Transfer equipment

Abstract

To provide transfer equipment for transferring a medical sheet to a treatment object part of a living body.SOLUTION: Transfer equipment 10 includes an external cylinder 22 and a carrier member (first carrier member 18) having a shaft (first shaft 24) and a sheet-like support part (first support part 26). At a first position in which the shaft is moved in a base end direction with respect to the external cylinder 22 so that the support part is housed in the external cylinder 22, the support part is housed in the external cylinder 22 in the state of being deformed into a curved shape. When a central part 26C in a width direction on the surface 461 of the support part turns upward when the support part is in a developed state, the two sides 26S in the width direction on the surface 461 of the support part turns upward.SELECTED DRAWING: Figure 1

Description

[Technical field]

[0001] The present invention relates to a transfer device for transferring a medical sheet to a treatment target part of a living body. [Background technology]

[0002] Patent Document 1 discloses a transfer device for transferring a medical sheet (cell sheet) used, for example, in organ transplantation to a treatment target part of a living body. This transfer device comprises an outer tube, a sliding member slidably supported within the outer tube, and a sheet support member provided at the tip of the sliding member. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] JP 2009-000511 A Summary of the Invention [Problem to be solved by the invention]

[0004] It is desirable to have smaller, less invasive delivery instruments. [Means for solving the problem]

[0005] (1) One aspect of the present invention is a transfer device for transferring a medical sheet to a treatment target part of a living body, comprising: an outer tube having a tip opening; a shaft extending in the axial direction of the outer tube and disposed inside the outer tube so as to be movable along the axial direction; and a carrier member having a sheet-like support part disposed at the tip of the shaft, wherein the support part has a support surface capable of holding the medical sheet, a front surface including the support surface, and a back surface opposite to the front surface, the width of the support part in a direction perpendicular to the extension direction of the shaft is greater than the inner peripheral length of the outer tube, and the shaft is slidably moved so that the support part is accommodated within the outer tube. at a first position where the shaft is moved in a base end direction relative to the outer tube, the support portion is contained within the outer tube in a curved and deformed state, and has a pair of separated portions that are spaced from the inner surface of the outer tube and protrude into the inside of the outer tube; at a second position where the shaft is moved in a distal direction relative to the outer tube so that the support portion protrudes from the tip opening of the outer tube, the support portion unfolds by being exposed in the distal direction from the outer tube, and when the support portion is in a deployed state, when a widthwise central portion of the surface of the support portion faces upward, both widthwise sides of the surface of the support portion face upward.

[0006] This transfer device can be accommodated in the outer tube by bending and deforming the support part. This allows the transfer device to be made thinner and less invasive. In addition, when the center of the width of the surface of the first support part faces upward in the deployed state of the support part, both sides of the width of the surface of the first support part face upward. With this configuration, the support part has a simple shape without creases, etc., and is therefore easy to manufacture.

[0007] (2) In the transfer device described above in (1), the pair of spaced apart portions may come into contact with each other on the rear surface of the support portion when the support portion is housed within the outer cylinder. Effect of the Invention

[0008] According to the transport device of the present invention, the support part can be curved and deformed to be housed inside the outer tube, making the transport device thinner and less invasive. In addition, the support part has a simple shape without folds, etc., making it easy to manufacture. [Brief description of the drawings]

[0009] [Figure 1] FIG. 1 is a perspective view of a delivery device according to an embodiment of the present invention. [Diagram 2] FIG. 2 is an exploded perspective view of the delivery device of FIG. [Diagram 3] FIG. 3 is a plan view of the tip of the delivery device of FIG. [Figure 4] FIG. 4 is a vertical cross-sectional view taken along line IV-IV in FIG. [Diagram 5] FIG. 5 is a cross-sectional view taken along line VV in FIG. [Figure 6] FIG. 6 is a flow chart showing the steps of a method for transferring a medical sheet using the transfer device of FIG. [Figure 7] FIG. 7 is an explanatory diagram of the sheet placing step. [Figure 8] FIG. 8 is an explanatory diagram of the accommodation step. [Figure 9] FIG. 9 is a cross-sectional view taken along line IX-IX in FIG. [Figure 10] FIG. 10 is an explanatory diagram of the placement process. [Figure 11] FIG. 11 is an explanatory diagram of the development process. [Figure 12] FIG. 12 is an explanatory diagram of the movement process. [Figure 13] FIG. 13 is an explanatory diagram of the removal step. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0010] As shown in Fig. 1, the transfer device 10 according to this embodiment is a medical device for transferring a medical sheet 300 to a treatment target part of a living body. The transfer device 10 is used, for example, in the treatment of severe heart failure caused by ischemic heart disease. In this case, the medical sheet 300 is transplanted to a transplant target part 402 of a heart 400 (a treatment target part of a living body) (see Fig. 12). The transfer device 10 can attach multiple medical sheets 300 to the transplant target part 402.

