CN206565980U - A kind of heel string stitching clamp - Google Patents
A kind of heel string stitching clamp Download PDFInfo
- Publication number
- CN206565980U CN206565980U CN201621001249.5U CN201621001249U CN206565980U CN 206565980 U CN206565980 U CN 206565980U CN 201621001249 U CN201621001249 U CN 201621001249U CN 206565980 U CN206565980 U CN 206565980U
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- positioning hole
- heel string
- side arm
- port
- sleeve
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Abstract
The utility model provides a kind of heel string stitching clamp, including U-shaped support, guiding mechanism and a pair of gripping handles being arranged on below the U-shaped support；Wherein U-shaped support includes a pair of side arms being oppositely arranged, and gripping handle drives the opposite folding of side arm；Guiding mechanism includes sliding positioning hole and sleeve；Slip positioning hole, which respectively symmetrically is tilted, to be opened on the pair of side arm, and sleeve steering suture, which is passed through, slides positioning hole；Side arm top offers and slides the chute opening that positioning hole is connected respectively, slides positioning hole and chute open communication formation chute.Heel string stitching clamp disclosed in the utility model, which can be placed in outside skin, is easy to that stitching unstrument position is adjusted flexibly, continuous oblique inserting needle is realized according to Bunnell sewings principle, relative position without repeatedly adjustment heel string and stitching unstrument, sleeve, hollow guide pin, sewing needle can be along chute adjustment positions, convenient dismounting, the utility model simplifies the process of Bunnell suture operations, has the advantages that simple and reasonable and easy to use.
Description
Technical field
The utility model is related to technical field of medical equipment, more particularly to a kind of heel string stitching clamp.
Background technology
Minimal invasion suture operation is the preferred embodiment that treatment is broken with tendinous tissue, is typically to do small cut in heel string both sides
Mouthful, the heel string of percutaneous suture fracture, because otch Small loss is small, so complication probability is substantially reduced.But it is due to percutaneous micro-
Wound suture must be guided by B ultrasound, it is impossible to be performed the operation under direct-view, operation technique difficulty is quite big, it is difficult to ensure that heel string is disconnected
The repairing quality at end, and easy damaged nervus suralis.
To overcome above mentioned problem, prior art discloses a kind of heel string robotic suturing device, such as patent of invention（Application number
2013103513635）Disclosed technology contents, the one group of pilot sleeve set by horizontal symmetrical and abutment sleeve coordinate
Carry out suture guiding.In use, the positioning tube of heel string suture from side pilot sleeve penetrated into heel string, then from offside guide sleeve
Cylinder is passed, and is needed heel string entering line slip relative to sleeve after the completion of suturing each time and is sutured again.Therefore, in sewing process
In, prior art must constantly adjust position of the heel string relative to sleeve, complicated, carry out operation during Bunnell sutures difficult
Degree is larger.
In summary, traditional heel string robotic suturing device exist it is complicated, operation difficulty is big and use during must not
The defect of relative position between disconnected adjustment heel string and sleeve.
The content of the invention
The utility model is intended to a kind of new heel string stitching clamp of design, overcome prior art heel string stitching clamp it is complicated,
The big defect of operation difficulty.
The utility model provides a kind of heel string stitching clamp, including U-shaped support, guiding mechanism and is arranged on the U-shaped support
A pair of gripping handles of lower section；Wherein, the U-shaped support includes a pair of side arms being oppositely arranged, and the gripping handle drives institute
State the opposite folding of side arm；The guiding mechanism includes sliding positioning hole and sleeve；The slip positioning hole respectively symmetrically is tilted
It is opened on the pair of side arm, the sleeve steering suture passes through the slip positioning hole；Open respectively on the side arm top
Provided with the chute opening connected with the slip positioning hole, the slip positioning hole and chute open communication formation chute.
Further, the slip positioning hole includes setting gradually the first slip positioning hole from top to bottom and the second slip is fixed
Position hole；Wherein described first slip positioning hole, which has, to be formed in the first port of the side arm outer end and formation in the side arm
The second port at end, the position that opens up of the first port is higher than second port；The second slip positioning hole, which has, to be formed
3rd port of the side arm outer end and formation are in the 4th inner port of the side arm and fifth port；3rd port,
4th port and fifth port are staggered.
