CN109009279A - Safety-type fascia stapler and application method - Google Patents
Safety-type fascia stapler and application method Download PDFInfo
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- CN109009279A CN109009279A CN201810520304.9A CN201810520304A CN109009279A CN 109009279 A CN109009279 A CN 109009279A CN 201810520304 A CN201810520304 A CN 201810520304A CN 109009279 A CN109009279 A CN 109009279A
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- 210000003195 fascia Anatomy 0.000 title claims abstract description 54
- 238000000034 method Methods 0.000 title claims abstract description 13
- 210000003815 abdominal wall Anatomy 0.000 claims abstract description 16
- 238000007912 intraperitoneal administration Methods 0.000 claims abstract description 12
- 230000001681 protective effect Effects 0.000 claims description 13
- 210000000056 organ Anatomy 0.000 abstract description 3
- 238000010586 diagram Methods 0.000 description 4
- 210000000683 abdominal cavity Anatomy 0.000 description 3
- 238000002357 laparoscopic surgery Methods 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 210000001835 viscera Anatomy 0.000 description 3
- 230000002980 postoperative effect Effects 0.000 description 2
- 208000033999 Device damage Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 208000028990 Skin injury Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000012830 laparoscopic surgical procedure Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000010422 painting Methods 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 239000005060 rubber Substances 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 239000007779 soft material Substances 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0482—Needle or suture guides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying suture anchors
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Rheumatology (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention provides a kind of safety-type fascia stapler and application method, it solves the technical problems such as prior art security risk is larger.Including shell; shell is equipped with being converted by folding structure; being converted by folding structure is connected with control structure is folded; shell is equipped with the guide channel penetrated for suture guid needle; guide channel is axially displaced from shell axial direction; being converted by folding structure is equipped with the software pad penetrated for suture guid needle; when being converted by folding structure is in unfolded state, software pad corresponds to each other setting with guide channel; being converted by folding structure includes several spademans for being articulated with shell lower end; software pad is set on spademan, and each spademan is hinged with position limitation protection body far from one end of shell lower end.Advantage is: suture guide needle-penetration abdominal wall tissue enter it is intraperitoneal after; software pad is then passed through, last needle point is resisted against position limitation protection body, and needle point is made not to be inserted into patient organ or tissue; the safety for increasing fascia tissue suture operation, it is more preferable to the protectiveness of patient.
Description
Technical field
The invention belongs to the field of medical instrument technology, more particularly, to a kind of safety-type fascia stapler and application method.
Background technique
Laparoscopic surgery is a kind of Minimally Invasive Surgery method that new development is got up, and has notch small compared with traditional operation, extensive
It is multiple fast, the small advantage of pain.Needing first to be arranged 3~5 diameters in laparoscopic surgical procedure is 5~12mm through abdominal wall tissue
Puncture channel, enable hysteroscope and surgical instrument to enter abdominal cavity or thoracic cavity from these puncture channels and implement operation.Operation
Terminate after removing surgical instrument, needs to suture these puncture channels, so as to wound quick healing.
In recent years, postoperative to be seamed to a significant problem with the extensive use of laparoscopic surgery.Currently, postoperative seam
Fascia stapler is used as unification.Existing fascia stapler is substantially by a cylindrical shell, pull rod, column driving handle, company
Connect the turnable spademan of shell lower end and pull rod lower end form, but needle point pass through spademan when be it is exposed, be easy
Patient's internal organs are inserted into, security risk is larger.
Summary of the invention
Regarding the issue above, the present invention provides a kind of design is reasonable, structure is simple, highly-safe is safety-type
Fascia stapler.
It is another object of the present invention to be simple and convenient to operate in view of the above-mentioned problems, providing a kind of step, highly-safe peace
The application method of holotype fascia stapler.
