CN111956284B9

CN111956284B9 - Sacrospinous ligament sewing device

Info

Publication number: CN111956284B9
Application number: CN202010823043.5A
Authority: CN
Inventors: 王中显
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-08-17
Filing date: 2020-08-17
Publication date: 2022-07-29
Anticipated expiration: 2040-08-17
Also published as: CN111956284B; CN111956284A

Abstract

A sacrospinous ligament suturing device comprises a clamp body, wherein the clamp body comprises a main clamp arm and an auxiliary clamp arm which are hinged, and the upper ends of the main clamp arm and the auxiliary clamp arm are respectively and fixedly provided with an arc-shaped first clamping part and an arc-shaped second clamping part; the middle parts of the first clamping part and the second clamping part are respectively provided with a first needle groove and a second needle groove, a needle guide tube is arranged in the first needle groove, a sewing needle passes through the needle guide tube, the second needle groove is used for allowing the sewing needle to pass through, and the tail end of the sewing needle is connected with a sewing needle pull wire. The invention provides a sacrospinous ligament suture device, which can operate a suture needle on a forceps body after clamping sacrospinous ligament for suture, does not need to clamp the suture needle by using an additional operating forceps for suture, needs two forceps in the traditional sacrospinous ligament suture, and can realize the clamping and suture operation by using only one forceps. Can be well suitable for narrow operation visual field of sacrospinous ligament suture.

Description

Sacrospinous ligament sewing device

Technical Field

The invention relates to the technical field of medical instruments, in particular to a sacrospinous ligament suture device.

Background

Currently, sacrospinous ligament fixation is one of the commonly used surgical modes for pelvic cavity prolapse, is one of the important auxiliary surgical modes for anterior pelvic cavity prolapse and posterior pelvic cavity prolapse, has the advantages of no passing through the abdomen, no interference to intestinal functions, firm fixation, low recurrence rate, no need of implanting polypropylene meshes and the like, but the current suture methods are common needle-holding needle-clamping suture, Capio suture devices, miyazaki forceps, sacrospinous ligament suture hooks and the like. These all need to confirm the sacrospinous ligament earlier, and the process of confirming is that grasp sacrospinous ligament with a tissue pincers, then use finger touch guide under non-visual and reuse Capio stitching instrument, miyazaki pincers, sacrospinous ligament suture hook etc. to sew up, all operate under the condition of invisible, difficult to master the suture depth, easily sew up too deeply or sew up wrong place, damage blood vessel or nerve, lead to medical accident, and the space in the paravaginal clearance is narrow simultaneously, is not convenient to operate.

Disclosure of Invention

The invention aims to solve the technical problem of providing a sacrospinous ligament suturing device, which can suture after clamping sacrospinous ligament by using forceps without using other equipment and can ensure the accuracy of the suture.

In order to solve the technical problems, the technical scheme adopted by the invention is as follows: a sacrospinous ligament suturing device comprises a clamp body, wherein the clamp body comprises a main clamp arm and an auxiliary clamp arm which are hinged, and the upper ends of the main clamp arm and the auxiliary clamp arm are respectively and fixedly provided with an arc-shaped first clamping part and an arc-shaped second clamping part;

the middle parts of the first clamping part and the second clamping part are respectively provided with a first needle groove and a second needle groove, a needle guide tube is arranged in the first needle groove, a sewing needle passes through the needle guide tube, the second needle groove is used for allowing the sewing needle to pass through, and the tail end of the sewing needle is connected with a sewing needle pull wire.

Preferably, the main tong arm is provided with a conduit.

Preferably, the lower part of the main tong arm is provided with a reel sewing needle pull wire which is connected to the reel after passing through the conduit.

Preferably, the front ends of the first clamping part and the second clamping part are provided with clamping heads.

Preferably, the needle guide tube is a quarter circle, and the suture needle is a half circle.

Preferably, the outer side of the main tong arm is provided with a needle receiving rod, the needle receiving rod is of a hollow structure, the upper end of the needle receiving rod is inserted with an upper plug, the side wall of the upper plug is fixedly connected with a needle receiving part, and the lower end of the upper plug is connected with a needle receiving pull wire.

Preferably, a pipe clamp is arranged on the side wall of the main clamp arm, and the needle connecting rod is arranged in the pipe clamp and can slide up and down in the pipe clamp.

Preferably, the lower end of the needle connecting rod is provided with a limiting boss, the limiting boss is used for limiting the upward sliding distance of the needle connecting rod, the lower end of the needle connecting rod is further provided with a detachable lower plug, and the lower plug is connected with the needle connecting pull wire.

Preferably, the inner cavity of the needle connecting part is of a conical structure, a plurality of barrier layers are arranged in the conical cavity from outside to inside, and inverted teeth are arranged at the needle head of the sewing needle.

