CN205964095U - Ware is sewed up in high -order ligature of hernical sac under peritoneoscope - Google Patents

Ware is sewed up in high -order ligature of hernical sac under peritoneoscope Download PDF

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Publication number
CN205964095U
CN205964095U CN201620515716.XU CN201620515716U CN205964095U CN 205964095 U CN205964095 U CN 205964095U CN 201620515716 U CN201620515716 U CN 201620515716U CN 205964095 U CN205964095 U CN 205964095U
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hook
closing member
nook closing
sewing needle
interior threading
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高永学
郑鹏飞
张虎
任小军
后晓勤
杨慧峰
包锦科
王明芳
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高永学
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Abstract

The utility model provides a ware is sewed up in high -order ligature of hernical sac under peritoneoscope, includes the sewing needle, the sewing needle comprises mutual slide kit's outer sewing needle and interior threading nook closing member, the one end head of threading nook closing member is for drawing wire hook in should, and draws to be equipped with on the interior threading nook closing member on the wire hook relative direction with this and send wire hook, should send wire hook and draw wire hook to form the hook, and this is to external dimensions and outer sewing needle internal diameter looks adaptation of hook. The utility model relates to an easy operation saves operation time, sews up the safe ware of sewing up.

Description

Laparoscopic hernia capsule high ligation stiching instrument
Technical field
This utility model is related to surgical operating instrument technical field, refers specifically to a kind of laparoscopic hernia capsule high ligation suture Device.
Background technology
The sewing method that high ligation of hernial sac improved by conventional peritoneoscope is to set up pneumoperitoneum by collar extension top in inguinal canal Portion's body surface projection point cuts skin 1mm, and a staight needle is pierced stomach wall to interior collar extension top by interior collar extension top body table projection External lamina of peritoneum moves under water to internal ring bottom in extraperitoneal space inside the side of hernia collar extension is around interior collar extension(Note across semen deposition Pipe and testicular vessel), first suture half cycle or be more than half cycle, needle point punctures peritoneum to abdominal cavity, stitching thread is penetrated pin by pin hole Interior arrival abdominal cavity, stays one end of line into intraperitoneal, then by pin be retracted into subcutaneous not exclusively exit skin, then with pin in abdominal cavity Outer piercing stomach wall to the interior collar extension top peritoneum opposite side outer layer first half that moves under water separates needle point at pin and punctures peritoneum, staying into abdomen One end of intracavity line connects in the pin hole of sewing needle by laparoscopic procedure nipper clamp, and sewing needle exits from former inserting needle, Take stitching thread out of, then the end of a thread of skin external suture line is tightened up tie a knot in subcutaneous.In ligation, collar extension completes to perform the operation.So, existing Some peritoneoscope improvement high ligation of hernial sac methods are limited by the shortcoming that the knot of sewing needle is configured as:
Shortcoming 1, the stitching thread of ligation hernical sac in order to ligature firm require that suture is No. 7 or more, it is difficult to penetrate pin hole, Especially the one end staying abdominal cavity interior lines is connected in the pin hole of sewing needle by laparoscopic procedure nipper clamp, sewing needle is certainly Exit at former inserting needle, take this step of stitching thread out of and invade in abdominal cavity inner recipient liquid etc. wet due to this one end suture, penetrate pin for the first time Hole is that the end of a thread is crude, and this step all completes by operation utensil, and part young doctors appliance operation proficiency is not high, seam Closing in the secondary sewing process of pin that tissue blood bank such as enters at the reason is that this step is more difficult, time consumption and energy consumption.Extend operating time and increasing Plus anesthesia duration.
Shortcoming 2, the increase of operation and anesthesia duration not only increased the risk of operation and anesthesia, has also increased patient's Financial burden.
Shortcoming 3, requires in sewing process to move under water to internal ring bottom in extraperitoneal space around inside interior collar extension, sometimes due to Interior collar extension is inconspicuous by the friction adhesion gap of hernial content, and pin is sharp to be forced through damage across deferent duct and testicular vessel Danger, pin pause and cannot complete suture.
Utility model content
This utility model provides a kind of laparoscopic hernia capsule high ligation stiching instrument, is a kind of simple to operate, saves operation Time, the stiching instrument of suture safety.
For this reason, the technical scheme that this utility model is adopted is:
A kind of laparoscopic hernia capsule high ligation stiching instrument, including sewing needle, described sewing needle is by the mutual suit that slides Outer sewing needle and interior threading nook closing member composition;One end head of this interior threading nook closing member be guy hook, and with this guy hook relative direction On interior threading nook closing member be provided with line sending hook, to hook, this is to the external dimensions of hook and outer suture for this line sending hook and bracing wire hook-forming Pin internal diameter is adapted.
