CN111407338B - Multi-angle blood vessel anastomosis fixing device - Google Patents

Multi-angle blood vessel anastomosis fixing device Download PDF

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Publication number
CN111407338B
CN111407338B CN202010309041.4A CN202010309041A CN111407338B CN 111407338 B CN111407338 B CN 111407338B CN 202010309041 A CN202010309041 A CN 202010309041A CN 111407338 B CN111407338 B CN 111407338B
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China
Prior art keywords
blood vessel
connecting rod
clamp
vascular
angle
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CN202010309041.4A
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CN111407338A (en
Inventor
葛鹏磊
陈晓芳
吴阳
党晓卫
张弓
高志强
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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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
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • 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
    • A61B17/06061Holders for needles or sutures, e.g. racks, stands
    • 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

Abstract

The invention discloses a multi-angle blood vessel anastomosis fixing device which comprises a device main body, wherein the device main body is provided with a track, a first connecting rod and a second connecting rod are sequentially arranged on the track, and both the first connecting rod and the second connecting rod can slide back and forth on the track; the far end of the first connecting rod is hinged with a third connecting rod, and the far end of the second connecting rod is hinged with a fourth connecting rod; the far end of the third connecting rod is connected with the first vascular clamp through a universal joint, and the far end of the fourth connecting rod is connected with the second vascular clamp through a universal joint. The multi-angle blood vessel anastomotic fixator provided by the invention is provided with the blood vessel clamp which can slide back and forth on a linear track, can continuously and stably draw and fix the blood vessel wall, can clearly expose the front wall and the rear wall of the broken end of the blood vessel, can select a proper blood vessel clamp according to the condition of the free blood vessel and the running angle of the free blood vessel, has the function of opening the blood vessel cavity by arranging the support frame on the blood vessel clamp, has no damage to the intima of the blood vessel, can fix at multiple angles, and particularly can draw and fix the blood vessel running at different angles.

