CN106037843A - Surgical knotter - Google Patents
Surgical knotter Download PDFInfo
- Publication number
- CN106037843A CN106037843A CN201610533426.2A CN201610533426A CN106037843A CN 106037843 A CN106037843 A CN 106037843A CN 201610533426 A CN201610533426 A CN 201610533426A CN 106037843 A CN106037843 A CN 106037843A
- Authority
- CN
- China
- Prior art keywords
- clamp piece
- connecting rod
- sleeve pipe
- knotting device
- self
- 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
-
- 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
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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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)
- Clamps And Clips (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention discloses a surgical knotter, comprising a long and thin cannula, a knotter forceps head, a knotter shank, a handle and a pulling rod, wherein the long and thin cannula is provided with a first end and a second end which are opposite to each other; the knotter forceps head comprises a first forceps piece arranged at the first end of the cannula and a second forceps piece rotatably connected to the first forceps piece; the proximal end of the knotter shank is connected to the second end of the cannula, and a through hole is formed in the part, close to the cannula, of the knotter shank; the handle is formed by two arm portions extending from the distal end to the proximal end of the knotter shank; the pulling rod is movably arranged in the through hole and the cannula in a matched manner; the second forceps piece is rotatably connected to one end of the pulling rod; the tail ends of the two arm portions are connected to the other end of the pulling rod by linkage mechanisms; and grasping portions are formed at the parts, close to the cannula, of the two arm portions. The surgical knotter has the advantage of being convenient and easy to operate and capable of stably clamping the suture.
Description
Technical field
The present invention relates to a kind of medical sutures device, more particularly, to a kind of knotting device for operation.
Background technology
Surgical operation often to be carried out in peritoneoscope or thoracoscope tie a knot, the operation such as ligation, due to operative incision
Little, position is deep, and knotting is wasted time and energy, therefore need to carry out by apparatus.
Chinese invention patent ZL201110282577.2 (list of references 1) discloses deep knotting forceps, arranges on binding clip
There is special groove and offer wire hole two binding clip front ends respectively.Use deep knotting forceps disclosed in list of references 1
During knotting, can select to use special groove or fairlead to go between, carry out under chamber mirror and direct-view deep in surgical operation
Tie a knot in portion.But this deep knotting forceps threading is relatively difficult to string holes, and groove is the easy off-line of opening.
Chinese invention patent ZL201010118911.6 (list of references 2) discloses wire twister under the mirror of a kind of chamber.This chamber mirror
The binding clip assembly of lower wire twister is mainly made up of jaw, string holes and breach, equally exists threading, easy off-line difficult to string holes etc.
Problem.
Summary of the invention
For solving above-mentioned technical problem, the invention discloses a kind of knotting device for operation, including:
Slender casing, sleeve pipe has the first relative end and the second end；
Wire twister binding clip, wire twister binding clip includes the first clamp piece being arranged on the first end of sleeve pipe and can connect rotationally
The second clamp piece to the first clamp piece；
Wire twister shank, the near-end of wire twister shank is connected to the second end of sleeve pipe, and the close set of wire twister shank
A part for pipe is formed with through hole；
Handle, two arms that handle is proximally extended by the far-end from wire twister shank are constituted；With
Pull bar, pull bar can coordinate movably in through hole and sleeve pipe,
Wherein:
Second clamp piece can be rotationally coupled to one end of pull bar；
The end of two arms is connected to the other end of pull bar by link gear；And
Two arms are formed with grip part in the part near sleeve pipe respectively.
In one embodiment of the invention, the first clamp piece is that the hook-shaped of J-shaped is so that the first clamp piece is closed with the second clamp piece
The string holes of closing can be formed during conjunction.
In one embodiment of the invention, the first clamp piece angularly bends towards the second clamp piece relative to sleeve pipe.
In one embodiment of the invention, when using right-hand operated knotting device for operation, hook-shaped the opening of J-shaped of the first clamp piece
Mouth is towards left hand direction.
In one embodiment of the invention, the second clamp piece is connected to described one end of pull bar by first connecting rod；And
One end of first connecting rod is connected to described one end of pull bar, and the other end of first connecting rod is hinged to the second clamp piece.
In one embodiment of the invention, link gear includes two second connecting rods, and second connecting rod is respectively provided with first
End and the second end；
First end of second connecting rod is pivotally connected to the end of corresponding in two arms respectively；And
Second end of second connecting rod is pivotally connected to the described other end of pull bar.
In one embodiment of the invention, the first end and second end of second connecting rod is pivotally connected to by pivot respectively
To arm and the described other end of pull bar.
In one embodiment of the invention, grip part is formed with multiple cannelure.
In one embodiment of the invention, the second end of sleeve pipe has expansion section, and the diameter of expansion section is more than sleeve pipe
The diameter of main body；
Expansion section is formed with recess；And
Near-end has the shape corresponding with recess so that near-end is connected in recess.
In one embodiment of the invention, knotting device for operation also includes self-locking mechanism, and self-locking mechanism includes:
Self-locking screens, self-locking screens is arranged on in two arms；With
Self-locking connecting rod, one end of self-locking connecting rod is fixed on another in two arms, the other end is towards two arms
In one, the described other end of self-locking connecting rod has the hole clipping that can match with self-locking screens,
Wherein, and when compressing two arms and making the first clamp piece and the second clamp piece Guan Bi, the other end of self-locking connecting rod
Mobile so that self-locking screens snaps in hole clipping, thus locks the first clamp piece and the second clamp piece.
Binding clip in the knotting device for operation that the present invention proposes comprises the first clamp piece and the second clamp piece, can be stable by stitching thread
Be clamped between the first clamp piece and the second clamp piece formed string holes in so that stitching thread be difficult to slip, it is simple to the execution of operation.
It addition, this knotting device for operation also has advantage easily operated, that knotting efficiency is high.
Accompanying drawing explanation
The explanation of embodiment will be clearly appeared from by above and other aspect and the feature of the present invention from below in conjunction with accompanying drawing, its
In:
Fig. 1 is the schematic diagram of the knotting device for operation according to one embodiment of the invention；
Fig. 2 is the phantom of the structure of the knotting device for operation according to one embodiment of the invention；
Fig. 3 A is that the first clamp piece and second clamp piece of the knotting device for operation according to one embodiment of the invention is in and opens shape
Schematic diagram during state；
Fig. 3 B is the first clamp piece shown in Fig. 3 A and schematic diagram during the second clamp piece Guan Bi；
Fig. 3 C is the side view of the first clamp piece in Fig. 3 A and the second clamp piece；
Fig. 4 A is the handle of the knotting device for operation shown in Fig. 1 schematic diagram when opening；
Fig. 4 B is the schematic diagram during handle clamping of the knotting device for operation shown in Fig. 1；With
Fig. 5 is the schematic diagram that operator use the knotting device for operation shown in Fig. 1.
Detailed description of the invention
Describe illustrative, the non-limiting example of the present invention with reference to the accompanying drawings in detail, to the operation according to the present invention
Wire twister is further described.
The knotting device for operation proposed referring to Fig. 1-5 explanation present invention.Operation according to an embodiment of the invention
Wire twister includes slender casing 1, wire twister binding clip 2, wire twister shank 3, handle 4 and pull bar 5.
Specifically, seeing figures.1.and.2, slender casing 1 has the first relative end 11 and the second end 12, and sleeve pipe 1 constitutes hands
The pipe portion of art wire twister.Wire twister binding clip 2 includes the first clamp piece 21 and the second clamp piece 22.The near-end 31 of wire twister shank 3 connects
To the second end 12 of sleeve pipe 1, and a part for the close sleeve pipe 1 of wire twister shank 3 is formed with through hole 32.Pull bar 5 may move
Ground coordinates in through hole 32 and sleeve pipe 1.
