；891 五、新型說明： 【新型所屬之技術領域】 本創作係有關-種打結器，特指一種專為狹小手 術空間而設計者，係能將具有針部之縫線設於且穿套 基座小板其小管外内且形成一雙圈滑動結及一滑動 結圈套，並提供其脫落自動快逮成為雙重纺工結 一(dobule sheet bend)與特有之打結標記作立即顯 示打結成功與否訊息之改良式小管辅助外科打結器。 【先前技術】 敬請參閱第一圖所示係為外科手術常手的標準 結⑽，該、結100屬於平結之一種，所有平結必需依 靠其f全對稱結構維持其結刚之強度，是外科醫師 手術刖必備的基本技能，然在内視鏡手術時，手術者 無法直視手街部位，而需於無立體感的電視螢幕上目 視，然後再指揮雙手（hand_eyecoordiantion)，故 不僅打結困難，即使打成後亦因不完全對稱而使結 1 00之強度不足，近年微創内視鏡手術Minimally Invasive Surgery(MIS)迅速流行，因其具有傷口美觀，病人快速 復原等優點’已逐漸成為各外科領域中之主流手術， 然而内視鏡手術需要用到縫合打結時，則因手術空間 狹小，慣用的外科打結手法施展不易，常使手術者非 M438891 ㊉因擾’至今（2011年）民國100年仍然被認為微 創手術中最困難技能，雖然近年來有不少為解決此一 困境的輔助器械發明出來，如End〇_stitch，; 891 5, new description: [New technology field] This creation is related to a kind of knotter, especially for a narrow surgical space designer, can set the stitch with the needle and wear The pedestal small plate has a double-circle sliding knot and a sliding knot sleeve inside the small tube, and provides a double-bounce sheet bend and a unique knotted mark for immediate display knotting. Improved tubule assisted surgical knotter for success or failure. [Prior Art] Please refer to the standard diagram (10) which is a surgical hand in the first figure. The knot 100 is a kind of flat knot. All the flat knots must rely on their full symmetrical structure to maintain the strength of the knot. It is a basic skill necessary for surgeons to perform surgery. However, during endoscopic surgery, the operator cannot directly look at the hand street, but needs to look at the stereoscopic TV screen and then direct the hands (hand_eyecoordiantion), so not only play Difficult to knot, even if it is not completely symmetrical, the strength of the knot is insufficient. In recent years, Minimally Invasive Surgery (MIS) has become popular because of its beautiful wounds and rapid recovery of patients. It has gradually become the mainstream surgery in various surgical fields. However, when endoscopic surgery needs to be sutured and knotted, the surgical space is not easy to perform due to the narrow operation space, and the operator is often not affected by M438891. In 2011, the Republic of China is still considered to be the most difficult skill in minimally invasive surgery. Although in recent years, many auxiliary devices have been invented to solve this dilemma. End〇_stitch,
Suture-assist，但尚未達到使内視鏡手術打結達到 快速、安全、可靠、易學及顯示打結成功與不成功訊 ^之地步’況且這些辅助器械本身非常昂貴，使得微 内視鏡手術重建部分在效率及確實度上 此乃為業者及醫界所極欲突破之處，進者，申請人°前 所發明之第0952!8490號（M327218 )「套管輔:夕卜^ 打結器」新型專利，其雖然可以利用其作為外科打处 之功效，然仍有結構零件數多，且較為複雜與使用上° =將套管本體與貫穿小棒穿套，又其設有體積較益 有效縮減之長距離上弯鼓錘狀尾部，及較易與線體 ，之卡合失縫，纏繞複雜及無避免穿套錯誤=體 :無任何打結標記作立即顯示成功與否訊息等諸多 為使更達療至完美地步，本創作人以此 ^考㈣行設計H結構簡單作確實並且 文全又可靠，並能使縫線將雙圈滑動結自小管 速轉變成與慣用外科平結不同，亦不需對稱結 彳孕乂隹之、,σ強度（knot strength)之 、·方工結，而其特有之打結標記更 盥否部自夕并☆4 , 1 -貝不打結成功 /、否讯心之改良式小管輔助外科打結器。 5 ^91 ^91 【新型内容】 β為解決上述之現有技術不足之處，本創作目的在 ，供-種於結構上改良之改良式小管輔助外科打結 器，以期克服現有技術中之難處。 本創作所欲解決之問帛，係由於習用&雖然有不 少為解決此一困境的輔助器械發明出來，如End0 一 ^tch，Suture-assist，但其均尚未達到使内視鏡 手術打結達到快速、安全、可靠、易學之地步，況且 這些輔助器械本身非常昂貴，又申請人前所發明之第 〇95218490號（M327218 )「套管辅助外科打結器」新 型專利，由於其仍有結構零件數多且較為複雜與使用 上需要將套管本體與貫穿小棒穿套’及設有體積較無 =有效縮減之長距離上f鼓錘狀尾部，及較易與線體 :脫之卡合夾縫，纏繞複雜及沒有任何避免穿套錯誤 、無法立即顯示打結成功與否訊息之結構。 為達上述之目的，本創作係提供一種改良式小管 輔助外科打結器，其包括： 一基座小板，係可為板狀體，並於其下方令央設 =穿孔，該基座小板之一側另設有呈垂直之防護小· 板’並於基座小板上方且鄰近於防護小板處設有一透 孑匕， 孔’其係為一空心 一小管，係設於基座小板之穿 管體且具有光滑表面； WJ8891Suture-assist, but has not yet reached the point of making endoscopic surgery knotted fast, safe, reliable, easy to learn and shows successful and unsuccessful knotting and these aids are very expensive, making microendoscopic surgery In terms of efficiency and reliability, this part of the reconstruction is a breakthrough for the industry and the medical community. In the case of the applicant, the applicant has invented the No. 0952! 8490 (M327218) "Casing Assistant: Xi Bu ^ Knotted "New" patent, although it can be used as a surgical hit, but there are still a large number of structural parts, and more complex and use ° = the sleeve body and through the small rod through the sleeve, and its volume is more The effective long-distance bending of the drum-shaped tail, and the easier to be with the line body, the engagement is lost, the winding is complicated and the wearing is not avoided. Body: No knotted mark for immediate display of success or failure information, etc. In order to make the treatment more perfect, the creator designed the H structure to be simple and reliable, and enabled the suture to transform the double-circle sliding knot from the small tube speed to the conventional surgical level. Different knots, no need for symmetry彳 彳 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Improved tubule assisted surgical knotter. 5 ^91 ^91 [New content] β is to solve the above-mentioned deficiencies of the prior art, and the purpose of the present invention is to provide an improved tubular auxiliary surgical knotter for structural improvement in order to overcome the difficulties in the prior art. The problem that this creation wants to solve is due to the use of the & a number of auxiliary devices for solving this dilemma, such as End0-^tch, Suture-assist, but they have not yet reached the endoscope surgery The knots are fast, safe, reliable, and easy to learn. Moreover, these auxiliary devices are very expensive, and the new patent of the "cannula-assisted surgical knotter" of the No. 95218490 (M327218) previously invented by the applicant is still The number of structural parts is large and complicated, and it is necessary to use the sleeve body and the penetrating rod through the sleeve and the length of the drum with a smaller volume than the effective reduction of the drum-shaped tail, and easier to the line body: off The card is jammed, the winding is complicated, and there is no structure that avoids the mistake of wearing the sleeve and cannot immediately display the message of success or failure. For the above purposes, the present invention provides an improved tubule assisted surgical knotter comprising: a base plate, which may be a plate-like body, and having a centrally located = perforated underneath, the base being small One side of the plate is further provided with a vertical protective small plate · and is disposed above the small plate of the base and adjacent to the small protective plate. The hole is a hollow tube and is attached to the base. The small plate is worn through the tube and has a smooth surface; WJ8891
I —軟絲線，係為一線體，其一端設於基座小板其 透孔内’其另端則置於基座小板其穿孔外側； —金屬細線，係為一撓性體，其一端係與軟絲線 連接並設於基座小板之透孔，其另端則可彎折於基座 小板内側形成一鉤部； - —縫線，係可形成雙圈滑動結於小管上，其一端 . 設有針部，其另端鉤設於金屬細線其鉤部並穿套至小 -% 管内延伸至基座小板外侧。 更進一步，本創作鉤設於鉤部之縫線靠近雙圈滑 動結之圈套處設有一打結標記。 較佳者，本創作其基座小板係可為方形狀。 ^較佳者，本創作其設於基座小板一側之防護小板 係可為L形狀。 較佳者，本創作縫線於鉤部及小管間形成設有供 • 具針部之縫線穿套之滑動結圈套。 • 較j者，本創作其滑動結套圈係可為三角形狀。 而藉此叹计，本創作揚棄傳統的打結方式，改用 預先在本創作其小管上預先設有可變性之半成結之 f圈滑動結，在外科對傷口作縫合完成時，僅需用本 μ U簡化之結構並經簡單操作，將雙圈滑動結自小 官脫落並自動迅速轉變成一可靠且安全確實之雙重 盥、、σ (double shee1: bend)，並立即顯示打結成功 ”否之H有效提升輔助外科微創手術打結速度、 7 M438891 • * 安全及可靠性’符合進步、實用與使用者之所需，足 見其增益之處。 【實施方式】I—soft wire, which is a linear body, one end of which is disposed in the through hole of the base plate and the other end of which is placed outside the perforation of the base plate; the thin metal wire is a flexible body, one end of which is The utility model is connected to the soft wire and disposed in the through hole of the small plate of the base, and the other end is bent to form a hook portion on the inner side of the small plate of the base; - the suture can form a double ring sliding knot on the small pipe. One end. There is a needle portion, and the other end is hooked on the hook portion of the thin metal wire and is inserted into the small-% tube to extend to the outside of the small plate of the base. Further, the creation hook is provided with a knotted mark at the loop of the hook portion near the double-circle sliding knot. Preferably, the base plate of the present invention can have a square shape. ^ Preferably, the protective small plate provided on the side of the small plate of the base can be L-shaped. Preferably, the artificial suture is formed with a sliding knot sleeve provided with a suture threading sleeve for the needle portion between the hook portion and the small tube. • Compared with j, the creation of the sliding knot ring system can be triangular. In order to sigh, this creation discards the traditional knotting method, and uses the semi-knotted sliding knot that is pre-configured with variability in advance on the small tube of the creation, and only needs to be sutured when the surgical suture is completed. With the simplified structure of the μU and simple operation, the double-circle sliding knot is detached from the small official and automatically and quickly converted into a reliable and safe double e, σ (double shee1: bend), and immediately shows that the knotting is successful" No. H effectively improves the knotting speed of assisted surgical minimally invasive surgery, 7 M438891 • * Safety and reliability' meets the needs of progress, practicality and user, which shows its gain.
為利貴審查員瞭解本創作之創作特徵、内容與 優點及其所能達成之功效，兹將本創作配合附圖，並 以實施例之表達形式詳細說明如下，而於文中所使用 之圖式’其主旨僅為示意及辅助說明書之用未必為 本創作實施後之真實tb例與精準配置，故不應就所附 之圖式的比例與配置關係侷限本創作於實際實施上 的專利範圍，合先敘明。 請參閱第二圖、第三圖、第四圖、第五圖所示， 係為本創作之立體分解圖、本創作之立體組合圖、本 創作另-視角之立體組合圖、本創作之組合剖面圖。 本創作之改良式小管輔助外科打結器於一較佳之實 施例中係包括有一基座小板！、一小管2、一軟絲線 5、一金屬細線4、一縫線6。 前述之一基座小板1，係可為一板狀體，於本實 施例該板狀體之形狀係呈方形狀，但並不以此限制本 創作’其亦可為各種形狀，都屬本創作的保護範圍， 又基座小板1下方中央設有1G，且於其一侧 另設有與基座小板i呈垂直之防護小板3，於本實施 M4388P1 例該防護小板3形狀係呈L形狀，同樣並不以此限制 本創作’其亦可為各種形狀且只要外側—角具有凹陷 者’都屬本創作的保護範圍，又該基座小板1上方並 鄰近，防護小板3處另設有—透孔u。 刖述之—小管2，係設於基座小板1之穿孔10 上’並使其向基座小板1内側延伸凸出，又該小管2In order to understand the creative characteristics, content and advantages of this creation and the effects that can be achieved, the author will use the creation of the creation and the details of the examples as follows, and the pattern used in the text is as follows. The subject matter is only for the purpose of illustration and supplementary instructions. It is not necessarily the actual tb example and precise configuration after the implementation of the original creation. Therefore, the scope and configuration relationship of the attached drawings should not be limited to the scope of patents in actual implementation. Explain first. Please