CN203841745U - Endoscopic two-way knot pusher - Google Patents

Endoscopic two-way knot pusher Download PDF

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Publication number
CN203841745U
CN203841745U CN201420158666.5U CN201420158666U CN203841745U CN 203841745 U CN203841745 U CN 203841745U CN 201420158666 U CN201420158666 U CN 201420158666U CN 203841745 U CN203841745 U CN 203841745U
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CN
China
Prior art keywords
push rod
mirror
knot pusher
chamber
knot
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201420158666.5U
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Chinese (zh)
Inventor
张健
刘静
余庆
谷力加
陈惠国
吴伟彬
李小军
武勇辉
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Third Affiliated Hospital Sun Yat Sen University
Original Assignee
Third Affiliated Hospital Sun Yat Sen University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
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Priority to CN201420158666.5U priority Critical patent/CN203841745U/en
Application granted granted Critical
Publication of CN203841745U publication Critical patent/CN203841745U/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model provides an endoscopic two-way knot pusher. The endoscopic two-way knot pusher comprises a handle, a push rod and a head end, all of which are orderly connected together; the head end comprises two end rods which are connected to the push rod in Y shape; an included angle of 150-170 degrees is formed between a plane formed by the two end rods and the push rod; major-arc-shaped circular grooves are formed in one ends, far away from the push rod, of the two end rods, respectively; and the two major-arc-shaped circular grooves are opposite in open direction. The endoscopic two-way knot pusher is convenient to use and easier to control in force and accuracy; a surgeon can tie the knot independently with one hand holding the two ends of a suture and the other hand pushing the knot; the effect of two-way knot pushing is achieved and the two ends of the suture knob are equal in stress; the knot can be tied in situ without pulling the ligated blood vessel and the suture knot, and therefore, the risk that the blood vessel and the suture knot are avulsed is obviously reduced.

