CN205268211U - Manadesma closer of wicresoft - Google Patents

Manadesma closer of wicresoft Download PDF

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Publication number
CN205268211U
CN205268211U CN201520939799.0U CN201520939799U CN205268211U CN 205268211 U CN205268211 U CN 205268211U CN 201520939799 U CN201520939799 U CN 201520939799U CN 205268211 U CN205268211 U CN 205268211U
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CN
China
Prior art keywords
wicresoft
housing
connecting rod
pull bar
puncture needle
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Expired - Fee Related
Application number
CN201520939799.0U
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Chinese (zh)
Inventor
黄盛�
张大宏
王智勇
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Teleflex Medical Trading (shanghai) Co Ltd
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Individual
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Priority to CN201520939799.0U priority Critical patent/CN205268211U/en
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Abstract

The utility model discloses a manadesma closer of wicresoft, including pressing from both sides line pincers and pjncture needle, press from both sides the line pincers including casing and the connecting rod of setting in the casing, the small end rotates connects a pull rod, be equipped with three constant spacing's recess on the pull rod, be equipped with two spacing posts with recess matched with in the casing. It is equipped with a pair of near -end wing to press from both sides line pincers lower extreme, be equipped with the guiding hole on the near -end wing, install the guide cylinder of funnel shape in the guiding hole. The opening of upper end for having flange structure of guide cylinder, the chew portion of lower extreme for contracting of guide cylinder. Be equipped with the scale zone territory on the pjncture needle. The utility model discloses can catch on the stylolite after threading a needle better to can master sutural degree of depth accurately.