[0011] Such medical sheet 300 includes pharmaceuticals for medical use, regenerative medicine products, medical devices, etc. The medical sheet 300 is formed in a sheet shape such as a film or membrane (gel-like substance). The medical sheet 300 may be reinforced by applying fibrin or the like. Regenerative medicine products containing cells include, for example, cell sheets (sheet-shaped cell cultures), spheroids, etc. The cell sheet can be formed by culturing autologous cells or allogeneic cells. The cells constituting the cell sheet include, for example, somatic stem cells (adult stem cells), mesenchymal stem cells, or cardiomyocytes derived from iPS cells (induced pluripotent stem cells). The somatic stem cells preferably include skeletal myoblasts (myoblast cells).

[0012] The medical sheet 300 may contain a tissue adhesive, a local anesthetic, etc. The thickness of the medical sheet 300 is, for example, about 100 μm, and the diameter of the medical sheet 300 is, for example, about 60 mm. However, the thickness and diameter (size) of the medical sheet 300 can be set appropriately.

[0013] The medical sheet 300 may be a sheet to be transplanted into an organ (such as the lung, liver, pancreas, kidney, small intestine, or esophagus) other than the heart 400. Furthermore, the medical sheet 300 may be a sheet for preventing adhesions, for example, so long as it is for medical use.

[0014] 1 and 2, the transportation instrument 10 includes an instrument body 12, an endoscope 14, and a fixing member 16. The instrument body 12 includes a first carrier member 18, a second carrier member 20, and an outer cylinder 22. Note that the transportation instrument 10 is not limited to including the endoscope 14.

[0015] In FIG. 2, the first carrier member 18 includes a first shaft 24 and a first support 26 .

[0016] The first shaft 24 is a tubular body (a circular tube member in this embodiment) having a first lumen 28. The first lumen 28 opens at the tip (the end in the direction of the arrow X1) of the first shaft 24 and at the base end (the end in the direction of the arrow X2) of the first shaft 24. An airtight valve body 55 that is in close contact with the outer circumferential surface of the second shaft 48 is provided at the base end of the first shaft 24. A marker 551 is provided on the outer circumferential surface of the valve body 55. When using the transfer device 10, the user can see the marker 551. Note that the first shaft 24 is not limited to a tubular body, and may not be a tubular body.

[0017] The first shaft 24 extends in the axial direction of the outer cylinder 22 and is disposed inside the outer cylinder 22 so as to be movable along the axial direction. The first shaft 24 is made of, for example, a resin material. The constituent material of the first shaft 24 is not particularly limited, but examples thereof include polyethylene, polypropylene, fluororesin, polyethylene terephthalate, polymethyl methacrylate, polyamide resin, polystyrene, polycarbonate, polyimide, polyetherimide, polyether ether ketone, polyvinyl chloride, ABS resin, polyamide elastomer, and polyester elastomer. The first shaft 24 may be made of a metal material.

[0018] The first shaft 24 may be flexible. The first shaft 24 may have a flexible tube portion capable of retaining a bent shape. In this case, the first shaft 24 can be bent into an appropriate shape within the body cavity and can retain the bent shape.

[0019] As shown in Figs. 2 to 4, the first support part 26 is attached to the tip part of the first shaft 24. The first support part 26 is made of, for example, a resin material. The first support part 26 is capable of holding a medical sheet 300. The first support part 26 is formed by folding a flexible resin sheet material (film material) into a predetermined shape. The first support part 26 is formed, for example, by forming the sheet material into a predetermined shape using a sheet forming die. The thickness of the sheet material is not particularly limited, but is preferably set to, for example, 100 µm or more and 200 µm or less. The first support part 26 has a first joint part 30 and a first support body 32.

[0020] The constituent material of the first support section 26 is not particularly limited, but is preferably transparent, and examples of the constituent material include polyethylene, polycarbonate, polyamide, polystyrene, polypropylene, polyacetal resin, polyimide, polyetherimide, polyether ether ketone, polyethylene terephthalate, fluororesin, etc. The first support section 26 may be in a mesh shape.

[0021] In Fig. 4, the first joint part 30 is bonded to the inner circumferential surface of the tip part of the first shaft 24 by an adhesive. The adhesive is not particularly limited, but examples thereof include a UV adhesive, a hot melt adhesive, and an instant adhesive (e.g., a cyanoacrylate instant adhesive). The first joint part 30 may be heat fused to the inner circumferential surface of the first shaft 24. The first support part 26 may be detachable from the tip part of the first shaft 24.

[0022] 2, the first support body 32 extends from the first joint portion 30 in the distal direction. The first support body 32 has a base end support portion 34, an intermediate support portion 36, and a distal end support portion 42. The first support body 32 has a first support surface 261. The marker 551 is arranged so that the marker 551 of the first shaft 24 faces upward when the first support surface 261 faces upward. In other words, the marker 551 allows the user to confirm the direction of the first support surface 261 in the first support portion 26.

[0023] As shown in Fig. 3, the base end support part 34 is formed to be wider in the extension direction. In other words, both sides in the width direction of the base end support part 34 are tapered toward the first joint part 30 (see Fig. 2). The intermediate support part 36 is formed to be tapered so that the width gradually decreases from the tip toward the base end (arrow X2 direction).

[0024] The tip support portion 42 is connected to the tip of the intermediate support portion 36. The tip support portion 42 protrudes in an arc shape toward the tip direction (the direction of the arrow X1). That is, the tip support portion 42 of the first support portion 26 is arc-shaped when viewed from a direction perpendicular to the first support surface 261 shown in FIG.

[0025] 4, the base end support portion 34 extends from the tip of the first joint portion 30 toward the tip direction (arrow X1 direction) so as to generally follow the axis Ax of the first shaft 24. The intermediate support portion 36 extends from the tip of the base end support portion 34 toward the tip direction (arrow X1 direction) to intersect with the axis Ax of the first shaft 24 and toward the tip direction of the first support portion 26 (arrow X1 direction).

[0026] The first support body 32 has a front surface 461 that faces upward (in the direction of arrow Y) and includes the first support surface 261, and a back surface 462 that is the opposite surface to the front surface 461. The first support surface 261 is a flat surface that is continuous with the upper surface of the base end support part 34, the intermediate support part 36, and the upper surfaces of the tip support part 42. A lubricant may be applied to the first support surface 261 so that a second support part 50 of the second carrier member 20, which will be described later, can slide smoothly on the first support surface 261.

[0027] In FIG. 3, the direction perpendicular to the axial direction of the first shaft 24 (W direction) is the width direction of the first support part 26. The W direction is also the width direction of other components (such as the outer tube 22). W1 in FIG. 3 is the width of the portion where the width of the first support part 26 is at its maximum. The width W1 of the first support part 26 is greater than the inner peripheral length L (see FIG. 9) of the outer tube 22. In FIG. 9, the inner peripheral length L of the outer tube 22 is the length of the inner peripheral surface along the circumferential direction of the outer tube 22 (L=2πR). R is the radius of the inner cavity 78 of the outer tube 22.

[0028] As shown in FIG. 1, in a state where the first support part 26 is extended and protrudes from the tip opening 80 of the outer tube 22 (hereinafter, also referred to as the "extended state of the first support part 26"), the first support part 26 is substantially flat. Therefore, as shown in FIG. 5, when the central part 26C in the width direction of the surface 461 of the first support part 26 faces upward in the extended state of the first support part 26, both sides 26S in the width direction of the surface 461 of the first support part 26 face upward. Note that after the first support part 26 is accommodated in the outer tube 22 as shown in FIG. 8, when the first support part 26 returns to the extended state protruding from the tip opening 80 of the outer tube 22 as shown in FIG. 11, a slight curved shape may remain in the first support part 26. However, no creases are formed in the first support part 26. 5, first support portion 26 may be slightly curved so that both sides 26S of first support portion 26 in the width direction are slightly higher than central portion 26C when first support portion 26 is in the unfolded state. Even in this case, both sides 26S of first support portion 26 in the width direction on surface 461 face upward.

