CN210903159U - Medical stitching instrument - Google Patents
Medical stitching instrument Download PDFInfo
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- CN210903159U CN210903159U CN201921472973.XU CN201921472973U CN210903159U CN 210903159 U CN210903159 U CN 210903159U CN 201921472973 U CN201921472973 U CN 201921472973U CN 210903159 U CN210903159 U CN 210903159U
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- needle
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- 210000003813 thumb Anatomy 0.000 claims abstract description 12
- 230000000694 effects Effects 0.000 claims description 2
- 210000000080 chela (arthropods) Anatomy 0.000 claims 5
- 210000005224 forefinger Anatomy 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 3
- 238000009958 sewing Methods 0.000 abstract 2
- 210000003811 finger Anatomy 0.000 description 11
- 206010052428 Wound Diseases 0.000 description 10
- 208000027418 Wounds and injury Diseases 0.000 description 10
- 238000010008 shearing Methods 0.000 description 6
- 210000003491 skin Anatomy 0.000 description 3
- 208000002847 Surgical Wound Diseases 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000002344 surface layer Substances 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型属于医疗技术领域,具体涉及一种医用缝合器。The utility model belongs to the field of medical technology, in particular to a medical stapler.
背景技术Background technique
手术切口和外伤导致的伤口都需要缝合,临床上广泛使用缝合针和持针器,缝合针是由针体和针眼组成,医护人员使用时先将线由针眼内穿入,再用持针器钳夹针体进行缝合,针体不易穿刺皮肤,再加上持针器重量较重,使用费力,且由于持针器与针体成一定角度,在缝合时容易使作用力不对称而导致针体弯曲甚至折断,而且有时持针器夹持不稳定,容易打滑甚至脱落造成医疗事故,缝合时有时需要多次换线,换线较为麻烦,现在尚未有任何一种缝合器械能解决以上问题。Surgical incisions and wounds caused by trauma need to be sutured. Suture needles and needle holders are widely used clinically. The suture needle is composed of a needle body and a needle eye. Clamping the needle body for suture, the needle body is not easy to pierce the skin, and the needle holder is heavy and laborious to use, and because the needle holder and the needle body form a certain angle, it is easy to make the force asymmetric during suture. The body is bent or even broken, and sometimes the needle holder is unstable, and it is easy to slip or even fall off, causing medical accidents. Sometimes it is necessary to change the thread several times during suturing, which is troublesome. There is no suturing device that can solve the above problems.
实用新型内容Utility model content
本实用新型为了解决现有技术中的不足之处,提供一种医用缝合器,采用该医用缝合器,可有效地对患者伤口进行穿刺缝合,避免缝合针打滑或折断,造成医疗事故,且换线更为便捷。In order to solve the deficiencies in the prior art, the utility model provides a medical stapler, which can effectively puncture and suture a patient's wound, avoid the suture needle from slipping or breaking, causing medical accidents, and changing the line is more convenient.
为解决上述技术问题,本实用新型采用如下技术方案:医用缝合器,包括左缝合钳和右缝合钳,左缝合钳和右缝合钳结构相同;In order to solve the above-mentioned technical problems, the utility model adopts the following technical scheme: a medical stapler includes a left suture forceps and a right suture forceps, and the left suture forceps and the right suture forceps have the same structure;
