CN108888307A - A kind of hysteroscope stitching devices and hysteroscope pincers - Google Patents

A kind of hysteroscope stitching devices and hysteroscope pincers Download PDF

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Publication number
CN108888307A
CN108888307A CN201811050299.6A CN201811050299A CN108888307A CN 108888307 A CN108888307 A CN 108888307A CN 201811050299 A CN201811050299 A CN 201811050299A CN 108888307 A CN108888307 A CN 108888307A
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CN
China
Prior art keywords
hysteroscope
ring
nail
ailhead
stitching devices
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
Application number
CN201811050299.6A
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Chinese (zh)
Inventor
牟秋霖
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LUZHOU TCM HOSPITAL
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LUZHOU TCM HOSPITAL
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Publication date
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Priority to CN201811050299.6A priority Critical patent/CN108888307A/en
Publication of CN108888307A publication Critical patent/CN108888307A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0643Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • A61B2017/2925Pistol grips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of hysteroscope stitching devices, including hysteroscope nail and hysteroscope ring;The hysteroscope nail includes ailhead and the nail body being fixedly connected with ailhead, and the unidirectional limiting device of at least one axial limiting is provided with the nail;The hysteroscope ring is hollow ring structure, and hysteroscope ring can be penetrated hysteroscope from one end far from ailhead and follow closely and be pressed through the unidirectional limiting device and draw close to ailhead, hysteroscope ring is axially fixed in hysteroscope by unidirectional limiting device and is nailed on;Hysteroscope nail and hysteroscope ring are placed in the two sides of art mouth, hysteroscope nail, which is sequentially passed through art mouth and hysteroscope ring, to suture art mouth;This stitching devices is instead of traditional needlework suture way, so that suture way is simpler, sutures art mouth even closer, reduces the adhesion between postoperative art mouth and internal organs.