In order to achieve the above objectives, present invention employs following technical proposals: intrinsic safety holotype fascia stapler, including shell,
The shell is equipped with being converted by folding structure, and the being converted by folding structure is connected with control structure is folded, the shell
It is equipped with the guide channel penetrated for suture guid needle, the guide channel is axially displaced from shell axial direction, the folding
Mapped structure is equipped with the software pad that penetrates for suture guid needle, when the being converted by folding structure is in unfolded state described in
Software pad setting is corresponded to each other with guide channel, the being converted by folding structure includes several exhibitions for being articulated with shell lower end
The wing, the software pad are set on spademan, and each spademan is hinged with position limitation protection body far from one end of shell lower end.
In above-mentioned safety-type fascia stapler, when the being converted by folding structure is in unfolded state described in exhibition
The wing be axially displaced from shell axial direction, when the being converted by folding structure is in rounding state described in spademan axial direction and shell
Axially it is parallel to each other.
In above-mentioned safety-type fascia stapler, the folding control structure includes control-rod, on the shell
Equipped with the sliding channel being axially arranged along shell, the control-rod is slideably positioned in sliding channel, when the folding becomes
Control-rod described in changing when structure is in unfolded state or rounding state can mutually be determined by the way that location structure and shell are axial
Position.
In above-mentioned safety-type fascia stapler, the lower end of the control-rod is pierced by shell lower end, the limit
Protective is articulated with the lower end of control-rod far from one end of spademan.
In above-mentioned safety-type fascia stapler, the lower end of the control-rod is equipped with hinge column, and the limit is protected
Watch box is articulated on hinge column far from one end of spademan, and the outer sheath of the hinge column is equipped with protective cap.
In above-mentioned safety-type fascia stapler, the control-rod includes axially position and circumferentially rotates the upper of connection
Bar and lower beam, the location structure include at least one positioning pin, and the upper boom is equipped at least one reciprocal correspondence and sets
The expansion location hole and gathering location hole set, are equipped with cunning between the expansion location hole for corresponding to each other setting and gathering location hole
Road；Being converted by folding structure described in when the positioning pin is located at expansion positioning hole keeps unfolded state, when described is determined
Position pins position when collapsing positioning hole described in being converted by folding structure holding rounding state, when the positioning pin is located in slideway
The control-rod of Shi Suoshu is connected with shell sliding.
In above-mentioned safety-type fascia stapler, the sliding channel includes interconnected upper channel and lower logical
The cross section of road, the upper boom and upper channel is rounded, and the cross section of the lower beam and lower channel is in polygon.
In above-mentioned safety-type fascia stapler, the spademan is equipped with the mounting hole for installing software pad, institute
The upper side and lower side for the mounting hole stated is respectively equipped with the pin hole passed through for suture guid needle, when the being converted by folding structure is in
Pin hole described in when unfolded state corresponds to each other setting with guide channel.
In above-mentioned safety-type fascia stapler, the suture guid needle includes shank, and the shank is by leading
Draw portion to be connected with needle point, the guidance part is axially displaced from shank axial direction, and the guidance part is equipped with suture guide hole, institute
The aperture for the suture guide hole stated is located at guidance part lower end outside, and the bottom hole of the suture guide hole is located in guidance part upper end
Portion.
Using the application method of above-mentioned safety-type fascia stapler, comprising the following steps:
A1: the safety-type fascia stapler in rounding state enters intraperitoneal by puncture channel；
A2: control-rod upward sliding to upper limit position is to make safety-type fascia stapler be in unfolded state；
A3: control-rod rotation is to make control-rod axially be mutually located by location structure with shell；
A4: the suture guid needle for hanging with the first suture passes through one of guide channel, then pierces through abdominal wall tissue and goes forward side by side
Enter intraperitoneal, then passes through software pad, be finally resisted against position limitation protection body；
A5: suture guid needle exits software pad, abdominal wall tissue and guide channel successively to make the first suture be sandwiched in software
Pad；
A6: the suture guid needle for hanging with the second suture passes through another guide channel, then pierces through abdominal wall tissue and goes forward side by side
Enter intraperitoneal, then passes through software pad, be finally resisted against position limitation protection body；
A7: suture guid needle exits software pad, abdominal wall tissue and guide channel successively to make the second suture be sandwiched in software
Pad；
A8: control-rod rotation is to make control-rod mutually slide with shell；
A9: control-rod slides down to lower limit position to make safety-type fascia stapler be in rounding state；
A10: safety-type fascia stapler exits puncture channel to take the first suture and the second suture out of puncture channel；
A11: the first suture and the second suture mutually knot.