Structure below in conjunction with the wire twister binding clip 2 in Fig. 2-3C explanation present invention.Wire twister binding clip 2 includes the first clamp piece
21 and second clamp piece 22.First clamp piece 21 is arranged on the first end 11 of sleeve pipe 1, and the second clamp piece 22 is pivotally connected to the first pincers
Sheet 21 so that the first clamp piece 21 and the second clamp piece 22 can be with folding to be clamped in the first clamp piece 21 and the second pincers by stitching thread 23
Between sheet 22.As an example, the second clamp piece 22 is pivotally connected to the first clamp piece 21 by pivot.But, the second pincers
The connected mode of sheet 22 and the first clamp piece 21 is not limited to this, and the second clamp piece 22 can also be hinged or can in mode known to other
It is rotationally coupled to the first clamp piece 21.
It addition, the second clamp piece 22 is also pivotally connected to one end 51 of pull bar 5 so that the second clamp piece 22 can be at pull bar
Rotate relative to the first clamp piece 21 under the pulling of 5.Preferably, the second clamp piece 22 is connected to the described of pull bar 5 by first connecting rod 6
One end 51.One end of first connecting rod 6 is connected to described one end 51 of pull bar 5, the other end is hinged to the second clamp piece 22.This makes
Two clamp pieces 22 can rotate relative to the first clamp piece 21 in sleeve pipe 1 along with pull bar 5, thus realizes the folding of binding clip 2.But,
Second clamp piece 22 is not limited to this with the connected mode of pull bar 5, it is also possible to use other mode that is connected.
In one embodiment of the invention, with reference to Fig. 3 A, 3B and 3C, the first clamp piece 21 is the hook-shaped of J-shaped.Clamp first
Sheet 21 is configured to the hook-shaped of J-shaped, it is simple to the stitching thread 23 in cavity is slipped into J-shaped hook-shaped in, as shown in Figure 3A.Stitching thread 23 is sliding
Enter the J-shaped of the first clamp piece 21 hook-shaped in after, close the first clamp piece 21 and the second clamp piece 22 to use the second clamp piece 22 to close J-shaped hook
Opening part, thus stitching thread 23 is enclosed in the first clamp piece 21 and in string holes 24 that the second clamp piece 22 is formed, operator are i.e.
The movement of stitching thread 23 can be controlled easily, as shown in Figure 3 B.Preferably, as shown in Figure 3 C, the first clamp piece 21 is relative to sleeve pipe 1
Angularly bend towards the second clamp piece 22, owing to during concrete operations, the second clamp piece 22 is positioned at the upside of the first clamp piece 21 (relatively
In operator), so the direction that the first clamp piece 21 is provided towards the second clamp piece 22 angularly bends relative to sleeve pipe 1
Can be with personal observations convenient to operate.
In one embodiment of the invention, with reference to Fig. 5, when using this knotting device for operation of right-hand operated, the first clamp piece 21
The hook-shaped opening of J-shaped towards left hand direction.
Below in conjunction with Fig. 2, the sleeve pipe 1 of knotting device for operation according to an embodiment of the invention is described further.Sleeve pipe
Second end 12 of 1 can have expansion section alternatively, and the diameter of this expansion section is more than the diameter of the main body of sleeve pipe 1, and, this expansion
Big portion is formed with recess 13.The near-end 31 of wire twister shank 3 has the shape corresponding with recess 13, and near-end 31 is connected to recessed
Enter in portion 13, thus wire twister shank 3 is connected to sleeve pipe 1.Owing to the second end 12 of sleeve pipe 1 has for connecting wire twister handle
The expansion section in portion 3, therefore, it is possible to obtain elongated sleeve pipe 1 in the case of wire twister shank 3 and sleeve pipe 1 are stably connected with guaranteeing.
It addition, the first end 11 of sleeve pipe 1 such as could be formed with recess, the end being connected with sleeve pipe 1 of binding clip 2 be positioned in recess (as
Shown in Fig. 3 A).
