CN208756044U - A kind of Cardiac operation with mini-trauma pericardium suspension apparatus - Google Patents

A kind of Cardiac operation with mini-trauma pericardium suspension apparatus Download PDF

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Publication number
CN208756044U
CN208756044U CN201820476607.0U CN201820476607U CN208756044U CN 208756044 U CN208756044 U CN 208756044U CN 201820476607 U CN201820476607 U CN 201820476607U CN 208756044 U CN208756044 U CN 208756044U
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CN
China
Prior art keywords
suture
needle
pericardium
puncture cannula
trauma
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Expired - Fee Related
Application number
CN201820476607.0U
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Chinese (zh)
Inventor
张雅永
李亚雄
钱旭
李鹏
李建华
王小燕
王钊
字云峰
任乐
韩燊
蒲磊
王原飞
曾建银
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Yan'an Hospital
Yanan Hospital of Kunming City
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Yan'an Hospital
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Publication date
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Priority to CN201820476607.0U priority Critical patent/CN208756044U/en
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Publication of CN208756044U publication Critical patent/CN208756044U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, including puncture cannula, suture puncture needle and suspension needle, the puncture cannula length is 10-15cm, front end is sharp puncturing head, it is the double cavitys of 8 fonts inside puncture cannula, wherein a cavity is equipped with locking mechanism, the suture puncture needle can be penetrated out of puncture cannula, front end is jag syringe needle, it is provided with anticreep overhead kick and is equipped with suture, the position 2-3cm is equipped with function overhead kick and fixes with suture after jag syringe needle, the suspension needle length is 15-20cm, suspension needle can be penetrated from another cavity of puncture cannula, front end is equipped with suture drag hook, rear end setting idle loop circle is connect by adjustable connection buckle with elastic element, functional drag hook is arranged in elastic element rear end.The utility model Cardiac operation with mini-trauma pericardium suspension apparatus can conveniently pull pericardium, exposure surgical field of view, and its wound is smaller, is suitble to minimally invasive, small notch openheart surgery in Cardiac operation with mini-trauma.

