CN113907817B

CN113907817B - Puncture stitching instrument capable of pre-arranging suture

Info

Publication number: CN113907817B
Application number: CN202111344053.1A
Authority: CN
Inventors: 谷勤立
Original assignee: Transeasy Medical Tech Co ltd
Current assignee: Transeasy Medical Tech Co ltd
Priority date: 2021-11-15
Filing date: 2021-11-15
Publication date: 2023-07-04
Anticipated expiration: 2041-11-15
Also published as: CN113907817A

Abstract

The invention relates to a puncture stitching instrument capable of pre-arranging a suture, and relates to the technical field of medical instruments. The puncture stitching instrument capable of pre-arranging the suture comprises a puncture sleeve device and a puncture device; the puncture sleeve device comprises a shell cover, a connecting base, a sleeve upper shell, a sleeve lower shell, a sealing gasket upper pressing sheet, a sealing gasket lower pressing sheet, a rubber ring, a choke valve, a sleeve, an injection valve and a buckle; the puncture device comprises a handle, a puncture housing cover, a baffle sheet, a side wing locking block, a spring, a stop block, a puncture tube, a push-pull rod, a guide connecting block, a side wing, a puncture cone, a push-wire rod, a long pressure spring, a check ring, a fixed shaft, a puncture housing and a connecting pin; the puncture stitching instrument can realize the puncture of the abdominal cavity under the endoscope, simultaneously establish a channel for laparoscopic surgery, provide a way for pre-knotting the suture, and pull the suture at two sides of the incision out of the sleeve to pre-knotte without affecting the operation in the surgery.

Description

Puncture stitching instrument capable of pre-arranging suture

Technical Field

The invention relates to the technical field of medical instruments, in particular to a puncture stitching instrument capable of pre-arranging suture lines.

Background

The laparoscopic surgery has the advantages of small trauma, small physiological interference to patients, good beautifying effect, light pain, quick rehabilitation and the like, gradually replaces the traditional surgery, and has been widely applied to general surgery, gynecology and cardiothoracic surgery. Laparoscopic surgery requires an incision in the abdomen of a patient, surgery is performed under laparoscopic observation, and fascia suturing is performed after the surgery, and the suturing operation is difficult because of the characteristics of small incision, deep inner wall and the like. The existing solutions include manual suturing and fascia stapler suturing, wherein the manual suturing is suitable for lean patients, and for obese patients, the abdominal wall tissue is thick, and accurate and effective suturing of the puncture incision cannot be satisfied, so that a series of complications such as bleeding, infection, puncture hernia, injury and the like are caused. The fascia suture device can suture fascia of an obese patient, but the puncture outfit is pulled out first, then the fascia suture device is operated, the operation is complex, the operation time is long, and the risk of infection of the patient is increased.

In order to solve the above technical problems, CN 108158635A discloses a laparoscopic puncture stapler, which arranges sutures on both sides of an incision in advance, and tightens and knots the sutures after the operation is finished to complete the suturing. However, from the device perspective, the cone part of the laparoscope puncture stitching instrument is divided into two parts, the puncture is easy to misplace, the puncture performance is influenced, the two sides of the puncture sleeve are grooved, and the tissue is damaged during the puncture.

Disclosure of Invention

In order to solve the technical problems in the prior art, the invention aims to provide a puncture stitching instrument capable of pre-arranging stitching.

The puncture stitching instrument capable of pre-arranging the suture comprises a puncture sleeve device and a puncture device matched with the puncture sleeve device; the method is characterized in that:

the puncture sleeve device comprises a shell cover, a connecting base, a sleeve upper shell, a sleeve lower shell, a sealing gasket upper pressing sheet, a sealing gasket lower pressing sheet, a rubber ring, a choke valve, a sleeve, an injection valve and a buckle; the upper end of the sleeve is arranged at the inner lower end of the sleeve lower shell, the lower end pipe body of the sleeve extends out of the lower end of the sleeve lower shell, the choke valve is connected with the upper end of the sleeve, and the sleeve lower shell is clamped and fixed with the sleeve upper shell through the clamp; the gas injection valve penetrates through the lower casing of the sleeve to be connected with the inside of the upper end of the sleeve, the gas injection valve is provided with a gas injection valve switch, the connecting base is arranged on the upper casing of the sleeve and is connected with the shell cover, and the upper sealing gasket pressing sheet, the sealing gasket, the rubber ring and the lower sealing gasket pressing sheet are sequentially arranged in an inner space defined by the shell cover and the connecting base from top to bottom;