右缝合钳包括左钳柄和右钳柄,左钳柄和右钳柄上端部交叉铰接设置,右钳柄的下端部设有握柄,左钳柄的下端部设有拇指扣环,右钳柄的上端连接有顶针板,顶针板为叉状结构,左钳柄的上端部左侧连接有缝合针,缝合针内开设有通道,缝合针前端部外弧面开设有卡口,卡口与通道连通,通道内穿设有固定卡条,左钳柄内开设有空腔,空腔内设有固定卡条拨动装置;The right suture pliers include a left pliers handle and a right pliers handle, the upper ends of the left pliers handle and the right pliers handle are cross-hingedly arranged, the lower end of the right pliers handle is provided with a grip, the lower end of the left pliers handle is provided with a thumb buckle, and the right pliers The upper end of the handle is connected with a thimble plate, the thimble plate is a fork-shaped structure, the left side of the upper end of the left clamp handle is connected with a suture needle, a channel is opened in the suture needle, and a bayonet is opened on the outer arc surface of the front end of the suture needle, and the bayonet is connected with the suture needle. The channel is connected, a fixed clip is passed through the channel, a cavity is opened in the left clamp handle, and a fixed clip toggle device is arranged in the cavity;
固定卡条拨动装置包括拨杆,拨杆自下端左下方至上端右上方倾斜设置在空腔内,拨杆上端部通过铰轴固定铰接在左钳柄内壁上,拨杆下端部右侧连接有第一弹簧,第一弹簧左端连接在左钳柄内壁上,拨杆下端活动铰接有第一连接杆,第一连接杆下端部前侧转动连接有销轴,左钳柄下端部前侧沿轴线方向开设有滑孔,销轴向前穿出左钳柄滑动连接在滑孔内并连接有食指扣环,拨杆前端部左侧开设有T型滑槽,T型滑槽内滑动连接有T型滑块,固定卡条的尾端穿入左钳柄内铰接在T型滑块上。The fixed clip toggle device includes a toggle lever, which is inclined and arranged in the cavity from the lower left of the lower end to the upper right of the upper end. There is a first spring, the left end of the first spring is connected to the inner wall of the left clamp handle, the lower end of the lever is hinged with a first connecting rod, the front side of the lower end of the first connecting rod is rotatably connected with a pin shaft, and the front edge of the lower end of the left clamp handle A sliding hole is provided in the axial direction, the pin shaft passes forward through the left pliers handle and is slidably connected in the sliding hole and is connected with the index finger buckle. T-shaped slider, the tail end of the fixed clip penetrates into the left clamp handle and is hinged on the T-shaped slider.
顶针板内设有内腔,顶针板内侧U型壁上开设有裂隙,裂隙与内腔连通,顶针板内安装有两片剪切刀片,两片剪切刀片下端部通过铰轴交叉铰接在顶针板内,两片剪切刀片下端均铰接有第二连接杆,右钳柄内上端部安装有限位板,限位板中部穿设有拉杆,拉杆上端部固定设有挡圈,拉杆上端部套设有第二弹簧,第二弹簧上端连接在挡圈下侧面,第二弹簧下端连接在限位板上侧面,拉杆上端与两根第二连接杆活动铰接,拉杆下端部右侧连接有销轴,销轴向右穿出右钳柄连接有拉环。There is an inner cavity in the thimble plate, and a crack is opened on the inner U-shaped wall of the thimble plate, and the crack is connected with the inner cavity. In the plate, the lower ends of the two shearing blades are hinged with a second connecting rod, the inner upper end of the right clamp handle is installed with a limit plate, the middle of the limit plate is provided with a pull rod, the upper end of the pull rod is fixed with a retaining ring, and the upper end of the pull rod is sleeved There is a second spring, the upper end of the second spring is connected to the lower side of the retaining ring, the lower end of the second spring is connected to the side surface of the limit plate, the upper end of the pull rod is articulated with the two second connecting rods, and the right side of the lower end of the pull rod is connected with a pin shaft , the pin shaft passes through the right clamp handle to the right and is connected with a pull ring.
左缝合钳和右缝合钳缝合针整体为向后凹陷的弧形结构,缝合针的针尖部为直线结构。The suture needles of the left suture forceps and the right suture forceps have an arc-shaped structure concave backward as a whole, and the needle tips of the suture needles have a straight structure.
左缝合钳和右缝合钳缝合针的外弧面设有刻度线。The outer arc surfaces of the suture needles of the left suture forceps and the right suture forceps are provided with tick marks.
握柄上设有软垫。Padded handle on handle.
