Utility model content
For above-mentioned defect, the purpose of this utility model is to provide a kind of positioner of fascia stiching instrument, and it can make peritoneal cavity fascia suture more simple and convenient, simplifies stitching step, and postoperative wound healing better.
To achieve these goals, this utility model provides a kind of fascia stiching instrument, it comprises localizer and suture guid needle, described localizer comprises slender body, a pair of fin and for regulating the guiding core of fin, described body is provided with for wearing first passage and the second channel of described suture guid needle, and described first passage and second channel have respectively the entrance and exit along this external surface, one end of described a pair of fin is connected with described body, and the other end is respectively equipped with through hole, described guiding core is located in described body, and the upper end of described guiding core be revealed in described external, described a pair of fin can be movable between an open mode and a closure state by described guiding core, under open mode, described a pair of fin is perpendicular to the axis of described body and lay respectively at the both sides of described body, and the through hole on described fin is positioned on the extended line of described first passage or second channel, under closure state, described a pair of fin close up and with the dead in line of described body, and described a pair of fin is not in contact with one another with one end that described body is connected.
According to claim fascia stiching instrument of the present utility model, described body surface has along the draw-in groove of described first passage and second channel setting, and described draw-in groove is communicated with described first passage and second channel.
According to claim fascia stiching instrument of the present utility model, described guiding core top is provided with draw ring.
According to claim fascia stiching instrument of the present utility model, on the through hole of described fin, be filled with elastic insert layer.
According to claim fascia stiching instrument of the present utility model, described body lower end has a pair of intermediate plate, and one end that described a pair of fin is connected with described body is held between described intermediate plate.
According to claim fascia stiching instrument of the present utility model, between described a pair of intermediate plate, be installed with the first rotating shaft, described a pair of fin is rotatably connected with described the first rotating shaft respectively, and described the first rotating shaft is positioned on the axis of described body.
According to claim fascia stiching instrument of the present utility model, a pair of the sheet that described guiding core comprises main body and is positioned at described main body lower end, described a pair of sheet is rotationally connected by the second rotating shaft and described main body lower end, and described the second rotating shaft is positioned on the axis of described body; Described a pair of fin is rotationally connected by a pair of the 3rd rotating shaft with described a pair of sheet respectively, described a pair of the 3rd rotating shaft lays respectively at described the first rotating shaft both sides, and described a pair of fin is under closure state, described a pair of the 3rd rotating shaft is positioned at described the first rotating shaft below, and described a pair of sheet drives described a pair of fin movable between a described open mode and a closure state by moving up and down of described main body.
According to claim fascia stiching instrument of the present utility model, the body interior of described guiding core is also provided with the rotary position limiting structure moving up and down for limiting described main body.
According to claim fascia stiching instrument of the present utility model, the handle that suture guid needle comprises pricker and is fixed on thorn Aculeata, described pricker does not have needle point with one end that described handle is connected, and on described pricker, near described tip position place, be provided with for guiding the open slot of suture, the opening direction of described open slot is towards described needle point.
The corresponding positioner that a kind of fascia stiching instrument is provided of this utility model, described positioner comprises slender body, a pair of fin and for regulating the guiding core of fin, described body is provided with first passage and second channel, and described first passage and second channel have respectively the entrance and exit along this external surface, one end of described a pair of fin is connected with described body, and the other end is respectively equipped with through hole, described guiding core is located in described body, and the upper end of described guiding core be revealed in described external, described a pair of fin can be movable between an open mode and a closure state by described guiding core, under open mode, described a pair of fin is perpendicular to the axis of described body and lay respectively at the both sides of described body, and the through hole on described fin is positioned on the extended line of described first passage or second channel, under closure state, described a pair of fin close up and with the dead in line of described body, and described a pair of fin is not in contact with one another with one end that described body is connected.
Positioner of the present utility model comprises body and is positioned at a pair of fin in body lower end, a pair of fin can switch by guiding core between an open mode and a closure state, under closure state, the dead in line of the body of a pair of fin contract and positioner, inserts or extracts out pleuroperitoneum otch thereby be beneficial to by fin and body lower end; Fin is under open mode, localizer bottom forms inverted T shape, through hole on described fin is positioned on the extended line of described first passage or second channel, thereby be convenient to suture guid needle and import through hole from first passage or second channel, so that guid needle band wire puncture, so that suture is imported to through hole, thereby guarantee the stitching of the fascia layer in pleuroperitoneum deep.Thereby this utility model can make peritoneal cavity fascia suture more simple and convenient, simplify stitching step, postoperative wound healing is better.
