CN105640600B - Laparoscopic suturing device after the engaging holes poke - Google Patents

Laparoscopic suturing device after the engaging holes poke Download PDF

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CN105640600B
CN105640600B CN201610180780.1A CN201610180780A CN105640600B CN 105640600 B CN105640600 B CN 105640600B CN 201610180780 A CN201610180780 A CN 201610180780A CN 105640600 B CN105640600 B CN 105640600B
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needle
provided
suture
outer sleeve
hub
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CN201610180780.1A
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CN105640600A (en
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王鹏
周纯
郭青松
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王鹏
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Abstract

本发明公开了一种腹腔镜术后戳卡孔缝合装置,包括外套管、推杆、4根缝合针以及2根缝合线;外套管与底座连接的一端设置有4个纵向槽;底座上凹槽,该凹槽内设置有针座;针座通过销轴和扭转弹簧与底座活动连接;所述针座上设置有缝合针安装孔;缝合针的一端安装于缝合针安装孔内,另一端设置有针眼;推杆内设置有缝合线通道;推杆底部通过连接杆与所述的针座连接;连接杆两端分别与外套管和针座通过销轴铰接连接;缝合装置还设置有用于固定推杆的锁紧装置和复位装置。 The present invention discloses a laparoscopic surgery poke holes card stapling apparatus, comprising an outer sleeve, the plunger, the needle 4 and two suture; one end connected to the base of the outer sleeve is provided with four longitudinal grooves; base recess groove, in the groove base is provided with a needle; needle holder by a pin and the torsion spring movably coupled with the base; said hub is provided with a needle mounting hole; needle end of the suture needle is attached to the mounting hole, and the other end It is provided with a needle eye; the push rod is provided with a suture channel; bottom ram connected by a connecting rod to the hub; a connecting rod connected to the two ends of the needle hub and the outer sleeve by a hinge pin; stapling means is also provided for locking means and reset means for fixing the push rod. 本发明结构简单,操作方便,能够安全有效便捷的缝合腹腔镜手术伤口。 The present invention is of simple structure, easy to operate, safe and effective and convenient laparoscopic suturing wounds.

Description

腹腔镜术后戳卡孔缝合装置 Laparoscopic suturing device after the engaging holes poke

技术领域 FIELD

[0001] 本发明属于医疗设备技术领域,具体涉及一种腹腔镜术后戳卡孔缝合装置。 [0001] The present invention belongs to the technical field of medical devices, particularly, to a card laparoscopy poke holes stapling apparatus.

背景技术 Background technique

[0002] 腹腔镜手术作为微创外科主要治疗手段之一,已得到广泛应用。 [0002] Minimally invasive laparoscopic surgery as one of the main surgical treatment, has been widely used. 腹腔镜手术是在患者腹部开三到五个小孔,分别将摄像头及手术器械通过转换器插入到腹腔中,通过数据线将摄像头获取的腹腔内的图像显示在屏幕上,手术医生通过观察显示屏上的图像,利用插入到腹腔中的手术器械进行手术。 Laparoscopic surgery is open three to five holes in the patient's abdomen, respectively, the camera and the surgical instruments inserted into the abdominal cavity through the converter, the image data line by intraperitoneal acquired camera displayed on the screen, the surgeon by observing the display image on the screen using a surgical instrument inserted into the abdominal cavity of the surgery. 腹腔镜手术的开展,减轻了病人开刀的痛楚,同时使病人的恢复期缩短,是近年来发展迅速的一个手术技术。 To carry out laparoscopic surgery, surgery to reduce the patient's pain, while shortening the patient's recovery, in recent years, the rapid development of a surgical technique.

[0003]现有的腹腔镜手术术后对于戳卡孔的缝合难度较大,特别是在脂肪层较厚的情况下,由于孔径不超过12_,很难缝合到腹膜层,一旦缝合不好,术后可能导致戳卡疝的发生, 而需要二次手术修补。 [0003] For the conventional laparoscopic surgery suture card poke holes large difficulty, especially in the case of a thick fat layer, since the pore size of not more than 12_, stitched into the peritoneal layer is difficult, once the suture is not good, stamp card after surgery may lead to the occurrence of hernia, and the need for secondary surgical repair.

