CN203647402U - Stepless adjustable skin stitching device - Google Patents

Abstract

The utility model discloses a stepless adjustable skin stitching device and belongs to surgical instruments. The stepless adjustable skin stitching device comprises a block-shaped double-sided adhesive tape and is characterized by also comprising flexible wire materials, a main pulling button, an auxiliary pulling button, a velcro which is connected to end portions of the wire materials, fabric pieces which are used for fixing or separating the velcro and release paper; the main pulling button and the auxiliary pulling button are formed by main bonding pieces, auxiliary bonding pieces, main pulling button columns and auxiliary pulling button columns; one ends of the flexible wire materials with the end portions connected with the velcro are fixed at neck portions of the auxiliary pulling buttons. After probation, the stepless adjustable skin stitching device is not only applicable to requirements for opening wounds again after the wounds are stitched, achieves continuous fine adjustment of the wound stitching force, and accordingly avoids hidden dangers which seriously influence wound healing such as excessive tightening during stitching, dislocation of skin on bilateral sides of the wounds and uneven stress of different positions of non-linear-shaped wounds; improves blood microcirculation of wound blood and quickening wound healing; enabling the wound healing time to be shorted to 8 to 9 days from 11 to 12 days in the prior art and enabling the wound healing time to be close to the healing time of the wounds stitched through traditional medical needles and threads.

Description

Stepless adjustable skin stiching instrument

Technical field: this utility model belongs to the surgery instrument of armarium, especially for operating stepless adjustable skin stiching instrument.

Background technology: particularly the wound after surgical operation is common is linear wound for skin wound, conventionally adopts medical needle suturing with thread management.This just not only needs the suture time of growing, and strengthens patient's operation risk, and after wound healing, also needs again to take out stitches, and wound healing place can leave " Scolopendra " sample cicatrix.For overcoming the problems referred to above and deficiency, there is not using the skin needleless suture operation equipment of medical needle suturing with thread management.

Prior art document 1ZL03117364.0 discloses a kind of skin wound closure device, the technical scheme adopting is: " a kind of skin wound closure device; comprise two bar shaped retinaculum and base band of arranging along skin wound both sides respectively; base band is arranged on the retinacular upper surface of bar shaped; it is characterized in that: be provided with many secondary locking devices that connect base band in described base band, many secondary locking devices are arranged along the retinacular length direction of bar shaped interval; Locking device is made up of sour jujube bar and snap close, in the lockhole on snap close, is provided with detent, and sour jujube bar is through the lockhole on snap close and block ratchet by detent." realized do not use medical needle suturing with thread management skin needleless sew up.But the disclosed skin wound closure device of above-mentioned prior art document 1, in clinical practice operation is used, there are the following problems and deficiency:

1, again open the needs of wound after cannot being applicable to sew up.In the time that clinical practice only needs provisional wound closure, because this locking device can only one direction be locked, can not loosen, in the time again opening wound, its whole piece can only be torn and abandoned it, the skin wound closure device again more renewing.This has not only increased unnecessary trouble in operation, and has caused the waste of resource.

2, while there is stitching, tighten up excessive or adjacent locking device and cause the skin dislocation of wound both sides, have a strong impact on the hidden danger of wound healing quality.Because this locking device can only increase and can not reduce the adjusting of wound suture power, therefore use Shi doctor to be especially careful in actual clinical, once tighten up excessively, whole skin wound closure device can only be scrapped; If use can cause the skin dislocation of wound both sides reluctantly, will have a strong impact on the healing quality of wound: slight closing force is excessive, will affect the flatness of wound skin edge, cause the rear cicatrix of healing to increase; Moderate closing force is excessive, can oppress wound skin edge, affects wound blood supply, postpones wound healing; Severe closing force is excessive, may make skin adhesive face stressed excessive and occur Tension Vesicle.

