CN103654889A - Surgical stitching device - Google Patents
Surgical stitching device Download PDFInfo
- Publication number
- CN103654889A CN103654889A CN201210328902.9A CN201210328902A CN103654889A CN 103654889 A CN103654889 A CN 103654889A CN 201210328902 A CN201210328902 A CN 201210328902A CN 103654889 A CN103654889 A CN 103654889A
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- China
- Prior art keywords
- clamp handle
- stitching
- handle
- surgical stapling
- clamp arm
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- 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.)
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
- A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Rheumatology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention relates to a surgical stitching device for a surgical operation or fixing various drainage tubes and catheters. The surgical stitching instrument comprises a left tong handle, a right tong handle, a left tong arm and a right tong arm. The left tong handle and the right tong handle are connected through a hinge pin in a rotation mode in an X shape, and the left tong arm and the right tong arm are arranged at the top end of the left tong handle and the top end of the right tong handle respectively. The left tong arm and the right tong arm are arranged oppositely. A clamping and fixing device for clamping and fixing a stitching line is arranged on the left tong handle, and a line hooking device capable of hooking and pulling the stitching line after the skin is punctured is arranged at the top end of the right tong handle. The stitching line is fixed and clamping into the clamping and fixing device firstly; a doctor holds the stitching device by one hand, and the thumb and the ring finger are arranged in a left ring and a right ring; the thumb and the middle finger of the other hand are opposite to pinch the skin at the stitching position and make the skin arranged between the two tong arms. The two fingers of the hand which holds the stitching device exert force to drive the line hooking device and the clamping and fixing device to move oppositely, and therefore the line hooking device located at the top end of the right tong handle can puncture the skin, and the line hooking device continues to move till the line hooking device hooks the stitching line located in the clamping and fixing device.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, be specifically related to a kind of surgical stapling device for surgical operation or fixing various drainage tubes, conduit.
Background technology
In current surgical practice, the various drainage tubes of placing in surgical operation or various puncture and intubation process, conduit etc. need to be fixed pipe and skin.Fixing means by using the surgery Curved seaming needle of needle holder clamping band wire or utilizing staight needle skin suture, will be fixed together with pipe after line knotting often again.Thereby realize fixing tube, prevent the effect of deviating from.In this process, at least need the article (or independent stitching bag) such as needle holder, pliers or tweezers, sewing needle and stitching thread, and the step such as need to try to make a match before stitching, need the medical article One's name is legion prepared, sewing process is time-consuming loaded down with trivial details.
Summary of the invention
The present invention is in order to overcome the deficiency of above technology, and a kind of simple to operate, surgical stapling device is efficiently provided.
The present invention overcomes the technical scheme that its technical problem adopts:
This surgical stapling device, comprise by bearing pin and be left clamp handle and the right clamp handle that X-shaped is rotationally connected, left clamp arm and the right clamp arm that is arranged at respectively left clamp handle and right clamp handle top, described left clamp arm and right clamp arm are in opposite directions to be arranged, in described left clamp handle, be provided with for fixing sutural clamping device, sutural thread hooking apparatus can be drawn by hook after being provided with prick skin in the top of described right clamp handle.
In order to facilitate surgeon to use, improve comfort, also comprise be arranged at left clamp handle end for hold finger left finger ring, be arranged at right clamp handle end for holding the right finger ring of finger.
Between above-mentioned right clamp handle and thread hooking apparatus, be provided with right clamp arm, between described left clamp handle and clamping device, be provided with left clamp arm, described left clamp arm and right clamp arm are in opposite directions to be arranged.
Above-mentioned thread hooking apparatus comprises and is arranged at the needle tip on right clamp arm top and is positioned at hook-shaped barb of being of needle tip tail end.Needle tip is for piercing through patient's skin, and barb draws for hook the stitching thread that is positioned at clamping device, makes it when needle tip backhaul, can make stitching thread pass patient's skin.
