CN105310735A - Tissue closure nail - Google Patents

Tissue closure nail Download PDF

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Publication number
CN105310735A
CN105310735A CN201410697176.7A CN201410697176A CN105310735A CN 105310735 A CN105310735 A CN 105310735A CN 201410697176 A CN201410697176 A CN 201410697176A CN 105310735 A CN105310735 A CN 105310735A
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CN
China
Prior art keywords
nail
stitch
suture
skeleton
suturing
Prior art date
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.)
Granted
Application number
CN201410697176.7A
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Chinese (zh)
Other versions
CN105310735B (en
Inventor
周小驰
丁瑞芳
孙妹
孙嫕
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Second Military Medical University SMMU
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Second Military Medical University SMMU
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Publication date
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Priority to CN201410697176.7A priority Critical patent/CN105310735B/en
Publication of CN105310735A publication Critical patent/CN105310735A/en
Application granted granted Critical
Publication of CN105310735B publication Critical patent/CN105310735B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The invention provides a tissue closure nail, comprising a master suture nail and a slave suture nail fitting each other. The master suture nail comprises a first frame and at least two first suture members disposed at one end of the first frame and composed of two nail legs arranged side by side and in preset distance intervals; the slave suture nail comprises a second frame and a second suture member disposed at one end of the second frame; the first suture member and the second suture member have one barbed end far away from the frames; barbs on the suture members are opposite to each other; as a surgical suture plate provided by the invention is composed of the master suture nail and the slave suture nail fitting each other, the novel suture plate provided by the invention is no longer a factor limiting the openness degree of jaw parts of a suture clamp, the suture clamp can partly contract tissues on two sides of an incision, suturing operation is simplified, and labor output for medical staff is reduced.

