CN100515351C - Successive type deep tissue stitching instrument - Google Patents

Successive type deep tissue stitching instrument Download PDF

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Publication number
CN100515351C
CN100515351C CNB2008100107107A CN200810010710A CN100515351C CN 100515351 C CN100515351 C CN 100515351C CN B2008100107107 A CNB2008100107107 A CN B2008100107107A CN 200810010710 A CN200810010710 A CN 200810010710A CN 100515351 C CN100515351 C CN 100515351C
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China
Prior art keywords
low
slideway
slide block
shell
hook
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Expired - Fee Related
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CNB2008100107107A
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Chinese (zh)
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CN101243985A (en
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田海
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Individual
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Individual
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Abstract

The invention discloses a continuous deep tissue sutural unit, belonging to surgical medical instrument, which is characterized in comprising a casing, a driving device and a lock thread device; wherein, the casing comprises a lower and an upper parts through locking; the driving device comprises an inner rod, a rack and a central axis; the lock thread device comprises a thread jamming device, a high slide way and a low slide way; the high slide way and the low slide way are arranged in parallel at the front part of the casing and are combined together at the tail end of suture needle. The continuous deep tissue sutural unit can be widely applied in operation suturing upon patients such as surgery and otorhinolaryngology in large-size, middle-size and small-size hospitals and clinics. The continuous deep tissue sutural unit can be used in an endoscope if the sutural unit is made small enough. The continuous deep tissue sutural unit has the advantages of continuous operation, stable operation, convenience and swiftness, safe and easy replacement of vulnerable parts and simple production process.

