CN110584730A - Pouch stitching device - Google Patents

Pouch stitching device Download PDF

Info

Publication number
CN110584730A
CN110584730A CN201910800374.4A CN201910800374A CN110584730A CN 110584730 A CN110584730 A CN 110584730A CN 201910800374 A CN201910800374 A CN 201910800374A CN 110584730 A CN110584730 A CN 110584730A
Authority
CN
China
Prior art keywords
hole
suture
needle
clamp
sides
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
CN201910800374.4A
Other languages
Chinese (zh)
Other versions
CN110584730B (en
Inventor
李平昂
王晓松
张帆
谭陈俊
石彦
余佩武
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.)
Nanfang Hospital
First Affiliated Hospital of PLA Military Medical University
Original Assignee
First Affiliated Hospital of PLA Military Medical University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of PLA Military Medical University filed Critical First Affiliated Hospital of PLA Military Medical University
Priority to CN201910800374.4A priority Critical patent/CN110584730B/en
Publication of CN110584730A publication Critical patent/CN110584730A/en
Application granted granted Critical
Publication of CN110584730B publication Critical patent/CN110584730B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482Needle or suture guides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/10Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/14Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
    • A61B90/17Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1142Purse-string sutures

Abstract

The invention discloses a pouch stitching device, which comprises: u type presss from both sides, spring leaf, sewing needle, suture and resetting means, the U type presss from both sides to be a plurality ofly, the spring leaf is connected adjacent two the U type presss from both sides, makes a plurality ofly the U type presss from both sides to enclose and forms not confined ring, the U type presss from both sides including two cantilevers and connects two the linking arm of cantilever, be provided with the second through-hole on the linking arm, resetting means sets up in the second through-hole, can overcome the spring force of spring leaf makes a plurality ofly the U type presss from both sides and arranges on a straight line, be provided with first through-hole on the cantilever, the sewing needle sets up in the first through-hole, the suture is connected the sewing needle. The purse-string suture device provided by the invention can quickly finish purse-string suture, ensures uniform needle pitch of a suture needle, improves purse-string suture quality and reduces the workload of an operating doctor.

Description

Pouch stitching device
Technical Field
The invention relates to the technical field of surgical suturing devices, in particular to a pouch suturing device.
Background
Acute appendicitis is a common disease in general surgery and is the most common acute abdominal disease, and appendectomy should be performed early once most of acute appendicitis is diagnosed. After the appendix is removed, the wall of the blind intestine is intermittently sutured at the root of the appendix by using needle holders, suture needles and sutures, and a purse-string suture is made. The stitch length of the suture needle should be uniform, so as to avoid uneven stress of tissues and poor quality of a purse string when the suture is tightened. If the weight of the purse string is poor and cecal edema occurs, the intestinal wall tissue is more brittle and the suture can not be hung, thereby forming crack injury and bringing unnecessary loss and pain to patients. Appendectomy is generally performed under an laparoscope, the incision is small, the abdominal cavity is deep, the needle distance of a suture needle is required to be uniform, the operation is complex, the operation time is long, and the operation difficulty of an operator is high.
Disclosure of Invention
The invention aims to provide a pouch suture device which is used for rapidly finishing pouch suture, ensuring the uniform needle pitch of a suture needle, improving the quality of pouch suture and reducing the workload of an operating doctor.
In order to achieve the above object, the present invention provides a purse string device comprising: u type presss from both sides, spring leaf, sewing needle, suture and resetting means, the U type presss from both sides to be a plurality ofly, the spring leaf is connected adjacent two the U type presss from both sides, makes a plurality ofly the U type presss from both sides to enclose and forms not confined ring, the U type presss from both sides including two cantilevers and connects two the linking arm of cantilever, be provided with the second through-hole on the linking arm, resetting means sets up in the second through-hole, can overcome the spring force of spring leaf makes a plurality ofly the U type presss from both sides and arranges on a straight line, be provided with first through-hole on the cantilever, the sewing needle sets up in the first through-hole, the suture is connected the sewing needle.
Optionally, the clamping opening of the U-shaped clamp points to the center of the circular ring.
Optionally, the suture needle is an arc needle, and the radius of the suture needle is equal to the radius of the circle where the first through hole is located.
Optionally, the arc length of the suture needle is greater than the sum of the length of the spring plate and the length of the U-shaped clamp.
Optionally, the resetting device is a mandrel, and the mandrel is arranged in the second through hole.
Optionally, the resetting means is for opening the acting as go-between, it sets up to open the acting as go-between in the second through-hole, ring one end be provided with the fastener on the U type clamp, stretch-draw line one end is connected the fastener, the stretch-draw line other end is connected the ring other end the U type clamp.
Optionally, the wire clamp includes: the clamp comprises a clamp seat, a clamp body, a reset spring and a plug, wherein the clamp seat is arranged on a cantilever of a U-shaped clamp, the clamp seat comprises a center hole, the clamp body is arranged in the center hole, the reset spring is arranged at one end of the clamp body, the plug is arranged in the center hole and fixedly connected with the clamp seat, a wire hole is formed in the clamp body, one end of the reset spring is extended out of the center hole, and the clamp body can release clamping in the wire hole to stretch and pull a wire.
Optionally, the purse-string suture device further comprises a flexible needle disposed between the suture needle and the suture.
Optionally, a silica gel pad is arranged between the two adjacent U-shaped clamps, and a third through hole is arranged on the silica gel pad at a position corresponding to the first through hole to guide the suture needle and the flexible needle.
The invention provides a pouch suture device, comprising: u type presss from both sides, spring leaf, sewing needle, suture and resetting means, the U type presss from both sides to be a plurality ofly, the spring leaf is connected adjacent two the U type presss from both sides, makes a plurality ofly the U type presss from both sides to enclose and forms not confined ring, the U type presss from both sides including two cantilevers and connects two the linking arm of cantilever, be provided with the second through-hole on the linking arm, resetting means sets up in the second through-hole, can overcome the spring force of spring leaf makes a plurality ofly the U type presss from both sides and arranges on a straight line, be provided with first through-hole on the cantilever, the sewing needle sets up in the first through-hole, the suture is connected the sewing needle. The U-shaped clamp clamps tissues, so that the stitch length of the suture needle is uniform, and the suture quality is good; the U-shaped clamp is unfolded into a straight line through the resetting device and is placed into the abdominal cavity of a patient through a tiny wound, so that the patient has small wound, light pain and quick recovery. The purse-string suture device provided by the invention can quickly finish purse-string suture, ensures uniform needle pitch of a suture needle, improves purse-string suture quality and reduces the workload of an operating doctor.
Drawings
FIG. 1 is a schematic view of a purse-string device according to an embodiment of the invention;
FIG. 2 is a schematic view of a purse-string device according to one embodiment of the invention;
FIG. 3 is a schematic view of the clamp of the purse string device according to one embodiment of the invention;
FIG. 4 is a schematic view of another embodiment of a purse-string device according to the present invention.
Wherein: 1-U-shaped clamp, 101-first through hole, 102-second through hole, 2-spring leaf, 3-suture needle, 4-suture, 5-mandrel, 61-clamp seat, 62-clamp body, 621-thread hole, 63-reset spring, 64-plug, 7-tension stay wire, 8-silica gel pad and 9-flexible needle.
Detailed Description
The following describes in more detail embodiments of the present invention with reference to the schematic drawings. Advantages and features of the present invention will become apparent from the following description and claims. It is to be noted that the drawings are in a very simplified form and are not to precise scale, which is merely for the purpose of facilitating and distinctly claiming the embodiments of the present invention.
The present invention provides a purse string suture device, fig. 1 is a schematic view of a use state of the purse string suture device according to an embodiment of the present invention, fig. 2 is a schematic view of the purse string suture device according to an embodiment of the present invention, as shown in fig. 1 and fig. 2, the purse string suture device includes: u type presss from both sides 1, spring leaf 2, sewing needle 3, suture 4 and resetting means, U type presss from both sides 1 and is a plurality of, spring leaf 2 connects adjacent two U type presss from both sides 1, makes a plurality ofly U type presss from both sides 1 and surrounds formation unenclosed ring, U type 1 presss from both sides including two cantilevers and connects two the linking arm of cantilever, be provided with second through-hole 102 on the linking arm, resetting means sets up in the second through-hole 102, resetting means can overcome spring leaf 2's spring force makes a plurality ofly U type presss from both sides 1 expandes into a straight line, be provided with first through-hole 101 on the cantilever, sewing needle 3 sets up in the first through-hole 101, suture 4 is connected the sewing needle.
Referring to fig. 1 and 2, the spring plate 2 is fixedly connected with one end of the cantilever far away from the connecting arm. The clamping opening of the U-shaped clamp 1 points to the circle center of the circular ring. The sewing needle 3 is an arc-shaped needle, and the radius of the sewing needle 3 is equal to the radius of the circle where the first through hole 101 is located. The arc length of the suture needle 3 is larger than the sum of the length of the spring piece 2 and the length of the U-shaped clamp 1. The plurality of first through holes 101 of the cantilever form a circular channel in which the suture needle 3 is disposed. The entry end orifice of the suture needle 3 of the first through hole 101 is chamfered to facilitate the passage of the suture needle 3. The resetting device is a mandrel 5, and the mandrel 5 is arranged in the second through hole 102.
When the purse-string suture device is used, the plurality of U-shaped clamps 1 are straightened through the mandrel 5, the U-shaped clamps 1 are implanted into the abdominal cavity of a patient through a tiny wound of the abdominal cavity of the patient, the mandrel 5 is drawn out, the U-shaped clamps 1 hoop the appendix stump under the action of the spring piece 2, the appendix stump tissue is extruded into a clamping opening of the U-shaped clamps 1, the needle holding forceps are used for clamping the suture needle 3 to penetrate through the first through hole 101, so that the appendix stump is uniformly sutured by the stitches of the stitches 4, then the stitches 4 are tightened to embed the appendix stump, finally the mandrel 5 is inserted back into the second through hole 102, and the purse-string suture device is taken out from the tiny wound of the. The purse-string suture device provided by the invention clamps the appendix stump through the U-shaped clamp 1, and then the suture is performed by using the suture needle 3, so that the stitch length of the suture 4 is uniform, and the suture quality is good; the U-shaped clamp is straightened by the mandrel 5 and is implanted into the abdominal cavity of a patient through a tiny wound of the abdominal cavity of the patient, so that the wound of the patient is small, the pain is light, and the recovery is fast.
Fig. 3 is a schematic diagram of a wire clamp of a purse-string suture device according to an embodiment of the present invention, and referring to fig. 1 and fig. 3, the resetting device may further be a tension wire 7, the tension wire 7 is disposed in the second through hole 102, a wire clamp is disposed on the U-shaped clamp 1 at one end of the circular ring, one end of the tension wire 7 is connected to the wire clamp, and the other end of the tension wire is connected to the U-shaped clamp 1 at the other end of the circular ring. The fastener includes: the clamp seat 61 is arranged on a cantilever of the U-shaped clamp 1, the clamp seat 61 comprises a central hole, the clamp body 62 is arranged in the central hole, the reset spring 63 is arranged at one end of the clamp body 62, and the plug is arranged in the central hole and fixedly connected with the clamp seat 61 to seal the reset spring 63 in the central hole. The clamp body 62 is provided with a wire hole 621, and one end of the clamp body 62, which is far away from the reset spring 63, extends out of the central hole, so that the tension wire 7 clamped in the wire hole 621 can be released by pressing the clamp body 62.
Further, fig. 4 is a schematic view of a state of use of another purse-string suture device provided by an embodiment of the invention, referring to fig. 4, the purse-string suture device further comprises a flexible needle 9, and the flexible needle 9 is arranged between the suture needle 3 and the suture 4. A silica gel pad 8 is arranged between every two adjacent U-shaped clamps 1, and a third through hole is arranged on the silica gel pad 8 corresponding to the first through hole 101 to guide the sewing needle 3 and the flexible needle 8. When the purse-string suture device is used, the suture needle 3 is pushed through the flexible needle 8, the suture needle 3 does not need to be clamped by a needle holder to suture needle by needle, and the workload of an operating doctor is reduced.
In summary, in an embodiment of the present invention, a purse-string device includes: u type presss from both sides 1, spring leaf 2, sewing needle 3, suture 4 and resetting means, U type presss from both sides 1 and is a plurality of, spring leaf 2 connects adjacent two U type presss from both sides 1, makes a plurality ofly U type presss from both sides 1 and surrounds formation unenclosed ring, U type 1 presss from both sides including two cantilevers and connects two the linking arm of cantilever, be provided with second through-hole 102 on the linking arm, resetting means sets up in the second through-hole 102, resetting means can overcome spring leaf 2's spring force makes a plurality ofly U type presss from both sides 1 expandes into a straight line, be provided with first through-hole 101 on the cantilever, sewing needle 3 sets up in the first through-hole 101, suture 4 is connected the sewing needle. The purse-string suture device provided by the invention can quickly finish purse-string suture, ensures uniform needle pitch of a suture needle, improves purse-string suture quality and reduces the workload of an operating doctor.
The above description is only a preferred embodiment of the present invention, and does not limit the present invention in any way. It will be understood by those skilled in the art that various changes, substitutions and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims.

Claims (9)

1. A purse string device, comprising: u type presss from both sides, spring leaf, sewing needle, suture and resetting means, the U type presss from both sides to be a plurality ofly, the spring leaf is connected adjacent two the U type presss from both sides, makes a plurality ofly the U type presss from both sides to enclose and forms not confined ring, the U type presss from both sides including two cantilevers and connects two the linking arm of cantilever, be provided with the second through-hole on the linking arm, resetting means sets up in the second through-hole, can overcome the spring force of spring leaf makes a plurality ofly the U type presss from both sides and arranges on a straight line, be provided with first through-hole on the cantilever, the sewing needle sets up in the first through-hole, the suture is connected the sewing needle.
2. The purse string device according to claim 1, wherein the mouth of the clevis points towards the center of the ring.
3. The purse-string device according to claim 1, wherein the suture needle is an arcuate needle having a radius equal to a radius of the circle in which the first through hole is located.
4. The purse string device according to claim 3, wherein the arcuate length of the needle is greater than the sum of the spring length and the clevis length.
5. The purse string device according to claim 1, wherein the resetting device is a mandrel disposed within the second through hole.
6. The purse string device according to claim 1, wherein the resetting device is a tension wire, the tension wire is disposed in the second through hole, a wire clamp is disposed on the U-shaped clamp at one end of the circular ring, one end of the tension wire is connected with the wire clamp, and the other end of the tension wire is connected with the U-shaped clamp at the other end of the circular ring.
7. The purse string device of claim 6, wherein the clip comprises: the clamp comprises a clamp seat, a clamp body, a reset spring and a plug, wherein the clamp seat is arranged on a cantilever of a U-shaped clamp, the clamp seat comprises a center hole, the clamp body is arranged in the center hole, the reset spring is arranged at one end of the clamp body, the plug is arranged in the center hole and fixedly connected with the clamp seat, a wire hole is formed in the clamp body, one end of the reset spring is extended out of the center hole, and the clamp body can release clamping in the wire hole to stretch and pull a wire.
8. The purse-string device according to claim 1, further comprising a flexible needle disposed between the suture needle and the suture.
9. The purse string device according to claim 8, wherein a silicone pad is arranged between two adjacent U-shaped clamps, and a third through hole is arranged on the silicone pad at a position corresponding to the first through hole to guide the suture needle and the flexible needle.
CN201910800374.4A 2019-08-28 2019-08-28 Pouch stitching device Active CN110584730B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910800374.4A CN110584730B (en) 2019-08-28 2019-08-28 Pouch stitching device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910800374.4A CN110584730B (en) 2019-08-28 2019-08-28 Pouch stitching device

Publications (2)

Publication Number Publication Date
CN110584730A true CN110584730A (en) 2019-12-20
CN110584730B CN110584730B (en) 2020-08-14

Family

ID=68856009

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910800374.4A Active CN110584730B (en) 2019-08-28 2019-08-28 Pouch stitching device

Country Status (1)

Country Link
CN (1) CN110584730B (en)

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4917114A (en) * 1986-10-17 1990-04-17 United States Surgical Corporation Surgical fastener and surgical stapling apparatus
US6923819B2 (en) * 2001-06-14 2005-08-02 Suturtek Incorporated Apparatus and method for surgical suturing with thread management
CN1839764A (en) * 2005-03-31 2006-10-04 伊西康内外科公司 Suturing device
CN101015467A (en) * 2006-02-07 2007-08-15 上海市第一人民医院 Full-automatic suturing equipment for surgical operation
CN201370607Y (en) * 2009-03-11 2009-12-30 吴伟敏 Wire arranging coil used for heart surgery
CN102085109A (en) * 2009-12-02 2011-06-08 郭宏伟 Thread suspending device for cardiovascular surgery
CN203388900U (en) * 2013-08-13 2014-01-15 陈华 Achilles tendon stitching instrument
CN204293216U (en) * 2014-08-14 2015-04-29 南通华尔康医疗科技股份有限公司 Tubing ligation clip in a kind of novel body
US20190209161A1 (en) * 2010-10-01 2019-07-11 Endoevolution, Llc Devices and methods for minimally invasive suturing

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4917114A (en) * 1986-10-17 1990-04-17 United States Surgical Corporation Surgical fastener and surgical stapling apparatus
US6923819B2 (en) * 2001-06-14 2005-08-02 Suturtek Incorporated Apparatus and method for surgical suturing with thread management
CN1839764A (en) * 2005-03-31 2006-10-04 伊西康内外科公司 Suturing device
JP2006280943A (en) * 2005-03-31 2006-10-19 Ethicon Endo Surgery Inc Suturing device
CN101015467A (en) * 2006-02-07 2007-08-15 上海市第一人民医院 Full-automatic suturing equipment for surgical operation
CN201370607Y (en) * 2009-03-11 2009-12-30 吴伟敏 Wire arranging coil used for heart surgery
CN102085109A (en) * 2009-12-02 2011-06-08 郭宏伟 Thread suspending device for cardiovascular surgery
US20190209161A1 (en) * 2010-10-01 2019-07-11 Endoevolution, Llc Devices and methods for minimally invasive suturing
CN203388900U (en) * 2013-08-13 2014-01-15 陈华 Achilles tendon stitching instrument
CN204293216U (en) * 2014-08-14 2015-04-29 南通华尔康医疗科技股份有限公司 Tubing ligation clip in a kind of novel body

Also Published As

Publication number Publication date
CN110584730B (en) 2020-08-14

Similar Documents

Publication Publication Date Title
TWI605842B (en) An apparatus for inserting a medical thread and a surgical procedure kit for inserting a medical thread comprising the same
US4950283A (en) Surgical clip
US20160106421A1 (en) A shaft-pushed fastenable suture
BR112014015874B1 (en) SUTURE SET, METHOD OF MANUFACTURING A SUTURE SET, OPERATING KIT AND OPERATING DEVICE
WO2019231114A1 (en) Method for manufacturing suture anchors by using suture, and suture anchors manufactured thereby
CN110584730B (en) Pouch stitching device
CN107019531A (en) A kind of laparoscopic needle
CN109620322A (en) A kind of fixed stamp card with myometrial suture function
CN210871789U (en) Achilles tendon stitching instrument
CN106725672A (en) Abdomen wall sewing device and its application method
EP3285658A1 (en) Fusible biodegradable sutures utilizing tissue soldering technology
CN215273032U (en) Medical anchor with wire
WO2020078264A1 (en) Small lumen anastomat and use method therefor
CN205795748U (en) Knotting line group is sewed up under the mirror of chamber
CN109171945A (en) Abdominal-cavity minimal-invasion surgery set pricks traction appliance
CN214387558U (en) Operation suture needle and operation forceps with suture function
CN209713017U (en) A kind of fixed stamp card with myometrial suture function
KR20140120720A (en) Embedding therapy tool
CN209332147U (en) A kind of sewing needle for laparoscopic surgery
CN112998788A (en) Suturing instrument for temporomandibular joint disc anchoring operation
CN112890929A (en) Abdominal cavity puncture suturing device
CN208193376U (en) A kind of auxiliary instrument for anal-surgery
CN207654206U (en) Anal fistula orients hanging wire cord holder
CN113244020B (en) Preparation method of double-hole bag drag hook
CN215503728U (en) Single-hole bag retractor device

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant