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CN209499798U - A kind of surgical stapling surgical instrument - Google Patents

A kind of surgical stapling surgical instrument Download PDF

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Publication number
CN209499798U
CN209499798U CN201822038779.2U CN201822038779U CN209499798U CN 209499798 U CN209499798 U CN 209499798U CN 201822038779 U CN201822038779 U CN 201822038779U CN 209499798 U CN209499798 U CN 209499798U
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China
Prior art keywords
main base
base frame
suture
hollow body
hole
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Expired - Fee Related
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CN201822038779.2U
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Chinese (zh)
Inventor
王维
管格非
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First Hospital of China Medical University
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First Hospital of China Medical University
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Priority to CN201822038779.2U priority Critical patent/CN209499798U/en
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Abstract

The utility model discloses a kind of surgical stapling surgical instruments, comprising: main base frame, hollow body, fixing line, line of pull, suture;Main base frame bottom center is provided with through-hole, and one side is equipped with is equipped with fixation hole with the vertically disposed shielding plate of main base frame, main base frame top at shielding plate;Hollow body is set on the through-hole of main base frame, and to extension protrusion on the inside of main base frame, the surface of hollow body is set as smooth surface;Fixing line one end is set in fixation hole, and the other end is set on the outside of through-hole;Line of pull is set as flexible body, and one end connect and be set to the fixation hole of main base frame with fixing line, and the bent tightening part that formed on the inside of main base frame of the other end is to hook suture;Suture is set as being formed two circle Slipped Clove Hitch on hollow body, and one end of suture is equipped with sewing needle, and another end hook is set to tightening part and wears to extending on the outside of main base frame in hollow body.A kind of surgical instrument of the utility model improves knotting speed, and sewing effect is good.

Description

一种外科缝合用手术器械Surgical instrument for suturing

技术领域technical field

本实用新型涉及一种外科缝合用手术器械。The utility model relates to a surgical instrument for suturing.

背景技术Background technique

缝合(suture)是将已经切开或外伤断裂的组织、器官进行对合或重建其通道,恢复其功能。是保证良好愈合的基本条件,也是重要的外科手术基本操作技术之一。Suture (suture) is to close or reconstruct the channel of the tissue or organ that has been cut or traumatized, and restore its function. It is the basic condition to ensure good healing, and it is also one of the important basic surgical techniques.

近年来微创手术越来越流行,顾名思义,就是微小的创口、创伤,是现代医学外科手术治疗应用的特点,就是在手术治疗过程中只对患者造成微小创伤、术后只留下微小创口的技术,微创相对传统手术而言,主要具有四大特点:切口小、创伤小、恢复快、痛苦少,微创手术是高科技带来的医学革命,然而微创手术缝合确实一个难题,由于创口小缝合操作空间小,现有一般采用内窥镜进行手术,通过观察屏幕进行缝合,由于无法直视手术部位,缝合打结不便速度慢,且缝合不牢固,容易造成伤口缝合效果不佳。In recent years, minimally invasive surgery has become more and more popular. As the name suggests, it refers to tiny wounds and wounds, which are the characteristics of modern medical surgical treatment. Compared with traditional surgery, minimally invasive surgery has four major characteristics: small incision, small trauma, quick recovery, and less pain. Minimally invasive surgery is a medical revolution brought about by high technology. However, minimally invasive surgery is indeed a difficult problem. Small wounds require little space for suturing operations. At present, endoscopes are generally used for surgery, and suturing is performed through an observation screen. Since the surgical site cannot be directly seen, the speed of suture knotting is inconvenient, and the suture is not firm, which is likely to cause poor wound suture results.

发明内容Contents of the invention

本实用新型提供一种外科缝合用手术器械以解决现有技术中微创手术缝合,由于无法直视手术部位,缝合打结不便速度慢,且缝合不牢固,容易造成伤口缝合效果不佳的技术问题。The utility model provides a surgical instrument for surgical suturing to solve the problem of minimally invasive surgical suturing in the prior art. Since the surgical site cannot be directly viewed, the suture knotting speed is slow, and the suture is not firm, which is likely to cause poor wound suture effect. question.

