CN210871789U - Achilles tendon stitching instrument - Google Patents
Achilles tendon stitching instrument Download PDFInfo
- Publication number
- CN210871789U CN210871789U CN201920625891.8U CN201920625891U CN210871789U CN 210871789 U CN210871789 U CN 210871789U CN 201920625891 U CN201920625891 U CN 201920625891U CN 210871789 U CN210871789 U CN 210871789U
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- China
- Prior art keywords
- support
- bracket
- hole
- needle
- fixing frame
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- 210000001361 achilles tendon Anatomy 0.000 title claims abstract description 39
- 230000000149 penetrating effect Effects 0.000 claims abstract description 25
- 210000003462 vein Anatomy 0.000 claims description 4
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 210000001590 sural nerve Anatomy 0.000 abstract description 5
- 210000002435 tendon Anatomy 0.000 description 5
- 210000003195 fascia Anatomy 0.000 description 4
- 206010033675 panniculitis Diseases 0.000 description 4
- 210000003491 skin Anatomy 0.000 description 4
- 210000004304 subcutaneous tissue Anatomy 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 208000028389 Nerve injury Diseases 0.000 description 2
- 206010043248 Tendon rupture Diseases 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 230000008764 nerve damage Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 1
- 206010053692 Wound complication Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000008338 local blood flow Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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- Surgical Instruments (AREA)
Abstract
The utility model discloses an achilles tendon stitching instrument, which belongs to the technical field of medical instruments. The achilles tendon stitching instrument comprises a first bracket, a second bracket, a fixing frame, a fixing piece, a width adjusting device, a guide cylinder and a puncture needle; the first support, the second support and the fixing frame are arranged side by side, the second support is positioned between the first support and the fixing frame, the first support and the second support are connected through the width adjusting device, the width adjusting device can adjust the opening degree between the first support and the second support, and the fixing frame and the second support are fixedly connected through the fixing piece; the first support is provided with a first needle penetrating hole and a second needle penetrating hole from top to bottom in sequence. The invention aims to provide an achilles tendon stitching instrument which can stitch a near end under direct vision to completely avoid damaging the sural nerve.
Description
Technical Field
The utility model belongs to the technical field of medical instrument, especially, achilles tendon stitching instrument.
Background
In recent years, with the increase of the population for outdoor sports, the sports protection measures are inadequate, and the incidence of achilles tendon rupture continues to rise. The minimally invasive treatment is the development direction in the surgical field at present, and compared with the traditional open surgery, the minimally invasive surgical treatment for the achilles tendon rupture has the advantages of small wound, less pain of patients, short hospitalization time, less wound complications and the like. The minimally invasive methods commonly used in China include skin puncture minimally invasive surgery, arthroscopic minimally invasive surgery and the like, the recently used micro heel-pass system is used for treating the rupture of the closed achilles tendon, the operation time can be further shortened, the possibility of sural nerve injury is reduced, but the suture and threading of the proximal suture needle is still performed under non-visual conditions, and the possibility of nerve injury still exists theoretically. The operation incision is positioned at the damaged part, and the operation can damage local blood circulation and deteriorate local biological environment.
SUMMERY OF THE UTILITY MODEL
The invention aims at providing an achilles tendon stitching instrument which is simple to operate and can stitch a near end under direct vision so as to completely avoid damaging the sural nerve.
In order to achieve the above purpose, the utility model adopts the technical proposal that:
an achilles tendon stitching instrument comprises a first bracket, a second bracket, a fixing frame, a fixing piece, a width adjusting device, a guide cylinder and a puncture needle;
the first support, the second support and the fixing frame are arranged side by side, the second support is positioned between the first support and the fixing frame, the first support and the second support are connected through the width adjusting device, the width adjusting device can adjust the opening degree between the first support and the second support, and the fixing frame and the second support are fixedly connected through the fixing piece;
the first bracket is provided with a guide groove; the second bracket is sequentially provided with a first positioning hole, a second positioning hole and a third positioning hole from top to bottom, and the first positioning hole, the second positioning hole and the third positioning hole are threaded holes with the same inner diameter; the fixing frame is sequentially provided with a first needle threading hole, a second needle threading hole and a third needle threading hole from top to bottom; the first positioning hole and the first needle penetrating hole are both horizontally arranged and have the same height; the second needle threading hole and the third positioning hole are arranged obliquely upwards towards the first support, and the second needle threading hole and the third positioning hole are coaxially arranged; the third needle threading hole and the second positioning hole are both arranged downwards towards the first support in an inclined mode, and the third needle threading hole and the second positioning hole are coaxially arranged;
the outer side of one end of the guide cylinder is provided with an external thread matched with a threaded hole of the second support, the outer diameter of the guide cylinder is smaller than or equal to the inner diameters of the first needle penetrating hole, the second needle penetrating hole and the third needle penetrating hole, the guide cylinder can penetrate the first needle penetrating hole, the second needle penetrating hole and the third needle penetrating hole, and the puncture needle can penetrate the guide cylinder.
Furthermore, the width adjusting device comprises a guide rod and an adjusting bolt, the guide rod is arranged between the first support and the second support, one end of the guide rod is fixedly arranged on the first support, the other end of the guide rod penetrates through the second support and is in sliding connection with the second support, the adjusting bolt respectively penetrates through the lower ends of the first support and the second support, one end of the adjusting bolt is in threaded connection with the lower end of the second support, and the other end of the adjusting bolt extends out of one side of the first support, which is far away from the second support; the first bracket and the adjusting bolt form threaded fit to adjust the distance between the first bracket and the second bracket.
Further, the fixing piece comprises a first sleeve and a second sleeve, the first sleeve is fixedly arranged between the second support and the fixing frame, and the central axis of the first sleeve is superposed with the central axis of the guide rod; the second sleeve is fixedly arranged between the second support and the fixing frame, and the central axis of the second sleeve coincides with the central axis of the adjusting bolt.
Furthermore, the first support, the second support and the fixing frame are all made of stainless steel materials.
Further, the first bracket and the second bracket have the same shape.
Furthermore, the outer side of the fixing frame is provided with anti-skid veins.
Due to the adoption of the technical scheme, the utility model discloses following beneficial effect has:
1. the utility model discloses for prior art structure is more simple, easy to operate, can sew up the achilles tendon under the direct-view, greatly reduced damages sural nerve.
2. The utility model discloses a mount has anti-skidding line vein to make this achilles tendon stitching instrument easily hold in the operation.
Drawings
Fig. 1 is a schematic structural diagram of the present invention;
the main reference symbols in the drawings are as follows:
in the attached drawing, 1-a first bracket, 2-a guide groove, 3-a guide rod, 4-a second positioning hole, 5-a first positioning hole, 6-a third positioning hole, 7-a second bracket, 8-a guide cylinder, 9-a puncture needle, 10-a second puncture hole, 11-a third puncture hole, 12-a fixed frame, 13-a first sleeve, 14-a second sleeve, 15-an adjusting bolt and 16-a first puncture hole.
Detailed Description
The following describes the embodiments of the present invention with reference to the accompanying drawings.
As shown in figure 1, the achilles tendon stitching instrument comprises a first bracket 1, a second bracket 7, a fixing bracket 12, a fixing piece, a width adjusting device, a guide cylinder 8 and a puncture needle 9; first support 1, second support 7 and mount 12 set up side by side, and second support 7 is located between first support 1 and mount 12, and first support 1 and second support 7 are connected through width adjusting device, and width adjusting device can adjust the aperture between first support 1 and the second support 7, and mount 12 and second support 7 pass through mounting fixed connection.
The first bracket 1 is provided with a guide groove 2; the second bracket 7 is sequentially provided with a first positioning hole 5, a second positioning hole 4 and a third positioning hole 6 from top to bottom, and the first positioning hole 5, the second positioning hole 4 and the third positioning hole 6 are threaded holes with the same inner diameter; the fixing frame 12 is provided with a first needle threading hole 16, a second needle threading hole 10 and a third needle threading hole 11 from top to bottom in sequence; the first positioning hole 5 and the first needle penetrating hole 16 are both horizontally arranged and have the same height; the second needle threading hole 10 and the third positioning hole 6 are both obliquely and upwards arranged towards the first support 1, and the second needle threading hole 10 and the third positioning hole 6 are coaxially arranged; the third needle threading hole 11 and the second positioning hole 4 are both arranged downwards towards the first support 1 in an inclined mode, and the third needle threading hole 11 and the second positioning hole 4 are arranged coaxially. The outer side of one end of the guide cylinder 8 is provided with an external thread matched with the threaded hole of the second support 7, the outer diameter of the guide hole 8 is smaller than or equal to the inner diameters of the first needle penetrating hole 16, the second needle penetrating hole 10 and the third needle penetrating hole 11, the guide cylinder 8 can penetrate through the first needle penetrating hole 16, the second needle penetrating hole 10 and the third needle penetrating hole 11, and the puncture needle 9 can penetrate through the guide cylinder 8.
The width adjusting device comprises a guide rod 3 and an adjusting bolt 15, the guide rod 3 is arranged between the first support 1 and the second support 7, one end of the guide rod 3 is fixedly arranged on the first support 1, the other end of the guide rod penetrates through the second support 7 and is in sliding connection with the second support 7, the adjusting bolt 15 penetrates through the lower ends of the first support 1 and the second support 7 respectively, one end of the adjusting bolt 15 is in threaded connection with the lower end of the second support 7, and the other end of the adjusting bolt extends out of one side of the first support 1 away from the second support 7; the first bracket 1 is in threaded fit with the adjusting bolt 15 to adjust the spacing between the first bracket 1 and the second bracket 7.
The fixing piece comprises a first sleeve 13 and a second sleeve 14, the first sleeve 13 is fixedly arranged between the second bracket 7 and the fixing frame 12, and the central axis of the first sleeve 13 is superposed with the central axis of the guide rod 3; the second sleeve 14 is fixedly arranged between the second support 7 and the fixing frame 12, and the central axis of the second sleeve 14 coincides with the central axis of the adjusting bolt 15. The first bracket 1, the second bracket 7 and the fixing bracket 12 are all made of stainless steel materials. The first bracket 1 and the second bracket 7 have the same shape. The outside of the fixing frame 12 is provided with anti-skid veins.
When the device is used, the skin is transversely cut by 1.0 cm-1.5 cm along the surface of the broken end of the Achilles tendon of a patient, the skin, subcutaneous tissues and fascia are cut, the tendon sheath is identified and cut, the broken end of the Achilles tendon is found, the fixing frame 12 is held by hand, the first bracket 1 and the second bracket 7 are inserted between the tendon sheath and the Achilles tendon, the width adjusting device is adjusted, the first bracket 1 and the second bracket 7 clamp the near end of the Achilles tendon, and the Achilles tendon is in a natural position. A small skin incision at one side of the fixing frame 12 corresponds to the first needle-passing hole 16, the guide cylinder 8 is inserted into the first needle-passing hole 16 and is fixed with the first positioning hole 5, the guide cylinder 8 passes through the skin, subcutaneous tissue and tendon sheath fascia and reaches the surface of the achilles tendon, the puncture needle 9 with a suture is penetrated into the guide cylinder 8, passes through the achilles tendon of the patient and penetrates out of the skin at the other side, and the guide cylinder 8 is detached; a skin incision on one side of the fixing frame 12 corresponds to the second needle threading hole 10, the guide cylinder 8 is inserted into the second needle threading hole 10 and is fixed with the third positioning hole 6, the guide cylinder 8 passes through the skin, subcutaneous tissue and tendon sheath fascia and reaches the surface of the achilles tendon, the puncture needle 9 with a suture is penetrated into the guide cylinder 8, passes through the achilles tendon of the patient and penetrates out of the skin on the other side, and the guide cylinder 8 is detached; a small opening is cut on one side of the skin of the fixing frame 12, the small opening corresponds to the third needle penetrating hole 11, the guide cylinder 8 is inserted into the third needle penetrating hole 11 and is fixed with the second positioning hole 4, the guide cylinder 8 penetrates through the skin, subcutaneous tissues and tendon sheath fascia and reaches the surface of the achilles tendon, the puncture needle 9 with a suture is penetrated into the guide cylinder 8, penetrates through the achilles tendon of the patient and penetrates out of the skin on the other side, and the guide cylinder 8 is detached. The Achilles tendon suture needle is disassembled, the Achilles tendon is relaxed through the width adjusting device, the first support 1 and the second support 7 are drawn back from the body of the patient, the Achilles tendon suture line is led out from the broken end of the Achilles tendon, and only two ends of the Achilles tendon suture line are in line at the moment. And (3) suturing the far end of the Achilles tendon according to a method for suturing the near end of the Achilles tendon, similarly leading out the Achilles tendon suture line from the broken end of the Achilles tendon after suturing, tensioning the suture line at the moment, knotting the suture lines at the far end and the near end to finish the final Achilles tendon suture.
The utility model has simple structure and easy operation, can be sewed under the near-end vision, and can completely avoid the damage of the sural nerve.
The above description is for the detailed description of the preferred possible embodiments of the present invention, but the embodiments are not intended to limit the scope of the present invention, and all equivalent changes or modifications accomplished under the technical spirit suggested by the present invention should fall within the scope of the present invention.
