CN101987027B - Suture device - Google Patents

Suture device Download PDF

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Publication number
CN101987027B
CN101987027B CN 200910183610 CN200910183610A CN101987027B CN 101987027 B CN101987027 B CN 101987027B CN 200910183610 CN200910183610 CN 200910183610 CN 200910183610 A CN200910183610 A CN 200910183610A CN 101987027 B CN101987027 B CN 101987027B
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China
Prior art keywords
base
needle
coil
purse
surface
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CN 200910183610
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Chinese (zh)
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CN101987027A (en
Inventor
谢守叶
陈望东
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苏州天臣国际医疗科技有限公司
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Priority to CN 200910183610 priority Critical patent/CN101987027B/en
Publication of CN101987027A publication Critical patent/CN101987027A/en
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Publication of CN101987027B publication Critical patent/CN101987027B/en

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Abstract

The invention provides a suture device for a surgical operation. The suture device comprises a base, a threading needle, a pouch coil and a hook knife, wherein the threading needle is verticality arranged on the surface of the base and the needle point of the threading needle is provided with a hole for threading; a pouch thread wound on the pouch coil passes through the threading hole, and is driven by the threading needle to pass through tissues and form a coil below the base; the hook knife is arranged below the lower surface of the base; the hook knife reciprocates along the direction parallel to the surface of the base; and the knife point of the hook knife can pass through the coil. The invention has the main beneficial effects that because the suture device can freely control the suture length, the suture device can be suitable for suturing tissues with different lengths; and in addition, because the suture device uses a stepwise suture mode, the whole suture device can be designed smaller, thus the suture device can be suitable for operations the operating positions of which are smaller, such as a deep operation and the like, and the usable range of the suture device is greatly expanded.

Description

缝合装置 Stapling means

技术领域 FIELD

[0001] 本发明涉及一种外科手术用缝合装置,属于医疗器械领域。 [0001] The present invention relates to a surgical stapling device, belonging to the surgical field.

背景技术 Background technique

[0002] 外科用荷包缝合器及外科用吻合器是对肠道等生理组织进行外科手术时经常使用的医疗器械,其性能的好坏直接影响手术进程,对于手术效果起着非常重要的作用。 [0002] purse surgical staplers and medical equipment is often used when surgery is performed on the physiological tissues such as the intestinal tract surgical stapler, its performance will directly affect the surgery process, for the effect of surgery plays a very important role. 现有技术中,使用吻合器进行缝合手术前都要在器官残端做荷包缝合,以便在置入中心杆后能牢固结扎,然后才能实施装订手术。 In the prior art, the use of surgical stapler for stapling every organ before doing the stump purse-string suture, in order to tightly ligated into the central rod, before stapling operation.

[0003]目前比较常用的可进行荷包缝合的器械有荷包钳与自动荷包器。 [0003] It may be commonly used with a purse string suture instrument pouch purse automatic clamp device. [0004] 荷包钳是将夹在其两个钳夹之间的组织以针带线穿过钳夹上的通孔,针穿过组织后,荷包线也就被穿到组织上了。 [0004] purse clamp is sandwiched between two jaws of a needle with thread through the tissue to the jaws of the through hole after the needle through the tissue purse line will be threaded onto the tissue.

[0005]自动荷包器是将组织夹在上下两个钳夹之间,用力挤压连着钳夹的手柄,装在钳夹内的钉仓内的钉被击发出来,同时带出荷包线,使荷包线被包在组织与钉之间,然后就可以收紧荷包线完成荷包缝合了。 [0005] Automatic tissue purse is sandwiched between two upper and lower jaws, the jaws squeeze handle attached, the staples contained within the staple cartridge jaw fired issued to bring out the purse line, that the purse line is encased between the tissue and the staple, and then can tighten the purse string suture to complete the line.