发明内容 SUMMARY

[0004]本发明要解决的技术问题是提供一种腹腔镜术后戳卡孔的缝合装置,降低术后戳卡疝发病率。 [0004] The present invention is to solve the technical problem of providing a stamp card laparoscopic suturing device after the hole, reducing the incidence of postoperative hernias stamp card.

[ooos]为解决上述技术问题,本发明采用的技术方案为:腹腔镜术后戳卡孔缝合装置,包括外套管、推杆、4根缝合针以及2根缝合线; [Ooos] To solve the above problems, the present invention adopts the technical solution is as follows: after laparoscopy card poke holes stapling apparatus, comprising an outer sleeve, the plunger, the needle 4 and two suture;

[0006]所述的外套管为中空管体,外套管的底部安装有底座,外套管与底座连接的一端设置有4个纵向槽;所述底座在与纵向槽相对应的位置设置有凹槽,该凹槽内设置有用于安装缝合针的针座;所述的针座通过销轴和扭转弹簧与底座活动连接;所述针座上设置有缝合针安装孔,该缝合针安装孔与水平线的夹角为50°-60°,所述的缝合针的一端安装于缝合针安装孔内,另一端设置有针眼;所述的推杆内设置有缝合线通道;所述缝合线的两端穿过缝合线通道后分别穿入相邻设置的2个缝合针的针眼内; [0006] The jacket tube is a hollow tube, is attached to the bottom end of the outer sleeve of the base, connected to the base of the outer sleeve is provided with four longitudinal grooves; said base is provided with longitudinal grooves corresponding to the position of a concave grooves, provided in the groove for mounting the needle hub; said needle holder by a pin and the torsion spring movably coupled with the base; said hub is provided with a needle mounting hole, the mounting hole with the needle horizontal angle of 50 ° -60 °, one end of the suture needle is attached to the needle mounting hole, the other end is provided with an eye; said push rod is provided with a suture channel; two of the suture the two needle penetration respectively disposed adjacent the rear end of the suture through the eye of the needle passage;

[0007]所述的推杆设置于外套管内,能够沿着外套管上下移动,推杆底部通过连接杆与所述的针座连接;所述连接杆两端分别与外套管和针座通过销轴铰接连接; The push rod is provided [0007] in the overtube, the overtube can be moved up and down along the bottom of the push rod connected to the hub via the connecting rod; ends respectively of the connecting rod and the needle hub through the outer sleeve pin hingedly connected to the shaft;

[0008]该缝合装置还设置有用于固定推杆的锁紧装置和复位装置。 [0008] The stapling device is also provided with a locking means for fixing the push rod and the means for resetting.

[0009]进一步地,所述的锁紧装置包括限位块、压缩弹簧;所述的复位装置包括限位孔、 脱开推块、复位弹簧和复位按钮;所述推杆外壁设置有限位块安装槽,限位块安装槽内设置有弹簧座,弹簧座上安装压缩弹簧,压缩弹簧的另一端固定于限位块的底部;所述外套管上设置限位孔•,所述的限位孔内安装脱开推块,脱开推块的端部连接复位按钮;复位按钮与外套管外壁之间设置复位弹簧。 [0009] Further, the locking means comprises a stopper, a compression spring; said reset means comprises a limiting hole, disengaged from the push block, and a reset button return spring; an outer wall of the pushrod provided with a limit block mounting groove, the stopper is provided with a spring seat mounting groove, a compression spring mounted on the spring seat, the bottom of a compression spring the other end is fixed to the stopper; • limiting hole is provided on the outer sleeve, said stopper disengaging the push block mounting hole, disengaged from the end portion of the push block is connected to the reset button; a return spring disposed between the outer sleeve and the outer wall of the reset button.

[0010]进一步地,所述推杆内设置有2个缝合线通道。 [0010] Further, the push rod is provided with two suture channels.

[0011]进一步地,所述的外套管顶部设置有翼片;所述推杆的顶部设置有按压头。 [0011] Further, the outer sleeve is provided with a top flap; top of the push rod is provided with a pressing head.

[0012]进一步地,所述按压头上与缝合针对应的位置标记缝合针位置的标记。 [0012] Further, the pressing head and position the suture needle for marking a position corresponding to the marker.

