CN108115406B - Suture pore plate mechanism assembling tool and threading method - Google Patents

Suture pore plate mechanism assembling tool and threading method Download PDF

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Publication number
CN108115406B
CN108115406B CN201810064946.2A CN201810064946A CN108115406B CN 108115406 B CN108115406 B CN 108115406B CN 201810064946 A CN201810064946 A CN 201810064946A CN 108115406 B CN108115406 B CN 108115406B
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plate
groove
threading
suture
tooling
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CN108115406A (en
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陈波
胡叶枫
孙赟辉
纪晓燕
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Shanghai Ligetai Biotechnology Co ltd
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    • BPERFORMING OPERATIONS; TRANSPORTING
    • B23MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23PMETAL-WORKING NOT OTHERWISE PROVIDED FOR; COMBINED OPERATIONS; UNIVERSAL MACHINE TOOLS
    • B23P21/00Machines for assembling a multiplicity of different parts to compose units, with or without preceding or subsequent working of such parts, e.g. with programme control

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Abstract

The invention provides a suture pore plate mechanism assembling tool, which comprises a tooling plate (101) and a guide piece (104), wherein a wire penetrating groove (102) and a plate placing groove (103) are formed in one of two end surfaces of the tooling plate (101) along the thickness direction; the plate placing groove (103) extends along the width direction of the tooling plate (101); comprises a plurality of board placement grooves (103) which are arranged along the length direction of the tooling board (101); the wire through groove (102) is communicated with the board placing groove (103); the guide piece (104) is connected in the threading groove (102) in a sliding mode, and the guide piece (104) can move from the corresponding position of one plate placing groove (103) to the corresponding position of the other plate placing groove (103) in the plurality of plate placing grooves (103). The invention also provides a threading method by using the suture pore plate mechanism assembling tool. The invention can carry out multi-loop multi-strand threading of the suture between the pore plates, increases the integral strength and stability of the suture pore plate mechanism, and improves the safety and reliability of ligament reconstruction operation.