Description

Multi-angle blood vessel anastomosis fixing device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a multi-angle blood vessel anastomosis fixing device.
Background
It is known that in the case of vascular-related surgery, it is often necessary to cut a certain length of the vessel, then to draw the two severed ends together and then to perform end-to-end anastomosis. In portal hypertension or other special cases, it is also often necessary to perform end-to-end or end-to-side anastomosis of two different vessels for the purpose of diversion or diversion. At present, when a main scalpel performs anastomosis at the end or the end side of a blood vessel, two vascular clamps are required to be clamped at the two ends of the blood vessel respectively, one assistant draws the vascular clamps together with two hands, and the other assistant lifts the blood vessel wall with the vascular clamps to expose the lumen, so that a fine anastomosis operation can be performed. When anastomosis is carried out, an assistant needs to adjust the angle of the blood vessel clamp in due time, and particularly when two blood vessels which do not run at 180 degrees are anastomosed, if the two hands of the assistant cannot rotate and fix the blood vessel clamp in a very coordinated and consistent manner so as to clearly expose the front wall and the rear wall of the blood vessel and keep a certain time, the consistency of the suture needle distance cannot be ensured, the blood vessel wall is very easy to tear, the blood vessel is twisted, and the chances of lumen stenosis and thrombus formation are increased.
At present, the prior art adopts the technical proposal that a microsurgical blood vessel retractor (publication number: CN 105769270A) and a fixing and suture auxiliary component (publication number: CN 205163141U) for blood vessel anastomosis are disclosed and patented. The prior art designs aim at the problem that after a blood vessel is cut off, two cut ends are pulled and fixed together by a device, and the designs only can conveniently perform anastomosis of the front wall of the blood vessel and are not suitable for the exposure and anastomosis of the rear wall. Moreover, the lumen of the broken end of the blood vessel is in a hollow and flat state when no blood is full, although some patents design the supporting devices used in the lumen of the blood vessel, all of them can cause different degrees of damage to the lumen intima, and when the suturing is finished, the device is difficult to take out from the lumen of the blood vessel, so the feasibility of the practical operation of the devices is poor. In addition, no suitable design for fixing two broken ends of a blood vessel running at an angle other than 180 degrees exists at present.
Therefore, the existing blood vessel anastomosis fixator can not pull and fix two blood vessels under various running conditions more flexibly, more effectively, more safely and more conveniently.
Disclosure of Invention
In view of the above problems in the prior art, the present invention provides a multi-angle blood vessel anastomosis fixing device, which can continuously and stably pull and fix the blood vessel wall, can clearly expose the front and rear walls of the broken end of the blood vessel, has the function of opening the blood vessel lumen, has no damage to the blood vessel intima, and can fix at multiple angles, especially to the blood vessels running at different angles.
In order to solve the technical problem, the invention adopts the following technical scheme:
a multi-angle blood vessel anastomosis fixing device comprises a device main body, wherein the device main body is provided with a track, a first connecting rod and a second connecting rod are sequentially arranged on the track, and both the first connecting rod and the second connecting rod can slide back and forth on the track; the far end of the first connecting rod is hinged with a third connecting rod, and the far end of the second connecting rod is hinged with a fourth connecting rod; the far end of the third connecting rod is connected with the first vascular clamp through a universal joint, and the far end of the fourth connecting rod is connected with the second vascular clamp through a universal joint.
Preferably, grooves for placing suture support frames are formed in the clamp bodies of the first vascular clamp and the second vascular clamp, and the grooves are connected with the suture support frames through hinges.
Preferably, the rail is a linear groove formed in the device body, linear gear teeth are formed in the bottom of the linear groove, gears meshed with the gear teeth are mounted at the end portions of the first connecting rod and the second connecting rod through gear shafts, and two ends of each gear shaft are mounted in strip-shaped hollowed holes formed in the side walls of the linear groove.
Preferably, the multi-angle blood vessel anastomosis fixing device further comprises a knob arranged outside the device body, the knob is connected with one end of the gear shaft, and the knob is used for driving the gear to rotate so as to drive the connecting rod to move back and forth on the track.
Preferably, a fastening nut is arranged at a hinge joint of the distal end of the first connecting rod and the third connecting rod, and a fastening nut is arranged at a hinge joint of the distal end of the second connecting rod and the fourth connecting rod.
Preferably, the universal joint forms a tight fit connection between the distal end of the third link and the first vascular clamp, and the universal joint forms a tight fit connection between the distal end of the fourth link and the second vascular clamp.
Preferably, the distal end of the third link is detachably connected to the first vascular clamp through a universal joint, and the distal end of the fourth link is detachably connected to the second vascular clamp through a universal joint.
Preferably, the first vascular clamp is a vessel end vascular clamp or a vessel side vascular clamp, and the second vascular clamp is a vessel end vascular clamp or a vessel side vascular clamp.