The distance between described line sending hook and guy hook are 0.8-1.5cm.
Described outer suture Aculeata be provided with and its friction tight connecting tube, this connecting tube simultaneously tight fit be sleeved in wear On line nook closing member.
The length sum of the length of described outer sewing needle and connecting tube and the equal length of interior threading nook closing member
The length of described connecting tube is than the distance between described line sending hook and guy hook opposite proximal end long 0.3-0.6cm.
For hollow pipe and it has opening to hook position to described interior threading nook closing member.
This utility model is a kind of simple to operate, saves operating time, the stiching instrument of suture safety.
Brief description
Fig. 1 is structural representation of the present utility model.
Specific embodiment
Below in conjunction with the accompanying drawings this utility model and its effect are further illustrated.
With reference to Fig. 1, a kind of laparoscopic hernia capsule high ligation stiching instrument, including sewing needle, described sewing needle is by mutually sliding The outer sewing needle 1 of dynamic suit and interior threading nook closing member 2 form;One end head of this interior threading nook closing member 2 is guy hook 3, and draws with this Interior threading nook closing member 2 in line hook 3 relative direction is provided with line sending hook 4, and this line sending hook 4 and guy hook 3 form to hook, and this is to hook External dimensions and outer sewing needle 1 internal diameter are adapted.
The distance between described line sending hook 4 and guy hook 3 are 0.8-1.5cm.Because apart from relatively small two to hook When interior threading nook closing member 2 goes out into outer sewing needle internal diameter, the contrary shiny surface of both direction mutually stable can be beneficial to the steady discrepancy to hook Outer sewing needle internal diameter.
Described outer sewing needle 1 afterbody is provided with and its tight fit connection pipe 5, and this connecting tube 5 is in tight fit is sleeved on simultaneously On threading nook closing member 2.Ensure length C of described outer sewing needle 1 and length D of the length A sum of connecting tube 5 and interior threading nook closing member 2 Equal.So that the most advanced and sophisticated rust of outer sewing needle 1, connecting tube 5, interior threading nook closing member 2 whole stiching instrument after connecting as one(I.e. The cusp of outer sewing needle 1 is concordant with the outermost end of guy hook 3 on interior threading nook closing member 2), but whole after removing interior threading nook closing member 2 The most advanced and sophisticated of stiching instrument becomes sharp again(Now the tip of whole stiching instrument is the end of outer sewing needle 1.)
The length A 0.3- less than the distance between described line sending hook 4 and guy hook 3 opposite proximal end B of described connecting tube 5 0.6cm.Ensure that to hook can by stitching thread push abdominal cavity and pull-out when hanging wire smooth.
Described interior threading nook closing member 2 is hollow pipe.Failed to understand by the long-term friction adhesion gap of hernial content when running into interior collar extension Hydraulic pressure can be carried out by hollow interior threading nook closing member 2 tail end saline injection and by opening 6 inflow of its head when aobvious Separate and make gap substantially, suture is safer.
To sum up, this utility model solve first in sewing process require inside in extraperitoneal space around inside interior collar extension Move under water in ring bottom, sometimes due to interior collar extension is subject to, and the friction adhesion gap of hernial content is inconspicuous, pin is sharp be forced through damage across Cross the danger of deferent duct and testicular vessel, pin is blunt and cannot complete to suture.Because interior threading nook closing member 2 tip band of the present utility model Hook and for hollow, when itself and outer sewing needle 1 pass through connecting tube 5 and be connected can be to suture needle point rust, suitable extraperitoneal space is inside Ring bottom move under water gap suture passivity, preferably across the deferent duct of interior collar extension and testicular vessel, needle point will puncture for protection As long as it can be that needle point becomes sharp that peritoneum to abdominal cavity or a property cannot complete threading nook closing member 2 in extraction during suture again,
Secondly, this utility model solves losing time of threading, wears first suture the end of a thread and enters and can remove during abdominal cavity Stitching thread is directly pushed abdominal cavity for one with the line sending hook 4 after interior threading nook closing member 2 by connecting tube 5, and second half sutures in-position Can remove afterwards connecting tube 5 directly by the guy hook 3 of interior threading nook closing member 2 head by one, abdominal cavity in seaming line with operating nipper Hang over and ticked by sewing needle internal diameter on guy hook 3, so greatly save the threading time.When therefore greatly shortening operation and anaesthetizing Between, improve the laparoscopic surgery processing safety of young doctors, the operation also reducing the prolongation of operating time and producing with The potential risk of anesthesia.

Claims (6)

1. a kind of laparoscopic hernia capsule high ligation stiching instrument, including sewing needle it is characterised in that:Described sewing needle is by mutually sliding The outer sewing needle of dynamic suit(1)With interior threading nook closing member(2)Composition;This interior threading nook closing member(2)An end head be guy hook(3), And with this guy hook(3)Interior threading nook closing member in relative direction(2)It is provided with line sending hook(4), this line sending hook(4)And guy hook (3)Formed to hook, this is to the external dimensions of hook and outer sewing needle(1)Internal diameter is adapted.
2. a kind of laparoscopic hernia capsule high ligation stiching instrument according to claim 1 it is characterised in that:Described line sending hook (4)And guy hook(3)The distance between be 0.8-1.5cm.
3. a kind of laparoscopic hernia capsule high ligation stiching instrument according to claim 1 it is characterised in that:Described outer suture Pin(1)Afterbody is provided with and its friction tight connecting tube(5), this connecting tube(5)Tight fit is sleeved on interior threading nook closing member simultaneously(2) On.
4. a kind of laparoscopic hernia capsule high ligation stiching instrument according to claim 3 it is characterised in that:Described outer suture Pin(1)Length(C)And connecting tube(5)Length(A)Sum and interior threading nook closing member(2)Length(D)Equal.
5. a kind of laparoscopic hernia capsule high ligation stiching instrument according to claim 3 it is characterised in that:Described connecting tube (5)Length (A) than described line sending hook(4)And guy hook(3)The long 0.3-0.6cm of the distance between opposite proximal end (B).
6. a kind of laparoscopic hernia capsule high ligation stiching instrument according to claim 1 it is characterised in that:Described interior threading Nook closing member(2)For hollow pipe and it has opening to hook position(6).
CN201620515716.XU 2016-05-31 2016-05-31 Ware is sewed up in high -order ligature of hernical sac under peritoneoscope Active CN205964095U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105919637A (en) * 2016-05-31 2016-09-07 高永学 Stitching instrument for laparoscopic high ligation of hernial sac
CN110944600A (en) * 2017-06-19 2020-03-31 哈珀恩医疗有限公司 Method and apparatus for cardiac surgery

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105919637A (en) * 2016-05-31 2016-09-07 高永学 Stitching instrument for laparoscopic high ligation of hernial sac
CN110944600A (en) * 2017-06-19 2020-03-31 哈珀恩医疗有限公司 Method and apparatus for cardiac surgery
CN110944600B (en) * 2017-06-19 2022-03-29 哈珀恩医疗有限公司 Twisting machine device

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