CN209122323U - A kind of minimally invasive fascia closer - Google Patents
A kind of minimally invasive fascia closer Download PDFInfo
- Publication number
- CN209122323U CN209122323U CN201820768390.0U CN201820768390U CN209122323U CN 209122323 U CN209122323 U CN 209122323U CN 201820768390 U CN201820768390 U CN 201820768390U CN 209122323 U CN209122323 U CN 209122323U
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- handle
- fin
- fixed handle
- puncture outfit
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Abstract
The utility model discloses a kind of minimally invasive fascia closers, including puncture outfit and the clamping pliers being used cooperatively with puncture outfit, the puncture outfit is made of sliding handle and the first fixed handle, the sliding handle is connected to the inner cavity upper end of the first fixed handle, the lower end of the sliding handle is fixedly connected with push-pull rod, the bottom end of first fixed handle is fixedly connected on the end of fin, the head end of the push-and-pull rod head end and fin is attached, the side wall end face two sides of the puncture outfit are respectively and fixedly provided with supporting plate, between the supporting plate and the vertical of the first fixed handle is equipped with cabling channel to side, guide hole is symmetrically arranged at left and right sides of the supporting plate, and the guide hole of the left and right sides crosses through puncture outfit ontology.By the fin of soft elastomeric material, instead of traditional four-bar linkage structure, achieve the purpose that free extension, strict control penetration depth plays and avoids puncturing excessive effect, preferably reaches sewing effect.
Description
Technical field
The utility model relates to medical instrument applied technical field, specially a kind of minimally invasive fascia closer.
Background technique
In recent years, postoperative to be seamed to a significant problem with the extensive use of laparoscopic surgery.With abdominal phase
Than the Complication of abdominal wall rate of laparoscopic surgery has a sharp decline.The Complication of abdominal wall of abdominal will account for complication
50% or so, and not only incidence is low for laparoscopic surgery, but also its degree is also relatively light, the process of laparoscopic surgery experience is as follows:
Implementing general anesthesia, --- corresponding internal organs are completed in minimally invasive stamp mouth --- artificial pneumoperitoneum sets laparoscopic visualization --- operation group cooperation
Surface of a wound observation --- taking out removal of lesions and calculus by small stamp mouth --- notch deep is rinsed in excision --- coagulation surface of a wound hemostasis
Tissue suture epidermis adhesive operation finishes.It follows that tissue suture is the necessary process after laparoscopic surgery, postoperative is bad
Suture can cause the complication of puncture hernia, and the basic reason that puncture hernia occurs is that puncture position has the stomach wall that do not close properly
Defect causes abdomen content or peritonaeum external fat hernia to enter the puncture gap of defect.Stomach wall puncture greater than 10mm is easier to that this occurs
Kind complication.As the modern life is horizontally continuously improved, some operation patients stomach fats are thicker, with pervious conventional method
Suture inconvenient.More common a kind of minimally invasive fascia closer progress myometrial suture clinical at present, this fascia closer
Fin and guide hole comprising a pair of of four-bar linkage structure, fin is openable or although closure, the fascia closer simplify suture
Step, but in sewing process, operator is difficult intuitively, accurately to judge suture depth, causes the suture of abdominal wall tissue two sides
Depth is inconsistent, influences sewing effect.In addition, the filled elastomer on fin cannot make suture after repeated multiple times puncture
Stepped up, and damaged elastomer crumb is lost in patient's body, there are the sequelae such as allergy, inflammation.
Utility model content
The purpose of this utility model is to provide a kind of minimally invasive fascia closers, are easy to lead to solve existing fascia closer
It causes puncture too deep, damages internal organs, caused suture presss from both sides the problem of closing loosely after puncturing repeatedly.
To achieve the above object, the utility model provides the following technical solutions: a kind of minimally invasive fascia closer, including punctures
Device and the clamping pliers being used cooperatively with puncture outfit, it is characterised in that: the puncture outfit is by sliding handle and the first fixed handle
It constitutes, the sliding handle is connected to the inner cavity of the first fixed handle by tongue piece with the card slot being arranged on the first fixed handle
Upper end, the lower end of the sliding handle are fixedly connected with push-pull rod, and the bottom end of first fixed handle is fixedly connected on fin
End, the push-and-pull rod head end and the head end of fin be attached, and the bottom end of the push-pull rod corresponds to two sides and is respectively and fixedly provided with
Line piece is kept off, offers fin hole with gear line piece corresponding position on the fin, the side wall end face two sides of the puncture outfit are fixed
There is a supporting plate, between the supporting plate and the vertical of the first fixed handle is equipped with cabling channel, a left side for the supporting plate to side
Right two sides are symmetrically arranged with guide hole, and the guide hole of the left and right sides crosses through puncture outfit ontology.