Description

Wicresoft's manadesma closer
Technical field
The utility model relates to technical field of medical instruments, is specifically related to a kind of Wicresoft manadesma closer.
Background technology
In recent years, have wound little, recover fast, Wicresoft's surgery development of curative ratio advantages of higher rapidly, laparoscopic surgery is as the representative of Wicresoft's surgery, it relates to many diseases are planted and operation, are widely used in surgical field.
Laparoscopic procedures is as follows:
Execute general anesthesia row Wicresoft stamp mouth artificial pneumoperitoneum to put laparoscopic visualization operation group cooperation and complete the hemostasis of the relevant organs resection coagulation surface of a wound, rinse the surface of a wound observe (putting drainage tube if desired) take out excision focus by little stamp mouth and calculus otch deep tissue to sew up epidermis adhesive operation complete.
In laparoscopic surgery, general use manadesma closer carries out myometrial suture, China Patent Publication No. CN203789968U discloses a kind of manadesma stapler and locating device thereof, comprise steady arm and suture guid needle, steady arm comprises body, to fin and guiding core, guiding core is located in body, and fin is closed activity between state by guiding core in a dozen open state and one by one; Although this manadesma stapler can simplify stitching step, make peritoneal cavity fascia suture more simple and convenient, but in sewing process, medical matters personnel are difficult to intuitively, accurately judge to sew up the degree of depth, cause the stitching degree of depth of abdominal wall tissue both sides inconsistent, affect sewing effect.
In addition, above-mentioned manadesma stapler and locating device thereof are filled with elastic insert layer on the through hole of stapler fin, the elastic insert layer contacted with the guid needle of suture line and pass on fin, utilize elastic insert layer to extrude suture line when extracting guid needle, suture line one end is made to be limited on a fin, suture line can not be followed guid needle and be exited together, thus completes the stitching of the fascia layer in pleuroperitoneum deep; But in actual sewing process, the elastic insert layer repeatedly punctured by guid needle easily occurs that liner layer breakage causes suture line not to be clamped, even there is the severe situation that damaged liner layer chip is lost in patient's body.
Summary of the invention
For the deficiency that prior art exists, the purpose of this utility model is to provide a kind of Wicresoft manadesma closer, it is possible in sewing process, real-time confirmation sews up the degree of depth, contributes to the stitching degree of depth guaranteeing abdominal wall tissue both sides roughly the same; Adopt guiding cylinder to replace the elastic insert layer of prior art, compensate for elastic insert layer and there is medical hidden danger, work-ing life short deficiency.
For realizing above object, the utility model provides following technical scheme:
A kind of Wicresoft manadesma closer, comprising clamp pincers and puncture needle, the connecting rod that described clamp pincers comprise housing and are arranged in housing, described small end is rotationally connected a pull bar, described pull bar is provided with the groove of three fixed spacings, is provided with two the spacing posts matched with groove in described housing. When proximal wings is launched or when closing, two spacing posts in housing firmly pin pull bar in being connected on pull bar corresponding two grooves, and restriction pull bar moves up and down, and makes proximal wings locking keep launching or closed state. Two spacing posts can make locking state more firm, even if there being a spacing post abrasion also can realize firmly locking.
It is provided with the connecting rod for placing connecting rod in described housing and places groove, described connecting rod top has T-shaped connecting joint, the lower end of described pull bar is provided with the T-shaped groove mated with T-shaped connecting joint, connecting rod is connected by T-shaped connecting joint and T-shaped groove with pull bar, pull bar can be rotated in housing, and pull bar can also move up and down along the connecting rod placement groove in housing by drivening rod together simultaneously.
Described clamp clamps lower end and is provided with one pair of proximal wings, and described proximal wings is provided with guiding hole, is provided with the guiding cylinder of funnel shaped in described guiding hole. The upper end of described guiding cylinder is the opening portion with turnup structure, and the lower end of described guiding cylinder is the bottle neck shunk. Described bottle neck is extended downwards from opening portion by least three barrel vertical bars and is formed to contract. The bottom of described barrel vertical bar is tip.
Described proximal wings is provided with a circular Kong Yuyi arcuate socket, and the lower end of described connecting rod is laterally provided with rotating shaft, the circular hole assembly connection of described rotating shaft and proximal wings, and the lower end of described housing has one pair of glue post, with the arcuate socket assembly connection of proximal wings.
Described puncture needle is provided with scale region, and described scale region upwards extends along the puncture needle needle body from the needle point place of puncture needle, and needle point place is set to start index. The scale of this practicality can be worn into length by Measurement accuracy suture line, real-time judge can sew up the degree of depth.
The Wicresoft's manadesma closer that the utility model proposes has coordinated clamp to clamp lower end one launching and the switching of closed state and locking proximal wings by pull bar, connecting rod and housing, wherein locks work and has coordinated with two spacing posts in housing by three grooves on pull bar; When proximal wings is in expansion state, the guiding cylinder in proximal wings is positioned at housing puncture needle and crosses on the extended line of hole export, defines the puncture path of puncture needle; It is provided with guiding cylinder in the guiding hole of proximal wings, guiding cylinder one end has contraction mouth, the other end is opening, facilitate puncture needle wear into, the closing in end of guiding cylinder has hangnail, the effect that traditional elastic liner layer catches on suture line can be realized, avoid the situation that silicagel pad is punctured repeatedly cracky, even damaged fragment is fallen in patient's body simultaneously and occur; Meanwhile, the utility model arranges scale region at the puncture needle needle body, the length of auxiliary judgment suture line in sewing process, it is ensured that the stitching degree of depth of abdominal wall tissue both sides is roughly the same, is beneficial to carrying out smoothly of sewing process.
