CN212089639U - Anti-slip needle tube protection type minimally invasive fascia suture device - Google Patents

Anti-slip needle tube protection type minimally invasive fascia suture device Download PDF

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Publication number
CN212089639U
CN212089639U CN202020357873.9U CN202020357873U CN212089639U CN 212089639 U CN212089639 U CN 212089639U CN 202020357873 U CN202020357873 U CN 202020357873U CN 212089639 U CN212089639 U CN 212089639U
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China
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suture
puncture needle
needle
fascia
groove
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CN202020357873.9U
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Chinese (zh)
Inventor
丁一
司亚卿
刘冰熔
韩新巍
孙奇勋
王艳丽
邱春苗
焦德超
刘延锦
李星
王洋
张延藏
李凯霞
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Hunan Renji Medical Technology Co.,Ltd.
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孙奇勋
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Abstract

The utility model relates to the field of medical equipment, concretely relates to needle tubing protection type wicresoft's manadesma stitching instrument that antiskid is taken off, include: a fascia suture device main body, a puncture needle tube structure and a suture line; two wing plates which are symmetrically arranged and can be opened and closed are hinged on the fascia stitching instrument main body; the wing plate is provided with a needle inlet hole and a blocking groove, a through hole is formed in the wing plate to communicate the needle inlet hole with the blocking groove, and a thread passing seam communicated with the needle inlet hole, the through hole and the blocking groove is formed in the wing plate; puncture needle tubular construction includes: the puncture needle tube, the push rod, the spring and the shift post; the push rod is arranged in the puncture needle tube in a penetrating mode, the push rod is sleeved with the spring, the spring abuts against one end portion of the push rod and one end portion of the puncture needle tube, a wire groove is formed in the other end portion of the puncture needle tube, a suture line gradual changing groove is formed in the middle of the blocking column, and a suture line channel communicated with the suture line gradual changing groove is formed in the middle of the blocking column and is arranged at one end portion of the blocking column. The utility model provides a current manadesma stitching instrument puncture sew up technical problem unstable inadequately.

Description

Anti-slip needle tube protection type minimally invasive fascia suture device
Technical Field
The utility model relates to the field of medical equipment, particularly, relate to a needle tubing protection type wicresoft's manadesma stitching instrument that antiskid is taken off.
Background
The laparoscopic surgery is a newly developed minimally invasive surgery method, has the advantages of small incision, quick recovery and less pain compared with the traditional surgery, is an inevitable trend for the development of future surgery methods, and more patients receive the treatment of the surgery at present.
At present, 3-5 puncture channels with the diameter of 5-10 mm penetrating through abdominal wall tissues are required to be arranged in laparoscopic surgery treatment, so that surgical instruments can enter an abdominal cavity or a thoracic cavity from the puncture channels to perform surgery; after the surgical instrument is removed, the puncture channels need to be sutured for smooth wound healing. However, during use, some of the drawbacks of the existing fascia staplers are gradually highlighted:
1. the silica gel pad on the exhibition wing of current manadesma stitching instrument drops easily, leaves behind even in the abdominal wall tissue, causes to sew up the operation harmfully, influences the healing effect of sewing up effect and later stage.
2. Most of the existing fascia suture devices are used for embedding a suture line into a suture needle clamping groove and then penetrating through a silica gel pad to enable the suture line to be separated from the suture needle clamping groove through the extrusion grasping force of the silica gel pad, so that the suture line is left in the silica gel pad and is taken out of the silica gel pad. This technical scheme very easily has the unable fixed stylolite of silica gel pad and drops from sewing needle, and along with the silica gel pad pierces through the number of times and increases, wherein grip strength weakens more and more, also weakens more and more to the fixed effect of suture, has very big hidden danger, also very influences the life of manadesma stitching instrument simultaneously.
3. Inside the stylolite draw-in groove is sewed up in the stylolite embedding of current manadesma stitching instrument, the stylolite drops from sewing up the needle draw-in groove very easily when sewing up the needle and transferring, and sewing up needle and stylolite all expose outside moreover, receive the external world very easily when the puncture subcutaneous tissue and block very easy unhook, and the draw-in groove opening of sewing up the needle is towards puncture tip direction almost, also can inevitable scratch along tissue when the puncture, causes the secondary damage to the patient.
4. The existing fascia suture device is characterized in that the front end of the puncture needle is simply provided with a clamping position for fixing the suture needle head, the clamping position for fixing the needle head at the front end of the puncture needle cannot guarantee the strength during puncture, the fascia layer resistance is high, the puncture needle and the suture needle head are likely to deform when the clamping position is fixed during puncture, and the needle head is led to change the direction and even directly cause the falling of the needle head connected with the suture needle head. And the condition that the puncture needle can not be separated from the suture line needle head and is directly pulled out can be caused when the puncture needle needs to be separated from the silica gel layer, the operation is unstable, and the risk born by a patient is large.
Disclosure of Invention
In order to solve the above problems, an object of the present invention is to provide an anti-slipping needle tube protection type minimally invasive fascia suture device.
The utility model aims at realizing through the following technical scheme:
the utility model provides a pair of needle tubing protection type wicresoft's manadesma stitching instrument that antiskid is taken off, include: a fascia suture device main body, a puncture needle tube structure and a suture line; two wing plates which are symmetrically arranged and can be opened and closed are hinged on the fascia stitching instrument main body; one side of the wing plate is provided with a pin inlet hole, the other side of the wing plate is provided with a baffle groove, a via hole is formed in the wing plate to communicate the pin inlet hole with the baffle groove, and a seam communicated with the pin inlet hole, the via hole and the baffle groove is formed in the wing plate;
puncture needle tubular construction includes: the puncture needle tube, the push rod, the spring and the shift post; the push rod is worn to establish in the pjncture needle tubing, the cover is established the spring and the spring supports and supports a push rod on the push rod, one end of pjncture needle tubing, another tip of pjncture needle tubing has seted up the wire casing, the stylolite gradually becomes the groove on the intermediate position of fender post, the intermediate position department of fender post is seted up the stylolite passageway with stylolite gradual change groove intercommunication to its one end, the stylolite both ends laminating is passed the wire casing on the pjncture needle tubing and is stretched into the stylolite of fender post in proper order after gradually becoming the groove, the stylolite passageway is.
Furthermore, the stop column is of a dumbbell structure with thick ends and thin middle part, the width of the suture line gradual-changing groove gradually changes from wide to thin from one side to the other side in a V shape, and the wide side is closer to the middle position of the stop column than the thin side; the width of one side of the suture line gradual change groove width is larger than the suture line width, and the width of one side of the suture line gradual change groove is smaller than the suture line width.
Further, the stylolite passageway includes stylolite passageway I and stylolite passageway II, stylolite passageway I and stylolite gradual change groove bottom intercommunication, stylolite passageway I internal diameter is greater than the stylolite, stylolite passageway I and stylolite passageway II intercommunication, stylolite passageway II internal diameters are greater than stylolite passageway I.
Furthermore, the needle inserting hole adopts a conical open structure, and two centrally symmetrical puncture needle channels are arranged on the fascia suture device main body; when the wing plate is opened, the axial direction of the needle inserting hole and the puncture needle channel on the corresponding side of the fascia suture device main body are the same axis.
Furthermore, the blocking groove and the needle inserting hole are positioned on the same axis, and the cross section of the blocking groove along the axis direction is circular.
Furthermore, a guide gasket is arranged in the puncture needle channel.
Furthermore, the thread passing seam is opened to the side of the wing plate and is in a gap state, the thread passing seam is close to the fascia suture device main body in the direction inclined to the side of the wing plate, and the two thread passing seams on the wing plates on the two sides of the fascia suture device main body are symmetrical along the axis center of the fascia suture device main body.
Furthermore, the puncture needle tube is in a slender tube shape, and the lower end of the puncture needle tube is a puncture incision with an inclined plane structure; the puncture needle tube is coaxially sleeved with a hand-held handle.
Furthermore, the end part of the handle is provided with an oval blocking piece protruding towards the periphery, the end part of the push rod is provided with a push piece, and the spring abuts against the blocking piece and the push piece.
Furthermore, the puncture needle tube is sleeved with a clamping ring.
The utility model discloses a needle tubing protection formula wicresoft's manadesma stitching instrument that antiskid is taken off adopts puncture needle tubing to carry out the puncture to subcutaneous tissue and fascia layer, compares traditional manadesma stitching instrument's round rod shape pjncture needle puncture, and it is littleer to adopt needle tubular structure to puncture the resistance that receives. Just the utility model discloses place the puncture needle intraduct in the fender position post of fixed connection stylolite for puncture needle tubing can not lead to the fact the influence to the end of a thread of suture when the puncture, can not lead to the condition that the end of a thread drops, and the puncture is stable safety. The puncture needle is internally provided with the push rod which is elastically connected, and the gear column is ejected out of the tube, so that the gear column can be smoothly separated from the puncture needle tube, and the puncture needle is simple in operation, convenient and practical.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the invention and together with the description serve to explain the invention without undue limitation to the invention. In the drawings:
FIG. 1 is a view showing the structure of the needle-protected minimally invasive fascia suture instrument of the present invention;
FIG. 2 is a structural diagram of a wing plate of the anti-slipping needle tube protection type minimally invasive fascia suture instrument of the present invention;
FIG. 3 is a cross-sectional view of the wing plate of the anti-slipping needle-tube-protected minimally invasive fascia suture instrument of the present invention;
FIG. 4 is a structural diagram of a puncture needle structure in the anti-slipping needle tube protection type minimally invasive fascia suture instrument of the present invention;
FIG. 5 is a cross-sectional view of the puncture needle structure in the anti-slipping needle tube protection type minimally invasive fascia suture instrument of the present invention;
FIG. 6 is an exploded view of the puncture needle structure in the anti-slipping needle tube protected minimally invasive fascia suture instrument of the present invention;
FIG. 7 is a structural diagram of a stop column in the anti-slipping needle tube protection type minimally invasive fascia suture instrument of the present invention;
FIG. 8 is a cross-sectional view of the needle-protected minimally invasive fascia suture instrument with anti-slippage function after a suture thread is inserted into a stop post;
FIG. 9 is a cross-sectional view of a stop post in the anti-slipping needle-tube-protected minimally invasive fascia suture apparatus of the present invention;
FIG. 10 is a view showing the state of the needle-protected minimally invasive fascia suture instrument of the present invention in suture;
FIG. 11 is a view showing a state II of the anti-slipping needle-protected minimally invasive fascia suture apparatus of the present invention;
FIG. 12 is a view showing a state of the needle-protected minimally invasive fascia suture instrument according to the present invention;
FIG. 13 is a view showing a state IV of the anti-slipping needle-protected minimally invasive fascia suture apparatus of the present invention;
FIG. 14 is a state view V of the needle-protected minimally invasive fascia suture apparatus according to the present invention;
FIG. 15 is a view showing the structure of the wing plate of the anti-slipping needle-tube-protected minimally invasive fascia suture instrument according to the present invention after the suture is completed;
wherein the reference numerals are: 1. a fascia stapler body; 2. a suture; 3. a wing plate; 4. a pinhole is arranged; 5. a baffle groove; 6. a via hole; 7. sewing; 8. puncturing a needle tube; 9. a push rod; 10. a spring; 11. a shift post; 12. a wire slot; 13. a suture taper slot; 14. a suture passage I; 15. a suture passage II; 16. a puncture needle channel; 17. a guide washer; 18. a handle; 19. a baffle plate; 20. pushing the sheet; 21. and a clamping ring.
Detailed Description
In order to make the technical solution of the present invention better understood, the technical solution of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative efforts shall belong to the protection scope of the present invention.
As shown in fig. 1 to 15, the utility model provides an anti-slipping needle tube protection type minimally invasive fascia suture apparatus, including: the fascia suture device comprises a fascia suture device body 1, a puncture needle tube structure and a suture line 2; two wing plates 3 which are symmetrically arranged and can be opened and closed are hinged on the fascia stitching instrument main body 1; one side of the wing plate 3 is provided with a needle inlet hole 4, the other side of the wing plate is provided with a baffle groove 5, a through hole 6 is arranged in the wing plate 3 to communicate the needle inlet hole 4 with the baffle groove 5, and a thread passing seam 7 communicated with the needle inlet hole 4, the through hole 6 and the baffle groove 5 is arranged on the wing plate 3;
puncture needle tubular construction includes: the puncture needle tube 8, the push rod 9, the spring 10 and the gear column 11; the push rod 9 is arranged in the puncture needle tube 8 in a penetrating mode, the push rod 9 is sleeved with the spring 10, the spring 10 abuts against the push rod 9 and one end portion of the puncture needle tube 8, a line groove 12 is formed in the other end portion of the puncture needle tube 8, a suture line gradual changing groove 13 is formed in the middle position of the gear post 11, a suture line channel communicated with the suture line gradual changing groove 13 is formed in the middle position of the gear post 11 and one end portion of the gear post 11, two end portions of the suture line 2 are attached to the puncture needle tube 8, penetrate through the line groove 12 and then sequentially extend into the suture line gradual changing groove 13 of the gear post 11, and.
The utility model discloses a needle tubing protection formula wicresoft's manadesma stitching instrument that antiskid is taken off adopts puncture needle tubing 8 to carry out the puncture to subcutaneous tissue and rete, compares traditional manadesma stitching instrument's round rod-shaped pjncture needle puncture, and it is littleer to adopt needle tubular structure to puncture the resistance that receives. Just the utility model discloses place puncture needle tube 8 inside in the fender position post 11 of fixed connection stylolite 2 for puncture needle tube 8 can not lead to the fact the influence to suture 2's end of a thread when the puncture, can not lead to the condition that the end of a thread drops, and the puncture is stable safety. The interior design of pjncture needle has push rod 9 and carries out elastic connection, ejecting gear post 11 in the intraductal, has guaranteed that gear post 11 can break away from puncture needle tubing 8 smoothly, easy operation, convenient and practical.
Preferably, the shift post 11 has a dumbbell structure with thick ends and thin middle, the width of the suture line gradual-changing groove 13 gradually changes from wide to thin from one side to the other side in a V shape, and the wide side is closer to the middle position of the shift post 11 than the thin side; the width of the wide side of the suture line gradually-changing groove 13 is larger than that of the suture line 2, and the width of the thin side of the suture line gradually-changing groove 13 is smaller than that of the suture line 2.
The front end of the push rod 9 is matched with a gear column 11 for pushing, the section of the gear column 11 in the axial direction is circular, the gear column 11 is thick at two ends and thin in the middle, and the whole structure is similar to a dumbbell structure, so that the structure can be turned to be in a similar horizontal state when being pulled up and suspended by the suture line 2. A suture line gradually-changing groove 13 is formed in the middle of a thinner section of the gear column 11 and is slightly close to one side position from the outer wall to the inner shaft center, and the width of the suture line gradually-changing groove 13 gradually changes from one side to the other side from wide to thin in a V shape. And the one side of width is more close to the centre that keeps off the post 11 than thin one side, and the wide one side width of stylolite gradual change groove 13 is greater than stylolite 2 width for stylolite 2 can pass through stylolite gradual change groove 13 from the outer wall smoothly and penetrate to keeping off inside the post 11, and the thin one side width of stylolite gradual change groove 13 slightly is less than stylolite 2 width, can be pressed from both sides by stylolite gradual change groove 13 when making stylolite 2 move to thin one side tightly.
Preferably, the suture passage comprises a suture passage I14 and a suture passage II 15, the suture passage I14 is communicated with the bottom of the suture gradual-changing groove 13, the inner diameter of the suture passage I14 is larger than that of the suture 2, the suture passage I14 is communicated with the suture passage II 15, and the inner diameter of the suture passage II 15 is larger than that of the suture passage I14.
Two sections of coaxially connected passages with different inner diameters are arranged from the axis position at the bottom of the suture line gradual changing groove 13 to the thinner side direction of the suture line gradual changing groove 13 along the axis, wherein the suture line passage I14 is communicated with the bottom of the gradual changing groove, the inner diameter of the suture line passage I14 is thinner and is slightly larger than the suture line 2, so that the suture line 2 can only pass through. Suture passage II 15 is connected with at suture passage I14 port department, and the II 15 internal diameters of suture passage are greater than suture passage I14, can make the knot of suture 2 after knoing pass through.
Preferably, the needle inserting hole 4 adopts a conical open structure, and two puncture needle channels 16 which are centrosymmetric are arranged on the fascia suture device main body 1; when the wing plate 3 is opened, the axial direction of the needle inserting hole 4 is the same with the puncture needle channel 16 on the corresponding side of the fascia suture device main body 1.
The utility model discloses mainly used solves the technical problem that traditional manadesma stitching instrument appears when the rete puncture is sewed up. The utility model discloses a manadesma stitching instrument main part 1 is unanimous basically with current manadesma stitching instrument, and at 3 structures of lower extreme pterygoid lamina different with current, the utility model discloses a design has into pinhole 4 on pterygoid lamina 3's the outside arc surface, and it adopts the uncovered structure of toper to advance pinhole 4, and when pterygoid lamina 3 opened, the axial direction of advancing pinhole 4 and the pjncture needle passageway 16 of its corresponding side are same axis on manadesma stitching instrument main part 1, can send into to advancing in the pinhole 4 after being convenient for puncture needle tubing 8 penetrates pjncture needle passageway 16.
Preferably, the retaining groove 5 is on the same axis as the needle insertion hole 4, and the cross section of the retaining groove 5 along the axis is circular.
A blocking groove 5 with a certain depth is formed in the wing plate 3 facing the axis of the needle inlet hole 4 on the inner side plane of the wing plate 3, the cross section of the blocking groove 5 along the axis direction is circular, the blocking groove 5 and the needle inlet hole 4 are also positioned on the same axis, the needle inlet hole 4 is formed in the outer side face of the wing plate 3, and the blocking groove 5 is formed in the inner side face of the wing plate 3. The axial position between the blocking groove 5 and the needle inlet hole 4 is communicated through a through hole 6 with a circular section, so that the puncture needle tube 8 can penetrate into the blocking groove 5 through the needle inlet hole 4 and the through hole 6.
Preferably, a guide washer 17 is disposed within the needle channel 16.
A guide gasket 17 is fixed in the puncture needle channel 16 of the fascia suture device main body 1, and the guide gasket 17 is made of rubber or silica gel and has certain flexible elastic deformation characteristic. The guide washer 17 can play a role in clamping, fixing and guiding the puncture needle tube 8 to a certain extent, and can prevent the puncture needle tube 8 from being inclined and loosened when being placed downwards.
Preferably, the suture passing seams 7 are opened to the sides of the wing plates 3 to form a gap state, the suture passing seams 7 are close to the fascia suture instrument main body 1 in the direction inclined to the sides of the wing plates 3, and the two suture passing seams 7 on the wing plates 3 at the two sides of the fascia suture instrument main body 1 are in central symmetry along the axis of the fascia suture instrument main body 1.
The through-line seams 7 with extremely fine width are arranged on the respective through channel axes of the two wing plates 3 towards the side corresponding to the wing plates 3, the through-line seams 7 are opened to the side in a gap state, the through-line seams 7 are inclined towards the side and are close to the fascial suture device main body 1, one of the through-line seams 7 on the wing plates 3 on the two sides of the fascial suture device main body 1 is opened towards the front side, and the other is opened towards the rear side, so that the two wing plates 3 are symmetrical relative to the axis center of the fascial suture device main body 1.
Preferably, the puncture needle tube 8 is in the shape of an elongated tube, and the lower end of the puncture needle tube is a puncture incision with a bevel structure; the puncture needle tube 8 is coaxially sleeved with a hand-held handle 18.
The cooperation the utility model discloses that the manadesma stitching instrument punctures is pjncture needle tube structure, 8 main parts of puncture needle tubing are long and thin tubulose, the lower extreme is the puncture incision of inclined plane structure, extend the puncture point of longest and outstanding one side for being used for carrying out the puncture at the muscle rete in puncture notched inclined plane, upwards open the wire casing 12 that has certain length along the axial on the puncture needle tubing 8 of the initial position department that puncture point opposite side puncture incision inclined plane extends, wire casing 12 width is extremely fine, only can supply stylolite 2 to pass through. The upper end of the puncture needle tube 8 is coaxially and fixedly sleeved with a hand-held handle 18, and the lower part of the hand-held handle 18 is a slender sleeve with a conical structure with a thick upper part and a thin lower part.
Preferably, the end of the handle 18 is provided with an oval stop piece 19 protruding towards the periphery, the end of the push rod 9 is provided with a push piece 20, and the spring 10 abuts against the stop piece 19 and the push piece 20.
The upper part of the hand-held handle 18 is provided with an oval blocking piece 19 which protrudes to the periphery along the long axis direction, the tapered sleeve of the hand-held handle 18 is convenient for fingers to clamp, and the oval blocking piece 19 is used as the function of the finger stop. The axial passage inside the puncture needle tube 8 is always open at the upper end of the handle 18.
Wherein, a push rod 9 penetrates through the interior of the puncture needle tube 8, the length of the push rod 9 is slightly longer than that of the puncture needle tube 8, the lower part of the push rod 9 is a slender round rod, and the outer diameter of the round rod is slightly smaller than the inner diameter of the puncture needle tube 8, so that the round rod part of the push rod 9 can smoothly penetrate through the puncture needle tube 8. The upper end of the round rod is coaxially and fixedly connected with a round push piece 20, the round push piece 20 is convenient for the thumb to press the push rod 9 when the forefinger and the middle finger of the medical staff clamp the handle 18 when the push rod 9 penetrates through the puncture needle tube 8, so as to achieve the purpose of pushing. The spring 10 is connected and sleeved on the periphery of the round rod between the round push blade 20 of the push rod 9 and the oval blocking blade 19 of the handheld handle 18 of the puncture needle tube 8, so that the push rod 9 can be reset under the elastic restoring action of the spring 10 after the medical staff clamps the handheld handle 18 to press the push rod 9. The front end of the round rod of the push rod 9 is of a round head structure, so that pushing is convenient.
Preferably, the puncture needle tube 8 is peripherally sleeved with a clamping ring 21.
The periphery of the puncture needle tube 8 close to the hand-held handle 18 is clamped and sleeved with a clamping ring 21, and the section of the clamping ring 21 is C-shaped and has certain elastic deformation characteristic. The clamping ring 21 is sleeved on the periphery of the puncture needle tube 8 and can clamp the suture line 2 relative to the outer wall of the puncture needle tube 8, so that the suture line 2 wired on the outer wall of the puncture needle tube 8 is in a stretched state, the suture line 2 in the stretched state penetrates through the root of the thread groove 12 to pull the gear column 11, the gear column 11 can not fall off inside the port of the puncture needle tube 8, and the gear column 11 can be always located inside the puncture needle tube 8 when the puncture needle tube 8 is used below.
When the suture thread 2 is clamped and pulled out from the thin end of the suture thread gradual changing groove 13, the gear column 11 is hung, the pulling-out position of the suture thread 2 is close to one side position in the middle of the gear column 11, so that the suture thread 2 is not in a completely horizontal state when being hung through the gear column 11, but is slightly lifted on one side of the pulling-out position deviation of the suture thread 2, the other side of the pulling-out position deviation of the suture thread 2 is slightly lowered, and the gear column 11 is in a slightly inclined hanging state with one higher end and one lower end. And because the blocking groove 5 of the wing plate 3 is axially consistent with the puncture needle channel 16 in the inclined state of the fascia suture device body 1, so that the blocking groove 5 also has a slightly inclined angle, the inclined state of the blocking column 11 in the natural suspension state is basically consistent with the inclined state of the bottom surface of the blocking groove 5 of the wing plate 3. During assembly, the lower end head of the push rod 9 is retracted into the puncture needle tube 8, a certain distance is reserved from the port of the puncture needle tube 8, the gear column 11 is placed inside the puncture needle tube 8 at the front end head of the push rod 9, the outer diameter of the width of the two sides of the gear column 11 is slightly smaller than the inner diameter of the puncture needle tube 8, and therefore the gear column 11 can also slide inside the puncture needle tube 8 and cannot shake and collide. The suture line gradual-changing groove 13 of the stop column 11 is opposite to the thread groove 12 of the puncture needle tube 8, the suture line 2 outside the suture line gradual-changing groove 13 can be pulled out from the thread groove 12, and the pulled suture line 2 is upward to the lower end position of the hand-held handle 18 along the axial direction of the puncture needle tube 8.
When patient's laparoscopic surgery needs to pass through the utility model discloses when the fascia suture ware carries out the fascia suture, same stylolite 2's both ends are all connected on the fender post 11 of fixing separately during initial state, stylolite 2 passes stylolite gradual change groove 13 and wears out from stylolite passageway I14 and stylolite passageway II 15 port department, 2 tail ends of stylolite knot form the knot and stimulate stylolite 2 section of stylolite gradual change groove 13 department make the knot be drawn into to stylolite passageway II 15, because the knot is greater than the internal diameter of stylolite passageway I14 again, make the knot card of stylolite 2 tail ends at stylolite passageway I14 and stylolite passageway II 15's kneck, simultaneously with stylolite 2 removal of stylolite gradual change groove 13 department of stylolite to stylolite gradual change groove 13's thinner end press from both sides tight stylolite 2, guarantee to keep off post 11 for stylolite 2 and keep stable fixed connection. The stop column 11 is arranged in the port of the puncture needle tube 8, the suture 2 outside the suture gradual-changing groove 13 is pulled out from the thread groove 12, the pulled suture 2 is upward along the axial direction of the puncture needle tube 8 until the lower end position of the handle 18 is clamped by the clamping ring 21, and the suture 2 section between the clamping ring 21 and the thread groove 12 is ensured to be in a stretched state. At this time, the spring 10 between the pushing piece 20 of the pushing rod 9 and the blocking piece 19 of the handle 18 is in a normal state, and the round head at the lower end of the pushing rod 9 is just in a state of basically abutting against the gear column 11 in the state that the suture 2 is straightened. And the two wing plates 3 below the fascia suture device of the utility model are in the folded state. The above is the initial state of the fascia suturing device of the utility model before suturing. The following operations are then performed:
1. when the suture operation is carried out, the fascia suture device body 1 in an initial state is penetrated from the abdominal cavity perforation, the front end is deeply inserted into the lower part of the fascia layer of a patient, and after the preset depth is reached, the two wing plates 3 are completely opened at the same time by pulling the upper handle of the fascia suture device.
