CN201775644U - Achilles tendon suture line guiding device - Google Patents

Achilles tendon suture line guiding device Download PDF

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Publication number
CN201775644U
CN201775644U CN2010205222886U CN201020522288U CN201775644U CN 201775644 U CN201775644 U CN 201775644U CN 2010205222886 U CN2010205222886 U CN 2010205222886U CN 201020522288 U CN201020522288 U CN 201020522288U CN 201775644 U CN201775644 U CN 201775644U
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CN
China
Prior art keywords
guiding
lead arm
sliding
piece
block
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Expired - Fee Related
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CN2010205222886U
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Chinese (zh)
Inventor
张丙磊
赵东升
秦放
余枫
李爱民
殷军
赵玉麟
张路
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张丙磊
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Publication date
Application filed by 张丙磊 filed Critical 张丙磊
Priority to CN2010205222886U priority Critical patent/CN201775644U/en
Application granted granted Critical
Publication of CN201775644U publication Critical patent/CN201775644U/en
Anticipated expiration legal-status Critical
Expired - Fee Related 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
    • A61B17/0482Needle or suture guides

Abstract

The utility model relates to an Achilles tendon suture line guiding device, which comprises a fixed guiding block and a sliding guiding block. Guiding arms are arranged on both one side of the fixed guiding block and one side of the sliding guiding block, an Achilles tendon clamping guiding device is formed by the inner guiding arms of the fixed guiding block and the sliding guiding block, a plurality of guiding holes are arranged on the guiding arms, the number of the guiding holes on the guiding arm of the fixed guiding block is the same with that of the guiding holes on the guiding arm of the sliding guiding block, the centers of each front guiding hole and the corresponding rear guiding hole are on the same straight line, two sliding rods are arranged on the fixed guiding block detachably connected with the sliding guiding block by the two sliding rods, and a porous groove sliding along the guiding rods is arranged on the sliding guiding block. The Achilles tendon suture line guiding device has the advantages of simple and reasonable structure, convenience for utilization and popularization, simplicity in operation, and fine fractured end repair quality, low complication incidence rate and small damage to blood circulation of an Achilles tendon and peripheral tissues due to the fact that a suture line is sewn to an unexposed normal portion of the Achilles tendon in horsetail-shaped fracture by a minimally invasive small incision (1.5cm-2.0cm) when the guiding device is used.

