CN105943101A - Puncture hole suturing device for minimally invasive surgery - Google Patents
Puncture hole suturing device for minimally invasive surgery Download PDFInfo
- Publication number
- CN105943101A CN105943101A CN201610561624.XA CN201610561624A CN105943101A CN 105943101 A CN105943101 A CN 105943101A CN 201610561624 A CN201610561624 A CN 201610561624A CN 105943101 A CN105943101 A CN 105943101A
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- China
- Prior art keywords
- handle
- stiching instrument
- minimally invasive
- invasive surgery
- support bar
- 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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Classifications
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- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic 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
- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/047—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
-
- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0472—Multiple-needled, e.g. double-needled, instruments
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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 relates to a puncture hole suturing device for minimally invasive surgery. The suturing device comprises a supporting rod, a handle assembly and a suturing assembly. The handle assembly is arranged at one end of the supporting rod, and the suturing assembly is arranged at the other end of the supporting rod. The handle assembly comprises a handle bracket (1), double-side handle rings (2), a needle holding handle (3), a sliding circular ring handle (4) for double needle opening and closing and a sliding circular ring handle lock catch (12), wherein the circular ring handle and the double-side handle rings are arranged on the supporting rod, the sliding circular ring handle lock catch (12) is arranged on the sliding circular ring handle (4), the double-side handle rings (2) are arranged on the two sides of the needle holding handle (3), and the handle bracket (1) is arranged at the end of the supporting rod. According to the technical scheme, a suturing double needle, an upper hinge rod and a lower hinge rod can be rotationally adjusted at any angle, operation is flexible and convenient, and the suturing mode of outward pricking of an interior needle entering the enterocoelia is achieved.
Description
Technical field
The present invention relates to a kind of stiching instrument, be specifically related to a kind of Minimally Invasive Surgery puncturing hole stiching instrument, belong to technical field of medical instruments.
Background technology
In Wicresoft's medical-therapeutic treatment of human body operation, in body, once find focus, need operation or excision, in operation process, firstly the need of application is perforator, and perforator is a kind of operating theater instruments piercing through stomach wall and providing entrance lumenal passageway for other operating theater instruments, belongs to a kind of Minimally Invasive Surgery apparatus.Laparoscopic surgery is now widely used surgery Minimally Invasive Surgery form, beats the aperture of 3-4 1CM diameter in operation process on stomach wall, by aperture, sight glass and Minimally Invasive Surgery apparatus is entered abdominal cavity and is operated.But often skin and subcutaneous fat can only be sewed up when aperture after surgery is sewed up, and the peritoneum inside stomach wall cannot be sewed up, and peritoneal layer opening occurs, causes omentum majus, intestinal tube adhesion, postoperative complication occurs.Those skilled in the art is also attempting multiple method, but this problem is never properly settled.
Summary of the invention
The present invention is just for technical problem present in prior art, it is provided that the stiching instrument of the Foldable that the puncturing hole of a kind of Minimally Invasive Surgery stomach wall frees in and out, the program can make the stomach wall whole layer suture finally closed up.
To achieve these goals, technical scheme is as follows, a kind of Minimally Invasive Surgery puncturing hole stiching instrument, and described stiching instrument includes support bar, Handleset and suturing assembly, described Handleset is arranged on one end of support bar, and suturing assembly is arranged on the other end of support bar.The stomach wall hole whole layer suture operating theater instruments used in surgery Minimally Invasive Surgery, in Minimally Invasive Surgery limited because of the visual field and suture needle size, when sewing up in outside, peritoneum inside abdominal part often cannot be sewed up, postoperative multiple sequela is caused to occur, the stiching instrument of a Foldable freed in and out by the puncturing hole of Minimally Invasive Surgery stomach wall of this Technical Design, overcomes technical barrier present in prior art.
As a modification of the present invention, described Handleset includes handle torr, bilateral handle ring, holds pin handle, for the slip annulus handle of crosspointer opening and closing and slip annulus handle snap close, described annulus handle and bilateral handle ring are arranged on support bar, described slip annulus handle snap close is arranged on slip annulus handle, described bilateral handle ring is arranged on the both sides holding pin handle, and described handle torr is arranged on the end of support bar.This technical scheme compact conformation, ingenious, easy to operate, freed in and out by puncturing hole, it is to avoid the generation of the sequela of Minimally Invasive Surgery.
As a modification of the present invention, described suturing assembly includes sewing up crosspointer, hinge-rod upper boom and hinge-rod lower beam, described hinge-rod upper boom and hinge-rod lower beam are symmetrical arranged, described stitching crosspointer is symmetricly set on the both sides of support bar, stitching crosspointer, hinge-rod upper boom, hinge-rod lower beam can realize rotating adjustment at any angle, flexible and convenient operation, it is achieved that enter the suture way of intraperitoneal pin externally wearing type.
As a modification of the present invention, described suturing assembly generally umbrella-shaped structure, after folding, diameter is less than 5mm, a diameter of 28-32mm after expansion.Suturing assembly is set to umbrella-shaped structure by this technical scheme cleverly, shrinks and fold before entrance, reaches to sew up dormant state, opens rear diameter and be about 28-32mm, and be set to double needle configuration, it is simple to once-through operation, and bilateral goes out pin outlet, it is simple to knotting is fixing.
As a modification of the present invention, described stiching instrument includes that pressing ring handle and pressing annular groove, described pressing ring handle and pressing annular groove are arranged on support bar.
Minimally Invasive Surgery puncturing hole stiching instrument using method, it is characterized in that, described step is as follows: after 1) being drawn in completely by the crosspointer of stiching instrument, abdominal cavity can be entered by the abdominal cavity puncture outfit endoporus of diameter 5mm, after stiching instrument enters abdominal cavity, clutch slip annulus handle snap close, promote slip annulus handle so that sewing needle crosspointer is expanded to position to be stapled；2) now stiching instrument needle point towards peritoneum, lifting stiching instrument holds pin handle, make stiching instrument needle point through peritoneum, fat deposit, Musclar layer until epidermis, expose the stitching thread in needle point and needle point sky, now choose the stitching thread of bilateral, return stiching instrument, stitching thread is tied a knot, complete the first pin and sew up；3) stiching instrument is rotated to an angle, repeat aforesaid operations, carry out the second pin stitching；4) repeat aforesaid operations, can repeatedly sew up.
Relative to prior art, the invention have the advantages that, 1) this technical scheme global design is ingenious, compact conformation；2) the stitching crosspointer described in this technical scheme, hinge-rod upper boom, hinge-rod lower beam can realize rotating adjustment, flexible and convenient operation at any angle, it is achieved that enter the suture way of intraperitoneal pin externally wearing type；3) suturing assembly is set to umbrella-shaped structure by this technical scheme cleverly, shrinks and fold before entrance, reaches to sew up dormant state, opens rear diameter and be about 28-32mm, and be set to double needle configuration, it is simple to once-through operation, and bilateral goes out pin outlet, it is simple to knotting is fixing；4) this technical scheme cost is relatively low, it is simple to further popularization and application.
Accompanying drawing explanation
Fig. 1 is overall structure schematic diagram of the present invention
Fig. 2 is that the present invention uses process schematic；
Fig. 3-Fig. 7 is suturing assembly rounding state schematic diagram；
Fig. 8 is abdominal cavity to be stapled external status schematic diagram；
Fig. 9 is abdominal cavity view to be stapled；
In figure: 1, handle torr, 2, bilateral handle ring, 3, hold pin handle, 4, annulus handle, 5, perforator, 6, pressing annular groove, 7, crosspointer is sewed up, 8, chain bar upper boom, 9, hinge-rod lower beam, 10, stomach wall pressing ring, 11, pressing ring handle, 12, handle snap close, 13, abdominal skin, 14, peritoneum, 15, support bar.
Detailed description of the invention:
In order to deepen the understanding of the present invention, with embodiment, the present embodiment is described in detail below in conjunction with the accompanying drawings.
Embodiment 1 :Seeing Fig. 1, a kind of Minimally Invasive Surgery puncturing hole stiching instrument, described stiching instrument includes that support bar 15, Handleset and suturing assembly, described Handleset are arranged on one end of support bar, and suturing assembly is arranged on the other end of support bar.Described Handleset includes handle torr 1, bilateral handle ring 2, holds pin handle 3, for the slip annulus handle 4 of crosspointer opening and closing and slip annulus handle snap close 12, described annulus handle and bilateral handle ring are arranged on support bar, described slip annulus handle snap close 12 is arranged on slip annulus handle 4, described bilateral handle ring 2 is arranged on the both sides holding pin handle 3, described handle torr 1 is arranged on the end of support bar, this technical scheme compact conformation, ingenious, easy to operate, freed in and out by puncturing hole, it is to avoid the generation of the sequela of Minimally Invasive Surgery.
Embodiment 2 :See Fig. 3-Fig. 7, as a modification of the present invention, described suturing assembly includes sewing up crosspointer 7, hinge-rod upper boom 8 and hinge-rod lower beam 9, described hinge-rod upper boom 8 and hinge-rod lower beam 9 are symmetrical arranged, described stitching crosspointer is symmetricly set on the both sides of support bar, stitching crosspointer 7, hinge-rod upper boom 8, hinge-rod lower beam 9 can realize rotating adjustment, flexible and convenient operation at any angle, it is achieved that enter the suture way of intraperitoneal pin externally wearing type.Remaining structure is identical with embodiment with advantage.
Embodiment 3 :See Fig. 3-Fig. 7, as a modification of the present invention, described suturing assembly generally umbrella-shaped structure, after folding, diameter is less than 5mm, and after expansion, a diameter of 28-32mm, is usually no more than 30mm, suturing assembly is set to umbrella-shaped structure by this technical scheme cleverly, shrink before entrance and fold, reach to sew up dormant state, open rear diameter and be about 28-32mm, and it is set to double needle configuration, being easy to once-through operation, bilateral goes out pin outlet, it is simple to knotting is fixing.Described stiching instrument includes that pressing ring handle 11 and pressing annular groove 6, described pressing ring handle 11 and pressing annular groove 6 are arranged on support bar 15.
Embodiment 4 :See Fig. 1-Fig. 9, Minimally Invasive Surgery puncturing hole stiching instrument using method, described step is as follows: after 1) being drawn in completely by the crosspointer of stiching instrument, abdominal cavity can be entered by the abdominal cavity puncture outfit endoporus of diameter 5mm, after stiching instrument enters abdominal cavity, clutch slip annulus handle snap close 12, promote slip annulus handle 4 so that sewing needle crosspointer is expanded to position to be stapled；2) now stiching instrument needle point towards peritoneum, lifting stiching instrument holds pin handle 3, make stiching instrument needle point through peritoneum, fat deposit, Musclar layer until epidermis, expose the stitching thread in needle point and needle point sky, now choose the stitching thread of bilateral, return stiching instrument, stitching thread is tied a knot, complete the first pin and sew up；3) stiching instrument is rotated to an angle, repeat aforesaid operations, carry out the second pin stitching；4) repeat aforesaid operations, can repeatedly sew up.
Work process is as follows: see Fig. 1, Fig. 2, hand-held Minimally Invasive Surgery punctures stiching instrument (hereinafter referred to as stiching instrument) and holds pin handle 3, pinches slip annulus handle snap close 12, the slip annulus handle 4 of pumpback crosspointer opening and closing, stitching crosspointer 7 that is deployable and that merge is made to close up, in order to insert abdomen wall puncture device endoporus.Close up the stitching double needle configuration that process is forward and backward, below figure 3-Fig. 7 shows respectively: Fig. 3 is fully deployed to the to be stapled position of crosspointer, Fig. 4 is that crosspointer collapses to chain bar upper boom 8, hinge-rod lower beam 9 becomes 60 ° of angles, Fig. 5 is that crosspointer collapses to chain bar upper boom 8, hinge-rod lower beam 9 angle in 90 °, Fig. 6 is that crosspointer collapses to chain bar upper boom 8, hinge-rod lower beam 9 becomes 120 ° of angles, Fig. 7 is that crosspointer draws in completely, sews up crosspointer 7 and chain bar upper boom 8, hinge-rod lower beam 9 overlapping extremely entrance perforator endoporus position.