refer to the second, third, fourth and fifth figures, which are the three-dimensional exploded view of the creation, the three-dimensional combination of the creation, the three-dimensional combination of the creation and the perspective, and the combination of the creation. Sectional view. The improved tubule assisted surgical knotter of the present invention includes a pedestal plate in a preferred embodiment! , a small tube 2, a soft thread 5, a thin metal wire 4, a stitch 6. One of the pedestal small plates 1 may be a plate-shaped body. In the embodiment, the shape of the plate-like body is square, but the present invention is not limited thereto. The protection range of the creation is that the center of the pedestal small plate 1 is provided with 1G, and a protective small plate 3 perpendicular to the pedestal small plate i is further disposed on one side thereof. In the present embodiment, the protective small plate 3 is used in the embodiment M4388P1. The shape is L-shaped, and the same is not limited to the present invention. "It can also be various shapes and as long as the outer side - the corner has a recess" is the protection scope of the present creation, and the base small plate 1 is above and adjacent to the protection. The small plate 3 is additionally provided with a through hole u. As described above, the small tube 2 is disposed on the perforation 10 of the pedestal small plate 1 and protrudes toward the inner side of the pedestal small plate 1, and the small tube 2
係為一空心f體’為了提供能在其表面作滑動，該小 管2之表面係為光滑表面。 ，係為一線體，其一端係設於 内’其另端則置於基座小板j 刖述之一軟絲線5 基座小板1其透孔^ ^ 其穿孔10外側。 別述之-金屬細線4，係為一撓性體，其一端係 與軟，4線5連接且設於基座小板丨之透孔11，立另 端則:彎折於基座小板1内側形成一鉤部41 /、 前述之一縫線6’係可形成雙圈滑動結61於具有 光滑表面之小管2上，該縫線6之一端設有針部6〇, 其另端則鉤設於金屬細線4其鉤部41並穿套至小管 2内延伸至基座小& 1外側，而該縫線6於基座小板 1内側由金屬細線4所彎折構成之鉤部41及小管2 間形成一供針部60穿套之滑動結圈套62,另鉤設於 由金屬細線4所蠻M *rr ^ , 4折之鉤部4J之縫線6靠近雙圈滑 動結61之圈套處，另設有一打結標記以。 敬請配合參閲篦丄Α园 咕 >阅弟，、4圖、第六β圖、第六^圖、 9 M438891 t 1内側由金屬細線4之鉤部41與小管2前端形成 滑動結圈套62後，將該縫線6穿過小管2並與基座 小板1外側其穿孔丨〇處之軟性絲線5打結連接；本 創作乃專為狹小手術空間，如腹腔鏡手術而設計，不 僅揚棄傳統之打結方式，更將習用品之輔助器械之結 構缺失及申睛人先前所發明之套管輔助外科打結器 有待改進使其更療完美之結構加以改良及突破。 • 本創作作為-般内視鏡手術縫合後之腹内打結 (Uparoscopic Intrac〇rp〇real Kn〇tti叩）使用 時，係先將帶針部60之縫線6尾端在小管2近基座 小板1處，設有一雙圈滑動結61並形成一可為三角 形狀之滑動結圈套62，域設於基座小板丨其透孔 U鄰近之由金屬細線4所形成之鉤部41作暫時鉤 住，再將縫線6尾之另端通過小管2與位於基座小板 鲁1外側處之另端軟絲線5作相接打結，使縫線6單向 •固定於小管2位於基座小板j外側之穿孔ι〇處以 提供手術後方便將設有小管2之基座小板】取拿，當 縫線6操作縫合係時係將一持針器7夹持針部⑽對 傷口 8作縫合’而欲作拉線時則將另-持針器7夹持 縫線6另端尾以作相互拉合（如第六A圖所示）；當 '、乍打b夺可以將该另一持針器7抓住基座小板1並 使其小管2轉向指向手術者，以提供下-步驟之針部 60方便穿套滑動处 座小板1-側設有。可呈L62操作’由於本創作其於基 提供針部60穿套部分有狀之保濩小板3 ’因此能 免針部6G穿錯位置及打結失 =，因此，夹持有針部60之持針器7順勢將其穿 過由縫線6所形成 _ 62,並作u型迴轉向心角形狀之滑動結圈套 ° (如第六B圖所示）；本創 2另有-獨特性’即在於雙圈滑動結61之圈套起始 :置設—可供肉眼明顯辨識顏色之打結標I己64(如 圖所示)’該圖中箭頭所指之處即打結記號64 er)，當缝針部6〇及縫、線e穿過滑動結圈套 6山2後’此時可將該另一持針器7抓住基座小板工尾 端轉、、·勺90度’使小f 2轉向垂直傷口 8後停住不動， :後將夹持針部60之持針器7夹持抓住縫線6作緩 灵卜拉（如第六C圖所示），使原本鉤設於鉤部4 ^之 縫線6脫落’(如第六D圖所示)’而後再繼續向外拉， 直至所站的縫合張力後停止（如第六E圖所示）；此 時將该失持抓住針部6〇之夾持器7靜止，而炎持抓 住縫線6尾端之持針器7，快速反向外拉則使原本設 於】ΐ 2上之雙圈滑動結61脫落，並自動變成可靠 之雙重紡工結63 (如第六F圖所示），打結完成後該 如箭頭所示之打結標號64必將移動並位於該結外側 12 M438891 如第七B圖所示）’於本實施例係移動位於功之雙 重紡工結63外侧5mm以上，但並不以此限制本創作， 其亦可為外側任何位置，都屬本創作的保護範圍，如 果该如箭頭所示之打結標記64在該完成雙圈滑動結 61之附近，或埋入該雙圈滑動結61内則表示該結 為失敗即雙圈滑動結61未能轉成雙重紡工結63(如 第七C圖所示），該圖所示則為失敗之打結且打結標 °己在該雙圈滑動結61内或緊鄰附近；本創作打結成 功與否醫師可以全了然於胸，對外科手術醫療有^大 幫助’也是習用創作所欠缺的。 