CN117679101A - Pre-buried type traceless skin stitching instrument - Google Patents
Pre-buried type traceless skin stitching instrument Download PDFInfo
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- CN117679101A CN117679101A CN202410157613.XA CN202410157613A CN117679101A CN 117679101 A CN117679101 A CN 117679101A CN 202410157613 A CN202410157613 A CN 202410157613A CN 117679101 A CN117679101 A CN 117679101A
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- brace
- skin
- traceless
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- 238000010030 laminating Methods 0.000 claims abstract description 12
- 239000010410 layer Substances 0.000 claims description 222
- 239000012528 membrane Substances 0.000 claims description 14
- 239000012790 adhesive layer Substances 0.000 claims description 12
- 125000006850 spacer group Chemical group 0.000 claims description 7
- 210000003491 skin Anatomy 0.000 abstract description 62
- 210000002615 epidermis Anatomy 0.000 abstract description 17
- 210000004207 dermis Anatomy 0.000 abstract description 14
- 230000035876 healing Effects 0.000 abstract description 8
- 238000011065 in-situ storage Methods 0.000 abstract description 3
- 206010052428 Wound Diseases 0.000 description 33
- 208000027418 Wounds and injury Diseases 0.000 description 33
- 230000006872 improvement Effects 0.000 description 18
- 230000000694 effects Effects 0.000 description 12
- 230000029663 wound healing Effects 0.000 description 10
- 231100000241 scar Toxicity 0.000 description 8
- 210000001519 tissue Anatomy 0.000 description 6
- 239000000463 material Substances 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 230000036558 skin tension Effects 0.000 description 5
- 241000258920 Chilopoda Species 0.000 description 4
- 239000000853 adhesive Substances 0.000 description 4
- 230000001070 adhesive effect Effects 0.000 description 4
- 208000032544 Cicatrix Diseases 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 3
- 206010033675 panniculitis Diseases 0.000 description 3
- 230000037387 scars Effects 0.000 description 3
- 210000004304 subcutaneous tissue Anatomy 0.000 description 3
- 210000001503 joint Anatomy 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 201000004624 Dermatitis Diseases 0.000 description 1
- 206010060800 Hot flush Diseases 0.000 description 1
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 1
- 235000011613 Pinus brutia Nutrition 0.000 description 1
- 241000018646 Pinus brutia Species 0.000 description 1
- 208000003251 Pruritus Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 239000002390 adhesive tape Substances 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 230000007815 allergy Effects 0.000 description 1
- 208000010668 atopic eczema Diseases 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000005489 elastic deformation Effects 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 230000017525 heat dissipation Effects 0.000 description 1
- JEIPFZHSYJVQDO-UHFFFAOYSA-N iron(III) oxide Inorganic materials O=[Fe]O[Fe]=O JEIPFZHSYJVQDO-UHFFFAOYSA-N 0.000 description 1
- 230000007803 itching Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 230000037303 wrinkles Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B2017/081—Tissue approximator
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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 discloses a pre-buried traceless skin suture device, which comprises: a spacing area is arranged between the first covering layer and the second covering layer, and a laminating layer for laminating the skin is arranged on the lower end face of the first covering layer and the lower end face of the second covering layer; a plurality of first needle bodies are arranged on the first covering layer, the first needle bodies are vertical and embedded into the first covering layer, and the lower ends of the first needle bodies extend out of the laminating layer; a plurality of second needle bodies are arranged on the second covering layer, the second needle bodies are vertical and embedded into the second covering layer, and the lower ends of the second needle bodies extend out of the laminating layer; the inner side surface of the first covering layer and the inner side surface of the second covering layer can be in pull-in arrangement. The invention can rapidly draw the wound, and can draw the dermis layer, the epidermis layer and even the fat layer together through the matching of the needle body, the suture efficiency is high, the mode in situ closes the skin, the skin can not be influenced by the suture level, the epidermis tension is small, and the skin healing is smoother and has no trace.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to a pre-buried traceless skin suture device.
Background
Surgical wounds are generally linear, typically with the following suturing:
1. traditional stitching; the stitching mode needs to stitch and knot one by one; moreover, the time is long, the skin tension is high, and as the suture line clamps the skin, obvious centipede feet are often formed, and the scar is extremely obvious after wound healing; the suturing mode is also affected by tightness, thickness and the like of the suture, and causes pain to the wound.
2. Stitching with stitching nails; the device similar to a stapler is adopted to staple the skin on two sides together, the time consumption of the stitching mode is slightly shorter than that of the traditional stitching mode, but the skin tension is still larger, the stitching nails clamp the skin, so that obvious centipede feet can be formed, and the scar is obvious after the wound is healed.
