CN209932845U - Stitching instrument for thoracoscopic minimally invasive surgery - Google Patents
Stitching instrument for thoracoscopic minimally invasive surgery Download PDFInfo
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- CN209932845U CN209932845U CN201920227394.2U CN201920227394U CN209932845U CN 209932845 U CN209932845 U CN 209932845U CN 201920227394 U CN201920227394 U CN 201920227394U CN 209932845 U CN209932845 U CN 209932845U
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- shell
- passing device
- puncture needle
- needle
- wire passing
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- 238000002324 minimally invasive surgery Methods 0.000 title claims abstract description 18
- 238000001356 surgical procedure Methods 0.000 claims description 2
- 210000000779 thoracic wall Anatomy 0.000 description 17
- 210000000115 thoracic cavity Anatomy 0.000 description 6
- 210000000038 chest Anatomy 0.000 description 5
- 230000000740 bleeding effect Effects 0.000 description 4
- 238000010030 laminating Methods 0.000 description 4
- 230000002349 favourable effect Effects 0.000 description 2
- 238000009958 sewing Methods 0.000 description 2
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
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Abstract
The utility model discloses a stitching instrument for thoracoscope minimally invasive surgery in the field of medical appliances, which comprises a shell, and a long puncture needle and a short puncture needle which are arranged in the shell in parallel with the shell; the front end of the shell is provided with a wire passing device track shell communicated with the shell, the front end of the wire passing device track shell is bent, and the rear end of the wire passing device track shell is provided with a shell nut sleeved on the radial outer side of the wire passing device track shell; the front end of the wire passing device track shell is provided with a wire passing device which is positioned in the wire passing device track shell and is matched with the wire passing device track shell; the front end of the shell is provided with a connecting piece which can slide along the axial direction of the shell, a core wire fixing seat is arranged in the connecting piece, the core wire fixing seat is connected with the wire passing device through a spring core wire, and the connecting piece is connected with a wire passing device retracting handle on the outer side wall of the shell.
Description
Technical Field
The utility model relates to a stitching instrument for thoracoscope minimally invasive surgery in the field of medical instruments.
Background
The suture of the inner layer of the thoracic cavity is a difficult point in the minimally invasive operation of a thoracoscope, the operation basically depends on the professional level of a doctor, the inner layer of the thoracic cavity is basically attached to the skin of the outer layer of the thoracic wall by pressing the chest firstly, and the inner thoracic wall can be sutured without instruments.
First, the suturing of the outer layer of the chest wall is accomplished under the condition that the inner chest wall is not completely attached, which is greatly influenced by the professional level of the doctor, and the continuous bleeding of the inner chest wall is easy to occur.
Secondly, after the doctor finishes pressing the chest, the inner chest wall is completely attached to the doctor and the skin of the outer chest wall is successfully sutured, the inner chest wall can not stop bleeding due to different characteristics of the wounded, and continuous bleeding is caused.
Thirdly, after the doctor presses the chest and the inner chest wall is completely attached and the skin of the outer chest wall is sutured successfully, the inner chest wall is not sutured, and the inner chest wall is intermittently bleeded due to the action of the wounded.
SUMMERY OF THE UTILITY MODEL
The utility model aims at overcoming the defects of the prior art, providing a stitching instrument for thoracoscope minimally invasive surgery, which has large effective stitching width and easily realizes that the product enters the human body to reach the right place.
One technical scheme for achieving the above purpose is as follows: a stitching instrument for thoracoscopic minimally invasive surgery comprises a shell, and a long puncture needle and a short puncture needle which are arranged in the shell in parallel with the shell;
the front end of the shell is provided with a wire passing device track shell communicated with the shell, the front end of the wire passing device track shell is bent, and the rear end of the wire passing device track shell is provided with a shell nut sleeved on the radial outer side of the wire passing device track shell; the front end of the wire passing device track shell is provided with a wire passing device which is positioned in the wire passing device track shell and is matched with the wire passing device track shell;
the front end of the shell is provided with a connecting piece which can slide along the axial direction of the shell, a core wire fixing seat is arranged in the connecting piece, the core wire fixing seat is connected with the wire passing device through a spring core wire, and the connecting piece is connected with a wire passing device retracting handle on the outer side wall of the shell.
Furthermore, the long puncture needle and the short puncture needle both penetrate through the connecting piece and the core wire fixing seat and extend into the thread passing device track shell, the tip of the short puncture needle is provided with a separable needle cap, and the thread passing device is provided with a long needle connecting cap for inserting the tip of the long puncture needle and a short needle connecting cap for inserting the needle cap of the short puncture needle; the long needle connecting cap and the short needle connecting cap are connected through a connecting wire, the connecting wire and the spring core wire are respectively positioned on two sides of the thread passing device along the axial direction of the thread passing device, and the long needle connecting cap and the short needle connecting cap can be separated from the thread passing device.