Description

A kind of hysteroscope stitching devices and hysteroscope pincers
Technical field
The present invention relates to medical instruments field, especially a kind of hysteroscope stitching devices.
Background technique
Laparoscopic surgery is the invasive methods that a new development is got up, and is that one of the following operation method development necessarily becomes Gesture.With increasingly deep and instrument surgery and surgical technic the progress of minimally invasive surgery idea, Video-assisted endoscope-assistant surgery is wide It is general to be applied to clinic.Endoscope-assistant surgery technical requirements are high, and complicated for operation, instrument used in art is various, and wherein hysteroscope needle holder is Implement conventional use of needle holder tool in minimal invasive surgical procedures.Since Minimally Invasive Surgery notch is small, visual field limitation, performing the operation A variety of instrument compounding practices are commonly used in journey, surgical instrument replacement is frequent.Existing needle holder is long handle wrench structure, continuous to stitch Needed when conjunction through:It holds needle-and into body cavity-inserting needle-adjustment suture depth-goes out needle-and pull out needle-taking-up body cavity-to hold needle again, step is numerous It is trivial;And need to pass in and out visual area in art stiffly when continuously suturing, inevitably understand block vision, influence surgical procedure;In addition, in some spies Different position is difficult to hold suture depth when needling with one hand under hysteroscope, and easily opposite joint conjunction excessive tissue drawing is led due to limited space Tearing or bleeding are caused, the safety and efficiency of operation is affected.
In the prior art, Chinese patent CN108294795A discloses a kind of portable hysteroscope needle-holding stitching device, packet Shank body and arc-shaped suture needle are included, the first end of the shank body is provided with a pair of mutually matched rotation tong arm, the shank body Make the first driving of circular-rotation movement around the shank body in the inner end that second end is respectively arranged with a pair of rotation tong arm of driving The outer end of device and the second driving device, the rotation tong arm is provided with the needle passing hole passed through for the arc-shaped suture needle, described The unidirectional limiting device unidirectionally passed through is made in the restricted arc-shaped suture needle of setting in needle passing hole, and the side of the needle passing hole is also divided It is not provided with the crossed beam trunking exited for suture.Although patent sewing process easy to a certain extent, using Needlework suture, needs needlework to shuttle between art mouth, and constantly rotate tong arm, it is seen that sewing process is still cumbersome;And And suture needle lesion wire easy to operate by mistake sutures again again so as to cause thread breakage, delay treatment influences efficiency.
In the prior art, Chinese patent CN202096255U discloses a kind of stomach nipper, by insulation sleeve, clamp block, runner, turns Wheel case, pressure spring, ball, fixing sleeve, limit base, shaft, nut, draw-bar seat, pull rod slot, connection bolt, fixed handle, movable hand Handle, pull rod connecting shaft, pull rod composition are additionally provided with two panels V-type clamp, release groove, lossless flute profile, link pin, clamp and connect Outbound, binding clip seat, claw beam, pin of winning in succession, two panels are won in succession, and the two panels V-type clamp is provided with release groove and lossless clip tooth, release groove With lossless clip tooth matches mutually, two panels V-type clamp crosses one another, and is fixed on clamp seat in infall by clipper joint pin, two The bottom end of piece V-type clamp is separately fixed on two panels connecting plate by connecting plate connecting pin, and two panels connecting plate is fixed by link pin On pull rod;The device is good using convenient, effect and safe in opening abdomen surgical procedure.
Summary of the invention
The present invention is to solve traditional needlework and suture cumbersome technical problem to be to provide a kind of hysteroscope easy to operate It is clamped with stitching devices and hysteroscope, clamp block, claw beam and the clamp of prior art stomach nipper are used by the present invention.
The technical scheme adopted by the invention is that:Hysteroscope stitching devices, including hysteroscope nail and hysteroscope ring;The hysteroscope nail Including ailhead and the nail body being fixedly connected with ailhead, the unidirectional limit dress of at least one axial limiting is provided with the nail It sets;The hysteroscope ring is hollow ring structure, and hysteroscope ring can be penetrated hysteroscope by one end far from ailhead and follow closely and be pressed through institute It states unidirectional limiting device and is drawn close to ailhead, hysteroscope ring is axially fixed in hysteroscope by unidirectional limiting device and is nailed on.Hysteroscope is followed closely The two sides of art mouth are placed in hysteroscope ring, hysteroscope nail, which is sequentially passed through art mouth and hysteroscope ring, to suture art mouth.Traditional Needlework suture mouth needs needlework constantly to shuttle between art mouth back and forth, cumbersome;Due to being laparoscopic surgery, Zhi Nengtong Cross display screen carry out art mouth suture, therefore needlework shuttle easy block vision, influence surgical procedure;Depth is not sutured also not Good control;When needlework suture mouth, need constantly to pull line to guarantee that the suture of art mouth is close, but pullling power cannot be too Greatly, the larger bleeding for be easy to causeing art mouth tissue of power is pullled, operation safety is influenced;Therefore the art mouth of suture more relaxes, in this way It will cause in the case that certain art mouth groups are woven in gravity and stick together with internal organs.In order to improve the defect of conventional needle linear slit conjunction, this Stitching devices substitute traditional needlework suture way by hysteroscope nail and hysteroscope ring, without shuttling in art mouth repeatedly, so that seam Conjunction mode is simpler, and to suture art mouth even closer for the present apparatus, so that taut tighter of art mouth, therefore reduce postoperative art Adhesion between mouth and internal organs.
Further, the unidirectional limiting device is the cone cell convex block axially arranged along nail body, the conehead of cone cell convex block Far from one end where the ailhead, cone cell convex block can be frustum, the preferably frustum of a cone, which is simple and convenient to operate.
Further, the nail body is axially provided at least two unidirectional limiting devices, two neighboring unidirectional limit dress It sets the distance between end a and is equal to the thickness of hysteroscope ring in its natural state, further hysteroscope ring can be fixed, thus Improve the stability of the suture to art mouth.
Further, it is described nail body far from ailhead one end be it is coniform, hysteroscope ring towards hysteroscope nail close to when, circular cone The ailhead of shape make hysteroscope nail and the contact of hysteroscope ring from point be gradually increased to a face, can to hysteroscope nail and hysteroscope ring progress one A pre-determined bit, to improve the precision of device.
Further, the unidirectional limiting device and nail body are integrally formed, the stability of hysteroscope nail is improved.
Further, the hysteroscope nail and hysteroscope ring use absorbable flexible material, so that hysteroscope nail and hysteroscope ring With certain elasticity, facilitate hysteroscope nail across hysteroscope ring, hysteroscope nail made of absorbable material and hysteroscope ring are after the darning of art mouth It does not need to carry out disassembly processing, degradability with higher.
Further, the absorbable flexible material is PLA polylactic acid, and it is non-toxic and tasteless, it is with higher degradable Property, to human organ nonhazardous.
The hysteroscope pincers include clamp block, claw beam and two panels V-type clamp, and the first of fixed hysteroscope nail is provided on a piece of clamp Device is fixed, corresponding position is provided with the second fixed device of fixed hysteroscope ring on another clamp.Hysteroscope pincers can follow closely hysteroscope The darning that human body carries out art mouth is goed deep by minimally invasive mouth after fixing with hysteroscope ring, present apparatus structure is simple, so that art mouth is sewed and mend It is more convenient.
Further, the described first fixed device includes the first sliding groove with ailhead clearance fit, first sliding groove is separate One end of first caliper is provided with the first limited block;Described second fixed device includes sliding with the second of the cooperation of hysteroscope czermak space Slot, second sliding slot are provided with the second limited block far from one end of the second caliper, be provided on the second caliper communicated with hysteroscope ring and The matched hysteroscope hole of internal diameter, fixed device is convenient to be fixed hysteroscope nail and hysteroscope ring, and the suture of art mouth is preferably unfolded.This dress It sets and hysteroscope nail and hysteroscope ring is fixed without additional setting limiting device, hysteroscope nail and hysteroscope ring are by being placed into first Sliding slot and second sliding slot can be fixed;Chamber can be taken out conveniently by first sliding groove and second sliding slot after the completion of to be stapled Mirror pincers, structure are simple and convenient to operate.
The beneficial effects of the invention are as follows:Compared to traditional needlework suture way, hysteroscope stitching devices of the invention and Hysteroscope clamps and makes suture way simpler, sutures art mouth even closer, reduces between postoperative art mouth and internal organs Adhesion;Hysteroscope pincers are followed closely without additional setting limiting device hysteroscope and hysteroscope ring is fixed, and structure is simple and convenient to operate.
