CN208659435U - Puncture stitching unstrument - Google Patents
Puncture stitching unstrument Download PDFInfo
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- CN208659435U CN208659435U CN201721348755.6U CN201721348755U CN208659435U CN 208659435 U CN208659435 U CN 208659435U CN 201721348755 U CN201721348755 U CN 201721348755U CN 208659435 U CN208659435 U CN 208659435U
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- puncture
- down bars
- abdominal cavity
- suture
- hold
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Abstract
The utility model discloses a kind of puncture stitching unstruments, comprising: has the puncture tube at the tip for puncture, the wire casing extended along its length is arranged in outer wall；Stitching devices with suture and the abdominal cavity hold-down bars being connect with suture；Wherein, the suture is placed in the wire casing, and the abdominal cavity hold-down bars is placed in the cavity of the puncture tube lower part.The puncture stitching unstrument of the utility model, structure is simple, using, it is easy to operate, sewing effect is definite, and at low cost, potential applicability in clinical practice is preferable.
Description
Technical field
The utility model relates to the field of medical instrument technology, more particularly to one kind to be applied to clinical laparoscope, thoracoscope, palace
Puncture stitching unstrument in the various endoscope-assistant surgeries such as hysteroscope.
Background technique
In clinic, hysteroscope technology is one of most commonly used modus operandi of current surgical application.Due to stabbing card hole diameter
It is smaller that (aperture is deep no more than 12mm), and relatively, especially adiposis patient, is difficult to be sewn onto peritoneal layer.If however stamp card hole seam
Close it is bad be likely to result in incisional hernia or bleeding, incisional hernia is especially more common in obesity, and the intracavitary higher patient of pressure.Though at present
So there are many device can achieve closure stamp card hole effect (such as China Patent No. be CN 105640600 A, CN
205697884 U, CN 106388889 A, CN 205514732 U, CN 205672047 U etc. application), but these are filled
Set all have the shortcomings that structure is complicated, cumbersome, at high cost, clinical application experience it is bad.Therefore, in this case, grind
It is just very necessary to send out a kind of puncture stitching devices easy to operate, that sewing effect is good.
Summary of the invention
The purpose of this utility model is exactly in order to solve the above problems existing in the present technology, to provide a kind of puncture suture
Device, structure is simple, using, it is easy to operate, sewing effect is definite, and at low cost, potential applicability in clinical practice is preferable.
For the above-mentioned purpose for realizing the utility model, puncture stitching unstrument provided by the utility model includes: to have for wearing
The wire casing extended along its length is arranged in the puncture tube at the tip of thorn, outer wall；With suture and the abdomen being connect with suture
The stitching devices of chamber hold-down bars；Wherein, the suture is placed in the wire casing, and the abdominal cavity hold-down bars is placed in described wear
It pierces in the cavity of pipe lower part.
Wherein, the abdominal cavity hold-down bars is elongated cylinder.
Preferably, the lower part for puncturing pipe outer wall is opened up for the wire casing bottom to be connected to the puncture tube cavity
Opening.
It preferably, further include that the puncture tube lower part and the hold-down bars resettlement groove with the opening in communication are set.
Wherein, the sharp end for drawing body lumen wall, the suture and the abdomen is arranged in abdominal cavity hold-down bars one end
The tie point of chamber hold-down bars is close to the sharp end.
Alternatively, the suture is connect with the midpoint of the abdominal cavity hold-down bars.
Further, further include driving means for releasing the abdominal cavity hold-down bars out of described puncture tube.
Wherein, the driving means includes: the push rod that its underpart is placed in the puncture tube；It is placed in push rod top
The push handle convenient for gripping at end.
Further, the stitching devices further include connecting with the suture and being located at abdominal cavity hold-down bars top
Assist abdominal cavity hold-down bars.
Preferably, the scale for indicating length is arranged in the puncture pipe outer wall.
Compared with prior art, the puncture stitching unstrument of the utility model embodiment has the advantages that
1, the puncture stitching unstrument of the present embodiment, structure is simple, using, it is easy to operate, sewing effect is definite, at low cost, faces
Bed application prospect is preferable.
2, the wire casing extended along its length is arranged puncturing pipe outer wall, convenient for putting in the puncture stitching unstrument of the present embodiment
Suture is set, lead is convenient, and abdominal cavity hold-down bars is connect with suture bottom end, convenient for placement, and can be real by pullling suture
Existing abdominal cavity hold-down bars is convenient and practical to the draw of body lumen wall.
The utility model embodiment is described in detail with reference to the accompanying drawing.
Detailed description of the invention
Fig. 1 is the first structural schematic diagram of the utility model puncture stitching unstrument；
Fig. 2 is the structural schematic diagram of the puncture tube of the first structure；
Fig. 3 is the structural schematic diagram of the first structure stitching devices；
(a) to (f) in Fig. 4 is the puncture staplers process schematic of the first structure；
Fig. 5 is the structural schematic diagram of the puncture stitching unstrument of second of structure of the utility model；
Fig. 6 is the structural schematic diagram of the puncture tube of second of structure；
Fig. 7 is the structural schematic diagram of the driving means of second of structure；
Fig. 8 is a kind of structural schematic diagram of the stitching devices of second of structure；
Fig. 9 is another structural schematic diagram of the stitching devices of second of structure.
Specific embodiment
As shown in Figure 1, shown in Figure 5, two kinds of structural schematic diagrams of puncture stitching unstrument respectively provided by the utility model, You Tuke
Know, puncture stitching unstrument provided by the utility model includes: the puncture tube 1 with the tip for puncture, and outer wall is arranged along length
Spend the wire casing 4 that direction extends；Stitching devices with suture 2 and the abdominal cavity hold-down bars 3 being connect with suture 2；Wherein, it sutures
Line 2 is placed in wire casing 4, and abdominal cavity hold-down bars 3 is placed in the cavity of 1 lower part of puncture tube.
Specifically, as shown in Figure 1-Figure 3, the puncture stitching unstrument respectively provided by the utility model with the first structure
General assembly drawing and each part drawing.
As shown in Figure 2, the puncture tube of the first structure is the ducted body of elongated cylindrical, point of the bottom setting for puncture
End, tip point is tough, with the inclination angle less than 45 degree, in order to penetrate abdominal wall tissue.It opens up on the outer wall of puncture tube 1 along it
The wire casing 4 that length direction from top to bottom extends, for disposing suture 2 along wire casing 4.It is opened up in the lower part of 1 outer wall of puncture tube
Opening 5 for the inner cavity of wire casing 4 and puncture tube 1 to be connected together, and be convenient for abdominal cavity hold-down bars is placed in puncture tube 1
Cavity in and connect with suture bottom end, setting and the 5 hold-down bars resettlement grooves 6 being connected that are open, abdomen in the lower part of puncture tube 1
Chamber hold-down bars 3 is placed in hold-down bars resettlement groove 6.Preferably, 5 tops of opening have the smooth surface of ellipse, are led with facilitating
When drawing suture, abdominal cavity hold-down bars is moved to outside puncture tube 1, consequently facilitating puncture tube is pulled out.
Wherein, the abdominal cavity hold-down bars 3 of this structure is the long cylinder bodily form (as shown in Figure 3), is placed in the cavity of puncture tube 1
It is interior, and it is located at the lower part (connecing at subapical position) of puncture tube 1, it is arranged in one end of elongated cylinder for drawing body lumen wall
Sharp end, the tie point of suture and abdominal cavity hold-down bars is close to sharp end, and when to pull suture, abdominal cavity hold-down bars is sharp
End and abdominal wall tissue contact, form acute angle.