Prior art document 2CN101112326A discloses a kind of skin wound stitching instrument, the technical scheme adopting is: " skin wound stitching instrument is to establish bar shaped base cloth in the both sides of skin wound, base cloth is connected with many secondary locking devices, locking device is by support bar, snap close and tension band composition, support bar upper surface interval arranges snap close, support bar lower surface is connected with base cloth, snap close is made up of upper snap close and lower snap close, the upper surface of lower snap close and the lower surface of upper snap close arrange respectively the tongue and the groove that cooperatively interact, tension band passes between the snap close of wound both sides, by the locking action of upper and lower snap close, regulate and fixing tension band, form Skin sewing needle.Base cloth is ventilative medical proof fabric, the bar shaped that base cloth is designed to bar shaped or establishes V-notch in base cloth outside.The support bar of wound both sides is that a support bar or some short support bars connect into a complete support bar by flexible connecting member.Upper snap close and lower snap close are for being horizontally disposed with, or rotation 0～90 is spent take tension band as axle: the cooperation between upper and lower snap close, the spacing and tongue of locking and the cross section of groove triangle, circle, the arc or trapezoidal as cooperatively interacting; Or upper and lower snap close one end becomes one by flexibly connecting, and forms upper and lower snap close in the place's of flexibly connecting doubling." realized equally do not use medical needle suturing with thread management skin needleless sew up.But the disclosed skin wound stitching instrument of above-mentioned prior art document 2, in clinical practice operation is used, there are the following problems and deficiency:

1, the same with the disclosed skin wound closure device of prior art document 1, cannot realize the continuous fine adjustment of wound suture power to meet the clinical requirement of the best being sewed up to power.Because this skin wound stitching instrument locking device is that cross section is the triangle cooperatively interacting, circular, the snap close up and down of arc or trapezoidal shape structure, form the same with the locking device of prior art document 1 disclosed skin wound closure device by sour jujube bar and snap close to the adjustment of wound suture power, all can only staged increasing or decreasing, this just may appear at previous sawtooth, triangle, circular, when arc or trapezoidal shape structure place are fixing, sew up power slightly inadequate, and be further tightened to next sawtooth, triangle, circular, when arc or trapezoidal shape structure place are fixing, sew up power slightly large situation again, cannot realize the continuous fine adjustment of wound suture power to meet the clinical requirement of the best being sewed up to power.

2, can cause the unbalance stress of the different parts of non-linear wound, thereby affect wound healing quality.Due to the disclosed skin wound stitching instrument of prior art document 2, with the disclosed skin wound closure device of prior art document 1 " comprise two bar shaped retinaculum and base band of arranging along skin wound both sides respectively, base band is arranged on the retinacular upper surface of bar shaped, it is characterized in that: in described base band, be provided with many secondary locking devices that connect base band, many secondary locking devices are arranged along the retinacular length direction of bar shaped interval, " the same, it " establishes bar shaped base cloth in the both sides of skin wound, base cloth is connected with many secondary locking devices, locking device is by support bar, snap close and tension band composition, support bar upper surface interval arranges snap close, support bar lower surface is connected with base cloth " " bar shaped that base cloth is designed to bar shaped or establishes V-notch in base cloth outside ", this belt structure, be difficult to be used in stitching non-linear wound, particularly cannot be used in and sew up irregular wound, while use reluctantly, as arc line shaped sew up situation time, can cause the stressing conditions of different parts of arc line shaped or irregular wound significantly inconsistent, thereby affect the healing quality of wound, cause the roughness descent of wound, residual cicatrix increases.

3, wound both sides skin is subject to bar shaped base cloth, or the covering of bar shaped retinaculum and base band in prior art document 1, be subject to the skin of adhesive tape cover part cannot ingress of air, must affect the microcirculation of the capped skin in wound both sides, thereby delay the time of wound healing, compared with traditional medical needle suturing with thread management, extended to 11-12 days from 7-8 days.

The disclosed skin wound of prior art document 1,2 lock, stiching instrument are in the time tightening up wound both sides skin, and what all adopt is the inflexibility wire rod of performing the operation different from common employing medical needle suturing with thread management, but hard sour jujube bar, tension band.In use, surgeon just practises using medical needle suturing with thread management from practice, to tighten up hard sour jujube bar, tension band and the disclosed skin wound of prior art document 1,2 lock, stiching instrument operate, this not only allows the operator difficulty that is like a fish out of water, and cannot reach best stitching power with feel, so that reaching optimum state, the skin on wound both sides sews up state.

