CN107714116A - Stitching instrument for laparoscope - Google Patents
Stitching instrument for laparoscope Download PDFInfo
- Publication number
- CN107714116A CN107714116A CN201710799715.1A CN201710799715A CN107714116A CN 107714116 A CN107714116 A CN 107714116A CN 201710799715 A CN201710799715 A CN 201710799715A CN 107714116 A CN107714116 A CN 107714116A
- Authority
- CN
- China
- Prior art keywords
- suture needle
- mobile jib
- suture
- handle
- line wheel
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0483—Hand-held instruments for holding sutures
-
- 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
A kind of stitching instrument for laparoscope, including suture needle (1), mobile jib (3), handle (4), mobile jib (3) are hollow stem, and the afterbody of mobile jib (3) is fixed on handle；The front end surface of mobile jib (3) is provided with the first suture needle fixing hole (31), the front end side of mobile jib (3) is provided with the second suture needle fixing hole (32), and the second suture needle fixing hole (32) extends transversely through mobile jib (3)；Mobile jib (1) is provided with interior fix bar (5)；Suture needle (1) is W shape pins, is highly provided with flat time section less than 5mm, the end segment of suture needle；The lower section for pressing close to mobile jib (3) on handle (4) sets line wheel resettlement groove, and line wheel fixing axle is set in line wheel resettlement groove, and line wheel placement cell wall is provided with the threading hole through handle.The present invention is advantageous to the disengaging abdominal cavity of suture needle maneuverability, and enables suture needle each orientation progress flexibly suture, knotting in vivo in laparoscopic surgery.
Description
Technical field
The present invention relates to the mobile phone apparatus for the treatment of celiaca, more particularly to suture behaviour can be carried out by maneuverability in operation
The laparoscopic stapling device of work.
Background technology
Laparoscope plays great effect in the diagnosis and treatment of abdominal disease, but is such as cut open the belly in laparoscopic surgery
That maneuverability sutured substantially of performing the operation but largely loses.In order to cover the shortage, in laparoscope lower hemostasia or to charge-coupled
Knit, using simple but relatively hazardous heat setting, coagulation, laser, clip, staple etc., but careless manipulation can cause severe haemorrhage or week
The necrosis of tissue is enclosed, causes death.Also corresponding stitching devices are correspondingly improved with regard to this, such as Publication No.
CN1729939A, the patent application of entitled " stitching instrument for laparoscope " and Publication No. CN101449989A, entitled " abdominal cavity
The patent application of mirror stitching knotter ", it is provided to improve the maneuverability of suture, but structure is complex, operation is not
Smoothly.
The content of the invention
It is an object of the invention to provide a kind of in the intraperitoneal celioscope stitching that can be sutured maneuverability, knotted
Device.
The purpose of the present invention can be achieved in that, design a kind of stitching instrument for laparoscope, including suture needle, mobile jib, handle, mobile jib
For hollow stem, the afterbody of mobile jib is fixed on handle；
The first suture needle fixing hole is provided with the front end surface of mobile jib at axle center, the front end side of mobile jib is consolidated provided with the second suture needle
Determine hole, the second suture needle fixing hole extends transversely through mobile jib；Mobile jib is provided with interior fix bar, and the tail end of interior fix bar is provided with rotation and held
Head, the endpiece of interior fix bar are provided with external screw thread, and the tail end of mobile jib is provided with the internal thread coordinated with interior fix bar external screw thread；
Suture needle is W shape pins, is highly provided with flat time section less than 5mm, the end segment of suture needle；
The lower section for pressing close to mobile jib on handle sets line wheel resettlement groove, and line wheel fixing axle, line wheel are set in line wheel resettlement groove
Cell wall is disposed to be provided with the threading hole through handle.
Further, the insertion port of the second suture needle fixing hole is in horn mouth, and the fixed port of two suture needle fixing holes is bigger
In the tail footpath of suture needle.
Further, metallic channel is provided with below the pinprick of suture needle, pinprick and the difference in height of pin bottom are more than 1mm.
Further, metallic channel is extended at the curved position of suture needle.
Further, the long 3.5cm of the pin of suture needle, pin diameter 1.1mm.
Further, mobile jib, which is at handle upper position, is provided with exhaust row's blood hole seat, exhaust row's blood hole seat be provided with through hole with
The hollow bore phase communications and liaison of mobile jib, exhaust row's blood hole seat are provided with block.
The present invention is advantageous to the disengaging abdominal cavity of suture needle maneuverability, and enables suture needle in laparoscopic surgery each side in vivo
Position flexibly suture, knotted；Handle is integrally formed with mobile jib, and various sutures and knotting are operated by handle, and suture is from suture needle
Rear and front end is passed in and out twice, and the other end of suture is held in the hand by operator, and required suture is general needed for laparotomy ventrotomy
Straight joint line, the technology such as ferrule technology, suturing skill and coagulation used by current laparoscope is may replace, saves lot of materials
Take.
Brief description of the drawings
Fig. 1 is the schematic diagram of present pre-ferred embodiments；
Fig. 2 is the diagrammatic cross-section of the second suture needle fixing hole 32 of present pre-ferred embodiments；
Fig. 3 is the schematic diagram of the suture needle of present pre-ferred embodiments.
Embodiment
The invention will be further described with reference to embodiments.
As shown in figure 1, a kind of stitching instrument for laparoscope, including suture needle 1, mobile jib 3, handle 4, mobile jib 3 is hollow stem, mobile jib 3
Afterbody be fixed on handle 4；The front end surface of mobile jib 3 is provided with the first suture needle fixing hole 31, and the front end side of mobile jib 3 is provided with the
Two suture needle fixing holes 32, the second suture needle fixing hole 32 extend transversely through mobile jib 3.As shown in Fig. 2 the insertion of the second suture needle fixing hole 32
Port 321 is in horn mouth, and the fixed port 322 of the second suture needle fixing hole is slightly larger than the tail footpath of suture needle 1, can be more during operation
Easily suture needle 1 is inserted in the second suture needle fixing hole 32.
Mobile jib 1 is provided with interior fix bar 5, and the tail end of interior fix bar 5 is provided with rotation and holds head, and interior fix bar 5 is used for fixed stitch
Pin 1, the endpiece of interior fix bar 5 are provided with external screw thread, and the tail end of mobile jib 1 is provided with the internal thread coordinated with interior fix bar external screw thread；Or
Person is that the tail end of mobile jib 3 is weldingly fixed on handle 4, and axle center same with the endoporus of mobile jib 3 is set on handle 4 and can be accommodated interior solid
The mating holes that fixed pole 5 passes through, mating holes tail end are provided with the internal thread coordinated with interior fix bar external screw thread.
As shown in figure 3, suture needle 1 is W shape pins, highly flat time section 11 is provided with less than 5mm, the end segment of suture needle；Flat time section 11
It is easy to the interior top pressure suture needle 1 of fix bar 5, suture needle 1 is fixed on the second suture needle fixing hole 32 and prevents suture needle 1 from being rotated after fixing.
Metallic channel is provided with below the pinprick of suture needle 1, pinprick and the difference in height of pin bottom are more than 1mm；Eye of threading a needle is easy in the setting of metallic channel
And lead；Pinprick and the difference in height of pin bottom are easy to lift suture in surgical procedure.Metallic channel is extended in suture needle 1 close to pin
At the interior lateral bending position of eye, it is easy to the inserting needle of suture needle 1 to penetrate suturing part, reduces influence of the suture to inserting needle.In the present embodiment, suture needle 1
The long 3.5cm of pin, pin diameter 1.1mm, pinprick using No. 8 pins pinprick.Arc pin of the prior art enters in practical operation
Suture is extruded onto by tissue after pin is close to suture needle needle body, is difficult to lift suture in surgical procedure, increases operation technique difficulty
And operating time.The construction of W shape pins can make tissue be not easy suture being extruded onto and be close to suture needle needle body, be lifted in surgical procedure
Suture is relatively easy to, and reduces suture time.
As shown in figure 1, the lower section for pressing close to mobile jib 3 on handle 4 sets line wheel resettlement groove 41, line is set in line wheel resettlement groove
Fixing axle 42 is taken turns, line wheel placement cell wall is provided with the threading hole 43 through handle.In use, by extracting suture out in suture line wheel,
Suture is drawn outside handle 4 by threading hole 43, suture line wheel is placed in line wheel resettlement groove 41, the shaft hole sleeve of suture line wheel
In line wheel fixing axle 42, the diameter of axle of line wheel fixing axle 42 is less than the aperture of suture line wheel axis hole, and suture line wheel can pacify in line wheel
Put in groove 41 and be freely rotatable.
Mobile jib 3, which is at handle upper position, is provided with exhaust row's blood hole seat 33, and exhaust row's blood hole seat 33 is provided with through hole and mobile jib
Hollow bore phase communications and liaison, exhaust row blood hole seat 33 is provided with block 34.Exhaust row's blood hole seat is easy to discharge the blood in mobile jib 3
Gas.
The suture of the present invention, knotting skill：
1st, into abdominal cavity：The suture needle 1 for putting on suture is inserted in the first suture needle fixing hole 31 on mobile jib 3, make suture needle 1 with
Mobile jib 3 is linear, after entering abdominal cavity by 6~7mm sleeve pipes, is taken from the first suture needle fixing hole 31 suture needle 1 by clamping pliers
Under, suture needle 1 is inserted in the second suture needle fixing hole 32, suture needle 1 is fixedly secured in the second suture needle fixing hole by fix bar 5 in rotation
In 32, suture needle 1 and mobile jib 3 are in 90 ° of angles, in favor of smoothly suture.
2nd, suture：The right hand holds stitching unstrument, suture needle 1 is penetrated suture site, then further goes out pin, suture is revealed from pin hole
Go out 4~5mm, operator's left hand holds clamping pliers and provokes front end suture and clamp, and suture needle is exited, and suture threading is completed, and clamping pliers are put
The opening line broken ends of fractured bone.
3rd, knot：Suture needle 1 with line is after clamping pliers rotate 1 week (side's of beating knot) or rotation 2 weeks (beating surgeons' knot), clamping pliers
The crack line broken ends of fractured bone is held, stitching unstrument is corresponding with clamping pliers to be tensed, and completes a knot.Second or the 3rd knot is completed with method.
4th, trimming：Stitching unstrument stretches suture with clamping pliers, and line is cut.Stitching unstrument does not exit abdominal cavity, carries out second and stitches
Close, knot.
5th, exit：Interior fix bar 5 is unscrewed, is removed from the second suture needle fixing hole 32 suture needle 1 by clamping pliers, by suture needle
In 1 the first suture needle fixing hole 31 of insertion, then mobile jib 3 and suture needle 1 are extracted out abdominal cavity in the lump.
The present invention can be carried out：
1st, pass line, knot：Line passed using stitching unstrument during non-suture state, knotted, ligature the tissue broken ends of fractured bone.Method is same as above.Can
Substitute ferrule technology used by current laparoscope, save lot of materials and take.
2nd, interrupted suture：Above-mentioned suture, knotting skill, are interrupted suture.
3rd, 8 words suture：After staplers threading, knot not trimming, carries out the second pin suture threading, and clamping pliers pass through pin
At hole after suture, clamp another broken ends of fractured bone of suture and be pulled through and involve, suture needle withdraws from an organization, and suture both ends knot, and completes the suture of 8 words.
4th, continuous suture, continuous lock suture：Sutured with 8 words, but the direction for passing in and out suture needle is different.
Claims (6)
1. a kind of stitching instrument for laparoscope, including suture needle (1), mobile jib (3), handle (4), mobile jib (3) are hollow stem, mobile jib (3)
Afterbody is fixed on handle (4)；It is characterized in that：
Mobile jib (3) front end surface is provided with the first suture needle fixing hole (31), and the front end side of mobile jib (3) is fixed provided with the second suture needle
Hole (32), the second suture needle fixing hole (32) extend transversely through mobile jib (3)；Mobile jib (1) is provided with interior fix bar (5), interior fix bar (5)
Tail end is provided with rotation and holds head, and the endpiece of interior fix bar (5) is provided with external screw thread, the tail end of mobile jib (1) provided with outside interior fix bar
The internal thread that screw thread coordinates；
Suture needle (1) is W shape pins, is highly provided with flat time section (11) less than 5mm, the end segment of suture needle；
The lower section for pressing close to mobile jib (3) on handle (4) sets line wheel resettlement groove (41), and line wheel fixing axle is set in line wheel resettlement groove
(42), line wheel placement cell wall is provided with the threading hole (43) through handle.
2. stitching instrument for laparoscope according to claim 1, it is characterised in that：The insertion port of second suture needle fixing hole (32)
(321) it is in horn mouth, the fixed port (322) of the second suture needle fixing hole is slightly larger than the tail footpath of suture needle (1).
3. stitching instrument for laparoscope according to claim 1, it is characterised in that：Metallic channel is provided with below the pinprick of suture needle (1),
Pinprick and the difference in height of pin bottom are more than 1mm.
4. stitching instrument for laparoscope according to claim 3, it is characterised in that：Metallic channel is extended at the curved position of suture needle (1).