Claims (6)
1. An achilles tendon stitching instrument is characterized by comprising a first bracket, a second bracket, a fixing frame, a fixing piece, a width adjusting device, a guide cylinder and a puncture needle;
the first support, the second support and the fixing frame are arranged side by side, the second support is positioned between the first support and the fixing frame, the first support and the second support are connected through the width adjusting device, the width adjusting device can adjust the opening degree between the first support and the second support, and the fixing frame and the second support are fixedly connected through the fixing piece;
the first bracket is provided with a guide groove; the second bracket is sequentially provided with a first positioning hole, a second positioning hole and a third positioning hole from top to bottom, and the first positioning hole, the second positioning hole and the third positioning hole are threaded holes with the same inner diameter; the fixing frame is sequentially provided with a first needle threading hole, a second needle threading hole and a third needle threading hole from top to bottom; the first positioning hole and the first needle penetrating hole are both horizontally arranged and have the same height; the second needle threading hole and the third positioning hole are arranged obliquely upwards towards the first support, and the second needle threading hole and the third positioning hole are coaxially arranged; the third needle threading hole and the second positioning hole are both arranged downwards towards the first support in an inclined mode, and the third needle threading hole and the second positioning hole are coaxially arranged;
the outer side of one end of the guide cylinder is provided with an external thread matched with a threaded hole of the second support, the outer diameter of the guide cylinder is smaller than or equal to the inner diameters of the first needle penetrating hole, the second needle penetrating hole and the third needle penetrating hole, the guide cylinder can penetrate the first needle penetrating hole, the second needle penetrating hole and the third needle penetrating hole, and the puncture needle can penetrate the guide cylinder.
2. The Achilles tendon stitching instrument as claimed in claim 1, wherein the width adjusting device comprises a guide rod and an adjusting bolt, the guide rod is arranged between the first bracket and the second bracket, one end of the guide rod is fixedly arranged on the first bracket, the other end of the guide rod is arranged through the second bracket and is connected with the second bracket in a sliding way, the adjusting bolt is respectively arranged at the lower ends of the first bracket and the second bracket, one end of the adjusting bolt is connected with the lower end of the second bracket in a threaded way, and the other end of the adjusting bolt extends out from one side of the first bracket away from the second bracket; the first bracket and the adjusting bolt form threaded fit to adjust the distance between the first bracket and the second bracket.
3. The Achilles tendon stitching instrument as claimed in claim 2, wherein the fixing member includes a first sleeve and a second sleeve, the first sleeve is fixedly disposed between the second bracket and the fixing frame, and a central axis of the first sleeve coincides with a central axis of the guide rod; the second sleeve is fixedly arranged between the second support and the fixing frame, and the central axis of the second sleeve coincides with the central axis of the adjusting bolt.
4. The Achilles tendon stapler of claim 1, wherein the first support, the second support and the fixing frame are made of stainless steel.
5. The Achilles tendon stapler of claim 1, wherein the first support and the second support are identical in shape.
6. The Achilles tendon suture of claim 5, wherein the outside of the fixing frame is provided with an anti-slip vein.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920625891.8U CN210871789U (en) | 2019-05-05 | 2019-05-05 | Achilles tendon stitching instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920625891.8U CN210871789U (en) | 2019-05-05 | 2019-05-05 | Achilles tendon stitching instrument |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN210871789U true CN210871789U (en) | 2020-06-30 |
Family
ID=71329210
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201920625891.8U Expired - Fee Related CN210871789U (en) | 2019-05-05 | 2019-05-05 | Achilles tendon stitching instrument |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN210871789U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112043329A (en) * | 2020-08-28 | 2020-12-08 | 北京市春立正达医疗器械股份有限公司 | Achilles tendon suture positioner |
| WO2022010820A1 (en) * | 2020-07-07 | 2022-01-13 | The General Hospital Corporation | Devices and method for facilitating placement of sutures in a surgical procedure |
-
2019
- 2019-05-05 CN CN201920625891.8U patent/CN210871789U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2022010820A1 (en) * | 2020-07-07 | 2022-01-13 | The General Hospital Corporation | Devices and method for facilitating placement of sutures in a surgical procedure |
| CN112043329A (en) * | 2020-08-28 | 2020-12-08 | 北京市春立正达医疗器械股份有限公司 | Achilles tendon suture positioner |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20200630 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |