TR201700324A2 - ENDOSCOPIC SEWING THREAD - Google Patents

ENDOSCOPIC SEWING THREAD Download PDF

Info

Publication number
TR201700324A2
TR201700324A2 TR2017/00324A TR201700324A TR201700324A2 TR 201700324 A2 TR201700324 A2 TR 201700324A2 TR 2017/00324 A TR2017/00324 A TR 2017/00324A TR 201700324 A TR201700324 A TR 201700324A TR 201700324 A2 TR201700324 A2 TR 201700324A2
Authority
TR
Turkey
Prior art keywords
needle
module
endoscopic suturing
feature
suturing device
Prior art date
Application number
TR2017/00324A
Other languages
Turkish (tr)
Inventor
Çeli̇k Alper
Original Assignee
Alper Celik
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Alper Celik filed Critical Alper Celik
Priority to TR2017/00324A priority Critical patent/TR201700324A2/en
Publication of TR201700324A2 publication Critical patent/TR201700324A2/en
Priority to PCT/TR2017/050430 priority patent/WO2018132081A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B21MECHANICAL METAL-WORKING WITHOUT ESSENTIALLY REMOVING MATERIAL; PUNCHING METAL
    • B21GMAKING NEEDLES, PINS OR NAILS OF METAL
    • B21G1/00Making needles used for performing operations
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00199Electrical control of surgical instruments with a console, e.g. a control panel with a display
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06004Means for attaching suture to needle
    • A61B2017/06047Means for attaching suture to needle located at the middle of the needle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0608J-shaped
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066Needles, e.g. needle tip configurations
    • A61B2017/0609Needles, e.g. needle tip configurations having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws
    • A61B2017/2927Details of heads or jaws the angular position of the head being adjustable with respect to the shaft

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (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)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)

Abstract

Endoskopik ameliyatlarda kullanılmak üzere; roller sistemi üzerinde hareket edebilen ve bu sisteme uygun iplik tutuş açısına sahip özel üretim bir iğne modeli içeren, her türlü laparoskopik ve torakoskopik yani kapalı yöntemle karın ve göğüs boşluğunda dikiş atılması gereken operasyonlarda kullanılabilen dikiş atma cihazıdır.To be used in endoscopic surgeries; It is a stitching device which can be used in operations that need to be sutured in abdominal and thoracic cavity by any kind of laparoscopic and thoracoscopic closed method which can move on roller system and has a special production needle model having thread holding angle suitable for this system.

Description

TARI FNAME ENDOSKOPIK DIKIS ATMA CIHAZI Bu bulus, endoskopik ameliyatlarda kullanilmak üzere; roller sistemi üzerinde hareket edebilen ve bu sisteme uygun iplik tutus açisina sahip özel üretim bir igne modeli içeren, her türlü laparoskopik ve torakoskopik yani kapali yöntemle karin ve gögüs boslugunda dikis atilmasi gereken operasyonlarda kullanilabilen dikis atina cihazi ile ilgilidir. TARI FNAME ENDOSCOPIC SUCTION DEVICE This invention is to be used in endoscopic surgeries; on the roller system It is a special production machine that can move and has a thread grip angle suitable for this system. All kinds of laparoscopic and thoracoscopic, ie closed, needle models In operations that require suturing in the abdomen and chest cavity with this method relates to the sewing device that can be used.

Bulusun ilgili oldugu teknik saha açisindan mevcut durumda piyasada Çesitli alet ve cihazlar kullanilmaktadir. sokularak kullanilmakta, baska bir borudan karin bosluguna sokulinus olan cerrahi ipligin ignesinin ucundaki miknatis sayesinde igne çeneler araciligi ile yakalanmakta, mekanizma arasinda igne sikistirilarak dikise tatbik edilmektedir. In terms of the technical field to which the invention is relevant, various types of tools and devices are used. It is used by inserting it into the abdominal cavity through another tube. through the needle jaws, thanks to the magnet at the end of the needle of the surgical thread The needle is caught between the mechanism and the seam is applied. is being done.