Compared with prior art, intrinsic safety holotype fascia stapler and the advantages of application method, are:
1, suture guiding needle-penetration abdominal wall tissue enter it is intraperitoneal after, then pass through software pad, last needle point is resisted against limit
Position protective, makes needle point not to be inserted into patient organ or tissue, the safety of fascia tissue suture operation is increased, to patient's
Protectiveness is more preferable；
2, software pad can clamp suture, so as to after safety-type fascia stapler exits puncture channel therewith by
One suture and the second suture take puncture channel out of, do not need that additional clamp operation is arranged, simplify step；
3, the setting of protective cap, it is therefore prevented that because safety-type fascia stapler excessively go deep into abdominal cavity from make safety-type fascia coincide
Device damages internal organs.
Detailed description of the invention
Fig. 1 provides the structural schematic diagram that the present invention is in unfolded state.
Fig. 2 provides the partial enlarged view in Fig. 1 at A.
Fig. 3 provides the structural schematic diagram of suture guid needle.
Fig. 4 provides the present invention in unfolded state and conceals the structural schematic diagram after first shell portion and protective cap.
Fig. 5 provides the structural schematic diagram that the present invention is in rounding state.
It is shell 1, guide channel 11, first shell portion 12, second shell portion 13, sliding channel 14, upper channel 15, lower logical in figure
It is road 16, upper positioning step 17, lower positioning step 18, being converted by folding structure 2, spademan 21, position limitation protection body 22, groove 23, hinged
Column 24, protective cap 25, mounting hole 26, pin hole 27, fold control structure 3, control-rod 31, upper boom 32, lower beam 33, location structure 4,
Location hole 41 is unfolded, collapses location hole 42, slideway 43, bracelet 44, suture guid needle 5, shank 51, guidance part 52, needle point 53, seam
Line guide hole 54, handle 55.
Specific embodiment
In order to which the technical problems, technical solutions and beneficial effects solved by the present invention is more clearly understood, below with reference to
The present invention is described further for the drawings and specific embodiments, but the present invention is not limited to described embodiments, on the contrary, this hair
Bright includes whole modifications, modification and the equivalent fallen within the scope of the appended claims.
Intrinsic safety holotype fascia stapler is mainly used in the suture of puncture channel in laparoscopic surgery, certainly human body in operation
The suture of other puncture channels can also apply intrinsic safety holotype fascia stapler.
As shown in Figure 1, intrinsic safety holotype fascia stapler, including shell 1, shell 1 is by first shell portion 12 and second shell portion 13
It is connected with each other, shell 1 is equipped with being converted by folding structure 2, and being converted by folding structure 2 is connected with control structure 3 is folded, shell 1
Be equipped with the guide channel 11 that penetrates for suture guid needle 5, guide channel 11 preferably by first shell portion 12 and second shell portion 13 it
Between gap formed, guide channel 11 to be axially displaced from shell 1 axial, in order to make suture not pass through more tissues to make
At skin injury, the angle between 1 axial direction of axial direction and shell of guide channel 11 is preferably 10 ° -15 °, in being converted by folding structure 2
Equipped with the software pad penetrated for suture guid needle 5, software pad is made of soft material, preferably by rubber, polyurethane, silica gel system
At when being converted by folding structure 2 is in unfolded state, software pad corresponds to each other setting with guide channel 11.Software pad can be clamped
Suture, so as to take the first suture and the second suture out of puncture therewith after safety-type fascia stapler exits puncture channel
Channel does not need that additional clamp operation is arranged, simplifies step.