Further, the positioning hole that slides also includes being opened in the 3rd slip below the second slip positioning hole
Positioning hole；The 3rd slip positioning hole has the 6th port formed in the side arm outer end and forms inner in the side arm
The 7th port；The position that opens up of 6th port is less than the 7th port.
Further, the first slip positioning hole, the second slip positioning hole and the 3rd slide positioning bore portion and mutually put down
OK, the spacing and between the part that is parallel to each other is equal；It is equipped with the first slip positioning hole and/or the 3rd slip positioning hole
Two pieces of hollow guide pins, beneficial to positioning and fixed heel string.
Further, it is formed with internal thread on one or more of described slip positioning hole inwall.
Further, the sleeve includes being formed with and the internal thread on outer sleeve and inner sleeve, the outer sleeve
The screw thread pair of the external screw thread of matching, the external screw thread and female thread into mutual cooperation.
Further, the bullport matched with sewing needle is formed with the inner sleeve, sewing needle guiding suture is worn
Cross the bullport.
It is preferred that, the sleeve at least includes two, is separately positioned on the both sides of the U-shaped support.
Further, the latch of mutual cooperation is respectively arranged with the gripping handle.
Further, lug boss is formed with the inside of gripping handle, multiple latches are uniformly arranged on the lug boss
On the end face of cooperation.
The heel string stitching clamp that the utility model is provided has three below advantage：First, because U-shaped branch is placed on outside skin,
Can be with flexible modulation position；Second, the slip positioning hole inclined design of U-shaped support so that sleeve and sewing needle can be along slips
Positioning hole moves adjustment position, realizes continuous suture, the relative position without repeatedly adjustment heel string and stitching unstrument；3rd, due to
Devise side arm chute so that sleeve, hollow guide pin and sewing needle can adjust positioning, the side of removing and installing according to actual needs
Just.Based on three above advantage, the process of device structure and suture operation is simplified, operation stitching difficulty is reduced, with knot
Structure advantages of simple and it is easy to use the characteristics of., can for the different heel string retractilities described by above-described embodiment
Sutural treatment is carried out using heel string stitching clamp disclosed in the utility model.
Brief description of the drawings
, below will be to embodiment in order to illustrate more clearly of the utility model embodiment or technical scheme of the prior art
Or the accompanying drawing used required in description of the prior art is briefly described, it should be apparent that, drawings in the following description are
Some embodiments of the present utility model, for those of ordinary skill in the art, are not paying the premise of creative labor
Under, other accompanying drawings can also be obtained according to these accompanying drawings.
A kind of structural representation of embodiment of heel string stitching clamp that Fig. 1 is proposed by the utility model；
Fig. 2 is the use state schematic diagram of the heel string stitching clamp disclosed in Fig. 1.
Embodiment
It is new below in conjunction with this practicality to make the purpose, technical scheme and advantage of the utility model embodiment clearer
Accompanying drawing in type embodiment, the technical scheme in the utility model embodiment is clearly and completely described, it is clear that retouched
The embodiment stated is a part of embodiment of the utility model, rather than whole embodiments.Based on the implementation in the utility model
Example, the every other embodiment that those of ordinary skill in the art are obtained under the premise of creative work is not made is belonged to
The scope of the utility model protection.
A kind of structure of specific embodiment of heel string stitching clamp that the utility model proposed is shown referring to Fig. 1 and Fig. 2 to show
It is intended to.As illustrated, the heel string stitching clamp disclosed in the present embodiment includes U-shaped support 10, the U-shaped support 10 includes the first side
Arm A and the second side arm B.First side arm A and second sidewall B away from heel string broken ends of fractured bone maximum distance preferably remain in 45mm to 55mm it
Between.First side arm A and the second side arm B are oppositely arranged the width that its spacing is substantially equal to shank at heel string, and being easy in operation will
Need suture heel string to be clamped at the opening of the U-shaped support 10 of the first side arm A and the second side arm B formation and carry out next step seam
Close.Spacing between first side arm A and the second side arm B can by be arranged on the U-shaped lower end of support 10 a pair of gripping handles 12,
13 regulations.The middle part of gripping handle 12 and 13 is correspondingly arranged in projection, projection and is formed with multiple equally distributed latches 6, with
The folding width of gripping handle 12 and gripping handle 13 is limited by the mutual cooperation between latch 6, and then adjusts U-shaped support 10
Width between the first side wall A and second sidewall B.
