CN104207808B - One kind tying device - Google Patents
One kind tying device Download PDFInfo
- Publication number
- CN104207808B CN104207808B CN201410449652.3A CN201410449652A CN104207808B CN 104207808 B CN104207808 B CN 104207808B CN 201410449652 A CN201410449652 A CN 201410449652A CN 104207808 B CN104207808 B CN 104207808B
- Authority
- CN
- China
- Prior art keywords
- suture
- baffle
- tying
- tie
- wall
- 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.)
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Classifications
-
- 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
- A61B17/0482—Needle or suture guides
-
- 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
- A61B17/0491—Sewing machines for surgery
Abstract
The present invention provides one kind tying device, including it further includes being set to the suture baffle tied inside device in the opening tied on device to tie device ontology and be arranged.When being performed the operation, doctor expands tissue by anal device, while being operated using tying the suture needle of device engagement flex and carrying out playing pocket.Doctor can tie corresponding position with bending suture needle according to baffle is sutured to being tied into the tissue for tying device opening when tying, and then rotation ties device to tissue suture one week, so that the operation of pocket is played in completion.Due to the presence of suture baffle, operator can be used as instruction according to suture baffle, interior to make dozen one week suture of purse string suture be generally aligned in the same plane, and beat the better of pocket.
Description
Technical field
The present invention relates to the field of medical instrument technology, more particularly to one kind tying device.
Background technology
PPH operations are also known as " Procedure for prolaps and hemorrhoids ", this is a kind of to cause this morbidity machine of hemorrhoid to anus pad lesion
The new knowledge of system is the new technology of rationale.PPH operations are to be known as the special instrument of " PPH staplers " with one kind, will be in hemorrhoid
The Rectal mucosal prolapse band of side does circular resection.First expand anus when operation, on dentate line (boundary line of rectum and anal canal)
About 4 centimeters of side, which unify rectal mucosa annulus, encloses, and is commonly called as " playing pocket ", PPH staplers are then inserted into anus, stapler
The mucous membrane band of prolapsus can be cut off, whole process only needs or so half an hour.In PPH operations, rectal mucosa purse string suture
It is one of committed step, at present when playing pocket generally using device engagement flex suture needle progress is tied, conventional ties device in
Empty ontology and opening is constituted, and is inserted into anal canal first with guide guiding anal device at the time of surgery, is then extracted guide and again will
It ties device and is inserted into anal device, hemorrhoidal tissue is made to enter the opening for tying device, subsequent doctor is clamped bending suture needle using clamp and enters seam
Device is pricked to play pocket.Resulting problem is, since the sewing method and experience of doctor are different, to be easy to cause around anus
Not in a plane, i.e. purse string suture plane is uneven, so as to cause the mucous membrane ring of excision for the suture of inside pipe wall suture in one week
It is uneven, seriously affect surgical effect.
Therefore, how pocket to be beaten in same suture plane using tying device, is that those skilled in the art to be solved
Problem.
Invention content
The object of the present invention is to provide one kind tying device, and tying device by this can contribute in mucous membranes on haemorrhoids suture operation
When, in the same plane by purse string suture line traffic control.
To achieve the goals above, the present invention provides one kind tying device, including ties device ontology and be arranged described
The opening on device is tied, further includes being set to the suture baffle tied inside device.
Preferably, the suture baffle is flexibly connected with the device that ties.
Preferably, the inner wall setting longitudinally arranged annular slot of multiple tracks for tying device ontology, the annular slot
Diameter can be substantially embedded in the annular slot slightly larger than the internal diameter for tying device ontology, the suture baffle when moving.
Preferably, the spacing distance between annular slot described in multiple tracks is identical or differs.
Preferably, further include the gib block being connect with the suture baffle.
Preferably, it is provided with deflector apron on the inner wall for tying device ontology, in the deflector apron and the seam
It is provided with guide groove between the inner wall of bundle device ontology, the gib block can the longitudinal movement in the guide groove.
Preferably, the deflector apron is oppositely arranged with the opening.
