CN109223077A - Nerve endoscope skull base surgery dura mater stitching knotter - Google Patents

Nerve endoscope skull base surgery dura mater stitching knotter Download PDF

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Publication number
CN109223077A
CN109223077A CN201811337016.6A CN201811337016A CN109223077A CN 109223077 A CN109223077 A CN 109223077A CN 201811337016 A CN201811337016 A CN 201811337016A CN 109223077 A CN109223077 A CN 109223077A
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CN
China
Prior art keywords
slide plate
plate
thread
dura mater
skull base
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Granted
Application number
CN201811337016.6A
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Chinese (zh)
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CN109223077B (en
Inventor
衡立君
李楠
郭为
屈延
贾栋
高国栋
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Priority to CN201811337016.6A priority Critical patent/CN109223077B/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
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • 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
    • A61B2017/0496Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures

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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 invention discloses nerve endoscope skull base surgery dura mater stitching knotters, including pushing away the end of a thread, the first placing groove, connecting rod, slide plate, the second placing groove, sliding slot, draw runner, pressing plate, spring, the nerve endoscope skull base surgery dura mater stitching knotter, clever structure, it is powerful, it is easy to operate, by using the device, suture can be pushed to the specified suture site of patient at the knot after knot, allow suture to be bonded at the knot after knot with the suture site that patient specifies with this and consolidate, it is ensured that sewing effect.

Description

Nerve endoscope skull base surgery dura mater stitching knotter
Technical field
The present invention relates to knotter more particularly to nerve endoscope skull base surgery dura mater stitching knotters.
Background technique
Currently, more and more cranium is previously needed out to complete under the microscope with the development of endoscopic surgery technology Veutro Skull base lesion and Intracerebral lesion can be cut off by endoscopic surgery.For example, about 90% Operation of Pituitary Adenomas It can be completed by intranasal.The concept of surgery of skull base is received by more and more neurosurgeons under full scope.Mind There is close-ups lesion, intranasal to complete, wide-angle light to brain tissue harassing and wrecking to regard compared with opening cranium micrurgy through endoscopic surgery It is wild, without facial area notch, postoperative rehabilitation is fast, the hospital stays is short many advantages, such as.But the art formula also has the limitation of its own.It is interior The area videoendoscopic surgery Hou Shu is deep to suture endocranium difficulty, peri-operation period is easy to happen leakage of cerebrospinal and intracranial infection, to a certain degree On affect the popularization of nerve endoscope skull base surgery.Since scope itself occupies certain space, art chamber is deeper, leaves other operations for The operating space of instrument is smaller, instrument one-movement-freedom-degree is limited be difficult to complete deep part knotting operation, especially suture at after knot such as Knot is pushed to one of the difficult point that specified suture site is nerve endoscope skull base surgery mesocrany bottom reconstruction process by what, it would be highly desirable to it solves, In view of disadvantages described above, it is really necessary to design nerve endoscope skull base surgery dura mater stitching knotter.
Summary of the invention
Technical problem to be solved by the present invention lies in: nerve endoscope skull base surgery dura mater stitching knotter is provided, to solve The problem of certainly background technique proposes.
In order to solve the above technical problems, the technical scheme is that nerve endoscope skull base surgery dura mater stitching knotter, Including pushing away the end of a thread, the first placing groove, connecting rod, slide plate, the second placing groove, sliding slot, draw runner, pressing plate, spring, described first is put Slot position is set in pushing away at left and right sides of inside the end of a thread, first placing groove is integrally connected with the end of a thread is pushed away, and the connecting rod is located at It pushes away at the top of the end of a thread, the connecting rod is connected with the end of a thread screw thread is pushed away, and the slide plate is through connecting rod, the slide plate and company Extension bar sliding is connected, and second placing groove is located at the left and right sides inside slide plate, second placing groove and slide plate one It is connected, the sliding slot is located at left and right sides of slide plate Internal back end, and the sliding slot is integrally connected with slide plate, the draw runner position Inside sliding slot, the draw runner is connected with sliding slot sliding, and the draw runner is connected through slide plate with slide plate slides, described Pressing plate is located at draw runner front end, and the pressing plate is connected with draw runner screw thread, and the spring is located at left and right sides of pressing back-end, described Spring one end be connected with pressing plate adhesive, and the spring other end is connected with slide plate adhesive.
Further, the side in the end of a thread inner bottom that pushes away is additionally provided with card slot, and the card slot is integrally connected with the end of a thread is pushed away.
Further, relief hole is additionally provided at left and right sides of the slide plate inner tip, the relief hole is through-hole.
Further, it is additionally provided with connecting plate at the top of the draw runner, the connecting plate is connected with draw runner screw thread.
Further, it is additionally provided with handle at the top of the connecting rod, the handle is connected with connecting rod screw thread.
Further, the connecting plate middle-end has also extended through bolt, and the bolt is connected with connecting plate screw thread.
Further, side is additionally provided with mounting plate in the slide plate top rear, and the mounting plate is connected with slide plate screw thread.
Further, middle-end is additionally provided with threaded hole inside the mounting plate, and the threaded hole is integrally connected with mounting plate, And the threaded hole and bolt correspond.
Compared with prior art, nerve endoscope skull base surgery dura mater stitching knotter, before use, slide plate and pushing away line first Head is in the state being in contact, in use, medical staff pulls with hand connecting plate first, so that connecting plate drives draw runner together with pressure Plate does along the direction of sliding slot and moves from the front to the back, and pressing plate is conceded to the space of the second placing groove with this, synchronous, and spring is in pressure The state of contracting, at this point, bolt is moved along the direction of mounting plate, medical staff rotates clockwise bolt with another hand, so that Bolt is connected with threaded hole, allows connecting plate that draw runner is driven to do along the direction of sliding slot together with pressing plate with this and moves from the front to the back State is fixed, and one end of knot is put into the on the left of connecting rod after medical staff again knots the suture of patient suture site In one placing groove and the second placing groove, the other end of knot is put after medical staff again knots the suture of patient suture site Enter in the first placing groove and the second placing groove on the right side of connecting rod, medical staff rotates bolt with hand again counterclockwise, so that spiral shell Bolt is detached from threaded hole, by the effect of recoil of spring power, so that pressing plate carries out clamping force to the suture in the second placing groove, with This state for allowing the suture at knot both ends to be put into the second placing groove is fixed, at this point, the knot of suture, which is in, pushes away the end of a thread Bottom position, i.e., at the groove position, card slot is in contact by medical staff with the suture site of patient again, and medical staff is again Left hand holds handle, and the right hand pulls the rear and front end of slide plate, synchronous along even with the both ends that this allows slide plate to drive suture knot The direction of extension bar is done moves from bottom to top, at this point, the effect that knot is stopped by card slot, so that knot is closely with patient's Suture site fits, in the above manner, suture to be pushed to the specified suture site of patient at the knot after knot to, in the nerve Mirror skull base surgery dura mater stitching knotter, clever structure is powerful, easy to operate, by using the device, can by suture at Knot after knot pushes the specified suture site of patient to, allows suture to paste at the knot after knot with the suture site that patient specifies with this It closes firm, it is ensured that sewing effect, meanwhile, relief hole is the working space in order to concede connecting plate.