3. Intradermal suturing; the suture is buried in the dermis layer, so that the generation of centipede feet is avoided by avoiding the clamping and pressing of the epidermis, but the mode is longer in time consumption, the epidermis still has larger tension, and the wound folds, uneven heights, inconsistent heights of two sides and the like inevitably occur because the skin entering position, depth, needle spacing, knotting strength and the like of each needle cannot be guaranteed to be consistent, and the scar is still obvious after healing.
4. Zipper type adhesive bandage: directly tensioning the skin on both sides of the wound by the adhesive tape; the method has no centipede feet caused by the skin clamping and pressing, and relatively avoids the time consumption of intradermal suturing. However, this approach pulls only the epidermis layer skin, the deep dermis layer is free of faradays, more careful suturing of the dermis layer is often required, suturing of the epidermal tissue severely affects wound healing, time is still longer, and there is no effective epidermis lightening.
The above suturing methods can increase the epidermal tension to different degrees, consume longer time, seriously influence the healing of wounds, and easily cause incomplete involution after operation, such as wrinkles, distortion, uneven height and the like.
Therefore, an embedded type traceless skin stapler is designed to solve the problems.
It should be noted that the foregoing description of the background art is only for the purpose of providing a clear and complete description of the technical solution of the present invention and is presented for the convenience of understanding by those skilled in the art. The above-described solutions are not considered to be known to the person skilled in the art simply because they are set forth in the background of the invention section.
Disclosure of Invention
In order to overcome the defects in the prior art, the invention aims to provide a pre-buried traceless skin suture device.
To achieve the above and other related objects, the present invention provides the following technical solutions: an embedded traceless skin stapler comprising:
a spacer is arranged between the first cover layer and the second cover layer, and a laminating layer for laminating the skin is arranged on the lower end face of the first cover layer and the lower end face of the second cover layer;
the first covering layer is provided with a plurality of first needle bodies, the first needle bodies are vertical and embedded into the first covering layer, and the lower ends of the first needle bodies extend out of the laminating layer;
the second covering layer is provided with a plurality of second needle bodies, the second needle bodies are vertical and embedded into the second covering layer, and the lower ends of the second needle bodies extend out of the laminating layer;
the inner side surface of the first covering layer and the inner side surface of the second covering layer can be in pull-in arrangement.
In this scheme, can be when first overburden and second overburden draw, drive the epidermis layer and the dermis layer of skin together through first needle body and second needle body and draw the wound and close, need not to sew up the dermis layer earlier and draw the epidermis layer again, efficient, epidermis layer and subcutaneous tissue homoenergetic normal position are involuted, and the skin is leveled the scar after the healing, and is unobvious.
Further, a first brace is arranged on the first covering layer, a first lock catch corresponding to the first brace in position is arranged on the second covering layer, and the first brace can be inserted from one end of the first lock catch and pulled in one direction along the other end of the first lock catch;
the second cover layer is provided with a second brace, the first cover layer is provided with a second lock catch corresponding to the second brace in position, and the second brace can be inserted from one end of the second lock catch and pulled in one direction along the other end.
In this scheme, set up the brace respectively and realize drawing and closing on both sides overburden to utilize the hasp spacing to make the brace only can follow one-way pulling, accomplish promptly fixed, convenient operation, sewing up efficiently.
Further, the first brace and the second brace respectively comprise a connecting end and a splicing end, the connecting end of the first brace is rotatably arranged on the first covering layer, the connecting end of the second brace is rotatably arranged on the second covering layer, and the splicing ends are respectively provided with a guiding tip.
In the scheme, the connecting end of the brace is rotatably arranged on the covering layer, the pull belt can be rotated to the upper end face of the covering layer before pulling and closing, and when pulling is needed, the pull belt can be rotated to the upper end face of the opposite covering layer to be inserted into the corresponding lock catch; the problem of the interference of the pull belt is reduced, and the stitching instrument is more convenient and flexible to operate; wherein, the guide tip can play the guide effect when the brace inserts the hasp, improves operating efficiency.
Further, a first connecting strip is arranged on the upper end face of the first covering layer, the first connecting strip is parallel to and close to the edge of the inner side face of the first covering layer, the first connecting strip and the first covering layer are arranged in the same width, and the first brace is connected with the first connecting strip and drives the first brace to synchronously move;
the upper end face of the second covering layer is provided with a second connecting strip, the second connecting strip is parallel to and close to the edge of the inner side face of the second covering layer, the second connecting strip is arranged with the second covering layer in an equal width mode, and the second brace is connected with the second connecting strip and drives the second connecting strip to synchronously move.
In this scheme, the brace can drive whole overburden motion through the connecting strip, and through the setting of connecting strip, the border position of the medial surface of overburden atress is more even when the drawing, and the wound both sides of being convenient for are evenly consolidated, reduce and produce the phenomenon of pulling because of the atress is uneven, guarantee that the wound draws to close neatly, guarantee that the wound healing is level.
