CN105310735B - Tissue closure nail - Google Patents

Tissue closure nail Download PDF

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Publication number
CN105310735B
CN105310735B CN201410697176.7A CN201410697176A CN105310735B CN 105310735 B CN105310735 B CN 105310735B CN 201410697176 A CN201410697176 A CN 201410697176A CN 105310735 B CN105310735 B CN 105310735B
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CN
China
Prior art keywords
nail
suture
stitch
skeleton
suturing nail
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
Application number
CN201410697176.7A
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Chinese (zh)
Other versions
CN105310735A (en
Inventor
周小驰
丁瑞芳
孙妹
孙嫕
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Second Military Medical University SMMU
Original Assignee
Second Military Medical University SMMU
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Second Military Medical University SMMU filed Critical Second Military Medical University SMMU
Priority to CN201410697176.7A priority Critical patent/CN105310735B/en
Publication of CN105310735A publication Critical patent/CN105310735A/en
Application granted granted Critical
Publication of CN105310735B publication Critical patent/CN105310735B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The invention provides a tissue closure nail, comprising a master suture nail and a slave suture nail fitting each other. The master suture nail comprises a first frame and at least two first suture members disposed at one end of the first frame and composed of two nail legs arranged side by side and in preset distance intervals; the slave suture nail comprises a second frame and a second suture member disposed at one end of the second frame; the first suture member and the second suture member have one barbed end far away from the frames; barbs on the suture members are opposite to each other; as a surgical suture plate provided by the invention is composed of the master suture nail and the slave suture nail fitting each other, the novel suture plate provided by the invention is no longer a factor limiting the openness degree of jaw parts of a suture clamp, the suture clamp can partly contract tissues on two sides of an incision, suturing operation is simplified, and labor output for medical staff is reduced.

