CN103989492B - A kind of percutaneous peritoneal stitches system - Google Patents
A kind of percutaneous peritoneal stitches system Download PDFInfo
- Publication number
- CN103989492B CN103989492B CN201410254587.9A CN201410254587A CN103989492B CN 103989492 B CN103989492 B CN 103989492B CN 201410254587 A CN201410254587 A CN 201410254587A CN 103989492 B CN103989492 B CN 103989492B
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- CN
- China
- Prior art keywords
- hollow
- circular tube
- tube shaped
- closing member
- needle guard
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Classifications
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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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
Abstract
The present invention relates to a kind of percutaneous peritoneal stitches system, comprise the first assembly, the second assembly and nook closing member; First assembly comprises circular tube shaped needle guard and the feed-through collar of the first hollow, and nook closing member or feed-through collar are slidably disposed in the circular tube shaped needle guard of the first hollow, and nook closing member and feed-through collar are arranged in the circular tube shaped needle guard of the first hollow in the mode of mutually replacing; Second assembly comprises circular tube shaped needle guard and the thread drawing hook of the second hollow, the front portion of thread drawing hook has the hook formation for hooking feed-through collar, nook closing member or thread drawing hook are slidably disposed in the circular tube shaped needle guard of the second hollow, and nook closing member and thread drawing hook are arranged in the circular tube shaped needle guard of the second hollow in the mode of mutually replacing.The circular tube shaped needle guard of the first hollow, nook closing member, the circular tube shaped needle guard of the second hollow and thread drawing hook can arrive abdominal cavity, reach peritoneal suture or stomach wall whole layer suture, are conducive to wound healing, prevent the generation of wound bleeding, hematoma and postoperative wound hernia, be applicable to laparoscopic surgery stomach wall hole and sew up.
Description
Technical field
The invention belongs to technical field of medical equipment, be specifically related to a kind of percutaneous peritoneal stitches system.
Background technology
Peritoneoscope is that increasing technology is applied in surgical intervention, and laparoscopic surgery generally leaves the incision of abdominal wall of the 1cm in more than two sensible abdominal cavities at body surface.Effective stitching of otch deep layer and hemostasis, effectively can avoid causing otch deep hemorrhage, healing difficulty, occurs the generation of the situation such as internal organs and adhesion of abdominal wall, hernia, hemorrhage, hematoma.
After existing laparoscopic surgery, the sewing needle used is sewed up in stomach wall perforation, the general sewing needle that Post operation that through wires hole forms uses is provided with by needle body and needle body, because laparoscopic surgery perforation is little, stomach wall is thicker, Post operation uses this general sewing needle to be difficult to be sewn onto stomach wall deep layer, whole layer suture can not be reached, often there is occult bleeding to form hematoma in stomach wall or flow into abdominal cavity and cause hemoperitoneum, abdominal cavity gas is discharged, anesthesia terminates rear patient's intestinal function recovery, the Peritoneal Stomata place adhesion that abdominal viscera is easy and not closed, even there is abdominal hernia, be unfavorable for preventing above-mentioned postoperative complication.
Summary of the invention
For the problems referred to above that prior art exists, the object of this invention is to provide a kind of structure simple, easy to operate, can suturing them deep layer, reach whole layer suture, be conducive to the percutaneous peritoneal stitches system of wound healing.
For achieving the above object, the present invention adopts following technical scheme: a kind of percutaneous peritoneal stitches system, comprises the first assembly, the second assembly and nook closing member; Described first assembly comprises circular tube shaped needle guard and the feed-through collar of the first hollow, described nook closing member or feed-through collar are slidably disposed in the circular tube shaped needle guard of the first hollow, and described nook closing member and feed-through collar are arranged in the circular tube shaped needle guard of the first hollow in the mode of mutually replacing; Described second assembly comprises circular tube shaped needle guard and the thread drawing hook of the second hollow, the front portion of described thread drawing hook has the hook formation for hooking feed-through collar, described nook closing member or thread drawing hook are slidably disposed in the circular tube shaped needle guard of the second hollow, and described nook closing member and thread drawing hook are arranged in the circular tube shaped needle guard of the second hollow in the mode of mutually replacing.
As optimization, described nook closing member comprises needle handle and needle point and the needle body between needle handle and needle point, and described needle handle, the needle body and needle point are integral type structure.Described thread drawing hook is that filled circles is bar-shaped.