Compared with the prior art, the multi-angle blood vessel anastomosis fixator provided by the invention has the beneficial effects that the blood vessel wall can be continuously and stably pulled and fixed through the blood vessel clamp which is arranged on the linear track and can slide back and forth, the front wall and the rear wall of the broken end of the blood vessel can be clearly exposed, the straight blood vessel clamp or the curved blood vessel clamp can be selected according to the condition of free blood vessels and the running angle of the blood vessels, the blood vessel clamp is provided with the support frame, the function of expanding the blood vessel cavity is realized, the intima of the blood vessel is not damaged, and the multi-angle fixation can be realized, particularly the pulling and the fixation of the blood vessels running at different angles can be realized.
Drawings
Fig. 1 is a front view of an embodiment of the present invention.
Fig. 2 is a schematic perspective exploded view of an embodiment of the present invention.
Fig. 3 is a side view of an embodiment of the present invention.
Fig. 4 is a perspective view of an intraoperative (end-to-end anastomosis) condition of an embodiment of the present invention.
FIG. 5 is a perspective view of another intraoperative (end-to-end anastomosis) configuration of the embodiment of the present invention.
FIG. 6 is a schematic view of the connection of the support rod, the suture with the needle and the severed end of the blood vessel in an intraoperative state in accordance with an embodiment of the present invention.
Description of reference numerals:
1-device body 11-linear groove 12-gear 13-gear teeth 14-hollowed hole 15-gear shaft 21-first connecting rod 22-second connecting rod 31-third connecting rod 32-fourth connecting rod 4-knob 5-fastening nut 6-hinge 7-universal joint 81-first vascular clamp 82-second vascular clamp 83-support frame 84-suture with needle 100-vascular broken end 101-anterior wall 102-posterior wall 103-lateral wall.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention more comprehensible, embodiments accompanying figures are described in detail below.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways than those specifically described and will be readily apparent to those of ordinary skill in the art without departing from the spirit of the present invention, and therefore the present invention is not limited to the specific embodiments disclosed below.
Next, the present invention is described in detail with reference to the drawings, and in the detailed description of the embodiments of the present invention, the cross-sectional view illustrating the structure of the apparatus is not enlarged partially in general scale for the convenience of illustration, and the drawings are only exemplary, which should not limit the scope of the present invention. In addition, the three-dimensional dimensions of length, width and depth should be included in the actual fabrication.
Referring to fig. 1 to 6, the invention provides a multi-angle blood vessel anastomosis fixing device, which comprises a device body 1, wherein the device body 1 is provided with a track, a first connecting rod 21 and a second connecting rod 22 are sequentially arranged on the track, and both the first connecting rod 21 and the second connecting rod 22 can slide back and forth on the track; the far end of the first connecting rod 21 is hinged with a third connecting rod 31, and the far end of the second connecting rod 22 is hinged with a fourth connecting rod 32; the distal end of the third link 31 is connected to a first vascular clamp 81 through a universal joint 7, the distal end of the fourth link 32 is connected to a second vascular clamp 82 through a universal joint 7, specifically, the device body 1 may be rectangular or circular arc to reduce edges and corners to relieve the pressure on tissues, and may be made of metal, the first link 21 is hinged to the third link 31, and the second link 22 is hinged to the fourth link 32 so as to enable the vascular clamps to fix blood vessels which are in different angle directions in surgery by forming various different angles according to the needs through the rotation of the links.
Specifically, referring to fig. 3, in this embodiment, the track is a linear groove 11 formed in the device body 1, linear gear teeth 13 are formed at the bottom of the linear groove 11, the end portions of the first link 21 and the second link 22 are both mounted on a gear 12 engaged with the gear teeth 13 through a gear shaft 15, and both ends of the gear shaft 15 are mounted in strip-shaped hollowed holes 14 formed in the side walls of the linear groove 11. Through the structure, the action of the first connecting rod 21 and the second connecting rod 22 on the track can be controlled accurately, so that the distance between the vascular clamps is controlled, and a better surgical effect is obtained.
Specifically, the multi-angle blood vessel anastomosis fixing device further comprises a knob 4 arranged outside the device body 1, wherein the knob 4 is connected with one end of a gear shaft 15 and is used for driving the gear 12 to rotate so as to drive the connecting rod to move back and forth on the track.
Specifically, referring to fig. 3, a fastening nut 5 is disposed at a hinge joint between the distal end of the first link 21 and the third link 31, and a fastening nut 5 is disposed at a hinge joint between the distal end of the second link 22 and the fourth link 32. With this configuration, after the third link 31 and the fourth link 32 are rotated by a predetermined angle about the hinge shaft 6, the third link 31 and the fourth link 32 can be locked by the fastening nut 5, and the angular position of the third link 31 and the fourth link 32 can be maintained, thereby further stabilizing the anastomosis operation of the blood vessels.
Specifically, the universal joint 7 forms a tight fit connection between the distal end of the third link 31 and the first vascular clamp 81, and the universal joint 7 forms a tight fit connection between the distal end of the fourth link 32 and the second vascular clamp 82. The vascular clamp is connected with the connecting rod through the universal joint 7, so that the vascular clamp can be conveniently rotated to any proper angle when in use, the vascular broken ends 100 in any direction can be clamped, the two vascular broken ends 100 can be conveniently operated to be anastomotic, the front wall 101 or the rear wall 102 of the blood vessel can be conveniently exposed, the suture operation of a doctor can be conveniently carried out, and the vascular clamp can also adopt other structures which can realize the rotation at any angle besides the universal joint 7, such as flexible metal materials and the like.