Description

Successive type deep tissue stitching instrument
Technical field
The invention belongs to technical field of medical instruments, relate in particular to a kind of surgical medical equipment---successive type deep tissue stitching instrument.
Background technology
Application number is that 2005200918221 utility model patent " deep tissue stitching instrument " discloses a kind of apparatus that surgical operation is sewed up that is used for, comprise interior bar, urceolus, sewing needle, stitching is during than the deep bit organization, stiching instrument is stretched into the desire suture tissue, the pulling urceolus, tissue is passed in the sewing needle motion, and fixing-line device hooks suture, pull out stiching instrument and form the state that suture passes tissue, finish once-through operation.Though this stiching instrument is simple and easy to do, each operation can only be sewed up a pin, can not continued operation, and also stability is not strong, requires complex manufacturing, can not make very little model.
Summary of the invention
The objective of the invention is to propose the deep tissue stitching instrument of a kind of energy continued operation, in sewing process, can avoid big otch to reduce surgical injury and the purpose that reduces patient's misery to reach.Guarantee that simultaneously sew application is stable, reliable, and can shorten operating time.Can reduce the stitching difficulty in the narrow location such as reaching otorhinolaryngology in the oral cavity greatly,, make the non-incision operation become possibility if being installed to use in the endoscope then can finish from natural hole approach performs the operation in the complicated body.
The successive type deep tissue stitching instrument that the present invention proposes, comprise interior bar, urceolus, sewing needle, it is characterized in that: shell is arranged, driving mechanism and locking wire device, shell becomes hermetic type for two parts up and down fasten, its arc one side has and exceeds planar outer, driving mechanism has interior bar, tooth bar, axis, revolve the pin device, interior bar front end stationary rack, be positioned at shell mechanism, axis crosses planar central on the shell, the axle core upper and lower side of axis is embedded in respectively and is fixed on shell up and down on the two-part bearing, the axis foot is provided with gear, this gear and the tooth bar engagement that is fixed on interior bar front end, the topmost of axis is a latch, it below the latch pallet, it below the pallet wire spool, it below the wire spool plane on the shell, revolve the pin device and place shell upper, the circular hole that revolves the pin device is stuck in the latch on axis top, sewing needle is fixed on clamp and revolves on the pin device, the locking wire device has fixing-line device, high slideway, low slideway, fixing-line device is equipped with near the sewing needle afterbody in the plane on shell, parallel high slideway and low slideway side by side is equipped with in the front portion of shell, high slide groove and low slide groove that horizontal external-open is arranged in high slideway and the low slideway, low slideway is blended in the last plane of shell, high slideway is positioned at low slideway top, and be parallel to low slideway, high slideway melts merging traffic with low slideway under fixing-line device, high slide block places in the high slideway and with high slideway and is slidingly connected, low slide block places in the low slideway and with low slideway and is slidingly connected, high slide block is identical with the initiating terminal distance with low slide block original position, there is high hook in the high slide block outside, there is low hook in the low slide block outside, high slide block is connected with the high sliding block spring that is fixed in the end near sewing needle syringe needle stationary end, the high slide block backguy of another termination, high slide block backguy along high slide groove by front wheel and rear wheel on the wire spool at axis middle part, low slide block is connected with the low sliding block spring that is fixed in the end near sewing needle syringe needle stationary end, another termination is hanged down the slide block backguy, low slide block backguy along low slide groove also by front wheel and rear wheel on the wire spool at axis middle part, high slide block backguy and low slide block backguy are merged into the backguy of loop line device between rear wheel and wire spool, stitching thread passes from sewing up pin hole.
The latch of described axis, pallet and wire spool are structure as a whole, and the borehole jack of wire spool bottom is having on the axis axle core of bayonet lock.
Described fixing-line device by plate washer with become the guy hook of fixed angle to form with baffle plate, guy hook afterbody and baffle plate rear end are fixed together, and are with shell and are rotationally connected.The hook of described guy hook opens towards sewing needle syringe needle stationary end direction, and the hook of high hook and low hook also opens towards sewing needle syringe needle stationary end direction.
Described front wheel places high slideway of sewing needle afterbody end and inboard, front end upper surface of outer cover outer, low slideway joint, and rear wheel places inboard, fixing-line device back shell upper surface outer.
Described high slideway is higher than 1 to 2 millimeter of low slideway height, and high slideway and both sides, low slide groove top all have the edge.
Use the present invention's stitching that undergos surgery, can carry out continued operation, and stable operation, convenient and swift, reliable and secure, consumable accessory is changed easily.Production technology of the present invention is simple, is widely used in various large, medium and small type hospitals and clinic to patients such as surgery, the department of otorhinolaryngology stitching that undergos surgery, and is little as stiching instrument is done, and can be applicable to endoscope.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Fig. 2 is an axis front view of the present invention.
Fig. 3 is high slideway of the present invention and low slideway side view.
Fig. 4 is an AA cutaway view of the present invention.
The specific embodiment
Below in conjunction with description of drawings the specific embodiment of the present invention.
As shown in Figure 1 and Figure 2:
