CN203555802U

CN203555802U - Repeating type tissue perforation suture instrument

Info

Publication number: CN203555802U
Application number: CN201320676846.8U
Authority: CN
Inventors: 王东; 李兆申
Original assignee: Individual
Current assignee: Individual
Priority date: 2013-10-31
Filing date: 2013-10-31
Publication date: 2014-04-23
Anticipated expiration: 2023-10-31

Abstract

The utility model discloses a repeating type tissue perforation suture instrument which comprises a pull wire, at least two hemostatic clips and a releaser capable of releasing the hemostatic clips in sequence, wherein the head end of one hemostatic clip in the two adjacent hemostatic clips is separably connected with the tail end of the other hemostatic clip; the tail end of the last hemostatic clip is separably and movably connected with the head end of the releaser; hemostatic clip assemblies are arranged on the hemostatic clips; one end of the pull wire is fixedly connected with the first hemostatic clip, and the other end of the pull wire penetrates through the rest hemostatic clips in sequence from front to rear; the pull wire can move relative to the hemostatic clips. According to the instrument, perforations can be quickly sutured, so that medical accidents are avoided.

Description

Repeating type tissue perforation stiching instrument

Technical field

This utility model relates to a kind of repeating type tissue perforation stiching instrument, belongs to medical instruments field, is mainly used in the stitching of digestive endoscopy undertissue perforation.

Background technology

At present, at digestive endoscopy, while particularly doing operation on digestive tract under soft scope, especially do mucosa and peel off while performing the operation, be easy to cause tissue perforation, as gastric perforation, intestinal perforation, once bore a hole, under scope, remedy very difficult, can cause very large risk to patient, do not have at present a kind of apparatus can treat very fast perforation, existing hemostatic clamp only can be tackled less hemorrhage wound surface, so the suturing skill of boring a hole under scope is a present difficult problem anxious to be resolved.

Summary of the invention

Technical problem to be solved in the utility model is the defect that overcomes prior art, and a kind of repeating type tissue perforation stiching instrument is provided, and it can realize the stitching to site of perforation fast under digestive endoscopy, thereby avoids occurring the phenomenon of malpractice.

In order to solve the problems of the technologies described above, the first technical scheme of the present utility model is: a kind of repeating type tissue perforation stiching instrument, and it comprises bracing wire, at least two hemostatic clamps and the release that can discharge successively hemostatic clamp; Wherein, in two adjacent hemostatic clamps, the head end of one of them hemostatic clamp is connected detachably with the tail end of another hemostatic clamp; The tail end of the hemostatic clamp of final stage is flexibly connected mutually with the head end of release detachably, on hemostatic clamp, all there is hemostatic clamp chip module, one end of described bracing wire is fixedly connected with the hemostatic clamp of prime, and the other end can move relative to it through other hemostatic clamps and bracing wire from front to back successively.

Further provide a kind of bracing wire can be on all the other hemostatic clamps through and structure movably, described on remaining hemostatic clamp of hemostatic clamp of prime, all have through wires hole, the other end of described bracing wire passes the through wires hole of hemostatic clamp from front to back successively.

The length that further defines bracing wire is used to facilitate in operation, and the other end of described bracing wire is from front to back successively through the afterbody that extends to release after other hemostatic clamps.

A kind of structure of release is further provided, described release comprises overcoat, handle, movable lever release and flexible handle, movable lever release can axially movably be inserted in overcoat, described flexible handle is arranged on the tail end of movable lever release, and described handle is arranged on the tail end of overcoat.

In order to solve the problems of the technologies described above, the second technical scheme of the present utility model is: a kind of repeating type tissue perforation stiching instrument, and it comprises at least two bracing wires, at least two hemostatic clamps and the release that can discharge successively hemostatic clamp; Wherein, in two adjacent hemostatic clamps, the head end of one of them hemostatic clamp is connected detachably with the tail end of another hemostatic clamp; The tail end of the hemostatic clamp of final stage is flexibly connected mutually with the head end of release detachably, all has hemostatic clamp chip module on hemostatic clamp, the corresponding hemostatic clamp of every described bracing wire, and one end of bracing wire is fixedly connected with corresponding hemostatic clamp.

Further, the other end of described bracing wire extends to the afterbody of release.

Further, described release comprises overcoat, handle, movable lever release and flexible handle, and movable lever release can axially movably be inserted in overcoat, and described flexible handle is arranged on the tail end of movable lever release, and described handle is arranged on the tail end of overcoat.

