CN107019531A - A kind of laparoscopic needle - Google Patents
A kind of laparoscopic needle Download PDFInfo
- Publication number
- CN107019531A CN107019531A CN201610578318.7A CN201610578318A CN107019531A CN 107019531 A CN107019531 A CN 107019531A CN 201610578318 A CN201610578318 A CN 201610578318A CN 107019531 A CN107019531 A CN 107019531A
- Authority
- CN
- China
- Prior art keywords
- needle
- puncture needle
- trocar sleeve
- laparoscopic
- puncture
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
-
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
-
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06009—Means for attaching suture to needle having additional means for releasably clamping the suture to the needle, e.g. actuating rod slideable within the needle
-
- 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
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06004—Means for attaching suture to needle
- A61B2017/06042—Means for attaching suture to needle located close to needle tip
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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 relates to a kind of laparoscopic needle, it includes needle body and handle, and needle body includes puncture needle, only holds the trocar sleeve of puncture needle diameter；Promoting button is housed on sleeve；Puncture needle needle tip is connected with an one metal wire.Promote button trocar sleeve is moved along puncture needle by mobile during operation, bent wire so as to extrude wire, facilitate laparoscope grasping forceps easy manipulation suture so that sutured in operation becomes very easy compared with thick tissue.The present invention is simple in construction, easy to operate, suitably in clinical application.
Description
Technical field
The present invention relates to medical instruments field, specifically a kind of sewing needle of laparoscopic surgery.
Background technology
Laparoscopic surgery belongs to Minimally Invasive Surgery, and wound is small, recovers fast, mainly by beating 3-5 diameter 5- on stomach wall
10mm paracentesis trocar hole, camera lens is inserted by a paracentesis trocar hole, and camera lens gathers intraperitoneal Real-time image display in high definition
On display screen, then laparoscopic instrument is stretched into the other paracentesis trocar holes of process, while observation display screen, while manipulating laparoscope device
Tool completes various operations, and current laparoscopic surgery is commonplace to be implemented in situation of all-level hospitals.The scope that laparoscopic surgery is related to is very
Extensively, including stomach Partial Resection or total gastrectomy, colon cancer and rectal carcinoma radical, Intestinal adhesion lysis, Bowel resection Surgical healing, gall-bladder
Excision, bile duct stenosis take stone T Tube Drains, hepatic portion excision, even include most complicated Pancreaticoduodenectomy, as long as can
The operation of abdomen completion is opened, the present overwhelming majority can be by completing under laparoscope, and therefore, the security of laparoscopic surgery is more next
More paid attention to by clinician.
The paracentesis trocar hole of laparoscopic surgery varies, the general about 5mm in small hole, and larger hole can reach 13-
20mm, even up to 30mm length, larger paracentesis trocar hole main application are to stretch into thicker apparatus assistance to intraperitoneal
The larger sample of operation or excision is taken out in vitro from larger paracentesis trocar hole, and this requires us to suture larger puncture set
Otherwise pin hole tightly, reliably must can cause the bleeding of paracentesis trocar hole or incisional hernia, add operation risk, also increase trouble
Person's pain.
Traditional suture paracentesis trocar hole method is that the curved bend with suture is clamped with needle holder using commonly opening abdomen
Pin suturing them, but often because stomach wall is very thick, paracentesis trocar hole is very deep, and each Rotating fields of stomach wall can not be it is clear that now inadequate
Suture has certain blindness, certainly will increase the probability for damaging intraperitoneal histoorgan or can not to be sewn onto stomach wall at all complete
Layer, the postoperative chance for occurring the complication such as paracentesis trocar hole bleeding and incisional hernia also accordingly increases.
Also have been reported that using other suture needle for celioscope, but or have in-convenience in use, or there is cost is excessively high various to ask
Topic, is not suitable for promoting in clinical practice.
Chinese patent 201310376366.4 discloses a kind of surgical suture needle for laparoscopic surgery, includes needle body and seam
Line, technical problem to be solved is the problem of sewing needle is easily put into trocar sleeve；The suture side of penetrating is not solved
Just the problem of；
The utility model of Chinese patent 201420447084.9 discloses a kind of suture needle for celioscope, and feature is worn in advance using needle point
Enter suture, then the abdonminal needle used cooperatively with crochet hook, this sewing needle still has suture to penetrate difficult behaviour in use
Make the drawbacks such as inconvenience；
The patent of invention of Chinese patent 200410051003.4 discloses middle suture needle for celioscope, and feature is to employ sewing needle to fix
In the structure bestirred oneself, abdominal cavity suture is carried out by the way of spiral, this sewing needle operation is relatively complicated, and is punctured in suture needle
The operation of suture is not also easy.