Preferably, the sliding handle is made of handle frame, second spring, tongue piece and button, and the button is symmetrically set
In the upper and lower ends of handle frame, and button protrusion is arranged in the keyway of the first fixed handle, first spring be located at by
The lower section of button, and the both ends of second spring are provided with tongue piece.
Preferably, the clamping pliers are made of the second fixed handle, pressing handle, the first spring, needle tubing and clamp silk, institute
It states pressing handle and is plugged on the inner cavity of the second fixed handle, the lower end of the pressing handle is fixedly connected with clamp silk, and described the
One spring is arranged in the inner cavity of the second fixed handle, and is located at the lower end of pressing handle, and it is fixed that the needle tubing is fixed on second
The lower end of handle, and clamp silk is interspersed in needle tubing, the pressing handle upper end side wall is provided with the first protrusion and the second protrusion,
And first is raised positioned at the second raised lower section, the inner sidewall of second fixed handle is equipped with and raised corresponding keyway.
Preferably, the fin is soft elastomeric material, and the movement of push-pull rod can be followed to be unfolded and folded, avoided
After repeated multiple times puncture, damaged elastomer crumb is lost in patient's body, there is the sequelae such as allergy, inflammation.
Preferably, the sliding handle can move in a straight line in the keyway of the first fixed handle.
Preferably, tongue piece and card slot there are two card slot features in the keyway of first fixed handle, in sliding handle
Cooperation clamping carries out position locking to sliding handle, fixes fin.
Compared with prior art, the utility model has the beneficial effects that the utility model is a kind of minimally invasive fascia closer,
By the fin of soft elastomeric material, instead of traditional four-bar linkage structure, achieve the purpose that free extension, strict control is worn
Enter depth, play and avoid puncturing excessive effect, reduce the injury to patient, operator can intuitively, accurately judge to stitch
Depth is closed, keeps the suture depth of abdominal wall tissue two sides consistent, preferably reaches sewing effect.
Detailed description of the invention
Fig. 1 is the utility model agent structure schematic diagram;
Fig. 2 is the utility model puncture outfit three dimensional structure diagram;
Fig. 3 is the utility model clamping pliers vertical cross-sectional;
Fig. 4 is puncture outfit schematic diagram when the utility model fin is opened;
Fig. 5 is puncture outfit schematic diagram when the utility model fin is closed;
Fig. 6 is puncture outfit side B-B cross-sectional view when the utility model fin is closed;
Fig. 7 is puncture outfit side C-C cross-sectional view when the utility model fin is closed.
In figure: 1 puncture outfit, 11 sliding handles, 111 handle frames, 112 second springs, 113 tongue pieces, 114 buttons, 12
One fixed handle, 13 cabling channels, 14 fins, 15 push-pull rods, 16 fin holes, 17 gear line pieces, 18 supporting plates, 181 guide holes, 19
Card slot, 2 clamping pliers, 21 second fixed handles, 22 pressing handles, 221 first protrusions, 222 second protrusions, 23 first springs, 24
Needle tubing, 25 clamp silks.
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 making creative work
Every other embodiment obtained, fall within the protection scope of the utility model.
In this practical description, it should be noted that the orientation of the instructions such as term "vertical", "upper", "lower", "horizontal" or
Person's positional relationship is orientation based on the figure or positional relationship, is merely for convenience of this practical and simplified description of description,
Rather than the device or element of instruction or hint meaning must have a particular orientation, and are constructed and grasped with specific orientation
Make, therefore should not be understood as the limitation practical to this.In addition, " first ", " second ", " third ", " the 4th " are only used for description mesh
, and should not be understood as indicating or implying relative importance.
In this practical description, it is also necessary to explanation, unless otherwise specific regulation and limitation, term " setting ", " peace
Dress ", " connected ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or integrally
Connection, can be mechanical connection, is also possible to be electrically connected, can be and be directly connected to, and be also possible to be connected by intermediary, can
To be the connection inside two elements.For the ordinary skill in the art, can understand as the case may be above-mentioned
Concrete meaning of the term in this is practical.
