CN112754556B - Skull base wound dura mater suture device - Google Patents
Skull base wound dura mater suture device Download PDFInfo
- Publication number
- CN112754556B CN112754556B CN202110059567.6A CN202110059567A CN112754556B CN 112754556 B CN112754556 B CN 112754556B CN 202110059567 A CN202110059567 A CN 202110059567A CN 112754556 B CN112754556 B CN 112754556B
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- rod
- movably connected
- rods
- outer side
- sleeve
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- Expired - Fee Related
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- 210000001951 dura mater Anatomy 0.000 title claims abstract description 25
- 210000001154 skull base Anatomy 0.000 title claims abstract description 20
- 238000009958 sewing Methods 0.000 claims abstract description 21
- 230000007246 mechanism Effects 0.000 claims abstract description 19
- 210000003928 nasal cavity Anatomy 0.000 claims abstract description 8
- 210000003205 muscle Anatomy 0.000 claims abstract description 4
- 230000006978 adaptation Effects 0.000 claims 1
- 208000014674 injury Diseases 0.000 abstract description 13
- 208000027418 Wounds and injury Diseases 0.000 abstract description 11
- 230000000694 effects Effects 0.000 abstract description 8
- 230000006378 damage Effects 0.000 abstract description 7
- 230000008733 trauma Effects 0.000 abstract description 7
- 230000009471 action Effects 0.000 abstract description 4
- 230000008447 perception Effects 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000004075 alteration Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- PMHURSZHKKJGBM-UHFFFAOYSA-N isoxaben Chemical compound O1N=C(C(C)(CC)CC)C=C1NC(=O)C1=C(OC)C=CC=C1OC PMHURSZHKKJGBM-UHFFFAOYSA-N 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
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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 relates to the technical field of medical instruments and discloses a skull base trauma dura mater suture device which comprises a shell, wherein the surface of the shell is movably connected with a first slide button; the muscle and the sewing mechanism of automatic in with the nasal cavity are kept apart, provide sufficient space for the operation of sewing mechanism, and can avoid sewing mechanism to cause extra injury when sewing the dura mater, increase the security of sewing operation, send into nasal cavity depths with the knot of stylolite, and the degree of deepening is judged to accessible perception resistance, make the knot of stitch after becoming the knot laminate with the appointed suture position of patient firmly, guaranteed the sewing effect, through the combined action of second smooth button, the push rod, the loop bar, the second movable rod, the loop bar and stay cord, send the knot to the assigned position after, remove the knot automatically and send the relation of being connected of line mechanism, make the knot drop rather than, avoided sending the condition that line mechanism took out the knot, improve sutural convenience, more accord with the in-service use demand.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a skull base trauma dura mater suture device.
Background
When the skull base is wounded and needs to be sutured, the auxiliary operation of the neuroendoscope is mostly used, the close-range observation and the lateral visual angle can be provided, and the minimization of the wound is convenient. However, the existence of the neuroendoscopy occupies a certain space, and the operation cavity is deep, the operation space is narrow, the surrounding structure is complex, and the operation difficulty is seriously increased. So that the peripheral tissues are damaged in the suturing process, and secondary damage is brought to patients. After completion of the suturing operation, the suture is tied and fed into the designated suture site. Present suturing device, send into the back of nasal cavity depths with the knot, can not break away from smoothly with the knot, have the condition of taking the knot out of, this degree of difficulty that has increased the operation, it is long to consume time, sews up into power low, leads to sewing up the effect not good, can not satisfy the in-service use demand.
Aiming at the defects of the prior art, the invention provides the skull base trauma dura mater suturing device which has the advantages of increasing the operation space, reducing the injury and having better suturing effect.
Disclosure of Invention
Technical scheme (I)
In order to achieve the purposes of increasing the operation space, reducing injuries and better suturing effect, the invention provides the following technical scheme: the skull base trauma dura mater stitching device comprises a shell, a first sliding button, a first movable rod, a chuck, a movable frame, a rotating rod, a cavity expanding rod, a stitching mechanism, a rotating button, a second movable rod, a sleeve block, a pull rope, a second sliding button, a push rod and a sleeve rod.
Wherein:
the position and connection relationship among the structures are as follows:
a skull base trauma dura mater stitching device comprises a shell, wherein the surface of the shell is movably connected with a first slide button, the outer side of the first slide button is movably connected with a first movable rod, the first movable rod is composed of a cross rod and an inclined rod, the surface of the inclined rod is fixedly connected with a first slide button, the lower movable rod of the first slide button is connected with a chuck, the surface of the chuck is provided with an inclined groove, the size of the inclined groove is matched with that of the inclined rod of the first movable rod, the outer side of the chuck is fixedly connected with a movable frame, the movable frame is composed of a frame rod and a connecting rod, the bottom of the connecting rod is movably connected with a rotary rod, the lower part of the movable frame is movably connected with rotary rods, the rotary rods are two and have the same specification, one side of the rotary rod, which is far away from the movable frame, is movably connected with two cavity expanding rods, the two cavity expanding rods are also have the same specification, the cavity expanding rods are composed of a vertical rod and an inclined rod, the outer side of the cavity expanding rod is movably connected with a stitching mechanism, the surface of the shell is movably connected with a rotary button, the outer side of the rotating button is fixedly connected with a first cone pulley, the lower part of the rotating button is movably connected with a second movable rod, the outer side of the second movable rod is movably connected with a second cone pulley, the second movable rod is in an inverted T shape, the surface of a vertical rod of the second movable rod is provided with threads, the outer side of the second movable rod is movably connected with a sleeve block, the sleeve block is in an I shape, an upper transverse rod of the sleeve block is movably clamped at the outer side of the vertical rod of the second movable rod, the outer side of the sleeve block is movably connected with a pull rope, the outer side of the pull rope is movably connected with two rotary discs with the same specification, the outer side of each rotary disc is fixedly connected with a first groove frame, the inner side of each groove frame is movably connected with two push rods with the same specification, one side of each push rod, which is far away from the sleeve block, is movably connected with the sleeve rod, the two loop bars are of the same specification, the loop bars are in an inverted V shape, and the outer sides of the upper inclined bars are movably connected with push rods.
(II) advantageous effects
Compared with the prior art, the invention provides a skull base trauma dura mater suture device, which has the following beneficial effects:
1. this basis cranii wound dura mater suturing device through the combined action of first slide button, first movable rod, chuck, movable frame, swing arm, expand chamber pole and sewing mechanism, keeps apart muscle and sewing mechanism in the nasal cavity automatically, provides sufficient space for sewing mechanism's operation to can avoid sewing mechanism to cause extra injury when sewing the dura mater, increase the security of sewing the operation.
2. This device is sewed up to skull base wound dura mater, through the combined action of turn button, second movable rod, nest block and loop bar structure, send into the nasal cavity depths with the knot of stylolite to the degree of deepening is judged to accessible perception resistance, makes the knot of stylolite becomes the knot and the appointed sewing position laminating of patient firm, has ensured the effect of sewing up.
3. This basis cranii wound dura mater suturing device, through the combined action of second slide button, push rod, loop bar, second movable rod, cover block and stay cord, send the knot to assigned position after, the relation of connection of automatic release knot and thread feeding mechanism makes the knot drop rather than, has avoided the condition that thread feeding mechanism took out the knot, improves sutural convenience, more accords with the in-service use demand.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a cross-sectional view of FIG. 1 in accordance with the present invention;
FIG. 3 is a schematic view of a chuck and cavity expanding rod of the present invention.
In the figure: 1. a housing; 2. a first slide button; 3. a first movable bar; 4. a chuck; 5. a movable frame; 6. rotating the rod; 7. a cavity expanding rod; 8. a suturing mechanism; 9. turning a button; 10. a second movable bar; 11. sleeving blocks; 12. pulling a rope; 13. a second slide button; 14. a push rod; 15. a loop bar.
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. 1-3, a skull base trauma dura mater suture device comprises a shell 1, a first slide button 2 is movably connected to the surface of the shell 1, a first movable rod 3 is movably connected to the outer side of the first slide button 2, the first movable rod 3 is composed of a cross rod and an inclined rod, the surface of the inclined rod is fixedly connected with the first slide button 2, two limit tubes with the same specification are fixedly connected to the outer side of the cross rod of the first movable rod 3, a chuck 4 is connected to the lower movable rod of the first slide button 2, the surface of the chuck 4 is provided with an inclined groove, the size of the inclined rod is matched with the size of the inclined rod of the first movable rod 3, a movable frame 5 is fixedly connected to the outer side of the chuck 4, the movable frame 5 is composed of a frame rod and a connecting rod, a rotary rod 6 is movably connected to the bottom of the connecting rod, the outer sides of the vertical rods at two sides of the frame rod of the movable frame 5 are fixedly connected with the limit tubes, a rotary rod 6 is movably connected to the lower part of the movable frame 5, the rotary rods 6 are two and have the same specification, one side of the rotary rod 6, which is far away from the connecting rod of the movable frame 5, is movably connected with the connecting part of the vertical rod and the diagonal rod of the cavity expanding rod 7, one side of the rotary rod 6, which is far away from the movable frame 5, is movably connected with the cavity expanding rod 7, the two cavity expanding rods 7 are same in specification, the cavity expanding rod 7 is composed of the vertical rod and the diagonal rod, the outer side of the diagonal rod is fixedly connected with a limiting pipe, the outer side of the cavity expanding rod 7 is movably connected with a sewing mechanism 8, the surface of the shell 1 is movably connected with a knob 9, the outer side of the knob 9 is fixedly connected with a first cone pulley, the lower part of the knob 9 is movably connected with a second movable rod 10, the outer side of the second movable rod 10 is movably connected with a second cone pulley, the size of the first taper wheel is matched with the size of the first taper wheel on the outer side of the knob 9, a screw hole is formed in the second taper wheel, the second movable rod 10 is in an inverted T shape, threads are arranged on the surface of a vertical rod of the second movable rod, and the size of the second movable rod is matched with the size of the screw hole of the second taper wheel.
The outer side of the second movable rod 10 is movably connected with a sleeve block 11, the sleeve block 11 is in an I shape, the upper cross rod of the sleeve block is movably clamped on the outer side of the vertical rod of the second movable rod 10, two springs with the same specification are movably connected between the sleeve block 11 and the cross rod of the second movable rod 10, the elasticity of the springs is larger than that of a coil spring on the outer side of a pull rope 12 and a spring on the outer side of a second slide button 13, the outer side of the pull rope 12 is movably connected with two rotary discs with the same specification, the outer side of each rotary disc is fixedly connected with a first groove frame, the inner part of each groove frame is movably connected with a first sliding block, the first sliding block is movably connected with the rotary discs, the springs are movably connected between the first sliding blocks and the groove frames, the outer side of the pull rope 12 is movably connected with a second slide button 13, the outer side of the second slide button 13 is fixedly connected with a second groove frame, the inner part of each groove frame is movably connected with a second sliding block, and the second sliding button 13 is movably connected with the second sliding block, a spring is movably connected between the second sliding block and the groove frame, push rods 14 are movably connected below the second movable rods 10, the number of the push rods 14 is two, the specifications of the push rods 14 are the same, sleeve rods 15 are movably connected on one side, far away from the sleeve block 11, of the push rods 14, the number of the sleeve rods 15 is two, the specifications of the sleeve rods 15 are the same, the sleeve rods 15 are in an inverted V shape, the push rods 14 are movably connected on the outer sides of the upper inclined rods, and the joint of the two inclined rods of the sleeve rods 15 is movably connected with the lower transverse rod of the sleeve block 11.
The working process and the principle of the device are as follows:
during the use, promote first smooth button 2 and remove left, first movable rod 3 synchronous motion, because its down tube activity card is in the chute of chuck 4, make first movable rod 3 drive chuck 4 and movable frame 5 upwards move when removing, two swing arms 6 of connecting rod pulling of movable frame 5 shift up, swing arm 6 promotes to expand chamber pole 7 and moves up along the spacing pipe in its down tube outside, make two expand chamber poles 7 keep away from each other, keep apart muscle and sewing mechanism 8 in the nasal cavity, avoid sewing mechanism 8 and cause extra injury when sewing the dura mater, increase the security of sewing up the operation.
After the suture operation is finished, the suture line is knotted outside the nasal cavity, the knot is sleeved outside the cross rods of the two loop bars 15, the rotating button 9 is rotated, the first cone pulley on the outer side of the rotating button rotates synchronously, the first cone pulley is meshed with the second cone pulley on the outer side of the second movable bar 10 to drive the second movable bar 10 to move downwards, the second movable bar 10 drives the loop block 11 to move synchronously together with the loop bars 15, the loop block 11 is close to the dura mater, when the movement of the lower cross rod is obstructed by the dura mater, the rotating button 9 stops rotating to avoid the loop block 11 from extruding the dura mater to cause secondary injury, at the moment, the second sliding button 13 is pulled to move upwards, because the loop block 11 moves downwards, the pull rope 12 on the outer side of the loop block is pulled to move, the pull rope 12 drives the two rotary discs on the outer side of the loop to approach each other, the spring on the outer side of the rotary discs is stretched, the second sliding button 13 drives the pull rope 12 to move along the pull rope 12 to pull the vertical bar of the loop block 11 to move upwards, the loop bar 15 is driven by the loop bar 11 to move upwards, the movement of the loop bar is blocked by the push rod 14, the two loop bars 15 rotate by taking the joint of the loop bar and the loop bar 11 as a rotation point, the cross bars of the two loop bars 15 are close to each other and are placed in an inverted splayed shape, the knot of the suture line outside the cross bars is separated from the loop bar 15, the suture knot formed by the suture line is firmly attached to the appointed suture part of the patient, and the suture effect is ensured.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (7)
1. A basis cranii wound dura mater suture device, includes shell (1), its characterized in that: the surface of the shell (1) is movably connected with a first slide button (2), the outer side of the first slide button (2) is movably connected with a first movable rod (3), the lower movable rod of the first slide button (2) is connected with a chuck (4), the outer side of the chuck (4) is fixedly connected with a movable frame (5), the lower side of the movable frame (5) is movably connected with a rotary rod (6), one side of the rotary rod (6) far away from the movable frame (5) is movably connected with a cavity expanding rod (7), the outer side of the cavity expanding rod (7) is movably connected with a sewing mechanism (8), the surface of the shell (1) is movably connected with a rotary button (9), the lower side of the rotary button (9) is movably connected with a second movable rod (10), the outer side of the second movable rod (10) is movably connected with a sleeve block (11), the outer side of the sleeve block (11) is movably connected with a pull rope (12), and the outer side of the pull rope (12) is movably connected with a second slide button (13), a push rod (14) is movably connected below the second movable rod (10), and a loop bar (15) is movably connected to one side, far away from the loop block (11), of the push rod (14);
the first sliding button (2) is pushed to move leftwards, so that the first movable rod (3) drives the chuck (4) and the movable frame (5) to move upwards while moving, and the connecting rod of the movable frame (5) pulls the two rotary rods (6) to move upwards, so that the two cavity expansion rods (7) are far away from each other, and muscles in the nasal cavity are isolated from the suture mechanism (8);
the second sliding button (13) is pulled to move upwards, the sleeve block (11) moves downwards and meanwhile pulls the pull rope (12) on the outer side of the sleeve block to move, the pull rope (12) pulls the sleeve block (11) to move upwards along the vertical rod of the second movable rod (10), the sleeve block (11) drives the sleeve rods (15) to move upwards, the movement of the sleeve rods is blocked by the push rod (14), the two sleeve rods (15) rotate by taking the connection part of the sleeve rods and the sleeve block (11) as a rotating point, the cross rods of the two sleeve rods (15) are close to each other and are placed in an inverted V shape, and the knot of a suture line on the outer side of the cross rod is separated from the sleeve rods (15).
2. A cranial base dura mater suture device according to claim 1, characterized in that: first movable rod (3) comprise horizontal pole and down tube, and the fixed surface of its down tube is connected with first smooth button (2), and the chute has been seted up on the surface of chuck (4), and its size and the size looks adaptation of first movable rod (3) down tube.
3. A cranial base dura mater suture device according to claim 1, characterized in that: the movable frame (5) is composed of a frame rod and a connecting rod, the bottom of the connecting rod is movably connected with two rotating rods (6), and the specifications of the two rotating rods (6) are the same.
