CN111388036A - Multifunctional suturing and ligating instrument under laparoscope - Google Patents

Multifunctional suturing and ligating instrument under laparoscope Download PDF

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Publication number
CN111388036A
CN111388036A CN202010230373.3A CN202010230373A CN111388036A CN 111388036 A CN111388036 A CN 111388036A CN 202010230373 A CN202010230373 A CN 202010230373A CN 111388036 A CN111388036 A CN 111388036A
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CN
China
Prior art keywords
suturing
multifunctional
sewing
ligating instrument
telescopic hole
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Pending
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CN202010230373.3A
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Chinese (zh)
Inventor
蔡贤磊
虞伟明
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Ningbo Medical Treatment Center Lihuili Hospital
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Ningbo Medical Treatment Center Lihuili Hospital
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Priority to CN202010230373.3A priority Critical patent/CN111388036A/en
Publication of CN111388036A publication Critical patent/CN111388036A/en
Pending legal-status Critical Current

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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
    • 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
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/047Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body

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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 discloses a multifunctional suturing and ligating instrument under a laparoscope, which belongs to the technical field of medical instruments.A telescopic hole is formed at one end of an inserted rod, a through hole is formed at the bottom of the telescopic hole, an adjusting rod is connected in the telescopic hole through threads, a steel wire is fixedly connected at one end of the adjusting rod, a connecting hole is connected on the surface of the steel wire in a contact manner, a groove is formed on the surface of the inserted rod, a sewing box is connected on the inner wall of the groove in a contact manner, a sewing needle is connected on the inner wall of the sewing box in a contact manner, a sewing thread penetrates through one end of the sewing needle, the sewing box with a folding function is arranged in the multifunctional suturing and ligating instrument under the laparoscope, the multifunctional suturing and ligating instrument greatly facilitates the surgical suturing and ligating in the abdominal cavity by medical personnel, is simple to operate, greatly saves the operation time, can, but also improves the use safety of the suture ligation instrument.