During concrete operations, the crosspointer of stiching instrument is drawn in completely, as shown in Figure 7 after, abdominal cavity can be entered by the abdominal cavity puncture outfit endoporus of diameter 5mm, after stiching instrument enters abdominal cavity, clutch slip annulus handle snap close 12, promote slip annulus handle 4 so that sewing needle crosspointer is expanded to position to be stapled can be such as Fig. 3.Now stiching instrument needle point is towards peritoneum, and lifting stiching instrument holds pin handle 3 so that stiching instrument needle point is through peritoneum, fat deposit, Musclar layer until epidermis, expose the stitching thread in needle point and needle point sky, now choose the stitching thread of bilateral, return stiching instrument, stitching thread is tied a knot, completes the first pin and sew up；Stiching instrument is rotated to an angle, repeats aforesaid operations, carry out the second pin stitching；The anglec of rotation is relevant to sewing needle number, and 90 ° are distributed as delayed suture, and 60 ° are distributed as three times and sew up；As shown in Figure 8, abdominal cavity external observation figure to be stapled, abdominal skin 13, peritoneum 14, the sewing needle 7 in abdominal cavity is entered by abdomen wall puncture device endoporus, the pressing annular groove 10 of needle point is sewed up in extruding.As it is shown in figure 9, abdominal cavity to be stapled observes figure, abdominal skin 13, peritoneum 14, sewing needle umbrella frame posture upper joint 8, sewing needle umbrella frame posture hypozygal 9.
It should be noted that above-described embodiment, be not used for limiting protection scope of the present invention, equivalents done on the basis of technique scheme or replacement each fall within the scope that the claims in the present invention are protected.
Claims (6)
1. a Minimally Invasive Surgery puncturing hole stiching instrument, it is characterised in that described stiching instrument includes that support bar, Handleset and suturing assembly, described Handleset are arranged on one end of support bar, and suturing assembly is arranged on the other end of support bar.
Minimally Invasive Surgery puncturing hole stiching instrument the most according to claim 1, it is characterized in that, described Handleset includes handle torr (1), bilateral handle ring (2), holds pin handle (3), for slip annulus handle (4) of crosspointer opening and closing and slip annulus handle snap close (12), described annulus handle and bilateral handle ring are arranged on support bar, described slip annulus handle snap close (12) is arranged in slip annulus handle (4), described bilateral handle ring (2) is arranged on the both sides holding pin handle (3), and described handle torr (1) is arranged on the end of support bar.
Minimally Invasive Surgery puncturing hole stiching instrument the most according to claim 1, it is characterized in that, described suturing assembly includes sewing up crosspointer (7), hinge-rod upper boom (8) and hinge-rod lower beam (9), described hinge-rod upper boom (8) and hinge-rod lower beam (9) are symmetrical arranged, and described stitching crosspointer is symmetricly set on the both sides of support bar.
4., according to the Minimally Invasive Surgery puncturing hole stiching instrument described in Claims 2 or 3, it is characterised in that described suturing assembly generally umbrella-shaped structure, after folding, diameter is less than 5mm, a diameter of 28-32mm after expansion.
Minimally Invasive Surgery puncturing hole stiching instrument the most according to claim 4, it is characterised in that described stiching instrument includes that pressing ring handle (11) and pressing annular groove (6), described pressing ring handle (11) and pressing annular groove (6) are arranged on support bar.
