WO2015061932A1 - Instrument de suture de ponction de tissu de type combinaison - Google Patents

Instrument de suture de ponction de tissu de type combinaison Download PDF

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Publication number
WO2015061932A1
WO2015061932A1 PCT/CN2013/001599 CN2013001599W WO2015061932A1 WO 2015061932 A1 WO2015061932 A1 WO 2015061932A1 CN 2013001599 W CN2013001599 W CN 2013001599W WO 2015061932 A1 WO2015061932 A1 WO 2015061932A1
Authority
WO
WIPO (PCT)
Prior art keywords
tissue
hemostatic clip
suturing
perforation
tissue perforation
Prior art date
Application number
PCT/CN2013/001599
Other languages
English (en)
Chinese (zh)
Inventor
王东
李兆申
Original Assignee
王东
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 王东 filed Critical 王东
Publication of WO2015061932A1 publication Critical patent/WO2015061932A1/fr

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Classifications

    • 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
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0466—Suture bridges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00269—Type of minimally invasive operation endoscopic mucosal resection EMR
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue

Definitions

  • the invention relates to a combined tissue perforation suturing device, belonging to the field of medical instruments, and mainly used for suturing sutures of tissue perforations under endoscope.
  • tissue perforation such as gastric perforation and intestinal perforation. Once perforation occurs, the endoscope is very remedy. Difficulties can cause very high risk to patients. At present, there is no device that can treat perforation very quickly. The existing hemostatic clip can only cope with small bleeding wounds, so endoscopic perforation and suture technique is urgently needed. problem.
  • the technical problem to be solved by the present invention is to overcome the deficiencies of the prior art, and to provide a combined tissue perforation suturing device capable of rapidly achieving hemostasis suture at a perforation site under a digestive endoscope, thereby avoiding a medical accident.
  • the first technical solution of the present invention is: a combined tissue perforation suture device comprising a pull wire and at least two tissue perforation suturing devices, the tissue perforation suturing device comprising a hemostatic clip and a release device, a hemostatic clip It is detachably mounted on the head end of the release device, one end of the wire is fixed on the hemostatic clip of one of the tissue perforating suturing devices, and the other hemostasis of the tissue perforating stapler is provided with a threading hole through which the wire can be passed.
  • the length of the pull wire is defined to facilitate use during surgery, and the other end of the pull wire extends to the tail of the release.
  • tissue perforation suturing devices there are two tissue perforation suturing devices.
  • the release device includes a jacket, a handle, a movable release lever and a movable handle, the movable release lever is axially movably inserted in the outer sleeve, and the movable handle is disposed at a tail end of the movable release lever, The handle is placed at the end of the jacket.
  • a second technical solution of the present invention is: a combined tissue perforation suture device comprising a pull wire and at least two tissue perforation suturing devices, the tissue perforation suturing device comprising a hemostatic clip and a release device, a hemostatic clip It is detachably mounted on the head end of the release device, and the wire is also at least two, and corresponds one-to-one with the tissue perforating suturing device, and one end of the wire is fixed on the hemostatic clip of the corresponding tissue perforating suturing device.
  • the other end of the pull wire extends to the tail of the corresponding release.
  • tissue perforation and suture devices there are two tissue perforation and suture devices. , ,
  • the movable handle is disposed at the rear end of the movable release lever, and the handle is disposed at the rear end of the outer sleeve.
  • the perforation of the tissue is found under the digestive endoscope, and the hemostatic clip of the tissue perforating suture device with the wire is attached to the edge of the perforated tissue, and the tissue is clamped, and then the hemostasis is clamped from the release device.
  • the other end of the pull wire protrudes out of the body through the endoscopic forceps hole, and then the wire is passed through the threading hole above the hemostatic clip of the other tissue perforating suture device, the hemostatic clip is pulled down to the perforation, and the perforation is further Hold the edge of the tissue at one end, and then clip the hemostasis clip on the remaining tissue perforation device to the edge of the remaining tissue, then tighten the wire, slowly close all the hemostatic clips, tighten the perforated tissue, and of course, by pulling
  • the wire is equipped with a locking block, and the locking block is fixed to the edge of the last hemostatic clip and the wire is fixed.
  • the hemostatic clip is closed and tightened by the locking block, so that the hemostasis suture of the perforation site can be quickly realized under the digestive endoscope, and the tissue wound is closed.
  • the purpose of surgical treatment is achieved to avoid the occurrence of medical accidents.
  • the tissue perforation is found under the digestive endoscope, and the hemostatic clip of the tissue perforating suture device with the wire is attached to the edge of the perforated tissue, and the tissue is clamped, and then the hemostasis is clamped from the release device.
  • the other end of the pull wire protrudes out of the body through the endoscopic forceps hole, and then the hemostatic clip of another tissue perforating suture device with a wire is attached to the edge of the tissue at the other end of the perforation, and clamps the tissue, and then hemostasis
