CN109199550B - Hernia minimally invasive surgery treatment needle - Google Patents

Hernia minimally invasive surgery treatment needle Download PDF

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Publication number
CN109199550B
CN109199550B CN201811213138.4A CN201811213138A CN109199550B CN 109199550 B CN109199550 B CN 109199550B CN 201811213138 A CN201811213138 A CN 201811213138A CN 109199550 B CN109199550 B CN 109199550B
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needle
groove
ejection
outer sleeve
shaft
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CN201811213138.4A
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CN109199550A (en
Inventor
颜斌
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Guangzhou Women and Childrens Medical Center
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3494Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3454Details of tips
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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

Abstract

The invention relates to a hernia treatment appliance, in particular to a hernia minimally invasive surgery treatment needle, which comprises an outer needle, an outer sleeve, an inner core and an inner core control component, wherein the outer needle and the outer sleeve are hollow, the outer needle is connected to the front end of the outer sleeve, the inner core penetrates into the outer needle, the inner core comprises a crochet hook part at the front end, an ejection part connected to the rear end of the crochet hook part and an extension control part connected to the rear end of the ejection part, and compared with the prior art, the hernia treatment needle has the beneficial effects that: the inner core includes the tripod crochet needle of front end, catches on the line through the crochet needle of three feet, catches on the back crochet needle and withdraws into the outer needle, and at this moment, the suture line follows the crochet needle and gets into the outer needle inside and block, only needs to pull out the needle is whole, need not to grip, improves the stability of external pulling, is favorable to the treatment of operation.