Description

Tissue closure is followed closely
Technical field
The invention belongs to operation stitching nail field, and in particular to a kind of tissue closure nail.
Background technology
Operation is one of conventional surgical treatment, and endoscope-assistant surgery is all surgery with popularizing now and in the future The inexorable trend of operation development.Endoscope-assistant surgery compares open surgery following advantage:The little post-operative recovery of wound is fast, bleeding is few, abdomen The advantages such as wall cosmetic result.But the condition that significantly advantage is brought is that doctor will complete more behaviour that become more meticulous in little space Make.
At present conventional endoscope-assistant surgery myometrial suture mode is that linear slit is closed, but linear slit is closed and existed in terms of three below not Foot:If the first, puncturing hole closely can not be sutured effectively, the probability of postoperative incisional hernia complication is higher, while the risk of infection of incisional wound Also can increase substantially;2nd, the patient fat for build, fat deposit is very thick, and traditional is difficult from skin surface suture way Safely and effectively peritoneal suture;3rd, because suture needle is sharp weapon, peripheral vessels and intestinal wall are accidentally injured risk during being suitable for It is very high, and the extremely complex inconvenience of the operation of knotting is sutured under hysteroscope.Meanwhile, linear slit conjunction action needs operative doctor Jing long-times to practice After habit, ability skilled operation needs 3 people to cooperate in the sewing process after the completion of operation, can just complete suture operation.
The patent of Patent No. 100556373C discloses a kind of endoscope-assistant surgery suturing nail, in the one or both ends of U-shaped nail Manufacture hangnail, while U-shaped nail is closed and is pressed with anti-slip veins, it is therefore intended that prevent U-shaped nail by the work of the elastic restoring force of folder tissue With under, there is slip phenomenon.But because the size of U-shaped nail is fixed, the stretching degree at the binding clip position of surgical suture forceps is by U-shaped nail two End distance affect it is larger, in practical application, after the completion of operation, it is necessary first to two medical personnel by operative incision both sides organize to In shrink, treat that otch two ends tissue is close to to a certain degree, reusing surgical suture forceps by myometrial suture.This kind of operation expends people Power, and need the suitable great strength of medical personnel's consuming just to complete the contraction of otch both sides tissue, when the tissue that suture is deeper During position, artificial operation is inconvenient.
The content of the invention
The present invention is carried out to solve the above problems, it is therefore intended that by providing a kind of new hysteroscope tissue closure Nail, further reduces the difficulty of existing endoscope-assistant surgery suture.
To solve the above problems, following technical scheme is present invention employs:
Follow closely provided by the present invention for the tissue closure of endoscope-assistant surgery cut closure, have the feature that, including:Mother's seam Dowel, including the first skeleton and first stitch of first skeleton one end is arranged at, the first stitch is at least two, by simultaneously Row is arranged, two nail legs composition spaced a predetermined distance;And the sub- suturing nail being engaged with female suturing nail, including the second skeleton And second stitch of second skeleton one end is arranged at, the second stitch is similarly at least two, wherein, tissue closure is followed closely During suturing, the second stitch is realized and the first seam by being embedded in the gap between two nail legs of the first stitch The cooperation of component.
The tissue closure nail that the present invention is provided, can also have the feature that:First stitch and the second stitch are remote From skeleton one end, the hangnail with hangnail, the hangnail of the first stitch and the second stitch is oppositely arranged.
The tissue closure nail that the present invention is provided, can also have the feature that:First skeleton band is fluted, the second skeleton With projection, the first skeleton and the second skeleton are connected by groove and male cooperation.
The tissue closure nail that the present invention is provided, can also have the feature that:The skeleton of female suturing nail and sub- suturing nail And with anti-slip veins in stitch.
Invention effect and effect
According to the tissue closure nail that the present invention is provided, it is made up of the female suturing nail and sub- suturing nail that cooperate, mother's seam Dowel includes the first skeleton and is arranged at first stitch of first skeleton one end, and the first stitch is at least two, by simultaneously Row is arranged, two nail legs composition spaced a predetermined distance;Sub- suturing nail includes the second skeleton and is arranged at second skeleton one end The second stitch, the first stitch and the second stitch carry hangnail away from described skeleton one end, in two kinds of stitch Hangnail is oppositely arranged, because the novel tissue closure that the present invention is provided follows closely the female suturing nail and sub- suturing nail worked in coordination by two panels Composition so that the tissue closure nail that the present invention is provided no longer becomes the factor for limiting stitching clamp binding clip position stretching degree, suture Pincers can play a part of to a certain extent retracted incisions both sides tissue, suture operation be simplified, while alleviating medical personnel Muscle power expenditure.
Additionally, when female suturing nail and the matching of sub- suturing nail close closure operative incision effect, the second stitch embedded first In stitch, the projection in the second skeleton is embedded in the groove in the first skeleton, and relative the passing through of the hangnail in two stitch needs The tissue to be closed, it is ensured that cut closure it is tight, tight.
Description of the drawings
Fig. 1 is the structural representation of the tissue closure nail of the present invention;
Fig. 2 is the structural representation of female suturing nail of the present invention;
Fig. 3 is the structural representation of the sub- suturing nail of the present invention.
Specific embodiment
The specific embodiment of the present invention is illustrated below in conjunction with accompanying drawing.
Fig. 1 is the structural representation of the tissue closure nail in the present embodiment.
Fig. 2 is the structural representation of the female suturing nail in the present embodiment.
Fig. 3 is the structural representation of the sub- suturing nail in the present embodiment.
As shown in Figure 1 to Figure 3, tissue closure nail 100 includes female suturing nail 200 and sub- suturing nail 300, female suturing nail 200 and sub- suturing nail 300 be fitting to connection by way of, play a part of closure operative incision.
Female suturing nail 200 includes the first skeleton 1 and is arranged at first stitch 2 of the one end of the first skeleton 1, and each mother stitches Dowel 200 at least contains two the first stitch 2, and the first stitch 2 is by being arranged side by side, nail leg 21 spaced a predetermined distance and nail Leg 22 is constituted, and nail leg 21 and nail leg 22 carry hangnail 211 and hangnail 221 away from one end of the first skeleton 1, for avoiding tissue from closing Dowel occurs sliding phenomenon in the presence of by the elastic restoring force of folder tissue.
Sub- suturing nail 300 includes the second skeleton 4 and is arranged at second stitch 5 of the one end of the second skeleton 4, and second sutures Part 5 is single nail leg, and it is by being embedded in the gap between nail leg 21 and nail leg 22, and the first seam in female suturing nail 200 Component 2 is engaged, and plays a part of to close operative incision.Second stitch 5 because and the first stitch 2 be engaged, therefore second seam The quantity of component 5 equally changes with the change of the number of the first stitch 2.One end band of second stitch 5 away from the second skeleton 4 There is hangnail 51, the hangnail 211 and hangnail 221 in hangnail 51 and female suturing nail 200 is oppositely arranged, when female suturing nail 200 and son seam When dowel 300 is engaged, the direction of hangnail 51 and hangnail 211 or hangnail 221 are contrary.
Anti-slip veins 3 are carried in the stitch and skeleton of female suturing nail 200 and sub- suturing nail 300, for augmenting tissue Frictional force between closure nail and tissue.Meanwhile, the first skeleton 1 of female suturing nail 200 with fluted 11, sub- suturing nail 300 With raised 41, the first skeleton 1 and the second skeleton 4 are connected second skeleton 4 by groove 11 and raised 41.
When tissue closure has followed closely closure function, female suturing nail 200 and sub- suturing nail 300 under the control of stitching clamp, from cutting To middle movement, during close incisions, the second stitch 5 is embedded in the first stitch 2, the projection 41 in the second skeleton 4 at mouth two ends It is embedded in the groove 11 in the first skeleton 1, hangnail 51 and hangnail 211 or hangnail 221 lead to relatively through the tissue for needing closure Cross the cooperation of female suturing nail 200 and three positions in upper, middle and lower of sub- suturing nail 300, it is ensured that cut closure it is tight, tight.
In the present embodiment tissue closure nail material can for Biodegradable material, medical titanium alloy material or it is medical not Rust Steel material.
Embodiment is acted on and effect
According to the tissue closure nail that the present embodiment is provided, it is made up of the female suturing nail and sub- suturing nail that cooperate, it is female Suturing nail includes the first skeleton and is arranged at first stitch of first skeleton one end, and the first stitch is at least two, by It is arranged side by side, two nail legs spaced a predetermined distance are constituted, sub- suturing nail includes the second skeleton and is arranged at the second skeleton one Second stitch at end, the first stitch and the second stitch carry hangnail away from described skeleton one end, in two kinds of stitch Hangnail be oppositely arranged, the tissue closure female suturing nail worked in coordination by two panels of nail provided due to the present embodiment and sub- suturing nail Composition so that the novel tissue closure nail that the present embodiment is provided no longer become limit stitching clamp binding clip position stretching degree because Element, stitching clamp can play a part of to a certain extent retracted incisions both sides tissue, suture operation be simplified, while alleviating doctor The muscle power expenditure of shield personnel.
Additionally, when female suturing nail and the matching of sub- suturing nail close closure operative incision effect, the second stitch embedded first In stitch, the projection in the second skeleton is embedded in the groove in the first skeleton, and relative the passing through of the hangnail in two stitch needs The tissue to be closed, it is ensured that cut closure it is tight, tight.
The invention is not restricted to the scope of specific embodiment, for those skilled in the art, as long as respectively Kind of change described claim limit and the spirit and scope of the present invention that determine in, these changes be it will be apparent that All are using the innovation and creation of present inventive concept in the row of protection.

