SU1560133A1 - Устройство дл сведени краев раны - Google Patents

Устройство дл сведени краев раны Download PDF

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Publication number
SU1560133A1
SU1560133A1 SU884485250A SU4485250A SU1560133A1 SU 1560133 A1 SU1560133 A1 SU 1560133A1 SU 884485250 A SU884485250 A SU 884485250A SU 4485250 A SU4485250 A SU 4485250A SU 1560133 A1 SU1560133 A1 SU 1560133A1
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USSR - Soviet Union
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needle
needles
branches
holes
range
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SU884485250A
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Георгий Циренович Дамбаев
Владимир Александрович Кирш
Леонид Абрамович Монасевич
Виктор Эдуардович Гюнтер
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Сибирский Физико-Технический Институт При Томском Государственном Университете Им.В.В.Куйбышева
Томский Медицинский Институт
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Priority to SU884485250A priority Critical patent/SU1560133A1/ru
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081—Tissue approximator

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Изобретение относитс  к медицине, а именно к хирургии. Целью изобретени   вл етс  повышение надежности фиксации и уменьшение травматичности. Устройство содержит две бранши 1,2 с отверсти ми 3 дл  игл, иглы 4 с остри ми на рабочих концах, механизм сведени  5 в виде скоб из никелида титана, при этом иглы выполнены с отверсти ми на нерабочих концах и расположены в отверсти х 3 бранш 1,2 остри ми, ориентированными перпендикул рно неконтактной поверхности бранш, причем в их отверсти х расположены спицы 6, длина которых превышает длину бранш 1,2 не менее, чем на две длины иглы 4, причем кажда  игла 4 установлена с возможностью фиксации в отверсти х 3 бранш 1,2 винтовым зажимом 7. Кроме того, устройство выполнено с направл ющей планкой с отверсти ми, расположенными с шагом, равным шагу отверстий в браншах 1,2. Как вариант выполнени  отверсти  3 дл  игл 4 выполнены в форме продольного паза с отношением его ширины к диаметру иглы 4 в пределах 4-8, причем продольные пазы бранш 1,2 содержат поперечные рейки с пр моугольными зубь ми, установленными с возможностью продольного перемещени  вдоль паза, с высотой зубьев в пределах 0,4-0,48 диаметра иглы 4, шагом зубьев в пределах 0,8-0,92 диаметра иглы, шириной рейки в пределах 2-5 диаметров иглы 4, а на торцах бранш 1,2 выполнены винтовые зажимы дл  реек. Устройство работает следующим образом. Край брюшины оттесн ют вовнутрь. Через все слои и планку провод т иглы 4. Провод т спицу 6 через кожу до брюшины. Иглы 4 нанизывают на спицу 6. На иглы надевают бранши 1,2. Фиксируют иглы 4 зажимом 7. Механизм сведени  устанавливают в охлажденном состо нии в отверсти  бранш 1,2. После заживлени  раны устройство удал ют. 4 ил.

Description

12
13

Claims (4)

Формула изобретения
1. Устройство для сведения краев раны, содержащее две бранши с отверстиями для игл, иглы с остриями на рабочих концах, механизм сведения в виде скоб из никелида титана, отличающееся тем, что, с целью повышения надежности фиксации и уменьшения травматичности, иглы выполнены с отверстиями на нерабочих концах и расположены в отверстиях бранш остриями, ориентированными перпендикулярно неконтактной поверхности бранш, причем в их отверстиях расположены спицы, длина которых превышает длину бранш не менее, чем на две длины иглы, причем каждая игла установлена с возможностью фиксации в отверстиях бранш винтовым зажимом.
2. Устройство по π. 1, отличающееся тем, что оно выполнено с направляющей планкой с отверстиями, расположенными с шагом, равным шагу отверстий в браншах.
3. Устройство по пп. 1—2, отличающееся тем, что отверстия для игл выполнены в форме продольного паза с отно5 шением его ширины к диаметру иглы в п редел ых 4—3.
4. Устройство по пп. 1—3, отличающееся тем, что продольные пазы бранш содержат поперечные рейки с прямоугольными зубьями, установленными с возмож- ностью продольного перемещения вдоль паза, с высотой зубьев в пределах 0,4—0,48 диаметра иглы, шагом зубьев в пределах 0,8— 0,92 диаметра иглы, шириной рейки в преде5 лах 2—5 диаметров иглы, а на торце бранши выполнен винтовой зажим для реек.
SU884485250A 1988-07-11 1988-07-11 Устройство дл сведени краев раны SU1560133A1 (ru)

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SU884485250A SU1560133A1 (ru) 1988-07-11 1988-07-11 Устройство дл сведени краев раны

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US7806910B2 (en) 2002-11-26 2010-10-05 Abbott Laboratories Multi-element biased suture clip
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US5263971A (en) * 1991-02-13 1993-11-23 Life Medical Sciences, Inc. Apparatus for the closure of wide skin defects by stretching of skin
US5486196A (en) * 1992-02-13 1996-01-23 Medchem Products, Inc. Apparatus for the closure of wide skin defects by stretching of skin
US5759193A (en) * 1994-04-21 1998-06-02 Medchem Products, Inc. Single needle skin stretching device
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
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