CN104739465B - Skin stapler - Google Patents
Skin stapler Download PDFInfo
- Publication number
- CN104739465B CN104739465B CN201310754500.XA CN201310754500A CN104739465B CN 104739465 B CN104739465 B CN 104739465B CN 201310754500 A CN201310754500 A CN 201310754500A CN 104739465 B CN104739465 B CN 104739465B
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- Prior art keywords
- needle
- mouth
- pressing plate
- epidermis
- drive mechanism
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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
-
- 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
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Sewing Machines And Sewing (AREA)
Abstract
The invention discloses a skin stapler comprising a base, a stapling needle and a first drive mechanism. The base is provided with an arc needle slot therein, a first needle hole corresponding to one end of the arc needle slot and a second needle hole corresponding to the other end of the arc needle slot. The stapling needle is arc shaped; the stapling needle fitting the arc needle slot is fitted into the arc needle slot. The first drive mechanism is mounted on the base. In the initial state, the stapling needle is retracted into the base; during stapling, the ends of the first and second needle holes of the base compress two sides of a wound to be stapled; the first drive mechanism drives the stapling needle to move along the arc needle slot, so that the stapling needle can pass through the first needle hole into the skin, pass out of the skin and pass into the second through hole in order. The first drive mechanism drives the staling needle to move in an arc path so as to effect the reduction in secondary injury caused by the arc path to the outer skin tissues, knotting is automated, and stapling efficiency is higher.
Description
Technical field
The present invention is with regard to a kind of medical apparatus and instruments for wound suture.
Background technology
Epidermis suture is surgical common method for the treatment of, the epidermis suture of its purposes such as wound, mostly postoperative
Wound sutures, in addition, now Minimally Invasive Surgery with its original wound little, healing is fast, the maximum spy such as protection nervus vasculairs
Point has obtained extensive popularization, but, doctor faces many epidermis suture difficult problems at this stage:
A) suture formed secondary insult
Sewing needle used by doctor mostly is circular arc, and mostly 210 degree about, the most accurately suture takes the needle should be that arcuation is walked
Pin, but be limited to the brain of people, nerve, muscle control ability and be difficult to.
For example:Assume a length of 210 degree of pin, sewing needle is 120 degree in intraepidermal needle-like suture radian, in units of 1 degree,
The direction at least needing more than 120 times changes, but most of doctor is only capable of accomplishing that the direction of three times about changes, intraepidermal
In suture action it is difficult to the appearance that avoids horizontal draw, horizontal pull, horizontal pushing away and the hypodermic secondary insult of formation table.
B) it is difficult to carry out suture under the conditions of Minimally Invasive Surgery
For example:Minimally Invasive Surgery need to cut the tumor tissues within liver removal, needs liver myometrial suture afterwards, this is controlled
Treat and operate enforcement difficulty under the conditions of minimally invasive very big, Minimally Invasive Surgery is bored a hole on abdominal cavity surface generally by the passage of tubulose, narrow
Long communication conduits define huge bottleneck to the medical apparatus and instruments needing suture.
C) efficiency of suture action is low
Necessity of hypothesis table intradermic suture takes the needle radian for 120 degree, and the length of pin is 210 degree, and existing sewing method is
Syringe needle backshank will all in epidermis (at least 210 degree of stroke), and backshank still needs to strain the stitching thread of backshank, seam after going out epidermis
Zygonema is changed into nearly straight line from arcuation under epidermis, cuts off unnecessary stitching thread after the stitching thread knotting completing epidermis;Then, doctor
Again thread a needle for the second pin again.
Content of the invention
The present invention provides a kind of secondary damage and epidermis stiching instrument improving suture efficiency when can effectively reduce suture.
The present invention provides a kind of epidermis stiching instrument, and including pedestal, sewing needle and the first drive mechanism, described pedestal has position
In the inner the circular arc needle tray in portion, the first of corresponding described needle tray one end thread a needle and the second of mouth and the corresponding described needle tray other end wear
Pin mouth, described sewing needle is circular arc, and described sewing needle mates and load described needle tray, described first driving machine with described needle tray
Structure is installed on described pedestal, during original state, described sewing needle retraction base interior;During suture, the first of described pedestal threads a needle
Mouthful, the second mouth of threading a needle be pressed in the both sides of wound to be stapled, described first drive mechanism drives described sewing needle along described needle tray
Mobile, so that described sewing needle is penetrated epidermis, to be passed epidermis and penetrate described second and thread a needle by the described first mouth of threading a needle successively
Mouthful.
Described first thread a needle mouth and second thread a needle the arc section between mouth angle be less than described sewing needle angle.Suture
The needle point of pin is an arc section from penetrating epidermis to the motion track passing epidermis, and this arc section is equivalent to first and threads a needle
Mouthful and second thread a needle the arc section between mouth.