[0013]进一步地,所述扭转弹簧包括垂直设置的第一力臂和第二力臂;所述底座上设置'用丁回疋果一刀㈢的果一固定槽;所述针座底部设置有用于固定第二力臂的第二固槽。 [0013] Further, the torsion spring includes a first arm and a second arm disposed vertically; the setting 'with the back piece goods butoxy fruit knife fixing groove (iii) a fruit base; said needle seat bottom is provided useful for a second arm fixed to the second fixing groove.

[0014]进一步地,所述的缝合针与针座固定连接。 [0014] Further, the suture needle is fixedly connected with the hub.

[0015]进:步地,所述的缝合针为可拆卸结构,该缝合针包括直部和弯部;所述直部底部设置有外螺纹连接段;缝合针安装孔内设置有内螺纹。 [0015] Forward: step, the suture needle is removable structure, the suturing needle comprising a straight portion and a bent portion; a bottom portion of the straight connecting segment is provided with external threads; needle fitting hole is provided with an internal thread.

[0016]本发明p有M效果:本发明能够解决现有技术中由于脂肪层厚导致腹膜缝合不好的问题外套管伸入切口后打开缝合针,通过锁紧装置限位,使缝合针呈伞状结构,然后将外套官上提便可进行缝合操作,操作不受脂肪层厚薄的限制,能够安全有效的进行,操作安全便捷。 [0016] p M have the effect of the present invention: The present invention can solve the prior art due to the peritoneal fat layer thickness results in poor stitching problems incision extends into the outer sleeve opening after the needle through the stopper locking means, so that the needle was umbrella structure, and then the suturing operation can provide the official jacket, operation is not limited by the thickness of fat layer, it can be safely and effectively performed, safe and convenient operation.

附图说明 BRIEF DESCRIPTION

[0017]图1为本发明的结构示意图。 [0017] FIG. 1 is a schematic structural diagram of the present invention.

[0018]图2为外套管的结构示意图。 [0018] FIG. 2 is a schematic view of the outer sleeve.

[0019]图3为底座的结构示意图。 [0019] FIG. 3 is a schematic view of the base.

[0020]图4为底座与针座连接示意图。 [0020] FIG. 4 is a schematic view of a base connected to the hub.

[0021]图5为缝合针打开示意图。 [0021] FIG. 5 is a schematic view of the needle opening.

[0022]图6为推杆与针座连接示意图。 [0022] FIG. 6 is a schematic view of the plunger and the needle hub is connected.

[0023]图7为锁紧装置和复位装置的结构示意图。 [0023] FIG. 7 is a schematic view of the locking means and reset means.

[0024]图8为缝合针的结构示意图。 [0024] FIG. 8 is a schematic view of the suture needle.

具体实施方式 Detailed ways

[0025]下面结合附图对本发明的技术方案作详细说明。 [0025] DRAWINGS The technical solution of the present invention will be described in detail.

[0026]如图1-8所示,为本发明的腹腔镜术后戳卡孔缝合装置,包括外套管10、推杆2〇、4 根缝合针30以及2根缝合线(图中未画出)。 [0026] As shown, laparoscopic surgery poke holes stapling apparatus of the present invention, the card 1 to 8, comprising an outer sleeve 10, the push rod 2〇, four and two needle suture 30 (not shown in FIG. out).

[0027]外套管1〇为中空管体,外套管10的底部安装有底座40,外套管10与底座40连接的一端设置有4个纵向槽11;底座40在与纵向槽丨i相对应的位置设置有凹槽41,该凹槽41内设置有用于安装缝合针30的针座50;针座50通过销轴90和扭转弹簧60与底座40活动连接;针座50上设置有缝合针安装孔51,该缝合针安装孔与水平线的夹角为50。 [0027] overtube 1〇 a hollow tubular body, the bottom of the outer sleeve 10 is attached to the base 40, one end of the outer sleeve 40 is connected with the base 10 is provided with four longitudinal grooves 11; chassis 40 with longitudinal grooves corresponding Shu i position provided with a groove 41, provided for attaching the needle hub 30 of needle 50 within the recess 41; hub 50 is connected by a pin 90 and torsion spring 60 and the base 40 activities; 50 is provided with a needle hub the mounting hole 51, the angle of the needle mounting hole 50 from the horizontal. -60。 -60. ,缝合针的一端安装于缝合针安装孔51内,另一端设置有针眼3〖;推杆20内设置有缝合线通道21;缝合线的两端穿过缝合线通道21后分别穿入相邻设置的2个缝合针30的针眼31内。 One end of the suture needle is attached to the needle mounting holes 51, the other end is provided with an eye 3 〖; the push rod 20 is provided with a suture channel 21; the two ends of the suture through the suture passage 21 are adjacent penetration 31 disposed within the eye 2 of the needle 30.