Accompanying drawing explanation
Fig. 1 is the utility model one-piece construction schematic diagram;
Fig. 2 is that each integral part of the utility model connects relation schematic diagram;
Fig. 3 is the structural representation of left shell;
Fig. 4 is the structural representation of proximal wings;
Fig. 5 is the structural representation of puncture needle;
Fig. 6 is the structural representation of guiding cylinder.
In figure, description of reference numerals is as follows:
1, clamp pincers; 2, puncture needle; 21, puncture handle; 22, needle tip; 23, U shape groove; 24, mark is pointed to; 25, scale region; 11, pull bar; 111, T-shaped groove; 112, draw ring; 113, groove; 114, indicate; 12, connecting rod; 121, T-shaped connecting joint; 122, rotating shaft; 13, housing; 131, groove placed by connecting rod; 132, glue post; 133, spacing post; 134, spacing mark; 135, the first card hooks; 136, the 2nd card hooks; 137, the 3rd card hooks; 138, the 4th card hooks; 139, Handheld Division; 14, proximal wings; 141, circular hole; 142, arcuate socket; 143, guiding hole; 144, lead cylinder; 145, flange; 146, hangnail; 15, hole crossed by puncture needle; 151, hole crossed by the first puncture needle; 152, hole crossed by the 2nd puncture needle.
Embodiment
Technical solutions of the utility model being described in further details below in conjunction with drawings and Examples, following examples are not formed restriction of the present utility model.
See Fig. 1 and Fig. 2, the utility model provides a kind of Wicresoft manadesma closer, comprise clamp pincers 1 and puncture needle 2, clamp pincers 1 comprise housing 13, housing 13 is provided with the puncture needle passed through for puncture needle 2 and crosses hole 15, the pull bar 11 being provided with connecting rod 12 in housing 13 and be connected with connecting rod 12, housing 13 times end both sides are rotationally connected one to the proximal wings 14 can launched and close, pull bar 11 can move up and down by drivening rod 12 in housing 13, it is achieved proximal wings 14 is being launched conversion between state and closed state by one. Pull bar 11 and housing 13 are also provided with the spacing locking mechanism moved up and down for limiting pull bar, make proximal wings 14 keep launching or closed state.
Concrete, it is provided with the connecting rod for placing connecting rod in housing 13 and places groove 131, connecting rod 12 top has T-shaped connecting joint 121, pull bar 11 times ends are provided with the T-shaped groove 111 mated with T-shaped connecting joint 121, connecting rod 12 is connected by T-shaped connecting joint 121 and T-shaped groove 111 with pull bar 11, pull bar 11 can be rotated in housing 13, and pull bar 11 can also 12 move up and down along the connecting rod placement groove 131 in housing 13 by drivening rod together simultaneously.
See Fig. 2 and Fig. 4, proximal wings 14 is provided with circular hole 141 and an arcuate socket 142, connecting rod 12 times ends are laterally provided with rotating shaft 122, circular hole 141 assembly connection of rotating shaft 122 and proximal wings 14, housing 13 times ends have one pair of glue post 132, with arcuate socket 142 assembly connection of proximal wings 14, pull bar 11 is provided with the draw ring 112 exposed outside housing 13, hold draw ring 112 to rise to pull-up pull bar 11 drivening rod 12, connecting rod 12 drives proximal wings 14 to rotate expansion around glue post 132, hold draw ring 112 to decline to lower push-pull bar 11 drivening rod 12, it is closed that connecting rod 12 drives proximal wings 14 to rotate around glue post 132.
See Fig. 2 and Fig. 3, the spacing locking mechanism moved up and down for limiting pull bar 11 is made up of two spacing posts 133 of the groove 113 of three fixed spacings on pull bar 11 and housing 13 inside, pull bar 11 is positioned at draw ring 112 times ends and is provided with the Warning Mark 114 being used to indicate proximal wings locking and released state, when pull bar 11 be pulled to proximal wings 14 launch completely time, rotating rod 11 aligns to spacing mark 134 with locking mark 114, now the spacing post 133 of two in housing 13 is connected in two above pull bar 11 groove, two spacing posts firmly pin pull bar, restriction pull bar 11 moves up and down, proximal wings 14 is locked and keeps expansion state, it is understood that when pull bar be pushed into for 11 times proximal wings 14 completely closed time, by the groove fit below spacing post 133 and pull bar 11, proximal wings 14 locking can be realized equally and be kept closed.
Housing 13 comprises symmetrical left shell and right shell body, the upper end of left shell and right shell body is respectively equipped with the first card hook 135 and the 2nd card hook 136 that can mutually block and connect, the lower end of left shell and right shell body is respectively equipped with the 3rd card hook 137 and the 4th card hook 138 that can mutually block and connect, left shell and right shell body upper and lower end have hooked the dismounting of housing 13 by above-mentioned card respectively and have buckled conjunction, and left shell and right shell body are spliced to form puncture needle and cross hole 15.
Puncture needle is crossed hole 15 and is comprised the first puncture needle that symmetrical ring is located at housing 13 outside surface and cross hole 151 and hole 152 crossed by the 2nd puncture needle; Proximal wings 14 is provided with guiding hole 143, guiding cylinder 144 is installed in guiding hole 143, when proximal wings 14 is in expansion state, guiding cylinder 144 is positioned at puncture needle and crosses on the extended line of hole 15 export, crosses, through puncture needle, the guiding cylinder 144 directly wearing in proximal wings 14 in hole 15 with the puncture needle 2 of suture line.
Housing 13 is provided with the Handheld Division 139 with slip-resistant texture, coordinates convenient operation with draw ring 112, and upper end, Handheld Division 139 is disc structure, and what hole 15 crossed by puncture needle wears the upper surface that entrance is positioned at disc structure.