一种外科缝合用手术器械,包括:主座体、空心管体、固定线、拉力线、缝合线;A surgical instrument for surgical suturing, comprising: a main base body, a hollow tube body, a fixing thread, a tension thread, and a suture thread;

所述主座体下方中央设置有通孔,其一侧设有与主座体垂直设置的遮挡片,所述主座体上方邻近于所述遮挡片处设有固定孔;A through hole is provided in the center of the lower part of the main base body, and a shielding piece perpendicular to the main base body is provided on one side, and a fixing hole is provided adjacent to the shielding piece above the main base body;

所述空心管体设置于主座体的通孔上,并向所述主座体内侧延伸凸出,所述空心管体的表面设置为光滑表面;The hollow tube body is arranged on the through hole of the main base body, and extends and protrudes toward the inner side of the main base body, and the surface of the hollow tube body is set as a smooth surface;

所述固定线一端设于固定孔内,另一端设置于所述通孔外侧;One end of the fixing wire is set in the fixing hole, and the other end is set outside the through hole;

所述拉力线设置为挠性体,其一端与所述固定线连接且设于所述主座体的固定孔,另一端可弯折于所述主座体内侧形成拉紧部以钩住所述缝合线;The tension line is set as a flexible body, one end of which is connected to the fixed line and set in the fixing hole of the main base body, and the other end can be bent inside the main base body to form a tensioning part to hook the sutures;

所述缝合线设置为形成两圈滑结于所述空心管体上,所述缝合线的一端设有缝合针,另一端钩设于所述拉紧部并穿套至所述空心管体内延伸至所述主座体外侧。The suture thread is set to form two loops of sliding knots on the hollow tube body, one end of the suture thread is provided with a suture needle, and the other end is hooked to the tensioning part and passed through the hollow tube body to extend to the outside of the main seat.

优选为,所述缝合线于所述主座体内侧由所述拉紧部及空心管体间形成一供所述缝合针穿套的滑结套,所述拉紧部的缝合线靠近两圈滑结处设有打结标识部。Preferably, the suture is formed on the inner side of the main base body between the tightening part and the hollow tube body to form a sliding knot sleeve for the suture needle to pass through, and the suture in the tightening part is close to two turns There is a knot marking part at the slip knot.

优选为,所述主座体设置为矩形。Preferably, the main base body is configured as a rectangle.

优选为,所述遮挡片设置为L形。Preferably, the shielding sheet is arranged in an L shape.

优选为,所述滑结套设置为三角形。Preferably, the slip knot is arranged in a triangular shape.

本实用新型一种外科手术用器械在小管上预先设有半成结的两圈滑结,在外科对伤口缝合完成时,将两圈滑结自小管脱落并自动迅速转变成可靠且安全的多重固定结,通过打结标号显示打结成功与否,提高了打结速度,缝合效果好,且使得手术打结成功与否可以直接显示,便于医生操作。The utility model is an instrument used for surgical operation. Two semi-knotted slip knots are preliminarily arranged on the small tube. When the surgical suturing of the wound is completed, the two slip knots fall off from the small tube and automatically and rapidly transform into a reliable and safe multiple knot. The knot is fixed, and the success of the knot is displayed through the knot label, which improves the knotting speed, the suture effect is good, and the successful knotting of the operation can be directly displayed, which is convenient for doctors to operate.

附图说明Description of drawings

为了更清楚地说明本实用新型实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are only some embodiments of the utility model, and those skilled in the art can also obtain other drawings based on these drawings without creative work.

图1为本实用新型一种外科缝合用手术器械结构示意图;Fig. 1 is a structural schematic diagram of a surgical instrument for surgical suturing of the present utility model;

图2为本实用新型一种外科缝合用手术器械结构示意图;Fig. 2 is a structural schematic diagram of a surgical instrument for surgical suturing of the present utility model;

图3为本实用新型一种外科缝合用手术器械分解示意图;Fig. 3 is an exploded schematic diagram of a surgical instrument for surgical suture of the present invention;

图4为本实用新型一种外科缝合用手术器械剖视图;Fig. 4 is a cross-sectional view of a surgical instrument for surgical suturing of the utility model;

图5A-5F为本实用新型一种外科缝合用手术器械缝合示意图;5A-5F are schematic diagrams of suturing with surgical instruments for surgical suture of the present invention;

图6A-6C为本实用新型一种外科缝合用手术器械打结示意图。6A-6C are schematic diagrams of knotting a surgical instrument for surgical suture according to the present invention.

具体实施方式Detailed ways

为使本实用新型实施例的目的、技术方案和优点更加清楚,下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。In order to make the purpose, technical solutions and advantages of the embodiments of the utility model more clear, the technical solutions in the embodiments of the utility model will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the utility model. Obviously, the described The embodiments are some embodiments of the present utility model, but not all embodiments. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.

