CN109223078A - The suture of nerve endoscope skull base surgery dura mater pushes away line device - Google Patents

The suture of nerve endoscope skull base surgery dura mater pushes away line device Download PDF

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Publication number
CN109223078A
CN109223078A CN201811337093.1A CN201811337093A CN109223078A CN 109223078 A CN109223078 A CN 109223078A CN 201811337093 A CN201811337093 A CN 201811337093A CN 109223078 A CN109223078 A CN 109223078A
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CN
China
Prior art keywords
suture
pushes away
sliding sleeve
dura mater
line device
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201811337093.1A
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Chinese (zh)
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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Publication date
Application filed by Fourth Military Medical University FMMU filed Critical Fourth Military Medical University FMMU
Priority to CN201811337093.1A priority Critical patent/CN109223078A/en
Publication of CN109223078A publication Critical patent/CN109223078A/en
Pending legal-status Critical Current

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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 the sutures of nerve endoscope skull base surgery dura mater to push away line device, including fixed link, push away the end of a thread, sliding sleeve, mounting plate, putting hole, connecting pin, finger ring, placement plate, spring, nerve endoscope skull base surgery dura mater suture pushes away line device, 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

The suture of nerve endoscope skull base surgery dura mater pushes away line device
Technical field
The present invention relates to push away line device more particularly to nerve endoscope skull base surgery dura mater suture push away line device.
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 the suture of nerve endoscope skull base surgery dura mater to push away line device.
Summary of the invention
Technical problem to be solved by the present invention lies in: the suture of nerve endoscope skull base surgery dura mater is provided and pushes away line device, 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 suture push away line device, Including fixed link, the end of a thread, sliding sleeve, mounting plate, putting hole, connecting pin, finger ring, placement plate, spring are pushed away, described pushes away the end of a thread position In bottom of fixed, described the end of a thread that pushes away is connected with fixed link screw thread, the sliding sleeve through fixed link, the sliding sleeve with Fixed link sliding is connected, and the mounting plate is located at left and right sides of sliding sleeve outer wall lower end, the mounting plate and sliding sleeve screw thread phase Even, the putting hole is located inside mounting plate, and the putting hole is through-hole, and the connecting pin is located at sliding sleeve outer wall upper end The left and right sides, the connecting pin are connected with sliding sleeve screw thread, and the finger ring is located on the outside of connecting pin, the finger ring with Connecting pin screw thread is connected, and the placement plate is located at the top of fixed link, and the placement plate is connected with fixed link screw thread, described Spring is located at left and right sides of placement plate bottom, and the spring one end is connected with board adhesive is placed, and the spring is another End is connected with connecting pin adhesive.
Further, rear and front end is additionally provided with guide groove inside the sliding sleeve, and the guide groove is integrally connected with sliding sleeve.
Further, rear and front end is additionally provided with gib block, the gib block and fixed link screw thread outside the fixed link It is connected, and the gib block is connected with guide groove sliding.
Further, middle-end has also extended through positioning pin, the positioning pin and mounting plate screw thread phase on the outside of the mounting plate Even.
Further, it is additionally provided with connecting band at the top of the placement plate, the connecting band both ends are connected with placement plate rivet.
Further, it is additionally provided with sliding pin at the top of the connecting pin, the sliding pin is connected with connecting pin screw thread.
Further, several location holes are also equipped with inside the sliding pin, the location hole is integrally connected with sliding pin.
Further, the left and right sides is additionally provided with pilot hole inside the placement plate, and the pilot hole is through-hole, and described The sliding of pilot hole and sliding pin be connected.
Further, bolt has been also extended through at left and right sides of the placement plate, the bolt is connected with placement plate screw thread.
Compared with prior art, nerve endoscope skull base surgery dura mater suture pushes away line device, in use, medical staff will first One end of knot passes through in the putting hole on the left of fixed link at mounting plate after the suture of patient suture site knots, medical staff The other end of knot passes through in the putting hole on the right side of fixed link at mounting plate after the suture of patient suture site is knotted again, doctor Shield personnel rotate clockwise positioning pin with hand again, in positioning pin and under the action of mounting plate screw-driven, so that positioning pin is to putting The suture set in hole carries out extruding force, allows the suture at knot both ends to pass through the state in putting hole with this and is fixed, at this point, The knot of suture is in the bottom position for pushing away the end of a thread, and the thumb of left hand is placed in placement plate and connecting band again by medical staff Between position at, the connecting band have spring function, under the action of connecting band, so that the big thumb of medical staff's left hand Refer to and the index finger of left hand and middle finger are inserted into corresponding finger at left and right sides of sliding sleeve again with placement plate stable connection, medical staff In ring, medical staff again goes in the same direction the thumb of left hand with index finger and middle finger, at this point, sliding sleeve drives mounting plate along solid The direction of fixed pole is mobile, i.e., mounting plate is moved along the direction of placement plate, synchronous, and spring is in the state of compression, meanwhile, sliding sleeve It drives connecting pin to move together with sliding pin along the direction of pilot hole, pushes knot along patient suture site side at this point, pushing away the end of a thread To movement, meanwhile, the effect for driving mounting plate to move along placement plate direction by sliding sleeve makes knot both ends suture in level side To avoiding lifting upwards makes dura mater by stretching and tear, in the above manner, pushing suture to patient at the knot after knot Specified suture site, medical staff rotate clockwise bolt with the right hand again, allow bolt to be inserted into current corresponding location hole with this It is interior, position, which is carried out, its purpose is to the state for the specified suture site for pushing suture to patient at the knot after knot fixes, it should The suture of nerve endoscope skull base surgery dura mater pushes away line device, and clever structure is powerful, easy to operate, by using the device, can incite somebody to action Suture pushes the specified suture site of patient at the knot after knot, the suture for allowing suture to specify at the knot after knot with patient with this Position fitting is firm, it is ensured that sewing effect, meanwhile, spring is to allow sliding sleeve to drive mounting plate together with connecting pin and finger Ring Rapid reset, connecting pin is the installation carrier of finger ring and spring, during the device use, when sliding sleeve is along putting When setting the direction movement of plate, i.e., when sliding sleeve is moved along the direction of fixed link, the work being connected is slided with guide groove by gib block With anti-anti-skid sheath is not in the generation of rotation phenomenon when moving along fixed link direction, it is ensured that sliding sleeve is along fixed link side To mobile stability.
Detailed description of the invention
Fig. 1 is the local front sectional view that the suture of nerve endoscope skull base surgery dura mater pushes away line device;
Fig. 2 is the overhead sectional view of fixed link and sliding sleeve;
Fig. 3 is the inside partial sectional view of sliding pin.
Fixed link 1, push away the end of a thread 2, sliding sleeve 3, mounting plate 4, putting hole 5, connecting pin 6, finger ring 7, placement plate 8, spring 9, Guide groove 301, gib block 101, positioning pin 401, sliding pin 601, location hole 602, connecting band 801, pilot hole 802, bolt 803.
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 shows, nerve endoscope skull base surgery dura mater suture pushes away line device, including fixed link 1, push away the end of a thread 2, Sliding sleeve 3, mounting plate 4, putting hole 5, connecting pin 6, finger ring 7, placement plate 8, spring 9, described the end of a thread 2 that pushes away are located at fixed link 1 Bottom, described the end of a thread 2 that pushes away are connected with 1 screw thread of fixed link, and the sliding sleeve 3 is through fixed link 1, the sliding sleeve 3 and solid The sliding of fixed pole 1 is connected, and the mounting plate 4 is located at left and right sides of 3 outer wall lower end of sliding sleeve, the mounting plate 4 and 3 screw thread of sliding sleeve It is connected, the putting hole 5 is located inside mounting plate 4, and the putting hole 5 is through-hole, and the connecting pin 6 is located at sliding sleeve 3 At left and right sides of outer wall upper end, the connecting pin 6 is connected with 3 screw thread of sliding sleeve, and the finger ring 7 is located at 6 outside of connecting pin, institute The finger ring 7 stated is connected with 6 screw thread of connecting pin, and the placement plate 8 is located at 1 top of fixed link, the placement plate 8 and fixation 1 screw thread of bar is connected, and the spring 9 is located at left and right sides of 8 bottom of placement plate, described 9 one end of spring and 8 adhesive of placement plate It is connected, and 9 other end of spring is connected with 6 adhesive of connecting pin, the 3 inside rear and front end of sliding sleeve is additionally provided with guiding Slot 301, the guide groove 301 are integrally connected with sliding sleeve 3, and the 1 outside rear and front end of fixed link is additionally provided with gib block 101, the gib block 101 is connected with 1 screw thread of fixed link, and the gib block 101 is connected with the sliding of guide groove 301, institute The 4 outside middle-end of mounting plate stated has also extended through positioning pin 401, and the positioning pin 401 is connected with 4 screw thread of mounting plate, described Connecting band 801 is additionally provided at the top of placement plate 8,801 both ends of connecting band are connected with 8 rivet of placement plate, the connecting pin 6 Top is additionally provided with sliding pin 601, and the sliding pin 601 is connected with 6 screw thread of connecting pin, if being also equipped with inside the sliding pin 601 Dry part location hole 602, the location hole 602 are integrally connected with sliding pin 601, and the 8 inside left and right sides of placement plate is also set There is pilot hole 802, the pilot hole 802 is through-hole, and the pilot hole 802 is connected with the sliding of sliding pin 601, and described puts It sets and has also extended through bolt 803 at left and right sides of plate 8, the bolt 803 is connected with 8 screw thread of placement plate.
Nerve endoscope skull base surgery dura mater suture pushes away line device, in use, medical staff first is by patient suture site One end of knot passes through in the putting hole 5 at 1 left side mounting plate 4 of fixed link after suture knots, and medical staff again stitches patient The other end of knot passes through in the putting hole 5 at 1 right side mounting plate 4 of fixed link after the suture at conjunction position knots, medical staff Positioning pin 401 is rotated clockwise with hand again, under the action of positioning pin 401 and 4 screw-driven of mounting plate, so that positioning pin 401 Extruding force is carried out to the suture in putting hole 5, allows the suture at knot both ends to pass through the state in putting hole 5 with this and is consolidated Fixed, at this point, the knot of suture is in the bottom position for pushing away the end of a thread 2, the thumb of left hand is placed in placement again by medical staff At position between plate 8 and connecting band 801, there is the connecting band 801 spring function to make under the action of connecting band 801 The thumb and 8 stable connection of placement plate of medical staff's left hand are obtained, medical staff again slides the index finger of left hand and middle finger insertion In the corresponding finger ring 7 in 3 left and right sides of set, medical staff again goes in the same direction the thumb of left hand with index finger and middle finger, At this point, sliding sleeve 3 drives mounting plate 4 to move along the direction of fixed link 1, i.e., mounting plate 4 is moved along the direction of placement plate 8, together Step, spring 9 are in the state of compression, meanwhile, sliding sleeve 3 drives connecting pin 6 to move together with sliding pin 601 along the direction of pilot hole 802 It is dynamic, push knot to move along patient suture site direction at this point, pushing away the end of a thread 2, meanwhile, by sliding sleeve 3 drive mounting plate 4 along The mobile effect in 8 direction of placement plate, makes knot both ends suture in horizontal direction, and avoiding lifting upwards makes dura mater by stretching and tear Broken, in the above manner, suture to be pushed to the specified suture site of patient at the knot after knot, medical staff uses right hand up time again Needle rotates bolt 803, allows bolt 803 to be inserted into current corresponding location hole 602 with this, its purpose is to by suture at knot The state that knot afterwards pushes the specified suture site of patient to carries out position and fixes, meanwhile, spring 9 is to allow sliding sleeve 3 to drive For mounting plate 4 together with 7 Rapid reset of connecting pin 6 and finger ring, connecting pin 6 is the installation carrier of finger ring 7 and spring 9, During the device use, when sliding sleeve 3 is moved along the direction of placement plate 8, i.e., sliding sleeve 3 is moved along the direction of fixed link 1 When dynamic, the effect being connected is slided with guide groove 301 by gib block 101, when anti-anti-skid sheath 3 is moved along 1 direction of fixed link not It will appear the generation of rotation phenomenon, it is ensured that the stability that sliding sleeve 3 is moved along 1 direction of fixed link.
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 (9)

1. nerve endoscope skull base surgery dura mater suture push away line device, it is characterised in that including fixed link, push away the end of a thread, sliding sleeve, mounting plate, Putting hole, connecting pin, finger ring, placement plate, spring, described the end of a thread that pushes away are located at bottom of fixed, and described pushes away the end of a thread and consolidate Fixed pole screw thread is connected, and the sliding sleeve is connected through fixed link, the sliding sleeve with fixed link sliding, the mounting plate position At left and right sides of sliding sleeve outer wall lower end, the mounting plate is connected with sliding sleeve screw thread, and the putting hole is located inside mounting plate, The putting hole is through-hole, and the connecting pin is located at left and right sides of sliding sleeve outer wall upper end, the connecting pin and sliding sleeve spiral shell Line is connected, and the finger ring is located on the outside of connecting pin, and the finger ring is connected with connecting pin screw thread, the placement plate position At the top of fixed link, the placement plate is connected with fixed link screw thread, and the spring is located at left and right sides of placement plate bottom, institute The spring one end stated is connected with board adhesive is placed, and the spring other end is connected with connecting pin adhesive.
2. nerve endoscope skull base surgery dura mater suture as described in claim 1 pushes away line device, it is characterised in that in the sliding sleeve Portion rear and front end is additionally provided with guide groove, and the guide groove is integrally connected with sliding sleeve.
3. nerve endoscope skull base surgery dura mater suture as claimed in claim 2 pushes away line device, it is characterised in that the fixed link External rear and front end is additionally provided with gib block, and the gib block is connected with fixed link screw thread, and the gib block and guide groove Sliding is connected.
4. nerve endoscope skull base surgery dura mater suture as claimed in claim 3 pushes away line device, it is characterised in that the mounting plate Outside middle-end has also extended through positioning pin, and the positioning pin is connected with mounting plate screw thread.
5. nerve endoscope skull base surgery dura mater suture as claimed in claim 4 pushes away line device, it is characterised in that the placement plate Top is additionally provided with connecting band, and the connecting band both ends are connected with placement plate rivet.
6. nerve endoscope skull base surgery dura mater suture as claimed in claim 5 pushes away line device, it is characterised in that the connecting pin Top is additionally provided with sliding pin, and the sliding pin is connected with connecting pin screw thread.
7. nerve endoscope skull base surgery dura mater suture as claimed in claim 6 pushes away line device, it is characterised in that in the sliding pin Portion is also equipped with several location holes, and the location hole is integrally connected with sliding pin.
8. nerve endoscope skull base surgery dura mater suture as claimed in claim 7 pushes away line device, it is characterised in that the placement plate The internal left and right sides is additionally provided with pilot hole, and the pilot hole is through-hole, and the pilot hole is connected with sliding pin sliding.
9. nerve endoscope skull base surgery dura mater suture as claimed in claim 8 pushes away line device, it is characterised in that the placement plate The left and right sides has also extended through bolt, and the bolt is connected with placement plate screw thread.
CN201811337093.1A 2018-11-12 2018-11-12 The suture of nerve endoscope skull base surgery dura mater pushes away line device Pending CN109223078A (en)

