JP6114633B2 - Surgical holder - Google Patents

Description

  The present invention relates to a surgical holder used for hand surgery such as tendonitis surgery and carpal tunnel syndrome surgery.

  Middle-aged and older people who have been using their fingers for many years, and if they are overworking with their fingers, such as holding a pen or holding a racket in sports, the tendon and tendon sheath may rub against each other and inflammation may occur. Such tendon swells and thickens due to inflammation, and the tendon does not move smoothly is called tendonitis.

  Among the many diseases handled by hand surgery, the most common disease after tendonitis is carpal tunnel syndrome. The palm root has a tunnel-like part called a carpal tunnel surrounded by bones and ligaments. Nine tendons and one nerve (median nerve) are attached to the carpal tunnel. The carpal tunnel syndrome means that the synovium around the tendon is swollen due to tendonitis or the like, and the median nerve is compressed, resulting in numbness or pain in the finger and difficulty in moving the finger.

  Hand surgery such as tendonitis surgery and carpal tunnel syndrome as described above requires sufficient knowledge and experience, and advanced treatment techniques, but recovery of functions expected after postoperative surgery is not appropriate Cannot be realized. Therefore, for example, Patent Document 1 proposes a method for suppressing postoperative edema and pain, which is important in posttherapy.

International Publication No. 2008/044400

  For early carpal tunnel syndrome, a mixture of a steroid and a local anesthetic is injected into the carpal canal, or oral use of vitamins is effective. However, if an effect is not obtained even after several injections described above, or if muscle atrophy progresses, it becomes a target for surgical treatment.

  However, in surgery such as carpal tunnel syndrome and tenosynovitis, medical staff such as a doctor performing treatment and a plurality of (three to four) nurses that restrain movement of the patient's hands are required. Therefore, nurses cannot engage in other medical services. In the medical field where the number of medical staff such as nurses is limited, such a problem is urgent. The invention described in Patent Document 1 is a proposal of a technique related to post-treatment after surgery, and cannot solve the above-described problems in surgery such as carpal tunnel syndrome and tendonitis.

  The present invention has been made in consideration of the conventional problems as described above, and an object thereof is to provide a surgical holder for holding a patient's hand in hand surgery.

The surgical holder according to the present invention is a surgical holder used for hand surgery,
A first contact portion that contacts the palm side portion of the thumb; a second contact portion that contacts the palm side portion of the little finger;
A third abutting portion that abuts against a palm side portion of at least one of the index finger, the middle finger, and the ring finger;
A first connecting part that contacts the back side or the back of the hand of at least one of the index finger, the middle finger, and the ring finger, and connects the first contact part and the second contact part;
The gist is provided with a second connecting part that connects the third abutting part and the first abutting part or the second abutting part.

  In the present invention, it is preferable that the first contact portion and the second contact portion have a bent portion.

  In the present invention, it is preferable that the third abutting portion is constituted by a first middle finger abutting portion that abuts on a palm side portion of the middle finger and a second middle finger abutting portion that abuts on both sides of the middle finger. .

  In the present invention, the first to third abutting portions, the first connecting portion, and the second connecting portion can be made of a single aluminum material.

  In the present invention, the surgical holder can be used for palm-side surgery from the wrist joint to the finger, and is particularly effective for at least one of tenosynovitis surgery, carpal tunnel syndrome surgery, and duputren contracture surgery. Can be used.

  According to the surgical holder according to the present invention, at least one of the index finger, the middle finger, and the ring finger can be used by the patient by the third abutting portion during the operation or at the time of injection without the help of a medical staff such as a nurse. The bending of the finger can be suppressed, and the patient can be prevented from bending the thumb and the little finger by the first contact portion and the second contact portion. Therefore, the medical staff can engage in other medical services. In particular, in the medical field where the number of medical staff is small, the surgical holding tool of the present invention is expected to be very useful.

  In addition, if at least one of the index finger, middle finger, and ring finger can be bent, the movement of the tendon in the palmar wound can be seen by the movement of the free finger, and It can be confirmed whether or not the incision has been made.

It is a perspective view which shows the surgical holder which concerns on one Embodiment of this invention. It is the arrow line view seen from the direction of arrow A of FIG. (A) is the figure which looked at the state which the patient mounted | worn with the surgical holder of this invention from the palm side, (b) looked at the state which the patient mounted | worn with the surgical holder of this invention from the back side of the hand FIG. (A), (b) is a perspective view which shows the other example of the surgical holder.

  The surgical holder according to the present invention is capable of restraining a patient from bending his / her finger to the palm side when undergoing hand surgery or injection. Hereinafter, the present invention will be described in detail based on the embodiments shown in the drawings.