Description

Suture pore plate mechanism assembling tool and threading method
Technical Field
The invention relates to the field of medical instruments, in particular to a suture pore plate mechanism assembling tool and a threading method.
Background
In ligament reconstruction surgery, by using a suture hole plate mechanism, specifically, a suture is penetrated between two hole plates, the two hole plates are respectively fixed on two bones to which a ligament to be reconstructed is attached, the suture plays a role in reconstructing the ligament, for example, in coracoid ligament reconstruction surgery, one hole plate is required to be respectively fixed on coracoid process and collarbone for fixing two ends of an artificial ligament. Single-strand sutures are commonly used as artificial ligaments at present, but for single-strand sutures, there is a problem of insufficient tensile strength, and for single-strand sutures in multiple twisted forms, there is a defect that the suture is prolonged in use, resulting in unstable ligament fixation. The prior art lacks a suture hole plate mechanism with multiple strands of suture as ligament reconstruction material, and further lacks a tool that enables rapid repetition of threading between hole plates.
Disclosure of Invention
In view of the defects in the prior art, the invention aims to provide a suture hole plate mechanism assembling tool and a threading method.
The invention provides a suture hole plate mechanism assembling tool, which comprises a tooling plate and a guide piece, wherein one of two end surfaces of the tooling plate along the thickness direction is provided with a wire penetrating groove and a plate placing groove;
the board placing groove extends along the width direction of the tooling board; the plurality of plate placing grooves are arranged along the length direction of the tooling plate; the wire penetrating groove is communicated with the board placing groove;
the guide piece is connected in the threading groove in a sliding way, and the guide piece can move from the corresponding position of one plate placing groove to the corresponding position of the other plate placing groove in the plurality of plate placing grooves.
Preferably, the guide comprises a via; the via device comprises a via rod and a supporting pipe sleeve;
comprises a plurality of via devices, a plurality of via rods are arranged in a supporting pipe sleeve; one of the two ends of the through hole rod along the axial direction is arranged in the supporting pipe sleeve, and the other end of the through hole rod is provided with a wire tying part.
Preferably, the threading groove comprises an annular groove and an inlet and outlet groove; the annular groove is communicated with the wire inlet and outlet groove;
the wire inlet and outlet groove extends along the length direction of the tooling plate and penetrates through one end face of the tooling plate along the length direction;
the annular groove comprises an extension part and a turning part, and the plate placing grooves are mutually communicated along the extension part.
Preferably, a plurality of electromagnets are arranged on the tooling plate, and the electromagnets are arranged along the length extension direction of the annular groove;
the guide can be attracted by an energized electromagnet.
Preferably, the guide member is spherical in shape, and the wire tying part is arranged on the guide member;
the cross section of the threading groove is semicircular, and the diameter of the spherical guide piece is smaller than that of the threading groove.
Preferably, the tooling plate is also provided with a counter;
and the counter is positioned on the turning part corresponding to the end of the wire inlet and outlet groove in the length direction of the tooling plate.
Preferably, the control desk further comprises a control desk, wherein the control desk comprises a controller and an operation panel;
the controller can control the switch-on and the switch-off of the electromagnet, the operation panel can set and display the threading turns, and the threading turns are the turns of the guide piece moving along the annular groove.
Preferably, the tooling plate comprises an upper hinge and a lower hinge, and the upper hinge is detachably connected with the lower hinge.
Preferably, the tooling plate is provided with a positioning device, and the positioning device comprises a positioning column and a positioning hole;
the positioning column and the positioning hole are respectively positioned on the upper hinge and the lower hinge.
The invention also provides a threading method by using the suture pore plate mechanism assembling tool, which comprises the following steps:
step S1: placing a hole plate in the plate placing groove, so that two threading holes for threading on the hole plate are respectively communicated with the space in the groove of the two extension parts of the annular groove;
step S2: setting the number of threading turns on the operation panel, tying the suture on the tying part of the guide piece, and putting the guide piece into the wire inlet and outlet groove;
step S3: sequentially electrifying electromagnets in the extending direction along the length of the annular groove, and attracting the guide piece to move along the annular groove;
step S4: when the number of threading turns reaches a set value, all the electromagnets are powered off, threading is completed, and the suture pore plate mechanism is obtained.