Halbuki bulusumuz konusu cihazda, vücutta açilan tek giris noktasindan, ameliyat esnasinda vücuda minimum(tek) kesi noktasindan giris yapilmasi saglanarak ameliyatin hastaya en hafif düzeyde tesir etmesi mümkün olmaktadir. Kaldi ki; misalen verilen tescilde, igne baska bir cihaz ile vücuda sokulmakta` dikis islemi ise bir baska cihaz tarafindan saglanmaktadir. Dikis islemini gerçeklestirecek cihazin çenelerindeki 1 iitvi'ilikla... ;sxxv miknatisli mekanizma araciligi ile yapilan igne yakalama islemi esas alinarak tasarlanan bu aletin aksine bulusuinuzda igne ve iplik ile dikisi gerçeklestiren mekanizma tek cihazda birlesmekte, ignenin iniknatislarla bulusamamasi, çene kilit mekanizmasinin vücut içerisindeyken islev kaybina ugrayarak açilmasi ve igneyi yakalama fonksiyonunu kaybetmesi gibi riskler tasimamakta, ignenin vücut içerisinde kaybi ile buna bagli organ yaralanmalari ihtimali miinimum düzeye indirgenmektedir. However, in the device that is the subject of our invention, from the single entry point opened in the body, Entry into the body through the minimum (single) incision point during surgery It is possible for the surgery to have the slightest effect on the patient by providing is happening. Whereas; For example, in the registration given, the needle is inserted with another device. being inserted into the body and the sewing process is performed by another device. is provided. on the jaws of the device that will perform the sewing process. 1 with iitvi... ;sxxv Needle capturing by means of a magnetic mechanism is essential. Contrary to this tool, which was designed with mechanism is combined in a single device, the needle not meeting, the function of the jaw lock mechanism when inside the body opening by the loss of the needle and losing the function of catching the needle It does not carry risks such as the loss of the needle in the body and the related The possibility of organ injuries is reduced to a minimum.

Piyasada kullanilan ve yine endoskopik ameliyatlara yönelik tasarlanan bir baska alet yine TPESnin 2013/01275 sicil nosuna kayitli patent konusu bulustur. Bu bulus, endoskopik inetot ile kullanilmak üzere kullanicinin el ve parmaklari ile aletin tutumunu ve ele sabitlenmeyi saglayan tutamaklar ihtiva eden, ignenin tasima sirasinda rahatça hareketini ve stabilizasyonunu saglayan igne tutucu tasiyan, tahrik parçanin istem disi hareketini kisitlainak Üzere kilitleme saglayan disli yüzey içeren bir cerrahi alettir. Bu aletle; istein disi hareketleri engelleyerek ignenin endoskopik müdahale esnasinda igne tutucudan ayrilmasinin önüne geçilmesi için tasarim yapilmistir. Bizim cihaziinizda ise böyle bir risk zaten mevcut degildir. Igne, cihaza entegre ve sabit olup ignenin sahip oldugu sekil, dikis esnasinda izledigi mecburi hat geregi cihazin kontrol alanina sabitlenmis oldugundan istein disi bir hareket yapilsa dahi ignenin cihazdan ayrilmasi söz konusu olmayacaktir. It is a product used in the market and designed for endoscopic surgeries. another tool is the subject of a patent registered with the 2013/01275 registration number of TPES finds. This invention is in the user's manual for use with endoscopic inetot. handles that allow the tool to be held and fixed to the hand with the fingers and containing, the needle can move easily during transport and The unintentional part of the driven part, which carries a needle holder that stabilizes A surgical procedure with a toothed surface that provides locking it is a tool. With this tool; endoscopic removal of the needle by preventing involuntary movements. to prevent the needle from leaving the holder during the intervention. design is done. In our device, such a risk already exists. is not. The needle is integrated and fixed in the device and the shape of the needle is, Due to the obligatory line followed during sewing, the device is placed in the control area. Since it is fixed, even if an unintentional movement is made, the needle It will not be possible to leave the device.

Endoskopik dikis atma aleti olarak halihazirda WIPO nezdinde 15157442 ABD Patent Ofisinde &628545 basvuru numarasi ile islem gören Defect Closure) da yine piyasada geleneksel olarak kullanilan iki çeneli i_ 4:`, ..- _ aletlere benzer bir cihaz konumundadir. Bu alette birbirine paralel duran iki uç arasinda iplik geçirilmis olan igne sirali geçis islemi yapmakta, igne her defasinda uçlardan birinde baglantili kalmakta ve her doku geçis islemi için karsi uca giris yapilmasi gerekmektedir. Halbuki cihazimizda igne hareketi dairesel hat üzerinden gerçeklesmekte oldugundan yapilmak istenen tek dikis islemi ignenin tek hareketi ile olusturulmaktadir. Bu sayede dikis islemi esnasinda igne dikilecek dokuya en az zarari vermekte ve hastanin ameliyat sonrasi sürecinde bu oranda iyilesme saglanmaktadir. 15157442 as an endoscopic suturing device, already at WIPO Traded in the U.S. Patent Office with application number &628545 Defect Closure) is also traditionally used in the market with two jaws. i_ 4:`, ..- _ It is a device similar to tools. Standing parallel to each other in this instrument The needle threaded between the two ends makes a sequential pass, the needle remains connected at one end at a time, and each tissue transition process For this, it is necessary to enter the opposite end. However, in our device, the needle Since the movement is taking place on the circular line, the desired single stitch operation is created with a single movement of the needle. This In this way, the needle causes the least damage to the tissue to be sutured during the sewing process. and this rate of improvement is achieved in the postoperative period of the patient.

