CN102641144B - Integral sternum closer - Google Patents
Integral sternum closer Download PDFInfo
- Publication number
- CN102641144B CN102641144B CN201110038916.2A CN201110038916A CN102641144B CN 102641144 B CN102641144 B CN 102641144B CN 201110038916 A CN201110038916 A CN 201110038916A CN 102641144 B CN102641144 B CN 102641144B
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- steel wire
- fixed bar
- breastbone
- closing device
- integrated
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Abstract
The invention relates to an integral sternum closer which is provided with fixed rods and steel wire climbing pieces which are sleeved on the fixed rods. A ring sleeve serves as each steel wire climbing piece and is connected with a steel wire body, and the tail end of the steel wire body is inflected by a steel wire to form an oval hole. The invention also provides application of the integral sternum closer. The integral sternum closer has the advantages that sternums on left and right sides are fixed together as a whole body by virtue of the two fixed rods, so that the stressed area is enlarged, stressed points can be uniformly distributed on the fixed rods, the cutting forces of the steel wires on the sternums are reduced, and the stability of fixation is improved; and when an operation of opening the sternums needs to be performed on a patient again, the integral sternum closer is very easy to dismount, and the dismounted integral sternum closer can be mounted on the patient again after the operation is finished.
Description
Technical field
The present invention relates to a kind of medical operation implanting device, specifically, is a kind of integrated breastbone closing device.
Background technology
For transsternal open chest surgery, closing breastbone is the work that part is consuming time and require great effort, especially older, osteoporotic patient, with conventional steel wire, sewing up breastbone too tightly easily causes breastbone to be cut and becomes flexible, the not tight and loosening breastbone of too loose breastbone close is loosening can cause patient respiration effort, even causes respiratory failure.And can make breastbone disunion, and need the surgical procedure again that difficulty is larger, greatly extend hospital stays and expense.If broken when tightening up steel wire, a steel wire may just need stitch full the dismounting again of other steel wires.On steel wire with cutting needle easily cause pinprick hemorrhage through chest wall soft tissue, need expend more time hemostasis.
Existing memorial alloy or non-memory alloy close breastbone steel plate and exist and use inconvenience, damage more greatly, easily to cause the potential safety hazards such as installation process is hemorrhage, once install, make completely, cannot know whether that installation process has caused hemorrhage, more cannot stop blooding.In addition, steel plate needs again to perform the operation after loading onto, and removes steel plate extremely difficult, need cut off steel plate, and the steel plate of cutting off can not reuse, and again closes breast and needs another expense.
Chinese patent literature CN 2753294Y, in open day on January 25th, 2006, the name of utility model is called breast bone closing device.This utility model discloses a kind of breast bone closing device, it consists of stock hook and the quarter butt hook that can move on stock hook being sleeved on stock hook, on stock hook, be provided with fixing hole, correspondence is provided with fixing hole on quarter butt hook, in fixing hole, be provided with staple, on stock hook, be provided with more than 2 or 2 fixing holes.Chinese patent literature CN 2764319Y, in open day on March 15th, 2006, the name of utility model is called Encirclement type breast bone plate.This utility model discloses a kind of Encirclement type breast bone plate made from marmem, belongs to the interior fixedly medical apparatus and instruments of orthopaedics, and the hunchbacked arm of this utility model is both arms, and its two ends are respectively connected with one and encircle arm, and are rolled into opening circulus.
Existing breast bone closing device in use generally can not solve the different problem of each one intercostal width, and can not fit tightly with breastbone, and stability is not high; Pass breast operation can cause hemorrhage in operation process, and hemostasis just can affect operating time, increases patient painful; In addition, closing breast operation generally all needs again to open breast afterwards, and it is comparatively loaded down with trivial details that traditional breast bone closing device is opened breast process, and can not reuse with the breast bone closing device of crossing, and causes patient's surgery cost higher.Therefore, need badly and want a kind of and can either solve because each one intercostal width is different, and the problem that the breast bone closing device producing can not be general, can reduce in operation process again hemorrhage, can also can reusable breast bone closing device after opening breast.But about this integrated breastbone closing device, yet there are no report.
Summary of the invention
The object of the invention is, for deficiency of the prior art, provides a kind of integrated breastbone closing device.
One object more of the present invention is that a kind of purposes of integrated breastbone closing device is provided.
