CN108403170A - A kind of Cardiac operation with mini-trauma pericardium suspension apparatus - Google Patents
A kind of Cardiac operation with mini-trauma pericardium suspension apparatus Download PDFInfo
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- CN108403170A CN108403170A CN201810301512.XA CN201810301512A CN108403170A CN 108403170 A CN108403170 A CN 108403170A CN 201810301512 A CN201810301512 A CN 201810301512A CN 108403170 A CN108403170 A CN 108403170A
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- 239000000725 suspension Substances 0.000 title claims abstract description 92
- 210000003516 pericardium Anatomy 0.000 title claims abstract description 63
- 230000000747 cardiac effect Effects 0.000 title claims abstract description 33
- 208000014674 injury Diseases 0.000 title claims abstract description 33
- 230000007246 mechanism Effects 0.000 claims abstract description 31
- 208000002925 dental caries Diseases 0.000 claims abstract description 8
- 238000011017 operating method Methods 0.000 claims description 9
- 238000000605 extraction Methods 0.000 claims description 6
- 238000003780 insertion Methods 0.000 claims description 6
- 230000037431 insertion Effects 0.000 claims description 6
- 230000000694 effects Effects 0.000 claims description 3
- 238000004804 winding Methods 0.000 claims description 3
- 239000007787 solid Substances 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 abstract description 12
- 208000027418 Wounds and injury Diseases 0.000 abstract description 8
- 238000010586 diagram Methods 0.000 description 9
- 238000000034 method Methods 0.000 description 8
- 230000000903 blocking effect Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000000835 fiber Substances 0.000 description 2
- 208000019622 heart disease Diseases 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000002432 robotic surgery Methods 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 241001631457 Cannula Species 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 210000003709 heart valve Anatomy 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 239000002002 slurry Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 239000010409 thin film Substances 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B2017/0237—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for heart surgery
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Abstract
The present invention discloses a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, is related to technical field of medical equipment.Including puncture cannula, suture puncture needle and suspension needle, the puncture cannula length is 10 15cm, front end is sharp puncturing head, it is the double cavitys of 8 fonts inside puncture cannula, a wherein cavity is equipped with locking mechanism, the suture puncture needle can be penetrated out of puncture cannula, front end is jag syringe needle, it is provided with anticreep overhead kick and is equipped with suture, 2 positions 3cm are fixed equipped with function overhead kick with suture after jag syringe needle, the suspension needle length is 15 20cm, suspension needle can be penetrated from another cavity of puncture cannula, front end is equipped with suture drag hook, rear end setting idle loop circle is connect by adjustable junction button with elastic element, functional drag hook is arranged in elastic element rear end.Cardiac operation with mini-trauma pericardium suspension apparatus of the present invention can conveniently pull pericardium, exposure surgical field of view, and its wound is smaller, is suitble to minimally invasive, small notch openheart surgery in Cardiac operation with mini-trauma.
Description
Technical field
The present invention relates to technical field of medical equipment, and in particular to a kind of Cardiac operation with mini-trauma pericardium suspension apparatus.
Background technology
Heart disease is the number one killer of human health, and the whole world is died of every year in the size of population of disease, there are about three/
First, because caused by heart disease, incidence is in always apparent ascendant trend, and in China, also there are about 3,500,000 people to die of the heart every year
Popular name for.As the continuous prosperity with medical science and technology is improved in the continuous development of cardiac operation, in the industry in addition to pursuing good hand
Outside art result, it is also desirable to operation risk are reduced to bottom line, and be also contemplated that the aesthetic problem of rear wound.Outside heart
Section is also the same with other field, develops to minimally invasive direction and also has become a kind of inexorable trend.
Pericardium is the thin film of the dirty outside of packet, and there are slurries in the centre of pericardium and heart wall, can lubricate cardiac muscle, make heart
It is not injured with thoracic cavity friction when movable.Serous pericardium and fiber pericardium can be divided into.Pericardium has protective effect to the heart, when normal
The excessive enlargement that can prevent the heart, to keep the constant of blood volume, since fiber pericardium retractility is very small, if cavum pericardiale largely accumulates
Liquid can then limit the diastole of the heart, influence venous blood and return the heart.
