CN203815515U - Minimally invasive suturing device for tendo calcaneus and minimally invasive suturing aiming device for tendo calcaneus - Google Patents
Minimally invasive suturing device for tendo calcaneus and minimally invasive suturing aiming device for tendo calcaneus Download PDFInfo
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- CN203815515U CN203815515U CN201420170549.0U CN201420170549U CN203815515U CN 203815515 U CN203815515 U CN 203815515U CN 201420170549 U CN201420170549 U CN 201420170549U CN 203815515 U CN203815515 U CN 203815515U
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- heel string
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Abstract
The utility model relates to a minimally invasive suturing aiming device for tendo calcaneus, which cooperates with sponge forceps to carry out minimally invasive suturing on tendo calcaneus, and comprises a clamping part, a connecting rod and an aiming part, wherein the clamping part is detachably fixed at the forceps handle part of any forceps arm of the sponge forceps; the connecting rod extending from the clamping part to the forceps head part in the direction parallel to the fixed forceps arm; the aiming part is formed at the tail end of the connecting rod, and provided with a through hole coaxial and corresponding to an oval foramen of the forceps head part of the sponge forceps. The utility model further relates to a minimally invasive suturing aiming device for tendo calcaneus, which comprises the sponge forceps and the aiming device used in coordination with the sponge forceps. Through the coordinated use of the sponge forceps and the minimally invasive suturing aiming device for tendo calcaneus, endorhachis needles can be guided to pass through the oval foramen efficiently and accurately under the assistance of the aiming device, the minimally invasive operation on the tendo calcaneus is realized, the operation difficulty is simplified, the nerve injury is reduced, and meanwhile, the purpose that can be achieved by an abroad expensive Achillon operation system is achieved.
Description
Technical field
This utility model relates to medical auxiliary apparatus, more particularly, relates to the heel string Wicresoft stitching devices that a kind of heel string Wicresoft sews up sight and adopts this sight.
Background technology
Fresh Rupture of Achilles Tendons, accounts for 35% of human body tendon rupture, often occurs in it the male who often carries out amateur sports 30-50 year.Therapeutic Method comprises expectant treatment, cuts and repair and Wicresoft's reparation.The fracture incidence rate again of expectant treatment heel string, up to 10-30%, is cut the 0.4-5% repairing and is obviously raise, and repairs but cut the complication that has 4-20%, comprising cutaneous necrosis, wound infection, heel string necrosis and sural nerve damage.Within 1997, Ma and Griffith proposes micro-wound percutaneous sewing method, wherein modal for adopting Achillon system, effectively reduces to cut and repairs the complication occurring.Minimally Invasive Surgery shortens incision length, tissue injury is obviously reduced, but bring certain difficulty to operator simultaneously, and visual area is little, and operation is difficult, easily causes postoperative complication, thereby finds Wicresoft and easy-operating art formula, is the direction that orthopedist makes great efforts.
External Achillon system needs special equipment, and expense is high, is difficult to generally promote in China most areas, is the puzzlement that clinician usually faces.Domestic many scholars adopt mini-invasive incision, adopt common apparatus conventional in operation: sponge holding forceps and spinal dura mater pin, auxiliary lower Wicresoft Achilles tendon repair, obtains good result.Concrete sewing process is as shown in Fig. 1 a-1c, first centered by the heel string broken ends of fractured bone, open a little otch 30, the binding clip of sponge holding forceps 10 is stretched into otch, clamp the heel string broken ends of fractured bone, then spinal dura mater pin 20 is passed to the oval foramen 40 of sponge holding forceps 10 and passes (referring to Fig. 1 a) from opposite side from a side percutaneous; Then exit the binding clip of sponge holding forceps 10 and suture 50 is taken out of (referring to Fig. 1 b) from otch 30; Then process another broken ends of fractured bone with identical method, the suture of two broken ends of fractured bone 50 is tied a knot and reinforced rear close incisions, complete operation (referring to Fig. 1 c).But because spinal dura mater pin 20 need to, through the blind oval foramen 40 through sponge holding forceps 10 of skin, bring certain difficulty to operation technique, operating time is long and be prone to repeatedly blind wearing, Micro-operation is failure easily, easy damaged sural nerve.
Utility model content
The technical problems to be solved in the utility model is, for the above-mentioned defect of prior art, provide a kind of and can efficiently and accurately guide suture needle percutaneous to sew up sight through the heel string Wicresoft of the oval foramen of sponge holding forceps and adopt the heel string Wicresoft stitching devices of this sight.
This utility model solves the technical scheme that its technical problem adopts: propose a kind of heel string Wicresoft and sew up sight, coordinate sponge holding forceps to sew up for heel string Wicresoft, the connecting rod that comprises the clamping part of the clamp handle part for being removably fixed on the arbitrary tong arm of sponge holding forceps, extend along the direction parallel with the tong arm that is fixed towards binding clip part from described clamping part and the aiming portion that is formed at described connecting rod end, described aiming portion is provided with the coaxial corresponding through hole of oval foramen with sponge holding forceps binding clip part.
In an embodiment, described clamping part is a Flexible clamp.
In an embodiment, described aiming portion is and coaxial corresponding annular element parallel with the annular binding clip of sponge holding forceps.
In an embodiment, described heel string Wicresoft sews up sight and also comprises the axial outward extending guiding puncture portion from described aiming portion along described through hole, in described guiding puncture portion, be provided be communicated with described through hole and with the coaxial corresponding guiding puncture hole of described through hole.
This utility model also proposes a kind of heel string Wicresoft stitching devices for solving its technical problem, comprise sponge holding forceps, described sponge holding forceps is by two hinged clamp handle part and binding clip parts of forming of tong arm, the left and right binding clip of described binding clip part is respectively equipped with the oval foramen of coaxial correspondence, also comprise the sight being used in conjunction with described sponge holding forceps, described sight comprises the clamping part of the clamp handle part for being removably fixed on the arbitrary tong arm of sponge holding forceps, the connecting rod extending along the direction parallel with the tong arm that is fixed towards binding clip part from described clamping part, and be formed at the aiming portion of described connecting rod end, described aiming portion is provided with the coaxial corresponding through hole of oval foramen with sponge holding forceps binding clip part.
In an embodiment, described clamping part is a Flexible clamp.
In an embodiment, described aiming portion is and coaxial corresponding annular element parallel with the annular binding clip of sponge holding forceps.
In an embodiment, described sight also comprises the axial outward extending guiding puncture portion from described aiming portion along described through hole, in described guiding puncture portion, be provided be communicated with described through hole and with the coaxial corresponding guiding puncture hole of described through hole.
In an embodiment, the left and right clamp handle end of described clamp handle part is respectively equipped with finger ring.
In an embodiment, in the left and right clamp handle of described clamp handle part, be respectively equipped with the mentioning with the aperture of fixed pliers head part that cooperatively interact.
Heel string Wicresoft's stitching devices use sponge holding forceps of the present utility model and heel string Wicresoft sew up sight and coordinate, under sight is auxiliary, can efficiently and accurately guide spinal dura mater pin percutaneous by the oval foramen of sponge holding forceps, realize heel string Micro-operation, simplify the difficulty of operation technique, reduce nerve injury, realize equally the accessible object of the expensive Achillon operating system of Guo Wai Ang.
Brief description of the drawings
Below in conjunction with drawings and Examples, the utility model is described in further detail, in accompanying drawing:
Fig. 1 a-1c utilizes sponge holding forceps to carry out the operation chart of heel string Wicresoft stitching in prior art;
Fig. 2 is the structural representation of the heel string Wicresoft stitching devices of an embodiment of this utility model;
Fig. 3 is the operation chart that adopts the heel string Wicresoft stitching devices of an embodiment of this utility model to carry out the stitching of heel string Wicresoft.
Detailed description of the invention
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.
The utility model proposes a kind of heel string Wicresoft stitching devices, can utilize traditional spinal dura mater pin and sponge holding forceps, and coordinate a kind of heel string Wicresoft the utility model proposes to sew up sight to use together, accurately guide spinal dura mater pin percutaneous by the oval foramen of sponge holding forceps, realize heel string Micro-operation.