[0028]推杆20设置于外套管10内,能够沿着外套管10上下移动,推杆20底部通过连接杆70与针座5〇连接;连接杆7〇两端分别与外套管1〇和针座50通过销轴铰接连接; [0028] The push rod 20 is disposed within the outer sleeve 10, 10 can be moved up and down along the outer sleeve, the bottom of the push rod 20 is connected by a connecting rod 70 and the hub 5〇; 7〇 both ends the connecting rod and the jacket tube and 1〇 hub 50 is connected by a hinge pin;

[0029]该缝合装置还设置有用于固定推杆的锁紧装置和复位装置。 [0029] The stapling device is also provided with a locking means for fixing the push rod and the means for resetting.

[0030]操作前,缝合针处于收拢状态,针尖位于外套管10的纵向槽11内,操作时,将缝合线穿入缝合线通道21,缝合线的两端分别穿入相邻设置的2个缝合针30的针眼31内,然后将外套管10伸进手术切口内,外套管10伸入切口内一定深度后,慢慢推下推杆20,推杆在下移的过程中,与推杆铰接的连接杆则推动针座5〇向外转动,安装于针座50内的缝合针慢慢向外打开,直至4个缝合针打开呈伞状,此时,锁紧装置将推杆固定,将外套管提起,缝合针带动缝合线穿过切口组织,然后将缝合线从缝合针上撤下,按下外套管,后再按下复位装置, 在扭转弹簧60的作用力下,针座50复位,打开的缝合针收拢,撤出外套管,将穿过切口组织的缝合线打结即可。 [0030] before the operation, the needle is in the retracted state, the tip of the longitudinal grooves 10 of the outer sleeve 11, is operated, the suture thread the suture channel 21, the suture ends are disposed adjacent to penetrate 2 the eye 30 of the needle 31, and the outer sleeve 10 projects into the incision, the outer sleeve 10 extends into the notch depth, and slowly pushed the plunger 20, the plunger during down, the push rod is hinged the connecting rod is rotatably driven hub 5〇 outwardly, the needle attached to the needle hub 50 to open gradually outward until needle 4 is opened umbrella shaped, at this time, the locking means fixing the push rod, the lift the overtube, the suture needle driven through the tissue incision, and then removed from the suture needle, the outer sleeve is pressed, then press the reset means, under the force of the torsion spring 60, needle hub 50 is reset open the needle retracted, the withdrawal of the outer sleeve, the suture through the tissue incision knotting.

[0031] 在本实施方式中,锁紧装置包括限位块82、压缩弹簧83、复位装置包括限位孔81、 脱开推块S4、复位弹簧S5和复位按钮86;推杆20外壁设置有限位块安装槽22,限位块安装槽22内设置有弹簧座S7,弹簧座87上安装压缩弹簧83,压缩弹簧83的另一端固定于限位块82 的底部;外套管10上设置限位孔12;限位孔12内安装脱开推块84,脱开推块84的端部连接复位按钮86;复位按钮86与外套管1〇外壁之间设置复位弹簧85。 [0031] In the present embodiment, the locking means comprises a stopper 82, a compression spring 83, the reset means comprises a stop hole 81, disengaging the push block S4, S5 and a reset button return spring 86; an outer wall of the push rod 20 provided with a limit bit block mounting groove 22, the stopper attachment groove 22 is provided with a spring seat S7, the spring seat 87 is mounted on a compression spring 83, a compression spring 83 the other end is fixed to the bottom of the stop block 82; a stop is provided on the outer sleeve 10 holes 12; limiting mounting holes 12 disengaged from the pusher block 84, disengage the push block 84 is connected to an end portion of the reset button 86; a return spring 85 disposed between the outer wall 1〇 reset button 86 and the outer sleeve.