Above-mentioned clamping device comprises riser and two the parallel tension disks that are installed on riser that are vertically arranged at left clamp arm top, on described tension disk, be provided with for fixing sutural cable clamping interface, on described riser, be provided with for holding the needle tray of needle tip and the both sides that described two tension disks lay respectively at needle tray.Stitching thread can be fastened in two cable clamping interfaces that are parallel to each other, and needle point continues the mobile barb that makes through needle tray in moving process can hold stitching thread by hook.
Structure that above-mentioned tension disk is made by elastomeric material and described cable clamping interface takes the shape of the letter U, its U-lag width is less than sutural diameter.So its U-lag has a certain amount of deformation when suture clamp is placed in to U-lag, so can make tension disk better clamp stitching thread because elastomeric material has certain elasticity.And make stitching thread possess certain tension force.
Described tension disk by elastomeric material, made and cable clamping interface V-shaped, and the A/F of its V-shaped groove is greater than sutural diameter.The tension disk of making the closer to its rubber of V-shaped groove bottom after not needing firmly when it starts when holding stitching thread is larger to sutural chucking power, makes stitching thread possess some tension.So take this kind of structure can make clamp process convenient and swift, and can facilitate according to demand adjustment chucking power size.
For fear of tong arm and clamp handle, adopt and in direct-connected mode sewing process, sew up the situation that the bad grasp of angle and clamp handle and finger ring position can touch patient body and occur, above-mentioned left clamp arm is connected with the axis direction in obtuse angle bending of right clamp handle with respect to bearing pin with left clamp handle and right clamp arm.
Above-mentioned left finger ring, right finger ring, left clamp handle, right clamp handle, left clamp arm and right clamp arm are made as plastics by disposable use material.Can make this surgical stapling device become disposable medical instrument with low cost, make it use health reliable.
The angle at above-mentioned obtuse angle is 120 °-150 °.
The invention has the beneficial effects as follows:
Because left clamp handle and right clamp handle are X-shaped by bearing pin, be rotatably connected, left clamp handle and right clamp handle end are respectively arranged with for holding left finger ring and the right finger ring of finger and being arranged at respectively left clamp handle and the left clamp arm on right clamp handle top and right forearm are in opposite directions and arrange.So implement surgical operation suturing or by the fixing drainage tube of stitching at needs, during conduit, first suture clamp is fixed in clamping device, the hand-held stiching instrument of doctor one, thumb and fourth finger are placed in to left finger ring and right finger ring, another hands has relatively been pinched the skin of suture with thumb and middle finger and has been made it to be placed between two tong arms, two fingers of holding the hands of stiching instrument firmly can drive in opposite directions and hook line apparatus and clamping device move toward one another, then the thread hooking apparatus that is positioned at right clamp handle top can pierce through skin, thread hooking apparatus continues motion until its hook is held the stitching thread that is positioned at clamping device, now the two of doctor refer to oppositely firmly can drive hook line apparatus to drive stitching thread to pass in skin, afterwards stitching thread knotting can be completed to operation stitching or completes drainage tube, fixing of conduit and skin.Simple to operation quick, and can save the process of local anesthesia, save and sew up set time and implementation cost.
Accompanying drawing explanation
Fig. 1 is main TV structure schematic diagram of the present invention;
Fig. 2 is the local enlarged diagram of the A in Fig. 1;
Fig. 3 is the local enlarged diagram of the B in Fig. 1;
Fig. 4 is the right TV structure schematic diagram of Fig. 3;
Fig. 5 is left TV structure schematic diagram of the present invention;
In figure, 1. right clamp handle 5. bearing pin 6. needle tip 7. barb 9. cable clamping interface 10. tension disk 11. stitching thread 12. needle tray 13. left clamp arm 14. right clamp arms of the left clamp handle 4. of the right finger ring 3. of left finger ring 2..
The specific embodiment
Below in conjunction with accompanying drawing 1, accompanying drawing 2, accompanying drawing 3, accompanying drawing 4,5 pairs of inventions of accompanying drawing, be described further.