[0006] 上述两种荷包缝合器械需要组织的宽度与钳夹的长度相对应,所以对于不同长度的组织需要使用相应型号的荷包钳或自动荷包器,但是有些特殊部位的手术,跟组织相应长度的荷包钳或自动荷包器很难进入手术区;而且荷包钳或自动自动荷包器又都必须在组织分离出足够长度的情况下才能使用,这对于一些深部手术又显的非常困难。 [0006] The length of the two tissue purse stringed instrument required width of the jaws corresponds to the tissue so requires the use of different lengths of the respective types of forceps or purse purse is automatic, but some special parts of the operation, with respective lengths of tissue purse forceps or purse is difficult to enter the automatic operation region; automatic or automatic clamp pockets and pockets in turn must be used in cases where a sufficient length of the separated tissue, which in turn is very difficult for some significant in deep surgery.

发明内容 SUMMARY

[0007] 本发明的目的在于解决上述的技术问题,提供一种可以自由控制缝合长度的缝合 [0007] The object of the present invention is to solve the above technical problems, there is provided a suture can freely control the length of the suture

>JU装直。 > JU loaded straight.

[0008] 本发明的另一目的在于提供一种可以满足深部手术中进行荷包缝合的要求的缝合器械。 [0008] Another object of the present invention is to provide a stapling instrument for purse string suture can satisfy the requirements in deep surgery.

[0009] 本发明的目的通过以下技术方案来实现: [0009] The object of the present invention is achieved by the following technical solutions:

[0010] 一种缝合装置,包括一个底座,所述底座的上表面可放置需进行缝合的组织;一个垂直设于底座表面的、其针尖具有绕线穿孔的绕线针,所述绕线针沿垂直于底座表面的方向作往复运动,所述绕线针可刺穿组织,并且其针尖的行程为从所述底座的上表面之上直到底座的下表面之下;一个荷包线圈,缠绕于所述荷包线圈的荷包线穿过所述绕线穿孔;所述由绕线针带动并穿过组织的荷包线在所述底座的下表面下方形成一个线圈;以及一个置于所述底座下表面下方的勾刀,所述勾刀沿平行于底座表面的方向做往复移动,并且所述勾刀的刀尖可以穿过所述线圈,所述勾刀的速率与绕线针的速率相等。 [0010] A suturing device, comprising a base, an upper surface of the base may need to be placed in the stapled tissue; a perpendicular surface provided on the base, a perforated needle tip having a bobbin winding needle, said needle winding for a direction perpendicular to the direction of reciprocation of the base surface, said winding needle can pierce tissue, and the needle tip is below the lower surface of the base to travel from above the upper surface of the base until; purse a coil wound around the purse line packets passing through the coil winding perforations; the needle by the drive winding and through tissue to form a coil purse line below the lower surface of the base; and a lower surface of the base was placed below the hook knife, the hook knife reciprocating movement in a direction parallel to the base surface, and the hook blade tip may pass through the coil, the rate equal to the rate of the winding hook knife needle.

[0011] 进一步地,上述缝合装置还包括一个与所述底座相铰接的上座,所述绕线针固定于所述上座之上,所述荷包线圈可转动地设于所述上座之上。 [0011] Further, the suturing device further comprises a hinged to the base of the upper seat, the winding needle is fixed above the upper seat, the purse coil rotatably disposed above said upper seat. 所述上座和底座之间设有一个回位弹片。 Between the upper seat and the base is provided with a return leaf spring. 所述勾刀枢轴设置在一个传动连杆上,所述传动连杆的另一端枢轴设置在所述上座之上。 The hook knife pivotally disposed on a transmission link, the other end of the transmission link pivotally disposed on the upper seat. [0012] 再进一步地,所述上座延伸出一方杆,所述传动连杆的另一端枢轴设置在方杆上。 [0012] Still further, the upper seat extending one rod and the other end of the transmission link is pivotally disposed on the rod side. 所述荷包线圈枢轴设置于所述方杆上。 The purse coil disposed on the pivot rod side.

[0013] 更进一步地,所述底座上设有一长槽,所述传动连杆可滑动地设于所述长槽内,所述传动连杆的侧边始终与长槽的侧壁接触。 [0013] Further, a long groove provided on said base, said drive rod being slidably disposed in the long groove, the drive link side always in contact with the side wall of the trough.