Detailed description of the invention
Fig. 1 is two structural schematic diagram of the embodiment of the present invention.
Fig. 2 is the hysteroscope pin structure schematic diagram of the embodiment of the present invention one.
Fig. 3 is C-C cross-sectional view in Fig. 2.
Fig. 4 is the hysteroscope ring structure schematic diagram of the embodiment of the present invention one.
Fig. 5 is the top view of Fig. 4.
Fig. 6 is the partial enlarged view (hysteroscope nail and hysteroscope ring is not shown) of A in Fig. 1.
Fig. 7 be in Fig. 6 B to schematic diagram.
In figure label for:1, hysteroscope is followed closely;2, hysteroscope ring;3, ailhead;4, body is followed closely;5, unidirectional limiting device;6, clamp block;7, it clamps Bar;8, clamp;9, first sliding groove;10, the first limited block;11, second sliding slot;12, the second limited block;13, hysteroscope hole;A, adjacent The distance between unidirectional limiting device end.
Specific embodiment
The following further describes the present invention with reference to the drawings.
Embodiment one
As shown in Fig. 2, Fig. 3, Fig. 4 and Fig. 5, a kind of hysteroscope stitching devices of the invention, including hysteroscope nail 1 and hysteroscope ring 2;The hysteroscope nail 1 includes ailhead 3 and the nail body 4 being fixedly connected with ailhead 3, and the hysteroscope ring 2 is hollow structure, the nail body 4 are axially provided at least one unidirectional limiting device 5;2 inner wall of hysteroscope ring is matched with unidirectional 5 gap of limiting device, and hysteroscope nail 1 can Unidirectionally pass through hysteroscope ring 2;Hysteroscope ring 2 passes through hysteroscope nail 1 and can be drawn close to ailhead 3 by squeezing unidirectional limiting device 5, unidirectional to limit Device 5 can fix automatically the hysteroscope nail 1 passed through;The unidirectional limiting device 5 is convex along the umbrella that body 4 is axially arranged is followed closely Block;The nail body 4 is axial to be provided at least two unidirectional limiting devices 5, and the distance between unidirectional 5 end of limiting device a is chamber The thickness of mirror ring 2;The one end of the nail body 4 far from ailhead 3 is coniform;The unidirectional limiting device 5 and 4 one of nail body at Type;The hysteroscope nail 1 and hysteroscope ring 2 use absorbable flexible material;The absorbable flexible material is PLA polylactic acid.
By taking TAPP (transabdominal preperitoneal prosthetic) operation as an example, abbreviation laparoscopic hernia Neoplasty.The operation needs to perform the operation in human abdomen's opening, and laparoscope is deep into human body, is carried out by observation display Operation, wait perform the operation after need to suture peritonaeum.Hysteroscope nail 1 of the invention and hysteroscope ring 2 are placed in when peritoneal stitches Hysteroscope nail 1 is sequentially passed through peritonaeum and hysteroscope ring 2 by the two sides of peritonaeum art mouth, and hysteroscope ring 2 is by squeezing unidirectional limiting device 5 It may pass through unidirectional limiting device 5, after hysteroscope ring 2 passes through unidirectional limiting device 5, unidirectional limiting device 5 can carry out hysteroscope ring 2 It limits and fixed, peritonaeum is clamped between hysteroscope ring 2 and hysteroscope nail 1 at this time, completes the suture to peritonaeum.
Embodiment two
As shown in figs. 1-7, hysteroscope of the invention is clamped for being matched with the hysteroscope of embodiment one with stitching devices, described Hysteroscope pincers include clamp block 6, claw beam 7 and two panels V-type clamp 8, and the first fixed dress of fixed hysteroscope nail 1 is provided on a piece of clamp 8 It sets, corresponding position is provided with the second fixed device of fixed hysteroscope ring 2 on another clamp 8;Described first, which fixes device, includes With the first sliding groove 9 of 3 clearance fit of ailhead, first sliding groove 9 is provided with the first limited block 10 far from one end of the first caliper 6;Institute Stating the second fixed device includes the second sliding slot 11 with 2 clearance fit of hysteroscope ring, the one end of second sliding slot 11 far from the second caliper 7 It is provided with the second limited block 12, is provided with and is communicated with hysteroscope ring 2 and the matched hysteroscope hole 13 of internal diameter on the second caliper 7.
Before carrying out peritoneal stitches, hysteroscope nail 1 is placed in first sliding groove 9, hysteroscope ring 2 is placed in second sliding slot 11, hysteroscope Pincers go deep into the human body, hysteroscope pincers expansion being placed into the two sides of peritonaeum art mouth by abdomen opening, and squeezing hysteroscope pincers makes hysteroscope Nail 1 sequentially passes through peritonaeum, hysteroscope ring 2 and hysteroscope hole 13, to peritoneal stitches after take out hysteroscope pincers.