Entirely different with prior art, the heel string stitching clamp disclosed in the present embodiment also includes the guiding mechanism being obliquely installed
11.As illustrated, guiding mechanism 11 is divided by the slip positioning hole and side arm A, B being opened on the first side arm A and the second side arm B
Sleeve and be arranged on the chute opening composition that side wall top is connected with multiple slip positioning holes respectively that body is set.It is a kind of preferred
Embodiment is sets gradually the first slip positioning hole 1A, second slides positioning hole 2A and the from top to bottom on the first side arm A
Three slide positioning hole 3A, and corresponding the first slip positioning hole 1B, the second slip of setting gradually from top to bottom determines on the second side arm B
Position hole 2B and the 3rd slides positioning hole 3B.First side arm A and the second side arm B tops offer to slide with described first respectively and positioned
Hole 1A, 1B, second slide positioning hole 2A, 2B and the 3rd and slide chute opening 4A, 4B of positioning hole 3A, 3B connection.First slides
Positioning hole 1A, 1B, second slip positioning hole 2A, 2B and the 3rd slip positioning hole 3A, 3B are mainly used in positioning inserting needle during suture
Position.Specifically, first slip positioning hole 1A, 1B have respectively be correspondingly formed side arm A or B outer ends first port a and
Formed in side arm A or B inner second port b.The first port a position that opens up opens up position higher than second port b, simultaneously
First port a and second port b in the horizontal direction on projection partially overlap, be easy to laterally inserted hollow in sewing process
Guide pin is positioned.Second slip positioning hole 2A, 2B has to be correspondingly formed to exist in the 3rd port c of side arm A or B outer ends and formation
Side arm inner the 4th port d and fifth port e, the 3rd port c, the 4th port d and fifth port e are staggered, so existed
Two cavitys that incline direction is conversely staggeredly connected are formed in each side arm respectively, to adjust entering when continuous oblique inserting needle is sutured
Pin direction.It is parallel with the first slip positioning hole with one section of first slip positioning hole 1A, 1B incline direction identical in two cavitys.
Corresponding, the 3rd slip positioning hole 3A, 3B has the 6th port f formed in the side arm A or B outer ends and formed in the side
The 7th inner port g of arm.The 6th port f position that opens up opens up position less than the 7th port g, wherein the 6th port f and
The projections of 7th port g in the horizontal direction partially overlap, and are easy to before suture position the other end using hollow guide pin.
3rd slide positioning hole 3A, 3B with second slide one section of positioning hole 2A, 2B incline direction identical and the second slip positioning hole 2A,
2B is parallel.Spacing between the part being parallel to each other in three groups of slip positioning holes is equal, to ensure to suture precision.If can expire
Foot operation needs, and can also only set the first slip positioning hole and second to slide positioning hole.Slide the gradient or wherein of positioning hole
A certain section of gradient can specifically be set in design according to different demands.
Be respectively formed with internal thread in the second slip positioning hole 2A and 2B, the 3rd slip positioning hole 3A and 3B, for
The sleeve of suture is guided to coordinate.Certain sewing needle and suture can also directly from slip positioning hole directly through.Sleeve
Symmetrical two can be set, can move, such as be schemed along the chute for sliding positioning hole and chute opening composition in sewing process
Shown 1C, 1D set symmetrical four, as shown in the figure 1C, 2C, 1D and 2D.Sleeve is arranged on the both sides of U-shaped support 10, tool
For body inserting needle is tilted in the first side arm A and the second side arm B outside from both direction.It can also be needed to set more according to operation
Multigroup sleeve and the slip positioning hole coordinated.Specifically, sleeve includes outer sleeve G and inner sleeve E, and external screw thread formation is in overcoat
Cylinder G outer wall on, for slide positioning hole formation screw thread pair limit sleeve and slip positioning hole position, further limit into
Pin direction.The through hole F matched with sewing needle is formed with inner sleeve E, sewing needle guiding suture is passed from through hole F.Inner sleeve
Cylinder E can be fixedly connected with outer sleeve G or be connected by screw thread, can when being connected by screw thread
So that outer sleeve G to be pulled down, inner sleeve E is only caused to be moved along the chute for sliding positioning hole and chute opening composition, to meet operation
Different demands.
