CN1297236C - Stitching instrument for laparoscope - Google Patents

Stitching instrument for laparoscope Download PDF

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Publication number
CN1297236C
CN1297236C CNB2004100510034A CN200410051003A CN1297236C CN 1297236 C CN1297236 C CN 1297236C CN B2004100510034 A CNB2004100510034 A CN B2004100510034A CN 200410051003 A CN200410051003 A CN 200410051003A CN 1297236 C CN1297236 C CN 1297236C
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CN
China
Prior art keywords
needle
suturing
suture
swingle
needle stand
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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.)
Expired - Fee Related
Application number
CNB2004100510034A
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Chinese (zh)
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CN1729939A (en
Inventor
李法升
陈如山
邱洁
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Shenzhen Second Peoples Hospital
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Shenzhen Second Peoples Hospital
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Priority to CNB2004100510034A priority Critical patent/CN1297236C/en
Publication of CN1729939A publication Critical patent/CN1729939A/en
Application granted granted Critical
Publication of CN1297236C publication Critical patent/CN1297236C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The present invention relates to an operative instrument for treating abdominal diseases, particularly to a suturing device for a laparoscope, which can be used for flexibly suturing during an abdominal operation. The suturing device comprises a suturing needle 1, a needle seat 2, a main rod 3, a handle 4, a fixedly locking screw nut 5, a rotating rod 6 and a suturing thread 7, wherein the needle seat 2 is a rotating needle seat; the suturing needle 1 is fixed on the rotating needle seat which is movably connected with the end of the rotating rod 6 in a spiral cone tooth mode. The rotating rod 6 is stably arranged in an inner cavity of the main rod 3. Compared with the prior art, the present invention is characterized in that the suture needle can rotate within 270 degrees front and back and right and left by using the structure that the suturing needle is fixed on the rotating needle seat. The structure is favorable for that the suturing needle can flexibly enter and go out of a peritoneal cavity, and the suturing needle during a peritoneoscope operation can be flexibly used for suturing and knotting in various positions in a human body. The suturing thread enters and goes out of the front end and the back end of the suturing needle twice, and the suturing thread is common and is required for laparotomy ventrotomy and can replace ferrule technology used by the present peritoneoscope. Thus, large amounts of material expenses are saved.

