A kind of adjustable skin wound stitching instrument
Technical field
This utility model relates to the stiching instrument of medical supplies, especially a kind of adjustable skin wound stitching instrument.
Background technology
The wound of skin wound particularly surgical site infections is various shape wounds, generally adopts medical suture to sew up to this type of wound.Need longer suture time during this operation, certainly will strengthen the operation risk of patient, after wound healing, usually can leave significant " Scolopendra worm " sample cicatrix, patient also needs again to take out stitches to hospital simultaneously.It is adopt the device of similar stapler to be ordered by wound both sides skin to be combined that another kind conventional in clinical sews up means, this method uses more convenient compared with suture, save operating time, but to the healing quality of wound, particularly residual cicatrix and traditional suture are without significant difference, still need patient again to remove metal suture nail to hospital.
China Patent Publication No. CN87108125 discloses " a kind of utensil of closure of wound and use the method for this utensil ", is commonly called as the wound closure of " skin slide fastener ".This utility model shortens the wound closure time effectively, and improve the healing quality of wound, cicatrix obviously alleviates, and again can open wound easily according to clinical needs.But this medical apparatus, for ensureing wound closure closely and unduly extrude wound, proposes harsh requirement to the operation of operative doctor; Cannot realize adjusting in time not yet concordant wound skin edge under direct-view while slide fastener closes; Slide fastener after simultaneously closing also is unfavorable for the ventilative of wound, the timely discharge of nursing and wound excretions; The potential risk of to be twisted by wound circumference tissue into slide fastener is also there is when closing wound with slide fastener.And patent publication No. CN1234327 disclosed " skin wound closure device " to the stitching of irregular wound, can not can only sew up straight line, camber line wound.
China Patent Publication No. CN101112326 open " a kind of skin wound stitching instrument ", i.e. a kind of adjustable " skin wound stitching instrument ", the needing of adjustable device regulates with the instrument of similar flat mouth screwdriver, uses No operation room utensil impracticable under the environment that operating room is aseptic.
Chinese patent CN1524507 discloses " skin wound closure device ", it adopts, and " locking device that the sour jujube bar of one-way locking and snap close are formed " substitutes the wound closure device of slide fastener, the application of this utensil be convenient to the ventilative of wound and wound drain, change dressings, also be convenient to and healing state involutory to wound skin edge observe at any time, adjustment correction can also be carried out to not yet concordant wound skin edge in time.But the locking device of this utensil can only one direction be locked, and can not loosen, " can only increase can not reduce the adjustment of the stitching power of wound ", this can cause following Railway Project:
1, provisional in clinical practice wound closure, when needing again to open wound, this Patent design cannot meet, and this patent CN1524507 sacrifices aforementioned patent CN87108125 advantage in this respect;
2, clinical practice Shi doctor needs significant care, once tighten up excessively, utensil can only be scrapped, and will have a strong impact on the healing quality of wound if used reluctantly.Slight closing force is excessive, will affect the flatness of wound skin edge, and after causing healing, cicatrix increases; Moderate closing force is excessive, can oppress wound skin edge, affect wound blood supply; Severe closing force is excessive, and skin adhesive face may be made stressed excessive and Tension Vesicle occurs.
3, the sour jujube bar of patent and the support bar of snap close are rigid link structure, each sour jujube bar is equal to wound suture distance, this just may appear at previous sour jujube bar and sew up distance, and next sour jujube bar is when sewing up slightly short situation, there will be previous sour jujube bar and sew up not tight situation, cannot realize the continuous fine adjustment of wound suture power to meet clinical demand the best being sewed up to power.
4, the bar shaped retinaculum of patent and sour jujube bar are for meeting its set-up function, and can only make with the metal or macromolecular material relatively with rigidity, this causes this patent cannot meet the closed demand of arc line shaped wound well.When being applied to arc line shaped wound reluctantly, the stressing conditions of the different parts of arc line shaped wound can being caused significantly inconsistent, thus affect the healing quality of wound, the roughness descent of wound, residual cicatrix increase can be caused.
Utility model content
The purpose of this utility model is the defect overcoming prior art, and provide a kind of adjustable skin wound stitching instrument, this stiching instrument can.
The technical solution of the utility model is:
A kind of adjustable skin wound stitching instrument, comprise the main stiching instrument and patch stiching instrument that are connected, main stiching instrument and patch stiching instrument are alternately, wherein, main stiching instrument and patch stiching instrument are by both sides base cloth and the sour jujube bar locker composition being connected both sides base cloth, sour jujube bar locker is by support bar, snap close and sour jujube bar composition, support bar lower surface is connected with base cloth, snap close is installed on the base cloth of main stiching instrument and patch stiching instrument side, and one end of sour jujube bar is installed on the base cloth of main stiching instrument and patch stiching instrument opposite side, the other end of sour jujube bar is flexibly connected with snap close, sour jujube bar can regulate chimeric position as required.
