WO2013008844A1 - Device for collecting used suture needles - Google Patents

Abstract

A device for collecting used suture needles comprises, at one end thereof, an insertion opening (111a) for inserting each used suture needle and, at the other end thereof, a suction path (111) having a discharge opening (111b) for discharging the used suture needle. A collection sheet (102) for collecting used suture needles is air permeable and is configured in such a manner that the collection portion thereof is located at the discharge opening (111b) of the suction path (111). A suction means is adapted to collect a used suture needle, which is inserted into the insertion opening (111a) of the suction path (111), at the collection portion of the collection sheet (102) by sucking air through a suction pipe (115) and also through the suction path (111) and the collection sheet (102). A used suture needle can be collected only by inserting the used suture needle into the insertion opening of the suction path, and as a result, the collection work is extremely facilitated.

Description

Used suture needle recovery device

The present invention relates to a used suture needle collecting apparatus, and more specifically, by sucking a used suture needle through a breathable collection sheet so that the used suture needle can be easily collected by the collection sheet. The present invention relates to a used suture needle recovery device.

It is necessary to confirm that the suture needle used in the operation has been collected. For this reason, many used suture needle collection devices have been proposed (for example, Patent Document 1).
The collection device is provided with a number of used suture needle puncture positions, and each time the use of the suture needle is finished, the used suture needle is inserted into the puncture position with a smaller number in order. Whether the used suture needle has been collected or not is managed.

JP 2001-276090 A

However, the operation of inserting a small suture needle into a predetermined insertion position is a complicated operation, and it has been a burden to perform such an operation during surgery.
SUMMARY OF THE INVENTION In view of such circumstances, the present invention provides a used suture needle recovery device that can very easily recover a suture needle even during surgery or when the suture needle is extremely small. Is.

That is, the present invention has a suction passage having a used suture needle inlet at one end, a suction passage having the used suture needle discharge port at the other end, and air permeability, and a collection for collecting the used suture needle. A recovery sheet having a location, the recovery location disposed at the discharge port of the suction passage, and a suction means for sucking air through the suction passage and the recovery sheet having air permeability,
By using the suction means to suck air, the used suture needle that has been put into the inlet of the suction passage is collected at the collection point of the collection sheet through the outlet of the suction passage. It is.

According to the above configuration, the used suture needle that has been put into the inlet of the suction passage is sucked through the suction passage and is collected at the collection point of the breathable collection sheet.
Therefore, when the use of the suture needle is completed, it is only necessary to put the used suture needle into the inlet of the suction passage, and the collection operation of the used suture needle can be made extremely easy.

The perspective view which shows 1st Example of this invention. The side view which shows the internal structure of FIG. The left view of the cutting | disconnection means shown in FIG. It is a figure which shows the collection cassette of the used suture needle | hook concerning 2nd Example, Comprising: (a) is a top view, (b) has each shown the side view. Sectional drawing of the front side of the collection | recovery apparatus of the used suture needle concerning 2nd Example. Sectional drawing of the plane side of the collection | recovery apparatus of the said used suturing needle. Sectional drawing of the VII-VII part in FIG. The perspective view which shows a switch.

Hereinafter, a first embodiment according to the present invention will be described. In FIG. 1, a used suture needle recovery device includes a vertically long rectangular case 1 as a whole. As the inclined surface 1a, an insertion port 11a for inserting a used suture needle (not shown) is formed on the inclined surface 1a.
A recovery sheet 2 for recovering a used suture needle shown in FIG. 2 is formed in a tape shape in the present embodiment, and is made of a material having air permeability, for example, a nonwoven fabric. Although this collection sheet 2 has air permeability, it is not rough enough to allow the used suture needle to pass therethrough, so that the collection sheet 2 receives and collects the used suture needle. It is made to be able to.

The collection sheet 2 is wound around a supply reel 3, and the supply reel 3 is rotatably supported on the bottom side inside the case 1. The collection sheet 2 drawn out from the supply reel 3 is guided upward through a plurality of rollers 4, further bent in the horizontal direction by the rollers 5, and then the leading end thereof is supplied to the driving means 6. In this embodiment, the drive means 6 includes a pair of upper and lower drive rollers 6a, and the leading end portion of the collection sheet 2 is inserted and sandwiched between the pair of drive rollers 6a from the horizontal direction.

The above-described used suture needle insertion port 11 a is formed at the upper end opening of the suction passage 11 extending in the vertical direction, and the lower end opening of the suction passage 11 is used by the used suture needle sucked into the suction passage 11. As a discharge port 11b. The discharge port 11b faces the upper surface of the collection sheet 2 that extends in the horizontal direction between the roller 5 and the driving means 6, and the portion of the upper surface of the collection sheet 2 that faces the discharge port 11b It is a collection location 2a for receiving and collecting a used suture needle discharged from the discharge port 11b.