The hook formation of described thread drawing hook front portion is the breach from the outer wall of thread drawing hook to the Axis Extension of thread drawing hook, and described breach is 30 ~ 45 ° from the outer wall of thread drawing hook to the extension line of the Axis Extension of thread drawing hook and the angle of thread drawing hook axis.Described feed-through collar is made up of polypropylene material.
Relative to prior art, tool of the present invention has the following advantages:
Percutaneous peritoneal stitches system design provided by the invention is exquisite, and structure is simple, easy to use.The circular tube shaped needle guard of the first hollow, nook closing member, the circular tube shaped needle guard of the second hollow and thread drawing hook can arrive stomach wall deep layer, can be sewn onto stomach wall deep layer, reach whole layer suture, be conducive to wound healing, are applicable to the perforation of laparoscopic surgery stomach wall and sew up.
Accompanying drawing explanation
Fig. 1 is the structural representation of the first assembly when in the circular tube shaped needle guard that nook closing member is arranged on the first hollow.
Fig. 2 is the structure perspective diagram of feed-through collar first assembly when being arranged in the circular tube shaped needle guard of the first hollow
Fig. 3 is the structural representation of the second assembly.
Fig. 4 is the structural representation of nook closing member.
Fig. 5 be the first assembly in Fig. 2 and the second assembly with the use of time structural representation.
In figure, circular tube shaped needle guard 20, thread drawing hook 21, hook formation 22, the suture 30 of the circular tube shaped needle guard 10 of the first hollow, nook closing member 11, needle handle 12, the needle body 13, needle point 14, feed-through collar 15, second hollow.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is described in further detail.
See Fig. 1 ~ Fig. 5, percutaneous peritoneal stitches system, comprises the first assembly, the second assembly and nook closing member 11; First assembly comprises circular tube shaped needle guard 10 and the feed-through collar 15 of the first hollow, nook closing member 11 or feed-through collar 15 are slidably disposed in the circular tube shaped needle guard 10 of the first hollow, and nook closing member 11 and feed-through collar 15 are arranged on (namely nook closing member 11 and feed-through collar 15 can not be arranged in the circular tube shaped needle guard 10 of the first hollow simultaneously) in the circular tube shaped needle guard 10 of the first hollow in the mode of mutually replacing; Second assembly comprises circular tube shaped needle guard 20 and the thread drawing hook 21 of the second hollow, the front portion of thread drawing hook 21 has the hook formation 22 for hooking feed-through collar 15, nook closing member 11 or thread drawing hook 21 are slidably disposed in the circular tube shaped needle guard 20 of the second hollow, and nook closing member 11 and thread drawing hook 21 are arranged in the circular tube shaped needle guard 20 of the second hollow in the mode of mutually replacing.Thread drawing hook 21 be round and smooth structure foremost, avoid puncturing abdominal viscera in use procedure.
Nook closing member 11 comprises needle handle 12 and needle point 14 and the needle body between needle handle 12 and needle point 14 13, needle handle 12, the needle body 13 and needle point 14 is integral type structure, the design of integral structure improves the intensity of nook closing member 11, avoid running into more fat patient in sewing process, occur the situations such as nook closing member 11 bending, anti-skid design can also be set on needle handle 12.
The effect of thread drawing hook 21 catches on feed-through collar 15 by the hook formation 22 of its front portion, thus the suture 30 being connected to feed-through collar 15 can be pulled together when mobile thread drawing hook 21, therefore the intensity of thread drawing hook 21 is also very crucial, thread drawing hook 21 is that filled circles is bar-shaped, the hook formation 22 of its front portion is the breach from the outer wall of thread drawing hook 21 to the Axis Extension of thread drawing hook 21, this breach from the outer wall of thread drawing hook 21 to the extension line of the Axis Extension of thread drawing hook 21 and thread drawing hook 21 axis angle be 30 ~ 45 °.The hook formation 22 of the front portion of thread drawing hook 21 is arranged to the form of breach, avoid the trouble that hook formation 22 is set separately in the front portion of thread drawing hook 21 on the one hand, make the structure of thread drawing hook 21 simpler, on the other hand, do not increase the diameter of thread drawing hook 21, thus the wound area size caused to patient can not be affected.Inventor through to the clinical trail of multidigit patient and investigation, and has carried out large quantitative analysis to investigational data, thinks that effect is better when breach is 30 ~ 45 ° from the outer wall of thread drawing hook 21 to the extension line of the Axis Extension of thread drawing hook 21 and thread drawing hook 21 axis angle.