  • the clip is separated from the release device, and the other end of the pull wire is also extended out of the body through the endoscope clamp hole, and the hemostasis clip on the remaining tissue perforation suture device is sequentially clamped to the remaining tissue edge, and the other end of the pull wire is also passed through the endoscopic forceps.
  • Figure 1 is a schematic view showing the structure of a tissue perforation suturing device with a wire drawing of the present invention
  • FIG. 2 is a schematic structural view of a tissue perforating suturing device with a threading hole hemostatic clip of the present invention
  • FIG. 3 is a flow chart of a suturing method using the combined tissue perforating suturing device of the first embodiment
  • FIG. 5 is a flow chart of the suturing method using the combined tissue perforating suturing device of the first embodiment
  • FIG. 6 is a flowchart of using the first embodiment
  • FIG. 7 is a flow chart of a suturing method using the combined tissue perforation suturing device of the first embodiment; wherein 5 is tissue and 6 is tissue wound .
  • a combined tissue perforating suturing device comprises a pull wire 1 and at least two tissue perforating suturing devices, the tissue perforating suturing device comprising a hemostatic clip 2 and a release 3, the hemostatic clip 2 being separably Mounted on the head end of the release device 3, one end of the pull wire 1 is fixed on the hemostatic clip 2 of one of the tissue perforating suturing devices, and the hemostatic clip 2 of the remaining tissue perforating stapler is provided with a threading hole 2 which can pass through the pull wire 1 -2.
  • the hemostatic clip 2 has a hemostatic clip assembly 2-1.
  • the other end of the pull wire 1 may extend to the tail of the release 3.
  • the tissue perforation suturing device in this embodiment has two or more, but is not limited thereto.
  • the release device 3 includes a jacket 3-1, a handle 3-2, a movable release lever 3-3, and a movable handle 3-4, and the movable release lever 3-3 is axially movably inserted in the outer casing.
  • the movable handle 3-4 is disposed at the rear end of the movable release lever 3-3
  • the handle 3-2 is disposed at the rear end of the outer casing 3-1.
  • the perforation of the tissue is found under the digestive endoscope, the hemostatic clip 2 of the tissue perforating suturing device with the cable 1 is attached to the edge of the perforated tissue, and the tissue is clamped, and then the hemostatic clip 2 is separated from the releaser, and the pull wire 1 is further One end protrudes out of the body through the endoscopic forceps hole, and then the wire 1 is passed through the threading hole 2-2 on the hemostatic clip 2 of the other tissue perforating suture device, and the hemostatic clip 2 is descended along the wire 1 to the perforation.
  • a locking block 4 can be attached along the pull wire 1, and the locking block 4 is fixed to the pull wire 1 against the edge of the last hemostatic clip 2, and the hemostatic clip is closed and tightened by the locking block 4, and the pull wire 1 is cut.
  • the perforation of the big mouth is basically closed, the risk of surgery is greatly reduced, and then the conventional hemostasis method can be used, so that the hemostasis suture of the perforation site can be quickly realized under the digestive endoscope, and the tissue wound can be closed to the surgery.
  • the purpose of treatment to avoid the occurrence of medical malpractice.
  • the locking block 4 and the cable 1 can be fixed in the manner that the cable 1 is sleeved outside the locking block 4, and then the external force is applied by the pliers to tighten and fix, or the male and female sleeves are used to engage the clamping cable 1.
  • the implementation manner can be various. Not limited to this.
  • a combined tissue perforation stapling instrument comprising a pull wire 1 and at least two tissue perforation suturing devices comprising a hemostatic clip 2 and a release 3, the hemostatic clip 2 being detachably mounted at the head end of the release 3
  • the pull wires 1 are also at least two, and are in one-to-one correspondence with the tissue perforating suturing device, and one end of the pull wire 1 is fixed on the hemostatic clip 2 of the corresponding tissue perforating suturing device.
  • the other end of the pull wire 1 extends to the tail of the corresponding release 3. ⁇ / ⁇ " .
  • the release device 3 includes a jacket 3-1, a handle 3-2, a movable release lever 3-3 and a movable handle 3-4, and the movable release lever 3-3 is axially movably inserted in the outer casing 3-1, the movable handle 3 -4 is provided at the end of the movable release lever 3-3, and the handle 3-2 is disposed at the rear end of the outer casing 3-1.
  • the perforation of the tissue was found under digestive endoscopy, and the hemostatic clip of the tissue perforation suture device with the wire was attached to the edge of the perforated tissue, and the tissue was clamped, and then the hemostatic clip was separated from the release device, and the other end of the cable was passed through the endoscope.
  • the forceps hole extends out of the body, and then the hemostatic clip of another tissue perforating suture device with a wire is attached to the tissue edge at the other end of the perforation, and the tissue is clamped, and then the hemostatic clip is separated from the release device, and the wire is pulled apart.
  • One end also protrudes out of the body through the endoscope clamp hole, and the hemostasis clip on the remaining tissue perforating suture device is sequentially clamped to the edge of the remaining tissue, and the other end of the cable is also extended through the endoscopic forceps hole, and then pulled Tightly pull the thread, slowly close all the hemostatic clips, tighten the perforated tissue, of course, you can also close the hemostatic clip by tightening the locking block by tightening all the pull wires, so that you can quickly achieve the right under the digestive endoscope.
  • the hemostasis suture of the perforation site closes the tissue wound to achieve the purpose of surgical treatment, thereby avoiding the occurrence of medical accidents.

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

Abstract

La présente invention concerne un instrument de suture de ponction de tissu de type combinaison comprenant un fil métallique (1) et au moins deux dispositifs de suture de ponction du tissu qui comprennent une pince hémostatique (2) et un dispositif de libération (3), la pince hémostatique (2) peut être montée de manière détachable au niveau d'une extrémité avant du dispositif de libération (3), une extrémité du fil métallique (1) est fixée sur la pince hémostatique (2) d'un dispositif de suture de ponction de tissu, et chaque pince hémostatique (2) des dispositifs de suture de ponction de tissu restants est dotée d'un trou de filetage (2-2) à travers lequel le fil métallique (1) peut passer. L'instrument de suture de ponction de tissu de type combinaison peut permettre la suture de sites ponctionnés rapidement sous gastro-endoscope pour éviter la survenue d'une négligence médicale.
PCT/CN2013/001599 2013-10-31 2013-12-19 Instrument de suture de ponction de tissu de type combinaison WO2015061932A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201310524865.3 2013-10-31
CN201310524865.3A CN103536327A (zh) 2013-10-31 2013-10-31 组合式组织穿孔缝合器械

Publications (1)

Publication Number Publication Date
WO2015061932A1 true WO2015061932A1 (fr) 2015-05-07

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ID=49960459

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2013/001599 WO2015061932A1 (fr) 2013-10-31 2013-12-19 Instrument de suture de ponction de tissu de type combinaison

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CN (1) CN103536327A (fr)
WO (1) WO2015061932A1 (fr)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020128667A1 (en) * 2001-03-07 2002-09-12 Olympus Optical Co., Ltd. Apparatus for ligating living tissues
US20030130669A1 (en) * 2002-01-10 2003-07-10 Damarati John Jairo Method and device for endoscopic suturing
US20070142838A1 (en) * 2005-12-19 2007-06-21 Christopher Jordan Surgical suture staple and attachment device for securing a soft tissue to a bone
EP1929960A1 (fr) * 2006-11-14 2008-06-11 Olympus Medical Systems Corp. Pince de suture à perforation et dispositif de pince
CN102727276A (zh) * 2012-07-05 2012-10-17 安瑞医疗器械(杭州)有限公司 一种组织止血夹持装置
CN103371860A (zh) * 2012-04-26 2013-10-30 常州乐奥医疗科技有限公司 内窥镜用缝合辅助装置
CN203555803U (zh) * 2013-10-31 2014-04-23 王东 组合式组织穿孔缝合器械

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6635073B2 (en) * 2000-05-03 2003-10-21 Peter M. Bonutti Method of securing body tissue
DE20205204U1 (de) * 2002-04-04 2002-06-06 Aesculap Ag & Co Kg Faden-Anker-System zum Verbinden von Gewebeteilen und Instrument zum Einsetzen eines Ankerimplantats
AU2008289256B2 (en) * 2007-08-17 2013-05-09 Cook Medical Technologies Llc Visceral staples for purse-string closure of perforations

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020128667A1 (en) * 2001-03-07 2002-09-12 Olympus Optical Co., Ltd. Apparatus for ligating living tissues
US20030130669A1 (en) * 2002-01-10 2003-07-10 Damarati John Jairo Method and device for endoscopic suturing
US20070142838A1 (en) * 2005-12-19 2007-06-21 Christopher Jordan Surgical suture staple and attachment device for securing a soft tissue to a bone
EP1929960A1 (fr) * 2006-11-14 2008-06-11 Olympus Medical Systems Corp. Pince de suture à perforation et dispositif de pince
CN103371860A (zh) * 2012-04-26 2013-10-30 常州乐奥医疗科技有限公司 内窥镜用缝合辅助装置
CN102727276A (zh) * 2012-07-05 2012-10-17 安瑞医疗器械(杭州)有限公司 一种组织止血夹持装置
CN203555803U (zh) * 2013-10-31 2014-04-23 王东 组合式组织穿孔缝合器械

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