CN114424954A - Abdominal cavity puncture stitching instrument - Google Patents

Abdominal cavity puncture stitching instrument Download PDF

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Publication number
CN114424954A
CN114424954A CN202210224493.1A CN202210224493A CN114424954A CN 114424954 A CN114424954 A CN 114424954A CN 202210224493 A CN202210224493 A CN 202210224493A CN 114424954 A CN114424954 A CN 114424954A
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CN
China
Prior art keywords
needle
puncture
tube
sheath
groove
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202210224493.1A
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Chinese (zh)
Inventor
罗云
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Beibei Traditional Chinese Medicine Hospital Of Chongqing City
Original Assignee
Beibei Traditional Chinese Medicine Hospital Of Chongqing City
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Beibei Traditional Chinese Medicine Hospital Of Chongqing City filed Critical Beibei Traditional Chinese Medicine Hospital Of Chongqing City
Priority to CN202210224493.1A priority Critical patent/CN114424954A/en
Publication of CN114424954A publication Critical patent/CN114424954A/en
Pending legal-status Critical Current

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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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • 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
    • A61B17/0482—Needle or suture guides
    • 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • 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
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Rheumatology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the technical field of medical instruments and discloses an abdominal cavity puncture stitching instrument which comprises a puncture tube sheath and a stitching assembly, wherein the puncture tube sheath is in a hollow sleeve shape, and the stitching assembly is rotatably embedded in the side wall of the puncture tube sheath. Further, the suture assembly comprises at least two puncture needle tubes and two puncture needles, axial needle tube channels are arranged between the inner wall and the outer wall of the puncture tube sheath, the puncture needle tubes are symmetrically arranged in the needle tube channels, the upper ends of the puncture needle tubes upwards penetrate out of the needle tube channel connecting handles, the lower ends of the puncture needle tubes penetrate out of the needle tube channel connecting needle arms, the needle arms are arc-shaped and coaxial with the puncture tube sheath, the other ends of the needle arms are connected with the puncture needles, and the puncture needles are axially parallel to the puncture tube sheath. The invention integrates the functions of puncture and suture, has smart and simple structure, and can suture from inside to outside, thereby ensuring safer and firmer suture; when the puncture tube sheath is pulled out, the suture of the puncture hole is completed, the wound is small, and the operation is convenient.

Description

Abdominal cavity puncture stitching instrument
Technical Field
The invention relates to the technical field of medical instruments, in particular to an abdominal cavity puncture stitching instrument.
Background
Laparoscopic surgery is a minimally invasive surgical method that has been widely used because of its small trauma and rapid recovery, so that many open surgeries in the past have been replaced by laparoscopic surgeries. The laparoscopic surgery operation is completed by establishing a working channel on the abdominal wall through an abdominal puncture outfit and then using a special lengthened surgical instrument under a laparoscopic display screen. At present, the puncture outfit has the diameter of 5mm-15mm, the puncture hole is small, and the postoperative suture of the puncture position is difficult, so that the risk of incisional hernia possibly occurs to the postoperative incision.
Chinese patent application CN108542450A discloses an endoscopic puncture suturing device, which comprises an outer sleeve, a puncture device and a suturing device, wherein the outer sleeve and the puncture device are used to realize puncture and operation of abdominal cavity during operation, the suturing device is placed in the outer sleeve to complete suturing of abdominal fascia after operation, the puncture device and the suturing device are still used substantially independently, and the puncture and suturing processes are completed by the aid of the independent outer sleeve, so that the operation process is complicated, and the operation time is not shortened.
Disclosure of Invention
The invention provides an abdominal cavity puncture stitching instrument, aiming at solving the problem that the abdominal cavity puncture is difficult to stitch.
In order to realize the technical purpose, the invention adopts the technical scheme that:
an abdominal cavity puncture stitching instrument comprises a puncture tube sheath and a stitching assembly, wherein the puncture tube sheath is in a hollow sleeve shape, and the stitching assembly is rotationally embedded in the side wall of the puncture tube sheath.
Further, the suture assembly comprises at least two puncture needle tubes and two puncture needles, axial needle tube channels are arranged between the inner wall and the outer wall of the puncture tube sheath, the puncture needle tubes are symmetrically arranged in the needle tube channels, the upper ends of the puncture needle tubes upwards penetrate out of the needle tube channel connecting handles, the lower ends of the puncture needle tubes penetrate out of the needle tube channel connecting needle arms, the needle arms are arc-shaped and coaxial with the puncture tube sheath, the other ends of the needle arms are connected with the puncture needles, and the puncture needles are axially parallel to the puncture tube sheath.
Furthermore, a second groove coaxial with the puncture tube sheath is formed in the peripheral wall of the puncture tube sheath along the circumferential direction, the second groove is close to the bottom of the puncture tube sheath, and a guide pin hole A communicated with the needle tube channel is formed in the second groove; the outer wall of the puncture tube sheath is also axially provided with a third groove, the lower end of the third groove is communicated with the second groove, the lower end of the puncture needle tube penetrates out of the guide pin hole A, and the needle arm is embedded in the second groove; the puncture needle is embedded in the third groove.
Furthermore, the handle is in an arc shape coaxial with the puncture tube sheath, a first groove coaxial with the puncture tube sheath is formed in the peripheral wall of the puncture tube sheath along the circumferential direction, the first groove is close to the top of the puncture tube sheath, and a guide pin hole B communicated with a needle tube channel is formed in the first groove; the upper end of the puncture needle tube penetrates out of the guide pin hole B, and the handle is embedded in the first groove.
Furthermore, a stop wall is arranged on one side of the guide pin hole B in the first groove.
Furthermore, the puncture needle comprises a needle point, a needle rod and a needle head, the needle head is arranged in the needle arm, the needle head is connected with suture lines, and the suture lines of the two puncture needles are connected.
Furthermore, the tail end of the needle arm is provided with a needle seat, and the needle seat is provided with a through hole for the needle head to pass through.
Furthermore, the needle head is provided with needle head ears which are symmetrically arranged, and a needle head ear clamping groove is formed in the bottom of the needle head seat.
Furthermore, the needle cap is further included, and a needle cap hole is formed in the center of the needle cap and is in a sleeve shape.
Further, the needle cap is made of rubber or silica gel materials.
Compared with the prior art, the invention has the beneficial effects that:
according to the abdominal cavity puncture suturing device, the suturing component is embedded in the puncture tube sheath, the suturing component and the puncture tube sheath puncture into an abdominal cavity during puncture, a part of the puncture tube sheath retreats after the suturing component is unfolded, the suturing component can be driven to retreat to penetrate out of an abdominal wall from inside to outside, and the effect of fixing the puncture tube sheath is achieved; after the operation is finished, the suture assembly can carry out suture; the invention sews from inside to outside, and the sewing is safer and firmer; meanwhile, when the puncture sheath is pulled out, the suture of the puncture hole is completed, the wound is small, and the operation is convenient; the invention integrates the functions of puncture and suture, and has smart and simple structure.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings that are required to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present application and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained from the drawings without inventive effort.
FIG. 1 is a schematic structural diagram of an embodiment of the present invention;
FIG. 2 is a schematic view of the structure of the puncture tube portion in the present invention;
fig. 3 is a schematic view of the fixing of the puncture needle;
FIG. 4 is a cross-sectional view taken along line A-A of FIG. 1 (before and after rotation of the needle);
FIG. 5 is a schematic view of the structure of the needle cap;
fig. 6 is a schematic view of the present invention in use.