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CN201811337093.1A CN109223078A (en) 2018-11-12 2018-11-12 The suture of nerve endoscope skull base surgery dura mater pushes away line device

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CN201811337093.1A CN109223078A (en) 2018-11-12 2018-11-12 The suture of nerve endoscope skull base surgery dura mater pushes away line device

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110693551A (en) * 2019-09-29 2020-01-17 中国医学科学院北京协和医院 Dura mater suture pusher for simulating nerve endoscopic skull base operation
CN112754556A (en) * 2021-01-18 2021-05-07 吉林大学第一医院 Skull base wound dura mater suture device
CN116869593A (en) * 2023-09-06 2023-10-13 北京大学人民医院 Dura mater closer

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5217471A (en) * 1991-05-30 1993-06-08 Burkhart Stephen S Endoscopic suture knotting instrument
US5403330A (en) * 1992-07-17 1995-04-04 Tuason; Leo B. Suture knot pusher
CN201692064U (en) * 2010-07-05 2011-01-05 董璞 Medical needle extractor
CN206492065U (en) * 2016-12-01 2017-09-15 李秀红 A kind of intravenous needle
CN207699877U (en) * 2017-12-07 2018-08-07 广州市番禺区好友实业有限公司 Scalable multi-purpose X-type drying frame
CN209122325U (en) * 2018-11-12 2019-07-19 中国人民解放军第四军医大学 The suture of nerve endoscope skull base surgery dura mater pushes away line device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5217471A (en) * 1991-05-30 1993-06-08 Burkhart Stephen S Endoscopic suture knotting instrument
US5403330A (en) * 1992-07-17 1995-04-04 Tuason; Leo B. Suture knot pusher
CN201692064U (en) * 2010-07-05 2011-01-05 董璞 Medical needle extractor
CN206492065U (en) * 2016-12-01 2017-09-15 李秀红 A kind of intravenous needle
CN207699877U (en) * 2017-12-07 2018-08-07 广州市番禺区好友实业有限公司 Scalable multi-purpose X-type drying frame
CN209122325U (en) * 2018-11-12 2019-07-19 中国人民解放军第四军医大学 The suture of nerve endoscope skull base surgery dura mater pushes away line device

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110693551A (en) * 2019-09-29 2020-01-17 中国医学科学院北京协和医院 Dura mater suture pusher for simulating nerve endoscopic skull base operation
CN110693551B (en) * 2019-09-29 2020-07-31 中国医学科学院北京协和医院 Dura mater suture pusher for simulating nerve endoscopic skull base operation
CN112754556A (en) * 2021-01-18 2021-05-07 吉林大学第一医院 Skull base wound dura mater suture device
CN112754556B (en) * 2021-01-18 2022-03-08 吉林大学第一医院 Skull base wound dura mater suture device
CN116869593A (en) * 2023-09-06 2023-10-13 北京大学人民医院 Dura mater closer
CN116869593B (en) * 2023-09-06 2023-11-28 北京大学人民医院 Dura mater closer

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