Fig. 2 shows the structural representation of the heel string Wicresoft stitching devices 100 of an embodiment of this utility model.As shown in Figure 2, heel string Wicresoft stitching devices 100 comprises sponge holding forceps 10 and sight 60.Wherein, sponge holding forceps 10 can be common sponge holding forceps conventional in existing operation, by two of left and right tong arm 11 and 12 hinged clamp handle part 13 and the binding clip parts 14 of forming.The left and right clamp handle end of clamp handle part 13 is respectively equipped with finger ring 15, so that user operation sponge holding forceps 10 carries out opening and closing movement.And, in the left and right clamp handle of clamp handle part 13, be also respectively equipped with and mention 16, in the clamp handle of left and right, mention that 16 cooperatively interact, the binding clip part 14 in art can be remained on to certain aperture, without artificial gripping.The left and right binding clip 17 of binding clip part 14 all ringwise, forms the oval foramen 40 of a pair of coaxial correspondence, passes for suture needle 20.
Further as shown in Figure 2, sight 60 is used in conjunction with sponge holding forceps 10, is mainly made up of clamping part 61, connecting rod 62 and aiming portion 63.Clamping part 61 is for being removably fixed on sight 60 the clamp handle part place of a tong arm 12 of sponge holding forceps 10.In concrete example, clamping part 61 can be a Flexible clamp, is clamped and fastened on the clamp handle part of arbitrary tong arm of sponge holding forceps 10 when use.Connecting rod 62 extends towards binding clip part 14 along the direction parallel with the tong arm 12 that is fixed from clamping part 61, for connecting clamping part 61 and aiming portion 63 and providing support for aiming portion 63.Aiming portion 63 is formed at the end of connecting rod 62, is provided with the coaxial corresponding through hole 64 of oval foramen 40 with the binding clip part 14 of sponge holding forceps 10.In embodiment shown in Fig. 2, aiming portion 63 is formed as and coaxial corresponding annular element parallel with the annular binding clip of sponge holding forceps 10, to provide and the coaxial corresponding through hole 64 of oval foramen 40.
In order more effectively and accurately to guide suture needle 20, as shown in Figure 2, sight 60 is also provided with guiding puncture portion 65.Guiding puncture portion 65 axially extending outward from aiming portion 63 along through hole 64, and in guiding puncture portion 65, be provided be communicated with through hole 64 and with the coaxial corresponding guiding puncture hole of through hole 64, see through skin through stinging out through skin again after the oval foramen 40 of sponge holding forceps 10 for suture needle 20 through this guiding puncture hole and through hole 64, guarantee suture needle 20 can be exactly along the direction puncture that approaches oval foramen 40 axis, and there will not be the situation of misdrawing.
Introduce the concrete operations that adopt the heel string Wicresoft stitching devices 100 of an embodiment of this utility model to carry out the stitching of heel string Wicresoft below in conjunction with Fig. 3.
The selection of case: be adapted to the closed or open fracture of acute heel string, the broken ends of fractured bone is positioned at the patient of calcaneal tuberosity near-end 2-8cm.Get rid of rupture of Achilles tendon exceed 3 weeks, the broken ends of fractured bone be positioned at beyond calcaneal tuberosity near-end 2-8cm, previously have heel string history of operation and just taking steroid or quinolones person.