Reference numerals are as follows: 1-puncture tube sheath, 11-needle tube channel, 12-first groove, 13-second groove, 14-third groove, 15-guide pin hole A, 16-guide pin hole B, 17-stop wall, 2-puncture needle tube, 21-handle, 22-needle arm, 23-needle seat, 24-needle ear clamping groove, 3-puncture needle, 31-needle point, 32-needle rod, 33-needle head, 34-needle ear, 4-suture line, 5-needle cap and 51-needle cap hole.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present application clearer, the technical solutions in the embodiments of the present application will be clearly and completely described below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are some embodiments of the present application, but not all embodiments. The components of the embodiments of the present application, as generally described and illustrated in the figures herein, could be arranged and designed in a wide variety of different configurations. Thus, the following detailed description of the embodiments of the present application, presented in the accompanying drawings, is not intended to limit the scope of the claimed application, but is merely representative of selected embodiments of the application. 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 application.
An abdominal cavity puncture stitching instrument comprises a puncture tube sheath 1 and a stitching assembly, wherein the puncture tube sheath 1 is in a hollow sleeve shape, and the stitching assembly is rotationally embedded in the side wall of the puncture tube sheath 1.
The subassembly of sewing up includes two piece at least puncture needle pipes 2 and two pjncture needles 3, be equipped with axial needle tubing passageway 11 between the inner wall of puncture tube sheath 1 and the outer wall, two the 2 symmetries of puncture needle pipe are located in the needle tubing passageway 11, the upper end of puncture needle pipe 2 is worn out needle tubing passageway 11 and is connected handle 21, and needle tubing passageway 11 connection needle arm 22 is worn out to the lower extreme, needle arm 22 is the arc coaxial with the puncture tube sheath, pjncture needle 3 is connected to the other end of needle arm 22, pjncture needle 3 and puncture tube sheath 1 axial direction parallel.
A second groove 13 coaxial with the puncture sheath is formed in the outer peripheral wall of the puncture sheath 1 along the circumferential direction, the second groove 13 is close to the bottom of the puncture sheath, and a guide pin hole A15 communicated with a needle tube channel is formed in the second groove 13; the outer wall of the puncture tube sheath 1 is also axially provided with a third groove 14, the lower end of the third groove 14 is communicated with the second groove 13, the lower end of the puncture needle tube 2 penetrates out of a guide needle hole A15, and the needle arm 22 is embedded in the second groove 13; the puncture needle 3 is embedded in the third groove 14.
The handle 21 is in an arc shape coaxial with the puncture sheath 1, a first groove 12 coaxial with the puncture sheath is arranged on the outer peripheral wall of the puncture sheath 1 along the circumferential direction, the first groove 12 is close to the top of the puncture sheath, and a guide pin hole B16 communicated with a needle tube channel is arranged in the first groove 12; the upper end of the puncture needle tube 2 penetrates out of a guide needle hole B16, and the handle 21 is embedded in the first groove.
The puncture needle tube 2 is driven by the handle 21 to rotate around the axis thereof, and further drives the needle arm 22 to rotate synchronously. A stop wall 17 is arranged at one side of the guide pin hole B of the first groove 12 and used for limiting the maximum rotation angle of the handle 21.
The puncture needle 3 comprises a needle point 31, a needle rod 32 and a needle head 33, the needle head 33 is arranged in the needle arm 22, the needle head 33 is connected with the suture 4, the sutures of the two puncture needles are connected, and the suture 4 is arranged in the third groove 14.
Specifically, the end of needle arm 22 is equipped with needle file 23, the through-hole that supplies syringe needle 33 to pass is seted up to needle file 23, syringe needle 33 is equipped with needle ear 34, needle ear 34 symmetry is laid, needle file 23 bottom is equipped with needle ear draw-in groove 24, the pillow 33 of pjncture needle inserts from needle file 23 top, behind needle ear 34 butt needle ear draw-in groove 24, rotatory pjncture needle makes needle ear 34 block in needle ear draw-in groove 24, can fix the pjncture needle, avoids the not hard up slippage of pjncture needle, when needs draw the pjncture needle, makes needle ear and through-hole align the side and can extract to rotatory pjncture needle.
Still include the needle cap 5, needle cap hole 51 has been seted up at needle cap 5 center, is the cover tube-shape, needle cap 5 is waited to pjncture needle 3 to puncture behind the stomach wall and is established on pjncture needle 3 needle point 31, is used for being fixed in the stomach wall with the pjncture needle on the one hand, makes the puncture tube sheath not shift, and on the other hand avoids operating the person in the operation to be stabbed by the needle point, improves the safety in utilization.
According to the abdominal cavity puncture suturing device, the suture components are hidden in the puncture tube sheath, the suture components are punctured into an abdominal cavity during puncture, the handle is rotated to drive the needle arm and the puncture needle to rotate and unfold, then the puncture needle partially exits out of the puncture tube part backwards, the puncture needle moves along with the puncture tube part and further penetrates out of the abdominal wall, the needle cap is covered on the needle point, and at the moment, the puncture tube sheath is fixed around the puncture hole and cannot move randomly, so that the abdominal cavity puncture suturing device is beneficial to operation; when suturing after the operation is finished, the puncture needle is rotated and pulled to separate the puncture needle from the needle seat, the handle is rotated again to withdraw the needle arm, the needle arm is retracted into the outer wall of the puncture tube part, the puncture needle tube is withdrawn, the suture line is tightened and knotted, and the puncture hole suturing is completed.
The present invention is capable of other embodiments, and various changes and modifications may be made by one skilled in the art without departing from the spirit and scope of the invention.

Claims (10)

1. The utility model provides an abdominal cavity puncture stitching instrument, includes puncture tube sheath (1) and sews up the subassembly, its characterized in that: the puncture sheath (1) is in a hollow sleeve shape, and the suture assembly is rotatably embedded in the side wall of the puncture sheath (1).
2. The laparoscopic puncture stapler of claim 1, wherein: the utility model discloses a suture assembly, including suture assembly, needle tube (1) and needle tube (22), suture assembly includes two piece at least puncture needle tubes and two pjncture needles, be equipped with axial needle tube passageway (11), two between the inner wall of puncture tube sheath (1) and the outer wall puncture needle tube (2) symmetry is located in needle tube passageway (11), needle tube passageway (11) connection handle (21) are upwards worn out to the upper end of puncture needle tube (2), and needle tube passageway (11) connection needle arm (22) are worn out to the lower extreme of puncture needle tube (2), needle arm (22) are the arc coaxial with puncture tube sheath (1), pjncture needle (3) are connected to the other end of needle arm (22), pjncture needle (3) and puncture tube sheath (1) axial direction parallel.
3. The laparoscopic stapler of claim 2, wherein: a second groove (13) coaxial with the puncture sheath is formed in the peripheral wall of the puncture sheath (1) along the circumferential direction, the second groove (13) is close to the bottom of the puncture sheath, and a guide pin hole A (15) communicated with a needle tube channel is formed in the second groove (13); a third groove (14) is further axially formed in the outer wall of the puncture tube sheath (1), the lower end of the third groove (14) is communicated with the second groove (13), the lower end of the puncture needle tube (2) penetrates out of the guide pin hole A (15), and the needle arm (22) is embedded in the second groove (13); the puncture needle (3) is embedded in the third groove (14).
4. The laparoscopic puncture stapler of claim 2, wherein: the handle (21) is in an arc shape coaxial with the puncture tube sheath (1), a first groove (12) coaxial with the puncture tube sheath is formed in the peripheral wall of the puncture tube sheath (1) along the circumferential direction, the first groove (12) is close to the top of the puncture tube sheath, and a guide pin hole B (16) communicated with a needle tube channel is formed in the first groove (12); the upper end of the puncture needle tube (2) penetrates out of the guide pin hole B (16), and the handle (21) is embedded in the first groove.
5. The laparoscopic puncture stapler of claim 4, wherein: and a stop wall (17) is arranged at one side of the guide pin hole B in the first groove (12).
6. The laparoscopic puncture stapler of claim 2, wherein: the puncture needle (3) comprises a needle point (31), a needle rod (32) and a needle head (33), the needle head (33) is arranged in the needle arm (22), the needle head (33) is connected with a suture line (4), and the suture lines (4) of the two puncture needles (3) are connected.
7. The laparoscopic stapler of claim 6, wherein: the tail end of the needle arm (22) is provided with a needle seat (23), and the needle seat (23) is provided with a through hole for the needle head (33) to pass through.
8. The laparoscopic puncture stapler of claim 7, wherein: the needle head (33) is provided with needle head ears (34), the needle head ears (34) are symmetrically arranged, and needle head ear clamping grooves (24) are formed in the bottom of the needle head seat (23).
9. The laparoscopic stapler of claim 1, wherein: the needle cap is characterized by further comprising a needle cap (5), wherein a needle cap hole (51) is formed in the center of the needle cap (5) and is in a sleeve shape.
10. The laparoscopic puncture stapler of claim 9, wherein: the needle cap (5) is made of rubber or silica gel materials.
CN202210224493.1A 2022-03-07 2022-03-07 Abdominal cavity puncture stitching instrument Pending CN114424954A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210224493.1A CN114424954A (en) 2022-03-07 2022-03-07 Abdominal cavity puncture stitching instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202210224493.1A CN114424954A (en) 2022-03-07 2022-03-07 Abdominal cavity puncture stitching instrument

Publications (1)

Publication Number Publication Date
CN114424954A true CN114424954A (en) 2022-05-03

Family

ID=81314100

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202210224493.1A Pending CN114424954A (en) 2022-03-07 2022-03-07 Abdominal cavity puncture stitching instrument

Country Status (1)

Country Link
CN (1) CN114424954A (en)

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