CN203914988U - Tissue perforation stiching instrument - Google Patents

Tissue perforation stiching instrument Download PDF

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Publication number
CN203914988U
CN203914988U CN201420318768.9U CN201420318768U CN203914988U CN 203914988 U CN203914988 U CN 203914988U CN 201420318768 U CN201420318768 U CN 201420318768U CN 203914988 U CN203914988 U CN 203914988U
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CN
China
Prior art keywords
stitching
stitching thread
fixing head
tissue
outer tube
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.)
Withdrawn - After Issue
Application number
CN201420318768.9U
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Chinese (zh)
Inventor
孙思予
缪东林
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Jiangsu Weidekang Medical Science & Technology Co Ltd
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Jiangsu Weidekang Medical Science & Technology Co Ltd
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Publication date
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Priority to CN201420318768.9U priority Critical patent/CN203914988U/en
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Publication of CN203914988U publication Critical patent/CN203914988U/en
Withdrawn - After Issue legal-status Critical Current
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Abstract

The utility model discloses a kind of tissue perforation stiching instrument, comprise suture assemblies, sew up buckle assembly, sew up sting device and sew up locking device, sew up locking device and there is latch assembly, suture assemblies comprises stitching thread fixing head and stitching thread, sewing up buckle assembly comprises stitching button fixing head and sews up button, sutural one end is fixedly connected in stitching thread fixing head, sews up button and is fixedly connected in stitching button fixing head; When stitching sting device pushes to the opposite side of tissue by the stitching thread fixing head of suture assemblies successively with stitching buckle assembly, the described sutural other end is locked on latch assembly after detaining through stitching successively.This utility model can be quick, effectively sews up the perforation of gastral tissue on a large scale, and reduced operation risk.