Operation adopts combined spinal-epidural anesthesia, and patient gets ventral decubitus, at thigh pneumatic tourniquet control menisectomy.As shown in Figure 3, when operation, centered by the hollow place of rupture of Achilles tendon, heel string inner side is about 3cm, opens a longitudinal cut 30, appears the heel string broken ends of fractured bone, removes wound surface congestion.Then, the binding clip part of sponge holding forceps 10 is stretched into otch 30, insert and clamp heel string near-end through heel string surrounding tissue, in the time that sponge holding forceps 10 inserts about 5cm, the clamping part of heel string Wicresoft being sewed up to sight 60 is fixed in the clamp handle of sponge holding forceps 10, two oval foramens 40 of the sponge holding forceps 10 of the automatic accurate aligning Intradermal clamping of aiming portion through hole 64 heel string of sight 60.Then, get spinal dura mater pin 20 by guiding puncture hole and the aiming portion through hole 64 of the guiding puncture portion 65 of sight 60, percutaneous passes through two oval foramens 40 of sponge holding forceps 10.Then, exit spinal dura mater pin 20, extract sponge holding forceps 10 out, suture 50 is brought to otch 30 places between heel string surrounding tissue and heel string thereupon.In kind process the 2nd pin of the heel string nearside broken ends of fractured bone and the 3rd, the 4th pin of the heel string distally broken ends of fractured bone.Plantar flexion ankle joint, draws close the heel string broken ends of fractured bone, and by the 1st pin and the knotting of the 3rd pin suture, the 2nd pin and the knotting of the 4th pin suture (can referring to Fig. 1 c), then be reinforced and get final product close incisions.
The comparison of Fresh Rupture of Achilles Tendons Wicresoft and traditional restorative procedure: by 40 routine closed rupture ofachilles tendon patients, the broken ends of fractured bone is positioned at calcaneal tuberosity near-end 2-8cm, is divided at random test group and matched group.The little otch that test group adopts 3cm, utilizes sponge holding forceps and spinal dura mater pin, sews up the auxiliary lower Wicresoft of sight Achilles tendon repair in heel string Wicresoft.Matched group adopts traditional heel string inner incision.Postoperative 4 weeks, Macromolecular splint fixing foot plantar flexion position that all adopt, change neutral position into after 4 weeks and continue to fix 2 weeks, within 6 weeks, remove after outer fixing, and carry out the training such as hydrotherapy, stretching, extension and isometric contraction.Postoperative test group 17 examples of result, matched group 16 examples obtain and follow up a case by regular visits to, follow up a case by regular visits to the time 16-24 month, average 21 months, postoperative June is according to Arner-indholm standards of grading, experimental group: excellent 88.2% (15 example), good 11.8% (2 example), 5.88% (1 example) wound delayed healing; Matched group: excellent 62.5% (10 example), good 31.25% (5 example), differ from 6.25% (1 example), 18.7% (3 example) wound delayed healing, there is skin edge necrosis in 12.5% (2 example), there is wound infection in 6.25% (1 example), 6.25% (1 example) occurs that heel string ruptures again.Acceptance rate and cutaneous necrosis rate P<0.05 between two groups, have clinical statistics to learn meaning.Thereby, for Fresh Rupture of Achilles Tendons, adopt little incision Achilles tendon repair, early stage positive function rehabilitation training, than traditional incision prothesis formula, operation technique is easy, and the method for coincideing is reliable, and wound is little, and cutaneous necrosis rate is low, and functional rehabilitation is good.
Claims (10)
1. sight is sewed up by a heel string Wicresoft, coordinate sponge holding forceps to sew up for heel string Wicresoft, it is characterized in that, the connecting rod that comprises the clamping part of the clamp handle part for being removably fixed on the arbitrary tong arm of sponge holding forceps, extend along the direction parallel with the tong arm that is fixed towards binding clip part from described clamping part and the aiming portion that is formed at described connecting rod end, described aiming portion is provided with the coaxial corresponding through hole of oval foramen with sponge holding forceps binding clip part.
2. sight is sewed up by heel string according to claim 1 Wicresoft, it is characterized in that, described clamping part is a Flexible clamp.
3. sight is sewed up by heel string according to claim 1 Wicresoft, it is characterized in that, described aiming portion is and coaxial corresponding annular element parallel with the annular binding clip of sponge holding forceps.
4. sight is sewed up by heel string according to claim 1 Wicresoft, it is characterized in that, also comprise the axial outward extending guiding puncture portion from described aiming portion along described through hole, in described guiding puncture portion, be provided be communicated with described through hole and with the coaxial corresponding guiding puncture hole of described through hole.
