics, Inc. Systems and methods for ex-vivo organ care and for using lactate as an indication of donor organ status
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Publication number Priority date Publication date Assignee Title
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US12137683B2 (en) 2004-10-07 2024-11-12 Transmedics, Inc. Systems and methods for ex-vivo organ care
US12010987B2 (en) 2004-10-07 2024-06-18 Transmedics, Inc. Systems and methods for ex-vivo organ care and for using lactate as an indication of donor organ status
US11844345B2 (en) 2005-06-28 2023-12-19 Transmedics, Inc. Systems, methods, compositions and solutions for perfusing an organ
US11917991B2 (en) 2007-03-20 2024-03-05 Transmedics, Inc. Systems for monitoring and applying electrical currents in an organ perfusion system
US12207649B2 (en) 2007-03-20 2025-01-28 Transmedics, Inc. Systems for monitoring and applying electrical currents in an organ perfusion system
US12317888B2 (en) 2008-01-31 2025-06-03 Transmedics, Inc Systems and methods for ex vivo lung care
JP2011522677A (en) * 2008-06-10 2011-08-04 ボストン サイエンティフィック サイムド,インコーポレイテッド Biodegradable prosthesis
US11856944B2 (en) 2011-04-14 2024-01-02 Transmedics, Inc. Organ care solution for ex-vivo machine perfusion of donor lungs
US11903381B2 (en) 2014-06-02 2024-02-20 Transmedics, Inc. Ex vivo organ care system
US11944088B2 (en) 2014-06-02 2024-04-02 Transmedics, Inc. Ex vivo organ care system
US11963526B2 (en) 2014-12-12 2024-04-23 Transmedics, Inc. Apparatus and method for organ perfusion
US12185718B2 (en) 2015-09-09 2025-01-07 Transmedics, Inc. Aortic cannula for ex vivo organ care system
US12127554B2 (en) 2016-05-30 2024-10-29 Transmedics, Inc. Apparatus and method for ex vivo lung ventilation with a varying exterior pressure
US11700848B2 (en) 2017-11-20 2023-07-18 Tevosol, Inc. Apparatus for perfusion of an excised organ
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