CN103584903B - A kind of surgical forceps for sewing up - Google Patents

A kind of surgical forceps for sewing up Download PDF

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Publication number
CN103584903B
CN103584903B CN201310443784.0A CN201310443784A CN103584903B CN 103584903 B CN103584903 B CN 103584903B CN 201310443784 A CN201310443784 A CN 201310443784A CN 103584903 B CN103584903 B CN 103584903B
Authority
CN
China
Prior art keywords
accurately
pincers
tweezer arm
bile duct
sewing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201310443784.0A
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Chinese (zh)
Other versions
CN103584903A (en
Inventor
朱孝成
冯麒麟
高圣强
洪键
邵勇
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Affiliated Hospital of Xuzhou Medical University
Original Assignee
Affiliated Hospital of Xuzhou Medical University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Affiliated Hospital of Xuzhou Medical University filed Critical Affiliated Hospital of Xuzhou Medical University
Priority to CN201310443784.0A priority Critical patent/CN103584903B/en
Publication of CN103584903A publication Critical patent/CN103584903A/en
Application granted granted Critical
Publication of CN103584903B publication Critical patent/CN103584903B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/30Surgical pincettes without pivotal connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0493Protective devices for suturing, i.e. for protecting the patient's organs or the operator

Abstract

The present invention discloses a kind of surgical forceps for sewing up, and is made up of the first tweezer arm and the second tweezer arm, and the first tweezer arm and the second tweezer arm are linked together by near-end; First tweezer arm and the second tweezer arm have the first accurate pincers and second accurately to clamp at far-end respectively, and accurately pincers are curved; First accurate pincers and the second inner side correspondence position accurately clamped offer one or more semicircle gap respectively, gap extends to lower surface by upper surface, first accurately pincers and second accurately pincers all offer chamfering at upper surface and inner side intersection, first accurately pincers and the second accurate chamfering symmetry clamped are offered.Utilize accurately pincers conduct gear lining, when sewing up both sides bile duct, sewing needle can not directly contact with bile duct wall, thus avoids stitch bite of the needle on the tube wall on bile duct opposite, also can be good at sewing up bile duct while expanding bile duct space, cause adverse effect can not to the health of patient.