The circular tube shaped needle guard 10 of the first hollow is consistent with the caliber of the circular tube shaped needle guard 20 of the second hollow, nook closing member 11 is consistent with the thickness of thread drawing hook 21, the circular tube shaped needle guard 10 of the first hollow, the circular tube shaped needle guard 20 of the second hollow, nook closing member 11 and thread drawing hook 21 all adopt metallic steel to make, feed-through collar 15 adopts polypropylene material to make, polypropylene material is nontoxic, odorless, the polymer of tasteless milky height crystallization, quality very, there is good thermostability simultaneously, goods temperature to carry out disinfection sterilizing more than 100 DEG C, under the condition not being subject to external force, 150 DEG C also indeformable, its chemical stability is also fine, decapacitation is by concentrated sulphuric acid, outside concentrated nitric acid corrodes, all more stable to other various chemical reagent.
Use procedure of the present invention is specific as follows:
After laparoscopic surgery, operative incision is sewed up, nook closing member 11 is located in the circular tube shaped needle guard 10 of the first hollow, the circular tube shaped needle guard 10 of nook closing member 11 and the first hollow is deep into intraperitoneal through upper epidermis, fat deposit simultaneously, then extract nook closing member 11, feed-through collar 15 is arranged in the circular tube shaped needle guard 10 of the first hollow; Again nook closing member 11 is located in the circular tube shaped needle guard 20 of the second hollow, the circular tube shaped needle guard 20 of nook closing member 11 and the second hollow is deep into intraperitoneal through upper epidermis, fat deposit simultaneously, then extract nook closing member 11, thread drawing hook 21 is arranged in the circular tube shaped needle guard 20 of the second hollow; Feed-through collar 15 is caught on by the hook formation 22 of its front portion by thread drawing hook 21, pulling thread drawing hook 21 to be pulled in the circular tube shaped needle guard 10 of the first hollow by suture 30 enters in the circular tube shaped needle guard 20 of the second hollow, then drive in the wrong direction through peritoneum, fat deposit and upper epidermis, feed-through collar 15 is exited abdominal cavity, feed-through collar 15 exits in the circular tube shaped needle guard 20 of the second hollow, finally extract the circular tube shaped needle guard 10 of the first hollow and the circular tube shaped needle guard 20 of the second hollow, can tie a knot, repeat above-mentioned action, until sew up complete.
In process due to stitching, suture 30 is more mobile in the circular tube shaped needle guard 10,20 of first, second hollow, because this reducing suture 30 moving process to the damage of patient, especially to the damage of patient's peritoneum.
What finally illustrate is, above embodiment is only in order to illustrate technical scheme of the present invention and unrestricted, although with reference to preferred embodiment to invention has been detailed description, those of ordinary skill in the art is to be understood that, can modify to technical scheme of the present invention or equivalent replacement, and not departing from aim and the scope of technical solution of the present invention, it all should be encompassed in the middle of right of the present invention.
Claims (5)
1. a percutaneous peritoneal stitches system, is characterized in that: comprise the first assembly, the second assembly and nook closing member (11); Described first assembly comprises circular tube shaped needle guard (10) and the feed-through collar (15) of the first hollow, described nook closing member (11) and feed-through collar (15) are slidably disposed in the circular tube shaped needle guard (10) of the first hollow, and described nook closing member (11) and feed-through collar (15) are arranged in the circular tube shaped needle guard (10) of the first hollow in the mode of mutually replacing;
Described nook closing member (11) and feed-through collar (15) are arranged in the circular tube shaped needle guard (10) of the first hollow in the mode of mutually replacing and refer to: be located at by nook closing member (11) in the circular tube shaped needle guard (10) of the first hollow, the circular tube shaped needle guard (10) of nook closing member (11) and the first hollow is deep into intraperitoneal through upper epidermis, fat deposit simultaneously, then extract nook closing member (11), feed-through collar (15) is arranged in the circular tube shaped needle guard (10) of the first hollow; Described second assembly comprises circular tube shaped needle guard (20) and the thread drawing hook (21) of the second hollow, the front portion of described thread drawing hook (21) has the hook formation (22) for hooking feed-through collar (15), described nook closing member (11) and thread drawing hook (21) are slidably disposed in the circular tube shaped needle guard (20) of the second hollow, and described nook closing member (11) and thread drawing hook (21) are arranged in the circular tube shaped needle guard (20) of the second hollow in the mode of mutually replacing;
Described nook closing member (11) and thread drawing hook (21) are arranged in the circular tube shaped needle guard (20) of the second hollow in the mode of mutually replacing and refer to: be located at by the nook closing member extracted (11) in the circular tube shaped needle guard (20) of the second hollow, the circular tube shaped needle guard (20) of this nook closing member (11) and the second hollow is deep into intraperitoneal through upper epidermis, fat deposit simultaneously, then extract nook closing member (11), thread drawing hook (21) is arranged in the circular tube shaped needle guard (20) of the second hollow.