[0029] As shown in FIG. 2, the second carrier member 20 includes a second shaft 48 , a second support portion 50 , and a hub 52 .

[0030] The second shaft 48 is a tubular body (a circular tube member in this embodiment) having a second lumen 57. The length of the second shaft 48 along the axial direction is longer than the length of the first shaft 24 along the axial direction. The second shaft 48 is inserted into the first lumen 28 of the first shaft 24 (see Figs. 1 and 4). In other words, the distal end of the second shaft 48 protrudes in the distal direction (arrow X1 direction) from the distal end opening of the first shaft 24. The proximal end of the second shaft 48 protrudes in the proximal direction (arrow X2 direction) from the proximal end opening of the first shaft 24 (see Fig. 1). The second shaft 48 extends along the first shaft 24 and is provided movably along the first shaft 24. The second shaft 48 is not limited to a tubular body and may not be a tubular body.

[0031] The second shaft 48 is configured so as to be able to follow the shape of the first support portion 26. As the constituent material of the second shaft 48, for example, a material that is more flexible than the constituent material of the first shaft 24 is selected. Specifically, as the constituent material of the second shaft 48, for example, polyamide elastomer, polyester elastomer, polyurethane elastomer, polyvinyl chloride, polybutadiene, silicone rubber, metal coil (including composite with resin), etc. can be mentioned. The second shaft 48 is flexible.

[0032] 4, the second shaft 48 has a carrier holding portion 54 and a pressing portion 56 formed by the tip portion of the second shaft 48. The pressing portion 56 is formed from an elastic body such as an elastomer material. The pressing portion 56 presses the first support portion 26 against the inner surface of the outer tube 22 in a state in which the first support portion 26 is housed inside the outer tube 22.

[0033] The tip of the carrier holding part 54 has a pressing surface 58. The carrier holding part 54 is capable of pressing the outer peripheral end surface of the medical sheet 300 supported by the first support part 26 in the tip direction (arrow X1 direction) with the pressing surface 58. In this embodiment, the pressing part 56 is provided with the carrier holding part 54 that supports the second support part 50. The carrier holding part 54 has a pressing surface 58 and an attachment hole 60.

[0034] In Fig. 4, the pressing surface 58 is provided on the tip surface of the carrier holding part 54. An attachment hole 60 opens in the pressing surface 58. The second support part 50 is attached to the pressing surface 58. The pressing surface 58 presses the outer peripheral end surface of the medical sheet 300 in the tip direction (the direction of the arrow X1) (see Fig. 12).

[0035] 2 to 4, the second support part 50 is configured in a flexible sheet shape. The second support part 50 has a second joint part 70 and a second support body 72. The second joint part 70 is provided at the base end of the second support part 50. The second joint part 70 is provided at the base end of the second support body 72. The second joint part 70 is inserted into the mounting hole 60 of the carrier holding part 54 and is, for example, bonded. The second joint part 70 may be bonded to the mounting hole 60 of the carrier holding part 54 by an appropriate bonding method other than bonding. Furthermore, the second support part 50 may be molded integrally with the carrier holding part 54.

[0036] The second support body 72 extends from the second joint 70 in the tip direction (the direction of arrow X1). The length of the second support body 72 in the extending direction from the second joint 70 is shorter than the length of the first support body 32 in the extending direction from the first joint 30. A second support surface 74 for placing the medical sheet 300 on is provided on the upper surface of the second support body 72. The second support surface 74 is a flat surface. The second support body 72 is smaller than the first support body 32. In other words, the area of ​​the second support surface 74 is smaller than the area of ​​the first support surface 261.

[0037] In FIG. 2, the hub 52 is attached to the proximal end of the second shaft 48 .

[0038] 1 and 2, the outer tube 22 is a cylindrical member having a cavity 78. The cavity 78 has a tip opening 80 that opens at the tip (end in the direction of arrow X1) of the outer tube 22. The cavity 78 opens at the base end (end in the direction of arrow X2) of the outer tube 22. The outer tube 22 is flexible. The outer tube 22 may be made of the same material as the first shaft 24 described above. The first shaft 24 is inserted into the cavity 78 of the outer tube 22. The length of the outer tube 22 in the axial direction is shorter than the length of the first shaft 24 in the axial direction. The base end of the outer tube 22 is provided with an airtight valve body 84 that is in close contact with the outer circumferential surface of the first shaft 24.

[0039] 2 and 4, the tip surface of the outer cylinder 22 extends along a direction perpendicular to the axial direction of the outer cylinder 22. In FIG.

[0040] As shown in Fig. 2, the endoscope 14 has a long endoscope body 86. The tip of the endoscope body 86 is fixed to the outer peripheral surface of the outer tube 22 by a fixing member 16 (see Fig. 1). An objective lens 88 provided on the tip surface of the endoscope body 86 faces the tip direction of the outer tube 22 (the direction of the arrow X1). The tip of the endoscope body 86 is fixed to a middle part of the outer tube 22 in the axial direction. However, the tip of the endoscope body 86 may be fixed to the tip of the outer tube 22.

[0041] The fixing member 16 includes, for example, a fixed cylinder 90 and a fixed tube 92. The fixed cylinder 90 is made of, for example, a hard resin material. The endoscope main body 86 can be inserted into the inner cavity of the fixed cylinder 90. The fixed cylinder 90 is arranged along the longitudinal direction of the outer cylinder 22. The fixed tube 92 is a tube for fixing the fixed cylinder 90 to a predetermined position of the outer cylinder 22. The fixed tube 92 is, for example, a heat shrink tube. The method of fixing the tip portion of the endoscope main body 86 to the outer cylinder 22 can be set appropriately.

[0042] Next, a method for transferring the medical sheet 300 to a treatment target part of a living body will be described. Specifically, as shown in Fig. 10 to Fig. 13, a method for transferring the medical sheet 300 to a transplant target part 402 of a heart 400 (treatment target part of a living body) by thoracoscopic surgery will be described. As shown in Fig. 6, the transfer method according to this embodiment includes a preparation step, a sheet placement step, a storage step, a positioning step, a deployment step, a movement step, and a removal step.

[0043] First, in a preparation step (step S1), the transfer device 10 according to the present embodiment described above is prepared. In the following, the state shown in FIG. 1 will be described as the initial state of the transfer device 10. In the initial state, the first shaft 24 and the second shaft 48 are moved in the distal direction (arrow X1 direction) relative to the outer tube 22, and the first support portion 26 and the second support portion 50 are in a protruding position (second position) protruding in the distal direction from the distal opening 80 of the outer tube 22. Each of the first and second support portions 26, 50 is exposed in the distal direction from the outer tube 22 and deployed, and the second support portion 50 is disposed on the first support surface 261 of the first support portion 26. That is, the second support portion 50 is disposed in a retracted position overlapping the first support surface 261 of the first support portion 26. At this time, the base end portion of the carrier holding portion 54 is inserted into the first inner cavity 28 of the first shaft 24.

[0044] 7, the medical sheet 300 placed in the petri dish 401 is placed on the second support surface 74. The medical sheet 300 protrudes outward from the second support portion 50 when placed on the second support surface 74. The first support surface 261 supports the protruding portion 302 of the medical sheet 300 that protrudes outward from the second support portion 50.

[0045] Thereafter, in the accommodation step (step S3 in FIG. 6), the medical sheet 300 is accommodated in the outer cylinder 22 together with the first support portion 26 and the second support portion 50, as shown in FIG.

[0046] Specifically, in the accommodation step, the user uses, for example, an appropriate tool or his / her own hand to bend and deform the first support part 26 into the shape shown in Fig. 9, and while maintaining the curved shape, moves the first shaft 24 of the first carrier member 18 and the second shaft 48 of the second carrier member 20 together in the base end direction (arrow X2 direction) relative to the outer tube 22. As a result, the first support part 26 is accommodated in the outer tube 22 in a curved and deformed state, as shown in Fig. 9.

