CN106725667A - Minimally invasive manadesma closer - Google Patents
Minimally invasive manadesma closer Download PDFInfo
- Publication number
- CN106725667A CN106725667A CN201611024846.4A CN201611024846A CN106725667A CN 106725667 A CN106725667 A CN 106725667A CN 201611024846 A CN201611024846 A CN 201611024846A CN 106725667 A CN106725667 A CN 106725667A
- Authority
- CN
- China
- Prior art keywords
- line sending
- action bars
- turning arm
- minimally invasive
- manadesma
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
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
- A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
-
- 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
Abstract
The present invention relates to a kind of minimally invasive manadesma closer, it include action bars, a pair located at action bars bottom and strutted by driving mechanisms control or clamping turning arm and line sending pin；The turning arm is provided with and holds the line sending passage that line sending pin is passed through, and the exit of the line sending passage is provided with the protection mechanism for preventing punctures tissue.It is an object of the invention to provide a kind of minimally invasive manadesma closer for being capable of achieving quick, safety inwall suture.The advantage of the invention is that：The exit of line sending passage sets protection mechanism on turning arm, and the needle point that can be prevented effectively from line sending pin is stabbed, pierces through patient internal danger, and effectively improves the stitching speed for applying patient；The outer profile size of the turning arm axial cross section of action bars and clamping state is less than puncture outfit hole size, the puncturing hole that directly can be formed using puncture outfit, action bars is inserted in puncturing hole, eliminates the process for looking for puncturing hole again, operation is more facilitated, save operating time.
Description
Technical field
The present invention relates to a kind of minimally invasive manadesma closer.
Background technology
For Minimally Invasive Surgery, it is inevitable the need for passage is set up with patient, it is and postoperative to patient trauma's
The current still larger puzzlement point of suture.During because of the last wound of postoperative suture, endoscope is had no in chamber the related visual field is provided,
Suture for inwall wound is more difficult, therefore most by the way of only suture exocuticle wound.But the wound in abdomen
And it is unfavorable for monitoring, in the case that the wound mouthful of inwall is not sutured, easily there is infection and the lesion of wound, or even trigger hernia
Gas.
Current minimally invasive manadesma closer, in suture, line sending pin needle point has no reliable safeguard measure, there is needle point bundle
Wound, the danger for piercing through patient internal, and need first to extract puncture outfit from chamber when using, then look for puncturing hole to insert again
Minimally invasive manadesma closer, because puncturing hole is smaller, looks for the process in hole not only inconvenient but also consuming time again, delayed to perform the operation into
Journey, all adversely affects to doctor and patient.
The content of the invention
It is an object of the invention to provide a kind of minimally invasive manadesma closer, its quick, the safety stiich that can realize wound inwall
Close.
The purpose of the present invention is achieved through the following technical solutions：A kind of minimally invasive manadesma closer, it include action bars, a pair
Strutted located at action bars bottom and by driving mechanisms control or clamping turning arm and line sending pin；The turning arm is provided with
Hold the line sending passage that line sending pin is passed through, the exit of the line sending passage is provided with the protection mechanism for preventing punctures tissue.
For than prior art, the advantage of the invention is that：
1. the exit of present invention line sending passage on turning arm sets protection mechanism, can be prevented effectively from the needle point of line sending pin
Stab, pierce through patient internal danger, improve the stitching speed for applying patient；
2. protection mechanism includes being arranged on the protective cover of line sending channel exit and leads to for making protective cover be close to line sending
The spring element in road exit, protective cover can prevent needle point from stabbing, pierce through tissue, and spring element can realize the positioning of protective cover and receive
Reset after power displacement；
3. the outer profile size of the turning arm axial cross section of action bars of the invention and clamping state is less than puncture outfit endoporus
Size, without first pulling out puncture outfit when using, but the puncturing hole for directly being formed using puncture outfit, action bars is inserted and is punctured
In hole, and then the process for looking for puncturing hole again is eliminated, operation is more facilitated, save operating time.
Brief description of the drawings
Fig. 1 is the dimensional structure diagram of an embodiment of the present invention turning arm deployed condition
Fig. 2 is the structural representation of an embodiment of the present invention turning arm closure state；
Fig. 3 is the structural representation of an embodiment of the present invention turning arm deployed condition；
Fig. 4 is a-quadrant enlarged drawing in Fig. 3；
Fig. 5 is structural representation of an embodiment of the present invention turning arm closure state through puncture outfit；
Fig. 6 is the structural representation of another kind embodiment turning arm deployed condition of the invention；
Fig. 7 is the operation lever structure schematic diagram of another kind embodiment turning arm deployed condition of the invention；
Fig. 8 is the driving mechanism structure schematic diagram of another kind embodiment turning arm deployed condition of the invention.
Label declaration：1 action bars, 2 turning arms, 3 line sending pins, 4 line sending passages, 5 protection mechanisms, 5-1 protective covers, 5-2 bullets
Power part, 6 grooves, 7 clamp blocks, 8 line sending grooves, 9 locking pieces, 10 puncture outfits, 11 connecting rods, 12 handles, 13 compression springs, 14 ring-types
Spacing block set, 15 limited block A, 16 inverted L-shaped stopper slots, 17 limit chambers, 18 strip stopper slots, 19 limited block B.
Specific embodiment
Present invention is described in detail with reference to Figure of description and embodiment：
The embodiment schematic diagram of a kind of minimally invasive manadesma closer of present invention offer is provided such as Fig. 1 to Fig. 4.
A kind of minimally invasive manadesma closer, it includes action bars 1, is located at the bottom of action bars 1 for a pair and by drive mechanism control
System strut or clamping turning arm 2 and line sending pin 3；
The turning arm 2 is provided with and holds the line sending passage 4 that line sending pin 3 is passed through, and the exit of the line sending passage 4 is provided with anti-
The only protection mechanism 5 of punctures tissue.
Protection mechanism 5 is equipped with two turning arms 2, and protection mechanism 5 is arranged on the sandwich serface of turning arm 2.
As shown in figure 3, the protection mechanism 5 includes being arranged on the protective cover 5-1 in the exit of line sending passage 4 and for making
Protective cover 5-1 is close to the spring element 5-2 in the exit of line sending passage 4.The spring element 5-2 is elastic sleeve, the protective cover 5-1 patches
Inwall, outer wall in elastic sleeve are embedded in elastic sleeve internal layer, and the outer of the elastic sleeve is fixed on turning arm 2.
When line sending pin 3 passes line sending passage 4, its needle point withstands on the medial surface of protective cover 5-1, so as to avoid line sending pin
3 Jianzha County wound, puncture patient internal.When patient's exertin insertion line sending pin 3 is applied, the needle point pushing tow protective cover 5- of line sending pin 3
1, protective cover 5-1 displacements cause that elastic sleeve is deformed upon, and when applying patient and removing power, elastic sleeve causes that protective cover 5-1 resets, and
The line sending pin 3 is allowed to have a process for narrowing, the feel of patient is applied in increase, improves suture efficiency.
The turning arm 2 offers the groove 6 for housing protective cover 5-1 positioned at the exit position of line sending passage 4.When
When line sending pin 3 has sent line to withdraw, protective cover 5-1 is automatically returned in concave station 6 under the elastic force effect that elastic sleeve 5-2 shrinks.
Groove 6 further can carry out spacing, to prevent it from sliding out line sending passage 4 outlet port to protective cover 5-1.It is described
The top of groove 6 is provided with chamfering, and groove 6 is slid more easily into when withdrawing protective cover 5-1.
The middle part of the line sending passage 4 is provided with clamp block 7.The clamp block 7 is medical silica-gel material or other soft materials.
When line sending pin 3 is reclaimed, clamp block 7 is used to clamp the surgical thread on line sending pin 3.
The lateral wall of the action bars 1 is provided with two line sending grooves 8, and the outlet of each line sending groove 8 is respectively just to different rotary arm 2
On the entrance of line sending passage 4.
The spring element 5-2 is rubber or silica gel.
The protective cover 5-1 is metal material or the harder material of other quality.
The side wall of the action bars 1 is provided with the locking piece 9 for locking the working condition of turning arm 2, can at any time lock rotation
The working condition of pivoted arm, it is to avoid during threading a needle, turning arm 2 closes under the promotion of line sending pin 3.
As shown in figure 5, the outer profile size of the axial cross section of turning arm 2 of the action bars 1 and clamping state is less than puncture
The hole size of device 10, puncture outfit 10 can outwards take out along action bars 1.
The key step sutured using minimally invasive manadesma closer of the invention is as follows：
1st, turning arm 2 is adjusted to closure state by control drive mechanism, and the closure state of turning arm 2 is locked using locking piece 9,
The turning arm 2 of action bars 1 is inserted along the endoporus of puncture outfit 10 being just inserted in abdominal wall tissue；
2nd, unlock the lock-out state of part 9, and control drive mechanism makes turning arm 2 switch to expansion shape by closure state
State, the deployed condition of turning arm 2 is locked using locking piece 9；
3rd, puncture outfit 10 is outwards extracted along action bars 1；(order of the 2nd, 3 two steps can be adjusted according to actual conditions)
4th, abdominal wall tissue is sent into surgical thread one end along a line sending groove 8 and corresponding line sending passage 4 with line sending pin 3,
Needle point will withstand on protective cover 5-1 madial walls and drive protective cover 5-1 to be elapsed with the passage of line sending pin 3, while elastic sleeve 5-
2 will also follow the change in location of protective cover 5-1 and produce deformation；
5th, when line sending is completed, and line sending pin 3 withdraws, surgical thread is held in clamp block 7, and protective cover 5-1 is in elastic sleeve
Under the elastic force effect that 5-2 shrinks, automatically return in the groove 6 on turning arm 2；
6th, the surgical thread other end is sent into stomach wall group along another line sending groove 8 and corresponding line sending passage 4 with line sending pin 3
Knit, surgical thread is held in the clamp block 7 of another turning arm 2；
7th, unlock the lock-out state of part 9, and control drive mechanism makes turning arm 2 switch to closed form by deployed condition
State, and the closure state of turning arm 2 is locked with locking piece 9；
8th, take out action bars 1, because the two ends of surgical thread are limited in two clamp blocks 7 of turning arm 2 respectively, now with
The taking-up of action bars 1 and be together removed；
9th, the two ends of surgical thread are tensed to knot and is fixed, complete sewing process.
It is another example structure schematic diagram of the invention as shown in Fig. 6 to Fig. 8, the drive mechanism includes being located at
The connecting rod 11 of the handle 12 of the top of action bars 1 and even pivoted arm 2 and handle 12, the connecting rod 11 is through in action bars 1；
Compression spring 13 is arranged with the connecting rod 11 and the ring-type spacing block set 14 of support compression spring 13, institute is provided with
State the side wall of connecting rod 11 and be provided with limited block A15, the side wall of the action bars 1 is provided with the inverted L-shaped stopper slot 16 coordinated with limited block A15
And limit chamber 17, compression spring 13 and ring-type spacing block set 14 are placed in limit chamber 17.Limited block A15 is in inverted L-shaped stopper slot
During 16 lower end, turning arm 2 is closure state；When limited block A15 is in 16 upper end platform of inverted L-shaped stopper slot, turning arm 2 is expansion
State.
To ensure the fastening of connecting rod, turning arm 2 is set not loosen, the compression spring 13 in limit chamber 17 is in compression
State is preferred.
The side wall of the action bars 1 is provided with strip stopper slot 18, and the connecting rod 11 is provided with matched limited block
B19, further carries out spacing, connecting rod 1 is not allowed to be drawn out easily excessive or transverse shakiness.
