CN106551709A - Abdomen wall sewing device - Google Patents
Abdomen wall sewing device Download PDFInfo
- Publication number
- CN106551709A CN106551709A CN201510641409.6A CN201510641409A CN106551709A CN 106551709 A CN106551709 A CN 106551709A CN 201510641409 A CN201510641409 A CN 201510641409A CN 106551709 A CN106551709 A CN 106551709A
- Authority
- CN
- China
- Prior art keywords
- guide wire
- sewing device
- needle tubing
- abdomen wall
- guiding channel
- 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.)
- Pending
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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
- A61B17/0482—Needle or suture guides
-
- 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
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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 present invention discloses a kind of abdomen wall sewing device, including nook closing member and needle tubing, put the first edge on a knife or a pair of scissors needle tubing front end, the front end of nook closing member be can folding y-type structure, y-type structure includes two elastic folding arms and a shank, two elastic folding arms are connected with shank front end, and wherein at least one elasticity folding arm front end is provided with pinhock, and shank passes through needle tubing.Invention is easy to use, is conducive to quick pick-up and the fixation of suture, convenient to send into suture and haul out abdominal cavity.
Description
Technical field
The present invention relates to a kind of operating theater instruments, more particularly to a kind of abdomen wall sewing device.
Background technology
Minimally Invasive Surgery is because wound surface is little, post-operative recovery is received by increasing doctor and patient soon.Especially
Developed the most rapidly with laparoscopic surgery, have been widely used for clinic, part disease is even more peritoneoscope
Operation is used as standard treatment regimen.
Laparoscopic surgery operation must set up service aisle, mesh by puncture awl (trocar) on stomach wall
Front puncture awl specification is 5mm-12mm, typically to the stomach wall puncture more than 5mm, it is necessary to peritoneal suture and muscle
Incidence rate of the film layer to prevent otch bleeding and reduce incisional hernia.
For this little otch, especially obese patient cannot complete traditional arc pin sewing method.
In order to solve the above problems, those skilled in the art develops the stiching instrument of various laparoscope penetration holes
Tool.Chinese patent CN00213868.9 " abdominal suture needle for peritoneoscopy operation " discloses a kind of solution
Scheme：The patent formula includes a needle body, and the rear end of needle body is provided with needle handle, and front end is provided with pinhock.Operation
When, suture being hooked with pinhock, being fixed with puncture casing, needle body is penetrated into abdominal cavity from the stomach wall of puncture side,
Abdominal cavity is sent into in suture one end, suture is separated with sewing needle, sewing needle is exited, prick from puncture opposite side
Enter abdominal cavity, suture is hooked with pinhock, fixed with puncture casing, be then log out needle body by one headband of stitching thread
Go out stomach wall, finally two of stitching thread is ligatured.
Chinese patent 201010532057.8 " laparoscope puncture incision muscle suture needle ", Chinese patent
" 201120480595.7 peritoneoscope incision of abdominal wall deep layer sewing needle ", Chinese patent 201320633635.6
" peritoneoscope incision of abdominal wall sewing needle " " laparoscopic surgery stomach wall is bored a hole in Chinese patent CN00213868.9
Some adjustment are done on the basis of sewing needle " or has been improved, can realize sending into the end of a thread of stitching thread,
Take the operation technique of stomach wall out of.
But, due to can only being made very small for pinhock, it is difficult to fix suture well in operation, especially
Be do from intraperitoneal draw suture operation technique when, accurately and rapidly suture be hooked increasingly difficult.
Above-mentioned patent all fails quick, accurate pickup and the fixation problem for solving abdominal cavity inner seam lines well, and
Use and still more bother, simultaneously because lack necessary guiding positioning means to be difficult to reach preferably
Sewing effect.
