CN105640600B - Hole clipping stitching devices are stabbed after laparoscopy - Google Patents
Hole clipping stitching devices are stabbed after laparoscopy Download PDFInfo
- Publication number
- 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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- CN
- China
- Prior art keywords
- outer tube
- push rod
- stabbed
- sewing needle
- stitching devices
- 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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- 238000002357 laparoscopic surgery Methods 0.000 title claims abstract description 20
- 238000009958 sewing Methods 0.000 claims abstract description 49
- 230000006835 compression Effects 0.000 claims description 9
- 238000007906 compression Methods 0.000 claims description 9
- 238000009434 installation Methods 0.000 claims description 3
- 238000010276 construction Methods 0.000 abstract 1
- 238000010586 diagram Methods 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 3
- 206010019909 Hernia Diseases 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 208000034657 Convalescence Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
- A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
-
- 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
- A61B17/0483—Hand-held instruments for holding sutures
-
- 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
-
- 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
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
Landscapes
- 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)
- Surgical Instruments (AREA)
Abstract
The invention discloses hole clipping stitching devices, including outer tube, push rod, 4 sewing needles and 2 sutures are stabbed after a kind of laparoscopy；One end that outer tube is connected with base is provided with 4 cannelures；Base upper groove, needle stand is provided with the groove；Needle stand is movably connected with the base by bearing pin and torsionspring；Sewing needle mounting hole is provided with the needle stand；One end of sewing needle is installed in sewing needle mounting hole, and the other end is provided with pinprick；Suture channel is provided with push rod；Push rod bottom is connected by connecting rod with described needle stand；Connecting rod both ends are connected with outer tube and needle stand by hinge respectively；Stitching devices are additionally provided with locking device and resetting means for fixing push rod.The present invention is simple in construction, easy to operate, safely and effectively can easily suture laparoscopic surgery wound.
Description
Technical field
The invention belongs to technical field of medical equipment, and in particular to hole clipping stitching devices are stabbed after a kind of laparoscopy.
Background technology
Laparoscopic surgery is widely used as one of minimally invasive surgery essential therapeutic arsenals.Laparoscopic surgery be
Patient abdomen opens three to five apertures, is respectively inserted into camera and operating theater instruments in abdominal cavity by converter, passes through data
The intraperitoneal image that line obtains camera is included on screen, and operative doctor is utilized by observing the image on display screen
The operating theater instruments being inserted into abdominal cavity is performed the operation.The development of laparoscopic surgery, the pain that patient operates on is alleviated, while make disease
The convalescence of people shortens, and is the surgical technic quickly grown in recent years.
The postoperative suture difficulty for stabbing hole clipping of existing laparoscopic surgery is larger, particularly in the thicker situation of fat deposit
Under, because aperture is no more than 12mm, it is difficult to peritoneal layer is sewn onto, once suture is bad, the postoperative generation that may cause to stab card hernia,
And second operation is needed to repair.
The content of the invention
The technical problem to be solved in the present invention is to provide the stitching devices that hole clipping is stabbed after a kind of laparoscopy, postoperative stamp is reduced
The card hernia incidence of disease.
In order to solve the above technical problems, the technical solution adopted by the present invention is：Hole clipping stitching devices, bag are stabbed after laparoscopy
Include outer tube, push rod, 4 sewing needles and 2 sutures；
Described outer tube is hollow tube, and the bottom of outer tube is provided with base, one end that outer tube is connected with base
It is provided with 4 cannelures；The base is fluted in the position setting corresponding with cannelure, is provided with the groove for pacifying
Fill the needle stand of sewing needle；Described needle stand is movably connected with the base by bearing pin and torsionspring；Set on the needle stand seamed
Pin mounting hole is closed, the sewing needle mounting hole and horizontal angle are 50 ° -60 °, and one end of described sewing needle is installed on suture
In pin mounting hole, the other end is provided with pinprick；Suture channel is provided with described push rod；The both ends of the suture pass through
In the pinprick that 2 sewing needles being disposed adjacent are respectively penetrated after suture channel；
Described push rod is arranged in outer tube, can be moved up and down along outer tube, push rod bottom by connecting rod with
Described needle stand connection；The connecting rod both ends are connected with outer tube and needle stand by hinge respectively；
The stitching devices are additionally provided with locking device and resetting means for fixing push rod.
Further, described locking device includes limited block, compression spring；Described resetting means include spacing hole,
Disengage pushing block, back-moving spring and SR；The push rod outer wall is provided with limited block mounting groove, is set in limited block mounting groove
There is spring base, compression spring is installed on spring base, the other end of compression spring is fixed on the bottom of limited block；On the outer tube
Spacing hole is set；Installation disengages pushing block in described spacing hole, disengages the end connection SR of pushing block；SR with it is outer
Back-moving spring is set between sleeve outer wall.
Further, 2 suture channels are provided with the push rod.
Further, it is provided with fin at the top of described outer tube；Press head is provided with the top of the push rod.
Further, on the press head position mark sewing needle position corresponding with sewing needle mark.
Further, the torsionspring includes vertically disposed first arm of force and second arm of force；Set on the base
There is the first fixing groove for fixing first arm of force；The needle stand bottom is provided with the second fixation for fixing second arm of force
Groove.
Further, described sewing needle is fixedly connected with needle stand.
Further, described sewing needle is demountable structure, and the sewing needle includes straight portion and turn of bilge；The straight portion bottom
It is provided with external screw thread linkage section；Internal thread is provided with sewing needle mounting hole.
Beneficial effects of the present invention：The present invention can solve the problem that in the prior art because fatty thickness causes peritoneal stitches bad
The problem of, sewing needle is opened after outer tube is stretched into otch, by locking device spacing, it is in umbrella-shaped structure to make sewing needle, then
Outer tube, which is above carried, can carry out suture operation, and operation is not limited by fatty thickness, can safely and effectively be carried out, and operate
Safe and convenient.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention.
Fig. 2 is the structural representation of outer tube.
Fig. 3 is the structural representation of base.
Fig. 4 is base and needle stand connection diagram.
Fig. 5 is suture needle open schematic diagram.
Fig. 6 is push rod and needle stand connection diagram.
Fig. 7 is the structural representation of locking device and resetting means.
Fig. 8 is the structural representation of sewing needle.
Embodiment
Technical scheme is elaborated below in conjunction with the accompanying drawings.
As shown in figures 1-8, it is stamp hole clipping stitching devices after the laparoscopy of the present invention, including outer tube 10, push rod 20,4
Root sewing needle 30 and 2 sutures（It is not drawn into figure）.
Outer tube 10 is hollow tube, and the bottom of outer tube 10 is provided with base 40, and outer tube 10 is connected with base 40
One end is provided with 4 cannelures 11；Base 40 sets fluted 41 in the position corresponding with cannelure 11, is set in the groove 41
It is equipped with the needle stand 50 for installing sewing needle 30；Needle stand 50 is flexibly connected by bearing pin 90 and torsionspring 60 with base 40；Pin
Sewing needle mounting hole 51 is provided with seat 50, the sewing needle mounting hole and horizontal angle are 50 ° -60 °, one end of sewing needle
It is installed in sewing needle mounting hole 51, the other end is provided with pinprick 31；Suture channel 21 is provided with push rod 20；Suture
Both ends are respectively penetrated in the pinpricks 31 of 2 sewing needles 30 being disposed adjacent after passing through suture channel 21.
Push rod 20 is arranged in outer tube 10, can be moved up and down along outer tube 10, and the bottom of push rod 20 passes through connecting rod
70 are connected with needle stand 50；The both ends of connecting rod 70 are connected with outer tube 10 and needle stand 50 by hinge respectively；
The stitching devices are additionally provided with locking device and resetting means for fixing push rod.
Before operation, sewing needle is in rounding state, and needle point is located in the cannelure 11 of outer tube 10, during operation, will suture
Line penetrates suture channel 21, and the both ends of suture are respectively penetrated in the pinprick 31 for 2 sewing needles 30 being disposed adjacent, and then will
Outer tube 10 is put in operative incision, and outer tube 10 is stretched into otch after certain depth, slowly pushes push rod 20, and push rod is moving down
During, the connecting rod being hinged with push rod then promotes needle stand 50 to be turned out, be installed on sewing needle in needle stand 50 slowly to
Outer opening, until 4 suture needle opens are in umbrella, now, locking device fixes push rod, and outer tube is lifted, sewing needle band
Dynamic suture passes through incision tissue, and then suture is removed from sewing needle, presses outer tube, after press resetting means again,
Under the active force of torsionspring 60, needle stand 50 resets, and the sewing needle of opening collapses, and withdraws from outer tube, will pass through incision tissue
Suture knot.
In the present embodiment, locking device include limited block 82, compression spring 83, resetting means include spacing hole 81,
Disengage pushing block 84, back-moving spring 85 and SR 86；The outer wall of push rod 20 is provided with limited block mounting groove 22, limited block mounting groove
Spring base 87 is provided with 22, compression spring 83 is installed on spring base 87, the other end of compression spring 83 is fixed on limited block 82
Bottom；Spacing hole 12 is set on outer tube 10；Installation disengages pushing block 84 in spacing hole 12, and the end connection for disengaging pushing block 84 is multiple
Position button 86；Back-moving spring 85 is set between SR 86 and the outer wall of outer tube 10.
In the present embodiment, the top of outer tube 10 is provided with fin 12；The top of push rod 20 is provided with press head 23, the wing
Piece 12 and press head 23 are easy to operation.
The mark of position mark sewing needle position corresponding with sewing needle 30 on press head 23（It is to draw in figure）, pass through mark
Note is easy to intuitively observe sewing needle in subcutaneous position.
In the present embodiment, torsionspring 60 includes the vertically disposed arm of force 62 of first arm of force 61 and second；Base 40
On be provided with the first fixing groove 42 for fixing first arm of force 61；The bottom of needle stand 50 is provided with for fixing second arm of force 62
Second fixing groove 52.
In the present embodiment, sewing needle can be to be fixedly connected or be detachably connected with needle stand.Sewing needle 30 is can
During detaching structure, the sewing needle includes straight portion 32 and turn of bilge 33；Straight portion 32 bottom is provided with external screw thread linkage section 34；Sewing needle is pacified
Dress is provided with internal thread in hole 51.Sewing needle is designed as being detachably connected, replaceable, reduces cost.
The general principle and principal character and advantages of the present invention of the present invention has been shown and described above.The technology of the industry
Personnel are it should be appreciated that the present invention is not limited to the above embodiments, and the simply explanation described in above-described embodiment and specification is originally
The principle of invention, without departing from the spirit and scope of the present invention, various changes and modifications of the present invention are possible, these changes
Change and improvement all fall within the protetion scope of the claimed invention.The claimed scope of the invention by appended claims and its
Equivalent thereof.
Claims (8)
1. hole clipping stitching devices are stabbed after laparoscopy, it is characterised in that：Including outer tube, push rod, 4 sewing needles and 2 seams
Zygonema；
Described outer tube is hollow tube, and the bottom of outer tube is provided with base, and one end that outer tube is connected with base is set
There are 4 cannelures；The base is fluted in the position setting corresponding with cannelure, is provided with the groove for installing seam
Close the needle stand of pin；Described needle stand is movably connected with the base by bearing pin and torsionspring；Sewing needle is provided with the needle stand
Mounting hole, the sewing needle mounting hole and horizontal angle are 50 ° -60 °, and one end of described sewing needle is installed on sewing needle peace
Fill in hole, the other end is provided with pinprick；Suture channel is provided with described push rod；The both ends of the suture pass through suture
In the pinprick that 2 sewing needles being disposed adjacent are respectively penetrated after line passage；
Described push rod is arranged in outer tube, can be moved up and down along outer tube, push rod bottom by connecting rod with it is described
Needle stand connection；The connecting rod both ends are connected with outer tube and needle stand by hinge respectively；
The stitching devices are additionally provided with locking device and resetting means for fixing push rod.
2. hole clipping stitching devices are stabbed after laparoscopy according to claim 1, it is characterised in that：Described locking device bag
Include limited block, compression spring；Described resetting means includes spacing hole, disengages pushing block, back-moving spring and SR；It is described to push away
Bar outer wall is provided with limited block mounting groove, and spring base is provided with limited block mounting groove, and compression spring is installed on spring base, compression
The other end of spring is fixed on the bottom of limited block；Spacing hole is set on the outer tube；Installation disengages in described spacing hole
Pushing block, disengage the end connection SR of pushing block；Back-moving spring is set between SR and overcoat pipe outer wall.
3. hole clipping stitching devices are stabbed after laparoscopy according to claim 1, it is characterised in that：It is provided with the push rod
2 suture channels.
4. hole clipping stitching devices are stabbed after laparoscopy according to claim 1, it is characterised in that：At the top of described outer tube
It is provided with fin；Press head is provided with the top of the push rod.
5. hole clipping stitching devices are stabbed after laparoscopy according to claim 4, it is characterised in that：On the press head with seam
Close the mark of position mark sewing needle position corresponding to pin.
6. hole clipping stitching devices are stabbed after laparoscopy according to claim 1, it is characterised in that：The torsionspring includes
Vertically disposed first arm of force and second arm of force；The first fixing groove for fixing first arm of force is provided with the base；Institute
State needle stand bottom and be provided with the second fixing groove for fixing second arm of force.
7. hole clipping stitching devices are stabbed after laparoscopy according to claim 1, it is characterised in that：Described sewing needle and pin
Seat is fixedly connected.
8. hole clipping stitching devices are stabbed after laparoscopy according to claim 1, it is characterised in that：Described sewing needle is can
Detaching structure, the sewing needle include straight portion and turn of bilge；The straight portion bottom is provided with external screw thread linkage section；In sewing needle mounting hole
It is provided with internal thread.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610180780.1A CN105640600B (en) | 2016-03-28 | 2016-03-28 | Hole clipping stitching devices are stabbed after laparoscopy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610180780.1A CN105640600B (en) | 2016-03-28 | 2016-03-28 | Hole clipping stitching devices are stabbed after laparoscopy |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105640600A CN105640600A (en) | 2016-06-08 |
| CN105640600B true CN105640600B (en) | 2018-03-27 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610180780.1A Active CN105640600B (en) | 2016-03-28 | 2016-03-28 | Hole clipping stitching devices are stabbed after laparoscopy |
Country Status (1)
| Country | Link |
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| CN (1) | CN105640600B (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110559027B (en) * | 2019-07-29 | 2024-08-23 | 中国人民解放军陆军军医大学第二附属医院 | Abdominal wall puncture stabbing hole stitching device |
| CN111388036A (en) * | 2020-03-27 | 2020-07-10 | 宁波市医疗中心李惠利医院 | Multifunctional suturing and ligating instrument under laparoscope |
| CN111658053A (en) * | 2020-07-02 | 2020-09-15 | 上海拓舜医疗科技有限公司 | Hemostatic buckle |
| CN113907815B (en) * | 2021-09-03 | 2023-07-25 | 温州医科大学附属第一医院 | Anus single-hole cavity mirror suturing device |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN105640600A (en) | 2016-06-08 |
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