CN105919636A - Rotatable stapler type endoscope stitching instrument - Google Patents

Rotatable stapler type endoscope stitching instrument Download PDF

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Publication number
CN105919636A
CN105919636A CN201610309552.XA CN201610309552A CN105919636A CN 105919636 A CN105919636 A CN 105919636A CN 201610309552 A CN201610309552 A CN 201610309552A CN 105919636 A CN105919636 A CN 105919636A
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CN
China
Prior art keywords
sewing needle
needle
rotatable
tissue
clip
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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
CN201610309552.XA
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Chinese (zh)
Other versions
CN105919636B (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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Priority to CN201610309552.XA priority Critical patent/CN105919636B/en
Publication of CN105919636A publication Critical patent/CN105919636A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0609Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument

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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 rotatable stapler type endoscope stitching instrument. The stapler type endoscope stitching instrument is mounted in a transparent hood, and is used for suturing to-be-sutured tissues together by adopting a suture needle, wherein the suture needle comprises a middle part and needle points respectively positioned on the two ends of the middle part, and is made of memory alloy, the original state of the suture needle is that the two needle points are connected together, and the two needle points of the suture needle can be supported open to be separated; a rotatable drive device mounted in the stitching instrument is used for supporting open the two needle points of the suture needle and carrying out driving to enable the suture needle to penetrate through the tissue (when the needle points reach the tissue penetrating position) and recover the original state position, so that the suture is realized. The manner of stapling the wound or tissue stitch by stitch by adopting the stapler type endoscope stitching instrument is adopted, the method is novel, the operation is simple, and the problem that the undesirable injuries are caused to the tissue easily in the traditional suturing manner is solved; the drive device can rotate in the transparent hood, so that the purpose of adjusting the direction of the suture needle is achieved.

Description

A kind of rotatable stapler-type endoscopic suture device
Technical field
The present invention relates to a kind of operating theater instruments, particularly relate to a kind of rotatable 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 rotatable stapler-type endoscopic suture device, which overcome scope in background technology Deficiency existing for operation stitching.
The present invention solves being the technical scheme is that of its technical problem
A kind of rotatable stapler-type endoscopic suture device, it is arranged in hyaline cap, and it uses sewing needle need to Together, described sewing needle includes pars intermedia and lays respectively at the needle point at pars intermedia two ends tissue apposition to be sewed up, Described sewing needle is made up of memorial alloy, and its reset condition is that two needle points are connected together, described sewing needle Two needle points can softened separate;Utilize the driver walked around being arranged in stitching unstrument by the two of sewing needle Needle point struts and drives so that sewing needle penetrates tissue and recovers original shape when arrival needle point penetrates the position of tissue State realizes sewing up.
In a further preferred embodiment, described driver includes the punch block being furnished with at least two sewing needle clip, pin Frame is rotatable in hyaline cap, and described clip is used for clamping sewing needle to strut sewing needle and when clip is opened To discharge sewing needle.
In a further preferred embodiment, described sewing needle clip is preferably three and more than three.
In a further preferred embodiment, described clip includes an open annular sleeve, and sewing needle can be put by opening Enter in sleeve, in annulus, be provided with fixing pedestal and the movable sewing needle gear for opening and closing opening Plate, baffle plate is to be connected on pedestal by spring, is additionally provided with stay cord to drive baffle plate movable.
In a further preferred embodiment, the reset 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 stitching unstrument 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;And driver In hyaline cap rotatable, reach adjust sewing needle direction purpose.
2, sewing needle simple in construction is the most novel, uses it to carry out sewing up easy to operate.
3, using the mode of multiple clip to clamp sewing needle, clamping is stable, and release settles at one go.
4, activation configuration is simple, uses stay cord to pull i.e. releasable sewing needle.
5, 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 stitching unstrument of the present invention.
Fig. 2 is the sectional view one of the clip of the stitching unstrument in Fig. 1, and now clip is in clamp position.
Fig. 3 is the sectional view two of the clip of the stitching unstrument in Fig. 1, and now clip is in open mode.
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, and a kind of rotatable stapler-type endoscopic suture device, it uses seam Closing pin 1 and will need the tissue apposition of stitching together, described sewing needle 1 includes pars intermedia 12 and lays respectively at The needle point 13 at pars intermedia two ends, described sewing needle 1 is made up of memorial alloy, and its reset condition is two needle points It is connected together, as it is shown in figure 5, sewing needle 1 is circular stapler pin, a diameter of 8mm during reset condition;Institute Two needle points 13 stating sewing needle 1 can softened separate, as shown in Figure 4;Utilize and be arranged in stitching unstrument Two needle points 13 of sewing needle 1 are strutted and penetrate the position of tissue at arrival needle point 13 by rotatable driver When putting drive so that sewing needle 1 penetrate tissue and recover reset condition realize sew up, its sewing effect figure ginseng As shown in Figure 6.In endoscopic surgery, this stitching unstrument is mounted in hyaline cap 3, and hyaline cap 3 can connect It is connected on inner lens biopsy pipeline.
In the present embodiment, described driver includes the punch block 4 being furnished with at least two sewing needle clip 2, punch block 4 In hyaline cap 3 rotatable, described clip 2 is used for clamping sewing needle 1 to strut sewing needle 1 and at folder To discharge sewing needle 1 when button 2 is opened.Two needle points 13 of sewing needle 1 are the most softened and pressed from both sides by clip 2 Holding fixing, now sewing needle 1 is Curved, when the stop to two needle points 13 is opened and released to clip 2, Sewing needle 1 is released penetrate tissue and return to its reset condition to realize sewing up.
Described sewing needle clip 2 is preferably three and more than three.In the present embodiment, the quantity of clip 2 is 4.
Described clip 2 includes an open annular sleeve 21, and sewing needle 1 can put into sleeve 21 by opening 22, Fixing pedestal 23 and the movable sewing needle baffle plate for opening and closing opening 22 it is provided with in annulus 21 24, baffle plate 24 is to be connected on pedestal 23 by spring 25, is additionally provided with stay cord 26 to drive baffle plate 24 movable.
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 stitching unstrument perpendicular alignmnet, pull stay cord 26, baffle plate 24 quilt in sleeve 21 Pulling to open opening 22, and release and grip sewing needle needle body, sewing needle 1 is released to penetrate Organizing and revert to circle shape to sew up a wound, simultaneously because the effect of spring 25, baffle plate 24 motion is returned Return, and pedestal 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 (5)