Compared with the prior art, the invention has the following beneficial effects:
1. the suture hole plate mechanism can be used for carrying out multi-loop multi-strand threading of suture between the hole plates, so that the overall strength and stability of the suture hole plate mechanism are greatly improved, and the safety and reliability of ligament reconstruction operation are improved;
2. according to the invention, the guide piece moves in the threading groove through the cyclic opening and closing of the electromagnet, so that the suture is driven to automatically penetrate between the pore plates, and the device is simple, convenient and high in efficiency;
3. the infrared counter is arranged in the invention, so that the number of penetrating turns of the suture can be recorded, and the penetrating turns can be set by combining with the control console, so that the suture pore plate mechanism with the target penetrating turns can be automatically obtained;
4. the suture pore plate mechanism manufactured by the invention can adjust the distance between two pore plates by alternately drawing the thread ends at the two ends of the suture, thereby being suitable for the requirements of different ligament reconstruction operations.
Drawings
Other features, objects and advantages of the present invention will become more apparent upon reading of the detailed description of non-limiting embodiments, given with reference to the accompanying drawings in which:
FIG. 1 is a schematic diagram of the structure of the present invention in an embodiment;
FIG. 2 is a schematic diagram of a suture orifice plate mechanism;
fig. 3 is a schematic structural diagram of the present invention in a variation.
The figure shows:
Figure BDA0001556438270000031
Detailed Description
The present invention will be described in detail with reference to specific examples. The following examples will assist those skilled in the art in further understanding the present invention, but are not intended to limit the invention in any way. It should be noted that variations and modifications could be made by those skilled in the art without departing from the inventive concept. These are all within the scope of the present invention.
In the description of the present invention, it should be understood that the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention.
As shown in fig. 1 and 3, the assembling tool for the suture hole plate mechanism provided by the invention comprises a tooling plate 101 and a guide piece 104, wherein a threading groove 102 and a plate placing groove 103 are formed in one of two end surfaces of the tooling plate 101 along the thickness direction, the plate placing groove 103 extends along the width direction of the tooling plate 101, a plurality of plate placing grooves 103 are arranged along the length direction of the tooling plate 101, and the threading groove 102 and the plate placing groove 103 are mutually communicated. The guide piece 104 is slidably connected in the threading groove 102, and the guide piece 104 can move from a position corresponding to one plate placing groove 103 to a position corresponding to the other plate placing groove 103 in the plurality of plate placing grooves 103. In practical applications, the suture hole plate mechanism is mostly used for reconstructing ligaments between two bones, such as coracoid bone and collarbone, as shown in fig. 2, the suture hole plate mechanism includes two hole plates 201 respectively fixed on two different bones, and therefore, two plate placing grooves 103 are provided on the tooling plate 101 for accommodating the two hole plates 201. Two threading holes 202 are provided on each hole plate 201 for threading the thread 203, and the threading holes 202 should be located in the threading grooves 102, so that the guide 104 can conveniently pass through the threading holes 202, and the thread 203 can be threaded on the hole plate 201. To distinguish the two orifice plates 201, the orifice plate 201 located below in fig. 1 to 3 is defined as a first orifice plate, and the orifice plate 201 located above is defined as a second orifice plate.
As shown in fig. 1, in the embodiment, the guide 104 includes a via 105, the via 105 includes a via rod 106 and a supporting sleeve 107, two via rods 105 are provided in each supporting sleeve 107, one of two ends of the via rod 106 in the axial direction is detachably mounted in the supporting sleeve 107, and the other end is provided with a wire tying portion 108. The two through-hole vias 105 are distributed along the diagonal direction of the tooling plate 101, that is, the two through-hole vias 105 are respectively located at two ends of the tooling plate 101 along the length direction, and are respectively used for threading the left and right groups of threading holes 202 of the orifice plate 201. In fig. 1, the lower via 105 is defined as a first via, the upper via 105 is defined as a second via, and in the threading operation, the first step is: penetrating the first hole penetrating device from the threading hole 202 on the left side of the first hole plate, penetrating the threading groove 102 and then penetrating the first hole penetrating device from the threading hole 202 on the left side of the second hole plate, penetrating the second hole penetrating device from the threading hole 202 on the right side of the second hole plate, penetrating the threading groove 102 and then penetrating the first hole penetrating device from the threading hole 202 on the right side of the