CN216294160U - Supplementary stitching instrument of peritoneoscope puncture port integral type - Google Patents

Abstract

The utility model belongs to the technology of medical instruments, and relates to an integrated auxiliary suturing device for a laparoscope puncture port. The use result shows that the blunt end of the suturing instrument can prevent the abdominal cavity organs such as intestinal canal, liver and the like from being injured when being inserted into the abdominal cavity; the needle inlet groove can ensure that the crochet needle penetrates into the abdominal wall at any angle, and then the crochet needle passes through the muscle layer and the peritoneum from the subcutaneous fat layer to enter the abdominal cavity to complete the incision suture; the suturing device has the advantages of reasonable design, simple structure, easily available materials, low cost, convenience and time saving, and can be used for effectively closing a puncture port of a clinical laparoscope; the abdominal wall puncture opening of the obese patient during the laparoscopic surgery can be safely and effectively closed, the surgery time is shortened, the surgery efficiency is improved, various complications of the abdominal wall puncture opening can be avoided, and the secondary injury to the patient is reduced.

Description

Supplementary stitching instrument of peritoneoscope puncture port integral type

Technical Field

The utility model belongs to the technical field of medical instruments, and particularly relates to an integrated auxiliary suturing device for a laparoscopic puncture port, which is arranged according to the size of a puncture cannula for a common laparoscope and the thickness characteristics of an adult abdominal wall and can be used for effectively closing the laparoscopic puncture port in clinical practice; particularly, the abdominal wall puncture opening of the obese patient during the laparoscopic surgery can be safely and effectively closed, the surgery time is shortened, the surgery efficiency is improved, various complications of the abdominal wall puncture opening can be avoided, and the secondary injury to the patient is reduced.

Background

The prior art discloses that a laparoscope is widely popularized and applied in the field of abdominal surgery in clinical practice, and the field knows that the laparoscopic surgery is different from an open surgery, the laparoscopic surgery usually adopts 3 or more than 0.5-1.2cm incisions on the abdomen of a patient, a sleeve (such as Trocar) penetrates through the abdominal wall through the incisions, a light source and surgical instruments enter the abdominal cavity through the sleeve, and the laparoscope has the characteristics of little pain, quick recovery, small scars on the abdominal wall and the like of a postoperative patient; however, in clinical practice, complications such as bleeding, dehiscence, hernia formation of the puncture port and the like often occur when the puncture port of the abdominal wall is slightly shallow, and abdominal contents such as omentum majus, intestinal canal, liver and the like may be punctured or sutured too deeply, so that secondary trauma is brought to the patient, the operation effect is affected, the recovery of the patient is delayed, the medical insurance cost is increased and the like. This condition is particularly likely to occur in obese patients, and the thick subcutaneous fat and the small puncture opening make it extremely difficult for clinicians to complete the suturing of the deep muscle layer and the peritoneum, and further cause complications related to the puncture opening. How to design a proper instrument for safely and effectively suturing a laparoscope puncture so as to effectively reduce the incidence of puncture complication is a clinical practice problem which needs to be solved urgently in the technical field at present.

Based on the current situation of the prior art, the inventor of the application intends to provide an integrated auxiliary suturing device for a laparoscope puncture port, which is arranged according to the size of a puncture cannula for a common laparoscope and the thickness characteristics of an adult abdominal wall, can be used for effectively closing the laparoscope puncture port in clinical practice, and reduces secondary damage to a patient.

Disclosure of Invention

In order to solve the problems in the prior art, the utility model provides an integrated auxiliary stitching instrument for a laparoscope puncture port. The suturing device is arranged according to the size of a puncture cannula for a common laparoscope and the thickness characteristics of the abdominal wall of an adult, can be used for effectively closing a laparoscopic puncture port in clinical practice, and reduces secondary damage to a patient.

