CN108992111A - Heel string shuttle needle and needlework group - Google Patents

Heel string shuttle needle and needlework group Download PDF

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Publication number
CN108992111A
CN108992111A CN201811009540.0A CN201811009540A CN108992111A CN 108992111 A CN108992111 A CN 108992111A CN 201811009540 A CN201811009540 A CN 201811009540A CN 108992111 A CN108992111 A CN 108992111A
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CN
China
Prior art keywords
needle
heel string
needle body
suture
needlework
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CN201811009540.0A
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Chinese (zh)
Inventor
苏俞丹
苏忠良
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Individual
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Individual
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Priority to CN201811009540.0A priority Critical patent/CN108992111A/en
Publication of CN108992111A publication Critical patent/CN108992111A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0609Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument

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

Abstract

The present invention relates to a kind of heel string shuttle needle, including needle body, the needle body includes that integrally formed needle point, the needle body and the solidus portion fixed for suture, the solidus portion are set to needle body medium position, and needle body axial ends all has needle point.The present invention also provides the needlework groups by above-mentioned heel string shuttle needle with suture.It realizes percutaneous cabling suture heel string, has structure simple, easy to operate, surgical wound is small, the good advantage of sewing effect.

Description

Heel string shuttle needle and needlework group
Technical field
The present invention relates to the field of medical instrument technology, are exactly needle and needlework for heel string operation stitching Group.
Background technique
Heel string is located at ankle rear portion, is the most powerful tendon of human body, is responsible for the plantar flexion of ankle-joint, for the days such as walking, running, jump The completion often acted plays an important role.Rupture of Achilles tendon is a kind of more typical rupture of tendon, the people at highest risk occurred be student, Sportsman and performer.In recent years, as the extensive of mass sport activity is carried out and the continuous improvement of sports level, rupture of Achilles tendon Disease incidence improves year by year.The active plantar flexion of rupture of Achilles tendon future trouble foot is limited, cannot move with pedaling, greatly affected trouble The normal life and locomitivity of person.
There are several types of 1, conservative therapy for treatment method after rupture of Achilles tendon: solid using long leg gypsum bending knee, ankle plantar flexion position It is fixed, keep two broken ends of fractured bone of heel string close to each other to promote heel string to heal.The incidence that it is broken again is higher.2, open surgery is treated: Need extensively cut heel string rear skin, remove heel string surrounding tissue, exposure heel string two broken ends of fractured bone, using Bunnel, The methods of Kessler sutures heel string.This method is big to heel string surrounding skin and soft tissue injury, and common complication is wound sense Dye and wound split.3, Minimally Invasive Surgery: the minimally invasive sewing method of common heel string has: Ma&Griffith method makees six around heel string A small notch passes through suture through small notch;" heel string dragon " method, makees a transverse incision at the heel string broken ends of fractured bone, uses special threading apparatus The far and near end guidance suture for being inserted into heel string respectively passes through heel string, finally pulls in knot in the notch at the broken ends of fractured bone by suture and fix.It is existing Some Minimally Invasive Surgery methods are cumbersome, still there is more or longer skin incision in surgical procedure, influence postoperation recovery effect Fruit and Wound healing aesthetics.In addition there are adhesion risk, nervus suralises with heel string surrounding tissue for Ma&Griffith method suture The incidence of damage is also very high.
Summary of the invention
Objects of the present invention: to overcome defect of the existing technology, it is simple that the present invention provides a kind of structure, operation side Just heel string shuttle needle realizes percutaneous cabling suture heel string, has surgical wound small, the good advantage of sewing effect.
To achieve the above object, the present invention provides the following technical scheme that
A kind of heel string shuttle needle, including needle body, the needle body include integrally formed needle point, the needle body and fix for suture Solidus portion, it is characterised in that: the solidus portion is set to needle body medium position, and needle body axial ends all has needle point.
Preferably, the needle body is the arcuate shape that linear or both ends are in warpage in the same direction.
Preferably, the needle body length is 10~20cm.
Preferably, the diameter of needle body is 1.0~2.0mm.
Preferably, the solidus portion is the eyelet on the needle body.
It is easy to operate the invention also discloses a kind of structure is simple, realize percutaneous cabling suture heel string, surgical wound is small, The good heel string shuttle needlework group of sewing effect, including needle body and suture, the needle body include integrally formed needle point, the needle body And the solidus portion fixed for suture, suture have the traction fixing end being fixed in solidus portion, it is characterised in that: described Solidus portion be set to needle body medium position, needle body axial ends all has needle point.
