CN102670267A - Endoscopic sewing and knot tying machine - Google Patents
Endoscopic sewing and knot tying machine Download PDFInfo
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- CN102670267A CN102670267A CN2012101492714A CN201210149271A CN102670267A CN 102670267 A CN102670267 A CN 102670267A CN 2012101492714 A CN2012101492714 A CN 2012101492714A CN 201210149271 A CN201210149271 A CN 201210149271A CN 102670267 A CN102670267 A CN 102670267A
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- knot tying
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Abstract
The invention relates to surgical instruments and especially to an endoscopic sewing and knot tying machine comprising a suture needle, a pull rod, a main pipe, a handle, a coil, a trigger, a needle fastening nut, a rotating head, a rotating shaft, a line guide hole, a line pressing column, a needle rotating nut, a gear, a fixing shaft, a trigger shaft, a trigger groove and a handle framework, wherein the main pipe is fixed at the front end of the handle framework, and the rotating head is movably connected with the main pipe; the pull rod is arranged in the cavity of the main pipe, the front end of the pull rod is connected with the rotating head, and the back end of the pull rod is connected with the needle rotating nut; the trigger groove is arranged in the handle framework, and the trigger is fixed in the trigger groove through the trigger shaft; the tooth surface of the trigger is matched with the gear; the gear is fixed on the handle framework through the fixing shaft; the coil is movably embedded in the gear; the device utilizes the needle feeding and line guiding method of the fixed suture needle, only the line is guided and the needle is not threaded, so that the sewing operation is simple; and a principle of connecting the incomplete gear with the gear is utilized to controllably extend or shrink the suture line to facilitate the knot tying, line fastening and continuous sewing and knot tying operations.
Description
Technical field
The present invention relates to a kind of operating theater instruments of treating the body cavity internal diseases, be a kind of can be in the hypocoelom of the mirror visual field, chamber the maneuverability ground chamber mirror that pass line, stitching, knotting sew up knot tying machine.
Background technology
In recent years, science and technology progress makes the big emphatically effect of performance in the diagnosis of abdominal cavity, thoracic cavity and each body cavity disease and treatment of chamber mirror technology with Wicresoft's effect, and endoscope-assistant surgery has also had very big development.Particularly laparoscopic surgery stitching down of endoscope-assistant surgery, knotting, hemostasis possibly be most important.At present celioscope stitching, knotting technology are the same with traditional operation, are to be sewed up by needle holder clamping suture needle, tie a knot again after trying to make a match, because the spatial gorge of body cavity is little, the clumsiness that traditional stitching, knotting method become under peritoneoscope is slow.In order to remedy the deficiency of prior art; Involutory tissue or hemostasis in laparoscopic surgery; Select that simple but dangerous heat is coagulated, electricity coagulates (one pole, two utmost points), laser, various clip, staple etc. for use, though operation is simple, careless manipulation can cause the necrosis of serious hemorrhage or surrounding tissue; Cause death; Event is for trunk or organize involutory dangerous position, generally dare not use said method hastily, and uses clumsiness instead but more firm interior knotting method or the ferrule technology sewed up of external knotting, body.Chamber of the present invention mirror is sewed up knot tying machine, and is the same as sewing machine, adopts fixedly suture needle " inserting needle lead-in wire " method, and only lead-in wire is not threaded a needle, and makes to sew up become simple; Adopt not full-depth tooth wheel and coil catenation principle, make controllable elongation of suture or shortening, help knotting, stringing, seriality stitching knotting.Technology such as the ferrule technology that the present endoscope-assistant surgery of instead of the present invention is adopted, stitching knotting technology and dangerous position electric coagulation hemostasis, operating time is shortened in the safety that improves endoscope-assistant surgery, saves lot of materials, reduces the cost of performing the operation.
The day for announcing is that the Chinese patent that February 8, publication number in 2006 are CN1729939A discloses a kind of operating theater instruments of treating celiac disease, especially a kind of celioscope stitching device that can maneuverability is sewed up in abdominal operation.
The day for announcing is that the Chinese patent that June 10, publication number in 2009 are CN101449989A discloses a kind of celioscope stitching knotter, its by stiching instrument with hold line wire nipper two parts and form, be used.
Summary of the invention
The object of the present invention is to provide a kind of chamber mirror to sew up knotting machinery; Be a kind of can be in the hypocoelom of the mirror visual field, chamber the maneuverability ground chamber mirror that pass line, stitching, knotting function sew up knot tying machine; So that solve endoscope-assistant surgery particularly in the laparoscopic surgery, in body cavity, carry out the various technical problems of passing line, stitching, knotting of maneuverability.
The following technical scheme of the concrete employing of the present invention:
A kind of chamber mirror is sewed up knot tying machine, comprises suture needle, pull bar, the person in charge, handle, coil, trigger, tight pin nut, rotary head, turning cylinder, fairlead, line ball post, rotating the needle nut, gear, fixed axis, trigger axle, trigger groove, handle framework;
The person in charge is fixed on the front end of handle framework, and rotary head is movably connected on the person in charge;
Pull bar places in the main tube cavity, and the pull bar front end is connected with rotary head, and the rear end is connected with the rotating the needle nut;
It is inner that the plate trough is positioned at the handle framework, and trigger is fixed in the trigger groove through the trigger axle; The flank of tooth of trigger and gear inosculation;
Gear is fixed on the handle framework by fixed axis;
The coil activity is embedded on the gear.
Flushed channel also is set on the described person in charge.
Described flushed channel is by the silica gel sealing cap closure.
Described suture needle is curved, and the suture needle front end is provided with pin hole near the needle point place, and the hole tail end is provided with needle stand.
Rotatable 0～90 ° of described rotary head.
Described rotary head sets gradually folder needle tray, tight pin screw, fairlead, axis hole, hole in flakes from front end; The needle stand of suture needle inserts in the folder needle tray, tight pin screw and tight pin nut screwed connection, axis hole and turning cylinder are supporting, in flakes the hole be connected in flakes, rotary head is movably connected on the person in charge through axis hole, turning cylinder; Rotary head passes through in flakes, hole and the flexible connection of pull bar front end in flakes.
Described rotary head comprises, gear rotary head, axis hole and line hole, rotation tooth bar; The gear rotary head is fixed on the person in charge through the turning cylinder activity, flexibly connects with rotating tooth bar, rotates tooth bar and is fixedly connected with pull bar.
The flank of tooth is set on the described trigger, connecting place is provided with the no flank of tooth above the flank of tooth, also is provided with the axis hole that matches with the trigger axle, below the flank of tooth, also is provided with the trigger hole.
Described coil comprises female leaf, male leaf, and the solidus hole is arranged on the female leaf, on the male leaf internal gear is arranged, and is corresponding with gear.
Described coil is disposable use.
Compared with prior art, beneficial effect of the present invention is:
1) mirror stitching knot tying machine in chamber of the present invention is the same as sewing machine, adopts fixedly suture needle " inserting needle lead-in wire " method, and only lead-in wire is not threaded a needle, and makes to sew up the simple of change; Adopt not full-depth tooth wheel and coil catenation principle, make controllable elongation of suture or shortening, help knotting, stringing, seriality stitching knotting.
2) ferrule technology that adopted of the present endoscope-assistant surgery of instead of the present invention, sew up technology such as knotting technology and dangerous position electric coagulation hemostasis, operating time is shortened in the safety that improves endoscope-assistant surgery, saves lot of materials, reduces the operation cost.
Description of drawings
Fig. 1 is the structural representation that the present invention sews up knot tying machine;
Fig. 2 is the structural representation of suture needle of the present invention;
Fig. 3 is the structural representation of rotary head of the present invention;
Fig. 4 is a plate machine structural representation of the present invention;
Fig. 5 is a loop construction sketch map of the present invention;
Fig. 6 is the another kind of rotary head structural representation of the present invention.
Among the figure, 1 suture, 2 suture needles, 3 tight pin nuts, 4 rotary heads, 5 turning cylinders, 6 in flakes, 7 pull bars, 8 are responsible for; 9 flushed channels, 10 fairleads, 11 line ball posts, 12 rotating the needle nuts, 13 handles, 14 gears, 15 coils, 16 fixed axis, 17 triggers; 18 trigger axles, 19 trigger grooves, 13-1 handle framework, 13-2 handle handle, 9-1 silica gel sealing medicated cap, 2-1 needle point, 2-2 pin hole, 2-3 needle stand; 4-1 presss from both sides needle tray, the tight pin screw of 4-2, and the 4-3 fairlead, the 4-4 axis hole, 4-5 is the hole in flakes, 4-6 gear rotary head, 4-7 axis hole and line hole, 4-8 rotates tooth bar; The 17-1 flank of tooth, 17-2 does not have the flank of tooth, 17-3 axis hole, 17-4 plate machine hole, the female leaf of 15-1, the male leaf of 15-3,15-2 solidus hole, 15-4 internal gear.
The specific embodiment
Like Fig. 1; Fig. 2; Fig. 3; Fig. 4; Shown in Figure 5: as to sew up knot tying machine and comprise suture 1; Suture needle 2; Tight pin nut 3; Rotary head 4; Turning cylinder 5; In flakes 6; Pull bar 7; Be responsible for 8; Flushed channel 9; Fairlead 10; Line ball post 11; Rotating the needle nut 12; Handle 13; Gear 14; Coil 15; Fixed axis 16; Trigger 17; Trigger axle 18; Trigger groove 19; Handle framework 13-1; Handle handle 13-2; Silica gel sealing medicated cap 9-1; Needle point 2-1; Pin hole 2-2; Needle stand 2-3; Folder needle tray 4-1; Tight pin screw 4-2; Fairlead 4-3; Axis hole 4-4; Hole 4-5 in flakes; Gear rotary head 4-6; Axis hole and line hole 4-7; Rotate tooth bar 4-8; Flank of tooth 17-1; No flank of tooth 17-2; Axis hole 17-3; Plate machine hole 17-4; Female leaf 15-1; Solidus hole 15-2; Male leaf 15-3; Internal gear 15-4; The described person in charge 8 is fixed on the front end of handle framework 13-1, and rotary head 4 is movably connected in through axis hole 4-4, turning cylinder 5 and is responsible on 8; Suture needle 2 is inserted in the folder needle tray 4-1 of rotary head 4, and folder needle tray 4-1 and tight pin nut 3 screwed connections are used to loosen, tighten suture needle 2; Pull bar 7 is positioned at is responsible for 8 intracavity, front end and 6 flexible connections in flakes, and 6 through hole 4-5 and rotary head 4 flexibly connect in flakes in flakes; The rear end is connected with rotating the needle nut 12; Rotate rotating the needle nut 12, pull bar 7 is advanced, promote in flakes 6 and rotary head 4; Make 0～90 ° of rotary head 4 rotation, help suture needle turnover body cavity and suture tissue.It is inner that plate trough 19 is positioned at handle framework 13-1, and plate machine 17 is fixed in the plate trough 19 through plate arbor 18, and the flank of tooth of plate machine 17 and gear 14 coincide, and gear 14 is fixed on the handle framework 13-1 by fixed axis 16; Described coil 15 inside are wound with suture 1, and coil 15 activities are embedded on the gear 14, can free loading, unloading, and suture 1 is drawn by coil 15 after the fairlead 4-3 of line ball post 11, fairlead 10, rotary head, pin hole 2-2 draw; During tractive suture 1, gear 14 rotates, and drives plate machine 17 and rotates, and when it went to no flank of tooth 17-2, suture 1 can freely elongate, and helps suture tissue; When fastening plate machine hole 17-4, gear 14 and coil 15 rotates, and makes suture 1 tightly on coil 15, and suture 1 tension shortens, and helps knotting and stringing; Push line ball post 11, hold firmly traction of handle handle 13-2 simultaneously, can make the suture tension after the knotting, toe-in is firm.Described flushed channel 9 is to be used for flushing cleaning to be responsible for 8 inner chambers and to be provided with, and is sealed by silica gel sealing medicated cap 9-1.
As shown in Figure 2: suture needle 2 is curved, and suture needle 2 front ends are provided with pin hole 2-2 near needle point 2-1 place, and the hole tail end is provided with needle stand 2-3.
As shown in Figure 3: rotary head 4 sets gradually folder needle tray 4-1, tight pin screw 4-2, fairlead 4-3, axis hole 4-4, hole 4-5 in flakes from front end; The needle stand 2-3 of suture needle 2 inserts and presss from both sides in the needle tray 4-1, tight pin screw 4-2 and tight pin nut 3 screwed connections, and suture 1 passes in fairlead 4-3, axis hole 4-4 and turning cylinder 5 supporting uses, hole 4-5 and 6 flexible connections in flakes in flakes.