Due to being needed in Bunnell sewings by two sewing needles respectively from the oblique entrance in two ends of heel string, so, use
When heel string stitching clamp disclosed in the present embodiment is sutured, 1.0-1.5cm laterally or longitudinally is at rupture of Achilles tendon first
Skin incision, recognizes and cuts stndon sheath, dissociated along between the heel string broken ends of fractured bone and stndon sheath with incidental injury prevention nervus suralis, involve with
The tendon broken ends of fractured bone is clamped in the bottom of U-shaped support 10 with vessel forceps, drives side arm A, B to move towards by gripping handle 12,13, adjusts
The extended distance of U-shaped support 10, the clamping in position of latch 6, clamps shank lateral cutaneous, and its U-shaped opening is towards patient
Head end, keeps heel string to clamp, and laterally penetrating one piece of hollow guide pin by the 3rd slip positioning hole 3A and 3B under direct-view positions heel string.
Macmahon applications MRI is carried out after anatomic measurement, it is proposed that when placing heel string guider, should be put its outward turning in the nearly broken ends of fractured bone of heel string
Put and answer outward turning to place in the remote broken ends of fractured bone, you can avoid damage to nervus suralis.If the retractility of heel string in itself is poor, can not lead
Go out, then percutaneously make small otch in heel string both sides, hollow led with one piece along the 3rd slip positioning hole 3A and the 3rd slip positioning hole 3B
Pin crosses heel string, and heel string is positioned.Positioning hole 1A and 1B is slided then at first percutaneously laterally to come in and go out second piece of hollow guide pin,
Heel string is fixed with two pieces of guide pins.Then U-shaped support 10 is extracted out along side arm chute, overturn, U-shaped opening is towards heel side, through side
Arm chute passes two pieces of hollow guide pins and U-shaped support is replaced in outside skin, then seamed through second piece of hollow guide pin introducing two ends band
Close and second piece of hollow guide pin is extracted after the heel string suture of pin.
Next step carries out Bunnell sutures, specifically by the sewing needle of suture one end along the first sleeve 1C and first
Slide positioning hole 1A and penetrate heel string diagonal inserting needle, and positioning hole 2B not parallel with the first slip positioning hole 1B one is slided from second
Section is passed；The sewing needle of the suture other end is penetrated into heel string diagonal inserting needle along the slips of the first sleeve 1D and first positioning hole 1B,
And do not passed for one section parallel with the first slip positioning hole 1A from the second slip positioning hole 2A.Positioning hole 2A and the are slided second
Second sleeve 2D is provided with two slip positioning hole 2B, by the sewing needle passed from the second slip positioning hole 2B from second sleeve 2D
One section parallel with the first slip positioning hole 1B with the second slip positioning hole 2B penetrates heel string diagonal inserting needle again, and is slided from the 3rd
Dynamic positioning hole 3A is passed.It is corresponding, by the sewing needle of the suture other end along second sleeve 2C and second slide positioning hole 2A with
One end parallel first slip positioning hole 1A penetrates heel string diagonal inserting needle again, and is passed from the 3rd slip positioning hole 3B.From
The sewing needle that three slip positioning hole 3A and the 3rd slip positioning hole 3B are passed is passed by the heel string broken ends of fractured bone again, completes the suture of one end.
Pulling off sleeves, drive side arm to be displaced outwardly, loosen heel string, draw back heel string stitching clamp by gripping handle.Utilize above-mentioned steps pair
After the other end is sutured, knotting processing is carried out to suture in the broken ends of fractured bone.
The heel string stitching clamp that the utility model is provided has three below advantage：First, because U-shaped branch is placed on outside skin,
Can be with flexible modulation position；Second, the slip positioning hole inclined design of U-shaped support so that sleeve and sewing needle can be along slips
Positioning hole moves adjustment position, realizes continuous suture, the relative position without repeatedly adjustment heel string and stitching unstrument；3rd, due to
Devise side arm chute so that sleeve, hollow guide pin and sewing needle can adjust positioning, the side of removing and installing according to actual needs
Just.Based on three above advantage, the process of device structure and suture operation is simplified, operation stitching difficulty is reduced, with knot
Structure advantages of simple and it is easy to use the characteristics of., can for the different heel string retractilities described by above-described embodiment
Sutural treatment is carried out using heel string stitching unstrument disclosed in the utility model.