the puncture device comprises a handle, a puncture housing cover, a baffle sheet, a side wing locking block, a spring, a baffle block, a puncture tube, a push-pull rod, a guide connecting block, a side wing, a puncture cone, a push-pull rod, a long pressure spring, a check ring, a fixed shaft, a puncture housing and a connecting pin, wherein the puncture tube is arranged at the lower end of the puncture housing and is fixed through the check ring, the side wing locking block is arranged in the puncture housing, the push-pull rod is arranged in the puncture tube, and the push-pull rod is arranged in the push-pull rod.

The two lateral wings are fixed at the upper part of the puncture cone through pin shafts, and notch parts for accommodating the lateral wings are arranged at two sides of the puncture cone; the guide connecting block is arranged at the lower end of the puncture tube, the upper part of the puncture cone is matched with the guide connecting block, and the puncture cone and the guide connecting block are fixedly connected with the lower end of the puncture tube through the connecting pin.

The side wings comprise side wing transmission parts and silica gel blocks, the side wing transmission parts are provided with arc sliding grooves, and the side wing transmission parts are installed with the puncture cone through groove shafts arranged on the arc sliding grooves; the push-pull rod, the side wings and the puncture cone form a push-pull unfolding mechanism, the guide connecting block comprises a first connecting block and a second connecting block, the first connecting block and the second connecting block are buckled through a Z-shaped clamping groove and a clamping block, guide inclined blocks are formed at the upper ends of the first connecting block and the second connecting block, the guide inclined blocks enable the cross push needle structure of the push wire rod to be located in a puncture tube in an initial state, and the cross push needle structure is opened at an angle and inserted into the silica gel blocks of the side wings when pushed forward, so that the fascia puncture position of the cross push needle structure is located at two sides of a wound.

The push-pull rod comprises a push-pull rod body, a push-pull rod connecting end is arranged at the upper end of the push-pull rod body, a first shaft hole and a second shaft hole are sequentially formed in the push-pull rod connecting end from top to bottom, a first avoidance ring body and a second avoidance ring body are sequentially arranged at the lower end of the push-pull rod from top to bottom, a push plate is arranged at the lower end of the second avoidance ring body, and convex columns matched with the side wings are arranged on two sides of the push plate.

The wire pushing rod comprises a wire pushing rod body, a wire pushing rod connecting section is arranged at the upper end of the wire pushing rod body, a plane and an arc surface are arranged on the outer surface of the wire pushing rod connecting section along the length direction of the wire pushing rod connecting section, a connecting groove is formed in the upper end of the wire pushing rod connecting section, a central hole for accommodating the push-pull rod is formed in the wire pushing rod body and the wire pushing rod connecting section, and the cross push pin structure is arranged at the lower end of the wire pushing rod body; the cross push pin structure is arranged through the first avoidance ring body, and the connecting pin passes through the second avoidance ring body to fixedly connect the puncture cone and the guide connecting block with the lower end of the puncture tube; the long pressure spring is sleeved on the crossed push pin structure, and the long pressure spring is positioned between the lower end of the push wire rod body and the first avoidance ring body.

The lower part of the handle is provided with a handle rod body, the outer surface of the handle rod body is provided with a long groove for avoiding the fixed shaft, the handle rod body is sequentially provided with a handle upper bulge, a handle lower bulge and a lower flange from top to bottom, and the handle rod body stretches into the bottom of the puncture housing cover, the baffle plate, the side wing locking block and the puncture housing to be matched with the connecting groove at the upper end of the push wire rod through the lower flange; the connecting end of the push-pull rod is arranged in the middle of the side wing locking block, and the fixed shaft penetrates through the side wing locking block and a second shaft hole in the connecting end to connect the upper end of the push-pull rod with the middle of the side wing locking block; the stop block is arranged at two ends of the fixed shaft, and the spring is arranged between the stop block and the inner wall of the side wing locking block.

The stop pin is arranged in the first shaft hole and limits the stop piece through the stop pin.

When the handle is lifted, the handle lower bulge contacts with the side wing locking blocks, the handle lifts the side wing locking blocks together, and the side wings are unfolded.