The suction passage 11 is composed of a guide cone 12 whose bottom is narrowed and a suction pipe 13 connected to the lower end of the guide cone 12, and the guide cone 12 is fixed to the inclined surface 1 a of the case 3. The opening is used as the inlet 11 a of the suction passage 11.
Further, the suction pipe 13 is arranged in the vertical direction, and its lower end surface is fixed to the case 1 with a predetermined distance away from the upper surface of the collection sheet 2 and fixed to the case 1. The outlet 11 b of the passage 11 is provided.
A suction means 14 is provided below the collection sheet 2 in order to suck the used suture needle introduced from the insertion port 11 a into the suction passage 11 and collect it at the collection location 2 a of the collection sheet 2.

The suction means 14 is provided with a suction pipe 15 that contacts the lower surface of the collection sheet 2 and faces the lower end opening of the suction pipe 13, and sucks air from the upper end opening of the suction pipe 15 to Air can be discharged from the exhaust port.
A porous suction prevention filter 16 is provided at the upper end opening of the suction pipe 15, and the suction prevention filter 16 prevents the collection sheet 2 from being sucked into the suction pipe 15.

Therefore, if air is sucked by the suction means 14, the air sucked from the inlet 11 a of the suction passage 11 is sucked by the suction means 14 through the guide cone 12, the suction pipe 13 and the breathable collection sheet 2. As a result, the used suture needle introduced into the insertion port 11a of the suction passage 11 is recovered by the recovery portion 2a of the recovery sheet 2.

The suction pipe 13 of the suction passage 11 and the suction pipe 15 of the suction means 14 are each formed of a transparent material, for example, acrylic, into a cylindrical shape. The outer pipes 21 and 22 are concentrically arranged outside the pipes, respectively. It is provided.
And while providing the ring-shaped illumination means 23 which consists of LED etc. in the upper part between the upper suction pipe 13 and the outer pipe 21, also in the lower part between the lower suction pipe 15 and the outer pipe 22, A ring-shaped illumination means 24 made of LED or the like is provided.
These illuminating means 23 and 24 illuminate the collection location 2a of the collection sheet 2 located between the two pipes from above and below via the transparent suction pipes 13 and 15 on the inside, thereby being collected at the collection location 2a The presence or absence of a used suture needle can be confirmed.

In order to confirm whether or not the used suture needle has been collected at the collection location 2a, a video camera 26 as a photographing means is provided. The video camera 26 is disposed at an upper position outside the outer pipe 21, and the lens portion at the front end penetrates the outer pipe 21 and faces the collection location 2 a.
An image of the collection location 2a photographed by the video camera 26 is displayed on a monitor 27 provided at the top of the case 1.
Therefore, an operator such as a nurse confirms whether or not the used suture needle introduced into the insertion port 11a of the suction passage 11 has been collected at the collection point 2a of the collection sheet 2 by looking at the monitor 27. Will be able to.
The video camera 26 may be a digital camera.

When the collection sheet 2 is a nonwoven fabric, the used suture needle collected at the collection location 2a of the collection sheet 2 becomes entangled with the fibers of the nonwoven fabric. There is a danger of.
Therefore, in the present embodiment, the first sticking means 31 is provided, and the first sticking means 31 sticks a transparent (including translucent) surface protective sheet 32 to the surface of the collection sheet 2 on the collection site 2a side. ing. Thus, if the used suture needle is sandwiched between the recovery sheet 2 and the transparent surface protection sheet 32, the used suture needle can be prevented from being detached from the recovery sheet 2, and the presence or absence can be confirmed. In addition, erroneous puncture from the surface protective sheet 32 side can be prevented.

One surface of the surface protection sheet 32 is an adhesive surface, and is wound around the supply reel 33 with the adhesive surface as an inner side. The supply reel 33 is pivotally supported on the upper portion of the case 1 so as to be rotatable.
The surface protection sheet 32 drawn out from the supply reel 33 is guided downward through a plurality of rollers 34, and the tip thereof is wound around the upper drive roller 6a of the pair of upper and lower drive rollers 6a described above. It has become.
The surface protective sheet 32 has a surface opposite to the adhesive surface in contact with the plurality of rollers 34 and the upper drive roller 6a, and the surface protective sheet 32 wound around the upper drive roller 6a. The adhesive surface is inserted between the pair of upper and lower drive rollers 6a after the adhesive surface is polymerized and adhered to the surface of the recovery sheet 2.

