CN109717916A - A kind of stitching unstrument for thoracoscope Minimally Invasive Surgery - Google Patents

A kind of stitching unstrument for thoracoscope Minimally Invasive Surgery Download PDF

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Publication number
CN109717916A
CN109717916A CN201910125849.4A CN201910125849A CN109717916A CN 109717916 A CN109717916 A CN 109717916A CN 201910125849 A CN201910125849 A CN 201910125849A CN 109717916 A CN109717916 A CN 109717916A
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China
Prior art keywords
wire
shell
threading device
puncture needle
connector
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CN201910125849.4A
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CN109717916B (en
Inventor
林森
陈晓
梁栋科
李涛
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Shanghai Kindly Medical Instruments Co Ltd
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Shanghai Kindly Medical Instruments Co Ltd
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Priority to CN201910125849.4A priority Critical patent/CN109717916B/en
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Abstract

The invention discloses a kind of stitching unstruments for thoracoscope Minimally Invasive Surgery of medical instruments field, including shell, and long puncture needle and short puncture needle in the shell with housing parallel setting;The front end of the shell is equipped with the wire-threading device track shell for being connected to the shell, and the front end bending of the wire-threading device track shell, the rear end of the wire-threading device track shell is equipped with the shell nut for being socketed in the wire-threading device track shell radial outside;The front end of the wire-threading device track shell, equipped with the wire-threading device being located in the wire-threading device track shell and with the wire-threading device track casing adaptor;The front end of the shell is equipped with can be along the connector of the shell axially slid, core filaments fixing seat is equipped in the connector, it is connected between the core filaments fixing seat and the wire-threading device by spring core filaments, the connector connection is located at the wire-threading device folding and unfolding handle on the hull outside wall.