As can be seen here, study and design and a kind ofly again open the needs of wound and realized the continuous fine adjustment of wound suture power after being applicable to sew up, avoid the unbalance stress that tightens up the different parts of excessive and non-linear wound while stitching to have a strong impact on wound healing hidden danger, improved wound skin blood microcirculation, the stepless adjustable skin stiching instrument that has shortened the time of wound healing is necessary.

Utility model content

The purpose of this utility model is to overcome the deficiencies in the prior art, design and a kind ofly again open the needs of wound and realized the continuous fine adjustment of wound suture power after being applicable to sew up, avoid the unbalance stress that tightens up the different parts of excessive and non-linear wound while stitching to have a strong impact on wound healing hidden danger, improve wound skin blood microcirculation, shortened the stepless adjustable skin stiching instrument of the time of wound healing.

The purpose of this utility model is achieved in that

A kind of stepless adjustable skin stiching instrument, comprise the piece shape two-sided tape needing on the skin of sew up wound both sides for sticking on respectively, it is characterized in that also comprising for straining the also flexible wire of sew up wound both sides skin, be pasted on the major and minor pulling buckle on the skin of wound both sides through two-sided tape respectively, be linked in the VELCRO of flexible wire end, the piece of cloth piece fixing or disengagement VELCRO is used, for the protection of the release paper of two-sided tape bottom surface and the each parts of the whole stepless adjustable skin stiching instrument of fixing composition; Described major and minor pulling buckle by for be fixed on piece of cloth piece bottom surface and above two-sided tape between major and minor adhesive sheet, be positioned at the major and minor pulling buckle post composition of major and minor adhesive sheet end; Described end connection has the other end of the flexible wire of VELCRO to be fixed on secondary pulling buckle cervical region.

In technique scheme, be with the disclosed skin wound lock of prior art document 1,2, stiching instrument main difference part:

1, whole stepless adjustable skin stiching instrument is to be made up of the bulk of one group of major and minor pulling buckle comprising of 2 mutual corresponding one-tenth, rather than belt structure, can easily single bulk be reasonably arranged in to the both sides of the wound of various shapes in use;

2, for strain and sew up wound both sides skin be flexible wire, rather than hard sour jujube bar, tension band; Be wire rod, rather than band, in use, not only easy feeling of pointing according to operative doctor reaches the transfer that opposite joint is made a concerted effort, and is without stepped stepless transfer;

3, in tension sewing process, utilized dexterously the VELCRO that is linked in flexible wire end, throw off from piece of cloth piece is convenient, coordinate the other end that is linked in the flexible wire in corresponding secondary pulling buckle, walk around the button wire casing transfer of corresponding main pulling buckle cervical region after best stitching power, recycling VELCRO is fixed on the piece of cloth piece after main pulling buckle reliably, compared with transfer hard sour jujube bar, tension band, the operation that seems is simple and easy reliable.

It should be noted that piece shape two-sided tape is comprising medical dual-side adhesive tape, do not consider and directly contact with wound, can adopt the piece shape two-sided tape of more economical rationality; Flexible wire comprising suture, is not considered and is directly contacted with wound, can adopt the flexible wire of the non-suture of more economical rationality; Piece of cloth piece is comprising medical adhesive-bonded fabric, do not consider and directly contact with wound, can adopt the piece of cloth piece of the non-medical adhesive-bonded fabric of more economical rationality, fabric refers to by tiny soft and long thing by intersection, around knot or the flat film piece thing forming that bonds, comprise machine yarn fabric, knit goods, adhesive-bonded fabric etc.; VELCRO, title is to be converted by U.S.'s Roc jail company's product English name " VELCRO ", has another name called magic tape, is that one conventional on clothes connects adjuvant.

In described major and minor adhesive sheet, be designed with the through hole of multiple ordered arrangement.

Described major and minor pulling buckle necking portion is designed with for the button wire casing around button flexible wire.

Described major and minor pulling buckle is that macromolecular material or metal material are made through corresponding common process.

Shown in Fig. 1,2,4, use step of the present utility model is described as follows:

1, the release paper 7 of this utility model being implemented to the stepless adjustable skin stiching instrument obtaining is torn, and then major and minor pulling buckle 3,4 is pasted on respectively one by one accordingly to the wound both sides that need stitching through piece shape two-sided tape;

2, throw off VELCRO 5 and the flexible wire 2 of end connection in VELCRO from the piece of cloth piece 6 of main pulling buckle 3 one sides accordingly one by one, the flexible wire other end has been linked in the secondary pulling buckle necking portion of corresponding secondary pulling buckle 4 in finished product manufacture process.

3, flexible wire is walked around one by one accordingly to the button wire casing 312 of main pulling buckle cervical region, tension is linked in the flexible wire in VELCRO gradually, drive major and minor pulling buckle close, wound both sides skin is shunk to closing direction, finally closed together, now flexible wire one end VELCRO bonding of having tightened is fixed on piece of cloth piece, operation technique person grasps the degree of tightening up of flexible wire according to feel appropriateness, sew up state so that the skin on wound both sides reaches optimum state;

4, the shape of sew up wound as required, the particularly special requirement of non-linear wound, repeating step 1-3, the stepless adjustable skin stiching instrument of this utility model being implemented to obtain sticks on the skin on wound both sides appropriately one by one, sews up with the best that completes whole piece wound;

5, excessively or too pine of tightening force in the time finding that indivedual stepless adjustable skin stiching instrument are used, while causing wound suture bad, can be for this stepless adjustable skin stiching instrument, repeating step 2,3, to reach best stitching state.

This utility model is implemented the stepless adjustable skin stiching instrument obtaining, and through on probation, has compared with prior art shown following beneficial effect:

1, again open the needs of wound after being not only applicable to sew up, and realized the continuous fine adjustment of wound suture power, thereby avoid tightening up excessively while stitching, hidden danger that the unbalance stress of the different parts of the dislocation of wound both sides skin and non-linear wound etc. has a strong impact on wound healing.Compared with again opening a kind of skin wound closure device of prior art document 1 that wound needs after cannot being applicable to sew up, in the time that needs are opened wound again, only need loosen the flexible wire between major and minor pulling buckle, allow easily operator reopen wound, owing to having utilized dexterously the VELCRO that is linked in flexible wire end, what sew up dependence is flexible wire in addition, rather than the hard zigzag sour jujube bar of prior art document 1 skin wound closure device macromolecular material, neither rely on the triangle cooperatively interacting by prior art document 2, circular, the tension band that the tongue of arc or trapezium structure and groove are fixing, the stitching elasticity of wound both sides skin is to rely on surgeon to realize with regard to practising the ways customary that used flexible wire operates from practice, the sensation that must point according to operation Chinese and foreign department doctor easily, reach the stepless continuous transfer that opposite joint is made a concerted effort, easily meet the clinical requirement to the best stitching power of wound, excessively or too pine of tightening force in the time finding that indivedual stepless adjustable skin stiching instrument are used, cause wound suture bad, while even causing the skin dislocation of wound both sides, can be for this stepless adjustable skin stiching instrument, repeat above-mentioned use step 2, 3, to reach best stitching state, and a kind of skin wound closure device of prior art document 1 no matter, or a kind of skin wound stitching instrument of prior art document 2, because their locking mechanism part is to be in a row fixed on continuously bar shaped retinaculum, or on support bar, all can not adjust individually locking mechanism.

2, improve wound skin blood microcirculation, accelerated the healing of wound, shortened healing time.The locking device of a kind of skin wound closure device of prior art document 1 is fixed on bar shaped retinaculum, the locking mechanism of a kind of skin wound stitching instrument of prior art document 2 is fixed on bar shaped base cloth, all can only strip all standing when use on the skin of wound both sides, wound both sides skin becomes ribbon Land cover and cannot ingress of air, and block-by-block bulk is pasted on this utility model on the skin of wound both sides while using, in use according to the length of wound, shape, can be pasted on the skin of wound both sides with compartment of terrain, optimum position easily, Fig. 4 has shown situation when sewing up arc wound uses, Fig. 5 has shown situation when sewing up shaped form wound uses, owing to being that compartment of terrain is pasted on the skin of wound both sides, with prior art document 1, 2 compare, when this utility model uses, wound both sides skin has exposed considerable part and has not pasted, its blood microcirculation must be more much better than being subject to pasting the part skin of oppressing, add master, the through hole that is also designed with multiple ordered arrangement in secondary adhesive sheet is to have improved the breathability of capped partial skin, have again, as mentioned above, this utility model can need continuous stepless transfer to sew up power according to operation easily, easily meet the clinical requirement to the best stitching power of wound, there will not be while stitching and tighten up excessively, the dislocation of wound both sides skin and non-linear wound have a strong impact on the situation of wound healing because of the unbalance stress of different parts, practical probation result shows, not only accomplish Sutureless cutting wound, need not take out stitches, wound is open to be sewed up, and with prior art document 1, 2 compare, wound healing time shortens to 8-9 days in 11-12 days from prior art, approach the wound healing time of traditional medical needle suturing with thread management.

Accompanying drawing explanation

Fig. 1 is the schematic diagram that meets this utility model thematic structure; Fig. 2 is the exploded perspective view that meets this utility model thematic structure; Fig. 3 is partial structurtes enlarged diagram in Fig. 1; The use schematic diagram that Fig. 4 is this utility model when sewing up arc wound; The use schematic diagram that Fig. 5 is this utility model when sewing up shaped form wound.

The specific embodiment

Below in conjunction with accompanying drawing, implementation detail of the present utility model is described as follows:

As Fig. 1, 2, 3, 4, shown in 5, a kind of stepless adjustable skin stiching instrument, comprise the piece shape two-sided tape 1 needing on the skin of sew up wound both sides for sticking on respectively, it is characterized in that also comprising the flexible wire 2 that is respectively used to tension sew up wound both sides skin, be pasted on the master on the skin of wound both sides through two-sided tape respectively, secondary pulling buckle 3, 4, be linked in the VELCRO 5 of flexible wire end, fix or throw off VELCRO and coordinate two-sided tape fixing main, the piece of cloth piece 6 that secondary pulling buckle is used, for the protection of the release paper 7 of two-sided tape bottom surface and the each parts of the whole stepless adjustable skin stiching instrument of fixing composition, described major and minor pulling buckle by for be fixed on piece of cloth piece bottom surface and above two-sided tape between major and minor adhesive sheet 31,41, be positioned at major and minor pulling buckle post 32,42 composition of major and minor adhesive sheet end, described end connection has the other end of the flexible wire of VELCRO to be fixed on secondary pulling buckle cervical region.

As shown in Figure 3, in described major and minor adhesive sheet 31,41, be designed with the through hole 311,411 of multiple ordered arrangement.

As shown in Figure 3, described major and minor pulling buckle post 32,42 neck portion design are useful on the button wire casing 312,412 with fixing flexible wire rod 2 around button.

As shown in Fig. 1,2,3,4,5, described major and minor pulling buckle 3,4 is that macromolecular material or metal material are made through corresponding common process.

Claims (3)

1. a stepless adjustable skin stiching instrument, comprise the piece shape two-sided tape (1) needing on the skin of sew up wound both sides for sticking on respectively, it is characterized in that also comprising for straining the also flexible wire (2) of sew up wound both sides skin, be pasted on the master on the skin of wound both sides through two-sided tape respectively, secondary pulling buckle (3, 4), be linked in the VELCRO (5) of flexible wire end, the piece of cloth piece (6) fixing or disengagement VELCRO is used, for the protection of the release paper (7) of two-sided tape bottom surface and the each parts of the whole stepless adjustable skin stiching instrument of fixing composition, described major and minor pulling buckle by for be fixed on piece of cloth piece bottom surface and above two-sided tape between major and minor adhesive sheet (31,41), be positioned at major and minor pulling buckle post (32, the 42) composition of major and minor adhesive sheet end, described end connection has the other end of the flexible wire of VELCRO to be fixed on secondary pulling buckle cervical region.

2. stepless adjustable skin stiching instrument according to claim 1, is characterized in that being designed with in described major and minor adhesive sheet (31,41) through hole (311,411) of multiple ordered arrangement.

3. stepless adjustable skin stiching instrument according to claim 1, is characterized in that described major and minor pulling buckle post (32,42) neck portion design is useful on the button wire casing (312,412) with fixing flexible wire rod (2) around button.

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