The operation of heel string shuttle needlework group (operation suture thread is fixed in the solidus portion of needle body) suture heel string of the invention Steps are as follows: 1, needle body 1 prepares puncture procedure (as shown in Figure 3) on the left of shank;2, needle body 1 is in the right on the left of shank It is pierced into obliquely, passes through heel string I, until solidus portion 13 is located on the right side of shank, needle point 11-2 is located on the left of shank (such as Fig. 4 a institute Show);3, suture 2 is pulled, suture 2 is predominantly located on the right side of shank, the suture of about 10cm is only stayed on the left of shank (state as shown in Figure 4 b) 4 continues to pulling on the right side of shank the needle body 1 needle point 11-2 is made to be moved to heel string I surface location but not complete Heel string I (or needle point is pierced by the surface heel string I but close to heel string surface) is pierced by entirely to complete to suture the first time of heel string I line behaviour Make (state as illustrated in fig. 4 c);5, it keeps needle point 11-2 motionless on the surface heel string I, adjusts 1 direction of needle body, make needle body 1 and original Puncture path is at an angle (as shown in Figure 5 a).Skin subcutaneous tissue when changing needle body direction on the right side of heel string has enough bullets Property it is mobile with needle body, due to keeping the position needle point 11-2 constant, this step will not be in the skin and subcutaneous tissue on the right side of heel string Generate new puncture path, i.e. this step (and following step 6, step 7) and step 4 (and step 3, step 2) of front Share the skin subcutaneous tissue path (referred to as " suture turn back path ") on the right side of heel string.6, needle body 1 is punctured from bottom right to upper left, Until solidus portion 13 is located on the left of shank, needle point 11-1 is located on the right side of shank (as shown in Figure 5 b);7, suture is pulled to the left 2, it completes to cross the secondary suture of heel string line operation (as shown in Fig. 5 c).Due to step 5,6,7 and step 2,3,4 share with " suture turn back path " on the right side of tendon, suture will be through " suture turn back path " entrance of turning back when step 7 drawing suture 2 In heel string, make that the first time of suture 2 sutured line and secondary suture is crossed line turning point and is located inside heel string;8, continue to small Pull needle body 1 that needle point 11-1 is made to be moved to heel string I surface location (state as fig 5d) on the left of leg;9, aforesaid operations are repeated, Suture 2 forms folding shape cross-like suture (as shown in Figure 6) to heel string;10, finally make the skin of 1cm on the left of rupture of Achilles tendon end Notch involves at suture both ends out of notch, draws heel string over to one's side, tenses suture both ends, knots and fixes.
Heel string shuttle needle uses both ends needle point designs, and both ends all have puncture effect, so that when replacement punctures direction, Without extracting suture needle completely, so that different puncture paths are formed in heel string, and in the skin and subcutaneous tissue outside heel string only There is one identical " suture turn back path ";When continuous quadratic punctures through line operation, suture can be subcutaneous group in skin Being turned back by traction is embedded in heel string on the road Zhi Neiyanyuan (" suture turn back path "), crosses line behaviour to the percutaneous of heel string to realize Make.Heel string is sutured using this law, surgical procedure is simple, operating time is short;The postoperative operative scar for leaving behind a 1cm size, Good appearance;This method is stabbed in the needle that the outside of heel string only has several needle body diameters, considerably reduces nervus suralis A possibility that damage, and in sewing process suture through " suture turn back path " backtracking to heel string, Sutureless winding, Oppress the anxiety of nervus suralis.It is sutured using this method, keeps needle point in heel string internal adjustment direction, suture can be made to be maintained at heel string It is interior, it keeps heel string surface smooth, reduces the adhesion with surrounding tissue, be conducive to postoperative function recovery.The surgical instrument knot simultaneously Structure is simple, low in cost, is applicable in batch production.
The invention will be further described below in conjunction with the accompanying drawings.
Detailed description of the invention
Fig. 1 is specific embodiment of the invention heel string shuttle needle construction schematic diagram;
Fig. 2 is specific embodiment of the invention heel string shuttle needlework group structural schematic diagram;
Fig. 3 is that the specific embodiment of the invention prepares puncture procedure schematic diagram;
Fig. 4 is that specific embodiment of the invention heel string sutured line operation schematic diagram for the first time;
Fig. 5 is that specific embodiment of the invention heel string secondary suture crosses line operation schematic diagram;
Fig. 6 crosses line completion status schematic diagram with tenosuture for the specific embodiment of the invention;
Fig. 7 is the heel string shuttle needle construction schematic diagram of specific embodiment of the invention arcuate shape.
Specific embodiment
Referring to attached drawing 1 and attached drawing 2, a kind of heel string shuttle needle disclosed by the invention, including needle body 1 and suture 2.The needle Body 1 includes integrally formed needle point 11, the needle body 12 and the solidus portion 13 fixed for suture.The solidus portion 13 is set to 12 medium position of the needle body, 12 axial ends of the needle body all have needle point 11.The suture 2 includes the traction for being fixed on solidus portion 13 Fixing end 21 and suture main body 22.
Wherein, the needle body 1 is linear or both ends are in the arcuate shape (as shown in Figure 7) of warpage in the same direction.Straight needle It is manually held when operation, feel is strong, is easily mastered depth of needle.Arc needle is held when operating with needle holder, meets surgeon Operating habit, also reduce the risk accidentally stabbed of medical worker, two kinds of designs are each advantageous.
Further, 1 length of needle body is 10~20cm, and specification can be arranged according to different PATIENT POPULATIONs, to facilitate behaviour As standard.12 diameter of the needle body is 1.0~2.0mm, in the case where guaranteeing needle body intensity, as far as possible carefully, is worn with reducing Thorn damage.
Scale is known in the needle body upper outer surface bidding of shuttle needle, to be used to help determine depth of needle.
In the prior art, diversified forms can be used for fixing 13 structure of solidus portion of silk thread on needle body 1, it is such as flat It is fixed for suture bondage;Or cell structure is used, cell structure is simple, suture fixation, therefore preferably eyelet knot Structure is further so that suture is fixed on solid and reliable on needle body, and the traction fixing end 21 of suture 2 is to be through on eyelet Wire loop, two elongated ends of wire loop be twisted one constitute suture main body 22, such suture be fixed on it is solid and reliable on eyelet, The swing that suture can be more smoothly during suturing heel string simultaneously is acted with the round-trip puncture for adapting to needle body, and suture is led It is smooth to draw fixing end cabling in sewing process.
The operation of heel string shuttle needlework group (operation suture thread is fixed in the solidus portion of needle body) suture heel string of the invention Steps are as follows: 1, needle body 1 prepares puncture procedure (as shown in Figure 3) on the left of shank;2, needle body 1 is in the right on the left of shank It is pierced into obliquely, passes through heel string I, until solidus portion 13 is located on the right side of shank, needle point 11-2 is located on the left of shank (such as Fig. 4 a institute Show);3, suture 2 is pulled, suture 2 is predominantly located on the right side of shank, the suture of about 10cm is only stayed on the left of shank (state as shown in Figure 4 b) 4 continues to pulling on the right side of shank the needle body 1 needle point 11-2 is made to be moved to heel string I surface location but not complete Heel string I (or needle point is pierced by the surface heel string I but close to heel string surface) is pierced by entirely to complete to suture the first time of heel string I line behaviour Make (state as illustrated in fig. 4 c);5, it keeps needle point 11-2 motionless on the surface heel string I, adjusts 1 direction of needle body, make needle body 1 and original Puncture path is at an angle (as shown in Figure 5 a).Skin subcutaneous tissue when changing needle body direction on the right side of heel string has enough bullets Property it is mobile with needle body, due to keeping the position needle point 11-2 constant, this step will not be in the skin and subcutaneous tissue on the right side of heel string Generate new puncture path, i.e. this step (and following step 6, step 7) and step 4 (and step 3, step 2) of front Share the skin subcutaneous tissue path (referred to as " suture turn back path ") on the right side of heel string.6, needle body 1 is punctured from bottom right to upper left, Until solidus portion 13 is located on the left of shank, needle point 11-1 is located on the right side of shank (as shown in Figure 5 b);7, suture is pulled to the left 2, it completes to cross the secondary suture of heel string line operation (as shown in Fig. 5 c).Due to step 5,6,7 and step 2,3,4 share with " suture turn back path " on the right side of tendon, suture will be through " suture turn back path " entrance of turning back when step 7 drawing suture 2 In heel string, make that the first time of suture 2 sutured line and secondary suture is crossed line turning point and is located inside heel string;8, continue to small Pull needle body 1 that needle point 11-1 is made to be moved to heel string I surface location (state as fig 5d) on the left of leg;9, aforesaid operations are repeated, Suture 2 forms folding shape cross-like suture (as shown in Figure 6) to heel string;10, finally make the skin of 1cm on the left of rupture of Achilles tendon end Notch involves at suture both ends out of notch, draws heel string over to one's side, tenses suture both ends, knots and fixes.
Heel string shuttle needle uses both ends needle point designs, and both ends all have puncture effect, so that when replacement punctures direction, Without extracting suture needle completely, so that different puncture paths are formed in heel string, and in the skin and subcutaneous tissue outside heel string only There is one identical " suture turn back path ";When continuous quadratic punctures through line operation, suture can be subcutaneous group in skin Being turned back by traction is embedded in heel string on the road Zhi Neiyanyuan (" suture turn back path "), crosses line behaviour to the percutaneous of heel string to realize Make.Heel string is sutured using this law, surgical procedure is simple, operating time is short;The postoperative operative scar for leaving behind a 1cm size, Good appearance;This method is stabbed in the needle that the outside of heel string only has several needle body diameters, considerably reduces nervus suralis A possibility that damage, and in sewing process suture through " suture turn back path " backtracking to heel string, Sutureless winding, Oppress the anxiety of nervus suralis.It is sutured using this method, keeps needle point in heel string internal adjustment direction, suture can be made to be maintained at heel string It is interior, it keeps heel string surface smooth, reduces the adhesion with surrounding tissue, be conducive to postoperative function recovery.The surgical instrument knot simultaneously Structure is simple, low in cost, is applicable in batch production.