For achieving the above object, the technical scheme that the present invention takes is: a kind of integrated breastbone closing device, be provided with fixed bar, and be also provided with steel wire and climb, described steel wire is climbed and is placed on fixed bar.
It is a snare that described steel wire is climbed, and is connected with steel wire body on snare, and steel wire body end becomes oval hole by steel wire inflection.
Described fixed bar is circular steel cavil, and fixed bar one end is provided with steel wire, and the other end is provided with hollow aperture, and end outer rim is provided with projection.
Described oval hole is provided with one with the guide line of pin.
Described snare and the junction of fixed bar are lined with hemostasis yarn pad.
Described steel wire body is interwoven by two strands or three strands of steel wires, and steel wire body is at formation obtuse angle, nearly snare place.
Described steel wire one end is connected with fixed bar, and the other end is provided with wire needle.
Described fixed bar diameter is 0.2-1.5cm, and long is 4-20cm, and fixed bar is in the arc-shaped, and radius of circle is 20-30cm.
Described fixed bar is provided with 4-6 steel wire and climbs, the long 0.3-3.5cm of steel wire body.
Described integrated breastbone closing device is closed in operation and is applied at breastbone.
For realizing above-mentioned second object, the technical scheme that the present invention takes is: a kind of integrated breastbone closing device is closed in operation and applied at breastbone.
The invention has the advantages that:
1, utilize two fixed bars that left and right sides breastbone is done to as a whole being fixed together, expanded lifting surface area, stress point is dispersed on fixed bar equably, reduced the cutting force of steel wire to breastbone, increased fixing steadiness;
2, steel wire is climbed on fixed bar, to slide and has been solved the individual variation that intercostal width varies with each individual, steel wire has been climbed an obtuse angle and has been made it to fit with breastbone, flexible retraction force in the situation that being tightened up, can impose the pressure of subtend all the time to the breastbone at two ends, impel its stable and healing;
3, guide needle is round needle, little to the damage of thoracic wall tissue, and guiding oval foramen passivity is difficult for causing hemorrhage through Intercostal muscle, can reduce bleeding stopping period, even not need other hemostasis;
4, for need opening operation breastbone person again, tear integrated breastbone closing device open and be also easy to, and the integrated breastbone closing device of pulling down also can again be loaded onto to patient when operation finishes.
Accompanying drawing explanation
Accompanying drawing 1 is a kind of integrated breastbone closing device structural representation of the present invention.
Accompanying drawing 2 is that a kind of integrated breastbone closing device steel wire of the present invention is climbed structural representation.
Accompanying drawing 3 is another structural representations of a kind of integrated breastbone closing device of the present invention.
Accompanying drawing 4 is a kind of integrated breastbone closing device using state of the present invention schematic diagrams.
The specific embodiment
Below in conjunction with accompanying drawing, the specific embodiment provided by the invention is elaborated.
The Reference numeral and the ingredient that in accompanying drawing, relate to are as follows:
1. fixed bar 11. apertures
12. projection 2. steel wires
21. wire needle 3. steel wires are climbed
31. snare 32. steel wire bodies
33. oval holes
Please refer to Fig. 1, Fig. 1 is a kind of integrated breastbone closing device structural representation of the present invention, and described integrated breastbone closing device is provided with fixed bar 1 and steel wire climbs 3.Fixed bar 1 is circular steel cavil, diameter 0.2-1.5cm, and long 4-20cm, fixed bar 1 is in the arc-shaped, and radius of circle is 20-30cm.Fixed bar 1 one end is provided with a hollow aperture 11, and end outer rim is provided with projection 12.Please refer to Fig. 2, Fig. 2 is that a kind of integrated breastbone closing device steel wire of the present invention is climbed structural representation, it is a circular snare 31 that steel wire climbs 3, on snare 31, be connected with steel wire body 32, the long 0.3-3.5cm of steel wire body 32, end becomes oval hole 33 by steel wire inflection, and referring again to Fig. 1, described snare 31 is placed on fixed bar 1.
