A wound suture ware for joint position
Technical Field
The invention discloses a wound stitching instrument for a joint position, relates to a stitching instrument which is used for attaching and stitching two sides of a wound at the joint position when the wound is closed, and belongs to the field of medical instruments. And more particularly, to a wound suture instrument which can be bent along a joint, suture a wound while bending, and expand and contract in a wound suturing direction when bending and expanding.
Background
At present, after a surgical operation, wounds generally need to be sutured, scars can be left on the surface of skin after suturing, the situations of cracking and the like can occur in the healing period of some middle wounds, stitches are also needed to be removed in the later period, suturing nails are adopted for suturing the wounds in clinic, two sides of the wounds are sutured through a structure similar to a stapler, but the healing quality is poor, the scars can also exist, the wounds are easy to crack when in the joint position, a wound closer appears on the market, two monomers are respectively connected and closed on two sides of the wounds through a limit strip in the middle, and then the wounds are sutured, because the monomers are made of plastic sheets and are uniform in thickness, the monomers are fixed after being attached to the skin and cannot be applied to the joint position, when the joints are bent, the skin is tensioned, the attaching strength between the monomers is weakened, and the wounds can be extruded to the joint position, make the wound fold etc. appear, influence the closure of wound, spacing strip adopts a body structure simultaneously, does not have flexible volume, can not be when the joint is crooked, and it stretches out and draws back to provide sufficient space to the wound both sides.
Publication No. CN204814010U discloses an adjustable skin wound suturing device, comprising a main suturing device and a patch suturing device which are connected, wherein the main suturing device and the patch suturing device are arranged alternately, the main suturing device and the patch suturing device are both composed of base cloth at two sides and a ratchet bar locking device connected with the base cloth at two sides, the ratchet bar locking device is composed of a support strip, a lock catch and a ratchet bar, the lower surface of the support strip is connected with the base cloth, the lock catch is arranged on the base cloth at one side of the main suturing device and the patch suturing device, one end of the ratchet bar is arranged on the base cloth at the other side of the main suturing device and the patch suturing device, the other end of the ratchet bar is movably connected with the lock catch, the base cloth adopted by the device is connected and attached, the connection between the base cloth, the support strip, the ratchet bar lock catch and the like is relatively poor in stability, the suturing strength of a wound is unstable, and when the wound is bent, the separation of the base cloth and the supporting strips is easy to occur, and the sewing effect is affected.
Publication No. CN203885547U discloses a skin wound closer; publication No. CN204839613U discloses a skin wound closure device that can release skin tension; publication No. CN103948407B discloses a wound closure; in the above-mentioned disclosed technology, the problem that when the wound at the joint position is bent, the two sides of the wound are squeezed by the required expansion amount due to outward expansion can not be solved, and the wound can not be closed by matching with the bending of the joint.
Disclosure of Invention
In order to improve the above situation, the present invention provides a wound suture instrument for joint positions, which can be bent along a joint and suture a wound while bending, and can be extended and retracted in a wound suturing direction while expanding the bend. When the joint is bent, the wound at the joint position can be sutured.
The invention discloses a wound stitching instrument for joint positions, which is realized by the following steps: the invention relates to a wound stitching instrument for joint positions, which consists of a main fixing plate, a limiting buckle, a traction arm, a traction strip, a ratchet, a limiting plate, an auxiliary fixing plate, a guide frame, release paper, adhesive glue, bending grooves and a supporting arm, wherein the main fixing plate is arranged on the release paper, the auxiliary fixing plate is arranged on the release paper and is parallel to the main fixing plate, a distance is arranged between the main fixing plate and the auxiliary fixing plate, a plurality of bending grooves are equidistantly formed in the main fixing plate, the bending grooves extend from one side of the main fixing plate to the other side of the main fixing plate, a plurality of bending grooves are equidistantly formed in the auxiliary fixing plate and correspond to the bending grooves in the main fixing plate one by one, the bending grooves extend from one side of the auxiliary fixing plate to the other side of the main fixing plate, the adhesive glue is arranged on the main fixing plate and is positioned between the main fixing plate and the release paper, the adhesive glue is arranged on the fixing plate and is positioned between the auxiliary fixing plate and the release