[0014] 再进一步地,所述上座上设有两个可伸缩的导杆,导杆的另一端固定设有压块,所述压块上设有一个可被所述绕线针穿过的孔。 [0014] Still further, the upper seat is provided with two telescopic guide rod, the other end of the guide rod is provided with a fixed compact, the compact may be provided with a needle through which said bobbin hole. 所述底座上设有一齿条。 A rack provided on said base.

[0015] 上述缝合装置用于外科手术用的荷包缝合,或者用于外科手术中的残端组织的吻 [0015] The suturing device for surgical purse-string suture, or for tissue surgery stump kiss

口o Mouth o

[0016] 本发明的有益效果主要体现在:由于缝合装置可以自由地控制缝合长度,因此可以适用于不同长度的组织的缝合;另外,由于缝合装置为步进式缝合,因此可以将整体设计的较小,这样就能适用于深部手术等操作位置较小的手术中去,其使用范围得到很大的扩展。 [0016] Advantageous effects of the present invention is mainly embodied in: Since the stapling device can be freely controlled length of suture, the suture can be applied to the organization of different lengths; Further, since the stapling device is a stepper suture, the overall design can thus be It is small, so that we can apply to smaller portions of the deep surgery operative position to surgery, its use has been greatly expanded.

附图说明 BRIEF DESCRIPTION

[0017] 下面结合附图对本发明技术方案作进一步说明: [0017] The accompanying drawings for further explanation of the technical solution of the present invention in combination:

[0018] 图I :本发明的立体示意图。 [0018] FIG. I: perspective view of the present invention.

[0019] 图2:本发明的主视图。 [0019] Figure 2: a front view of the present invention.

[0020] 图3:本发明的左视图。 [0020] Figure 3: left side view of the present invention.

[0021] 图4 :本发明的另一示意图,此时底座沿长槽轴线剖开。 [0021] Figure 4: a schematic view of another embodiment of the invention, when taken along the long axis of the slot base.

[0022]其中: [0022] wherein:

[0023] I底座 2上座 3回位弹片 [0023] I 3 return the upper seat base 2 shrapnel

[0024] 4绕线针5绕线穿孔6荷包线圈 [0024] Winding pins 4 5 6 purse coil winding perforations

[0025] 7勾刀8传动连杆9方杆 [0025] 7 hook knife drive link 8 side rod 9

[0026] 10压块11导杆12齿条 [0026] 10 11 compact rack guide rods 12

[0027] 13孔 14长槽 15侧边 [0027] 13 long hole 14 side edge 15 slot

具体实施方式 Detailed ways

[0028] 本发明揭示了一种外科手术用缝合装置,如图I至图4所示,包括一对相互铰接的底座I和上座2,初始位置时两者呈锐角设置。 [0028] The present invention discloses a surgical stapling apparatus, as shown in both set at an acute angle I to 4, comprising a pair of mutually hinged upper seat base I and 2, the initial position. 所述的底座I和上座2之间设于一个回位弹片3。 I and the upper seat base disposed between a return leaf spring 3 2. 当按压上座2,使底座I和上座2之间的锐角变小后,松开上座2,所述上座2和底座I可以再回位弹片3的作用下恢复到初始位置。 When pressing the upper seat 2, the chassis I and small acute angle between the upper seat 2, release the upper seat 2, the upper seat 2 and base I may return recovery action bit 3 of the leaf spring to the initial position.

[0029] 本优选实施例中所述底座I为一个平板,其上表面可放置需进行缝合的组织。 [0029] Examples of the base I of the present embodiment is preferably a plate, which may be placed on the surface of the need for suturing tissue. 在底座I的前端设有一个长槽14,长槽14的前方设有齿条12,其作用容后详述。 I at the front end of the base 14 is provided with an elongated slot, the elongated slot 14 is provided in front of the rack 12, after receiving its role in detail.

[0030] 所述底座I和上座2的前端大致平行,所述上座2相对于底座表面垂直设有一个绕线针4,所述绕线针4的针尖具有绕线穿孔5。 [0030] The upper seat 2 and the front end of the base I is substantially parallel to the upper seat 2 relative to the base is provided with a vertical surface of the winding needle 4, the needle tip 4 of the winding bobbin having perforations 5. 所述绕线针4沿垂直于底座表面的B方向(图4中所示)作往复运动,所述绕线针4可刺穿组织,并且其针尖的行程为从所述底座的上表面之上直到底座的下表面之下。 The needle 4 winding direction perpendicular to the surface of the base B (shown in FIG. 4) to reciprocate, the winding needle 4 may pierce tissue, and the needle tip travel from the upper surface of the base until below the lower surface of the base.

[0031] 所述上座2上可转动地设有一个荷包线圈6,缠绕于所述荷包线圈6的荷包线穿过所述绕线穿孔5。 [0031] The upper seat 2 is rotatably provided on the purse a coil 6 wound around the coil purse purse line 6 through the winding 5 perforations. 所述由绕线针4带动并穿过组织的荷包线可在所述底座的下表面下方形成一个线圈,其原理类似于普通的缝纫机。 The needle 4 by the bobbin and driven through the tissue purse line may be formed in a coil below the lower surface of the base, which works like an ordinary sewing machine.

[0032] 所述上座2向底座I方向延伸出一方杆9,所述荷包线圈6枢轴设置于所述方杆9上。 [0032] The upper seat 2 to the base I Fangxiang Yan projecting one of said rod 9, the pockets of the coil 6 provided on the pivot lever 9 side. 所述的方杆9的下端枢轴设置有一个传动连杆8,所述传动连杆8的另一端枢轴设有一个勾刀7,所述勾刀7置于所述底座下表面下方。 The lower end of the pivot lever side is provided with a 9 8 a transmission link, the other end is pivotally transmission link 8 is provided with a hook knife 7, the hook knife 7 disposed below the lower surface of the base.

[0033] 如图4所示,所述传动连杆8可滑动地设于所述长槽14内,所述传动连杆8的侧边15始终与长槽14的侧壁接触。 [0033] As shown in FIG. 4, the drive link 8 is slidably disposed within the elongated slot 14, the drive link 8 side always in contact with the side walls 15 of the trough 14. 结合图3所示,所述方杆9垂直于所述底座1,而所示传动连杆8与底座之间有一定的夹角。 As shown in conjunction with FIG, 9 the direction perpendicular to the base rod 13, and a certain angle between the drive link and the base 8 shown in FIG. 当上座I下压,方杆9和传动连杆8会一起向下移动,但是由于传动连杆8与长槽壁接触处会受力,因此会使传动连杆8自身发生一定的旋转(图3中的逆时针),由于连杆原理,使所述勾刀7沿平行于底座表面的A方向做往复移动。 When the pressure of the upper seat I, square bar 9 and the drive link 8 will move downward together, but due to the long transmission link groove wall 8 will force at the contact, so will the drive link 8 itself constant rotation occurs (FIG. 3 in the counterclockwise), since the principle of the link, the hook knife 7 reciprocating movement in the direction a parallel to the base surface.

[0034] 由于传动连杆8的运动及绕线针4的运动都是由上座2的下压所致,因此所述勾刀7的速率与绕线针5的往复速率相等,这样能使所述勾刀7的刀尖可以穿过每个线圈。 [0034] Since the movement of the needle and bobbin 8 of the motion transmission rod 4 are pressed by the upper seat 2 is caused, and therefore the hook is equal to the rate of the winding rate of the reciprocating knife 7 of the needle 5, thus enables the said hook knife may pass through the tip 7 of each coil.

[0035] 进一步地,所述上座2上设有两个可伸缩的导杆11,导杆的另一端固定设有压块10,所述压块10上设有一个可被所述绕线针4穿过的孔13。 [0035] Further, the upper seat is provided with two retractable rod 11, the other end of the guide rod 10 is fixedly provided on the pressure piece 2, the compact may be provided with a needle 10 of the winding 4 apertures 13 therethrough. · ·

[0036] 下面简单介绍一个本发明的操作过程。 [0036] The following briefly describes the procedure of the present invention.

[0037] 将组织放置在底板I上,并且组织的一部分放置在齿条12上,本优选实施例中的齿条起到一个防滑的作用。 [0037] The tissue is placed on the base plate I, and the tissue is placed on a portion of the rack 12, the rack functions as an embodiment of the anti-skid effects of the present preferred embodiment. 然后按压上座2,这时压块10会将组织压平,绕线针4就会刺穿组织,而穿于其上的荷包线也会穿过组织,并在底座I下方形成一个线圈。 Then pressing the upper seat 2, when the compact 10 will flatten tissue, the winding needle 4 will pierce tissue, and wear on the purse line thereon also through the tissue, and a coil is formed beneath the base I. 勾刀7在绕线针4拉出组织前抓住线圈。 Hook knife 7 prior to the winding coil grasp tissue needle 4 is pulled out. 一旦绕线针4拉出组织,就将整个装置沿A方向向前移动。 Once tissue winding needle 4 is pulled out, the whole apparatus will move forward in the A direction. 当绕线针4再次穿过组织时,新的线圈将直接穿过前一个线圈的中间。 When the winding needle 4 through the tissue again, before a new coil directly through a coil in the middle. 勾刀7会再次抓住线圈,围绕下一个线圈做线圈。 Hook knife coil 7 will catch again, the next coil around a coil to do. 这样,每个线圈都会把下一个线圈固定到位。 Thus, each coil to the next coil will be fixed in position. 这样荷包线就被固定在组织上,将组织一周都缝合上荷包线后即可将装置撤走,荷包缝合随即完成。 Thus purse line is fixed on the tissue, the tissue can have the means to withdraw the suture one week after the purse line, purse-string suture is completed immediately. 本装置的优点在于,可以根据组织的长度自行控制缝合长度。 Advantage of this device is that the length of the suture may be controlled according to the length of self-organization.

[0038] 上述缝合装置除了用于外科手术用的荷包缝合,还可以用于外科手术中的残端组织的吻合。 [0038] In addition to the above-described means for stapling surgical purse-string suture, and can also be used for surgical stapling tissue stump is. 只需要把待吻合的两端组织都放置在底座I上,按上述过程缝合就可以把两段组织缝合在一起了,简单可靠。 Tissue ends just need to be stapled are placed on the base I, the above-described process can be sewn together, sewn to the two organizations, simple and reliable.

[0039] 本发明尚有多种具体的实施方式,采用电动驱动来代替手工按压,这时齿条就可以作为输送组织的构件,确保组织在齿条的作用下自行向前移动,而不需要医生手动移动该缝合装置。 [0039] The present invention still more specific embodiments, electrically driven instead of manually pressed, then the rack can be organized as a transfer member, to ensure the forward movement of self-organization under the action of the rack without the need for the doctor manually move the suturing apparatus. 凡采用等同替换或者等效变换而形成的所有技术方案,均落在本发明要求保护的范围之内。 Where technical solutions adopted by all equivalents or equivalent transformation and the formation of the present invention all fall within the scope of the claims.

Claims (9)