Further, the used suture needles collected at the collection location 2a of the collection sheet 2 may penetrate the nonwoven fabric when the collection sheet 2 is a non-woven fabric, which is opposite to the collection location 2a side of the collection sheet 2 There is a risk of false puncture from the back side. There is also a risk that blood adhering to the used suture needle will drip.
Therefore, in this embodiment, the second sticking means 41 is provided, and the back face protective sheet 42 is stuck on the back face of the collection sheet 2 on the collection point 2a side by the second sticking means 41. The back surface protection sheet 42 does not need to be transparent.

One surface of the back surface protection sheet 42 is an adhesive surface, and is wound around the supply reel 43 with the adhesive surface as an inner side. The supply reel 43 is rotatably supported at the lower part in the case 1, and the back surface protection sheet 42 drawn out from the supply reel 43 is guided upward by a plurality of rollers 44, and the tip portion thereof is described above. Of the pair of upper and lower drive rollers 6a, the lower drive roller 6a is wound around.
The back surface protection sheet 42 also has a surface opposite to the adhesive surface in contact with the plurality of rollers 44 and the lower drive roller 6a, and the back surface protection sheet 42 wound around the lower drive roller 6a. The adhesive surface is inserted between the pair of upper and lower drive rollers 6a after being polymerized and bonded to the back surface of the recovery sheet 2.

The pair of upper and lower drive rollers 6a press the three surface protection sheets 32, the collection sheet 2 and the back surface protection sheet 42 that are superposed on each other and securely bond each other, and then the three sheets 2, 32 , 42 can be intermittently fed by a predetermined pitch.
A cutting means 47 for cutting the three sheets 2, 32, 42 at a predetermined pitch is provided on the front side in the sheet conveyance direction by the driving means 6. The cutting means 47 includes a lower blade 48 fixed to the case 1 and an upper blade 50 that is lifted and lowered by a driving means 49 such as a cylinder unit. The three cutting blades 47 are fed by the rotation of the driving roller 6a. The sheets 2, 32, and 42 adhered to each other are supplied between the lower blade 48 and the upper blade 50.

In the present embodiment, as shown in FIG. 3, the blade surface 48 a that is the upper end surface of the lower blade 48 is formed horizontally, and the three sheets 2, 32, 42 from the driving means 6 are horizontal. It is supplied on the blade surface 48a.
On the other hand, the upper blade 50 moved up and down by the driving means 49 is provided with a through hole 50a for allowing the three sheets 2, 32, 42 to pass therethrough, and the width direction of the three sheets on the upper surface of the through hole 50a. The blade surface 50b extends obliquely downward from the center position to a position exceeding the side of each of the three sheets, and both sides of the triangular concave blade surface are formed on the blade surface 48a of the lower blade 48. Polymerized on both sides. Thus, a triangular space is formed by the blade surface 48 a of the lower blade 48 and the blade surface 50 b of the upper blade 50, and this space is used as a guide space for the three sheets 2, 32, 42.
Then, by inserting the three sheets 2, 32, 42 into the triangular guide space, the three sheets inserted into the guide space when the upper blade 50 is lowered by the driving means 49. The sheets 2, 32, and 42 can be reliably cut by the lower blade 48 and the upper blade 50.

As shown in FIG. 2, below the cutting means 47, a chute 53 that guides the three sheets 2, 32, 42, which are bonded to each other and cut at a predetermined pitch by the cutting means 47, obliquely forward and downward. Under the chute 53, a collection box 54 for collecting the three sheets 2, 32, 42 that have been slid down on the chute 53 is provided.
The panel 1b (FIG. 1) on the side surface of the case 1 can be opened and closed. The collection box 54 can be taken out by opening the panel 1b, and the supply reels 3, 33, and 43 are attached and detached. Be able to.

According to the present embodiment having the above-described configuration, the supply reel 3 for the collection sheet 2, the supply reel 33 for the front surface protection sheet 32, and the supply reel 43 for the back surface protection sheet 42 are set in the case 1 at the start of surgery. The leading ends of the sheets 2, 32 and 42 drawn from the supply reels are inserted between the pair of upper and lower drive rollers 6a in a state where they are adhered to each other.
In this state, a part of the collection sheet 2 penetrates the gap between the suction pipe 13 constituting the suction passage 11 and the suction pipe 15 of the suction means 14 in the horizontal direction, The collection location 2a of the collection sheet 2 is located.
Further, the suction means 14 is activated, and air is sucked into the suction pipe 15 of the suction means 14 through the inlet 11a of the suction passage 11 through the suction pipe 13 and the breathable collection sheet 2.