In the operations such as Cardiac operation with mini-trauma, heart small incision surgery, need to cut pericardium, the field of operation of exposure heart
Domain, after pericardial incision, pericardium still will present the state wrapped up heart, needs to retract pericardium by cutting direction, make
Obtain the exposure of intra-operative region；Traditional operating method is that suture is sewn on pericardium by pericardial incision mouth position by sewing needle
On the pericardium valve of incision, then pericardium is retracted by suspention by suture or remaining device and exposes surgical field of view；Such method efficiency
Lowly, wound is larger, and the cumbersome easy error of while operating, and visual field exposure is incomplete；And it is more likely to interfere operation behaviour
Make, does not meet the demand of minimally invasive small notch openheart surgery；And there is no the preferable schemes and dress that solve problems at present
It sets, can conveniently pull pericardium, exposure surgical field of view does not cause compared with major trauma.
Invention content
It is an object of the invention to overcome the above-mentioned problems in the prior art, a kind of Cardiac operation with mini-trauma pericardium is provided
Suspension apparatus can conveniently pull pericardium, exposure surgical field of view, and its wound is smaller, fits in Cardiac operation with mini-trauma
Close minimally invasive, small notch openheart surgery.
To realize above-mentioned technical purpose and the technique effect, the present invention is achieved through the following technical solutions：
A kind of Cardiac operation with mini-trauma pericardium suspension apparatus, including puncture cannula, suture puncture needle and suspension needle, the puncture
Casing length is 10-15cm, and front end is sharp puncturing head, is the double cavitys of 8 fonts inside puncture cannula, wherein a cavity is equipped with
Locking mechanism, the suture puncture needle can be penetrated out of puncture cannula with locking mechanism cavity, and front end is jag syringe needle, setting
There is anticreep overhead kick and be equipped with suture, the positions 2-3cm are fixed equipped with function overhead kick with suture after jag syringe needle, the suspension needle
Length is 15-20cm, and suspension needle can be penetrated from another cavity of puncture cannula, and front end is equipped with suture drag hook, and idle loop is arranged in rear end
Circle is connect by adjustable junction button with elastic element, and functional drag hook is arranged in elastic element rear end.
Preferably, the puncture cannula rear end positions 3-5cm have position limiting convex ring, position limiting convex ring rear side puncture cannula surface to set
There is specification mark.
Preferably, a wherein cavity for the double cavitys of 8 fonts inside the puncture cannula is equipped with locking mechanism, punctures set
The side of pipe is set as the two level internal thread hole that aperture becomes smaller from inside to outside.
The locking mechanism includes the screw thread that front end reaches the locking step of puncture cannula cavity and connect with puncture cannula wall
Bar and the adjusting knob of rear end, locking step diameter are more than threaded rod.
Preferably, the suture puncture needle front end is jag syringe needle, and rear end is handle, and front end jag syringe needle centre position is
Empty slot, there are one anticreep overhead kicks for setting on the syringe needle of empty slot both sides, and suture one end is set as movable sleeve and is fixed in anticreep overhead kick.
The suture other end is set as movable sleeve and is fixed in function overhead kick, suture length 6-9cm.
Preferably, the suspension needle front end is suture drag hook, and suture drag hook is invaginating overhead kick, and idle loop is arranged in rear end
Circle is connect by adjustable junction button with elastic element, and functional drag hook is arranged in elastic element rear end.
The adjustable junction button is the elliptical ring equipped with opening, can be by joining rod and spiral that elliptical ring open end is arranged
Set, which is realized, to be closed.
The operating method of Cardiac operation with mini-trauma pericardium suspension apparatus of the present invention, puncture cannula are placed in appropriate location, will suture
Puncture needle is inserted by wherein carrying the cavity of locking mechanism on puncture cannula and reaches puncture cannula front end, then by suspension needle from wearing
Another cavity of thorn casing is inserted into after the jag needle position for reaching suture puncture needle by being drawn by suture by operating suspension needle
Hook catches on the suture on suture puncture needle, after line drag hook to be stapled catches on suture, operation suture puncture needle and suspension needle
Rear end slowly draw back, suture suture puncture needle and suspension needle effect under formed a winding can be used for pulling, will suture
Puncture needle is stably fixed at by locking mechanism on puncture cannula, and suspension needle passes through adjustable connection by the idle loop circle that rear end is arranged
Button is connect with elastic element.
Another object of the present invention is to provide another technical solution of Cardiac operation with mini-trauma pericardium suspension apparatus and its behaviour
Make method, it is characterised in that：The suture puncture needle front end is jag syringe needle, and rear end is handle, front end jag syringe needle interposition
It is set to empty slot, there are one anticreep overhead kick, suture one end is set as movable sleeve and is fixed on anticreep to fall for setting on the syringe needle of empty slot both sides
On hook；The suture other end is set as movable sleeve and is fixed in function overhead kick, suture length 20-30cm；
In use, after being pulled pericardium by suture puncture needle and suspension needle through aforesaid operations method, by puncture cannula
And suture puncture needle, suspension needle are extracted out from the position of insertion, are clamped suture by needle forceps after extraction and are punctured suture
The suture at needle end is cut, and the suture at suspension needle end is removed, and the both ends for holding suture knot；To be realized by suture
Pull pericardium.