Description

A kind of Cardiac operation with mini-trauma pericardium suspension apparatus
Technical field
The utility model relates to technical field of medical equipment, and in particular to a kind of Cardiac operation with mini-trauma pericardium suspension apparatus.
Background technique
Heart disease is the number one killer of human health, and the whole world is died of every year in the size of population of disease, there are about three/ First is that because disease incidence is in obvious ascendant trend always, and in China, also there are about 3,500,000 people to die of the heart every year caused by heart disease Popular name for.As the continuous prosperity with medical science and technology is improved in the continuous development of cardiac operation, in the industry in addition to pursuing good hand Outside art result, it is also desirable to operation risk are reduced to bottom line, and be also contemplated that the aesthetic problem of rear wound.Outside heart Section is also the same with other field, develops to minimally invasive direction and also has become a kind of inexorable trend.
Pericardium is the thin film of the dirty outside of packet, and there are slurries in the centre of pericardium and heart wall, can lubricate cardiac muscle, make heart It is not injured with thoracic cavity friction when movable.Serous pericardium and fiber pericardium can be divided into.Pericardium has protective effect to the heart, when normal The excessive enlargement of the heart can be prevented, to keep the constant of blood volume, since fiber pericardium retractility is very small, if cavum pericardiale largely accumulates Liquid can then limit the diastole of the heart, influence venous blood and return the heart.
In the operation such as Cardiac operation with mini-trauma, heart small incision surgery, need to cut pericardium, the field of operation of exposure heart Domain, after pericardial incision, a state to heart package can be still presented in pericardium, needed to retract pericardium by cutting direction, be made Obtain the exposure of intra-operative region;Traditional operating method is that suture is sewn on pericardium by sewing needle by pericardial incision mouth position It cuts on valve, then pericardium is retracted by suture or remaining device and suspends exposure surgical field of view in midair;Such method inefficiency, wound Hurt larger, and the cumbersome easy error of while operating, visual field exposure are incomplete;And be more likely to interfere surgical procedure, it is not inconsistent Close the demand of minimally invasive small notch openheart surgery;And there is no the preferable scheme and device that solve problems, energy sides at present Just pericardium is efficiently pulled, exposure surgical field of view does not cause compared with major trauma.
Utility model content
The purpose of the utility model is to overcome the above-mentioned problems in the prior art, provide a kind of Cardiac operation with mini-trauma Pericardium suspension apparatus can conveniently pull pericardium in Cardiac operation with mini-trauma, exposure surgical field of view, and its wound compared with It is small, it is suitble to minimally invasive, small notch openheart surgery.
To realize above-mentioned technical purpose and the technique effect, the utility model is achieved through the following technical solutions:
A kind of Cardiac operation with mini-trauma pericardium suspension apparatus, including puncture cannula, suture puncture needle and suspension needle, the puncture Casing length is 10-15cm, and it is the double cavitys of 8 fonts inside puncture cannula, wherein a cavity is equipped with that front end, which is sharp puncturing head, Locking mechanism, the suture puncture needle can be penetrated out of puncture cannula with locking mechanism cavity, and front end is jag syringe needle, setting There is anticreep overhead kick and be equipped with suture, the position 2-3cm is equipped with function overhead kick and fixes with suture after jag syringe needle, the suspension needle Length is 15-20cm, and suspension needle can be penetrated from another cavity of puncture cannula, and front end is equipped with suture drag hook, and idle loop is arranged in rear end Circle is connect by adjustable connection buckle with elastic element, and functional drag hook is arranged in elastic element rear end.
Preferably, there is position limiting convex ring in the puncture cannula rear end position 3-5cm, and puncture cannula surface is set on rear side of position limiting convex ring There is specification mark.
Preferably, a wherein cavity for the double cavitys of 8 fonts inside the puncture cannula is equipped with locking mechanism, punctures set The side of pipe is set as the second level internal thread hole that aperture becomes smaller from inside to outside.
The locking mechanism includes the screw thread that front end reaches the locking step of puncture cannula cavity and connect with puncture cannula wall Bar and the adjusting knob of rear end, locking step diameter are greater than threaded rod.
Preferably, the suture puncture needle front end is jag syringe needle, and rear end is handle, and front end jag syringe needle middle position is Empty slot is provided with an anticreep overhead kick on the syringe needle of empty slot two sides, and suture one end is set as movable sleeve and is fixed in anticreep overhead kick.
The suture other end is set as movable sleeve and is fixed in function overhead kick, suture length 6-9cm.
Preferably, the suspension needle front end is suture drag hook, and suture drag hook is invaginating overhead kick, and idle loop is arranged in rear end Circle is connect by adjustable connection buckle with elastic element, and functional drag hook is arranged in elastic element rear end.
The adjustable connection buckle is the elliptical ring equipped with opening, can be by joining rod and spiral that elliptical ring open end is arranged Set realizes closure.
The beneficial effects of the utility model are: the utility model Cardiac operation with mini-trauma pericardium suspension apparatus, in minimally invasive heart It performs the operation after pericardial incision, puncture needle will be sutured by the way that wherein the cavity insertion puncture pericardium with locking mechanism is cut on puncture cannula Be open neighbouring position, and suture, which follows, reaches pericardium valve another side, and suspension needle is inserted through from another cavity of puncture cannula Suture drag hook catches on the suture of pericardium heart valve another side, at the same operate suture puncture needle and suspension needle be recycled to puncture set Pipe sutures puncture needle and is fixed by locking mechanism, and suspension needle passes through function drag hook in outside and extraneous stable fixed realization pericardium is outstanding It hangs, can conveniently pull pericardium, exposure surgical field of view, and its wound is smaller, is suitble to minimally invasive, small notch openheart surgery.