The key step sutured using the minimally invasive manadesma closer of this embodiment of the invention is as follows：
1st, limited block A15 is adjusted in the lower end of inverted L-shaped stopper slot 16, now turning arm 2 is closure state, by action bars 1
Turning arm 2 is inserted along the endoporus of puncture outfit 10 being just inserted in abdominal wall tissue；
2nd, upward handle 12, when limited block A15 is located at 16 upper end platform of inverted L-shaped stopper slot, rotates handle 12, in pressure
Limited block A15 is stuck in the upper end platform of L-shaped stopper slot 16 under the effect of the elastic force of contracting spring 13, now turning arm 2 is locked as launching shape
State；
3rd, puncture outfit 10 is outwards extracted along action bars 1；(order of the 2nd, 3 two steps can be adjusted according to actual conditions)
4th, abdominal wall tissue is sent into surgical thread one end along a line sending groove 8 and corresponding line sending passage 4 with line sending pin 3,
Needle point will withstand on protective cover 5-1 madial walls and drive protective cover 5-1 to be elapsed with the passage of line sending pin 3, while elastic sleeve 5-2
Also the change in location of protective cover 5-1 will be followed and deformation is produced；
5th, when line sending is completed, and line sending pin 3 withdraws, surgical thread is held in clamp block 7, and protective cover 5-1 is in elastic sleeve
Under the elastic force effect that 5-2 shrinks, automatically return in the groove 6 on turning arm 2；
6th, the surgical thread other end is sent into stomach wall group along another line sending groove 8 and corresponding line sending passage 4 with line sending pin 3
Knit, surgical thread is held in the clamp block 7 of another turning arm 2；
7th, handle 12 is rotated, limited block A15 is removed from the upper end platform of L-shaped stopper slot 16, made in the elastic force of compression spring 13
Under, limited block A15 will be reset to the lower end of L-shaped stopper slot 16, and now turning arm 2 switches to closure state by deployed condition；
8th, take out action bars 1, because the two ends of surgical thread are limited in two clamp blocks 7 of turning arm 2 respectively, now with
The taking-up of action bars 1 and be together removed；
9th, the two ends of surgical thread are tensed to knot and is fixed, complete sewing process.
Whole sewing process, whole operation process is quick in place, need not again look for hole and without worrying that line sending pin enters abdomen
Organ in abdomen is caused damage when interior, realize quick, safe inwall suture.
Although being described to the preferred embodiments of the present invention above in association with accompanying drawing, the invention is not restricted to above-mentioned specific
Implementation method, above-mentioned specific embodiment is only exemplary rather than limited, and one of ordinary skill in the art exists
Under enlightenment of the invention, on the premise of without prejudice to present inventive concept and claim, expression as multiple types can be made, this
The conversion of sample is each fallen within protection scope of the present invention.
Claims (10)
1. a kind of minimally invasive manadesma closer, it is characterised in that：It include action bars (1), a pair located at action bars (1) bottom and
Strutted by driving mechanisms control or clamping turning arm (2) and line sending pin (3)；
The turning arm (2) is provided with holds the line sending passage (4) that line sending pin (3) is passed through, and the exit of the line sending passage (4) sets
There is the protection mechanism (5) for preventing punctures tissue.
2. minimally invasive manadesma closer according to claim 1, it is characterised in that：The protection mechanism (5) is including being arranged on
The protective cover (5-1) in line sending passage (4) exit and for making protective cover (5-1) be close to the bullet in line sending passage (4) exit
Power part (5-2).
3. minimally invasive manadesma closer according to claim 2, it is characterised in that：The spring element (5-2) is elastic sleeve, institute
State protective cover (5-1) to be affixed on the inwall of elastic sleeve, outer wall or be embedded in elastic sleeve internal layer, the outer of the elastic sleeve is fixed on
On turning arm (2).
4. minimally invasive manadesma closer according to claim 2, it is characterised in that：The turning arm (2) is positioned at line sending passage
(4) exit position offers the groove (6) for housing protective cover (5-1).
5. minimally invasive manadesma closer according to claim 1, it is characterised in that：Line sending passage (4) middle part is provided with folder
Line block (7).
6. minimally invasive manadesma closer according to claim 1, it is characterised in that：The lateral wall of the action bars (1) is provided with
Two line sending grooves (8), the outlet of each line sending groove (8) is respectively just to line sending passage (4) entrance on different rotary arm (2).
7. minimally invasive manadesma closer according to claim 1, it is characterised in that：Action bars (1) side wall is provided with use
In the locking piece (9) of locking turning arm (2) working condition.
8. minimally invasive manadesma closer according to claim 1, it is characterised in that：The drive mechanism includes being located at action bars
(1) connecting rod (11) of handle (12) above and connection turning arm (2) and handle (12), the connecting rod (11) through
In action bars (1)；
Compression spring (13) is arranged with the connecting rod (11) and the ring-type spacing block set of support compression spring (13) is provided with
(14), connecting rod (11) side wall is provided with limited block A (15), and action bars (1) side wall is provided with and coordinates with limited block A (15)
Inverted L-shaped stopper slot (16) and limit chamber (17), compression spring (13) and ring-type spacing block set (14) are placed in limit chamber (17).
9. minimally invasive manadesma closer according to claim 8, it is characterised in that：Action bars (1) side wall is provided with strip
Stopper slot (18), the connecting rod (11) is provided with matched limited block B (19).
10. the minimally invasive manadesma closer according to claim 1-9 any one, it is characterised in that：The action bars (1) and
The outer profile size of turning arm (2) axial cross section of clamping state is less than puncture outfit (10) hole size.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611024846.4A CN106725667B (en) | 2016-11-21 | 2016-11-21 | Minimally invasive fascia closer |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611024846.4A CN106725667B (en) | 2016-11-21 | 2016-11-21 | Minimally invasive fascia closer |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN106725667A true CN106725667A (en) | 2017-05-31 |
| CN106725667B CN106725667B (en) | 2019-04-26 |
Family
ID=58968318
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611024846.4A Active CN106725667B (en) | 2016-11-21 | 2016-11-21 | Minimally invasive fascia closer |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106725667B (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107361802A (en) * | 2017-07-25 | 2017-11-21 | 天津职业技术师范大学 | A kind of buckle-type abdominal-cavity minimal-invasion surgery depression bar |
| CN107582116A (en) * | 2017-09-01 | 2018-01-16 | 佛山市优特医疗科技有限公司 | A kind of operative incision inwall stitching unstrument |
| CN109009279A (en) * | 2018-05-28 | 2018-12-18 | 德清朗特医疗科技有限公司 | Safety-type fascia stapler and application method |
| CN111374739A (en) * | 2018-12-29 | 2020-07-07 | 江苏风和医疗器材股份有限公司 | Puncture core subassembly and puncture ware |
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| CN204797920U (en) * | 2015-06-10 | 2015-11-25 | 常州健瑞宝医疗器械有限公司 | Ware is sewed up to manadesma |
| CN105266859A (en) * | 2015-11-23 | 2016-01-27 | 黄盛� | Minimally-invasive fascia closer |
| CN105828729A (en) * | 2013-12-09 | 2016-08-03 | 泰利福医疗公司 | Sliding suture grasper |
| CN105848591A (en) * | 2013-12-09 | 2016-08-10 | 泰利福医疗公司 | Laparoscopic fascial closure system |
| CN105962979A (en) * | 2016-06-30 | 2016-09-28 | 鲍平云 | Minimally invasive fascia closer |
| CN206586992U (en) * | 2016-11-21 | 2017-10-27 | 施爱德（厦门）医疗器材有限公司 | Minimally invasive manadesma closer |
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| CN105828729A (en) * | 2013-12-09 | 2016-08-03 | 泰利福医疗公司 | Sliding suture grasper |
| CN105848591A (en) * | 2013-12-09 | 2016-08-10 | 泰利福医疗公司 | Laparoscopic fascial closure system |
| CN204797920U (en) * | 2015-06-10 | 2015-11-25 | 常州健瑞宝医疗器械有限公司 | Ware is sewed up to manadesma |
| CN105266859A (en) * | 2015-11-23 | 2016-01-27 | 黄盛� | Minimally-invasive fascia closer |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107361802A (en) * | 2017-07-25 | 2017-11-21 | 天津职业技术师范大学 | A kind of buckle-type abdominal-cavity minimal-invasion surgery depression bar |
| CN107361802B (en) * | 2017-07-25 | 2023-10-27 | 天津职业技术师范大学 | Buckle formula abdominal cavity minimal access surgery depression bar |
| CN107582116A (en) * | 2017-09-01 | 2018-01-16 | 佛山市优特医疗科技有限公司 | A kind of operative incision inwall stitching unstrument |
| CN109009279A (en) * | 2018-05-28 | 2018-12-18 | 德清朗特医疗科技有限公司 | Safety-type fascia stapler and application method |
| CN111374739A (en) * | 2018-12-29 | 2020-07-07 | 江苏风和医疗器材股份有限公司 | Puncture core subassembly and puncture ware |
| CN111374739B (en) * | 2018-12-29 | 2024-01-16 | 江苏风和医疗器材股份有限公司 | Puncture core assembly and puncture outfit |
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|---|---|
| CN106725667B (en) | 2019-04-26 |
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