The beneficial effects of the invention are as follows：Cardiac operation with mini-trauma pericardium suspension apparatus of the present invention, in Cardiac operation with mini-trauma pericardium
After incision, puncture needle will be sutured and be inserted near puncture pericardial incision mouth by wherein carrying the cavity of locking mechanism on puncture cannula
Position, suture, which follows, reaches pericardium valve another side, and suspension needle is inserted through suture from another cavity of puncture cannula to be drawn
Hook catches on the suture of pericardium heart valve another side, at the same operate suture puncture needle and suspension needle be recycled to puncture cannula, suture is worn
Pricker is fixed by locking mechanism, and suspension needle stablizes fixed realization pericardium suspention by function drag hook in outside with extraneous, can be convenient
Pericardium, exposure surgical field of view are efficiently pulled, and its wound is smaller, is suitble to minimally invasive, small notch openheart surgery.
Certainly, it implements any of the products of the present invention and does not necessarily require achieving all the advantages described above at the same time.
Description of the drawings
In order to illustrate the technical solution of the embodiments of the present invention more clearly, will be described below to embodiment required
Attached drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for ability
For the those of ordinary skill of domain, without creative efforts, it can also be obtained according to these attached drawings other attached
Figure.
Fig. 1 is the structural schematic diagram of Cardiac operation with mini-trauma pericardium suspension apparatus of the present invention；
Fig. 2 is the structural schematic diagram of puncture cannula of the present invention；
Fig. 3 is the structural schematic diagram of locking mechanism of the present invention；
Fig. 4 is the structural schematic diagram of suspension needle of the present invention；
Fig. 5 is the structural schematic diagram of adjustable junction button of the present invention；
Fig. 6 is the structural schematic diagram of suture puncture needle of the present invention；
Fig. 7 is the position view of suspension apparatus pericardium suspention described in the embodiment of the present invention；
Fig. 8 is another structural schematic diagram of the present invention for suturing puncture needle, suture；
Fig. 9 is that puncture cannula of the present invention, suture puncture needle and suspension needle use schematic diagram；
Figure 10 is the enlarged diagram at E in Fig. 9 of the present invention；
In attached drawing, parts list represented by the reference numerals are as follows：
1- puncture cannulas, the sharp puncturing heads of 101-, the double cavitys of 102-8 fonts, 103- position limiting convex rings, 104- locking mechanisms,
1041- locking step, 1042- threaded rods, 1043- adjusting knobs, 105- specifications mark, 106- two level internal thread holes, 2- suspension needles,
201- suture drag hooks, 202- idle loop circles, 203- is adjustable junction button, 2031- joining rods, 2032- screw-casings, 204- elasticity members
Part, 205- function drag hooks, 3- suture puncture needle, 301- jag syringe needles, 302- anticreep overhead kicks, 303- function overhead kicks, 304- sutures
Line, 305- handles.
Specific implementation mode
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation describes, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, those of ordinary skill in the art are obtained all other without creative efforts
Embodiment shall fall within the protection scope of the present invention.
Please refer to Fig.1 shown in -10, the present invention be a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, including puncture cannula 1,
Puncture needle 3 and suspension needle 2 are sutured, 1 length of the puncture cannula is 10-15cm, and front end is sharp puncturing head 101, puncture cannula
1 inside is the double cavitys 102 of 8 fonts, wherein a cavity is equipped with locking mechanism 104, the suture puncture needle 3 can be covered from puncturing
It is penetrated in the cavity of with locking mechanism 104 in pipe 1, front end is jag syringe needle 301, is provided with anticreep overhead kick 302 and equipped with suture
Line 304, the positions 2-3cm are equipped with function overhead kick 303 and are fixed with suture 304 after jag syringe needle 301, and 2 length of the suspension needle is
15-20cm, suspension needle 2 can be penetrated from 1 another cavity of puncture cannula, and front end is equipped with suture drag hook 201, and idle loop circle is arranged in rear end
202 are connect by adjustable junction button 203 with elastic element 204, and functional drag hook 205 is arranged in 204 rear end of elastic element.
