CN203539397U - Cicatrix-free two-channel hernia needle - Google Patents

Cicatrix-free two-channel hernia needle Download PDF

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Publication number
CN203539397U
CN203539397U CN201320676219.4U CN201320676219U CN203539397U CN 203539397 U CN203539397 U CN 203539397U CN 201320676219 U CN201320676219 U CN 201320676219U CN 203539397 U CN203539397 U CN 203539397U
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CN
China
Prior art keywords
needle body
needle
hernia
cicatrix
handle
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Expired - Fee Related
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CN201320676219.4U
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Chinese (zh)
Inventor
郭伟
王佾
李铁军
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Chongqing ninth people's hospital
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Chongqing ninth people's hospital
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Priority to CN201320676219.4U priority Critical patent/CN203539397U/en
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Publication of CN203539397U publication Critical patent/CN203539397U/en
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Abstract

The utility model discloses a cicatrix-free two-channel hernia needle. The cicatrix-free two-channel hernia needle is characterized in that the cicatrix-free two-channel hernia needle comprises a needle body and a handle, wherein the handle comprises a main channel catheter and an auxiliary channel catheter communicated with the main channel catheter, the tail end of the needle body stretches into the handle and is located in front of the joint point of the main channel catheter and the auxiliary channel catheter, the needle body is tubular and is communicated with the main channel catheter and the auxiliary channel catheter, the needle body and the handle are both located on an actual working face perpendicular to the horizontal plane, a needle point inclined plane of the needle body and the auxiliary channel catheter are located on the same side, and the front end of the needle body is bent two times towards the left side or the right side of the actual working face. The cicatrix-free two-channel hernia needle is simple in structure, open surgery is not needed, abdominal wall puncture holes are reduced, traumas are small, visible cicatrices do not exist, tissue is damaged to the minimum degree, the successful rate of surgery is high, hernia can not relapse easily, operation is convenient and effective, and production cost is low.