[0032] 在本实施方式中,外套管1〇顶部设置有翼片12;推杆20的顶部设置有按压头23,翼片12和按压头23便于操作。 [0032] In the present embodiment, the top of the outer sleeve is provided with a flap 12 1〇; top ram 20 is provided with a pressing head 23, the flap 12 and the pressing head 23 easy to operate.

[0033]按压头23上与缝合针3〇对应的位置标记缝合针位置的标记(图中为画出),通过标记便于直观的观察缝合针在皮下的位置。 [0033] marking location marks the pressing position on the needle head 23 with the corresponding suture needle 3〇 (as shown in FIG.), Visual observation position by the needle under the skin to facilitate marking.

[0034]在本实施方式中,扭转弹簧60包括垂直设置的第一力臂61和第二力臂62;底座40 上设置有用于固定第一力臂61的第一固定槽42;针座50底部设置有用于固定第二力臂62的第二固定槽52。 [0034] In the present embodiment, the torsion spring 60 includes a first vertical arm 61 and a second arm 62 disposed; a first fixing groove 61 for fixing the first arm 42 is disposed on the base 40; 50 needle hub the bottom is provided with a second fixing groove 62 for fixing the second arm 52.

[0035]在本实施方式中,缝合针与针座可以为固定连接或者可拆卸连接。 [0035] In the present embodiment, the suture needle with needle holder may be fixedly connected or detachably connected. 缝合针3〇为可拆卸结构时,该缝合针包括直部32和弯部33;直部32底部设置有外螺纹连接段34;缝合针安装孔51内设置有内螺纹。 When the suture needle 3〇 detachable structure, the suturing needle comprising a straight portion 32 and bent portion 33; straight bottom portion 32 is provided with an outer threaded section 34; provided with an internal thread within the suture mounting holes 51. 缝合针设计为可拆卸连接,可更换,降低成本。 Designed for detachable connection needle, can be replaced, to reduce costs.

[0036]以上显不和描述了本发明的基本原理和主要特征和本发明的优点。 [0036] and described above is not significant and the main features of the basic principles of the present invention and the advantages of the present invention. 本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内。 The industry the art will appreciate, the present invention is not limited to the above embodiment, the above-described examples and embodiments described in the specification are only illustrative of the principles of the present invention, without departing from the spirit and scope of the present invention, the present invention will have various changes and improvements, changes and modifications which fall within the scope of the claimed invention. 本发明要求保护范围由所附的权利要求书及其等效物界定。 The scope of the invention as claimed by the appended claims and their equivalents.

Claims (8)

1. 腹腔镜术后戳卡孔缝合装置,其特征在于:包括外套管、推杆、4根缝合针以及2根缝合线; 所述的外套管为中空管体,外套管的底部安装有底座,外套管与底座连接的一端设置有4个纵向槽;所述底座在与纵向槽相对应的位置设置有凹槽,该凹槽内设置有用于安装缝合针的针座;所述的针座通过销轴和扭转弹簧与底座活动连接;所述针座上设置有缝合针安装孔,该缝合针安装孔与水平线的夹角为50°-60°,所述的缝合针的一端安装于缝合针安装孔内,另一端设置有针眼;所述的推杆内设置有缝合线通道;所述缝合线的两端穿过缝合线通道后分别穿入相邻设置的2个缝合针的针眼内; 所述的推杆设置于外套管内,能够沿着外套管上下移动,推杆底部通过连接杆与所述的针座连接;所述连接杆两端分别与外套管和针座通过销轴铰接连接; 该缝合装置还设置有用于 1. card laparoscopy poke holes stapling apparatus comprising: a outer sleeve, the plunger, the needle 4 and the suture 2; said outer cannula is a hollow tube, the outer sleeve are mounted at the bottom base connected to the base end of the outer sleeve is provided with four longitudinal grooves; said base is provided with a recess at a position corresponding to the longitudinal grooves, provided in the groove for mounting the needle hub; said needle holder by a pin and a torsion spring movably coupled with the base; said hub is provided with a mounting hole suture needle, the needle angle from the horizontal mounting hole 50 ° -60 °, one end of the suture needle is attached to the needle mounting hole, the other end is provided with an eye; said push rod is provided with a suture channel; after each passage through the suture needle penetrates two ends disposed adjacent to the eye of a needle suture within; a plunger disposed in the overtube, the overtube can be moved up and down along the bottom of the push rod connected to the hub via the connecting rod; ends respectively of the connecting rod and the needle hub outer sleeve by a pin hingedly connected; the suturing apparatus is further provided for 定推杆的锁紧装置和复位装置。 Locking means and reset means fixed push rod.
2. 根据权利要求1所述的腹腔镜术后戳卡孔缝合装置,其特征在于:所述的锁紧装置包括限位块、压缩弹簧;所述的复位装置包括限位孔、脱开推块、复位弹簧和复位按钮;所述推杆外壁设置有限位块安装槽,限位块安装槽内设置有弹簧座,弹簧座上安装压缩弹簧,压缩弹簧的另一端固定于限位块的底部;所述外套管上设置限位孔;所述的限位孔内安装脱开推块,脱开推块的端部连接复位按钮;复位按钮与外套管外壁之间设置复位弹簧。 The laparoscopic surgery according to a stamp card hole stapling apparatus of claim wherein: said locking means comprises a stopper, a compression spring; said reset means comprises a limiting hole, disengaged from the push block, and a reset button return spring; an outer wall of the pushrod provided with a limit block mounting groove, the stopper is provided with a spring seat mounting groove, a spring seat mounted a compression spring, a compression spring the other end is fixed to the bottom stopper ; stop provided on the outer sleeve aperture; limit disengagement bore of the pushing block is mounted, an end portion connected to the push block disengagement reset button; a return spring disposed between the outer sleeve and the outer wall of the reset button.
3. 根据权利要求1所述的腹腔镜术后戳卡孔缝合装置,其特征在于:所述推杆内设置有2个缝合线通道。 The laparoscopic surgery according to a stamp card hole stapling apparatus as claimed in claim wherein: said plunger is provided with two suture channels.
4. 根据权利要求1所述的腹腔镜术后戳卡孔缝合装置,其特征在于:所述的外套管顶部设置有翼片;所述推杆的顶部设置有按压头。 The laparoscopic surgery according to a stamp card hole stapling apparatus of claim wherein: said outer sleeve is provided with a top flap; top of the push rod is provided with a pressing head.
5. 根据权利要求4所述的腹腔镜术后戳卡孔缝合装置,其特征在于:所述按压头上与缝合针对应的位置标记缝合针位置的标记。 Laparoscopic surgery according to claim 4, wherein the card poke holes stapling apparatus, wherein: said marker head pressing against the suture needle corresponding to the position of the position mark.
6. 根据权利要求1所述的腹腔镜术后戳卡孔缝合装置,其特征在于:所述扭转弹簧包括垂直设置的第一力臂和第二力臂;所述底座上设置有用于固定第一力臂的第一固定槽;所述针座底部设置有用于固定第二力臂的第二固定槽。 6. The laparoscopic surgery according to claim 1 poke holes card suturing device, wherein: the first arm and the second arm torsion spring comprises a vertically disposed; is provided for fixing the base section fixing a first arm of the groove; fixing the second hub for fixing groove bottom portion of the second arm.
7. 根据权利要求1所述的腹腔镜术后戳卡孔缝合装置,其特征在于:所述的缝合针与针座固定连接。 The laparoscopic surgery according to a stamp card hole stapling apparatus of claim wherein: said needle is fixedly connected with the hub.
8. 根据权利要求1所述的腹腔镜术后戳卡孔缝合装置,其特征在于:所述的缝合针为可拆卸结构,该缝合针包括直部和弯部;所述直部底部设置有外螺纹连接段;缝合针安装孔内设置有内螺纹。 Laparoscopic surgery according to claim 1, wherein said card poke holes stapling apparatus, wherein: said needle is removable structure, the suturing needle comprising a straight portion and a bent portion; of the straight portion is provided with a bottom an externally threaded connecting segment; needle fitting hole is provided with an internal thread.
CN201610180780.1A 2016-03-28 2016-03-28 Laparoscopic suturing device after the engaging holes poke CN105640600B (en)

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