CN206390952U - A kind of fibrous ring stitching devices for being easy to separate suture - Google Patents
A kind of fibrous ring stitching devices for being easy to separate suture Download PDFInfo
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- CN206390952U CN206390952U CN201621102946.XU CN201621102946U CN206390952U CN 206390952 U CN206390952 U CN 206390952U CN 201621102946 U CN201621102946 U CN 201621102946U CN 206390952 U CN206390952 U CN 206390952U
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- suture
- suture needle
- main body
- seam
- easy
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Abstract
The utility model discloses a kind of fibrous ring stitching devices for being easy to separate suture, including suture needle, suture needle includes suture needle main body, operation handle and the amesiality seam hook of suture needle bottom part body, operation handle is fixed in suture needle main body, it is arc transition connection between suture needle main body and seam hook, the suture channel run through is set in suture needle main body and seam hook, suture is set in suture needle main body by suture channel, and is passed at the bill of seam hook；Suture needle is extracted out provided with line apparatus is taken out after being punctured for suture from suture needle.The application is simple and reasonable for structure, it is easy to operate, and can be sutured for failure mechanics of different shapes, is not required to exit " 8 " word suture that Anular incision can be achieved in suture needle during suture, improves the stitching speed and wound suture stability of Anular incision；Compared with existing device, use device can control the soft tissue Edge Distance of suture and the depth of suture, and operating error is small, and success rate of operation is high.
Description
Technical field
The invention belongs to technical field of medical instruments, it is related to a kind of instrument for treating protrusion of lumber intervertebral disc, and in particular to one
Planting is used for the postoperative fibrous ring stitching devices of protrusion of lumber intervertebral disc Nuclectomy.
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
The prevention of mechanics stabilization and postoperative secondary recurrence, which has, clearly to be acted on.But interverbebral disc suture is extremely difficult, 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, the place of general fibrous ring opening is respectively positioned on nerve root rear, and inappropriate application method is easily lead to
The damage of nerve root and dura mater.
Requirement with the progress and people of medical technology to operation recovery from illness speed, the increasing minimally invasive hand of patient requests
Art is treated, and Minimally Invasive Surgery refers to a kind of new technology performed a surgical operation by endoscopes such as laparoscope, thoracoscopes in human body, minimally invasive
Operation is with wound is small, pain is light, recover fast superiority, 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, influences the recovery from illness of patient；It is also required that sewing process is fast, to reduce seam as far as possible
Other injuries that overlong time is brought to patient are closed, but existing fibrous ring suture instrument is generally required and carried out in vitro repeatedly
Threading is sutured again, and smaller for the linear slit for placing suture, two strands of sutures after suture enters human body with suture needle and successfully perforated
Adjacent, it is difficult to recognize the two ends of suture, this also adds difficulty to the proposition operation of the end of a thread, it is therefore desirable to for this problem to existing
Some suture instruments are improved.
The content of the invention
Goal of the invention：Present invention aims at there is provided one kind is easy to operate, can be achieved in view of the shortcomings of the prior art to waist
The device of " 8 " word suture of the postoperative fibrous ring of disc herniation Nuclectomy, just can be realized to fiber using only a set of device
" 8 " word suture of rings cut, reduces suture difficulty, improves sewing effect and otch recovery from illness speed.
Technical scheme：A kind of fibrous ring stitching devices for being easy to separate suture of the present invention, including suture needle, the seam
Pin includes suture needle main body, operation handle and the amesiality seam hook of suture needle bottom part body, and the operation handle is fixed on the seam
In pin main body, it is arc transition connection between the suture needle main body and seam hook, the seam run through is set in the suture needle main body and seam hook
Line passage, suture is set in the suture needle main body by the suture channel, and is passed at the bill of seam hook；The suture needle
Provided with line apparatus is taken out, extracted out after being punctured for suture from suture needle.
Further, for ease of after seam hook passes through fibrous ring, suture is separated from suture needle main body and seam hook, the suture needle
In main body and seam hook, the side of seam hook deviation, which is offered, takes out lines seam, and the lines seam of taking out is connected with the suture channel, described
The width of lines seam is taken out less than the external diameter under the suture nature；Stitch hook to pass through after fibrous ring, by the hand-held suture of operator
Two ends, suture is extracted out by taking out lines seam from suture channel, and suture is separated from suture needle main body and seam hook, then will seam
Hook, which is turned to, carries out next step puncture.
Further, the suture has a deflection and toughness, and realization is passed through in the suture channel, after stretching from
Described take out in lines seam is extracted out.