Wherein, there are position limiting convex ring 103,103 rear side puncture cannula of position limiting convex ring, 1 table in the 1 rear end positions 3-5cm of puncture cannula
Face is equipped with specification and identifies 105.
Wherein, a wherein cavity for 8 fonts inside puncture cannula 1 pair cavity 102 is equipped with locking mechanism 104, punctures
The side of casing 1 is set as the two level internal thread hole 106 that aperture becomes smaller from inside to outside.
The locking mechanism 104 include front end reach 1 cavity of puncture cannula locking step 1041 and with 1 wall of puncture cannula
The threaded rod 1042 of connection and the adjusting knob 1043 of rear end, 141 diameter of locking step are more than threaded rod 1042.
Wherein, 3 front end of suture puncture needle is jag syringe needle 301, and rear end is handle 305,301 interposition of front end jag syringe needle
It is set to empty slot, there are one anticreep overhead kicks 302 for setting on the syringe needle of empty slot both sides, and 304 one end of suture is set as movable sleeve and is fixed on
In anticreep overhead kick 302.
304 other end of the suture is set as movable sleeve and is fixed in function overhead kick 303, and 304 length of suture is 6-
9cm。
Wherein, 2 front end of suspension needle is suture drag hook 201, and suture drag hook 201 is invaginating overhead kick, and rear end setting is empty
Ring 202 is connect by adjustable junction button 203 with elastic element 204, and functional drag hook 205 is arranged in 204 rear end of elastic element.
The adjustable junction button 203 is the elliptical ring equipped with opening, the joining rod that can be arranged by elliptical ring open end
2031 and screw-casing 2032 realize be closed.
A kind of application method of Cardiac operation with mini-trauma pericardium suspension apparatus, it is characterised in that：Puncture cannula 1 is placed in appropriate position
It sets, before cavity insertion arrival puncture cannula 1 of the puncture needle 3 by wherein carrying locking mechanism 104 on puncture cannula 1 will be sutured
End, then by suspension needle 2 from 1 another cavity of puncture cannula be inserted into 301 position of jag syringe needle for reaching suture puncture needle 3 after by logical
Crossing operation suspension needle 2 allows suture drag hook 201 to catch on the suture 304 on suture puncture needle 3, and line drag hook 201 to be stapled is caught on
After suture 304, the rear end of operation suture puncture needle 3 and suspension needle 3 is slowly drawn back, and suture 304 is in suture puncture needle 3
One winding of lower formation is acted on suspension needle 2 to can be used for pulling, and suture puncture needle 3 is stably fixed at by locking mechanism 104
On puncture cannula 1, the idle loop circle 202 that suspension needle 2 is arranged by rear end is connect by adjustable junction button 203 with elastic element 204,
And the function drag hook 205 of rear end realizes drawing.
A kind of another technical solution and its operating method of Cardiac operation with mini-trauma pericardium suspension apparatus, it is characterised in that：Seam
3 front end of suitable pricker is jag syringe needle 301, and rear end is handle 305, and jag syringe needle 301 centre position in front end is empty slot, empty slot two
There are one anticreep overhead kicks 302 for setting on the syringe needle of side, and 304 one end of suture is set as movable sleeve and is fixed in anticreep overhead kick 302；Seam
304 other end of zygonema is set as movable sleeve and is fixed in function overhead kick 303, and 304 length of suture is 20-30cm；Its operating method
For：After being pulled pericardium by suture puncture needle 3 and suspension needle 2 through aforesaid operations method, puncture cannula 1 and suture are punctured
Needle 3, suspension needle 1 are extracted out from the position of insertion, are clamped suture 304 by needle forceps after extraction and will be sutured 3 end of puncture needle
Suture 304 cut, the suture at 2 end of suspension needle removes, and the both ends for holding suture 304 knot；To pass through suture
304 realize drawing pericardium.
Embodiment 1
It please refers to Fig.1 shown in -10, a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, including puncture cannula 1, suture puncture
Needle 3 and suspension needle 2,1 length of puncture cannula are 10-15cm, and front end is sharp puncturing head 101, and 1 inside of puncture cannula is 8 fonts
Double cavitys 102, the 1 rear end positions 3-5cm of puncture cannula have position limiting convex ring 103,103 rear side puncture cannula of position limiting convex ring, 1 surface to set
There is specification to identify 105, a wherein cavity for the 8 fonts pair cavity 102 inside puncture cannula 1 is equipped with locking mechanism 104, punctures
The side of casing 1 is set as the two level internal thread hole 106 that aperture becomes smaller from inside to outside, and (two level internal thread hole 106 is i.e. such as Fig. 3 institutes
Show, two ranks be divided into according to threaded hole aperture difference, and with the threaded hole ratio of 1 interior thereof of puncture cannula and puncture cannula 1
The connected internal thread hole diameter in outer surface is big so that the locking step 1041 of locking mechanism will not be slided from two level internal thread hole 106
It is de-), locking mechanism 104 includes the screw thread that front end reaches the locking step 1041 of 1 cavity of puncture cannula and connect with 1 wall of puncture cannula
Bar 1042 and the adjusting knob of rear end 1043,141 diameter of locking step are more than threaded rod 1042；
Suture puncture needle 3 can be penetrated out of puncture cannula 1 in the cavity of with locking mechanism 104, and front end is jag syringe needle
301, be provided with anticreep overhead kick 302 and be equipped with suture 304, after jag syringe needle 301 positions 2-3cm be equipped with function overhead kick 303 with
Suture 304 is fixed；It is jag syringe needle 301 to suture puncture needle 3 front end, and rear end is handle 305, among front end jag syringe needle 301
Position is empty slot, and there are one anticreep overhead kicks 302 for setting on the syringe needle of empty slot both sides, and 304 one end of suture is set as movable sleeve and fixes
In anticreep overhead kick 302,304 other end of suture is set as movable sleeve and is fixed in function overhead kick 303, and 304 length of suture is
6-9cm；
2 length of suspension needle is 15-20cm, and suspension needle 2 can be penetrated from 1 another cavity of puncture cannula, and front end is equipped with suture
Drag hook 201, rear end setting idle loop circle 202 are connect by adjustable junction button 203 with elastic element 204,204 rear end of elastic element
Functional drag hook 205 is set, and 2 front end of suspension needle is suture drag hook 201, and suture drag hook 201 is invaginating overhead kick, and rear end is set
It empties ring 202 to connect with elastic element 204 by adjustable junction button 203, functional drag hook is arranged in 204 rear end of elastic element
205；Adjustable junction button 203 is the elliptical ring equipped with opening, can be by joining rod 2031 and spiral that elliptical ring open end is arranged
Set 2032, which is realized, to be closed.
In use, as shown in figs. 1-7, under hysteroscope or other visual sem observations, after Cardiac operation with mini-trauma notch pericardium
(generally in the 4th rib between the 6th rib) covers according to the direction of pericardial incision notch and surgical procedure demand direction by puncturing
Pipe 1 is reached by external puncture close to the position (as shown in Figure 7) of pericardium；Suture puncture needle 3 is passed through into wherein band on puncture cannula 1
There is the cavity of locking mechanism 104 to be inserted into and pierce through pericardial incision mouth neighbouring position, after puncture, sutures the jag needle of 3 head end of puncture needle
First 301 and anticreep overhead kick 302 on fixed suture 304 reach the pericardium other side；It is another from puncture cannula 1 by suspension needle 2 again
Cavity is inserted into 301 peripheral position of jag syringe needle for reaching suture puncture needle 3, allows suture drag hook by operating suspension needle 2 at this time
201 catch on the suture 304 on suture puncture needle 3；After line drag hook 201 to be stapled catches on suture 304, operation suture punctures
The rear end of needle 3 and suspension needle 2 is slowly drawn back, and length is that the other end of the suture 304 of 6-9cm is fixed on function overhead kick at this time
To stablize on 303 and fixes, suture drag hook 201 about hooks in suture centre position after pumpback suture puncture needle 3 and suspension needle 2,
Suture puncture needle 3 and suspension needle 2 are drawn back to puncture cannula 1, suture 304 is acted in suture puncture needle 3 and suspension needle 2
Under pericardial incision valve fixed and pull to sharp 101 position of puncturing head in 1 front end of puncture cannula, suture puncture needle 3 is led to
It crosses locking mechanism 104 to be stably fixed on puncture cannula 1, that is, screws adjusting knob 1043 locking step 1041 is resisted into suture and wear
Pricker 3 realizes locking；The idle loop circle 202 that suspension needle 2 is then arranged by rear end passes through adjustable junction button 203 and elastic element 204
(elastic element can be helical spring) connects, and function drag hook 205 and the external agency of the setting of 204 rear end of elastic element (such as perform the operation
Bed, external pulling device etc.) connection；Realize and conveniently suspend pericardium in midair, exposure surgical field of view, and its wound compared with
Small, surgical field of view exposure is preferable, while avoiding blocking surgical procedure space.