Certainly, any product for implementing the utility model does not necessarily require achieving all the advantages described above at the same time.
Detailed description of the invention
In order to illustrate more clearly of the technical solution of the utility model embodiment, make required for being described below to embodiment Attached drawing is briefly described, it should be apparent that, the drawings in the following description are merely some embodiments of the present invention, For those of ordinary skill in the art, without creative efforts, it can also be obtained according to these attached drawings Other attached drawings.
Fig. 1 is the structural schematic diagram of Cardiac operation with mini-trauma pericardium suspension apparatus described in the utility model;
Fig. 2 is the structural schematic diagram of puncture cannula described in the utility model;
Fig. 3 is the structural schematic diagram of locking mechanism described in the utility model;
Fig. 4 is the structural schematic diagram of suspension needle described in the utility model;
Fig. 5 is the structural schematic diagram of adjustable connection buckle described in the utility model;
Fig. 6 is the structural schematic diagram of suture puncture needle described in the utility model;
Fig. 7 is the position view of the suspention of suspension apparatus pericardium described in the utility model embodiment;
In attached drawing, parts list represented by the reference numerals are as follows:
1- puncture cannula, the sharp puncturing head of 101-, the double cavitys of 102-8 font, 103- position limiting convex ring, 104- locking mechanism, 1041- locking step, 1042- threaded rod, 1043- adjusting knob, 105- specification mark, 106- second level internal thread hole, 2- suspension needle, 201- suture drag hook, 202- idle loop circle, 203- is adjustable connection buckle, 2031- joining rod, 2032- screw-casing, 204- elasticity member Part, 205- function drag hook, 3- suture puncture needle, 301- jag syringe needle, 302- anticreep overhead kick, 303- function overhead kick, 304- suture Line, 305- handle.
Specific embodiment
The following will be combined with the drawings in the embodiments of the present invention, carries out the technical scheme in the embodiment of the utility model Clearly and completely describe, it is clear that the described embodiments are only a part of the embodiments of the utility model, rather than whole Embodiment.Based on the embodiments of the present invention, those of ordinary skill in the art are without creative efforts All other embodiment obtained, fall within the protection scope of the utility model.
It please refers to shown in Fig. 1-7, the utility model is a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, including puncture cannula 1, puncture needle 3 and suspension needle 2 are sutured, 1 length of puncture cannula is 10-15cm, and front end is sharp puncturing head 101, punctures set It is the double cavitys 102 of 8 fonts inside pipe 1, wherein a cavity is equipped with locking mechanism 104, the suture puncture needle 3 can be covered from puncturing It is penetrated in the cavity of with locking mechanism 104 in pipe 1, front end is jag syringe needle 301, is provided with anticreep overhead kick 302 and is equipped with suture Line 304, the position 2-3cm is equipped with function overhead kick 303 after jag syringe needle 301 and suture 304 is fixed, and 2 length of suspension needle is 15-20cm, suspension needle 2 can be penetrated from another cavity of puncture cannula 1, and front end is equipped with suture drag hook 201, and idle loop circle is arranged in rear end 202 are connect by adjustable connection buckle 203 with elastic element 204, and functional drag hook 205 is arranged in 204 rear end of elastic element.
Wherein, there are position limiting convex ring 103,103 rear side puncture cannula of position limiting convex ring, 1 surface in the 1 rear end position 3-5cm of puncture cannula Equipped with specification mark 105.
Wherein, a wherein cavity for the double cavitys 102 of 8 fonts inside puncture cannula 1 is equipped with locking mechanism 104, punctures The side of casing 1 is set as the second level internal thread hole 106 that aperture becomes smaller from inside to outside.
The locking mechanism 104 includes that front end reaches the locking step 1041 of 1 cavity of puncture cannula and connects with 1 wall of puncture cannula The adjusting knob 1043 of the threaded rod 1042 and rear end that connect, 141 diameter of locking step are greater than threaded rod 1042.
Wherein, suture 3 front end of puncture needle is jag syringe needle 301, and rear end is handle 305,301 interposition of front end jag syringe needle It is set to empty slot, an anticreep overhead kick 302 is provided on the syringe needle of empty slot two sides, 304 one end of suture is set as movable sleeve and is fixed on In anticreep overhead kick 302.
304 other end of suture is set as movable sleeve and is fixed in function overhead kick 303, and 304 length of suture is 6- 9cm。
Wherein, 2 front end of suspension needle is suture drag hook 201, and suture drag hook 201 is invaginating overhead kick, and rear end setting is empty Ring 202 is connect by adjustable connection buckle 203 with elastic element 204, and functional drag hook 205 is arranged in 204 rear end of elastic element.
The adjustable connection buckle 203 is the elliptical ring equipped with opening, the joining rod that can be arranged by elliptical ring open end 2031 and screw-casing 2032 realize closure.
Embodiment 1
It please refers to shown in Fig. 1-7, a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, including puncture cannula 1, suture puncture needle 3 and suspension needle 2,1 length of puncture cannula is 10-15cm, and front end is sharp puncturing head 101, double for 8 fonts inside puncture cannula 1 There are position limiting convex ring 103 in cavity 102, the 1 rear end position 3-5cm of puncture cannula, and 103 rear side puncture cannula of position limiting convex ring, 1 surface is equipped with Specification identifies 105, and a wherein cavity for the double cavitys 102 of 8 fonts inside puncture cannula 1 is equipped with locking mechanism 104, punctures set The side of pipe 1 be set as second level internal thread hole 106 that aperture becomes smaller from inside to outside (second level internal thread hole 106 i.e. as shown in figure 3, Be divided into two ranks according to threaded hole aperture difference, and with the threaded hole ratio of 1 interior thereof of puncture cannula and 1 appearance of puncture cannula The connected internal thread hole diameter in face is big, so that the locking step 1041 of locking mechanism will not be slipped from second level internal thread hole 106), lock Determining mechanism 104 includes the threaded rod 1042 that front end reaches the locking step 1041 of 1 cavity of puncture cannula and connect with 1 wall of puncture cannula And the adjusting knob 1043 of rear end, 141 diameter of locking step are greater than threaded rod 1042;