In this state, when an operation is started and a used suture needle is generated, the used suture needle is inserted into the insertion port 11a of the suction passage 11 by the operator.
Then, the used suturing needle thrown into the insertion port 11 a of the suction passage 11 is sucked by the suction means 14, passes through the suction pipe 13, and is collected at the collection location 2 a of the collection sheet 2.
The operator who has put the used suture needle into the insertion port 11a of the suction passage 11 can confirm by the monitor 27 that the used suture needle has been collected at the collection location 2a. As shown in FIG. 1, an operation switch 7 for operating the driving means 6 is provided at a position adjacent to the insertion port 11a, and the used suture needle has been recovered to the recovery location 2a by the operator. Is confirmed, the operation switch 7 of the driving means 6 is pressed.
As a result, the pair of upper and lower drive rollers 6a are activated, whereby the recovery sheet 2, the front surface protection sheet 32, and the back surface protection sheet 42 are respectively advanced, and the recovery sheet 2 and the front surface protection sheet 32 are bonded to each other and used stitches therebetween. While holding the needle, the back surface protection sheet 42 is also adhered to the back surface side of the collection sheet 2.

In this way, the front surface protection sheet 32 and the back surface protection sheet 42 are respectively adhered to the front and back surfaces of the recovery sheet 2 and moved forward by a predetermined pitch, thereby being used sandwiched between the recovery sheet 2 and the front surface protection sheet 32. When the suture needle passes between the lower blade 48 and the upper blade 50 of the cutting means 47, the operation of the driving means 6 is stopped.
Then, the driving means 49 of the cutting means 47 is subsequently activated, and the upper blade 50 is lowered to cut the three sheets 2, 32, 42 bonded to each other. As a result, the three sheets 2, 32, and 42 that are adhered to each other while holding the used suture needle are dropped and collected into the collection box 54 via the chute 53.
In this state, since the new collection location 2a of the collection sheet 2 is set at the discharge port 11b of the suction passage 11, the above operation can be repeated thereafter.

In the above embodiment, the operator presses the operation switch 7 of the driving means 6, but instead, the used suture needle at the collection point 2 a disposed in the discharge port 1 b of the suction passage 11 is used. A sensor for detecting the presence / absence is provided, and when the sensor detects that the used suture needle has been collected at the collection location 2a, the drive means 6 is automatically operated after a predetermined confirmation time by the monitor 27 has elapsed. You may make it make it.
In this case, it is possible to detect whether or not the used suture needle has been collected at the collection location 2a by analyzing the image from the video camera 26. Therefore, the video camera 26 can also be used as the sensor. it can.
Further, when this type of sensor is provided, the total number of used suture needles collected can be counted, and the total number is displayed on a display means provided on the inclined surface 1a of the case 1, for example. Can be made.
Further, in the above embodiment, every time the used suture needles are collected, the three sheets 2, 32, and 42 adhered to each other are cut. However, the present invention is not limited to this. After the operation is completed, the tape may be cut using a series of tapes from which a large number of used suture needles have been collected.

Moreover, in the said Example, although the surface protection sheet 32 and the back surface protection sheet 42 are adhere | attached on the front and back of the collection | recovery sheet 2, you may abbreviate | omit one or both protection sheets as needed. Good.
Conventionally, a sheet having an adhesive property in addition to a breathability is also known as a breathable sheet. Therefore, in particular, when the surface protection sheet 32 is omitted, the used suture needle can be prevented from falling off better. Therefore, it is desirable to use a recovery sheet having adhesiveness on the surface of the recovery sheet 2 on the side of the recovery location 2a.

Furthermore, in the said Example, although the tape-shaped collection sheet | seat 2 is used, it is not limited to this.
By using a large rectangular collection sheet and moving it in the XY direction using, for example, an XY table that can move in directions orthogonal to each other, the single collection sheet has, for example, a grid pattern. A large number of collection points can be formed. If a rotary table is used instead of the XY table, a circular collection sheet may be used.
In such a case, by appropriately selecting the size of the recovery sheet, it is possible to recover all used suture needles that are performed in one operation on a single recovery sheet. In this case, instead of moving or rotating the collection sheet in the XY direction, the suction passage 11 side can be moved in the same direction.

