SU1324653A1 - Arrangement for placing sutures - Google Patents

Abstract

The invention relates to medical technology. The purpose of the invention is to reduce the time of the operation and. decrease traumatic. The device contains two cross-hinged branches 1 with rack 2 and rings 3 at one end and jaws 4 and 5 bent in cross section. The working part of the jaw 4 is made in the form of a through-shaped tube bent in the shape of a surgical needle that extends beyond the working part of the sponge 5, made in the form of a bar 7. The bar 7 on the inner surface has a groove with a notch in the shape of a tube 6, which, when the jaws 5 and 4 are aligned, falls into the groove of the bar 7. 2 Il. (L with to and ate CO

Description

The invention relates to medical technology, namely to surgical instruments, and can be used in surgery, in particular in biliary tract surgery, 5

The purpose of the invention is to reduce the time of the operation and reduce the morbidity.

Fig, 1 shows the device, a general view; in fig. 2 — node I in FIG. 1, O

The device contains two cross-hinged branches 1 with the rack 2 and the rings 3 at one end and the jaws 4 and 5 bent in cross section. The working part of the jaw 4 is made in the form of a through tube 6 which is rigidly bent in the shape of a surgical needle, which stands for the limits of the working part of the sponge 5, strap 7, wrung out in the form of 20. The strap 7 and tubule 6 are made closed and bent in one direction (according to the shape of the surgical needle),

the tissue is held, and the device is fixed by the creamer 2. The tubule 6 is then installed in the slot of the strip 7, securely fixes the front wall of the OBD. The BDS is then pulled in and out to the duodenal wound. A curved needle with a thread is passed through the tubule 6. The front wall of the BDS is pierced for 10-12 hours of the dial, the device is removed.

Making one of the jaws in the form of a through tube for passing needles through it when flashing the front wall of the MDP eliminates involuntary damage when flashing the back wall of the MDP and the mouth of the pancreatic duct, as the tube serves as a guide for the needle and for the tube the sponge, giving the opportunity to reliably fix the front wall of the MDP during the closing of the sponges, allows you to bring the BDS to duodenotomic wound

Plank 7 on the inner surface is (small extent) and has a groove with a notch in the shape of a tube 6, which is necessary for a more reliable grip and fixation of the fabric. When carrying out the manipulation, the tube 6, when the jaws 5 and 4 are combined, falls into the groove of the bar 7 and protrudes over the bar 7 by 0.5-1.0 mm to eliminate the possibility of blocking the outlet of the tubule 6 with the bar 7, the tube length 0.7-0, 9 cm is dictated by the most optimal length of stitches of the seam, its diameter 1.5-2 mm ensures free passage of the needle through the tube 6.

The normal positioning of the working parts to the ends of the bent jaws 4 40. And 5 allows insertion of the tube 6 of the jaw 4 into the lumen of the large duodenal papilla (IBPH). 45

The device is used as follows. .

The sponge 4 tubule 6 is inserted into the BDS lumen, then by squeezing both sponges 4 and 5, the front 50 wall of the BDS is gripped with the force necessary to

the tissue is held, and the device is fixed by the creamer 2. The tubule 6 is then installed in the slot of the bar 7 securely fixes the front wall of the OBD. The BDS is then pulled in and out to the duodenal wound. A curved needle with a thread is passed through the tubule 6. The front wall of the BDS is pierced for 10-12 hours of the dial, the device is removed.

Making one of the jaws in the form of a through tube for passing needles through it when flashing the front wall of the MDP eliminates involuntary damage when flashing the back wall of the MDP and the mouth of the pancreatic duct, as the tube serves as a guide for the needle and for the tube the sponge, giving the opportunity to reliably fix the front wall of the MDP during the closing of the sponges, allows you to bring the BDS to duodenotomic wound

but to control suturing, significantly reducing the time of the operation and reducing the risk of postoperative complications.

Foremouth of the invention

A suturing device containing two overlapping hinged joints with the rack and finger rings on one end and sponges bent in cross section, characterized in that, in order to shorten the time of the operation and reduce trauma, the working part of one of the sponges is made in the form of a through-curved surgical needle, a tube extending in length beyond the working part of the other sponge, and the second in the form of a bar with a notch groove, the radius of which is equal to the radius of the section and the tube, wherein the working parts are mounted perpendicularly to the ends of the jaws, and the tube length is longer strips.

Editor P. Geresi

Compiled by G. Grikov Tehred I.Popovnch

Order 2987/3, Circulation 595 Subscription VNIIPI USSR State Committee

for inventions and discoveries

113035, Moscow, Zh-35, Raushsk nab. 4/5

Production and printing company, Uzhgorod, st. Project, 4

9u.z.2

Proofreader E. Roshkr

Claims (1)

Claim A device for suturing, comprising two overlapping articulated jaws with a rack and finger rings at one end and jaws curved in cross section, characterized in that, in order to reduce the time of the operation and reduce injury, the working part of one of the jaws is made in in the form of a through tube curved in shape of a surgical needle protruding in length beyond the working part of another sponge, and the second in the form of a bar having a groove with a notch, the radius of the recess of which is equal to the radius of the section tubes, and the working parts are installed perpendicular to the ends of the jaws and the length of the tube is longer than the bar.