Suture puncture needle 3 can penetrate in the cavity of with locking mechanism 104 out of puncture cannula 1, and front end is jag syringe needle 301, be provided with anticreep overhead kick 302 and be equipped with suture 304, after jag syringe needle 301 position 2-3cm be equipped with function overhead kick 303 with Suture 304 is fixed;Suture 3 front end of puncture needle is jag syringe needle 301, and rear end is handle 305, among front end jag syringe needle 301 Position is empty slot, and an anticreep overhead kick 302 is provided on the syringe needle of empty slot two sides, and 304 one end of suture is set as movable sleeve and fixes In anticreep overhead kick 302,304 other end of suture is set as movable sleeve and is fixed in function overhead kick 303, and 304 length of suture is 6-9cm;
2 length of suspension needle is 15-20cm, and suspension needle 2 can be penetrated from another cavity of puncture cannula 1, and front end is equipped with suture Drag hook 201, rear end setting idle loop circle 202 are connect by adjustable connection buckle 203 with elastic element 204, and 204 rear end of elastic element is set It is equipped with function drag hook 205,2 front end of suspension needle is suture drag hook 201, and suture drag hook 201 is invaginating overhead kick, rear end setting Idle loop circle 202 is connect by adjustable connection buckle 203 with elastic element 204, and functional drag hook 205 is arranged in 204 rear end of elastic element; Adjustable connection buckle 203 is the elliptical ring equipped with opening, can be by joining rod 2031 and screw-casing that elliptical ring open end is arranged 2032 realize closure.
In use, as shown in figs. 1-7, under hysteroscope or other visual sem observations, after Cardiac operation with mini-trauma notch pericardium (generally in the 4th rib between the 6th rib) covers according to the direction of pericardial incision notch and surgical procedure demand direction by puncturing Pipe 1 is reached by external puncture close to the position (as shown in Figure 7) of pericardium;Suture puncture needle 3 is passed through into wherein band on puncture cannula 1 There is the cavity insertion of locking mechanism 104 to pierce through pericardial incision mouth neighbouring position, after puncture, sutures the jag needle of 3 head end of puncture needle First 301 and anticreep overhead kick 302 on fixed suture 304 reach the pericardium other side;It is another from puncture cannula 1 by suspension needle 2 again Cavity insertion reaches 301 peripheral position of jag syringe needle of suture puncture needle 3, allows suture drag hook by operating suspension needle 2 at this time 201 catch on the suture 304 on suture puncture needle 3;After line drag hook 201 to be stapled catches on suture 304, operation suture is punctured The rear end of needle 3 and suspension needle 2 is slowly drawn back, and length is that the other end of the suture 304 of 6-9cm is fixed on function overhead kick at this time To stablize on 303 and fixes, suture drag hook 201 about hooks in suture middle position after pumpback suture puncture needle 3 and suspension needle 2, Suture puncture needle 3 and suspension needle 2 are drawn back to puncture cannula 1, suture 304 is acted in suture puncture needle 3 and suspension needle 2 Under pericardial incision valve fixed and pull to sharp 101 position of puncturing head in 1 front end of puncture cannula, suture puncture needle 3 is led to It crosses locking mechanism 104 to be stably fixed on puncture cannula 1, that is, screws adjusting knob 1043 for locking step 1041 and resist suture puncture Needle 3 realizes locking;Suspension needle 2 then passes through adjustable connection buckle 203 and 204 (bullet of elastic element by the idle loop circle 202 that rear end is arranged Property element can be helical spring) connection, 204 rear end of elastic element setting function drag hook 205 and external agency (such as operating bed, External pulling device etc.) connection;It realizes and conveniently suspends pericardium in midair, exposure surgical field of view, and its wound is smaller, Surgical field of view exposure preferably, while avoiding blocking surgical procedure space.
Embodiment 2
Operating method as described in example 1 above, as shown in fig. 7, by the Cardiac operation with mini-trauma pericardium suspension apparatus Remaining position carries out aforesaid operations from figure, has been able to achieve conveniently suspends pericardium in midair after the completion, so that heart is completely sudden and violent Dew sufficiently exposes surgical field of view, and its wound is smaller, at the same suspension needle 2 passed through by the idle loop circle 202 that rear end be arranged it is adjustable Connection buckle 203 is connect with elastic element 204 (elastic element can be helical spring), and the function of 204 rear end of elastic element setting is drawn Hook 205 connect with external agency's (such as operating bed, external pulling device) and also avoids blocking surgical procedure space;It is suitable for micro- Wound, small notch openheart surgery;Thoracoscope small incision surgery and robotic surgery etc.;Its is reasonable in design, facilitates operation, practical Property it is strong, be suitble to medical institutions promote the use of.
In the description of this specification, the description of reference term " one embodiment ", " example ", " specific example " etc. means Particular features, structures, materials, or characteristics described in conjunction with this embodiment or example are contained at least one of the utility model In embodiment or example.In the present specification, schematic expression of the above terms be not necessarily referring to identical embodiment or Example.Moreover, particular features, structures, materials, or characteristics described can be in any one or more embodiment or examples In can be combined in any suitable manner.
The preferred embodiment in the utility model disclosed above is only intended to help to illustrate the utility model.Preferred embodiment is simultaneously There is no the details that detailed descriptionthe is all, also not limiting the utility model is only the specific embodiment.Obviously, according to this theory The content of bright book can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to preferably The principles of the present invention and practical application are explained, so that skilled artisan be enable to better understand and utilize this Utility model.The utility model is limited only by the claims and their full scope and equivalents.

Claims (8)

1. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus, it is characterised in that: including puncture cannula, suture puncture needle and suspention Needle, the puncture cannula length are 10-15cm, and front end is sharp puncturing head, are the double cavitys of 8 fonts inside puncture cannula, wherein One cavity is equipped with locking mechanism, and the suture puncture needle can be penetrated out of puncture cannula with locking mechanism cavity, and front end is Jag syringe needle is provided with anticreep overhead kick and is equipped with suture, and the position 2-3cm is equipped with function overhead kick after jag syringe needle and suture is solid Fixed, the suspension needle length is 15-20cm, and suspension needle can be penetrated from another cavity of puncture cannula, and front end is equipped with suture drag hook, Rear end setting idle loop circle is connect by adjustable connection buckle with elastic element, and functional drag hook is arranged in elastic element rear end.
2. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that: after the puncture cannula There is position limiting convex ring in the end position 3-5cm, and puncture cannula surface is identified equipped with specification on rear side of position limiting convex ring.
3. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that: in the puncture cannula A wherein cavity for the double cavitys of 8 fonts in portion is equipped with locking mechanism, and the side of puncture cannula is set as aperture and becomes from inside to outside Small second level internal thread hole.
4. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as claimed in claim 3, it is characterised in that: the locking mechanism packet It includes front end and reaches the locking step of puncture cannula cavity and the adjusting knob of the threaded rod and rear end that connect with puncture cannula wall, locking Platform diameter is greater than threaded rod.
5. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that: the suture puncture needle Front end is jag syringe needle, and rear end is handle, and front end jag syringe needle middle position is empty slot, is provided with one on the syringe needle of empty slot two sides A anticreep overhead kick, suture one end are set as movable sleeve and are fixed in anticreep overhead kick.
6. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as claimed in claim 5, it is characterised in that: the suture is another End is set as movable sleeve and is fixed in function overhead kick, suture length 6-9cm.
7. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as described in claim 1, it is characterised in that: the suspension needle front end For suture drag hook, suture drag hook is invaginating overhead kick, and rear end is arranged idle loop circle and is connected by adjustable connection buckle and elastic element It connects, functional drag hook is arranged in elastic element rear end.
8. a kind of Cardiac operation with mini-trauma pericardium suspension apparatus as claimed in claim 7, it is characterised in that: the adjustable connection buckle For the elliptical ring equipped with opening, closure can be realized by the joining rod and screw-casing that elliptical ring open end is arranged.
CN201820476607.0U 2018-04-04 2018-04-04 A kind of Cardiac operation with mini-trauma pericardium suspension apparatus Expired - Fee Related CN208756044U (en)

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CN201820476607.0U CN208756044U (en) 2018-04-04 2018-04-04 A kind of Cardiac operation with mini-trauma pericardium suspension apparatus

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CN201820476607.0U CN208756044U (en) 2018-04-04 2018-04-04 A kind of Cardiac operation with mini-trauma pericardium suspension apparatus

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108403170A (en) * 2018-04-04 2018-08-17 昆明市延安医院 A kind of Cardiac operation with mini-trauma pericardium suspension apparatus

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108403170A (en) * 2018-04-04 2018-08-17 昆明市延安医院 A kind of Cardiac operation with mini-trauma pericardium suspension apparatus
CN108403170B (en) * 2018-04-04 2024-01-19 昆明市延安医院 Minimally invasive heart surgery pericardium suspension device

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