CN206228381U - Scope aciculiform stitching unstrument - Google Patents
Scope aciculiform stitching unstrument Download PDFInfo
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- CN206228381U CN206228381U CN201620883149.3U CN201620883149U CN206228381U CN 206228381 U CN206228381 U CN 206228381U CN 201620883149 U CN201620883149 U CN 201620883149U CN 206228381 U CN206228381 U CN 206228381U
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- suture
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- needle tubing
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Abstract
The utility model discloses a kind of scope aciculiform stitching unstrument, mainly including needle tubing, suture stake, pusher and line hook；Crack breach is provided with the arc-shaped bend structure of needle tubing front end；The anterior absorbable suture for being placed with the first suture stake, the second suture stake and connection and can pulling the first suture stake and the second suture stake in needle tubing, there is the suture knots and coil outside the first suture stake and the second suture stake on absorbable suture；Pusher is can be movably forward and backward located at ejector sleeve in the cavity at the suture stake rear portion in needle tubing, outside the crack breach that the first suture stake, the second suture stake and suture knots can successively be released needle tubing front end by pusher in reach；Line hook can movably forward and backward be located at pusher in and be hooked together with coil, and can also when pusher is pushed away forward after move tighten up suture knots and can forward remove pusher after release coil.Scope aciculiform stitching unstrument simple structure of the present utility model, practicality, it is simple and quick, size alimentary canal defect can be sutured.
Description
Technical field
The utility model is related to medical instruments field, more particularly to a kind of scope aciculiform stitching unstrument.
Background technology
Growing with endoscopic technic, scope minimal invasive techniques can safely and effectively cut off some Alimentary tract diseases,
Such as early stage tumor in digestive tract, GISTs etc..Relative to surgical operation, scope minimal invasive techniques wound is small and simple and fast,
However, there is also certain limitation, for example, the shank of soft scope is soft and the biopsy duct of long and scope is thin, in certain journey
On degree, this causes the dynamics of endoscopic technic, angle and limited by endoscopic accessory that biopsy duct enters gastrointestinal cavity.Therefore,
Endoscopic technic is less than the direct bimanualness of surgical doctor or the rigid accessory operation of laparoscope galianconism in surgical procedures
Flexibility and controllability.There is the treatment of some complication and disease during therapeutic endoscopy in these limitation
It is difficult.
Alimentary canal defect, especially Alimentary Tract Perforation, are the problems being relatively commonly encountered during therapeutic endoscopy.At present, under scope
The mode for the treatment of has titanium folder folder to close suture, nylon rope and titanium folder purse string suture, and external some stitching devices reported.First two
It is domestic most common method, has some limitations.Due to the limited angle that titanium folder opens, for big perforation, it is impossible to
It is effectively closed.In addition, the Delayed onset of perforated edge mucous hyperemia swelling is perforated, titanium clamp closes the perforation surface of a wound and there is also difficulty.Buddhist nun
Imperial knot closes the purse string suture of titanium folder, can repair the perforation of large-size, but, flexibility is not good enough.Some are more accurate than higher-end
Stitching unstrument, such as Over-The-Scope-Clip system (OTSC), these are the products of external invention, and expense is held high
It is expensive, and using above there is also limitation, such as, and big perforation suture, it may be necessary to which multiple OTSC devices could be repaired, in expense
Greatly increase.It is emphasized that " the needlework suture " of surgery, there is its advantage for suturing Wound Defect, such as it is, not big by the surface of a wound
Small limitation.Therefore, the design concept of " needlework suture " is worth using for reference.
At present, China is not similar to the endoscopic suture device of surgery " needlework suture ", and existing suture instruments and method
Having some limitations property, there is further perfect space.
Utility model content
The purpose of this utility model is to provide a kind of scope aciculiform stitching unstrument, and simple structure, practicality are simple and quick,
Size alimentary canal defect can be sutured.