Further, to meet organization of human body feature, the suture needle main body is the tapering type structure of internal diameter, and top internal diameter is 2
~4mm, bottom inner diameter is 0.4~0.6mm, and total length is 150~300mm；It is 15 ° to stitch the angle α 1 between hook and suture needle main body
~160 °, seam hook length is 3~6mm, and the angle α 2 between operation handle and suture needle main body is 90~160 °.
Further, for ease of realizing the suture of " 8 " word, the suture needle two is one group and used cooperatively, including the first suture needle
With the second suture needle, the angle α 11 between the seam hook and suture needle main body of first suture needle is 15 °~60 °；Second suture needle
It is 100 °~160 ° to stitch the angle α 12 between hook and suture needle main body.
Further, seam hook direction is accurately judged for ease of operator, the operation handle is located at the seam with seam hook
The both sides of pin main body, and in the same plane.
Further, to avoid in operative process because of secondary injury caused by skidding, set in the operation handle
There is skid resistance strip.
Further, for ease of the end of a thread after puncture is taken out, the present apparatus also supports the use tension disk, the tension disk bag
First intermediate plate and second intermediate plate are included, the top connection of the first intermediate plate and second intermediate plate forms handgrip part, first folder
Piece and the afterbody of second intermediate plate are bare terminal end.
Further, the first intermediate plate is identical with the structure of second intermediate plate, including handgrip part and bare terminal end, to keep away
The hand for exempting from operator in operation blocks observation sight to bare terminal end operation, and the handgrip part and bare terminal end pass through circle
The connection of arc changeover portion is integral, and handgrip part and bare terminal end is staggered certain angle, it is to avoid sight blocks caused operation
The problems such as error.
The use principle and process of the present apparatus：The suture needle of non-threading is punctured to Anular incision in operation, worn
Suture is penetrated from suture channel after the completion of thorn, and passed at bill, then the end of a thread of bill is found by tension disk
And the hand-holdable scope of operator is drawn out to, then suture is extracted out by taking out in lines seam by operator hand-held suture two ends,
Realize and separate with suture needle, suture completes the puncture of the first pin, and now, suture two ends are in the hand-holdable scope of operator；
Then the opposite side of hook steering Anular incision will be stitched by operation handle, the second pin puncture is carried out, by suture after the completion of puncture
Penetrated in suture needle, and passed again by needle point by suture channel again, similarly, thread end clamp is gone out to visual range, operator
Hand-held two ends, suture is extracted out from suture needle, completes the second pin puncture of suture, the like with same suture completion the 3rd
Suture between pin and the 4th pin puncture, and four acanthopores is in the figure of eight；Whole process by suture needle without exiting threading.
Beneficial effect：(1) the application is simple and reasonable for structure, it is easy to operate, and can be carried out for failure mechanics of different shapes
Suture, the Minimally Invasive Surgery that can arrange in pairs or groups is used, and in operator within sweep of the eye, process safety is controllable for operating process, is overcome existing
There are the not visible caused various problems of fibrous ring sewing process in technology；(2) using the present apparatus without completing threading in vitro,
Only need to penetrating suture in suture channel after puncturing successfully, and go out to pass from bill, whole threading process is quick, side
Just, suture time is greatly shortened without suture needle is exited in the second pin puncture；(3) in the present apparatus by suture needle main body and
The suture channel run through is set in seam hook, and lines seam is taken out in supporting setting, is easy to after successfully puncturing, point of suture and stitching devices
From, the puncture of the second pin can be achieved without suture needle is exited, it is easy to operate；(4) fiber can be realized when being sutured using the present apparatus
" 8 " word suture of rings cut, expands suture size, improves the tensile strength of wound after suture, improve the suture of Anular incision
Speed and wound suture stability, improve the healing rate of wound；(5) tension disk provided in the present apparatus, meets body mechanics
Architectural feature, the design of tension disk is easy to press from both sides out in suture, and should not slide；(6) compared with existing device, use device can
To control the soft tissue Edge Distance of suture and the depth of suture；The space between soft tissue can also be overcome simultaneously；(7) this dress
Put rational in infrastructure, meet ergonomic designs, operating error is small, success rate of operation is high.
Brief description of the drawings
Fig. 1 is the side view of the first suture needle in the present invention；
Fig. 2 is the front view of the first suture needle in the present invention；
Fig. 3 is the side view of the second suture needle in the present invention；
Fig. 4 is wire extender structure front view in the present invention；
Fig. 5 is wire extender structure side view in the present invention；
Wherein：1st, the first suture needle, the 11, first suture needle main body, the 12, first operation handle, the 14, first seam hook, the 2, second seam
Pin, the 21, second suture needle main body, the 24, second seam hook, 3, tension disk, 31, first intermediate plate, 32, second intermediate plate, 33, handgrip part,
34th, bare terminal end, 35, arc transition section, 5, suture, 6, take out lines seam.