According to the present invention, the handle 4 of knotting device for operation is made up of two arms, and said two arm is from wire twister shank 3
Far-end 33 proximally 31 extend.The end of two arms is connected to the other end 52 of pull bar 5, and two by link gear
Arm is formed with grip part 41 at a part of place near sleeve pipe 1 respectively.Seeing Fig. 2, grip part 41 is preferably formed with multiple
Cannelure, to prevent hands from sliding when the grasped handle 4 of user.
According to one embodiment of present invention, described link gear includes two second connecting rods 7, and second connecting rod 7 has respectively
There are the first end and the second end.First end of second connecting rod 7 is pivotably connected in two arms of handle 4 corresponding one respectively
End, and the second end of second connecting rod 7 is pivotably connected to the described other end 52 of pull bar 5.Alternatively, second connecting rod 7
The first end and the second end be pivotably connected to arm and the pull bar 5 of handle 4 respectively by pivot.But, link gear with
The connected mode of handle 4 and pull bar 5 is not limited to this, it is also possible to hinged or be pivotably connected to handle 4 in other known methods
With pull bar 5.It addition, above-mentioned link gear illustrates only as example, the structure of link gear is not limited to this.
Knotting device for operation according to the present invention can be preferably provided with self-locking mechanism, as illustrated in figures 4 a and 4b.From lock machine
Structure includes self-locking screens 82 and self-locking connecting rod 81.Self-locking screens 82 is arranged on in two arms.Self-locking connecting rod 81
One end is fixed on another in two arms, the other end is towards the one in two arms.Further, self-locking connecting rod 81
The described other end there is the hole clipping that can match with self-locking screens, in order to lock together with self-locking screens 82.When compressing two
When arm makes the first clamp piece 21 and the second clamp piece 22 close, the described other end of self-locking connecting rod 81 moves so that self-locking screens
Snap in hole clipping, thus lock the first clamp piece 21 and the second clamp piece 22 so that when operator loosen the compression to two arms
First clamp piece 21 and the second clamp piece 22 are still within the state of Guan Bi, it is simple to perform other operation in operator's operating process.
The operation of the knotting device for operation according to the present invention is described referring to Fig. 2,4A and 4B.When operation needs in abdominal cavity
Carrying out in mirror or thoracoscope tiing a knot or during the operation such as ligation, user holds the hands of this knotting device for operation to be similar to pen holding posture
Handle 4 and by forefinger and thumb press at the grip part 41 of handle 4, wire twister shank 3 near the intersection between forefinger and thumb,
As shown in Figure 5.So, user is easily manipulated knotting device for operation.
Specifically, the operating process of this knotting device for operation is used in conjunction with accompanying drawing 2-5 explanation.Will operation by slender casing 1
The binding clip 2 of wire twister stretches in cavity.Opening handle 4, link gear pushing drawing rod 5 moves right in through hole 32 and sleeve pipe 1,
Driving first connecting rod 6 to move right, first connecting rod 6 pulls the second clamp piece 22 to open relative to the first clamp piece 21 simultaneously.To sew up
Line 23 slips in the J-shaped hook formation of the first clamp piece 21.Hold with a firm grip handle 4, by link gear pushing drawing rod 5 at through hole 32 and set
Being moved to the left in pipe 1, drive first connecting rod 6 to be moved to the left simultaneously, first connecting rod 6 pulls the second clamp piece 22 relative to the first clamp piece
21 Guan Bis, are thus enclosed in stitching thread 23 in string holes 24.If needing to lock the state of binding clip 2, then by self-locking connecting rod 81
Hole clipping is locked with self-locking screens 82, thus keeps two arms of wire twister handle 4 to be in the state of clamping.
Although the exemplary embodiments of the present invention is illustrated, but it is clear that it will be understood by those skilled in the art that
Can be changed without departing substantially from the case of spirit and principles of the present invention, its scope is in claims and its equivalent
It is defined.