It should be noted that, the present invention in use, utilize two fixed bars 1 that left and right sides breastbone is done to as a whole being fixed together, expanded lifting surface area, stress point is dispersed on fixed bar 1 equably, has reduced the cutting force to breastbone, fixed bar 1 is climbed 3 by a plurality of steel wires again stress point is distributed on rib fixedly time, rib has very strong support force, has increased the steadiness of fixed bar 1; Described fixed bar 1 is circular steel cavil, diameter 0.2-1.5cm, long 4-20cm, fixed bar 1 is in the arc-shaped, radius of circle is 20-30cm, and the radian of formation is consistent with breastbone, and the wirerope that fixed bar 1 is woven into by finer wire is made, flexible, deformable, can fit with thoracic wall, flexible retraction force in the situation that being tightened up, can to the breastbone at two ends, impose all the time the pressure of subtend, impel its stable and healing; Fixed bar 1 one end is provided with a hollow aperture 11, and end outer rim is provided with projection 12, and aperture 11 can penetrate steel wire, and fixed bar 1 is fixed, and projection 12 can limit steel wire and climb 3 and skid off.The steel wire of integrated breastbone closing device of the present invention is climbed 3 and is provided with 4-6, can determine according to client need, it is a circular snare 31 that steel wire climbs 3, on snare 31, be connected with steel wire body 32, snare 31 is placed on fixed bar 1, can slide up and down along fixed bar 1, solve the individual variation that intercostal width varies with each individual; Snare 31 is provided with hemostasis yarn pad with fixed bar 1 junction, on hemostasis yarn pad, sprays haemostatic medicament, can play the double effects of medicine and hemostasis by compression; The long 0.3-3.5cm of steel wire body 32, is interwoven by two strands or three strands of steel wires, and at nearly snare 31 formation obtuse angles, place, obtuse angle makes it and breastbone laminating, has elastical retraction power in the situation that being tightened up; Steel wire body 32 ends become oval hole 33 by steel wire inflection, oval hole 33 is provided with one with the guide line of guide needle, guide needle is round needle, damage to thoracic wall tissue is little, guiding oval hole 33 passivity are through Intercostal muscle, be difficult for causing hemorrhage, can reduce bleeding stopping period, even do not need other hemostasis; Guide line in guide needle is nonmetal character, makes operation technique easier.
Please refer to Fig. 3, Fig. 3 is another structural representation of a kind of integrated breastbone closing device of the present invention, and described integrated breastbone closing device is provided with fixed bar 1, steel wire 2 and steel wire and climbs 3.Fixed bar 1 is circular steel cavil, diameter 0.2-1.5cm, and long 4-20cm, fixed bar 1 is in the arc-shaped, and radius of circle is 20-30cm, and one end is connected with steel wire 2, is connected with wire needle 21 on steel wire 2.Fixed bar 1 other end is provided with a hollow aperture 11, and end outer rim is provided with projection 12.Please refer to Fig. 2, Fig. 2 is that a kind of integrated breastbone closing device steel wire of the present invention is climbed structural representation, it is a circular snare 31 that steel wire climbs 3, on snare 31, be connected with steel wire body 32, the long 0.3-3.5cm of steel wire body 32, end becomes oval hole 33 by steel wire inflection, and referring again to Fig. 3, described snare 31 is placed on fixed bar 1.
It should be noted that, the present invention in use, utilize two fixed bars 1 that left and right sides breastbone is done to as a whole being fixed together, expanded lifting surface area, stress point is dispersed on fixed bar 1 equably, has reduced the cutting force of steel wire to breastbone, fixed bar 1 is climbed 3 by a plurality of steel wires again stress point is distributed on rib fixedly time, rib has very strong support force, has increased the steadiness of fixed bar 1; Described fixed bar 1 is circular steel cavil, diameter 0.2-1.5cm, long 4-20cm, fixed bar 1 is in the arc-shaped, radius of circle is 20-30cm, and the radian of formation is consistent with breastbone, and the wirerope that fixed bar 1 is woven into by finer wire is made, flexible, deformable, can fit with thoracic wall, flexible retraction force in the situation that being tightened up, can to the breastbone at two ends, impose all the time the pressure of subtend, impel its stable and healing; Fixed bar 1 one end is connected with steel wire 2, and steel wire 2 one end are connected with fixed bar 1, and the other end connects wire needle 21, for fixing of fixed bar 1.Fixed bar 1 other end is provided with a hollow aperture 11, and end outer rim is provided with projection 12, and aperture 11 can penetrate steel wire, and fixed bar 1 is fixed, and projection 12 can limit steel wire and climb 3 and skid off.The steel wire of integrated breastbone closing device of the present invention is climbed 3 and is provided with 4-6, can determine according to client need, steel wire is climbed 3 and is divided into snare 31 and steel wire body 32, and snare 31 is placed on fixed bar 1, can slide up and down along fixed bar 1, solve the individual variation that intercostal width varies with each individual; Snare 31 is provided with hemostasis yarn pad with fixed bar 1 junction, on hemostasis yarn pad, sprays haemostatic medicament, can play the double effects of medicine and hemostasis by compression; The long 0.3-3.5cm of steel wire body 32, is interwoven by two strands or three strands of steel wires, and at nearly snare 31 formation obtuse angles, place, obtuse angle makes it and breastbone laminating, has elastical retraction power in the situation that being tightened up; Steel wire body 32 ends become oval hole 33 by steel wire inflection, oval hole 33 is provided with one with the guide line of guide needle, guide needle is round needle, damage to thoracic wall tissue is little, guiding oval hole 33 passivity are difficult for causing hemorrhage through Intercostal muscle, can reduce bleeding stopping period, even not need other hemostasis; Guide line in guide needle is nonmetal character, makes operation technique easier.