The utility model discloses an integrated auxiliary suturing device for a laparoscope puncture port, which consists of a handle (1), a main pipeline (2), a needle inserting groove (3), a blunt head (4) and an anti-slipping thread feeding clamping groove (5); the suturing device is tubular, the tube bodies are provided with a longitudinal needle groove opposite to each other, and the head ends are provided with a V-shaped anti-slipping thread feeding clamping groove and a blunt end.

According to the suturing device, one laparoscopic puncture port provides more convenient and effective suturing under the direct vision of the lens, complications such as bleeding, dehiscence, puncture hernia formation and the like of the puncture port caused by incomplete suture of the puncture port are avoided, and organs in the abdominal cavity are prevented from being exposed without mistakenly injuring during suturing; can also ensure the full-layer suture of muscle layer and peritoneum at the deep part of the puncture. This supplementary stitching instrument of integral type size is suitable, can match common peritoneoscope puncture hole and be fit for the crochet hook and get into the abdominal cavity, and main part pipeline head end is oval structure, easily enters into the abdominal cavity and can seal the puncture mouth internal orifice, still can avoid haring abdominal cavity content, and the head end antiskid is taken off "V" shape and is sent the line draw-in groove and can easily send the line to go into the abdominal cavity, get the line in vitro, and then practices thrift operating time, and the wound is sewed up more beautifully.

The suturing device is designed according to the size of a puncture cannula for a common laparoscope and the thickness characteristics of an adult abdominal wall, the handle (1) and the main pipeline (2) form a tubular body, the handle (1) is a columnar handle, and the main pipeline (2) is an extension of the handle;

in the suturing device, the handle and the main pipeline form an angle of 120 degrees and are used for assisting and stabilizing the integrated auxiliary suturing device; in one embodiment of the utility model, the handle has an outer diameter of 12mm, an inner diameter of 10cm and a length of 6cm, the main pipeline has an outer diameter of 12mm, an inner diameter of 10mm and a length of 15cm (including a front end oval blunt end of 1.5cm), and the handle is matched with the size of a common puncture hole; the length of the groove is 10cm, the width is 2mm, and the crochet hook can easily pass in and out; the wedge depth of the V-shaped clamping groove is 0.6cm, and the groove width is 0.2 cm.

When the suturing device is used for closing an abdominal puncture port, a suture is placed in a blunt V-shaped clamping groove of a main pipeline and is sent into an abdominal cavity, a crochet hook penetrates into the subcutaneous abdominal wall through the clamping groove at a proper angle and enters the abdominal cavity, an endoscope lens is used for directly seeing the suture, one end of the crochet hook is withdrawn from the original path, one end of the suture is led out of the body along with the crochet hook, the other end of the suture is led out in the same way, two ends of the suture are tightened and knotted in subcutaneous tissues, and the abdominal puncture port is closed; if a plurality of abdomen puncture openings need to be closed, the abdomen puncture openings can be closed in sequence, and finally, the abdomen puncture openings are knotted respectively.

The laparoscope puncture integrated auxiliary suturing device is used, and results show that when the suturing device is inserted into an abdominal cavity with a blunt end, abdominal cavity organs such as an intestinal canal, a liver and the like can be prevented from being damaged; the needle inlet groove can ensure that the crochet needle penetrates into the abdominal wall at any angle, and then the crochet needle passes through the muscle layer and the peritoneum from the subcutaneous fat layer to enter the abdominal cavity to complete the incision suture; the stitching instrument has reasonable design, simple structure, common materials, low cost, convenience and time saving,

the suturing instrument is made of polycarbonate materials, the tip of the suturing instrument is an elliptical spherical blunt end, abdominal cavity organs such as intestinal canals and the like can be effectively prevented from being injured when the suturing instrument is inserted into an abdominal cavity, and an inner opening of an abdominal cavity puncture opening can be sealed after a band wire enters the abdominal cavity puncture opening; the crochet hook can puncture the muscle layer of the abdominal wall at various angles in the needle inlet groove of the main pipeline; the stitching instrument has simple structure and convenient operation, is suitable for the use of the abdominal wall of an obese patient, and is beneficial to effectively closing the laparoscope puncture; particularly can safely and effectively close the abdominal wall puncture when the obese patient carries out laparoscopic surgery.