4. A cranial base dura mater suture device according to claim 1, characterized in that: the two cavity expanding rods (7) are of the same specification, each cavity expanding rod (7) is composed of a vertical rod and an inclined rod, and a first cone pulley is fixedly connected to the outer side of the rotating button (9).
5. A cranial base dura mater suture device according to claim 1, characterized in that: the outer side of the second movable rod (10) is movably connected with a second cone pulley, the second movable rod (10) is in an inverted T shape, the surface of a vertical rod of the second movable rod is provided with threads, the sleeve block (11) is in an I shape, and a transverse rod of the sleeve block is movably clamped on the outer side of the vertical rod of the second movable rod (10).
6. A cranial base dura mater suture device according to claim 1, characterized in that: the outer side of the pull rope (12) is movably connected with two rotary discs with the same specification, the outer sides of the rotary discs are fixedly connected with a first groove frame, the inner parts of the groove frames are movably connected with a first sliding block, the outer sides of the second sliding buttons (13) are fixedly connected with a second groove frame, and the inner parts of the groove frames are movably connected with a second sliding block.
7. A cranial base dura mater suture device according to claim 1, characterized in that: the number of the push rods (14) is two, the specifications of the push rods are the same, the number of the sleeve rods (15) is two, the specifications of the sleeve rods are the same, the sleeve rods (15) are inverted V-shaped, and the push rods (14) are movably connected to the outer sides of the inclined rods.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110059567.6A CN112754556B (en) | 2021-01-18 | 2021-01-18 | Skull base wound dura mater suture device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110059567.6A CN112754556B (en) | 2021-01-18 | 2021-01-18 | Skull base wound dura mater suture device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN112754556A CN112754556A (en) | 2021-05-07 |
| CN112754556B true CN112754556B (en) | 2022-03-08 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN202110059567.6A Expired - Fee Related CN112754556B (en) | 2021-01-18 | 2021-01-18 | Skull base wound dura mater suture device |
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| Country | Link |
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| CN (1) | CN112754556B (en) |
Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109223078A (en) * | 2018-11-12 | 2019-01-18 | 中国人民解放军第四军医大学 | The suture of nerve endoscope skull base surgery dura mater pushes away line device |
| CN111096768A (en) * | 2020-01-10 | 2020-05-05 | 纪凯 | Nerve endoscope lower skull base dura mater stitching instrument |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| ES2310964B1 (en) * | 2007-01-25 | 2009-12-18 | Pedro Guillen Garcia | SURGICAL INSTRUMENT OF SUTURE OF THE SCHEMETIC MUSCLE AND SURGICAL TECHNIQUE THAT USES THE SAME. |
| US9629620B2 (en) * | 2014-02-13 | 2017-04-25 | Medtronic Vascular, Inc. | Method and apparatus for forming a suture connector in situ |
| CN109157252A (en) * | 2018-08-13 | 2019-01-08 | 西安医学院第二附属医院 | A kind of Encephalocele is used for the device of endocranium suture |
| CN109223077B (en) * | 2018-11-12 | 2024-06-25 | 中国人民解放军第四军医大学 | Hard membrane suture knot-tying device for nerve endoscope skull base operation |
| CN110693551B (en) * | 2019-09-29 | 2020-07-31 | 中国医学科学院北京协和医院 | Dura mater suture pusher for simulating nerve endoscopic skull base operation |
| CN110664447A (en) * | 2019-10-30 | 2020-01-10 | 中国人民解放军南部战区总医院 | Operation stitching instrument |
-
2021
- 2021-01-18 CN CN202110059567.6A patent/CN112754556B/en not_active Expired - Fee Related
Patent Citations (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109223078A (en) * | 2018-11-12 | 2019-01-18 | 中国人民解放军第四军医大学 | The suture of nerve endoscope skull base surgery dura mater pushes away line device |
| CN111096768A (en) * | 2020-01-10 | 2020-05-05 | 纪凯 | Nerve endoscope lower skull base dura mater stitching instrument |
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| CN112754556A (en) | 2021-05-07 |
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Granted publication date: 20220308 |