Further, a row of uniformly distributed first positioning columns are arranged at the lower end of the first connecting strip, the first positioning columns are embedded into the first covering layer, and the central line of the first positioning columns is parallel to the inner side surface of the first covering layer;
the lower end of the second connecting strip is provided with a row of uniformly distributed second positioning columns, the second positioning columns are embedded into the second covering layer, and the central line of the second positioning columns is parallel to the inner side surface of the second covering layer;
the tooth surfaces of the first and second braces are disposed toward the front and rear sides, respectively.
In this scheme, set up the reference column in the lower extreme of connecting strip, can make the better global motion that drives the overburden of brace, the reference column can make the inside atress of edge of the medial surface of overburden more even moreover for the complete coincide when two medial surfaces butt joint, guarantee that the wound draws to close neatly, guarantee that the wound healing is even.
Further, the inner side surface of the first covering layer and the inner side surface of the second covering layer are respectively provided with an adhesive layer, and a tearable film is adhered to the outer part of the adhesive layer. In this scheme, all set up the layer of pasting at the medial surface of first overburden and the medial surface of second overburden, can play the fixed effect of bonding when the drawing, guarantee that the stitching instrument draws to close back stable in structure, guarantee that wound healing is level and smooth.
Further, the inner side surface of the first covering layer and the inner side surface of the second covering layer are inclined surfaces, and the space between the inner side surface of the first covering layer and the inner side surface of the second covering layer is gradually widened from top to bottom. In this scheme, can make the inside and outside pine of vertical skin after drawing to close, epidermis tension is minimum, from medical perspective, reduces epidermis tension, is favorable to the seamless healing of skin more.
Further, the suture instrument further comprises a cuttable membrane, wherein the cuttable membrane covers the upper end face of the first covering layer, the upper end face of the second covering layer and the interval area between the first covering layer and the second covering layer, and is provided with a notch along the width direction, and the notch is positioned at the central position of the interval area. In the scheme, the cuttable membrane can play a certain role in fixing the distance between the first covering layer and the second covering layer, and the fixing of the skin cutting track of the scalpel can be realized through the incision of the cuttable membrane, so that the wound is ensured to be positioned in the middle position of the interval zone, the transverse stress of the skin is ensured to be uniform when the stitching instrument is pulled, and the wound healing is ensured to be smooth; can also avoid the phenomenon that the doctor with insufficient experience has wound distortion when cutting skin, and is more beneficial to postoperative healing.
Further, the outer surface of the first needle body and the surface of the second needle body are both provided with anti-slip structures. In this scheme, set up anti-skidding structure at the needle surface, can be at the in-process that draws to close, play better driving effect to skin internal tissue, guarantee to draw to close the effect.
Further, the inner side surface of the first covering layer and the inner side surface of the second covering layer are in pull-in arrangement through a zipper. In this scheme, adopt the zip fastener to draw and close first overburden and second overburden, convenient operation draws and closes efficiently.
Due to the application of the technical scheme, compared with the prior art, the invention has the following beneficial effects:
the pre-buried type traceless skin suture device designed by the invention can be used for rapidly pulling and closing wounds, and can be used for pulling and closing dermis layers, epidermis layers and even fat layers together through the matching of needle bodies, so that the dermis layers are not required to be sutured first, the suturing efficiency is high, the time consumption is short, and the suture device cannot be influenced by the suturing level.
Drawings
FIG. 1 is a schematic view of one embodiment of a stapler of the present invention;
FIG. 2 is a schematic view of one embodiment of a stapler of the present invention;
FIG. 3 is an enlarged view of section C of the present invention;
FIG. 4 is a schematic view of a portion of the structure of the stapler of the present invention;
FIG. 5 is a schematic view of a construction of a tenth embodiment of the stapler of the present invention;
FIG. 6 is a schematic view of one embodiment of a stapler of the present invention;
FIG. 7 is a schematic view of an embodiment of a stapler of the present invention;
FIG. 8 is a schematic drawing showing a pulling and closing process of an embodiment of the stapler of the present invention;
in the above drawings, 1, a first cover layer; 2. a second cover layer; 3. a spacer; 4. a bonding layer; 5. a first needle body; 6. a second needle body; 7. a first brace; 8. a first lock catch; 9. a second brace; 10. a second lock catch; 11. a first connecting bar; 12. a second connecting bar; 13. a first positioning column; 14. a second positioning column; 15. an adhesive layer; 16. a tearable film; 17. a cuttable film sheet; 18. and (5) cutting.
Detailed Description
Further advantages and effects of the present invention will become apparent to those skilled in the art from the disclosure of the present invention, which is described by the following specific examples.
