CN105232098A - Puncture device hole suturing instrument for endoscopic surgery - Google Patents
Puncture device hole suturing instrument for endoscopic surgery Download PDFInfo
- Publication number
- CN105232098A CN105232098A CN201510687290.6A CN201510687290A CN105232098A CN 105232098 A CN105232098 A CN 105232098A CN 201510687290 A CN201510687290 A CN 201510687290A CN 105232098 A CN105232098 A CN 105232098A
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- CN
- China
- Prior art keywords
- suturing
- cylinder
- needles
- pushing
- needle
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- Legal status (The legal status 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 status listed.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic 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
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0409—Instruments for applying 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
- A61B17/04—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
- A61B2017/0412—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 anchoring barbs or pins extending outwardly from suture anchor body
-
- 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
- A61B2017/0427—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 anchoring barbs or pins extending outwardly from the anchor body
-
- 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
- A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
-
- 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
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Rheumatology (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
The invention discloses a puncture device hole suturing instrument for an endoscopic surgery. The suturing instrument comprises a cylindrical body which is 11mm in diameter; and under a non-working state, thread suturing needles are accommodated in the cylindrical body. Pushed by a needle pushing rod, the thread suturing needles can be moved away from the cylindrical body in a predetermined track. The bottom end of the needle pushing piece is comparatively high, and the needle pushing piece, under the traction of a traction thread, can push the tail ends of the thread suturing needles to move away from the cylindrical body. The suturing instrument has the advantages that by virtue of one thread and two needles which are accommodated in the cylindrical body in advance, the suturing instrument can complete tissue puncture suturing under a working state conveniently and rapidly; through barbs at the front ends of the pre-set suturing needles, the suturing needles, as entering a needle locating area, are prevented from moving back, so that the suturing instrument can take the suturing needles out of tissue easily to complete suturing; the suturing instrument is simple and practical in structure and is convenient to use; and the suturing disclosed by the invention can greatly reduce a time of suturing puncture holes of a puncture device and can effectively reduce related complications.
Description
Technical field
The present invention relates to technical field of medical instruments, the stitching of 12mm perforator puncturing hole at the end of relating to laparoscopic surgery specifically.
Background technology
Development along with endoscopic technic and the extensive use at surgical field, the theory of minimally invasive surgery is rooted in the hearts of the people gradually.Endoscopic technic is the foundation stone of minimally invasive surgery, and chamber mirror technology is one of the most frequently used endoscopic technic.Compared with Tradtional laparotomy, endoscope-assistant surgery wound is little, and post-operative recovery is fast.Implement, in the process of chamber mirror, first will set up pneumoperitoneum, then according to operation demand, open 5mm or 12mm handle hole at proper site perforator (hereinafter referred to as Trocar) at stomach wall.After operation, need that stitching is carried out to these handle holes and close.Studies have reported that the Trocar puncture procedure hole of not row closedown, a series of relevant post-operative complication can occur, as infection, Trocar hole hernia etc.But because Trocar puncturing hole diameter is at about 10mm, close each layer tissue in abdominal cavity if want in so narrow space, operate very difficult, in the patient of the stomach wall plumpnesses such as obesity, operation easier is larger.
Therefore, be necessary very much to improve the closedown mode in current Trocar hole, simplify suture way, reduce post-operative complication.
Summary of the invention
Object of the present invention mainly for the technical problem that the stitching of 12mm perforator puncturing hole during current endoscope-assistant surgery is closed, provides a kind of simple, practical perforator hole stiching instrument.
Above-mentioned technical problem is mainly solved by following technical proposals:
A kind of perforator hole stiching instrument for endoscope-assistant surgery, comprise cylinder and hemispherical cap 1 that diameter is 11mm, hemispherical cap 1 lower end is connected with the slot of cylinder top end, and hemispherical cap 1 bottom is connected with the pushing needle bar 3 in cylinder, and it is inverted Y-shaped that pushing needle bar 3 end is provided with Liang Ge branch composition; Cylinder caudal part radial direction offers couple of conductor hole 6, and cylinder tail end is provided with the storage line chamber 9 under shed, establishes part 7 of pushing pin in cylinder; Both sides, hemispherical cap 1 lower end are connected with draught line 2, and draught line 2 other end is connected with part 7 of pushing pin by wire guide 6; Also be symmetrically arranged with two band line suture needle 5, two band line suture needle 5 in cylinder to be connected by absorbable thread 8, be placed under absorbable thread 8 off working state in storage line chamber 9.
Part 7 of pushing pin is the metal groove of band wire.
Band line suture needle 5 closes in cylinder in a non-operative state, contacts with the Liang Ge branch of pushing needle bar 3 end; With line suture needle 5 in working order under released by wire guide 6 through the promotion of pushing needle bar 3.
Band line suture needle 5 tip is provided with agnail.
Cylinder stage casing is provided with pin ribbon area 4, for band line suture needle 5 through its reverse movement of rear prevention.
The advantage of a kind of perforator hole stiching instrument for endoscope-assistant surgery of the present invention is:
1, preset line two pin is in circular cylinder, completes tissue penetration and sew up under duty, convenient and swift;
2, preset suture needle front end is with agnail, can not exit after entering Zhe Zhen district again, is easy to take suture needle out of tissue, completes stitching;
3, simple and practical, easy to use;
4, the present invention can shorten the suture time of perforator puncturing hole greatly, effectively reduces related complication.
Accompanying drawing explanation
Schematic diagram when Fig. 1 is off working state of the present invention.
When Fig. 2 is duty of the present invention, suture needle is pushed out cylindrical schematic diagram.
Backshank is pushed away cylindrical schematic diagram after the present invention completes puncture by Fig. 3.
Fig. 4 is the schematic diagram with band wire double needle in cylinder of the present invention.
In figure, 1 is hemispherical cap, and 2 is draught line, and 3 is pushing needle bar, and 4 is pin ribbon area, and 5 is band line suture needle, and 6 is wire guide, and 7 for pushing pin part, and 8 is absorbable thread, and 9 is storage line chamber.
Detailed description of the invention
Below in conjunction with accompanying drawing, be further described the present invention: as Figure 1-4, a kind of perforator hole stiching instrument for endoscope-assistant surgery, comprises the cylinder of diameter 11mm, and under off working state, band line suture needle 5 closes in cylinder.Cylinder can be pushed away under the promotion of pushing needle bar 3 with line suture needle, move along desired trajectory under the promotion of part 7 of pushing pin.Part 7 bottom of pushing pin is slightly high, drives part 7 push belt line suture needle 5 tail end of pushing pin to depart from cylinder under the traction of draught line 2.
Embodiment:
The operation principle of apparatus of the present invention is as follows: its tail end is inserted intraperitoneal by the Trocar of 12mm by apparatus of the present invention.Exit 12mmTrocar, determine that apparatus of the present invention are after band line suture needle is released cylinder from cylinder side wire guide 6 by pushing needle bar, its needle point is below peritoneum.By outside for apparatus of the present invention tractive, complete the puncture of sheath before and after rectus abdominis m.; Further tractive cylinder head end hemispherical cap, drags draught line, pulls part of pushing pin, predetermined arcuate movement of having pushed pin, and band line suture needle tail end is pushed away cylinder.A band wire point needle end thrusts pin ribbon area, can not exit.Now this device is exited abdominal cavity completely, complete stitching.
The concrete using method of the present invention is as follows:
After endoscope-assistant surgery completes, before eliminating pneumoperitoneum, its tail end is inserted intraperitoneal by the Trocar of 12mm by apparatus of the present invention.Exit 12mmTrocar, by hemispherical cap 1 pushing ejector pin bar 3 downwards, band wire minute hand 5 is exited cylinder and is about 5mm.Now band wire minute hand 5 has been placed on predetermined arc track.By outside for apparatus of the present invention tractive, complete the puncture of sheath before and after rectus abdominis m..Tractive cylinder head end hemispherical cap 1, drags draught line 2, pulls part 7 of pushing pin, predetermined arcuate movement of having pushed pin, and band line suture needle tail end is pushed away cylinder by wire guide 6.A band wire point needle end can not exit after thrusting pin ribbon area 4.Now this device is exited abdominal cavity completely, complete stitching.
The above is most preferred embodiment of the present invention, not does any pro forma restriction to the present invention, every above example is done according to technical spirit of the present invention any simple modification, equivalent variations and modification, all still fall within the scope of protection of the present invention.
Claims (5)
1. the perforator hole stiching instrument for endoscope-assistant surgery, comprise cylinder and hemispherical cap (1) that diameter is 11mm, it is characterized in that: hemispherical cap (1) lower end is connected with the slot of cylinder top end, hemispherical cap (1) bottom is connected with the pushing needle bar (3) in cylinder, and it is inverted Y-shaped that pushing needle bar (3) end is provided with Liang Ge branch composition; Cylinder caudal part radial direction offers couple of conductor hole (6), and cylinder tail end is provided with the storage line chamber (9) under shed, establishes part of pushing pin (7) in cylinder; Hemispherical cap (1) both sides, lower end are connected with draught line (2), and draught line (2) other end is connected with part of pushing pin (7) by wire guide (6); Also be symmetrically arranged with two band line suture needles (5) in cylinder, two bands line suture needle (5) are connected by absorbable thread (8), are placed in storage line chamber (9) under absorbable thread (8) off working state.
2., as claimed in claim 1 for the perforator hole stiching instrument of endoscope-assistant surgery, it is characterized in that: the metal groove that part of pushing pin (7) is band wire.
3. as claimed in claim 1 for the perforator hole stiching instrument of endoscope-assistant surgery, it is characterized in that: band line suture needle (5) closes in cylinder in a non-operative state, contacts with the Liang Ge branch of pushing needle bar (3) end; Released by the wire guide (6) of cylinder side through the promotion of pushing needle bar (3) under being with line suture needle (5) in working order.
4. as claimed in claim 1 for the perforator hole stiching instrument of endoscope-assistant surgery, it is characterized in that: band line suture needle (5) tip is provided with agnail.
5., as claimed in claim 1 for the perforator hole stiching instrument of endoscope-assistant surgery, it is characterized in that: cylinder stage casing is provided with pin ribbon area (4), for band line suture needle (5) through its reverse movement of rear prevention.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510687290.6A CN105232098B (en) | 2015-10-22 | 2015-10-22 | A kind of puncture outfit slit clutch for endoscope-assistant surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510687290.6A CN105232098B (en) | 2015-10-22 | 2015-10-22 | A kind of puncture outfit slit clutch for endoscope-assistant surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105232098A true CN105232098A (en) | 2016-01-13 |
| CN105232098B CN105232098B (en) | 2017-12-26 |
Family
ID=55030124
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510687290.6A Expired - Fee Related CN105232098B (en) | 2015-10-22 | 2015-10-22 | A kind of puncture outfit slit clutch for endoscope-assistant surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105232098B (en) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5700272A (en) * | 1992-09-04 | 1997-12-23 | Laurus Medical Corporation | Endoscopic suture system |
| US5868762A (en) * | 1997-09-25 | 1999-02-09 | Sub-Q, Inc. | Percutaneous hemostatic suturing device and method |
| CN1729939A (en) * | 2004-08-04 | 2006-02-08 | 深圳市第二人民医院 | Stitching instrument for laparoscope |
| CN201631266U (en) * | 2010-02-04 | 2010-11-17 | 南方医科大学 | Stitching instrument for puncture of laparoscope |
| CN202113107U (en) * | 2011-05-12 | 2012-01-18 | 南方医科大学 | Stitching device for laparoscope penetration hole |
-
2015
- 2015-10-22 CN CN201510687290.6A patent/CN105232098B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5700272A (en) * | 1992-09-04 | 1997-12-23 | Laurus Medical Corporation | Endoscopic suture system |
| US5868762A (en) * | 1997-09-25 | 1999-02-09 | Sub-Q, Inc. | Percutaneous hemostatic suturing device and method |
| CN1729939A (en) * | 2004-08-04 | 2006-02-08 | 深圳市第二人民医院 | Stitching instrument for laparoscope |
| CN201631266U (en) * | 2010-02-04 | 2010-11-17 | 南方医科大学 | Stitching instrument for puncture of laparoscope |
| CN202113107U (en) * | 2011-05-12 | 2012-01-18 | 南方医科大学 | Stitching device for laparoscope penetration hole |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105232098B (en) | 2017-12-26 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20171226 Termination date: 20181022 |