而藉此設計，本創作結構簡化且操作確實，並將 縫線6之雙圈滑動結61自小管2脫落，並自動轉變 成雙重紡工結63，又鉤設於鉤部41之縫線6靠 圈π動結61之圈套處另設有一打結標號，藉由其 打結後是否移動至雙重紡工結63外侧，而立即讓醫 師作確認辨識，可以幫助f生在手術時作打結完成與 否之確認，避免傷口 8縫合失敗，有效提升辅助外^ 微創手術打結速度、安全及可靠性，符合進步 與使用者之所需，足見其增益之處 綜觀上述可知，本創作在突破先前之技術結構 下，確實已達到所欲增進之功效，且也非熟悉該項 藝者所易於思及，再者，本創作申請前未曾公開，就 所具之進步性、實用性，顯已符合創作專利之申請要 13 M4J8891 件，爰依法提出創作申請，懇請貴局核准本件創作 專孝]申凊案，以勵創作，至感德便。 以上所述之實施例僅係為說明本創作之技術思 想及特點’其目的在使熟習_技藝之人士能夠瞭解 本創作之内容並據m當不能以之限定本創作之 專利範圍’即大凡依本創作所揭示之精神所作之 變化或修飾，仍應涵蓋在本創作之專利範圍内。In order to provide a slidable surface, the surface of the small tube 2 is a smooth surface. It is a linear body, one end of which is set inside. The other end is placed on the base plate j. One of the soft wires 5 is described. The base plate 1 has its through hole ^ ^ outside the perforation 10 . The metal thin wire 4 is a flexible body, one end of which is connected to the soft, 4 wire 5 and is disposed in the through hole 11 of the base plate, and the other end is bent to the base plate. 1 is formed inside a hook portion 41 /, and one of the sutures 6' can form a double-circle sliding knot 61 on the small tube 2 having a smooth surface, and one end of the suture 6 is provided with a needle portion 6〇, and the other end is provided with a needle portion 6〇 The hook is disposed on the hook portion 41 of the thin metal wire 4 and is inserted into the small tube 2 to extend to the outside of the base small & 1 , and the suture 6 is bent on the inner side of the base small plate 1 by the thin metal wire 4 A sliding knot sleeve 62 for inserting the needle portion 60 is formed between the 41 and the small tube 2, and is hooked to the M*rr^ by the thin metal wire 4, and the stitch 6 of the hook portion 4J of the 4 fold is close to the double-turn sliding knot 61. At the trap, there is also a knotted mark. Please refer to the 篦丄Α 咕 咕 阅 阅 阅 阅 、 、 、 、 、 、 阅 阅 阅 阅 阅 阅 阅 阅 阅 阅 阅 阅 阅 阅 阅 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 After 62, the suture 6 is passed through the small tube 2 and knotted with the soft thread 5 at the perforation of the pedestal small plate 1; the creation is designed for a narrow surgical space, such as laparoscopic surgery, not only Abandoning the traditional knotting method, the structure of the auxiliary device of the litter is missing, and the casing-assisted surgical knotter previously invented by the eye-catching person needs to be improved to improve and break through the structure of the more perfect treatment. • This creation is used as a general-purpose endoscopic surgical suture (Uparoscopic Intrac〇rp〇real Kn〇tti叩), which is the first end of the suture 6 with the needle 60 in the proximal end of the small tube 2 The small plate 1 is provided with a double-circle sliding knot 61 and forms a triangular-shaped sliding collar sleeve 62, and is disposed on the hook plate 41 formed by the metal thin wire 4 adjacent to the through-hole U of the base plate. Temporarily hooked, and then the other end of the suture 6 is connected through the small tube 2 to the other end of the soft wire 5 at the outer side of the base plate 1 to make the suture 6 unidirectionally fixed to the small tube 2 The perforation ι is located outside the small plate j of the base to provide a small plate for the small tube 2 after the operation is provided. When the suture 6 is operated, the needle holder 7 holds the needle (10). When the wound 8 is sutured, and the wire is to be pulled, the other needle holder 7 holds the other end of the suture 6 for mutual pulling (as shown in Figure 6A); The other needle holder 7 can be grasped by the base plate 1 and its small tube 2 can be turned toward the operator to provide a lower-step needle portion 60 for facilitating the sleeve sliding portion.It can be operated in L62. Because of the present invention, the needle portion 60 is provided with the protective small plate 3 of the needle portion 60. Therefore, the needle portion 6G can be prevented from being misplaced and knotted. Therefore, the needle portion 60 is clamped. The needle holder 7 passes it through the _62 formed by the suture 6 and makes a u-shaped back-turning heart-shaped sliding knot sleeve (as shown in Figure 6B); Sexuality is the beginning of the snare of the double-circle sliding knot 61: setting - the knotting of the color can be clearly recognized by the naked eye I (64 as shown) 'The arrow pointed to the figure is the knotting mark 64 Er), when the needle portion 6 〇 and the seam, the line e passes through the sliding collar sleeve 6 mountain 2, then the other needle holder 7 can be grasped at the end of the base small plate, and the spoon 90 Degree 'to make the small f 2 turn to the vertical wound 8 and then stop, after: the needle holder 7 holding the needle 60 is gripped to grasp the suture 6 as a slowing pull (as shown in Figure 6C), The original hook is placed on the hook portion 4 ^ the suture 6 is detached ' (as shown in the sixth D figure) and then continues to pull outward until the stitching tension of the station is stopped (as shown in Figure 6E); At this time, the lost grip grasps the grip of the needle portion 6〇 7 is stationary, and the needle holding the needle holder 7 at the end of the suture 6 is swallowed, and the fast reverse outer pulling causes the double-circle sliding knot 61 originally set on the ΐ 2 to fall off, and automatically becomes a reliable double-spinning knot. 63 (as shown in Figure 6F), after the knotting is completed, the knot number 64 as indicated by the arrow must move and is located outside the knot 12 M438891 as shown in Figure 7B) It is located 5mm or more outside the double-spinning knot 63 of the work, but it does not limit the creation. It can also be any position on the outside, which is the protection scope of the creation. If the knotted mark 64 is indicated by the arrow Completion of the vicinity of the double-circle sliding knot 61, or embedding in the double-circle sliding knot 61, indicates that the knot is a failure, that is, the double-turn sliding knot 61 fails to be converted into the double-spinning knot 63 (as shown in FIG. 7C). The figure shows the knot of the failure and the knotting has been in or near the double-circle sliding knot 61; the success of the creation of the knot can be fully understood by the physician, and the surgical treatment has a large Help 'is also lacking in practical creation. With this design, the creation structure is simplified and the operation is correct, and the double-circle sliding knot 61 of the suture 6 is detached from the small tube 2, and is automatically converted into the double-spinning knot 63, and is also hooked to the suture 6 of the hook portion 41. The loop of the ring π moving knot 61 is additionally provided with a knot number, and if it is moved to the outside of the double spinning knot 63 after the knotting, the doctor can immediately confirm the identification, which can help the child to knot in the