Description

Hernia minimally invasive surgery treatment needle
Technical Field
The invention relates to a hernia treatment appliance, in particular to a hernia minimally invasive surgery treatment needle.
Background
Compared with the traditional operation, the laparoscopic operation has the characteristics of small wound, quick recovery, small scar and the like, and the minimally invasive operation is a general trend of surgical development and pursuit goal. In general, most common surgical procedures, laparoscopic procedures, are accomplished. Currently, laparoscopic surgery is also used for treating inguinal hernia in children, and a hernia needle is needed for performing laparoscopic inguinal hernia sac high ligation surgery in children.
Currently, the existing hernia treatment needle generally comprises an outer needle, an inner core and an inner core control part, wherein the tip end of the inner core is hinged with the end of the outer needle, and the tip end of the inner core is opened or closed with the end of the outer needle through the control part, so that a needle body clamps and pulls out a wire, but the defect of the mode is that: after clamping the thread, the inner core and the outer needle are required to be always in a closed state, so that the control part is required to be always held by a hand and pulled outwards, the requirement on the hand stability of a therapist is high, and when the hand is held for a long time to be weak, the thread is easy to fall out of the clamping end, so that the suture thread is required to be searched and clamped again, and the operation effect is affected.
Therefore, the development of the novel hernia minimally invasive surgery treatment needle has urgent research value, good economic benefit and industrial application potential, and is the basis of the power of the invention.
Disclosure of Invention
The present inventors have conducted intensive studies to overcome the above-mentioned drawbacks of the prior art, and have completed the present invention after a great deal of creative effort.
Specifically, the technical problems to be solved by the invention are as follows: provides a hernia minimally invasive surgery treatment needle, which aims to solve the technical problems that the existing hernia treatment needle is time-consuming and labor-consuming and needs to be held tightly all the time.
In order to achieve the above purpose, the present invention provides the following technical solutions:
the utility model provides a hernia minimally invasive surgery treatment needle, includes outer needle, outer tube, inner core and inner core control part, outer needle and outer tube are the cavity form, and outer needle connects in the outer tube front end, the inner core penetrates in the outer needle, the inner core includes the crochet hook portion of front end, connects the ejection part at crochet hook portion rear end and connects the control portion that stretches out at ejection part rear end, crochet hook portion comprises the tripod crochet needle around forming the tongs, the crochet hook is located the outer needle, the crochet hook is the open state of outwards slope, ejection part is in the outer tube, ejection part cooperatees with stretching out the control portion and stretches out the crochet hook from the opening part of outer needle outer end.
In the invention, as an improvement, the ejection part comprises an ejection pipe and a spring sleeved on the outer side of the ejection pipe, wherein the inner end of the ejection pipe is connected with a crochet hook, the ejection pipe moves in the outer sleeve in the axial direction, one end of the spring is limited on the inner wall of the outer sleeve, and the other end of the spring is limited at a flange arranged on the protruding ejection pipe.
In the invention, as an improvement, the extension control part comprises a middle rotating shaft which is in abutting connection with the outer end of the ejection pipe and a pressing shaft which is in abutting connection with the outer end of the middle rotating shaft, the outer end of the pressing shaft extends to the outer side of the outer sleeve, a middle rotating shaft rotary driving part is arranged on the inner wall of the outer sleeve, the driving part is arranged around the middle rotating shaft, a positioning arm which is arranged along the axis of the middle rotating shaft in a protruding way is arranged on the outer wall of the middle rotating shaft, the end part of the positioning arm extends out of the middle rotating shaft, and the end part of the positioning arm is arranged in the rotary driving part.
In the invention, as an improvement, the rotary driving part is arranged protruding from the inner wall of the outer sleeve, the rotary driving part comprises a groove for enabling the positioning arm to reach the first position and a sawtooth groove for limiting the positioning arm to be positioned at the second position, and the grooves extend along the axial direction of the outer sleeve and are arranged in a plurality of surrounding ways.
In the invention, as an improvement, the outer walls of the pressing shaft and the outer needle are provided with scales along the axis.
In the invention, as an improvement, an inserting groove for inserting the ejection tube is arranged on the inner end wall of the transit shaft.
In the invention, as an improvement, the outer wall of the pressing shaft is provided with a convex strip along the axis thereof, and the convex strip is matched with a walking groove on the inner wall of the outer sleeve at the insertion position of the pressing shaft.
Compared with the prior art, the invention has the beneficial effects that:
(1) The inner core includes the tripod crochet needle of front end, catches on the line through the crochet needle of three feet, catches on the back crochet needle and withdraws into the outer needle, and at this moment, the suture line follows the crochet needle and gets into the outer needle inside and block, only needs to pull out the needle is whole, need not to grip, improves the stability of external pulling, is favorable to the treatment of operation.
(2) The inner part of the needle body is connected with the crochet hook by adopting the ejection part and the extension control part in sequence, and the crochet hook is driven to extend outwards and retract inwards by the ejection part and the extension control part, so that the crochet hook hooks the suture line.
(3) The outer needle and the pressing shaft are provided with scales, and the extending distance of the outer needle and the crochet needle can be known through the scales, so that the diameter of the annular opening in the hernia sac can be roughly measured.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below. Like elements or portions are generally identified by like reference numerals throughout the several figures. In the drawings, elements or portions thereof are not necessarily drawn to scale.
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is a cross-sectional view of the structure of the present invention;
FIG. 3 is a schematic diagram of a rotary driving part and a positioning arm matched with each other;
in the figure: 1. the outer needle, 2, the outer tube, 3, the ejector tube, 4, the crochet hook, 5, the spring, 6, the middle rotating shaft, 7, the pressing shaft, 8, the positioning arm, 9, the groove, 10, the sawtooth groove, 11 and the convex strip.
Detailed Description
Embodiments of the technical scheme of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only for more clearly illustrating the technical aspects of the present invention, and thus are merely examples, and are not intended to limit the scope of the present invention.
As shown in fig. 1-3, the hernia minimally invasive surgery treatment needle comprises an outer needle 1, an outer sleeve 2, an inner core and an inner core control component, wherein the outer needle 1 is in a hollow steel tube shape, the outer sleeve 2 is made of medical silica gel materials, and the medical silica gel materials are prepared by the following method: 39ml of silica gel, 0.31ml of silane coupling agent and 0.3ml of silver-loaded inorganic antibacterial agent are sequentially introduced into a 100ml three-port bottle, and are heated in an electric heating constant-temperature water bath kettle at 57 ℃, simultaneously, 120 revolutions per minute of clockwise stirring is carried out, the reaction is continued for 4 hours, and then the obtained emulsion is poured into a mould to be molded into an outer sleeve 2. The inner cavity of the outer sleeve 2 is communicated with the inner cavity of the outer needle 1, the outer needle 1 is connected to the front end of the outer sleeve 2, the front end of the outer needle 1 and the rear end of the outer sleeve 2 are both open, the inner core penetrates into the outer needle 1 and the outer sleeve 2, the inner core comprises a crochet part at the front end, an ejection part connected to the rear end of the crochet part and an extension control part connected to the rear end of the ejection part, the crochet part consists of a tripod crochet 4 surrounding a forming gripper, the crochet 4 is positioned in the outer needle 1, the crochet 4 is in an outwards inclined open state, the three crochets 4 are outwards expanded to form a gripper shape, the gripping force is more uniform and firm relative to the two crochets, the crochet 4 is made of elastic materials, gathers up when retracting into the outer needle 1, and grips a suture, the ejection part is positioned in the outer sleeve 2, and the ejection part is matched with the extension control part to extend the crochet 4 from the opening of the outer end of the outer needle 1.
The ejector comprises an ejector tube 3 and a spring 5 sleeved on the outer side of the ejector tube 3, the ejector tube 3 is coaxially arranged in the outer sleeve 2, the inner end of the ejector tube 3 is connected with the crochet hook 4, the ejector tube 3 moves in the outer sleeve 2 along the axial direction, one end of the spring 5 is limited on the inner wall of the outer sleeve 2, the other end of the spring 5 is limited at a flange which is arranged to protrude the ejector tube 3, the ejector tube 3 moves outwards under the drive of the extension control part to push the crochet hook 4 to extend out of the outer needle 1, at the moment, the spring 5 is compressed, after the wire is hooked, the extension control part is released, under the elastic force of the spring 5, the ejector tube 3 drives the crochet hook 4 to retract into the outer needle 1, and at the moment, the suture is retained in the outer needle 1, so that the suture is convenient to pull out. The extension control part comprises a transfer shaft 6 which is in abutting connection with the outer end of the ejection tube 3 and a pressing shaft 7 which is in abutting connection with the outer end of the transfer shaft 6, the pressing shaft 7 is arranged in a walking cavity in the outer sleeve 2, the pressing shaft 7 advances along the axial direction in the outer sleeve 2, the outer end of the pressing shaft 7 extends to the outer side of the outer sleeve 2, a transfer shaft 6 rotary driving part is arranged on the inner wall of the outer sleeve 2, the rotary driving part is attached to the transfer shaft 6 and is arranged around the transfer shaft 6, a positioning arm 8 which is arranged along the axis of the transfer shaft 6 in a protruding mode is arranged on the outer wall of the transfer shaft 6, the positioning arm 8 extends out of the transfer shaft 6 towards the end portion of the pressing shaft 7, the end portion of the positioning arm 8 extending out of the transfer shaft 6 is arranged in the rotary driving part, the position of the positioning arm 8 in the rotary driving part is changed through interaction of the rotary driving part and the positioning arm 8, and accordingly the position of the transfer shaft 6 in the axial direction in the outer sleeve 2 is controlled, and the ejection tube 3 and a hook 4 connected with the transfer shaft 3 are driven by the transfer shaft 6, so that the hook 4 is retracted or the hook 4 is ejected.
The rotary driving part protrudes out of the inner wall of the outer sleeve 2, the rotary driving part comprises a groove 9 for enabling the positioning arm 8 to reach a first position and a sawtooth groove 10 for limiting the positioning arm 8 to be located at a second position, as shown in fig. 3, the sawtooth groove 10 is located at one end of the rotary driving part, which is close to the middle rotating shaft 6, the groove 9 extends along the axis direction of the outer sleeve 2, the depth of the groove 9 is larger than that of the sawtooth groove 10, the groove 9 and the sawtooth groove 10 are recessed in the rotary driving part, the bottoms of the groove 9 and the sawtooth groove 10 are flush with the inner wall of the outer sleeve 2, the groove 9 extends along the axis direction of the outer sleeve 2 and the groove 9 is arranged in a plurality in a surrounding manner, and the positioning arm 8 is matched with the groove 9.
Pressing the pressing shaft 7, driving the middle rotating shaft 6 to move towards the ejection tube 3, loosening the pressing shaft 7, positioning the arm 8 at the sawtooth groove 10, clamping the oblique side wall at the end part of the positioning arm 8 in the sawtooth groove 10, driving the middle rotating shaft 6 to press the ejection tube 3 by the positioning arm 8 due to the fact that the sawtooth groove 10 is close to the middle rotating shaft 6, compressing springs, repeating the above-mentioned process of extending out the crochet needle 4, pressing the pressing shaft 7 again, moving the middle rotating shaft 6 towards the ejection tube 3, leaving the sawtooth groove 10 at the end part of the oblique side wall of the positioning arm 8, entering the groove 9, at the moment, not pressing the ejection tube 3 by the middle rotating shaft 6, driving the crochet needle 4 to retract into the outer needle 1 by the ejection tube 3 under the action of the spring 5, and completing the line grabbing action.
The pressing shaft 7 and the outer wall of the outer needle 1 are provided with scales along the axis so as to measure the diameter of the internal ring mouth of the hernia sac, the inventor basically performs visual inspection when measuring the size of the internal ring mouth, and can more accurately measure the diameter of the internal ring mouth if the tip of the hernia needle is provided with scales, but the inventor finds that the simple scale is provided at the tip of the hernia needle in practice, and is inconvenient to read in operation, so the pressing shaft 7 is provided with scales, and the extending length of the hernia needle tip is read through the scales so as to realize rough measurement of the diameter of the internal ring mouth of the hernia sac. It is noted that the diameter of the internal orifice of the hernia sac does not need to be measured accurately, and a predicted value is approximately obtained by comparing the diameter of the internal orifice of the hernia sac with the scales on the outer sleeve and the pressing shaft 7. The inner end wall of the middle shaft 6 is provided with an inserting groove for inserting the ejection tube 3.
The outer wall of the pressing shaft 7 is provided with a raised line 11 along the axis thereof, the raised line 11 is matched with a traveling groove on the inner wall of the outer sleeve 2 at the insertion position of the pressing shaft 7, and the raised line 11 and the traveling groove are matched to limit the traveling route of the pressing shaft 7.
The use examples of the present invention are as follows:
recording time 2018-10-11
Preoperative diagnosis: hydrocele of right tunica vaginalis
Postoperative diagnosis of right-side hydrocele of tunica vaginalis, left-side indirect inguinal hernia
Surgical name: laparoscopic double sided inner ring ligation
Surgeon primary knife doctor: -i help: -ii assist: without any means for
The anesthesia method comprises the following steps: the general anesthesia person of trachea cannula vein-anesthesia doctor
Surgical procedures, intraoperative findings, and intraoperative complications: incision: see below
Surgical instrument: the hernia minimally invasive surgery treatment needle of the invention
Taking the head, the feet and the high supine position after the anesthesia of the infant is achieved, conventionally sterilizing and spreading a towel, cutting the umbilical median wale into 0.5cm, putting 5mmTrocar under direct vision to establish pneumoperitoneum, and observing the abdominal cavity without side injury by a endoscope, wherein the double-side inner ring is opened. The method comprises the steps of puncturing and placing a hernia needle at the projection position of the right inner ring body surface, diving along the outer edge of the inner ring outside the peritoneum, separating and crossing a spermatic cord blood vessel and a vas deferens, penetrating into the abdominal cavity, placing a 4# silk thread for standby, penetrating out from an original peritoneal hole after diving on the inner side of the right inner ring body by the same method, pressing a pressing shaft, simultaneously reading the diameter of the inner ring mouth to be about 1.5cm, taking out the hernia needle holding silk thread, extruding a hernia sac, knotting and closing the inner ring, and checking the shape of the bilateral vas deferens to form a natural traction-free angle. The syringe withdraws the right tunica vaginalis effusion. The pneumoperitoneum is removed, the umbilical incision is closed, the operation procedure is smooth, and the bleeding in the operation is about 1ml.
Intraoperative blood loss volume: 1ml of
Surgical complications: without any means for
The technical standard is examined by checking _there is ≡there
Medicine and fluid infusion amount during operation: see anesthesia record sheet
An implant: there is no ≡there is ____________________________
Finally, it should be noted that: the above embodiments are only for illustrating the technical solution of the present invention, and not for limiting the same; although the invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some or all of the technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit of the invention, and are intended to be included within the scope of the appended claims and description.

Claims (2)

1. The utility model provides a hernia minimally invasive surgery treatment needle, includes outer needle (1), outer tube (2), inner core and inner core control part, outer needle (1) and outer tube (2) are the cavity form, and outer needle (1) are connected in outer tube (2) front end, and the inner core penetrates in outer needle (1), its characterized in that: the inner core comprises a crochet hook part at the front end, an ejection part connected to the rear end of the crochet hook part and an extension control part connected to the rear end of the ejection part, wherein the crochet hook part consists of a tripod crochet hook (4) which surrounds a formed gripper, the crochet hook (4) is positioned in the outer needle (1), the crochet hook (4) is in an outwards inclined open state, the ejection part is positioned in the outer sleeve (2), and the ejection part is matched with the extension control part to extend the crochet hook (4) from an opening at the outer end of the outer needle (1);
the ejection part comprises an ejection pipe (3) and a spring (5) sleeved on the outer side of the ejection pipe (3), the inner end of the ejection pipe (3) is connected with a crochet hook (4), the ejection pipe (3) moves in the outer sleeve (2) along the axial direction, one end of the spring (5) is limited on the inner wall of the outer sleeve (2), and the other end of the spring (5) is limited at a flange arranged to protrude the ejection pipe (3);
the extension control part comprises a transfer shaft (6) which is in abutting connection with the outer end of the ejection tube (3) and a pressing shaft (7) which is in abutting connection with the outer end of the transfer shaft (6), the outer end of the pressing shaft (7) extends to the outer side of the outer sleeve (2), a rotary driving part of the transfer shaft (6) is arranged on the inner wall of the outer sleeve (2), the driving part is arranged around the transfer shaft (6), a positioning arm (8) which is arranged along the axis of the transfer shaft (6) in a protruding mode is arranged on the outer wall of the transfer shaft (6), the end portion of the positioning arm (8) extends out of the transfer shaft (6), and the end portion of the positioning arm (8) is arranged in the rotary driving part;
the rotary driving part protrudes out of the inner wall of the outer sleeve (2), the rotary driving part comprises a groove (9) for enabling the positioning arm (8) to reach a first position and a plurality of saw tooth grooves (10) for limiting the positioning arm (8) to be located at a second position, the saw tooth grooves (10) are located at one end, close to the middle rotating shaft (6), of the rotary driving part, the groove (9) extends along the axial direction of the outer sleeve (2), the depth of the groove (9) is larger than that of the saw tooth grooves (10), the groove (9) and the saw tooth grooves (10) are recessed in the rotary driving part, the bottoms of the groove (9) and the saw tooth grooves (10) are flush with the inner wall of the outer sleeve (2), the groove (9) extends along the axial direction of the outer sleeve (2) and the groove (9) is circumferentially provided with a plurality of saw tooth grooves, and the positioning arm (8) is matched with the groove (9);
an inserting groove for inserting the ejection tube (3) is formed in the inner end wall of the middle shaft (6); a raised line (11) is arranged on the outer wall of the pressing shaft (7) along the axis of the pressing shaft, and the raised line (11) is matched with a running groove on the inner wall of the outer sleeve (2) at the insertion position of the pressing shaft (7);
pressing the pressing shaft (7), drive well pivot (6) and remove towards ejector tube (3), loosen pressing shaft (7), positioning arm (8) are located sawtooth groove (10) department, slant lateral wall card of positioning arm (8) tip is in sawtooth groove (10), because sawtooth groove (10) are close to well pivot (6), positioning arm (8) drive well pivot (6) press ejector tube (3), spring compression, repeat above-mentioned crochet (4) and visit out the process, press pressing shaft (7) once more, transfer shaft (6) remove towards ejector tube (3), slant lateral wall tip of positioning arm (8) leaves sawtooth groove (10), get into recess (9), well pivot (6) no longer press ejector tube (3) this moment, under the effect of spring (5), ejector tube (3) drive crochet (4) retract in outer needle (1), accomplish the action of grabbing the line.
2. A minimally invasive surgical hernia treatment needle according to claim 1, wherein: the outer walls of the pressing shaft (7) and the outer needle (1) are provided with scales along the axis.
CN201811213138.4A 2018-10-18 2018-10-18 Hernia minimally invasive surgery treatment needle Active CN109199550B (en)

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CN109199550B true CN109199550B (en) 2023-08-18

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