As shown in Figure 4: be provided with on the trigger 17 flank of tooth 17-1, connecting place above the flank of tooth 17-1 be provided with no flank of tooth 17-2, also be provided with the axis hole 17-3 that matches with trigger axle 18, below flank of tooth 17-1, also be provided with trigger hole 17-4.
As shown in Figure 5: coil 15 comprises female leaf 15-1, male leaf 15-3, has solidus hole 15-2 to be used for fixing suture 1 on the female leaf 15-1, on the male leaf 15-3 internal gear 15-4 is arranged, and is corresponding with gear 14; This coil 15 is disposable use.
As shown in Figure 6: gear rotary head 4-6 is fixed on by axis hole and the 4-7 activity of line hole and is responsible on 8, and flexibly connects with rotating tooth bar 4-8, rotates tooth bar 4-8 and is fixedly connected with pull bar 7.Rotate rotating the needle nut 12, pull bar 7 is advanced, promote to rotate tooth bar 4-8 and gear rotary head 4-6, make 0～90 ° of gear rotary head 4-6 rotation.
Claims (10)
1. a chamber mirror is sewed up knot tying machine, comprises suture needle, pull bar, the person in charge, handle, coil, trigger, tight pin nut, rotary head, turning cylinder, fairlead, line ball post, rotating the needle nut, gear, fixed axis, trigger axle, trigger groove, handle framework;
The person in charge is fixed on the front end of handle framework, and rotary head is movably connected on the person in charge;
Pull bar places in the main tube cavity, and the pull bar front end is connected with rotary head, and the rear end is connected with the rotating the needle nut;
It is inner that the plate trough is positioned at the handle framework, and trigger is fixed in the trigger groove through the trigger axle; The flank of tooth of trigger and gear inosculation;
Gear is fixed on the handle framework by fixed axis;
The coil activity is embedded on the gear.
2. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that, flushed channel also is set on the described person in charge.
3. chamber according to claim 2 mirror is sewed up knot tying machine, it is characterized in that flushed channel is by the silica gel sealing cap closure.
4. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that suture needle is curved, and the suture needle front end is provided with pin hole near the needle point place, and the hole tail end is provided with needle stand.
5. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that rotatable 0～90 ° of rotary head.
6. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that, rotary head sets gradually folder needle tray, tight pin screw, fairlead, axis hole, hole in flakes from front end; The needle stand of suture needle inserts in the folder needle tray, tight pin screw and tight pin nut screwed connection, axis hole and turning cylinder are supporting, in flakes the hole be connected in flakes, rotary head is movably connected on the person in charge through axis hole, turning cylinder; Rotary head passes through in flakes, hole and the flexible connection of pull bar front end in flakes.
7. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that being, rotary head comprises, gear rotary head, axis hole and line hole, rotation tooth bar; The gear rotary head is fixed on the person in charge through turning cylinder, axis hole and the activity of line hole, flexibly connects with rotating tooth bar, rotates tooth bar and is fixedly connected with pull bar.
8. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that being, the flank of tooth is set on the trigger, connecting place is provided with the no flank of tooth above the flank of tooth, also is provided with the axis hole that matches with the trigger axle, below the flank of tooth, also is provided with the trigger hole.
9. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that coil comprises female leaf, male leaf, and the solidus hole is arranged on the female leaf, on the male leaf internal gear is arranged, and is corresponding with gear.