The successive type deep tissue stitching instrument that the present invention proposes, comprise interior bar, urceolus, sewing needle, it is characterized in that: shell 3 is arranged, driving mechanism and locking wire device, shell 3 becomes hermetic type for two parts up and down fasten, its arc one side has and exceeds planar outer 21, driving mechanism has interior bar 1, tooth bar 19, axis 19, revolve pin device 5, interior bar 1 front end stationary rack 20, be positioned at shell 3 structures, axis 19 crosses planar central on the shell 3, axle core 28 upper and lower sides of axis 19 are embedded in respectively and are fixed on shell about in the of 3 on the two-part bearing, axis 19 foots are provided with gear 23, this gear 23 and tooth bar 20 engagements that are fixed on interior bar 1 front end, the topmost of axis 19 is latches 25, it below the latch 25 pallet 27, it below the pallet 27 wire spool 24, it below the wire spool 24 plane on the shell 3, revolve pin device 5 and place shell 3 tops, the circular hole that revolves pin device 5 is stuck in the latch 25 on axis 19 tops, sewing needle 4 usefulness clamps 6 are fixed on and revolve on the pin device 5, the locking wire device has fixing-line device 9, high slideway 12, low slideway 32, fixing-line device 9 is equipped with near sewing needle 4 afterbodys in the plane on shell 3, parallel high slideway 12 and low slideway 32 side by side is equipped with in the front portion of shell 3, high slide groove 33 and low slide groove 34 that horizontal external-open is arranged in high slideway 12 and the low slideway 32, low slideway 32 is blended in the last plane of shell 3, high slideway 12 is positioned at low slideway 32 tops, and be parallel to low slideway 32, high slideway 12 melts merging traffic at fixing-line device 9 times and low slideway 32, high slide block 14 places in the high slideway 12 and with high slideway 12 and is slidingly connected, low slide block 29 places in the low slideway 32 and with low slideway 32 and is slidingly connected, high slide block 14 is identical with the initiating terminal distance with low slide block 29 original positions, there is high hook 15 in high slide block 14 outsides, there is low hook 30 in low slide block 29 outsides, high slide block 14 is connected with the high sliding block spring 16 that is fixed in the end near sewing needle 4 syringe needle stationary end, the high slide block backguy 13 of another termination, high slide block backguy 13 along high slide grooves 33 by front wheel 11 and rear wheel 8 on the wire spool 24 at axis 19 middle parts, low slide block 29 is connected with the low sliding block spring 35 that is fixed in the end near sewing needle 4 syringe needle stationary end, another termination is hanged down slide block backguy 31, low slide block backguy 31 is also passed through front wheel 11 and rear wheel 8 on the wire spool 24 at axis 19 middle parts along low slide groove 34, high slide block backguy 13 and low slide block backguy 31 are merged into loop line device backguy 7 between rear wheel 8 and wire spool 24, stitching thread 17 passes from sewing up pin hole 18.
The latch 25 of described axis 19, pallet 27 and wire spool 24 are structure as a whole, and the borehole jack of wire spool 24 bottoms is having on the axis axle core 28 of bayonet lock 26.
Described fixing-line device 9 is made up of with the guy hook 10 that becomes fixed angle with baffle plate plate washer 22, and guy hook 10 afterbodys and baffle plate 22 rear ends are fixed together, and is with shell 3 and is rotationally connected.The hook of described guy hook 10 opens towards sewing needle 4 syringe needle stationary end directions, and the hook of high hook 15 and low hook 30 also opens towards sewing needle 4 syringe needle stationary end directions.
Described front wheel 11 places 21 inboards, end housing 3 upper surface outers before high slideway 12 of sewing needle 4 afterbody ends and low slideway 32 joints, and rear wheel 8 places 21 inboards, fixing-line device 9 back shell, 3 upper surface outers.Outer 21 shields.
As shown in Figure 3, Figure 4, described high slideway 12 is higher than 1 to 2 millimeter of low slideway 32 height, and high slideway 12 and both sides, low slideway 32 groove top all have the edge.
When undergoing surgery stitching, stitching thread 17 is passed from sewing up pin hole 18.Aim at the starting position that patient's trauma wounds need be sewed up, hold urceolus 2, bar 1 in promoting, driving tooth bar 20 moves forward, axis 19 is rotated counterclockwise under gear 20 drives, under bayonet lock 26 drives that are embedded on the core 28, latch 25 is done and is rotated counterclockwise, latch 25 drives again and revolves pin device 5 and and then be rotated counterclockwise, and drives to be fixed on the sewing needle 4 that revolves on the pin device 5 and to pass to do in the shell 3 simultaneously and be rotated counterclockwise, and penetrates with the sewing needle 4 of stitching thread 17 lobe from skin and muscular tissue, pass from another lobe, baffle plate 22 is moved on the pinnacle of sewing needle 4, and guy hook 10 ejects immediately, and hooks a stitching thread 17 on sewing needle 4 syringe needles.Meanwhile, under bayonet lock 26 drives that are embedded on the core 28, wire spool 24 is rotated counterclockwise, tension is around top high slide block backguy 13 and 31 two backguys of low slide block backguy, high slide block 14 and low slide block 29 are moved to guy hook 10 directions, and during to fixing-line device 9 bottoms, high slide block 14 also is in the same place with low slide block 29, high hook 15 and low hook 30 overlap, and tangle a stitching thread 17 that is hooked by guy hook 10 simultaneously.At this moment, first pin is promptly sewed up and is finished.
Hold urceolus 2, bar 1 in pulling out, tooth bar 20 drives axis 19 and clockwise rotates, and latch 25 blocks and revolves pin device 5 and clockwise rotate, and drives sewing needle 4 and also clockwise rotates, and sewing needle 4 is being with stitching thread 17 to withdraw from from sew up wound.Because axis 19 turns clockwise, under bayonet lock 26 effects, wire spool 24 also turns clockwise, high slide block backguy 13 and low slide block backguy 31 on wire spool 24 are loosened simultaneously, under the effect of high sliding block spring 16 and low sliding block spring 35, high slide block 14 and low slide block 29 are pulled back to original position, and a stitching thread 17 that hangs on high hook 15 and the low hook 30 is pulled simultaneously, and separates gradually.
Hold urceolus 2, promote inner core 1, tooth bar 20 moves forward, axis 19 is rotated counterclockwise under gear 23 drives, the needle point that is fixed on the sewing needle 4 that revolves on the pin device 5 passes from stitching thread 17 spaces that high hook 15 and low hook 30 separate, a lobe position of sewing up second pin at needs penetrates, and passes from another lobe, implements to sew up second pin.So repeatable operation can be carried out skin and muscle deep tissues sew application continuously.
Bar 1, sewing needle 4 in of the present invention, revolve parts such as pin device 5, clamp 6, rear wheel 8, front wheel 11, baffle plate 22, guy hook 10, high slideway 12, low slideway 32, high slide block 14, low slide block 29, high sliding block spring 16, low sliding block spring 35, high hook 15, low hook 30, tooth bar 20, gear 23, wire spool 24, latch 25, bayonet lock 26, pallet 27, axle core 28 and various backguys and can both freely dismantle, cleaning and sterilizing is safeguarded and is changed.