Further, referring to fig. 4 to 6, grooves for placing suture support frames 83 are respectively arranged on the clip bodies of the first vascular clip 81 and the second vascular clip 82, the suture support frames 83 are connected with the grooves through hinges, the suture support frames 83 are used for placing and supporting the suture with needle 84, blood vessel needles are respectively arranged at two ends of the suture with needle 84, the surface of the support frame 83 is threaded, the wall of a front hinge is used, the support frame 83 is positioned in the groove of the vascular clip, when the blood vessel clip is used, the hinges are opened to enable the support frame 83 to stand up or be vertical to the vascular clip, the suture can be hung on the support frame 83 to open an empty vascular cavity, the number of the suture is three in the embodiment, the three suture with needle 84 are respectively sewed on two side walls 103 and a front wall 101 of the blood vessel, then the suture is hung on the support frame 83 to open the empty vascular cavity, so that the suture can not be sewed on the rear wall 102 of the blood vessel when the suture is sewed, and the three suture can be reserved as the suture directly knotted at corresponding positions without causing damage to the blood vessel. Through the structure, when the vascular clamp is used for anastomosing two vascular broken ends 100, the suture can prop up the vascular broken ends 100 at two sides through the support frame 83, and the suture is more convenient for a doctor to suture.
Preferably, the distal end of the third link 31 is detachably connected to the first vascular clamp 81 through a universal joint 7, and the distal end of the fourth link 32 is detachably connected to the second vascular clamp 82 through a universal joint 7.
Further, in order to accommodate different surgical situations, such as an anastomosis of two vessels running at angles other than 180 °, the first vessel clamp 81 is a vessel end vessel clamp or a vessel side wall vessel clamp, and the second vessel clamp 82 is a vessel end vessel clamp or a vessel side wall vessel clamp. The vascular clamp at the end part of the blood vessel can directly clamp the end part of the broken end 100 of the blood vessel in a straight line direction, and is used for the situation that one broken end is separated by a certain length and two broken ends of the blood vessel to be anastomosed can be separated by enough length; the blood vessel side wall blood vessel clamp capable of walking in the arc shape is provided with a clamp body matched with the blood vessel side wall, the side wall of the blood vessel can be directly clamped, or the blood vessel side wall blood vessel clamp can be used for clamping the broken end of the free blood vessel broken end 100 when the broken end is short, and through the structure, the end part of the blood vessel in the straight line direction and the side wall of another blood vessel can be subjected to end-side anastomosis operation after being drawn together. By the structure, the vascular clamp can be replaced appropriately according to different intraoperative conditions.
Specifically, referring to fig. 4 and 6, the shape-shifting angles of the blood vessels in the figure are basically consistent, so that two blood vessel broken ends 100 are selected, then the positions of the first connecting rod 21 and the second connecting rod 22 are adjusted, the angle between the first connecting rod 21 and the third connecting rod 31 is adjusted and then fixed, the angle between the second connecting rod 22 and the fourth connecting rod 32 is adjusted and then fixed, then the two broken ends of the blood vessel are clamped by the two blood vessel broken ends 100, are pulled together and fixed in a corresponding to-be-anastomosed state, then the supporting frame 83 is opened, and the two side walls 103 and the front wall 101 of the two blood vessels are sutured and suspended by the suture thread 84 with the needle to open the empty blood vessel cavity. When the anterior wall 101 and the posterior wall 102 of the blood vessel are sutured, the universal joint 7 connected between the vascular clamp and the third connecting rod 31 or the fourth connecting rod 32 can be independently adjusted to enable the vascular clamp to rotate by an angle of about 30-45 degrees to expose the anterior wall 101 and the posterior wall 102 of the blood vessel, so that the anterior wall 101 and the posterior wall 102 of the blood vessel can be sutured more conveniently, and the situation that the anterior wall 101 of the blood vessel is sutured together with the posterior wall 102 of the blood vessel by mistake is not easy to occur.
In another embodiment of the intra-operative situation, referring to fig. 5 and 6, the blood vessel shape angles in the figure are not consistent, so that a blood vessel broken end 100 blood vessel clamp is selected, a blood vessel side blood vessel clamp is selected, the broken end of the wall of one blood vessel is clamped and drawn by the blood vessel side blood vessel clamp, the broken end of the other blood vessel is clamped by the blood vessel broken end 100 blood vessel clamp and then rotated by a certain angle to form a state to be anastomosed with the broken end of the wall of the blood vessel, and then the subsequent blood vessel suturing operation is performed through the support frame 83 and the needle-carrying suture 84, when the front wall 101 and the back wall 102 of the blood vessel need to be exposed, the rotation direction of the blood vessel clamp is adjusted through the universal joint 7, and then the suturing operation is performed.
The above embodiments are only exemplary embodiments of the present invention, and are not intended to limit the present invention, the scope of which is defined by the claims. Various modifications and equivalents of the invention may be made by those skilled in the art within the spirit and scope of the invention, and such modifications and equivalents should also be considered as falling within the scope of the invention.