Fig. 1-7 is please referred to, the utility model provides a kind of technical solution: a kind of minimally invasive fascia closer, including puncture outfit 1
And the clamping pliers 2 being used cooperatively with puncture outfit 1, it is characterised in that: the puncture outfit 1 is by sliding handle 11 and the first fixed hand
Handle 12 is constituted, and the sliding handle is made of handle frame 111, second spring 112, tongue piece 113 and button 114, the button
114 are symmetrically arranged at the upper and lower ends of handle frame 111, and the protrusion of button 114 is arranged in the keyway of the first fixed handle 12, institute
The lower section that second spring 112 is located at button 114 is stated, and the both ends of second spring 112 are provided with tongue piece 113, the sliding hand
Handle 11 is connected to the inner cavity upper end of the first fixed handle 12 by tongue piece 113 with the card slot 19 being arranged on the first fixed handle,
The lower end of the sliding handle 11 is fixedly connected with push-pull rod 15, and the bottom end of first fixed handle 12 is fixedly connected on fin
14 end, the sliding handle 11 can move in a straight line in the keyway of the first fixed handle 12, and the fin 14 is soft
Elastomer material can follow the movement of push-pull rod 15 to be unfolded and folded, and avoid after repeated multiple times puncture, damaged
Elastomer crumb is lost in patient's body, there is a sequelae such as allergy, inflammation, the head end of 15 head end of push-pull rod and fin 14 into
Row connection, the bottom end of the push-pull rod 15 correspond to two sides and are respectively and fixedly provided with gear line piece 17, on the fin 14 with to keep off line piece 17 right
Position is answered to offer fin hole 16, the side wall end face two sides of the puncture outfit 1 are respectively and fixedly provided with supporting plate 18, the supporting plate 18
Between and the first fixed handle 12 it is vertical to side be equipped with cabling channel 13, the left and right sides of the supporting plate 18 is symmetrically arranged with
Guide hole 181, and the guide hole 181 of the left and right sides crosses through 1 ontology of puncture outfit, the clamping pliers 2 are by the second fixed handle
21, it presses handle 22, the first spring 23, needle tubing 24 and clamp silk 25 to form, the pressing handle 22 is plugged on the second fixed hand
The lower end of the inner cavity of handle 21, the pressing handle 22 is fixedly connected with clamp silk 25, and the setting of the first spring 23 is solid second
In the inner cavity for determining handle 21, and it is located at the lower end of pressing handle 22, the needle tubing 24 is fixed on the lower end of the second fixed handle 21,
And clamp silk 25 is interspersed in needle tubing 24, the 22 upper end side wall of pressing handle is provided with the first protrusion 221 and the second protrusion
222, and the first protrusion 221 is located at the lower section of the second protrusion 222, the inner sidewall of second fixed handle 21 is equipped with and protrusion
Corresponding keyway, there are two card slot features in the keyway of first fixed handle 12, tongue piece 113 in sliding handle 11 with
The cooperation clamping of card slot 19, carries out position locking to sliding handle 11, keeps fin 14 fixed.
Working principle: in use, suture is carried out cabling by doctor in cabling channel as needed, in cabling, by suture
Across by the insertion of puncture outfit 1 abdominal cavity, it is pulled back backward to bottom, is slided at this time by pressing sliding handle 11 under gear line piece 17
Handle 11 is stuck in card slot 19 by tongue piece 113, and sliding handle 11 is fixed, and fin 14 is fully deployed, adjustment puncture outfit 1
Paracentesis depth makes fin 14 be tightly attached to abdominal wall, and the needle tubing 24 of clamping pliers 2 is entered through by the guide hole 181 of puncture outfit 1
Fin hole 16 bottom of to pushes pressing handle 22, and the first protrusion 221 is hung in the slot of fixed handle 21, stretches out clamp silk 25, hook
Firmly retraction pressing handle 22 after suture 3, when the first protrusion 221 of back pressure, clamp silk 25 is withdrawn out of needle tubing 24, the second protrusion
222 hang in the slot of fixed handle 21, enter suture in needle tubing 24, extract clamping pliers 2 out at this time, take out an end line of suture 3
The needle tubing 24 of clamping pliers 2 is entered the other side guide hole of puncture outfit 1, takes out another end line of suture by head in the same way
Head extracts clamping pliers 2 out, presses sliding handle 11, forward pushes to bottom, and sliding handle 11 is blocked by tongue piece 113 at this time
In the card slot 19 of lower end, fin 14 is fully folded as vertical state, extracts puncture outfit 1 out, and finally suture 3 knots and closes.
While there has been shown and described that the embodiments of the present invention, for the ordinary skill in the art,
It is understood that these embodiments can be carried out with a variety of variations in the case where not departing from the principles of the present invention and spirit, repaired
Change, replacement and variant, the scope of the utility model is defined by the appended claims and the equivalents thereof.
Claims (6)
1. a kind of minimally invasive fascia closer, special including puncture outfit (1) and the clamping pliers (2) being used cooperatively with puncture outfit (1)
Sign is: the puncture outfit (1) is made of sliding handle (11) and the first fixed handle (12), and the sliding handle (11) passes through
Tongue piece (113) and the card slot (19) being arranged on the first fixed handle are connected to the inner cavity upper end of the first fixed handle (12), institute
The lower end for stating sliding handle (11) is fixedly connected with push-pull rod (15), and the bottom end of first fixed handle (12) is fixedly connected on
The head end of the end of fin (14), push-pull rod (15) head end and fin (14) is attached, the bottom of the push-pull rod (15)
It holds corresponding two sides to be respectively and fixedly provided with and keeps off line piece (17), offer fin hole with gear line piece (17) corresponding position on the fin (14)
(16), the side wall end face two sides of the puncture outfit (1) are respectively and fixedly provided with supporting plate (18), between the supporting plate (18) and first
The vertical of fixed handle (12) is equipped with cabling channel (13) to side, is symmetrically arranged with guide hole at left and right sides of the supporting plate (18)
(181), and the guide hole of the left and right sides (181) crosses through puncture outfit (1) ontology.
2. a kind of minimally invasive fascia closer according to claim 1, it is characterised in that: the sliding handle is by handle frame
(111), second spring (112), tongue piece (113) and button (114) are constituted, and the button (114) is symmetrically arranged at handle frame
(111) upper and lower ends, and button (114) protrusion is arranged in the keyway of the first fixed handle (12), the second spring
(112) it is located at the lower section of button (114), and the both ends of second spring (112) are provided with tongue piece (113).
3. a kind of minimally invasive fascia closer according to claim 1, it is characterised in that: the clamping pliers (2) are consolidated by second
Determine handle (21), pressing handle (22), the first spring (23), needle tubing (24) and clamp silk (25) composition, the pressing handle
(22) it is plugged on the inner cavity of the second fixed handle (21), the lower end of pressing handle (22) is fixedly connected with clamp silk (25),
First spring (23) is arranged in the inner cavity of the second fixed handle (21), and is located at the lower end of pressing handle (22), described
Needle tubing (24) is fixed on the lower end of the second fixed handle (21), and clamp silk (25) is interspersed in needle tubing (24), the pressing hand
Handle (22) upper end side wall is provided with first raised (221) and second raised (222), and first raised (221) are located at the second protrusion
(222) lower section, the inner sidewall of second fixed handle (21) are equipped with keyway corresponding with protrusion.
4. a kind of minimally invasive fascia closer according to claim 1, it is characterised in that: the fin (14) is soft elasto
Body material can follow the movement of push-pull rod (15) to be unfolded and folded, avoid after repeated multiple times puncture, damaged bullet
Property body clast is lost in patient's body, there is the sequelae such as allergy, inflammation.
5. a kind of minimally invasive fascia closer according to claim 1, it is characterised in that: the sliding handle (11) can be
It is moved in a straight line in the keyway of one fixed handle (12).
6. a kind of minimally invasive fascia closer according to claim 1, it is characterised in that: first fixed handle (12)
There are two card slot features in keyway, tongue piece (113) and card slot (19) cooperation in sliding handle (11) are clamped, to sliding handle
(11) position locking is carried out, keeps fin (14) fixed.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201820768390.0U CN209122323U (en) | 2018-05-23 | 2018-05-23 | A kind of minimally invasive fascia closer |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201820768390.0U CN209122323U (en) | 2018-05-23 | 2018-05-23 | A kind of minimally invasive fascia closer |
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Publication Number | Publication Date |
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CN209122323U true CN209122323U (en) | 2019-07-19 |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111631769A (en) * | 2020-07-01 | 2020-09-08 | 霍会芳 | Fascia suture device |
CN113907819A (en) * | 2021-11-15 | 2022-01-11 | 北京天助畅运医疗技术股份有限公司 | Puncture awl with push pin structure |
CN116236144A (en) * | 2023-01-04 | 2023-06-09 | 杭州康基医疗器械有限公司 | Double-view panoramic medical endoscope camera shooting system and panoramic implementation method |
-
2018
- 2018-05-23 CN CN201820768390.0U patent/CN209122323U/en active Active
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111631769A (en) * | 2020-07-01 | 2020-09-08 | 霍会芳 | Fascia suture device |
CN113907819A (en) * | 2021-11-15 | 2022-01-11 | 北京天助畅运医疗技术股份有限公司 | Puncture awl with push pin structure |
CN116236144A (en) * | 2023-01-04 | 2023-06-09 | 杭州康基医疗器械有限公司 | Double-view panoramic medical endoscope camera shooting system and panoramic implementation method |
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