采用上述技术方案,本实用新型具有以下有益效果:在使用本实用新型时,左缝合钳和右缝合钳配合使用,医护人员右手持右缝合钳通过拇指扣环和食指扣环的配合捏动,使拨杆推动固定卡条在缝合针内滑动,将缝线夹持在卡口内,通过捏合握柄和拇指扣环,使顶针板顶压待缝合的伤口,使缝合针针尖部更容易穿刺患者皮肤表层,然后一边旋转一边推进左钳柄,使缝合针完全穿过伤口两皮瓣,然后松开食指扣环,使缝合针卡口处的缝合线松脱,将右缝合钳退回,医护人员左手持左缝合钳,将缝线夹持在缝合针的卡口内重新从左边向右边缝合;本实用新型使缝合针和持针器为一个整体,避免了缝合针滑脱造成医疗事故;缝合针的前端部设置为直线型,方便配合顶针板对患者伤口皮肤进行穿刺,减小了缝合针穿刺患者表皮皮肤的难度;左钳柄和右钳柄上端部交叉铰接设置,使铰接处下方的钳柄长度长于铰接处上方的钳柄长度,从而在进行伤口缝合时更为省力;缝合完毕后需要剪缝线时,可通过拉动右钳柄的拉环,驱动顶针板内的剪切刀片将缝线剪断。By adopting the above technical scheme, the utility model has the following beneficial effects: when using the utility model, the left suture forceps and the right suture forceps are used together, and the medical staff holds the right suture forceps with the right hand and pinch through the cooperation of the thumb buckle and the index finger buckle, Make the lever push the fixed clip to slide in the suture needle, hold the suture in the bayonet, and press the thimble plate against the wound to be sutured by pinching the handle and the thumb buckle, making the needle tip of the suture needle easier to puncture the patient Skin surface layer, then rotate and push the left forceps handle to make the suture needle completely pass through the two flaps of the wound, then release the index finger buckle to release the suture line at the bayonet of the suture needle, and withdraw the right suture forceps, the medical staff The left hand holds the left suture forceps, clamps the suture in the bayonet of the suture needle and sutures from left to right again; the utility model integrates the suture needle and the needle holder into a whole, which avoids medical accidents caused by the slippage of the suture needle; The front end is set in a straight line, which is convenient for puncturing the skin of the patient's wound with the thimble plate, which reduces the difficulty of puncturing the epidermis of the patient with the suture needle; The length is longer than the length of the pliers handle above the hinge, so that it is more labor-saving when suturing the wound; when the suture needs to be cut after the suture is completed, the pull ring of the right pliers handle can be pulled to drive the cutting blade in the ejector plate to cut the suture. shear.
综上所述,采用本实用新型可有效地对患者伤口进行穿刺缝合,避免了缝合针滑脱的风险,使缝合过程中的换线操作更为便捷。To sum up, the utility model can effectively puncture and suture the wound of a patient, avoid the risk of slippage of the suture needle, and make the thread changing operation in the suture process more convenient.
附图说明Description of drawings
图1是本实用新型右缝合钳结构示意图;Fig. 1 is the structural representation of the right suture forceps of the present utility model;
图2是本实用新型顶针板结构示意图;Fig. 2 is the structural representation of the thimble plate of the present utility model;
图3是本实用新型右缝合钳缝合针结构示意图;Figure 3 is a schematic structural diagram of the suture needle of the right suture forceps of the present invention;
图4是图1中I处局部放大图。FIG. 4 is a partial enlarged view of part I in FIG. 1 .
具体实施方式Detailed ways
如图1-4所示,本实用新型的医用缝合器,包括左缝合钳和右缝合钳,左缝合钳和右缝合钳配套使用,左缝合钳和右缝合钳结构相同,左缝合钳和右缝合钳配合人体手型设置为镜像结构;As shown in Figures 1-4, the medical stapler of the present invention includes a left suture forceps and a right suture forceps. The left and right suture forceps are used together. The left and right suture forceps have the same structure. The suture forceps are set as a mirror image structure according to the shape of the human hand;
右缝合钳包括左钳柄2和右钳柄1,左钳柄2和右钳柄1上端部交叉铰接设置,右钳柄1的下端部设有握柄3,左钳柄2的下端部设有拇指扣环4,右钳柄1的上端连接有顶针板5,顶针板5为叉状结构,左钳柄2的上端部左侧连接有缝合针6,缝合针6内开设有通道,缝合针6前端部外弧面开设有卡口7,卡口7与通道连通,通道内穿设有固定卡条8,左钳柄2内开设有空腔10,空腔10内设有固定卡条拨动装置;The right suture pliers include a
固定卡条拨动装置包括拨杆11,拨杆11自下端左下方至上端右上方倾斜设置在空腔10内,拨杆11上端部通过铰轴固定铰接在左钳柄2内壁上,拨杆11下端部右侧连接有第一弹簧12,第一弹簧12左端连接在左钳柄2内壁上,拨杆11下端活动铰接有第一连接杆13,第一连接杆13下端部前侧转动连接有销轴14,左钳柄2下端部前侧沿轴线方向开设有滑孔9,销轴14向前穿出左钳柄2滑动连接在滑孔9内并连接有食指扣环15,拨杆11前端部左侧开设有T型滑槽,T型滑槽内滑动连接有T型滑块16,固定卡条8的尾端穿入左钳柄2内铰接在T型滑块16上。The fixed clip toggle device includes a
顶针板5内设有内腔,顶针板5内侧U型壁上开设有裂隙19,裂隙19与内腔连通,顶针板5内安装有两片剪切刀片20,两片剪切刀片20下端部通过铰轴交叉铰接在顶针板5内,两片剪切刀片20下端均铰接有第二连接杆21,右钳柄2内上端部安装有限位板22,限位板22中部穿设有拉杆23,拉杆23上端部固定设有挡圈24,拉杆23上端部套设有第二弹簧25,第二弹簧25上端连接在挡圈24下侧面,第二弹簧25下端连接在限位板22上侧面,拉杆23上端与两根第二连接杆21活动铰接,拉杆23下端部右侧连接有销轴,销轴向右穿出右钳柄连接有拉环26。There is an inner cavity in the
左缝合钳和右缝合钳缝合针6整体为向后凹陷的弧形结构,缝合针6的针尖部为直线结构。The
左缝合钳和右缝合钳缝合针6的外弧面设有刻度线17。The outer arc surfaces of the
握柄3上设有软垫18。A
在使用本实用新型时,左缝合钳和右缝合钳配合使用,医护人员右手持右缝合钳,拇指扣在拇指扣环4内,食指扣在食指扣环15内,剩余三指扣在握柄3内,通过捏动拇指扣环4和食指扣环15,使销轴14沿滑孔9向下滑动,第一连接杆13拉动拨杆11,使拨杆11绕拨杆11前端部的固定铰轴转动,使拨杆11前端拨动固定卡条8,固定卡条8沿缝合针6内的通道滑动,此时将缝线卡在缝合针6外弧面的卡口7处,使固定卡条8穿入卡口7内将缝线夹持,然后捏动握柄3,使顶针板5顶压患者的伤口左侧皮瓣,使患者的伤口皮瓣置于缝合针6针尖与顶针板5之间,通过拇指扣环4和握柄3的捏合,在缝合针6针尖部和顶针板5的配合下,使缝合针6顺利穿过伤口皮瓣,然后通过拇指扣环4和食指扣环15对该装置的把持作用,使缝合针6完全穿过患者伤口皮瓣,接着松开拇指扣环4和食指扣环15,使右缝合钳缝合针6上的缝线松脱,医护人员用同样的方法用左手持左缝合钳,将缝线重新夹在缝合针6的卡口7内,将右缝合钳的缝合针6退回,继续采用左缝合钳进行缝合即可;缝合完毕后,将缝线打结,多余的缝线需要剪断,医护人员将食指插入拉环26内,向下拉动拉环26,拉环26带动拉杆23向下移动,拉杆23通过第二连接杆21的传动使两个剪切刀片20实现剪切的作用,从而将多余缝线剪断,松开拉环26后,第二弹簧25的弹力推动挡圈24向上运动,从而推动拉杆23向上运动,使两片剪切刀片20复位。When using the utility model, the left suture forceps and the right suture forceps are used together, the medical staff holds the right suture forceps with the right hand, the thumb is buckled in the
本实施例并非对本实用新型的形状、材料、结构等作任何形式上的限制,凡是依据本实用新型的技术实质对以上实施例所作的任何简单修改、等同变化与修饰,均属于本实用新型技术方案的保护范围。This embodiment does not limit the shape, material, structure, etc. of the present invention in any form, and any simple modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present invention belong to the technology of the present invention. The scope of protection of the program.
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CN110522484B (en) * | 2019-09-05 | 2024-07-19 | 郑州大学第一附属医院 | Medical suture device |
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