Adopted after technique scheme, under digestive endoscopy, find and organize perforation place, make the hemostatic clamp laminating perforation organization edge of prime, and make its grip tissue, then the hemostatic clamp of prime is separated from release, then according to the method, make other hemostatic clamps be fitted in perforation and organize other edges, and make its grip tissue, then these hemostatic clamps are separated from release, until all hemostatic clamps on release after all grip tissue discharges, tension bracing wire, hemostatic clamp is closed up, tighten up perforation tissue, certainly the first technical scheme also can be by filling a clamping block along bracing wire, clamping block is fixed near edge and the bracing wire of the hemostatic clamp of final stage, by clamping block, hemostatic clamp is closed up and tightened up, the second technical scheme can be after all hemostatic clamps clamp, in all bracing wires, be set with a clamping block, by clamping block, hemostatic clamp is closed up and tightened up, this just can realize fast the stitching to site of perforation under digestive endoscopy, make to organize wound to close up and reach the object of operative treatment, thereby avoid occurring the phenomenon of malpractice.

Accompanying drawing explanation

Fig. 1 is the structural representation of the first structure of repeating type tissue perforation stiching instrument of the present utility model;

Fig. 2 is the A portion enlarged drawing of Fig. 1;

One of flow chart that Fig. 3 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;

One of flow chart that Fig. 4 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;

One of flow chart that Fig. 5 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;

One of flow chart that Fig. 6 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;

One of flow chart that Fig. 7 is the sewing method of the repeating type tissue perforation stiching instrument in use embodiment mono-;

Fig. 8 is the structural representation of the second structure of repeating type tissue perforation stiching instrument of the present utility model.

Wherein, 5 is tissue, and 6 for organizing wound.

The specific embodiment

For content of the present utility model is more easily expressly understood, according to specific embodiment also by reference to the accompanying drawings, this utility model is described in further detail below.

Embodiment mono-

As shown in Figure 1, 2, a kind of repeating type tissue perforation stiching instrument, it comprises bracing wire 1, two hemostatic clamps 2 and the release 3 that can discharge successively hemostatic clamp 2; Wherein, the head end of second hemostatic clamp 2 is connected detachably with the tail end of first hemostatic clamp 2; The tail end of second hemostatic clamp 2 is flexibly connected mutually with the head end of release 3 detachably, on two hemostatic clamps 2, all there is hemostatic clamp chip module 2-1, one end of bracing wire 1 and first hemostatic clamp 2 are fixedly connected, and the other end can move relative to it through second hemostatic clamp 2 and bracing wire 1.

As shown in Figure 2, on second hemostatic clamp 2, have through wires hole 2-2, the other end of bracing wire 1 is through the through wires hole 2-2 of hemostatic clamp 2, bracing wire 1 can be through also removable on second hemostatic clamp 2 like this, facilitate this stiching instrument to move to the opposite side of perforation tissue, certainly, the length of bracing wire 1 can extend to the afterbody of release 3, to facilitate in operation, operates.

Certainly, the quantity of hemostatic clamp 2 is not limited to this, and when the quantity of hemostatic clamp 2 is when more than three, the other end of bracing wire 1 successively through the through wires hole 2-2 of other hemostatic clamps 2, also can extend to the afterbody of release 3 or extend to handle 3-2 place and all can from front to back.

As shown in Figure 1, release 3 comprises overcoat 3-1, handle 3-2, movable lever release 3-3 and flexible handle 3-4, movable lever release 3-3 can axially movably be inserted in overcoat 3-1, and flexible handle 3-4 is arranged on the tail end of movable lever release 3-3, and handle 3-2 is arranged on the tail end of overcoat 3-1.

As shown in Fig. 3 ~ 7, the sewing method of the repeating type tissue of the present embodiment perforation stiching instrument is as follows:

1, under digestive endoscopy, find perforation place, make first hemostatic clamp 2 be fitted in perforation organization edge, make its grip tissue, then that first hemostatic clamp 2 is separated from release 3.

2, the 2 laminating perforation of second hemostatic clamp are organized to opposite side edge, make its grip tissue, then that second hemostatic clamp 2 is separated from release 3.

3,1 one of bracing wires can be stretched out outside human body by endoscopic forceps channel hole, then strain bracing wire 1, slowly first hemostatic clamp 2 and second hemostatic clamp 2 are closed up, again along 1 time clamping block 4 of bracing wire, clamping block 4 is fixing near edge and the bracing wire 1 of hemostatic clamp 2, cuts off bracing wire 1, and the perforation of so large opening is organized substantially and closed up, operation risk just reduces greatly, next just with conventional Hemostasis, just can handle well.

Clamping block 4 can be bracing wire 1 outside cover clamping block 4 with the fixed form of bracing wire 1, then with pliers, applies external force and tightens up fixingly, and can be also that the mode that adopts male-female sleeve to mesh stuck bracing wire 1 realizes, implementation can be multiple, is not limited to this.

Embodiment bis-

As shown in Figure 8, a kind of repeating type tissue perforation stiching instrument, it comprises at least two bracing wires 1, at least two hemostatic clamps 2 and the release 3 that can discharge successively hemostatic clamp 2; Wherein, in two adjacent hemostatic clamps 2, the head end of one of them hemostatic clamp 2 is connected detachably with the tail end of another hemostatic clamp 2; The tail end of the hemostatic clamp 2 of final stage is flexibly connected mutually with the head end of release 3 detachably, all has hemostatic clamp chip module 2-1 on hemostatic clamp 2, the every corresponding hemostatic clamp 2 of bracing wire 1, and one end of bracing wire 1 is fixedly connected with corresponding hemostatic clamp 2.