. Yine WlPO nezdinde tescilli 11138140 basvuru numarali "Endoskopik dikis cihazi ve metodu” baslikli patente iliskin bulusta, Amerika Birlesik Devletleri Patent Ofisi nezdinde 14/563,522 basvuru numarasi ile islem gören “Dikis yerlestirme” baslikli bulusta? 11/639,113 basvuru numarasi ile islem gören “Dikis atma cihazi ve döndürülebilir baslik” baslikli bulusta, 13/126,616 basvuru numarasi ile islem gören “Endoskopik dikis atma Cihazi ve dikis atma yönetimi” baslikli bulusta, 13/328,003 basvuru numarasi ile islem gören “Endoskopik igne montaji” baslikli bulusta, 8,882,785 Patent nuinarasi ile islem gören “Endoskopik dikis atina cihazi" baslikli bulusta yine yukarida beliittigimiz gibi igne tek hat üzerinde hareket etmekte, her doku geçis islemi için karsi uca giris yapilmasi gerekmekte olup cihaziinizda yer alan dikis yöntemi ve igne hareketinin getirdigi avantajlardan yoksun buluslar niteliginde olmaktadirlar. . Again, "Endoscopic Application" with application number 11138140 registered with WlPO. In the invention related to the patent titled “sewing device and method”, the United States of America State Patent Office with application number 14/563,522 in the invention titled “Sewing placement”? 11/639,113 reference number with the title "Sewing device and rotatable head" In the invention, “Endoscopic suture”, which is processed with application number 13/126,616 In the invention titled “Sewing Device and Stitching Management”, 13/328,003 references In the invention titled "Endoscopic needle assembly", which is traded with the number "Endoscopic suturing device" with 8,882,785 patents In the invention titled, as we mentioned above, the needle is placed on a single line. moving, entering the opposite end for each tissue transition process. It is necessary to ensure that the sewing method and needle movement on your device they are in the nature of inventions devoid of the advantages it brings.

Halbuki basvuruinuz konusu bulusuinuzda igne hareketleri, tüm cerrahlarin aliskin oldugu yarim ay döngüsü hareketi üzerinden yapilmaktadir.However, when you find the subject of your application, the needle movements are the responsibility of all surgeons. It is done over the half-moon cycle movement that is familiar.

Bulusumuzun en farkli özelligi, cihaza özel igne(9) tasariminin roller sistemi üzerinde hareket edebilecek sekilde ve ip(17) tutus açisina sahip olarak islem 4 < ,`22 AN .Â- görmesidir. Cihazimizda kullanilan igne(9) biçimsel olarak tanimlanmis ve geometrik hatlarina uygun bir biçimde tasarlanmis; delme, batma gibi islemleri gerçeklestirmeye yönelik bir yardiinci eleman olup imal malzemesi 316 l. serisi paslaninaz çelik sac olarak belirlenmistir. Ancak titanyum serileri gibi larkli metaller de kullanilabilecektir. lgne üç asamali bir imalat prosedürü ile üretilmektedir. Buna göre ilk asaina kesme kalibi (Resim Sayfa 12), ikinci asama bükme kalibi (Resim Sayfa 13) ve son asama ezme kalibi (Resim Sayfa 14) olarak belirlenmistir. The most distinctive feature of our invention is the roller system of the device-specific needle(9) design. It is processed by being able to move on it and having a rope (17) grip angle. 4 < ,`22 AN .Â- is to see. The needle (9) used in our device is formally defined and designed in accordance with its geometric lines; such as piercing It is an auxiliary element to carry out the operations and the material of manufacture 316 liters series is determined as stainless steel sheet. However, the titanium series Different metals such as can also be used. The lgne is manufactured with a three-stage manufacturing procedure. Accordingly, the first asaina cutting mold (Picture Page 12), second stage bending mold (Picture Page 13) and the final stage is determined as the crushing mold (Picture Page 14).

Resim sayfa 12°de sunulan kesine kalibi(18) iki parçalidir. lmalata esas liaminadde (paslanmaz çelik sac ya da titanyum serileri vs.) kalip arasina girer ve kalip pres ile itilerek kesme islemi gerçeklesir. Kalip içinden yari mamül olarak kesilmis iki kanatli olacak sekilde igneyi(9) olusturan parça çikar \e ikinci asamaya geçilir. Ikinci asamada resim sayla l3`te sunulari bükme kalibi(l9) asamasi mevcuttur. Kesme kalibindan çikan açinim halindeki igneyi olusturan yari inainül bükme kalibina yerlestirilir. Bükme kalibi tam anlatin ile açinimli olan sac malzemeyi tam orta noktasindan esit olacak halde ikiye katlar. Bu katlama islemi Öncesinde dikis ipi(l7) sacin arasina yerlestirilir ve bükme islemi istenilen basinç uygulanincaya dek devam eder. Daha sonra ezme kalibiiia(20). son asama olan ezme islemine geçilir. li/.me kalibina(2()) bükülmüs igne(9) yerlestirilir ve daha yüksek bir basinç ile ezme islemi baslar. Bu islem ignenin(9) tek parça halinde gibi gört'inniesine ve yüksek mukavemet saglamasma yönelik bir islemdir. Diger adi ütüleme islemidir. lgnenin(9) tüm kenar hatlari yumusatilir ve sivri tarafi keskinlik kazanir. Ayni zamanda ipin(l7) igneye(9) sabitleninesi bu islemde netlik kazanir. Netice mamül olan igrenin(9) her iki ucu da sivri olacak sekilde tasarlanmistir. Ignenin(9) orta kismi yuvarlak ve etli olarak tasarlanmis, iplik(l7) de ignenin(9) orta kismina sabitlenerek islevini yerine getirmek üzere dizayn edilmistir. (Sekil 9-lO-l 1) Bu sayede igne(9), ayni eksen üzerinde her iki yönde -hem saat yönünde hem de saatin tersi yönünde- hareket edebilme yeteneginde tasarlanmistir. The cutout pattern (18) presented on the picture page 12 is in two parts. material basis Liaamine (stainless steel sheet or titanium series, etc.) enters the mold and the cutting process takes place by pushing the mold with the press. Semi-finished from the mold Take out the piece forming the needle(9) so that it will have two wings cut as moves on to the second stage. Bending presentations in picture number l3 in the second stage mold(l9) stage is available. The unfolding from the cutting die The semi-inula forming the needle is placed in the bending mold. Bending die full Let the sheet material angled with tellin be equal from the middle point. doubles. Before this folding process, the sewing thread(l7) is placed between the sheet metal. is placed and the bending process continues until the desired pressure is applied. it does. Then mashing kalibiiia (20). The last step is the crushing process. A bent needle (9) is inserted into the li/.me die(2()) and with a higher pressure the crushing process begins. This process makes the needle(9) look like it is in one piece. and it is a process for providing high strength. Other ordinary ironing is the name. All edge lines of the needle(9) are softened and the pointed side is sharpened. wins. At the same time, fixing the thread(l7) to the needle(9) gives clarity in this process. wins. As a result, both ends of the needle (9) produced should be pointed. is designed. The middle part of the needle (9) is designed as round and fleshy, To fulfill its function by fixing the thread(l7) to the middle part of the needle(9) is designed to. (Fig. 9-10-1 1) In this way, the needle(9) is the same axis. in both directions—both clockwise and counterclockwise— It is designed to be able to move.

Bulusu ifade etmek için eklenen resimlerdeki sekiller su sekilde siralanmistir: Sekil l-Cihazin bitmis halinin üstten görünüsüdür. The figures in the pictures added to express the invention are listed as follows: Figure l-The top view of the finished device.

Sekil 2- Cihazin bitmis halinin yandan görünüsüdür. Figure 2- is the side view of the finished device.

Sekil 3- Igne modülü görüntüsüdür. Figure 3- is the needle module image.

Sekil 4- Cihazin yandan kesit görünüsü olup mil, motor, buton ve anakartini gösteren çizimidir. Figure 4- It is the side section view of the device, showing the shaft, motor, button and motherboard. showing drawing.

Sekil 5- Cihazin motor kismini gösteren sol üst açili göi'üntüsüdür. Figure 5- It is the upper left angled view showing the motor part of the device.

Sekil 6- Igne modülü kavrayici mafsal modülü göi'üntüsüdür. Figure 6- The needle module is the gripper joint module image.

Sekil 7- Cihazin silindir yatagindaki saseleri gösteren, igne ve silindir görüntüsünü de içerir sekilde çizimidir. Figure 7- Needle and cylinder showing the chassis in the cylinder bed of the device It is a drawing that includes its image.

