Fascia suture puncture outfit
Technical Field
The utility model belongs to the technical field of medical appliances, and particularly relates to a fascia suture puncture outfit.
Background
In recent years, with the widespread use of laparoscopic surgery, post-operative suturing has become a significant problem. Compared with the open abdominal surgery, the abdominal wall complication rate of the laparoscopic surgery is greatly reduced. The complications of the abdominal wall of the open abdominal surgery account for about 50% of the complications, and the laparoscopic surgery is low in occurrence rate and low in degree, but some of the complications of the abdominal wall which are rare in the open abdominal surgery also occur. For example, abdominal wall incision bleeding, abdominal wall hematoma, puncture infection, abdominal wall necrotizing fasciitis and puncture hernia.
In the abdominal minimally invasive surgery, how to provide an instrument which is easy to suture fascia of the abdominal wall after operation is a problem which needs to be solved at present.
Disclosure of Invention
The utility model aims to provide a fascia suture puncture outfit which can be used in abdominal cavity minimally invasive surgery and has the functions of puncturing and fascia suture, so that the surgery efficiency is greatly improved.
In order to achieve the above purpose, the technical scheme adopted by the utility model is as follows: the fascia suture puncture outfit comprises a sleeved puncture sheath tube assembly and a puncture cone assembly, wherein the puncture sheath tube assembly comprises a sheath tube seat and a sheath tube body, an anchor groove is formed in the inner side of the tail end of the sheath tube body, a wire anchor is arranged on the anchor groove, an anchor wire of the wire anchor extends to the sheath tube seat along the side surface of the sheath tube body, and a threading hole is formed in the wire anchor;
the puncture cone assembly comprises a puncture needle core and a puncture cone which are movably connected, the puncture needle core comprises a needle seat, an elastic sheet, a needle rod and an anchor rod which are sequentially connected, the needle seat is movably connected with the needle rod, the elastic sheet is contracted in the needle seat in an initial state, and a spring is arranged in the anchor rod;
the puncture cone comprises a puncture cone seat, a puncture cone tube and a puncture cone head which are sequentially connected, a buckle which is clamped with the sheath tube seat is arranged on the puncture cone seat, a strip-shaped channel is arranged on the side face of the puncture cone head, an anchor guide rod moves on the strip-shaped channel, a trapezoid table is arranged on the inner side face of the puncture cone body, and when the trapezoid table works, the trapezoid table compresses the elastic sheet and compresses the elastic sheet back to the needle seat.
Further, an anti-slip part is arranged on the side surface of the sheath body, and the anti-slip part is contacted with the abdominal incision.
Further, an air valve is arranged on the side face of the sheath tube seat.
Further, the two ends of the puncture vertebral head are a tip and a flat end respectively, the flat end is close to the puncture conical tube, and the flat end is provided with a spike.
Further, a needle core button is arranged on the outer side of the puncture cone.
In summary, the utility model has the following advantages:
1. the fascia suture puncture outfit provided by the utility model comprises the puncture sheath tube assembly and the puncture vertebra assembly which can be assembled together, and the puncture and suture integrated design is simple in structure and convenient to operate, and can improve the operation efficiency.
2. According to the fascia suture puncture outfit provided by the utility model, due to the design of the trapezoid table in the puncture cone, the elastic sheet can be retracted into the needle seat in the anchor guiding process, and the anchor rod can be retracted immediately after the anchor punctures fascia, so that the damage to tissues caused by excessive extension of the anchor rod is effectively avoided.
3. According to the fascia suture puncture outfit provided by the utility model, the tip of the anchor nail is deviated to the outer side, and the fixation effect of the protruding thorns on fascia is cooperated, so that the efficient anchor nail introduction can be realized, and the slipping is avoided.
Drawings
FIG. 1 is a schematic view of a puncture outfit;
FIG. 2 is a schematic illustration of the structure of a penetrating sheath assembly and a penetrating vertebra assembly;
FIG. 3 is a schematic view of the structure of the puncture cone and the puncture needle core;
FIG. 4 is a schematic cross-sectional view of a piercing cone assembly;
FIG. 5 is a schematic view of the penetrating vertebral assembly and cross-sectional configuration in the spring-ejected state within the hub;
FIG. 6 is a schematic view of a penetrating vertebral assembly with a needle hub depressed for an anchor introduction procedure;
FIG. 7 is a schematic illustration of an anchor and a belted anchor construction;
in the figure, a 1-puncture sheath assembly, a 101-sheath holder, a 102-sheath body, a 103-gas valve, a 104-anchor groove, a 105-wired anchor and a 106-anti-skid part;
2-puncture vertebral component, 201-puncture needle core, 202-puncture cone, 203-needle seat, 204-needle rod, 205-shrapnel, 206-spring, 207-anchor guide rod, 208-needle core button, 209-puncture vertebral tube seat, 210-puncture vertebral tube, 211-puncture vertebral head, 212-buckle, 213-bar channel, 214-puncture, 215-trapezoid table, 216-threading hole.