first hole plate; and a second step of: fixing the suture 203 on the tether portion 108 of one of the via bars 106 of the second via machine, pulling the via bar 106 in a bottom-up direction until passing through the right-hand threading hole 202 of the second aperture plate; and a third step of: fixing the suture 203 on the thread tying part 108 of one of the via bars 106 of the first via device, and penetrating the suture 203 from the left thread passing hole 202 of the first orifice plate along the direction from top to bottom by the via bar 106; the second and third steps are repeated until all the via bars 106 are withdrawn from the threading groove 102, completing the threading operation. In a preferred embodiment, the number of via bars 106 in each support sleeve 107 may also be adjusted according to the number of threading turns required.
As shown in fig. 3, in a variant, the threading groove 102 includes an annular groove 109 and an in-out groove 110, the groove is mutually communicated with the in-out groove 110, the in-out groove 110 extends along the length direction of the tooling plate 101 and penetrates through one end surface of the tooling plate 101 along the length direction, the annular groove 109 includes an extension portion 111 and a turning portion 112, and the plate placing groove 103 is mutually communicated along the extension portion 111. The annular groove 109 is shaped like a playground runway, so that the annular groove 109 includes two straight extensions 111 and two curved return portions 112, the two extensions 111 corresponding to the left and right sets of threading holes 202 of the orifice plate 201, respectively. The tooling plate 101 is provided with a plurality of electromagnets 113, a plurality of said electromagnets 113 being arranged along the length extension of the annular groove 109, said guides 104 being magnets themselves or being made of a material such as iron, cobalt, nickel, so that the guides 104 can be attracted by the electromagnets 113 energized. The guide piece 104 is spherical, the guide piece 104 is provided with a tying line part 108, the cross section of the threading groove 102 is semicircular, the diameter of the spherical guide piece 104 is smaller than that of the threading groove 102, the tying line part 108 is used for fixing the suture 203, and the spherical shape and the smaller size of the guide piece 104 are beneficial to the movement of the guide piece 104 along the threading groove 102. The tooling plate 101 is also provided with a counter 114, and the counter 114 is positioned on a turning-back part 112 corresponding to the end of the wire inlet and outlet groove 110 along the length direction of the tooling plate 101. In addition, a console is further provided, the console comprises a controller and an operation panel, the controller can control the power on and power off of the electromagnet 113, the operation panel can set and display the threading turns, and the threading turns are the turns of the guide piece 104 moving along the annular groove 109. Preferably, the counter 114 is an infrared counter 114, and the guide 104 does not pass through the infrared counter 114 once, representing that the suture 203 is threaded one revolution between the two orifice plates 201.
The invention also provides a threading method by using the suture pore plate mechanism assembling tool in the variation, which comprises the following steps: step S1: placing an orifice plate 201 in the plate placing groove 103, so that two threading holes 202 for threading on the orifice plate 201 are respectively communicated with the space in the groove of the two extension parts 111 of the annular groove 109; step S2: setting the number of threading turns on the operation panel, tying the thread 203 on the thread tying portion 108 of the guide 104, and putting the guide 104 into the entry and exit slot 110; step S3: sequentially electrifying the electromagnets 113 in the length extending direction of the annular groove 109 individually, and attracting the guide 104 to move along the annular groove 109; step S4: when the number of threading turns reaches a set value, all electromagnets 113 are powered off, threading is completed, and the suture hole plate mechanism is obtained.
In a preferred embodiment, the tooling plate 101 includes an upper hinge and a lower hinge 115, the upper hinge is detachably connected with the lower hinge 115, and the threading groove 102 and the plate placing groove 103 are changed into a hole form by a groove through the arrangement of the upper hinge and the lower hinge 115, so that the stability of the threading process is further increased. Preferably, the tooling plate 101 is provided with a positioning device, the positioning device comprises a positioning column and a positioning hole 116, the positioning column and the positioning hole 116 are respectively positioned on the upper hinge and the lower hinge 115, and the positioning device can prevent sliding dislocation between the upper hinge and the lower hinge 115.
The foregoing describes specific embodiments of the present invention. It is to be understood that the invention is not limited to the particular embodiments described above, and that various changes and modifications may be made by one skilled in the art within the scope of the claims without affecting the spirit of the invention. The embodiments of the present application and features in the embodiments may be combined with each other arbitrarily without conflict.