It should be noted that, in the description of the present invention, it should be noted that, directions or positional relationships indicated by terms such as "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., are directions or positional relationships based on those shown in the drawings, or directions or positional relationships in which the inventive product is conventionally put in use, are merely for convenience of describing the present invention and for simplifying the description, and are not indicative or implying that the apparatus or element to be referred to must have a specific direction, be constructed and operated in a specific direction, and therefore should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used merely to distinguish between descriptions and should not be construed as indicating or implying relative importance. The terms "horizontal," "vertical," "overhang," and the like do not denote that the component is required to be absolutely horizontal or overhang, but may be slightly inclined. As "horizontal" merely means that its direction is more horizontal than "vertical", and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the description of the present invention, it should also be noted that, unless explicitly specified and limited otherwise, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, fixedly connected, detachably connected, integrally connected, mechanically connected, electrically connected, directly connected, indirectly connected through an intermediary, or communicating between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
In the description of the present application, it should be understood that, where azimuth terms such as "front, rear, upper, lower, left, right", "transverse, vertical, horizontal", and "top, bottom", etc., indicate azimuth or positional relationships generally based on those shown in the drawings, only for convenience of description and simplification of the description, these azimuth terms do not indicate and imply that the apparatus or elements referred to must have a specific azimuth or be constructed and operated in a specific azimuth, and thus should not be construed as limiting the scope of protection of the present application; the orientation word "inner and outer" refers to inner and outer relative to the contour of the respective component itself.
The preferred embodiments of the present invention will be described in detail below with reference to the accompanying drawings so that the advantages and features of the present invention can be more easily understood by those skilled in the art, thereby making clear and defining the scope of the present invention.
Embodiment one: referring to fig. 2 and 3, the present embodiment provides an embedded traceless skin stapler, including:
a spacing area 3 is arranged between the first cover layer 1 and the second cover layer 2, and a laminating layer 4 for laminating the skin is arranged on the lower end face of the first cover layer 1 and the lower end face of the second cover layer 2;
a plurality of first needle bodies 5 are arranged on the first covering layer 1, the first needle bodies 5 are vertical and embedded into the first covering layer 1, and the lower ends of the first needle bodies 5 extend out of the bonding layer 4;
a plurality of second needle bodies 6 are arranged on the second covering layer 2, the second needle bodies 6 are vertical and embedded into the second covering layer 2, and the lower ends of the second needle bodies 6 extend out of the bonding layer 4;
the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2 can be in pull-in fit.
Wherein, the A direction is the forward direction, and the B direction is the right direction.
Specifically, the thicknesses of the first cover layer 1 and the second cover layer 2 are equal, and the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2 can be completely aligned when being pulled.
Specifically, the first cover layer 1 and the second cover layer 2 are made of breathable materials, and the cover layers on the two sides can realize free circulation of air and water vapor, maintain skin respiration, and avoid adverse reactions such as skin eczema, red swelling, itching and the like caused by hot flushes and heat dissipation of the skin.
In particular, the materials of the first cover layer 1 and the second cover layer 2 have certain deformability, so that the materials can be conveniently attached to the skin.
Specifically, the upper end of the first needle 5 is fixed in the first cover layer 1, and the upper end of the second needle 6 is fixed in the second cover layer 2.
Specifically, the first needle body 5 and the second needle body 6 are arranged and uniformly distributed along the direction parallel to the wound.
Specifically, the lengths of the first needle body 5 and the second needle body 6 need to satisfy the condition: when the needle body is pre-buried into the skin, the lower end of the needle body needs to pass through the epidermis layer and dermis layer of the skin and reach the fat layer, and the length of the needle body passing through most of the fat layer is preferable. The length of the needle body is not limited to one specification, different length specifications can be designed according to the thickness of different skins, different clinical requirements are met, and the pulling and closing effects are guaranteed.
Specifically, the diameters of the first needle 5 and the second needle 6 need to satisfy the condition: the needle body can be smoothly inserted into the skin, only a tiny needle hole exists after the needle body is pulled out of the skin, and no obvious scar is left after the needle hole is healed. The specific diameter of the needle body can be designed by referring to a standard medical suture, and is usually the diameter of a No. 1 wire (0.2 mm), and a wound with high skin tension can be a diameter of a No. 7 wire (0.35 mm); the diameters of the first needle 5 and the second needle 6 are preferably less than or equal to 0.35 mm. The diameter of the needle body is not limited to one specification, and different diameter specifications can be designed according to wounds with different sizes, so that different clinical requirements are met, and the pulling and closing effects are ensured.
Specifically, the materials of the first needle body 5 and the second needle body 6 need to satisfy the conditions: the needle body has certain hardness, can be smoothly inserted into skin, and can not generate the conditions of rust, allergy, deformation and the like.
The operation mode is as follows: attaching the first cover layer 1 to the left side of a wound, inserting the first needle body 5 into the skin when attaching, attaching the second cover layer 2 to the right side of the wound, inserting the second needle body 6 into the skin when attaching, and positioning the wound in the middle position of the spacing area 3 after attaching; the first cover layer 1 and the second cover layer 2 are then pulled and combined to the spacing region 3 to be fixed after being completely covered, and at this time, the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2 should be in a contact state.
