CN105286933B - Tissue closure rifle - Google Patents
Tissue closure rifle Download PDFInfo
- Publication number
- CN105286933B CN105286933B CN201410698164.6A CN201410698164A CN105286933B CN 105286933 B CN105286933 B CN 105286933B CN 201410698164 A CN201410698164 A CN 201410698164A CN 105286933 B CN105286933 B CN 105286933B
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- CN
- China
- Prior art keywords
- excite
- sleeve
- nail
- interior bar
- block
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
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Abstract
The present invention provides a kind of tissue closure rifle, can close puncturing hole, and using the organized layer around closing nail closing puncturing hole, it is characterised in that including：Interior bar；The sleeve outside interior bar is sheathed on, relative can be slided between sleeve and interior bar；And be arranged between interior bar and sleeve sleeve can be followed to slide together excite unit.Wherein, the epimere of interior bar is divided into the pincers pin of left and right two, and two pincers pin can stretch out and opened with certain angle from sleeve, and sleeve slides forward can again close the two pincers pin for opening.It is provided with two leading inside faces of pincers pin to the nail groove to opening, nail groove can removably block closing nail.Excite that unit has positioned at barrel forward end medial surface and be arranged oppositely two excite block；And be connected to each and excite what block lower section exposed sleeve lower end outer wall to excite handle, excite block corresponding with nail groove and can excite and close nail, excite handle to excite block for control.Tissue closure rifle of the invention can reduce wound and simple to operate.
Description
Technical field
The present invention relates to a kind of tissue closure rifle, belong to medical instruments field.
Background technology
Surgical operation is developed so far, and increasingly tends to Minimally Invasive Surgery.Minimally Invasive Surgery is typically only needed to patient's
Several apertures are opened on body, the apparatus for will cut off, suturing tissue and aiding in is stretched into from aperture is performed the operation in patient body.It is minimally invasive
Performing the operation, the wound brought to patient is small, and patient can recover in a short period of time.At present, the suture way of endoscope-assistant surgery is main
It is that pin holds suture under hysteroscope.But pin seam mode there are problems that very big in terms of operation difficulty and security.
After endoscope-assistant surgery, puncturing hole must shut off, but the operation difficulty for puncturing bore closure at present is very big.If punctured
Hole is unable to completely close, postoperative to be easy to produce incisional hernia complication, while the risk of infection of incisional wound is also greatly improved.Due to micro-
The puncturing hole of invasive procedures is small-sized and required precision is high, it is necessary to other people first use other operation from other mini-incisions
Pincers assist the tissue of wound both sides to slippage to closely being sutured again enough, it is therefore desirable to which many people's cooperations are operated, and could be closed
Puncturing hole.Especially need most interior a layer of the deep layer wound in suture abdominal cavity or thoracic cavity, and the very thick obesity of fat deposit
During the wound of people, with greater need for the internal layer that other operating forceps is closed otch at other mini-incisions from inside, close and puncture
The operation difficulty in hole is bigger.
Especially need it is to be noted that in rectal carcinoma radical operation, gynecologic operation and operation of low rectal carcinoma, opening
Pelvic pain syndrome behind basin bottom is even more important, if wound can not be closed effectively, easily causes small intestine and crashes into pelvic cavity.Pelvic cavity is attached
Nearly tissue tension is larger, and the method that must be held suture using pin under hysteroscope at present is tried to get to the heart of a matter to rebuild.But suture needle is sharp weapon, make
The risk accidentally injured to peripheral vessels and intestinal wall during is very high, and the operation that suture knots is extremely complex, it has not been convenient to operate.
The content of the invention
The present invention is carried out to solve the above problems, it is therefore intended that providing one kind can reduce wound and simple to operate
Tissue closure rifle.
The present invention to achieve these goals, employs following structure：
The present invention provides a kind of tissue closure rifle, can close puncturing hole, and follow closely around closing puncturing hole using closing
Organized layer, it is characterised in that including：Interior bar；The sleeve outside interior bar is sheathed on, relative can be slided between sleeve and interior bar；
And be arranged between interior bar and sleeve sleeve can be followed to slide together excite unit.
Wherein, the epimere of interior bar is divided into the pincers pin of left and right two, and two pincers pin can stretch out and open certain from sleeve
Angle, sleeve slides forward can again close the two pincers pin for opening.Two pincers pin leading inside faces on be provided with to
The nail groove of opening, nail groove can removably block closing nail.
Excite that unit has positioned at barrel forward end medial surface and be arranged oppositely two excite block；And be connected to each swash
That exposes sleeve lower end outer wall below hair block excites handle, excites block corresponding with nail groove and closing can be excited to follow closely, and excites handle to use
Block is excited in control.
In addition, in tissue closure rifle of the invention, can also have the feature that：Wherein, unit is excited to excite
Clamp, excites clamp to have first component and a second component, and the middle part of first component and second component is along the outside wall surface of interior bar
Extend and cross one another, first component and second component are rotated in infall and connected,
The front end of first component and second component forms a left side and excites block and the right side to excite block respectively, and rear end forms the right side and excites respectively
Handle and a left side excite handle, and the right side excites handle and a left side to excite opening of the handle respectively from sleeve lower end both sides to stretch out.
In addition, in tissue closure rifle of the invention, can also have the feature that：Wherein, the lower end of interior bar is set
There is handle, handle stretches out from sleeve lower section.
In addition, in tissue closure rifle of the invention, can also have the feature that：Wherein, two ends of pincers pin
Between elastic member is set, the power that elastic component applies to strut to the outside to the ends of two pincers pin.
In addition, in tissue closure rifle of the invention, can also have the feature that：Wherein, the front end outer side of pin is clamped
Width of the width less than nail groove for exciting groove, exciting groove that face is provided with nail groove is connected, excites groove to match with block is excited.
Invention effect and effect
Tissue closure rifle of the invention, because two pincers pin for being provided with nail groove can be closed by sleeve so that whole
The size reduction of individual device, can be accommodated, by smaller puncturing hole so larger-size puncture need not be opened on patient body
Hole, so as to reduce the injury to patient；
Further, since the tissue space that two pincers pin can be closed as needed, the opened with certain angle from sleeve, therefore
The organized layer of puncturing hole both sides can be captured, then sleeve is slided forward, and the two pincers pin for opening can be closed, conjunction two is grabbed to centre
The organized layer of side, realizes the closing of puncturing hole；And because two pincers pin of the present invention are closed by sleeve slides forward, because
The opening angle of this pincers pin is unrestricted, bigger than existing closing pincers, first from other mini-incisions without other people
The tissue for assisting wound both sides using other operating forceps is slippaged to closely being sutured again enough, eliminates many people's cooperations
Difficulty, makes the simpler convenience of closure, particularly directly from outside closure closing deep layer wound and the wound of adiposis patient so that
The effect of operation difficulty reduction is particularly evident；
Further, since two pincers pin are provided with to the nail groove to opening, nail groove can removably block closing nail, and
With nail groove it is corresponding excite block can excite closing follow closely, therefore closing nail be excited after can hook tissue, play closing puncture
The effect in hole, is particularly suited for closing the larger tissue of tension force, right so as to reduce without continuing suture needle near wound
The injury of patient.
Brief description of the drawings
Fig. 1 is structural representation of the tissue closure rifle of the present invention in embodiment；And
Fig. 2 is structural representation of the closing nail of the present invention in embodiment.
Specific embodiment
Tissue closure rifle involved in the present invention is elaborated referring to the drawings.
Fig. 1 is structural representation of the tissue closure rifle of the present invention in embodiment.
As shown in figure 1, tissue closure rifle 50 includes interior bar 1, sleeve 2, and excite unit 30.
It is cylinder that interior bar 1 and sleeve 2 are, and the diameter of interior bar 1 is more smaller than sleeve 2.2 sets of outsides of interior bar 1 of sleeve, and
And the relative interior bar 1 of energy is slided.Unit 30 is excited to excite clamp, excites clamp to be arranged between interior bar 1 and sleeve 2, Er Qieneng
Sleeve 2 is enough followed to slide together.
1 point of interior bar is two sections.The end of interior bar hypomere sets handle 11, facilitates operator's control.Handle 11 is under sleeve 2
Side is stretched out.The epimere of interior bar 1 is divided into symmetrical two parts, respectively left pincers pin 4 and right clamp foot 41.Left pincers pin 4 and right pincers
Pin 41 can close up and shrink in sleeve 2.
Elastic member is set between left pincers pin 4 and the end of right clamp foot 41, and elastic component is spring 6.Two, spring 6 pair
The end for clamping pin applies the power for strutting to the outside.Therefore when the relative sleeve 2 of interior bar 1 travels forward, two pincers pin can be from sleeve 2
Stretch out, and in the presence of spring 6, to both sides opened with certain angle.After two pincers pin open, sleeve 2 is with respect to interior bar 1 to advancing slip
It is dynamic, can again close two pincers pin, and compression spring 6.
The leading inside face of left pincers pin 4 and right clamp foot 41 is perpendicular, is respectively arranged with to the left He of nail groove 7 to opening
Right nail groove 71.The inner wall coarse of left nail groove 7 and right nail groove 71.Left nail groove 7 and right nail groove 71 can block closing nail.Closing nail
Can be taken apart from two nail grooves.
Fig. 2 is structural representation of the closing nail of the present invention in embodiment.
As shown in Fig. 2 closing nail has two kinds, respectively son follows closely 16 and female nail 17.Nail 16 and the nail 17 per height per height
Pairing is needed to use.Son nail 16 and female nail 17 can be fitted together to mutually, so as to be securely attached together, play sealing process.
Two width of nail groove are more bigger than the width that closing is followed closely so that closing is bound into left nail groove 7 or right nail groove 71
When, middle thin slice can occur slight bending, and two sides of thin slice are stuck on the coarse inwall in the both sides of nail groove.
It is also to be made up of the big biomaterial of frictional force to be additionally, since closing nail so that rubbing between closing nail and nail groove
Wipe power further to increase, the edge for closing nail is not easy to be slided in the inwall of nail groove, so that closing nail is stuck in left nail groove 7 or right nail
In groove 71.Only when closing nail is in stress, can just be skidded off from nail groove.
The front end outer side face of left pincers pin 4 and right clamp foot 41 is semi-cylinder surface, is respectively arranged with a symmetrical left side and excites groove 8
Groove 81 is excited with the right side so that the closing nail being stuck in left nail groove 7 will not be dropped out from left surface.The right side excites groove 81 and right nail groove 71 to connect
Logical, the right side excites the width of the width less than right nail groove 71 of groove 81 so that the closing nail being stuck in right nail groove 71 will not be from right flank
Drop out.
Exciting clamp has symmetrical first component 3 and second component 31.Two components are made by sheet metal,
Leading portion, stage casing and back segment can be divided into.The leading portion of two components is distributed in two outsides of pincers pin, and flat with interior bar 1 and sleeve 2
OK.The leading portion top of first component 3 and second component 31 be respectively provided with to a left side excite block 5 and the right side to excite block 51.A left side excites
Block 5 and the right side excite block 51 to be located at the leading inside face of sleeve 2.A left side excites block 5 to excite groove 8 to match with a left side, and can swash through left
Hair groove 8, is entered into left nail groove 7, and the closing nail that will be stuck in left nail groove 7 is released.The right side excites block 51 to excite groove 81 to match with the right side,
And groove 81 can be excited through the right side, entered into right nail groove 71, the closing nail that will be stuck in right nail groove 7 is released.
First component 3 and the stage casing of second component 31 extend and cross one another along the outside wall surface of interior bar 1, first component 3 and the
Two components 31 are rotated by bolt in infall and connected.The back segment end of first component 3 and second component 31 is respectively provided with right sharp
Hair handle 91 and a left side excite handle 9, and the right side excites handle 91 and a left side to excite handle 9 to be stretched out from the opening of the lower end both sides of sleeve 2.Work as a left side
When exciting handle 9 and the right side to excite handle 91 to be drawn in centre, a left side excites handle 9 to control the right side to excite block 51 to left movement, through the right side
Groove 81 is excited, is entered into right nail groove 71, release the closing nail in right nail groove 71；The right side excite handle 91 control a left side excite block 5 to
Right motion, groove 8 is excited through a left side, is entered into left nail groove 7, releases the closing nail in left nail groove 7.
Use process：
First, left pincers pin 4 and right clamp foot 41 are opened, and the son nail and female nail of closing nail are respectively clamped into two nail grooves.Set
The relative forward slip of interior bar 1 of cylinder 2, left pincers pin 4 and right clamp foot 41 are closed so that two pincers pin are contracted in sleeve 3 completely.
Then, interior bar 1 and sleeve 2 are inserted in the stamp hole clipping of endoscope-assistant surgery together, reach puncturing hole top to be closed.So
Afterwards, according to the size in wound gap to be closed, sleeve 2 is relative to slide backward certain distance so that left pincers pin 4 and right clamp foot 41
Opened with certain angle.The organized layer on the closing nail crawl puncturing hole both sides on two pincers pin.
Then, sleeve 2 is gradually slided relatively forward so that two pincers pin gradually grab the organized layer for closing both sides to centre, and
Final plant closure puncturing hole.Two pincers pin finally closed and are contracted in sleeve 2, the organized layer on both sides be sandwiched in two clamp pin it
Between.
Then, a left side excite handle 9 and the right side excite handle 91 to both sides draw in, a left side excite handle 9 control the right side excite block 51 to
Left movement, groove 81 is excited through the right side, is entered into right nail groove 71, releases the closing nail in right nail groove 71；The right side excites handle 91 to control
A left side processed excites block 5 to move right, and groove 8 is excited through a left side, enters into left nail groove 7, releases the closing nail in left nail groove 7.
Son nail and female nail in two nail grooves can together be fixed on organized layer under the thrust on both sides mutually with respect to hook
On, puncturing hole is closed.Then a left side excites handle 9 and the right side to excite handle 91 to be unclamped to both sides, and the block that excites on both sides is no longer promoted
Closing nail, closing nail departs from from nail groove.
Finally, interior bar 1 is contracted in sleeve 2, and is exited from stamp hole clipping together with sleeve 2.
Embodiment is acted on and effect
Tissue closure rifle according to involved by the present embodiment, because two pincers pin for being provided with nail groove can be closed by sleeve
Close so that the size reduction of whole device, can be accommodated by smaller puncturing hole, thus need not be opened on patient body size compared with
Big puncturing hole, so as to reduce the injury to patient；
Further, since the tissue space that two pincers pin can be closed as needed, the opened with certain angle from sleeve, therefore
The organized layer of puncturing hole both sides can be captured, then sleeve is slided forward, and the two pincers pin for opening can be closed, conjunction two is grabbed to centre
The organized layer of side, realizes the closing of puncturing hole；And because two pincers pin of the present invention are closed by sleeve slides forward, because
The opening angle of this pincers pin is unrestricted, bigger than existing closing pincers, first from other mini-incisions without other people
The tissue for assisting wound both sides using other operating forceps is slippaged to closely being sutured again enough, eliminates many people's cooperations
Difficulty, makes the simpler convenience of closure, particularly directly from outside closure closing deep layer wound and the wound of adiposis patient so that
The effect of operation difficulty reduction is particularly evident；
Further, since two pincers pin are provided with to the nail groove to opening, nail groove can removably block closing nail, and
With nail groove it is corresponding excite block can excite closing follow closely, therefore closing nail be excited after can hook tissue, play closure puncture
The effect in hole, is particularly suited for closing the larger tissue of tension force, right so as to reduce without continuing suture needle near wound
The injury of patient.