Embodiment 2
Operating method as described in example 1 above, as shown in fig. 7, by the Cardiac operation with mini-trauma pericardium suspension apparatus
Remaining position carries out aforesaid operations from figure, can realize conveniently suspend pericardium in midair after the completion so that heart is completely sudden and violent
Dew fully exposes surgical field of view, and its wound is smaller, while the idle loop circle 202 that suspension needle 2 is arranged by rear end is by adjustable
Junction button 203 is connect with elastic element 204 (elastic element can be helical spring), and the function of 204 rear end of elastic element setting is drawn
Hook 205 connect with external agency's (such as operating bed, external pulling device) and also avoids blocking surgical procedure space；It is suitable for
Minimally invasive, small notch openheart surgery；Thoracoscope small incision surgery and robotic surgery etc.；Its is reasonable in design, is conveniently operated, real
Strong with property, suitable medical institutions promote the use of.
Embodiment 3
As shown in figures 1 to 6, referring to described in above-described embodiment 1, a kind of operation side of Cardiac operation with mini-trauma pericardium suspension apparatus
Method can operate with remaining operation for needing to suspend in midair：I.e. puncture cannula 1 is placed in appropriate location, by suture puncture needle 3 by wearing
It pierces on casing 1 and wherein carries the cavity of locking mechanism 104 and be inserted into and reach puncture cannula 1 front end, then by suspension needle 2 from puncture cannula
1 another cavity is inserted into behind 301 position of jag syringe needle for reaching suture puncture needle 3 by allowing suture to draw by operating suspension needle 2
Hook 201 catches on the suture 304 on suture puncture needle 3, and after line drag hook 201 to be stapled catches on suture 304, operation suture is worn
The rear end of pricker 3 and suspension needle 3 is slowly drawn back, and suture 304 forms one in the case where suture puncture needle 3 and suspension needle 2 act on and returns
Ring can be used for pulling operation and need the position pulled, and suture puncture needle 3 is stably fixed at puncture cannula by locking mechanism 104
On 1, suspension needle 2 is connect with elastic element 204 by adjustable junction button 203 by the idle loop circle 202 that rear end is arranged and rear end
Function drag hook 205 realize drawing；It is suitable for minimally invasive, small incision surgeries；All kinds of hysteroscope small incision surgeries and robotic surgery
Deng；Its is reasonable in design, is conveniently operated, and highly practical, suitable medical institutions promote the use of.
Embodiment 4
A kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in Fig. 1-10, one technical solution and its operating method
For, 3 front end of suture puncture needle is jag syringe needle 301, and rear end is handle 305, and jag syringe needle 301 centre position in front end is empty slot,
There are one anticreep overhead kicks 302 for setting on the syringe needle of empty slot both sides, and 304 one end of suture is set as movable sleeve and is fixed on anticreep overhead kick
On 302；304 other end of suture is set as movable sleeve and is fixed in function overhead kick 303, and 304 length of suture is 20-30cm；
Its operating method is：In the operating method through above-described embodiment 1-3 by suturing puncture needle 3 and suspension needle 2 by the heart
Packet drawing after, by puncture cannula 1 and suture puncture needle 3, suspension needle 1 from the position of insertion extraction (length of suture 304 is set
It is set to 20-30cm, i.e., after the extraction of puncture cannula 1, it is also ensured that the drawing of pericardium), it is clamped by needle forceps after extraction
Suture 304 simultaneously cuts the suture 304 for suturing 3 end of puncture needle, and the suture at 2 end of suspension needle is removed, and suture 304 is held
Both ends knot, the suture 304 after knotting fixed pericardium, suture 304 need to be only pulled when pulling pericardium；One
Aspect reduces wound of the puncture cannula 1 to human body, and it is suture 304,304 maximum limit of suture on the other hand to pull pericardium
The reduction of degree is blocked to the stimulation of people and to operative process.
In the description of this specification, the description of reference term " one embodiment ", " example ", " specific example " etc. means
Particular features, structures, materials, or characteristics described in conjunction with this embodiment or example are contained at least one implementation of the present invention
In example or example.In the present specification, schematic expression of the above terms may not refer to the same embodiment or example.
Moreover, particular features, structures, materials, or characteristics described can be in any one or more of the embodiments or examples to close
Suitable mode combines.
Present invention disclosed above preferred embodiment is only intended to help to illustrate the present invention.There is no detailed for preferred embodiment
All details are described, are not limited the invention to the specific embodiments described.Obviously, according to the content of this specification,
It can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to preferably explain the present invention
Principle and practical application, to enable skilled artisan to be best understood by and utilize the present invention.The present invention is only
It is limited by claims and its full scope and equivalent.