Further, sour jujube bar is provided with ratchet, snap close then comprises bonnet lock hole, snap close card, adjusting tap, sour jujube bar can pass bonnet lock hole, ratchet on sour jujube bar can close with snap close inlay card, snap close is provided with to link with snap close and connects and protrude from the adjusting tap of snap close, by the position of adjusting tap scalable snap close card, thus sour jujube bar can be adjusted back.
The Ji Bu of main stiching instrument and patch stiching instrument is lamellar and breathes freely medical proof fabric, and wherein, the Ji Bu of main stiching instrument is symmetrical set, and the base cloth of patch stiching instrument is that to install the base cloth area of sour jujube bar side large, and the base cloth area installing snap close side is little.
Further, support bar is the short support bar aggregation be formed by connecting by flexible connecting member, the angle adjustable of the support bar of patch stiching instrument, the bottom of support bar is provided with fixed bin, fixed bin and base cloth fixedly mount, and one end of support bar and fixed bin bottom surface hinged, fixed bin side is provided with opening, the other end of support bar then extends outside fixed bin by fixed bin opening, and fixed bin opening is for limiting the maximum horizontal rotation angle of patch stiching instrument.
U-shaped, L-type and undaform, described flexible connecting member is connected to the support bar end of main stiching instrument and patch stiching instrument.
The beneficial effects of the utility model:
The nursing problem such as 1, efficiently solve ventilative, the drain of straightforward manipulation in doctor's closure of wound process and wound, change dressings.
2, efficiently solve its stitching power can only increase and can not reduce caused series of problems, also can meet related request to the clinical middle situation again opening wound that needs.
3, only need when stitching power regulates the tweezers in operation or pliers to clamp snap close adjusting tap just, do not need extra instrument, also can not have any pullling to snap close and affect wound.
4, continuous fine adjustment the size of power can be sewed up to meet clinical demand the best being sewed up to power.
Flexibly connecting and passing through to be applicable to little arc wound well to the clip process outside medical proof fabric 5, between fixed strip.
6, to straight line, large camber line, L-type, the irregular wound such as U-shaped by being combined main stiching instrument and patch stiching instrument, all can play good stitching to the wound of various shape, thus reach camber line, L-type, the irregular wound such as U-shaped sew up comprehensively.
Accompanying drawing explanation
Fig. 1 is main stiching instrument top view of the present utility model;
Fig. 2 is patch stiching instrument top view of the present utility model;
Fig. 3 buckle structure schematic diagram;
Fig. 4 is that patch stiching instrument of the present utility model horizontally rotates schematic diagram;
Fig. 5 is undaform wound stitching instrument top view of the present utility model;
Fig. 6 is L-type wound stitching instrument top view of the present utility model;
Fig. 7 is U-shaped wound stitching instrument top view of the present utility model;
Fig. 8 is the top view outside main stiching instrument of the present utility model after otch.
In figure, the main stiching instrument of 1-, 2-patch stiching instrument, 3-main base cloth, 3 '-patch base cloth, 4-sour jujube bar locker, the short support bar of 41-, 42-snap close, 421-bonnet lock hole, 422-snap close card, 423-adjusting tap, 43-sour jujube bar, 431-ratchet, 5-flexible connecting member, 6-fixed bin.
Detailed description of the invention
Below in conjunction with the accompanying drawing in this utility model embodiment, be clearly and completely described the technical scheme in this utility model embodiment, obviously, described embodiment is only this utility model part embodiment, instead of whole embodiments.Based on the embodiment in this utility model, those of ordinary skill in the art are not making other embodiments all obtained under creative work prerequisite, all belong to the scope of this utility model protection.
As shown in Figure 1 and Figure 2, a kind of adjustable skin wound stitching instrument, comprises the main stiching instrument 1 and patch stiching instrument 2 that are connected, and wherein, main stiching instrument 1 is connected alternately with patch stiching instrument 2.As Fig. 5, figure, 6, shown in Fig. 7, U-shaped, L-type, undaform wound stitching instrument can be formed by flexible connecting member 5 by main stiching instrument 1 and patch stiching instrument 2, meeting the requirement of various irregularly shaped wound, the wound stitching instrument of undaform can be formed as being alternately arranged one by one by main stiching instrument 1 and patch stiching instrument 2; Connect l-shaped wound stitching instrument by two main stiching instrument 1, patch stiching instrument 2 is then connected to the corner of L-type wound stitching instrument, thus can adapt to the stitching requirement of L-type or class L-type wound; And connecting into U-shaped shape by two main stiching instrument 1, patch stiching instrument 2 is then positioned at the arc positions of U-shaped shape, wherein can select one or more patch stiching instrument 2 according to the size of U-shaped shape.Main stiching instrument 1 is made up of the main base cloth 3 of rectangular, lamellar and sour jujube bar 43 locker 4 connected on the main base cloth 3 in both sides being positioned at both sides, and the main base cloth 3 of both sides is symmetrical set, and sour jujube bar 43 locker 4 is made up of support bar, snap close and sour jujube bar 43.Wherein, the main base cloth 3 in both sides is all provided with support bar, the support bar of side is fixedly installed sour jujube bar 43, on the main base cloth 3 of opposite side, correspondence position is then installed with snap close.Wherein, as Fig. 3, shown in Fig. 4, snap close 42 comprises bonnet lock hole 421, snap close card 422, adjusting tap 423, the position of bonnet lock hole 421 is corresponding with sour jujube bar 43 position, sour jujube bar 43 can pass bonnet lock hole 421 and be drawn into straight line, ratchet 431 on sour jujube bar 43 can be chimeric with snap close card 422, snap close is also provided with and is connected with snap close card 422 and protrudes from the adjusting tap 423 of snap close, by the position of adjusting tap 423 scalable snap close card 422, thus sour jujube bar 43 can be adjusted back, which overcome traditional wound stitching instrument owing to adjusting back, once the excessive shortcoming can only changing whole stiching instrument of closing force.And sour jujube bar 43 locker 4 of patch stiching instrument 2 is identical with main stiching instrument 1, its difference is that the support bar of patch stiching instrument 2 is connected on patch base cloth 3 ' rotationally, one end of the support bar of patch stiching instrument 2 is connected with fixed bin 6, the end of this support bar and the bottom-hinged of fixed bin 6, the side of fixed bin 6 is provided with opening simultaneously, the other end of support bar is stretched out by the lateral opening of fixed bin, and can connect with corresponding snap close, the size of fixed bin lateral opening determines the maximum angle of the rotation of patch stiching instrument support bar.Can be realized the horizontal adjustment of sour jujube bar 43 and snap close by this support bar, when sewing up irregular wound, medical proof fabric need not symmetry be fixed on skin, facilitates the stitching of irregular wound; In addition, both sides patch base cloth 3 ' of patch stiching instrument 2 is asymmetrical state, the patch base cloth 3 ' area wherein installing sour jujube bar 43 side is large, and the patch base cloth 3 ' area installing snap close side is little, patch base cloth 3 ' of snap close side is owing to being positioned at the inner side of L-type, U-shaped wound stitching instrument, the bonding completely of Ji Bu and skin can be conducive to by being diminished by patch base cloth 3 ' area, and due to the outer space of wound stitching instrument large, the area of base cloth suitably can be increased.
For ensureing that wound can be breathed freely, the base cloth of main stiching instrument 1 and patch stiching instrument 2 all adopts lamellar to breathe freely medical proof fabric, and in order to ensure the comfortableness of main stiching instrument 1, support bar can be arranged to multiple short support bar 41 be formed by connecting by flexible connecting member 5, short support bar 41 hardness is high, the short support bar 41 of main base cloth 3 both sides is symmetrical set, and the snap close of sour jujube bar 43 locker 4 and sour jujube bar 43 are installed on corresponding short support bar 41, and patch stiching instrument 2 due to patch base cloth 3 ' area less, just a short support bar 41 is installed, short support bar 41 between main stiching instrument 1 and patch stiching instrument 2 also connects into an entirety by flexible connecting member 5.
During sew up wound, first to fit main stiching instrument 1, to fit again patch stiching instrument 2, during main stiching instrument 1 of fitting, first main for the wherein side of main stiching instrument 1 base cloth 3 is aimed at wound wherein side edge laminating, again main for opposite side base cloth 3 is fitted with wound opposite side edge, then again the sour jujube bar 43 of main stiching instrument 1 is passed bonnet lock hole 421, and adjust wound suture power, if the power of stitching is large, clamp adjusting tap 423 by tweezers or pliers, then adjust back sour jujube bar 43.And fit patch stiching instrument 2 time, sour jujube bar 43 and snap close can be horizontally rotated according to bonding position, thus make camber line, L-type, the irregular wound such as U-shaped sews up comprehensively.
In addition, as shown in Figure 8, for little arc wound, main stiching instrument can be made arc shape, act solely on wound simultaneously, by clip process is done in the outside of base cloth 3 main in main stiching instrument 1, thus little arc wound can be applicable to well.