Description

Two-way knot pusher under the mirror of a kind of chamber
Technical field
This utility model belongs to medical instruments field, relates in particular to two-way knot pusher under the mirror of a kind of chamber.
Background technology
Along with the development of chamber mirror technology, increasing operation can complete under the mirror of chamber, and operation wound obviously reduces, and patient's post-operative recovery is faster.But in endoscope-assistant surgery, surgeon can not with the hands be tied a knot as traditional operation, must rely on apparatus and complete.The efficiency of knotting and quality directly affect the incidence rate of the complication such as operating time length and angiorrbagia.Surgeon is expensive time in knotting process under the mirror of chamber often, and easily occur that toe-in is not tight, the situations such as ligature slippage.
Although have in the market knot pusher under the mirror of chamber, have obvious weak point: the first, between knot pusher and suture, frictional force is large, not only affects the judgement of surgical doctor to toe-in tension force, and the suture that easily weares and teares, and causes suture fracture; The second, in knotting process, suture is slippage from knot pusher groove easily, delays operating time; The 3rd, maximum problem is that current knot pusher is unidirectional knot, knotting process need operating doctor is caught one end of line with hands, assist to strain the suture other end by assistant, then tied with an other hand push by operating doctor, two people are good fit for knot process need, otherwise easily cause both sides suture unbalance stress, cause toe-in to be pulled and cause slippage or tie a knot not tight.If in the time of ligation small artery, toe-in slippage easily causes compared with massive hemorrhage, or pulls toe-in and cause vascular tear.
Utility model content
The purpose of this utility model is to provide two-way knot pusher under the mirror of a kind of chamber, is intended to solve the existing problem that device use is inconvenient, dynamics precision is difficult to control that connects that pushes away.
This utility model is to realize like this, two-way knot pusher under the mirror of a kind of chamber, comprise handle, push rod and head end, described head end comprises two butt bars, described end bar one end is provided with major arc circular groove, the described end bar other end is connected on push rod, and described push rod is connected on handle away from end bar direction one end; Between the plane that described two butt bars form and push rod, form the angle of 150~170 °, between described two push rods, shape has angle; The opening direction of two major arc circular grooves on described two push rods is contrary.
Preferably, between the plane that described two butt bars form and push rod, form the angle of 160 °.
Preferably, between described two push rods, form the angle of 30~120 °.
Preferably, the corresponding central angle number of degrees of described major arc circular groove upper shed are 90 °.
Preferably, described major arc circular groove plane and the extended line of push rod between there are 30 ° of angles.
Preferably, described major arc circular groove inner surface adopts the coating technique processing of ultra-smooth metal surface.
Preferably, described handle is provided with anti-skid design.
Preferably, described push rod surface is designed for dumb light.
This utility model overcomes the deficiencies in the prior art, two-way knot pusher under the mirror of a kind of chamber is provided, comprise the handle, push rod and the head end that connect successively, head end comprises two butt bars, two end bars all connect and are connected on push rod and form " Y " font, between the plane of two end bar formation and push rod, form the angle of 150~170 °, two end bars are away from being respectively equipped with major arc circular groove on push rod one end, and the opening direction of two major arc circular grooves is contrary.In this utility model, patient can a people complete knotting, only need a hands to catch suture two ends, another hand push knot, not only reached the effect of two-way knot, and toe-in two ends are stressed equal, can keep original position knotting, avoid tractive by ligation blood vessel and toe-in, thereby obviously reduced blood vessel and the Avulsed risk of toe-in.
Brief description of the drawings
Fig. 1 is the Facad structure schematic diagram of two-way knot pusher one embodiment under the mirror of this utility model chamber;
Fig. 2 is the side structure schematic diagram of two-way knot pusher under Fig. 1 lumen mirror.
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.
As illustrated in fig. 1 and 2, wherein, Fig. 1 is the Facad structure schematic diagram of two-way knot pusher one embodiment under the mirror of this utility model chamber, and Fig. 2 is the side structure schematic diagram of two-way knot pusher under Fig. 1 lumen mirror.
Two-way knot pusher under the mirror of a kind of chamber, comprise handle 1, push rod 2 and head end 3, described head end 3 comprises end bar 31 and end bar 32, one end of described end bar 31, end bar 32 is respectively equipped with major arc circular groove 33 and major arc circular groove 34, described end bar 31,32 other ends are connected on push rod 2, and described push rod 2 is connected on handle 1 away from end bar 31 and end bar 32 direction one end;
Between the plane that described end bar 31 and end bar 32 form and push rod 2, form the angle of 150~170 °, between described end bar 31 and end bar 32, shape has angle; Major arc circular groove 33 on described end bar 31 and end bar 32 and the opening direction of major arc circular groove 34 are contrary.
More specifically, in this utility model embodiment, between end bar 31 and end bar 32, form 30~120 ° of angles, between the plane that end bar 31 and end bar 32 form and push rod 2, form the angle of 160 °.
More specifically, the long 6cm of described handle 1, the long 28cm of described push rod 2, the long 2cm of described head end 3.
In actual application of the present utility model, 2 one-tenth 160 degree angles of head end 3 and push rod, make patient can observe in time toe-in degree of tightness situation like this in knotting process, are convenient to precisely control dynamics.In addition, head end 3 is in the nature " Y " type design being made up of end bar 31 and end bar 32, the major arc circular groove 33 that end bar 31 and end bar 32 arrange respectively and the opening direction of major arc circular groove 34 are contrary, this can ensure that patient can a people complete knotting, in the time of concrete operations, the forward line of knotting is placed in major arc circular groove 33 and major arc circular groove 34 by patient, patient only needs a hands to catch suture two ends, another hand push knot, not only reach the effect of two-way knot, and toe-in two ends are stressed equal, can keep original position knotting, avoid tractive by ligation blood vessel and toe-in, thereby obviously reduce the Avulsed risk of blood vessel and toe-in, in addition, owing to not needing assistant's assistance, patient can control the direction of knotting dynamics and knotting accurately.
In further implementation process, in order to prevent suture slippage from major arc circular groove in knot process, in this utility model embodiment, in actual application of the present utility model, the corresponding central angle number of degrees of opening on major arc circular groove 33 and major arc circular groove 34 are 90 °.In addition, 34 of major arc circular groove 33 or major arc circular grooves plane and the extended line of push rod 2 between there are 30 ° of angles.
In this utility model embodiment, major arc circular groove 33 and major arc circular groove 34 are in the nature " C " shape structure of 3/4ths circles, and two " C " shape opening directions are contrary, 2 one-tenth 30 degree angles of " C " shape plane and push rod.
In actual application of the present utility model, suture can finely be placed in major arc circular groove 33 and major arc circular groove 34, and in the process at suture two ends, can be good at preventing that suture from deviating from from major arc circular groove 33 and major arc circular groove 34 at patient's active force.
In further implementation process, in order to reduce the frictional force of groove to suture, dynamics and the wearing and tearing of minimizing to suture that the accurate perception of patient is applied toe-in, in this utility model embodiment, major arc circular groove 33 and major arc circular groove 34 inner surfacies adopt the coating technique processing of ultra-smooth metal surface.Such design is convenient to control cost, and is also beneficial to processing.
In further implementation process, in order to facilitate patient in art to grasp and precisely control dynamics with thumb, forefinger and middle finger, in this utility model embodiment, handle 1 is provided with anti-skid design.
In further implementation process, in order to prevent that in art, strong reflective affect patient observes, in this utility model embodiment, push rod 2 is surperficial to be designed for dumb light.
Compare the shortcoming and defect with prior art, the utlity model has following beneficial effect: this utility model can complete suture knotting operation by a people, easy to use, dynamics and degree of accuracy are easier to grasp, avoid tractive by ligation blood vessel and toe-in, thereby obviously reduced blood vessel and the Avulsed risk of toe-in.
The foregoing is only preferred embodiment of the present utility model; not in order to limit this utility model; all any amendments of doing within spirit of the present utility model and principle, be equal to and replace and improvement etc., within all should being included in protection domain of the present utility model.

Claims (8)

1. a two-way knot pusher under the mirror of chamber, is characterized in that, comprises handle, push rod and head end, described head end comprises two butt bars, described end bar one end is provided with major arc circular groove, and the described end bar other end is connected on push rod, and described push rod is connected on handle away from end bar direction one end;
Between the plane that described two butt bars form and push rod, form the angle of 150~170 °, between described two push rods, shape has angle; The opening direction of two major arc circular grooves on described two push rods is contrary.
2. two-way knot pusher under the mirror of chamber as claimed in claim 1, is characterized in that, between the plane that described two butt bars form and push rod, forms the angle of 160 °.
3. two-way knot pusher under the mirror of chamber as claimed in claim 2, is characterized in that, between described two push rods, forms the angle of 30~120 °.
4. two-way knot pusher under the mirror of chamber as claimed in claim 3, is characterized in that, the corresponding central angle number of degrees of described major arc circular groove upper shed are 90 °.
5. two-way knot pusher under the mirror of chamber as claimed in claim 4, is characterized in that, described major arc circular groove plane and the extended line of push rod between there are 30 ° of angles.
6. two-way knot pusher under the mirror of chamber as claimed in claim 5, is characterized in that, described major arc circular groove inner surface adopts the coating technique processing of ultra-smooth metal surface.
7. two-way knot pusher under the mirror of chamber as claimed in claim 6, is characterized in that, described handle is provided with anti-skid design.
8. two-way knot pusher under the mirror of chamber as claimed in claim 7, is characterized in that, described push rod surface is designed for dumb light.
CN201420158666.5U 2014-04-02 2014-04-02 Endoscopic two-way knot pusher Expired - Fee Related CN203841745U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201420158666.5U CN203841745U (en) 2014-04-02 2014-04-02 Endoscopic two-way knot pusher

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201420158666.5U CN203841745U (en) 2014-04-02 2014-04-02 Endoscopic two-way knot pusher

Publications (1)

Publication Number Publication Date
CN203841745U true CN203841745U (en) 2014-09-24

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105769270A (en) * 2016-03-28 2016-07-20 苏州瑞华医院有限公司 Blood vessel traction instrument for microsurgical department
CN109157250A (en) * 2018-07-23 2019-01-08 兰州大学 Hysteroscope puncture path stitching unstrument

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105769270A (en) * 2016-03-28 2016-07-20 苏州瑞华医院有限公司 Blood vessel traction instrument for microsurgical department
CN105769270B (en) * 2016-03-28 2018-06-26 海门市彼维知识产权服务有限公司 A kind of micro-vascular surgery tractor
CN109157250A (en) * 2018-07-23 2019-01-08 兰州大学 Hysteroscope puncture path stitching unstrument

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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

Granted publication date: 20140924

Termination date: 20150402

EXPY Termination of patent right or utility model