CN111317523A - Knotter - Google Patents

Knotter Download PDF

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Publication number
CN111317523A
CN111317523A CN201811528092.5A CN201811528092A CN111317523A CN 111317523 A CN111317523 A CN 111317523A CN 201811528092 A CN201811528092 A CN 201811528092A CN 111317523 A CN111317523 A CN 111317523A
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CN
China
Prior art keywords
punching
punch
shearing
shear
knotter
Prior art date
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Granted
Application number
CN201811528092.5A
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Chinese (zh)
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CN111317523B (en
Inventor
马志伟
张志武
可大年
马帅
谢保岐
周庆亮
孟坚
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Beijing Med Zenith Medical Scientific Co Ltd
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Beijing Med Zenith Medical Scientific Co Ltd
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Priority to CN201811528092.5A priority Critical patent/CN111317523B/en
Publication of CN111317523A publication Critical patent/CN111317523A/en
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Publication of CN111317523B publication Critical patent/CN111317523B/en
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    • 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
    • A61B2017/0496Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures

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  • 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 invention provides a knotter, comprising: a tubular member; the punching and shearing mechanism is arranged in the tubular part and comprises a first punching and shearing part and a second punching and shearing part, an operation cavity is arranged between the first punching and shearing part and the second punching and shearing part and comprises a punching cavity section and a shearing cavity section, the punching cavity section can accommodate a clamping part, and the inner wall of the shearing cavity section is provided with a shearing edge; a transmission member movably arranged in the tubular member, wherein the transmission member can drive at least one of the first punching shear member and the second punching shear member to move so as to open or close the operation cavity; in the process of closing the operation cavity, the inner wall of the punching cavity section can press the clamping piece, so that the clamping piece deforms to clamp the suture thread penetrating in the clamping piece, and the cutting edge of the cutting cavity section can cut off the redundant suture thread outside the clamping piece. Through the technical scheme provided by the invention, the problems that the operation of shearing the suture line by the knotter is inconvenient and the manufacturing cost is high in the prior art can be solved.

Description

Knotter
Technical Field
The invention relates to the technical field of medical instruments, in particular to a knotter.
Background
In recent years, with the development of surgical instruments and cardiac surgical techniques, minimally invasive surgery has become a hot point for the development of various surgical departments. The minimally invasive surgery has the characteristics of small incision and quick recovery, and simultaneously requires operators to realize simple and quick postoperative suturing and knotting operations in the minimally invasive surgery environment. The knotting methods used clinically include two methods, i.e., manual knotting and instrumental knotting.
The conventional knotters for surgical use generally clamp a suture by plastically deforming a clamping head or a clamping member and then cut the suture by a cutting blade or a shearing blade. The defects of the cutting mode are as follows: when the cutting knife is used for cutting, firstly, the cutting knife is required to have higher sharpness, the cutting edge of the cutting knife made of common materials is easy to damage, and secondly, the suture line is required to be in a tightening state, the loose suture line is difficult to cut when the blade is conveyed; when the cutting knife is used, although the situation that the blade is not easy to cut loose sutures is improved, and the requirement on the sharpness of the blade edge is lowered, the handle of the cutting knife is propped open by the elastic piece, the part of the blade edge is kept open, and then the handle closes the cutting knife under the extrusion of the transmission rod so as to cut the sutures. The cutting mode of the shearing knife has high requirements on the compression strength and the processing precision of the elastic part of the handle, and the elastic part has the problems of loose connection and the like.
Disclosure of Invention
The invention provides a knotter, which aims to solve the problems that the operation of cutting a suture line by the knotter in the prior art is inconvenient and the manufacturing cost is high.
In order to solve the above problems, the present invention provides a knotter comprising: a tubular member; the punching and shearing mechanism is arranged in the tubular part and comprises a first punching and shearing part and a second punching and shearing part, an operation cavity is arranged between the first punching and shearing part and the second punching and shearing part and comprises a punching cavity section and a shearing cavity section, the punching cavity section can accommodate a clamping part, and the inner wall of the shearing cavity section is provided with a shearing edge; a transmission member movably arranged in the tubular member, wherein the transmission member can drive at least one of the first punching shear member and the second punching shear member to move so as to open or close the operation cavity; in the process of closing the operation cavity, the inner wall of the punching cavity section can press the clamping piece, so that the clamping piece is deformed to clamp the suture thread penetrating in the clamping piece, and the cutting edge of the cutting cavity section can cut off the suture thread.
Furthermore, the first punching and shearing piece and the second punching and shearing piece are of an integral structure, and one end of the first punching and shearing piece, which is close to the transmission piece, is connected with one end of the second punching and shearing piece, which is close to the transmission piece.
Further, the shearing cavity section is located on one side of the stamping cavity section close to the transmission part, and the shearing edge comprises an upper edge and a lower edge which are matched with each other, wherein the upper edge is located on one of the first stamping and shearing part and the second stamping and shearing part, and the lower edge is located on the other one of the first stamping and shearing part and the second stamping and shearing part.
Furthermore, the inner wall of the punching cavity section is provided with a convex tooth and a concave groove which are matched with each other and are used for extruding the clamping piece, wherein the convex tooth is positioned on one of the first punching shear piece and the second punching shear piece, and the concave groove is positioned on the other of the first punching shear piece and the second punching shear piece.
Furthermore, the tubular member is provided with a threading hole, the suture thread passing through the clamping member can pass through the threading hole, and the shearing blade is used for shearing the suture thread between the clamping member and the threading hole.
Further, the knotter further comprises: the binding line part is arranged on the outer wall of the tubular part and used for guiding and limiting the suture line penetrating out of the threading hole.
Furthermore, the binding part is sleeved on the tubular part and is provided with a wire groove arranged along the axial direction of the tubular part, and the wire groove is used for guiding and limiting the suture.
Further, the knotter also comprises a clamping piece which is of a tubular structure, a first groove is formed in the side wall of the clamping piece, a second groove is formed in the side wall of the tubular piece, the second groove can correspond to the first groove, and the second groove and the first groove are used for penetrating a suture line.
Furthermore, a first positioning hole is formed in the tubular member, a second positioning hole is formed in the first punching and shearing member, the second positioning hole corresponds to the first positioning hole, a third positioning hole is formed in the clamping member, the third positioning hole can correspond to the second positioning hole, and the first positioning hole, the second positioning hole and the third positioning hole are used for penetrating through positioning pins so as to limit the position of the clamping member in the tubular member.
Furthermore, first punching shear piece and the inner wall butt of tubular piece, second punching shear piece and the inner wall of tubular piece have the clearance between, and the driving medium can round trip movement in the tubular piece, and the tip of driving medium can stretch into in the clearance and with second punching shear piece butt to drive second punching shear piece and remove towards first punching shear piece.
Further, the tubular member has an opening for passing the clamping member therethrough, and the size of the gap is gradually reduced in a direction from the transmission member to the opening.
Further, the knotter further comprises: and the driving mechanism is used for driving the driving piece to move back and forth in the tubular piece.
Further, the drive mechanism includes: a handle on which the tubular member is disposed; the trigger is movably arranged on the handle and is provided with an operating end and a driving end, the driving end is in driving connection with the transmission piece, and the operating end can rotate or translate to drive the driving end to move.
Further, the operation end has a pressing position and a free position, the operation cavity is closed when the operation end is located at the pressing position, and the operation cavity is opened when the operation end is located at the free position, and the driving mechanism further includes: one end of the elastic piece is connected with the trigger, the other end of the elastic piece is connected with the handle, and the elastic piece is used for enabling the operation end to return to a free position.
By applying the technical scheme of the invention, the operation cavity is arranged between the first punching shear piece and the second punching shear piece of the punching shear mechanism, wherein the inner wall of the punching cavity section is used for extruding the clamping piece to deform the clamping piece, and the shearing edge on the inner wall of the shearing cavity section is used for shearing the suture line, so that the clamping piece can be extruded by the punching cavity section and the suture line can be sheared by the shearing cavity section in the one-time closing process of the operation cavity. By adopting the scheme, the action process when the suture line is cut is simplified, so that the operation can be simplified, the cutting structure of the knotter is simplified, the manufacturing difficulty is reduced, and the manufacturing cost can be reduced.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the invention and, together with the description, serve to explain the invention and not to limit the invention. In the drawings:
fig. 1 is a schematic structural view illustrating a knotter according to an embodiment of the present invention;
FIG. 2 is a schematic diagram showing the construction of the punch and shear mechanism in the knotter of FIG. 1;
FIG. 3 shows a schematic view of the punch shear mechanism of FIG. 1 before squeezing the clamp;
FIG. 4 is a schematic diagram of the punch shear mechanism of FIG. 3 after squeezing the clamp members;
FIG. 5 shows a top view of FIG. 1;
fig. 6 shows a perspective view of the clamping part from fig. 3.
Wherein the figures include the following reference numerals:
10. a tubular member; 11. threading holes; 12. a first positioning hole; 13. a gap; 20. a punching and shearing mechanism; 21. a first punching shear member; 22. a second punching and shearing part; 23. an operating chamber; 24. cutting edges; 241. an upper blade; 242. a lower blade; 25. a convex tooth; 26. a groove; 27. a second positioning hole; 30. a clamping member; 31. a first slot; 32. a third positioning hole; 40. a transmission member; 50. a wire harness portion; 51. a wire slot; 60. a drive mechanism; 61. a handle; 62. a trigger; 63. an elastic member.
Detailed Description
The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. It is to be understood that the described embodiments are merely exemplary of the invention, and not restrictive of the full scope of the invention. The following description of at least one exemplary embodiment is merely illustrative in nature and is in no way intended to limit the invention, its application, or uses. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
As shown in fig. 1 to 6, an embodiment of the present invention provides a knotter, including: a tubular member 10; the punching and shearing mechanism 20 is arranged in the tubular part 10, the punching and shearing mechanism 20 comprises a first punching and shearing part 21 and a second punching and shearing part 22, an operation cavity 23 is arranged between the first punching and shearing part 21 and the second punching and shearing part 22, the operation cavity 23 comprises a punching cavity section and a shearing cavity section, the punching cavity section can accommodate a clamping part 30, and the inner wall of the shearing cavity section is provided with a shearing edge 24; a transmission member 40 movably arranged in the tubular member 10, the transmission member 40 being capable of driving at least one of the first shearing punch 21 and the second shearing punch 22 to move so as to open or close the operating chamber 23; during closing of the operating chamber 23, the inner wall of the punch chamber section can press against the clamping element 30, so that the clamping element 30 is deformed and clamps the suture thread passing through the clamping element 30, and the cutting edges 24 of the cutting chamber section can cut off the suture thread which is excess outside the clamping element 30.
By applying the technical solution of the present embodiment, an operation cavity 23 is provided between the first punching shear member 21 and the second punching shear member 22 of the punching shear mechanism 20, wherein an inner wall of the punching cavity section is used for pressing the clamping member 30 to deform the clamping member 30, and the cutting edge 24 on the inner wall of the cutting cavity section is used for cutting the suture, so that the operation cavity 23 can press the clamping member 30 through the punching cavity section and can also cut the suture through the cutting cavity section in one closing process. By adopting the scheme, the action process of the knotter when the suture line is cut is simplified, so that the operation can be simplified, the cutting structure of the knotter is simplified, the manufacturing difficulty is reduced, and the manufacturing cost can be reduced.
In the present embodiment, the first punching shear member 21 and the second punching shear member 22 are both of an integral structure, and one end of the first punching shear member 21 close to the transmission member 40 is connected to one end of the second punching shear member 22 close to the transmission member 40. The first punching shear part 21 and the second punching shear part 22 are arranged into an integral structure, so that the number of parts can be reduced, the manufacturing of the punching shear mechanism 20 is facilitated, and the processing precision and reliability are ensured. In the present embodiment, the entire punching shear mechanism 20 may be integrated. The punching mechanism 20 in this embodiment has a certain elasticity, so that the operating chamber 23 can be automatically restored to the open state by the elasticity after the clamping member 30 is pressed. The integral structure can be formed by die forming or machining. In this embodiment, the first shearing punching part 21 and the second shearing punching part 22 may be provided as a split structure, and the split structure may be processed by assembling methods such as welding, punching, riveting, and the like.
As shown in fig. 2, the cutting chamber section is located on the side of the punching chamber section adjacent to the transmission member 40, and the cutting edge 24 includes an upper edge 241 and a lower edge 242 which are matched to each other, wherein the upper edge 241 is located on one of the first punching shear member 21 and the second punching shear member 22, and the lower edge 242 is located on the other of the first punching shear member 21 and the second punching shear member 22. The suture may be cut easily and quickly by the cooperation of the upper and lower blades 241 and 242. Moreover, the suture line does not need to be specially tightened during cutting, and the operation is convenient.
Furthermore, the inner wall of the punching cavity section has a matching projection 25 and recess 26, which projection 25 and recess 26 are used to compress the clamping element 30, wherein the projection 25 is located on one of the first punch shearing element 21 and the second punch shearing element 22, and the recess 26 is located on the other of the first punch shearing element 21 and the second punch shearing element 22. As shown in FIG. 4, the clamping member 30 after being pressed is bent and deformed by the engagement of the protrusion 25 and the groove 26, so that the suture clips can be tightened to improve the reliability of the clamping member 30.
As shown in fig. 3 and 4, the tubular member 10 has a threading hole 11, and the suture thread passed through the clamping member 30 can be passed through the threading hole 11, and the cutting edge 24 is used to cut the suture thread between the clamping member 30 and the threading hole 11. The threading hole 11 facilitates the threading of the suture to tighten the suture position.
As shown in fig. 1 and 5, the knotter further includes: and the binding part 50 is arranged on the outer wall of the tubular member 10, and the binding part 50 is used for guiding and limiting the suture thread which passes through the threading hole 11. The suture thread passing through the threading hole 11 is easily guided and restrained by the thread binding part 50 to prevent the suture thread from being entangled or scattered. Further, the suture thread can be provided with a certain tension by the binding portion 50, and the suture thread can be easily cut by the cutting blade 24.
Specifically, the binding portion 50 is sleeved on the tubular member 10, the binding portion 50 is provided with a wire groove 51 arranged along the axial direction of the tubular member 10, and the wire groove 51 is used for guiding and limiting the suture. This allows the suture to be conveniently snapped into the raceway 51 in the axial direction of the tubular member 10 to guide and restrain the suture.
As shown in fig. 6, in the present embodiment, the knotter further includes a clamping member 30, the clamping member 30 is a tubular structure, a first slot 31 is provided on a side wall of the clamping member 30, a second slot is provided on a side wall of the tubular member 10, the second slot can correspond to the first slot 31, and the second slot and the first slot 31 are used for threading a suture. The first slot 31 and the second slot facilitate the suture to be threaded into the clamping member 30 with a smaller size, which is convenient to operate and saves time. The clamping member 30 in this embodiment may be made of a titanium alloy or other metallic material.
As shown in fig. 3 and 6, the tubular member 10 has a first positioning hole 12, the first punching member 21 has a second positioning hole 27, the second positioning hole 27 corresponds to the first positioning hole 12, the clamping member 30 has a third positioning hole 32, the third positioning hole 32 can correspond to the second positioning hole 27, and the first positioning hole 12, the second positioning hole 27 and the third positioning hole 32 are used for passing positioning pins to define the position of the clamping member 30 in the tubular member 10. With the above arrangement, it is possible to position the clamping member 30 using the positioning pins after inserting the clamping member 30 into the operating chamber 23 of the die cutting mechanism 20, to prevent the clamping member 30 from coming out of the die cutting mechanism 20 before pressing.
In this embodiment, the first punching shear member 21 abuts against the inner wall of the tubular member 10, the second punching shear member 22 has a gap 13 with the inner wall of the tubular member 10, the transmission member 40 can reciprocate in the tubular member 10, and the end of the transmission member 40 can extend into the gap 13 and abut against the second punching shear member 22 to drive the second punching shear member 22 to move towards the first punching shear member 21. This causes the second punch 22 to move towards the first punch 21 by abutment of the drive member 40 with the second punch 22, thereby closing the operating chamber 23 to compress the clip 30 and cut the suture.
In particular, the tubular element 10 has an opening for the passage of the clamping element 30, the size of the gap 13 decreasing progressively from the transmission element 40 towards the opening. In this way, the transmission element 40 can press the second punch 22 during insertion into the gap 13, so that the second punch 22 is moved toward the first punch 21. In this embodiment, the transmission member 40 may be provided in a rod-like structure.
In this embodiment, the knotter further comprises: a drive mechanism 60, the drive mechanism 60 being adapted to drive the transmission member 40 to and fro within the tubular member 10. The driving mechanism 60 is arranged to facilitate the movement of the driving transmission member 40, thereby facilitating the operation.
Specifically, as shown in fig. 1, the drive mechanism 60 includes: a handle 61, the tubular member 10 being disposed on the handle 61; a trigger 62 is movably disposed on the handle 61, the trigger 62 having an operating end and a driving end, the driving end being drivingly connected to the driving member 40, the operating end being rotatable or translatable to move the driving end. This allows the driving end to be moved by manually pressing or squeezing the operating end of the trigger 62, and then the driving end drives the driving member 40 to reciprocate in the tubular member 10, which in turn drives the punch mechanism 20 to move, thereby opening or closing the operating cavity 23. For example, the trigger 62 is hinged to the handle 61 to effect rotation, or the trigger 62 is slidably provided on the handle 61 to effect translation.
Further, the operation end has a pressing position where the operation chamber 23 is closed and a free position where the operation chamber 23 is open, and the driving mechanism 60 further includes: and an elastic member 63, one end of the elastic member 63 being connected to the trigger 62, the other end of the elastic member 63 being connected to the handle 61, the elastic member 63 being for restoring the operating end to a free position. By arranging the elastic member 63, the operating end of the punching and shearing mechanism 20 can automatically return to the free position after the clamping member 30 is pressed, and then the operating cavity 23 of the punching and shearing mechanism 20 returns to the open state under the action of the elasticity of the punching and shearing mechanism 20. This facilitates preparation for squeezing the other clamping member 30 for easy handling.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present application. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
The relative arrangement of the components and steps, the numerical expressions and numerical values set forth in these embodiments do not limit the scope of the present invention unless specifically stated otherwise. Meanwhile, it should be understood that the sizes of the respective portions shown in the drawings are not drawn in an actual proportional relationship for the convenience of description. Techniques, methods, and apparatus known to those of ordinary skill in the relevant art may not be discussed in detail but are intended to be part of the specification where appropriate. In all examples shown and discussed herein, any particular value should be construed as merely illustrative, and not limiting. Thus, other examples of the exemplary embodiments may have different values. It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, further discussion thereof is not required in subsequent figures.
In the description of the present invention, it is to be understood that the orientation or positional relationship indicated by the orientation words such as "front, rear, upper, lower, left, right", "lateral, vertical, horizontal" and "top, bottom", etc. are usually based on the orientation or positional relationship shown in the drawings, and are only for convenience of description and simplicity of description, and in the case of not making a reverse description, these orientation words do not indicate and imply that the device or element being referred to must have a specific orientation or be constructed and operated in a specific orientation, and therefore, should not be considered as limiting the scope of the present invention; the terms "inner and outer" refer to the inner and outer relative to the profile of the respective component itself.
Spatially relative terms, such as "above … …," "above … …," "above … …," "above," and the like, may be used herein for ease of description to describe one device or feature's spatial relationship to another device or feature as illustrated in the figures. It will be understood that the spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if a device in the figures is turned over, devices described as "above" or "on" other devices or configurations would then be oriented "below" or "under" the other devices or configurations. Thus, the exemplary term "above … …" can include both an orientation of "above … …" and "below … …". The device may be otherwise variously oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptors used herein interpreted accordingly.
It should be noted that the terms "first", "second", and the like are used to define the components, and are only used for convenience of distinguishing the corresponding components, and the terms have no special meanings unless otherwise stated, and therefore, the scope of the present invention should not be construed as being limited.

Claims (14)

1. A knotter, comprising:
a tubular member (10);
the punching and shearing mechanism (20) is arranged in the tubular part (10), the punching and shearing mechanism (20) comprises a first punching and shearing part (21) and a second punching and shearing part (22), an operation cavity (23) is arranged between the first punching and shearing part (21) and the second punching and shearing part (22), the operation cavity (23) comprises a punching cavity section and a shearing cavity section, the punching cavity section can accommodate a clamping part (30), and a shearing edge (24) is arranged on the inner wall of the shearing cavity section;
a transmission member (40) movably arranged in the tubular member (10), the transmission member (40) being capable of driving at least one of the first punch (21) and the second punch (22) to move so as to open or close the operating chamber (23);
during the closing of the operating chamber (23), the inner wall of the punching chamber section can press the clamping element (30) to deform the clamping element (30) so as to clamp the suture thread penetrating in the clamping element (30), and the cutting edge (24) of the cutting chamber section can cut the suture thread.
2. Knotter according to claim 1, characterized in that the first punch-shear element (21) and the second punch-shear element (22) are of one-piece construction, the end of the first punch-shear element (21) adjacent to the transmission element (40) being connected to the end of the second punch-shear element (22) adjacent to the transmission element (40).
3. The knotter of claim 1, wherein the cutting chamber section is located on a side of the punching chamber section adjacent to the transmission member (40), and the cutting edge (24) comprises an upper edge (241) and a lower edge (242) that are matched to each other, wherein the upper edge (241) is located on one of the first (21) and second (22) punch-shear member, and the lower edge (242) is located on the other of the first (21) and second (22) punch-shear member.
4. The knotter according to claim 1, characterized in that the inner wall of the punching chamber section has a matching ridge (25) and a groove (26), the ridge (25) and the groove (26) being used to press the clamping element (30), wherein the ridge (25) is located on one of the first punch shear (21) and the second punch shear (22) and the groove (26) is located on the other of the first punch shear (21) and the second punch shear (22).
5. The knotter according to claim 1, wherein the tubular member (10) has a threading hole (11), the suture thread passed through the clamping member (30) can be passed through the threading hole (11), and the cutting edge (24) is adapted to cut the suture thread between the clamping member (30) and the threading hole (11).
6. The knotter of claim 5, further comprising:
the binding part (50) is arranged on the outer wall of the tubular member (10), and the binding part (50) is used for guiding and limiting the suture thread which penetrates out of the threading hole (11).
7. The knotter according to claim 6, characterized in that the tying section (50) is fitted over the tubular member (10), the tying section (50) having a thread groove (51) arranged in the axial direction of the tubular member (10), the thread groove (51) being used for guiding and retaining the suture thread.
8. The knotter according to claim 1, characterized in that it further comprises said clamping member (30), said clamping member (30) being of tubular configuration, said clamping member (30) having a first slot (31) in the side wall thereof, said tubular member (10) having a second slot in the side wall thereof, said second slot being able to correspond to said first slot (31), said second slot and said first slot (31) being intended to be crossed by said suture.
9. The knotter according to claim 1, characterized in that the tubular element (10) has a first positioning hole (12), the first punch (21) has a second positioning hole (27), the second positioning hole (27) corresponding to the first positioning hole (12), the clamping element (30) has a third positioning hole (32), the third positioning hole (32) being able to correspond to the second positioning hole (27), the first positioning hole (12), the second positioning hole (27) and the third positioning hole (32) being intended to be crossed by positioning pins to define the position of the clamping element (30) in the tubular element (10).
10. Knotter according to claim 1, characterized in that the first punch-shear (21) abuts against the inner wall of the tubular element (10), the second punch-shear (22) has a gap (13) with the inner wall of the tubular element (10), the transmission element (40) can move back and forth in the tubular element (10), and the end of the transmission element (40) can extend into the gap (13) and abut against the second punch-shear (22) to drive the second punch-shear (22) towards the first punch-shear (21).
11. Knotter according to claim 10, characterized in that the tubular element (10) has an opening for the passage of the clamping element (30), the gap (13) decreasing in size in the direction from the transmission element (40) to the opening.
12. The knotter of claim 1, further comprising:
a drive mechanism (60), said drive mechanism (60) being adapted to drive said transmission member (40) to reciprocate within said tubular member (10).
13. The knotter of claim 12, wherein the drive mechanism (60) comprises:
a handle (61), said tubular member (10) being disposed on said handle (61);
the trigger (62) is movably arranged on the handle (61), the trigger (62) is provided with an operation end and a driving end, the driving end is in driving connection with the transmission piece (40), and the operation end can rotate or translate to drive the driving end to move.
14. The knotter of claim 13, wherein the operating end has a depressed position in which the operating chamber (23) is closed and a free position in which the operating chamber (23) is open, the drive mechanism (60) further comprising:
an elastic member (63), one end of the elastic member (63) being connected to the trigger (62), the other end of the elastic member (63) being connected to the handle (61), the elastic member (63) being for restoring the operating end to the free position.
CN201811528092.5A 2018-12-13 2018-12-13 Knotter Active CN111317523B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811528092.5A CN111317523B (en) 2018-12-13 2018-12-13 Knotter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811528092.5A CN111317523B (en) 2018-12-13 2018-12-13 Knotter

Publications (2)

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CN111317523A true CN111317523A (en) 2020-06-23
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WO2022077418A1 (en) * 2020-10-16 2022-04-21 迈磊医疗器材股份有限公司 Needle set for laparoscopy and knotting device having needle set

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