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 1：A kind of fibrous ring stitching devices for being easy to separate suture, including the first suture needle 1 and tension disk 3, first
Suture needle 1 includes the first suture needle main body 11, the first amesiality seam hook 14 of the first operation handle 12 and the bottom of suture needle main body 11；The
One operation handle 12 is fixed between the upper end of the suture needle main body 11, the seam hook 14 of suture needle main body 12 and first to be connected for arc transition
Connect, the first operation handle 12 and first stitches the both sides that hook 14 is located at the suture needle main body 11, and in the same plane, and the first behaviour
Make handle 12 provided with skid resistance strip；Set the suture channel run through in the seam hook 14 of suture needle main body 11 and first, one end of suture 5 by
The top of suture needle main body 11 is set in the suture needle main body by the suture channel, and is worn at the bill of the first seam hook 14
Go out；On the seam hook 14 of suture needle main body 11 and first, the side that the first seam hook 14 is inclined to, which is offered, takes out lines seam 6, takes out lines seam 6 and seam
Line passage is connected, and takes out the width of lines seam less than the external diameter under suture nature；Suture needle main body 11 is the tapering type structure of internal diameter,
Top internal diameter is 4mm, and bottom inner diameter is 0.6mm, and length is 300mm；Angle α 11 between first seam hook 14 and suture needle main body 11
For 60 °, the first seam hook 14 length is 6mm, and the angle α 2 between the first operation handle 12 and the first suture needle main body 11 is 90 °；This
The suture selected in embodiment is nylon material, and the offline internal diameter of nature is 0.3mm, takes out the width of lines seam 6 in suture
The 85% of footpath, i.e. 0.255mm.
Tension disk 3 includes first intermediate plate 31 and second intermediate plate 32, and first intermediate plate 31 is identical with the structure of second intermediate plate 32, always
Length is 300mm, including handgrip part 33 and bare terminal end 34, and handgrip part and bare terminal end are connected as by arc transition section 35
One is overall, handgrip part and bare terminal end is staggered certain angle, it is to avoid caused by sight is blocked the problems such as operating error；First
The top connection of intermediate plate and second intermediate plate, for hand-held, afterbody is bare terminal end；Tension disk in the present apparatus it is integrated into
Type structure.
Mainly comprise the following steps when carrying out the suture of fibrous ring " 8 " word using the present embodiment device：
(1) suture needle of non-threading is punctured to Anular incision, after the completion of puncture by the end of a thread A of first suture by
Penetrate, and passed at bill in passage, the end of a thread B indwellings of the first suture in vitro, then by tension disk by the line of bill
Head A finds and is drawn out to the hand-holdable scope of operator, then by the hand-held rear line head A of suture two and the end of a thread B of operator by suture
Extracted out, separated with suture needle by taking out in lines seam, suture completes the puncture of the first pin, and now, suture two ends are in operator
In hand-holdable scope；
(2) opposite side of hook steering Anular incision will be stitched by operation handle, the second pin puncture is carried out, after the completion of puncture
The end of a thread B of first suture is penetrated in suture needle by suture channel, and passed by needle point, using tension disk by the end of a thread at bill
B finds and is drawn out to the hand-holdable scope of operator, and then the suture point C of the hand-held the end of a thread B of operator and suture needle body top will
Suture is extracted out from suture needle, completes the second pin puncture of suture, completes the plain suture of " 8 " word suture；
(3) side that seam hook is moved to fibrous ring opening is carried out by the 3rd pin puncture, the 3rd pin puncture by operation handle
Position is in the diverse location of Anular incision the same side with position of threading a needle for the first time, by the line of second suture after the completion of puncture
Head D is penetrated in suture channel, and is passed at bill, is then found the end of a thread D of bill by tension disk and is drawn out to behaviour
The hand-holdable scope of author, then by the hand-held rear line head D of suture two and the end of a thread E of operator by the second suture by take out lines seam in
Extract out, separated with suture needle, the second suture completes the puncture of the 3rd pin, and now, it is hand-holdable that the second suture two ends are in operator
In the range of；
(4) opposite side of hook steering Anular incision will be stitched by operation handle, the 4th pin puncture is carried out, after the completion of puncture
The end of a thread E of second suture is penetrated in suture needle by suture channel, and passed by needle point, using tension disk by the end of a thread at bill
E finds and is drawn out to the hand-holdable scope of operator, and then the suture point F of the hand-held the end of a thread E of operator and suture needle body top will
Suture is extracted out from suture needle, completes the 4th pin puncture of suture；
(5) suture head A and suture head E is extracted out, and knotting cuts off redundance；Suture head B and suture head D is extracted out,
And knotting cuts off redundance, the suture of " 8 " word is completed.