Below being converted by folding structure 2 is unfolded to further illustrate.
As shown in Figs. 1-2, being converted by folding structure 2 includes several spademans 21 for being articulated with 1 lower end of shell, the quantity of spademan 21
Preferably two and be symmetrical arranged, software pad is set on spademan 21, the spademan 21 when being converted by folding structure 2 is in unfolded state
To be axially displaced from shell 1 axial, it is preferable that the axial direction of spademan 21 and 1 axial direction of shell are mutually perpendicular to, as shown in figure 5, Fig. 5 is not regarded
Suture guid needle out, when being converted by folding structure 2 is in rounding state, the axial direction of spademan 21 is axially parallel to each other with shell 1.
The lower end of control-rod 31 is pierced by 1 lower end of shell, and each spademan 21 is hinged with limit far from one end of 1 lower end of shell and protects
Watch box 22, the position limitation protection portion that position limitation protection body 22 is preferably connected by a snap by two form, and position limitation protection body 22 is equipped with
For the groove 23 that suture guid needle 5 enters, when being converted by folding structure 2 is in unfolded state, groove 23 and guide channel 11 are mutual
It is correspondingly arranged, position limitation protection body 22 is articulated with the lower end of control-rod 31 far from one end of spademan 21；Specifically, under control-rod 31
End is equipped with hinge column 24, and position limitation protection body 22 is articulated on hinge column 24 far from one end of spademan 21, the outer sheath of hinge column 24
Equipped with protective cap 25,25 end of protective cap is preferably in spherical setting, is preferably threadedly coupled between hinge column 24 and protective cap 25.Exhibition
The wing 21 is equipped with the mounting hole 26 for installing software pad, and 26 side of mounting hole is recessed so as to enable software pad to be connected in
Mounting hole 26, the upper side and lower side of mounting hole 26 are respectively equipped with the pin hole 27 passed through for suture guid needle 5, and pin hole 27 is preferably in non-
Straight line symmetrical structure, when being converted by folding structure 2 is in unfolded state, pin hole 27 corresponds to each other setting with guide channel 11.
Suture guid needle 5 pierce through abdominal wall tissue enter it is intraperitoneal after, then pass through software pad, last needle point 53 is resisted against limit
Position protective 22, makes needle point 53 not to be inserted into patient organ or tissue, the safety of fascia tissue suture operation is increased, to disease
The protectiveness of people is more preferable；The setting of protective cap 25, it is therefore prevented that because excessively to go deep into abdominal cavity safety-type from making for safety-type fascia stapler
Fascia stapler damages internal organs.
The folding expansion of control structure 3 is further illustrated below.
As shown in figure 4, folding control structure 3 includes control-rod 31, shell 1 is equipped with the sliding being axially arranged along shell 1
Channel 14, control-rod 31 are slideably positioned in sliding channel 14, when being converted by folding structure 2 is in unfolded state or rounding state
When control-rod 31 can be mutually located by the way that location structure 4 and shell 1 are axial.
Control-rod 31 includes axially position and the upper boom 32 and lower beam 33 for circumferentially rotating connection, and the upper end of upper boom 32 is connected with
Bracelet 44, location structure 4 include at least one positioning pin, and the quantity of positioning pin is preferably two and is symmetrical arranged, on upper boom 32
The expansion location hole 41 of setting is corresponded to each other equipped at least one and collapses location hole 42, and location hole 41 is unfolded and collapses location hole
42 quantity is preferably two and is symmetrical arranged, and is set between the expansion location hole 41 for corresponding to each other setting and gathering location hole 42
There is slideway 43；When positioning pin is located in expansion location hole 41, being converted by folding structure 2 keeps unfolded state, receives when positioning pin is located at
Hold together being converted by folding structure 2 when in location hole 42 and keeps rounding state, control-rod 31 and shell 1 when positioning pin is located in slideway 43
Sliding is connected.
Sliding channel 14 includes interconnected upper channel 15 and lower channel 16, and the cross section of upper boom 32 and upper channel 15 is equal
Rounded, the cross section of lower beam 33 and lower channel 16 is in polygon, and the diameter of upper channel 15 is greater than the diagonal line of lower channel 16
Length, thus positioning step 18 under being formed between upper channel 15 and lower channel 16,32 upper end of upper boom is equipped with upper positioning step 17,
When control-rod 31 is in lower limit position, upper positioning step 17 is resisted against 1 upper end of shell and/or 32 lower end of upper boom and is resisted against down
Positioning step 18 and/or positioning pin are resisted against 14 lower end of sliding channel, and when control-rod 31 is in upper limit position, positioning pin is supported
It is against 14 upper end of sliding channel.
Below suture guid needle 5 is unfolded to further illustrate.
As shown in figure 3, Fig. 3, which has been used, interrupts the technique of painting, suture guid needle 5 includes shank 51, and shank 51 passes through guidance part 52
It is connected with needle point 53, guidance part 52 is axially displaced from shank 51 axially, and guidance part 52 is equipped with suture guide hole 54, suture guiding
The aperture in hole 54 is located at 52 lower end outside of guidance part, and the bottom hole of suture guide hole 54 is located at 52 upper center of guidance part, shank 51
One end far from needle point 53 is equipped with handle 55, and handle 55 is equipped with several antiskid particles.
The application method of intrinsic safety holotype fascia stapler, comprising the following steps:
A1: the safety-type fascia stapler in rounding state enters intraperitoneal by puncture channel；
A2: 31 upward sliding of control-rod to upper limit position is to make safety-type fascia stapler be in unfolded state；
A3: the rotation of control-rod 31 is to make control-rod 31 axially be mutually located by location structure 4 with shell 1；
A4: the suture guid needle 5 for hanging with the first suture passes through one of guide channel 11, then pierces through abdominal wall tissue simultaneously
Into intraperitoneal, software pad is then passed through, position limitation protection body 22 is finally resisted against；
A5: it is soft to make the first suture be sandwiched in that suture guid needle 5 successively exits software pad, abdominal wall tissue and guide channel 11
Body pad；
A6: the suture guid needle 5 for hanging with the second suture passes through another guide channel 11, then pierces through abdominal wall tissue simultaneously
Into intraperitoneal, software pad is then passed through, position limitation protection body 22 is finally resisted against；
A7: it is soft to make the second suture be sandwiched in that suture guid needle 5 successively exits software pad, abdominal wall tissue and guide channel 11
Body pad；
A8: the rotation of control-rod 31 is to make control-rod 31 and shell 1 mutually slide；
A9: control-rod 31 slides down to lower limit position to make safety-type fascia stapler be in rounding state；
A10: safety-type fascia stapler exits puncture channel to take the first suture and the second suture out of puncture channel；
A11: the first suture and the second suture mutually knot.
Specific embodiment described herein is only an example for the spirit of the invention.The neck of technology belonging to the present invention
The technical staff in domain can make various modifications or additions to the described embodiments or replace by a similar method
In generation, however, it does not deviate from the spirit of the invention or beyond the scope of the appended claims.
Although shell 1, guide channel 11, first shell portion 12, second shell portion 13, sliding channel is used more herein
14, upper channel 15, lower channel 16, upper positioning step 17, lower positioning step 18, being converted by folding structure 2, spademan 21, position limitation protection
Body 22, groove 23, hinge column 24, protective cap 25, mounting hole 26, pin hole 27, fold control structure 3, control-rod 31, upper boom 32,
Lower beam 33, expansion location hole 41, collapses location hole 42, sliding channel 43, bracelet 44, suture guid needle 5, shank at location structure 4
51, the terms such as guidance part 52, needle point 53, suture guide hole 54, handle 55, but it does not exclude the possibility of using other terms.
The use of these items is only for be more convenient to describe and explain essence of the invention；It is construed as any additional
Limitation be all to be disagreed with spirit of that invention.
Claims (10)
1. a kind of safety-type fascia stapler, including shell (1), the shell (1) is equipped with being converted by folding structure (2), institute
The being converted by folding structure (2) stated is connected with control structure (3) are folded, which is characterized in that the shell (1) is equipped with for suture
The guide channel (11) that guid needle (5) penetrates, the guide channel (11) are axially displaced from shell (1) axially, the folding
Folded mapped structure (2) are equipped with the software pad penetrated for suture guid needle (5), when the being converted by folding structure (2) is in exhibition
Software pad described in when open state corresponds to each other setting with guide channel (11), and the being converted by folding structure (2) includes several
It is articulated with the spademan (21) of shell (1) lower end, the software pad is set on spademan (21), and each spademan (21) is far from shell
(1) one end of lower end is hinged with position limitation protection body (22).
2. safety-type fascia stapler according to claim 1, which is characterized in that when the being converted by folding structure (2)
Spademan (21) described in when in unfolded state to be axially displaced from shell (1) axial, when the being converted by folding structure (2) is in
The axial direction of spademan (21) described in when rounding state is axially parallel to each other with shell (1).
3. safety-type fascia stapler according to claim 2, which is characterized in that folding control structure (3) packet
It includes control-rod (31), the shell (1) is equipped with the sliding channel (14) being axially arranged along shell (1), the control-rod
(31) it is slideably positioned in sliding channel (14), when the being converted by folding structure (2) is in unfolded state or rounding state
The control-rod (31) of Shi Suoshu can be axially mutually located by location structure (4) with shell (1).
4. safety-type fascia stapler according to claim 3, which is characterized in that wear the lower end of the control-rod (31)
Shell (1) lower end out, the position limitation protection body (22) are articulated with the lower end of control-rod (31) far from the one end of spademan (21).
5. safety-type fascia stapler according to claim 4, which is characterized in that the lower end of the control-rod (31) is set
Have hinge column (24), the position limitation protection body (22) is articulated on hinge column (24) far from the one end of spademan (21), described
The outer sheath of hinge column (24) is equipped with protective cap (25).
6. safety-type fascia stapler according to claim 3, which is characterized in that the control-rod (31) includes axial
The upper boom (32) and lower beam (33) of connection are positioned and circumferentially rotate, the location structure (4) includes at least one positioning pin, institute
The upper boom (32) stated is equipped with the expansion location hole (41) that at least one corresponds to each other setting and collapses location hole (42), mutual
Slideway (43) are equipped between the expansion location hole (41) being correspondingly arranged and gathering location hole (42)；When the positioning pin is located at exhibition
Open location hole (41) it is interior when described in being converted by folding structure (2) keep unfolded state, when the positioning pin be located at collapse positioning
Being converted by folding structure (2) described in when hole (42) is interior keeps rounding state, when the positioning pin is located at the interior when institute of slideway (43)
The control-rod (31) stated is connected with shell (1) sliding.
7. safety-type fascia stapler according to claim 6, which is characterized in that the sliding channel (14) includes phase
The cross section of intercommunicated upper channel (15) and lower channel (16), the upper boom (32) and upper channel (15) is rounded, institute
The cross section of the lower beam (33) and lower channel (16) stated is in polygon.
8. according to the described in any item safety-type fascia staplers of claim 2-7, which is characterized in that on the spademan (21)
Equipped with the mounting hole (26) for installing software pad, the upper side and lower side of the mounting hole (26) is respectively equipped with to be guided for suture
The pin hole (27) that needle (5) passes through, when the being converted by folding structure (2) is in unfolded state described in pin hole (27) with lead
It corresponds to each other and is arranged to channel (11).
9. safety-type fascia stapler according to claim 1-7, which is characterized in that the suture guid needle
It (5) include shank (51), the shank (51) is connected by guidance part (52) with needle point (53), the guidance part (52)
It is axially displaced from shank (51) axially, the guidance part (52) is equipped with suture guide hole (54), the suture guide hole
(54) aperture is located at guidance part (52) lower end outside, and the bottom hole of the suture guide hole (54) is located at guidance part (52) upper end
Middle part.