Description

Tissue closure is followed closely
Technical field
The invention belongs to operation stitching nail field, be specifically related to a kind of tissue closure nail.
Background technology
Operation is one of conventional surgical treatment, and the utilization of endoscope-assistant surgery is popularized in the inexorable trend being all now and in the future surgical operation development.Endoscope-assistant surgery compares open surgery following advantage: the little post-operative recovery of wound is fast, go out the advantage such as insufficiency of blood, stomach wall cosmetic result.But the condition that significantly advantage is brought is that doctor will complete more refinements in little space.
Endoscope-assistant surgery myometrial suture mode conventional is at present suturing with thread management, but there is the deficiency of following three aspects in suturing with thread management: if a puncturing hole can not closely effectively be sewed up, the probability of postoperative incisional hernia complication is higher, and the risk of infection of incisional wound simultaneously also can increase substantially; Two, for the patient of build obesity, fat deposit is very thick, and traditional is difficult to peritoneal suture safely and effectively from skin surface suture way; Three, because suture needle is sharp weapon, being suitable for, the risk of accidentally injuring peripheral vessels and intestinal wall in process is very high, and the very complicated inconvenience of the operation sewing up knotting under the mirror of chamber.Meanwhile, suturing with thread management action needs operative doctor after long-time exercise, and ability skilled operation, needs 3 people to cooperate, just can complete sew application in the sewing process after having performed the operation.
The patent No. be 100556373C patent discloses a kind of endoscope-assistant surgery suturing nail, agnail is manufactured in the one or both ends of U-shaped nail, U-shaped nail is closed and is pressed with anti-slip veins simultaneously, and object is to prevent U-shaped nail by under the effect of the elastic restoring force of folder tissue, occurs slip phenomenon.But because the size of U-shaped nail is fixed, the stretching degree at the binding clip position of surgical suture forceps affects larger by U-shaped nail two ends distance, in practical application, after having performed the operation, first need two medical personnel to be organized operative incision both sides to shrink inwards, treat that otch two ends tissue approaches to a certain degree, re-use surgical suture forceps by myometrial suture.This kind of operation labor intensive, and need medical personnel to expend contraction that suitable great strength just can complete otch both sides tissue, when the tissue site that stitching is darker, manual operation is very inconvenient.
Summary of the invention
The present invention carries out for solving the problem, and object is by providing a kind of novel endoscope-assistant surgery sutural lamina, reduces the difficulty that existing endoscope-assistant surgery is sewed up further.
For solving the problem, present invention employs following technical scheme:
Tissue closure for endoscope-assistant surgery cut closure nail provided by the invention, there is such feature, comprise: female suturing nail, comprise the first skeleton and be arranged at first stitch of first skeleton one end, first stitch is at least two, and two nail lower limbs by being arranged side by side, spaced a predetermined distance form; And the sub-suturing nail to match with female suturing nail, comprise the second skeleton and be arranged at second stitch of second skeleton one end, second stitch is similarly at least two, wherein, when operation stitching sheet plays suturing, second stitch is followed closely in the gap between lower limbs by two of being embedded into the first stitch, the cooperation of realization and the first stitch.
Tissue closure nail provided by the invention, can also have such feature: the first stitch and the second stitch are away from skeleton one end all with agnail, and the agnail of the first stitch and the agnail of the second stitch are oppositely arranged.
Tissue closure nail provided by the invention, can also have such feature: the first skeleton band is fluted, the second skeleton is with projection, and the first skeleton is connected with male cooperation by groove with the second skeleton.
Tissue closure provided by the invention nail, can also have such feature: all with anti-slip veins in the skeleton of female suturing nail and sub-suturing nail and stitch.
Invention effect and effect
Follow closely according to tissue closure provided by the invention, be made up of the female suturing nail cooperatively interacted and sub-suturing nail, female suturing nail comprises the first skeleton and is arranged at first stitch of first skeleton one end, first stitch is at least two, and two nail lower limbs by being arranged side by side, spaced a predetermined distance form, sub-suturing nail comprises the second skeleton and is arranged at second stitch of second skeleton one end, first stitch and the second stitch away from described skeleton one end all with agnail, agnail in two kinds of stitch is oppositely arranged, female suturing nail of being worked in coordination by two panels due to operation stitching sheet provided by the invention and sub-suturing nail form, Novel suture sheet provided by the invention is made no longer to become the factor of restriction stitching clamp binding clip position stretching degree, stitching clamp can play the effect of retracted incisions both sides tissue to a certain extent, simplify sew application, alleviate the muscle power expenditure of medical personnel simultaneously.
In addition, female suturing nail and sub-suturing nail match when closing closure procedure cutting action, second stitch embeds in the first stitch, projection in second skeleton is embedded in the groove in the first skeleton, agnail in two stitch through needing closed tissue, ensure that the tight, tight of cut closure relatively.
Accompanying drawing explanation
Fig. 1 is the structural representation of tissue closure of the present invention nail;
Fig. 2 is the structural representation of female suturing nail of the present invention;
Fig. 3 is the structural representation of sub-suturing nail of the present invention.
Detailed description of the invention
Below in conjunction with accompanying drawing, the specific embodiment of the present invention is described.
Fig. 1 is the structural representation of the tissue closure nail in the present embodiment.
Fig. 2 is the structural representation of the female suturing nail in the present embodiment.
Fig. 3 is the structural representation of the sub-suturing nail in the present embodiment.
As shown in Figure 1 to Figure 3, tissue closure nail 100 comprises female suturing nail 200 and sub-suturing nail 300, and female suturing nail 200 and sub-suturing nail 300, by the mode be fitting to connection, play closure procedure otch.
Female suturing nail 200 comprises the first skeleton 1 and is arranged at first stitch 2 of first skeleton 1 one end, each female suturing nail 200 is at least containing two the first stitch 2, first stitch 2 nail lower limb 21 by being arranged side by side, spaced a predetermined distance and nail lower limb 22 form, follow closely lower limb 21 and follow closely lower limb 22 one end away from the first skeleton 1 with agnail 211 and agnail 221, for avoiding sutural lamina by under the effect of the elastic restoring force of folder tissue, there is landing phenomenon.
Sub-suturing nail 300 comprises the second skeleton 4 and is arranged at second stitch 5 of second skeleton 4 one end, second stitch 5 is single nail lower limb, it is by being embedded in the gap between nail lower limb 21 and nail lower limb 22, and the first stitch 2 in female suturing nail 200 matches, and plays closure procedure otch.Second stitch 5 because of and the first stitch 2 match, therefore the quantity of the second stitch 5 changes with the change of the first stitch 2 number equally.Second stitch 5 away from one end of the second skeleton 4 with agnail 51, agnail 211 in agnail 51 and female suturing nail 200 and agnail 221 are oppositely arranged, when female suturing nail 200 and sub-suturing nail 300 match, the direction of agnail 51 and agnail 211 or agnail 221 contrary.
All with anti-slip veins 3 on the stitch of female suturing nail 200 and sub-suturing nail 300 and skeleton, for the frictional force increasing sutural lamina and between organizing.Meanwhile, the first skeleton 1 of female suturing nail 200 is with fluted 11, the second skeleton 4 of sub-suturing nail 300 with protruding 41, first skeleton 1 and the second skeleton 4 by groove 11 and protruding 41 be connected.
When sutural lamina plays closure function, female suturing nail 200 and sub-suturing nail 300 are under the control of stitching clamp, move from otch two ends to centre, during close incisions, second stitch 5 embeds in the first stitch 2, and the projection 41 in the second skeleton 4 is embedded in the groove 11 in the first skeleton 1, and agnail 51 is relative to agnail 211 or agnail 221 needing closed tissue, by the cooperation of female suturing nail 200 and sub-suturing nail 300 upper, middle and lower three positions, guarantee the tight, tight of cut closure.
The material of the operation stitching sheet in the present embodiment can be Biodegradable material, medical titanium alloy material or medical stainless steel material.
Embodiment effect and effect
According to the tissue closure nail that the present embodiment provides, be made up of the female suturing nail cooperatively interacted and sub-suturing nail, female suturing nail comprises the first skeleton and is arranged at first stitch of first skeleton one end, first stitch is at least two, by being arranged side by side, two nail lower limb compositions spaced a predetermined distance, sub-suturing nail comprises the second skeleton and is arranged at second stitch of second skeleton one end, first stitch and the second stitch away from described skeleton one end all with agnail, agnail in two kinds of stitch is oppositely arranged, female suturing nail that the operation stitching sheet provided due to the present embodiment is worked in coordination by two panels and sub-suturing nail form, the Novel suture sheet that the present embodiment is provided no longer becomes the factor of restriction stitching clamp binding clip position stretching degree, stitching clamp can play the effect of retracted incisions both sides tissue to a certain extent, simplify sew application, alleviate the muscle power expenditure of medical personnel simultaneously,
In addition, female suturing nail and sub-suturing nail match when closing closure procedure cutting action, second stitch embeds in the first stitch, projection in second skeleton is embedded in the groove in the first skeleton, agnail in two stitch through needing closed tissue, ensure that the tight, tight of cut closure relatively.
The invention is not restricted to the scope of detailed description of the invention; to those skilled in the art; as long as various change to limit and in the spirit and scope of the present invention determined in described claim; these changes are apparent, and all innovation and creation utilizing the present invention to conceive are all at the row of protection.