The present invention in use, first according to patient's corporal characteristic, select the integrated breastbone closing device of corresponding length, if the integrated breastbone closing device of zone of preference steel wire 2, using fixed bar 1 with one end of steel wire 2 as upper end, with wire needle 21, pass presternum, as the first pin of sewing up.Then adjust steel wire and climb 3 positions on fixed bar 1, make between its corresponding respective rib, by guide needle, pass successively corresponding parasternal Intercostal muscle, and thoracic wall is taken out of in the oval hole 33 that steel wire is climbed 3 ends, both sides breastbone is drawn over to one's side, with wire needle through corresponding oval hole 33, wring the steel wire of both sides, complete breastbone and close, please refer to Fig. 4, Fig. 4 is a kind of integrated breastbone closing device using state of the present invention figure.If select not arrange the integrated breastbone closing device of steel wire 2, do not need wire needle 21 through presternum, can directly adjust steel wire climbs behind 3 positions on fixed bar 1, by guide needle, pass successively corresponding parasternal Intercostal muscle, and thoracic wall is taken out of in the oval hole 33 that steel wire is climbed 3 ends, both sides breastbone is drawn over to one's side, with wire needle through corresponding oval hole 33, wring the steel wire of both sides, complete breastbone and close.
A kind of integrated breastbone closing device of the present invention utilizes two fixed bars 1 that left and right sides breastbone is done to as a whole being fixed together, expanded lifting surface area, stress point is dispersed on fixed bar 1 equably, has reduced the cutting force of steel wire to breastbone, increased the steadiness of fixed bar 1; Fixed bar 1 is circular steel cavil, diameter 0.2-1.5cm, long 4-20cm, the wirerope being woven into by finer wire is made, and the flexible deformable of fixed bar can be fitted with thoracic wall, flexible retraction force in the situation that being tightened up, can to the breastbone at two ends, impose all the time the pressure of subtend, impel its stable and healing; Fixed bar 1 is provided with steel wire and climbs 3, and steel wire is climbed 3 and can on fixed bar 1, be slided, and has solved the individual variation that intercostal width varies with each individual; Steel wire is climbed 3 and is provided with an obtuse angle, makes it and breastbone laminating, and flexible retraction force in the situation that being tightened up, can impose the pressure of subtend all the time to the breastbone at two ends, impels its stable and healing; Steel wire is climbed 3 and is provided with hemostasis yarn pad with fixed bar 1 junction, on hemostasis yarn pad, sprays haemostatic medicament, can play the double effects of medicine and hemostasis by compression; The guide needle used of performing the operation is round needle, little to the damage of thoracic wall tissue, and guiding oval hole 33 passivity are difficult for causing hemorrhage through Intercostal muscle, can reduce bleeding stopping period, even not need other hemostasis; Fixed bar 1 when mounted, separately carry out by the left and right sides, can reduce the pass breastbone difficulty that osteoporosis person is closed not firm the brought complication of breastbone or caused; Guide line in guide needle is nonmetal character, makes operation technique easier; The steel wire wringing in operation is fitted in breastbone surface completely, as can be conveniently replaced at the process Fracture of wringing; If desired breast is opened in operation again, only need to cut off the steel wire wringing, and the fixed bar 1 removing also can reuse, cost-saved.