The specific embodiment
In order to make the purpose of this utility model, technical scheme and advantage clearer, below in conjunction with drawings and Examples, this utility model is further elaborated.Should be appreciated that specific embodiment described herein is only in order to explain this utility model, and be not used in restriction this utility model.
As shown in Figure 1, this utility model provides a kind of fascia stiching instrument 100, and it comprises localizer 10 and suture guid needle 20, and localizer 10 comprises slender body 11, a pair of fin 12 and for regulating the guiding core 13 of fin 12.
Body 11 is provided with for wearing first passage and the second channel of suture guid needle 20, and first passage and second channel have respectively along the entrance 111 of this external surface and outlet 112.In addition, body 11 surfaces are provided with along the draw-in groove 113 of first passage and second channel setting, and draw-in groove 113 is communicated with first passage and second channel.At suture, by guid needle 20, penetrate after first passage or second channel, by draw-in groove 113, can realize suture separated with body 11.As shown in figures 1 and 3, body 11 lower ends have a pair of intermediate plate 114, and one end that a pair of fin 12 is connected with body 11 is held between intermediate plate 114.
Guiding core 13 is located in body 11, and the upper end of guiding core 13 is revealed in outside body 11.
One end of a pair of fin 12 is connected 11 with body, and the other end is respectively equipped with through hole 121.On the through hole 121 of fin 12, be filled with elastic insert layer.This elastic insert layer is for gripping the suture through through hole 121.
As shown in Figure 3, a pair of fin 12 is under open mode, and a pair of fin 12 is basically perpendicular to the axis of body 11 and lays respectively at the both sides of body 11, and the through hole on fin 12 121 is positioned on the extended line of first passage or second channel; As shown in Figure 1, under closure state, a pair of fin 12 close up and with the dead in line of body 11, and a pair of fin 12 is not in contact with one another with one end that body 11 is connected.Under closure state, the dead in line of a pair of fin 12 and body 11, inserts or extracts out pleuroperitoneum otch thereby be beneficial to by fin 12 and body 11 lower ends; Fin 12 is under open mode, localizer 100 bottoms form inverted T shape, through hole 121 on fin 12 is positioned on the extended line of first passage or second channel, thereby be convenient to suture guid needle 20 and import through hole 121 from first passage or second channel, so that guid needle 20 band wire punctures, so that suture is imported to through hole, thereby guarantee the stitching of the fascia layer in pleuroperitoneum deep.Thereby this utility model can make peritoneal cavity fascia suture more simple and convenient, simplify stitching step, postoperative wound healing is better.
Preferably, between a pair of intermediate plate 114, be installed with the first rotating shaft, a pair of fin 12 is rotatably connected with the first rotating shaft respectively, and the first rotating shaft is positioned on the axis of body 11.As shown in Figure 5, the upper end of body 11 is provided with disk 115, and the entrance 111 of this first passage and second channel is positioned on this disk 115.A pair of the sheet that guiding core 13 comprises main body and is positioned at main body lower end, this main body is connected with the draw ring 131 that is arranged at guiding core 13 tops.A pair of sheet is rotationally connected by the second rotating shaft and main body lower end, and the second rotating shaft is positioned on the axis of body of localizer 10.A pair of fin 12 is rotationally connected by a pair of the 3rd rotating shaft with a pair of sheet respectively, a pair of the 3rd rotating shaft lays respectively at the first rotating shaft both sides, and a pair of fin 12 is under closure state, a pair of the 3rd rotating shaft is positioned at the first rotating shaft below, and a pair of sheet drives a pair of fin 12 movable between an open mode and a closure state by moving up and down of main body.The cooperation moving up and down by the first rotating shaft 115, the second rotating shaft, the 3rd rotating shaft and a sheet of main body drives a pair of fin 12 movable between open mode and closure state.
Preferably, the body interior of guiding core 13 is also provided with the rotary position limiting structure moving up and down for limiting main body, and rotary position limiting structure can be realized the locking and unlocking of guiding core 13.Under guiding core 13 lock-out states, guiding core is rotated position limiting structure restriction and can not moves up and down, and a pair of fin 12 also cannot switch between open mode and closure state; Under guiding core 13 released states, guiding core 13 is not rotated position limiting structure restriction and can arbitrarily moves up and down, and a pair of fin 12 also cannot switch between open mode and closure state.Concrete, draw ring 131 is provided with the Warning Mark of the locking and unlocking state that is used to indicate guiding core 13.The concrete structure of this rotary position limiting structure is not emphasis of the present invention, therefore be not described in detail in this.