Claims (4)

1. a tissue closure nail, closing for endoscope-assistant surgery otch, comprising:
Female suturing nail, described female suturing nail comprises the first skeleton and is arranged at first stitch of described first skeleton one end, and described first stitch be at least two, follows closely lower limbs and forms for by being arranged side by side, spaced a predetermined distance two; And
The sub-suturing nail matched with described female suturing nail, comprise the second skeleton and be arranged at second stitch of described second skeleton one end, described second stitch is similarly at least two,
Wherein, when described operation stitching sheet plays suturing, described second stitch, by the gap between two described nail lower limbs being embedded into described first stitch, realizes and the cooperation of described first stitch.
2. tissue closure nail according to claim 1, is characterized in that:
Wherein, described first stitch and described second stitch are away from described skeleton one end all with agnail, and the agnail of described first stitch and the agnail of described second stitch are oppositely arranged.
3. tissue closure nail according to claim 1, is characterized in that:
Wherein, described first skeleton band is fluted, and described second skeleton is with projection, and described first skeleton is connected with described male cooperation by described groove with described second skeleton.
4. tissue closure nail according to claim 1, is characterized in that:
All with anti-slip veins in the described skeleton of described female suturing nail and described sub-suturing nail and described stitch.
CN201410697176.7A 2014-11-27 2014-11-27 Tissue closure nail Expired - Fee Related CN105310735B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201410697176.7A CN105310735B (en) 2014-11-27 2014-11-27 Tissue closure nail

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201410697176.7A CN105310735B (en) 2014-11-27 2014-11-27 Tissue closure nail

Publications (2)

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CN105310735A true CN105310735A (en) 2016-02-10
CN105310735B CN105310735B (en) 2017-05-10

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Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0050554A1 (en) * 1980-10-17 1982-04-28 United States Surgical Corporation Self-centering surgical staple
US4534350A (en) * 1983-06-20 1985-08-13 Ethicon, Inc. Two-piece tissue fastener with compressible leg staple and retaining receiver
EP0040884B1 (en) * 1980-05-23 1986-01-29 Jan Willem Smit Orthopedic coupling device
EP0508452B1 (en) * 1991-04-11 2001-09-26 United States Surgical Corporation Reduced mass absorbable surgical fastener and retainer
WO2004062697A2 (en) * 2003-01-07 2004-07-29 Tufts University Silk fibroin materials and use thereof
CN101511278A (en) * 2006-07-01 2009-08-19 欧帕斯Ksd股份有限公司 Tissue fasteners and related insertion devices, mechanisms, and methods
CN101873834A (en) * 2007-06-29 2010-10-27 伊西康内外科公司 Washer for use with a surgical stapling instrument
US20120080498A1 (en) * 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
CN102440825A (en) * 2011-09-13 2012-05-09 中国人民解放军第一七五医院 Combined rib fixer
US20130146643A1 (en) * 2010-09-30 2013-06-13 Ethicon Endo-Surgery, Inc. Adhesive film laminate
CN103519857A (en) * 2013-10-11 2014-01-22 苏州奥芮济医疗科技有限公司 Absorbable metal closing nail in body and of three-dimensional structure and forming method thereof
CN104053407A (en) * 2011-04-29 2014-09-17 伊西康内外科公司 Staple cartridge comprising staples positioned within compressible portion thereof

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0040884B1 (en) * 1980-05-23 1986-01-29 Jan Willem Smit Orthopedic coupling device
EP0050554A1 (en) * 1980-10-17 1982-04-28 United States Surgical Corporation Self-centering surgical staple
US4534350A (en) * 1983-06-20 1985-08-13 Ethicon, Inc. Two-piece tissue fastener with compressible leg staple and retaining receiver
EP0508452B1 (en) * 1991-04-11 2001-09-26 United States Surgical Corporation Reduced mass absorbable surgical fastener and retainer
WO2004062697A2 (en) * 2003-01-07 2004-07-29 Tufts University Silk fibroin materials and use thereof
CN101511278A (en) * 2006-07-01 2009-08-19 欧帕斯Ksd股份有限公司 Tissue fasteners and related insertion devices, mechanisms, and methods
CN101873834A (en) * 2007-06-29 2010-10-27 伊西康内外科公司 Washer for use with a surgical stapling instrument
US20120080498A1 (en) * 2010-09-30 2012-04-05 Ethicon Endo-Surgery, Inc. Curved end effector for a stapling instrument
US20130146643A1 (en) * 2010-09-30 2013-06-13 Ethicon Endo-Surgery, Inc. Adhesive film laminate
CN104053407A (en) * 2011-04-29 2014-09-17 伊西康内外科公司 Staple cartridge comprising staples positioned within compressible portion thereof
CN102440825A (en) * 2011-09-13 2012-05-09 中国人民解放军第一七五医院 Combined rib fixer
CN103519857A (en) * 2013-10-11 2014-01-22 苏州奥芮济医疗科技有限公司 Absorbable metal closing nail in body and of three-dimensional structure and forming method thereof

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Granted publication date: 20170510

Termination date: 20171127