4A and 4B show a recovery cassette 103 for recovering a used suture needle used in the used suture needle recovery apparatus according to the second embodiment, wherein FIG. 4A is a plan view and FIG. 4B is a side view. Each figure is shown.
5 is a front sectional view of the used suture needle recovery device of the present embodiment, FIG. 6 is a plan sectional view, and FIG. 7 is a sectional view taken along the line VII-VII in FIG. Yes. 5 to 7 are different in scale for explanation.
First, the collection cassette 103 includes a tray portion 104 having a collection sheet 102 made of nonwoven fabric and a cylindrical cover portion 105 that accommodates the tray portion 104 so as to be able to appear and retract, and these are made of a transparent resin. ing.
As the said collection | recovery sheet | seat 102, things other than a nonwoven fabric can also be used similarly to 1st Example, The surface may have adhesiveness.
A through-hole 104a is formed in the bottom of the tray 104, and the collection sheet 102 is provided so as to cover the through-hole 104a, and almost the entire collection sheet 102 collects the used suture needle. A collection point is formed for this purpose.
The tray portion 104 is formed with a side portion 104 b so as to surround the outer periphery of the bottom portion, and among these, the right side portion 104 b in the drawing is a member for opening and closing the tray portion 104 with respect to the cover portion 105. A mating protrusion 104c is provided.
When the cover unit 105 accommodates the tray unit 104, the upper surface of the cover unit 105 closes the space on the upper surface side of the collection sheet 102 by the side unit 104 b of the tray unit 104, and the lower surface of the cover unit 105 is the tray unit 104. The through-hole 104a on the bottom side is covered.
This prevents the used suture needles collected in the collection cassette 103 from falling off, and prevents the collected used suture needles from dropping through the collection sheet 102 from the lower surface side of the tray portion 104. It has become.

As shown in FIGS. 5 and 7, the recovery cassette 103 is supplied to a used suture needle recovery device in a state of being stacked vertically inside a box-shaped supply magazine 106. The magazine 106 can accommodate, for example, 50 collection cassettes 103.
The supply magazine 106 supports the four corners so that the stacked collection cassettes 103 are not displaced, and the tray section 104 does not protrude from the cover section 105 of the collection cassette 103.
On the other hand, the upper surface of the supply magazine 106 is a collection position where the uppermost collection cassette 103 abuts from below. At the collection position, the tray unit 104 is moved from the cover unit 105 to the side of the supply magazine 106 (see FIG. 6). The collection cassette 103 can be discharged to the side of the supply magazine 106 (upward in the drawing in FIG. 6).
The upper portion of the supply magazine 106 is provided with a grip 106a. The user holds and holds the grip 106a, and stores the supply magazine 106 from the side of the used suture needle recovery device. A large amount of the recovery cassette 103 can be supplied at a time.

Next, the used suture needle recovery device of this embodiment is similar to the first embodiment in that the suction passage 111 into which the used suture needle is introduced, the suction passage 111 and the recovery sheet 102 are used for air. And a suction means (not shown) for sucking through.
The suction passage 111 is formed of a transparent insertion needle 111a formed at the upper end and a guide cone 112 narrowed at the bottom, and a discharge cone 111b connected to the guide cone 112 at the lower end. And a suction pipe 113 made of a material.
The suction means is provided below the case 101, and the suction pipe 115 connected to the suction means passes through the case 101, and its upper end opening is positioned below the discharge port of the suction pipe 113. Yes.
In this embodiment, as shown in FIG. 5, the collection sheet 102 is drawn out from the cover portion 105 of the collection cassette 103 located at the collection position of the supply magazine 106, whereby the collection sheet 102 is drawn out from the discharge port 111b of the suction pipe 115. And the upper end opening of the suction pipe 115.
Further, a ring-shaped illumination means 123 is provided on the outer periphery of the suction pipe 113 of the suction passage 111, and a video camera 126 for photographing the vicinity of the discharge port 111b is provided in the vicinity thereof. The used suture needle collected on the collection sheet 102 can be confirmed by a monitor (not shown) provided on the case 101.

The collection cassette 103 accommodated in the supply magazine 106 is sequentially supplied to the collection position set in the upper portion of the supply magazine 106 by the supply means 131 provided in the used suture needle collection device. ing.
As shown in FIG. 7, the supply means 131 includes a support table 132 that supports the collection cassette 103 accommodated in the supply magazine 106 from below, and two support tables 132 that are connected to the support table 132 and provided vertically. A belt 133 stretched between the sprockets 133a and a motor 134 for driving the upper sprocket 133a are provided.
As shown in FIG. 6, the bottom of the supply magazine 106 has a shape that allows the support table 132 to enter from below, and when the user sets the supply magazine 106 on a used suture needle recovery device, The motor 134 raises the support table 132 and raises the uppermost collection cassette 103 to the collection position.

The collection cassette 103 positioned at the collection position of the supply magazine 106 by the supply means 131 is pulled out of the tray section 104 from the cover section 105 by the opening / closing means 141 provided in the collection apparatus for the used suture needles, and the used sutures are collected. The needle is collected.
As shown in FIGS. 5 and 6, the opening / closing means 141 includes a first slide rail 142 provided horizontally in the horizontal direction of FIG. 6 and an opening / closing member 143 that moves forward and backward along the first slide rail 142. And a first servo motor 144 that reciprocates the opening / closing member 143.
The opening / closing member 143 is provided with an engagement pin 143a that engages with an engagement protrusion 104c formed on the tray portion 104 of the collection cassette 103, and when the opening / closing member 143 is positioned at the left end in the drawing. The engagement pin 143a is positioned near the collection position of the collection cassette 103.
In this state, when the supply means 131 raises the new collection cassette 103 to the collection position, the engagement protrusion 104c of the collection cassette 103 is engaged with the engagement pin 143a.
Thereafter, when the first servo motor 144 moves the opening / closing member 143 to the right in the drawing, the engagement pin 143a moves the tray portion 104 to the right in the drawing together with the engagement protrusion 104c to protrude from the cover portion 105. It is like that.
When the opening / closing member 143 is positioned at the right end in the figure, the tray 104 is positioned between the discharge port 111b of the suction pipe 113 and the state opening of the suction pipe 115, and the used suture needle is disposed by the recovery sheet 102. Can be recovered.
Thereafter, when the used suture needle is collected on the collection sheet 102, the first servo motor 144 moves the opening / closing member 143 to the left in the drawing, whereby the tray unit 104 is accommodated in the cover unit 105, and is collected in the collection cassette 103. The used suture needle will be collected.

When the used suture needle is accommodated in the collection cassette 103 by the opening / closing means 141, the collection cassette 103 is discharged from the collection position by the discharge means 151 provided in the used suture needle collection device. ing.
Here, in a state where the collection cassette 103 located at the collection position is closed, when the collection cassette 103 is pressed upward in the drawing, the engagement pin 143a of the opening / closing member 143 disengages from the engagement protrusion 104c and the collection cassette 103 is collected. The cassette 103 is discharged from the supply position upward in the figure.
6 and 7, the discharging means 151 includes a second slide rail 152 provided in the vertical direction of FIG. 6 as shown in FIG. 6, a pressing member 153 that moves forward and backward along the second slide rail 152, A second servo motor 154 that reciprocates the pressing member 153 and a discharge slope 155 that drops the recovery cassette 103 pressed by the pressing member 153 below the case 101 are configured.
The pressing member 153 is normally retracted from the collection position at the lower end of FIG. 6, and when the used suture needle is received in the collection cassette 103 by the opening / closing means 141, the second servomotor 154 is pressed by the second servomotor 154. The member 153 is moved upward in the figure, and the collection cassette 103 is discharged to the discharge slope 155 in the upper part of the figure.
As shown in FIG. 7, the discharge slope 155 drops the collection cassette 103 discharged from the collection position of the supply magazine 106 to the side along the inside of the case 101 in a state where it is rolled over approximately 90 °. It has become.

The collection cassette 103 discharged to the discharge slope 155 by the discharge means 151 is classified according to the type of used suture needle collected in the collection cassette 103 by the classification means 161 provided in the used suture needle collection device. It comes to be collected in the state.
First, a plurality of types of suture needles are used in the operation. After the operation, it is necessary to check whether or not the total number of used suture needles has been collected as well as the total number of used suture needles.
For example, when four types of suture needles are used in surgery, the classification means 161 of the present embodiment is divided into four switches S as shown in FIG. 8 provided in the case 101 and four spaces inside. The collection magazine 162, the movable slope 163 provided at the downstream end of the discharge slope 155 of the discharge means 151, and four sets of classification slopes provided between the downstream side of the movable slope 163 and each space of the collection magazine 162. 164.
As shown in FIG. 8, the switch S is provided in a state of being aligned with the housing 165. The housing 165 is provided at a position separated from the case 101 so as to be communicable wirelessly or by wire.
A number is displayed on each switch S, and this number increases by one each time the switch S is pressed, and corresponds to the number of collected cassettes 103 collected.
In addition, a display case 167 that can accommodate pack samples 166 of four suture needles is provided behind the housing 165, and each switch S corresponds to each pack sample 166 and classifies the used suture needles. It is like that.

As shown in FIG. 5, the recovery magazine 162 can be inserted into the case 101 from the same side as the supply magazine 106, and a grip 162 a for holding by the user is provided outside the recovery magazine 162. .
The inside of the collection magazine 162 is divided into four spaces by partition plates 162b. The downstream ends of the classification slopes 164 are located above the spaces. The collection cassette 103 is substantially divided by the classification slope 164. It falls into each space in a state of 90 ° rollover.
An inclined plate 162c is provided at the bottom of each space, and the collection cassette 103 is inclined along the inclined plate 162c and stacked in that state.