Description

The celioscope stitching device
Technical field
The present invention relates to a kind of operating theater instruments for the treatment of celiac disease, especially a kind of celioscope stitching device that can maneuverability is sewed up in abdominal operation.
Background technology
Recent two decades comes, and many-sided science and technology progress makes laparoscopic surgery that further development arranged, and the peritoneoscope with Wicresoft's effect has been brought into play big emphatically effect in the diagnosis of celiac disease and treatment.For any one laparoscopic procedure person, hemostasis may be most important, and the backwardness of celioscope stitching technology may be a unique key factor of laparoscopic surgery slower development, also is the high major reason of laparoscopic surgery expense.Basic stitching skill is very necessary in laparotomy ventrotomy, the sort of maneuverability of sewing up in abdominal operation, most losing in laparoscopic surgery.In order to remedy the deficiencies in the prior art, at peritoneoscope lower hemostasia or involutory tissue, select that simple but dangerous heat is coagulated, electricity coagulates (one pole, two utmost points), laser, various clip, staple etc. for use, though it is simple, but careless manipulation can cause the necrosis of serious hemorrhage or surrounding tissue, causes death.For trunk or organize the dangerous position of involutory difficulty, generally dare not use said method, and use clumsiness instead but sew up knotting method in the more firm external knotting, body, and the enforcement of above-mentioned the whole bag of tricks all needs valuable equipment and material.
Summary of the invention
The object of the present invention is to provide a kind of celioscope stitching device, can carry out the various stitchings of maneuverability, the technical problem of knotting in vivo so that solve in the laparoscopic surgery.
The present invention is by the following technical solutions for achieving the above object:
The celioscope stitching device, comprise suture needle, needle stand, mobile jib, handle, lock screw, swingle, suture, described needle stand is for rotating needle stand, and suture needle is fixed on rotates on the needle stand, rotate movable binding of termination of needle stand and swingle, and the termination of rotation needle stand and swingle is the cone gear form shape; Swingle is stable at the mobile jib inner chamber; Described suture needle is fixed on cone gear form and rotates on the tangential direction of needle stand feather edge, and the rotatable scope of suture needle is 270 °.
The cross cut end (of a beam) of rotation needle stand of the present invention and swingle is equipped with spiral awl tooth.
Mobile jib tail end of the present invention is provided with the lock screw that swingle is stable at the mobile jib inner chamber.
The outer surface of mobile jib of the present invention is provided with handle.
A suture hole is respectively established in the rear and front end of suture needle of the present invention.
Suture needle of the present invention is the arc suture needle of head and the tail bending two ends.
Suture of the present invention passes in and out twice setting from the suture hole of suture needle rear and front end.
The present invention compared with prior art, owing to adopted suture needle to be fixed on the structure of rotating on the needle stand, suture needle is all around rotated to reach 270 °, help the turnover abdominal cavity of suture needle maneuverability, and make the suture needle in the laparoscopic surgery sew up flexibly, tie a knot in each orientation in vivo; Handle and mobile jib constitute one, by lever operated various stitchings and knotting, suture is from twice of suture needle rear and front end turnover, the other end of suture is held in the hand by the operator, and required suture is the required ordinary suture of laparotomy ventrotomy, can replace ferrule technology, suturing skill and electricity that present peritoneoscope adopts and technology such as coagulate, save the lot of materials expense.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Fig. 2 is the banded structure enlarged diagram of the movable spiral awl tooth in the termination of rotation needle stand of the present invention and swingle.
Fig. 3 is that suture needle of the present invention is fixed on cone gear form and rotates structural representation on the tangential direction of needle stand feather edge.
The specific embodiment
The present invention is described further below in conjunction with accompanying drawing embodiment.
As shown in Figure 1, celioscope stitching device of the present invention, comprise suture needle 1, needle stand 2, mobile jib 3, handle 4, lock screw 5, swingle 6, suture 7, needle stand 2 is for rotating needle stand, suture needle 1 is fixed on rotates on the needle stand, rotate movable binding of termination of needle stand and swingle 6, swingle 6 is stable at mobile jib 3 inner chambers, the cross cut end (of a beam) that rotates needle stand and swingle 6 is equipped with spiral awl tooth (as shown in Figure 2), mobile jib 3 tail ends are provided with the lock screw 5 that swingle 6 is stable at mobile jib 3 inner chambers, by rotating swingle 6, rotatable needle stand 2, being fixed on the suture needle 1 of rotating on the needle stand feather edge can be to rotate in 270 ° of scopes even in the wideer scope, the turnover abdominal cavity and each orientation that help maneuverability are sewed up, lock screw 5 can screw off, and can clean the mobile jib 3 inside and outside swingles 6 that reach after screwing off, sterilization; Suture needle 1 is fixed on cone gear form and rotates on the tangential direction of needle stand feather edge (as shown in Figure 3), and the outer surface of mobile jib 3 is provided with handle 4, and handle 4 constitutes one with mobile jib 3, by lever operated various stitchings and knotting.A suture hole is respectively established in the rear and front end of suture needle 1, and it is the arc suture needle of head and the tail bending two ends, and suture 7 is from the suture hole turnover twice of suture needle 1 rear and front end, and the other end of suture 7 is held in the hand by the operator.
The stitching of celioscope stitching device, knotting skill
1, enter the abdominal cavity: rotate swingle 6, make suture needle 1 and mobile jib 3 linearly, enter the abdominal cavity by the 6-7mm sleeve pipe after, rotate swingle 6, look the angle that suture needle and mobile jib are regulated in the suture site, be beneficial to smooth stitching.
2, sew up: the right hand is held stiching instrument, makes suture needle penetrate the suture site, further goes out pin then, makes suture expose 4-5mm from pin hole, and operator's left hand is held the clamp pincers and provoked front end suture and clamping, and suture needle is withdrawed from, and sews up threading and finishes, and the clamp pincers are decontroled the suture broken ends of fractured bone.
3, knotting: the suture needle 1 of band wire is around clamp pincers rotation 1 week (beating reef knot) or after rotating for 2 weeks (beating surgical knot), the clamp pincers are held the crack line broken ends of fractured bone, and stiching instrument and the corresponding tension of clamp pincers are finished a knot.Finish second or the 3rd knot with method.
4, trimming: stiching instrument and clamp clamp stretching suture, and line is cut off.Stiching instrument does not withdraw from the abdominal cavity, carries out secondary suture, knotting.
Function
1, pass line, knotting: use stiching instrument during non-stitching state and pass line, knotting, the broken ends of fractured bone is organized in ligation.Method is the same.Can replace the ferrule technology that present peritoneoscope adopts, save lot of materials and take (every import inside race is more than 100 yuans).
2, interrupted suture: above-mentioned stitching, knotting skill promptly are interrupted sutures.
3,8 words are sewed up: after stiching instrument was sewed up threading, the not trimming of tiing a knot carried out second pin and sews up threading, after the clamp pincers pass pin hole place suture, clamped another broken ends of fractured bone of suture and was pulled through and involve, and suture needle withdraws from an organization, and the knotting of suture two ends is finished 8 words and sewed up.
4, continuous stitching, continuous lock suture: sew up with 8 words, but the direction difference of turnover suture needle.

Claims (7)

1. celioscope stitching device, comprise suture needle (1), needle stand (2), mobile jib (3), handle (4), lock screw (5), swingle (6), suture (7), it is characterized in that: described needle stand (2) is for rotating needle stand, suture needle (1) is fixed on rotates on the needle stand, rotate movable binding of termination of needle stand and swingle (6), and the termination of rotation needle stand and swingle (6) is the cone gear form shape; Swingle (6) is stable at mobile jib (3) inner chamber; Described suture needle (1) is fixed on cone gear form and rotates on the tangential direction of needle stand feather edge, and the rotatable scope of suture needle (1) is 270 °.
2. celioscope stitching device according to claim 1 is characterized in that: the cross cut end (of a beam) of described rotation needle stand and swingle (6) is equipped with spiral awl tooth.
3. celioscope stitching device according to claim 2 is characterized in that: described mobile jib (3) tail end is provided with the lock screw (5) that swingle (6) is stable at mobile jib (3) inner chamber.
4. celioscope stitching device according to claim 1 is characterized in that: the outer surface of described mobile jib (3) is provided with handle (4).
5. celioscope stitching device according to claim 1 is characterized in that: a suture hole is respectively established in the rear and front end of described suture needle (1).
6. celioscope stitching device according to claim 5 is characterized in that: described suture needle (1) is the arc suture needle of head and the tail bending two ends.
7. celioscope stitching device according to claim 6 is characterized in that: described suture (7) passes in and out once setting respectively from the suture hole of suture needle (1) rear and front end.
CNB2004100510034A 2004-08-04 2004-08-04 Stitching instrument for laparoscope Expired - Fee Related CN1297236C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNB2004100510034A CN1297236C (en) 2004-08-04 2004-08-04 Stitching instrument for laparoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNB2004100510034A CN1297236C (en) 2004-08-04 2004-08-04 Stitching instrument for laparoscope

Publications (2)

Publication Number Publication Date
CN1729939A CN1729939A (en) 2006-02-08
CN1297236C true CN1297236C (en) 2007-01-31

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103654892B (en) * 2013-12-25 2016-01-13 江敏 Myometrial suture device after laparoscopy
CN105232098B (en) * 2015-10-22 2017-12-26 武汉大学 A kind of puncture outfit slit clutch for endoscope-assistant surgery

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002253554A (en) * 2001-03-02 2002-09-10 Japan Science & Technology Corp Needle holding forceps
CN2545981Y (en) * 2002-05-14 2003-04-23 赵轩东 Sewing ligation auxiliary device for abdominoscope operation
US20030153929A1 (en) * 2002-02-13 2003-08-14 Qi-Zhao Guo Dual-use suturing device for suturing wound induced from celioscope surgery
CN2719233Y (en) * 2004-08-04 2005-08-24 深圳市第二人民医院 Laparoscope suturing device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2002253554A (en) * 2001-03-02 2002-09-10 Japan Science & Technology Corp Needle holding forceps
US20030153929A1 (en) * 2002-02-13 2003-08-14 Qi-Zhao Guo Dual-use suturing device for suturing wound induced from celioscope surgery
CN2545981Y (en) * 2002-05-14 2003-04-23 赵轩东 Sewing ligation auxiliary device for abdominoscope operation
CN2719233Y (en) * 2004-08-04 2005-08-24 深圳市第二人民医院 Laparoscope suturing device

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