Principle of: when the first cover layer 1 and the second cover layer 2 are pulled, the first needle body 5 moves along with the first cover layer 1, the second needle body 6 moves along with the second cover layer 2, the needle bodies at two sides move towards the wound direction, and the needle bodies not only drive the epidermis layer of the skin to be pulled and closed, but also can drive the dermis layer at the deep part of the skin to be pulled and closed. On the premise that the needle distance of the first needle body 5 and the second needle body 6 is uniform, the first covering layer 1 and the second covering layer 2 are matched and leveled, the force of each part is uniform, the wound is matched in situ, and the effect of no mark can be achieved after the stitching instrument is disassembled.
In the embodiment, when the first covering layer 1 and the second covering layer 2 are pulled, the first needle body 5 and the second needle body 6 drive the epidermis layer and the dermis layer of the skin to pull the wound together, so that the dermis layer is not required to be sewn first and then pulled together, and the efficiency is high; the epidermis layer and subcutaneous tissue can be combined in situ, the healed skin is smooth, the scars are not obvious, and the suture efficiency and the skin scars are not affected by the suture level.
In some embodiments, the spacer region 3 of the first cover layer 1 and the second cover layer 2 is provided with a connector capable of connecting the two together, the connector having a deformability which can be used to limit the distance between the first cover layer 1 and the second cover layer 2 before pulling in, and the connecting band can be rolled up or removed after pulling in.
In some embodiments, the first cover layer 1 and the second cover layer 2 are fastened by a wide drawstring which is breathable and can be attached, and the first cover layer and the second cover layer are fastened by being attached to or wound around the skin.
In some embodiments, the first needle 5 and the second needle 6 are each provided with two or more parallel rows to enhance the pulling-on effect of the subcutaneous tissue.
In some embodiments, referring to fig. 6, the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2 are both arc-shaped, and the two inner side surfaces are parallel, so as to meet the requirement of stretching and closing of an arc wound.
In some embodiments, referring to fig. 7, the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2 are both arc-shaped, and the two inner side surfaces are concavely and symmetrically arranged, so that the stretching and closing of an olive-shaped or oval wound with a skin cut at the middle part can be satisfied.
Embodiment two: referring to fig. 2, this embodiment is a further improvement based on the first embodiment, and the specific improvement manner is: the first cover layer 1 is provided with a first brace 7, the second cover layer 2 is provided with a first lock catch 8 corresponding to the first brace 7 in position, and the first brace 7 can be inserted from one end of the first lock catch 8 and pulled along the other end in a unidirectional way;
the second cover layer 2 is provided with a second brace 9, the first cover layer 1 is provided with a second lock catch 10 corresponding to the second brace 9 in position, and the second brace 9 can be inserted from one end of the second lock catch 10 and pulled unidirectionally along the other end.
The operation mode is as follows: the first brace 7 is inserted into the first lock catch 8, the second brace 9 is inserted into the second lock catch 10, the directions of the two braces are opposite at the moment, and then the first brace 7 and the second brace 9 are pulled simultaneously to realize pulling and closing.
In this embodiment, set up the brace respectively and realize drawing and closing on both sides overburden to utilize the hasp spacing to make the brace only can follow one-way pulling, accomplish promptly fixed, convenient operation, sewing up efficiently.
In some embodiments, the number of the first braces 7 and the second braces 9 is greater than or equal to two, and the braces are uniformly distributed along the width direction of the covering layer, so that the spacer region 3 can be better pulled together completely.
Note that: the width direction of the first cover layer 1 and the second cover layer 2, i.e., the front-back direction of the stapler.
Embodiment III: referring to fig. 2, this embodiment is a further improvement based on the second embodiment, and the specific improvement manner is that: the first brace 7 and the second brace 9 respectively comprise a connecting end and a plug-in end, the connecting end of the first brace 7 is rotatably arranged on the first covering layer 1, the connecting end of the second brace 9 is rotatably arranged on the second covering layer 2, and the plug-in ends are all provided with guide tips.
Specifically, the connecting end mainly realizes the rotation of the pull belt along the left-right direction of the stitching instrument, so that the force application direction is stable during the pulling; the front and back direction should not rotate as much as possible, so that pulling of the cover layer in the front and back direction is avoided.
In the embodiment, the connecting end of the brace is rotatably arranged on the covering layer, the pull belt can be rotated to the upper end face of the covering layer before pulling and closing, and when pulling is needed, the pull belt can be rotated to the upper end face of the opposite covering layer to be inserted into the corresponding lock catch; the problem of the interference of the pull belt is reduced, and the stitching instrument is more convenient and flexible to operate; wherein, the guide tip can play the guide effect when the brace inserts the hasp, improves operating efficiency.