Description

Without cicatrix dual pathways hernia needle
Technical field
This utility model belongs to technical field of medical instruments, specifically, relates to a kind of without cicatrix dual pathways hernia needle.
Background technology
When treating the diseases such as indirect inguinal hernia in children, straight hernia, Tradtional laparotomy method need to be dissected the each layer tissue of groin, destroys the anatomical structure of inguinal canal, and damage is large, and part forms adhesion, and post-operative complication is many.
And at present, along with peritoneoscope is widely used in pediatric surgery, treatment infantile hernia only need to carry out high ligation of hernial sac operation by hernia needle under peritoneoscope, and current peritoneoscope lower inner ring mouth high ligation supporting surgical operating instrument used is two of hernia needle and nippers.Its concrete operations are:
In the punching of infant umbilical part, enter abdominal cavity, for scope, stretch into (the first hole), then at offside rectus abdominis m. lateral border puncture, stretching into nipper (the second hole), finally at the interior collar extension body surface projection place of infant hernia operation sharp knife, stabbing a 2mm-3mm aperture and enter (the 3rd hole) for hernia needle.The hernia needle of band wire enters abdominal cavity after the 3rd hole is inserted around interior collar extension half cycle, under nipper is assisted, line is retained in to intraperitoneal, and hernia needle inserts through the 3rd hole again, around after the another half cycle of interior collar extension, line being pulled out, tightens up rear external knotting, completes operation technique.
But need puncture three places in operation, damage is large, and existing hernia needle is that through wires hole is set on crochet hook with epitheca or the needle body: 1, the crochet hook with epitheca, and needle body is partially thick, and tip is sharp not, insertion abdominal wall tissue difficulty, and the nipper that need to stretch into from the second hole is assisted, and barb easily damages deferent duct, spermatic cord blood vessel, also easily damages suture, even cut off, cause operative failure; 2, on the needle body, through wires hole is set, needle body is partially thick, and band wire to enter physiological disposition center line easily broken, and threading difficulty, is not easy to ligation.
The shortcoming of prior art is: 1. the puncture such as skin, stomach wall three places, and wound is large, is difficult for restoring; 2. the crochet hook with epitheca, needle body is partially thick, and tip is sharp not, inserts abdominal wall tissue difficulty, and the nipper that need to stretch into from the second hole is assisted; 3. barb easily damages deferent duct, spermatic cord blood vessel, also easily damages suture, even cuts off, and causes operative failure; 4, on the needle body, through wires hole is set, needle body is partially thick, and it is easily broken that band wire enters physiological disposition center line, and threading difficulty, is not easy to ligation.
Utility model content
For solving above technical problem, it is a kind of without opening abdomen, minimum degree damaged tissue that the purpose of this utility model is to provide, and operation technique is simply without cicatrix dual pathways hernia needle.
This utility model object is achieved in that a kind of without cicatrix dual pathways hernia needle, its key is: comprise the needle body and hands handle, described handle comprises main channel pipe and the subaisle pipe communicating with described main channel pipe, described needle body tail end stretches into described handle and is positioned at described main channel pipe and front portion, subaisle pipe meeting point, this needle body communicates in a tubular form and with described main channel pipe and subaisle pipe, the described needle body and handle are all positioned on the implementation face perpendicular with horizontal plane, the pinpoint inclined plane of the described needle body and described subaisle pipe are positioned at the same side, the front end of this needle body bends twice towards left side or the right side of implementation face.
Adopt said structure, need not Tradtional laparotomy and three hole method laparoscopic surgeries.Only, under umbilicus single-hole laparoscopic, by hernia needle, can directly carry out collar extension High High Level ligation in hernical sac, be difficult for recurrence.Needle point is tiny and sharp, and wound is little, and postoperative 2 weeks without visual cicatrix; When performing the operation, the ligature of doubling or sub-thread is penetrated to main channel pipe and the needle body successively, in subaisle pipe, pass into normal saline, be conducive to separate preperitoneal space, and the needle body of bending and pinpoint inclined plane are down, particularly, in boy's operation, be more conducive to cross over deferent duct and spermatic cord blood vessel, by needle point, do not damaged, and be conducive to the needle body and fast and effeciently move under water and bring suture into.
Be " y " shape crossing with subaisle pipe managed in above-mentioned main channel, and the described needle body and described main channel pipe are positioned on same axial line.
Adopt said structure, passage intersects and is " y " shape, is conducive to the input of normal saline, can not go out from main channel pipe flow, and the needle body and main channel pipe are positioned on same axial line, are convenient to threading.
The line of inflection point and the axial line of main channel pipe of the needle point of the above-mentioned needle body and close handle are a angle, and described a angle is 15 degree~20 degree.
Adopt said structure, the needle body is difficult for too bending, and too bending is not easy to that the needle body moves under water in preperitoneal space and around interior collar extension.
The section of the stretching out overall length of the above-mentioned needle body is 8cm~10cm; The external diameter of the described needle body is 0.6mm~1.6mm.Adopt said structure, the hernia needle of this length can be processed various types of children inguinal hernias, especially the huge hernia of children's.Needle body external diameter is little, and directly prick skin enters, and operation is without opening abdomen, and wound is little, and rehabilitation is fast, after wound healing without visual cicatrix.
The external diameter of the above-mentioned needle body is 1mm.Adopt said structure, the needle body external diameter of this length is easy for treating infantile hernia most, and external diameter suitable size can guarantee the intensity of the needle body, and the wound that skin punctures is little, after healing without visual cicatrix.
The above-mentioned needle body and handle are stainless steel material and make, and this needle body and handle are one-body molded.Adopt said structure, the use of repeatedly sterilizing of the needle body that rustless steel is made and handle capable of being, the one-body molded technological process of production that reduced, has reduced production cost.
Beneficial effect:
1. reduce stomach wall puncture.With this utility model collar extension high ligation in scope monitors descending infantile hernia, only need to make place's puncture at umbilical part, utility model diameter of needle body 0.6mm-1.6mm, do not need sharp knife to cut skin, can directly puncture and enter preperitoneal space, after recovery, do not stay visual cicatrix, reach Wicresoft's object.
2. improve operation quality.The omnidistance manipulation in vitro of interior collar extension repair operation, easily controls, and can accomplish the ligation of interior collar extension High High Level, and relapse rate is low, and operation quality is high.
