CN105902286A - Stapler type endoscope suturing instrument - Google Patents

Stapler type endoscope suturing instrument Download PDF

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Publication number
CN105902286A
CN105902286A CN201610309416.0A CN201610309416A CN105902286A CN 105902286 A CN105902286 A CN 105902286A CN 201610309416 A CN201610309416 A CN 201610309416A CN 105902286 A CN105902286 A CN 105902286A
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CN
China
Prior art keywords
needle
stapler
suturing
tissue
suture device
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.)
Granted
Application number
CN201610309416.0A
Other languages
Chinese (zh)
Other versions
CN105902286B (en
Inventor
肖尧生
苏军凯
张鸣青
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175th Hospital of PLA
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175th Hospital of PLA
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Application filed by 175th Hospital of PLA filed Critical 175th Hospital of PLA
Priority to CN201610309416.0A priority Critical patent/CN105902286B/en
Publication of CN105902286A publication Critical patent/CN105902286A/en
Application granted granted Critical
Publication of CN105902286B publication Critical patent/CN105902286B/en
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00089—Hoods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0649—Coils or spirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139—Side-to-side connections, e.g. shunt or X-connections

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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)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a stapler type endoscope suturing instrument. According to the stapler type endoscope suturing instrument, tissue needing to be sutured is sutured together through a suturing needle; the suturing needle comprises a middle part and needle tips located at the two ends of the middle part respectively and is made of memory alloy, the two needle tips are connected together in the original state of the suturing needle, and the two needle tips of the suturing needle can be opened to be separated; the two needle tips of the suturing needle are opened through a driver installed in the suturing instrument, and driving is performed when the suturing needle reaches the position where the needle tips can pierce tissue so that the suturing needle can pierce tissue and be restored to the original state to achieve suturing. The method of stapling a wound or tissue stitch by stitch with the stapler type endoscope suturing instrument is novel and easy to implement, and solves the problem that tissue is likely to be unexpectedly injured in a traditional suturing method.