6. Minimally Invasive Surgery puncturing hole stiching instrument using method, it is characterized in that, described step is as follows: after 1) being drawn in completely by the crosspointer of stiching instrument, abdominal cavity can be entered by the abdominal cavity puncture outfit endoporus of diameter 5mm, after stiching instrument enters abdominal cavity, clutch slip annulus handle snap close (12), promote slip annulus handle (4) so that sewing needle crosspointer is expanded to position to be stapled；2) now stiching instrument needle point towards peritoneum, lifting stiching instrument holds pin handle (3), make stiching instrument needle point through peritoneum, fat deposit, Musclar layer until epidermis, expose the stitching thread in needle point and needle point sky, now choose the stitching thread of bilateral, return stiching instrument, stitching thread is tied a knot, complete the first pin and sew up；3) stiching instrument is rotated to an angle, repeat aforesaid operations, carry out the second pin stitching；4) repeat aforesaid operations, can repeatedly sew up.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610561624.XA CN105943101A (en) | 2016-07-18 | 2016-07-18 | Puncture hole suturing device for minimally invasive surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610561624.XA CN105943101A (en) | 2016-07-18 | 2016-07-18 | Puncture hole suturing device for minimally invasive surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105943101A true CN105943101A (en) | 2016-09-21 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610561624.XA Pending CN105943101A (en) | 2016-07-18 | 2016-07-18 | Puncture hole suturing device for minimally invasive surgery |
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| CN (1) | CN105943101A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110251173A (en) * | 2019-06-13 | 2019-09-20 | 郑州大学 | A kind of laparoscope incision of abdominal wall stitching unstrument and its application method |
| CN111544067A (en) * | 2019-02-12 | 2020-08-18 | 苗瑞超 | Reverse laparoscope incision stitching instrument |
| CN111991043A (en) * | 2020-09-18 | 2020-11-27 | 二零二零（北京）医疗科技有限公司 | Stitching device for deep channel |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20010023352A1 (en) * | 1992-09-04 | 2001-09-20 | Gordon Norman S. | Suturing instruments and methods of use |
| CN200991256Y (en) * | 2006-11-07 | 2007-12-19 | 李金明 | Abdominal internal-external sature device |
| CN202637037U (en) * | 2012-04-25 | 2013-01-02 | 上海埃尔顿医疗器械有限公司 | Bezoar stone crushing device |
| US20140214053A1 (en) * | 2008-11-26 | 2014-07-31 | Smith & Nephew, Inc. | Tissue repair device |
-
2016
- 2016-07-18 CN CN201610561624.XA patent/CN105943101A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20010023352A1 (en) * | 1992-09-04 | 2001-09-20 | Gordon Norman S. | Suturing instruments and methods of use |
| CN200991256Y (en) * | 2006-11-07 | 2007-12-19 | 李金明 | Abdominal internal-external sature device |
| US20140214053A1 (en) * | 2008-11-26 | 2014-07-31 | Smith & Nephew, Inc. | Tissue repair device |
| CN202637037U (en) * | 2012-04-25 | 2013-01-02 | 上海埃尔顿医疗器械有限公司 | Bezoar stone crushing device |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111544067A (en) * | 2019-02-12 | 2020-08-18 | 苗瑞超 | Reverse laparoscope incision stitching instrument |
| CN110251173A (en) * | 2019-06-13 | 2019-09-20 | 郑州大学 | A kind of laparoscope incision of abdominal wall stitching unstrument and its application method |
| CN110251173B (en) * | 2019-06-13 | 2024-08-16 | 郑州大学 | Laparoscope abdominal wall incision stitching instrument and using method thereof |
| CN111991043A (en) * | 2020-09-18 | 2020-11-27 | 二零二零（北京）医疗科技有限公司 | Stitching device for deep channel |
| WO2022056969A1 (en) * | 2020-09-18 | 2022-03-24 | 二零二零（北京）医疗科技有限公司 | Suturing device for use in deep channel |
| CN111991043B (en) * | 2020-09-18 | 2023-03-28 | 二零二零（北京）医疗科技有限公司 | Stitching device for deep channel |
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Application publication date: 20160921 |
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| RJ01 | Rejection of invention patent application after publication |