The present invention is completely different in design concept from other pass breastbone steel plate and fixing band, make operation technique be more prone to, safer, breastbone is fixed more firmly, can shorten bleeding stopping period does not even need to stop blooding in addition again.Therefore, the present invention has wide market prospect, can in the pass breast operation of Ge hospital, be promoted, and not only can reduce surgery cost to patient, alleviate operation misery, can also bring certain economic results in society.
The above is only the preferred embodiment of the present invention; it should be pointed out that for those skilled in the art, do not departing under the prerequisite of the inventive method; can also make some improvement and supplement, these improvement and supplement and also should be considered as protection scope of the present invention.
Claims (2)
1. an integrated breastbone closing device, be provided with fixed bar, steel wire is climbed, described steel wire is climbed and is placed on fixed bar, it is characterized in that, it is a snare that described steel wire is climbed, on snare, be connected with steel wire body, steel wire body end becomes oval hole by steel wire inflection, and described fixed bar is circular steel cavil, and fixed bar one end is provided with steel wire, the other end is provided with hollow aperture, described in be provided with hollow small bore end end outer rim and be provided with projection.
2. integrated breastbone closing device according to claim 1, is characterized in that, described oval hole is provided with one with the guide line of pin.
3. integrated breastbone closing device according to claim 1, is characterized in that, described snare and the junction of fixed bar are lined with hemostasis yarn pad.
4. integrated breastbone closing device according to claim 1, is characterized in that, described steel wire body is interwoven by two strands or three strands of steel wires, and steel wire body forms obtuse angle in the horizontal direction at nearly snare place and snare.
5. integrated breastbone closing device according to claim 1, is characterized in that, described steel wire one end is connected with fixed bar, and the other end is provided with wire needle.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110038916.2A CN102641144B (en) | 2011-02-16 | 2011-02-16 | Integral sternum closer |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110038916.2A CN102641144B (en) | 2011-02-16 | 2011-02-16 | Integral sternum closer |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102641144A CN102641144A (en) | 2012-08-22 |
| CN102641144B true CN102641144B (en) | 2014-03-12 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201110038916.2A Expired - Fee Related CN102641144B (en) | 2011-02-16 | 2011-02-16 | Integral sternum closer |
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Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4512346A (en) * | 1983-04-25 | 1985-04-23 | Lemole Gerald M | Sternal closure method and means |
| EP0592960A2 (en) * | 1992-10-09 | 1994-04-20 | United States Surgical Corporation | Sternum closure buckle |
| WO1999035973A1 (en) * | 1998-01-13 | 1999-07-22 | Cardiac Assist Technologies, Inc. | System, apparatus and method for closing severed bone or tissue of a patient |
| CN2753294Y (en) * | 2004-12-13 | 2006-01-25 | 张文科 | Breast bone closing device |
| CN1917823A (en) * | 2004-02-16 | 2007-02-21 | Sic布里维蒂有限公司 | Sternum reinforcing device to be used after a sternotomy or a sternal fracture |
| CN201612683U (en) * | 2010-02-04 | 2010-10-27 | 中国人民解放军第四军医大学 | Non-surrounding rib fixing bone fracture plate |
| CN202005776U (en) * | 2011-02-16 | 2011-10-12 | 上海交通大学医学院附属新华医院 | Integrated breastbone closing device |
-
2011
- 2011-02-16 CN CN201110038916.2A patent/CN102641144B/en not_active Expired - Fee Related
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4512346A (en) * | 1983-04-25 | 1985-04-23 | Lemole Gerald M | Sternal closure method and means |
| EP0592960A2 (en) * | 1992-10-09 | 1994-04-20 | United States Surgical Corporation | Sternum closure buckle |
| WO1999035973A1 (en) * | 1998-01-13 | 1999-07-22 | Cardiac Assist Technologies, Inc. | System, apparatus and method for closing severed bone or tissue of a patient |
| CN1917823A (en) * | 2004-02-16 | 2007-02-21 | Sic布里维蒂有限公司 | Sternum reinforcing device to be used after a sternotomy or a sternal fracture |
| CN2753294Y (en) * | 2004-12-13 | 2006-01-25 | 张文科 | Breast bone closing device |
| CN201612683U (en) * | 2010-02-04 | 2010-10-27 | 中国人民解放军第四军医大学 | Non-surrounding rib fixing bone fracture plate |
| CN202005776U (en) * | 2011-02-16 | 2011-10-12 | 上海交通大学医学院附属新华医院 | Integrated breastbone closing device |
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| CN102641144A (en) | 2012-08-22 |
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