Embodiment four: referring to fig. 2, this embodiment is a further improvement based on the second embodiment, and the specific improvement manner is that: the upper end face of the first covering layer 1 is provided with a first connecting strip 11, the first connecting strips 11 are parallel and are arranged close to the edge of the inner side face of the first covering layer 1, the first connecting strips 11 are arranged with the same width as the first covering layer 1, and the first bracing piece 7 is connected with the first connecting strips 11 and drives the first bracing piece to synchronously move;
the upper end face of the second covering layer 2 is provided with a second connecting strip 12, the second connecting strip 12 is parallel and is close to the edge of the inner side face of the second covering layer 2, the second connecting strip 12 and the second covering layer 2 are arranged at equal width, and the second brace 9 is connected with the second connecting strip 12 and drives the second connecting strip 12 to synchronously move.
In this embodiment, the brace can drive whole overburden motion through the connecting strip, through the setting of connecting strip, and the border position of the medial surface of overburden atress is more even when the drawing, and the wound both sides of being convenient for are evenly consolidated, reduce and produce the phenomenon of pulling because of the atress is uneven, guarantee that the wound draws and closes neatly, guarantee that the wound healing is level.
Fifth embodiment: referring to fig. 2 and fig. 4, this embodiment is a further improvement based on the fourth embodiment, and the specific improvement manner is: the lower end of the first connecting strip 11 is provided with a row of uniformly distributed first positioning columns 13, the first positioning columns 13 are embedded into the first covering layer 1, and the central line of the first positioning columns 13 is parallel to the inner side surface of the first covering layer 1;
the lower end of the second connecting strip 12 is provided with a row of uniformly distributed second positioning columns 14, the second positioning columns 14 are embedded into the second covering layer 2, and the central line of the second positioning columns 14 is parallel to the inner side surface of the second covering layer 2;
the tooth surfaces of the first stay 7 and the tooth surfaces of the second stay 9 are disposed toward the front side and the rear side, respectively.
The lower end of the positioning column does not extend out of the covering layer, the positioning column is not limited to a column body, and the positioning column can be in other shapes which are convenient to set and fix in the covering layer.
The tooth surface of the first brace 7 and the tooth surface of the second brace 9 can be opposite or opposite, and the teeth on the tooth surfaces of the first brace 7 and the second brace 9 are wedge-shaped teeth.
In this embodiment, set up the reference column in the lower extreme of connecting rod, can make the better whole motion that drives the overburden of brace, the reference column can make the inside atress of edge of the medial surface of overburden more even moreover for the complete coincide when two medial surfaces butt joint, guarantee that the wound draws to close neatly, guarantee that the wound healing is even.
In some embodiments, the first positioning posts 13 have an embedding depth greater than half the thickness of the first cover layer 1; the embedding depth of the second positioning posts 14 is greater than half the thickness of the second cover layer 2; the position where the positioning column is embedded in the covering layer can be ensured to be stressed more uniformly.
Example six: referring to fig. 2 and fig. 3, this embodiment is a further improvement based on the first embodiment, and the specific improvement manner is: the inner side surface of the first covering layer 1 and the inner side surface of the second covering layer 2 are respectively provided with an adhesive layer 15, and a tearable film 16 is adhered to the outer part of the adhesive layer 15.
The adhesive layer 15 should be made of strong adhesive to achieve the adhesion and fixation of the two inner sides. The adhesive of the adhesive layer 15 is not limited to strong adhesive, and two inner sides can be adhered and fixed.
The tearable film 16 is used for protecting the adhesive layer 15, ensuring the adhesion effect thereof, and tearing off the tearable film 16 before pulling and closing. Specifically, the side edges of the tearable membrane 16 contain openings or handles that facilitate hand tearing.
In this embodiment, the adhesive layers 15 are disposed on the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2, so that the adhesive layer can play a role in adhesion and fixation during pulling, and the suture device is ensured to have a stable structure after pulling and closing, and the wound healing is ensured to be smooth.
Embodiment seven: referring to fig. 2 and fig. 3, this embodiment is a further improvement based on the first embodiment or the sixth embodiment, and the specific improvement manner is that: the inner side surfaces of the first cover layer 1 and the second cover layer 2 are inclined surfaces, and the space between the inner side surfaces of the first cover layer 1 and the second cover layer 2 is gradually widened from top to bottom.
Wherein, the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2 are in an splayed shape, after the two inner side surfaces are completely closed, the transverse stress of the skin is uniform, and the phenomenon of 'inner tightness and outer looseness' can occur when the longitudinal skin is subjected to the action of the needle body, as shown in figure 8.
In the embodiment, the longitudinal skin can be loosened and loosened after pulling and closing, the skin tension is the lowest, and from the medical aspect, the skin tension is reduced, so that the skin healing without scars is more facilitated.
