CN105640600A - Laparoscope postoperation trocar hole suturing device - Google Patents
Laparoscope postoperation trocar hole suturing device Download PDFInfo
- Publication number
- CN105640600A CN105640600A CN201610180780.1A CN201610180780A CN105640600A CN 105640600 A CN105640600 A CN 105640600A CN 201610180780 A CN201610180780 A CN 201610180780A CN 105640600 A CN105640600 A CN 105640600A
- Authority
- CN
- China
- Prior art keywords
- needle
- push rod
- trocar sheath
- sewing needle
- base
- 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
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
- A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
-
- 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
- A61B17/0483—Hand-held instruments for holding sutures
-
- 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
- A61B17/0491—Sewing machines for 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
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
Abstract
The invention discloses a laparoscope postoperation trocar hole suturing device which comprises an outer sleeve, a push rod, four suturing needles and two suturing lines. The end, connected with a base, of the outer sleeve is provided with four longitudinal grooves. The base is provided with a groove. A needle holder is arranged in the groove. The needle holder is movably connected with the base through a pin shaft and a torsion spring. The needle holder is provided with a suturing needle installation hole. One end of the suturing needle is installed in the suturing needle installation hole, and the other end of the suturing needle is provided with a needle eye. A suturing line channel is arranged in the push rod. The bottom of the push rod is connected with the needle holder through a connecting rod. The two ends of the connecting rod are hinged to the outer sleeve and the needle holder through pin shafts respectively. The suturing device is further provided with a locking device used for fixing the push rod and a reset device. The laparoscope postoperation trocar hole suturing device is simple in structure, convenient to operate, and capable of safely, effectively and conveniently suturing a laparoscope operation wound.
Description
Technical field
The invention belongs to technical field of medical equipment, after being specifically related to a kind of laparoscopy, stab hole clipping stitching devices.
Background technology
Laparoscopic surgery, as one of minimally invasive surgery essential therapeutic arsenals, is widely used. Laparoscopic surgery is to open three to five apertures at patient's abdominal part, respectively photographic head and operating theater instruments are inserted in abdominal cavity by transducer, the Intraabdominal image obtained by photographic head by data wire is shown on screen, operative doctor, by observing the image on display screen, utilizes the operating theater instruments being inserted in abdominal cavity to perform the operation. Carrying out of laparoscopic surgery, alleviates the pain that patient operates on, and makes the convalescent period of patient shorten simultaneously, is the rapid surgical technic of development in recent years.
The postoperative stitching difficulty for stabbing hole clipping of existing laparoscopic surgery is relatively big, particularly when fat deposit is thicker, owing to aperture is less than 12mm, it is difficult to be sewn onto peritoneal layer, once sew up bad, the postoperative generation that may result in stamp card hernia, and need second operation to repair.
Summary of the invention
The technical problem to be solved in the present invention stabs the stitching devices of hole clipping after being to provide a kind of laparoscopy, reduce postoperative stamp card hernia sickness rate.
For solving above-mentioned technical problem, the technical solution used in the present invention is: stab hole clipping stitching devices after laparoscopy, including trocar sheath, push rod, 4 sewing needles and 2 stitching thread;
Described trocar sheath is hollow tube, and the bottom of trocar sheath is provided with base, and one end that trocar sheath is connected with base is provided with 4 cannelures; Described base is provided with groove in the position corresponding with cannelure, is provided with the needle stand for installing sewing needle in this groove; Described needle stand is movably connected with the base by bearing pin and torsionspring; Being provided with sewing needle installing hole on described needle stand, this sewing needle installing hole and horizontal angle are 50 ��-60 ��, and one end of described sewing needle is installed in sewing needle installing hole, and the other end is provided with pinprick; It is provided with suture channel in described push rod; The two ends of described stitching thread respectively penetrate in the pinprick of 2 sewing needles being disposed adjacent after suture channel;
Described push rod is arranged in trocar sheath, it is possible to move up and down along trocar sheath, is connected with described needle stand by connecting rod bottom push rod; Described connecting rod two ends are connected by hinge with trocar sheath and needle stand respectively;
This stitching devices is additionally provided with the locking device for fixing push rod and resetting means.