As shown in Figure 1, this surgical stapling device, comprise by bearing pin 5 and be left clamp handle 3 and the right clamp handle 4 that X-shaped is rotationally connected, be provided with for fixing the clamping device of stitching thread 11 in described left clamp handle 3, the top of described right clamp handle 4 is provided with pierces through after skin the thread hooking apparatus that can hook draws stitching thread 11.Also comprise be arranged at left clamp handle 3 ends for hold finger left finger ring 1, be arranged at right clamp handle 4 ends for holding the right finger ring 2 of finger and being arranged at the left clamp arm 13 between right clamp arm 14, left clamp handle 3 and the clamping device between right clamp handle 4 and thread hooking apparatus, described left clamp arm 13 and right clamp arm 14 are in opposite directions to be arranged.At needs, implement surgical operation suturing or by stitching fixedly when drainage tube, conduit, first stitching thread 11 is fastened in to the clamping device being positioned on left clamp arm 13, doctor can be placed in left finger ring 1 and right finger ring 2 by thumb and fourth finger, another hands has relatively been pinched the skin of suture with thumb and middle finger and has been made it to be placed between two tong arms, two fingers of holding the hands of stiching instrument, two fingers firmly can drive left clamp arm 13 and right clamp arm 14 move toward one another in opposite directions.Then the thread hooking apparatus that is positioned at right clamp arm 14 tops can pierce through patient skin, and thread hooking apparatus continues motion until its hook is held the stitching thread 11 that is positioned at clamping device.Now the two of doctor refer to oppositely firmly can drive hook line apparatus to drive stitching thread to pass in skin, afterwards stitching thread 11 knottings can be completed to operation stitching or complete drainage tube, conduit and skin are fixed.Simple to operation quick.Traditional stitching fixed form need to first be carried out local anesthesia, with the sewing needle that needle holder is clamped band wire, sew up again afterwards, patient need to bear the pain of an acupuncture when anesthesia, and only need bear while utilizing this surgical stapling device pain can complete rapidly sew up fixing, therefore can save the process of local anesthesia, save and sew up set time and implementation cost.
As shown in Figure 2, above-mentioned thread hooking apparatus comprises and is arranged at the needle tip 6 on right clamp arm 14 tops and is positioned at hook-shaped barb 7 of being of needle tip 6 tail ends.Needle tip 6 is for piercing through patient's skin, and barb 7 draws the stitching thread 11 that is positioned at clamping device for hook, makes it when needle tip 6 backhaul, make stitching thread 11 through patient's skin.
As shown in Figure 3, Figure 4, above-mentioned clamping device comprises riser 8 and two the parallel tension disks 10 that are installed on riser 8 that are vertically arranged at left clamp arm 13 tops, on described tension disk 10, be provided with for fixing the cable clamping interface 9 of stitching thread 11, on described riser 8, be provided with for holding the needle tray 12 of needle tip and the both sides that described two tension disks 10 lay respectively at needle tray 12.Before use, first stitching thread 11 is fastened in two cable clamping interfaces 9 that are parallel to each other, needle point continues the mobile barb 7 that makes through needle tray 12 in moving process can make needle tip hook in backhaul process hold stitching thread 11 through stitching thread 11.
Structure that above-mentioned tension disk 10 is made by elastomeric material and described cable clamping interface 9 takes the shape of the letter U, its U-lag width is less than the diameter of stitching thread 11, so its U-lag has a certain amount of deformation when stitching thread 11 is placed in to U-lag, so can make tension disk 10 better clamp stitching thread 11 because elastomeric material has certain elasticity.And make stitching thread there is appropriate tension force.
Described tension disk 10 by elastomeric material, made and cable clamping interface 9 V-shaped.And because the A/F of its V-shaped groove is greater than the diameter of stitching thread 11, so adopt the chucking power of 10 pairs of stitching thread 11 of tension disk that this kind of structure make the closer to its rubber of V-shaped groove bottom after can making not need firmly when it starts when holding stitching thread 11 larger, so take this kind of structure can make clamp process convenient and swift, and can adjust according to demand chucking power size, and make stiching instrument there is appropriate tension force.
As shown in Figure 5, above-mentioned left clamp arm 13 is connected with the axis direction in obtuse angle bending of right clamp handle 4 with respect to bearing pin 5 with left clamp handle 3 and right clamp arm 14, adopt warp architecture can avoid sewing up the situation generation that the bad grasp of angle and clamp handle and finger ring position can touch patient body in tong arm and the direct-connected mode sewing process of clamp handle, make doctor more easy and convenient in use.The angle at its obtuse angle result of use within the scope of 120 °-150 ° is best.