3. improve success rate of operation.The drawback of damaged tissue and suture while having avoided crochet hook hook line, select correct left side or right side utility model, can guarantee that pinpoint inclined plane is used down, and by water filling in art by important structure such as deferent duct and spermatic cord blood vessels, by " wire loop cover line " method, suture unbroken loop, around interior collar extension one week, has been improved to success rate of operation.
4. low production cost, easily produces.This utility model is integrated metal forming, and the use of can repeatedly sterilizing is with low cost, simple in structure, is easy to go into operation.
Accompanying drawing explanation
Fig. 1 is the structural representation of embodiment 1;
Fig. 2 is the right view of Fig. 1;
Fig. 3 is the structural representation of embodiment 2;
Fig. 4 is the right view of Fig. 3;
Fig. 5 is operating principle figure of the present utility model.
The specific embodiment
Below in conjunction with drawings and Examples, the utility model is described in further detail:
Embodiment 1:
As depicted in figs. 1 and 2: one, without cicatrix dual pathways hernia needle, is comprised of the needle body 1 and handle 2, and this needle body 1 and handle 2 are made material and be rustless steel, and this needle body 1 and handle 2 are one-body molded.
The subaisle pipe 2b that described handle 2 communicates by main channel pipe 2a with described main channel pipe 2a forms, 2a and subaisle pipe 2b crossing being " y " shape are managed in described main channel, the described needle body 1 tail end stretches into described handle 2 and is positioned at described main channel pipe 2a and front portion, subaisle pipe 2b meeting point, this needle body 1 communicates in a tubular form and with described main channel pipe 2a and subaisle pipe 2b, this needle body 1 is positioned on same axial line with described main channel pipe 2a, the described needle body 1 and handle 2 are all positioned on the implementation face perpendicular with horizontal plane, the pinpoint inclined plane of the described needle body 1 and described subaisle pipe 2b are positioned at the same side, the front end of this needle body 1 is towards twice of the left side of implementation face bending, the axial line of the line of the inflection point of the needle point of this needle body 1 and close handle and main channel pipe 2a is a angle, described a angle is 15 degree, certain: this also may be selected to be 16 degree, 17 degree, 18 degree, 19 degree or 20 degree, as long as can realize half cycle in interior collar extension moves under water, cross over spermatic cord structure, do not cause damage.
The section of the stretching out overall length of the described needle body 1 is 8cm, certainly: the section of the stretching out overall length of this needle body 1 also may be selected to be 9cm or 10cm; The external diameter of the described needle body 1 is 0.6mm, certainly: the section of the stretching out overall length of this needle body 1 also may be selected to be 1mm or 1.6mm, as long as the stretching out segment length and can reach the degree of depth of moving under water of the needle body 1.
One described in embodiment 1 is mainly applicable to left side children inguinal hernia without cicatrix dual pathways hernia needle.
Embodiment 2:
As shown in Figure 3 and Figure 4: one, without cicatrix dual pathways hernia needle, is comprised of the needle body 1 and handle 2, and this needle body 1 and handle 2 are made material and be rustless steel, and this needle body 1 and handle 2 are one-body molded.
The subaisle pipe 2b that described handle 2 communicates by main channel pipe 2a with described main channel pipe 2a forms, 2a and subaisle pipe 2b crossing being " y " shape are managed in described main channel, the described needle body 1 tail end stretches into described handle 2 and is positioned at described main channel pipe 2a and front portion, subaisle pipe 2b meeting point, this needle body 1 communicates in a tubular form and with described main channel pipe 2a and subaisle pipe 2b, this needle body 1 is positioned on same axial line with described main channel pipe 2a, the described needle body 1 and handle 2 are all positioned on the implementation face perpendicular with horizontal plane, the pinpoint inclined plane of the described needle body 1 and described subaisle pipe 2b are positioned at the same side, the front end of this needle body 1 is towards twice of the right side of implementation face bending, the axial line of the line of the inflection point of the needle point of this needle body 1 and close handle and main channel pipe 2a is a angle, described a angle is 15 degree, certain: this also may be selected to be 16 degree, 17 degree, 18 degree, 19 degree or 20 degree, as long as can realize half cycle in interior collar extension moves under water, cross over spermatic cord structure, do not cause damage.
The section of the stretching out overall length of the described needle body 1 is 8cm, certainly: the section of the stretching out overall length of this needle body 1 also may be selected to be 9cm or 10cm; The external diameter of the described needle body 1 is 0.6mm, certainly: the section of the stretching out overall length of this needle body 1 also may be selected to be 1mm or 1.6mm, as long as the stretching out segment length and can reach the degree of depth of moving under water of the needle body 1.
One described in embodiment 2 is mainly applicable to right side children inguinal hernia without cicatrix dual pathways hernia needle.
This utility model is without cicatrix dual pathways hernia needle operating principle:
Take boy left side inguinal hernia as example (as shown in Figure 5), operation take embodiment 1 make obtain without the main operating apparatus of cicatrix dual pathways hernia needle A() and embodiment 2 making obtain without cicatrix dual pathways hernia needle B as example, first by the partially hard drag wire of doubling (as Pu Liling line, treasure nation's line etc.) insert without cicatrix dual pathways hernia needle A, through skin penetrating, enter preperitoneal space, in interior collar extension place preperitoneal space, move under water, successively cross over deferent duct, (pinpoint inclined plane is difficult for stabbing towards spermatic cord structure the spermatic cord important structure such as spermatic cord blood vessel, can pass through subaisle injecting normal saline simultaneously, push peritoneum open, be convenient to cross over), after half cycle in interior collar extension, to promote wire loop, be retained in preperitoneal space, in like manner, sub-thread ligature (as Pu Liling line or treasure nation's line etc.) is inserted without cicatrix dual pathways hernia needle B, and again through same skin penetrating point, insert, in interior collar extension place preperitoneal space, around the outer half cycle of interior collar extension, join forces in rear insertion wire loop and puncture peritoneum, sub-thread suture is retained in to intraperitoneal, tractive single line (wire loop), takes sub-thread suture out of rear external knotting, reaches operation object.
The foregoing is only preferred embodiment of the present utility model; not in order to limit this utility model; all any modifications of doing within spirit of the present utility model and principle, be equal to and replace and improvement etc.; as the overall length of the size of the shape of handle, a angle, the needle body section of stretching out, the external diameter of the needle body etc., within all should being included in protection domain of the present utility model.