[0047] With the first support portion 26 housed in the outer cylinder 22, the intermediate support portion 36 is deformed into a cylindrical shape along the inner surface of the outer cylinder 22. Both ends of the first support portion 26 in the width direction are curved so that a front surface 461 of the first support portion 26 faces inward and a back surface 462 of the first support portion 26 faces outward. The back surfaces 462 on both sides of the width direction of the first support portion 26 face each other across an imaginary line L2 extending perpendicular to the central axis of the outer cylinder 22. Both ends of the first support portion 26 in the width direction protrude downward (the first support surface 261, the front surface 461).

[0048] As a result, the back surface 462 of the first support part 26 is curved in intimate contact with the inner surface of the outer tube 22, and both end parts of the first support part 26 are further curved so as to be folded back toward the center of the outer tube 22, with the free ends of both end parts being positioned below the central axis of the outer tube 22. In other words, the first support part 26 is accommodated in the outer tube 22 in a state where it is curved into a heart shape along the inner surface of the outer tube 22.

[0049] As shown in FIG. 9, in a state where the first support part 26 is housed in the outer tube 22 (hereinafter also referred to as the "curved state of the first support part 26"), the first support part 26 has a pair of spaced parts 39 that are spaced from the inner peripheral surface of the outer tube 22 and protrude into the interior (cavity 78) of the outer tube 22. The pair of spaced parts 39 are in contact with each other on the back surface 462 of the first support part 26. In the embodiment shown in FIG. 9, in the curved state of the first support part 26, the distance between the lower parts of the pair of spaced parts 39 increases downward. Therefore, the free ends 391 of the pair of spaced parts 39 are spaced from each other. In the curved state of the first support part 26, the lower parts of the pair of spaced parts 39 may be parallel to each other along the imaginary line L2.

[0050] The heart shape refers to a generally circular shape consisting of a convexly curved shape on one side and two convexly curved shapes on the other side opposite to the one. When a heart shape is formed in the inner cavity 78 of the tubular body (outer cylinder 22), the two convexly curved shapes protruding to the other side along the inner surface of the tubular body approach each other, so that the overall outline becomes a generally circular shape along the inner surface of the tubular body (see the shape of the first support part 26 in FIG. 9).

[0051] As the first support part 26 curves, the second support part 50 (see FIGS. 1 to 3) also curves along the inside (surface 461 side) of the first support part 26. As the first support part 26 and the second support part 50 curve, the medical sheet 300 deforms into a shape corresponding to the shapes of the first support body 32 and the second support body 72, and the medical sheet 300 is contained within the outer cylinder 22.

[0052] 8, the accommodating step is completed when the entire first support part 26 is completely inserted into the outer tube 22. When the accommodating step is completed, a part of the first support part 26 may protrude from the tip opening 80 of the outer tube 22. In this case, the state in which a part of the first support part 26 protrudes from the tip opening 80 of the outer tube 22 is the first position of the first support part 26.

[0053] Thereafter, in a placement step (step S4 in FIG. 6), as shown in FIG. 10, the transfer instrument 10 is inserted into the thoracic cavity 410 through the incision 409 in the chest 408. At this time, the tip of the transfer instrument 10 is positioned near the transplant target portion 402 in the heart 400, and the tip of the endoscope 14 is positioned inside the thoracic cavity 410. Note that before inserting the transfer instrument 10 into the thoracic cavity 410, a liquid supply instrument (not shown) may be connected to the connection port of the hub 52 to introduce liquid (e.g., physiological saline).

[0054] Next, in the unfolding step (step S5 in FIG. 6), the first support part 26, the second support part 50, and the medical sheet 300 are unfolded as shown in FIG. 11. Specifically, in the unfolding step, the first shaft 24 is grasped and moved toward the tip (arrow X1 direction) relative to the outer tube 22. As a result, the valve body 55 of the first shaft 24 moves the second shaft 48 together with the first shaft 24 toward the tip (arrow X1 direction). Then, the first support part 26 exposed from the tip opening 80 of the outer tube 22 returns to its original shape by a restoring force. In the second position where the first support part 26 is unfolded, the first support part 26 and the second support part 50 spread out in a planar shape.