In the present embodiment, the first pin puncture point and the 3rd pin puncture point are located at the homonymy of Anular incision, i.e. the end of a thread A and line
Head D is in homonymy；Second pin puncture point and the 4th pin puncture point are located at the homonymy of Anular incision, i.e. the end of a thread B and the end of a thread E are in
Homonymy；The end of a thread A and the end of a thread E is intersected when extracting out and knotting and knotted, the end of a thread B and the end of a thread D is intersected and knotted, the suture of " 8 " word is realized,
Without suture needle is exited in this sewing process, sewing process is easy, takes short.
Embodiment 2：A kind of fibrous ring stitching devices for being easy to separate suture, including the first suture needle 1, the second suture needle 2 and folder
Line device 3, the second suture needle 2 and the structure of the first suture needle 1 are essentially identical, only difference is that the second seam hook 24 and the of the second suture needle 2
Angle between two suture needle main bodys 21 is 150 °, and the length of the second seam hook 24 is 10mm；
Mainly comprise the following steps when carrying out the suture of fibrous ring " 8 " word using the present apparatus：
(1) the first suture needle 1 of non-threading is punctured to Anular incision, after the completion of puncture by the end of a thread A of suture by
Penetrate, and passed at bill in passage, then the end of a thread B indwellings of suture are looked for the end of a thread A of bill by tension disk in vitro
To and be drawn out to the hand-holdable scope of operator, then by the hand-held rear line head A of suture two and the end of a thread B of operator by suture by taking out
Extract out, separated with suture needle in lines seam, suture completes the puncture of the first pin, and now, it is hand-holdable that suture two ends are in operator
In the range of；
(2) opposite side of hook steering Anular incision will be stitched by operation handle, the second pin puncture is carried out, after the completion of puncture
Suture head B is penetrated in suture needle by suture channel, and passed by needle point, is found the end of a thread B at bill simultaneously using tension disk
Be drawn out to the hand-holdable scope of operator, then the suture point C of the hand-held the end of a thread B of operator and suture needle body top by suture from seam
Extracted out in pin, complete the second pin puncture of suture, complete the plain suture of " 8 " word suture；First suture needle 1 is exited；
(3) the second suture needle 2 of non-threading is subjected to the 3rd pin puncture, the point of puncture and first of the 3rd pin to Anular incision
The point of puncture of pin is located at the homonymy of Anular incision, and the puncture direction of the 3rd pin inwardly punctures on the outside of Anular incision, punctured
After the completion of the end of a thread B of suture is penetrated in suture channel again, and passed at bill, then by tension disk by bill
The end of a thread B finds and is drawn out to the hand-holdable scope of operator, then by the hand-held rear line head B of suture two of operator and suture needle main body top
The suture point D in portion extracts suture out from suture needle, completes the 3rd pin puncture of suture, and the first pin for completing the suture of " 8 " word intersects
Puncture；Second suture needle 2 is exited；
(4) again by the first suture needle 1 of non-threading to Anular incision carry out the 4th pin puncture, the point of puncture of the 4th pin with
The point of puncture of second pin is located at the homonymy of Anular incision, and the puncture direction of the 4th pin is outwards punctured on the inside of Anular incision,
Suture head B is penetrated in suture needle by suture channel after the completion of puncture, and passed by needle point, using tension disk by the line at bill
Head B finds and is drawn out to the hand-holdable scope of operator, then the suture point E of the hand-held the end of a thread B of operator and suture needle body top
Suture is extracted out from suture needle, the 4th pin puncture of suture is completed, the second pin for completing the suture of " 8 " word intersects puncture；
(5) the end of a thread A and suture head B is extracted out, and knotting subtracts redundance, completes the suture of " 8 " word.
, it is necessary to which two suture needles are supported the use during being somebody's turn to do, use a suture to complete firm " 8 " word and suture.
As described above, although the present invention has been represented and described with reference to specific preferred embodiment, it must not be explained
For to the limitation of itself of the invention., can be right under the premise of the spirit and scope of the present invention that appended claims are defined are not departed from
Various changes can be made in the form and details for it.