Claims (7)

1. A multi-angle blood vessel anastomosis fixing device is characterized by comprising a device main body, wherein the device main body is provided with a track, a first connecting rod and a second connecting rod are sequentially arranged on the track, and the first connecting rod and the second connecting rod can slide back and forth on the track; the far end of the first connecting rod is hinged with a third connecting rod, and the far end of the second connecting rod is hinged with a fourth connecting rod; the far end of the third connecting rod is connected with the first vascular clamp through a universal joint, and the far end of the fourth connecting rod is connected with the second vascular clamp through a universal joint; the blood vessel clamp comprises a first blood vessel clamp body, a second blood vessel clamp body and a suture support frame, wherein the first blood vessel clamp body and the second blood vessel clamp body are provided with grooves for placing the suture support frame, and the grooves are connected with the suture support frame through hinges.
2. The multi-angle vascular anastomosis fixation device according to claim 1, wherein the rail is a linear groove formed in the device body, linear gear teeth are formed at the bottom of the linear groove, gears engaged with the gear teeth are mounted at the ends of the first connecting rod and the second connecting rod through gear shafts, and two ends of each gear shaft are mounted in strip-shaped hollowed holes formed in the side walls of the linear groove.
3. The multi-angle blood vessel anastomosis fixing device according to claim 2, further comprising a knob disposed outside the device body, wherein the knob is connected to one end of the gear shaft, and the knob is used for driving the gear to rotate so as to drive the connecting rod to move back and forth on the rail.
4. The multi-angle vascular anastomosis fixation device of claim 1, wherein a fastening nut is disposed at a hinge joint of the distal end of the first link and the third link, and a fastening nut is disposed at a hinge joint of the distal end of the second link and the fourth link.
5. The multi-angle vaso-anastomotic fixation device of claim 1, wherein the universal joint provides a tight fit connection between the distal end of the third link and the first vascular clamp, and wherein the universal joint provides a tight fit connection between the distal end of the fourth link and the second vascular clamp.
6. The multi-angle vaso-anastomotic fixation device according to claim 1, wherein the distal end of the third link is detachably connected to the first vascular clamp by a universal joint, and the distal end of the fourth link is detachably connected to the second vascular clamp by a universal joint.
7. The multi-angle vaso-anastomotic fixation device of claim 6, wherein the first vascular clamp is a vessel end vascular clamp or a vessel sidewall vascular clamp, and the second vascular clamp is a vessel end vascular clamp or a vessel sidewall vascular clamp.
CN202010309041.4A 2020-04-19 2020-04-19 Multi-angle blood vessel anastomosis fixing device Active CN111407338B (en)

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CN113040848A (en) * 2021-03-22 2021-06-29 上海长征医院 Isolated severed limb blood vessel anastomosis device
CN116269584B (en) * 2023-05-17 2023-08-29 泓欣科创(北京)科技有限公司 Auxiliary hanging ring device and vascular anastomat

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WO2007019016A1 (en) * 2005-08-08 2007-02-15 Abbott Laboratories Vascular suturing device
CN205163141U (en) * 2015-11-06 2016-04-20 青岛大学附属医院 Be used for vascular anastomotic auxiliary assembly that fixes and sew up
CN206434367U (en) * 2016-11-10 2017-08-25 中国人民解放军第三军医大学第二附属医院 A kind of vascular anastomosis support with guide pin slot
CN210019528U (en) * 2018-12-07 2020-02-07 孟雪 Clinical vascular clamp of usefulness of nephrology dept treatment
CN110368047B (en) * 2019-08-30 2021-05-18 江苏华夏医疗器械有限公司 Blood vessel end-to-end anastomosis device

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