Chinese patent 200980123504.X " for the device of peritoneoscope aperture position suture ", discloses
A kind of solution of laparoscopy posterior abdominal wall suture, is needled into stomach wall for suture and provides guiding, enter one
Step simplifies operation, while more preferable sewing effect can be obtained.But the process of stomach wall is penetrated in needle body
Middle abdominal wall tissue necessarily occurs phenomenon of shrinking back, and still operates and not enough facilitates, and can also affect suture quality.
The content of the invention
The present invention is intended to provide a kind of abdomen wall sewing device, easy to use, be conducive to suture quick pick-up and
It is fixed, it is convenient that suture is sent into and abdominal cavity is hauled out.
To reach above-mentioned purpose, the present invention employs the following technical solutions realization：
Abdomen wall sewing device disclosed by the invention, including nook closing member and needle tubing, the needle tubing front end put the first edge on a knife or a pair of scissors, described
The front end of nook closing member be can folding y-type structure, the y-type structure includes two elastic folding arms and one
Shank, described two elastic folding arms are connected with shank front end, before wherein at least one elasticity folding arm
End is provided with pinhock, and the shank passes through needle tubing.
Further, present invention additionally comprises conductor, the conductor includes guide wire and foldable support
Platform, the guiding tube wall open up guiding channel, and the size of the guiding channel is more than needle tubing external diameter,
The foldable support platform is located at the front end of guide wire, and the top surface size of foldable support platform is more than to be led
The external diameter of skirt.
Further, the syringe rear end connects plunger shaft, and the shank rear end connects piston rod, described
Piston rod is provided with push handle A, and the plunger shaft is provided with lever.
Preferably, the foldable support platform includes push rod, gripper shoe and bearing diagonal, and the push rod is worn
Cross guide wire, one end and the push rod front end chain connection of the bearing diagonal, the other end and the support of bearing diagonal
One end chain connection of plate, the other end of gripper shoe and guide wire front end chain connection, the gripper shoe and
Bearing diagonal has two, is arranged symmetrically relative to push rod.
Further, the push rod rear end is provided with push handle B, and the lateral dimension of push handle B is more than guiding
The external diameter of pipe.
Further, the front end of the pinhock is tip-like.
Preferably, the hypotenuse of the needle point puts the first edge on a knife or a pair of scissors parallel with needle tubing front end.
Another kind of preferred, the inclination angle of needle tubing front end cutting edge is more than the inclination angle of needle point hypotenuse.
Preferably, the guiding channel is inclined relative to guide wire axis, and the entry position of guiding channel is high
In exit position, guiding channel is arranged in pairs, and is separately positioned on the opposing sidewalls of guide wire, two guidings
The contour arrangement of passage, the incline direction of two guiding channels are contrary.
Further, the guiding channel at least two pairs, each pair guiding channel is relative to guide wire axis
Angle of inclination is different.
Beneficial effects of the present invention are as follows：
1st, nook closing member Front-end Design is into Y shape, and band is heeled out the pinhock of line, is conducive in laparoscopic surgery
Under the conditions of suture quick pick-up and fixation, it is convenient that suture is sent into and abdominal cavity is hauled out.
2nd, needle tubing front end and nook closing member Front-end Design be into band inclined-plane cutting edge, and the incline direction of sleeve pipe cutting edge with
The incline direction of nook closing member cutting edge is consistent, advantageously reduces penetration Resistance, reduces the damage to abdominal wall tissue.
3rd, foldable support platform, guiding channel are designed with beneficial to sewing needle easily, quickly and accurately
Abdominal wall tissue is pierced through, and is conducive to abdominal cavity being entered by narrow and small peritoneoscope stamp card, it is adaptable to laparoscopic surgery.
4th, the guiding channel of differing tilt angles, is easy to doctor flexibly to select suitable according to the situation of different patients
Suitable puncture angle.
Description of the drawings
Structural representations of the Fig. 1 for embodiment one；
Fig. 2 stretches out schematic diagram during needle tubing for nook closing member；
Structural representations of the Fig. 3 for embodiment two；
Fig. 4 is the structural scheme of mechanism of conductor under foldable support platform folded state；
In figure：1- needle tubings, 2- piston rods, 3- elasticity folding arms, 4- pinhocks, 5- plunger shafts, 6- push handles
A, 7- lever, 8- guide wires, 9- guiding channels, 10- push rods, 11- bearing diagonals, 12- gripper shoes, 13-
Push handle B.