Claims (10)
1. a knotting device for operation, including:
Slender casing, described sleeve pipe has the first relative end and the second end；
Wire twister binding clip, described wire twister binding clip include being arranged on the first end of described sleeve pipe the first clamp piece and can be rotationally
It is connected to the second clamp piece of described first clamp piece；
Wire twister shank, the near-end of described wire twister shank is connected to the second end of described sleeve pipe, and described wire twister shank
The part of close described sleeve pipe be formed with through hole；
Handle, described handle is constituted to two arms of described proximal extension by from the far-end of described wire twister shank；With
Pull bar, described pull bar can coordinate movably in described through hole and described sleeve pipe,
Wherein:
Described second clamp piece can be rotationally coupled to one end of described pull bar；
The end of said two arm is connected to the other end of described pull bar by link gear；And
Said two arm is formed with grip part in the part near described sleeve pipe respectively.
Knotting device for operation the most according to claim 1, wherein, described first clamp piece is the hook-shaped of J-shaped so that described
The string holes of closing can be formed when one clamp piece and described second clamp piece Guan Bi.
Knotting device for operation the most according to claim 2, wherein, described first clamp piece relative to described sleeve pipe towards described
Two clamp pieces angularly bend.
Knotting device for operation the most according to claim 2, wherein, when using knotting device for operation described in right-hand operated, described the
The hook-shaped opening of the J-shaped of one clamp piece is towards left hand direction.
Knotting device for operation the most according to claim 1, wherein:
Described second clamp piece is connected to described one end of described pull bar by first connecting rod；And
One end of described first connecting rod is connected to described one end of described pull bar, and the other end of described first connecting rod is hinged to described
Second clamp piece.
Knotting device for operation the most according to claim 1, wherein:
Described link gear includes two second connecting rods, and described second connecting rod is respectively provided with the first end and the second end；
First end of described second connecting rod is pivotally connected to the end of corresponding in said two arm respectively；And
Second end of described second connecting rod is pivotally connected to the described other end of described pull bar.
Knotting device for operation the most according to claim 6, wherein, the first end and second end of described second connecting rod pass through respectively
Pivot is pivotally connected to the described other end of described arm and described pull bar.
Knotting device for operation the most according to claim 1, wherein, described grip part is formed with multiple cannelure.
Knotting device for operation the most according to claim 1, wherein:
Second end of described sleeve pipe has expansion section, and the diameter of described expansion section is more than the diameter of the main body of described sleeve pipe；
Described expansion section is formed with recess；And
Described near-end has the shape corresponding with the female portion so that described near-end is connected in the female portion.
Knotting device for operation the most according to claim 1, wherein, described knotting device for operation also includes self-locking mechanism, described from
Latch mechanism includes:
Self-locking screens, described self-locking screens is arranged on in said two arm；With
Self-locking connecting rod, one end of described self-locking connecting rod is fixed on another in said two arm, the other end is towards described
One in two arms, the described other end of described self-locking connecting rod has the card that can match with described self-locking screens
Hole,
Wherein, when compressing said two arm and making described first clamp piece and described second clamp piece Guan Bi, described self-locking connecting rod
The other end move so that described self-locking screens snaps in described hole clipping, thus lock described first clamp piece and described second pincers
Sheet.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610533426.2A CN106037843B (en) | 2016-07-07 | 2016-07-07 | Knotting device for operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610533426.2A CN106037843B (en) | 2016-07-07 | 2016-07-07 | Knotting device for operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106037843A true CN106037843A (en) | 2016-10-26 |
| CN106037843B CN106037843B (en) | 2019-02-26 |
Family
ID=57185636
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610533426.2A Active CN106037843B (en) | 2016-07-07 | 2016-07-07 | Knotting device for operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106037843B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111317522A (en) * | 2018-12-13 | 2020-06-23 | 北京迈迪顶峰医疗科技有限公司 | Knotter |
-
2016
- 2016-07-07 CN CN201610533426.2A patent/CN106037843B/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111317522A (en) * | 2018-12-13 | 2020-06-23 | 北京迈迪顶峰医疗科技有限公司 | Knotter |
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| Publication number | Publication date |
|---|---|
| CN106037843B (en) | 2019-02-26 |
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