CN110179512A - A kind of minimally invasive vein blood vessel apparatus for ligating - Google Patents

A kind of minimally invasive vein blood vessel apparatus for ligating Download PDF

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Publication number
CN110179512A
CN110179512A CN201910472820.3A CN201910472820A CN110179512A CN 110179512 A CN110179512 A CN 110179512A CN 201910472820 A CN201910472820 A CN 201910472820A CN 110179512 A CN110179512 A CN 110179512A
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CN
China
Prior art keywords
needle
blood vessel
hooking
suture introducing
ligating
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.)
Granted
Application number
CN201910472820.3A
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Chinese (zh)
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CN110179512B (en
Inventor
陈明祥
胡文平
李云龙
李福平
张为民
李志平
唐文帅
黎小平
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Third Affiliated Hospital Of Cqmu (gener Hospital)
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Third Affiliated Hospital Of Cqmu (gener Hospital)
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Publication date
Application filed by Third Affiliated Hospital Of Cqmu (gener Hospital) filed Critical Third Affiliated Hospital Of Cqmu (gener Hospital)
Priority to CN201910472820.3A priority Critical patent/CN110179512B/en
Publication of CN110179512A publication Critical patent/CN110179512A/en
Application granted granted Critical
Publication of CN110179512B publication Critical patent/CN110179512B/en
Expired - Fee Related legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

Abstract

The present invention relates to technical field of surgical instrument, specially a kind of minimally invasive vein blood vessel apparatus for ligating, including line needle and suture introducing needle, it is provided with the winding slot for being used to fix ligature of annular at line needle syringe needle, is provided with the thread drawing mechanism that the ligature fixed on line needle can be transferred on suture introducing needle at suture introducing needle syringe needle.The present invention solves the problems, such as troublesome in poeration in the prior art.

Description

A kind of minimally invasive vein blood vessel apparatus for ligating
Technical field
The present invention relates to technical field of surgical instrument, specially a kind of minimally invasive vein blood vessel apparatus for ligating.
Background technique
In the prior art in treatment varication and phlebangioma, operative treatment can be carried out when necessary, by by incision of skin, Ligature is sent under skin histology and entangles blood vessel, blood vessel is ligatured.
When prior art vascular ligation, usually there are two types of modes, and one is directly adopt crotch needle from blood vessel side skin Notch is pierced into below blood vessel, and then from the blood vessel other side, skin incision is pierced by, so that ligature entangles blood vessel, it then will knot Binding, which knots, realizes the ligation of blood vessel.Such mode can ligature the skin histology between two notch when ligaturing, not only Unsightly, it is incomplete to also result in vessel sealing.
As shown in Figure 1, another way cuts notch A and notch B usually on the skin 8 of 7 two sides of blood vessel, pass through crotch Needle enters from notch A, and 7 inferior tissue of intravascular is pierced by from notch B, so that ligature is located at 7 lower section of blood vessel.Then by crotch needle It is worn above blood return tube 7 from notch B original road, then tissue is pierced by from notch A above intravascular 7, so that ligature is around blood vessel 7 Blood vessel 7 is entangled in top, realizes ligation.Path C is the path of crotch needle in Fig. 1.Although which can be avoided ligation skin group Knit, but which still needs to cut two notch, and whole process crotch needle be pierced by after wear back again, need to guarantee crotch needle It can accurately be worn back from two notch, operation is more troublesome.
Summary of the invention
The invention is intended to provide a kind of minimally invasive vein blood vessel apparatus for ligating, to solve troublesome in poeration in the prior art ask Topic.
In order to achieve the above object, the invention provides the following technical scheme:
A kind of minimally invasive vein blood vessel apparatus for ligating, including line needle and suture introducing needle, setting annular at line needle syringe needle There is the winding slot for fixed knot binding, lead can be transferred to for the ligature fixed on line needle by being provided at suture introducing needle syringe needle Thread drawing mechanism on needle.
The principle of this programme are as follows:
Winding slot is for winding ligature, so that ligature is fixed on line needle, line needle is for sending ligature Enter to blood vessel.It is connect by suture introducing needle above the notch insertion blood vessel that line needle enters and with line needle, utilizes drawing machine Ligature on line needle is shifted and is fixed on suture introducing needle by structure, and being then log out suture introducing needle can be by ligature above blood vessel It bypasses and pulls out, so that ligature entangles blood vessel, ligation can be realized.
This programme has the beneficial effect that
1, ligature is sent into below blood vessel using line needle, is then drawn ligature above blood vessel using suture introducing needle Out, so that ligature entangles blood vessel;It is pierced by, wears back in the prior art first wearing crotch needle to the blood vessel other side below blood vessel It is pierced by and compares above blood vessel again afterwards, operation of the invention is simpler.
2, line needle and suture introducing needle enter and exit from same incision, and when operation need to only cut a notch, and the surface of a wound is smaller. Further, thread drawing mechanism includes hooking folder.Hooking is pressed from both sides for ligature to be ticked to from line needle and is clamped in suture introducing needle, real Border with when suture introducing needle sent to line needle syringe needle slided so that hooking is clipped on line needle, by the ligature on line needle It is clamped on hooking folder, thus pulls out ligature using suture introducing needle.
Further, line needle and suture introducing needle are arc-shaped, and winding slot is located at the inside of line needle, and hooking folder is located at suture introducing needle Outside.Line needle and suture introducing needle are set as arc, make the arc core of line needle and suture introducing needle towards blood vessel when using, so just It is docked in suture introducing needle and line needle, easily facilitates pull-out ligature.
Further, the hooking slot through winding slot is additionally provided on line needle, hooking slot is set along the length direction of line needle It sets.Hooking slot is used to press from both sides for hooking and slide, and provides hooking folder mobile space, clamps ligature convenient for hooking folder.
Further, hooking folder end is fixed on suture introducing needle, and hooking folder can be hooked around its fixing end far from lead needle movement The grasping part for clamping ligature can be formed between wire clamp and suture introducing needle.Suture introducing needle when moving on line needle, draw by adjustment The position of line needle so that hooking folder opens to form grasping part between hooking folder and suture introducing needle, and passes through suture introducing needle Ligature is pushed into grasping part by movement, and hooking folder, which resets, can clamp ligature, thus can be transferred to ligature and be drawn On line needle.
Further, it is provided with positive stop bead on the inside of hooking folder free end, offseted under positive stop bead free state with suture introducing needle.Hooking Positive stop bead forms the channel for entering for ligature grasping part far from suture introducing needle when folder opens, after hooking folder resets positive stop bead with draw Line needle offsets, and thus ligature is avoided to be detached from from suture introducing needle.
Further, suture introducing needle syringe needle can slide in hooking slot.It can be so suture introducing needle guiding using hooking slot, more It is docked convenient for suture introducing needle and line needle.
Further, solidus hole is provided on line needle, solidus hole is located at the side of winding slot.By ligature from solidus hole It is wrapped on winding slot again after being pierced by, the fixed stability of ligature can be increased.
Further, winding slot is thread groove.It is compared using thread groove and uses multiple winding slots being parallel to each other, enabled to Ligature is even closer to be fitted on line needle, and the fixed stability of ligature is further increased.
Detailed description of the invention
Fig. 1 is the schematic diagram of existing ligature type;
Fig. 2 is the structural schematic diagram of line needle in the embodiment of the present invention one;
Fig. 3 is the structural schematic diagram of hooking slot and winding slot on line needle in Fig. 1;
Fig. 4 is the structural schematic diagram of suture introducing needle in the embodiment of the present invention one;
Operation chart when Fig. 5 is one practice of the embodiment of the present invention.
Specific embodiment
It is further described below by specific embodiment:
Appended drawing reference in Figure of description includes: line needle 1, winding slot 2, hooking slot 3, suture introducing needle 4, hooking folder 5, limit Position pearl 6, blood vessel 7, skin 8, ligature 9.
Embodiment one
As shown in Fig. 2, a kind of minimally invasive vein blood vessel apparatus for ligating, the line needle 1 including arc, the syringe needle of line needle 1 Place is provided with the winding slot 2 of the ligature 9 for fixing in Fig. 5 of annular, and winding slot 2 is opened up along the circumferential direction of line needle 1.Conducting wire It is sent into state shown in Fig. 2 from 7 lower section ligature 9 of blood vessel when needle 1 uses.In conjunction with Fig. 3 it is found that being also provided on line needle 1 Hooking slot 3, hooking slot 3 run through all winding slots 2, and hooking slot 3 is arranged along the length direction of line needle 1, and hooking slot 3 is provided with On the medial surface of line needle 1, be subject to the state of line needle 1 in Fig. 2, the external arc of line needle 1 is outside, line needle 1 it is interior Circular arc is inside.
As shown in figure 4, the syringe needle of suture introducing needle 4 can slide in hooking slot 3 the invention also includes the suture introducing needle 4 of arc, draw The thread drawing mechanism that ligature 9 fixed on line needle 1 can be transferred on suture introducing needle 4, suture introducing needle are provided at the syringe needle of line needle 4 4 tick the ligature 9 on line needle 1 with state shown in Fig. 4 above Fig. 5 medium vessels 7 when using.Drawing machine in the present embodiment Structure overall structure is similar to the structure of pen cap in the prior art, specifically includes hooking folder 5, and hooking folder 5 is located at the outer of suture introducing needle 4 Side.Hooking is pressed from both sides 5 upper ends and is integrally formed on suture introducing needle 4, and hooking presss from both sides 5 lower end insides integrally formed with positive stop bead 6, on suture introducing needle 4 The holding tank for accommodating positive stop bead 6 is offered, is against in holding tank under 6 free state of positive stop bead.Hooking folder 5 can enclose when by external force It is moved around its fixing end far from suture introducing needle 4, to form the clamping for clamping ligature 9 between hooking folder 5 and suture introducing needle 4 Space.
Specific implementation process is as follows:
As shown in figure 5, cutting the notch of 2~3 ㎜ on 7 side skin 8 of blood vessel when practice, ligature 9 being wound On the winding slot 2 on line needle 1, keeps 9 one end of ligature to be located at outside notch, then will be wound with ligation under ultrasound guidance The line needle 1 of line 9 makes line needle 1 wrap up blood vessel 7 below blood vessel 7 out of the notch enters 7 lower section of blood vessel tissue, State i.e. as shown in Figure 5.
Then by the suture introducing needle of arc 4 with state as shown in Figure 5, i.e. the arc core of suture introducing needle 4 state directed downwardly is from same Notch enters 7 top of blood vessel, and the free end of hooking folder 5 and the free end of suture introducing needle 4 is made to be respectively positioned on the hooking on line needle 1 In slot 3.Under original state, the positive stop bead 6 on hooking folder 5 offsets with suture introducing needle 4, and after suture introducing needle 4 is inserted into, pulling open hooking folder 5 makes It forms grasping part between suture introducing needle 4, specific to operate are as follows: the state for keeping hooking folder 5 to push against with 3 bottom wall of hooking slot is slightly Micro- to pull suture introducing needle 4 to the left, so that the free end of suture introducing needle 4 shifts slightly to the left, that is, may make hooking to press from both sides, 5 free ends are separate to draw Line needle 4, to form grasping part between hooking folder 5 and suture introducing needle 4.Then suture introducing needle 4 is pushed to slide along hooking slot 3, So that ligature 9 enters the grasping part.Since ligature 9 is wrapped in winding slot 2 at this time, and hooking slot 3 run through around Wire casing 2, i.e. ligature 9 are across in hooking slot 3, and when suture introducing needle 4 slides, ligature 9 can easily enter the grasping part It is interior.
After the ligature 9 being wrapped on line needle 1 all carries out in grasping part, suture introducing needle 4 is pushed to hook to the right Wire clamp 5 resets, and the positive stop bead 6 on hooking folder 5 offsets with suture introducing needle 4 again, and grasping part closing, ligature 9 is clamped in hook Between wire clamp 5 and suture introducing needle 4.Suture introducing needle 4 is exited from the notch and can pull out ligature 9 above blood vessel 7 at this time, thus So that ligature 9 entangles blood vessel 7.Line needle 1 is finally exited, and ligature 9 is knotted, the ligation of blood vessel 7 can be completed.Limit The design of pearl 6, ligature 9 falls off from suture introducing needle 4 during capable of preventing suture introducing needle 4 from exiting.
Ligature 9 is sent into the lower section of blood vessel 7 using line needle 1 by the present invention, then using suture introducing needle 4 by ligature 9 from blood It is pulled out above pipe 7, so that ligature 9 entangles blood vessel 7.Whole process need to only cut a notch, with crotch needle in the prior art It is pierced by after being penetrated from a lateral incision from another lateral incision and then the road Zai Yuan is worn back into row set line mode and compared, operation of the present invention is more Add simple.
Embodiment two
The present embodiment and embodiment one the difference is that, be also provided with solidus hole on line needle 1, solidus hole be located at around The side of wire casing 2, and winding slot 2 is thread groove in the present embodiment.Now by ligature 9 after being passed through in fixation hole when practice It is being wrapped in winding slot 2, ligature 9 is enabled to more to be stably fixed on line needle 1.In addition, using thread groove Structure enables to ligature 9 to be more fitted on line needle 1, further increases the stability maintenance of ligature 9.
Embodiment three
The present embodiment and embodiment one the difference is that, the length of 4 free end of suture introducing needle is less than the length of hooking folder 5 Degree is arranged such convenient for pulling open hooking folder 5 to form grasping part.
What has been described above is only an embodiment of the present invention, and the common sense such as well known specific structure and characteristic are not made herein in scheme Excessive description.It, without departing from the structure of the invention, can be with it should be pointed out that for those skilled in the art Several modifications and improvements are made, these also should be considered as protection scope of the present invention, these all will not influence what the present invention was implemented Effect and patent practicability.The scope of protection required by this application should be based on the content of the claims, in specification The records such as specific embodiment can be used for explaining the content of claim.

Claims (9)

1. a kind of minimally invasive vein blood vessel apparatus for ligating, it is characterised in that: including line needle and suture introducing needle, set at line needle syringe needle It is equipped at the winding slot suture introducing needle syringe needle for fixing ligature of annular and is provided with and the ligature fixed on line needle can be turned Move to the thread drawing mechanism on suture introducing needle.
2. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 1, it is characterised in that: the thread drawing mechanism packet Include hooking folder.
3. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 2, it is characterised in that: the line needle and draw Line needle is arc-shaped, and the winding slot is located at the inside of line needle, and the hooking folder is located at the outside of suture introducing needle.
4. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 3, it is characterised in that: on the line needle also It is provided with the hooking slot through the winding slot, hooking slot is arranged along the length direction of line needle.
5. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 4, it is characterised in that: the hooking presss from both sides end It is fixed on suture introducing needle, hooking folder can form use between hooking folder and suture introducing needle around its fixing end far from lead needle movement In the grasping part of clamping ligature.
6. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 5, it is characterised in that: the hooking folder is freely End inside is provided with positive stop bead, offsets under positive stop bead free state with suture introducing needle.
7. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 6, it is characterised in that: the suture introducing needle syringe needle It can be slided in the hooking slot.
8. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 1-7, it is characterised in that: described to lead Solidus hole is provided on line needle, solidus hole is located at the side of winding slot.
9. the minimally invasive vein blood vessel apparatus for ligating of one kind according to claim 8, it is characterised in that: the winding slot is spiral shell Groove.
CN201910472820.3A 2019-05-31 2019-05-31 Minimally invasive venous blood vessel ligation device Expired - Fee Related CN110179512B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910472820.3A CN110179512B (en) 2019-05-31 2019-05-31 Minimally invasive venous blood vessel ligation device

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CN201910472820.3A CN110179512B (en) 2019-05-31 2019-05-31 Minimally invasive venous blood vessel ligation device

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CN110179512B CN110179512B (en) 2021-10-12

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113116599A (en) * 2021-04-20 2021-07-16 王琼玉 Elastic thread and application of elastic thread in chest shape remodeling

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2894619Y (en) * 2006-06-08 2007-05-02 陆健华 Improved surgical suturing needle
US20110301642A1 (en) * 2008-11-13 2011-12-08 White Geoffrey H Curved needle
CN202288381U (en) * 2011-09-05 2012-07-04 李伟 Ligation device for varicose veins
CN103271750A (en) * 2013-05-31 2013-09-04 石棉县中医医院 Surgical instrument and surgical method for high ligation of hernial sac necks
CN106473780A (en) * 2015-09-02 2017-03-08 广州迪克医疗器械有限公司 The root of the tongue pulls down-lead device
CN208769867U (en) * 2018-06-04 2019-04-23 杜进龙 Down-lead device is used in a kind of suture of wound

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2894619Y (en) * 2006-06-08 2007-05-02 陆健华 Improved surgical suturing needle
US20110301642A1 (en) * 2008-11-13 2011-12-08 White Geoffrey H Curved needle
CN202288381U (en) * 2011-09-05 2012-07-04 李伟 Ligation device for varicose veins
CN103271750A (en) * 2013-05-31 2013-09-04 石棉县中医医院 Surgical instrument and surgical method for high ligation of hernial sac necks
CN106473780A (en) * 2015-09-02 2017-03-08 广州迪克医疗器械有限公司 The root of the tongue pulls down-lead device
CN208769867U (en) * 2018-06-04 2019-04-23 杜进龙 Down-lead device is used in a kind of suture of wound

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113116599A (en) * 2021-04-20 2021-07-16 王琼玉 Elastic thread and application of elastic thread in chest shape remodeling

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