Specific embodiment
In order that the objects, technical solutions and advantages of the present invention become more apparent, below in conjunction with accompanying drawing,
The present invention will be described in further detail.
Embodiment one
As shown in Figure 1 and Figure 2, abdomen wall sewing device disclosed by the invention, including nook closing member and needle tubing 1, needle tubing
1 front end is put the first edge on a knife or a pair of scissors, the front end of nook closing member be can folding y-type structure, y-type structure includes two elastic foldings
Arm 3 and a shank, two elastic folding arms 3 are connected with shank front end, wherein at least one elasticity
Folding arm front end is provided with pinhock 4, and shank passes through needle tubing 1；1 rear end of needle tubing connects plunger shaft 5, after shank
End connection piston rod 2, piston rod 2 are provided with push handle A6, and plunger shaft 5 is provided with lever 7；Before pinhock 4
Hold as tip-like, hypotenuse and 1 front end of needle tubing of needle point are put the first edge on a knife or a pair of scissors parallel or 1 front end cutting edge of needle tubing inclination angle
More than the inclination angle of needle point hypotenuse.
Using method is as follows：
Suture is clamped with two elastic folding arms 3 of nook closing member, nook closing member is retracted in needle tubing 1, pinhock is used
4 fix suture, and needle tubing 1 is pierced into side stomach wall, and suture one end is admitted to abdominal cavity simultaneously, by two
Elastic folding arm 3 releases needle tubing 1, and two elastic folding arms 3 open, discharge suture, close two bullets
Property folding arm 3, exit needle tubing 1, needle tubing 1 be pierced into into stomach wall from the opposite side of otch, open two it is elastic
Folding arm 3, clamps suture, needle tubing 1 is hauled out in vitro in the lump together with suture, then by the two of stitching thread
Head ligation completes suture.
Embodiment two
As shown in Figure 3, Figure 4, the present embodiment is that conductor composition is increased on the basis of embodiment one
, conductor includes guide wire 8 and foldable support platform, and 8 tube wall of guide wire opens up guiding channel 9,
Guiding channel 9 is slightly larger in dimension than 1 external diameter of needle tubing, and foldable support platform is located at the front end of guide wire 8,
External diameter of the top surface size of foldable support platform more than guide wire 8；Foldable support platform includes push rod
10th, gripper shoe 12 and bearing diagonal 11, push rod 10 pass through guide wire 8, one end of bearing diagonal 11 and push rod
10 front end chain connections, the other end of bearing diagonal 11 and one end chain connection of gripper shoe 12, gripper shoe
12 other end and 8 front end chain connection of guide wire, gripper shoe 12 and bearing diagonal 11 have two, phase
For push rod 10 is arranged symmetrically；10 rear end of push rod is provided with push handle B13, and the lateral dimension of push handle B13 is big
In the external diameter of guide wire 8；Guiding channel 9 is inclined relative to guide wire 8 axis, and guiding channel 9 enters
Mouth position is arranged in pairs higher than exit position, guiding channel 9, is separately positioned on the opposite side of guide wire 8
Wall, two 9 contour arrangements of guiding channel, the incline direction of two guiding channels 9 are contrary.
Further, guiding channel 9 at least two pairs, each pair guiding channel 9 is relative to 8 axis of guide wire
Angle of inclination it is different.