Finally it should be noted that：Above example is only to illustrate the technical solution of the utility model, rather than its limitations；
Although the utility model is described in detail with reference to the foregoing embodiments, it will be understood by those within the art that：
It can still modify to the technical scheme described in foregoing embodiments, or which part technical characteristic is carried out etc.
With replacement；And these modifications or replacement, the essence of appropriate technical solution is departed from each embodiment technology of the utility model
The spirit and scope of scheme.
Claims (10)
1. a kind of heel string stitching clamp, it is characterised in that including U-shaped support, guiding mechanism and be arranged on below the U-shaped support
A pair of gripping handles；Wherein, the U-shaped support includes a pair of side arms being oppositely arranged, and the gripping handle drives the side arm
Opposite folding；The guiding mechanism includes sliding positioning hole and sleeve；The slip positioning hole, which respectively symmetrically is tilted, to be opened in
On the pair of side arm, the sleeve steering suture passes through the slip positioning hole；The side arm top offer respectively with
The chute opening for sliding positioning hole connection, the slip positioning hole and chute open communication formation chute.
2. heel string stitching clamp according to claim 1, it is characterised in that the slip positioning hole is included from top to bottom successively
Set first to slide positioning hole and second and slide positioning hole；Wherein described first slip positioning hole, which has, to be formed outside the side arm
The first port at end and formation are in the inner second port of the side arm, and the position that opens up of the first port is higher than the second end
Mouthful；The second slip positioning hole have formed the 3rd port in the side arm outer end and formed the side arm it is inner the
Four ports and fifth port；3rd port, the 4th port and fifth port are staggered.
3. heel string stitching clamp according to claim 2, it is characterised in that the slip positioning hole is also described including being opened in
Second slides the 3rd slip positioning hole below positioning hole；The 3rd slip positioning hole, which has, to be formed in the side arm outer end
6th port and formation are in the 7th inner port of the side arm；The position that opens up of 6th port is less than the 7th end
Mouthful.
4. heel string stitching clamp according to claim 3, it is characterised in that described first, which slides positioning hole, the second slip, determines
Position hole and the 3rd slip positioning bore portion are parallel to each other, and the spacing between the part that is parallel to each other is equal;First slip is fixed
Hollow guide pin is equipped with position hole and/or the 3rd slip positioning hole.
5. the heel string stitching clamp according to any one of Claims 1-4, it is characterised in that one in the slip positioning hole
Internal thread is formed with individual or multiple inwalls.
6. heel string stitching clamp according to claim 5, it is characterised in that the sleeve includes outer sleeve and inner sleeve, institute
State the external screw thread for being formed with and being matched with the internal thread on outer sleeve, the screw thread of the external screw thread and female thread into mutual cooperation
It is secondary.
7. heel string stitching clamp according to claim 6, it is characterised in that be formed with and matched with sewing needle in the inner sleeve
Bullport, sewing needle guiding suture pass through the bullport.
8. heel string stitching clamp according to claim 7, it is characterised in that the sleeve at least includes two, sets respectively
In the both sides of the U-shaped support.
9. heel string stitching clamp according to claim 8, it is characterised in that phase interworking is respectively arranged with the gripping handle
The latch of conjunction.
10. heel string stitching clamp according to claim 9, it is characterised in that be formed with lug boss on the inside of the gripping handle, more
The individual latch is uniformly arranged on the end face of the raised portion fits.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621001249.5U CN206565980U (en) | 2016-08-31 | 2016-08-31 | A kind of heel string stitching clamp |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621001249.5U CN206565980U (en) | 2016-08-31 | 2016-08-31 | A kind of heel string stitching clamp |
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| Publication Number | Publication Date |
|---|---|
| CN206565980U true CN206565980U (en) | 2017-10-20 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201621001249.5U Active CN206565980U (en) | 2016-08-31 | 2016-08-31 | A kind of heel string stitching clamp |
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| Country | Link |
|---|---|
| CN (1) | CN206565980U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110051397A (en) * | 2019-05-21 | 2019-07-26 | 李�杰 | Novel heel string stapling apparatus |
-
2016
- 2016-08-31 CN CN201621001249.5U patent/CN206565980U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110051397A (en) * | 2019-05-21 | 2019-07-26 | 李�杰 | Novel heel string stapling apparatus |
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