1. a rotatable stapler-type endoscopic suture device, it is characterised in that: it is arranged in hyaline cap, It uses sewing needle will need the tissue apposition of stitching together, and described sewing needle includes pars intermedia and difference position In the needle point at pars intermedia two ends, described sewing needle is made up of memorial alloy, and its reset condition is two needle point phases Being connected together, two needle points of described sewing needle can softened separate;Utilize be arranged in stitching unstrument to turn The driver turned the two of sewing needle needle points are strutted and drive when needle point penetrates the position of tissue arriving so that Sewing needle penetrate tissue and recover reset condition realize sew up.
One the most according to claim 1 rotatable stapler-type endoscopic suture device, its feature exists In: described driver includes the punch block being furnished with at least two sewing needle clip, and punch block is rotatable in hyaline cap, Described clip is used for clamping sewing needle to strut sewing needle and when clip is opened to discharge sewing needle.
One the most according to claim 2 rotatable stapler-type endoscopic suture device, its feature exists In: described sewing needle clip is preferably three and more than three.
One the most according to claim 2 rotatable stapler-type endoscopic suture device, its feature exists In: described clip includes an open annular sleeve, and sewing needle can put into sleeve, annulus by opening Inside being provided with fixing pedestal and the movable sewing needle baffle plate for opening and closing opening, baffle plate is by bullet Spring is connected on pedestal, is additionally provided with stay cord to drive baffle plate movable.
One the most according to claim 1 rotatable stapler-type endoscopic suture device, its feature exists In: the reset condition of described sewing needle is circular, a diameter of 8mm.
CN201610309552.XA 2016-05-11 2016-05-11 A kind of rotatable stapler-type endoscopic suture device Active CN105919636B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610309552.XA CN105919636B (en) 2016-05-11 2016-05-11 A kind of rotatable stapler-type endoscopic suture device

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102016208624A1 (en) * 2016-05-19 2017-11-23 Universität Ulm Apparatus for modifying an endoscope, modified endoscope and its use in gastrointestinal endoscopy and a method for suturing a wound
CN111938727A (en) * 2020-08-19 2020-11-17 郑州铁路职业技术学院 Suturing device for surgical operation

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2613240Y (en) * 2003-01-22 2004-04-28 林远斌 Memory fixing thread free suture needle, suture and stitches forceps
DE202009006116U1 (en) * 2009-04-24 2009-07-02 Aesculap Ag Surgical instrument for applying ligature clips
CN101677819A (en) * 2007-05-02 2010-03-24 内基因控股有限公司 Apparatus for delivering shape memory alloy staples
CN205988299U (en) * 2016-05-11 2017-03-01 中国人民解放军第一七五医院 Rotatable stapler-type endoscopic suture device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2613240Y (en) * 2003-01-22 2004-04-28 林远斌 Memory fixing thread free suture needle, suture and stitches forceps
CN101677819A (en) * 2007-05-02 2010-03-24 内基因控股有限公司 Apparatus for delivering shape memory alloy staples
DE202009006116U1 (en) * 2009-04-24 2009-07-02 Aesculap Ag Surgical instrument for applying ligature clips
CN205988299U (en) * 2016-05-11 2017-03-01 中国人民解放军第一七五医院 Rotatable stapler-type endoscopic suture device

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102016208624A1 (en) * 2016-05-19 2017-11-23 Universität Ulm Apparatus for modifying an endoscope, modified endoscope and its use in gastrointestinal endoscopy and a method for suturing a wound
DE102016208624B4 (en) * 2016-05-19 2018-02-15 Universität Ulm Apparatus for modifying an endoscope, modified endoscope and its use in gastrointestinal endoscopy and a method for suturing a wound
CN111938727A (en) * 2020-08-19 2020-11-17 郑州铁路职业技术学院 Suturing device for surgical operation
CN111938727B (en) * 2020-08-19 2021-07-20 郑州铁路职业技术学院 Suturing device for surgical operation

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