The utility model has the following beneficial effects:

is suitable for a laparoscope puncture port; the head end send the line and get into back and seal puncture opening inner port, is favorable to pneumoperitoneum to establish and maintain, and the crochet hook is operated under the peritoneoscope camera lens looks straight down, guarantees that the shut belly line passes deep muscle layer and peritoneum, guarantees that safe effective suture peritoneoscope closes the puncture opening. The stitching instrument has the advantages of simple integral structure, low cost, flexibility and convenience in use, and the laparoscope puncture can be safely and effectively stitched by a clinician, so that various complications can be avoided, and secondary injury to a patient is reduced.

The utility model is further illustrated with reference to the following figures and examples.

Drawings

FIG. 1 is a schematic front view of the present invention;

FIG. 2 is a side schematic view of the present invention;

FIG. 3 is a schematic view of a front-working general patient scenario of the present invention;

FIG. 4 is a schematic view of a front work obese patient scenario of the present invention;

FIG. 5 is a schematic drawing of a card slot of the present invention;

the reference signs are: the needle inserting device comprises a handle (1), a main pipeline (2), a needle inserting groove (3), a blunt head (4) and an anti-slip thread feeding clamping groove (5).

Detailed Description

Example 1 preparation of laparoscopic port Integrated auxiliary suture Instrument

The integrated auxiliary suturing device for the laparoscope puncture port is prepared from polycarbonate materials, and consists of a handle (1), a main pipeline (2), a needle inserting groove (3), a blunt head (4) and an anti-slipping thread feeding clamping groove (5) according to the size of a puncture cannula for a laparoscope and the thickness characteristics of an adult abdominal wall; the suturing device is tubular, the tube bodies are provided with longitudinal advancing needle grooves opposite to each other, and the head ends are provided with V-shaped anti-slipping thread feeding clamping grooves and blunt ends (shown in figures 1 and 2);

the handle (1) and the main pipeline (2) form a tubular body, the handle (1) is a columnar handle, and the main pipeline (2) is an extension of the handle; the handle and the main pipeline form an angle of 120 degrees and are used for assisting and stabilizing the integrated auxiliary suturing device; in the embodiment, the handle has an outer diameter of 12mm, an inner diameter of 10cm and a length of 6cm, the main pipeline has an outer diameter of 12mm, an inner diameter of 10mm and a length of 15cm (including a front end oval blunt end of 1.5cm), and the size of the handle is matched with the size of a common puncture hole; the length of the groove is 10cm, the width is 2mm, and the crochet hook can easily pass in and out; the wedge depth of the V-shaped clamping groove is 0.6cm, and the groove width is 0.2 cm.

According to the suturing device, one laparoscopic puncture port provides more convenient and effective suturing under the direct vision of the lens, complications such as bleeding, dehiscence, puncture hernia formation and the like of the puncture port caused by incomplete suture of the puncture port are avoided, and organs in the abdominal cavity are prevented from being exposed without mistakenly injuring during suturing; can also ensure the full-layer suture of muscle layer and peritoneum at the deep part of the puncture.

This stitching instrument size is suitable, can match common peritoneoscope puncture hole and be fit for the crochet hook and get into the abdominal cavity, and main part pipeline head end is oval structure, easily enters into the abdominal cavity and can seal the puncture mouth internal orifice, still can avoid haring abdominal cavity content, and the head end antiskid is taken off "V" shape and is sent the line draw-in groove and can easily send the line to enter the abdominal cavity, get the line in vitro, and then practices thrift operating time, and the wound is sewed up more beautifully.

Example 2

The manufactured integrated auxiliary suture device is used for a 10-12mm size Trocar puncture hole which is common in clinic.