Detailed Description
The following describes the embodiments of the present utility model in detail with reference to the drawings.
In one embodiment of the present utility model, as shown collectively in FIGS. 1-4, a fascial suturing puncture device is provided that includes a puncture sheath assembly (as shown in FIG. 2A) and a puncture vertebra assembly 2 (as shown in FIG. 2B) that are assembled together.
Wherein the puncture sheath assembly 1 comprises a sheath holder 101 and a sheath body 102;
in some alternative embodiments of the utility model, the side of the sheath hub 101 is provided with a gas valve 103;
wherein, an anchor groove 104 is arranged at the inner side of the end part of the sheath tube body 102 and is used for installing a wire anchor 105, and an anchor wire extends to the sheath tube seat 101 along the side surface of the sheath tube body 102;
the side surface of the sheath 102 is also provided with an anti-slip part 106 as a contact part with the abdominal incision to prevent the puncture outfit from slipping.
In some alternative embodiments of the present utility model, the piercing cone assembly 2 includes a piercing core 201 and a piercing cone 202 that may be assembled together.
As shown in fig. 3B, the puncture needle core includes a needle holder 203, a needle rod 204, a spring piece 205, a spring 206, and an anchor guide 207.
Specifically, the needle holder 203 is movably connected with the needle rod 204, the elastic piece 205 is initially retracted in the needle holder 203, the needle holder 203 can be controlled to move by controlling the needle core button 208 arranged at the outer side of the puncture cone 202, when the needle core button 208 is pressed, the needle holder 203 is pulled, the elastic piece 205 is ejected and props against the needle holder 203, at this time, the needle holder 203 can be pushed, the puncture needle core 201 moves in the puncture vertebral assembly 2, and the band wire anchor 105 is pushed by the front end anchor guide rod 207.
In some alternative embodiments of the present utility model, as shown in FIG. 3A, the piercing cone 202 includes a piercing cone seat 209, a piercing cone 210, and a piercing cone head 211.
Specifically, the puncture vertebral canal seat 209 is provided with a buckle 212 for being clamped on the sheath canal seat 101 of the puncture sheath tube assembly 1;
the sides of the penetration cone 211 are provided with a strip-shaped channel 213, providing space for the travel of the anchor guide 207,
the two ends of the puncture cone 211 are a tip and a flat end respectively, the flat end is close to the puncture cone 210, a spike 214 is arranged on the flat end, namely, the end of the puncture cone 211 far away from the tip is also provided with the spike 214 for clamping fascia of the abdominal cavity, and the fascia is prevented from slipping when the anchor rod 207 pushes the anchor 105 through the fascia;
as shown in fig. 5-6, the inner side surface of the puncture cone 202 is further provided with a trapezoid table 215, when the anchor rod 207 pushes the wired anchor 105 to puncture into the fascia of the abdominal cavity, the trapezoid table 215 compresses the elastic sheet 205 and compresses the elastic sheet 205 back to the needle seat 203, at this time, under the action of the spring 206, the needle rod 204 and the anchor rod 207 retract towards the needle seat 203, the needle seat 203 is loosened, and the puncture needle core 201 returns to the original position;
as shown in fig. 7, the threaded anchor 105 is provided with a threading hole 216 for threading a suture.
The using method comprises the following steps:
s1, in the abdominal cavity operation process, firstly, installing a wired anchor 105 on an anchor groove 104, cutting an abdominal cavity by using an operation knife, inserting the puncture sheath assembly 1 and the puncture vertebra assembly 2 which are assembled together into the cut, and pulling the puncture outfit outwards so that the protruding thorns 214 of the puncture vertebra heads 211 contact the fascia of the abdominal cavity;
s2, pressing a needle core button 208, pulling up the needle base 203, along with the rattling of the spring piece 205 when ejecting, pressing down the puncture needle core 201, penetrating fascia by the anchor 105 when the force is to be removed, and returning the spring piece 205 and the needle rod 204 into the needle base 203 under the action of a spring 206;
s3, continuously pushing the puncture outfit into the body at the moment to enable the protruding thorns 214 of the puncture vertebral heads 211 to leave fascia, pressing the buckles 212 at the moment, pulling out the puncture vertebral assemblies 2, leaving the puncture sheath assemblies 1 on the abdominal incision, and inflating abdominal cavities through the air valves 103 according to the abdominal cavity operation requirements to ensure operation space.
Different surgical instruments can be penetrated into the puncture sheath tube assembly 1 for surgery, the puncture sheath tube assembly 1 can be directly pulled out after the surgery is finished, the suture can be knotted and the fascia can be sutured due to the fact that the suture anchor 105 is left in the fascia, and the suture and the anchor are made of absorbable materials in vivo, so that the fascia suturing problem can be effectively solved.
Although specific embodiments of the utility model have been described in detail with reference to the accompanying drawings, it should not be construed as limiting the scope of protection of the present patent. Various modifications and variations which may be made by those skilled in the art without the creative effort are within the scope of the patent described in the claims.