10. a kind of application method of -9 described in any item safety-type fascia staplers according to claim 1, which is characterized in that
The following steps are included:
A1: the safety-type fascia stapler in rounding state enters intraperitoneal by puncture channel；
A2: control-rod (31) upward sliding to upper limit position is to make safety-type fascia stapler be in unfolded state；
A3: control-rod (31) rotation is to make control-rod (31) to be axially mutually located by location structure (4) with shell (1)；
A4: the suture guid needle (5) for hanging with the first suture passes through one of guide channel (11), then pierces through abdominal wall tissue simultaneously
Into intraperitoneal, software pad is then passed through, position limitation protection body (22) are finally resisted against；
A5: it is soft to make the first suture be sandwiched in that suture guid needle (5) successively exits software pad, abdominal wall tissue and guide channel (11)
Body pad；
A6: the suture guid needle (5) for hanging with the second suture passes through another guide channel (11), then pierces through abdominal wall tissue simultaneously
Into intraperitoneal, software pad is then passed through, position limitation protection body (22) are finally resisted against；
A7: it is soft to make the second suture be sandwiched in that suture guid needle (5) successively exits software pad, abdominal wall tissue and guide channel (11)
Body pad；
A8: control-rod (31) rotation is to make control-rod (31) and shell (1) mutually to slide；
A9: control-rod (31) slides down to lower limit position to make safety-type fascia stapler be in rounding state；
A10: safety-type fascia stapler exits puncture channel to take the first suture and the second suture out of puncture channel；
A11: the first suture and the second suture mutually knot.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201810520304.9A CN109009279B (en) | 2018-05-28 | 2018-05-28 | Safe fascia anastomat and use method thereof |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201810520304.9A CN109009279B (en) | 2018-05-28 | 2018-05-28 | Safe fascia anastomat and use method thereof |
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| Publication Number | Publication Date |
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| CN109009279A true CN109009279A (en) | 2018-12-18 |
| CN109009279B CN109009279B (en) | 2024-06-04 |
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| CN201810520304.9A Active CN109009279B (en) | 2018-05-28 | 2018-05-28 | Safe fascia anastomat and use method thereof |
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Cited By (7)
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| CN110025343A (en) * | 2019-04-15 | 2019-07-19 | 潘凯 | Casing slit closes device |
| CN110811721A (en) * | 2019-12-16 | 2020-02-21 | 汕头市澄海区骏意设计有限公司 | Suture fixer and suturing device |
| CN112773429A (en) * | 2019-11-07 | 2021-05-11 | 广州迪克医疗器械有限公司 | Fascia closer with safety protection mechanism |
| CN113520540A (en) * | 2021-06-24 | 2021-10-22 | 浙江优亿医疗器械股份有限公司 | Puncture thread hooking mechanism, assembling method thereof and laparoscope puncture outfit with same |
| CN113520542A (en) * | 2021-06-24 | 2021-10-22 | 浙江优亿医疗器械股份有限公司 | Laparoscope puncture outfit with fascia closing function |
| WO2022267998A1 (en) * | 2021-06-24 | 2022-12-29 | 浙江优亿医疗器械股份有限公司 | Laparoscopic trocar having fascial closure function |
| WO2023205973A1 (en) * | 2022-04-24 | 2023-11-02 | 潘湘斌 | Suturing apparatus |
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| CN113520540A (en) * | 2021-06-24 | 2021-10-22 | 浙江优亿医疗器械股份有限公司 | Puncture thread hooking mechanism, assembling method thereof and laparoscope puncture outfit with same |
| CN113520542A (en) * | 2021-06-24 | 2021-10-22 | 浙江优亿医疗器械股份有限公司 | Laparoscope puncture outfit with fascia closing function |
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| WO2023205973A1 (en) * | 2022-04-24 | 2023-11-02 | 潘湘斌 | Suturing apparatus |
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| CN109009279B (en) | 2024-06-04 |
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