After the handle is lifted to the bottom, the lower flange is connected with the corresponding connecting groove to realize locking connection with the wire pushing rod, the handle is rotated to drive the baffle to rotate together, then the baffle is ejected out, and the side wings are locked by the puncture shell.

When the handle rotates, the stop block rebounds and unlocks under the action of the spring, the handle pushes down, when the protrusion on the handle touches the side wing locking block, the side wing locking block can slide downwards along with the handle, the side wing is closed, and the handle and the push wire rod are unlocked.

Compared with the prior art, the puncture stitching instrument capable of pre-arranging the suture has the following beneficial effects:

the puncture stitching instrument capable of pre-arranging the suture can realize the puncture of the abdominal cavity under the endoscope, simultaneously establish the passage of other minimally invasive instruments into the body for the laparoscopic surgery, provide a way for pre-knotting the suture, and lead the suture at two sides of the incision out of the sleeve to be pre-knotted without influencing the operation in the surgery.

Drawings

Fig. 1 is a schematic diagram showing an assembled structure of a puncture suture instrument capable of pre-arranging a suture in accordance with embodiment 1.

Fig. 2 is a schematic view showing the structure of a puncture cannula in the puncture suture apparatus according to embodiment 1.

Fig. 3 is an exploded view of the puncture cannula in the puncture suture apparatus according to example 1.

Fig. 4 is a schematic view showing the structure of a puncture cone in the puncture suture apparatus according to embodiment 1.

Fig. 5 is an exploded view of the puncture cone of the puncture suture apparatus according to example 1.

Fig. 6 is a sectional view of the push pin crossing swash block expanding mechanism in the puncture cone according to embodiment 1.

Fig. 7 is a schematic cross-sectional view showing the connection structure between the puncture tube and the puncture tip in the puncture cone according to embodiment 1.

Fig. 8 is a schematic structural view of a push wire rod in the puncture cone of embodiment 1.

Fig. 9 is a schematic structural view of a push-pull rod in the puncture cone of embodiment 1.

Fig. 10 is a connection diagram of the handle and the wing lock block and the push rod in the puncture cone of embodiment 1.

Fig. 11 is a schematic structural view of a spring button push-pull lock mechanism in the puncture cone of embodiment 1.

Fig. 12 is a schematic structural view of a push-pull wire pushing mechanism in the puncture cone of embodiment 1.

Fig. 13 is a schematic view showing a state in which the side wings are closed in the puncture cone of example 1.

FIG. 14 is a schematic view showing the state in which the side wings of the puncture cone of example 1 are opened.

FIG. 15 is a schematic view showing the operation of the puncture suture instrument according to example 1 in which the suture line can be pre-arranged.

Detailed Description

The puncture stapler of the present invention, in which the suture can be pre-arranged, will be further described below with reference to specific embodiments to help those skilled in the art to more fully understand the technical scheme of the present invention.

Example 1

As shown in fig. 1, the puncture suture instrument capable of pre-arranging a suture of the present embodiment includes a puncture cannula device 200 and a puncture device 100.

As shown in fig. 2-3, the puncture cannula device 200 comprises a housing cover 29, a connection base 30, a cannula upper housing 18, a cannula lower housing 19, a gasket upper press 20, a gasket 21, a gasket lower press 23, a rubber ring 22, a choke valve 25, a cannula 24, a gas injection valve 27 and a buckle 28. The upper end of the sleeve 24 is arranged at the inner lower end of the sleeve lower shell 19, the lower end pipe body of the sleeve 24 extends out of the lower end of the sleeve lower shell 19, the choke valve 25 is connected with the upper end of the sleeve 24, and the sleeve lower shell 19 is clamped and fixed with the sleeve upper shell 18 through the clamping buckle 28. The gas injection valve 27 is connected to the inside of the upper end of the sleeve 24 through the sleeve lower case 19, and a gas injection valve switch 26 is provided on the gas injection valve 27. The connecting base 30 is disposed on the sleeve upper case 18, and the connecting base 30 is connected with the housing cover 29, and the gasket upper pressing sheet 20, the gasket 21, the rubber ring 22 and the gasket lower pressing sheet 23 are sequentially disposed in the inner space defined by the housing cover 29 and the connecting base 30 from top to bottom. The puncture cannula device 200 is used as a surgical channel for performing surgical operations, the air inlet pipe can be connected with the air injection valve on the puncture cannula, the air injection valve is opened, when no instrument exists in the puncture cannula, the sealing system still keeps an inflated state, and in the process, the puncture device 100 can be used for performing surgical operations through the puncture cannula in combination with other endoscopic instruments if needed.