Still further, the rear end of the shell is provided with a puncture needle pushing handle extending out of the shell, the puncture needle pushing handle is connected with a puncture needle fixing seat located in the shell, and the rear ends of the long puncture needle and the short puncture needle are both fixed with the puncture needle fixing seat.
Furthermore, the puncture needle fixing seat is elastically clamped and fixed with the puncture needle pushing handle.
Furthermore, a spring is arranged between the connecting piece and the core wire fixing seat.
Furthermore, a connecting rod positioned in the shell is arranged between the connecting piece and the wire passing device retracting handle, and the connecting rod is connected with the connecting piece and the wire passing device retracting handle through pivots.
The suturing device for the thoracoscope minimally invasive surgery comprises a shell, and a long puncture needle and a short puncture needle which are arranged in the shell in parallel with the shell; the front end of the shell is provided with a wire passing device track shell communicated with the shell, the front end of the wire passing device track shell is bent, and the rear end of the wire passing device track shell is provided with a shell nut sleeved on the radial outer side of the wire passing device track shell; the front end of the wire passing device track shell is provided with a wire passing device which is positioned in the wire passing device track shell and is matched with the wire passing device track shell; the front end of the shell is provided with a connecting piece which can slide along the axial direction of the shell, a core wire fixing seat is arranged in the connecting piece, the core wire fixing seat is connected with the wire passing device through a spring core wire, and the connecting piece is connected with a wire passing device retracting handle on the outer side wall of the shell. The technical effects are as follows: through crossing the shape of line ware 5 and crossing line ware track casing 11 and designing, increased effective width of sewing up, through setting up line ware track casing and casing nut, push away the casing nut and reach the human degree of depth of getting into of the extrathoracic skin laminating promptly and put in place of product entering during the operation, cancelled the blood guide pipe, the strong operability can not deviate the department of sewing up because of the swing of product, also is favorable to the complete laminating of interior chest wall.
Drawings
Fig. 1 is a front view of the suturing device for thoracoscopic minimally invasive surgery of the present invention.
Fig. 2 is a top view of the suturing device for thoracoscopic minimally invasive surgery of the present invention.
Fig. 3 is a sectional view taken along the plane a-a of fig. 2.
Fig. 4 is an enlarged view of a portion C of fig. 3.
Fig. 5 is an enlarged view of a portion B of fig. 3.
Fig. 6 is an enlarged view of a portion B when the wire passing device is opened.
Fig. 7 is a perspective view of the suture instrument for thoracoscopic minimally invasive surgery of the present invention when the suture instrument is closed.
Fig. 8 is a perspective view of the suture instrument for thoracoscopic minimally invasive surgery of the present invention when the thread passing instrument is opened.
Detailed Description
Referring to fig. 1 to 8, in order to better understand the technical solution of the present invention, the inventor of the present invention shall now describe in detail the following embodiments with reference to the accompanying drawings:
referring to fig. 1, the suturing device for thoracoscope minimally invasive surgery of the present invention includes a thread guide track housing 11 and a housing 13, wherein the front end of the housing 13 is connected to the thread guide track housing 11. A shell nut 12 is radially sleeved outside one end, namely the rear end, of the wire guide track shell 11 close to the shell 13. The front end of the wire passing device track shell 11 is bent, and two notches 111 are symmetrically formed on the outer side wall of the wire passing device track shell 11.
One end, namely the rear end, of the shell 13 far away from the line passing device track shell 11 is provided with a puncture needle pushing handle 21, one end of the puncture needle pushing handle 21 extends out of the shell 13, the other end of the puncture needle pushing handle 21 is connected with a puncture needle fixing seat 22, and the puncture needle fixing seat 22 and the puncture needle pushing handle 21 are fixed through elastic clamping.
One end, i.e., the front end, of the housing 13 close to the housing nut 12 is provided with a connecting piece 31 axially movable along the housing 13 and a core wire fixing seat 32 disposed radially inside the connecting piece 31. A spring 35 is arranged between the connecting piece 31 and the core wire fixing seat 32 in the radial direction. A thread passing device retracting handle 33 is arranged on the outer side wall of the shell 13, and the thread passing device retracting handle 33 is connected with the connecting piece 31 through a connecting rod 34. The connecting rod 34 is pivotally connected with the thread passing device retracting handle 33 and the connecting piece 32.
The rear ends of the long puncture needle 41 and the short puncture needle 42 are both connected with the puncture needle fixing seat 22, and the puncture needle body of the long puncture needle 41 and the puncture needle body of the short puncture needle 42 both penetrate through the connecting piece 31 and the core wire fixing seat 32 and extend into the thread passing device track shell 11.