Example eight: referring to fig. 1, this embodiment is a further improvement based on the first embodiment, and the specific improvement manner is: the stapler further comprises a cuttable membrane 17, wherein the cuttable membrane 17 is arranged to cover the upper end surface of the first cover layer 1, the upper end surface of the second cover layer 2, and the spacing regions 3 of the first cover layer 1 and the second cover layer 2, the cuttable membrane 17 is provided with a notch 18 along the width direction, and the notch 18 is located at the center of the spacing region 3.
Wherein the width direction, i.e., the anterior-posterior direction of the stapler.
The distance between the first cover layer 1 and the second cover layer 2 can be fixed by the cut-off film 17, which corresponds to the arrangement of the connecting piece in the spacer region 3.
Among them, the incision 18 should be sized in the left-right direction for use with scalpels of different thickness specifications, such as a general scalpel, an electric scalpel, etc.
The first cover layer 1 and the second cover layer 2 have certain elastic deformation capability, so that the expansion deformation of wounds in operation can be met to a certain extent, and the shape can be recovered after operation; alternatively, the dimension of the spacer 3 in the left-right direction satisfies the size of the incision in surgery.
The operation mode is as follows: the suture instrument is firstly stuck to the position to be operated, the position to be cut in the operation corresponds to the spacing area 3 of the first covering layer 1 and the second covering layer 2, then a surgical knife is used for cutting the skin along the incision 18 on the incisable membrane 17, the operation is carried out, and the wound is positioned at the center of the spacing area 3, so that the pull-in after the operation is convenient. After the skin is cut, the incisable film 17 can be discarded, and is completely torn or resected, so that the influence on the operation and the pulling-in of the wound is avoided.
In the embodiment, the cuttable membrane 17 can play a certain role in fixing the distance between the first cover layer 1 and the second cover layer 2, and can also realize the fixation of the skin cutting track of the scalpel through the incision 18 of the cuttable membrane, so that the wound is ensured to be positioned at the middle position of the spacing area 3, the transverse stress of the skin is ensured to be uniform when the stitching instrument is pulled, and the wound healing is ensured to be smooth; can also avoid the phenomenon that the doctor with insufficient experience has wound distortion when cutting skin, and is more beneficial to postoperative healing.
Example nine: not shown in the drawings, the present embodiment is a further improvement based on the first embodiment, and the specific improvement manner is: the outer surface of the first needle body 5 and the surface of the second needle body 6 are both provided with anti-slip structures.
In the embodiment, the anti-slip structure is arranged on the surface of the needle body, so that the anti-slip structure can play a better driving role on the internal tissues of the skin in the pulling and closing process, and the pulling and closing effect is ensured.
In some embodiments, the surface of the needle body is provided with a frosted surface, so that the roughness of the outer surface of the needle body can be improved, and the needle body can play a better driving role on internal tissues of skin.
In some embodiments, the surface of the needle body is provided with a scratch structure, so that the roughness of the outer surface of the needle body can be improved, and the needle body can play a better driving role on internal tissues of skin.
In some embodiments, the surface of the needle body is provided with smaller barb structures, wherein the barb structures are made of absorbable materials, which can increase the roughness of the outer surface thereof and better drive the internal tissues of the skin.
Example ten: referring to fig. 5, this embodiment is a further improvement based on the first embodiment, and the specific improvement manner is: the inner side surface of the first cover layer 1 and the inner side surface of the second cover layer 2 are combined by a zipper.
In the embodiment, the first cover layer 1 and the second cover layer 2 are pulled together by adopting the zipper, so that the operation is convenient, and the pulling-together efficiency is high.
The pre-buried type traceless skin suture device designed by the invention can be used for rapidly pulling and closing wounds, and can be used for pulling and closing dermis layers, epidermis layers and even fat layers together through the matching of needle bodies, so that the dermis layers are not required to be sutured first, the suturing efficiency is high, the time consumption is short, and the suture device cannot be influenced by the suturing level.
The above embodiments are only for illustrating the technical concept and features of the present invention, and are intended to enable those skilled in the art to understand the content of the present invention and to implement the same, but are not intended to limit the scope of the present invention, and all equivalent changes or modifications made according to the spirit of the present invention should be included in the scope of the present invention.
Claims (10)
1. A pre-buried traceless skin stapler, comprising:
a spacer (3) is arranged between the first cover layer (1) and the second cover layer (2), and a laminating layer (4) for laminating the skin is arranged on the lower end face of the first cover layer (1) and the lower end face of the second cover layer (2);
a plurality of first needle bodies (5) are arranged on the first covering layer (1), the first needle bodies (5) are vertical and embedded into the first covering layer (1), and the lower ends of the first needle bodies (5) extend out of the attaching layer (4);
a plurality of second needle bodies (6) are arranged on the second covering layer (2), the second needle bodies (6) are vertical and embedded into the second covering layer (2), and the lower ends of the second needle bodies (6) extend out of the attaching layer (4);
the inner side surface of the first covering layer (1) and the inner side surface of the second covering layer (2) can be pulled together.