Claims (10)

1. The suture pore plate mechanism assembling tool is characterized by comprising a tooling plate (101) and a guide piece, wherein a wire penetrating groove (102) and a plate placing groove (103) are formed in one of two end faces of the tooling plate (101) along the thickness direction;
the plate placing groove (103) extends along the width direction of the tooling plate (101); comprises a plurality of board placement grooves (103) which are arranged along the length direction of the tooling board (101); the wire through groove (102) is communicated with the board placing groove (103);
the guide piece is connected in the threading groove (102) in a sliding mode, and the guide piece can move from the corresponding position of one plate placing groove (103) to the corresponding position of the other plate placing groove (103) in the plurality of plate placing grooves (103).
2. The suture aperture plate mechanism assembly tool of claim 1, wherein the guide comprises a passer (105); the via device (105) comprises a via rod (106) and a supporting sleeve (107);
comprises a plurality of through hole devices (105), and a plurality of through hole rods (106) are arranged in a supporting pipe sleeve (107); one of the two ends of the through hole rod (106) along the axial direction is arranged in the supporting sleeve (107), and the other end is provided with a wire tying part (108).
3. The suture aperture plate mechanism assembly tool of claim 1, wherein the threading slot (102) comprises an annular slot (109) and an access slot (110); the annular groove (109) is communicated with the wire inlet and outlet groove (110);
the wire inlet and outlet groove (110) extends along the length direction of the tooling plate (101) and penetrates through one end face of the tooling plate (101) along the length direction;
the annular groove (109) includes an extension portion (111) and a folded portion (112), and the board placement grooves (103) communicate with each other along the extension portion (111).
4. A suture orifice plate mechanism assembly tool according to claim 3, wherein a plurality of electromagnets (113) are provided on the tooling plate (101), the plurality of electromagnets (113) being arranged along the length extension direction of the annular groove (109);
the guide can be attracted by an energized electromagnet (113).
5. The suture orifice plate mechanism assembly tool of claim 4, wherein the guide is spherical in shape with a tether portion (108) disposed thereon;
the cross section of the threading groove (102) is semicircular, and the diameter of the spherical guide piece is smaller than that of the threading groove (102).
6. The suture orifice plate mechanism assembly tool of claim 4, wherein a counter (114) is further provided on the tooling plate (101);
and the counter (114) is positioned on a turning part (112) corresponding to the end of the wire inlet and outlet groove (110) along the length direction of the tooling plate (101).
7. The suture orifice plate mechanism assembly tool of claim 6, further comprising a console, the console comprising a controller and an operating panel;
the controller can control the power on and power off of the electromagnet (113), the operation panel can set and display the threading turns, and the threading turns are turns of the guide piece moving along the annular groove (109).
8. A suture hole plate mechanism assembly tool according to claim 2 or 3, wherein the tooling plate (101) comprises an upper hinge and a lower hinge (115), the upper hinge being detachably connected to the lower hinge (115).
9. The suture orifice plate mechanism assembly tool of claim 8, wherein a positioning device is provided on the tooling plate (101), the positioning device comprising a positioning post and a positioning hole (116);
the positioning column and the positioning hole (116) are respectively positioned on the upper hinge and the lower hinge (115).
10. A method of threading using the suture aperture plate mechanism assembly tool of claim 7, comprising the steps of:
step S1: placing a hole plate (201) in the plate placing groove (103), and enabling two threading holes (202) used for threading on the hole plate (201) to be respectively communicated with the space in the groove of the two extension parts (111) of the annular groove (109);
step S2: setting the number of threading turns on the operation panel, tying the suture (203) on the tying portion (108) of the guide, and putting the guide into the wire inlet and outlet groove (110);
step S3: sequentially electrifying electromagnets (113) in the length extending direction of the annular groove (109) singly, and attracting the guide piece to move along the annular groove (109);
step S4: when the number of threading turns reaches a set value, all electromagnets (113) are powered off, threading is completed, and the suture hole plate mechanism is obtained.
CN201810064946.2A 2018-01-23 2018-01-23 Suture pore plate mechanism assembling tool and threading method Active CN108115406B (en)

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JP2010035852A (en) * 2008-08-06 2010-02-18 Fujifilm Corp Clip loading device and clip loading method
US8926661B2 (en) * 2011-06-02 2015-01-06 Smith & Nephew, Inc. Surgical fastening
US9750599B2 (en) * 2013-09-27 2017-09-05 Depuy Mitek, Llc Tissue fixation system with auxiliary plate
CN204351875U (en) * 2014-12-16 2015-05-27 厦门大博颖精医疗器械有限公司 A kind of device for ligament reconstructive
CN206491861U (en) * 2016-11-04 2017-09-15 中国人民解放军第二军医大学 Coracoclavicular ligament reconstructing system

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