Description

A kind of surgical forceps for sewing up
Technical field
The present invention relates to a kind of surgical forceps for sewing up, belonging to medical apparatus technical field.
Background technology
In current medical field, carrying out hollow organ's anastomosiss such as bile duct, intestinal tube, ureter, blood vessel, especially continuously sew up (accounting for 90% of anastomosis) time, bile duct space along with the process of suture operation can be more and more less, narrow space make the stitching of last a few pin become quite difficulty.Surgeon solves this problem by two kinds of methods at present: first method is expansion space, this method exactly by bile duct also unstitched part utilize operation tool to strut, larger operation technique space is obtained with this, but this method to the tissue damage on bile duct two sides, may cause disadvantageous consequence to the health of patient; Second method is blind seam, mainly surgeon rule of thumb judges the position of lower pin to this method, the angle etc. of lower pin sews up, this method is by many factors such as surgeon's experience, patient body practical situation, operation site surroundings, once sew application is improper, will be sewn on the tube wall on bile duct opposite, tube chamber is narrowed, and the later stage can cause various complication thus, healthy very unfavorable to patient.
Summary of the invention
For above-mentioned prior art Problems existing, the invention provides a kind of surgical forceps for sewing up, under the prerequisite without the need to expanding patient's bile duct space, avoiding the tube wall being sewn to bile duct opposite.
To achieve these goals, the technical solution used in the present invention is: a kind of surgical forceps for sewing up, and is made up of the first tweezer arm and the second tweezer arm, and the first tweezer arm and the second tweezer arm are linked together by near-end; First tweezer arm and the second tweezer arm have the first accurate pincers and second accurately to clamp at far-end respectively, and accurately pincers are curved; First accurate pincers and the second inner side correspondence position accurately clamped offer one or more semicircle gap respectively, gap extends to lower surface by upper surface, first accurately pincers and second accurately pincers all offer chamfering at upper surface and inner side intersection, first accurately pincers and the second accurate chamfering symmetry clamped are offered.
Further, gap respectively offers two on first accurately pincers and the second accurate pincers, and two gap distally arrange along near-end to be offered.
Further, the lateral surface of the first tweezer arm and the second tweezer arm has bellows-shaped slip prevention part.
Further, the first accurate pincers and the second chamfering accurately clamped distally extend to gap.
The invention has the beneficial effects as follows: hold the first tweezer arm and the second tweezer arm, together with grip can make first accurately pincers and the second interior side contacts accurately clamped fit to, then put in bile duct by accurately clamping, after putting well, utilize pin under needle holder clip suture pin, first stitch the gallbladder pipe of side, the effect of gear lining is played owing to accurately clamping first to be placed in bile duct, the needle point of sewing needle can not be sewn on the tube wall on bile duct opposite, first accurate pincers and second accurately pincers all offer chamfering at upper surface and inner side intersection, just bile duct is put into together with first interior side contacts accurately clamping pincers accurate with second fits to, so sewing needle needle point can move along the arc wheel profile accurately clamped from V-arrangement or U-lag, sew it up after the bile duct of side, turnback is revolved in the present invention, put in the bile duct of opposite side by accurately clamping, then sewing needle is passed successively the bile duct wall of through hole and opposite side, due to sewing needle in through-holes and accurately pincers in bile duct, play the effect of gear lining, so also can not be sewn on the tube wall on bile duct opposite when sewing up opposite side bile duct, sewing needle is through after the bile duct wall of opposite side, the state of pin held by needle holder, accurately clamp with the present invention and clamp sewing needle, unclamp needle holder again, pull out from bile duct wall with the sewing needle of needle holder by the bile duct wall penetrating opposite side, after the bile duct of both sides is sewed on, micro-loose first tweezer arm and the second tweezer arm, make to reserve the gap being greater than sewing needle between the two, then the present invention is taken out, like this then complete bile duct sew up single periodic process, repeat above-mentioned steps until sewed up completely by bile duct, use the present invention can sew up gallbladder pipe easily, even if the bile duct when sewing up last space and being less is also without the need to expanding bile duct space, to doctors experience, the factors dictate such as operation site surrounding are lower, sewing effect is good, little to patient's side effect.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is that the present invention second accurately clamps magnified partial view;
Fig. 3 is that the present invention accurately clamps the rear enlarged drawing of laminating.
In figure: 12, the first tweezer arm, the 14, second tweezer arm, 16, near-end, 18, far-end, 20, first accurately clamps, and 22, second accurately clamps, and 24, upper surface, 26, lower surface, 28, inner side, 32, gap, 34, chamfering, 38, through hole.
Detailed description of the invention
Below in conjunction with accompanying drawing, the invention will be further described.
As Fig. 1 and as shown in Figure 2, this surgical forceps for sewing up, be made up of the first tweezer arm 12 and the second tweezer arm 14, the first tweezer arm 12 and the second tweezer arm 14 are linked together by near-end 16; First tweezer arm 12 and the second tweezer arm 14 have the first accurate pincers 20 and second accurately to clamp 22 respectively at far-end 18 place, accurately clamp curved; Inner side 28 correspondence position of the first accurate pincers 20 and the second accurate pincers 22 offers one or more semicircle gap 32 respectively, gap 32 extends to lower surface 26 by upper surface 24, first accurate pincers 20 and the second accurate pincers 22 all offer chamfering 34 at upper surface 24 and inner side 28 intersection, chamfering 34 symmetry of the first accurate pincers 20 and the second accurate pincers 22 is offered, as shown in Figure 3, after first accurate pincers 20 and the second accurate pincers 22 are fitted, two semicircle gap 32 can form a through hole 38, two chamferings 34 and can form a V-arrangement or U-lag.
Using method: for bile duct end to-end anastomosis, hold the first tweezer arm 12 and the second tweezer arm 14, grip can make first accurately pincers 20 and second accurately contact and fit to together in the inner side 28 of pincers 22, then put in bile duct by accurately clamping, after putting well, utilize pin under needle holder clip suture pin, first stitch the gallbladder pipe of side, the effect of gear lining is played owing to accurately clamping first to be placed in bile duct, the needle point of sewing needle can not be sewn on the tube wall on bile duct opposite, first accurate pincers 20 and the second accurate pincers 22 all offer chamfering 34 at upper surface 24 and inner side 28 intersection, the inner side 28 of the first accurate pincers 20 and the second accurate pincers 22 contacts to fit to just puts into bile duct together, so sewing needle needle point can move along the arc wheel profile accurately clamped from V-arrangement or U-lag, sew it up after the bile duct of side, turnback is revolved in the present invention, put in the bile duct of opposite side by accurately clamping, then sewing needle is passed successively the bile duct wall of through hole 38 and opposite side, due to sewing needle in through hole 38 and accurately pincers in bile duct, play the effect of gear lining, so also can not be sewn on the tube wall on bile duct opposite when sewing up opposite side bile duct, sewing needle is through after the bile duct wall of opposite side, the state of pin held by needle holder, accurately clamp with the present invention and clamp sewing needle, unclamp needle holder again, pull out from bile duct wall with the sewing needle of needle holder by the bile duct wall penetrating opposite side, after the bile duct of both sides is sewed on, micro-loose first tweezer arm 12 and the second tweezer arm 14, make to reserve the gap being greater than sewing needle between the two, then the present invention is taken out, like this then complete bile duct sew up single periodic process, repeat above-mentioned steps until sewed up completely by bile duct, use the present invention can sew up gallbladder pipe easily, even if the bile duct when sewing up last space and being less is also without the need to expanding bile duct space, to doctors experience, the factors dictate such as operation site surrounding are lower, sewing effect is good, little to patient's side effect.
First accurately pincers 20 and second accurately pincers 22 inner side 28 along near-end 16 distally 18 direction correspondence positions offer two semicircle gap 32 respectively, due to semicircle gap 32 along near-end 16 distally 18 directions arrangement offer, so two semicircle gap 32 are different from the distance of far-end 18, in actual operation, the diameter of different hollow organ is different, identical hollow organ's diameter of different people is also different, so first accurately pincers 20 and second accurately pincers 22 inner side 28 along near-end 16 distally 18 direction correspondence positions offer two semicircle gap 32 respectively can be more practical in actual operation, can according to the size of hollow organ's diameter, flexible selection sewing needle needs the through hole 38 be made up of semicircle gap 32 penetrated.
The lateral surface of the first tweezer arm 12 and the second tweezer arm 14 has bellows-shaped slip prevention part, can grip more stable in use, prevents from skidding, and avoids impacting to operation.
In order to sewing needle can be made mobile convenient in V-arrangement or U-lag, the chamfering 34 of the first accurate pincers 20 and the second accurate pincers 22 distally 18 extends to gap 32, even if the position that chamfering 34 does not extend to gap 32 also can not affect use of the present invention.