The diameter of described needle point is to be gradually increased backward from its cusp, described needle point is cased with diameter and fixes and can connect
The suture loop of stitching thread, thus when sewing needle stretches out, stitching thread is with moving together;When sewing needle is return, suture loop and
Stitching thread is not with movement.
The second of described pedestal is provided with knot that can be undone by a pull at threading a needle mouthful, and described knot that can be undone by a pull includes the variable clasp of diameter, described clasp
By tightening up line traffic control, described line of tightening up is connected diameter with the second drive mechanism, described clasp with diameter greater than described suture loop
Diameter.
Described first drive mechanism includes motor and driving member, and driving member described in described Motor drive rotates, described transmission
Part and described sewing needle frictional fit or rack-and-pinion cooperation.Driving member such as live-roller, this live-roller can be driven using frictional force
Dynamic sewing needle moves in needle tray.Driving member can also be gear, and sewing needle is correspondingly provided with sawtooth, by this gear and zigzag
The rack-and-pinion cooperation becoming, to drive sewing needle to move.
Described pedestal includes circular arc housing and pressing plate, and described housing forms breach and is in major arc shape, and described pressing plate is fixed
In described breach, the middle part indent of described pressing plate, the described first mouth and second of threading a needle threads a needle mouth all located at described pressing plate, described pin
Groove is located at described housing.
Described pressing plate includes the first pressing plate and the second pressing plate, and described first pressing plate and the second pressing plate constitute V-arrangement, and described the
First, two mouths of threading a needle are respectively arranged on described first and second pressing plate.
The purpose of knot that can be undone by a pull setting is equivalent to ties a knot to stitching thread after suture terminates, and during this epidermis staplers, takes the needle, beats
Knot is carried out automatically, first calculates the wire length between suture loop and clasp during use, then option setting knot that can be undone by a pull and control are lived
Second drive mechanism of button elastic threads.
The invention has the beneficial effects as follows:Sewing needle is driven to make circular motion by the first drive mechanism, it is right to effectively reduce
The secondary insult that circular arc motion track appearance skin tissue causes, and also improve suture efficiency.
Brief description
Fig. 1 to Fig. 3 is the structural representation of three different visual angles of present embodiment epidermis stiching instrument respectively;
Fig. 4 is the combined integrated structural representation of sewing needle, stitching thread and suture loop of present embodiment;
Fig. 5 is the structural representation of the housing of present embodiment;
Fig. 6 is the combined integrated structural representation of housing, pressing plate and sewing needle of present embodiment;
Fig. 7 is the combined integrated structural representation of multiple present embodiment epidermis stiching instrument.
Specific embodiment
Combine accompanying drawing below by specific embodiment the present invention is described in further detail.
As shown in Figures 1 to 6, present embodiment epidermis stiching instrument includes pedestal 1, sewing needle 2 and the first drive mechanism 3.
Pedestal 1 includes housing 4, pressing plate 5 and end cap 6.Housing 4 is circular arc, and it forms breach and is in major arc shape, and the inwall of housing is provided with
Circular arc needle tray 41.This breach closed by pressing plate 5, and it includes the first pressing plate 51 and the second pressing plate 52, the first pressing plate connection breach
Side, the opposite side of the second pressing plate connection breach, and this first pressing plate 51 and the second pressing plate 52 form V-arrangement, and the first pressing plate 51 is opened
Connect with enclosure interior first is had to thread a needle mouth 53, the second pressing plate 52 is had second being connected with enclosure interior and threads a needle mouth 54, pin
One end linking first of groove 41 is threaded a needle mouth 53, and the other end linking second of needle tray 41 is threaded a needle mouth 54.The homonymy of housing and pressing plate
Edge is connected by end cap 6.
Sewing needle 2 is in major arc shape, and it is mated with the needle tray 41 of housing, and this sewing needle 2 can be stuck in this needle tray 41 and energy
Enough mobile along this needle tray 41, that is, the motion track of sewing needle is arc section.Sewing needle inwardly can penetrate from the first mouth of threading a needle
Human epidermal, can penetrate second after epidermis passes and thread a needle mouth.Sewing needle has needle point 21 and backshank 23, and the shape of this needle point is
From cusp 22, diameter becomes larger backward, and this is the direction to backshank 23 backward.
The needle point of sewing needle can be cased with the fixing suture loop 7 of diameter, and this suture loop 7 is connected with stitching thread 8.This seam
Zygonema ring and stitching thread can be made up with suture of surgical operation, such as gutstring.
First drive mechanism 3 includes power source 31 and drive mechanism 32, power source such as motor, drive mechanism such as live-roller,
This motor and pedestal are fixed, and are such as directly anchored on end cap, live-roller is fixed with motor shaft, live-roller be pressed on sewing needle and with
Sewing needle frictional fit.