It should be noted that when carrying out suture operation, it must be using a pair of puncture stitching unstrument described in the utility model.Such as adopt
When carrying out suture operation with the puncture stitching unstrument of the first structure, process is respectively as shown in (a)-(f) in Fig. 4: first by puncturing
The tip puncturing tissue of pipe reaches predetermined length into body cavity (such as stomach wall) through body lumen wall (such as parietal peritoneum), such as (a).So
Afterwards, by the head side of suture in drawing puncture tube, make to enter abdominal cavity by subapical abdominal cavity hold-down bars, such as scheme shown in (b)；It connects
, puncture tube is extracted, suture is tensed, keeps abdominal cavity hold-down bars and stomach wall at an acute angle, the stomach wall broken ends of fractured bone is pulled, such as schemes (c).Similarly,
In opposite side, the stomach wall broken ends of fractured bone places another puncture stitching unstrument, such as schemes (d)；Finally, the puncture stitching unstrument of two sides is reached by knotting
Body lumen wall is drawn, the effect in puncture hole is closed, such as schemes (e), alternatively, such as scheming (f) by knotting after sewing needle figure-of-eight suture.
And as shown in Fig. 5-Fig. 9, the puncture stitching unstrument with second of structure respectively provided by the utility model it is total
Dress figure and each part drawing.
As seen from the figure, the puncture tube 1 of second of structure is also the ducted body of elongated cylindrical, and bottom setting is for puncture
Tip, tip point is tough, with the inclination angle less than 45 degree, in order to penetrate abdominal wall tissue.Edge is opened up on the outer wall of puncture tube 1
The wire casing 4 that its length direction from top to bottom extends, for from top to bottom disposing suture 2 along wire casing 4.In addition, in puncture tube 1
The lower part of outer wall opens up the opening for the inner cavity of wire casing 4 and puncture tube 1 to be connected together, and punctures pipe outer wall to be located at
The bottom end of suture can pass through opening, connect with the abdominal cavity hold-down bars being located in puncture tube cavity.Wherein, second structure
Abdominal cavity hold-down bars 3 is also the long cylinder bodily form (as shown in Figure 5), but the sharp end of the not set Fig. 3 of one end, suture and abdominal cavity are solid
When determining stick connection, tie point is located at the centre of abdominal cavity hold-down bars 3.
And the puncture stitching unstrument of second of structure is other than above-mentioned puncture tube and abdominal cavity hold-down bars 3, further includes being used for
The driving means 8 that abdominal cavity hold-down bars 3 is released out of puncture tube 1, the driving means 8 include: that its underpart is placed in puncture tube 1
Push rod 9, can be moved up and down under external force along puncture tube；It is placed in the push handle convenient for gripping on 9 top of push rod
9。
Further, when in use, as needed, stitching devices can also include being disposed on suture 2 positioned at abdomen
The auxiliary abdominal cavity hold-down bars 11 (as shown in Figure 9) on 3 top of chamber hold-down bars, the centre of auxiliary abdominal cavity hold-down bars 11 have through-hole, seam
Zygonema initially passes through through-hole, and lower end reconnects abdominal cavity hold-down bars 3.
Wherein, in the puncture stitching unstrument of two kinds of structures, the upper end of suture can connect sewing needle 12 (as shown in Figure 5),
It can also be not connected to any device.And puncture tube 1 is made by rigid material, is also set up and is used on 1 outer wall of puncture tube
Indicate the scale 7 of its length.When using driving means, push rod need to be made by rigid material, in order to push down on
It, can be by the abdominal cavity hold-down bars in puncture tube towards extrapolated when dynamic.
Using second of structure puncture staplers when, stamp open side tissue in, worn by the tip of puncture tube
Tissue is pierced, through body lumen wall (such as parietal peritoneum), into body cavity (such as stomach wall).It is placed on by driving means close in puncture tube
The abdominal cavity hold-down bars at tip is pushed into abdominal cavity, extracts puncture tube, abdominal cavity hold-down bars and suture connected to it remain within the body cavity.
Since the length of abdominal cavity hold-down bars is much larger than the diameter of puncture tube, the other end of suture, endoceliac abdominal cavity hold-down bars are pulled
It is horizontal, the lower end of suture is secured, to achieve the effect that tighten suture, traction body lumen wall.
Similarly, same puncture stitching unstrument is placed in the other side is organized, by pulling the other end of suture, directly beaten
Knot is closed puncture.If the upper end of suture is connected with sewing needle, it can also suture to go to draw again after two sides are organized by sewing needle and beat
Knot is closed puncture.