Claims (4)

1. a kind of tissue closure nail, for the closure of endoscope-assistant surgery otch, including:
Female suturing nail, female suturing nail includes the first skeleton and is arranged at first stitch of described first skeleton one end, First stitch is at least two, and by being arranged side by side, two nail legs spaced a predetermined distance are constituted;And
The sub- suturing nail being engaged with female suturing nail, including the second skeleton and it is arranged at the of described second skeleton one end Two stitch, second stitch is similarly at least two,
Wherein, when the tissue closure has followed closely suturing, second stitch is by being embedded into first stitch In gap between two nail legs, the cooperation with first stitch is realized.
2. tissue closure according to claim 1 is followed closely, it is characterised in that:
Wherein, first stitch and second stitch carry hangnail, first seam away from described skeleton one end The hangnail of the hangnail of component and second stitch is oppositely arranged.
3. tissue closure according to claim 1 is followed closely, it is characterised in that:
Wherein, the first skeleton band is fluted, and second skeleton is with projection, first skeleton and second skeleton Connected by the groove and the male cooperation.
4. tissue closure according to claim 1 is followed closely, it is characterised in that:
Anti-slip veins are carried on the skeleton and the stitch of female suturing nail and the sub- suturing nail.
CN201410697176.7A 2014-11-27 2014-11-27 Tissue closure nail Expired - Fee Related CN105310735B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410697176.7A CN105310735B (en) 2014-11-27 2014-11-27 Tissue closure nail