operation. Confirmation of completion or not, to avoid the failure of suture 8 suture, effectively improve the speed, safety and reliability of assisted external minimally invasive surgery, in line with the progress and user needs, see the gains of the above, we can see that this creation Breaking through the previous technical structure, it has indeed achieved the desired effect, and it is not easy for people who are familiar with the artist to think about it. Moreover, this application has not been disclosed before the application, and it has the progressiveness and practicality. The application for the creation of a patent is required to be 13 M4J8891, and the application for creation is submitted in accordance with the law. You are requested to approve the application for the filial piety of the article] to encourage the creation and to the sense of virtue. The embodiments described above are merely for explaining the technical idea and characteristics of the present invention. The purpose of the present invention is to enable those skilled in the art to understand the content of the present invention and to limit the scope of the patent of the creation according to m. Changes or modifications made by the spirit of this work should still be covered by the scope of this creation.
M438891 » I 【圖式簡單說明】 第一圖：為外科手術常手的標準結。 第二圖：為本創作之立體分解圖。 第三圖··為本創作之立體組合圖。 第四圖：為本創作另一視角之立體組合圖。 第五圖：為本創作之組合剖面圖。 第六A圖：為本創作與持針器及傷口作用圖（一）。 第六B圖：為本創作與持針器及傷口作用圖（二）。 第六C圖：為本創作與持針器及傷口作用圖（三）。 第六D圖：為本創作與持針器及傷口作用圖（四）。 第六E圖：為本創作與持針器及傷口作用圖（五）。 第六F圖：為本創作與持針器及傷口作用圖（六）。 第七A圖：為本創作準備打成雙重紡工結前其縫 線之打結標記位置圖。 第七B圖：為本創作成功雙重紡工結之打結標記 圖。 第七C圖：為本創作失敗雙重紡工結之打結標記 圖。 【主要元件符號說明】 (習用品） 100…結 (本創作） 15 M438891 1…基座小板 10…穿孔 11…透孔 2…小管 3…防護小板 4…金屬細線 41…鉤部 5…軟絲線 6…缝線 60·.·針部 61…雙圈滑動結 62…滑動結圈套 63…雙重紡工結 6 4…打結標記 7…持針器 8".傷口 16M438891 » I [Simple description of the diagram] The first picture: the standard knot for surgical surgery. The second picture: the three-dimensional exploded view of the creation. The third picture·· is the three-dimensional combination of the creation. The fourth picture: a three-dimensional combination of another perspective of the creation. Figure 5: A sectional view of the combination of the creation. Figure 6A: Picture of the creation and needle holder and wound (1). Figure 6B: This is the creation and needle holder and wound action diagram (2). The sixth C picture: the creation of the needle holder and the wound action diagram (3). The sixth D picture: the creation of the needle holder and the wound action diagram (4). Figure 6E: This is the creation and needle holder and wound action diagram (5). The sixth F picture: the creation and needle holder and wound action diagram (6). Figure 7A: The position of the knotted mark of the seam before the double-spinning knot is prepared for the creation. Figure 7B: The knotted mark of the successful double-spinning knot for this creation. Figure 7 C: The knotted mark of the double-spinning knot for the creation failure. [Main component symbol description] (study item) 100... knot (this creation) 15 M438891 1... base plate 10... perforation 11... through hole 2... small tube 3... protective small plate 4... metal thin wire 41... hook portion 5... Soft thread 6... suture 60·. needle unit 61... double-loop sliding knot 62... sliding knot sleeve 63... double-spinning knot 6 4... knotting mark 7... needle holder 8". wound 16