Above-mentioned left finger ring 1, right finger ring 2, left clamp handle 3, right clamp handle 4, left clamp arm 13 and right clamp arm 14 are made by plastic material.Can make this surgical stapling device become disposable medical instrument with low cost, make it use health reliable.
Claims (10)
1. a surgical stapling device, it is characterized in that: comprise by bearing pin (5) and be left clamp handle (3) and the right clamp handle (4) that X-shaped is rotationally connected, in described left clamp handle (3), be provided with for fixing the clamping device of stitching thread (11), the thread hooking apparatus of stitching thread (11) can be drawn by hook after being provided with and piercing through skin in the top of described right clamp handle (4).
2. surgical stapling device according to claim 1, is characterized in that: also comprise be arranged at left clamp handle (3) end for hold finger left finger ring (1), be arranged at right clamp handle (4) end for holding the right finger ring (2) of finger.
3. surgical stapling device according to claim 1, it is characterized in that: between described right clamp handle (4) and thread hooking apparatus, be provided with right clamp arm (14), between described left clamp handle (3) and clamping device, be provided with left clamp arm (13), described left clamp arm (13) and right clamp arm (14) are in opposite directions to be arranged.
4. surgical stapling device according to claim 3, is characterized in that: described thread hooking apparatus comprises and is arranged at the needle tip (6) on right clamp arm (14) top and is positioned at hook-shaped barb (7) of being of needle tip (6) tail end.
5. surgical stapling device according to claim 3, it is characterized in that: described clamping device comprises riser (8) and two the parallel tension disks (10) that are installed on riser (8) that are vertically arranged at left clamp arm (13) top, on described tension disk (10), be provided with the cable clamping interface (9) for fixing stitching thread (11), on described riser (8), be provided with the both sides that needle tray (12) for holding needle tip and described two tension disks (10) lay respectively at needle tray (12).
6. surgical stapling device according to claim 5, is characterized in that: structure that described tension disk (10) is made by elastomeric material and described cable clamping interface (9) takes the shape of the letter U, its U-lag width is less than the diameter of stitching thread (11).
7. surgical stapling device according to claim 5, is characterized in that: described tension disk (10) by elastomeric material, made and cable clamping interface (9) V-shaped, and the A/F of its V-shaped groove is greater than the diameter of stitching thread (11).
8. according to the surgical stapling device described in any one in claim 1 to 7, it is characterized in that: described left clamp arm (13) is connected with the axis direction in obtuse angle bending of right clamp handle (4) with respect to bearing pin (5) with left clamp handle (3) and right clamp arm (14).
9. according to the surgical stapling device described in any one in claim 1 to 7, it is characterized in that: described left finger ring (1), right finger ring (2), left clamp handle (3), right clamp handle (4), left clamp arm (13) and right clamp arm (14) are made by plastic material.
10. surgical stapling device according to claim 8, is characterized in that: the angle at described obtuse angle is 120 °-150 °.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210328902.9A CN103654889A (en) | 2012-09-07 | 2012-09-07 | Surgical stitching device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210328902.9A CN103654889A (en) | 2012-09-07 | 2012-09-07 | Surgical stitching device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN103654889A true CN103654889A (en) | 2014-03-26 |
Family
ID=50294489
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210328902.9A Pending CN103654889A (en) | 2012-09-07 | 2012-09-07 | Surgical stitching device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103654889A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106473780A (en) * | 2015-09-02 | 2017-03-08 | 广州迪克医疗器械有限公司 | The root of the tongue pulls down-lead device |
| CN109044614A (en) * | 2018-09-07 | 2018-12-21 | 上海市杨浦区中心医院(同济大学附属杨浦医院) | Stitching instrument for ophthalmology |
| CN110522484A (en) * | 2019-09-05 | 2019-12-03 | 郑州大学第一附属医院 | Medical suturing instrument |
Citations (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4373530A (en) * | 1980-04-04 | 1983-02-15 | Lisa Ann Kilejian | Surgical stitching instrument |
| US4596246A (en) * | 1984-02-24 | 1986-06-24 | Lyall Robert N | Method and apparatus for converting patient breathing system between circle and non-rebreathing configurations |
| US4596249A (en) * | 1983-07-26 | 1986-06-24 | Freda Vincent J | Implement for setting sutures |
| EP0668056A1 (en) * | 1994-02-22 | 1995-08-23 | SMITH & NEPHEW DYONICS INC | Suture probe |
| US5980538A (en) * | 1997-09-09 | 1999-11-09 | Werner Fuchs | Surgical suturing instrument |
| US6217592B1 (en) * | 1998-10-06 | 2001-04-17 | Vincent Freda | Laproscopic instrument for suturing tissue |
| US20030083695A1 (en) * | 2001-08-06 | 2003-05-01 | Morris John K. | Compact suture punch with malleable needle |
| CN2783943Y (en) * | 2004-12-31 | 2006-05-31 | 洪丰 | Stitching and reeling ligation device for surgical operation |
| 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 |
| CN201912151U (en) * | 2010-12-31 | 2011-08-03 | 徐志明 | Hooked suture forceps |
| CN201968731U (en) * | 2011-03-05 | 2011-09-14 | 慈勤海 | Surgical operation suture forceps |
| CN202313584U (en) * | 2011-11-09 | 2012-07-11 | 郭晓辉 | Forceps used for threading of spinous process hole and provided with sutures |
| CN202751418U (en) * | 2012-09-07 | 2013-02-27 | 牛洪欣 | Surgery stitching instrument |
-
2012
- 2012-09-07 CN CN201210328902.9A patent/CN103654889A/en active Pending
Patent Citations (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4373530A (en) * | 1980-04-04 | 1983-02-15 | Lisa Ann Kilejian | Surgical stitching instrument |
| US4596249A (en) * | 1983-07-26 | 1986-06-24 | Freda Vincent J | Implement for setting sutures |
| US4596246A (en) * | 1984-02-24 | 1986-06-24 | Lyall Robert N | Method and apparatus for converting patient breathing system between circle and non-rebreathing configurations |
| EP0668056A1 (en) * | 1994-02-22 | 1995-08-23 | SMITH & NEPHEW DYONICS INC | Suture probe |
| US5980538A (en) * | 1997-09-09 | 1999-11-09 | Werner Fuchs | Surgical suturing instrument |
| US6217592B1 (en) * | 1998-10-06 | 2001-04-17 | Vincent Freda | Laproscopic instrument for suturing tissue |
| US20030083695A1 (en) * | 2001-08-06 | 2003-05-01 | Morris John K. | Compact suture punch with malleable needle |
| CN2783943Y (en) * | 2004-12-31 | 2006-05-31 | 洪丰 | Stitching and reeling ligation device for surgical operation |
| 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 |
| CN201912151U (en) * | 2010-12-31 | 2011-08-03 | 徐志明 | Hooked suture forceps |
| CN201968731U (en) * | 2011-03-05 | 2011-09-14 | 慈勤海 | Surgical operation suture forceps |
| CN202313584U (en) * | 2011-11-09 | 2012-07-11 | 郭晓辉 | Forceps used for threading of spinous process hole and provided with sutures |
| CN202751418U (en) * | 2012-09-07 | 2013-02-27 | 牛洪欣 | Surgery stitching instrument |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106473780A (en) * | 2015-09-02 | 2017-03-08 | 广州迪克医疗器械有限公司 | The root of the tongue pulls down-lead device |
| CN106473780B (en) * | 2015-09-02 | 2018-06-26 | 广州迪克医疗器械有限公司 | The root of the tongue pulls down-lead device |
| CN109044614A (en) * | 2018-09-07 | 2018-12-21 | 上海市杨浦区中心医院(同济大学附属杨浦医院) | Stitching instrument for ophthalmology |
| CN110522484A (en) * | 2019-09-05 | 2019-12-03 | 郑州大学第一附属医院 | Medical suturing instrument |
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Application publication date: 20140326 |