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410697176.7A CN105310735B (en) 2014-11-27 2014-11-27 Tissue closure nail

Publications (2)

Publication Number Publication Date
CN105310735A CN105310735A (en) 2016-02-10
CN105310735B true CN105310735B (en) 2017-05-10

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Family Applications (1)

Application Number Title Priority Date Filing Date
CN201410697176.7A Expired - Fee Related CN105310735B (en) 2014-11-27 2014-11-27 Tissue closure nail

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Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0050554A1 (en) * 1980-10-17 1982-04-28 United States Surgical Corporation Self-centering surgical staple
US4534350A (en) * 1983-06-20 1985-08-13 Ethicon, Inc. Two-piece tissue fastener with compressible leg staple and retaining receiver
EP0040884B1 (en) * 1980-05-23 1986-01-29 Jan Willem Smit Orthopedic coupling device
EP0508452B1 (en) * 1991-04-11 2001-09-26 United States Surgical Corporation Reduced mass absorbable surgical fastener and retainer
WO2004062697A3 (en) * 2003-01-07 2006-01-26 Univ Tufts Silk fibroin materials and use thereof
CN101511278A (en) * 2006-07-01 2009-08-19 欧帕斯Ksd股份有限公司 Tissue fasteners and related insertion devices, mechanisms, and methods
CN101873834A (en) * 2007-06-29 2010-10-27 伊西康内外科公司 Washer for use with a surgical stapling instrument
CN102440825A (en) * 2011-09-13 2012-05-09 中国人民解放军第一七五医院 Combined rib fixer
CN103519857A (en) * 2013-10-11 2014-01-22 苏州奥芮济医疗科技有限公司 Absorbable metal closing nail in body and of three-dimensional structure and forming method thereof
CN104053407A (en) * 2011-04-29 2014-09-17 伊西康内外科公司 Staple cartridge comprising staples positioned within compressible portion thereof

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9566061B2 (en) * 2010-09-30 2017-02-14 Ethicon Endo-Surgery, Llc Fastener cartridge comprising a releasably attached tissue thickness compensator
US9216019B2 (en) * 2011-09-23 2015-12-22 Ethicon Endo-Surgery, Inc. Surgical stapler with stationary staple drivers

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0040884B1 (en) * 1980-05-23 1986-01-29 Jan Willem Smit Orthopedic coupling device
EP0050554A1 (en) * 1980-10-17 1982-04-28 United States Surgical Corporation Self-centering surgical staple
US4534350A (en) * 1983-06-20 1985-08-13 Ethicon, Inc. Two-piece tissue fastener with compressible leg staple and retaining receiver
EP0508452B1 (en) * 1991-04-11 2001-09-26 United States Surgical Corporation Reduced mass absorbable surgical fastener and retainer
WO2004062697A3 (en) * 2003-01-07 2006-01-26 Univ Tufts Silk fibroin materials and use thereof
CN101511278A (en) * 2006-07-01 2009-08-19 欧帕斯Ksd股份有限公司 Tissue fasteners and related insertion devices, mechanisms, and methods
CN101873834A (en) * 2007-06-29 2010-10-27 伊西康内外科公司 Washer for use with a surgical stapling instrument
CN104053407A (en) * 2011-04-29 2014-09-17 伊西康内外科公司 Staple cartridge comprising staples positioned within compressible portion thereof
CN102440825A (en) * 2011-09-13 2012-05-09 中国人民解放军第一七五医院 Combined rib fixer
CN103519857A (en) * 2013-10-11 2014-01-22 苏州奥芮济医疗科技有限公司 Absorbable metal closing nail in body and of three-dimensional structure and forming method thereof

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Granted publication date: 20170510

Termination date: 20171127