Claims (10)

1. a kind of heel string shuttle needle, including needle body, the needle body includes integrally formed needle point, the needle body and fixes for suture Solidus portion, it is characterised in that: the solidus portion is set to needle body medium position, and needle body axial ends all has needle point.
2. heel string shuttle needle according to claim 1, it is characterised in that: the needle body is that linear or both ends are in stick up in the same direction Bent arcuate shape.
3. heel string shuttle needle according to claim 1, it is characterised in that: the needle body length is 10 ~ 20cm.
4. heel string shuttle needle according to claim 1, it is characterised in that: the diameter of needle body is 1.0 ~ 2.0mm.
5. heel string shuttle needle according to claim 1, it is characterised in that: the solidus portion is the eyelet on the needle body.
6. a kind of heel string shuttle needlework group, including needle body and suture, the needle body include integrally formed needle point, the needle body with And the solidus portion fixed for suture, suture have the traction fixing end being fixed in solidus portion, it is characterised in that: described Solidus portion is set to needle body medium position, and needle body axial ends all has needle point.
7. heel string shuttle needlework group according to claim 6, it is characterised in that: the solidus portion is the hole on the needle body Eye, the traction fixing end of the suture are the wire loop being through on eyelet, and two elongated ends of wire loop are twisted one and constitute suture Main body.
8. heel string shuttle needlework group according to claim 6, it is characterised in that: the needle body is linear or both ends in same To the arcuate shape of warpage.
9. heel string shuttle needlework group according to claim 6, it is characterised in that: the needle body length is 10 ~ 20cm.
10. heel string shuttle needlework group according to claim 6, it is characterised in that: the diameter of needle body is 1.0 ~ 2.0mm.
CN201811009540.0A 2018-08-31 2018-08-31 Heel string shuttle needle and needlework group Pending CN108992111A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09201362A (en) * 1996-01-25 1997-08-05 Manabu Maeda Suture needle for surgical operation
CN1245674A (en) * 1998-08-25 2000-03-01 白承俊 Surgical operation needle
CN106725678A (en) * 2017-01-20 2017-05-31 蒲骁麟 Double end sewing needle
US20180199936A1 (en) * 2017-01-18 2018-07-19 Roman Kelner Surgical instruments
CN209236251U (en) * 2018-08-31 2019-08-13 苏俞丹 Heel string shuttle needle and needlework group

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH09201362A (en) * 1996-01-25 1997-08-05 Manabu Maeda Suture needle for surgical operation
CN1245674A (en) * 1998-08-25 2000-03-01 白承俊 Surgical operation needle
US20180199936A1 (en) * 2017-01-18 2018-07-19 Roman Kelner Surgical instruments
CN106725678A (en) * 2017-01-20 2017-05-31 蒲骁麟 Double end sewing needle
CN209236251U (en) * 2018-08-31 2019-08-13 苏俞丹 Heel string shuttle needle and needlework group

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Inventor after: Su Yudan

Inventor after: Su Zhongliang

Inventor after: Yang Jie

Inventor before: Su Yudan

Inventor before: Su Zhongliang