Sekil 8- Cihazin silindir yatagindaki saseleri gösteren, mil ve silindir yatagini içerir sekilde çizimidir. Figure 8- Shaft and roller bearing, showing the chassis in the cylinder bearing of the device Includes drawing.

Sekil 9- Cihazda kullanilan igneyi ve iplik girisini gösteren Çizimdir. Figure 9- It is the drawing showing the needle and thread entry used in the device.

Sekil 10- Cihazda kullanilan ignenin açinim halinde olan görüntüsünün çizimidir. Figure 10- The unfolding image of the needle used in the device is the drawing.

Sekil 11- Cihazda kullanilan ignenin ip delik detayini gösteren görüntüsüni'in çizimidir. Figure 11- The image showing the thread hole detail of the needle used in the device. is the drawing.

Sekil lZ-Kesme kalibi Sekil l3-Bükme kalibi Sekil l4-Ezme kalibi Sekillerdeki kisimlar numaralandirilmis olup karsiliklari su sekildedir: 1. igne modülü 2. lgne modülü kavrayici mafsal modülü 3. Hareket butonu 4. Ekran . Menü butonu 6. Motor tahrik mil gizleyici ve prob 7. Elektronik devre ve motor içeren kontrol gövdesi ve kabza 8. Güç kablosu giris parçasi 9. Igne .Mi1 1 1.Motor 12.Devre karti 13.Silindir yatagi sase 1 14.Silindir yatagi sase 2 .Silindir yatagi 16.Silindir 17.lp 18.Kesme kalibi 19.Bükme kalibi . Ezme kalibi Bulus konusu cihaz, bes ana parçadan olusmaktadir. Bu parçalar su sekilde siralanmaktadir. 1 Nolu parça- Açisal hareket kabiliyetine sahip igne modülü 2 Nolu parça- lgne inodülü kavrayici mafsal modülü 3 Nolu parça- Motor tahrik mil gizleyici ve probu 4 Nolu parça- Elektronik devre ve motor içeren kontrol gövdesi ve kabza Nolu parça-Güç kablosunun cihaza giris yaptigi plastik parça Cihaz, bu bes parçanin birlesiminden olusmaktadir. Açisal hareket kabiliyetine sahip igne modulü(l) sekil 1`de 2 no ile gösterilen igne modülü kavrayici mafsal modülüne (2) baglanmaktadir. Cihazin çalisina prensibi içeriginde bulunan devre karti (12) yüklenen yazilim ile belirlenmistir. Devre karti (12) üzerinde bulunan ekran (4) üzerinde cihaza ait çalisina metotlari butonu (3) yardiini ile belirlenebilmektedir. Üzerindeki butonlar (3,5) yardimi ile bu hareketler yönetilebilmektedir. Cihaziinizin igne modülü(l) her iki motor (1 1) bulunmaktadir. Bu motor (1 l) tahrik kaynagi olup igne modülü (1 ) ile arada bulunan mil (10) parçasi ile baglantilidir. lgneye (9) dairesel hareketi veren minik metal silindirler (16) bulunmaktadir. lgne modülü (1) üzerinde bulunan ignenin (9) dairesel hareketi ile dikme islemi gerçeklesmektedir. Bu silindirler (16) tahriki, motor (ll) baglantili olan inilden (10) almakta ve ignenin (9) bütün yüzeyini saracak sekilde silindir yatagi sasesi l(13) ve silindir yatagi sasesi 2 (14) ile pozisyonlanmaktadirlar. Dairesel hareket esnasinda igne (9) daima silindirlerin (16) aktif alani içinde kalmakta ve bu sayede sürekli olarak dairesel hareketin idamesi saglanmaktadir. lgnenin (9) dis hatti tam daireyi olusturmaktadir. Bu dairesel durum silindir yatagina (15`) uyum için mecburi bir durumdur. Devre karti (12) islemci barindirir. Üzerinde 8 bit veya 32 bit arasi islemciler kullanilabilir. Devre karti (12) üzerinde durumu gösteren bir ekran (4) vardir. Bu ekran tft veya glcd gibi istege bagli olarak kullanilabilir. Devre karti (12) ve motor (1 l) içeren kontrol gövdesi \ e kabza (7) kisminda bulunan motor (11) istege bagli firçali veya firçasiz, sen 0 veya step motor olarak kullanilabilmektedir. Elektronik devre ve motor içeren kontrol gövdesi ve kabza (7) ve diger tüm parçalar plastik olabilecegi gibi paslanmaz metal malzemeden de üretilebilecektir. Bulusumuz konusu cihaz ayni zamanda bilgisayar kontrollü(USB, bluetooth, Wf, vbz gibi) olarak da calisabilmektedir. Figure lZ-Cutting die Figure l3-Bending mold Figure l4-Crush mold The parts in the figures are numbered and their equivalents are as follows: 1. needle module 2. Igne module gripper joint module 3. Action button 4. Display . Menu button 6. Motor drive shaft hider and probe 7. Control body and handle containing electronic circuit and motor 8. Power cable entry piece 9. Needle .Mi1 1 1.Engine 12.Circuit board 13.Cylinder bearing chassis 1 14.Cylinder bearing frame 2 .Cylinder bearing 16.Cylinder 17.lp 18.Cutting die 19. Bending die . Crush die The device subject to the invention consists of five main parts. These parts are in the water is listed. Part No. 1 - Needle module with angular mobility Part No. 2 - Igne Inodule Grip Joint Module Part 3 - Motor drive shaft hider and probe Part No. 4 - Control body and handle containing electronic circuit and motor Part no.-Plastic part where the power cable enters the device The device consists of the combination of these five parts. angular movement needle module(l) with the capability of needle module 2 in figure 1 the gripper is connected to the joint module (2). The principle of operation of the device The circuit board (12) contained in it is determined by the software loaded. Circuit Operating methods of the device on the screen (4) on the card (12) It can be determined with the help of button (3). The buttons (3.5) on it help These movements can be managed. The needle module(l) of your device There is a motor (1 1). This motor (1 l) is the drive source and the needle module (1) It is connected with the shaft (10) part in between. Circular movement to the igni (9) There are tiny metal cylinders (16). on the lgne module (1) The sewing process takes place with the circular movement of the needle (9). This the cylinders (16) take the drive from the motor (ll) connected to the motor (ll) (10). and the roller bearing frame 1(13) to cover the entire surface of the needle (9) and they are positioned with the roller bearing frame 2 (14). circular motion during which the needle (9) always remains within the active area of the rollers (16) and this In this way, it is ensured that the circular motion is maintained continuously. your contact (9) the outer line forms the full circle. This circular state is attached to the roller bearing (15`) It is mandatory for compliance. The circuit board (12) contains the processor. On 8-bit or 32-bit processors can be used. On the circuit board (12) There is a screen (4) showing the status. This screen is optional like tft or glcd can be used as Control body containing circuit board (12) and motor (1 l) \ e motor (11) located on the handle (7), optionally with or without brush, you 0 or can be used as a stepper motor. Containing electronic circuit and motor control body and handle (7) and all other parts may be plastic or It can also be produced from stainless metal material. The device of our invention It can also be computer controlled (such as USB, bluetooth, Wf, etc.) can qualify.