Description

Tissue perforation stiching instrument
Technical field
This utility model relates to a kind of tissue perforation stiching instrument.
Background technology
At present, while doing operation on digestive tract under soft scope, particularly do mucosa and peel off operation, be easy to cause tissue perforation or have larger hemorrhage wound surface, so need sew up tissue, conventional adopt single hemostatic clamp only can tackle less hemorrhage wound surface, remedy very difficultly, can cause very large risk to patient.Although adopt stitching thread to combine a plurality of hemostatic clamps, can treat fast perforation and suture tissue, the tissue perforation that it can not tackle larger wound, finally causes the failure of suture operation.
Utility model content
Technical problem to be solved in the utility model is the defect that overcomes prior art, and a kind of tissue perforation stiching instrument is provided, and it can be quick, effectively sews up the perforation of gastral tissue on a large scale, and reduced operation risk.
In order to solve the problems of the technologies described above, the technical solution of the utility model is: a kind of tissue perforation stiching instrument, it comprises suture assemblies, sews up buckle assembly, sews up sting device and sews up locking device, sew up locking device and there is latch assembly, suture assemblies comprises stitching thread fixing head and stitching thread, sew up buckle assembly and comprise stitching button fixing head and sew up button, sutural one end is fixedly connected in stitching thread fixing head, and stitching button is fixedly connected on to be sewed up in button fixing head; When stitching sting device pushes to the opposite side of tissue by the stitching thread fixing head of suture assemblies successively with stitching buckle assembly, the described sutural other end is locked on latch assembly after detaining through stitching successively.
Further, sew up sting device and comprise puncture needle assembly, outer tube and push rod, axially movably plug-in mounting is within the outer tube for puncture needle assembly, puncture needle assembly comprises piercing needle and puncture needle outer tube, the head end of puncture needle outer tube is fixedly connected with piercing needle, and push rod can axially movably be inserted in puncture needle outer tube; When suture assemblies is positioned at stitching sting device, sutural one end is fixed in stitching thread fixing head, the other end passes outer tube, stitching thread fixing head is inserted in piercing needle movably, when promotion push rod moves to puncture direction, thereby the tail end of the front end of push rod and stitching thread fixing head connects, promote stitching thread fixing head and move and detach the opposite side that piercing needle pushes to tissue to puncture direction; When stitching buckle assembly is positioned at stitching sting device, the stitching thread of suture assemblies passes outer tube again through sewing up to buckle, sewing up button fixing head is inserted in piercing needle movably, when promotion push rod moves to puncture direction, thereby the front end of push rod connects with the tail end of sewing up button fixing head, promote stitching button fixing head and move and detach the opposite side that piercing needle pushes to tissue to puncture direction.
Further, the tail end of outer tube is provided with outer tube handle, and the tail end of described puncture needle outer tube is provided with puncture needle handle, between outer tube handle and puncture needle handle, is provided with stop.
Further, the tail end of push rod is provided with push rod handle.
Further, sew up locking device and also comprise traction cable, push-and-pull assembly and outer jacket member, described latch assembly comprises threading sleeve and locking member, in threading sleeve, be provided with threading chamber, the front portion of traction cable is provided with stress deformation portion, traction cable successively slidably through the threading chamber of threading sleeve with after outer jacket member, be connected with push-and-pull assembly, push-and-pull assembly cunning fits on outer jacket member, the rear portion of locking member is provided with card-tight part in stitching thread, is provided with the outer card-tight part of the stitching thread matching with card-tight part in stitching thread on the threading chamber of described threading sleeve; When locking member and threading sleeve are during in released state, described locking member is connected to the front portion of traction cable by stress deformation portion; When push-and-pull push-and-pull assembly makes locking member and threading sleeve in engagement state backward, in stitching thread on described locking member, card-tight part matches to clamp stitching thread with the outer card-tight part of stitching thread of threading sleeve, and distortion and the locking member of the traction cable now by stress deformation portion is separated.
Further, push-and-pull assembly comprises slip ring, and the rear end of traction cable is connected with slip ring.
Further, outer jacket member comprises metal cap, outer spring pipe and core bar, and one end of outer spring pipe is connected with metal cap, and the other end is connected with core bar, and described threading sleeve is between locking member and metal cap.
This utility model also provides a kind of using method of organizing perforation stiching instrument, and the step of this using method is as follows:
A) suture assemblies is packed into stitching sting device, the stitching sting device that suture assemblies is housed is arrived to patient tissue breakage by pliers path hole of endoscope, sew up after sting device puncture tissue, release the stitching thread fixing head of suture assemblies, and keep the stitching thread of suture assemblies in pliers path hole of endoscope, along stitching thread, draw back stitching sting device;
B) sewing up buckle assembly, pack stitching sting device into, puncturing into organizing stitching thread in the stitching thread fixing head of opposite side through in sewing up and buckleing, then along stitching thread, sewing up sting device, along pliers path hole of endoscope, arrive patient tissue breakage, sew up after sting device puncture tissue, and keep the stitching thread of suture assemblies in pliers path hole of endoscope, along stitching thread, draw back stitching sting device;
C) operation repeating step b), guarantees that several stitching button fixing head of sewing up buckle assembly are distributed in the both sides of damaged tissue, until stitching thread can all be sewed up breakage tissue;
D) sutural tail end is passed in the latch assembly of sewing up on locking device, and arrive the damaged suture of patient tissue by pliers path hole of endoscope, tighten up stitching thread, damaged tissue is tightened up, make latch assembly be close to the last suture location of stitching thread, discharge and sew up locking device, thus fixing whole stitching thread;
E) after locking, cut off stitching thread.
Adopted after technique scheme, this utility model adopts suture assemblies, stitching buckle assembly, latch assembly that breakage tissue place is sewed up, stitching thread in suture assemblies is by a plurality of stitching buckle assemblies that are positioned at breakage component both sides, and last latch assembly tightens up stitching thread, thereby can be quick, effectively sew up the perforation of gastral tissue on a large scale, and reduced operation risk.
Accompanying drawing explanation
Fig. 1 is the structural representation that the stitching sting device of suture assemblies is housed of the present utility model;
Fig. 2 is the A portion enlarged drawing of Fig. 1;
Fig. 3 is the structural representation of suture assemblies of the present utility model;
Fig. 4 is the structural representation of stitching buckle assembly of the present utility model;
Fig. 5 is the structural representation of stitching locking device of the present utility model;
Fig. 6 is that stitching locking device of the present utility model is with sutural structural representation;
Fig. 7 is that latch assembly of the present utility model departs from the structural representation of sewing up locking device;
Fig. 8 is the structural representation that the stitching sting device of sewing up buckle assembly is housed of the present utility model;
Fig. 9 is the B portion enlarged drawing of Fig. 8;
Figure 10 be tissue of the present utility model perforation stiching instrument one of using state flow chart;
Figure 11 be tissue of the present utility model perforation stiching instrument using state flow chart two;
Figure 12 be tissue of the present utility model perforation stiching instrument using state flow chart three;
Figure 13 be tissue of the present utility model perforation stiching instrument using state flow chart four;
Figure 14 be tissue of the present utility model perforation stiching instrument using state flow chart five;
Figure 15 be tissue of the present utility model perforation stiching instrument using state flow chart six;
Figure 16 be tissue of the present utility model perforation stiching instrument using state flow chart seven;
Figure 17 be tissue of the present utility model perforation stiching instrument using state flow chart eight;
Figure 18 be tissue of the present utility model perforation stiching instrument using state flow chart nine.
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.
As shown in Fig. 1~9, a kind of tissue perforation stiching instrument, it comprises suture assemblies, sews up buckle assembly, sews up sting device and sews up locking device, sew up locking device and there is latch assembly, suture assemblies comprises stitching thread fixing head 1 and stitching thread 6, sew up buckle assembly and comprise stitching button fixing head 11 and sew up button 12, one end of stitching thread 6 is fixedly connected in stitching thread fixing head 1, and stitching button 12 is fixedly connected on to be sewed up in button fixing head 1; When stitching sting device pushes to the opposite side of tissue by the stitching thread fixing head of suture assemblies 1 successively with stitching buckle assembly, the other end of described stitching thread 6 is locked on latch assembly after buckleing 12 through stitching successively.
Further in order can quickly and easily stitching thread to be punctured, into the perienchyma of punch position, maybe by sewing up, buckle the perienchyma puncturing into punch position, thereby be conducive to sew up in time perforation tissue, as shown in Fig. 1,2,8,9, sew up sting device and comprise puncture needle assembly, outer tube 3 and push rod 9, puncture needle assembly can axially movably be inserted in outer tube 3, puncture needle assembly comprises piercing needle 2 and puncture needle outer tube 4, the head end of puncture needle outer tube 4 is fixedly connected with piercing needle 2, and push rod 9 can axially movably be inserted in puncture needle outer tube 4; When suture assemblies is positioned at stitching sting device, one end of stitching thread 6 is fixed in stitching thread fixing head 1, the other end passes outer tube 3, stitching thread fixing head 1 is inserted in piercing needle 2 movably, when promotion push rod 9 moves to puncture direction, thereby the tail end of the front end of push rod 9 and stitching thread fixing head 1 connects, promote stitching thread fixing head 1 and move and detach the opposite side that piercing needle 2 pushes to tissue to puncture direction; When stitching buckle assembly is positioned at stitching sting device, the stitching thread 6 of suture assemblies is buckled 12 through stitching and is passed outer tube 3 again, sewing up button fixing head 1 is inserted in piercing needle 2 movably, when promotion push rod 9 moves to puncture direction, thereby the front end of push rod 9 connects with the tail end of sewing up button fixing head 11, promote stitching button fixing head 11 and move and detach the opposite side that piercing needle 2 pushes to tissue to puncture direction.
In order to prevent that the mistake due to puncture needle assembly moves in operation process, thereby be unfavorable for the problem that operation is carried out, as shown in Fig. 1,8, the tail end of outer tube 3 is provided with outer tube handle 5, the tail end of puncture needle outer tube 4 is provided with puncture needle handle 8, between outer tube handle 5 and puncture needle handle 8, is provided with stop 7.
For handled easily person can operate push rod 9 well, as shown in Fig. 1,8, the tail end of push rod 9 is provided with push rod handle 10.
In order can stitching thread effectively to be fixed and to be locked in suture operation, as Fig. 5, 6, shown in 7, sew up locking device and also comprise traction cable 17, push-and-pull assembly and outer jacket member, latch assembly comprises threading sleeve 14 and locking member 13, in threading sleeve 14, be provided with threading chamber, the front portion of traction cable 17 is provided with stress deformation portion, traction cable 17 successively slidably through the threading chamber of threading sleeve 14 with after outer jacket member, be connected with push-and-pull assembly, push-and-pull assembly cunning fits on outer jacket member, the rear portion of locking member 13 is provided with card-tight part in stitching thread, on the threading chamber of threading sleeve 14, be provided with the outer card-tight part of the stitching thread matching with card-tight part in stitching thread, when locking member 13 is with threading sleeve 14 during in released state, locking member 13 is connected to the front portion of traction cable 17 by stress deformation portion, when push-and-pull push-and-pull assembly makes locking member 13 and threading sleeve 14 in engagement state backward, in stitching thread on locking member 13, card-tight part matches to clamp stitching thread 6 with the outer card-tight part of stitching thread of threading sleeve 14, and distortion and the locking member 13 of the traction cable 17 now by stress deformation portion is separated.
As shown in Figure 5, push-and-pull assembly comprises slip ring 18, and the rear end of traction cable 17 is connected with slip ring 18.
As shown in Figure 5, outer jacket member comprises metal cap 15, outer spring pipe 16 and core bar 19, and one end of outer spring pipe 16 is connected with metal cap 15, and the other end is connected with core bar 19, and described threading sleeve 14 is between locking member 13 and metal cap 15.
As shown in Figure 10-18, a kind of using method of organizing perforation stiching instrument, the step of this using method is as follows:
A) suture assemblies is packed into stitching sting device, the stitching sting device that suture assemblies is housed is arrived to patient tissue breakage by pliers path hole of endoscope, sew up after sting device puncture tissue, release the stitching thread fixing head 1 of suture assemblies, and keep the stitching thread 6 of suture assemblies in pliers path hole of endoscope, along stitching thread 6, draw back stitching sting device;
B) sewing up buckle assembly, pack stitching sting device into, puncturing into organizing the stitching thread 6 in the stitching thread fixing head 1 of opposite side to buckle in 12 through sewing up, then along stitching thread 6, sewing up sting device, along pliers path hole of endoscope, arrive patient tissue breakage, sew up after sting device puncture tissue, and keep the stitching thread 6 of suture assemblies in pliers path hole of endoscope, along stitching thread 6, draw back stitching sting device;
C) operation repeating step b), guarantees that several stitching button fixing head 1 of sewing up buckle assembly are distributed in the both sides of damaged tissue, until stitching thread 6 can all be sewed up breakage tissue;
D) tail end of stitching thread 6 is passed in the latch assembly of sewing up on locking device, and arrive the damaged suture of patient tissue by pliers path hole of endoscope, tighten up stitching thread 6, damaged tissue is tightened up, make latch assembly be close to the last suture location of stitching thread, discharge and sew up locking device, thus fixing whole stitching thread;
E) after locking, cut off stitching thread.
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 (7)