Description

A kind of stitching unstrument for thoracoscope Minimally Invasive Surgery
Technical field
The present invention relates to a kind of stitching unstruments for thoracoscope Minimally Invasive Surgery of medical instruments field.
Background technique
The suture of thoracic cavity internal layer is the difficult point in thoracoscope Minimally Invasive Surgery, this operation relies on the professional water of doctor substantially It is flat, suture wall of the chest outer skin again by first pressing chest to be bonded thoracic cavity internal layer substantially, no instrument can internally the wall of the chest carry out suture its It is primarily present following defect:
First, it is influenced too greatly, to cause to complete in the case where the interior wall of the chest is not bonded completely sometimes by the professional standards of doctor The suture of wall of the chest outer layer, is easy to appear interior wall of the chest continuous bleeding.
Second, after the interior wall of the chest is bonded completely and successfully sutures outer chest wall cutaneous after doctor's completion pressure chest, because of the spy of the wounded Property difference, which will appear the interior wall of the chest and can not stop blooding, leads to continuous bleeding.
Third, after the interior wall of the chest is bonded completely and successfully sutures outer chest wall cutaneous after doctor completes pressure chest, the interior wall of the chest not into Any suture of row, because the wounded's movement leads to interior wall of the chest intermittent bleeding episodes.
Summary of the invention
The purpose of the invention is to overcome the deficiencies of the prior art and provide a kind of suture for thoracoscope Minimally Invasive Surgery Device, effectively suture width is big, and product easy to accomplish enters the depth of human body in place.
Realizing a kind of technical solution of above-mentioned purpose is: a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery, including shell, And long puncture needle and short puncture needle in the shell with housing parallel setting;
The front end of the shell is equipped with the wire-threading device track shell for being connected to the shell, before the wire-threading device track shell End bending, the rear end of the wire-threading device track shell are equipped with the shell spiral shell for being socketed in the wire-threading device track shell radial outside Cap;The front end of the wire-threading device track shell, be equipped be located at the wire-threading device track shell in and with the wire-threading device track shell The wire-threading device of body adaptation;
The front end of the shell is equipped with can be equipped with core filaments along the connector of the shell axially slid, the connector Fixing seat is connected between the core filaments fixing seat and the wire-threading device by spring core filaments, and the connector connection is located at described Wire-threading device folding and unfolding handle on hull outside wall.
Further, the long puncture needle and the short puncture needle, which run through, states the connector and the core filaments are fixed Seat protrudes into the wire-threading device track shell, and the tip of the short puncture needle is equipped with separable needle cap, and the wire-threading device is equipped with For the minute hand attachment cap of the tip insertion of the long puncture needle, and the hour hand connection of the needle cap insertion for the short puncture needle Cap;The minute hand attachment cap is connected with the hour hand attachment cap by connecting line, the connecting line and the spring core filaments along The axial direction of the wire-threading device, is located at the wire-threading device two sides, and the minute hand attachment cap and the hour hand attachment cap can be with The wire-threading device separation.
Further, the rear end of the shell is equipped with the puncture needle stretched out outside the shell and pushes handle, the puncture Needle, which pushes handle and connects, is located at the intracorporal puncture needle fixing seat of the shell, and the rear end of the long puncture needle and the short puncture needle is equal It is fixed with the puncture needle fixing seat.
Further, flexible clamping is fixed between the puncture needle fixing seat and puncture needle push handle.
Further, spring is equipped between the connector and the core filaments fixing seat.
Further, it is equipped between the connector and the wire-threading device folding and unfolding handle and is located at the intracorporal connecting rod of the shell, Between the connecting rod and the connector, it is pivotally connected between the connecting rod and the wire-threading device folding and unfolding handle.
Using a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention, including shell, and in the shell Interior long puncture needle and short puncture needle with housing parallel setting;Line is crossed equipped with the connection shell in the front end of the shell Device track shell, the front end bending of the wire-threading device track shell, the rear end of the wire-threading device track shell, which is equipped with, is socketed in institute State the shell nut of wire-threading device track shell radial outside;The front end of the wire-threading device track shell is equipped with and crosses line positioned at described In device track shell and the wire-threading device with the wire-threading device track casing adaptor;The front end of the shell is equipped with can be along the shell The connector axially slid, core filaments fixing seat is equipped in the connector, between the core filaments fixing seat and the wire-threading device It is connected by spring core filaments, the connector connection is located at the wire-threading device folding and unfolding handle on the hull outside wall.Its technology effect Fruit is: being designed by the shape of wire-threading device 5 and wire-threading device track shell 11, increases effectively suture width, pass through setting Shell nut is pushed into thoracic cavity outer skin fitting i.e. realization product when operation and enters human body by wire-threading device track shell and shell nut Depth in place, eliminate and draw blood vessel, strong operability, will not because of product swing and deviate suture, be also beneficial to interior chest The complete fitting of wall.
Detailed description of the invention
Fig. 1 is a kind of main view of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention.
Fig. 2 is a kind of top view of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention.
Fig. 3 is the face the A-A cross-sectional view of Fig. 2.
Fig. 4 is the enlarged drawing of the C portion of Fig. 3.
Fig. 5 is the enlarged drawing of the part B of Fig. 3.
Fig. 6 is the enlarged drawing of part B when wire-threading device is opened.
Fig. 7 is a kind of perspective view of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention when wire-threading device is closed.
Fig. 8 is a kind of perspective view of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention when wire-threading device is opened.
Specific embodiment
Please refer to Fig. 1 to Fig. 8, the present inventor in order to preferably understand technical solution of the present invention, Below by specifically embodiment, and will be described in detail with reference to the accompanying drawings:
Referring to Fig. 1, a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention, including wire-threading device track shell 11 Wire-threading device track shell 11 is connected to the front end of shell 13, shell 13.Wire-threading device track shell 11 close to 13 one end of shell, i.e., after The radial direction at end is outer to be socketed with shell nut 12.The front end of wire-threading device track shell 11 is bent, 11 lateral wall of wire-threading device track shell On be symmetrically provided with two notches 111.
The one end of shell 13 far from wire-threading device track shell 11, i.e. rear end are equipped with puncture needle and push handle 21, and puncture needle pushes away One end of handle 21 is sent to stretch out shell 13, other end connecting puncture needle fixing seat 22, puncture needle fixing seat 22 is pushed away with puncture needle It send and is fixed between handle 21 by flexible clamping.
Shell 13 close to one end of shell nut 12, i.e., front end be equipped with can along the connector 31 that shell 13 is axially moved with And it is set to the core filaments fixing seat 32 of 31 radially inner side of connector.Bullet is equipped between connector 31 and the radial direction of core filaments fixing seat 32 Spring 35.The lateral wall of shell 13 is equipped with wire-threading device folding and unfolding handle 33, passes through between wire-threading device folding and unfolding handle 33 and connector 31 Connecting rod 34 connects.It is pivotally connected between connecting rod 34 and wire-threading device folding and unfolding handle 33 and connector 32.
The rear end of long puncture needle 41 and short puncture needle 42 is all connected with puncture needle fixing seat 22, the puncture needle sheet of long puncture needle 41 The equal through-connections 31 of the puncture needle ontology of body and short puncture needle 42 and core filaments fixing seat 32, protrude into wire-threading device track shell 11。
The wire-threading device 5 positioned at 11 front end of wire-threading device track shell, the shape of wire-threading device 5 are equipped in wire-threading device track shell 11 With the shape adaptation of 11 front end of wire-threading device track shell, it is pivotally connected between wire-threading device 5 and wire-threading device track shell 11.Wire-threading device 5 are equipped with a core filaments fixing groove 51, and one end of spring core filaments 6 connects core filaments fixing seat 32, and it is solid that other end is fixed on core filaments Determine in slot 51.By being pushed forward wire-threading device folding and unfolding handle 33, drive core filaments fixing seat 32 and connector 31 to far from wire-threading device track 11 side of shell is mobile, and core filaments fixing seat 32 pulls wire-threading device 5, so that wire-threading device 5 is along wire-threading device rail by spring core filaments 6 Wire-threading device track in road shell 11, it is mobile to close 13 side of shell, and two of the lateral wall from wire-threading device track shell 11 Notch 111 stretches out wire-threading device track shell 11, and wire-threading device 5 is opened.
Be additionally provided with minute hand attachment cap 52 corresponding with the tip of long puncture needle 41 on wire-threading device 5, and with short puncture needle 42 The corresponding hour hand attachment cap 53 in tip.It is connected, is connected by connecting line 54 between minute hand attachment cap 52 and hour hand attachment cap 53 Line 54 and spring core filaments 6 are axial parallel with wire-threading device 5, the two sides for wire-threading device 5 of living apart.Wherein, the tip of short puncture needle 42 Equipped with a separable needle cap 421, which can be inserted into hour hand attachment cap 53, long puncture needle when wire-threading device 5 is opened 41 tip can be inserted into minute hand attachment cap 52 when wire-threading device 5 is opened.The tip of long puncture needle 41 and can be with short puncture needle 42 The pin hole passed through for suture is equipped in the needle cap 421 at tip.
A kind of operating method of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention are as follows:
Wire-threading device track shell 11 is pushed into the minimally invasive channel in thoracic cavity by the first step, and shell nut 12 and thoracic cavity outer skin are pasted It closes.
Second step pushes wire-threading device folding and unfolding handle 33 to 11 side of wire-threading device track shell, connector 31 is made to drive core filaments Fixing seat 32 is far from wire-threading device track shell 11, and core filaments fixing seat 32 pulls spring core filaments 6, so that wire-threading device 5 is along wire-threading device Wire-threading device track in track shell 11, to mobile close to 13 side of shell, and from the lateral wall of wire-threading device track shell 11 Two notches 111 stretch out wire-threading device track shell 11, and wire-threading device 5 is opened, and shell 13, which is pulled back, blocks wire-threading device 5 instead to thoracic cavity Wall.
Third step, then push puncture needle to push handle 21 toward wire-threading device track shell 11, insert the tip of long puncture needle 41 Enter minute hand attachment cap 52, the needle cap 421 at short 42 tip of puncture needle is inserted into hour hand attachment cap 53.The needle cap 421 of short puncture needle 42 is inserted While entering the hour hand attachment cap 53 in wire-threading device 5, separated with the tip of short puncture needle 42, needle cap 421 has been pre-installed with suture Connection;Long puncture needle 41 is rested in minute hand attachment cap 52 and can not be detached from the mutual padlock of minute hand attachment cap 52.
4th step pushes handle 21,52 He of minute hand attachment cap to far from 11 side of wire-threading device track shell extraction puncture needle Hour hand attachment cap 53 is connected by connecting line 54, and long puncture needle 41 can take together minute hand attachment cap 52 out of wire-threading device 5, and follow Long puncture needle 41 back moves, and hour hand attachment cap 53 can be also carried over together, makes long puncture needle 41 and short puncture needle 42 band together It is preset in the interior suture of wire-threading device track shell 11 out, completes suture winding movement.
5th step, shell 13 is pushed to 11 side of wire-threading device track shell is attached at shell nut 12 outside thoracic cavity again Skin surface.
Wire-threading device folding and unfolding handle 33 is pulled back to home position to close wire-threading device 5, extracts wire-threading device track shell out by the 6th step Suture is closed and is cut using auxiliary pusher by body 11.
A kind of stitching unstrument for thoracoscope Minimally Invasive Surgery of the invention:
It is designed by the shape of wire-threading device 5 and wire-threading device track shell 11, so that effectively suture width reaches 22mm, Meet the requirement largely performed the operation.
By setting wire-threading device track shell 11 and shell nut 12, shell nut 12 is pushed into thoracic cavity outer skin when operation Fitting realizes that depth that product enters human body in place, eliminates and draws blood vessel, strong operability will not be inclined because of the swing of product From suture, it is also beneficial to the complete fitting of the interior wall of the chest.
By designing the spring core filaments 6, the core filaments fixing seat 32, connector 31, wire-threading device folding and unfolding handle that connect with wire-threading device 5 Connecting rod 34 between 33 and wire-threading device folding and unfolding handle 33 and connector 31 eliminates front end guiding catheter part, and will open The operation of wire-threading device 5 becomes being pushed forward wire-threading device folding and unfolding handle 33 from wire-threading device folding and unfolding handle 33 of pulling back.Therefore it completes to press in doctor After the interior wall of the chest is bonded completely and successfully sutures outer chest wall cutaneous after chest, patient is not in the case where interior wall of the chest can not stop blooding.
Those of ordinary skill in the art it should be appreciated that more than embodiment be intended merely to illustrate the present invention, And be not used as limitation of the invention, as long as the change in spirit of the invention, to embodiment described above Change, modification will all be fallen within the scope of claims of the present invention.

Claims (6)

1. a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery, including shell, and in the shell with the housing parallel The long puncture needle and short puncture needle being arranged, it is characterised in that:
The front end of the shell is equipped with the wire-threading device track shell for being connected to the shell, and the front end of the wire-threading device track shell is curved Song, the rear end of the wire-threading device track shell are equipped with the shell nut for being socketed in the wire-threading device track shell radial outside;Institute State the front end of wire-threading device track shell, be equipped be located at the wire-threading device track shell in and with the wire-threading device track casing adaptor Wire-threading device;
The front end of the shell, which is equipped with, to be fixed in the connector of the shell axially slid, the connector equipped with core filaments Seat, is connected between the core filaments fixing seat and the wire-threading device by spring core filaments, and the connector connection is located at the shell Wire-threading device folding and unfolding handle on lateral wall.
2. a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery according to claim 1, it is characterised in that: the long puncture Needle and the short puncture needle, which run through, states the connector and the core filaments fixing seat, protrudes into the wire-threading device track shell, institute The tip for stating short puncture needle is equipped with separable needle cap, and the wire-threading device is equipped with the length being inserted into for the tip of the long puncture needle Needle attachment cap, and the hour hand attachment cap of the needle cap insertion for the short puncture needle;The minute hand attachment cap and the hour hand connect It connects cap to connect by connecting line, the connecting line and the spring core filaments are located at described along the axial direction of the wire-threading device Wire-threading device two sides, the minute hand attachment cap and the hour hand attachment cap can be separated with the wire-threading device.
3. a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery according to claim 2, it is characterised in that: the shell Rear end is equipped with the puncture needle stretched out outside the shell and pushes handle, and it is intracorporal that the puncture needle push handle connection is located at the shell The rear end of puncture needle fixing seat, the long puncture needle and the short puncture needle is fixed with the puncture needle fixing seat.
4. a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery according to claim 3, it is characterised in that: the puncture needle Flexible clamping is fixed between fixing seat and puncture needle push handle.
5. a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery according to claim 1, it is characterised in that: the connector Spring is equipped between the core filaments fixing seat.
6. a kind of stitching unstrument for thoracoscope Minimally Invasive Surgery according to claim 1, it is characterised in that: the connector It is equipped between the wire-threading device folding and unfolding handle and is located at the intracorporal connecting rod of the shell, between the connecting rod and the connector, institute It states and is pivotally connected between connecting rod and the wire-threading device folding and unfolding handle.
CN201910125849.4A 2019-02-20 2019-02-20 Suture device for thoracoscopic minimally invasive surgery Active CN109717916B (en)

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CN201910125849.4A CN109717916B (en) 2019-02-20 2019-02-20 Suture device for thoracoscopic minimally invasive surgery

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Application Number Priority Date Filing Date Title
CN201910125849.4A CN109717916B (en) 2019-02-20 2019-02-20 Suture device for thoracoscopic minimally invasive surgery

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CN109717916B CN109717916B (en) 2024-10-15

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Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201578299U (en) * 2009-12-24 2010-09-15 汪代文 Disposable fibrous ring stitching instrument
CN201676016U (en) * 2010-05-25 2010-12-22 陈亮 Guide device for thoracoscope linear-cutting stitching instrument
DE112008003765T5 (en) * 2008-03-12 2011-04-14 Masaki Matsusaka-shi Funada Medical instrument
CN104042265A (en) * 2014-06-13 2014-09-17 江苏唯德康医疗科技有限公司 Tissue perforation stitching instrument and use method thereof
CN206007304U (en) * 2016-07-08 2017-03-15 江阴市人民医院 Thoracoscope stapler
CN206138150U (en) * 2016-07-20 2017-05-03 江苏三联星海医疗器械股份有限公司 Threading apparatus of ware is sewed up to deep manadesma
CN108938022A (en) * 2018-04-27 2018-12-07 四川力智久创知识产权运营有限公司 For suturing the stitching unstrument of hysteroscope puncture
CN209932845U (en) * 2019-02-20 2020-01-14 上海康德莱医疗器械股份有限公司 Stitching instrument for thoracoscopic minimally invasive surgery

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE112008003765T5 (en) * 2008-03-12 2011-04-14 Masaki Matsusaka-shi Funada Medical instrument
CN201578299U (en) * 2009-12-24 2010-09-15 汪代文 Disposable fibrous ring stitching instrument
CN201676016U (en) * 2010-05-25 2010-12-22 陈亮 Guide device for thoracoscope linear-cutting stitching instrument
CN104042265A (en) * 2014-06-13 2014-09-17 江苏唯德康医疗科技有限公司 Tissue perforation stitching instrument and use method thereof
CN206007304U (en) * 2016-07-08 2017-03-15 江阴市人民医院 Thoracoscope stapler
CN206138150U (en) * 2016-07-20 2017-05-03 江苏三联星海医疗器械股份有限公司 Threading apparatus of ware is sewed up to deep manadesma
CN108938022A (en) * 2018-04-27 2018-12-07 四川力智久创知识产权运营有限公司 For suturing the stitching unstrument of hysteroscope puncture
CN209932845U (en) * 2019-02-20 2020-01-14 上海康德莱医疗器械股份有限公司 Stitching instrument for thoracoscopic minimally invasive surgery

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