Further, described locking device includes limited block, compression spring; Described resetting means includes spacing hole, disengages pushing block, back-moving spring and SR; Described push rod outer wall is provided with limited block mounting groove, is provided with spring base in limited block mounting groove, and spring base is installed compression spring, and the other end of compression spring is fixed on the bottom of limited block; Described trocar sheath arranges spacing hole; Installing in described spacing hole and disengage pushing block, the end disengaging pushing block connects SR; Between SR and trocar sheath outer wall, back-moving spring is set.
Further, 2 suture channel it are provided with in described push rod.
Further, described trocar sheath top is provided with fin; The top of described push rod is provided with press head.
Further, the labelling of corresponding with sewing needle on described press head position mark sewing needle position.
Further, described torsionspring includes vertically disposed first arm of force and second arm of force; Described base is provided with the first fixing groove for fixing first arm of force; The second fixing groove for fixing second arm of force it is provided with bottom described needle stand.
Further, described sewing needle is fixing with needle stand to be connected.
Further, described sewing needle is demountable structure, and this sewing needle includes straight portion and turn of bilge; It is provided with external screw thread linkage section bottom described straight portion; It is provided with female thread in sewing needle installing hole.
Beneficial effects of the present invention: the present invention can solve the problem that the problem causing peritoneal stitches bad due to fat thickness in prior art, sewing needle is opened after trocar sheath is stretched into otch, pass through locking device spacing, making sewing needle is umbrella-shaped structure, then trocar sheath is lifted up and just can carry out sewing up operation, operation is not by the restriction of fat deposit thickness, it is possible to safely and effectively carry out, and operates safe and convenient.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention.
Fig. 2 is the structural representation of trocar sheath.
Fig. 3 is the structural representation of base.
Fig. 4 is base and needle stand connection diagram.
Fig. 5 is that schematic diagram opened by sewing needle.
Fig. 6 is push rod and needle stand connection diagram.
Fig. 7 is the structural representation of locking device and resetting means.
Fig. 8 is the structural representation of sewing needle.
Detailed description of the invention
Below in conjunction with accompanying drawing, technical scheme is elaborated.
As shown in figures 1-8, for stabbing hole clipping stitching devices after the laparoscopy of the present invention, including trocar sheath 10,20,4 sewing needles 30 of push rod and 2 stitching thread (not shown in FIG.).
Trocar sheath 10 is hollow tube, and the bottom of trocar sheath 10 is provided with base 40, and one end that trocar sheath 10 is connected with base 40 is provided with 4 cannelures 11; Base 40 is provided with groove 41 in the position corresponding with cannelure 11, is provided with the needle stand 50 for installing sewing needle 30 in this groove 41; Needle stand 50 is flexibly connected with base 40 by bearing pin 90 and torsionspring 60; Being provided with sewing needle installing hole 51 on needle stand 50, this sewing needle installing hole and horizontal angle are 50 ��-60 ��, and one end of sewing needle is installed in sewing needle installing hole 51, and the other end is provided with pinprick 31; Suture channel 21 it is provided with in push rod 20; The two ends of stitching thread respectively penetrate in the pinprick 31 of 2 sewing needles 30 being disposed adjacent after suture channel 21.
Push rod 20 is arranged in trocar sheath 10, it is possible to move up and down along trocar sheath 10, is connected with needle stand 50 by connecting rod 70 bottom push rod 20; Connecting rod 70 two ends are connected by hinge with trocar sheath 10 and needle stand 50 respectively;
This stitching devices is additionally provided with the locking device for fixing push rod and resetting means.
Before operation, sewing needle is in rounding state, needle point is positioned at the cannelure 11 of trocar sheath 10, during operation, stitching thread is penetrated suture channel 21, the two ends of stitching thread respectively penetrate in the pinprick 31 of 2 sewing needles 30 being disposed adjacent, then trocar sheath 10 is put in operative incision, trocar sheath 10 stretches in otch after certain depth, slowly push push rod 20, push rod is in the process moved down, the connecting rod hinged with push rod then promotes needle stand 50 to be turned out, the sewing needle being installed in needle stand 50 slowly outwardly opens, until 4 sewing needles are opened in umbrella, now, push rod is fixed by locking device, trocar sheath is mentioned, sewing needle drives stitching thread to pass incision tissue, then stitching thread is removed from sewing needle, press trocar sheath, after press resetting means again, under the active force of torsionspring 60, needle stand 50 resets, the sewing needle opened draws in, withdraw from trocar sheath, stitching thread through incision tissue is tied a knot.
In the present embodiment, locking device includes limited block 82, compression spring 83, resetting means include spacing hole 81, disengage pushing block 84, back-moving spring 85 and SR 86; Push rod 20 outer wall is provided with limited block mounting groove 22, is provided with spring base 87 in limited block mounting groove 22, and spring base 87 is installed compression spring 83, and the other end of compression spring 83 is fixed on the bottom of limited block 82; Trocar sheath 10 arranges spacing hole 12; Installing in spacing hole 12 and disengage pushing block 84, the end disengaging pushing block 84 connects SR 86; Between SR 86 and trocar sheath 10 outer wall, back-moving spring 85 is set.
In the present embodiment, trocar sheath 10 top is provided with fin 12; The top of push rod 20 is provided with press head 23, fin 12 and press head 23 and is easy to operation.
The labelling (for drawing in figure) of position mark sewing needle position corresponding with sewing needle 30 on press head 23, is easy to observe sewing needle intuitively in subcutaneous position by labelling.
In the present embodiment, torsionspring 60 includes vertically disposed first arm of force 61 and second arm of force 62; Base 40 is provided with the first fixing groove 42 for fixing first arm of force 61; The second fixing groove 52 for fixing second arm of force 62 it is provided with bottom needle stand 50.
In the present embodiment, sewing needle can be fix be connected or removably connect with needle stand. When sewing needle 30 is demountable structure, this sewing needle includes straight portion 32 and turn of bilge 33; It is provided with external screw thread linkage section 34 bottom straight portion 32; It is provided with female thread in sewing needle installing hole 51. Sewing needle is designed as and removably connects, replaceable, reduces cost.
The ultimate principle of the present invention and principal character and advantages of the present invention have more than been shown and described. Skilled person will appreciate that of the industry; the present invention is not restricted to the described embodiments; described in above-described embodiment and description is that principles of the invention is described; without departing from the spirit and scope of the present invention; the present invention also has various changes and modifications, and these changes and improvements both fall within the claimed scope of the invention. Claimed scope is defined by appending claims and equivalent thereof.
Claims (8)
1. after laparoscopy, stab hole clipping stitching devices, it is characterised in that: include trocar sheath, push rod, 4 sewing needles and 2 stitching thread;
Described trocar sheath is hollow tube, and the bottom of trocar sheath is provided with base, and one end that trocar sheath is connected with base is provided with 4 cannelures;Described base is provided with groove in the position corresponding with cannelure, is provided with the needle stand for installing sewing needle in this groove; Described needle stand is movably connected with the base by bearing pin and torsionspring; Being provided with sewing needle installing hole on described needle stand, this sewing needle installing hole and horizontal angle are 50 ��-60 ��, and one end of described sewing needle is installed in sewing needle installing hole, and the other end is provided with pinprick; It is provided with suture channel in described push rod; The two ends of described stitching thread respectively penetrate in the pinprick of 2 sewing needles being disposed adjacent after suture channel;
Described push rod is arranged in trocar sheath, it is possible to move up and down along trocar sheath, is connected with described needle stand by connecting rod bottom push rod; Described connecting rod two ends are connected by hinge with trocar sheath and needle stand respectively;
This stitching devices is additionally provided with the locking device for fixing push rod and resetting means.