Claims (9)

1. hysteroscope stitching devices, it is characterised in that:Including hysteroscope nail (1) and hysteroscope ring (2);The hysteroscope nail (1) includes nail Head (3) and the nail body (4) being fixedly connected with ailhead (3), it is described to follow closely the unidirectional limit that at least one axial limiting is provided on body (4) Position device (5);The hysteroscope ring (2) is hollow ring structure, and hysteroscope ring (2) can be penetrated hysteroscope nail by one end far from ailhead (1) it and is pressed through the unidirectional limiting device (5) and is drawn close to ailhead (3), by unidirectional limiting device (5) by hysteroscope ring (2) It is axially fixed on hysteroscope nail (1).
2. hysteroscope stitching devices as described in claim 1, it is characterised in that:The unidirectional limiting device (5) is along nail body (4) the cone cell convex block axially arranged, the conehead of cone cell convex block is far from one end where the ailhead (3).
3. hysteroscope stitching devices as described in claim 1, it is characterised in that:The nail body (4) is axially provided at least two A unidirectional limiting device (5), the distance between two neighboring unidirectional limiting device (5) end (a) are equal to hysteroscope ring (2) certainly Thickness under right state.
4. hysteroscope stitching devices as described in claim 1, it is characterised in that:The described one end of nail body (4) far from ailhead (3) It is coniform.
5. hysteroscope stitching devices as described in claim 1, it is characterised in that:The unidirectional limiting device (5) and nail body (4) It is integrally formed.
6. hysteroscope stitching devices as described in claim 1, it is characterised in that:The hysteroscope nail (1) and hysteroscope ring (2) are adopted With absorbable flexible material.
7. hysteroscope stitching devices as claimed in claim 6, it is characterised in that:The absorbable flexible material is poly- for PLA Lactic acid.
8. hysteroscope clamps, for being matched with hysteroscope described in any one of claim 1-7 claim with stitching devices, The hysteroscope pincers include clamp block (6), claw beam (7) and two panels V-type clamp (8), it is characterised in that:It is provided on a piece of clamp (8) The first of fixed hysteroscope nail (1) fixes device, and corresponding position is provided with the second of fixed hysteroscope ring (2) on another clamp (8) Fixed device.
9. hysteroscope pincers as claimed in claim 8, it is characterised in that:Described first fixed device includes matching with ailhead (3) gap The first sliding groove (9) of conjunction, first sliding groove (9) are provided with the first limited block (10) far from the one end of the first caliper (6);Described second Fixed device includes the second sliding slot (11) with hysteroscope ring (2) clearance fit, second sliding slot (11) far from the second caliper (7) one End is provided with the second limited block (12), is provided with and is communicated with hysteroscope ring (2) and the matched hysteroscope hole of internal diameter on the second caliper (7) (13)。
CN201811050299.6A 2018-09-10 2018-09-10 A kind of hysteroscope stitching devices and hysteroscope pincers Pending CN108888307A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811050299.6A CN108888307A (en) 2018-09-10 2018-09-10 A kind of hysteroscope stitching devices and hysteroscope pincers

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Application Number Priority Date Filing Date Title
CN201811050299.6A CN108888307A (en) 2018-09-10 2018-09-10 A kind of hysteroscope stitching devices and hysteroscope pincers

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6488196B1 (en) * 1999-06-30 2002-12-03 Axya Medical, Inc. Surgical stapler and method of applying plastic staples to body tissue
CN2525946Y (en) * 2002-03-04 2002-12-18 陈唯宁 Medical fixing nail
CN200987689Y (en) * 2006-10-16 2007-12-12 田恩全 Fast hemostatic forceps
CN202096255U (en) * 2011-04-09 2012-01-04 申屠叶菲 Stomach nipper
CN103230289A (en) * 2013-05-10 2013-08-07 杭州铭众生物科技有限公司 Gastrointestinal tract anastomat and application method thereof
CN203169245U (en) * 2013-03-22 2013-09-04 常州华森医疗器械有限公司 One-piece self-penetrating anorectal and gastrointestinal anastomat with absorbable biological nails
CN205814367U (en) * 2016-06-05 2016-12-21 李东林 Vascular suture pincers under peritoneoscope
CN209826836U (en) * 2018-09-10 2019-12-24 泸州市中医医院 Suturing device for endoscope and endoscope forceps

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6488196B1 (en) * 1999-06-30 2002-12-03 Axya Medical, Inc. Surgical stapler and method of applying plastic staples to body tissue
CN2525946Y (en) * 2002-03-04 2002-12-18 陈唯宁 Medical fixing nail
CN200987689Y (en) * 2006-10-16 2007-12-12 田恩全 Fast hemostatic forceps
CN202096255U (en) * 2011-04-09 2012-01-04 申屠叶菲 Stomach nipper
CN203169245U (en) * 2013-03-22 2013-09-04 常州华森医疗器械有限公司 One-piece self-penetrating anorectal and gastrointestinal anastomat with absorbable biological nails
CN103230289A (en) * 2013-05-10 2013-08-07 杭州铭众生物科技有限公司 Gastrointestinal tract anastomat and application method thereof
CN205814367U (en) * 2016-06-05 2016-12-21 李东林 Vascular suture pincers under peritoneoscope
CN209826836U (en) * 2018-09-10 2019-12-24 泸州市中医医院 Suturing device for endoscope and endoscope forceps

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