As shown in Figure 2, the handle 22 that suture guid needle 20 comprises pricker 21 and is fixed on pricker 21 afterbodys, one end that pricker 21 is not connected with handle 22 has needle point 23, and on pricker 21, near needle point 23 positions, be provided with for guiding the open slot 24 of suture, the opening direction of open slot 24 is towards needle point 23.
When adopting fascia stiching instrument 100 to sew up, mainly comprise the following steps:
1, the Warning Mark of guaranteeing localizer 10 draw ring 131 above before use, in latched position, also guarantees that fin 12 is in closure state, and guiding core 13 is in the lock state.
2, localizer 10 is inserted to incision of abdominal wall, avoid during insertion tearing lower-hierarchy.
3, the disk 115 of finger grips localizer 10, rotation draw ring 131 is to unlocked position, and making to guide core 13 can move up and down; On draw ring 131, make to guide core 13 and move up, guiding core 13 drives a pair of fin 12 to switch to open mode by closure state by the cooperation of the first rotating shaft, the second rotating shaft, the 3rd rotating shaft and a sheet; Rotation draw ring 131 is to latched position, and at this moment a pair of fin of localizer 10 lower ends in opened condition.
4, one end of suture is wound to guid needle 20 open slot 24 above.Suture preferably adopts suture No. 0, and exceeds about 3 centimetres of open slot 24.
5, point trustworthy localizer 10, guid needle 20 entrance 111 corresponding with first passage on the disk 115 of localizer 10 inserted, along space traveling, contact and pass the elastic insert layer on fin 12, until the disk 115 of guid needle 20 handle 22 contact localizers 10 above.
6, guid needle 20 is extracted from localizer 10.Because the opening direction of the open slot 24 of guid needle 20 is towards needle point 23, when guid needle 20 is extracted, suture can not followed guid needle 20 and be exited together.And elastic insert layer pushes suture, suture one end is limited on a fin 12.
7, repeating step 1 to 4, other one end of suture is inserted to the open slot 24 of guid needle 20, soldier inserts guid needle 20 entrance 111 corresponding with second channel on the disk 115 of localizer 10, contacts and passes after the elastic insert layer on another fin 12, takes out guid needle 20.Now suture two ends are limited in respectively on a pair of fin 12.
8, suture is loosened in the draw-in groove from localizer 10 113, suture is deviate from from first passage and the second channel of localizer 10.
9, the draw ring of localizer 10 131 is rotated to unlocked position; Press down draw ring 131, make to guide core 13 and move down, guiding core 13 drives a pair of fin 12 to switch to closure state by open mode by the cooperation of the first rotating shaft, the second rotating shaft, the 3rd rotating shaft and a sheet; Again draw ring 131 is rotated to latched position; Localizer 10 is taken out from otch.Because suture two ends are limited on a pair of fin 12, when localizer 10 takes out, the two ends of suture are also followed localizer 10 and from otch, are extracted out together.
10, according to conventional method, carry out fascia stitching work, be also about to suture two ends and hitch.
In sum, positioner of the present utility model comprises body and is positioned at a pair of fin in body lower end, a pair of fin can switch by guiding core between an open mode and a closure state, under closure state, the dead in line of the body of a pair of fin contract and positioner, inserts or extracts out pleuroperitoneum otch thereby be beneficial to by fin and body lower end; Fin is under open mode, localizer bottom forms inverted T shape, through hole on described fin is positioned on the extended line of described first passage or second channel, thereby be convenient to suture guid needle and import through hole from first passage or second channel, so that guid needle band wire puncture, so that suture is imported to through hole, thereby guarantee the stitching of the fascia layer in pleuroperitoneum deep.Thereby this utility model can make peritoneal cavity fascia suture more simple and convenient, simplify stitching step, postoperative wound healing is better.
Certainly; this utility model also can have other various embodiments; in the situation that not deviating from this utility model spirit and essence thereof; those of ordinary skill in the art are when making various corresponding changes and distortion according to this utility model, but these corresponding changes and distortion all should belong to the protection domain of the appended claim of this utility model.