Certainly, tissue closure rifle of the present invention is not merely defined in structure in the embodiment above.Elastic structure
Part can also be elastic caoutchouc etc..
Claims (5)
1. a kind of tissue closure rifle, can close puncturing hole, and using the organized layer around the closing nail closing puncturing hole, bag
Include：Interior bar；The sleeve outside the interior bar is sheathed on, relative can be slided between the sleeve and the interior bar；And set
Can follow what the sleeve slided together to excite unit between the interior bar and the sleeve, wherein, the interior bar it is upper
Section is divided into the pincers pin of left and right two, and two pincers pin can stretch out and opened with certain angle, the sleeve from the sleeve
Forward slip can again close two for the opening pincers pin, it is characterised in that：
It is provided with to the nail groove to opening on two leading inside faces of the pincers pin, the nail groove can removably block institute
Closing nail is stated,
It is described to excite that unit has positioned at the barrel forward end medial surface and be arranged oppositely two excite block；And be connected to every
The individual handle that excites for exciting block lower section to expose the sleeve lower end outer wall, it is described to excite block corresponding with the nail groove and swash
Send out closing nail described, it is described to excite handle for controlling described to excite block.
2. tissue closure rifle according to claim 1, it is characterised in that：
Wherein, it is described to excite unit to excite clamp, it is described to excite the clamp there is first component and second component, first structure
The middle part of part and the second component extends and crosses one another along the outside wall surface of the interior bar, the first component and described the
Two components are rotated in infall and connected,
The front end of the first component and the second component forms a left side and excites block and the right side to excite block respectively, and rear end forms the right side respectively
Handle and a left side is excited to excite handle, the right side excites handle and the left side to excite handle opening from sleeve lower end both sides respectively
Mouth stretches out.
3. tissue closure rifle according to claim 1, it is characterised in that：
Wherein, the lower end of the interior bar is provided with handle, and the handle stretches out from sleeve lower section.
4. tissue closure rifle according to claim 1, it is characterised in that：
Wherein, elastic member, the end of elastic component pincers pin described to two are set between two ends of the pincers pin
End applies the power for strutting to the outside.
5. tissue closure rifle according to claim 1, it is characterised in that：
Wherein, it is described pincers pin front end outer side face be provided with it is described nail groove connect excite groove, the width for exciting groove is small
It is described to excite groove to excite block to match with described in the width of the nail groove.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410698164.6A CN105286933B (en) | 2014-11-27 | 2014-11-27 | Tissue closure rifle |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410698164.6A CN105286933B (en) | 2014-11-27 | 2014-11-27 | Tissue closure rifle |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105286933A CN105286933A (en) | 2016-02-03 |
| CN105286933B true CN105286933B (en) | 2017-06-16 |
Family
ID=55185253
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410698164.6A Expired - Fee Related CN105286933B (en) | 2014-11-27 | 2014-11-27 | Tissue closure rifle |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105286933B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108433772A (en) * | 2018-05-31 | 2018-08-24 | 吴淑英 | Skin penetrating point staplers |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201076489Y (en) * | 2007-06-27 | 2008-06-25 | 苏州天臣国际医疗科技有限公司 | Automatic purse-string suturing device |
| US8628545B2 (en) * | 2008-06-13 | 2014-01-14 | Covidien Lp | Endoscopic stitching devices |
| CN101617950A (en) * | 2008-07-01 | 2010-01-06 | 王爱娣 | Repeating titanium clamp pincers |
| CN103315789B (en) * | 2013-06-27 | 2015-04-15 | 常州市康迪医用吻合器有限公司 | Executing assembly of cutting anastomat applicable to minimally invasive surgery |
| CN103565485B (en) * | 2013-10-23 | 2015-07-15 | 孙思予 | Suture puncturing device, suture folding device, tissue perforation anastomat and anastomosis method thereof |
-
2014
- 2014-11-27 CN CN201410698164.6A patent/CN105286933B/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| CN105286933A (en) | 2016-02-03 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20170616 Termination date: 20171127 |