Description

Heel string is sewed up thread guide devices
Technical field
This utility model relates to a kind of surgical medical equipment, specifically, relates to a kind of surgical operation and is used for the tendon guiding device that clinical guiding tendon to coincideing.
Background technology
In medical procedure, after the rupture of Achilles tendon, adopt the surgical repair rupture of Achilles tendon usually, from simple Bunnell or Kessler end to end anastomosis, to strengthen or the artificial tendon transplanting to more complicated utilize fascia, plantaris muscle tendon, peroneal tendon, operation method is varied.The closed rupture ofachilles tendon heel string broken ends of fractured bone is horsetail shape more, how open surgery need manifest normal heel string part, so that stitching thread is fixed in normal tendon sex organization, so need peeling off of long otch and paratenon, it is heavier to organize blood fortune to destroy to local and heel string, the complication rate height.Complication comprises that fracture again, deep infection, cutaneous necrosis and shallow table infect and corresponding joint is stiff.
In order to reduce the destruction of open surgery to heel string blood fortune, reduce complication, the percutaneous operation has appearred in the medical procedure, promptly do 6 little otch in the heel string both sides, percutaneous is sewed up the heel string of fracture, there is a few patients slight wound complication to occur among the postoperative patient, this approach easy damaged sural nerve, sometimes even need operation again to carry out nerve to loosen.In addition, can not look at straight, can not guarantee the quality that the broken ends of fractured bone is repaired, fracture and achilles tendon lengthening more easily take place because of the heel string broken ends of fractured bone.
Because above the whole bag of tricks treatment rupture of Achilles tendon effect is still unsatisfactory, new Therapeutic Method is still among constantly exploring.
The utility model content
When the purpose of this utility model is to repair rupture of Achilles tendon at undergoing surgery in the existing medical procedure, have above-mentioned deficiencies such as otch is big, complication rate is high, broken ends of fractured bone repairing quality difference, provide a kind of simple in structure, easy to use, broken ends of fractured bone repairing quality is good, complication rate is low and heel string and surrounding tissue blood fortune is destroyed little heel string sew up thread guide devices.
The technical solution of the utility model is: a kind of heel string is sewed up thread guide devices, this device comprises a fixed guide piece and a sliding guidance piece, one side of fixed guide piece and sliding guidance piece is provided with lead arm, the inboard lead arm of fixed guide piece and sliding guidance piece forms a heel string and clamps guiding device, described lead arm is provided with a plurality of bullports, the number of the bullport on the bullport on the fixed guide piece lead arm and the sliding guidance piece lead arm is identical, and the center of corresponding forward and backward bullport is on same straight line; Described fixed guide piece is provided with two slide bars, and the fixed guide piece is connected with the sliding guidance piece is dismantled and assembled by two slide bars, and the sliding guidance piece is provided with the hole slot that slides along slide bar;
Preferably, be provided with the bolt hole that leading screw is installed between two hole slots on the described sliding guidance piece, be provided with a through hole between two slide bars on the fixed guide piece, leading screw is installed in the bolt hole by this through hole;
Preferably, lead arm and outer lead arm in the lead arm of described fixed guide piece is provided with, outward-dipping 4 ° of wherein interior lead arm, outward-dipping 6 ° of outer lead arm; The lead arm of sliding guidance piece only is provided with an interior lead arm, and is somebody's turn to do outward-dipping 4 ° of interior lead arm.
The beneficial effects of the utility model are: this utility model is simple and reasonable, and is easy to use.By mini-invasive incision (1.5cm-2.0cm) stitching thread is sewn to the normal part of the horsetail shape fracture heel string that is not appeared during use, broken ends of fractured bone repairing quality is good, complication rate is low, destroy little to heel string and surrounding tissue blood fortune; And can use more positive functional rehabilitation program, function is replied fast, and is simple to operate, be convenient to promote.Otch is little during this utility model operation, and operation back otch cicatrix is just little, not only more attractive in appearance, and incision complication is few.
Description of drawings
Accompanying drawing 1 is the structural representation of this utility model specific embodiment;
Accompanying drawing 2 is the fixed guide block structure sketch map of this utility model specific embodiment;
Accompanying drawing 3 is the sliding guidance block structure sketch map of this utility model specific embodiment;
Accompanying drawing 4 is the fixed guide piece and the sliding guidance piece separated position structural representation of this utility model specific embodiment.
The specific embodiment
The specific embodiment of the present utility model: shown in Fig. 1 to 4, a kind of heel string is sewed up thread guide devices, this device comprises a fixed guide piece 1 and a sliding guidance piece 2, one side of fixed guide piece 2 and sliding guidance piece 2 is provided with lead arm 3, the inboard lead arm of fixed guide piece 1 and sliding guidance piece 2 forms a heel string and clamps guiding device, lead arm 3 is provided with a plurality of bullports 4, the number of the bullport 4 on the bullport 4 on fixed guide piece 1 lead arm and sliding guidance piece 2 lead arm is identical, and before corresponding, the center of back bullport 4 is on same straight line; Fixed guide piece 1 is provided with two slide bars 5, and fixed guide piece 1 is by two slide bars 5 and 2 dismantled and assembled connections of sliding guidance piece, and sliding guidance piece 2 is provided with the hole slot 6 that slides along slide bar 5.Be provided with the bolt hole 8 that leading screw 7 is installed between two hole slots 6 on the sliding guidance piece 2, be provided with a through hole 9 between two slide bars 5 on the fixed guide piece 1, leading screw 7 is installed in the bolt hole 8 by this through hole 9.Lead arm 31 and outer lead arm 32 in the lead arm 3 of fixed guide piece 1 is provided with, wherein interior lead arm 31 outward-dipping 4 °, outer lead arm 32 outward-dipping 6 °; The lead arm 3 of sliding guidance piece 2 only is provided with an interior lead arm 33, and should in lead arm 33 outward-dipping 4 °.
During use, cut skin 1.5cm-2.0cm along the interior partially side direction near-end of the heel string broken ends of fractured bone, percutaneous incision undertissue and deep fascia, paratenon is also cut in identification, does the stitching labelling.Find the heel string broken ends of fractured bone, the clamp nearside broken ends of fractured bone is tractive gently, between paratenon and heel string, the interior lead arm of thread guide devices is inserted to near-end down in off position, and in the process of inserting, along with the chap of heel string near-end, thread guide devices will be opened gradually.The position that thread guide devices is fully inserted into its interior lead arm of back and heel string can be touched.After guiding wall inserts fully in the thread guide devices two, when heel string is sitting between the thread guide devices two interior lead arm, pass the heel string stitching thread by the bullport on outer lead arm and the interior lead arm, slowly draw back thread guide devices, when the bullport by outer lead arm passes suture, the long distance heel string broken ends of fractured bone 45mm of stitching thread is anchored in the normal heel string to guarantee stitching thread.When drawing back thread guide devices, at this moment stitching thread is by being brought in the otch between paratenon and the heel string.The tractive stitching thread is guaranteed to be sewn on the normal heel string.Sew up the broken ends of fractured bone far away with method.The tension stitching thread is held the stitching thread knotting with distance.