Claims (9)
1. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, it is characterised in that：Including puncture cannula, suture puncture needle and suspention
Needle, the puncture cannula length are 10-15cm, and front end is sharp puncturing head, are the double cavitys of 8 fonts inside puncture cannula, wherein
One cavity is equipped with locking mechanism, and the suture puncture needle can be penetrated out of puncture cannula with locking mechanism cavity, and front end is
Jag syringe needle is provided with anticreep overhead kick and is equipped with suture, and it is solid with suture to be equipped with function overhead kick for the positions 2-3cm after jag syringe needle
Fixed, the suspension needle length is 15-20cm, and suspension needle can be penetrated from another cavity of puncture cannula, and front end is equipped with suture drag hook,
Rear end setting idle loop circle is connect by adjustable junction button with elastic element, and functional drag hook is arranged in elastic element rear end.
2. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that：After the puncture cannula
The end positions 3-5cm have position limiting convex ring, position limiting convex ring rear side puncture cannula surface to be identified equipped with specification.
3. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that：In the puncture cannula
A wherein cavity for the double cavitys of 8 fonts in portion is equipped with locking mechanism, and the side of puncture cannula is set as aperture and becomes from inside to outside
Small two level internal thread hole.
4. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as claimed in claim 3, it is characterised in that：The locking mechanism packet
Include the adjusting knob that front end reaches the locking step and the threaded rod and rear end that are connect with puncture cannula wall of puncture cannula cavity, locking
Platform diameter is more than threaded rod.
5. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that：The suture puncture needle
Front end is jag syringe needle, and rear end is handle, and front end jag syringe needle centre position is empty slot, and one is provided on the syringe needle of empty slot both sides
A anticreep overhead kick, suture one end are set as movable sleeve and are fixed in anticreep overhead kick；
The suture other end is set as movable sleeve and is fixed in function overhead kick, suture length 6-9cm.
6. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that：The suspension needle front end
For suture drag hook, suture drag hook is invaginating overhead kick, and rear end is arranged idle loop circle and is connected by adjustable junction button and elastic element
It connects, functional drag hook is arranged in elastic element rear end；
The adjustable junction button is the elliptical ring equipped with opening, can be real by joining rod and screw-casing that elliptical ring open end is arranged
Now it is closed.
7. a kind of operating method of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1-6, it is characterised in that：It wears
Thorn casing is placed in appropriate location, will suture puncture needle and be worn by wherein carrying the cavity insertion arrival of locking mechanism on puncture cannula
Casing front end is pierced, then is passed through after being inserted into the jag needle position for reaching suture puncture needle from another cavity of puncture cannula by suspension needle
By operate suspension needle by suture drag hook catch on suture puncture needle on suture, line drag hook to be stapled catch on suture it
Afterwards, the rear end of operation suture puncture needle and suspension needle is slowly drawn back, and suture is formed under suture puncture needle and suspension needle effect
One winding can be used for pulling, and suture puncture needle is stably fixed at by locking mechanism on puncture cannula, after suspension needle passes through
The idle loop circle of end setting is connect by adjustable junction button with elastic element.
8. a kind of a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, the suture puncture needle front end is
Jag syringe needle, rear end are handle, and front end jag syringe needle centre position is empty slot, and there are one anticreeps for setting on the syringe needle of empty slot both sides
Overhead kick, suture one end are set as movable sleeve and are fixed in anticreep overhead kick；The suture other end is set as movable sleeve and is fixed on work(
In energy overhead kick, it is characterised in that：Suture length is 20-30cm.
9. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as claimed in claim 8, it is characterised in that：By suturing puncture needle
After pulling pericardium with suspension needle, puncture cannula and suture puncture needle, suspension needle are extracted out from the position of insertion, passed through after extraction
Needle forceps clamps suture and cuts the suture for suturing puncture needle end, and the suture at suspension needle end is removed, and suture is held
The both ends of line knot；To realize drawing pericardium by suture.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810301512.XA CN108403170B (en) | 2018-04-04 | 2018-04-04 | Minimally invasive heart surgery pericardium suspension device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810301512.XA CN108403170B (en) | 2018-04-04 | 2018-04-04 | Minimally invasive heart surgery pericardium suspension device |
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| CN108403170A true CN108403170A (en) | 2018-08-17 |
| CN108403170B CN108403170B (en) | 2024-01-19 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201810301512.XA Active CN108403170B (en) | 2018-04-04 | 2018-04-04 | Minimally invasive heart surgery pericardium suspension device |
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Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5211650A (en) * | 1991-01-07 | 1993-05-18 | Laparomed Corporation | Dual function suturing device and method |
| CN2361232Y (en) * | 1998-12-24 | 2000-02-02 | 赵国富 | Thread-drawing needle for visical neck suspension |
| US20070191886A1 (en) * | 2006-01-13 | 2007-08-16 | Olympus Medical Systems Corporation | Needle for endoscopic treatment and operative procedure via body orifice |
| CN202908809U (en) * | 2012-11-19 | 2013-05-01 | 陈彦菲 | Surgical instrument |
| CN203662833U (en) * | 2013-12-11 | 2014-06-25 | 中国人民解放军第二军医大学 | Device for controlling hepatic blood flow occlusion in suspension mode in endoscope environment |
| CN203852382U (en) * | 2014-04-03 | 2014-10-01 | 中国人民解放军北京军区总医院 | Suspension device |
| CN204133902U (en) * | 2014-07-23 | 2015-02-04 | 刘鲁祁 | The one-piece type device for casting of operation on heart |
| CN205198053U (en) * | 2015-11-26 | 2016-05-04 | 陈高翔 | Build chamber ware |
| JP2016158804A (en) * | 2015-02-27 | 2016-09-05 | 国立大学法人京都大学 | Pericardium puncture device |
| CN106473780A (en) * | 2015-09-02 | 2017-03-08 | 广州迪克医疗器械有限公司 | The root of the tongue pulls down-lead device |
| CN106725656A (en) * | 2016-12-22 | 2017-05-31 | 中国人民解放军第二军医大学 | Through skin traction sting device |
| CN107019531A (en) * | 2016-01-29 | 2017-08-08 | 北京聚精瑞生医疗科技有限公司 | A kind of laparoscopic needle |
| CN206403809U (en) * | 2016-10-25 | 2017-08-15 | 广州军区广州总医院 | A kind of laparoscopic surgery tissue bracing wire tractor |
| CN208756044U (en) * | 2018-04-04 | 2019-04-19 | 昆明市延安医院 | A kind of Cardiac operation with mini-trauma pericardium suspension apparatus |
-
2018
- 2018-04-04 CN CN201810301512.XA patent/CN108403170B/en active Active
Patent Citations (14)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5211650A (en) * | 1991-01-07 | 1993-05-18 | Laparomed Corporation | Dual function suturing device and method |
| CN2361232Y (en) * | 1998-12-24 | 2000-02-02 | 赵国富 | Thread-drawing needle for visical neck suspension |
| US20070191886A1 (en) * | 2006-01-13 | 2007-08-16 | Olympus Medical Systems Corporation | Needle for endoscopic treatment and operative procedure via body orifice |
| CN202908809U (en) * | 2012-11-19 | 2013-05-01 | 陈彦菲 | Surgical instrument |
| CN203662833U (en) * | 2013-12-11 | 2014-06-25 | 中国人民解放军第二军医大学 | Device for controlling hepatic blood flow occlusion in suspension mode in endoscope environment |
| CN203852382U (en) * | 2014-04-03 | 2014-10-01 | 中国人民解放军北京军区总医院 | Suspension device |
| CN204133902U (en) * | 2014-07-23 | 2015-02-04 | 刘鲁祁 | The one-piece type device for casting of operation on heart |
| JP2016158804A (en) * | 2015-02-27 | 2016-09-05 | 国立大学法人京都大学 | Pericardium puncture device |
| CN106473780A (en) * | 2015-09-02 | 2017-03-08 | 广州迪克医疗器械有限公司 | The root of the tongue pulls down-lead device |
| CN205198053U (en) * | 2015-11-26 | 2016-05-04 | 陈高翔 | Build chamber ware |
| CN107019531A (en) * | 2016-01-29 | 2017-08-08 | 北京聚精瑞生医疗科技有限公司 | A kind of laparoscopic needle |
| CN206403809U (en) * | 2016-10-25 | 2017-08-15 | 广州军区广州总医院 | A kind of laparoscopic surgery tissue bracing wire tractor |
| CN106725656A (en) * | 2016-12-22 | 2017-05-31 | 中国人民解放军第二军医大学 | Through skin traction sting device |
| CN208756044U (en) * | 2018-04-04 | 2019-04-19 | 昆明市延安医院 | A kind of Cardiac operation with mini-trauma pericardium suspension apparatus |
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|---|---|
| CN108403170B (en) | 2024-01-19 |
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