2. The puncture needle tube 8 in the above state is respectively inserted into the puncture needle channel 16 from the upper end of the fascia suture device, penetrates the abdominal subcutaneous tissue and the fascia layer under the guiding action of the puncture needle channel 16 and the guide gasket 17, and finally penetrates through the needle inserting hole 4 of the wing plate 3, so that the front end of the puncture needle tube 8 penetrates into the blocking groove 5.
3. After the puncture needle tube 8 penetrates downwards to a designated position, fingers clamp a handheld handle 18 at the upper end of the puncture needle tube 8, meanwhile, a thumb presses a push sheet 20, a spring 10 elastically contracts, a push rod 9 pushes a stop column 11 downwards along the axial direction to move relative to the puncture needle tube 8, and at the moment, a suture thread 2 synchronously moves the stop column 11 downwards and finally is separated from a thread groove 12.
4. After the gear post 11 is separated from the puncture needle tube 8, the puncture needle tube 8 loses the constraint on the gear post 11, the gear post 11 is changed from the coaxial direction with the puncture needle tube 8 into the slightly inclined horizontal state with one end slightly higher and one end slightly lower under the action of the pulling force of the suture thread 2, the inclined state of the gear post 11 is basically consistent with the inclined state of the bottom surface of the blocking groove 5 of the wing plate 3, and the possibility that the gear post 11 slides out from the through hole 6 can be avoided.
5. Withdrawing the puncture needle tube 8 and the push rod 9 and the like to keep the suture 2 and the gear post 11.
6. Controlling the fascia suture device main body 1 to enable the two wing plates 3 to be changed from an open state to a closed state, then withdrawing the fascia suture device main body 1, enabling the wing plates 3 and the gear posts 11 to drive two ends of the suture thread 2 to be pulled out from the abdominal cavity perforation, moving the suture thread 2 out relative to the wing plates 3 from the thread passing suture 7 of the wing plates 3 after being pulled out, cutting the gear posts 11, finally tensioning the suture thread 2, and knotting the suture thread 2 according to the standard to finish the suture.
The utility model discloses an innovation technical point and beneficial effect lie in at least:
1. this technical scheme adopts puncture needle tubing 8 to carry out the puncture to subcutaneous tissue and rete, compares the round bar-shaped pjncture needle puncture of traditional manadesma suture instrument, adopts the needle tubular structure to puncture the resistance that receives littleer, simultaneously because the round bar structure is compared to the round bar structure intensity is higher, is difficult for taking place deformation more, so make more stable when the great rete of puncture resistance, penetrate to the needle inlet 4 of pterygoid lamina 3 more easily. Just the utility model discloses place puncture needle tube 8 inside in the fender position post 11 of fixed connection stylolite 2 for puncture needle tube 8 can not lead to the fact the influence to suture 2's end of a thread when the puncture, can not lead to the condition that the end of a thread drops, and the puncture is stable safety. In addition, the wing plate 3 of the fascia suture device in the technical scheme is provided with the silica gel layer, so that the situation that the suture fails due to the fact that the silica gel layer is broken and the thread end of the suture 2 is not gripped enough after the puncture needle penetrates through the silica gel layer of the wing plate 3 and the thread end falls off when the wing plate 3 is closed and the thread end is pulled out is avoided, great risk is brought to a patient, and the service life of the fascia suture device is greatly influenced.
2. The interior of the puncture needle is provided with a push rod 9 which is elastically connected, and a gear column 11 is ejected out of the tube, so that the gear column 11 can be smoothly separated from the puncture needle tube 8. The existing fascia suture device is characterized in that the front end of the puncture needle is simply provided with a clamping position for fixing the needle head of the suture line 2, the clamping position for fixing the needle head at the front end of the puncture needle cannot guarantee the strength during puncture, the clamping position for fixing the needle head of the puncture needle and the needle head of the suture line 2 during puncture is likely to be deformed due to the large resistance of a fascia layer, and the needle head is led to change towards the direction and even directly cause the falling of the needle head connected with the suture line 2. And when the puncture needle needs to be pulled out of the needle head of the suture line 2 after penetrating through the silica gel layer, the situation that the puncture needle cannot be pulled out directly and simultaneously can be caused, the operation is unstable, and the risk born by a patient is large.
3. Pterygoid lamina 3 uses into pinhole 4 to connect the structure that via hole 6 connects fender groove 5, and the cooperation keeps off the effect that position post 11 can effectually play the fender position, and the axial all keeps the puncture that can guarantee stably with pjncture needle passageway 16 coaxial line simultaneously, cancels traditional silica gel layer structure and can effectually avoid appearing the hole because the silica gel layer pierces through and lead to weakening the power of grabbing of syringe needle or stylolite 2 to influence the life of manadesma stitching instrument. The utility model discloses the improvement that can be very big is compared and is used the number of times, and the effect can guarantee stably all the time. Meanwhile, the thread passing seam 7 at the side of the wing plate 3 can facilitate the separation of the suture thread 2 from the wing plate 3.
4. The trunking 12 with a certain depth, which is axially arranged on the wall of the pipe orifice at the opposite side of the puncture point of the puncture incision of the puncture tube, can be matched with the pipe wall to relatively fix the gear column 11 to prevent the falling-off condition when the suture thread 2 is tensioned and straightened.
5. The stop column 11 adopts a dumbbell-shaped circular columnar structure with thick ends and thin middle parts to match with the suture line gradual-changing groove 13 to be deviated to one side, so that the stop column 11 is in a slightly inclined horizontal state with one end slightly higher than the other end slightly lower when being hung, the inclined state is basically consistent with the inclined state of the bottom surface of the stop groove 5 of the wing plate 3, and the possibility that the stop column 11 slides out from the through hole 6 can be avoided due to the inclined state. Simultaneously stylolite gradual change groove 13 adopts the gradual change can so that broad one side penetrates stylolite 2, moves to stylolite 2 of thinner one side and is pressed from both sides tightly, cooperates two stylolite passageways that the internal diameter is not of uniform size to play with the fixed effect with pressing from both sides tightly of stylolite 2 screens, guarantees the stability of gear post 11 when hanging.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, a plurality of modifications and decorations can be made without departing from the principle of the present invention, and these modifications and decorations should also be regarded as the protection scope of the present invention.

Claims (10)

1. An anti-slip needle-tube-protected minimally invasive fascia stapler, comprising: a fascia suture device main body, a puncture needle tube structure and a suture line; two wing plates which are symmetrically arranged and can be opened and closed are hinged on the fascia stitching instrument main body; one side of the wing plate is provided with a pin inlet hole, the other side of the wing plate is provided with a baffle groove, a via hole is formed in the wing plate to communicate the pin inlet hole with the baffle groove, and a thread passing seam communicated with the pin inlet hole, the via hole and the baffle groove is formed in the wing plate;
the puncture needle tube structure comprises: the puncture needle tube, the push rod, the spring and the shift post; the utility model discloses a puncture needle, including the push rod, gear post, spring, the intermediate position department of gear post, the push rod is worn to establish in the puncture needle is intraductal, the cover is established on the push rod the spring just the spring supports and props up a tip of push rod, puncture needle, another tip of puncture needle has seted up the wire casing, the stylolite gradually becomes the groove has been seted up on the intermediate position of gear post, the intermediate position department of gear post to its one end seted up with the stylolite passageway of stylolite gradually becomes groove intercommunication, the laminating of both ends of stylolite is in pass on the puncture needle pass stretch into in proper order behind the wire casing it is fixed to tie.
2. The anti-slipping needle tube protective minimally invasive fascia suture instrument according to claim 1, wherein the blocking column is of a dumbbell structure with thick two ends and thin middle, the width of the suture line gradually-changing groove is gradually changed from wide to thin from one side, and the wide side is closer to the middle position of the blocking column than the thin side; the width of one side of the suture line gradual change groove width is larger than the suture line width, and the width of one side of the suture line gradual change groove is smaller than the suture line width.
3. The needle-protected minimally invasive fascia suture instrument according to claim 2, wherein the suture passage comprises a suture passage I and a suture passage II, the suture passage I is communicated with the bottom of the suture tapered groove, the inner diameter of the suture passage I is larger than that of the suture, the suture passage I is communicated with the suture passage II, and the inner diameter of the suture passage II is larger than that of the suture passage I.
4. The anti-slipping needle tube protective minimally invasive fascia suture instrument according to claim 1, wherein the needle inlet hole is of a conical open structure, and two puncture needle channels which are centrosymmetric are formed in the fascia suture instrument body; when the wing plate is unfolded, the axial direction of the needle inlet hole and the puncture needle channel on the corresponding side of the fascia suture device main body are the same axis.
5. The needle-protected minimally invasive fascia suture instrument according to claim 4, wherein the retaining groove is located on the same axis as the needle insertion hole, and the cross section of the retaining groove along the axis is circular.
6. The slippage-preventing needle-tubing-protected minimally-invasive fascia stapler of claim 4, wherein a guide washer is disposed within the puncture needle channel.
7. The needle-protected minimally invasive fascia suture apparatus according to claim 1, wherein the suture passing portion is opened to the side of the wing plate in a slit state, the suture passing portion is inclined toward the side of the wing plate so as to be close to the fascia suture apparatus body, and the two suture passing portions of the wing plate on both sides of the fascia suture apparatus body are centrally symmetrical along the axis of the fascia suture apparatus body.
8. The anti-slipping needle tube protective minimally invasive fascia stapler of claim 1, wherein the puncture needle tube is in an elongated tubular shape, and the lower end of the puncture needle tube is a puncture incision with a bevel structure; the puncture needle tube is coaxially sleeved with a handheld handle.
9. The needle-tube-protected minimally invasive fascia suture instrument according to claim 8, wherein an oval blocking piece protruding towards the periphery is arranged at the end of the hand-held handle, a pushing piece is arranged at the end of the pushing rod, and the spring abuts against the blocking piece and the pushing piece.
10. The slippage-preventing needle-tube-protected minimally-invasive fascia suture instrument as claimed in claim 1, wherein a clamping ring is sleeved on the periphery of the puncture needle tube.
CN202020357873.9U 2020-03-20 2020-03-20 Anti-slip needle tube protection type minimally invasive fascia suture device Active CN212089639U (en)

