CN206151513U - A fibrous ring suturing device that after is used for lumbar disc herniation nucleus pulposus wicresoft enucleation - Google Patents
A fibrous ring suturing device that after is used for lumbar disc herniation nucleus pulposus wicresoft enucleation Download PDFInfo
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- CN206151513U CN206151513U CN201620806282.9U CN201620806282U CN206151513U CN 206151513 U CN206151513 U CN 206151513U CN 201620806282 U CN201620806282 U CN 201620806282U CN 206151513 U CN206151513 U CN 206151513U
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- guide pin
- suture
- enucleation
- attachment means
- nucleus pulposus
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Abstract
The utility model discloses a fibrous ring suturing device that after is used for lumbar disc herniation nucleus pulposus wicresoft enucleation, including seam needle body and suture, the seam needle body include guide pin silk and guide pin sleeve, guide pin cover barrel casing locate on the guide pin silk to stop device by on the guide pin silk is spacing, the suture pass through suture connecting device with the guide pin silk even for whole. The utility model is simple and reasonable in structure, minimal access surgery's wound closure process can be applied to in easily operation, can sew up to the surface of fracture of different shapes, kong jing whole operation is at visual within range down in coordination, process safety is controllable, has overcome under the present kongjing after the nucleus pulposus enucleation problem that the fibrous ring was sewed up process complicacy, length consuming time, inefficiency, expense height and was produced secondary damage easily.
Description
Technical field
The invention belongs to technical field of medical instruments, is related to treat the instrument of protrusion of lumber intervertebral disc, and in particular to Yi Zhongyong
Fibrous ring stitching devices after the minimally invasive enucleation of protrusion of lumber intervertebral disc nucleus pulposus.
Background technology
Since simple vertebral lamina fenestration resection of nucleus pulposus is clinically carried out, the pain of countless patients has been alleviated, but its hand
The later higher secondary recurrence rate of art still brings larger pain to patient, while the scar healing of a Post operation fibrous ring
Also very big challenge is brought to Retreatment.It is now recognized that row suture is fixed after fiber loop slit, either to the biology of centrum
Mechanics is stable and prevention of postoperative secondary recurrence has and clearly acts on.But interverbebral disc suture is extremely difficult, and its is main
Reason is that fibrous ring is located at deeper position after simple decompression by fenestration, the use of existing circle curved suture needle is to have no idea to complete seam
Closing operation, meanwhile, nerve root rear is respectively positioned on where general fibrous ring opening, inappropriate using method easilys lead to
The damage of nerve root and dura mater.
With the requirement of the progress and people of medical technology to operation recovery from illness speed, the minimally invasive hand of increasing patient requests
Art is treated, and Minimally Invasive Surgery refers to a kind of new technology performed a surgical operation in human body by endoscopes such as laparoscope, thoracoscopes, minimally invasive
The superiority that operation is little with wound, pain is light, recovery is fast, at utmost shows a patient every consideration, and mitigates the pain of patient.But for
Protrusion of lumber intervertebral disc Nuclectomy is performed the operation, because the position particularity of focus, if the design of operation instrument is unreasonable, it is easy to right
The nerve fiber of surrounding causes secondary injury, affects the recovery from illness of patient；Additionally, for Nuclectomy Minimally Invasive Surgery, with opening
Operation compare, main problem is that service aisle is fixed, working space is narrow and small, special apparatus is needed during operation, entirely
Sewing process need to be carried out in vivo, and because fiber ring position is deeper, narrow space looks for the end of a thread operational difficulties, and time-consuming longer,
Prolonged operation rapid wear hurts dura mater and nerve root, and operation risk is improve for patient, is unfavorable for the smooth of operation
Carry out.The medicine equipment of fibrous ring suture, has the disadvantages that under aperture mirror in the market：(1) it is costly；(2) operate
It is inconvenient；(3) for incisxal edge is irregular, incisxal edge otch in larger distance cannot be repaired well, it is therefore desirable to such
Apparatus is improved.
The content of the invention
Goal of the invention：Present invention aim at for suturing present in Nuclectomy minimal invasive surgical procedures in prior art
Difficulty is big, suture the problems such as time-consuming and sutures costly, there is provided a kind of easy to operate, and to patient secondary injury is not caused
For the fibrous ring stitching devices after the minimally invasive enucleation of protrusion of lumber intervertebral disc nucleus pulposus.
Technical scheme：Fibrous ring suture dress after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus of the present invention
Put, including suture needle body and suture, including guide pin silk and guide pin sleeve, described guide pin sleeve is sheathed on described described suture needle body
It is on guide pin silk and spacing by the stopping means on guide pin silk；Described suture is by suture attachment means and described guide pin silk
It is linked as entirety.