[0055] In the unfolding step, the second carrier member 20 has the second support surface 74, on which the medical sheet 300 is placed, positioned entirely above the first support surface 261. At this time, the medical sheet 300 is supported by the first support surface 261 and the second support surface 74. This makes it possible to prevent wrinkles from forming in the protruding portion 302 of the medical sheet 300 before the medical sheet 300 is transferred to the transplantation target portion 402 of the heart 400.

[0056] 12, by moving the second carrier member 20 in the distal direction (arrow X1 direction) relative to the first carrier member 18, the second support part 50 on which the medical sheet 300 is placed moves from the retracted position to the advanced position, and the second support part 50 protrudes in the distal direction (arrow X1 direction) beyond the tip of the first support part 26. Specifically, in the moving step, the second shaft 48 is moved in the distal direction relative to the first shaft 24.

[0057] As a result, the second support part 50 moves in the distal direction (direction of arrow X1) relative to the first support part 26. At this time, when the distal end surface of the carrier holding part 54 (pressing part 56) presses the outer peripheral end surface of the medical sheet 300 in the distal direction, the entire medical sheet 300 is positioned in the distal direction further than the first support part 26. In this moving step, the medical sheet 300 is moved above the transplant target part 402 of the heart 400, and the overhanging part 302 of the medical sheet 300 is brought into contact with the transplant target part 402.

[0058] Then, in the removal step (step S7 in FIG. 6), as shown in FIG. 13, the second carrier member 20 is moved from the second position to the first position to remove the second support part 50 from between the transplantation target part 402 and the medical sheet 300. Then, the entire medical sheet 300 comes into contact with the surface of the transplantation target part 402. This completes the transfer of the medical sheet 300 to the transplantation target part 402. Thereafter, the transferring instrument 10 is removed from the chest 408 with the first support part 26 and the second support part 50 housed within the outer cylinder 22.

[0059] This embodiment provides the following advantages.

[0060] 9, the transport instrument 10 can be accommodated in the outer tube 22 by bending and deforming the first support portion 26. This allows the transport instrument 10 to be made thinner and less invasive.

[0061] 5, when first support portion 26 is in an unfolded state, when widthwise central portion 26C of surface 461 of first support portion 26 faces upward, both widthwise sides 26S of surface 461 of first support portion 26 face upward. That is, first support portion 26 has a substantially flat shape. With this configuration, first support portion 26 has a simple shape without creases or the like, and is therefore easy to manufacture.

[0062] The present invention is not limited to the above disclosure, and various configurations may be adopted without departing from the gist of the present invention. For example, the second support part 50 may be eliminated from the second carrier member 20. The second carrier member 20 may be eliminated from the transfer device 10, and the medical sheet 300 may be moved from above the first support part 26 to above the transplantation target portion 402 using another device. [Explanation of symbols]

[0063] 10…Transfer device 18...First carrier member 22…Outer cylinder 24…First shaft 26...First support part 39…Separation part 261...1st support surface 300…Medical sheets 402…Transplant target area

Claims

1. A transfer device for transferring a medical sheet to a treatment target part of a living body, An outer cylinder having a tip opening; a carrier member having a shaft extending in an axial direction of the outer cylinder and disposed inside the outer cylinder so as to be movable along the axial direction, and a sheet-shaped support portion disposed at a tip portion of the shaft; the support portion has a support surface capable of holding the medical sheet, a front surface including the support surface, and a back surface opposite to the front surface, and a width of the support portion in a direction perpendicular to an extension direction of the shaft is greater than an inner peripheral length of the outer tube, At a first position obtained by moving the shaft in a base end direction relative to the outer cylinder so that the support portion is accommodated within the outer cylinder, the support portion is accommodated within the outer cylinder in a curved and deformed state, and has a pair of spaced portions that are spaced from an inner circumferential surface of the outer cylinder and protrude into the inside of the outer cylinder, At a second position where the shaft is moved in a distal direction relative to the outer tube so that the support portion protrudes from the distal opening of the outer tube, the support portion is exposed in a distal direction from the outer tube and deployed, A transfer device in which, when the support portion is in an unfolded state and the central portion of the width direction of the surface of the support portion faces upward, both sides of the width direction of the surface of the support portion face upward.

2. 2. The transfer device of claim 1, A transfer device in which the pair of spaced apart portions contact each other on the rear surface of the support portion when the support portion is housed within the outer tube.

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