Claims (5)

1, a kind of successive type deep tissue stitching instrument, comprise interior bar, urceolus, sewing needle, it is characterized in that: shell is arranged, driving mechanism and locking wire device, shell becomes hermetic type for two parts up and down fasten, its arc one side has and exceeds planar outer, driving mechanism has interior bar, tooth bar, axis, revolve the pin device, interior bar front end stationary rack, be positioned at shell mechanism, axis crosses planar central on the shell, the axle core upper and lower side of axis is embedded in respectively and is fixed on shell up and down on the two-part bearing, the axis foot is provided with gear, this gear and the tooth bar engagement that is fixed on interior bar front end, the topmost of axis is a latch, it below the latch pallet, it below the pallet wire spool, it below the wire spool plane on the shell, revolve the pin device and place shell upper, the circular hole that revolves the pin device is stuck in the latch on axis top, sewing needle is fixed on clamp and revolves on the pin device, the locking wire device has fixing-line device, high slideway, low slideway, fixing-line device is equipped with near the sewing needle afterbody in the plane on shell, parallel high slideway and low slideway side by side is equipped with in the front portion of shell, high slide groove and low slide groove that horizontal external-open is arranged in high slideway and the low slideway, low slideway is blended in the last plane of shell, high slideway is positioned at low slideway top, and be parallel to low slideway, high slideway melts merging traffic with low slideway under fixing-line device, high slide block places in the high slideway and with high slideway and is slidingly connected, low slide block places in the low slideway and with low slideway and is slidingly connected, high slide block is identical with the initiating terminal distance with low slide block original position, there is high hook in the high slide block outside, there is low hook in the low slide block outside, high slide block is connected with the high sliding block spring that is fixed in the end near sewing needle syringe needle stationary end, the high slide block backguy of another termination, high slide block backguy along high slide groove by front wheel and rear wheel on the wire spool at axis middle part, low slide block is connected with the low sliding block spring that is fixed in the end near sewing needle syringe needle stationary end, another termination is hanged down the slide block backguy, low slide block backguy along low slide groove also by front wheel and rear wheel on the wire spool at axis middle part, high slide block backguy and low slide block backguy are merged into the backguy of loop line device between rear wheel and wire spool, stitching thread passes from sewing up pin hole.
2, successive type deep tissue stitching instrument according to claim 1 is characterized in that: the latch of described axis, pallet and wire spool are structure as a whole, and the hole of wire spool bottom is inserted in the axis axle in-core that has bayonet lock.
3, successive type deep tissue stitching instrument according to claim 1, it is characterized in that: described fixing-line device by plate washer with become the guy hook of fixed angle to form with baffle plate, guy hook afterbody and baffle plate rear end are fixed together, and be with shell and be rotationally connected, the hook of described guy hook opens towards sewing needle syringe needle stationary end direction, and the hook of high hook and low hook also opens towards sewing needle syringe needle stationary end direction.
4, successive type deep tissue stitching instrument according to claim 1, it is characterized in that: described front wheel places high slideway of sewing needle afterbody end and inboard, front end upper surface of outer cover outer, low slideway joint, and rear wheel places inboard, fixing-line device back shell upper surface outer.
5, successive type deep tissue stitching instrument according to claim 1 is characterized in that: described high slideway is higher than 1 to 2 millimeter of low slideway height, and high slideway and both sides, low slide groove top all have the edge.
CNB2008100107107A 2008-03-21 2008-03-21 Successive type deep tissue stitching instrument Expired - Fee Related CN100515351C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNB2008100107107A CN100515351C (en) 2008-03-21 2008-03-21 Successive type deep tissue stitching instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNB2008100107107A CN100515351C (en) 2008-03-21 2008-03-21 Successive type deep tissue stitching instrument