To achieve the above object, the utility model provides a kind of scope aciculiform stitching unstrument, including outer tube, needle tubing, suture
Stake, pusher, line hook and handle；The outer tube is sleeved on the periphery of needle tubing；The front end of the needle tubing is provided with arc-shaped bend knot
Structure, the end of arc-shaped bend structure is tip, and crack breach is provided with arc-shaped bend structure；It is anterior in the needle tubing to place seamed
Stake is closed, suture stake includes the first suture stake, the second suture stake and connection and can pull the first suture stake with the second suture stake
Absorbable suture, there is the suture knots and coil outside the first suture stake and the second suture stake on absorbable suture；
The pusher is can be movably forward and backward located at ejector sleeve in the cavity at the suture stake rear portion in needle tubing, and pusher in reach
When can by first suture stake, second suture stake and suture knots release successively outside the crack breach of needle tubing front end；The line hook energy
It is enough to be located in pusher movably forward and backward and hooked together with coil, and line hook can when pusher is preceding pushed away after move and tighten up suture knots
And can forward remove pusher after release coil；The handle is located at the rear end of needle tubing, handle connection pusher and line
The rear end of hook.
Used as further improvement of the utility model, the first suture stake and the second suture stake are placed on needle tubing before and after
Interior, the suture is nested in the first suture stake and the second suture stake, and the suture knots are Slipped Clove Hitch formula suture knots or are placed on
Leather sleeve type suture knots on suture, the coil is the end section of suture, and the coil is located at the rear side of suture knots.
Used as further improvement of the utility model, the outer tube is medical plastic expects pipe.
Compared with prior art, scope aciculiform stitching unstrument of the present utility model has the beneficial effect that：
(1) scope aciculiform stitching unstrument is by outer tube, needle tubing, the first suture stake, the second suture stake, absorbable suture, seam
Close this several part of knot (leather sleeve type suture knots or Slipped Clove Hitch formula suture knots), pusher, line hook and handle to constitute, so that structure is simple
It is single, practical.
(2) design concept of surgery " needlework suture " has been used for reference, by aciculiform stitching unstrument, digestion can have been sutured under scope
Road defect, fistula mouthful and benign ulcer face etc., will not be limited by surface of a wound size, and this provides very big side for Endoscopic Treatment
Help.
(3) according to situations such as the position perforated, different types of suture stake and suture way can be selected, so that the side of operation
Formula is simple and efficient.
By following description and with reference to accompanying drawing, the utility model will become more fully apparent, and these accompanying drawings are used to explain this
The embodiment of utility model.
Brief description of the drawings
Fig. 1 is the monnolithic case schematic diagram of scope aciculiform stitching unstrument.
Fig. 2 is the anterior fractionation of scope aciculiform stitching unstrument and cut-away illustration.
Fig. 3 is the anterior schematic diagram one of needle tubing.
Fig. 4 is the anterior schematic diagram two of needle tubing.
Fig. 5 is the anterior cut-away illustration of scope aciculiform stitching unstrument.
Fig. 6 is the schematic diagram (explanation for suturing stake one：Leather sleeve type suture knots.After it has been gathered, suture knots leather sheath is located at two
Suture stake side).
Fig. 7 is the schematic diagram (explanation for suturing stake two：Slipped Clove Hitch formula suture knots.After it has been gathered, Slipped Clove Hitch is located at two suture stakes
Between).
Fig. 8 is the schematic diagram (explanation for suturing stake three：Leather sleeve type suture knots.After it has been gathered, suture knots leather sheath is located at two
Between suture stake).
Fig. 9 is the schematic diagram one of suture way one.
Figure 10 is the schematic diagram two of suture way one.
Figure 11 is the schematic diagram three of suture way one.
Figure 12 is the schematic diagram four of suture way one.
Figure 13 is the schematic diagram five of suture way one.
Figure 14 is the schematic diagram six of suture way one.
Figure 15 is the schematic diagram one of suture way two.
Figure 16 is the schematic diagram two of suture way two.
Figure 17 is the schematic diagram three of suture way two.
Figure 18 is the schematic diagram four of suture way two.
Figure 19 is the schematic diagram five of suture way two.
Figure 20 is the schematic diagram six of suture way two.
Figure 21 is the schematic diagram one of suture way three.
Figure 22 is the schematic diagram two of suture way three.
Figure 23 is the schematic diagram three of suture way three.
Figure 24 is the schematic diagram four of suture way three.
Figure 25 is the schematic diagram five of suture way three.
Figure 26 is the schematic diagram six of suture way three.
Specific embodiment
With reference now to Description of Drawings embodiment of the present utility model, the element numbers being similar in accompanying drawing represent similar unit
Part.