Wherein, patient biggish for abdomen wall tension fixes preferably with stitching devices shown in Fig. 9 with abdominal cavity
Stick 3 and auxiliary abdominal cavity hold-down bars 11, to increase the hardness of abdominal cavity hold-down bars, prevent from fractureing and be slipped from suture, it is ensured that
Operation is gone on smoothly.
In conclusion compared with prior art, the puncture stitching unstrument of the utility model embodiment has the advantages that
1, the puncture stitching unstrument of the present embodiment, structure is simple, using, it is easy to operate, sewing effect is definite, at low cost, faces
Bed application prospect is preferable.
2, the wire casing extended along its length is arranged puncturing pipe outer wall, convenient for putting in the puncture stitching unstrument of the present embodiment
Suture is set, lead is convenient, and abdominal cavity hold-down bars is connect with suture bottom end, convenient for placement, and can be real by pullling suture
Existing abdominal cavity hold-down bars is convenient and practical to the draw of body lumen wall.
Although being explained in detail above to the utility model embodiment, the utility model embodiment is without being limited thereto, this
Those skilled in the art can modify according to the principle of the utility model embodiment, therefore, all practical new according to this
The various modifications that the principle of type embodiment carries out all should be understood as falling into the protection scope of the utility model embodiment.
Claims (10)
1. a kind of puncture stitching unstrument characterized by comprising
The wire casing extended along its length is arranged in puncture tube with the tip for puncture, outer wall；
Stitching devices with suture and the abdominal cavity hold-down bars being connect with suture；
Wherein, the suture is placed in the wire casing, and the abdominal cavity hold-down bars is placed in the cavity of the puncture tube lower part
It is interior.
2. puncture stitching unstrument according to claim 1, which is characterized in that the abdominal cavity hold-down bars is elongated cylinder.
3. puncture stitching unstrument according to claim 2, which is characterized in that the lower part for puncturing pipe outer wall is opened up for inciting somebody to action
The opening that the wire casing bottom is connected to the puncture tube cavity.
4. puncture stitching unstrument according to claim 3, which is characterized in that further include setting the puncture tube lower part and with
The hold-down bars resettlement groove of the opening in communication.
5. puncture stitching unstrument according to claim 2 or 3, which is characterized in that the setting of abdominal cavity hold-down bars one end is used for
The tie point of the sharp end of traction body lumen wall, the suture and the abdominal cavity hold-down bars is close to the sharp end.
6. puncture stitching unstrument according to claim 2, which is characterized in that further include for by the abdominal cavity hold-down bars from institute
State the driving means released in puncture tube.
7. puncture stitching unstrument according to claim 6, which is characterized in that the driving means includes:
Its underpart is placed in the push rod in the puncture tube；
It is placed in the push handle convenient for gripping on push rod top.
8. puncture stitching unstrument according to claim 6 or 7, which is characterized in that the stitching devices further include and the seam
Zygonema connection and the auxiliary abdominal cavity hold-down bars for being located at abdominal cavity hold-down bars top.
9. puncture stitching unstrument according to claim 6, which is characterized in that in the suture and the abdominal cavity hold-down bars
Point connection.
10. puncture stitching unstrument according to claim 1, which is characterized in that the puncture pipe outer wall is arranged for indicating length
The scale of degree.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721348755.6U CN208659435U (en) | 2017-10-19 | 2017-10-19 | Puncture stitching unstrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721348755.6U CN208659435U (en) | 2017-10-19 | 2017-10-19 | Puncture stitching unstrument |
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| Publication Number | Publication Date |
|---|---|
| CN208659435U true CN208659435U (en) | 2019-03-29 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201721348755.6U Active CN208659435U (en) | 2017-10-19 | 2017-10-19 | Puncture stitching unstrument |
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| CN (1) | CN208659435U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110559027A (en) * | 2019-07-29 | 2019-12-13 | 中国人民解放军陆军军医大学第二附属医院 | abdominal wall puncture pricking hole suturing device |
-
2017
- 2017-10-19 CN CN201721348755.6U patent/CN208659435U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110559027A (en) * | 2019-07-29 | 2019-12-13 | 中国人民解放军陆军军医大学第二附属医院 | abdominal wall puncture pricking hole suturing device |
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