Incision inner wall tissue stitching instrument
Technical Field
The invention relates to a novel incision inner wall tissue stitching instrument, and belongs to the field of medical instruments.
Background
In the minimally invasive laparoscopic surgery process of the human body, tissue and organ incisions in the human body need to be sutured, the suturing thread needs to be knotted in the suturing process, and in order to ensure the stability and firmness of the tissue and organ incisions in the human body, the suturing thread is tightly tied in the knotting process, and the knot pusher is a special instrument for ensuring the knotting and the tightening. The prior art does not have special instruments for tying knots of tissues and organ incisions in human bodies, and uses common tying pliers for tying knots and tying, and has the defects that the incisions are easy to loosen after being sewn and tied, secondary operation is easy to be caused, and the ideal operation effect is not satisfied.
Laparoscopes are increasingly used in various surgical procedures, and the peritoneum and fascia layers are sutured after the operation to prevent incision bleeding and reduce the incidence of incision hernia, which cannot be achieved by conventional suturing. Particularly for obese patients, the abdomen fat is thicker, and the suture difficulty is increased.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide a novel incision inner wall tissue stitching instrument, thereby providing a standardized stitching channel for doctors, facilitating and ensuring the postoperative stitching to be more convenient and safer, and greatly reducing the occurrence probability of postoperative complications of patients.
The invention is realized in the following way: the invention provides an incision inner wall tissue stitching instrument, which comprises a rotation control mechanism, a shell and a stitching needle, wherein the rotation control mechanism comprises a rotation component and a connecting component, the rotation component is arranged at the upper end of the shell, one end of the connecting component penetrates through the interior of the shell to be connected with the rotation component, and the other end of the connecting component is connected with the stitching needle positioned below the shell; when suturing, the rotating assembly drives the suture needle to rotate through the connecting assembly, so that incision tissues are sutured.
Preferably, the connection assembly is selected from brake levers.
Preferably, when the suture is performed, the rotating assembly is operated to rotate, and the rotating assembly drives the brake rod to move, so that the suture needle is driven to rotate.
Preferably, the connection assembly includes a brake lever, a worm wheel, a turbine support bearing, and a turbine shaft, one end of the brake lever is connected with the rotation assembly through the inside of the housing, the other end of the brake lever is connected with the worm, the worm is connected with the turbine in a structural fit, the turbine shaft is vertically installed on the turbine, the turbine support bearing is fixed on the turbine shaft, and the sewing needle is fixed on the turbine shaft and located between the turbine and the turbine support bearing.
Preferably, when suturing, the rotating assembly rotates around the Y axis, and the rotating assembly is converted into a turbine rotating around the Z axis through turbine worm transmission, so that the suturing needle is driven to rotate around the Z axis, and the suturing needle is enabled to complete incision tissue suturing.
Preferably, the incision inner wall tissue stapler further comprises a protective case fixed on the outer side of the lower end of the outer case, the suture needle is located inside the protective case, and both opposite sides of the protective case are notched, thereby allowing the suture needle to suture the incision tissue through the notch when rotated.
Preferably, the incision inner wall tissue stapler further comprises a rotating assembly support bearing mounted at an upper end of the housing and fixed with the rotating assembly.
Preferably, the rotating assembly support bearing comprises a first rotating assembly support bearing and a second rotating assembly support bearing, the first rotating assembly support bearing and the second rotating assembly support bearing being symmetrically distributed on both sides of the housing.
Preferably, the worm gear comprises a first worm gear and a second worm gear, the first worm gear and the second worm gear being symmetrically distributed on both sides of the worm; the turbine support bearings include a first turbine support bearing and a second turbine support bearing symmetrically mounted on both sides of the turbine.
Preferably, the left side and the right side of the worm are of a zigzag structure, the right side of the first turbine is of a zigzag structure and is just meshed with the zigzag structure on the left side of the worm, and the left side of the second turbine is of a zigzag structure and is just meshed with the zigzag structure on the right side of the worm.
Preferably, the suture needles comprise a first suture needle and a second suture needle, the first suture needle and the second suture needle being symmetrically distributed along the central axis of the turbine.
Preferably, the brake lever comprises a first brake lever and a second brake lever, the suture needle comprises a first suture needle and a second suture needle, the first brake lever is connected with the first suture needle, and the second brake lever is connected with the second suture needle.
Preferably, the longitudinal axis of the rotating assembly is overlapping with the longitudinal axis of the housing.
Preferably, the suture needle is semicircular.
Preferably, the housing is a hollow tubular structure made of silicone.
Preferably, the rotating assembly is selected from a rotary handle or a brake knob.
The invention has the following beneficial effects that:
(1) The novel incision inner wall tissue stitching instrument provided by the invention provides a standardized stitching channel for doctors, so that postoperative stitching becomes more convenient and safer, the occurrence probability of postoperative complications of patients is greatly reduced, and stitching standards are realized.
(2) At present, similar products are not available in the market.
Drawings
In order to more clearly illustrate the embodiments of the invention or the technical solutions in the prior art, the drawings that are required in the embodiments or the description of the prior art will be briefly described, it being obvious that the drawings in the following description are only some embodiments of the invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of a first embodiment of an incision inner wall tissue stapler provided in accordance with the present invention;
FIG. 2 is a partial schematic view of a first embodiment of an incision inner wall tissue stapler in accordance with the present invention;
FIG. 3 is a partial schematic view of a first embodiment of an incision inner wall tissue stapler in accordance with the present invention;
FIG. 4 is a partial schematic view of a first embodiment of an incision inner wall tissue stapler in accordance with the present invention;
FIG. 5 is a schematic view of a second embodiment of an incision inner wall tissue stapler according to the present invention.
The corresponding names of the components in the drawings are as follows:
1. a rotating assembly (rotating handle); 2. a rotating assembly support bearing; 21. a first rotating assembly support bearing; 22. a second rotating assembly support bearing; 3. a housing; 4. a worm; 5. a turbine; 51. a first turbine; 52. a second turbine; 6. a suture needle; 61. a first suture needle; 62. a second suture needle; 7. a turbine support bearing; 71. a first turbine support bearing; 72. a second turbine support bearing; 8. a protective shell; 81 gaps; 9. a turbine shaft; 10. a brake lever; 90. an X axis; 91. a Y axis; 92. and a Z axis.
31. A rotating assembly (brake knob); 32. a housing; 33. a brake lever; 34. a suture needle; 35. a protective shell; 331. a first brake lever; 332. a second brake lever; 341. a first suture needle; 342. a second suture needle; 36. incision tissue.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Those skilled in the art will appreciate that the terms "upper", "lower", "left", "right" and "longitudinal axis", "X-axis", "Y-axis" and "Z-axis" as used herein are intended to be used as references for purposes of illustration only, and that the actual location of portions of the incision inner wall tissue stapler will depend on the orientation in which the incision inner wall tissue stapler is positioned.
In a first embodiment of the present invention, as shown in fig. 1, a novel incision inner wall tissue stapler comprises a rotary handle 1, a housing 3, a worm 4, a worm wheel 5, a suture needle 6, a worm wheel support bearing 7, a protective housing 8 and a brake lever 10. The rotary handle 1 is mounted at the upper end of the housing 3, one end of the brake lever 10 passes through the interior of the housing 3 and is connected with the rotary handle 1, and the other end of the brake lever 10 is connected with the worm 4. Preferably, the longitudinal axis of the brake lever 10 overlaps the longitudinal axis of the housing 3. The housing 3 is preferably a hollow tubular structure made of silicone.
As shown in FIG. 1, the novel incision inner wall tissue stapler preferably further comprises a rotating assembly support bearing 2, and the rotating assembly support bearing 2 is mounted at the upper end of the housing 3 and is fixed with the rotating handle 1. Preferably, the rotating assembly support bearing 2 may be divided into a first rotating assembly support bearing 21 and a second rotating assembly support bearing 22, and the first rotating assembly support bearing 21 and the second rotating assembly support bearing 22 are symmetrically distributed at both sides of the housing 3, the main functions of which are to reduce the friction coefficient of the rotating handle 1 during the rotating motion and to secure the turning accuracy of the rotating handle 1.
As shown in fig. 1, the worm 4 and the worm wheel 5 are connected together in a matched mode in structure, so that the movement of the worm 4 drives the movement of the worm wheel 5. The number of turbines 5 may be 1 or more. Preferably, the number of turbines 5 is two, namely a first turbine 51 and a second turbine 52, the first turbine 51 and the second turbine 52 being symmetrically distributed on both sides of the worm 4. Preferably, the left side and the right side of the worm 4 are in a zigzag structure, the right side of the first turbine 51 is in a zigzag structure, and the first turbine and the zigzag structure on the left side of the worm 4 are just meshed together; the left side of the second worm wheel 52 is a zigzag structure and just bites together with the zigzag structure on the right side of the worm 4.
As shown in fig. 1 and 2, the turbine support bearing 7 preferably includes a first turbine support bearing 71 and a second turbine support bearing 72, and serves to support the rotation of the turbine 5, specifically, to reduce the coefficient of friction of the turbine 5 during the rotational movement and to ensure the rotational accuracy of the turbine 5. The turbine shaft 9 is vertically mounted on the turbine 5, and the first turbine support bearing 71 and the second turbine support bearing 72 are symmetrically mounted on both sides of the turbine shaft 9. The worm 4 drives the turbine 5 to rotate, the turbine 5 drives the turbine shaft 9 to rotate, and the turbine shaft 9 drives the sewing needle 6 to rotate.
As can be seen from fig. 2 and 3, the needle 6 is located below the housing 3, fixed to the turbine shaft 9, between the turbine 5 and the second turbine support bearing 72, although the needle 6 may be located between the turbine 5 and the first turbine support bearing 71. The suture needle 6 is fixed on the turbine shaft 9 and rotates along with the turbine shaft 9 to complete the suture needle threading action. Furthermore, as shown in fig. 1, the sewing needle 6 may be installed between the worm wheel 5 and the second worm wheel support bearing 72 and between the worm wheel 5 and the first worm wheel support bearing 71, wherein the sewing needle 6 located between the worm wheel 5 and the first worm wheel support bearing 71 is the first sewing needle 61 and the sewing needle 6 located between the worm wheel 5 and the second worm wheel support bearing 72 is the second sewing needle 62. Preferably, the first and second sewing needles 61, 62 are symmetrically distributed along the central axis of the worm gear 5.
As can be seen from fig. 1 and 2, a protective housing 8 is fixed on the outer side of the lower end of the housing 3, and the worm 4, the worm wheel 5, the first worm wheel support bearing 71, the second worm wheel support bearing 72, the worm wheel shaft 9 and the sewing needle 6 are located inside the protective housing 8. The protective housing 8 serves to protect the worm 4, the worm wheel 5, the first worm wheel support bearing 71, the second worm wheel support bearing 72, the worm wheel shaft 9 and the suture needle 6, and the presence of the protective housing 8 prevents the suture needle 6 from scratching human tissues when suturing is performed. As shown in fig. 4, to ensure that the needle 6 is able to perform a rotational movement, both opposite sides of the protective housing 8 are provided with notches 81, thereby allowing the needle 6 to suture incision tissue through the notches 81 when rotated. Of course, when the number of the suture needles 6 is 2 (i.e., the first suture needle 61 and the second suture needle 62 exist at the same time), the number of the notches existing at the two opposite sides of the protective case 8 increases accordingly, and the positions where the notches exist correspond to the positions where the first suture needle 61 and the second suture needle 62 exist. Preferably, the needle 6 (first needle 61 and second needle 62, if present at the same time) is arcuate, more preferably, the needle 6 (first needle 61 and second needle 62, if present at the same time) is semi-circular.
Before suturing, the suture thread is threaded onto the suture needle 6 (the first suture needle 61 and the second suture needle 62, if present at the same time). After the suture thread is threaded, the rotary handle 1 is rotated, so that the rotation motion of the rotary handle 1 can be converted into the rotation motion of the suture needle 6 (the first suture needle 61 and the second suture needle 62 if the suture thread exists at the same time) by utilizing the turbine worm transmission principle, and the motion conversion between different axes and different planes is completed. Specifically, the rotary handle 1 rotates around a Y axis 91 (in fig. 1, the Y axis 91 is the axial axis of the rotary handle 1) in fig. 1 (in which the X axis 90 is not shown), and the rotary handle is converted into a turbine 5 through a turbine worm transmission to rotate around a Z axis 92 in fig. 2 (in which the X axis 90 is not shown), so as to drive the suture needle to rotate around the Z axis 92, and the suture action of the suture needle 6 in the wound tissue is completed.
In another embodiment of the present invention, as shown in fig. 5, the incision inner wall tissue stapler includes a brake knob 31, a housing 32, a brake lever 33, a needle 34, and a protective case 35, the brake knob 31 is installed at an upper end of the housing 32, one end of the brake lever 33 is coupled to the brake knob 31 through an inside of the housing 32, and the other end of the brake lever 33 is coupled to the needle 34 located under the housing 32.
As shown in fig. 5, preferably, the brake lever 33 includes a first brake lever 331 and a second brake lever 332, and the suture needle 34 includes a first suture needle 341 and a second suture needle 342, wherein the first brake lever 331 is connected to the first suture needle 341, and the second brake lever 332 is connected to the second suture needle 342. The suture needle 34 is located inside a protective housing 35, and the protective housing 35 serves to protect the suture needle 34. The two opposite sides of the protective housing 35 have notches 81 (similar to the notch arrangement of fig. 4) through which the suture needle 34 passes when rotated to suture the incision tissue 36 when suturing.
When the suture is performed, the brake knob 31 is operated to rotate, the brake knob 31 drives the brake rod 33 to move, and the suture needle 34 is driven to rotate, so that the suture needle 34 can complete the task of suturing the incision tissue 36.
In another embodiment of the invention, the brake knob 31 of fig. 5 can be replaced by the rotary knob 1 of fig. 1, in which case the rotary knob is connected to a brake lever 33 arranged inside the housing 32, the others remaining unchanged.
In another embodiment of the invention, the rotary knob 1 of fig. 1 can be replaced by a brake knob 31 of fig. 5, which is then connected to a brake lever 10 arranged inside a housing 32, the others remaining unchanged.
Regardless of the embodiment of the invention, the suture of the incision tissue can be standardized, and a standardized suture channel is provided for doctors, so that the postoperative suture becomes more convenient and safer, and the occurrence probability of postoperative complications of patients is greatly reduced. At present, similar products are not available in the market.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, alternatives, and improvements that fall within the spirit and scope of the invention.