2. percutaneous peritoneal stitches system as claimed in claim 1, it is characterized in that: the needle body (13) that described nook closing member (11) comprises needle handle (12) and needle point (14) and is positioned between needle handle (12) and needle point (14), described needle handle (12), the needle body (13) and needle point (14) are integral type structure.
3. percutaneous peritoneal stitches system as claimed in claim 1, is characterized in that: described thread drawing hook (21) for filled circles bar-shaped.
4. percutaneous peritoneal stitches system as claimed in claim 3, it is characterized in that: the anterior hook formation (22) of described thread drawing hook (21) is the breach from the outer wall of thread drawing hook (21) to the Axis Extension of thread drawing hook (21), described breach from the outer wall of thread drawing hook (21) to the angle of the extension line of the Axis Extension of thread drawing hook (21) and thread drawing hook (21) axis be 30 ~ 45 °.
5. percutaneous peritoneal stitches system as claimed in claim 1, is characterized in that: described feed-through collar (15) is made up of polypropylene material.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410254587.9A CN103989492B (en) | 2014-06-10 | 2014-06-10 | A kind of percutaneous peritoneal stitches system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410254587.9A CN103989492B (en) | 2014-06-10 | 2014-06-10 | A kind of percutaneous peritoneal stitches system |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103989492A CN103989492A (en) | 2014-08-20 |
| CN103989492B true CN103989492B (en) | 2016-01-20 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410254587.9A Expired - Fee Related CN103989492B (en) | 2014-06-10 | 2014-06-10 | A kind of percutaneous peritoneal stitches system |
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Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN110251174A (en) * | 2019-06-19 | 2019-09-20 | 孔德海 | A kind of heel string repairs special trochar assistor and its application method |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2007002432A1 (en) * | 2005-06-21 | 2007-01-04 | Dross Brian D | Arthroscopic method and apparatus for tissue attachment to bond |
| CN2857836Y (en) * | 2005-11-08 | 2007-01-17 | 李桂林 | Push-ligaturing device capable of puncturing needle and stitching needle for laperoscope operation suturing |
| CN202776423U (en) * | 2012-07-26 | 2013-03-13 | 汕头大学医学院第一附属医院 | Noosing machine for laparoscopic surgery |
| WO2013095898A1 (en) * | 2011-12-23 | 2013-06-27 | Pavilion Medical Innovations | Endoscopic fascial closure systems and methods for using same |
| CN203861289U (en) * | 2014-06-10 | 2014-10-08 | 中国人民解放军第三军医大学第二附属医院 | Percutaneous peritoneum suturing system |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7899625B2 (en) * | 2006-07-27 | 2011-03-01 | International Business Machines Corporation | Method and system for robust classification strategy for cancer detection from mass spectrometry data |
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2014
- 2014-06-10 CN CN201410254587.9A patent/CN103989492B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2007002432A1 (en) * | 2005-06-21 | 2007-01-04 | Dross Brian D | Arthroscopic method and apparatus for tissue attachment to bond |
| CN2857836Y (en) * | 2005-11-08 | 2007-01-17 | 李桂林 | Push-ligaturing device capable of puncturing needle and stitching needle for laperoscope operation suturing |
| WO2013095898A1 (en) * | 2011-12-23 | 2013-06-27 | Pavilion Medical Innovations | Endoscopic fascial closure systems and methods for using same |
| CN202776423U (en) * | 2012-07-26 | 2013-03-13 | 汕头大学医学院第一附属医院 | Noosing machine for laparoscopic surgery |
| CN203861289U (en) * | 2014-06-10 | 2014-10-08 | 中国人民解放军第三军医大学第二附属医院 | Percutaneous peritoneum suturing system |
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| CN103989492A (en) | 2014-08-20 |
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