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CN202020357873.9U CN212089639U (en) 2020-03-20 2020-03-20 Anti-slip needle tube protection type minimally invasive fascia suture device

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Application Number Priority Date Filing Date Title
CN202020357873.9U CN212089639U (en) 2020-03-20 2020-03-20 Anti-slip needle tube protection type minimally invasive fascia suture device

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112515721A (en) * 2020-12-22 2021-03-19 深圳市瀚翔工业设计有限公司 Double-needle stitching instrument
CN114569173A (en) * 2022-03-02 2022-06-03 中南大学湘雅医院 Stitching instrument for laparoscopic surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112515721A (en) * 2020-12-22 2021-03-19 深圳市瀚翔工业设计有限公司 Double-needle stitching instrument
CN114569173A (en) * 2022-03-02 2022-06-03 中南大学湘雅医院 Stitching instrument for laparoscopic surgery

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Effective date of registration: 20211129

Address after: 410329 No. 301, phase IV, Changsha E center, No. 18, Xiangtai Road, Liuyang economic and Technological Development Zone, Changsha City, Hunan Province

Patentee after: Hunan Renji Medical Technology Co.,Ltd.

Address before: No.39-2, Jinshui East Road, Jinshui District, Zhengzhou City, Henan Province, 450000

Patentee before: Sun Qixun