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CN101243985A CN101243985A (en) 2008-08-20
CN100515351C true CN100515351C (en) 2009-07-22

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Families Citing this family (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102626333B (en) * 2012-04-29 2014-02-05 中南大学 Needle-withdrawing and line-leading suture instrument
ES2661377T3 (en) 2012-09-26 2018-03-28 Children's National Medical Center Anastomosis ligation tool with half loop clip
US9173655B2 (en) * 2012-12-13 2015-11-03 Ethicon Endo-Surgery, Inc. Needle driver and pawl mechanism for circular needle applier
CN103565484A (en) * 2013-08-24 2014-02-12 郑科 Minz deep tissue suture method and minz deep tissue suture instrument
CN103494625B (en) * 2013-08-30 2016-02-24 北京中法派尔特医疗设备有限公司 A kind of purse-string forceps automatically
CN103598914B (en) * 2013-12-03 2015-08-19 青岛市市立医院 A kind of gastroscope operation device
CN104739465B (en) * 2013-12-31 2017-02-15 深圳市鹏瑞智能技术应用研究院 Skin stapler
US9526495B2 (en) 2014-06-06 2016-12-27 Ethicon Endo-Surgery, Llc Articulation control for surgical instruments
US10022120B2 (en) 2015-05-26 2018-07-17 Ethicon Llc Surgical needle with recessed features
USD800306S1 (en) 2015-12-10 2017-10-17 Ethicon Llc Surgical suturing device
CN105434000B (en) * 2016-01-25 2018-02-27 王中显 A kind of medical sewing needle device
CN106725673B (en) * 2017-03-16 2023-02-14 中国人民解放军联勤保障部队第九00医院 Endoscope stitching instrument

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