The content of the invention
To solve the difficulty for the splanchnocoel operation stitching that prior art is present, it is of the invention provide it is a kind of conveniently, safely,
Efficiently laparoscopic surgery punctures sewing needle, a kind of laparoscopic needle, including trocar sleeve, slides what is be connected with sleeve
Sewing needle；Wherein, wire is connected between adjacent sleeve end in suture syringe needle.So, the sewing needle with trocar sleeve, just
In piercing through wound layer to be stapled together with sewing needle.When the distance between suture syringe needle and adjacent sleeve end are equal to the gold being connected
When category filament length is spent, wire is consistent with sewing needle length direction, sewing needle side can be attached at, in company with sewing needle and sleeve one
Layer is sewn with being pierced into.After puncture, sleeve is further promoted, the distance between suture syringe needle and adjacent sleeve end is reduced, makes gold
Belong to silk because the distance at two ends reduces, stage casing leaves sewing needle, makes wire formation arch.At this moment, in wire and suture syringe needle
Between section, form almost can into it is close-shaped, have it is larger it is hollow, positioned at it is intraperitoneal, be easy to introduce and through suture
Snare.Thus the suture for wound provides a variety of facilities, realizes the goal of the invention of the present invention, solves proposed by the invention
Technical problem
To achieve the above object, the technical scheme that uses of the present invention for：
A kind of laparoscopic needle, including puncture needle and handle, puncture needle are fixed with handle, are cased with wearing on the puncture needle
Pierce sleeve；Puncture needle has wire to be connected with trocar sleeve；Trocar sleeve diameter can only accommodate puncture needle；Trocar sleeve, which is shorter than, to be worn
Pricker, trocar sleeve is provided with promotion button；Auto resilient mounting is installed, auto resilient mounting can be with inside the handle of sewing needle
For spring or other devices, spring can be one or more, and spring one end is fixed on handle, and the other end is fixed on trocar sleeve；
Puncture needle is provided with a longitudinal fluting, and the sophisticated groove of puncture needle is fixed in wire one end, and the other end connects with trocar sleeve
Connect；Puncture needle sets bossed bayonet socket close to tip portion；Provided with orientation anti-rotation device in trocar sleeve；The anti-rotational dress of orientation
The ridge for the protuberance being arranged on trocar sleeve inwall is set to, the ridge of protuberance can be entrenched in the groove of puncture needle.
Specifically, laparoscopic needle of the invention, including puncture needle and handle, puncture needle rear portion is fixed on handle
On hand, a trocar sleeve for only holding puncture needle diameter is cased with puncture needle, trocar sleeve, which is shorter than on puncture needle, sleeve, one
Button is promoted, the button is welded with trocar sleeve or is fixedly connected otherwise, and trocar sleeve fixes one close to puncture needle one end
Wire, the other end and the puncture needle needle tip of wire are fixed, trocar sleeve close to handle portion by connect wire with it is hidden
The spring being hidden in handle is connected, and the spring other end is fixed on handle bottom.Puncture between the two fixing points of wire
One bayonet socket slightly swelled is set on pin, prevents trocar sleeve excessive to needle point direction moving range.Puncture needle is provided with one
Steel wire can be accommodated in stringer groove, groove, steel wire is attached at puncture needle；Trocar sleeve inwall has the ridge of a protuberance, this
Ridge can be realized along groove and moved axially, and relative rotary motion can not be produced between puncture needle.
Trocar sleeve auto resilient mounting is to be arranged on one or more springs inside handle, spring one end and close handle
The trocar sleeve welding at hand end is otherwise fixedly connected, and when using sewing needle, is promoted the button on trocar sleeve, is made
Obtain trocar sleeve to move to puncture needle needle point direction, spring elongation；Unclamp and promote after button, spring relies on elastic recovery force, so that
Trocar sleeve is withdrawn into the position for being close to handle.
Device of the puncture needle provided with limitation trocar sleeve activity, is specially between the two ends fixing point of wire, to lean on
Nearly puncture needle tip, provided with the bayonet socket slightly swelled, trocar sleeve is blocked to being moved at bayonet socket at puncture needle needle point, is allowed to living
Dynamic scope can not be excessive.
The beneficial effects of the present invention are：By promoting trocar sleeve, one can be formed between wire and puncture needle
Sufficiently large arcuate space, wire is bent to form after arch, can be put into one in the arcuate space of wire and puncture needle
Root suture, then unclamps and promotes button, after trocar sleeve rebounds automatically so that steel wire is close to the groove on puncture needle, steps up
Suture, now suture the bodily tissue to be sutured can be freely passed in and out with puncture needle, use the present invention puncture needle stitch
During conjunction, easily suture can be sent into arcuate space using laparoscope grasping forceps, can also be taken out out of arcuate space.It is logical
Trocar sleeve is crossed to movement at handle so that steel wire clamps suture after being fitted with puncture needle, so, and suture can just facilitate
With puncture needle pass in and out the bodily tissue to be sutured so that suture compared with thick tissue（Especially stomach wall holostrome）Become to hold very much
Easily.
The present invention is simple in construction, easy to use, with certain clinical meaning.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention.
In figure, 1- puncture needles；2- wires；3- trocar sleeves；4- promotes button；5- handles；6- springs；7- connection metals
Silk；8- bayonet sockets；9- grooves；The ridge of 10- trocar sleeves inwall protuberance；11st, 12- fixing points.
Fig. 2 is the schematic cross section of the present invention.
1- puncture needles in figure；3- trocar sleeves；9- grooves；The ridge of 10- trocar sleeves inwall protuberance.
Embodiment
With reference to specific embodiment, the present invention will be further described.
A kind of laparoscopic needle as shown in Figure 1, it includes puncture needle 1, and the rear portion of puncture needle 1 is fixed with handle 5,
A trocar sleeve 3 for only holding puncture needle diameter is cased with puncture needle 1, trocar sleeve 3, which is shorter than on puncture needle 1, trocar sleeve 3, to be welded
Connect and fix a promotion button 4, promote button 4 that trocar sleeve 3 can be driven to be vertically moved along puncture needle 1, trocar sleeve 3 passes through connection
Wire 7 is connected with the spring 6 being hidden in handle 5, and the spring other end is fixed on the bottom of handle 5.Trocar sleeve 3 is close to puncture
The edge of the needle tip of pin 1 connects an one metal wire 2, the other end of wire 2 and the close end of needle tip groove 9 by fixing point 11
Fixed by fixing point 12, a bayonet socket 8 slightly swelled, puncture needle are set on the puncture needle 1 between two fixing points of wire 2
Have a stringer groove 9 on 1, groove 9 can accommodate and steel wire 2 is attached at puncture needle 1, the inwall of trocar sleeve 3 have one it is grand
The ridge 10 risen, the ridge 10 of protuberance is just embedded in the groove 9 of puncture needle 1.
One is cased with the section of laparoscopic needle as shown in Figure 2, puncture needle 1 and only holds wearing for puncture needle diameter
Piercing has a stringer groove 9 on sleeve 3, puncture needle 1, the inwall of trocar sleeve 3 has the ridge 10 of a protuberance, and the ridge 10 of protuberance is just
It is embedded in the groove 9 of puncture needle 1.
During operation：During laparoscopic needle non-working condition, wire 2 is attached in the groove 9 of puncture needle 1, is made
Used time movement promotes button 4, and trocar sleeve 3 is elongated spring 6 by connecting metal wire 7；Trocar sleeve 3 drives wire 2 simultaneously
Arch upward to form an arch circle, suture one end is put into arch circle, trocar sleeve 3 is slightly grand to moving at puncture needle needle point
It is blocked at the bayonet socket 8 risen, prevents trocar sleeve 3 excessive to the needle point direction moving range of puncture needle 1.Unclamp and promote button 4, puncture
Sleeve 3 bounces back in the presence of spring 6, and the arch circle of the formation of wire 2 flattens, and wire 2 is attached at the groove of puncture needle 1
In 9, suture is clamped.The side stomach wall holostrome for now puncturing puncture using laparoscopic needle enters abdominal cavity, by crin
One end of line bring into it is intraperitoneal, it is mobile again to promote button 4, with laparoscope grasping forceps suture drawn out out of arch wire loop come,
It is positioned over intraperitoneal standby, exits laparoscopic needle device.Sewing needle dress is penetrated again in the opposite side stomach wall of puncture
Put and enter abdominal cavity, mobile to promote button 4, trocar sleeve 3 is moved to needle point direction, is driven wire 2 to arch upward to form arch circle, is used abdomen
Intraperitoneal reserved suture one end is put into arch circle by hysteroscope nipper, is unclamped and is promoted button 4, and the automatic retracted of trocar sleeve 3 makes
Arch circle is flattened, and wire 2 is attached in the groove 9 of puncture needle 1, is clamped one end of suture, is stitched while exiting sewing needle
Zygonema is also carried over outside stomach wall, and the two ends of the suture outside abdominal cavity so are tightened up into knotting, and completion is once sutured, repeat with
Upper action, can completely close the larger puncture of stomach wall, prevent the bleeding of paracentesis trocar hole, be also prevented from occurring incisional hernia.
Laparoscopic needle is additionally provided with trocar sleeve orientation anti-rotation device, and apparatus structure can be found in shown in Fig. 2.Should
Device is made up of the ridge 10 of the groove 9 being arranged on puncture needle 1 and the protuberance being arranged on the inwall of trocar sleeve 3, the ridge of protuberance
10 are just embedded in the groove 9 of puncture needle 1.It can make groove 9 longitudinal sliding motion of the trocar sleeve 3 along puncture needle 1, and can not be with
Relative rotary motion is produced between puncture needle 1.
Although the embodiment of the present invention is described with reference to accompanying drawing for above-mentioned technical proposal, not to this hair
The limitation of bright protection domain, on the basis of technical solution of the present invention, those skilled in the art need not pay creative work
The various modifications and variations that can be made are still within protection scope of the present invention.
Claims (9)
1. a kind of laparoscopic needle, including puncture needle, the handle being connected is fixed with puncture needle, it is characterised in that：Also set
Have and slide the trocar sleeve being connected with sewing needle, there is wire to be connected between sewing needle syringe needle and adjacent sleeve end.
2. laparoscopic needle as claimed in claim 1, it is characterised in that trocar sleeve diameter can only accommodate puncture
Pin.
3. laparoscopic needle as claimed in claim 1, it is characterised in that trocar sleeve is shorter than puncture needle, punctures set
Cylinder is provided with promotion button.
4. laparoscopic needle as claimed in claim 1, it is characterised in that automatic rebounding dress is provided with inside handle
Put.
5. laparoscopic needle as claimed in claim 4, it is characterised in that auto resilient mounting is provided with inside handle
For spring, spring can be one or more, and spring one end is fixed on handle, and the other end is fixed on trocar sleeve.
6. laparoscopic needle as claimed in claim 1, it is characterised in that puncture needle is provided with a longitudinal fluting,
The sophisticated groove of puncture needle is fixed in wire one end, and the other end is connected with trocar sleeve.
7. laparoscopic needle as claimed in claim 1, it is characterised in that puncture needle is close to tip portion provided with protuberance
Bayonet socket.
8. laparoscopic needle as claimed in claim 1, it is characterised in that provided with the anti-rotational dress of orientation in trocar sleeve
Put.
9. laparoscopic needle as claimed in claim 8, it is characterised in that trocar sleeve orientation anti-rotation device is to set
The ridge of the protuberance on trocar sleeve inwall is put, the ridge of protuberance can be entrenched in the groove of puncture needle.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2016200915560 | 2016-01-29 | ||
| CN201620091556 | 2016-01-29 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107019531A true CN107019531A (en) | 2017-08-08 |
Family
ID=59524658
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610578318.7A Pending CN107019531A (en) | 2016-01-29 | 2016-07-22 | A kind of laparoscopic needle |
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| Country | Link |
|---|---|
| CN (1) | CN107019531A (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108078603A (en) * | 2017-12-22 | 2018-05-29 | 朱燕昆 | A kind of laparoscopic surgery swaged needle that automatically resets |
| CN108403170A (en) * | 2018-04-04 | 2018-08-17 | 昆明市延安医院 | A kind of Cardiac operation with mini-trauma pericardium suspension apparatus |
| CN109171852A (en) * | 2018-09-20 | 2019-01-11 | 广州高志恒达科技有限公司 | Suture instrument for tissue on inner wall of incision |
| CN110269651A (en) * | 2019-07-18 | 2019-09-24 | 上海交通大学医学院附属第九人民医院 | A kind of remporomandibular joint mirror puncture stitching unstrument |
-
2016
- 2016-07-22 CN CN201610578318.7A patent/CN107019531A/en active Pending
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108078603A (en) * | 2017-12-22 | 2018-05-29 | 朱燕昆 | A kind of laparoscopic surgery swaged needle that automatically resets |
| CN108078603B (en) * | 2017-12-22 | 2024-02-13 | 朱燕昆 | Automatic reset suture needle with wire for laparoscopic surgery |
| CN108403170A (en) * | 2018-04-04 | 2018-08-17 | 昆明市延安医院 | A kind of Cardiac operation with mini-trauma pericardium suspension apparatus |
| CN108403170B (en) * | 2018-04-04 | 2024-01-19 | 昆明市延安医院 | Minimally invasive heart surgery pericardium suspension device |
| CN109171852A (en) * | 2018-09-20 | 2019-01-11 | 广州高志恒达科技有限公司 | Suture instrument for tissue on inner wall of incision |
| CN109171852B (en) * | 2018-09-20 | 2024-01-30 | 广州高志恒达科技有限公司 | Incision inner wall tissue stitching instrument |
| CN110269651A (en) * | 2019-07-18 | 2019-09-24 | 上海交通大学医学院附属第九人民医院 | A kind of remporomandibular joint mirror puncture stitching unstrument |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20170808 |
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| WD01 | Invention patent application deemed withdrawn after publication |