CN213525301U - Ware is sewed up to improvement meniscus - Google Patents

Ware is sewed up to improvement meniscus Download PDF

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Publication number
CN213525301U
CN213525301U CN202020890145.4U CN202020890145U CN213525301U CN 213525301 U CN213525301 U CN 213525301U CN 202020890145 U CN202020890145 U CN 202020890145U CN 213525301 U CN213525301 U CN 213525301U
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China
Prior art keywords
needle
outer sheath
meniscus
movable
rod
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CN202020890145.4U
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Chinese (zh)
Inventor
张中兴
周元蕉
韦军
许峰
刘智
林立钊
宁东方
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Liuzhou Municipal Liutie Central Hospital
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Liuzhou Municipal Liutie Central Hospital
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Abstract

The utility model discloses an improved meniscus stitching instrument, belonging to the technical field of stitching instruments, which comprises an outer sheath needle rod, wherein one end of the outer sheath needle rod is a tip end, and the other end is provided with a first needle handle; two parallel movable channels are arranged in the outer sheath needle rod and penetrate through two ends of the outer sheath needle rod; two matching channels are arranged in the first needle handle corresponding to the two movable channels and are respectively communicated with the two movable channels; a needle core is movably arranged in each movable channel, one end of the needle core is provided with a second needle handle which is used for being matched and connected with the matched channel, and the size of the second needle handle is matched with that of the matched channel; the utility model provides a can sew up meniscus and popliteal tendon or outside collateral ligament, joint capsule together and can produce the problem that obviously involves uncomfortable sense when causing patient's postoperative activity when current meniscus stitching instrument uses.