During original state, sewing needle contracts completely in base interior, and that is, sewing needle is all stuck in needle tray, and now, needle point can
To thread a needle mouth against first, backshank can be threaded a needle mouth against second, and suture loop is enclosed within needle point.During suture, by stiching instrument pressure
On the epidermis around wound, now, pressing plate directly bears against on epidermis, and pressing plate covers wound and wound is located at the movement of sewing needle
On track;Then, start motor, live-roller utilizes frictional force to move along needle tray with sewing needle, thus threading a needle mouth from first
Enter epidermis internal layer, and finally can penetrate second and thread a needle mouth.When carrying out Minimally Invasive Surgery suture, this stiching instrument passes through micro-wound needle holder
Positioning.During non-Minimally Invasive Surgery, this stiching instrument can be positioned on epidermis by doctor is hand-held.
Stiching instrument can also include knot that can be undone by a pull 9, and this knot that can be undone by a pull 9 is placed on the second pressing plate 52.Knot that can be undone by a pull includes the variable clasp of diameter
91 and tighten up line 92, this clasp 91 is located at second and threads a needle at mouth, and the diameter of this clasp can be more than the diameter of suture loop.Receive
Stringing is driven by the second drive mechanism, under the driving of the second drive mechanism, tightens up line and can tighten up clasp, make the diameter of clasp
Reduce.Clasp 91 can slightly be bonded in second and thread a needle at mouth 54, due to, during suture, not interfering with external force, typically at clasp 91
Only needle point can rip this slight bonding.The bore of the mouth 54 of threading a needle with diameter greater than second of clasp 91, its can around this
Two thread a needle mouth 54.
The work process of epidermis stiching instrument is as follows:
1) suture loop is enclosed within needle point;Knot that can be undone by a pull is located at the second of pressing plate and threads a needle at mouth;
2) start motor, live-roller utilizes frictional force drives sewing needle to move, and needle point penetrates mouth with stitching thread from first
Enter epidermis internal layer, then pass from epidermis internal layer in opposite side, and penetrate clasp and second successively and thread a needle mouth, now, clasp
Entangle stitching thread and needle point, and clasp is located between epidermis and suture loop;
3) the second drive mechanism starts, and pulls and tightens up line, so that the diameter of clasp is progressively reduced to prevent suture loop from returning
Inside epidermis, while line is tightened up in pulling, the first drive mechanism drives the former road of sewing needle progressively to return;
4), when clasp is tightened up knotting completely and completed, base interior return by sewing needle, and so far suture action completes.
For epidermis stiching instrument, it has housing, and inner walls are provided with circular arc needle tray, and circular arc sewing needle is stuck in this pin
Groove is interior and can move along this needle tray.Housing can be for circular arc or other shapes it is only necessary to circular arc can be provided
The needle tray of shape.Pressing plate is fixed with housing, pressing plate is used for the epidermis being pressed in around wound in suture, in the middle part of this pressing plate
Can be with indent, thus avoiding directly bearing against wound.Pressing plate can have the first mouth and second of threading a needle and thread a needle mouth, and this first is threaded a needle mouth
Can be connected with one end of needle tray, this second mouth of threading a needle can be connected with the other end of needle tray.
For epidermis stiching instrument, it has the first drive mechanism for driving sewing needle.First drive mechanism can be wrapped
Include drive mechanism and power source, power source makees circular motion (the i.e. movement locus of sewing needle by drive mechanism with sewing needle
It is one section of circular arc).Power source such as motor, drive mechanism is such as fixed on the live-roller on motor shaft, and this live-roller utilizes frictional force
Sewing needle is driven to move.When initial, live-roller can be pressed in the middle part of sewing needle.Motor can have multiple, the electricity of each motor
Live-roller all can be fixed with arbor, each live-roller can correspond to the different parts of needle tray, the two ends of such as corresponding needle tray and in
Portion.Gear can also be fixed with motor shaft, sewing needle is correspondingly provided with sawtooth, drives this suture by the engagement of gear and sawtooth
Pin moves.
For epidermis stiching instrument, it has the second drive mechanism tightening up line for driving knot that can be undone by a pull, the second drive mechanism
During work, tighten up the clasp of knot that can be undone by a pull with tightening up line movement.
For epidermis stiching instrument, the needle point of sewing needle can be defined as to passing the track that epidermis passed through from penetrating epidermis
Suture arc section, the angle of this suture arc section is A.The angle of circular arc needle tray is B, A+B=360 degree, and such as angle A is 120 degree
When, then the angle B of needle tray is 240 degree.Because sewing needle moves in needle tray, needle tray can extend to from the first mouth of threading a needle
Second threads a needle mouth, now, A+B=360 degree.Certainly, thread a needle the position of mouth or also may be used near the second position threading a needle mouth near first
To be not provided with needle tray, now, A+B<360 degree.General, A is less than 180 degree, and A<B.