Description

A kind of stapler-type endoscopic suture device
Technical field
The present invention relates to a kind of operating theater instruments, particularly relate to a kind of stapler-type endoscopic suture device.
Background technology
At present, when needs are sewed up a wound or connect tissue, the sewing needle generally used is needle bent, by rotation Turn sewing needle to sew up.But when the internal medicine operation carrying out space and have tunnel vision, this suture way is not Easily operation, and easily tissue or wound are caused damage, the sewing needle of bending needs to first pass through scope and enters, Also need to insert nipper to do a good job of it the both sides of tissue or wound, re-use pliers catch sewing needle carry out rotate stitching. Therefore, operating difficulties, the sewing needle of bending is also easy to tissue or wound are caused less desirable infringement.
Summary of the invention
The invention provides a kind of stapler-type endoscopic suture device, which overcome endoscopic surgery in background technology and sew up Existing deficiency.
The present invention solves being the technical scheme is that of its technical problem
A kind of stapler-type endoscopic suture device, it is arranged in hyaline cap, and it uses sewing needle will need to sew up Together, described sewing needle includes pars intermedia and lays respectively at the needle point at pars intermedia two ends, described seam tissue apposition Closing pin to be made up of memorial alloy, its initial condition is that two needle points are connected together, two pins of described sewing needle Point can softened separate；Utilize the driver being arranged in stiching instrument that the two of sewing needle needle points are strutted and arrived Reach and drive when needle point penetrates the position of tissue so that sewing needle penetrates tissue and recovers initial condition and realize stitching.
In a further preferred embodiment, described driver includes the conduit being furnished with two needle point baffle plates, and baffle plate is relative Move back and forth with predetermined direction between operating position and off-position in conduit.
In a further preferred embodiment, described conduit is annulus, and sleeve is provided with opening of corresponding described needle point Hole.
In a further preferred embodiment, spring is used to connect between two needle point baffle plates, two baffle plate move toward one another. Drive two baffle plate motions is stay cord.
In a further preferred embodiment, it is additionally provided with restriction baffle plate in conduit and moves to the fixing wall of operating position.
In a further preferred embodiment, the initial condition of described sewing needle is circular, a diameter of 8mm.
The technical program is compared with background technology, and it has the advantage that
1, by the way of using stapler-type stiching instrument by wound or tissue one pin one pin stitching, method is novel, Simple to operate, overcome the problem easily tissue being caused undesirably wound in tradition suture way.
2, sewing needle simple in construction is the most novel, uses it to carry out sewing up easy to operate.
3, activation configuration is simple, uses stay cord to pull i.e. releasable sewing needle.
4, spring can make baffle plate automatically recover, and facilitates the preparation of next pin.
Accompanying drawing explanation
The invention will be further described with embodiment below in conjunction with the accompanying drawings.
Fig. 1 is the structural representation of the stiching instrument of the present invention.
Fig. 2 is the sectional view one of the stiching instrument in Fig. 1, and now sewing needle is in softened state.
Fig. 3 is the sectional view two of the stiching instrument in Fig. 1, and now sewing needle is released.
Fig. 4 is the structural representation one of the sewing needle of the present invention, and now sewing needle is in softened state.
Fig. 5 is the structural representation two of the sewing needle of the present invention, and now sewing needle is in original state.
Fig. 6 is the design sketch of the staplers wound using the present invention.
Detailed description of the invention
Embodiment, refer to Fig. 1 to Fig. 5, a kind of stapler-type endoscopic suture device, and its use sewing needle 1 will Needing the tissue apposition of stitching together, described sewing needle 1 includes pars intermedia 12 and lays respectively at pars intermedia two The needle point 13 of end, described sewing needle 1 is made up of memorial alloy, and its initial condition is that two needle points are connected on one mutually Rise, as it is shown in figure 5, sewing needle 1 is circular stapler pin, a diameter of 8mm during initial condition；Described sewing needle Two needle points 13 of 1 can softened separate, as shown in Figure 4；The driver that utilization is arranged in stiching instrument will Two needle points 13 of sewing needle 1 strut and drive so that sewing up when arrival needle point 13 penetrates the position of tissue Pin 1 penetrate tissue and recover initial condition realize sew up, its sewing effect figure is shown in Figure 6.Including In videoendoscopic surgery, this stiching instrument is mounted in hyaline cap 3, and hyaline cap 3 can be connected to inner lens biopsy pipe On road.
In the present embodiment, described driver includes the conduit being furnished with two needle point baffle plates 21, and baffle plate 21 is relative Move back and forth with predetermined direction between operating position and off-position in conduit.Two needle points of sewing needle 1 13 is the most softened and be in two baffle plates 21 of operating position and strut fixing, and now sewing needle 1 is bending Shape, when two baffle plates 21 move in conduit and release the stop to two needle points 13, and sewing needle 1 is released Put penetrate tissue and return to its initial condition to realize sewing up.
In the present embodiment, described conduit is annulus 22, and it is fixed in hyaline cap 3, annulus 22 It is provided with the perforate 23 of corresponding described needle point 13.Spring 24 is used to connect between two needle point baffle plates 21, with Make two baffle plates 21 by means of spring return in its operating position, two baffle plate 21 move toward one another in sleeve 22. Drive two baffle plate 21 motions is stay cord 25, and sleeve 22 is provided with the hole 26 of corresponding described stay cord 25. It is additionally provided with restriction baffle plate 21 in sleeve 22 and moves to the fixing wall 27 of operating position.
When using staplers wound or the tissue of the present embodiment, with tissue clamps by wound both sides skin upwards Upset, and draw laminating over to one's side, by stiching instrument perpendicular alignmnet, pulling stay cord 25, two needle point baffle plates 21 are at sleeve 22 move toward one another, and release the stop to two needle points 13, sewing needle 1 is released penetrate tissue and recover Becoming circle shape to sew up a wound, simultaneously because the effect of spring 24, two baffle plate 21 motions return, and Fixing wall spacing under, stop at its operating position, to carry out the preparation of next pin.
Understanding, in addition to the implementation, the present invention can also use the driver of other structures to realize sewing up Fixing and the release of pin 1, such as, the direction of motion of baffle plate is not that the direction of principal axis such as embodiment with hyaline cap hangs down Directly, but parallel with the direction of principal axis of hyaline cap or intersect, the direction of motion of two baffle plates is not in opposite directions but phase With.
The above, only present pre-ferred embodiments, therefore the scope that the present invention implements can not be limited according to this, The equivalence change i.e. made according to the scope of the claims of the present invention and description and modification, all should still belong to the present invention and contain In the range of.

Claims (7)