The thread passing device 5 positioned at the front end of the thread passing device track shell 11 is arranged in the thread passing device track shell 11, the shape of the thread passing device 5 is matched with that of the front end of the thread passing device track shell 11, and the thread passing device 5 is in pivot connection with the thread passing device track shell 11. The thread passing device 5 is provided with a core wire fixing groove 51, one end of the spring core wire 6 is connected with the core wire fixing seat 32, and the other end is fixed in the core wire fixing groove 51. Through pushing forward line ware receive and release handle 33, drive core silk fixing base 32 and connecting piece 31 and remove to keeping away from line ware track casing 11 one side, core silk fixing base 32 passes through spring core silk 6, pulls line ware 5 for line ware 5 moves to being close to casing 13 one side along the line ware track of crossing in the line ware track casing 11, and stretches out line ware track casing 11 from two notches 111 of the lateral wall of line ware track casing 11, and line ware 5 opens.
The thread passing device 5 is further provided with a long needle connection cap 52 corresponding to the tip of the long puncture needle 41, and a short needle connection cap 53 corresponding to the tip of the short puncture needle 42. The long needle connecting cap 52 and the short needle connecting cap 53 are connected through a connecting wire 54, and the connecting wire 54 and the spring core wire 6 are both parallel to the axial direction of the wire passing device 5 and are separated from two sides of the wire passing device 5. Wherein, the tip of the short puncture needle 42 is provided with a separable needle cap 421, the needle cap 421 can be inserted into the short needle connecting cap 53 when the thread passing device 5 is opened, and the tip of the long puncture needle 41 can be inserted into the long needle connecting cap 52 when the thread passing device 5 is opened. Needle holes for passing the suture are arranged on the tip of the long puncture needle 41 and the needle cap 421 which can be connected with the tip of the short puncture needle 42.
The utility model discloses an operation method of a stitching instrument for thoracoscope minimally invasive surgery is:
firstly, the line passing device track shell 11 is pushed into a minimally invasive thoracic cavity channel, and a shell nut 12 is attached to the skin outside the thoracic cavity.
And secondly, pushing the wire passing device retracting handle 33 to one side of the wire passing device track shell 11 to enable the connecting piece 31 to drive the core wire fixing seat 32 to be far away from the wire passing device track shell 11, pulling the spring core wire 6 by the core wire fixing seat 32 to enable the wire passing device 5 to move to one side close to the shell 13 along the wire passing device track in the wire passing device track shell 11, stretching out the wire passing device track shell 11 from two notches 111 on the outer side wall of the wire passing device track shell 11, opening the wire passing device 5, and pulling back the shell 13 to enable the wire passing device 5 to be reversely clamped to the inner wall of the chest cavity.
Thirdly, the puncture needle pushing handle 21 is pushed to the thread passing device track shell 11, so that the tip of the long puncture needle 41 is inserted into the long needle connecting cap 52, and the needle cap 421 at the tip of the short puncture needle 42 is inserted into the short needle connecting cap 53. The needle cap 421 of the short puncture needle 42 is inserted into the short needle connecting cap 53 in the thread passing device 5 and is separated from the tip of the short puncture needle 42, and the needle cap 421 is connected with the suture thread in a preassembling way; the long puncture needle 41 stays in the long needle connection cap 52 and is locked with the long needle connection cap 52 so as not to be disengaged.
Fourthly, the puncture needle pushing handle 21 is drawn out to one side far away from the thread passing device track shell 11, the long needle connecting cap 52 is connected with the short needle connecting cap 53 through the connecting wire 54, the long puncture needle 41 can bring the long needle connecting cap 52 out of the thread passing device 5 together and move back along with the long puncture needle 41, the short needle connecting cap 53 can also be brought out together, so that the long puncture needle 41 and the short puncture needle 42 can bring out the suture thread preset in the thread passing device track shell 11 together, and the suture thread winding action is completed.
And fifthly, pushing the shell 13 to one side of the line passing device track shell 11 to enable the shell nut 12 to be attached to the skin surface outside the chest cavity again.
Sixthly, the thread guide retracting handle 33 is pulled back to the original position to close the thread guide 5, the thread guide track shell 11 is pulled out, and the suture thread is closed and cut by using the auxiliary pusher.
The utility model discloses a suture instrument for thoracoscope minimal access surgery:
the effective suture width reaches 22mm by designing the shapes of the thread passing device 5 and the thread passing device track shell 11, and the requirements of most operations are met.
Through setting up line passing device track casing 11 and casing nut 12, pushing away casing nut 12 during the operation and reaching the skin laminating outside the thorax and realize that the product gets into the degree of depth of human body and target in place promptly, cancelled the blood vessel of leading, the strong operability can not deviate the suture department because of the swing of product, also is favorable to the complete laminating of interior chest wall.
The front end guide conduit part is eliminated by designing the spring core wire 6 connected with the wire passing device 5, the core wire fixing seat 32, the connecting piece 31, the wire passing device retracting handle 33 and the connecting rod 34 between the wire passing device retracting handle 33 and the connecting piece 31, and the operation of opening the wire passing device 5 is changed from pulling back the wire passing device retracting handle 33 to pushing forward the wire passing device retracting handle 33. Therefore, after the doctor finishes pressing the chest, the inner chest wall is completely attached to the doctor and the skin of the outer chest wall is successfully sutured, the condition that the inner chest wall cannot stop bleeding cannot occur to the patient.
It will be appreciated by those skilled in the art that the above embodiments are only for illustrating the present invention and are not to be used as limitations of the present invention, and that changes and modifications to the above described embodiments will fall within the scope of the claims of the present invention as long as they are within the spirit and scope of the present invention.
Claims (6)
1. The utility model provides a stitching instrument for thoracoscope minimal access surgery, includes the casing, and in the casing with casing parallel arrangement's long pjncture needle and short pjncture needle, its characterized in that:
the front end of the shell is provided with a wire passing device track shell communicated with the shell, the front end of the wire passing device track shell is bent, and the rear end of the wire passing device track shell is provided with a shell nut sleeved on the radial outer side of the wire passing device track shell; the front end of the wire passing device track shell is provided with a wire passing device which is positioned in the wire passing device track shell and is matched with the wire passing device track shell;
the front end of the shell is provided with a connecting piece which can slide along the axial direction of the shell, a core wire fixing seat is arranged in the connecting piece, the core wire fixing seat is connected with the wire passing device through a spring core wire, and the connecting piece is connected with a wire passing device retracting handle on the outer side wall of the shell.
2. The stapler for thoracoscopic minimally invasive surgery according to claim 1, wherein: the long puncture needle and the short puncture needle penetrate through the connecting piece and the core wire fixing seat and extend into the thread passing device track shell, the tip of the short puncture needle is provided with a separable needle cap, and the thread passing device is provided with a long needle connecting cap for inserting the tip of the long puncture needle and a short needle connecting cap for inserting the needle cap of the short puncture needle; the long needle connecting cap and the short needle connecting cap are connected through a connecting wire, the connecting wire and the spring core wire are respectively positioned on two sides of the thread passing device along the axial direction of the thread passing device, and the long needle connecting cap and the short needle connecting cap can be separated from the thread passing device.
3. A stapler for thoracoscopic minimally invasive surgery according to claim 2, wherein: the rear end of the shell is provided with a puncture needle pushing handle extending out of the shell, the puncture needle pushing handle is connected with a puncture needle fixing seat located in the shell, and the rear ends of the long puncture needle and the short puncture needle are both fixed with the puncture needle fixing seat.
4. A stapler for thoracoscopic minimally invasive surgery according to claim 3, wherein: the puncture needle fixing seat is elastically clamped and fixed with the puncture needle pushing handle.
5. The stapler for thoracoscopic minimally invasive surgery according to claim 1, wherein: and a spring is arranged between the connecting piece and the core wire fixing seat.
6. The stapler for thoracoscopic minimally invasive surgery according to claim 1, wherein: the connecting rod is arranged in the shell and is arranged between the connecting piece and the wire passing device retracting handle, and the connecting rod is connected with the connecting piece and the wire passing device retracting handle through pivots.
Priority Applications (1)
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CN201920227394.2U CN209932845U (en) | 2019-02-20 | 2019-02-20 | Stitching instrument for thoracoscopic minimally invasive surgery |
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CN201920227394.2U CN209932845U (en) | 2019-02-20 | 2019-02-20 | Stitching instrument for thoracoscopic minimally invasive surgery |
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CN209932845U true CN209932845U (en) | 2020-01-14 |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109717916A (en) * | 2019-02-20 | 2019-05-07 | 上海康德莱医疗器械股份有限公司 | A kind of stitching unstrument for thoracoscope Minimally Invasive Surgery |
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2019
- 2019-02-20 CN CN201920227394.2U patent/CN209932845U/en active Active
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN109717916A (en) * | 2019-02-20 | 2019-05-07 | 上海康德莱医疗器械股份有限公司 | A kind of stitching unstrument for thoracoscope Minimally Invasive Surgery |
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Address after: 201800 Building 2, 925 Jinyuan 1st Road, Jiading District, Shanghai Patentee after: Shanghai Yingtai Medical Equipment Co.,Ltd. Country or region after: China Address before: Building 2, No. 925 Jinyuan 1st Road, Jiading District, Shanghai, March 2018 Patentee before: SHANGHAI KINDLY MEDICAL INSTRUMENTS Co.,Ltd. Country or region before: China |