paper, the adhesive is of a net structure, the main fixing plate is made of a plastic material, the auxiliary fixing plate is made of a plastic material, a plurality of limiting buckles are respectively arranged on the main fixing plate and staggered with the bending grooves on the main fixing plate, the limiting buckles are respectively arranged on the auxiliary fixing plate and correspond to the limiting buckles on the main fixing plate one by one, the limiting buckles are of a U-shaped structure, clamping teeth are arranged on the inner sides of the limiting buckles, a plurality of guide frames are arranged on the main fixing plate, a plurality of guide frames are arranged on the auxiliary fixing plate and staggered with the guide frames on the main fixing plate, the traction strips sequentially penetrate through the corresponding limiting buckles on the main fixing plate and the auxiliary fixing plate, a limiting plate is arranged at one end of each traction strip, the other end of each traction strip is reversely bent to form a traction arm, a gap is arranged between each traction arm and each traction strip, and ratchets are arranged on the upper side face of each traction strip, the auxiliary fixing plate is provided with a plurality of strip-shaped grooves which correspond to the clamping teeth on the inner side of the limiting buckle, the middle position of the traction strip is provided with a telescopic groove and transversely penetrates through the traction strip, the supporting arm is arranged in the telescopic groove, one end of the supporting arm is connected with the traction strip, a gap is arranged between the other end of the supporting arm and the wall of the telescopic groove, the main fixing plate, the limiting buckle and the guide frame are integrally formed, the auxiliary fixing plate, the limiting buckle and the guide frame are integrally formed, the bending groove is three fourths of the thickness of the main fixing plate, the surface, provided with adhesive glue, of the main fixing plate is provided with a plurality of strip-shaped grooves which are positioned below the plurality of bending grooves on the main fixing plate in a one-to-one correspondence manner, and the surface, provided with the adhesive glue, of the auxiliary fixing plate is provided with a plurality of strip-shaped grooves which are positioned below the plurality of bending grooves on the auxiliary fixing plate in a one-to-one correspondence manner.
When the traction device is used, in an initial state, the traction strips are drawn out from the limit buckles, when a wound at a joint position is sutured, the release paper is firstly torn off from the main fixing plate and the auxiliary fixing plate, then the main fixing plate and the auxiliary fixing plate are respectively fixed at the joint position through adhesive glue and are respectively positioned at two sides of the wound, then the traction strips sequentially penetrate through the two corresponding limit buckles on the main fixing plate and the auxiliary fixing plate, the limit plate at one end of the traction strips limits the traction strips, the support arms on the traction strips are contacted with the auxiliary fixing plate to support ratchets at the middle positions of the traction strips, then the traction strips are pulled through the traction arms, the traction arms drive the traction strips to move along the limit buckles, and then the main fixing plate and the auxiliary fixing plate are pulled to tighten the main fixing plate and the auxiliary fixing plate, and the main fixing plate and the auxiliary fixing plate respectively drive skins at two sides of the wound to tighten, the wound is further closed, the wound is sewn, the ratchet on the traction strip and the clamping teeth on the inner side of the limiting buckle are clamped together, the traction strip is fixed, when the joint is bent, the main fixing plate and the auxiliary fixing plate are bent to a certain degree along with the bending of the joint through the bending grooves, the ratchet in the middle of the traction strip can stretch to a certain degree along with the bending of the joint, and therefore space can be provided for two sides of the wound to stretch when the joint is bent, and the wound is prevented from being squeezed;
when the wound is closed, the two sides of the wound at the joint position are attached and sewn inwards.
Has the beneficial effects.
Firstly, when the joint bends, the wound at the joint position can be sutured.
And secondly, when the wound is bent, the expansion amount can be provided for the expansion of the skin on two sides of the wound, and the wound is prevented from being forcedly extruded.
Thirdly, the pulling and sewing can be carried out by matching with the threading.
Fourthly, multi-point sewing and traction are performed, and the stability is improved.
Drawings
Fig. 1 is a perspective view of a wound stapler for joint location according to the present invention.
Fig. 2 is a perspective view of a retractor for use in a joint site according to the present invention, showing only the construction of the retractor in perspective.
In the attached drawings
Wherein the parts are: main fixed plate 1, spacing buckle 2, tractive arm 3, tractive strip 4, ratchet 5, limiting plate 6, assistance fixed plate 7, leading truck 8, from type paper 9, adhesive 10, bending groove 11, support arm 12.
The specific implementation mode is as follows:
the invention relates to a wound stitching instrument for joint positions, which consists of a main fixing plate 1, a limiting buckle 2, a traction arm 3, a traction strip 4, a ratchet 5, a limiting plate 6, an auxiliary fixing plate 7, a guide frame 8, release paper 9, adhesive glue 10, bending grooves 11 and a support arm 12, wherein the main fixing plate 1 is arranged on the release paper 9, the auxiliary fixing plate 7 is arranged on the release paper 9 and is parallel to the main fixing plate 1, a distance is arranged between the main fixing plate 1 and the auxiliary fixing plate 7, a plurality of bending grooves 11 are equidistantly arranged on the main fixing plate 1, the bending grooves 11 extend from one side of the main fixing plate 1 to the other side, a plurality of bending grooves 11 are equidistantly arranged on the auxiliary fixing plate 7 and correspond to the bending grooves 11 on the main fixing plate 1 one by one, the bending grooves 11 extend from one side of the auxiliary fixing plate 7 to the other side, the adhesive glue 10 is arranged on the main fixing plate 1, the auxiliary fixing plate 7 is provided with adhesive 10 and is arranged between the auxiliary fixing plate 1 and the release paper 9, the adhesive 10 is of a net structure, the main fixing plate 1 is made of plastic materials, the auxiliary fixing plate 7 is made of plastic materials, a plurality of limiting buckles 2 are respectively arranged on the main fixing plate 1 and staggered with bending grooves 11 on the main fixing plate 1, the limiting buckles 2 are respectively arranged on the auxiliary fixing plate 7 and correspond to the limiting buckles 2 on the main fixing plate 1 one by one, the limiting buckles 2 are of a U-shaped structure, clamping teeth are arranged on the inner sides of the limiting buckles, a plurality of guide frames 8 are arranged on the main fixing plate 1, a plurality of guide frames 8 are arranged on the auxiliary fixing plate 7 and staggered with the guide frames 8 on the main fixing plate 1, the traction strips 4 sequentially penetrate through the corresponding limiting buckles 2 on the main fixing plate 1 and the auxiliary fixing plate 7, a limiting plate 6 is arranged at one end of the traction strip 4, the other end of the traction strip 4 is reversely bent to form a traction arm 3, a gap is arranged between the traction arm 3 and the traction strip 4, a ratchet 5 is arranged on the upper side surface of the traction strip 4 and corresponds to a latch on the inner side of the limiting buckle 2, a telescopic groove is arranged in the middle of the traction strip 4 and transversely penetrates through the traction strip 4, a supporting arm 12 is arranged in the telescopic groove, one end of the supporting arm is connected with the traction strip 4, a gap is arranged between the other end of the supporting arm 12 and the wall of the telescopic groove, the main fixing plate 1, the limiting buckle 2 and the guide frame 8 are integrally formed, the auxiliary fixing plate 7, the limiting buckle 2 and the guide frame 8 are integrally formed, the bending grooves 11 are three quarters of the thickness of the main fixing plate 1, a plurality of strip-shaped grooves are arranged on the surface of the main fixing plate 1 with the adhesive 10, and are correspondingly arranged below the plurality of bending grooves 11 on the main fixing plate 1 one by one, the surface of the auxiliary fixing plate 7 with the adhesive 10 is provided with a plurality of strip-shaped grooves which are correspondingly arranged below the plurality of bending grooves 11 on the auxiliary fixing plate 7.
When in use, in an initial state, the traction strip 4 is pulled out from the limit buckle 2, when a wound at a joint position is sutured, firstly, the release paper 9 is taken off from the main fixing plate 1 and the auxiliary fixing plate 7, then the main fixing plate 1 and the auxiliary fixing plate 7 are respectively stuck and fixed at the joint position through the adhesive 10 and are respectively positioned at two sides of the wound, then the traction strip 4 sequentially passes through the two corresponding limit buckles 2 on the main fixing plate 1 and the auxiliary fixing plate 7, the limit plate 6 at one end of the traction strip 4 limits the traction strip 4, the support arm 12 on the traction strip 4 is contacted with the auxiliary fixing plate 7 to support the ratchet 5 at the middle position of the traction strip 4, then the traction arms 3 pull a plurality of traction strips 4, the traction arms 3 drive the traction strip 4 to move along the limit buckle 2, and the traction strip 4 pulls the main fixing plate 1 and the auxiliary fixing plate 7, the main fixing plate 1 and the auxiliary fixing plate 7 are tightened, the main fixing plate 1 and the auxiliary fixing plate 7 respectively drive skins on two sides of a wound to be tightened, then the wound is closed, sewing of the wound is achieved, the ratchet 5 on the traction strip 4 and the clamping teeth on the inner sides of the limiting buckles 2 are clamped together, the traction strip 4 is fixed, when the joint is bent, the main fixing plate 1 and the auxiliary fixing plate 7 are bent to a certain degree along with bending of the joint through the bending grooves 11, the ratchet 5 in the middle of the traction strip 4 can stretch to a certain degree along with bending of the joint, then space is provided for two sides of the wound to stretch when the joint is bent, and extrusion of the wound is avoided;
when the length of the invention is not enough, the main fixing plate 1 and the auxiliary fixing plate 7 can be connected through the guide frame 8, so that the length of the invention is increased, and the invention is suitable for wounds with different sizes;
a certain distance is arranged between the main fixing plate 1 and the auxiliary fixing plate 7, so that the situation that the disassembly of the main fixing plate 1 and the auxiliary fixing plate 7 is influenced due to the fact that the adhesive 10 on the main fixing plate 1 and the auxiliary fixing plate 7 are bonded together is avoided;
the bending groove 11 extends from one side of the main fixing plate 1 to the other side of the main fixing plate 1, so that the main fixing plate 1 can be bent at the bending groove 11, bending change can be performed according to bending of joints, and extrusion wound is avoided;
the bending groove 11 extends from one side of the auxiliary fixing plate 7 to the other side of the auxiliary fixing plate, so that the auxiliary fixing plate 7 can be bent at the position of the bending groove 11, bending change can be performed according to the bending of the joint, and extrusion wound is avoided;
the adhesive 10 is designed to be of a net structure, can deform to a certain degree along with the bending of joints, and further has a better adhering and fixing effect with a body;
the main fixing plate 1 is made of a plastic material, and the auxiliary fixing plate 7 is made of a plastic material, has certain hardness, and can be used for drawing and closing two sides of a wound to suture the wound;
the middle position of the traction strip 4 is provided with a telescopic groove, and the traction strip 4 is transversely penetrated through, so that the ratchet 5 at the middle position of the traction strip 4 is a thin sheet, further the stretching can be performed to a certain degree, and a certain space is provided for two sides of a wound to stretch;
the supporting arm 12 is arranged in the telescopic groove, and one end of the supporting arm is connected with the traction strip 4, so that the supporting arm can support the ratchet 5 at the middle position of the traction strip 4 and is attached to the main fixing plate 1 and the auxiliary fixing plate 7 for guiding;
the main fixing plate 1, the limiting buckle 2 and the guide frame 8 are integrally formed, and the auxiliary fixing plate 7, the limiting buckle 2 and the guide frame 8 are integrally formed, so that the overall strength can be increased, and the sewing stability can be improved;
the bending groove 11 is designed to be three-quarters of the thickness of the main fixing plate 1, so that the bending groove 11 is deeper, the main fixing plate 1 at the position of the bending groove 11 is thinner, and the bending is easier;
the surface of the main fixing plate 1 with the adhesive 10 is provided with a plurality of strip-shaped grooves, and the strip-shaped grooves are correspondingly arranged below the bending grooves 11 on the main fixing plate 1 one by one and can be matched with the bending grooves 11 on the main fixing plate 1, so that the force required by bending the main fixing plate 1 is further reduced;
the surface of the auxiliary fixing plate 7 with the adhesive 10 is provided with a plurality of strip-shaped grooves, and the auxiliary fixing plate is correspondingly arranged below the bending grooves 11 on the auxiliary fixing plate 7 one by one and can be matched with the bending grooves 11 on the auxiliary fixing plate 7, so that the force required by bending the auxiliary fixing plate 7 is further reduced;
the traction strips 4 are matched with the ratchets 5, so that the main fixing plate 1 and the auxiliary fixing plate 7 can be tightened, and the wound can be tightened and closed;
the ratchet 5 is matched with the supporting arm 12, so that the ratchet 5 has a certain telescopic amount, and further can be telescopic for a certain length according to the bending of the joint, and a stretching space is provided for a wound;
the ratchet 5 is matched with the bending groove 11, so that stretching spaces can be provided for multiple directions, and the wound is prevented from being extruded;
the traction strip is pulled to enable the main fixing plate 1 and the auxiliary fixing plate 7 to contract, so that the skin on two sides of the wound can be pulled through the main fixing plate 1 and the auxiliary fixing plate 7 to contract and close the wound, and suture is realized;
when the joint is bent, the main fixing plate 1 and the auxiliary fixing plate 7 are bent at the bending groove 11, and the middle part of the ratchet 5 is telescopic, so that a certain stretching space can be provided for two sides of a wound, and the wound is prevented from being squeezed, and the wound recovery is prevented from being influenced;
when the wound is closed, the two sides of the wound at the joint position are attached and sewn inwards.