Claims (10)
1. a kind of fibrous ring stitching devices for being easy to separate suture, including suture needle, the suture needle include suture needle main body, operation handle
The seam hook amesiality with suture needle bottom part body, the operation handle is fixed in the suture needle main body, the suture needle main body with
It is arc transition connection between seam hook, it is characterised in that：The suture channel run through is set in the suture needle main body and seam hook, suture leads to
Cross the suture channel to be set in the suture needle main body, and passed at the bill of seam hook；The suture needle is provided with and takes out traditional thread binding
Put, extracted out after being punctured for suture from suture needle.
2. the fibrous ring stitching devices according to claim 1 for being easy to separate suture, it is characterised in that：The suture needle main body
On seam hook, the side of seam hook deviation, which is offered, takes out lines seam, and the lines seam of taking out is connected with the suture channel, described to take out line
The width of bar seam is less than the external diameter under the suture nature.
3. the fibrous ring stitching devices according to claim 1 or 2 for being easy to separate suture, it is characterised in that：The suture
With deflection and toughness, realization is passed through in the suture channel, is extracted out after stretching from described take out in lines seam.
4. the fibrous ring stitching devices according to claim 1 or 2 for being easy to separate suture, it is characterised in that：The suture needle
Main body be the tapering type structure of internal diameter, top internal diameter be 2~4mm, bottom inner diameter be 0.4~0.6mm, total length be 150~
300mm；It is 15 °~160 ° to stitch the angle α 1 between hook and suture needle main body, and seam hook length is 3~6mm, operation handle and suture needle master
Angle α 2 between body is 90~160 °.
5. the fibrous ring stitching devices according to claim 4 for being easy to separate suture, it is characterised in that：The suture needle two
Used cooperatively for one group, including the first suture needle and the second suture needle, the angle α between the seam hook and suture needle main body of first suture needle
11 be 15 °~60 °；Angle α 12 between the seam hook and suture needle main body of second suture needle is 100 °~160 °.
6. the fibrous ring stitching devices according to claim 1 for being easy to separate suture, it is characterised in that：The operation handle
It is located at the both sides of the suture needle main body with seam hook, and in the same plane.
7. the fibrous ring stitching devices according to claim 1 for being easy to separate suture, it is characterised in that：The operation handle
It is provided with skid resistance strip.
8. the fibrous ring stitching devices according to claim 1 for being easy to separate suture, it is characterised in that：Also include clamp
Device, the tension disk includes first intermediate plate and second intermediate plate, and the top of the first intermediate plate and second intermediate plate connects, formed hand-held
Position, the afterbody of the first intermediate plate and second intermediate plate is bare terminal end.
9. the fibrous ring stitching devices according to claim 8 for being easy to separate suture, it is characterised in that：The first intermediate plate
Identical with the structure of second intermediate plate, including handgrip part and bare terminal end, the handgrip part and bare terminal end pass through arc transition
Section connection is integral.
10. the fibrous ring stitching devices according to claim 8 for being easy to separate suture, it is characterised in that：The tension disk
Integrated molding structure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621102946.XU CN206390952U (en) | 2016-09-29 | 2016-09-29 | A kind of fibrous ring stitching devices for being easy to separate suture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621102946.XU CN206390952U (en) | 2016-09-29 | 2016-09-29 | A kind of fibrous ring stitching devices for being easy to separate suture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN206390952U true CN206390952U (en) | 2017-08-11 |
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ID=59508260
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201621102946.XU Expired - Fee Related CN206390952U (en) | 2016-09-29 | 2016-09-29 | A kind of fibrous ring stitching devices for being easy to separate suture |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN206390952U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108078603A (en) * | 2017-12-22 | 2018-05-29 | 朱燕昆 | A kind of laparoscopic surgery swaged needle that automatically resets |
| CN110151241A (en) * | 2019-05-07 | 2019-08-23 | 张为 | Annulus fibrosus disci intervertebralis crackle suture instrument |
-
2016
- 2016-09-29 CN CN201621102946.XU patent/CN206390952U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108078603A (en) * | 2017-12-22 | 2018-05-29 | 朱燕昆 | A kind of laparoscopic surgery swaged needle that automatically resets |
| CN108078603B (en) * | 2017-12-22 | 2024-02-13 | 朱燕昆 | Automatic reset suture needle with wire for laparoscopic surgery |
| CN110151241A (en) * | 2019-05-07 | 2019-08-23 | 张为 | Annulus fibrosus disci intervertebralis crackle suture instrument |
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| CF01 | Termination of patent right due to non-payment of annual fee | ||
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Granted publication date: 20170811 Termination date: 20190929 |