2. after laparoscopy according to claim 1, stab hole clipping stitching devices, it is characterised in that: described locking device includes limited block, compression spring; Described resetting means includes spacing hole, disengages pushing block, back-moving spring and SR; Described push rod outer wall is provided with limited block mounting groove, is provided with spring base in limited block mounting groove, and spring base is installed compression spring, and the other end of compression spring is fixed on the bottom of limited block; Described trocar sheath arranges spacing hole; Installing in described spacing hole and disengage pushing block, the end disengaging pushing block connects SR; Between SR and trocar sheath outer wall, back-moving spring is set.
3. after laparoscopy according to claim 1, stab hole clipping stitching devices, it is characterised in that: it is provided with 2 suture channel in described push rod.
4. after laparoscopy according to claim 1, stab hole clipping stitching devices, it is characterised in that: described trocar sheath top is provided with fin; The top of described push rod is provided with press head.
5. after laparoscopy according to claim 4, stab hole clipping stitching devices, it is characterised in that: the labelling of position mark sewing needle position corresponding with sewing needle on described press head.
6. after laparoscopy according to claim 1, stab hole clipping stitching devices, it is characterised in that: described torsionspring includes vertically disposed first arm of force and second arm of force; Described base is provided with the first fixing groove for fixing first arm of force; The second fixing groove for fixing second arm of force it is provided with bottom described needle stand.
7. after laparoscopy according to claim 1, stab hole clipping stitching devices, it is characterised in that: described sewing needle is fixing with needle stand to be connected.
8. after laparoscopy according to claim 1, stab hole clipping stitching devices, it is characterised in that: described sewing needle is demountable structure, and this sewing needle includes straight portion and turn of bilge; It is provided with external screw thread linkage section bottom described straight portion; It is provided with female thread in sewing needle installing hole.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201610180780.1A CN105640600B (en) | 2016-03-28 | 2016-03-28 | Hole clipping stitching devices are stabbed after laparoscopy |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201610180780.1A CN105640600B (en) | 2016-03-28 | 2016-03-28 | Hole clipping stitching devices are stabbed after laparoscopy |
Publications (2)
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CN105640600A true CN105640600A (en) | 2016-06-08 |
CN105640600B CN105640600B (en) | 2018-03-27 |
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CN201610180780.1A Active CN105640600B (en) | 2016-03-28 | 2016-03-28 | Hole clipping stitching devices are stabbed after laparoscopy |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110559027A (en) * | 2019-07-29 | 2019-12-13 | 中国人民解放军陆军军医大学第二附属医院 | abdominal wall puncture pricking hole suturing device |
CN111388036A (en) * | 2020-03-27 | 2020-07-10 | 宁波市医疗中心李惠利医院 | Multifunctional suturing and ligating instrument under laparoscope |
CN113907815A (en) * | 2021-09-03 | 2022-01-11 | 温州医科大学附属第一医院 | Anus single-hole endoscope sewing device |
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WO2013019370A1 (en) * | 2011-08-04 | 2013-02-07 | Suture Ease, LLC | Dual insufflation and wound closure devices and methods |
WO2014071075A1 (en) * | 2012-11-02 | 2014-05-08 | Medtronic Vascular Inc. | Suturing device having a retractable distal tip and method for sealing an opening in a blood vessel or other biological structure |
US20150313583A1 (en) * | 2012-03-13 | 2015-11-05 | Suture Ease, Inc. | Needle and snare guide apparatus for passing suture |
CN205493915U (en) * | 2016-03-28 | 2016-08-24 | 王鹏 | Peritoneoscope postoperative stabs card hole suturing device |
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Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110559027A (en) * | 2019-07-29 | 2019-12-13 | 中国人民解放军陆军军医大学第二附属医院 | abdominal wall puncture pricking hole suturing device |
CN111388036A (en) * | 2020-03-27 | 2020-07-10 | 宁波市医疗中心李惠利医院 | Multifunctional suturing and ligating instrument under laparoscope |
CN113907815A (en) * | 2021-09-03 | 2022-01-11 | 温州医科大学附属第一医院 | Anus single-hole endoscope sewing device |
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