1. organize perforation stiching instrument for one kind, it is characterized in that: it comprises suture assemblies, sews up buckle assembly, sews up sting device and sews up locking device, sew up locking device and there is latch assembly, suture assemblies comprises stitching thread fixing head (1) and stitching thread (6), sewing up buckle assembly comprises stitching button fixing head (11) and sews up button (12), it is upper that one end of stitching thread (6) is fixedly connected on stitching thread fixing head (1), sews up button (12) and be fixedly connected in stitching button fixing head (1); When sewing up sting device by the stitching thread fixing head (1) of suture assemblies and sew up buckle assembly while pushing to successively the opposite side of tissue, the other end of described stitching thread (6) is locked on latch assembly after buckleing (12) through stitching successively.
2. tissue according to claim 1 perforation stiching instrument, it is characterized in that: described stitching sting device comprises puncture needle assembly, outer tube (3) and push rod (9), puncture needle assembly can axially movably be inserted in outer tube (3), puncture needle assembly comprises piercing needle (2) and puncture needle outer tube (4), the head end of puncture needle outer tube (4) is fixedly connected with piercing needle (2), and push rod (9) can axially movably be inserted in puncture needle outer tube (4); When suture assemblies is positioned at stitching sting device, one end of stitching thread (6) is fixed in stitching thread fixing head (1), the other end passes outer tube (3), stitching thread fixing head (1) is inserted in piercing needle (2) movably, when promotion push rod (9) moves to puncture direction, the tail end of the front end of push rod (9) and stitching thread fixing head (1) connects and moves and detach piercing needle (2) thereby the opposite side that pushes to tissue to puncture direction to promote stitching thread fixing head (1); When stitching buckle assembly is positioned at stitching sting device, the stitching thread of suture assemblies (6) is buckled (12) through stitching and is passed outer tube (3) again, sewing up button fixing head (1) is inserted in piercing needle (2) movably, when promotion push rod (9) moves to puncture direction, the front end of push rod (9) connects with the tail end of sewing up button fixing head (11) and moves and detach piercing needle (2) thereby the opposite side that pushes to tissue to puncture direction to promote stitching button fixing head (11).
3. tissue according to claim 2 perforation stiching instrument, it is characterized in that: the tail end of described outer tube (3) is provided with outer tube handle (5), the tail end of described puncture needle outer tube (4) is provided with puncture needle handle (8), between outer tube handle (5) and puncture needle handle (8), is provided with stop (7).
4. according to the tissue perforation stiching instrument described in claim 2 or 3, it is characterized in that: the tail end of described push rod (9) is provided with push rod handle (10).
5. tissue according to claim 1 and 2 perforation stiching instrument, it is characterized in that: described stitching locking device also comprises traction cable (17), push-and-pull assembly and outer jacket member, described latch assembly comprises threading sleeve (14) and locking member (13), threading sleeve is provided with threading chamber in (14), the front portion of traction cable (17) is provided with stress deformation portion, traction cable (17) successively slidably through the threading chamber of threading sleeve (14) with after outer jacket member, be connected with push-and-pull assembly, push-and-pull assembly cunning fits on outer jacket member, the rear portion of locking member (13) is provided with card-tight part in stitching thread, on the threading chamber of described threading sleeve (14), be provided with the outer card-tight part of the stitching thread matching with card-tight part in stitching thread, when locking member (13) and threading sleeve (14) are during in released state, described locking member (13) is connected to the front portion of traction cable (17) by stress deformation portion, when push-and-pull push-and-pull assembly makes locking member (13) and threading sleeve (14) in engagement state backward, in stitching thread on described locking member (13), card-tight part matches to clamp stitching thread (6) with the outer card-tight part of stitching thread of threading sleeve (14), and distortion and the locking member (13) of the traction cable (17) now by stress deformation portion is separated.
6. tissue perforation stiching instrument according to claim 5, is characterized in that: described push-and-pull assembly comprises slip ring (18), and the rear end of traction cable (17) is connected with slip ring (18).
7. tissue according to claim 5 perforation stiching instrument, it is characterized in that: described outer jacket member comprises metal cap (15), outer spring pipe (16) and core bar (19), one end of outer spring pipe (16) is connected with metal cap (15), the other end is connected with core bar (19), and described threading sleeve (14) is positioned between locking member (13) and metal cap (15).
CN201420318768.9U 2014-06-13 2014-06-13 Tissue perforation stiching instrument Withdrawn - After Issue CN203914988U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN201420318768.9U CN203914988U (en) 2014-06-13 2014-06-13 Tissue perforation stiching instrument

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104042265A (en) * 2014-06-13 2014-09-17 江苏唯德康医疗科技有限公司 Tissue perforation stitching instrument and use method thereof
CN107822680A (en) * 2017-10-12 2018-03-23 二零二零(北京)医疗科技有限公司 Disposable fibrous ring stitching unstrument
CN109009490A (en) * 2018-09-13 2018-12-18 江苏唯德康医疗科技有限公司 Flexibility is recyclable to puncture anchor and its fixator
CN113576567A (en) * 2021-07-26 2021-11-02 二零二零(北京)医疗科技有限公司 Puncture needle with thread and suture knot

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104042265A (en) * 2014-06-13 2014-09-17 江苏唯德康医疗科技有限公司 Tissue perforation stitching instrument and use method thereof
CN104042265B (en) * 2014-06-13 2016-01-27 江苏唯德康医疗科技有限公司 Tissue perforation stiching instrument and using method thereof
CN107822680A (en) * 2017-10-12 2018-03-23 二零二零(北京)医疗科技有限公司 Disposable fibrous ring stitching unstrument
CN109009490A (en) * 2018-09-13 2018-12-18 江苏唯德康医疗科技有限公司 Flexibility is recyclable to puncture anchor and its fixator
CN109009490B (en) * 2018-09-13 2023-11-24 中国医科大学附属盛京医院 Flexible recoverable puncture anchor and fixer thereof
CN113576567A (en) * 2021-07-26 2021-11-02 二零二零(北京)医疗科技有限公司 Puncture needle with thread and suture knot
CN113576567B (en) * 2021-07-26 2022-10-14 二零二零(北京)医疗科技有限公司 Puncture needle with thread

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GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20141105

Effective date of abandoning: 20160127

C25 Abandonment of patent right or utility model to avoid double patenting