Using method is as follows：
Conductor is sent into into abdominal cavity along peritoneoscope stamp card, stamp card is exited, foldable support platform is opened, it is right
Need the stomach wall of suture to form excellent support, suture is clamped with two elastic folding arms 3 of nook closing member, by pin
Core is retracted in needle tubing 1, fixes suture with pinhock 4, and needle tubing 1 is pierced into side along guiding channel 9
Stomach wall, suture one end are admitted to abdominal cavity simultaneously, and two elastic folding arms 3 are released needle tubing 1, two bullets
Property folding arm 3 open, discharge suture, close two elastic folding arms 3, exit needle tubing 1, it is logical along guiding
Needle tubing 1 is pierced into stomach wall from the opposite side of otch by road 9, is opened two elastic folding arms 3, is clamped suture,
Needle tubing 1 is hauled out in vitro in the lump together with suture, foldable support platform is closed, is exited conductor, then
Two ligation of stitching thread is completed into suture.
Certainly, the present invention can also have other various embodiments, without departing substantially from spiritual and its essence of the invention
In the case of, those of ordinary skill in the art can make various corresponding changes and deformation according to the present invention,
But these corresponding changes and deformation should all belong to the protection domain of appended claims of the invention.
Claims (10)
1. abdomen wall sewing device, it is characterised in that：Including nook closing member and needle tubing, the needle tubing front end is put the first edge on a knife or a pair of scissors, institute
The front end for stating nook closing member be can folding y-type structure, the y-type structure includes two elastic folding arms and
Individual shank, described two elastic folding arms are connected with shank front end, wherein at least one elasticity folding arm
Front end is provided with pinhock, and the shank passes through needle tubing.
2. abdomen wall sewing device according to claim 1, it is characterised in that：Also include conductor, institute
Stating conductor includes guide wire and foldable support platform, and the guiding tube wall opens up guiding channel, institute
The size of guiding channel is stated more than needle tubing external diameter, the foldable support platform is located at the front end of guide wire,
External diameter of the top surface size of foldable support platform more than guide wire.
3. abdomen wall sewing device according to claim 1 and 2, it is characterised in that：The syringe rear end
Connection plunger shaft, the shank rear end connect piston rod, and the piston rod is provided with push handle A, the piston
Chamber is provided with lever.
4. abdomen wall sewing device according to claim 2, it is characterised in that：The foldable support is put down
Platform includes push rod, gripper shoe and bearing diagonal, and the push rod passes through guide wire, one end of the bearing diagonal with
Push rod front end chain connection, the other end of bearing diagonal and one end chain connection of gripper shoe, gripper shoe it is another
One end and guide wire front end chain connection, the gripper shoe and bearing diagonal have two, relative to push rod pair
Claim arrangement.
5. abdomen wall sewing device according to claim 4, it is characterised in that：The push rod rear end is provided with
Push handle B, the lateral dimension of push handle B are more than the external diameter of guide wire.
6. abdomen wall sewing device according to claim 1, it is characterised in that：The front end of the pinhock is
Tip-like.
7. abdomen wall sewing device according to claim 6, it is characterised in that：The hypotenuse of the needle point with
Put the first edge on a knife or a pair of scissors parallel in needle tubing front end.
8. abdomen wall sewing device according to claim 6, it is characterised in that：Needle tubing front end cutting edge
Inclination angle more than needle point hypotenuse inclination angle.
9. abdomen wall sewing device according to claim 2, it is characterised in that：The guiding channel is relative
Incline in guide wire axis, higher than exit position, guiding channel is arranged in pairs for the entry position of guiding channel,
It is separately positioned on the opposing sidewalls of guide wire, two guiding channels contour arrangements, two guiding channels are inclined
Tilted direction is contrary.
10. abdomen wall sewing device according to claim 9, it is characterised in that：The guiding channel is extremely
Few two pairs, each pair guiding channel is different relative to the angle of inclination of guide wire axis.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510641409.6A CN106551709A (en) | 2015-09-30 | 2015-09-30 | Abdomen wall sewing device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510641409.6A CN106551709A (en) | 2015-09-30 | 2015-09-30 | Abdomen wall sewing device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106551709A true CN106551709A (en) | 2017-04-05 |
Family
ID=58417791
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510641409.6A Pending CN106551709A (en) | 2015-09-30 | 2015-09-30 | Abdomen wall sewing device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106551709A (en) |
Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2425622Y (en) * | 2000-03-08 | 2001-04-04 | 孙山岳 | Abdominal suture needle for peritoneoscopy operation |
| US6296648B1 (en) * | 1996-05-10 | 2001-10-02 | Karl Storz Gmbh & Co. Kg | Suturing aid |
| CN101056587A (en) * | 2004-11-16 | 2007-10-17 | 安斯波成就公司 | Anchor/suture used for medical procedures |
| CN101193598A (en) * | 2004-06-09 | 2008-06-04 | 法西亚封闭件系统有限责任公司 | Surgical closure instrument and methods |
| CN201394053Y (en) * | 2009-04-03 | 2010-02-03 | 曲文才 | Efficient microwave scalpel |
| CN102065776A (en) * | 2008-07-02 | 2011-05-18 | A.H.比利私人有限公司 | Apparatus and method of laparoscopic port site suture |
| CN202960630U (en) * | 2012-12-07 | 2013-06-05 | 施伟栋 | Disposable hernia needle device for treating hernia |
| US20130310856A1 (en) * | 2012-05-18 | 2013-11-21 | Coopersurgical, Inc. | Suture Passer Guides and Related Kits and Methods |
| CN203749471U (en) * | 2014-03-21 | 2014-08-06 | 魏东 | Rotary hooked needle sleeve matched with abdominal viscera traction device in use |
| US20150157316A1 (en) * | 2013-12-09 | 2015-06-11 | Teleflex Medical Incorporated | Laparoscopic fascial closure system |
| CN204542257U (en) * | 2015-04-10 | 2015-08-12 | 蓝海波 | Be applicable to rectal mucosa, sewing needle that horizontal folds in a garment stringer ties suspension |
| CN205006913U (en) * | 2015-09-30 | 2016-02-03 | 爱微捷成都医疗科技有限公司 | Ware is sewed up to stomach wall |
-
2015
- 2015-09-30 CN CN201510641409.6A patent/CN106551709A/en active Pending
Patent Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6296648B1 (en) * | 1996-05-10 | 2001-10-02 | Karl Storz Gmbh & Co. Kg | Suturing aid |
| CN2425622Y (en) * | 2000-03-08 | 2001-04-04 | 孙山岳 | Abdominal suture needle for peritoneoscopy operation |
| CN101193598A (en) * | 2004-06-09 | 2008-06-04 | 法西亚封闭件系统有限责任公司 | Surgical closure instrument and methods |
| CN101056587A (en) * | 2004-11-16 | 2007-10-17 | 安斯波成就公司 | Anchor/suture used for medical procedures |
| CN102065776A (en) * | 2008-07-02 | 2011-05-18 | A.H.比利私人有限公司 | Apparatus and method of laparoscopic port site suture |
| CN201394053Y (en) * | 2009-04-03 | 2010-02-03 | 曲文才 | Efficient microwave scalpel |
| US20130310856A1 (en) * | 2012-05-18 | 2013-11-21 | Coopersurgical, Inc. | Suture Passer Guides and Related Kits and Methods |
| CN202960630U (en) * | 2012-12-07 | 2013-06-05 | 施伟栋 | Disposable hernia needle device for treating hernia |
| US20150157316A1 (en) * | 2013-12-09 | 2015-06-11 | Teleflex Medical Incorporated | Laparoscopic fascial closure system |
| CN203749471U (en) * | 2014-03-21 | 2014-08-06 | 魏东 | Rotary hooked needle sleeve matched with abdominal viscera traction device in use |
| CN204542257U (en) * | 2015-04-10 | 2015-08-12 | 蓝海波 | Be applicable to rectal mucosa, sewing needle that horizontal folds in a garment stringer ties suspension |
| CN205006913U (en) * | 2015-09-30 | 2016-02-03 | 爱微捷成都医疗科技有限公司 | Ware is sewed up to stomach wall |
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| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20170405 |