如图1-4所示,本实用新型一种外科手术用器械包括主座体1、空心管体2、固定线5、拉力线4、缝合线6。As shown in FIGS. 1-4 , a surgical instrument of the present invention includes a main base body 1 , a hollow tube body 2 , a fixing thread 5 , a tension thread 4 , and a suture thread 6 .

其中,具体地主座体1设置为板状体,本实施例中设置为矩形,主座体1下方中央设置有通孔10,其一侧设有与主座体1垂直设置的遮挡片3,本实施例中遮挡片3设置为呈L形,主座体1上方邻近于遮挡片3处设有固定孔11。Wherein, specifically, the main base body 1 is set as a plate-shaped body, which is set as a rectangle in this embodiment, and a through hole 10 is provided in the center of the lower part of the main base body 1, and a shielding piece 3 arranged perpendicularly to the main base body 1 is provided on one side thereof. In this embodiment, the shielding piece 3 is arranged in an L shape, and a fixing hole 11 is provided on the upper side of the main base 1 adjacent to the shielding piece 3 .

空心管体2设置于主座体1的通孔10上,并向主座体1内侧延伸凸出,空心管体2的表面设置为光滑表面。The hollow tube body 2 is arranged on the through hole 10 of the main base body 1, and extends and protrudes toward the inner side of the main base body 1, and the surface of the hollow tube body 2 is set as a smooth surface.

固定线5一端设于固定孔11内,另一端设置于通孔10外侧。One end of the fixing wire 5 is arranged in the fixing hole 11 , and the other end is arranged outside the through hole 10 .

拉力线4,设置为挠性体,其一端与固定线5连接且设于主座体1的固定孔11,另一端可弯折于主座体1内侧形成拉紧部41以钩住缝合线6。The tension wire 4 is set as a flexible body, one end of which is connected to the fixed wire 5 and is arranged in the fixing hole 11 of the main base body 1, and the other end can be bent inside the main base body 1 to form a tension part 41 to hook the suture 6.

缝合线6,设置为形成两圈滑结61于具有光滑表面的空心管体2上,缝合线6的一端设有缝合针60,另一端钩设于拉力线4的拉紧部41并穿套至空心管体2内延伸至主座体1外侧,缝合线6于主座体1内侧由拉力线4所弯折构成的拉紧部41及空心管体2间形成一供缝合针60穿套的滑结套62,拉紧部41的缝合线6靠近两圈滑结61的圈套处设有打结标识部64。The suture 6 is set to form two loops of sliding knots 61 on the hollow body 2 with a smooth surface, one end of the suture 6 is provided with a suture needle 60, and the other end is hooked to the tensioning part 41 of the tension line 4 and passed through the sleeve Extend into the hollow tube body 2 and extend to the outside of the main base body 1. The suture line 6 is formed between the tensioning part 41 formed by bending the tension line 4 and the hollow tube body 2 on the inside of the main base body 1 for the suture needle 60 to wear. The slip knot sleeve 62, the suture 6 of the tightening part 41 is provided with a knot identification part 64 near the snare of the slip knot 61 of two circles.

如图5A-5F所示,本实用新型一种外科手术用器械使用时,首先将带缝合针60的缝合线6尾端在空心管体2近主座体1处,设有一两圈滑结61并形成为三角形状的滑结套62,通过设于固定孔11邻近的由拉力线4所形成的拉紧部41钩住,再将缝合线6的另一端通过空心管体2与位于主座体1外侧处的固定线5进行打结,使缝合线6单向固定于空心管体2位于主座体1外侧的通孔10处,以使得手术后方便将设有空心管体2的主座体1取拿,当缝合线6操作缝合时将手术钳7夹持缝合针60对伤口8作缝合,拉线时则将另一手术钳7夹持缝合线6另一端尾部相互拉合(如图5A所示);当需要打结时可以将另一手术钳7抓住主座体1并使其空心管体2转向指向手术者,缝合针60方便穿套滑结套62操作,本实用新型由于主座体1一侧设有呈L形状的保护小板3,因此使得缝合针60穿套部分只有滑结套62外露,因此可以完全防止及避免缝合针60穿错位置及打结失败,夹持有缝合针60的手术钳7顺势将其穿过由缝合线6所形成的三角形状的滑结套62,并作U型回转向外拉(如图5B所示);本实用新型由于在两圈滑结61的圈套起始处置设有可供肉眼明显辨识颜色的打结标识部64(如图6A所示),图中箭头所指处即打结记号64,当缝缝合针60及缝合线6穿过滑结套62后,此时可将另一手术钳7抓住主座体1尾端转90度,使空心管体2转向垂直伤口8后停住不动,而后将夹持缝合针60的手术钳7夹持抓住缝合线6缓慢外拉(如图5C所示),使原本钩设于拉紧部41的缝合线6脱落,(如图5D所示),而后再继续向外拉,直至所需的缝合张力后停止(如图5E所示);此时将夹持抓住缝合针60的夹持器7静止,而夹持抓住缝合线6尾端的手术钳7,快速反向外拉则使原本设于空心管体2上的两圈滑结61脱落,并自动变成可靠的多重固定结63(如图5F所示),打结完成后打结标号64移动并位于位于多重固定结63外侧5mm以上,如果打结标识部64在完成两圈滑结61的附近,或埋入两圈滑结61内,则表示打结失败,即两圈滑结61未能转成多重固定结63(如图6C所示)。As shown in Figures 5A-5F, when a surgical instrument of the present invention is used, first place the tail end of the suture 6 with the suture needle 60 on the hollow tube body 2 near the main seat body 1, and set one or two loops of sliding knots. 61 and formed into a triangular sliding knot sleeve 62, which is hooked by the tension part 41 formed by the tension line 4 adjacent to the fixing hole 11, and then the other end of the suture line 6 passes through the hollow tube body 2 and is located in the main body. The fixing thread 5 at the outer side of the seat body 1 is knotted, so that the suture thread 6 is unidirectionally fixed to the through hole 10 of the hollow body 2 outside the main seat body 1, so that it is convenient to install the hollow body 2 after the operation. The main base body 1 is taken, and when the suture line 6 is operated and sutured, the surgical forceps 7 clamp the suture needle 60 to suture the wound 8, and when the thread is drawn, another surgical forceps 7 is used to clamp the other end of the suture line 6 and pull the other end of the suture line together ( As shown in Fig. 5A); when needing to tie a knot, another surgical forceps 7 can be grasped the main base body 1 and make its hollow body 2 turn to point to the operator, and the sewing needle 60 is convenient to slip through the sleeve 62 for operation. In the utility model, since the side of the main base body 1 is provided with an L-shaped protective plate 3, only the sliding knot sleeve 62 is exposed at the part of the suture needle 60 through the sheath, so that the suture needle 60 can be completely prevented and avoided from being worn in the wrong position and knotted. Failed, clamped the surgical forceps 7 holding the suture needle 60 and passed it through the triangular sliding knot sleeve 62 formed by the suture 6, and pulled it outward in a U-shaped turn (as shown in Figure 5B); The new type is provided with a knot marking part 64 (as shown in FIG. 6A ) that can be clearly identified by the naked eye at the initial disposition of the snare of the two-circle slip knot 61. The arrow in the figure is the knot mark 64, which is stitched together. After the needle 60 and the suture thread 6 pass through the sliding knot sleeve 62, another surgical forceps 7 can be grasped at the tail end of the main base body 1 and turned 90 degrees at this time, so that the hollow pipe body 2 turns to the vertical wound 8 and stops still. Then the surgical forceps 7 holding the suturing needle 60 are clamped and grasped to slowly pull the suture 6 outward (as shown in Figure 5C), so that the suture 6 originally hooked on the tightening part 41 falls off, (as shown in Figure 5D ), and then continue to pull outward until the required suture tension stops (as shown in Figure 5E); at this time, the clamper 7 that clamps and grasps the suture needle 60 is stationary, and the clamping grasps the suture thread 6 The surgical forceps 7 at the tail end can be quickly and reversely pulled outward to make the two loops of sliding knots 61 originally arranged on the hollow body 2 fall off, and automatically become reliable multiple fixed knots 63 (as shown in Figure 5F), and the knotting is completed The rear knot marking 64 moves and is located more than 5 mm outside the multiple fixed knot 63. If the knot marking part 64 is near the completion of the two-turn slip knot 61, or is embedded in the two-turn slip knot 61, it means that the knot has failed, that is, Two turns of sliding knot 61 failed to turn into multiple fixed knot 63 (as shown in FIG. 6C ).

本实用新型一种外科手术用器械在小管上预先设有半成结的两圈滑结,在外科对伤口缝合完成时,将两圈滑结自小管脱落并自动迅速转变成可靠且安全的多重固定结,通过打结标号显示打结成功与否,提高了打结速度,缝合效果好,且使得手术打结成功与否可以直接显示,便于医生操作。The utility model is an instrument used for surgical operation. Two semi-knotted slip knots are preliminarily arranged on the small tube. When the surgical suturing of the wound is completed, the two slip knots fall off from the small tube and automatically and rapidly transform into a reliable and safe multiple knot. The knot is fixed, and the success of the knot is displayed through the knot label, which improves the knotting speed, the suture effect is good, and the successful knotting of the operation can be directly displayed, which is convenient for doctors to operate.

最后应说明的是:以上实施例仅用以说明本实用新型的技术方案,而非对其限制;尽管参照前述实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解:说明书中的其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换,而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的精神和范围。Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the present utility model, rather than limiting it; although the utility model has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that: description It is still possible to modify the technical solutions described in the foregoing embodiments, or to perform equivalent replacements for some of the technical features, and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the technology of the various embodiments of the present invention. The spirit and scope of the programme.

Claims (5)

1. a kind of surgical stapling surgical instrument characterized by comprising main base frame, hollow body, fixing line, line of pull, seam Zygonema;
The main base frame bottom center is provided with through-hole, and one side is equipped with and the vertically disposed shielding plate of main base frame, the seat of honour Fixation hole is equipped with above body at the shielding plate;
The hollow body is set on the through-hole of main base frame, and is protruded to extension on the inside of the main base frame, the hollow body Surface be set as smooth surface;
Described fixing line one end is set in fixation hole, and the other end is set on the outside of the through-hole;
The line of pull is set as flexible body, and one end connect and be set to the fixation hole of the main base frame with the fixing line, separately The bent tightening part that formed on the inside of the main base frame in one end is to hook the suture;
The suture is set as being formed two circle Slipped Clove Hitch on the hollow body, and one end of the suture is equipped with sewing needle, Another end hook is set to the tightening part and wears to extending in the hollow body on the outside of the main base frame.
2. a kind of surgical stapling surgical instrument according to claim 1, which is characterized in that the suture is in the master By forming a Slipped Clove Hitch set worn for the sewing needle, the seam of the tightening part between the tightening part and hollow body on the inside of pedestal Zygonema is equipped with knotting mark part at two circle Slipped Clove Hitch.
3. a kind of surgical stapling surgical instrument according to claim 2, which is characterized in that the main base frame is set as square Shape.
4. a kind of surgical stapling surgical instrument according to claim 3, which is characterized in that the shielding plate is set as L Shape.
5. a kind of surgical stapling surgical instrument according to claim 4, which is characterized in that the Slipped Clove Hitch set is set as three It is angular.
CN201822038779.2U 2018-12-06 2018-12-06 A kind of surgical stapling surgical instrument Expired - Fee Related CN209499798U (en)

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CN201822038779.2U Expired - Fee Related CN209499798U (en) 2018-12-06 2018-12-06 A kind of surgical stapling surgical instrument

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022077419A1 (en) * 2020-10-16 2022-04-21 迈磊医疗器材股份有限公司 Device for knotting by tube pushing for medical suture thread
TWI824339B (en) * 2021-11-19 2023-12-01 邁磊醫療器材股份有限公司 A knotting assembly
WO2024050668A1 (en) * 2022-09-05 2024-03-14 迈磊医疗器材股份有限公司 Capsule needle and thread module
CN118068558A (en) * 2024-04-25 2024-05-24 新光维医疗科技(苏州)股份有限公司 Insertion assembly, assembly method thereof and endoscope

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022077419A1 (en) * 2020-10-16 2022-04-21 迈磊医疗器材股份有限公司 Device for knotting by tube pushing for medical suture thread
TWI824339B (en) * 2021-11-19 2023-12-01 邁磊醫療器材股份有限公司 A knotting assembly
WO2024050668A1 (en) * 2022-09-05 2024-03-14 迈磊医疗器材股份有限公司 Capsule needle and thread module
CN118068558A (en) * 2024-04-25 2024-05-24 新光维医疗科技(苏州)股份有限公司 Insertion assembly, assembly method thereof and endoscope
CN118068558B (en) * 2024-04-25 2024-08-02 新光维医疗科技(苏州)股份有限公司 Insertion assembly, assembly method thereof and endoscope

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