CN114469216A - Suture adjusting mechanism of blood vessel stitching instrument - Google Patents

Suture adjusting mechanism of blood vessel stitching instrument Download PDF

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Publication number
CN114469216A
CN114469216A CN202210101027.4A CN202210101027A CN114469216A CN 114469216 A CN114469216 A CN 114469216A CN 202210101027 A CN202210101027 A CN 202210101027A CN 114469216 A CN114469216 A CN 114469216A
Authority
CN
China
Prior art keywords
suture
wire
pull
coil
adjusting rod
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
CN202210101027.4A
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Chinese (zh)
Inventor
章仕忠
方晓东
裴世宁
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.)
Nanjing Sealmed Medical Technology Co ltd
Original Assignee
Nanjing Sealmed Medical Technology Co ltd
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 Nanjing Sealmed Medical Technology Co ltd filed Critical Nanjing Sealmed Medical Technology Co ltd
Priority to CN202210101027.4A priority Critical patent/CN114469216A/en
Publication of CN114469216A publication Critical patent/CN114469216A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491Sewing machines for surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0474Knot pushers

Abstract

The invention discloses a suture line adjusting mechanism of a blood vessel stitching instrument, belonging to the technical field of interventional therapy, and the suture line adjusting mechanism of the blood vessel stitching instrument comprises: a pull coil for securing the suture; the end part of the pull wire sleeve is connected with the pull wire coil and is used for pulling the pull wire coil to move so as to further drive the suture to move; the adjusting rod is movably provided with the wire drawing sleeve, and the end part of the adjusting rod is provided with a wire outlet and a wire inlet which are communicated with each other so that the wire drawing ring draws the suture to sequentially pass through the wire inlet and the wire outlet. The pull coil is pulled through the pull coil sleeve, the suture is driven to move, the suture sequentially passes through the wire inlet and the wire outlet under the traction of the pull coil, the knot of the suture is adjusted through the wire inlet, the knot of the suture can be pushed forward and does not damage the suture in the knot pushing process, the knotting performance is met, the safety is guaranteed, the operation difficulty of the blood vessel suturing device is reduced, and the efficiency of medical workers is improved.

Description

Suture adjusting mechanism of blood vessel stitching instrument
Technical Field
The invention belongs to the technical field of interventional therapy, and particularly relates to a suture adjusting mechanism of a blood vessel stitching instrument.
Background
The interventional operation is to make a wound on the artery and vein blood vessel of the human body and make the interventional device enter the operation part of the human body required to be reached through the blood vessel. Because part of the vascular wound is large, and anticoagulation and platelet medicines are used in the operation, the difficulty of the closed hemostasis and recovery of the large vascular wound is large, so the hemostasis method of the existing vascular suture system is adopted, and after the suture is knotted by a suture device, the suture knot needs to be pushed tightly to the wound part.
Currently, a suture conditioner is used for pushing tight a suture knot, such as an arterial vascular suture conditioner proposed by publication No. CN201337526Y, as shown in FIGS. 5-6, which includes a trimming switch a, a clipping switch b, a wrench c, a housing d, a hooking wire tube e, a clipping connecting rod f, and a trimming tube g.
When the suture conditioner is used, firstly, the thread clamping switch b of the conditioner is moved upwards, one end of a suture is hooked by the thread hooking pipe e, and after the thread is hooked, the suture is pressed by the thread clamping switch b under the elastic action of the rear end; then the hook wire end is pulled tightly by hand, and the prefabricated knot is pushed to the skin tissue at the puncture position.
When the device is generally used, if the stitching of the thread clamping switch b is too tight, the thread is difficult to pull or the thread is damaged when the hook thread end is subsequently tightened, and if the stitching is too loose, the thread is easy to slip out when knot is pushed, and the knot is difficult to guide and push. Therefore, when the suture knot is generally pushed and tightened, the force needs to be controlled by the experience of an operator to slowly pull the suture, the whole action process is slow, and the efficiency is low.
Disclosure of Invention
The invention aims to provide a suture adjusting mechanism of a blood vessel stitching instrument, which aims to solve the problems of the prior suture adjusting mechanism in the using process in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: a suture adjustment mechanism for a vascular stapler, comprising:
a pull coil for securing the suture;
the end part of the pull wire sleeve is connected with the pull wire coil and is used for pulling the pull wire coil to move so as to further drive the suture to move;
the adjusting rod is movably provided with the wire drawing sleeve, and the end part of the adjusting rod is provided with a wire outlet and a wire inlet which are communicated with each other so that the wire drawing ring draws the suture to sequentially pass through the wire inlet and the wire outlet.
Preferably, the distal end of the pull coil is provided with a U-shaped slot for securing the suture.
Preferably, the middle part of the pull coil is provided with a flexible and shape-adjustable opening.
Preferably, the proximal end of the pull coil is provided with a rod.
Preferably, one end of the wire drawing sleeve is matched with the bar and is provided with a hole structure.
Preferably, the outer wall of the pull wire sleeve is provided with a lantern ring, the lantern ring is sleeved outside the adjusting rod, and the lantern ring can be optionally arranged in an open mode.
Preferably, one end of the wire drawing sleeve, which is far away from the hole structure, is provided with a cylindrical handle.
Preferably, the wire inlet is opened on the bottom surface of the end part of the adjusting rod, and the diameter of the wire inlet is 1.0 mm.
Preferably, the outlet is arranged on the cylindrical surface of the adjusting rod.
Preferably, one end of the adjusting rod, which is far away from the wire inlet, is provided with a disc.
Compared with the prior art, the invention has the beneficial effects that:
the mechanism can adjust the position of the suture knot.
According to the technical scheme provided by the invention, when the suture knot is pushed to be knotted, the suture knot can be pushed, the suture is not damaged in the pushing process, the suture is prevented from being damaged due to over-tight pressing of the device, the suture is prevented from being difficultly fixed and pulled due to over-loose pressing, the knotting performance is met, and the safety is ensured.
The pull coil is pulled through the pull coil sleeve to drive the suture to move, the suture sequentially passes through the wire inlet and the wire outlet under the traction of the pull coil, and the knot of the suture is adjusted through the wire inlet.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of a suture placement configuration of the present invention;
FIG. 3 is a schematic drawing of a suture pull of the present invention;
FIG. 4 is a schematic view of a suture cut-out of the present invention;
FIG. 5 is a schematic structural diagram of a conventional apparatus;
fig. 6 is an enlarged schematic view of a portion a in fig. 5.
In the figure: 1. an adjusting rod; 11. a disc; 12. an outlet; 13. a wire inlet; 2. a wire drawing sleeve; 21. a hole structure; 22. a collar; 23. a cylindrical handle; 3. pulling the coil; 31. a U-shaped groove; 32. an opening; 33. a bar material; 4. and (4) sewing.
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. 1-4, the present invention provides a technical solution: a suture adjustment mechanism for a vascular stapler, comprising:
a pull loop 3 for securing a suture 4;
the end part of the wire drawing sleeve 2 is connected with the wire drawing coil 3 and used for drawing the wire drawing coil 3 to move and further driving the suture 4 to move;
the adjusting rod 1 is movably provided with the wire drawing sleeve 2, and the end part of the adjusting rod 1 is provided with a wire outlet 12 and a wire inlet 13 which are communicated with each other, so that the wire drawing coil 3 draws the suture 4 to sequentially pass through the wire inlet 13 and the wire outlet 12.
The proximal end mentioned herein refers to the end close to the operator, and the distal end refers to the end of the device away from the operator, and it can be seen from the technical solution proposed in the present application that the end of the adjusting rod 1 where the wire pulling sleeve 2 and the wire pulling coil 3 are arranged is the distal end, and the end of the adjusting rod 1 where the disc 11 is arranged is the proximal end.
In this embodiment, the suture 4 is fixed through the pull coil 3, further, the pull coil 3 is pulled through the pull sleeve 2 to drive the suture 4 to move, the suture 4 sequentially passes through the wire inlet 13 and the wire outlet 12 under the traction of the pull coil 3, and the knot of the suture 4 is adjusted through the wire inlet 13.
Specifically, the distal end of the pull ring 3 is provided with a U-shaped groove 31 for securing the suture 4.
In this embodiment, the U-shaped slot 31 may also be a resilient clip for securing the end of the suture 4.
Specifically, the middle part of the pull ring 3 is provided with a flexible and shape-adjustable opening 32.
In this embodiment, the middle of the pull ring 3 is a flexible and adjustable opening 32, the opening 32 can deform to smoothly pass through the wire inlet 13 and the wire outlet 12, and when the suture 4 is set in the opening 32, the diameter of the opening can be adjusted to be larger than the wire inlet 13, so as to fix the suture 4.
Specifically, the proximal end of the pull ring 3 is provided with a rod 33.
In the present embodiment, the rod 33 serves to connect the pull wire loop 3 and the pull wire cover 2.
Specifically, one end of the wire sleeve 2 is provided with a hole structure 21 in cooperation with the bar 33.
In the present embodiment, the rod 33 is inserted into the hole structure 21, and the connection manner of the opening 32 and the wire sleeve 2 includes, but is not limited to, connection via the rod 33 and the hole structure 21.
Specifically, the outer wall of the pull wire sleeve 2 is provided with a lantern ring 22, the lantern ring 22 is sleeved outside the adjusting rod 1, and the lantern ring 22 is optionally arranged in an open manner.
In this embodiment, the sleeve ring 22 is sleeved and fixed outside the adjusting rod 1, and the sleeve ring 22 may be made of a deformable material, so that the sleeve ring 22 can be taken down from the adjusting rod 1 through the opening at the bottom thereof.
Specifically, one end of the wire sleeve 2 away from the hole structure 21 is provided with a cylindrical handle 23.
In this embodiment, the cylindrical handle 23 is used to hold the suture cover 2 and draw the suture 4 to move.
Specifically, the wire inlet 13 is opened on the bottom surface of the end part of the adjusting rod 1, and the diameter of the wire inlet is 1.0 mm.
In this embodiment, the size of the wire inlet 13 is Φ 1.0mm, which is adapted to the size of the knot of the suture 4 and can pass through the opening 32 in the middle of the pull-coil 3, and the bottom surface here refers to the circular surface of the end of the columnar adjusting rod 1 near the pull-coil 3.
Specifically, the outlet 12 is opened on the cylindrical surface of the adjusting rod 1.
Specifically, a disc 11 is arranged at one end of the adjusting rod 1 far away from the wire inlet 13.
In this embodiment, the disc 11 is here convenient to grip and fix.
The working principle and the using process of the invention are as follows: as shown in fig. 2, one end of the suture 4 is inserted into the opening 32 of the pull-string loop 3, so that the suture 4 is attached to the U-shaped groove 31, the suture 4 is fixed by the U-shaped groove 31, the cylinder 22 of the pull-string sleeve 2 is grabbed as shown in fig. 3, the pull-string loop 3 and the suture 4 are driven to move together by pulling the pull-string loop 3, the suture 4 sequentially passes through the wire inlet 13 and the wire outlet 12 under the traction of the pull-string loop 3 until the U-shaped groove 31 is completely removed from the wire outlet 12, the adjusting rod 1 is pushed towards the knot along the suture 4 as shown in fig. 4 until the knot cannot be pushed, and finally the adjusting rod 1 is withdrawn to be matched with the current suture conditioner to cut off redundant suture.
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 (10)