Description

Multifunctional suturing and ligating instrument under laparoscope
Technical Field
The invention relates to the technical field of medical instruments, in particular to a multifunctional suturing and ligating instrument under a laparoscope.
Background
With the development of the endoscope technology, especially the combined use of the endoscope and the laparoscope and the development of the endoscope interventional therapy technology, the recent development of the natural orifice endoscopic surgery proposed by the academia has been promoted, so that the endoscope can enter the abdominal cavity to perform various endoscopic operations and surgeries.
At present, the present suture ligation apparatus is difficult to penetrate into a needle hole, especially, one end of a suture remained in an intra-abdominal cavity line is threaded into the needle hole of a suture needle through a laparoscope operation grasper clamp line, which is very troublesome and brings certain inconvenience to the operation suture in the intra-abdominal cavity, thereby prolonging the operation time and increasing the anesthesia time, and the present suture ligation apparatus mostly has no function of limiting the depth of the inserted abdominal cavity, the medical personnel is required to consume more energy to control the insertion depth of the suture ligation apparatus during the operation, and the suture ligation apparatus is probably inserted too deeply to cause injury to patients under the unexpected condition, thereby reducing the use safety of the suture ligation apparatus, therefore, the multifunctional suture ligation apparatus under the laparoscope is designed, and the problems are solved.
Disclosure of Invention
Aiming at the problems in the prior art, the invention aims to provide the multifunctional suturing and ligating instrument under the laparoscope, the sewing box with the folding function arranged on the multifunctional suturing and ligating instrument under the laparoscope is convenient for medical personnel to carry out operation suturing and ligating in an abdominal cavity, the operation is simple, the operation time is greatly saved, the insertion depth of the inserted rod can be limited by the arranged limiting plate, the operation energy of the suturing and ligating instrument is reduced, and the use safety of the suturing and ligating instrument is improved.
In order to solve the above problems, the present invention adopts the following technical solutions.
A multifunctional suturing and ligating instrument under a laparoscope comprises an inserting rod, wherein a telescopic hole is formed in one end of the inserting rod, a through hole is formed in the bottom of the telescopic hole, an adjusting rod is connected in the telescopic hole through threads, a steel wire is fixedly connected to one end of the adjusting rod, a connecting hole is connected to the surface of the steel wire in a contact mode, a groove is formed in the surface of the inserting rod, a sewing wire box is connected to the inner wall of the groove in a contact mode, a sewing needle is connected to the inner wall of the sewing wire box in a contact mode, a sewing wire penetrates through one end of the sewing needle, an external thread is arranged on the surface of one end of the inserting rod, a threaded sleeve is connected to the inserting rod through threads, a trepanning is formed in the center position of the threaded sleeve, a limiting plate is fixedly connected to the outer side of the threaded sleeve, and the sewing and ligating instrument with the laparoscope, the operation is simple, the operation time is greatly saved, the insertion depth of the inserted rod can be limited by the limiting plate, the operation energy of the sewing and ligating instrument is reduced, and the use safety of the sewing and ligating instrument is improved.
Further, the inner wall in flexible hole is equipped with the internal thread, the surface of adjusting the pole is equipped with the external screw thread with the internal thread assorted in flexible hole, the surface and the flexible hole threaded connection of adjusting the pole, the regulation pole that sets up stretches out flexible hole when anticlockwise rotation, and it is downthehole to indent telescopic when clockwise rotation, has flexible function.
Furthermore, the other end fixedly connected with stopper of adjusting the pole, the shape of stopper is cylindrical, the surface of stopper is equipped with anti-skidding line, and the stopper that sets up is convenient for medical personnel to adjust the pole with finger rotation, adjusts the flexible position of pole.
Further, the other end fixedly connected with connecting rod of sewing box, the axostylus axostyle has radially been cup jointed on the surface of connecting rod, the both ends of axostylus axostyle are rotated with the inner wall of recess and are connected, and the axostylus axostyle that sets up makes the sewing box have the function of rotating folding receipts in the recess.
Further, the shape of limiting plate is circular, a fixed surface of limiting plate is connected with the protection pad, and the protection pad of setting can avoid limiting plate and patient's skin contact, has improved the use travelling comfort of limiting plate.
Furthermore, a fixed block is fixedly connected to the surface of the connecting rod, the side face of the fixed block is fixedly connected with one end of a steel wire, and the arranged steel wire is used for controlling the rotating position of the connecting rod, so that the use of the suture needle is facilitated.
Furthermore, the other end of inserted bar is fixed to be cup jointed the protective sheath, the arc of the terminal surface of protective sheath, the protective sheath of setting can avoid the terminal surface of inserted bar and the edge of a knife of disease to produce to scrape and bump.
Compared with the prior art, the invention has the advantages that:
(1) the sewing kit that has a folding function that this scheme set up has made things convenient for medical personnel to carry out the operation of abdominal cavity and has sewed up the ligature greatly, easy operation, great saving operation time to the limiting plate that sets up can restrict the depth of insertion of inserted bar, has not only reduced the operation energy of sewing up the ligature apparatus, has improved the safety in utilization of sewing up the ligature apparatus moreover.
(2) The inner wall in telescopic hole is equipped with the internal thread, and the surface of adjusting the pole is equipped with the external screw thread with telescopic hole's internal thread assorted, adjusts the surface and telescopic hole threaded connection of pole, and the pole of setting stretches out telescopic hole when counter-clockwise turning, and it is downthehole to indent telescopic hole when clockwise turning, has flexible function.
(3) The other end fixedly connected with stopper of adjusting the pole, the shape of stopper is cylindrical, and the surface of stopper is equipped with anti-skidding line, and the stopper that sets up is convenient for medical personnel to adjust the pole with finger rotation, adjusts the flexible position of adjusting the pole.
(4) The other end fixedly connected with connecting rod of sewing box, the axostylus axostyle has radially been cup jointed on the surface of connecting rod, and the both ends of axostylus axostyle are rotated with the inner wall of recess and are connected, and the axostylus axostyle of setting makes the sewing box have the function in rotating folding recess of withdrawing.
(5) The shape of limiting plate is circular, and a fixed surface of limiting plate is connected with the protection pad, and the protection pad of setting can avoid limiting plate and patient's skin contact, has improved the use travelling comfort of limiting plate.
(6) The fixed surface of the connecting rod is fixedly connected with a fixed block, the side surface of the fixed block is fixedly connected with one end of a steel wire, and the arranged steel wire is used for controlling the rotating position of the connecting rod, so that the use of the sewing needle is facilitated.
(7) The other end of inserted bar is fixed to be cup jointed the protective sheath, the arc of the terminal surface of protective sheath, and the protective sheath of setting can avoid the terminal surface of inserted bar and the edge of a knife of disease to produce and scrape and bump.
Drawings
FIG. 1 is a perspective view of the overall construction of the present invention;
FIG. 2 is a cross-sectional view of a sewing box and insert bar mounting structure of the present invention;
FIG. 3 is an enlarged view of portion A of FIG. 2;
FIG. 4 is a cross-sectional view of an adjustment lever and plunger mounting structure of the present invention;
fig. 5 is a top view of the mounting structure of the limiting plate and the inserted link of the present invention.
The reference numbers in the figures illustrate:
the device comprises an insertion rod 1, a telescopic hole 11, a through hole 12, a connecting hole 13, a groove 14, a protective sleeve 15, a sewing box 2, a sewing thread 21, a sewing needle 22, a connecting rod 23, a shaft rod 24, a fixing block 25, an adjusting rod 3, a limiting block 31, a steel wire 32, a limiting plate 4, a threaded sleeve 41, a sleeve hole 42 and a protective pad 43.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. 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.
Referring to fig. 1-5, a multifunctional suture ligation apparatus under a laparoscope comprises an insertion rod 1, referring to fig. 1-5, one end of the insertion rod 1 is provided with a telescopic hole 11, the insertion rod 1 is used for being inserted into a knife edge of a patient, a suture box 2 is sent into an abdominal cavity, the operation suture inside the abdominal cavity is convenient, the bottom of the telescopic hole 11 is provided with a through hole 12, the telescopic hole 11 is internally connected with an adjusting rod 3 through threads, the adjusting rod 3 is used for controlling a steel wire 32 to move up and down, so as to control the folding and the releasing of the suture box 2, one end of the adjusting rod 3 is fixedly connected with the steel wire 32, the surface of the steel wire 32 is in contact connection with a connecting hole 13, the surface of the insertion rod 1 is provided with a groove 14, when the suture box 2 is folded, the groove 14 is used for accommodating the suture box 2, so that the suture box 2 does not protrude out of the surface of the insertion, the inner wall contact of recess 14 is connected with the sewing machine box 2, the inner wall contact of sewing machine box 2 is connected with sewing needle 22, sewing needle 22's one end interlude has stylolite 21, the one end surface of inserted bar 1 is equipped with the external screw thread, inserted bar 1 has thread bush 41 through threaded connection, the central point of thread bush 41 puts and has opened trepanning 42, the fixed limiting plate 4 that has cup jointed in the outside of thread bush 41, limiting plate 4 is used for restricting the degree of depth that inserted bar 1 inserted the abdominal cavity, avoid leading to inserted bar 1 to insert too deeply because of unexpected at the operation in-process, and cause the injury to patient.
Please refer to fig. 4, the inner wall of the telescopic hole 11 is provided with an internal thread, the surface of the adjusting rod 3 is provided with an external thread matched with the internal thread of the telescopic hole 11, the surface of the adjusting rod 3 is connected with the telescopic hole 11 by a thread, the adjusting rod 3 is extended out of the telescopic hole 11 when rotating counterclockwise, and is retracted into the telescopic hole 11 when rotating clockwise, so as to have a telescopic function, the other end of the adjusting rod 3 is fixedly connected with a limiting block 31, the limiting block 31 is cylindrical, the surface of the limiting block 31 is provided with anti-slip threads, the limiting block 31 is convenient for medical personnel to rotate the adjusting rod 3 by fingers, and the telescopic position of the.
Please refer to fig. 1 and 2, the other end fixedly connected with connecting rod 23 of the sewing box 2, the surface of connecting rod 23 has radially cup jointed axostylus axostyle 24, the both ends of axostylus axostyle 24 are connected with the inner wall rotation of recess 14, the axostylus axostyle 24 that sets up makes sewing box 2 have the function of rotating folding retraction in the recess 14, the shape of limiting plate 4 is circular, a fixed surface of limiting plate 4 is connected with the protection pad 43, the protection pad 43 of setting can avoid limiting plate 4 and patient's skin contact, the use travelling comfort of limiting plate 4 has been improved.
Referring to fig. 2 and 3, the surface of the connecting rod 23 is fixedly connected with a fixing block 25, the side surface of the fixing block 25 is fixedly connected with one end of a steel wire 32, the steel wire 32 is arranged to control the rotating position of the connecting rod 23, so that the sewing needle 22 can be conveniently used, the other end of the inserting rod 1 is fixedly sleeved with a protective sleeve 15, the end surface of the protective sleeve 15 is arc-shaped, and the protective sleeve 15 is arranged to prevent the end surface of the inserting rod 1 from being scraped with the edge of a patient.
When the multifunctional suturing and ligating instrument under the laparoscope is used, the inserted rod 1 is firstly inserted into an abdominal cavity of a patient through a knife edge, the limiting plate 4 is moved to the surface of the skin of the patient after the insertion depth is proper, when the threaded sleeve 41 is rotated clockwise, the threaded sleeve 41 moves downwards under the action of threads, so that the limiting plate 4 is driven to move downwards along the surface of the inserted rod 1, when the threaded sleeve 41 is rotated anticlockwise, the threaded sleeve 41 moves upwards under the action of the threads, so that the limiting plate 4 is driven to move upwards along the surface of the inserted rod 1, the insertion depth of the inserted rod 1 can be limited by the arranged limiting plate 4, the operation energy of the suturing and ligating instrument is reduced, the use safety of the suturing and ligating instrument is improved, then the adjusting rod 3 is rotated clockwise, the adjusting rod 3 retracts downwards into the telescopic hole 11 under the action of the threads, the adjusting rod 3 moves downwards to drive the steel wire 32 to move downwards, the steel wire 32 moves down makes the sewing box 2 lose the binding power, thereby autogiration breaks away from out recess 14, then medical personnel can through the suture needle 22 of wearing stylolite 21 perform the operation suture ligature can, when the inserted bar 1 is taken out to needs, need anticlockwise rotation to adjust pole 3, make steel wire 32 rebound, thereby drive the folding recess 14 of retracting of sewing box 2 in, the very big operation suture ligature that has made things convenient for medical personnel to carry out the abdominal cavity that has of sewing box 2 that has the folding function that sets up, and the operation time is greatly saved.
The foregoing is only a preferred embodiment of the present invention; the scope of the invention is not limited thereto. Any person skilled in the art should be able to cover the technical scope of the present invention by equivalent or modified solutions and modifications within the technical scope of the present invention.

Claims (7)

1. The utility model provides a multi-functional suture ligature apparatus under peritoneoscope, includes inserted bar (1), its characterized in that: one end of the inserted bar (1) is provided with a telescopic hole (11), the bottom of the telescopic hole (11) is provided with a through hole (12), an adjusting rod (3) is connected in the telescopic hole (11) through threads, one end of the adjusting rod (3) is fixedly connected with a steel wire (32), the surface of the steel wire (32) is connected with a connecting hole (13) in a contact way, the surface of the inserted link (1) is provided with a groove (14), the inner wall of the groove (14) is connected with a sewing box (2) in a contact way, the inner wall of the sewing box (2) is connected with a sewing needle (22) in a contact way, a suture line (21) is inserted into one end of the suture needle (22), an external thread is arranged on the surface of one end of the inserted link (1), the inserted bar (1) is connected with a threaded sleeve (41) through threads, a trepanning (42) is formed in the center position of the threaded sleeve (41), and a limiting plate (4) is fixedly sleeved on the outer side of the threaded sleeve (41).
2. The multifunctional suturing and ligating instrument under laparoscope as claimed in claim 1, wherein: the inner wall of the telescopic hole (11) is provided with internal threads, the surface of the adjusting rod (3) is provided with external threads matched with the internal threads of the telescopic hole (11), and the surface of the adjusting rod (3) is in threaded connection with the telescopic hole (11).
3. The multifunctional suturing and ligating instrument under laparoscope as claimed in claim 1, wherein: the other end fixedly connected with stopper (31) of adjusting pole (3), the shape of stopper (31) is cylindrical, the surface of stopper (31) is equipped with anti-skidding line.
4. The multifunctional suturing and ligating instrument under laparoscope as claimed in claim 1, wherein: the other end fixedly connected with connecting rod (23) of sewing box (2), axostylus axostyle (24) has radially been cup jointed on the surface of connecting rod (23), the both ends of axostylus axostyle (24) are connected with the inner wall rotation of recess (14).
5. The multifunctional suturing and ligating instrument under laparoscope as claimed in claim 1, wherein: the limiting plate (4) is circular, and a protective pad (43) is fixedly connected to one surface of the limiting plate (4).
6. The multifunctional suturing and ligating instrument under laparoscope as claimed in claim 4, wherein: the surface of the connecting rod (23) is fixedly connected with a fixing block (25), and the side surface of the fixing block (25) is fixedly connected with one end of a steel wire (32).
7. The multifunctional suturing and ligating instrument under laparoscope as claimed in claim 1, wherein: the other end of the inserted bar (1) is fixedly sleeved with a protective sleeve (15), and the end face of the protective sleeve (15) is arc-shaped.
CN202010230373.3A 2020-03-27 2020-03-27 Multifunctional suturing and ligating instrument under laparoscope Pending CN111388036A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010230373.3A CN111388036A (en) 2020-03-27 2020-03-27 Multifunctional suturing and ligating instrument under laparoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010230373.3A CN111388036A (en) 2020-03-27 2020-03-27 Multifunctional suturing and ligating instrument under laparoscope

Publications (1)

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CN111388036A true CN111388036A (en) 2020-07-10

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CN202010230373.3A Pending CN111388036A (en) 2020-03-27 2020-03-27 Multifunctional suturing and ligating instrument under laparoscope

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202458493U (en) * 2012-01-10 2012-10-03 王健 Laparoscopic trocar with adjustable insertion depth
CN204562324U (en) * 2015-04-27 2015-08-19 张颢 A kind of marrow puncture needle
CN105640600A (en) * 2016-03-28 2016-06-08 王鹏 Laparoscope postoperation trocar hole suturing device
CN208145047U (en) * 2017-12-14 2018-11-27 周艳 A kind of department of anesthesia has the conduit of direction positioning function
CN110559027A (en) * 2019-07-29 2019-12-13 中国人民解放军陆军军医大学第二附属医院 abdominal wall puncture pricking hole suturing device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202458493U (en) * 2012-01-10 2012-10-03 王健 Laparoscopic trocar with adjustable insertion depth
CN204562324U (en) * 2015-04-27 2015-08-19 张颢 A kind of marrow puncture needle
CN105640600A (en) * 2016-03-28 2016-06-08 王鹏 Laparoscope postoperation trocar hole suturing device
CN208145047U (en) * 2017-12-14 2018-11-27 周艳 A kind of department of anesthesia has the conduit of direction positioning function
CN110559027A (en) * 2019-07-29 2019-12-13 中国人民解放军陆军军医大学第二附属医院 abdominal wall puncture pricking hole suturing device

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Application publication date: 20200710

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