Description

Ware is sewed up to improvement meniscus
Technical Field
The utility model relates to a suture instrument technical field, in particular to improvement meniscus suture instrument.
Background
Meniscal injuries are clinically common sports medicine diseases, and the current gold standard for treatment is arthroscopic minimally invasive treatment. For patients under 45 years of age with damaged red areas of the meniscus, meniscal suturing is preferred to preserve meniscus structure.
Half moon plate stitching currently has three main techniques: 1. the full-internal suture adopts a typical instrument which is a fast-fix full-internal suture needle with good brightness, and is mainly suitable for suturing meniscus body parts and rear angle injuries; 2. the outside-in suture method is the 18# lumbar puncture needle which is most commonly used clinically and is suitable for suturing the anterior angle and the body of the meniscus; 3. the inside-out suturing method needs special instruments and arc-shaped baffles, is suitable for the damage of the body part and the posterior angle of the meniscus and is relatively applied to the minimum clinically at present. The three suturing methods are similar to the principle of suturing meniscus with instruments, and the damaged meniscus is sutured with tissues such as lateral ligament, joint capsule and the like, so as to promote healing. However, this procedure has significant clinical drawbacks in treating injuries to the lateral meniscal body, because the posterior aspect of the lateral meniscal body is free at the outer edge and not connected to the lateral collateral ligament, and the popliteal tendon passes through the outer edge, which has some mobility relationship. When the outer meniscus body part is sutured in a treatment mode, the meniscus is sutured together with the popliteal tendon or the outer collateral ligament and the joint capsule by adopting a previous suturing mode, the original free structure of the meniscus is not met, the meniscus is connected with tissues such as the popliteal tendon, the outer collateral ligament and the joint capsule after suturing, and obvious dragging discomfort can be generated when a patient moves after surgery.
SUMMERY OF THE UTILITY MODEL
In view of the above, there is a need for an improved meniscal stapler to solve the problem that the meniscus is sutured with the popliteal tendon or the collateral ligament or the joint capsule, which causes significant discomfort during postoperative activities of patients.
In order to achieve the above purpose, the utility model adopts the technical proposal that:
an improved meniscus stitching instrument comprises an outer sheath needle rod, wherein one end of the outer sheath needle rod is a tip end, and the other end of the outer sheath needle rod is provided with a first needle handle; two parallel movable channels are arranged in the outer sheath needle rod and penetrate through two ends of the outer sheath needle rod; two matching channels are arranged in the first needle handle corresponding to the two movable channels and are respectively communicated with the two movable channels; a needle core is movably arranged in each movable channel, a second needle handle used for being connected with the matched channel in a matched mode is arranged at one end of the needle core, and the size of the second needle handle is matched with that of the matched channel.
Preferably, the outer sheath needle shaft is integrally formed with the first needle shaft, and the hub and the second needle shaft are integrally formed.
Preferably, the materials of the outer sheath needle shaft, the first needle shaft, the needle core and the second needle shaft are all stainless steel.
Preferably, the length of the outer sheath needle rod and the length of the needle core are both 8-12 cm.
Preferably, the outer surface of the outer sheath needle rod has two planes and two circular arc surfaces; the two planes are arranged oppositely and are parallel to each other, and the two arc surfaces are arranged oppositely and are connected with the two planes to form a closed structure; the arc surface and the plane are in smooth transition.
Preferably, the distance L1 between the two planes is 0.08-0.12cm, and the maximum distance L2 between the two circular arc surfaces is 0.18-0.22 cm.
Preferably, the cross section of the movable channel is circular, and the diameter of the movable channel is 0.06-0.08 cm.
Due to the adoption of the technical scheme, the utility model discloses following beneficial effect has:
1. the utility model discloses can once only pass articular capsule, outside collateral ligament and popliteal tendon, perhaps avoid the popliteal tendon after passing through outside collateral ligament under the arthroscope is direct-viewing, avoid many times blind to wear the drawback of aggravating soft tissue injury.
2. The utility model is used for during the damage of treatment outside meniscus somatic part free section, after the stitching instrument pierces through outside joint capsule and collateral ligament, can be under the arthroscope looks straight down through the position of adjustment stitching instrument, it sews up to lead wire respectively from two activity passageways, it is fixed to take the line to sew up according to traditional outside-in suture method, repair the meniscus, compare with traditional outside-in method, the suture is knotted and is located the outside of outside meniscus, ensure that the suture can not involve popliteal tendon and outside collateral ligament, structures such as joint capsule, accord with outside meniscus outside physiological structure, postoperative traction uncomfortable sense has been avoided.
3. The utility model is used for during the damage of the other positions of the outer meniscus somatic part of treatment inside and outside and anterior angle, because the suture comes out from same passageway in the skin, reduced the step of subcutaneous crochet hook, alleviateed soft tissue damage, also guaranteed the reliability that the suture was knoed simultaneously, reduced the suture and knod not hard up possibility.
Drawings
FIG. 1 is a schematic view of the external structure of an improved meniscal stapler according to an embodiment of the present invention;
FIG. 2 is a schematic view of the internal structure of the improved meniscal stapler according to the embodiment of the present invention;
FIG. 3 is a cross-sectional view of an outer sheath needle shaft provided by an embodiment of the present invention;
the main reference symbols in the drawings are as follows:
in the figure, 1-sheath needle bar, 2-plane, 3-arc surface, 4-point, 5-first needle handle, 6-movable channel, 7-matching channel, 8-needle core and 9-second needle handle.
The following detailed description of the invention will be further described in conjunction with the above-identified drawings.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely 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. The accompanying drawings are only for illustrative purposes and are only schematic drawings rather than actual drawings, which are not intended to limit the present disclosure, and in order to better illustrate the embodiments of the present disclosure, some components of the drawings may be omitted, enlarged or reduced, and do not represent the size of an actual product.
In the description of the present invention, it should be further noted that, unless otherwise explicitly stated or limited, the terms "disposed" and "connected" are to be interpreted broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood according to specific situations by those skilled in the art.
Examples
Referring to fig. 1-3, an improved meniscus suture instrument includes an outer sheath needle rod 1, one end of the outer sheath needle rod 1 is a tip 4, and the other end is provided with a first needle handle 5. Wherein the outer sheath needle bar 1 and the first needle handle 5 are integrally formed. Two parallel movable channels 6 are arranged inside the outer sheath needle bar 1, and the movable channels 6 penetrate through two ends of the outer sheath needle bar 1. Two matching channels 7 are arranged in the first needle handle 5 corresponding to the two movable channels 6, and the two matching channels 7 are respectively communicated with the two movable channels 6.
A needle core 8 is movably arranged in each movable channel 6, one end of the needle core 8 is provided with a second needle handle 9 which is used for being matched and connected with the matching channel 7, and the size of the second needle handle 9 is matched with that of the matching channel. Wherein the stylet 8 and the second needle handle 9 are integrally formed. The materials of the outer sheath needle rod 1, the first needle handle 5, the needle core 8 and the second needle handle 9 are all stainless steel.
The lengths of the outer sheath needle bar 1 and the needle core 8 are both 8-12 cm. The outer surface of the outer sheath needle rod 1 is provided with two planes 2 and two arc surfaces 3, the two planes 2 are arranged oppositely and are parallel to each other, the two arc surfaces 3 are arranged oppositely and are connected with the two planes 2 to form a closed structure, the arc surfaces 3 are in smooth transition with the planes 2, and specifically, the notches of the two arc surfaces 3 are opposite. The distance L1 between the two planes 2 is 0.08-0.12cm, and the maximum distance L2 between the two arc surfaces 3 is 0.18-0.22 cm. The cross section of the movable passage 6 is circular, and the diameter of the movable passage is 0.06-0.08 cm. In this embodiment, the length of the outer sheath needle rod 1 and the length of the needle core 8 are both 10cm, L1 is 0.10cm, L2 is 0.20cm, and the diameter of the movable channel 6 is 0.07 cm.
The utility model discloses can once only pass articular capsule, outside collateral ligament and popliteal tendon, perhaps avoid the popliteal tendon after passing through outside collateral ligament under the arthroscope is direct-viewing, avoid many times blind to wear the drawback of aggravating soft tissue injury.
The utility model is used for during the damage of treatment outside meniscus somatic part free section, after the stitching instrument pierces through outside joint capsule and collateral ligament, can be under the arthroscope looks straight down through the position of adjustment stitching instrument, it sews up from 6 difference lead wires of two activity passageways, it is fixed to take the line to sew up according to traditional outside-in sewing method, repair the meniscus, compare with traditional outside-in method, the suture is knotted and is located the outside of outside meniscus, ensure that the suture can not involve popliteal tendon and outside collateral ligament, structures such as joint capsule, accord with outside meniscus outside physiological structure, postoperative traction discomfort has been avoided. The specific operation is as follows: after the outer sheath needle bar 1 of the stitching instrument punctures and passes through the meniscus, the outer sheath needle bar 1 can be slightly withdrawn from the outer sheath needle bar 1 through one movable channel 6 by utilizing an outer-inner stitching method to carry a band thread to the outer side of the meniscus horizontally, but the joint capsule does not need to be withdrawn, the band thread passes through the other side of the meniscus, then the other end of the suture thread is carried by the other movable channel 6, after the two ends of the suture thread pass through the meniscus, the stitching instrument is withdrawn, and the band thread can be knotted and fixed at the outer edge of the meniscus.
The utility model is used for during the damage of the other positions of the outer meniscus somatic part of treatment inside and outside and anterior angle, because the suture comes out from same passageway in the skin, reduced the step of subcutaneous crochet hook, alleviateed soft tissue damage, also guaranteed the reliability that the suture was knoed simultaneously, reduced the suture and knod not hard up possibility.
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 (7)

1. An improvement meniscus stitching instrument, characterized in that: the needle comprises an outer sheath needle rod, wherein one end of the outer sheath needle rod is a tip end, and the other end of the outer sheath needle rod is provided with a first needle handle; two parallel movable channels are arranged in the outer sheath needle rod and penetrate through two ends of the outer sheath needle rod; two matching channels are arranged in the first needle handle corresponding to the two movable channels and are respectively communicated with the two movable channels; a needle core is movably arranged in each movable channel, a second needle handle used for being connected with the matched channel in a matched mode is arranged at one end of the needle core, and the size of the second needle handle is matched with that of the matched channel.
2. The improved meniscal stapler of claim 1, wherein: the outer sheath needle rod and the first needle handle are integrally formed, and the needle core and the second needle handle are integrally formed.
3. The improved meniscal stapler of claim 2, wherein: the materials of the outer sheath needle rod, the first needle handle, the needle core and the second needle handle are all stainless steel.
4. The improved meniscal stapler of claim 1, wherein: the length of the outer sheath needle rod and the length of the needle core are both 8-12 cm.
5. The improved meniscal stapler of claim 1, wherein: the outer surface of the outer sheath needle rod is provided with two planes and two arc surfaces; the two planes are arranged oppositely and are parallel to each other, and the two arc surfaces are arranged oppositely and are connected with the two planes to form a closed structure; the arc surface and the plane are in smooth transition.
6. The improved meniscal stapler of claim 5, wherein: the distance L1 between the two planes is 0.08-0.12cm, and the maximum distance L2 between the two arc surfaces is 0.18-0.22 cm.
7. The improved meniscal stapler of claim 6, wherein: the cross section of the movable channel is circular, and the diameter of the movable channel is 0.06-0.08 cm.
CN202020890145.4U 2020-05-25 2020-05-25 Ware is sewed up to improvement meniscus Active CN213525301U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202020890145.4U CN213525301U (en) 2020-05-25 2020-05-25 Ware is sewed up to improvement meniscus

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202020890145.4U CN213525301U (en) 2020-05-25 2020-05-25 Ware is sewed up to improvement meniscus

Publications (1)

Publication Number Publication Date
CN213525301U true CN213525301U (en) 2021-06-25

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114587457A (en) * 2022-03-18 2022-06-07 湖南省人民医院 Ware is sewed up to meniscus

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114587457A (en) * 2022-03-18 2022-06-07 湖南省人民医院 Ware is sewed up to meniscus
CN114587457B (en) * 2022-03-18 2023-09-19 湖南省人民医院 Meniscus stitching instrument

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