For epidermis stiching instrument, when not suturing, sewing needle retraction base interior, now, needle point does not stretch out first and wears
Pin mouth, backshank can stretch out or not stretch out second threads a needle mouth.In order to avoid scratching epidermis when entering human body it is preferable that pin
Tail does not stretch out second and threads a needle mouth.
For epidermis stiching instrument, multiple can be assembled into one, and form an epidermis stiching instrument group, as shown in Figure 7.
Above content is to further describe it is impossible to assert this with reference to specific embodiment is made for the present invention
Bright it is embodied as being confined to these explanations.For general technical staff of the technical field of the invention, do not taking off
On the premise of present inventive concept, some simple deduction or replace can also be made.
Claims (5)
1. it is characterised in that including pedestal, sewing needle and the first drive mechanism, described pedestal has position to a kind of epidermis stiching instrument
In the inner the circular arc needle tray in portion, the first of corresponding described needle tray one end thread a needle and the second of mouth and the corresponding described needle tray other end wear
Pin mouth, described sewing needle is circular arc, and described sewing needle mates and load described needle tray, the pin of described sewing needle with described needle tray
The diameter of point is to be gradually increased backward from its cusp, and described needle point is cased with the stitching thread that diameter is fixed and can be connected stitching thread
Ring, the second of described pedestal thread a needle mouthful at be provided with knot that can be undone by a pull, described knot that can be undone by a pull includes the variable clasp of diameter, the diameter of described clasp by
Tighten up line traffic control, described line of tightening up is connected with the second drive mechanism, the diameter with diameter greater than described suture loop of described clasp,
Described first drive mechanism is installed on described pedestal, during original state, described sewing needle retraction base interior;During suture, described
Thread a needle mouth, the second mouth of threading a needle of the first of pedestal is pressed in the both sides of wound to be stapled, and described first drive mechanism drives described suture
Pin moves along described needle tray, so that described sewing needle is penetrated epidermis, to be passed epidermis and wear by the described first mouth of threading a needle successively
Enter described clasp and described second to thread a needle mouth.
2. epidermis stiching instrument as claimed in claim 1 is it is characterised in that the described first mouth and second of threading a needle is threaded a needle between mouth
The angle of arc section is less than the angle of described sewing needle.
3. epidermis stiching instrument as claimed in claim 1 is it is characterised in that described first drive mechanism includes motor and transmission
Part, driving member described in described Motor drive rotates, and described driving member is coordinated with described sewing needle frictional fit or rack-and-pinion.
4. epidermis stiching instrument as claimed in claim 1 is it is characterised in that described pedestal includes circular arc housing and pressing plate, institute
State housing and form breach and in major arc shape, described pressing plate is fixed on described breach, the middle part indent of described pressing plate, and described first wears
Pin mouth and second threads a needle mouth all located at described pressing plate, and described needle tray is located at described housing.
5. epidermis stiching instrument as claimed in claim 4 is it is characterised in that described pressing plate includes the first pressing plate and the second pressing plate,
Described first pressing plate and the second pressing plate constitute V-arrangement, and described first and second mouth of threading a needle is respectively arranged on described first and second pressing plate.
Priority Applications (1)
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CN201310754500.XA CN104739465B (en) | 2013-12-31 | 2013-12-31 | Skin stapler |
Applications Claiming Priority (1)
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CN201310754500.XA CN104739465B (en) | 2013-12-31 | 2013-12-31 | Skin stapler |
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CN104739465A CN104739465A (en) | 2015-07-01 |
CN104739465B true CN104739465B (en) | 2017-02-15 |
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CN201310754500.XA Active CN104739465B (en) | 2013-12-31 | 2013-12-31 | Skin stapler |
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Families Citing this family (6)
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CN107049389A (en) * | 2017-01-20 | 2017-08-18 | 湖州市中医院 | The utensil that a kind of convenience is sutured in laparoscopic surgery |
CN107854163B (en) * | 2017-10-20 | 2019-10-11 | 南京鼓楼医院 | A kind of circular arc sting device |
CN109893185B (en) * | 2019-03-08 | 2024-04-02 | 中南大学湘雅三医院 | Suturing device |
CN110025345A (en) * | 2019-05-17 | 2019-07-19 | 邦尼医疗科技(常州)有限公司 | A kind of sewing needle |
CN112914637B (en) * | 2021-03-04 | 2022-10-18 | 象山县第一人民医院医疗健康集团 | Automatic stitching instrument |
CN114587459A (en) * | 2022-03-25 | 2022-06-07 | 合肥工业大学 | Micro terminal stitching instrument based on electrically actuated polymer and stitching method thereof |
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