Preferably, it is provided at least one protrusion on the gib block, the deflector apron is towards in the guide groove
At least one groove corresponding at least one protrusion is provided on wall.
Preferably, two longitudinally opposed tracks are provided on the inner wall for tying device ontology, two tracks are proper
Two longitudinal edges of the gib block can be accommodated respectively well, the gib block can be tied by two tracks described
Longitudinal movement in device.
Preferably, the suture baffle is connected by a snap with the gib block.
Preferably, the inner side edge of the suture baffle substantially coincide with the inner wall for tying device, the suture baffle
Outer side edges are linear type or shaped form.
Preferably, when the outer side edges of the suture baffle are shaped form, the outer side edges are to the inside for tying device
The curve of bending.
It is provided by the invention to tie device, including tie device ontology and be arranged in the opening tied on device, further include
It is set to the suture baffle tied inside device.When being performed the operation, doctor expands anal canal by anal device, utilizes simultaneously
The suture needle of device engagement flex is tied to carry out beating purse string suture.Doctor is tying to being tied into the hemorrhoidal tissue for tying device opening
When corresponding position can be tied according to suture baffle, then tie device by rotation suture one carried out to mucous membrane tissue
Week, to complete to play the operation of pocket.Due to suturing the presence of baffle, doctor can be used as instruction according to suture baffle, to
So that the suture of suture one week is generally aligned in the same plane interior, beats the better of pocket.
Description of the drawings
Fig. 1 is the structural schematic diagram for tying device according to one embodiment of the invention；
Fig. 2 is the structural schematic diagram for tying device ontology that device is tied shown in Fig. 1；
Fig. 3 is the structural schematic diagram for the suture baffle that device is tied shown in Fig. 1；
Fig. 4 is the structural schematic diagram for the gib block that device is tied shown in Fig. 1；
Fig. 5 is the structural schematic diagram for the draw back plate that device is tied shown in Fig. 1；
Fig. 6 is the structural schematic diagram for tying device according to another embodiment of the present invention；
Fig. 7 is the structural schematic diagram for tying device ontology that device is tied shown in Fig. 6.
Specific implementation mode
Core of the invention is to provide one kind and tying device, this, which ties device, contributes to when mucous membranes on haemorrhoids ring cutting is performed the operation, by hemorrhoid
The purse string suture line traffic control in upper mucous membrane annulus unification week is in the same plane.
It is below in conjunction with attached drawing and specifically real in order to make those skilled in the art more fully understand technical scheme of the present invention
Example is applied to be described in further detail the present invention.
Opening provided by the invention to tie device referring to Fig. 1-Fig. 7, including tying device ontology 1 and be arranged on tying device
5, further include being set to the suture baffle 3 tied inside device.Anal device is inserted into anal canal by doctor at the time of surgery, then will be tied
Device is inserted into anal device, and adjustment ties the position of device, and hemorrhoidal tissue is made to enter at opening 5, then uses clamp clamping bending suture needle
(not shown) to mucous membranes on haemorrhoids carry out by hand ties, when tying can according to suture baffle 3 outer side edges 302 (such as Fig. 3 institutes
Show) it is instruction benchmark, control bending suture needle is in same plane with outer side edges 302 always to be stitched to corresponding tissue
It closes, the empennage 101 of device is tied by rotation to be made to tie device and rotate a circle, to be sutured one week to rectal mucosa, due to curved slot
Needle is in suture baffle 3 in same plane always, so it is flat to the suture of rectal mucosa suture one week to tie device by rotation
Face is horizontal naturally, and to suture in one week suture of rectal mucosa is generally aligned in the same plane, the effect for thus playing pocket is more preferable.
Preferably, suture baffle 3 is vertically arranged with the axis direction for tying device.Further, the outer side edges 302 of baffle 3 are sutured
It is projected as straight line in anal tube inwall.
Further, it sutures baffle 3 and ties the movable connection of device.As a result, before surgery, doctor can be according to lesion position
It sets and is tying the position in device to adjust suture baffle 3, the suture baffle 3 for tying device is made to adapt to different lesions.Suture baffle 3
Can by tying the multiple tracks of 1 inner wall of device ontology, longitudinally disposed annular slot (not shown) is flexibly connected with device is tied, card slot
Cross section be arc-shaped or polygon or streamlined or it is other convenient for the insertion of suture baffle 3, remove the shape of annular slot, it is more
Spacing distance between road card slot can be it is identical (for example, the distance between the road N, N+1, N+2 card slot all be 1 centimetre or
0.5 centimetre or other known of distance)；Spacing distance between multiple tracks card slot can also be different (for example, N and N+1
The distance between road card slot is 1 centimetre, and the spacing distance between the roads N+1 and N+2 card slot is 0.5 centimetre etc.), and annular snap
The diameter of slot is slightly larger than the diameter (internal diameter for tying device) for tying 1 inner wall of device ontology, makes suture baffle 3 during exercise can be big
Body is embedded in annular slot and is not easy to slip to be accurately positioned, and later under certain outer force effect, can also easily make seam
Conjunction baffle 3, which successfully skids off card slot, to be continued to move, to which suture baffle 3 not only may be implemented and tie being flexibly connected for device, also
It may not necessarily additionally measure it is known that suturing the move distance that baffle 3 moves to another card slot from a card slot.
Further, a plurality of longitudinal chute (not shown) can also be arranged by tying the inner wall of device ontology 1, and quarter is indicated by sliding slot
The periphery setting of angle value, the move distance for observation suture baffle 3 of being more convenient for, the suture baffle 3 can be respectively embedded into corresponding slideway
Convex stupefied (not shown), to make suture baffle 3 to tie the movement in device more smooth.
Further, as shown in Figure 1 and Figure 4, further include the gib block 2 that can be flexibly connected with suture baffle 3.It is kept off in suture
Gib block 2 is connected on plate 3, device ontology 1 will be tied in this way and be put into after affected part, can adjust suture by driving gib block 2
Baffle 3 is tying the position inside device ontology 1, keeps operation more convenient.
Further, it is provided with deflector apron 102 on the inner wall for tying device ontology 1, in deflector apron 102 and ties device
Guide groove 104 is provided between the inner wall of ontology 1, gib block 2 can the longitudinal movement in guide groove 104.Guide groove 104 can be with
Keep the longitudinal movement of gib block 2 more stable, to keep the movement of suture baffle 3 more stable.Deflector apron 102 and tie device ontology
Effect is preferable when 1 opening 5 is oppositely arranged.
As shown in figure 4, in order to keep suture baffle 3 not slippery easily during operation, it is provided on gib block 2 at least one convex
201 are played, deflector apron 102 is corresponding at least one recessed at least one raised 201 towards being provided on the inner wall of guide groove 104
Slot (not shown), to ensure that gib block 2 will not be slippery easily.Similarly, it can be provided on gib block 2 at least one recessed
Slot, deflector apron 102 is towards being provided at least one protrusion corresponding at least one groove on the inner wall of guide groove 104.
In the case of multiple raised 201 (or grooves), the distance between two protrusions 201 (or groove) can be more than or less than or be equal to
Spacing distance between annular slot, and size be subject to ensure director strip 2 move when it is i.e. smooth and not slippery.
In addition, according to another embodiment of the invention, as shown in Figure 6, Figure 7, tying and being provided on the inner wall of device ontology 1
Two longitudinally opposed tracks 103, two tracks 103 can accommodate two longitudinal edges of gib block 2, thus be oriented to respectively just
Item 2 can tie longitudinal movement in device by two tracks 103, can also realize the effect for making 2 motion stabilization of gib block
Fruit.
Further, the device according to the present invention that ties further includes the draw back plate 4 being connect with gib block 2, and person easy to operation drives
Action-oriented item 2.Draw back plate 4 can be fixed as one with gib block 2 and connect.Further, draw back plate 4 can also live with gib block 2
Dynamic connection.In the case of flexible connection, as shown in Fig. 1, Fig. 5 and Fig. 6, link slot 401, gib block 2 are provided on draw back plate 4
It is provided with the gib block protrusion 203 of pluggable link slot 401, draw back plate 4 can be oppositely oriented 2 fast quick-detach of item as a result,.
For the ease of installation, as shown in Figure 3 and Figure 4, suture baffle 3 can be connected by a snap with gib block 2.Suture gear
Be provided with buckle protrusion 303 on plate 3, block button hole 202 be provided on gib block 2, buckle raised 303 pluggable block button holes 202 with
Suture baffle 3 is set to be connect with gib block 2；Conversely, block button hole can be arranged on suture baffle 3, buckle can be set on gib block 2
Protrusion, so that suture baffle 3 is connected with gib block 2.
Indicating effect in order to make to tie device more preferably, sutures the inner side edge 301 of baffle 3 and ties the inner surface contour of device substantially
It coincide, the outer side edges 302 of suture baffle 3 are linear type.
Further, the inner side edge 301 of suture baffle 3 substantially coincide with the inner surface contour for tying device, outside suture baffle 3
Side 302 or shaped form.
Further, outer side edges 302 can also suture the outer side edges of baffle 3 to the inner recess of stitching unstrument ontology 1
302 space to the shaped form being bent inside device is tied, thus to make doctor operate bending suture needle becomes larger.
Above-mentioned suture baffle 3 can be manufactured by transparent material, made doctor that can penetrate suture baffle 3 in sewing process and seen
Lesion situation is examined, is more convenient for suturing.
Further, lighting device can also be installed for illuminating at the edge for tying device ontology 1, is convenient for surgical procedure.
It is further possible to which scale is arranged in the outer wall in suture needle device, or scale is set on gib block, so as to more smart
Certainly position.
The device provided by the present invention that ties is described in detail above.Specific example used herein is to the present invention
Principle and embodiment be expounded, but the explanation of above example is only intended to help understand the principle of the present invention and its
Core concept, not limiting the scope of the present invention.It should be pointed out that coming for those skilled in the art
It says, without departing from the principle of the present invention, can be with several improvements and modifications are made to the present invention, these improvement and modification
It also falls within the protection scope of the claims of the present invention.
Claims (11)
1. one kind tying device, including ties device ontology (1) and be arranged in the opening (5) tied on device, which is characterized in that
Further include being set to the suture baffle (3) tied inside device, the suture baffle (3) is flexibly connected with the device that ties.
2. according to claim 1 tie device, which is characterized in that the inner wall setting multiple tracks for tying device ontology (1) is vertical
To the annular slot of arrangement, the diameter of the annular slot is slightly larger than the internal diameter for tying device ontology (1), the suture baffle
(3) it can be substantially embedded in the annular slot when moving.
3. according to claim 2 tie device, which is characterized in that the spacing distance between annular slot described in multiple tracks is identical
Or it differs.
4. according to claim 3 tie device, which is characterized in that further include the guiding being connect with the suture baffle (3)
Item (2).
5. according to claim 4 tie device, which is characterized in that be provided on the inner wall for tying device ontology (1)
Deflector apron (102) is provided with guide groove between the deflector apron (102) and the inner wall for tying device ontology (1)
(104), the gib block (2) can be in the guide groove (104) interior longitudinal movement.
6. according to claim 5 tie device, which is characterized in that the deflector apron (102) is opposite with the opening (5)
Setting.
7. according to claim 6 tie device, which is characterized in that be provided at least one protrusion on the gib block (2)
(201), the deflector apron (102) is towards being provided with and at least one protrusion on the inner wall of the guide groove (104)
(201) corresponding at least one groove.
8. according to claim 4 tie device, which is characterized in that be provided with two on the inner wall for tying device ontology (1)
The longitudinally opposed track of item (103), two tracks (103) can accommodate respectively just two of the gib block (2) it is vertical
Xiang Bian, the gib block (2) can tie longitudinal movement in device by two tracks (103) described.
9. tying device according to any one of claim 4-8, which is characterized in that the suture baffle (3) is led with described
It is connected by a snap to item (2).
10. according to claim 9 tie device, which is characterized in that the inner side edge (301) of the suture baffle (3) and institute
It states and ties the inner wall of device and substantially coincide, the outer side edges (302) of the suture baffle (3) are linear type or shaped form.
11. according to claim 10 tie device, which is characterized in that the outer side edges (302) of the suture baffle (3) are song
When line style, the outer side edges (302) are the curve being bent to the inside for tying device.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410449652.3A CN104207808B (en) | 2014-09-05 | 2014-09-05 | One kind tying device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410449652.3A CN104207808B (en) | 2014-09-05 | 2014-09-05 | One kind tying device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104207808A CN104207808A (en) | 2014-12-17 |
| CN104207808B true CN104207808B (en) | 2018-09-25 |
Family
ID=52089999
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410449652.3A Active CN104207808B (en) | 2014-09-05 | 2014-09-05 | One kind tying device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104207808B (en) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105288830B (en) * | 2015-05-28 | 2018-09-28 | 江苏瑞安贝医疗器械有限公司 | Anal intestine expander with active window |
| CN109124697A (en) * | 2018-07-24 | 2019-01-04 | 太仓市中医医院 | A kind of PPH auxiliary instrument for being close to anal canal |
| CN109009259A (en) * | 2018-07-24 | 2018-12-18 | 太仓市中医医院 | A kind of PPH auxiliary instrument convenient for tying |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US295798A (en) * | 1884-03-25 | Speculum | ||
| EP1234539A3 (en) * | 2001-02-15 | 2002-09-11 | AMI (Agency for medical innovations GmbH) | Device for use during the ligature of an intramural artery in a body cavity |
| CN2699840Y (en) * | 2004-05-15 | 2005-05-18 | 梁毅 | Anus speculum suturing device |
| US8231042B2 (en) * | 2008-11-06 | 2012-07-31 | Tyco Healthcare Group Lp | Surgical stapler |
| CN201529134U (en) * | 2009-09-24 | 2010-07-21 | 中山大学附属第六医院 | Anus expansion stitching instrument |
| CN201595876U (en) * | 2010-01-15 | 2010-10-06 | 朱春林 | Anoscope suture device |
| CN202288375U (en) * | 2011-10-31 | 2012-07-04 | 李春雨 | Disposable suture device |
| CN103989498B (en) * | 2014-04-29 | 2017-02-15 | 中国人民解放军第三军医大学第二附属医院 | Guide suture instrument for anorectal PPH operation |
| CN204207790U (en) * | 2014-09-05 | 2015-03-18 | 北京中法派尔特医疗设备有限公司 | One ties device |
-
2014
- 2014-09-05 CN CN201410449652.3A patent/CN104207808B/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| CN104207808A (en) | 2014-12-17 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| DD01 | Delivery of document by public notice |
Addressee: Beijing Panther Medical Equipment Co., Ltd., Document name: Notification of Passing Preliminary Examination of the Application for Invention |
|
| DD01 | Delivery of document by public notice |
Addressee: Beijing Panther Medical Equipment Co., Ltd., Document name: Notification of Publication of the Application for Invention |
|
| CB02 | Change of applicant information |
Address after: 102200 Changping District science and Technology Park, Beijing torch street, building 28, building three, floor 1 Applicant after: BEIJING PANTHER MEDICAL TECHNOLOGY CO., LTD. Address before: Beijing City, Chaoyang District Wangjing two district 100018 emerging industries in the Garden District Litse No. 208 building 3 floor 3305A room 3 Applicant before: Beijing Panther Medical Equipment Co., Ltd., |
|
| COR | Change of bibliographic data | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| CB03 | Change of inventor or designer information |
Inventor after: Yao Jianqing Inventor after: Zhang Haihong Inventor after: Zhao Yu Inventor before: Yao Jianqing Inventor before: Zhang Haihong |
|
| CB03 | Change of inventor or designer information | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |