CN108065990A - A kind of puncture sheath - Google Patents
A kind of puncture sheath Download PDFInfo
- Publication number
- CN108065990A CN108065990A CN201711453926.6A CN201711453926A CN108065990A CN 108065990 A CN108065990 A CN 108065990A CN 201711453926 A CN201711453926 A CN 201711453926A CN 108065990 A CN108065990 A CN 108065990A
- Authority
- CN
- China
- Prior art keywords
- contact pin
- pull rod
- upper connecting
- connecting rod
- blade
- 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
Links
- 238000003780 insertion Methods 0.000 claims abstract description 5
- 230000037431 insertion Effects 0.000 claims abstract description 5
- 230000000717 retained effect Effects 0.000 claims abstract description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical group O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 5
- 239000000741 silica gel Substances 0.000 claims description 5
- 229910002027 silica gel Inorganic materials 0.000 claims description 5
- 238000009958 sewing Methods 0.000 abstract description 8
- 238000000034 method Methods 0.000 abstract description 6
- 238000011017 operating method Methods 0.000 abstract description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 4
- 206010021620 Incisional hernias Diseases 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of puncture sheaths, it is characterised in that：It includes inner tube, is arranged on two, said inner tube head blade, for lifting the pull rod for strutting the blade, for the upper connecting rod of lifting, and the contact pin slot positioned at said inner tube both sides, the contact pin in the contact pin slot；The upper connecting rod and pull rod are arranged in said inner tube, are connected with each other by a pull rod clutch structure；The upper connecting rod is connected by a contact pin clutch structure with the contact pin, is used to contact pin suture the end of a thread is retained in the blade along the distracted blade of contact pin slot push insertion after connection.The present invention is connected by two clutches, one upper connecting rod with peritonaeum positioning element and suture lead member respectively, is realized peritonaeum positioning, is punctured sewing needle, take multiple actions such as suture out of.Simplify operating procedure.In addition, the setting for passing through clutch so that stitching step can only successively be acted according to the sequential of regulation, it is therefore prevented that the maloperation of sewing process.
Description
Technical field
The invention belongs to surgical operating instrument technical field, more particularly to a kind of puncture sheath of band suture function.
Background technology
Laparoscopic surgery is the Minimally Invasive Surgery method that a new development is got up so that many past open operations are present
It is replaced by intracavity operation, considerably increases surgical selection chance.With the development of laparoscopic technique, laparoscopic surgery quilt
More and more doctors and patient are received.Laparoscopic surgery operation must be established by puncture sheath (trocar) on stomach wall
Service aisle, then the step similary with open surgery is completed under television monitoring with special lengthening surgical instrument, reach similary
Surgical effect.Puncture sheath specification is diameter 5mm-12mm, generally the stomach wall puncture to being more than 5mm at present, it is necessary to peritoneal suture
And incidence of the fascia layer to prevent notch bleeding and reduce incisional hernia.Traditional arc pin sewing method is for this small notch
Especially obese patient can not complete, and staight needle sewing method can not make small notch due to lacking necessary guiding positioning means
The tissue of both sides is corresponding, it is difficult to reach preferable sewing effect.
Also having in the prior art has the function of the puncture sheath of suture, but its operation is relative complex, it is necessary to pass through multiple portions
Part positions to complete peritonaeum, punctures sewing needle, takes multiple actions such as suture out of.It sutures inefficient.
The content of the invention
Present invention aims at the defects of laparoscopic surgery wound is difficult is sutured for existing suture instruments, one kind is provided just
It is sutured in wound, reduces the puncture sheath of the band suture function of the incidence of incisional hernia.
The present invention to achieve the above object, adopts the following technical scheme that：
A kind of puncture sheath, it is characterised in that：It includes inner tube, is arranged on two, said inner tube head blade, is strutted for lifting
The pull rod of the blade, for the upper connecting rod of lifting, the contact pin slot positioned at said inner tube both sides, inserting in the contact pin slot
Pin；The upper connecting rod and pull rod are arranged in said inner tube, are connected with each other by a pull rod clutch structure；The upper connecting rod leads to
It crosses a contact pin clutch structure with the contact pin to be connected, be used for after connection the contact pin is distracted along the push insertion of contact pin slot
Suture the end of a thread is retained in the blade in blade.
It is further characterized by：The pull rod clutch structure includes being arranged on lower bayonet lock and the position of the pull-up club head
In the card slot on pull rod；After the lower bayonet lock is embedded in the card slot, the upper connecting rod is connected with pull rod.
The contact pin clutch structure includes the bayonet lock on the upper connecting rod and the contact pin sliding block positioned at the contact pin slot tail,
The contact pin sliding block is fixedly connected with contact pin afterbody；After the bayonet lock is embedded in the contact pin sliding block, the upper connecting rod and contact pin phase
Connection.
Further：The pull rod is hollow structure, and the pull-up club head inserting enters in the pull rod；On the pull rod
Card slot be the guide groove with multiple flat segments and vertical section；When the lower bayonet lock is located at the first card slot flat segments of card slot
When, the upper connecting rod is connected with pull rod；When the lower bayonet lock is located at card slot vertical section, the upper connecting rod has freely in pull rod
Stroke.
Preferably：The bayonet lock guide groove with multiple flat segments and vertical section is provided on said inner tube wall；The bayonet lock
The second guide groove flat segments on guide groove top are connected with the contact pin slot.
The length of first guide groove vertical section of the bayonet lock guide groove is equal to the stroke length of the pull rod；First is oriented to
The length of slot flat segments is equal to the straight segment length of the first card slot；The length of second guide groove vertical section is equal to the first card slot vertical section
Length；The length of second guide groove flat segments is equal to the straight segment length of the second card slot.
There is positioning locking device, for the positioning locking after the blade struts on the outer wall of said inner tube.
The positioning locking device is shrapnel locking system.
The end of a thread indwelling area filling of the blade has silica gel block.
The contact pin trough portion has the guide section being inclined outwardly, and is inserted into for being oriented to contact pin in distracted blade.
The present invention by two clutches, one upper connecting rod respectively with peritonaeum positioning element and suture leading part
Part is connected, and realizes peritonaeum positioning, punctures sewing needle, take multiple actions such as suture out of.Simplify operating procedure.It is in addition, logical
Cross the setting of clutch so that stitching step can only successively be acted according to the sequential of regulation, it is therefore prevented that the mistake behaviour of sewing process
Make.
Description of the drawings
Fig. 1 is schematic structural view of the invention.
Fig. 2 is head construction enlarged diagram of the present invention.
Fig. 3 is central structure enlarged diagram of the present invention.
Specific embodiment
A kind of puncture sheath as shown in Figs. 1-3 including inner tube 1, is arranged on two, 1 head of inner tube blade 4, is strutted for lifting
The pull rod 3 of blade 4, for the upper connecting rod 2 of lifting, the contact pin slot 10 positioned at 1 both sides of inner tube, the contact pin in contact pin slot 10
（It is not drawn into figure）.Upper connecting rod 2 and pull rod 3 are arranged in inner tube 1.Pull rod 3 is hollow structure, and the set insertion of 2 head of upper connecting rod is drawn
In bar 3.The head of upper connecting rod 2 has lower bayonet lock 5, has card slot 8 on 3 wall of pull rod.The card slot 8 is with the first card slot flat segments
81st, the first card slot vertical section 82, the second card slot flat segments 83 and the second card slot vertical section 84.Instantly bayonet lock 5 is located at the of card slot 8
During one card slot flat segments 81, upper connecting rod 2 and pull rod 3 connect.Instantly bayonet lock 5 is located at the first card slot vertical section 82 and the second card slot erects
During straight section 84, upper connecting rod 2 has free travel in pull rod 3.2 middle part of upper connecting rod has bayonet lock 6, and card is provided on 1 wall of inner tube
Sell guide groove 9；Bayonet lock guide groove 9 is vertical with the first guide groove vertical section 91, the first guide groove flat segments 92, the second guide groove
93 and second guide groove flat segments 94 of section.The second guide groove flat segments 94 on 9 top of bayonet lock guide groove are connected with contact pin slot 10.
10 afterbody of contact pin slot has contact pin sliding block 11, and contact pin sliding block 11 is fixedly connected with contact pin afterbody.Bayonet lock 6 is in bayonet lock guide groove 9
Interior be oriented to is slided.After bayonet lock 6 is embedded in contact pin sliding block 11, upper connecting rod 2 is connected with contact pin.After connection, pass through contact pin sliding block 11
Contact pin is pushed along contact pin slot 10 in the distracted blade 4 of insertion, suture the end of a thread is retained in blade 4.
There is shrapnel locking system 7, for the positioning locking after blade 4 struts on the outer wall of inner tube 1.The line of blade 4
Head indwelling area filling has silica gel block 12.10 head of contact pin slot has the guide section being inclined outwardly, and is inserted into for being oriented to contact pin
In distracted blade 4.The length of first guide groove vertical section 91 of bayonet lock guide groove 9 is equal to the stroke length of pull rod 3；First leads
It is equal to 81 length of the first card slot flat segments to the length of slot flat segments 92；The length of second guide groove vertical section 93 is equal to the first card
82 length of slot vertical section；The length of second guide groove flat segments 94 is equal to 83 length of the second card slot flat segments.
During original state of the present invention, the lower bayonet lock 5 on upper connecting rod 2 is located at the first card slot flat segments 81 of pull rod 3, upper connecting rod
2 are connected with pull rod 3.Two blade 4 are in closed configuration.Puncture sheath head is pierced into abdominal cavity during use, lifts upper connecting rod 2,
Upper connecting rod 2 drives pull rod 3 synchronously to move up, and pull rod 3 moves up so that two blade 4 synchronously strut.Bayonet lock 6 is the first of inner tube simultaneously
The first guide groove flat segments 92 are moved in guide groove vertical section 91.When the pull-up stroke of pull rod 3 is reached home, shrapnel locking fills
It puts 7 to position 3 locking of pull rod so that blade 4 keeps softened state.Continue to lift inner tube 1 so that blade 4 is adjacent to peritonaeum.Rotation
Upper connecting rod 2 so that lower bayonet lock 5 departs from the first card slot flat segments 81, into the first card slot vertical section 82；Meanwhile bayonet lock 6 departs from the
One guide groove flat segments 92, into the first guide groove vertical section 93.Upper connecting rod 2 is in free travel state.On upper connecting rod 2 continues
It draws, lower bayonet lock 5 is along 82 uplink of the first card slot vertical section, and bayonet lock 6 is along 93 uplink synchronization of the first guide groove vertical section.Instantly bayonet lock 5
82 terminal of the first card slot vertical section is reached, upper connecting rod 2 is rotated again, lower bayonet lock 5 is made to be moved along the second card slot flat segments 83, bayonet lock
6 along 94 synchronizing moving of the second guide groove flat segments to contact pin slot 10 in, prop up contact pin sliding block 11.Upper connecting rod 2 pushes, contact pin sliding block
11 drive contact pin through peritonaeum, to penetrate in the silica gel 12 of blade 4 along 10 downlink of contact pin slot, the suture the end of a thread on head is retained in
In silica gel 12.According to above-mentioned steps successively reverse operating, contact pin is retracted, and blade 4 is closed.By the two of suture during extraction puncture sheath
A the end of a thread is taken out of together, and tightening suture can realize the suture of peritonaeum.
The present invention can be used alone, and outer sleeve can also be coordinated to be used together.
Claims (10)
1. a kind of puncture sheath, it is characterised in that：It includes inner tube, is arranged on two, said inner tube head blade, is supportted for lifting
The pull rod of the blade is opened, for the upper connecting rod of lifting, the contact pin slot positioned at said inner tube both sides, in the contact pin slot
Contact pin；The upper connecting rod and pull rod are arranged in said inner tube, are connected with each other by a pull rod clutch structure；The upper connecting rod
It is connected by a contact pin clutch structure with the contact pin, is used to strut the contact pin along the push insertion of contact pin slot after connection
Blade in suture the end of a thread is retained in the blade.
2. puncture sheath according to claim 1, it is characterised in that：The pull rod clutch structure includes being arranged on the pull-up
The lower bayonet lock and the card slot on pull rod of club head；After the lower bayonet lock is embedded in the card slot, the upper connecting rod and pull rod connect
It connects.
3. puncture sheath according to claim 1, it is characterised in that：The contact pin clutch structure is included on the upper connecting rod
Bayonet lock and the contact pin sliding block positioned at the contact pin slot tail, the contact pin sliding block are fixedly connected with contact pin afterbody；The bayonet lock is embedding
After entering the contact pin sliding block, the upper connecting rod is connected with contact pin.
4. the puncture sheath according to Claims 2 or 3, it is characterised in that：The pull rod be hollow structure, the pull-up head
Portion's set is inserted into the pull rod；Card slot on the pull rod is the guide groove with multiple flat segments and vertical section；Under described
When bayonet lock is located at the first card slot flat segments of card slot, the upper connecting rod is connected with pull rod；The lower bayonet lock is located at card slot vertical section
When, the upper connecting rod has free travel in pull rod.