As shown in fig. 4 to 7, the puncture device 100 comprises a handle 1, a puncture housing cover 2, a baffle 3, a side wing locking block 4, a spring 5, a stop block 6, a puncture tube 7, a push-pull rod 8, a guide connection block 9, a side wing 10, a puncture cone 11, a push wire rod 12, a long pressure spring 13, a retainer ring 14, a fixed shaft 15, a puncture housing 16 and a connecting pin 17. The puncture tube 7 is arranged at the lower end of the puncture housing 16 and is fixed by a retainer ring 14. The flank locking block 4 is arranged in the puncture housing 16, the push-wire rod 12 is arranged in the puncture tube 7, and the push-pull rod 8 is arranged in the push-wire rod 12. The lower end of the handle 1 passes through the puncture housing cover 2 and the side wing locking blocks 4 to be connected with the push wire rod 12, and the upper end of the push wire rod 8 is connected with the side wing locking blocks 4 through the fixed shaft 15. The number of the side wings 10 is two, the upper ends of the side wings 10 are fixed on the upper part of the puncture cone 11 through pin shafts, and the two sides of the puncture cone 11 are provided with notch parts for accommodating the side wings 10. The guide connection block 9 is arranged at the lower end of the puncture tube 7, the upper part of the puncture cone 11 is matched with the guide connection block 9, and the connection pin 17 fixedly connects the puncture cone 11 and the guide connection block 9 with the lower end of the puncture tube 7.

As shown in fig. 8-9, the push-pull rod 8 includes a push-pull rod body 801, a push-pull rod connection end 802 is provided at the upper end of the push-pull rod body 801, a first shaft hole 808 and a second shaft hole 803 are sequentially provided at the push-pull rod connection end 802 from top to bottom, a first avoidance ring body 804 and a second avoidance ring body 805 are sequentially provided at the lower end of the push-pull rod 8 from top to bottom, a push plate 806 is provided at the lower end of the second avoidance ring body 805, and convex columns 807 are provided at both sides of the push plate 806. The normal direction of the plane where the first avoidance ring 804 is located and the normal direction of the plane where the second avoidance ring 805 is located are perpendicular to each other. The push wire rod 12 comprises a push wire rod body 1205, a push wire rod connecting section is arranged at the upper end of the push wire rod body 1205, a plane 1201 and an arc surface 1202 are arranged on the outer surface of the push wire rod connecting section along the length direction of the push wire rod connecting section, a connecting groove 1203 is arranged at the upper end of the push wire rod connecting section, a central hole 1204 for accommodating the push wire rod 8 is arranged in the push wire rod body 1205 and the push wire rod connecting section, and a crossed push needle structure 1206 is arranged on the push wire rod body 1205. The cross push pin structure 1206 is disposed through the first avoidance ring 804, and the connecting pin 17 is disposed through the second avoidance ring 805 to fixedly connect the puncture cone 11 and the guiding connection block 9 with the lower end of the puncture tube 7. Referring to fig. 4-5, the long compression spring 13 is sleeved on the cross push pin structure 1206, and the long compression spring 13 is located between the lower end of the push rod body 1205 and the first avoiding ring 804.

The flank 10 comprises a flank transmission part and a silica gel block, wherein an arc chute is arranged on the flank transmission part, and the flank transmission part is installed with the puncture cone 11 through a chute shaft arranged on the arc chute. The push-pull rod 8, the side wings 10 and the puncture cone 11 form a push-pull unfolding mechanism, the push-pull rod 8 is pushed downwards or pulled back, the silica gel block (the opening part) is opened or closed through the convex column 807 on the push plate 806, the suture is locked, and the side wing transmission part ensures the realization of the movement. In the puncture cone of the embodiment, the side wings are combined with puncture, the shape of the side wings is changed according to the radian of the puncture cone, and the cutting edge part of the puncture cone is reserved, so that the puncture performance is not affected. As shown in fig. 6, the guide connection block includes a first connection block and a second connection block, which are fastened by a Z-shaped fastening groove and a fastening block, and a guide inclined block 91 is formed at the upper ends of the first connection block and the second connection block, the guide inclined block 91 makes the cross push pin structure 1206 located in the puncture tube in an initial state, and the cross push pin structure 1206 can be opened by an angle when pushed forward, and inserted into the silica gel block of the side wing 10 without being fastened (by the cross angle design of the cross push pin structure, the push pin punctures fascia position 8-15mm from the wound edge).

As shown in fig. 10-11, a handle rod body 105 is disposed below the handle 1, and an elongated slot 104 for avoiding the fixed shaft 15 is disposed on the outer surface of the handle rod body 105. The handle rod body 105 is provided with a handle upper protrusion 101, a handle lower protrusion 102 and a lower flange 103 from top to bottom. The handle rod body 105 extends into the puncture housing cover 2, the baffle 3, the side wing locking block 4 and the bottom of the puncture housing 16 to be matched with the connecting groove 1203 at the upper end of the push wire rod 12 through the lower flange 103.

The push-pull rod connecting end 802 is arranged in the middle of the side wing locking block 4, and the fixed shaft 15 passes through the side wing locking block 4 and the second shaft hole 803 on the connecting end 802 to connect the upper end of the push-pull rod 8 with the middle of the side wing locking block 4. The stopper 6 is provided at both ends of the fixed shaft 15, and the spring 5 is provided between the stopper 6 and the inner wall of the side wing locking block 4. The wing locking block 4 not only can be used for connecting the push-pull rod 8, but also can be connected with the stop block 6 and provide a channel for the handle 1, so that the push-pull rod 8 can move more stably. The puncture housing cover 2 cooperates with the puncture housing 3 to form a closed housing structure. The puncture housing cover 2, the puncture housing 16, the stop block 6, the fixed shaft 15, the spring 5 and the side wing locking block 4 form a push-pull locking mechanism. When the handle is lifted, the handle lower protrusions 102 contact the side wing locking blocks, the handle lifts the side wing locking blocks 4 together, and the side wings are unfolded, as shown in fig. 14; after the bottom is lifted, the lower flange 103 corresponds to the connecting groove 1203, when the handle rotates, the baffle 3 is driven to rotate together, then the stop block 6 is ejected out and locked by the puncture shell 16 to lock the side wings; when the handle rotates, the stop block 6 is rebounded and unlocked under the action of the spring 5, the handle is pushed down, when the protrusion 101 on the handle touches the side wing locking block 4, the side wing locking block 4 can slide downwards along with the handle 1, the side wing is closed, as shown in fig. 13, and the handle is unlocked with the push wire rod.

Referring to fig. 8-12, the side wing 10 is unfolded by pulling the handle 1, the push-pull rod 8 connects the side wing locking block 4 located in the puncture housing 16 with the side wing 10 located in the puncture cone 11, the first shaft hole 808 is connected with the stop pin 301 to limit the stop piece 3 through the stop pin 301, the second shaft hole 803 is connected with the side wing locking block 4 through the fixed shaft 15, the first ring 804 avoids the cross push pin structure 1206, the second ring 805 avoids the connection pin 17, and the convex column 807 is matched with the side wing 10.

In operation, the puncture cone 100 and the puncture sleeve 200 are assembled, the handle 1 is pulled out and then rotated, the handle 1 is connected with the push wire rod 12 and locked under the action of the mechanism, the handle 1 is pushed out for a certain distance, the suture needle in the push wire rod 12 is exposed out of the sleeve 24, the medical suture thread with corresponding specification is assembled on the cross push needle structure 1206 in the push wire rod 12 according to the requirement, the handle 1 is pulled out again, the push wire rod 12 returns to the initial position under the action of the mechanism, the handle 1 is reset, and the preassembling of the medical suture thread is completed. The palm center is arranged at the position of the puncture stitching instrument handle 1, two fingers respectively hold the sleeve lower shell 19 to rotate and slowly puncture, the sleeve is vertical to the abdominal wall (the unavailable force is noted to be too large) during the puncture, and the puncture is stopped at a specified position; the front end of the puncture cone 1 in the puncture cone 100 is in a wing-shaped structure, so that the puncture cone can rotate left and right during puncture, and tissues can be separated, and the damage degree to the tissues is reduced. The handle 1 is pulled upwards to rotate, the side wings 10 are unfolded and locked under the action of the mechanism, the sleeve 24 is lifted upwards, the side wings 10 prop against fascia, the handle 1 is pushed downwards to push out sutures, pass through fascia and enter a silica gel block of the side wings 10, a certain distance is exceeded, the suture is slowly pulled out, whether the sutures are clamped on the silica gel block or not and then completely withdrawn, the handle 1 is pulled to the bottom, the rotary handle 1 is pushed downwards again to return to an initial position, the side wings 10 are closed under the action of the mechanism, then the puncture sleeve 200 is integrally pushed into the abdominal cavity, an inclined angle of 45 degrees is formed between the puncture sleeve 200 and the abdominal wall (attention is not excessively strong, meanwhile, the puncture needle is observed to be incapable of damaging viscera) after the puncture sleeve 200 is penetrated, the puncture cone 100 is pulled out of the puncture sleeve 200 to serve as an operation channel for operation, after the operation is completed, the puncture sleeve 200 is withdrawn, a suture knot is pulled out of the abdominal cavity, and the suture knot is knotted again is completed.

As shown in fig. 15, the puncture stapler of the present embodiment, which can pre-arrange a suture, operates as follows:

1-correctly inserting the puncture cannula according to the puncture cone;

2, pulling out and locking the handle, pushing out a certain distance, and mounting the suture with corresponding specification on the push-wire needle, wherein two ends of the suture are respectively mounted on the push-wire needles at two sides;

3, pulling the wire pushing rod back into the sleeve through the handle, and resetting the handle;

4-using standard surgical procedures, making a skin incision sufficient to introduce a penetrating stapler;

5, placing the puncture stitching instrument in the palm center, respectively holding the puncture sleeve handles by two fingers to rotate and slowly puncture, wherein the sleeve is perpendicular to the abdominal wall (taking attention of excessive unavailable force) during puncture, and stopping the puncture until a specified position is reached;

6, pulling the handle upwards, rotating and locking, unfolding and locking the side wings, lifting the sleeve upwards, and propping the side wings against fascia;

7, pushing down the handle, pushing out the suture, penetrating through fascia, entering a silica gel block of the side wing, exceeding a certain distance, slowly pulling back (taking care of observing whether the suture is clamped in the silica gel block) and retracting the handle to the bottom, pushing down the swivel handle again, and returning to the initial position, and closing the side wing at the same time;

8-pushing the whole sleeve into the abdominal cavity, wherein an inclination angle of 45 degrees is formed between the sleeve and the abdominal wall during puncture (taking attention that the force is not excessively large and the puncture needle is not damaged when the viscera is observed), and pulling the puncture cone out of the sleeve after the sleeve is penetrated;

9-after the sleeve enters the abdominal cavity, the puncture cone is pulled out, the suture is taken out, the two ends of the suture are pre-knotted, the knotting is firm, and the knot is pulled back to the abdominal cavity;

the 10-puncture sleeve is used as an operation channel for operation, the air inlet pipe can be connected with the air injection valve on the puncture sleeve, and the air injection valve is opened. When no instrument is in the puncture cannula, the sealing system still keeps an inflated state, and other matched endoscopic instruments can enter a human body through the puncture cannula in the process;

11-after the operation is finished, the puncture cannula is gently pulled out, the suture line knot is pulled out of the abdominal cavity, and the suture line knot is cut off and knotted again according to the doctor's skill, so that the fascia tissue suture is finished.

It will be apparent to those skilled in the art that the present invention has been described by way of example only, and that the invention is not limited to the above-described embodiments, but is capable of numerous insubstantial modifications within the scope of the invention as long as the inventive concept and technical solutions are adopted.

Claims

1. A puncture stitching instrument capable of pre-arranging a suture comprises a puncture sleeve device and a puncture device matched with the puncture sleeve device; the method is characterized in that:

the puncture device comprises a handle, a puncture housing cover, a baffle sheet, a side wing locking block, a spring, a baffle block, a puncture tube, a push-pull rod, a guide connecting block, a side wing, a puncture cone, a push-pull rod, a long pressure spring, a check ring, a fixed shaft, a puncture housing and a connecting pin, wherein the puncture tube is arranged at the lower end of the puncture housing and is fixed through the check ring, the side wing locking block is arranged in the puncture housing, the push-pull rod is arranged in the puncture tube, and the push-pull rod is arranged in the push-pull rod;

the guide connecting block comprises a first connecting block and a second connecting block, the first connecting block and the second connecting block are buckled through a Z-shaped clamping groove and a clamping block, and a guide inclined block is formed at the upper ends of the first connecting block and the second connecting block;

the side wings comprise side wing transmission parts and silica gel blocks, the side wing transmission parts are provided with circular arc sliding grooves, and the side wing transmission parts are installed with the puncture cone through groove shafts arranged on the circular arc sliding grooves; the guide inclined block enables the crossed push pin structure of the push wire rod to be positioned in the puncture tube in an initial state, and the crossed push pin structure is opened by an angle when pushed forward and is inserted into the silica gel block of the side wing, so that the position of the crossed push pin structure for puncturing fascia is positioned at two sides of the wound;

the push-pull rod comprises a push-pull rod body, a push-pull rod connecting end is arranged at the upper end of the push-pull rod body, a first shaft hole and a second shaft hole are sequentially formed in the push-pull rod connecting end from top to bottom, a first avoidance ring body and a second avoidance ring body are sequentially arranged at the lower end of the push-pull rod from top to bottom, a push plate is arranged at the lower end of the second avoidance ring body, and convex columns matched with the side wings are arranged at two sides of the push plate;

the push wire rod comprises a push wire rod body, a push wire rod connecting section is arranged at the upper end of the push wire rod body, a plane and an arc surface are arranged on the outer surface of the push wire rod connecting section along the length direction of the push wire rod connecting section, a connecting groove is formed at the upper end of the push wire rod connecting section, a central hole for accommodating the push wire rod is formed in the push wire rod body and the push wire rod connecting section, and the cross push pin structure is arranged at the lower end of the push wire rod body; the cross push pin structure is arranged through the first avoidance ring body, and the connecting pin passes through the second avoidance ring body to fixedly connect the puncture cone and the guide connecting block with the lower end of the puncture tube; the long pressure spring is sleeved on the crossed push pin structure, and the long pressure spring is positioned between the lower end of the push wire rod body and the first avoidance ring body.

2. The puncture stapler according to claim 1, wherein: the two lateral wings are arranged, the upper ends of the lateral wings are fixed at the upper part of the puncture cone through pin shafts, and notch parts for accommodating the lateral wings are arranged at the two sides of the puncture cone; the guide connecting block is arranged at the lower end of the puncture tube, the upper part of the puncture cone is matched with the guide connecting block, and the puncture cone and the guide connecting block are fixedly connected with the lower end of the puncture tube through the connecting pin.

3. The puncture stapler according to claim 1, wherein: the lower part of the handle is provided with a handle rod body, the outer surface of the handle rod body is provided with a long groove for avoiding the fixed shaft, the handle rod body is sequentially provided with a handle upper bulge, a handle lower bulge and a lower flange from top to bottom, and the handle rod body stretches into the bottom of the puncture housing cover, the baffle sheet, the side wing locking block and the puncture housing to be matched with the connecting groove at the upper end of the push wire rod through the lower flange; the connecting end of the push-pull rod is arranged in the middle of the side wing locking block, and the fixed shaft penetrates through the side wing locking block and a second shaft hole in the connecting end to connect the upper end of the push-pull rod with the middle of the side wing locking block; the stop block is arranged at two ends of the fixed shaft, and the spring is arranged between the stop block and the inner wall of the side wing locking block.

4. The puncture stapler according to claim 1, wherein: the stop pin is arranged in the first shaft hole and limits the stop piece through the stop pin.

5. The puncture stapler according to claim 3, wherein: when the handle is lifted, the handle lower bulge contacts with the side wing locking blocks, the handle lifts the side wing locking blocks together, and the side wings are unfolded.

6. The puncture stapler according to claim 5, wherein: when the handle is lifted to the bottom, the lower flange is connected with the corresponding connecting groove to realize locking connection with the wire pushing rod, the handle is rotated to drive the baffle to rotate together, then the stop block is ejected out, and the side wing is locked by the puncture shell.

7. The puncture stapler according to claim 6, wherein: when the handle rotates, the stop block rebounds and unlocks under the action of the spring, and the handle pushes down; when the protrusions on the handle touch the side wing locking blocks, the side wing locking blocks can slide downwards along with the handle, the side wings are closed, and the handle and the wire pushing rod are unlocked.