Further, described guide pin silk includes shank and pinhock, relative with guide pin sleeve for ease of fixation guide pin silk
Position, is easy to operator to operate, and described shank and the junction of pinhock is provided with one week sleeve limit body, described guide pin sleeve
Lower end be set to sharp body, described guide pin sleeve is led by the sleeve limit body with the relative position of the guide pin silk with described
The sharp body of needle sleeve lower end is limited.
Further, to meet body mechanics's design, prevent from occurring sharp part in structure that secondary wound is caused to human body
Evil, described sleeve limit body is the arcuate structure around the guide pin silk protuberance of a week.
Further, for ease of the combination of suture attachment means and pinhock with separate, described suture attachment means are cone
The sleeve of shape, is provided with the mating cavity being connected with the pinhock at its opening, be provided with and the suture at the bill of described pinhock
The card-bit part that attachment means coordinate, described suture attachment means are set on described card-bit part, both relative positions fixed
Put, described suture is fixed on the cone tip part of the suture attachment means, using the outside crack wire-connecting device of surgical needle holder,
Suture attachment means band line can be extracted, wherein card-bit part is the arcuate structure around the bill protuberance of a week.
Further, it is the requirement that meets Minimally Invasive Surgery, the total height of described guide pin silk is 220～300mm；Wherein,
The cylindrical structure of described shank, is highly 180～270mm, and described pinhock total height is 30～40mm, described suture
Attachment means total height is 2.5～3mm, and the total height of the guide pin sleeve is 200～260mm.
Further, it is the requirement that meets Minimally Invasive Surgery, the internal diameter of the shank is 0.8～1.5mm, the guide pin sleeve
External diameter be 2～3mm, described sleeve limit body the widest part is 1～2mm；The widest part of card-bit part is 0.5～1mm.
Further, described suture and suture attachment means are Split type structure, and described suture needle body is connected dress with suture
Put cooperation to be used alone.
Further, for ease of the suture of wound, suture time is reduced, improves suture efficiency, the suture attachment means
Two use cooperatively for one group, and two suture attachment means are separately fixed at the two ends of same suture.
Further, described suture is integrated with suture attachment means, the relative position in operative process
Fixation is put, relative slip does not occur.
Further, it is to save operation cost, reduction of patient economic pressures, described guide pin silk and guide pin sleeve is multiple
Recycling device.
Beneficial effect：(1) present configuration is simple, reasonable, it is easy to operates, can be applicable to the wound suture mistake of Minimally Invasive Surgery
Journey, can be irregular for incisxal edge, and incisxal edge is in larger distance etc., and failure mechanics of different shapes are sutured, whole under the collaboration of aperture mirror
In visual range, process safety is controllable, overcomes existing Nuclectomy Minimally Invasive Surgery sewing process complicated, time-consuming for individual operation
Long, efficiency is low and the easy problem for producing secondary injury；(2) present invention in by design guide pin sleeve, on the one hand can in case
Only there is bending deformation during human body is stretched in guide pin silk, affect operation progress；On the other hand its rugosity is easy to operation
Person holds, it is to avoid because guide pin silk is meticulous cannot hold the operational error of generation；(3) using this device to minimally invasive fiber circumferential weld
During conjunction, hand-held fixation guide pin silk is only needed after the completion of threading a needle, so can further create in narrow and small Minimally Invasive Surgery compared with
Big operating space, can improve the success rate and efficiency of operation, only need to fill suture connection using needle holder after end of threading a needle
Put and pull out from pinhock and propose, remove from it is loaded down with trivial details, difficult look for the end of a thread process, greatly reduce suture time；(4) in this device only
There are the relatively low suture attachment means of price to be single use consumptive material, expensive suture needle body can be used for multiple times, effectively drop
The medical expense of low patient；(5) compared with existing device, using the present invention can control suture soft tissue Edge Distance and
The depth of suture；The space between soft tissue can also be overcome simultaneously；(6) this apparatus structure rationally, meets ergonomic designs,
Operating error is little, and success rate of operation is high.
Description of the drawings
Fig. 1 is the structural representation of suture needle body of the present invention；
Fig. 2 is the structural representation of guide pin sleeve of the present invention；
Fig. 3 is the split schematic diagram of pinhock of the present invention and suture attachment means；
Fig. 4 is the cooperation schematic diagram of pinhock of the present invention and suture needle attachment means；
Fig. 5 is the structural representation that the present invention two is one group of suture attachment means for using cooperatively；
Wherein：1st, guide pin silk, 2, guide pin sleeve, 3, shank, 4, pinhock, 5, sleeve limit body, 6, sharp body, 7, suture, 8,
Suture attachment means.
Specific embodiment
Technical solution of the present invention is described in detail below by accompanying drawing, but protection scope of the present invention is not limited to
The embodiment.
Embodiment：Filling for the fibrous ring suture after the minimally invasive enucleation of protrusion of lumber intervertebral disc nucleus pulposus as shown in Fig. 1～5
Put, including suture needle body and suture, including guide pin silk 1 and guide pin sleeve 2, described guide pin sleeve 2 is sheathed on described suture needle body
On the guide pin silk 1；Described guide pin silk 1 includes shank 3 and pinhock 4, and described shank 3 and the junction of pinhock 4 is provided with one
All sleeve limit bodies 5, described sleeve limit body is the arcuate structure around the guide pin silk protuberance of a week, described guide pin set
The lower end of cylinder 2 is set to sharp body 6, and described guide pin sleeve 2 passes through the sleeve limit body 5 with the relative position of the guide pin silk 1
Limit with the sharp body 6 of the guide pin sleeve lower end, wherein shank 3, pinhock 4 and the integrated molding structure of sleeve limit body 5；
Described suture 7 is linked as entirety, wherein suture 7 and suture attachment means 8 by suture attachment means 8 and described guide pin silk 1
It is integrated, relative position is fixed in operative process, relative slip does not occur；Described suture attachment means 8
For the sleeve of taper, be provided with the mating cavity being connected with the pinhock at its opening, be provided with the bill of described pinhock with it is described
The card-bit part that suture attachment means coordinate, described suture attachment means are set on described card-bit part, both phases fixed
To position, wherein card-bit part is the arcuate structure around the bill protuberance of a week, and described suture 7 is fixed on the suture and connects
The cone tip part of connection device 8, when using the outside crack wire-connecting device of surgical needle holder, can extract on suture attachment means band line.
To meet the requirement of Minimally Invasive Surgery, the total height of described guide pin silk is 250mm；Wherein, described shank is in circle
Column structure, is highly 216mm, and described pinhock total height is 34mm, and described suture attachment means total height is 3mm, institute
The total height for stating guide pin sleeve is 210mm.
The internal diameter of the shank 3 is 1mm, and the external diameter of the guide pin sleeve 2 is 2mm, described the widest part of sleeve limit body 5
For 1.5mm；The widest part of card-bit part is 0.5mm.
In the present embodiment, suture two ends connecting sewing wire-connecting device, and A, B two ends are divided into, form the suture with line and connect
The structure of connection device complex, suture can according to specific needs be set to different length, and practical this structure implements the operation of suture
Process is specific as follows：
(1) by A ends, the suture attachment means with line are socketed on pinhock, and guide pin sleeve is socketed on guide pin silk, directly
There is no relative displacement to both are shifted onto, the top of operator hand-held guide pin silk and guide pin sleeve simultaneously, and stretch into people in pinhock
It is lower all the time during body to derive needle sleeve, make both that relative displacement not occur, treat that the suture attachment means with line are passed through with pinhock
Through the fibrous ring side cut after fibrous ring, guide pin sleeve is taken out from human body, the position of hand-held fixation guide pin silk is simultaneously adopted
With needle holder, by A ends, the suture attachment means with line are pulled out and proposed to visual range from pinhock；
(2) just guide pin silk takes out from human body, and by B ends, the suture attachment means with line are socketed on pinhock, and by guide pin
Sleeve is socketed on guide pin silk, until shifting both onto does not occur relative displacement, operator is while hand-held guide pin silk and guide pin sleeve
Top, and it is lower all the time when pinhock stretches into human body derive needle sleeve, make both that relative displacement not occur, treat that the suture with line connects
Connection device is passed through after fibrous ring through the opposite side of the fibrous ring for having cut with pinhock, and guide pin sleeve is taken out from human body,
The position of the hand-held fixation guide pin silk and suture attachment means with line by B ends are pulled out and proposed to can from pinhock using needle holder
Depending on scope；
(3) two ends of suture are knotted and cuts redundance, and suture is finished.
Operation stitching is implemented using the structure in the present embodiment, the step of first look for suture the end of a thread and knot again is eliminated, it is existing
Look for the end of a thread process typically time-consuming longer in technology, there is larger harm to patient, be also unfavorable for that what is performed the operation is smoothed out, this knot
Structure only needs to by needle holder the suture attachment means with line be pulled out and proposed to visual range, and surrounding time is very short, accurate
Exactness is high, irregular for incisxal edge, and incisxal edge otch in larger distance has preferable sewing effect；The consumptive material of this device is
The relatively low suture attachment means of disposable price, because its price is relatively low, can be greatly reduced surgery cost, reduce
The financial burden of patient.
As described above, although the present invention has been represented and described with reference to specific preferred embodiment, it must not be explained
It is to the restriction of itself of the invention.Under the premise of the spirit and scope of the present invention defined without departing from claims, can be right
In the form and details various changes can be made for it.
Claims (10)
1. the fibrous ring stitching devices being used for after the minimally invasive enucleation of protrusion of lumber intervertebral disc nucleus pulposus, including suture needle body and suture, it is special
Levy and be：Described suture needle body includes guide pin silk and guide pin sleeve, and described guide pin sleeve is sheathed on the guide pin silk, and by
Stopping means on guide pin silk is spacing；Described suture is linked as entirety by suture attachment means with described guide pin silk.
2. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 1, its
It is characterised by：Described guide pin silk includes shank and pinhock, and it is spacing that described shank and the junction of pinhock is provided with one week sleeve
Body, the lower end of described guide pin sleeve is set to sharp body, and described guide pin sleeve passes through described with the relative position of the guide pin silk
Sleeve limit body is limited with the sharp body of the guide pin sleeve lower end.
3. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 2, its
It is characterised by：Described sleeve limit body is the arcuate structure around the guide pin silk protuberance of a week.
4. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 2, its
It is characterised by：Described suture attachment means are the sleeve of taper, and the mating cavity being connected with the pinhock, institute are provided with its opening
The card-bit part coordinated with the suture attachment means is provided with the bill of the pinhock stated, described suture attachment means are set in institute
On the card-bit part stated, both relative positions fixed, described suture is fixed on the cone tip part of the suture attachment means.
5. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 4, its
It is characterised by：The total height of described guide pin silk is 220～300mm；Wherein, the cylindrical structure of described shank, be highly
180～270mm, described pinhock total height is 30～40mm, and described suture attachment means total height is 2.5～3mm, described
The total height of guide pin sleeve is 200～260mm.
6. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 5, its
It is characterised by：The internal diameter of the shank is 0.8～1.5mm, and the external diameter of the guide pin sleeve is 2～3mm, and described sleeve is spacing
Body the widest part is 1～2mm；The widest part of card-bit part is 0.5～1mm.
7. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 1, its
It is characterised by：Described suture is Split type structure with suture attachment means, and described suture needle body coordinates single with suture attachment means
Solely use.
8. according to any one of claim 1～7 for the fiber circumferential weld after the minimally invasive enucleation of protrusion of lumber intervertebral disc nucleus pulposus
Attach together and put, it is characterised in that：The suture attachment means two are used cooperatively for one group, and two suture attachment means are fixed respectively
At the two ends of same suture.
9. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 8, its
It is characterised by：Described suture is integrated with suture attachment means, and relative position is fixed in operative process, no
There is relative slip.
10. fibrous ring stitching devices after the minimally invasive enucleation for protrusion of lumber intervertebral disc nucleus pulposus according to claim 1, its
It is characterised by：Described guide pin silk and guide pin sleeve is recycling device.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620806282.9U CN206151513U (en) | 2016-07-28 | 2016-07-28 | A fibrous ring suturing device that after is used for lumbar disc herniation nucleus pulposus wicresoft enucleation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620806282.9U CN206151513U (en) | 2016-07-28 | 2016-07-28 | A fibrous ring suturing device that after is used for lumbar disc herniation nucleus pulposus wicresoft enucleation |
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| Publication Number | Publication Date |
|---|---|
| CN206151513U true CN206151513U (en) | 2017-05-10 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201620806282.9U Expired - Fee Related CN206151513U (en) | 2016-07-28 | 2016-07-28 | A fibrous ring suturing device that after is used for lumbar disc herniation nucleus pulposus wicresoft enucleation |
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| CN (1) | CN206151513U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106063714A (en) * | 2016-07-28 | 2016-11-02 | 南京医科大学第附属医院 | Fibrous ring stitching devices after prolapse of lumbar intervertebral disc vertebral pulp Wicresoft enucleation |
-
2016
- 2016-07-28 CN CN201620806282.9U patent/CN206151513U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106063714A (en) * | 2016-07-28 | 2016-11-02 | 南京医科大学第附属医院 | Fibrous ring stitching devices after prolapse of lumbar intervertebral disc vertebral pulp Wicresoft enucleation |
| CN106063714B (en) * | 2016-07-28 | 2018-05-11 | 南京医科大学第一附属医院 | For the fibrous ring stitching devices after the minimally invasive enucleation of protrusion of lumber intervertebral disc nucleus pulposus |
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| Date | Code | Title | Description |
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| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20170510 Termination date: 20190728 |