The other end of bracing wire 1 extends to the afterbody of release 3.

Bracing wire 1 in Fig. 8 is two, and hemostatic clamp 2 is also two, but the quantity of bracing wire 2 and hemostatic clamp 2 is not limited to the quantity of embodiment bis-.

As shown in Figure 8, release 3 comprises overcoat 3-1, handle 3-2, movable lever release 3-3 and flexible handle 3-4, movable lever release 3-3 can axially movably be inserted in overcoat 3-1, and flexible handle 3-4 is arranged on the tail end of movable lever release 3-3, and handle 3-2 is arranged on the tail end of overcoat 3-1.

The sewing method of the repeating type tissue perforation stiching instrument of the present embodiment is as follows:

3,1 one of the bracing wires of first hemostatic clamp 2 and second hemostatic clamp 2 can be stretched out outside human body by endoscopic forceps channel hole, then strain two bracing wires 1, slowly first hemostatic clamp 2 and second hemostatic clamp 2 are closed up, again along 1 time clamping block 4 of two bracing wires, clamping block 4 is fixing near edge and the bracing wire 1 of hemostatic clamp 2, cuts off bracing wire 1, and the perforation of so large opening is organized substantially and closed up, operation risk just reduces greatly, next just with conventional Hemostasis, just can handle well.

Above-described specific embodiment; technical problem, technical scheme and beneficial effect that this utility model is solved further describe; institute is understood that; the foregoing is only specific embodiment of the utility model; be not limited to this utility model; all within spirit of the present utility model and principle, any modification of making, be equal to replacement, improvement etc., within all should being included in protection domain of the present utility model.

Claims

1. a repeating type tissue perforation stiching instrument, is characterized in that: it comprises bracing wire (1), at least two hemostatic clamps (2) and the release (3) that can discharge successively hemostatic clamp (2); Wherein, in adjacent two hemostatic clamps (2), the head end of one of them hemostatic clamp (2) is connected detachably with the tail end of another hemostatic clamp (2); The tail end of the hemostatic clamp (2) of final stage is flexibly connected mutually with the head end of release (3) detachably, on hemostatic clamp (2), all there is hemostatic clamp chip module (2-1), one end of described bracing wire (1) is fixedly connected with the hemostatic clamp (2) of prime, and the other end can move relative to it through other hemostatic clamps (2) and bracing wire (1) from front to back successively.

2. repeating type tissue according to claim 1 perforation stiching instrument, it is characterized in that: described except the hemostatic clamp (2) of prime, on remaining hemostatic clamp (2), all have through wires hole (2-2), the other end of described bracing wire (1) is from front to back successively through the through wires hole (2-2) of hemostatic clamp (2).

3. repeating type tissue perforation stiching instrument according to claim 1 and 2, is characterized in that: the other end of described bracing wire (1) is from front to back successively through the afterbody that extends to release (3) after other hemostatic clamps (2).

4. repeating type tissue according to claim 1 perforation stiching instrument, it is characterized in that: described release (3) comprises overcoat (3-1), handle (3-2), movable lever release (3-3) and flexible handle (3-4), movable lever release (3-3) can axially movably be inserted in overcoat (3-1), described flexible handle (3-4) is arranged on the tail end of movable lever release (3-3), and described handle (3-2) is arranged on the tail end of overcoat (3-1).

5. a repeating type tissue perforation stiching instrument, is characterized in that: it comprises at least two bracing wires (1), at least two hemostatic clamps (2) and the release (3) that can discharge successively hemostatic clamp (2); Wherein, in adjacent two hemostatic clamps (2), the head end of one of them hemostatic clamp (2) is connected detachably with the tail end of another hemostatic clamp (2); The tail end of the hemostatic clamp (2) of final stage is flexibly connected mutually with the head end of release (3) detachably, on hemostatic clamp (2), all there is hemostatic clamp chip module (2-1), the corresponding hemostatic clamp (2) of described every bracing wire (1), and one end of bracing wire (1) is fixedly connected with corresponding hemostatic clamp (2).

6. repeating type tissue perforation stiching instrument according to claim 5, is characterized in that: the other end of described bracing wire (1) extends to the afterbody of release (3).

7. repeating type tissue according to claim 5 perforation stiching instrument, it is characterized in that: described release (3) comprises overcoat (3-1), handle (3-2), movable lever release (3-3) and flexible handle (3-4), movable lever release (3-3) can axially movably be inserted in overcoat (3-1), described flexible handle (3-4) is arranged on the tail end of movable lever release (3-3), and described handle (3-2) is arranged on the tail end of overcoat (3-1).