When Trocar is taken out, the blunt head of the integrated auxiliary suturing device with a suture line rapidly enters a puncture port, the blunt head completely enters an abdominal cavity under the direct vision of a laparoscope lens, two different modes (shown in figures 3 and 4) are adopted to enter a crochet hook according to the thickness of the abdominal wall (common patients or obese patients), the needle is inserted from a subcutaneous fat layer, passes through a muscle layer and a peritoneum and enters the abdominal cavity, the original path exits after the suture line on the same side is hooked out, the two ends of the silk line are led out of the body, then the integrated auxiliary suturing device exits from the puncture port, the middle section of the silk line is manually taken out from an anti-slipping thread feeding clamping groove (shown in figure 5), the two ends of the back suture line are tightened and knotted, and finally, the wound is adhered to the pulled skin, so that the incision suturing is completed.

This supplementary stitching instrument of peritoneoscope puncture port integral type is through clinical practice practical verification, and the result shows, and convenient the saving time of using, cooperation crochet hook use can ensure safe effective suture deep muscle layer and peritoneum, and the effective suture of peritoneoscope puncture port can obviously reduce the incidence of its back complication, and the wound is sewed up beautifully.

The blunt end of the suturing device can prevent the abdominal cavity organs such as intestinal canal, liver and the like from being damaged when being inserted into the abdominal cavity; the needle inlet groove can ensure that the crochet needle penetrates into the abdominal wall at any angle, and then the crochet needle passes through the muscle layer and the peritoneum from the subcutaneous fat layer to enter the abdominal cavity to complete the incision suture; the stitching instrument has reasonable design, simple structure, common materials, low cost, convenience and time saving,

the foregoing disclosure of the present invention is provided merely to facilitate the explanation and understanding of the related art, and the present invention is not limited to the specific structure of the above implementation. Insubstantial changes or modifications from the description as shown herein will now occur to those skilled in the art and are intended to be covered by the present invention.

Claims (7)

1. An integrated auxiliary suturing device for a laparoscope puncture port is characterized by comprising a handle (1), a main pipeline (2), a needle inserting groove (3), a blunt head (4) and an anti-slipping thread feeding clamping groove (5); the size of the stitching instrument is set according to the anatomical parameters of the abdominal wall of an adult, the device is tubular, the tube bodies are provided with longitudinal needle grooves which face each other, and the head ends are provided with V-shaped anti-slipping thread feeding clamping grooves and blunt ends.

2. The integrated auxiliary suturing device for the laparoscopic puncture port as claimed in claim 1, wherein said handle (1) and said main body tube (2) form a tubular body, said handle (1) is a cylindrical handle, said main body tube (2) is an extension of the handle, said handle has an outer diameter of 12mm, an inner diameter of 10cm and a length of 6cm, said main body tube has an outer diameter of 12mm, an inner diameter of 10mm and a length of 15cm, and it has a front end with an elliptical blunt tip of 1.5 cm.

3. The integrated auxiliary suturing device for a laparoscopic port as claimed in claim 2, wherein said handle and said main body tube are turned at an angle of 120 °.

4. The integrated auxiliary suturing device for the laparoscopic puncture port as claimed in claim 1 or 2, wherein the needle insertion groove is located at symmetrical positions on both sides of the pipeline, the length of the groove is 10cm, the width of the groove is 2mm, and the crochet needle can enter and exit the abdominal wall at any angle.

5. The integrated auxiliary suturing device for a laparoscopic port as claimed in claim 1, wherein said blunt tip is a solid structure for preventing air leakage and damage to the contents of the abdominal cavity.

6. The integrated auxiliary suturing device for a laparoscope puncture port as claimed in claim 1, wherein the side view structure of the anti-slip thread-feeding slot is a V-shaped structure, the wedge depth of the slot is 0.6cm, and the width of the slot is 0.2 cm.

7. The integrated auxiliary suturing instrument for the laparoscopic puncture port as claimed in claim 1, wherein the needle inlet slot (3) is adapted to allow a crochet needle to puncture into the abdominal cavity from the needle slot at an angle of 0 ° to 90 ° with the skin and to be hooked out of the body from the original path.

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