5. a heel string Wicresoft stitching devices, comprise sponge holding forceps, described sponge holding forceps is by two hinged clamp handle part and binding clip parts of forming of tong arm, the left and right binding clip of described binding clip part is respectively equipped with the oval foramen of coaxial correspondence, it is characterized in that, also comprise the sight being used in conjunction with described sponge holding forceps, described sight comprises the clamping part of the clamp handle part for being removably fixed on the arbitrary tong arm of sponge holding forceps, the connecting rod extending along the direction parallel with the tong arm that is fixed towards binding clip part from described clamping part, and be formed at the aiming portion of described connecting rod end, described aiming portion is provided with the coaxial corresponding through hole of oval foramen with sponge holding forceps binding clip part.
6. heel string according to claim 5 Wicresoft stitching devices, is characterized in that, described clamping part is a Flexible clamp.
7. heel string according to claim 5 Wicresoft stitching devices, is characterized in that, described aiming portion is and coaxial corresponding annular element parallel with the annular binding clip of sponge holding forceps.
8. heel string according to claim 5 Wicresoft stitching devices, it is characterized in that, described sight also comprises the axial outward extending guiding puncture portion from described aiming portion along described through hole, in described guiding puncture portion, be provided be communicated with described through hole and with the coaxial corresponding guiding puncture hole of described through hole.
9. heel string according to claim 5 Wicresoft stitching devices, is characterized in that, the left and right clamp handle end of described clamp handle part is respectively equipped with finger ring.
10. heel string according to claim 5 Wicresoft stitching devices, is characterized in that, is respectively equipped with the mentioning with the aperture of fixed pliers head part that cooperatively interact in the left and right clamp handle of described clamp handle part.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420170549.0U CN203815515U (en) | 2014-04-10 | 2014-04-10 | Minimally invasive suturing device for tendo calcaneus and minimally invasive suturing aiming device for tendo calcaneus |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420170549.0U CN203815515U (en) | 2014-04-10 | 2014-04-10 | Minimally invasive suturing device for tendo calcaneus and minimally invasive suturing aiming device for tendo calcaneus |
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Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104523310A (en) * | 2014-12-23 | 2015-04-22 | 张跃辉 | Heel tendon minimally invasive anastomat |
| CN105852923A (en) * | 2016-05-11 | 2016-08-17 | 朱前拯 | Achilles tendon minimally-invasive suture instrument set |
| CN106388887A (en) * | 2016-08-31 | 2017-02-15 | 左振柏 | Achilles tendon suture device |
| WO2022252307A1 (en) * | 2021-05-31 | 2022-12-08 | 魏世隽 | Endoscopic suture grasper for achilles tendon repair |
| CN117243651A (en) * | 2022-01-13 | 2023-12-19 | 郑州市骨科医院 | Suturing instrument for minimally invasive suturing of acute achilles tendon rupture and using method thereof |
| CN117243652A (en) * | 2022-01-13 | 2023-12-19 | 郑州市骨科医院 | Thread guiding method for acute achilles tendon fracture suture and device used by same |
-
2014
- 2014-04-10 CN CN201420170549.0U patent/CN203815515U/en not_active Expired - Fee Related
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104523310A (en) * | 2014-12-23 | 2015-04-22 | 张跃辉 | Heel tendon minimally invasive anastomat |
| CN105852923A (en) * | 2016-05-11 | 2016-08-17 | 朱前拯 | Achilles tendon minimally-invasive suture instrument set |
| 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 |
| WO2022252307A1 (en) * | 2021-05-31 | 2022-12-08 | 魏世隽 | Endoscopic suture grasper for achilles tendon repair |
| CN117243651A (en) * | 2022-01-13 | 2023-12-19 | 郑州市骨科医院 | Suturing instrument for minimally invasive suturing of acute achilles tendon rupture and using method thereof |
| CN117243652A (en) * | 2022-01-13 | 2023-12-19 | 郑州市骨科医院 | Thread guiding method for acute achilles tendon fracture suture and device used by same |
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| 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: 20140910 Termination date: 20160410 |