1. a stapler-type endoscopic suture device, it is characterised in that: it is arranged in hyaline cap, and it uses seam Closing pin and will need the tissue apposition of stitching together, described sewing needle includes pars intermedia and lays respectively at pars intermedia The needle point at two ends, described sewing needle is made up of memorial alloy, and its initial condition is that two needle points are connected together, Two needle points of described sewing needle can softened separate；Utilize the driver being arranged in stiching instrument by sewing needle Two needle points strut and drive when arriving needle point and penetrating the position of tissue so that sewing needle penetrates tissue extensive Multiple initial condition realizes sewing up.
A kind of stapler-type endoscopic suture device the most according to claim 1, it is characterised in that drive described in: Dynamic device includes the conduit being furnished with two needle point baffle plates, baffle plate relative to conduit in operating position and off-position it Between with predetermined direction move back and forth.
A kind of stapler-type endoscopic suture device the most according to claim 2, it is characterised in that: described groove Road is annulus, and sleeve is provided with the perforate of corresponding described needle point.
A kind of stapler-type endoscopic suture device the most according to claim 2, it is characterised in that: two pins Spring is used to connect between point baffle plate, two baffle plate move toward one another.
A kind of stapler-type endoscopic suture device the most according to claim 2, it is characterised in that: drive two The motion of individual baffle plate is stay cord.
A kind of stapler-type endoscopic suture device the most according to claim 2, it is characterised in that: in conduit It is additionally provided with restriction baffle plate and moves to the fixing wall of operating position.
A kind of stapler-type endoscopic suture device the most according to claim 1, it is characterised in that: described seam The initial condition closing pin is circular, a diameter of 8mm.
CN201610309416.0A 2016-05-11 2016-05-11 A kind of stapler-type endoscopic suture device Active CN105902286B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610309416.0A CN105902286B (en) 2016-05-11 2016-05-11 A kind of stapler-type endoscopic suture device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610309416.0A CN105902286B (en) 2016-05-11 2016-05-11 A kind of stapler-type endoscopic suture device

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CN105902286A true CN105902286A (en) 2016-08-31
CN105902286B CN105902286B (en) 2018-11-02

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106725673A (en) * 2017-03-16 2017-05-31 李达周 Endoscopic suture device
CN107320159A (en) * 2017-06-23 2017-11-07 董念国 Femoral artery puncture stitching devices
FR3138766A1 (en) 2022-08-11 2024-02-16 Fondation De Cooperation Scientifique - Fcs Ihu De Strasbourg Surgical suture system including improved cap

Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0419071A2 (en) * 1989-08-31 1991-03-27 TAYLOR, James Improvements in surgical stapling devices
US5618311A (en) * 1994-09-28 1997-04-08 Gryskiewicz; Joseph M. Surgical subcuticular fastener system
CN1316889A (en) * 1998-07-15 2001-10-10 圣朱德医疗有限公司 Tricuspid valve and tricuspid valve repair
US20060293554A1 (en) * 2005-06-24 2006-12-28 Crawford Bruce S Surgical Introducer Apparatus and Methods of Use
US20080173691A1 (en) * 2007-01-24 2008-07-24 Medtronic Vascular, Inc. Low-Profile Vascular Closure Systems and Methods of Using Same
US20080300628A1 (en) * 2007-06-01 2008-12-04 Abbott Laboratories Medical Devices
US20090242609A1 (en) * 2008-03-31 2009-10-01 Medtronic Vascular, Inc. Vascular Puncture Closure Staple With Tip Protection
CN103654892A (en) * 2013-12-25 2014-03-26 江敏 Incision suturing device after laparoscopic surgery
US20150080914A1 (en) * 2013-09-16 2015-03-19 Oregon Health & Science University Bioabsorbable clips and applicator for tissue closure
CN206063188U (en) * 2016-05-11 2017-04-05 中国人民解放军第一七五医院 Stapler-type endoscopic suture device

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0419071A2 (en) * 1989-08-31 1991-03-27 TAYLOR, James Improvements in surgical stapling devices
US5618311A (en) * 1994-09-28 1997-04-08 Gryskiewicz; Joseph M. Surgical subcuticular fastener system
CN1316889A (en) * 1998-07-15 2001-10-10 圣朱德医疗有限公司 Tricuspid valve and tricuspid valve repair
US20060293554A1 (en) * 2005-06-24 2006-12-28 Crawford Bruce S Surgical Introducer Apparatus and Methods of Use
US20080173691A1 (en) * 2007-01-24 2008-07-24 Medtronic Vascular, Inc. Low-Profile Vascular Closure Systems and Methods of Using Same
US20080300628A1 (en) * 2007-06-01 2008-12-04 Abbott Laboratories Medical Devices
US20090242609A1 (en) * 2008-03-31 2009-10-01 Medtronic Vascular, Inc. Vascular Puncture Closure Staple With Tip Protection
US20150080914A1 (en) * 2013-09-16 2015-03-19 Oregon Health & Science University Bioabsorbable clips and applicator for tissue closure
CN103654892A (en) * 2013-12-25 2014-03-26 江敏 Incision suturing device after laparoscopic surgery
CN206063188U (en) * 2016-05-11 2017-04-05 中国人民解放军第一七五医院 Stapler-type endoscopic suture device

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106725673A (en) * 2017-03-16 2017-05-31 李达周 Endoscopic suture device
CN106725673B (en) * 2017-03-16 2023-02-14 中国人民解放军联勤保障部队第九00医院 Endoscope stitching instrument
CN107320159A (en) * 2017-06-23 2017-11-07 董念国 Femoral artery puncture stitching devices
FR3138766A1 (en) 2022-08-11 2024-02-16 Fondation De Cooperation Scientifique - Fcs Ihu De Strasbourg Surgical suture system including improved cap

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