5. stitching instrument for laparoscope according to claim 3, it is characterised in that：The long 3.5cm of pin, the pin diameter of suture needle (1)
1.1mm。
6. stitching instrument for laparoscope according to claim 1, it is characterised in that：Mobile jib (3) is at handle upper position and is provided with
Exhaust row's blood hole seat (33), exhaust row's blood hole seat are provided with the hollow bore phase communications and liaison of through hole and mobile jib, set in exhaust row's blood hole seat
There is block (34).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710799715.1A CN107714116B (en) | 2017-09-07 | 2017-09-07 | Laparoscope stitching instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710799715.1A CN107714116B (en) | 2017-09-07 | 2017-09-07 | Laparoscope stitching instrument |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN107714116A true CN107714116A (en) | 2018-02-23 |
| CN107714116B CN107714116B (en) | 2020-07-14 |
Family
ID=61205816
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710799715.1A Active CN107714116B (en) | 2017-09-07 | 2017-09-07 | Laparoscope stitching instrument |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107714116B (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109589152A (en) * | 2019-01-14 | 2019-04-09 | 郑州大学第附属医院 | A kind of portable tumor operation wound suture tool |
| CN112089456A (en) * | 2020-08-19 | 2020-12-18 | 广州医科大学附属第五医院 | Surgical suture instrument |
| CN114144121A (en) * | 2019-02-22 | 2022-03-04 | 爱惜康股份有限公司 | Suture needle with bendable region |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1086700A (en) * | 1992-05-01 | 1994-05-18 | 李氏医学技术有限公司 | Laparoscopic needle holder |
| US20030176874A1 (en) * | 2002-03-12 | 2003-09-18 | Sauer Jude S. | Apparatus for sewing tissue and method of use |
| CN2719233Y (en) * | 2004-08-04 | 2005-08-24 | 深圳市第二人民医院 | Laparoscope suturing device |
| CN202198631U (en) * | 2011-08-23 | 2012-04-25 | 王宗鼎 | Laparoscope stitching instrument |
| WO2014164890A1 (en) * | 2013-03-12 | 2014-10-09 | Suturenetics, Inc. | Endoscopic suturing needle loader device, system and method |
| US20150051621A1 (en) * | 2012-10-31 | 2015-02-19 | Suture Concepts Inc. | Method and apparatus for closing a fissure in the annulus of an intervertebral disc, and/or for effecting other anatomical repairs and/or fixations |
| CN204931752U (en) * | 2015-08-04 | 2016-01-06 | 陈�峰 | A kind of stitching instrument for laparoscope |
| EP3053530A2 (en) * | 2015-02-06 | 2016-08-10 | Coloplast A/S | A system for implanting a penile prosthetic includes a suture and a needle inserted into a tool |
-
2017
- 2017-09-07 CN CN201710799715.1A patent/CN107714116B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1086700A (en) * | 1992-05-01 | 1994-05-18 | 李氏医学技术有限公司 | Laparoscopic needle holder |
| US20030176874A1 (en) * | 2002-03-12 | 2003-09-18 | Sauer Jude S. | Apparatus for sewing tissue and method of use |
| CN2719233Y (en) * | 2004-08-04 | 2005-08-24 | 深圳市第二人民医院 | Laparoscope suturing device |
| CN202198631U (en) * | 2011-08-23 | 2012-04-25 | 王宗鼎 | Laparoscope stitching instrument |
| US20150051621A1 (en) * | 2012-10-31 | 2015-02-19 | Suture Concepts Inc. | Method and apparatus for closing a fissure in the annulus of an intervertebral disc, and/or for effecting other anatomical repairs and/or fixations |
| WO2014164890A1 (en) * | 2013-03-12 | 2014-10-09 | Suturenetics, Inc. | Endoscopic suturing needle loader device, system and method |
| EP3053530A2 (en) * | 2015-02-06 | 2016-08-10 | Coloplast A/S | A system for implanting a penile prosthetic includes a suture and a needle inserted into a tool |
| CN204931752U (en) * | 2015-08-04 | 2016-01-06 | 陈�峰 | A kind of stitching instrument for laparoscope |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109589152A (en) * | 2019-01-14 | 2019-04-09 | 郑州大学第附属医院 | A kind of portable tumor operation wound suture tool |
| CN114144121A (en) * | 2019-02-22 | 2022-03-04 | 爱惜康股份有限公司 | Suture needle with bendable region |
| CN112089456A (en) * | 2020-08-19 | 2020-12-18 | 广州医科大学附属第五医院 | Surgical suture instrument |
Also Published As
| Publication number | Publication date |
|---|---|
| CN107714116B (en) | 2020-07-14 |
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Effective date of registration: 20230824 Address after: 210000 5th floor, building 07, accelerator phase II, No. 11, Yaogu Avenue, Jiangbei new district, Nanjing City, Jiangsu Province Patentee after: NANJING POLYMER MEDICAL TECHNOLOGY Co.,Ltd. Address before: No. 3002, Sungang West Road, Futian District, Shenzhen, Guangdong 518029 Patentee before: SHENZHEN SECOND PEOPLE'S Hospital |
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