The upstream side of the movable slope 163 is continuously provided at the lower end of the discharge slope 155, the base part is swung by the servo motor 163 a, and the tip part is a required classification among the four classification slopes 164. It is connected to the upstream end of the slope 164.
The angle of the movable slope 163 by the servo motor 163a is set according to the four switches S, and when the required switch S of the four is pressed, the tip of the movable slope 163 corresponds to the switch S. It is made to rock so as to be connected to a sorting slope 164 for accommodating used suture needles.
The used suture needles that can be classified are not limited to four types, and a plurality of types of used suture needles can be classified by increasing / decreasing the partition plate 162b and the classification slope 164 of the collection magazine 162.

An operation method of the used suture needle recovery apparatus having the above-described configuration will be described.
First, the user sets the supply magazine 106 and the recovery magazine 162 in the used suture needle recovery device.
Then, the support table 132 of the supply means 131 rises from the retracted position below the supply magazine 106 to support the lower side of the 50 collection cassettes 103 accommodated in the supply magazine 106, and the uppermost collection cassette 103. Is raised to the collection position on the upper surface of the supply magazine 106.
At this time, the opening / closing member 143 of the opening / closing means 141 is positioned on the left side of FIG. 6, so that the engaging projection 104 c of the collection cassette 103 is engaged with the engaging pin 143 a of the opening / closing member 143. ing.
Subsequently, the first servo motor 144 of the opening / closing means 141 moves the opening / closing member 143 to the right in the drawing, whereby the tray portion 104 of the collection cassette 103 is pulled out from the cover portion 105.
As a result, the collected sheet 102 of the drawn-out tray 104 is positioned between the suction pipe 113 of the suction passage 111 and the suction pipe 115 of the suction means. In other words, the collection point of the collection sheet 102 is discharged from the suction passage 111. It will be arranged at the outlet 113b.
Thereafter, until the user operates the switch S of the classification means 161, the used suture needle recovery device is in a standby state.

When a used suture needle is generated by the operation, the used suture needle is thrown into the insertion port 111a of the suction passage 111 by the operator, and the used suture needle falls on the suction pipe 113.
The suction means sucks air through the suction pipe 115 and collects the used suture needle introduced into the insertion port 111a of the suction passage 111 at the collection point of the collection sheet 102 through the discharge port 111b. can do.
At this time, since the collection sheet 102 is photographed by the video camera 126, the operator can confirm that the used suture needle has been collected on the collection sheet 102 by a monitor (not shown).

When the user confirms that the used suture needle has been collected on the collection sheet 102 in this way, the user further selects the suture needle housed in the display case 167 among the four switches S in the classification means 161. While checking the pack sample 166, the switch S corresponding to the used used suture needle is pressed.
In FIG. 6, the opening / closing member 143 of the opening / closing means 141 is first moved to the left in the drawing to accommodate the tray portion 104 of the collection cassette 103 in the cover portion 105 and collect the used suture needle, and then the discharge The pressing member 163 of the means 151 moves upward in the drawing, and the collection cassette 103 is discharged to the discharge slope 155.
On the other hand, when the switch S is pressed, the movable slope 163 of the classification means 161 swings toward the required classification slope 164 according to the type of used suture needle, and the recovery cassette that has dropped the discharge slope 155 is dropped. 103 is dropped into a required space in the collection magazine 162.
The dropped collection cassettes 103 are stacked in an inclined state along the inclined plate 162c.
Further, when the user presses the required switch S and the collection cassette 103 is accommodated in the corresponding space in the collection magazine 162, the number of the switch S increases by one, and thus the user has been collected by then. The number of collection cassettes 103 can be recognized for each type of used suture needle.

Thereafter, the discharge means 151 retreats the pressing member 153 again to the vicinity of the collection position of the collection cassette 103, and then the supply means 131 raises the collection cassette 103 stacked on the supply magazine 106.
When the uppermost collection cassette 103 is newly positioned at the collection position, the engagement pin 143a of the opening / closing means 141 engages with the engagement protrusion 104c of the tray section 104, and then the opening / closing member 143 moves to move the tray section 104. Is protruded from the cover portion 105 and is positioned between the suction pipe 113 and the suction pipe 115, and again enters a standby state.
The above operation is repeated during the operation, and then the user removes the collection magazine 162 from the used suture needle collection device, observes the inside of the classified collection cassette 103 from the outside by the transparent cover portion 105, and is used. It can be confirmed whether the suture needle has been properly recovered.

For the recovery cassette 103, the tray portion 104 and the cover portion 105 are each provided with a protrusion and a recessed portion that fits into the protrusion, and when the tray portion 104 is accommodated in the cover portion 105, the protrusion is engaged with the recessed portion. In addition, it is possible to prevent the tray portion 104 from falling off the cover portion 105.
In that case, the tray 104 can be slightly projected from the cover 105 in the supply magazine 106, and the opening / closing means 141 can project the tray 104 without engaging the projection and the recess. The collection cassette 103 may be accommodated in the state.
It is also possible to provide printing means for printing on the cover portion 105 of the collection cassette 103 to be collected in the discharge means 51 so that the time when the switch S is pressed and the type of collected used suture needle are printed. .
In that case, a printing sticker may be attached to the cover unit 105 in advance, or printing may be performed directly on the cover unit 105.

2, 102 Collection sheet 2a Collection point 6 Driving means 6a Driving roller 11, 111 Suction passage 11a, 111a Input port 11b, 111b Discharge port 14 Suction unit 26, 126 Video camera 27 Monitor 31 First sticking unit 32 Surface protective sheet 41 First 2 Pasting means 42 Back surface protection sheet 47 Cutting means 54 Collection box 103 Collection cassette 104 Tray part 105 Cover part 106 Supply magazine 131 Supply means 141 Opening / closing means 151 Discharge means 161 Sorting means

Claims (10)

A suction passage having a used suture needle insertion port at one end, a suction passage having a discharge port for the used suture needle at the other end, a breathable portion, and a collection point for collecting the used suture needle, A recovery sheet disposed at the outlet of the suction passage, and a suction means for sucking air through the suction passage and a breathable recovery sheet;
The use characterized in that the used suturing needle introduced into the inlet of the suction passage is collected at the collection point of the collection sheet through the outlet of the suction passage by sucking air by the suction means. Used suture needle recovery device. The used suture needle is recovered in a recovery cassette including a tray portion provided with the recovery sheet on the bottom and a cover portion that accommodates the tray portion,
2. The used suture needle according to claim 1, wherein the tray portion is protruded from a cover portion of the recovery cassette so that a recovery portion of the recovery sheet is positioned at a discharge port of the suction passage. Recovery device. A supply means for positioning the recovery cassette at a required recovery position, an opening / closing means for allowing the tray portion to protrude from the cover portion of the recovery cassette at the recovery position and storing the tray portion in the cover portion, and a used suture needle A discharge means for discharging the collected recovery cassette,
3. The used suture according to claim 2, wherein the opening and closing means causes the tray portion to protrude from the cover portion of the collection cassette, thereby positioning the collection point of the collection sheet at the discharge port of the suction passage. Needle collection device. The supply means accommodates a plurality of collection cassettes stacked one above the other, supports the stacked collection cassettes from below, sequentially raises them, and positions the uppermost collection cassette at the collection position. The used suture needle recovery device according to any one of claims 2 and 3. The collection of used suture needles according to claim 4, further comprising: a supply magazine that accommodates a plurality of collection cassettes stacked in advance in a vertically stacked manner, wherein the collection cassette is supplied to the supply means by the supply magazine. apparatus. A plurality of switches provided according to the type of the used suture needle, a recovery magazine partitioned into a plurality of spaces according to the type of the used suture needle, and a recovery cassette discharged by the discharge means are used. The used suture needle according to any one of claims 2 to 5, further comprising classification means for classifying and transporting the collected suture into a corresponding space in the collection magazine according to the type of the used suture needle. Recovery device. Drive means for relatively moving the recovery sheet and the discharge port of the suction passage is provided. When the used suture needle is recovered at the recovery location of the recovery sheet, the drive means is configured to return the recovery sheet and the suction passage. 2. The used suture needle recovery device according to claim 1, wherein a new recovery point is arranged at the discharge port of the suction passage by moving the discharge port relative to the discharge port. First recovery means for attaching a surface protection sheet to the surface of the collection site of the recovery sheet is provided, the surface protection sheet is attached to the recovery sheet by the first application means, and the used suture needle is attached. The used suture needle collecting device according to claim 7, wherein the used suture needle collecting device is sandwiched between the collecting sheet and the surface protective sheet. In the vicinity of the outlet of the suction passage, a sensor is provided for detecting the presence or absence of a used suture needle that has been repaired at the collection point of the collection sheet,
2. When the sensor detects that the used suture needle has been collected at the collection location, the drive means is operated to move the collection sheet and the suction passage outlet relatively. The used suture needle recovery device according to any one of claims 2 to 8. In order to confirm whether or not the used suture needle has been collected at the collection point of the collection sheet, an imaging means for photographing the collection point disposed at the discharge port of the suction passage is provided,
The used suture needle recovery device according to any one of claims 1 to 9, wherein an image photographed by the photographing means is displayed on a monitor.

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