Claims (4)

1. the surgical forceps for sewing up, is made up of the first tweezer arm (12) and the second tweezer arm (14), and the first tweezer arm (12) and the second tweezer arm (14) are linked together by near-end (16);
First tweezer arm (12) and the second tweezer arm (14) have first accurately to clamp (20) and second accurately clamp (22) respectively at far-end (18) place, accurate clamp curved;
It is characterized in that, first accurately clamps inner side (28) correspondence position (20) and second accurately clamping (22) offers one or more semicircle gap (32) respectively, gap (32) extends to lower surface (26) by upper surface (24), first accurately clamps (20) and second accurately clamps (22) and all offers chamfering (34) at upper surface (24) and inner side (28) intersection, and the first chamfering (34) symmetry that accurately pincers (20) and second accurately clamp (22) is offered.
2. a kind of surgical forceps for sewing up according to claim 1, it is characterized in that, described gap (32) accurately clamps (20) and second first and accurately clamps on (22) and respectively offer two, and two gap (32) distally along near-end (16) arrange and offer in (18) direction.
3. a kind of surgical forceps for sewing up according to claim 1, is characterized in that, the first described tweezer arm (12) and the lateral surface of the second tweezer arm (14) have bellows-shaped slip prevention part.
4. a kind of surgical forceps for sewing up according to claim 1, is characterized in that, described first accurately clamp (20) and second accurately clamp (22) chamfering (34) distally (18) extend to gap (32).
CN201310443784.0A 2013-09-26 2013-09-26 A kind of surgical forceps for sewing up Expired - Fee Related CN103584903B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201310443784.0A CN103584903B (en) 2013-09-26 2013-09-26 A kind of surgical forceps for sewing up

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201310443784.0A CN103584903B (en) 2013-09-26 2013-09-26 A kind of surgical forceps for sewing up

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CN103584903A CN103584903A (en) 2014-02-19
CN103584903B true CN103584903B (en) 2016-04-20

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2567494B (en) * 2017-10-16 2023-04-26 Gyrus Medical Ltd Surgical instruments

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2415931A (en) * 2004-07-08 2006-01-11 Russell Khan-Sullman Curved needle holder
CN201814610U (en) * 2010-10-12 2011-05-04 付涛 Operation stitching tweezers
CN203059842U (en) * 2013-02-07 2013-07-17 闻志强 Operation stitching tweezers
CN203609472U (en) * 2013-09-26 2014-05-28 徐州医学院附属医院 Surgical forceps used for suturing

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2415931A (en) * 2004-07-08 2006-01-11 Russell Khan-Sullman Curved needle holder
CN201814610U (en) * 2010-10-12 2011-05-04 付涛 Operation stitching tweezers
CN203059842U (en) * 2013-02-07 2013-07-17 闻志强 Operation stitching tweezers
CN203609472U (en) * 2013-09-26 2014-05-28 徐州医学院附属医院 Surgical forceps used for suturing

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