Preferably, the barrier layer is made of a rubber material.

The invention provides a sacrospinous ligament suture device, which can operate a suture needle on a forceps body after clamping sacrospinous ligament for suture without additionally clamping the suture needle by using an operation forceps, and the traditional sacrospinous ligament suture needs to use two forceps or two operations; the device can realize the clamping and the suture operation only by using one pair of pliers once. Can be well suitable for narrow operation visual field of sacrospinous ligament suture, and can be directly sutured after the sacrospinous ligament is confirmed by using forceps. The sacrospinous ligament fixation requires 1/2-2/3 of suture ligament thickness, but the sacrospinous ligament suture device of the invention can suture the sacrospinous ligament after confirming 1/2-2/3 sacrospinous ligament by visual lower forceps, just at 1/2-2/3 of the thickness of the sacrospinous ligament suture device, avoid using other suture devices after withdrawing tissue forceps, have the problem of needing to readjust the draw hook, or invisible blind operation, may move the suture position unintentionally or suture too deeply, injure nerves in the pudendum and sciatic nerve, cause postoperative hip pain of patients, seriously need to remove the suture line again by surgery, have tedious medical dispute, bring a lot of troubles to patients and doctors.

Drawings

The invention is further illustrated with reference to the following figures and examples:

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic view of a clamping portion according to the present invention;

FIG. 3 is a schematic view of the structure of the needle assembly of the present invention;

FIG. 4 is a schematic view of the present invention showing the structure of the needle;

FIG. 5 is a schematic view of the engagement of the needle receiving portion with the needle according to the present invention;

FIG. 6 is a schematic view showing the structure of the present invention when the needle is removed.

Detailed Description

As shown in fig. 1-2, a sacrospinous ligament suture device comprises a forceps body, wherein the forceps body comprises a main forceps arm 1 and an auxiliary forceps arm 2 which are hinged, and the upper ends of the main forceps arm 1 and the auxiliary forceps arm 2 are respectively and fixedly provided with an arc-shaped first clamping part 3 and an arc-shaped second clamping part 4;

first needle groove 5 and second needle groove 6 have been seted up respectively to the middle part of first clamping part 3 and second clamping part 4, are equipped with in first needle groove 5 and lead needle pipe 7, and seam needle 8 passes from in the needle pipe 7, and second needle groove 6 is used for supplying seam needle 8 to pass through, has seam needle stay 9 at the trailing end connection of seam needle 8. The needle 8 is pulled by the needle pulling thread 9 to move the needle 8 along the needle guide tube 7.

Preferably, the main jawarm 1 is provided with a conduit 10. The guide tube 10 is used to guide the needle thread 9.

Preferably, the lower part of the main clamp arm 1 is provided with a thread winding wheel 11, and a sewing needle pull wire 9 is connected to the thread winding wheel 11 after passing through a thread guide pipe 10. The needle thread 9 is fixed to a reel 11, and the reel is rotated to tighten the needle thread.

Preferably, a clamping head 12 is provided at the front end of the first clamping portion 3 and the second clamping portion 4. The clamping head 12 is used to clamp the sacrospinous ligament.

Preferably, the needle guide tube 7 is a quarter circle, and the needle 8 is a half circle.

Preferably, as shown in fig. 3, a needle receiving rod 19 is provided on the outer side of the main jawarm 1, the needle receiving rod 19 has a hollow structure, an upper plug 13 is inserted into the upper end of the needle receiving rod 19, a needle receiving portion 14 is fixedly connected to the side wall of the upper plug 13, and a needle receiving pull wire 15 is connected to the lower end of the upper plug 13. The sewing needle is completely passed out and then inserted into the needle joint portion 14, and the needle is fixed to the needle joint portion 14.

Preferably, as shown in fig. 4, a pipe clamp 16 is provided on a side wall of the main jawarm 1, and the needle connecting rod 19 is provided in the pipe clamp 16 and can slide up and down in the pipe clamp 16.

Preferably, the lower end of the needle receiving rod 19 is provided with a limiting boss 17, the limiting boss 17 is used for limiting the upward sliding distance of the needle receiving rod 19, the lower end of the needle receiving rod 19 is further provided with a detachable lower plug 18, and the lower plug 18 is connected with the needle receiving pull wire 15. After the sewing needle 8 is connected with the needle connecting part 14, the needle connecting rod 19 slides downwards to enable the needle connecting rod 19 to fall off from the upper plug 13, then the lower plug 18 is detached, the lower plug 18 is pulled downwards, and the needle connecting part 14 is driven to move downwards through the needle connecting pull wire 15, so that the sewing needle 8 is taken out. The limit boss limits the needle bar, when the needle bar 19 slides upwards,

Preferably, as shown in fig. 5, the inner cavity of the needle connecting portion 14 is a conical structure, a plurality of barrier layers 20 are arranged from outside to inside in the conical cavity, and the needle head of the sewing needle 8 is provided with inverted teeth 21.