Detailed description of the invention
Fig. 1 is the local front sectional view of nerve endoscope skull base surgery dura mater stitching knotter;
Fig. 2 is the vertical view connection cross-sectional view of slide plate and fixed link;
Fig. 3 is the inside partial sectional view of slide plate;
Fig. 4 is the overhead sectional view of mounting plate.
Push away the end of a thread 1, the first placing groove 2, connecting rod 3, slide plate 4, the second placing groove 5, sliding slot 6, draw runner 7, pressing plate 8, spring 9, card slot 101, handle 301, relief hole 401, mounting plate 402, threaded hole 403, connecting plate 701, bolt 702.
The following detailed description will be further explained with reference to the above drawings.
Specific embodiment
Hereinafter, a variety of specific details are elaborated, in order to provide to the saturating of the concept for constituting described embodiment basis Thorough understanding.However, it will be apparent to those skilled in the art that described embodiment can be in these no specific details In some or all situations get off practice.In other cases, well-known processing step is not specifically described.
As shown in Figure 1, Figure 2, Figure 3, Figure 4, nerve endoscope skull base surgery dura mater stitching knotter, including push away the end of a thread 1, first Placing groove 2, connecting rod 3, slide plate 4, the second placing groove 5, sliding slot 6, draw runner 7, pressing plate 8, spring 9, first placing groove 2 In pushing away the 1 inside left and right sides of the end of a thread, first placing groove 2 is integrally connected with the end of a thread 1 is pushed away, and the connecting rod 3, which is located at, to be pushed away The top of the end of a thread 1, the connecting rod 3 are connected with 1 screw thread of the end of a thread is pushed away, and the slide plate 4 is through connecting rod 3, the slide plate 4 Be connected with the sliding of connecting rod 3, second placing groove 5 is located at left and right sides of the inside of slide plate 4, second placing groove 5 and Slide plate 4 is integrally connected, and the sliding slot 6 is located at left and right sides of 4 Internal back end of slide plate, the sliding slot 6 and the integrated phase of slide plate 4 Even, the draw runner 7 is located inside sliding slot 6, and the draw runner 7 is connected with the sliding of sliding slot 6, and the draw runner 7 runs through slide plate 4 It is connected with the sliding of slide plate 4, the pressing plate 8 is located at 7 front end of draw runner, and the pressing plate 8 is connected with 7 screw thread of draw runner, the bullet Spring 9 is located at left and right sides of 8 rear end of pressing plate, and described 9 one end of spring is connected with 8 adhesive of pressing plate, and 9 other end of spring It is connected with 4 adhesive of slide plate, it is described to push away side in 1 inner bottom of the end of a thread and be additionally provided with card slot 101, the card slot 101 and push away line First 1 is integrally connected, and relief hole 401 is additionally provided at left and right sides of 4 inner tip of slide plate, and the relief hole 401 is through-hole, Connecting plate 701 is additionally provided at the top of the draw runner 7, the connecting plate 701 is connected with 7 screw thread of draw runner, and the connecting rod 3 is pushed up Portion is additionally provided with handle 301, and the handle 301 is connected with 3 screw thread of connecting rod, and 701 middle-end of connecting plate has also extended through spiral shell Bolt 702, the bolt 702 are connected with 701 screw thread of connecting plate, and side is additionally provided with mounting plate in 4 top rear of slide plate 402, the mounting plate 402 is connected with 4 screw thread of slide plate, and the 402 inside middle-end of mounting plate is additionally provided with threaded hole 403, institute The threaded hole 403 stated is integrally connected with mounting plate 402, and the threaded hole 403 and bolt 702 correspond.
The nerve endoscope skull base surgery dura mater stitching knotter, before use, first slide plate 4 with push away the end of a thread 1 be in be in contact State, in use, medical staff pulls with hand connecting plate 701 first, so that connecting plate 701 drives draw runner 7 together with 8 edge of pressing plate The direction of sliding slot do and move from the front to the back, pressing plate 8 is conceded to the space of the second placing groove 5 with this, synchronous, spring 9 is in pressure The state of contracting, at this point, bolt 702 is moved along the direction of mounting plate 402, medical staff rotates clockwise bolt with another hand 702, so that bolt 702 is connected with threaded hole 403, allow connecting plate 701 to drive draw runner 7 together with pressing plate 8 along sliding slot 6 with this Direction is done the state moved from the front to the back and is fixed, the one of knot after medical staff again knots the suture of patient suture site End is put into first placing groove 2 and the second placing groove 5 in 3 left side of connecting rod, and medical staff is again by the seam of patient suture site The other end of knot is put into first placing groove 2 and the second placing groove 5 on 3 right side of connecting rod after zygonema knots, medical staff Bolt 702 is rotated counterclockwise with hand again, so that bolt 702 is detached from threaded hole 403, by the effect of 9 screen resilience of spring, so that pressure Plate 8 carries out clamping force to the suture in the second placing groove 5, allows the suture at knot both ends to be put into the second placing groove 5 with this State be fixed, at this point, the knot of suture, which is in, pushes away the bottom position of the end of a thread 1, i.e., at 101 position of card slot, medical care Card slot 101 is in contact by personnel with the suture site of patient again, and left hand holds handle 301 to medical staff again, and the right hand pulls slide plate 4 Rear and front end, allow slide plate 4 that the synchronous direction along connecting rod 3 in both ends of suture knot is driven to do with this and move from bottom to top It is dynamic, at this point, being passed through by the effect that card slot 101 stops knot so that knot closely fits with the suture site of patient With upper type to, suture is pushed to the specified suture site of patient at the knot after knot, meanwhile, relief hole 401 is for the company of conceding The working space of fishplate bar 701.
The present invention is not limited to above-mentioned specific embodiment, those skilled in the art from the above idea, Without creative labor, the various transformation made are within the scope of the present invention.