1. 一种缝合装置,其特征在干:包括ー个底座,所述底座的上表面可放置需进行縫合的组织; ー个垂直设于底座表面的、其针尖具有绕线穿孔的绕线针,所述绕线针沿垂直于底座表面的方向作往复运动,所述绕线针可刺穿组织,并且其针尖的行程为从所述底座的上表面之上直到底座的下表面之下; ー个荷包线圈,缠绕于所述荷包线圈的荷包线穿过所述绕线穿孔;由所述绕线针带动并穿过组织的荷包线在所述底座的下表面下方形成一个线圈; 以及ー个置于所述底座下表面下方的勾刀,所述勾刀沿平行于底座表面的方向做往复移动,并且所述勾刀的刀尖能够穿过所述线圈,所述勾刀的速率与绕线针的速率相等; 所述缝合装置还包括一个与所述底座相铰接的上座,所述绕线针固定于所述上座之上,所述荷包线圈可转动地设于所述上座之上。 A suturing device, characterized in that the dry: ー comprising a base, the base may be placed on the surface of the need for suturing tissue; ー vertical surface disposed on the base, a perforated needle tip having a bobbin winding needle , for the winding needle in a direction perpendicular to the direction of reciprocation of the base surface, the needle may pierce tissue wound, the tip of its stroke under the lower surface of the base and from above until the upper surface of the base;ー a purse coils wound on the purse line packets passing through the coil winding perforations; driven by the winding needle through tissue and a purse line is formed below the lower surface of the coil base; and ーa hook disposed beneath the lower blade surface of the base, the hook knife reciprocating movement in a direction parallel to the base surface, and the blade tip speed hook to pass through the coil, the hook knife and is equal to the rate of the winding needle; the suturing device further comprises a hinged to the base of the upper seat, the winding needle is fixed above the upper seat, the purse coil rotatably disposed on said upper seat .
2.根据权利要求I所述的缝合装置,其特征在于:所述上座和底座之间设有一个回位弹片。 2. The suturing apparatus according to claim I, wherein: a return leaf spring is provided between the upper seat and the base.
3.根据权利要求2所述的缝合装置,其特征在于:所述勾刀枢轴设置在ー个传动连杆上,所述传动连杆的另一端枢轴设置在所述上座之上。 3. The suturing apparatus according to claim 2, wherein: said cutter pivotally disposed on the hook ー a transmission link, the other end of the transmission link is pivotally disposed on the upper seat.
4.根据权利要求3所述的缝合装置,其特征在于:所述上座延伸出一方杆,所述传动连杆的另一端枢轴设置在方杆上。 The suturing device according to claim 3, wherein: one of said upper seat extending rod, the other end of the pivot link transmission disposed side bar.
5.根据权利要求4所述的缝合装置,其特征在于:所述荷包线圈枢轴设置于所述方杆上。 The suturing apparatus according to claim 4, wherein: said purse is provided on the coil side pivot rod.
6.根据权利要求5所述的缝合装置,其特征在于:所述底座上设有ー长槽,所述传动连杆可滑动地设于所述长槽内,所述传动连杆的侧边始终与长槽的侧壁接触。 6. The suturing apparatus according to claim 5, wherein: said elongated groove is provided on the base ー, the transmission link is slidably disposed in the long groove, said side transmission link in constant contact with the side wall of the trough.
7.根据权利要求I所述的缝合装置,其特征在于:所述上座上设有两个可伸縮的导杆,导杆的另一端固定设有压块,所述压块上设有ー个可被所述绕线针穿过的孔。 The suturing apparatus according to claim I, wherein: said upper guide rod is provided with two telescopic base, the other end of the guide rod is provided with a fixed compact, the compact is provided on a ーthe hole may be through the needle wound.
8.根据权利要求I所述的缝合装置,其特征在于:所述底座上设有ー齿条。 The suturing apparatus according to claim I, characterized in that: said rack is provided on the base ー.
9.根据权利要求I所述的缝合装置,其特征在于:所述缝合装置用于外科手术用的荷包縫合,或者用于外科手术中的残端组织的吻合。 9. The suturing apparatus according to claim I, wherein: said means for suturing of the surgical purse-string suture, or for stapling tissue stump of surgery.
CN 200910183610 2009-07-31 2009-07-31 Suture device CN101987027B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101278852A (en) 2007-04-04 2008-10-08 中国医学科学院北京协和医院 Stitching instrument for surgical operation
CN101513356A (en) 2001-06-14 2009-08-26 苏太克股份有限公司 Apparatus and method for surgical suturing with thread management
CN201469327U (en) 2009-07-31 2010-05-19 苏州天臣国际医疗科技有限公司 Stitching device

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101513356A (en) 2001-06-14 2009-08-26 苏太克股份有限公司 Apparatus and method for surgical suturing with thread management
CN101278852A (en) 2007-04-04 2008-10-08 中国医学科学院北京协和医院 Stitching instrument for surgical operation
CN201469327U (en) 2009-07-31 2010-05-19 苏州天臣国际医疗科技有限公司 Stitching device

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