Bulus bu haliyle endoskopik cerrahi müdahalelerle gerçeklestirilen operasyonlarda canli dokunun dikilmesi islemi için kullanilmaktadir.In this form, the invention is performed by endoscopic surgical interventions. It is used for suturing living tissue in operations.

Claims (1)

ISTEMLER Bulusumuz endoskopik dikis atina Cihazi niteliginde olup özelligi; kavrayici mafsal modülüne(2) her iki yöne 45O hareket edebilecek sekilde baglantili igne modülü(l), ekran(47), cihazin hareketlerini yönlendirmeye yarayan inenü butonu(5) ve hareket butonlari(3), yaziliin ile çalisan devre karti(12), inil( 10) parçasi ile baglanti kurarak igne inodülüne( l) tahrik kaynagi olan redüktörlü motor(l l), paslanmaz çelik sac ya da titanyuin türevi inalzeineden iinal edilinis bir parçanin açimmindan olusan igne(9) ve bu igneye(9) dairesel hareketi veren minik metal silindirler(16)5 ignenin(97) bütün yüzeyini saracak sekilde silindir yatagi sasesi l(`13) ve silindir yatagi sasesi2(l4), kontrol gövdesi ve kabza (7) içeren bir cihaz olmasidir. lstein 1`e göre endoskopik dikis atma cihazi olup özelligi; cihazda kullanilan paslanmaz çelik saedan ya da titanyum serilerinden imal edilen ignenin(9) birinci asamada iki parçali kesme kalibindan (18) iki kanatli olacak sekilde çikmasi ve sonrasinda bükme kalibiiiatlQ) yerlestirilmesi, bu asamada da açiniinli olan malzemenin tani orta noktasindan esit olacak halde ikiye katlanmasi, bu katlama islemi öncesinde dikisipinintl7) inalzeinenin arasina yerlestirilmesi sonrasinda bükme isleminin gerçeklestirilmesi. akabinde de bükt'ilmt'is olan iiialzemeiiin ezme kalibinat'ZO) serlestirilerek süksek bir basinç ile ezilmesi asamalarini içermesidir. lstem l \'e Z`ye göre endoskopik dikis atina cihazi olup özelligi; cihazda kullanilacak ignenin kesme` bükme ve ezme asamalarindan sonra hilal seklindeki görüntüsü ile tek parça gört'in'L'imt'i sei'gileinesi. tüm kenar hatlarinin yumusatilmis, her iki ucu da sivri, orta kisini yuvarlak ve etli, dis hattinin tam bir daireyi olusturacak sekilde olarak tasarlanmis olmasi ve ipligin(l7) de ignenin(9) orta kismina sabitlenerek islevini yerine getirmesidir. . lstein 1,2 ve 3”e göre endoskopik dikis atina cihazi olup özelligi; mafsal modülüne(2) baglanan ve her iki yöne 45° açisal hareket kabiliyetine sahip igne modülü(1) içermesidir. modülüne(l) arada bulunan mil(10) parçasi ile baglantili, cihaza tahrik kaynagi olan redüktörlü bir motor(l l) bulunmasidir. . Istem l, 2, 3, 4 ve Sie göre endoskopik dikis atma cihazi olup özelligi; igneye (9) dairesel hareketi veren minik metal silindirler (lo) buluninasi ve igne modülü (l) üzerinde bulunan ignenin (9) dairesel hareketini silindirlerin(16) aktif alanindan ayrilmayarak silindir yataginda(15) ve sürekli olarak dairesel hareketin idamesi saglanarak gerçeklestirmesi sayesinde dikim isleminin yapilmasidir. . lstem l, 2, 3, 4, 5 ve 6,ya göre endoskopik dikis atina cihazi olup özelligi; cihazin çalisma prensibinin devre kartina(12) yüklenen yaziliin ile belirlenmesi, devre karti(12) üzerinde ekran(4), menü butonutâ), hareket butonlari(3) buluninasi, cihazin hareketlerinin üzerindeki butonlar(3,5) yardimi ile yönetilmesidir. ”z elilçe OZFVEÄ .`\.' ve_Patent Vc- li 1 7:45* `A i › ?JJREQUESTS Our invention is an endoscopic suturing device and its features are; Needle module (1), which is connected to the gripper joint module (2) so that it can move 45O in both directions, screen (47), inline button (5) and movement buttons (3), which are used to direct the movements of the device, circuit board (12) working with the software, Geared motor(l l) which is the driving source to the needle inodule(l) by connecting with the inil( 10) part, the needle(9) consisting of the angle of a manufactured part made of stainless steel sheet or titanium derivative inalzeine, and the tiny needle(9) that gives circular motion to this needle(9). It is a device that includes a roller bearing chassis 1(`13) and a cylinder bearing chassis2(l4), a control body and a handle (7), with metal cylinders(16)5 covering the entire surface of the needle(97). It is an endoscopic suturing device according to Istein 1 and its feature is; The needle (9), which is made of stainless steel saedan or titanium series used in the device, comes out of the two-piece cutting mold (18) with two wings in the first stage, and then it is placed with a bending mold, and at this stage, the angled material is doubled at an equal distance from the diagnosis midpoint. , performing the bending process after placing the stitchipinitl7) between the inalzeine before this folding process. It includes the stages of iiialzemeiiin crushing kalibinat'ZO), which is then bent'ilmt'is, by hardening and crushing with a high pressure. It is an endoscopic suturing device according to the system, and its feature is; One-piece Gört'in'L'imt'i sei'gileinesi with the crescent shaped image of the needle to be used in the device after cutting, bending and crushing stages. all the edge lines are softened, both ends are pointed, the middle part is round and fleshy, the outer line is designed to form a full circle, and the thread(l7) is fixed to the middle part of the needle(9) and fulfills its function. . It is an endoscopic suturing device according to lstein 1,2 and 3, and its feature is; It contains a needle module (1), which is connected to the joint module (2) and has 45° angular movement capability in both directions. It is the presence of a gearmotor (11 l) connected to the module (1) with the shaft (10) part in between, which is the driving source to the device. . It is an endoscopic suturing device according to Claim 1, 2, 3, 4 and Sie, and its feature is; Sewing thanks to the presence of tiny metal cylinders (lo) that give circular motion to the needle (9) and the circular movement of the needle (9) on the needle module (l) by not leaving the active area of the cylinders (16) in the cylinder bed (15) and by maintaining the circular motion continuously. is the making of it. . It is an endoscopic suturing device according to claim 1, 2, 3, 4, 5 and 6, and its feature is; The working principle of the device is determined by the software loaded on the circuit board (12), there are screen (4), menu button, action buttons (3) on the circuit board (12), and the movements of the device are managed with the help of the buttons (3,5) on it. ”z el county OZFVEÄ .`\.' ve_Patent Vc-li 1 7:45* `A i › ?JJ
TR2017/00324A 2017-01-10 2017-01-10 ENDOSCOPIC SEWING THREAD TR201700324A2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
TR2017/00324A TR201700324A2 (en) 2017-01-10 2017-01-10 ENDOSCOPIC SEWING THREAD
PCT/TR2017/050430 WO2018132081A1 (en) 2017-01-10 2017-09-14 Endoscopic suture device with circular needle

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
TR2017/00324A TR201700324A2 (en) 2017-01-10 2017-01-10 ENDOSCOPIC SEWING THREAD

Publications (1)

Publication Number Publication Date
TR201700324A2 true TR201700324A2 (en) 2017-07-21

Family

ID=61827789

Family Applications (1)

Application Number Title Priority Date Filing Date
TR2017/00324A TR201700324A2 (en) 2017-01-10 2017-01-10 ENDOSCOPIC SEWING THREAD

Country Status (2)

Country Link
TR (1) TR201700324A2 (en)
WO (1) WO2018132081A1 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10736625B1 (en) * 2019-10-24 2020-08-11 Acustitch, Llc System and method for suturing biological material
CN112401956B (en) * 2020-11-10 2021-09-24 山东省千佛山医院 Fibrous ring suture device and method used after herniated intervertebral disc operation

Family Cites Families (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002102226A2 (en) * 2001-06-14 2002-12-27 Suturtek Incorporated Apparatus and method for surgical suturing with thread management
US7862572B2 (en) * 2004-09-20 2011-01-04 Endoevolution, Llc Apparatus and method for minimally invasive suturing
EP1511429B1 (en) 2002-06-12 2009-07-22 Boston Scientific Limited Suturing instruments
US6936054B2 (en) 2002-07-22 2005-08-30 Boston Scientific Scimed, Inc. Placing sutures
US7842046B1 (en) 2004-05-26 2010-11-30 Granit Medical Innovations, Llc Endoscopic sewing device and associated method
US8257371B2 (en) * 2007-03-15 2012-09-04 Suturenetics, Inc. Limited access suturing devices, system, and methods
JP2013146613A (en) * 2006-03-31 2013-08-01 Ethicon Endo Surgery Inc Surgical suturing apparatus with detachable handle
US8679136B2 (en) 2008-06-17 2014-03-25 Apollo Endosurgery, Inc. Needle capture device
WO2010036227A1 (en) 2008-09-29 2010-04-01 C R . Bard, Inc . Endoscopic suturing device
US9386979B2 (en) 2008-10-28 2016-07-12 C.R. Bard, Inc. Endoscopic suturing device with suture management
US10342651B2 (en) 2015-06-04 2019-07-09 Covidien Lp Ventral hernia defect closure

Also Published As

Publication number Publication date
WO2018132081A1 (en) 2018-07-19

Similar Documents

Publication Publication Date Title
JP5769311B2 (en) Medical instrument for manipulating sutures, especially medical instrument useful for arthroscopic surgery and shuttle mounting method
JP3880907B2 (en) Endoscopic suture device
JP4980887B2 (en) Suture device
TR201700324A2 (en) ENDOSCOPIC SEWING THREAD
EP1970013A3 (en) Suturing device
CN102014767A (en) Safe tissue puncture device
US10448939B2 (en) Fascial closure device
WO2018049785A1 (en) Biopsy puncture needle control system with assisted positioning
US20160095589A1 (en) Suturing Device and Method
CN106073837A (en) Finger cot type surgical stapler
JP4780295B2 (en) Medical staples
JP3150576U (en) Drawstring suture needle and purse string suture device
TWI572313B (en) Wound suturing device for minimally invasive surgery
CN110251173B (en) Laparoscope abdominal wall incision stitching instrument and using method thereof
KR101711305B1 (en) Suturing device
CN209168524U (en) A kind of laparoscopic instrument pliers for laparoscope simulation operation
EP3621527A1 (en) Fascial closure device
CN208892681U (en) A kind of laparoscopic surgery abdomen wall sewing device
CN101961258B (en) Laparoscope puncture incision muscle suture needle
CN203244420U (en) Orthopedic operation closer
CN206979518U (en) One kind takes out line tweezer automatically
TWI571228B (en) Wound suturing device for minimally invasive surgery
US20230240675A1 (en) Self-knotting suture device
CN201295257Y (en) Stylolite-threading device for operation
CN210472268U (en) PFNA operation sterile sheet