  In FIG. 1, a surgical holder 1 according to the present invention is a surgical holder used for hand surgery (tendonitis surgery, carpal tunnel syndrome operation, etc.), and includes a first contact portion 2 and a second contact. A contact portion 3, a third contact portion 4, a first connection portion 5, and a second connection portion 6 are provided. In the present invention, the first abutting portion 2, the second abutting portion 3, the third abutting portion 4, the first connecting portion 5, and the second connecting portion 6 may be composed of a single aluminum material. it can.

  The first abutment portion 2 abuts on the palm side of the thumb (finger). The second abutting portion 3 abuts on the palm side portion of the little finger.

  The third contact portion 4 contacts the palm side portion of at least one of the index finger (indicator), middle finger, and ring finger (ring finger). In FIG. 1, the third abutting portion 4 is shown as being configured to abut on the palm-side portion of the middle finger, and the same applies to the following description.

  The first connecting portion 5 is formed in a substantially straight shape, and comes into contact with the back side or back of the hand of at least one of the index finger, middle finger, and ring finger, and the first contact portion 2 and the second contact portion. 3 is connected.

  The second connecting part 6 connects the third contact part 4 and the first contact part 2. In addition, it is good also as a structure which connects the 3rd contact part 4 and the 2nd contact part 3 instead of connecting the 3rd contact part 4 and the 1st contact part 2 with the 2nd connection part 6. FIG.

  Next, in FIG. 2, three directions intersecting each other are defined as an X direction, a Y direction, and a Z direction, respectively. In addition, let the fingertip direction in the state which extended the finger straight be Y direction.

  The first contact portion 2 is connected to one end (the right end of the drawing) of the first connecting portion 5 and is connected to the bent portion 2a having an L shape in the XZ plane, and to the bent portion 2a and in the XZ plane. It can comprise from the L-shaped bending part 2b. Thereby, a space (hereinafter referred to as a thumb contact space) K1 with which the thumb is in contact can be formed.

  Here, in order to increase the area in contact with the palm side portion of the thumb, that is, in order to further restrain the movement of bending the thumb, the bent portion 2a and the bent portion 2b include the bent portion 2a and the bent portion 2b. It is preferable to connect so that the part on the opposite side to the connection part 2c (part indicated by reference numeral S1 in the figure) is separated.

  The second abutting portion 3 is connected to the other end (the left end in the drawing) of the first connecting portion 5 and is connected to the bent portion 3a having an L shape in the XZ plane and to the XZ plane. And the L-shaped bent portion 3b. Thereby, a space (hereinafter referred to as a little finger contact space) K2 with which the little finger comes into contact can be formed.

  In order to increase the area in contact with the palm side portion of the little finger, that is, in order to further restrain the patient from bending the little finger, the bent portion 3a and the bent portion 3b include the bent portion 3a and the bent portion. It is preferable to connect so that the part (the part of code | symbol S2 in the figure) on the opposite side to the connection part 3c with 3b spaces apart.

  The third abutting portion 4 can be formed in a hook shape on the XZ plane, and the first middle finger abutting portion 4a that abuts on the palm side of the middle finger and the second middle finger that abuts on both sides of the middle finger. It can comprise with the contact part 4b. With such a configuration, a space (hereinafter referred to as a middle finger contact space) K3 with which the middle finger is brought into contact can be formed. By forming the third contact portion 4 in a hook shape, the third contact portion 4 can be brought into contact with the palm side portion of the middle finger (the portion near the first joint) and both sides of the middle finger. Thereby, it can restrain that a patient tries to bend a middle finger. In addition, about the 3rd contact part 4, the shape is not restricted to a hook shape, It can also be set as other shapes, such as L shape, in a XZ plane. However, if the third contact portion 4 is formed in a hook shape as shown in FIG. 2, not only can the middle finger bend into the middle finger contact space K3 but also the bending of the middle finger can be restrained, and the movement of the middle finger in the X direction can be restricted. Therefore, the middle finger is not detached from the third contact portion 4.

  FIG. 3A is a view of the patient wearing the surgical holder 1 from the palm side, and FIG. 3B is a view of the patient wearing the surgical holder 1 from the back side of the hand. FIG.

  In FIG. 3A, the patient inserts his / her middle finger from the Y direction into the middle finger contact space K3, positions the thumb in the thumb contact space K1, and positions the little finger in the little finger contact space K2. As a result, the middle finger of the patient contacts the third contact portion 4, the thumb contacts the first contact portion 2, the little finger contacts the second contact portion 3, and as shown in FIG. In addition, at least one of the index finger, the middle finger, and the ring finger or the back of the hand comes into contact with the first connecting portion 5. In addition, an index finger may contact the 2nd connection part 6 with the angle.

  As described above, in a state where the middle finger is restrained by the third contact portion 4, the thumb is restrained by the first contact portion 2, and the little finger is restrained by the second contact portion 3, the patient bends the middle finger. Then, the 1st connection part 5 presses at least one finger or back of a hand strongly among an index finger, a middle finger, and a ring finger. This makes it extremely difficult for the patient to bend at least the third joint of the middle finger. Therefore, it is possible to prevent the patient from bending the middle finger, thumb, and little finger during the operation or at the time of injection, and the surgical operation or injection is not obstructed.

  As described above, according to the surgical holding tool 1 according to the present invention, it is possible to prevent the patient from bending the middle finger, thumb, and little finger during operation or at the time of injection without the help of a medical staff such as a nurse. . Therefore, the medical staff can engage in other medical services. In particular, in the medical field where the number of medical staff is small, the surgical holder 1 of the present invention is expected to be very useful.

  In addition, although it was set as the structure which does not hold | maintain a patient's index finger and ring finger with the holder 1 for surgery above, it is desirable not to hold | maintain at least one of an index finger and a ring finger. Since either the index finger or the ring finger is in a free state, the free finger can be bent. This is because it is possible to confirm whether or not the incision of the surgical part of the palm moves and the incision of the part is reliably performed by this bending.

  The surgical holder of the present invention may have the following configuration. 4 (a) and 4 (b) are perspective views showing other examples of the surgical holder. The surgical holder 1a according to another example is particularly useful when performing a thumb tendonitis operation or the like. In the figure, the same reference numerals are given to the same components as those in the above embodiment, and the description thereof is omitted.

  4 (a) and 4 (b), in order to move the position of the thumb in the direction opposite to the index finger side (the direction of arrow B in the figure), the first abutment portion 20 is used in the surgical holder 1a. The step portion 21a of the bent portion 20a and the step portion 21b of the bent portion 20b can be formed at positions slightly moved in the direction of arrow B from the surgical holder 1 of FIG. When the patient's thumb abuts against the first abutment portion 20 as described above, the tendon sheath of the thumb can be stretched by slightly moving the position of the thumb in the direction of arrow B, so that tendonitis surgery can be easily performed. .

  The size of the surgical holders 1 and 1a according to the present invention can be set for men and for women slightly smaller than that for men. Among men and women, right hand and left hand are set. can do. In the above embodiment, the surgical holders 1 and 1a for the right hand have been exemplified. However, as the surgical holder for the left hand, the shape for the right hand is symmetric with respect to the axis in the Y direction. Can do. Further, the coloring for the right hand and the left hand can be made different so that the medical staff and patient do not misidentify.

  In the above embodiment, the example in which the patient's right hand is passed through the surgical holder 1 as shown in FIG. 3 is described, but the present invention is not limited to this, and the surgical holder 1 in the state of FIG. It is also possible to pass the patient's left hand through. In this case, the left little finger is in contact with the first contact portion 2 of the surgical holder 1, the left thumb is in contact with the second contact portion 3, and the middle finger of the left hand is in contact with the third contact portion 4. Touch.

  The present invention is not limited by the above-described embodiments, and can be implemented with appropriate modifications within a range that can be adapted to the gist of the present invention, all of which are within the technical scope of the present invention. Is included.

DESCRIPTION OF SYMBOLS 1,1a Surgical holder 2,20 1st contact part 2a Bending part 2b Bending part 3 2nd contact part 3a Bending part 3b Bending part 4 3rd contact part 5 1st connection part 6 2nd connection part 20a Bending part 20b Bending part K1 Thumb contact space K2 Little finger contact space K3 Middle finger contact space

Claims (6)

A surgical holder used for hand surgery,
A first contact portion that contacts the palm side portion of the thumb; a second contact portion that contacts the palm side portion of the little finger;
A third abutting portion that abuts against a palm side portion of at least one of the index finger, the middle finger, and the ring finger;
A first connecting part that contacts the back side or the back of the hand of at least one of the index finger, the middle finger, and the ring finger, and connects the first contact part and the second contact part;
A surgical holding tool comprising: the third contact portion and a second connection portion that connects the first contact portion or the second contact portion.   The surgical holder according to claim 1, wherein the first contact portion and the second contact portion have a bent portion.   The said 3rd contact part is comprised by the 1st middle finger contact part contacted to the part by the side of the palm of the said middle finger, and the 2nd middle finger contact part contacted to the both sides of this middle finger. The surgical holder as described.   The surgical holder according to any one of claims 1 to 3, wherein the first to third contact portions, the first connection portion, and the second connection portion are made of a single aluminum material. .   The surgical holder according to any one of claims 1 to 4, wherein the surgical holder is used for a palm side operation extending from a wrist joint to a finger as the operation.   The surgical holder according to claim 5, which is used for at least one of tenosynovitis operation, carpal tunnel syndrome operation, and duputren contracture operation as the palm side operation.

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