2. A pre-buried traceless skin stapler according to claim 1, wherein:
a first brace (7) is arranged on the first covering layer (1), a first lock catch (8) corresponding to the first brace (7) is arranged on the second covering layer (2), and the first brace (7) can be inserted from one end of the first lock catch (8) and pulled unidirectionally along the other end;
the second cover layer (2) is provided with a second brace (9), the first cover layer (1) is provided with a second lock catch (10) corresponding to the second brace (9), and the second brace (9) can be inserted from one end of the second lock catch (10) and pulled unidirectionally along the other end.
3. A pre-buried traceless skin stapler according to claim 2, wherein:
the first brace (7) and the second brace (9) respectively comprise a connecting end and a splicing end, the connecting end of the first brace (7) is rotatably arranged on the first covering layer (1), the connecting end of the second brace (9) is rotatably arranged on the second covering layer (2), and the splicing ends are all provided with guide tips.
4. A pre-buried traceless skin stapler according to claim 2, wherein:
the upper end face of the first covering layer (1) is provided with a first connecting strip (11), the first connecting strip (11) is parallel and close to the edge of the inner side face of the first covering layer (1), the first connecting strip (11) and the first covering layer (1) are arranged at equal widths, and the first bracing piece (7) is connected with the first connecting strip (11) and drives the first bracing piece to synchronously move;
the upper end face of the second covering layer (2) is provided with a second connecting strip (12), the second connecting strip (12) is parallel and close to the edge of the inner side face of the second covering layer (2), the second connecting strip (12) and the second covering layer (2) are arranged at equal widths, and the second brace (9) is connected with the second connecting strip (12) and drives the second brace to synchronously move.
5. The pre-buried traceless skin stapler of claim 4, wherein:
the lower end of the first connecting strip (11) is provided with a row of uniformly distributed first positioning columns (13), the first positioning columns (13) are embedded into the first covering layer (1), and the central line of the first positioning columns (13) is parallel to the inner side surface of the first covering layer (1);
the lower end of the second connecting strip (12) is provided with a row of uniformly distributed second positioning columns (14), the second positioning columns (14) are embedded into the second covering layer (2), and the central line of the second positioning columns (14) is parallel to the inner side surface of the second covering layer (2);
the tooth surfaces of the first brace (7) and the tooth surfaces of the second brace (9) are respectively arranged towards the front side and the rear side.
6. A pre-buried traceless skin stapler according to claim 1, wherein: the inner side surface of the first covering layer (1) and the inner side surface of the second covering layer (2) are respectively provided with an adhesive layer (15), and a tearable film (16) is adhered to the outer part of the adhesive layer (15).
7. A pre-buried traceless skin stapler according to claim 1 or 6, wherein: the inner side surface of the first covering layer (1) and the inner side surface of the second covering layer (2) are inclined surfaces, and the distance between the inner side surface of the first covering layer (1) and the inner side surface of the second covering layer (2) is gradually widened from top to bottom.
8. A pre-buried traceless skin stapler according to claim 1, wherein: the stapler further comprises a cuttable membrane (17), wherein the cuttable membrane (17) covers the upper end face of the first covering layer (1), the upper end face of the second covering layer (2) and the spacing area (3) of the first covering layer (1) and the second covering layer (2), the cuttable membrane (17) is provided with a notch (18) along the width direction, and the notch (18) is positioned at the center position of the spacing area (3).
9. A pre-buried traceless skin stapler according to claim 1, wherein: the outer surface of the first needle body (5) and the surface of the second needle body (6) are both provided with anti-slip structures.
10. A pre-buried traceless skin stapler according to claim 1, wherein: the inner side surface of the first covering layer (1) and the inner side surface of the second covering layer (2) are arranged in a pulling mode through a zipper.
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US20140171849A1 (en) * | 2012-12-17 | 2014-06-19 | Robert E. Fischell | Device for the rapid closure of wounds and surgical incisions |
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CN105578972A (en) * | 2013-07-24 | 2016-05-11 | 奇普林医药公司 | Surgical incision and closure apparatus |
CN109069155A (en) * | 2016-03-01 | 2018-12-21 | 基托泰克医疗股份有限公司 | The systems, devices and methods based on microstructure for wound closure |
CN111248958A (en) * | 2020-02-29 | 2020-06-09 | 河南邦特威机电设备有限公司 | Auxiliary positioning device for postoperative suture line |
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CN101563113A (en) * | 2006-08-03 | 2009-10-21 | 利兰斯坦福青年大学托管委员会 | Devices and bandages for the treatment or prevention of scars and/or keloids and methods and kits therefor |
US20150305739A1 (en) * | 2012-06-15 | 2015-10-29 | University Of Washington Through Its Center For Commercialization | Microstructure-based wound closure devices |
US20140171849A1 (en) * | 2012-12-17 | 2014-06-19 | Robert E. Fischell | Device for the rapid closure of wounds and surgical incisions |
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