As shown in Figure 6, guiding cylinder 144 upper end is the opening portion 145 with turnup structure, the lower end of guiding cylinder 144 is the bottle neck 146 shunk, bottle neck 146 returns hook for suture line, bottle neck 146 is extended downwards from opening portion 145 by least three barrel vertical bars and is formed to contract, and the bottom of barrel vertical bar is tip. When puncture needle 2 is extracted, the tip of bottle neck 146 can catch on suture line, and suture line can not be exited with puncture needle 2, so that it is guaranteed that the stitching of the fascia layer in pleuroperitoneum deep. Adopting guiding cylinder 144 to replace the elastic insert layer of prior art, avoiding occurring that elastic insert layer is pierced easily to damage repeatedly needs often to change, or even the phenomenon that the residual bits of elastic insert layer of breakage are retained in patient's body occurs.
As shown in Figure 5, puncture needle 2 is provided with the puncture handle 21 that surface has anti-skidding line, needle body one end of puncture needle 2 is injection-moulded in puncture handle 21, the other end is needle tip 22, the needle body is provided with the U shape groove 23 of guiding suture line near needle tip 22 place, the opening direction of U shape groove 23, towards needle tip 22, puncture handle 21 is also provided with the sensing mark 24 being positioned at U shape groove 23 open side, for marking the suture line guiding side of U shape groove 23.
The taper design of needle tip 22 should conveniently puncture, make penetration Resistance little, and the utility model selects needle tip 22 tapering to be the puncture needle 2 of 10-25 ��.
In the utility model, puncture needle 2 is provided with scale region 25 so that the confirmation of suture length is more directly perceived, contributes to the stitching degree of depth guaranteeing abdominal wall tissue both sides roughly the same, is beneficial to carrying out smoothly of sewing process. Concrete, needle tip 22 place is set to start index, scale region 25 upwards extends along puncture needle 2 needle body from needle tip 22 place, and the spacing setting between adjacent two scale markss is 0.5mm, and namely now the measuring accuracy of suture length is 0.5mm. Puncture needle 2 is worn and is crossed hole 15 by the entrance of wearing being positioned at housing 13 disc structure upper surface into puncture needle, then the guiding cylinder 144 in proximal wings 14, being defined as current scale by wearing the scale marks reading corresponding to the intersecting area in entrance and scale region 25, scale marks reading is the length of suture line. The observed value that the termination scale in scale region 25 is corresponding is 12.5cm, also namely the indication range in scale region is 0-12.5cm, and this indication range and above-mentioned measuring accuracy are roughly applicable in all sufferers, certainly, this indication range and measuring accuracy, not as limit, can be determined according to practical situation.
Applying Wicresoft of the present utility model manadesma closer, to carry out the sewing process of laparoscopic surgery as follows:
1, hold clamp and clamp the Handheld Division 139 on 1 housing 13, finger tips draw ring 112 pushing drawing rod 11 drivening rod 12 times shiftings downwards in simultaneously, in this process, proximal wings 14 is rotated around the glue post 132 of housing 13 times ends, when closing state completely to proximal wings 14, the locking mark 114 of rotating rod 11 to pull bar 11 times ends aligns with the spacing mark 134 of housing 13 upper end, and now proximal wings 14 is closed and locked;
2, by the clamp pincers 1 insertion incision of abdominal wall of closed and locked for proximal wings 14 state, note during insertion avoiding tearing lower-hierarchy;
3, upwards pulling and rise to proximal wings 14 expansion locking on pull bar 11 drivening rod 12, this Principle of Process and step 1 are similar, do not repeat herein;
4, by the U shape groove 23 above the one ends wound of suture line to puncture needle 2, suture line preferably adopts No. 0 suture line, and makes suture line exceed U shape groove 23 to needle tip 22 place;
5, wear with the puncture needle 2 of suture line and cross hole 151 along the entrance of wearing of housing 13 disc structure upper surface into the first puncture needle, the guiding cylinder 144 into proximal wings 14 one end is worn along export extended line after export passes, wear and process reads current scale, also namely suture line wear into length, real-time judge sews up the degree of depth;
6, puncture needle 2 is extracted from guiding cylinder 144, the hangnail 146 of guiding cylinder 144 contraction mouth clamps suture line, owing to U shape groove 23 opening direction of puncture needle 2 is towards needle tip 22, when puncture needle 2 is extracted, suture line can not exit with puncture needle 2 so that one end of suture line is limited in a proximal wings 14;
7, the U shape groove 23 that the other end of suture line is linked into puncture needle 2, repeating step 5 to step 6, is limited in another proximal wings 14 by the other end of suture line, and now the two ends of suture line are limited in one pair of proximal wings 14 respectively;
8, suture line is crossed hole 151 from the first puncture needle and the 2nd puncture needle is crossed hole 152 and loosened so that suture line departs from clamp and clamps 1 housing 13;
9, the unblock mark 114 of rotating rod 11 to pull bar 11 times ends aligns with the spacing mark 134 of housing 13 upper end, hold clamp and clamp the Handheld Division 139 on 1 housing 13, finger tips draw ring 112 pushing drawing rod 11 drivening rod 12 times shiftings downwards in simultaneously, in this process, proximal wings 14 is rotated around the glue post 132 of housing 13 times ends, when closing completely to proximal wings 14, the two ends of suture line are clamped in the middle of proximal wings 14, again lock proximal wings 14;
10, clamp being clamped 1 to extract from incision of abdominal wall, owing to suture line two ends are limited in one pair of proximal wings 14, when clamp pincers 1 are extracted, the two ends of suture line are also clamped 1 with clamp and are drawn out to outside chamber from cavity otch;
11, conventionally, being tied a knot by suture line is complete myometrial suture.
Above embodiment only in order to the technical solution of the utility model to be described but not be limited; when not deviating from the utility model spirit and essence thereof; those of ordinary skill in the art are when can make various corresponding change and distortion according to the utility model, but these change accordingly and are out of shape the protection domain that all should belong to the claim appended by the utility model.

Claims (8)

1. Wicresoft's manadesma closer, comprise clamp pincers (1) and puncture needle (2), it is characterized in that: the connecting rod (12) that described clamp pincers (1) comprises housing (13) and is arranged in housing (13), described connecting rod (12) upper end is rotationally connected a pull bar (11), described pull bar (11) is provided with the groove (113) of three fixed spacings, is provided with two the spacing posts (133) matched with groove (113) in described housing (13).
2. Wicresoft as claimed in claim 1 manadesma closer, it is characterized in that: be provided with the connecting rod for placing connecting rod (12) in described housing (13) and place groove (131), described connecting rod (12) top has T-shaped connecting joint (121), described pull bar (11) lower end is provided with the T-shaped groove (111) mated with T-shaped connecting joint (121), connecting rod (12) is connected by T-shaped connecting joint (121) and T-shaped groove (111) with pull bar (11), pull bar (11) can be rotated in housing (13), simultaneously pull bar (11) can also drivening rod together (12) place groove (131) along the connecting rod in housing (13) and move up and down.
3. Wicresoft as claimed in claim 1 manadesma closer, it is characterized in that: described clamp pincers (1) lower end is provided with one pair of proximal wings (14), described proximal wings (14) is provided with guiding hole (143), is provided with the guiding cylinder (144) of funnel shaped in described guiding hole (143).
4. Wicresoft as claimed in claim 3 manadesma closer, it is characterized in that: the upper end of described guiding cylinder (144) is the opening portion (145) with turnup structure, the lower end of described guiding cylinder (144) is the bottle neck (146) shunk.
5. Wicresoft as claimed in claim 4 manadesma closer, it is characterised in that: described bottle neck (146) is extended downwards from opening portion (145) by least three barrel vertical bars and is formed to contract.
6. Wicresoft as claimed in claim 5 manadesma closer, it is characterised in that: the bottom of described barrel vertical bar is tip.
7. Wicresoft as claimed in claim 3 manadesma closer, it is characterized in that: described proximal wings (14) is provided with a circular hole (141) and an arcuate socket (142), the lower end of described connecting rod (12) is laterally provided with rotating shaft (122), circular hole (141) assembly connection of described rotating shaft (122) and proximal wings (14), described housing (13) lower end has one pair of glue post (132), with arcuate socket (142) assembly connection of proximal wings (14).
8. Wicresoft as claimed in claim 1 manadesma closer, it is characterized in that: described puncture needle (2) is provided with scale region, described scale region upwards extends along the puncture needle needle body from needle point (22) place of puncture needle (2), and needle point (22) place is set to start index.
CN201520939799.0U 2015-11-23 2015-11-23 Manadesma closer of wicresoft Expired - Fee Related CN205268211U (en)

Priority Applications (1)

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CN201520939799.0U CN205268211U (en) 2015-11-23 2015-11-23 Manadesma closer of wicresoft

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105266859A (en) * 2015-11-23 2016-01-27 黄盛� Minimally-invasive fascia closer
CN115486885A (en) * 2022-10-11 2022-12-20 四川省鑫森杰医学工程技术有限公司 Threading assembly and threading method of fascia stitching device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105266859A (en) * 2015-11-23 2016-01-27 黄盛� Minimally-invasive fascia closer
CN115486885A (en) * 2022-10-11 2022-12-20 四川省鑫森杰医学工程技术有限公司 Threading assembly and threading method of fascia stitching device

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C14 Grant of patent or utility model
GR01 Patent grant
TR01 Transfer of patent right

Effective date of registration: 20180209

Address after: 200127 Shanghai City, Pudong New Area Jin Kang Road No. 258 Lujiazui Century Financial Plaza Building 5, Room 501

Patentee after: Teleflex Medical Trading (Shanghai) Co., Ltd.

Address before: Hangzhou City, Zhejiang province 310009 near River Road No. 108 building block is room 1120

Patentee before: Huang Sheng

TR01 Transfer of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20160601

Termination date: 20171123

CF01 Termination of patent right due to non-payment of annual fee