10. chamber according to claim 1 mirror is sewed up knot tying machine, it is characterized in that coil is disposable use.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012101492714A CN102670267A (en) | 2012-05-15 | 2012-05-15 | Endoscopic sewing and knot tying machine |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2012101492714A CN102670267A (en) | 2012-05-15 | 2012-05-15 | Endoscopic sewing and knot tying machine |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN102670267A true CN102670267A (en) | 2012-09-19 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2012101492714A Pending CN102670267A (en) | 2012-05-15 | 2012-05-15 | Endoscopic sewing and knot tying machine |
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| CN (1) | CN102670267A (en) |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103462658A (en) * | 2012-12-05 | 2013-12-25 | 北京林业大学 | Needle holder capable of adjusting three-dimensional postures of arc-shaped suture needle |
| CN105434000A (en) * | 2016-01-25 | 2016-03-30 | 三峡大学第一临床医学院 | Medical suture needle device |
| CN109846522A (en) * | 2018-09-28 | 2019-06-07 | 桐庐优视医疗器械有限公司 | A kind of cable type ligation suture down-lead device |
| CN111481248A (en) * | 2020-04-24 | 2020-08-04 | 复旦大学附属中山医院厦门医院 | Minimally invasive blood vessel suturing device |
| CN112155621A (en) * | 2020-10-22 | 2021-01-01 | 赵艳艳 | Surgical suture device |
| CN116983037A (en) * | 2023-09-25 | 2023-11-03 | 中南大学 | Bionic clamp type minimally invasive surgery stitching instrument |
Citations (7)
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| DE4441595A1 (en) * | 1994-11-14 | 1996-05-15 | Lindeke Udo | Holder for surgical suture needle |
| US5662665A (en) * | 1995-06-06 | 1997-09-02 | Ludwick; Jack Rydel | Suture needle holding surgical instrument |
| CN1163558A (en) * | 1994-10-11 | 1997-10-29 | 查尔斯·H·克利曼 | Endoscopic instrument with detachable end effector |
| CN101449989A (en) * | 2007-11-30 | 2009-06-10 | 黄永常 | Celioscope stitching knotter |
| CN101732080A (en) * | 2008-11-06 | 2010-06-16 | 李法升 | Semi-automatic sewing needle holder |
| CN201719303U (en) * | 2010-05-27 | 2011-01-26 | 杭州康基医疗器械有限公司 | Holding forceps for rectum surgical suture |
| CN202604925U (en) * | 2012-05-15 | 2012-12-19 | 淄博东艾医疗器械有限公司 | Endoscope sewing knotting machine |
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2012
- 2012-05-15 CN CN2012101492714A patent/CN102670267A/en active Pending
Patent Citations (7)
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|---|---|---|---|---|
| CN1163558A (en) * | 1994-10-11 | 1997-10-29 | 查尔斯·H·克利曼 | Endoscopic instrument with detachable end effector |
| DE4441595A1 (en) * | 1994-11-14 | 1996-05-15 | Lindeke Udo | Holder for surgical suture needle |
| US5662665A (en) * | 1995-06-06 | 1997-09-02 | Ludwick; Jack Rydel | Suture needle holding surgical instrument |
| CN101449989A (en) * | 2007-11-30 | 2009-06-10 | 黄永常 | Celioscope stitching knotter |
| CN101732080A (en) * | 2008-11-06 | 2010-06-16 | 李法升 | Semi-automatic sewing needle holder |
| CN201719303U (en) * | 2010-05-27 | 2011-01-26 | 杭州康基医疗器械有限公司 | Holding forceps for rectum surgical suture |
| CN202604925U (en) * | 2012-05-15 | 2012-12-19 | 淄博东艾医疗器械有限公司 | Endoscope sewing knotting machine |
Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103462658A (en) * | 2012-12-05 | 2013-12-25 | 北京林业大学 | Needle holder capable of adjusting three-dimensional postures of arc-shaped suture needle |
| CN103462658B (en) * | 2012-12-05 | 2015-07-29 | 北京林业大学 | The needle holder of adjustable circle curved suture needle 3 d pose |
| CN105434000A (en) * | 2016-01-25 | 2016-03-30 | 三峡大学第一临床医学院 | Medical suture needle device |
| CN105434000B (en) * | 2016-01-25 | 2018-02-27 | 王中显 | A kind of medical sewing needle device |
| CN109846522A (en) * | 2018-09-28 | 2019-06-07 | 桐庐优视医疗器械有限公司 | A kind of cable type ligation suture down-lead device |
| CN111481248A (en) * | 2020-04-24 | 2020-08-04 | 复旦大学附属中山医院厦门医院 | Minimally invasive blood vessel suturing device |
| CN112155621A (en) * | 2020-10-22 | 2021-01-01 | 赵艳艳 | Surgical suture device |
| CN116983037A (en) * | 2023-09-25 | 2023-11-03 | 中南大学 | Bionic clamp type minimally invasive surgery stitching instrument |
| CN116983037B (en) * | 2023-09-25 | 2023-12-26 | 中南大学 | Bionic clamp type minimally invasive surgery stitching instrument |
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