5. puncture sheath according to claim 4, it is characterised in that：Be provided on said inner tube wall with multiple flat segments and
The bayonet lock guide groove of vertical section；The second guide groove flat segments on the bayonet lock guide groove top are connected with the contact pin slot.
6. puncture sheath according to claim 5, it is characterised in that：First guide groove vertical section of the bayonet lock guide groove
Length is equal to the stroke length of the pull rod；The length of first guide groove flat segments is equal to the straight segment length of the first card slot；Second
The length of guide groove vertical section is equal to the vertical segment length of the first card slot；The length of second guide groove flat segments is put down equal to the second card slot
Straight section length.
7. according to claim 1-3 any one of them puncture sheaths, it is characterised in that：There is positioning lock on the outer wall of said inner tube
Locking apparatus, for the positioning locking after the blade struts.
8. puncture sheath according to claim 7, it is characterised in that：The positioning locking device is shrapnel locking system.
9. according to claim 1-3 any one of them puncture sheaths, it is characterised in that：The end of a thread indwelling area filling of the blade
There is silica gel block.
10. according to claim 1-3 any one of them puncture sheaths, it is characterised in that：The contact pin trough portion, which has, to lean outward
Oblique guide section is inserted into for being oriented to contact pin in distracted blade.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711453926.6A CN108065990A (en) | 2017-12-28 | 2017-12-28 | A kind of puncture sheath |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201711453926.6A CN108065990A (en) | 2017-12-28 | 2017-12-28 | A kind of puncture sheath |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108065990A true CN108065990A (en) | 2018-05-25 |
Family
ID=62155635
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201711453926.6A Pending CN108065990A (en) | 2017-12-28 | 2017-12-28 | A kind of puncture sheath |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108065990A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109620322A (en) * | 2019-01-23 | 2019-04-16 | 上海执中医疗技术有限公司 | A kind of fixed stamp card with myometrial suture function |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5741286A (en) * | 1996-06-07 | 1998-04-21 | Symbiosis Corporation | Laparoscopic instrument kit including a plurality of rigid tubes |
| CN204797948U (en) * | 2015-06-19 | 2015-11-25 | 刘素君 | Pin type pincers |
| TW201601676A (en) * | 2014-07-04 | 2016-01-16 | Fang-Chao Du | Suturing and knotting integrated device for laparoscopic surgery and knotting assembly for associated surgery |
| CN205697884U (en) * | 2016-04-14 | 2016-11-23 | 高宏 | Chamber mirror puncture stiching instrument |
| CN205814367U (en) * | 2016-06-05 | 2016-12-21 | 李东林 | Vascular suture pincers under peritoneoscope |
| CN106388889A (en) * | 2016-11-25 | 2017-02-15 | 中国人民解放军第三军医大学第附属医院 | Laparoscope incision closing device |
| CN106974706A (en) * | 2017-03-30 | 2017-07-25 | 盛君玉 | Puncture sheath with suture function |
| CN208573800U (en) * | 2017-12-28 | 2019-03-05 | 盛君玉 | A kind of puncture sheath |
-
2017
- 2017-12-28 CN CN201711453926.6A patent/CN108065990A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5741286A (en) * | 1996-06-07 | 1998-04-21 | Symbiosis Corporation | Laparoscopic instrument kit including a plurality of rigid tubes |
| TW201601676A (en) * | 2014-07-04 | 2016-01-16 | Fang-Chao Du | Suturing and knotting integrated device for laparoscopic surgery and knotting assembly for associated surgery |
| CN204797948U (en) * | 2015-06-19 | 2015-11-25 | 刘素君 | Pin type pincers |
| CN205697884U (en) * | 2016-04-14 | 2016-11-23 | 高宏 | Chamber mirror puncture stiching instrument |
| CN205814367U (en) * | 2016-06-05 | 2016-12-21 | 李东林 | Vascular suture pincers under peritoneoscope |
| CN106388889A (en) * | 2016-11-25 | 2017-02-15 | 中国人民解放军第三军医大学第附属医院 | Laparoscope incision closing device |
| CN106974706A (en) * | 2017-03-30 | 2017-07-25 | 盛君玉 | Puncture sheath with suture function |
| CN208573800U (en) * | 2017-12-28 | 2019-03-05 | 盛君玉 | A kind of puncture sheath |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109620322A (en) * | 2019-01-23 | 2019-04-16 | 上海执中医疗技术有限公司 | A kind of fixed stamp card with myometrial suture function |
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