1. A suture adjusting mechanism of a blood vessel stitching instrument is characterized in that: the method comprises the following steps:
a pull-out loop (3) for securing a suture (4);
the end part of the wire drawing sleeve (2) is connected with the wire drawing coil (3) and is used for drawing the wire drawing coil (3) to move and further driving the suture (4) to move;
the adjusting rod (1) is movably mounted on the adjusting rod, the wire drawing sleeve (2) is movably mounted on the adjusting rod, a wire outlet (12) and a wire inlet (13) which are communicated with each other are formed in the end portion of the adjusting rod (1), and the wire drawing coil (3) is used for drawing the suture (4) to sequentially penetrate through the wire inlet (13) and the wire outlet (12).
2. The suture adjustment mechanism of a vascular suturing device as set forth in claim 1, wherein: the distal end of the pull coil (3) is provided with a U-shaped groove (31) for fixing the suture (4).
3. The suture adjustment mechanism of a vascular suturing device as set forth in claim 1, wherein: the middle part of the pull coil (3) is provided with a flexible opening (32) with adjustable shape.
4. The suture adjustment mechanism of a vascular suturing device as set forth in claim 1, wherein: the near end of the pull coil (3) is provided with a bar (33).
5. The suture adjustment mechanism of a blood vessel suturing device as claimed in claim 4, wherein: one end of the wire drawing sleeve (2) is matched with the bar (33) and is provided with a hole structure (21).
6. The suture adjustment mechanism of a vascular suturing device as set forth in claim 1, wherein: the outer wall of the pull wire sleeve (2) is provided with a sleeve ring (22), the sleeve ring (22) is sleeved outside the adjusting rod (1), and the sleeve ring (22) can be selectively arranged in an open mode.
7. The suture adjustment mechanism of a vascular suturing device as set forth in claim 5, wherein: one end of the wire drawing sleeve (2) far away from the hole structure (21) is provided with a cylindrical handle (23).
8. The suture adjustment mechanism of a vascular suturing device as set forth in claim 1, wherein: the wire inlet (13) is arranged on the bottom surface of the end part of the adjusting rod (1) and the diameter of the wire inlet is 1.0 mm.
9. The suture adjustment mechanism of a vascular suturing device as set forth in claim 1, wherein: the outlet (12) is arranged on the cylindrical surface of the adjusting rod (1).
10. The suture adjustment mechanism of a vascular suturing device as set forth in claim 1, wherein: and a disc (11) is arranged at one end of the adjusting rod (1) far away from the wire inlet (13).
CN202210101027.4A 2022-01-27 2022-01-27 Suture adjusting mechanism of blood vessel stitching instrument Pending CN114469216A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210101027.4A CN114469216A (en) 2022-01-27 2022-01-27 Suture adjusting mechanism of blood vessel stitching instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202210101027.4A CN114469216A (en) 2022-01-27 2022-01-27 Suture adjusting mechanism of blood vessel stitching instrument

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CN114469216A true CN114469216A (en) 2022-05-13

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115886907A (en) * 2022-11-04 2023-04-04 南京思脉德医疗科技有限公司 Suture pushing, knotting and cutting integrated device of blood vessel stitching instrument

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6132439A (en) * 1999-02-17 2000-10-17 X-Site, L.L.C. Knot pusher
WO2000069342A2 (en) * 1999-05-14 2000-11-23 Sutura, Inc. Surgical knot pusher
CN201337526Y (en) * 2009-01-23 2009-11-04 刘文修 Arterial blood vessel suture regulator
CN104883986A (en) * 2012-12-21 2015-09-02 爱德华兹生命科学公司 Systems for securing sutures
CN204723113U (en) * 2015-06-29 2015-10-28 常州华森医疗器械有限公司 Push away wire twister
CN111698954A (en) * 2017-12-18 2020-09-22 特鲁莫医疗公司 Knot delivery device
CN113545831A (en) * 2021-08-11 2021-10-26 福建玄晏科技有限公司 Lantern ring with line type surgical instrument

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6132439A (en) * 1999-02-17 2000-10-17 X-Site, L.L.C. Knot pusher
WO2000069342A2 (en) * 1999-05-14 2000-11-23 Sutura, Inc. Surgical knot pusher
CN201337526Y (en) * 2009-01-23 2009-11-04 刘文修 Arterial blood vessel suture regulator
CN104883986A (en) * 2012-12-21 2015-09-02 爱德华兹生命科学公司 Systems for securing sutures
CN204723113U (en) * 2015-06-29 2015-10-28 常州华森医疗器械有限公司 Push away wire twister
CN111698954A (en) * 2017-12-18 2020-09-22 特鲁莫医疗公司 Knot delivery device
CN113545831A (en) * 2021-08-11 2021-10-26 福建玄晏科技有限公司 Lantern ring with line type surgical instrument

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115886907A (en) * 2022-11-04 2023-04-04 南京思脉德医疗科技有限公司 Suture pushing, knotting and cutting integrated device of blood vessel stitching instrument
CN115886907B (en) * 2022-11-04 2024-01-26 南京思脉德医疗科技有限公司 Suture knot pushing and cutting integrated device of vascular suture device

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