Claims (3)

1. a heel string is sewed up thread guide devices, it is characterized in that: this device comprises a fixed guide piece (1) and a sliding guidance piece (2), one side of fixed guide piece (1) and sliding guidance piece (2) is provided with lead arm (3), the inboard lead arm of fixed guide piece (1) and sliding guidance piece (2) forms a heel string and clamps guiding device, described lead arm (3) is provided with a plurality of bullports (4), the number of the bullport (4) on the bullport (4) on fixed guide piece (1) lead arm and sliding guidance piece (2) lead arm is identical, and before corresponding, the center of back bullport (4) is on same straight line; Described fixed guide piece (1) is provided with two slide bars (5), and fixed guide piece (1) is by two slide bars (5) and dismantled and assembled connection of sliding guidance piece (2), and sliding guidance piece (2) is provided with the hole slot (6) that slides along slide bar (5).
2. heel string as claimed in claim 1 is sewed up thread guide devices, it is characterized in that: be provided with the bolt hole (8) that leading screw (7) is installed between last two hole slots of described sliding guidance piece (2) (6), be provided with a through hole (9) between last two slide bars of fixed guide piece (1) (5), leading screw (7) is installed in the bolt hole (8) by this through hole (9).
3. sew up thread guide devices as claim 1 or 2 any described heel strings, it is characterized in that: the lead arm (3) of described fixed guide piece (1) is provided with interior lead arm (31) and outer lead arm (32), outward-dipping 4 ° of wherein interior lead arm (31), outward-dipping 6 ° of outer lead arm (32); The lead arm (3) of sliding guidance piece (2) only is provided with an interior lead arm (33), and is somebody's turn to do outward-dipping 4 ° of interior lead arm (33).
CN2010205222886U 2010-09-09 2010-09-09 Achilles tendon suture line guiding device Expired - Fee Related CN201775644U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2010205222886U CN201775644U (en) 2010-09-09 2010-09-09 Achilles tendon suture line guiding device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN2010205222886U CN201775644U (en) 2010-09-09 2010-09-09 Achilles tendon suture line guiding device

Publications (1)

Publication Number Publication Date
CN201775644U true CN201775644U (en) 2011-03-30

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CN2010205222886U Expired - Fee Related CN201775644U (en) 2010-09-09 2010-09-09 Achilles tendon suture line guiding device

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103417252A (en) * 2013-08-13 2013-12-04 陈华 Achilles tendon stitching instrument
CN104523310A (en) * 2014-12-23 2015-04-22 张跃辉 Heel tendon minimally invasive anastomat
WO2016119082A1 (en) * 2015-01-30 2016-08-04 陈华 Tendo calcaneus suturing instrument and use method therefor
CN106388887A (en) * 2016-08-31 2017-02-15 左振柏 Achilles tendon suture device
CN110337274A (en) * 2016-12-21 2019-10-15 泰姆得公司 Plantar plate prosthetic device
WO2022010820A1 (en) * 2020-07-07 2022-01-13 The General Hospital Corporation Devices and method for facilitating placement of sutures in a surgical procedure
US11446134B2 (en) 2020-02-24 2022-09-20 Community Blood Center Suture guide devices for preparing tendon grafts and methods incorporating the same

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103417252A (en) * 2013-08-13 2013-12-04 陈华 Achilles tendon stitching instrument
WO2015021687A1 (en) * 2013-08-13 2015-02-19 北京天智航医疗科技股份有限公司 Achilles's tendon stapler
CN103417252B (en) * 2013-08-13 2015-05-27 中国人民解放军总医院 Achilles tendon stitching instrument
CN104523310A (en) * 2014-12-23 2015-04-22 张跃辉 Heel tendon minimally invasive anastomat
WO2016119082A1 (en) * 2015-01-30 2016-08-04 陈华 Tendo calcaneus suturing instrument and use method therefor
CN106388887A (en) * 2016-08-31 2017-02-15 左振柏 Achilles tendon suture device
CN106388887B (en) * 2016-08-31 2019-12-17 左振柏 Achilles tendon sewing equipment
CN110337274A (en) * 2016-12-21 2019-10-15 泰姆得公司 Plantar plate prosthetic device
US11446134B2 (en) 2020-02-24 2022-09-20 Community Blood Center Suture guide devices for preparing tendon grafts and methods incorporating the same
WO2022010820A1 (en) * 2020-07-07 2022-01-13 The General Hospital Corporation Devices and method for facilitating placement of sutures in a surgical procedure

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20110330

Termination date: 20120909