Embodiment one
Fig. 1 is refer to, the present embodiment is suture stake one, and described scope aciculiform stitching unstrument includes needle tubing 1, the needle tubing
1 front end is provided with arc-shaped bend structure 11, is sutured through mucous membrane to help syringe needle.The end of the arc-shaped bend structure 11 is point
End, to help to puncture.Crack breach 12 is provided with the arc-shaped bend structure 11.Front portion is placed with suture in the needle tubing 1
Stake, the suture stake includes the first suture stake 3, second suture stake 4 and absorbable suture 5.The first suture stake 3, the
Two suture stakes 4 are played and block perforation both sides mucous membrane, and effectively folder closes the effect of the surface of a wound.The first suture stake 3 and second suture stake 4
In in tandem in needle tubing 1.The absorbable suture 5 is connected with the first suture stake 3 with the second suture stake 4, described to inhale
Receipts suture 5 plays a part of the suture suture stake 4 of stake 3 and second of drawing perforation both sides first to be drawn close and presss from both sides and close perforation.It is described can
Absorbable suture line 5 has the coil 51 being located at outside the first suture suture stake 4 of stake 3 and second, and the coil 51 is located at the second seam
Close the rear side of stake 4.Leather sleeve type suture knots 6, leather sleeve type suture knots 6 are also cased with the absorbable suture 5 of the front side of the coil 51
Actual is exactly that a leather sheath is cased with absorbable suture 5, by pushing away leather sheath, can tighten up absorbable suture 5, possesses seam
Close the effect of knot.The leather sleeve type suture knots 6 play a part of to fix the first suture stake the 3, second suture stake 4 so that the first seam
The suture stake 4 of stake 3, second is closed to be difficult to unclamp.The leather sleeve type suture knots 6 suture stake 3 and second with absorbable suture 5, first
Suture stake 4 is placed into needle tubing 1 anterior by crack breach 12 together.
Rear portion is provided with pusher in the needle tubing 1, and the pusher is the cavity at the suture stake rear portion being located in needle tubing 1
Interior ejector sleeve 21, the rear end of ejector sleeve 21 is connected with handle 23 in the cavity, and ejector sleeve 21 is located in needle tubing 1 and leads in the cavity
Crossing operation handle 23 can move forward and backward in needle tubing 1, and ejector sleeve 21 can suture stake 3, the in reach by first in cavity
Two suture stakes 4 and leather sleeve type suture knots 6 are released outside the crack breach 12 of the front end of needle tubing 1 successively, and the outer rear portion of the needle tubing 1 is cased with outer
Sleeve pipe 22, outer tube 22 is medical plastic expects pipe, and handle 23 is located at the rear end of needle tubing 1, facilitates the operation of handle 23.
The line hook 7 that can be moved forward and backward through operation is provided with the cavity in ejector sleeve 21, the rear end of line hook connects handle 23,
The line hook 7 plays a part of to catch on the coil 51 of absorbable suture 5 and is hidden in cavity in ejector sleeve 21, can pull suction
Receive suture 5.Online hook 7 catches on coil 51 and draws in cavity in ejector sleeve 21 and when pulling back, and ejector sleeve 21 can be in pin in cavity
The leather sleeve type suture knots 6 being enclosed within absorbable suture 5 are moved forward and released in pipe 1, so as to tighten up leather sleeve type suture knots 6.
After leather sleeve type suture knots 6 are tightened up, releasable coil 51 when the line hook 7 is removed from cavity in ejector sleeve 21 again.
Embodiment two
Fig. 1 is refer to, the present embodiment is suture stake two, and the present embodiment is differed only in above-described embodiment one：Institute
Absorbable suture 5 is stated with Slipped Clove Hitch formula suture knots 52, Slipped Clove Hitch formula suture knots 52 are located at the first suture suture stake 4 of stake 3 and second
Centre, Slipped Clove Hitch formula suture knots 52 instead of the leather sleeve type suture knots 6 in embodiment one, Slipped Clove Hitch formula suture knots 52 and absorbable seam
The suture suture stake 4 of stake 3 and second of zygonema 5, first is placed into needle tubing 1 by crack breach 12 together.
Embodiment three
Fig. 1 is refer to, the present embodiment is suture stake three, and the present embodiment is differed only in above-described embodiment one：Skin
Shell type suture knots 6 are located at the centre that the first suture stake 3 and second sutures stake 4.
Stitching step is as follows：
First, the first suture suture stake 4 of stake 3, second with absorbable suture 5 is placed into needle tubing 1, by coil
After 51 are caught on line hook 7, towards cavity in bracing wire circle 51 in ejector sleeve 21, untill coil 51 is drawn in cavity in ejector sleeve 21.Install
Afterwards, sutured by step.According to situations such as the position perforated, operatively easy is principle, can be from following three kinds of sides
A kind of mode is selected in formula puncture mucous membrane and place first suturing the suture stake 4 of stake 3 and second.
As a example by suturing the mucomembranous defect surface of a wound, first way, such as Fig. 9-Figure 14, what this kind of mode was used is " suture stake
No. one " (such as Fig. 6).
Step 1.1 (Fig. 9)：Mucous membrane 100 of the front end of needle tubing 1 through side at defect；
Step 1.2 (Figure 10)：At through defect after side mucous membrane 100, scope head end bends to aid in the front end of needle tubing 1 curved
Then song, is close to the mucous membrane 200 of opposite side at defect, through mucous membrane 200 to provoke this side mucous membrane 100；
Step 1.3 (Figure 11)：Sky is sent forward through after the mucous membrane 100 and mucous membrane 200 of both sides at defect in the front end of needle tubing 1
Ejector sleeve 21 in chamber, the first suture stake 3 is released, and the first suture stake 3 is retained in outside side mucous membrane 200；
Step 1.4 (Figure 12)：After placing the first suture stake 3, mucous membrane 100 is exited in the progressively withdraw of the needle, the front end of needle tubing 1 completely
Afterwards, ejector sleeve 21 in cavity are sent forward again, the second suture stake 4 is released, be retained in outside the mucous membrane 100 of opposite side at defect；
Step 1.5 (Figure 13)：After the first suture suture stake 4 of stake 3 and second is placed, line hook 7 reels coil 51, while
Ejector sleeve 21 in cavity are sent forward, leather sleeve type suture knots 6 are pushed out, stitched with the first suture stake 3 and second for locking defect both sides
Close stake 4；
Step 1.6 (Figure 14)：With leather sleeve type suture knots 6 lock first suture stake 3 and second suture stake 4 after, line hook 7 from
Released in ejector sleeve 21 in cavity, with release coil 51.Suture is finished.
The second way, such as Figure 15-Figure 20, what this kind of mode was used is " suture stake two " (such as Fig. 7) or " suture stake three
Number " (such as Fig. 8), most of same first way of step, difference is that the front end of needle tubing 1 passes through both sides mucous membrane at defect
100th, 200 direction and angle；Meanwhile, mode is different, and selection suture pile installation is different.
Step 2.1 (Figure 15)：The submucosa of the mucous membrane 200 of side, mucous membrane is passed by the front end of needle tubing 1 from defect
200 surfaces；
Step 2.2 (Figure 16)：After passing the surface of mucous membrane 200, ejector sleeve 21 in cavity are sent forward, the first suture stake 3 is released
Come, the first suture stake 3 is retained in outside the mucous membrane 200 of side at defect；
Step 2.3 (Figure 17)：After placing the first suture stake 3, mucous membrane 200 is exited in the progressively withdraw of the needle, the front end of needle tubing 1 completely
Afterwards, from the submucosa of the mucous membrane 100 of opposite side at the defect, the front end of needle tubing 1 is passed into the surface of mucous membrane 100；
Step 2.4 (Figure 18)：After passing the surface of mucous membrane 100, ejector sleeve 21 in cavity are sent forward, the second suture stake 4 is released
Come, the second suture stake 4 is retained in outside mucous membrane 100.After placing the first suture suture stake 4 of stake 3 and second of both sides at defect,
The progressively withdraw of the needle, the front end of needle tubing 1 is exited completely；
Step 2.5 (Figure 19)：After the first suture suture stake 4 of stake 3 and second of both sides is placed at defect, line hook 7 is received
Bracing wire circle 51, while sending ejector sleeve 21 in cavity forward, Slipped Clove Hitch formula suture knots 52 or leather sleeve type suture knots 6 is pushed out, to lock
The first suture suture stake 4 of stake 3 and second of both sides at damage in short supply；
Step 2.6 (Figure 20)：First is locked with Slipped Clove Hitch formula suture knots 52 or leather sheath suture knots 6 suture the seam of stake 3 and second
After closing stake 4, line hook 7 is released from cavity in ejector sleeve 21, with release coil 51.Suture is finished.
The third mode, such as Figure 21-Figure 26, what this kind of mode was used is suture stake two (such as Fig. 7) or suture stake three
(such as Fig. 8).
Step 3.1 (Figure 21-22)：From the mucomembranous surface of the mucous membrane 200 of defect side, the front end of needle tubing 1 is penetrated into mucous membrane
200, then, still passed from the surface of mucous membrane 200.After passing the surface of mucous membrane 200, ejector sleeve 21 in cavity are sent forward, by the first seam
Close stake 3 to release, the first suture stake 3 is retained in outside mucous membrane 200；
Step 3.2 (Figure 23-24)：After placing the first suture stake 3, mucous membrane 200 is exited in the front end of needle tubing 1 completely.After exiting,
The mucomembranous surface of the mucous membrane 100 of the opposite side from defect, mucous membrane 100 is penetrated by the front end of needle tubing 1, then, from the mucous membrane 100
Surface passes.After passing the surface of mucous membrane 100, ejector sleeve 21 in cavity are sent forward, the second suture stake 4 is released, by the second suture
Stake 4 is retained in outside mucous membrane 100.After placing the second suture stake 4, the progressively withdraw of the needle, the front end of needle tubing 1 is exited completely；
Step 3.3 (Figure 25)：After the first suture suture stake 4 of stake 3 and second of both sides is placed at defect, line hook 7 is received
Bracing wire circle 51, while sending ejector sleeve 21 in cavity forward, leather sleeve type suture knots 6 is pushed out, to lock first of both sides at defect
The suture suture stake 4 of stake 3 and second；
Step 3.4 (Figure 26)：With leather sleeve type suture knots 6 lock first suture stake 3 and second suture stake 4 after, line hook 7 from
Released in ejector sleeve 21 in cavity, with release coil 51.Suture is finished.
The utility model is described above in association with most preferred embodiment, but the utility model is not limited to the above and takes off
The embodiment shown, and various modification, the equivalent combinations carried out according to essence of the present utility model should be covered.
Claims (3)
1. a kind of scope aciculiform stitching unstrument, it is characterised in that including：Outer tube, needle tubing, suture stake, pusher, line hook and hand
Handle；The outer tube is sleeved on the periphery of needle tubing；The front end of the needle tubing is provided with arc-shaped bend structure, the end of arc-shaped bend structure
It is tip to hold, and crack breach is provided with arc-shaped bend structure；Front portion is placed with suture stake in the needle tubing, and suture stake includes first
Suture stake, second suture stake and connection and can pull the absorbable suture of the first suture stake and the second suture stake, can inhale
Receive the suture knots and coil having on suture outside the first suture stake and the second suture stake；The pusher is can be front and rear
Movably be located at ejector sleeve in the cavity at the suture stake rear portion in needle tubing, and pusher in reach can by first suture stake,
Second suture stake and suture knots are released outside the crack breach of needle tubing front end successively；The line hook can movably forward and backward be located at and push
Hook together in device and with coil, and line hook can when pusher is pushed away forward after move and tighten up suture knots and can remove forward
Release coil after pusher；The handle is located at the rear end of the rear end of needle tubing, handle connection pusher and line hook.
2. scope aciculiform stitching unstrument as claimed in claim 1, it is characterised in that：The first suture stake and the second suture stake are in
Front and rear to be placed in needle tubing, the suture is nested in the first suture stake and the second suture stake, and the suture knots are Slipped Clove Hitch formulas
Suture knots or the leather sleeve type suture knots being placed on suture, the coil are suture ends part, after suture knots
Side.
3. scope aciculiform stitching unstrument as claimed in claim 1, it is characterised in that：The outer tube is medical plastic expects pipe.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620883149.3U CN206228381U (en) | 2016-08-15 | 2016-08-15 | Scope aciculiform stitching unstrument |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620883149.3U CN206228381U (en) | 2016-08-15 | 2016-08-15 | Scope aciculiform stitching unstrument |
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| Publication Number | Publication Date |
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| CN206228381U true CN206228381U (en) | 2017-06-09 |
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| CN201620883149.3U Active CN206228381U (en) | 2016-08-15 | 2016-08-15 | Scope aciculiform stitching unstrument |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106214197A (en) * | 2016-07-14 | 2016-12-14 | 张强 | Scope aciculiform stiching instrument |
-
2016
- 2016-08-15 CN CN201620883149.3U patent/CN206228381U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106214197A (en) * | 2016-07-14 | 2016-12-14 | 张强 | Scope aciculiform stiching instrument |
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