Claims (8)

1. nerve endoscope skull base surgery dura mater stitching knotter, it is characterised in that including push away the end of a thread, the first placing groove, connecting rod, Slide plate, the second placing groove, sliding slot, draw runner, pressing plate, spring, first placing groove, which is located at, pushes away the left and right sides, institute inside the end of a thread The first placing groove stated is integrally connected with the end of a thread is pushed away, and the connecting rod, which is located at, to be pushed away at the top of the end of a thread, the connecting rod and pushes away line Head thread is connected, and the slide plate is connected through connecting rod, the slide plate with connecting rod sliding, second placing groove The left and right sides inside slide plate, second placing groove is integrally connected with slide plate, after the sliding slot is located at slide plate inside The end left and right sides, the sliding slot are integrally connected with slide plate, and the draw runner is located inside sliding slot, and the draw runner and sliding slot are sliding Dynamic to be connected, and the draw runner is connected through slide plate with slide plate slides, the pressing plate is located at draw runner front end, the pressing plate and Draw runner screw thread is connected, and the spring is located at left and right sides of pressing back-end, and the spring one end is connected with pressing plate adhesive, and The spring other end is connected with slide plate adhesive.
2. nerve endoscope skull base surgery dura mater stitching knotter as described in claim 1, it is characterised in that described pushes away the end of a thread Side is additionally provided with card slot in inner bottom, and the card slot is integrally connected with the end of a thread is pushed away.
3. nerve endoscope skull base surgery dura mater stitching knotter as claimed in claim 2, it is characterised in that in the slide plate Relief hole is additionally provided at left and right sides of portion top, the relief hole is through-hole.
4. nerve endoscope skull base surgery dura mater stitching knotter as claimed in claim 3, it is characterised in that the draw runner top Portion is additionally provided with connecting plate, and the connecting plate is connected with draw runner screw thread.
5. nerve endoscope skull base surgery dura mater stitching knotter as claimed in claim 4, it is characterised in that the connecting rod Top is additionally provided with handle, and the handle is connected with connecting rod screw thread.
6. nerve endoscope skull base surgery dura mater stitching knotter as claimed in claim 5, it is characterised in that the connecting plate Middle-end has also extended through bolt, and the bolt is connected with connecting plate screw thread.
7. nerve endoscope skull base surgery dura mater stitching knotter as claimed in claim 6, it is characterised in that the slide plate top Side is additionally provided with mounting plate in portion rear end, and the mounting plate is connected with slide plate screw thread.
8. nerve endoscope skull base surgery dura mater stitching knotter as claimed in claim 7, it is characterised in that the mounting plate Internal middle-end is additionally provided with threaded hole, and the threaded hole is integrally connected with mounting plate, and the threaded hole and bolt one are a pair of It answers.
CN201811337016.6A 2018-11-12 2018-11-12 Hard membrane suture knot-tying device for nerve endoscope skull base operation Active CN109223077B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811337016.6A CN109223077B (en) 2018-11-12 2018-11-12 Hard membrane suture knot-tying device for nerve endoscope skull base operation

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Application Number Priority Date Filing Date Title
CN201811337016.6A CN109223077B (en) 2018-11-12 2018-11-12 Hard membrane suture knot-tying device for nerve endoscope skull base operation

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CN109223077B CN109223077B (en) 2024-06-25

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111096768A (en) * 2020-01-10 2020-05-05 纪凯 Nerve endoscope lower skull base dura mater stitching instrument
CN112754556A (en) * 2021-01-18 2021-05-07 吉林大学第一医院 Skull base wound dura mater suture device

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1839764A (en) * 2005-03-31 2006-10-04 伊西康内外科公司 Suturing device
US20130178872A1 (en) * 2012-01-11 2013-07-11 Edgar Louis Shriver Intravascular suturing device for simultaneously placing 3-7 sutures with ideal spacing to close large openings in vessels including calfified
CN209091483U (en) * 2018-11-12 2019-07-12 中国人民解放军第四军医大学 Nerve endoscope skull base surgery dura mater stitching knotter

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1839764A (en) * 2005-03-31 2006-10-04 伊西康内外科公司 Suturing device
US20130178872A1 (en) * 2012-01-11 2013-07-11 Edgar Louis Shriver Intravascular suturing device for simultaneously placing 3-7 sutures with ideal spacing to close large openings in vessels including calfified
CN209091483U (en) * 2018-11-12 2019-07-12 中国人民解放军第四军医大学 Nerve endoscope skull base surgery dura mater stitching knotter

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
吴建波等: "静脉窦区凹陷性颅骨骨折的微创手术治疗", 成都医学院学报, vol. 10, no. 2, 30 April 2015 (2015-04-30), pages 213 - 215 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111096768A (en) * 2020-01-10 2020-05-05 纪凯 Nerve endoscope lower skull base dura mater stitching instrument
CN112754556A (en) * 2021-01-18 2021-05-07 吉林大学第一医院 Skull base wound dura mater suture device

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