Claims (6)

1. one kind without cicatrix dual pathways hernia needle, it is characterized in that: comprise the needle body (1) and handle (2), the subaisle pipe (2b) that described handle (2) comprises main channel pipe (2a) and communicates with described main channel pipe (2a), the described needle body (1) tail end stretches into described handle (2) and is positioned at described main channel pipe (2a) and subaisle pipe (2b) front portion, meeting point, this needle body (1) communicates in a tubular form and with described main channel pipe (2a) and subaisle pipe (2b), the described needle body (1) and handle (2) are all positioned on the implementation face perpendicular with horizontal plane, the pinpoint inclined plane of the described needle body (1) and described subaisle pipe (2b) are positioned at the same side, the front end of this needle body (1) bends twice towards left side or the right side of implementation face.
2. according to claim 1 without cicatrix dual pathways hernia needle, it is characterized in that: (2a) and subaisle pipe (2b) crossing being " y " shape are managed in described main channel, the described needle body (1) is positioned on same axial line with described main channel pipe (2a).
3. according to claim 1 and 2 without cicatrix dual pathways hernia needle, it is characterized in that: the needle point of the described needle body (1) and the line of inflection point and the axial line of main channel pipe (2a) near handle are a angle, and described a angle is 15 degree~20 degree.
4. according to claim 3 without cicatrix dual pathways hernia needle, it is characterized in that: the section of the stretching out overall length of the described needle body (1) is 8cm~10cm; The external diameter of the described needle body (1) is 0.6mm~1.6mm.
5. according to claim 4 without cicatrix dual pathways hernia needle, it is characterized in that: the external diameter of the described needle body (1) is 1mm.
6. according to claim 5 without cicatrix dual pathways hernia needle, it is characterized in that: the described needle body (1) and handle (2) are made material and be rustless steel, and this needle body (1) and handle (2) are one-body molded.
CN201320676219.4U 2013-10-29 2013-10-29 Cicatrix-free two-channel hernia needle Expired - Fee Related CN203539397U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201320676219.4U CN203539397U (en) 2013-10-29 2013-10-29 Cicatrix-free two-channel hernia needle

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Application Number Priority Date Filing Date Title
CN201320676219.4U CN203539397U (en) 2013-10-29 2013-10-29 Cicatrix-free two-channel hernia needle

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CN203539397U true CN203539397U (en) 2014-04-16

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105559839A (en) * 2016-01-21 2016-05-11 秦连进 Laparoscope abdomen external hernia transabdominal wall ligating device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105559839A (en) * 2016-01-21 2016-05-11 秦连进 Laparoscope abdomen external hernia transabdominal wall ligating device

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

Granted publication date: 20140416

Termination date: 20161029