Preferably, the barrier layer 20 is made of a rubber material. The front end of the sewing needle pierces the barrier layer 20 after penetrating the conical cavity, and due to the presence of the inverted tooth 21, after the sewing needle 8 penetrates the barrier layer 20, the inverted tooth 21 can prevent the sewing needle 8 from sliding out, and a locking effect is achieved.

The device comprises the following steps when in use,

step one, as shown in fig. 1-2, firstly, a sewing needle 8 is placed into a needle guide tube 7, and a needle head does not penetrate out of one end of the needle guide tube 7;

step two, exposing the left sacrospinous ligament by a draw hook, placing the device into a gap separated at the left side beside a vagina, clamping the thickness of the sacrospinous ligament from 1/2 to 2/3, rotating a reel 11 after the sacrospinous ligament is stably clamped, pulling a suture needle pull wire 9, driving a suture needle 8 to move by the suture needle pull wire 9, sliding a needle receiving rod 19 upwards before a needle head reaches the highest point, enabling a needle receiving part 14 to be located at the highest point of the suture needle 8, and receiving the suture needle 8 when the needle head of the suture needle 8 rotates to the highest point, as shown in fig. 3;

and step three, as shown in fig. 4, sliding the needle connecting rod 19 downwards to separate the needle connecting rod 19 from the upper plug 13, cutting the needle pulling wire 9, then detaching the lower plug 18, pulling the needle connecting wire 15, driving the needle 8 to slide out of the needle guide tube 7, and taking out the needle. As shown in FIG. 6, the structure of the needle is schematically shown when the needle is removed.

The above-described embodiments are merely preferred embodiments of the present invention, and should not be construed as limiting the present invention, and the scope of the present invention is defined by the claims, and equivalents including technical features described in the claims. I.e., equivalent alterations and modifications within the scope hereof, are also intended to be within the scope of this invention.

Claims

1. A sacrospinous ligament suturing device, comprising: the clamp comprises a clamp body, wherein the clamp body comprises a main clamp arm (1) and an auxiliary clamp arm (2) which are hinged, and the upper ends of the main clamp arm (1) and the auxiliary clamp arm (2) are respectively and fixedly provided with an arc-shaped first clamping part (3) and an arc-shaped second clamping part (4);

the middle parts of the first clamping part (3) and the second clamping part (4) are respectively provided with a first needle groove (5) and a second needle groove (6), a needle guide tube (7) is arranged in the first needle groove (5), a sewing needle (8) penetrates through the needle guide tube (7), the second needle groove (6) is used for the sewing needle (8) to pass through, and the tail end of the sewing needle (8) is connected with a sewing needle pull wire (9);

the needle guide tube (7) is in a quarter-circle shape, and the sewing needle (8) is in a half-circle shape;

the outer side of the main tong arm (1) is provided with a needle receiving rod (19), the needle receiving rod (19) is of a hollow structure, an upper plug (13) is inserted at the upper end of the needle receiving rod (19), a needle receiving part (14) is fixedly connected to the side wall of the upper plug (13), and the lower end of the upper plug (13) is connected with a needle receiving pull wire (15).

2. A sacrospinous ligament suturing device according to claim 1, wherein: and the main clamp arm (1) is provided with a conduit (10).

3. The sacrospinous ligament suturing device of claim 2, wherein: the lower part of the main tong arm (1) is provided with a reel (11), and a sewing needle pull wire (9) penetrates through the conduit (10) and then is connected to the reel (11).

4. The sacrospinous ligament suturing device of claim 1, wherein: the front ends of the first clamping part (3) and the second clamping part (4) are provided with clamping heads (12).

5. The sacrospinous ligament suturing device of claim 1, wherein: the side wall of the main tong arm (1) is provided with a pipe clamp (16), and the needle receiving rod (19) is arranged in the pipe clamp (16) and can slide up and down in the pipe clamp (16).

6. The sacrospinous ligament suturing device of claim 5, wherein: the lower end of the needle connecting rod (19) is provided with a limiting boss (17), the limiting boss (17) is used for limiting the upward sliding distance of the needle connecting rod (19), the lower end of the needle connecting rod (19) is also provided with a detachable lower plug (18), and the lower plug (18) is connected with the needle connecting pull wire (15).

7. The sacrospinous ligament suturing device of claim 1, wherein: the inner cavity of the needle connecting part (14) is of a conical structure, a plurality of barrier layers (20) are arranged in the conical cavity from outside to inside, and the needle head of the sewing needle (8) is provided with inverted teeth (21).

8. A sacrospinous ligament suturing device according to claim 7, wherein: the barrier layer (20) is made of rubber materials.