CN110151242A - Knotter is used in laparoscopic surgery suture - Google Patents
Knotter is used in laparoscopic surgery suture Download PDFInfo
- Publication number
- CN110151242A CN110151242A CN201910469773.7A CN201910469773A CN110151242A CN 110151242 A CN110151242 A CN 110151242A CN 201910469773 A CN201910469773 A CN 201910469773A CN 110151242 A CN110151242 A CN 110151242A
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- Prior art keywords
- suture
- guide sleeve
- knotter
- telescopic hook
- laparoscopic surgery
- 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.)
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- 238000002357 laparoscopic surgery Methods 0.000 title claims abstract description 31
- 239000008280 blood Substances 0.000 abstract description 4
- 210000004369 blood Anatomy 0.000 abstract description 4
- 238000000034 method Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 238000009434 installation Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 230000003387 muscular Effects 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 230000008901 benefit Effects 0.000 description 2
- 230000008439 repair process Effects 0.000 description 2
- 208000010470 Ageusia Diseases 0.000 description 1
- 244000061408 Eugenia caryophyllata Species 0.000 description 1
- 206010019909 Hernia Diseases 0.000 description 1
- 235000016639 Syzygium aromaticum Nutrition 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 238000007486 appendectomy Methods 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 239000002729 catgut Substances 0.000 description 1
- 238000002192 cholecystectomy Methods 0.000 description 1
- 210000003109 clavicle Anatomy 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000010417 needlework Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000010911 splenectomy Methods 0.000 description 1
- 238000009966 trimming Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
- A61B2017/0474—Knot pushers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
Landscapes
- 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 present invention provides a kind of laparoscopic surgery suture knotter, belongs to laparoscopic surgery field, including knotter guide sleeve；Telescopic hook through the knotter guide sleeve axial direction and is movably arranged, equipped with for hooking suture so that the head end that suture is tightened；Telescopic hook guide sleeve is set on the telescopic hook and can move axially along the knotter guide sleeve, for being arranged the pre- slip-knot beaten and covering the slip-knot on the suture to form suture knots；Nutted rod is assisted, and rotatably setting axial through the knotter guide sleeve, for fixing the end of the slip-knot to reinforce the firmness of the suture knots.The present invention can be realized the primary completion of knotting, and the fastening that knots is firm, will not loosen rebound, so as to shorten the laparoscopic surgery time, and reduce the risk of patient's blood loss.
Description
Technical field
The invention belongs to laparoscopic surgery fields, and in particular to knotter is used in a kind of suture of laparoscopic surgery.
Background technique
Laparoscopic surgery is a kind of Minimally Invasive Surgery method, and due to its advantage small with postoperative scar, laparoscopic surgery is
It is widely used in cholecystectomy, appendectomy, taste-blindness rate Repair operation, hernia repair art, colon are cut
Except art, splenectomy, epinephroectomy etc..But under laparoscope suture, knot tying techniques backwardness constrain laparoscopic surgery
Development.
Inflexible problem is sutured for existing knotting, the prior art (CN101449989B) discloses a kind of laparoscope seam
Knotter is closed, by stitching unstrument and line wire nipper two parts is held and forms, be used cooperatively, stitching unstrument includes suture needle, stitching unstrument mobile jib, seam
Clutch handle, locking screw, retaining mechanism, suture, handle, spool, retaining mechanism are provided on handle, and the pull rod is located at master
The inner cavity of bar, pull rod front end are hinged with suture needle, and rear end is fixedly connected with clavicle screw, rotation lock bone screw can make suture needle before, side
120 ° of rotation realizes that suture needle folds in and out and suture purpose；Thread forceps wire nipper plays the purpose of auxiliary clamp trimming.This is existing
Although technology can flexibly carry out passing line, suture intraperitoneal, knotting problem is not solved at all, as shown in Figure 1,
Knotting in surgical procedure first first to make a call to a unijunction for the end of a thread tension on wound both sides, but due to the elasticity of human muscular tissue
It can be loosened in preceding first unijunction of reversed secondary intersection completion side knot knotting, it is not firm to cause to knot in this way.The above-mentioned prior art
It can not achieve the holding of the tension of the unijunction before completion side's knot knots, therefore the same position caused to need repeated multiple times behaviour
It knots, and it is insecure to knot.
Summary of the invention
Problem based on the above background, the present invention is intended to provide a kind of laparoscopic surgery suture knotter, solves existing
It needs repeated multiple times operation to knot in technology, and the problem of easily the loosening that knot, the laparoscopic surgery time can be shortened, and can
Reduce the risk of patient's blood loss.
In order to achieve the above objectives, present invention provide the technical scheme that
Laparoscopic surgery suture knotter, including knotter guide sleeve；Telescopic hook, it is axial through the knotter guide sleeve and
It is movably arranged, equipped with for hooking suture so that the head end that suture is tightened；Telescopic hook guide sleeve is set in the telescopic hook
It can move axially above and along the knotter guide sleeve, for being arranged the pre- slip-knot beaten and covering the slip-knot in the suture
To form suture knots；Nutted rod is assisted, and rotatably setting axial through the knotter guide sleeve, for fixing the slip-knot
End is to reinforce the firmness of the suture knots.
Wherein, when the telescopic hook guide sleeve is mobile away from the head end, the slip-knot can cover on the suture.
Wherein, the telescopic hook guide sleeve and auxiliary nutted rod are distributed up and down, and the central axes of the telescopic hook guide sleeve and institute
The central axes of auxiliary nutted rod are stated in same vertical plane.
Preferably, the telescopic hook guide sleeve is also connected with telescopic hook guide sleeve operation handle far from the side of the head end.
Preferably, the auxiliary nutted rod is additionally provided with auxiliary nutted rod rotating handle far from one end of the head end.
Wherein, the head end is equipped with the wire clamp for fixing the suture.
Wherein, the side of the knotter guide sleeve far from the head end is also arranged with the handle held for user.
Compared with prior art, the present invention has the effect that
1, the present invention is used along telescopic hook, telescopic hook guide sleeve and auxiliary nutted rod is axially arranged in knotter guide sleeve
The preceding end in telescopic hook guide sleeve is arranged slip-knot, and when use passes through the fixed suture of telescopic hook and makes to suture by pulling telescopic hook
Line is tight, then covers slip-knot on suture by moving telescopic hook guide sleeve, to form suture knots, realizes primary completion
It knots, the laparoscopic surgery time is shortened, to reduce patient's blood loss risk；
2, another the end of a thread end of slip-knot is fixed on auxiliary nutted rod by the present invention, is formed on suture when slip-knot is covered
When suture knots, suture knots can be made to tense by rotation auxiliary nutted rod, realize and knot by the Slipped Clove Hitch side of being converted into knot or cross knot
Etc. the firm knot of other forms, improve the tightness of knotting.
3, operation of the present invention is simple and convenient, can expand the scope of application of laparoscopic surgery.
Detailed description of the invention
To describe the technical solutions in the embodiments of the present invention more clearly, make required in being described below to embodiment
Attached drawing is briefly described.
Fig. 1 is the unijunction beaten and the schematic diagram just tied in surgical procedure；
Fig. 2 is the structural schematic diagram that knotter is used in laparoscopic surgery suture in the embodiment of the present invention；
Fig. 3 is the partial enlarged view in Fig. 2 at A；
Fig. 4 is schematic diagram when laparoscopic surgery suture is used with knotter in the embodiment of the present invention.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention
In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is
A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art
Every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.It needs
Illustrate, the noun of locality " head end " of description in the present embodiment refers to protruding into the one of the wound for needing to suture in patient body
End, " tail end " is referred to can be with one end for a user to operate outside patient body.
As shown in Figure 1, knotting in surgical procedure first first to make a call to a unijunction (such as Fig. 1 for the end of a thread tension on wound both sides
(a) shown in), but since the elasticity of human muscular tissue is in reversed secondary intersections completions side knot (as shown in schemed (b)) knotting preceding the
One unijunction can loosen, and it is not firm to cause to knot in this way.And the prior art can not achieve the drawing of the unijunction before completion side's knot knots
The holding of tight state, therefore cause the same position that repeated multiple times operation is needed to knot, and it is insecure to knot.
Therefore, the present embodiment provides a kind of laparoscopic surgery suture knotters, as shown in Fig. 2, including knotter guide sleeve
1, telescopic hook guide sleeve 2, telescopic hook 3 and auxiliary nutted rod 4.In the present embodiment, the knotter guide sleeve 1 is cylindric,
It can be hollow structure, be also possible to be provided in the axial direction with logical for passing through for the telescopic hook guide sleeve 2, auxiliary nutted rod 4
Hole, the present embodiment are not particularly limited.As shown in Fig. 2, the tail end of the knotter guide sleeve 1 is also arranged with handle 5, for user
It holds.
In the present embodiment, the telescopic hook guide sleeve 2 is arranged along the axial direction of the knotter guide sleeve 1, and the telescopic hook
Guide sleeve 2 run through the knotter guide sleeve 1, the telescopic hook guide sleeve 2 can along the axial movement of knotter guide sleeve 1, specifically,
In the present embodiment, the left and right ends and 2 position corresponding position of telescopic hook guide sleeve of the knotter guide sleeve 1 are provided with location and installation
Head, the retractable guide sleeve 2 pass through the location and installation head to be mounted in the knotter guide sleeve 1, and the telescopic hook guide sleeve 2 prolongs
The head end of knotter guide sleeve 1 is stretched out for being arranged the pre- slip-knot beaten, the tail end for extending knotter guide sleeve 1 is operated for user,
In order to easy to operate, the tail end is also connected with telescopic hook guide sleeve operation handle 201.
As shown in Fig. 2, axial direction setting of the telescopic hook 3 along the telescopic hook guide sleeve 2, and telescopic hook 3 can be stretched to edge
The axial movement of contracting hook guide sleeve 2 can make to be fixed on telescopic hook 3 by the axial movement telescopic hook 3 along telescopic hook guide sleeve 2
Suture is tight；The whole telescopic hook 3 is in rod structure, including head end and tail end, and telescopic hook 3 runs through the telescopic hook guide sleeve
2, facilitate the fixed suture of head end, tail end to operate for user, specifically, as shown in figure 3, the head end is equipped with for fixing
The wire clamp 301 of suture is stated, wire clamp 301 is made using corrosion-resistant rustless elastic material, approximate herringbone, opening
It is slightly larger, it more arrives top more tightens, the clamping of suture is realized by elasticity.
In the present embodiment, the auxiliary nutted rod 4 is equally along the axial direction setting of the knotter guide sleeve 1, and can be rotated
Setting, but can not be moved axially along knotter guide sleeve 1, specifically, the auxiliary nutted rod 4 and about 2 telescopic hook guide sleeve
Distribution setting, and the central axes of the telescopic hook guide sleeve 2 and the central axes of the auxiliary nutted rod 4 are in same vertical plane.Institute
It states auxiliary nutted rod 4 to be equally mounted in knotter guide sleeve 1 by location and installation head, auxiliary nutted rod 4 is in rod structure and passes through
It wears the knotter guide sleeve 1 to be arranged, the auxiliary nutted rod 4 equally includes head end and tail end, and head end is for fixing the slip-knot
Another the end of a thread end, in order to easy to operate, the tail end be additionally provided with auxiliary nutted rod rotating handle 401.
Specific work process of the invention: as shown in figure 4, operation consent is by the one of the catgut needle-less of laparoscopic surgery
Front end of 6 sets of the slip-knot in retractable guide sleeve 2 is made a call in advance in end, and 6 needle-and-thread-free head end 601 of slip-knot is fixed on to the front end of auxiliary nutted rod 4,
Auxiliary 4 front end of nutted rod is small open wedge elastic mechanism, and the end of a thread is stuck in elastic wedge slot through multiple-turns wound and realizes that the end of a thread is solid
It is fixed, and tense；Then the front end of knotter (is preset at disease by laparoscopic surgery conduit together with syringe needle and suture when operation
Internal diameter is not less than the conduit of 8mm in people's abdominal wall) it is sent at the wound 7 for needing to suture in patient body, pass through other auxiliary abdominal cavities
Videoendoscopic surgery instrument completes wound suture, then by the wire clamp 301 of the front end for being stuck in telescopic hook 3 with needlework head end 602 of suture
On, extra suture is cut using laparoscope scissors, and extra suture and syringe needle are taken out by other laparoscope channels；
Then the tail end of telescopic hook 3 is slowly pulled out until suture is tightened, and corresponding 7 stitch points wound of wound is tightened to properly completely
Tightness；Telescopic hook guide sleeve operation handle 201 is gently pulled back, so that 6 sets of the slip-knot to knot in advance are led in telescopic hook 3
On the suture drawn；Dynamic auxiliary nutted rod rotating handle 401 is ground with finger and tenses suture knots, while continuing to tighten telescopic hook 3, directly
Until the tightness of wound 7 meets suture tightness；Auxiliary nutted rod rotating handle 401 and telescopic hook 3 are finally unclamped,
It holds handle 5 and gently exits knotter outward；And extra suture is cut using laparoscope scissors, clear up the extra seam cut
Suture knotting work can be completed after zygonema.The wound suture of other more spininess is completed according to above-mentioned same step.
The present invention solves under the conditions of existing laparoscopic surgery since the elasticity factor of human muscular tissue causes wound to stitch
Knot difficult, time-consuming and laborious problem when conjunction, alleviates over laparoscopic surgery overlong time simultaneously because easy to operate and causes
Patient's pain and blood loss the problems such as, also reduce the labor intensity of doctor, improve working unit day operation capacity, solve
The problem of laparoscopic surgery cannot be widely popularized because of operating reason is greatly improved the efficiency of laparoscopic surgery.
It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the premise of the invention,
Various modifications and improvements can be made, and these are all within the scope of protection of the present invention.
Claims (7)
1. laparoscopic surgery suture knotter, including knotter guide sleeve, which is characterized in that further include:
Telescopic hook through the knotter guide sleeve axial direction and is movably arranged, equipped with for hooking suture so that suture is taut
Tight head end；
Telescopic hook guide sleeve is set on the telescopic hook and can move axially along the knotter guide sleeve, for being arranged pre- beat
Slip-knot simultaneously covers the slip-knot on the suture to form suture knots；
Nutted rod is assisted, and rotatably setting axial through the knotter guide sleeve, for fixing the end of the slip-knot to add
Gu the firmness of the suture knots.
2. laparoscopic surgery suture knotter according to claim 1, which is characterized in that when the telescopic hook guide sleeve is carried on the back
When mobile from the head end, the slip-knot can cover on the suture.
3. laparoscopic surgery according to claim 1 suture knotter, which is characterized in that the telescopic hook guide sleeve with it is auxiliary
Nutted rod is helped to be distributed up and down, and the central axes of the telescopic hook guide sleeve and the central axes of the auxiliary nutted rod are in same vertical plane
It is interior.
4. laparoscopic surgery suture knotter according to claim 3, the telescopic hook guide sleeve is far from the head end
Side is also connected with telescopic hook guide sleeve operation handle.
5. laparoscopic surgery suture knotter according to claim 3, the auxiliary nutted rod is far from the head end
One end is additionally provided with auxiliary nutted rod rotating handle.
6. laparoscopic surgery suture knotter according to claim 4 or 5, which is characterized in that the head end, which is equipped with, to be used
In the wire clamp of the fixation suture.
7. laparoscopic surgery suture knotter according to claim 1, the knotter guide sleeve is far from the head end
Side is also arranged with the handle held for user.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910469773.7A CN110151242A (en) | 2019-05-31 | 2019-05-31 | Knotter is used in laparoscopic surgery suture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910469773.7A CN110151242A (en) | 2019-05-31 | 2019-05-31 | Knotter is used in laparoscopic surgery suture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110151242A true CN110151242A (en) | 2019-08-23 |
Family
ID=67630926
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910469773.7A Pending CN110151242A (en) | 2019-05-31 | 2019-05-31 | Knotter is used in laparoscopic surgery suture |
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| Country | Link |
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| CN (1) | CN110151242A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2022077419A1 (en) * | 2020-10-16 | 2022-04-21 | 迈磊医疗器材股份有限公司 | Device for knotting by tube pushing for medical suture thread |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5709694A (en) * | 1995-03-22 | 1998-01-20 | Human Factors Industrial Design, Inc. | Endoscopic intracorporeal suture tying aid |
| CN101449989A (en) * | 2007-11-30 | 2009-06-10 | 黄永常 | Celioscope stitching knotter |
| TWI551261B (en) * | 2015-10-14 | 2016-10-01 | Fang-Chao Du | An in vitro knotting device and method for laparoscopic surgery |
| CN210697714U (en) * | 2019-05-31 | 2020-06-09 | 西安智荣机电科技有限公司 | Knotter for laparoscopic surgery suture |
-
2019
- 2019-05-31 CN CN201910469773.7A patent/CN110151242A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5709694A (en) * | 1995-03-22 | 1998-01-20 | Human Factors Industrial Design, Inc. | Endoscopic intracorporeal suture tying aid |
| CN101449989A (en) * | 2007-11-30 | 2009-06-10 | 黄永常 | Celioscope stitching knotter |
| TWI551261B (en) * | 2015-10-14 | 2016-10-01 | Fang-Chao Du | An in vitro knotting device and method for laparoscopic surgery |
| CN210697714U (en) * | 2019-05-31 | 2020-06-09 | 西安智荣机电科技有限公司 | Knotter for laparoscopic surgery suture |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2022077419A1 (en) * | 2020-10-16 | 2022-04-21 | 迈磊医疗器材股份有限公司 | Device for knotting by tube pushing for medical suture thread |
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