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CN107174307A - Laparoscope purse-string suture device closing device - Google Patents

Laparoscope purse-string suture device closing device Download PDF

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Publication number
CN107174307A
CN107174307A CN201710376631.7A CN201710376631A CN107174307A CN 107174307 A CN107174307 A CN 107174307A CN 201710376631 A CN201710376631 A CN 201710376631A CN 107174307 A CN107174307 A CN 107174307A
Authority
CN
China
Prior art keywords
rack
gear train
gear
nail bin
purse
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201710376631.7A
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Chinese (zh)
Other versions
CN107174307B (en
Inventor
李欣欣
陈少克
赖宽
邓高凌
潘灿辉
庞文裕
郑雪燕
陈君填
李威
林常敏
黄铿
陈岳峰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shantou University
First Affiliated Hospital of Shantou University Medical College
Second Affiliated Hospital of Shantou University Medical College
Original Assignee
Shantou University
First Affiliated Hospital of Shantou University Medical College
Second Affiliated Hospital of Shantou University Medical College
Priority date (The priority date 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 date listed.)
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Publication date
Application filed by Shantou University, First Affiliated Hospital of Shantou University Medical College, Second Affiliated Hospital of Shantou University Medical College filed Critical Shantou University
Priority to CN201710376631.7A priority Critical patent/CN107174307B/en
Publication of CN107174307A publication Critical patent/CN107174307A/en
Application granted granted Critical
Publication of CN107174307B publication Critical patent/CN107174307B/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B17/2909Handles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1142Purse-string sutures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • A61B2017/2926Details of heads or jaws

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to medical instruments field, specifically related to a kind of laparoscope purse-string suture device closing device, including stitching devices, first open-and-close mechanism and the second open-and-close mechanism, the stitching devices include the first nail bin and the second nail bin, first open-and-close mechanism includes the handle being sequentially connected, first operation gear train, first rack and the first folding gear train, the first folding gear train is connected with first nail bin, second open-and-close mechanism includes the knob being sequentially connected, second operation gear train, second rack and the second folding gear train, the second folding gear train is connected with second nail bin.Compared with prior art, the present invention is scientific and reasonable for structure, and stitching devices two parts of head end can be rotated independently, can also be rotated simultaneously, and rotational angle is larger, facilitates operation technique, so as to improve the security and success rate of operation.

Description

Laparoscope purse-string suture device closing device
Technical field
The present invention relates to medical instruments field, and in particular to a kind of laparoscope purse-string suture device closing device.
Background technology
Nowadays development in science and technology is rapid, and minimally invasive cry is more and more stronger in terms of medical treatment.Purse-string suture device is in surgical operation During a kind of medicine equipment for being commonly used during purse string suture is carried out to lumen organizations such as enteron aisles, it is opening abdomen and laparoscope hand In art, the use especially in small space effectively can replace human hand to complete purse string suture, place pocket suture.Purse-string suture device Use in oesophagus and gastrointestinal procedures can effectively save operating time, it is ensured that surgical quality, it is to avoid unnecessary Accessory injury, The quality of its performance directly affects procedure, and very important effect is played to surgical effect.At present in the lotus of Clinical practice Overseam clutch, has that head end volume is excessive, action bars is too thick, head end two parts can not be rotated independently, head end can not integrally turn The shortcomings of changing angle and need to try to make a match, is not suitable for the operation in laparoscopic surgery and abdominal small space.Although The disposable purse string suture pincers of existing open surgery, also have " Endo-PSI " apparatus that Japanese scholars are invented, but still fail solution Certainly above problem.
The content of the invention
It is an object of the invention to provide a kind of laparoscope purse-string suture device closing device, to solve prior art presence Head end two parts can not be rotated independently, head end integrally can not conversion angle the problems such as.
In order to realize above-mentioned purpose, adopt the following technical scheme that.A kind of laparoscope purse-string suture device closing device, bag Stitching devices, the first open-and-close mechanism and the second open-and-close mechanism are included, the stitching devices include the first nail bin and the second nail bin, described First open-and-close mechanism includes the handle, the first operation gear train, the first rack and the first folding gear train being sequentially connected, and described the One folding gear train is connected with first nail bin, and second open-and-close mechanism includes knob, the second operation tooth being sequentially connected Wheel group, the second rack and the second folding gear train, the second folding gear train are connected with second nail bin.Can by handle Operate the first nail bin to rotate, rotated by operable second nail bin of knob, two nail bins can be rotated independently, so as to realize suture dress The folding and the change of angle put.
First rack is arranged side by side with the second rack, and the first operation gear train is provided with triangle frame mechanism, institute Stating triangle frame mechanism includes tripod, fixed gear, thickness engaging and thick gear, the fixed gear, thickness engaging and thick gear Central shaft is separately positioned on three angles of the tripod, and the fixed gear is engaged with thickness engaging, thick gear respectively, and described three Corner bracket can rotate around the central shaft of the fixed gear, changeable thickness engaging state and thick gear condition, the thickness engaging state Engaged for the thickness engaging with first rack, the thick gear condition be the thick gear simultaneously with first rack, Second rack is engaged.Pass through triangle frame mechanism, it is possible to achieve the switching between thickness engaging state and thick gear condition, thickness engaging shape Under state, handle only controls the first nail bin to rotate, under thick gear condition, and handle controls two nail bins to rotate simultaneously.
Set above first rack on finite place piece, first rack and be provided with spacing preiection and the locating part Coordinate.The structure can lock the first rack, so that the first nail bin is locked, then operation knob is rotated to the second nail bin, is adjusted Section is more flexible,
The handle is connected with toggle and back-moving spring.The structure is used for the reset of handle, when pressing handle, leads to Toggle compression reseting spring is crossed, and during release handle, back-moving spring release elastic force resets to handle.
The second operation gear train, which is provided with locking switch, the locking switch, is provided with latch, and the latch can It is caught in the between cog of the second operation gear train.The structure can lock the second rack, so that the second nail bin is locked, then manipulator Handle is rotated to the first nail bin, is adjusted more flexible.
Compared with prior art, the present invention is scientific and reasonable for structure, and stitching devices two parts of head end can be rotated independently, also may be used Rotate simultaneously, and rotational angle is larger, facilitates operation technique, so as to improve the security and success rate of operation.
Brief description of the drawings
Fig. 1 is positive structure schematic of the invention;
Fig. 2 is structure schematic diagram of the invention;
Fig. 3 is the dimensional structure diagram of operation part;
Fig. 4 is the dimensional structure diagram of triangle frame mechanism;
Fig. 5 is the attachment structure schematic diagram of locating part and the first rack;
Fig. 6 is the attachment structure schematic diagram of handle, toggle and back-moving spring;
Fig. 7 is the attachment structure schematic diagram of locking switch and the second operation gear train.
Embodiment
The invention will be further described below in conjunction with the accompanying drawings.
The structure of the present invention as shown in Figure 1, Figure 2, Figure 3 shows, including stitching devices, the first open-and-close mechanism and the second opening-closing machine Structure.Stitching devices include the first nail bin 11 and the second nail bin 12.The handle 21, first that first open-and-close mechanism includes being sequentially connected is grasped Make gear train 22, the first rack 23 and the first folding gear train 24, the first folding gear train 24 is connected with the first nail bin 11.Second Open-and-close mechanism includes the operation of knob 31, second gear train 32, the second rack 33 and the second folding gear train 34 being sequentially connected, the Two folding gear trains 34 are connected with the second nail bin 12.During operation, handle 21 is pressed, passes through the first operation gear train 22, the first tooth The transmission of the folding gear train 24 of bar 23 and first, can control the first nail bin 11 to rotate;Turn knob 31, passes through the second operation tooth The transmission of wheel group 32, the second rack 33 and the second folding gear train 34, can control the second nail bin 12 to rotate.
First rack 23 is arranged side by side with the second rack 33.First operation gear train 22 is provided with triangle frame mechanism, such as Fig. 4 Shown, triangle frame mechanism includes tripod 221, fixed gear 222, thickness engaging 223 and thick gear 224.It is fixed gear 222, thin The central shaft of gear 223 and thick gear 224 is separately positioned on three angles of tripod 221, fixed gear 222 respectively with thickness engaging 223rd, thick gear 224 is engaged.Tripod 221 can rotate around the central shaft of fixed gear 222, changeable thickness engaging state and thick tooth Wheel state.Thickness engaging state is that thickness engaging 223 is engaged with the first rack 23, and thick gear condition is thick gear 224 while with first Rack 23, the second rack 33 are engaged.Under thickness engaging state, handle 21 is pressed, passes through the first operation gear train 22, the first rack 23 With the transmission of the first folding gear train 24, the first nail bin 11 can be controlled to rotate.Under thick gear condition, handle 21 is pressed, except Control first nail bin 11 same with thickness engaging state is rotated, while also passing through the first operation gear train 22, the and of the second rack 33 The transmission of second folding gear train 34, the second nail bin 12 of control and the first nail bin 11 are rotated simultaneously.
The top of first rack 23 sets and is provided with spacing preiection 231 and locating part 25 on finite place piece 25, the first rack 23 Coordinate, as shown in figure 5, locating part 25 is connected by a rotary shaft with apparatus main body, the auxiliary section with spacing preiection 231 is hook-shaped Structure.Handle 21 is pressed, the first rack 23 is retreated by transmission, is pushed up when spacing preiection 231 touches hook formation Rise, continue to retreat afterwards, hook formation retracts original position due to the elastic force of limit spring 251, blocks spacing preiection 231, so as to limit Make the first rack 23 to reset, so as to limit the angle of the first nail bin 11.Thickness engaging state is now switched to, the second nail bin 12 is still It can be operated and rotated by knob 31, operated more flexible and convenient.
Handle 21 is connected with toggle 211 and back-moving spring 212, as shown in fig. 6, during pressing handle 21, passing through The compression reseting spring 212 of toggle 211, when release handle 21, the release elastic force of back-moving spring 212 passes through crank connecting link Mechanism 211 resets to handle 21.
Second operation gear train 32, which is provided with locking switch 35, locking switch 35, is provided with latch 351, and latch 351 can The between cog of the second operation gear train 32 is caught in, as shown in fig. 7, when needing the second nail bin 12 of locking, by operating locking switch 35 can be caught in latch 351 between cog of second operation gear train 32, the second operation gear train 32 is not rotated, so as to limit The angle of two nail bins 12.Thickness engaging state is now switched to, the first nail bin 11 still can be operated by handle 21 and rotated, operation It is more flexible and convenient.

Claims (5)

1. a kind of laparoscope purse-string suture device closing device, it is characterised in that including stitching devices, the first open-and-close mechanism and second Open-and-close mechanism, the stitching devices include the first nail bin and the second nail bin, and first open-and-close mechanism includes the hand being sequentially connected Handle, the first operation gear train, the first rack and the first folding gear train, the first folding gear train connect with first nail bin Connect, second open-and-close mechanism includes knob, the second operation gear train, the second rack and the second folding gear being sequentially connected Group, the second folding gear train is connected with second nail bin.
2. laparoscope purse-string suture device closing device according to claim 1, it is characterised in that first rack and Two racks are arranged side by side, and the first operation gear train is provided with triangle frame mechanism, and the triangle frame mechanism includes tripod, consolidated Fixed gear, thickness engaging and thick gear, the central shaft of the fixed gear, thickness engaging and thick gear are separately positioned on the tripod Three angles, the fixed gear engages with thickness engaging, thick gear respectively, and the tripod can be around the center of the fixed gear Axle rotates, changeable thickness engaging state and thick gear condition, and the thickness engaging state is the thickness engaging and first rack Engagement, the thick gear condition is that the thick gear is engaged with first rack, the second rack simultaneously.
3. laparoscope purse-string suture device closing device according to claim 1, it is characterised in that above first rack Set and spacing preiection and locating part cooperation are provided with finite place piece, first rack.
4. laparoscope purse-string suture device closing device according to claim 1, it is characterised in that the handle is connected with song Handle linkage and back-moving spring.
5. laparoscope purse-string suture device closing device according to claim 1, it is characterised in that the second operation gear Group, which is provided with locking switch, the locking switch, is provided with latch, and the latch can be caught in the second operation gear train Between cog.
CN201710376631.7A 2017-05-25 2017-05-25 Opening and closing device of laparoscopic purse-string suture device Active CN107174307B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710376631.7A CN107174307B (en) 2017-05-25 2017-05-25 Opening and closing device of laparoscopic purse-string suture device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201710376631.7A CN107174307B (en) 2017-05-25 2017-05-25 Opening and closing device of laparoscopic purse-string suture device

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CN107174307A true CN107174307A (en) 2017-09-19
CN107174307B CN107174307B (en) 2023-07-28

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108420506A (en) * 2018-03-21 2018-08-21 汕头大学 A kind of abdominal cavity pincers of flushable attraction and quick-replaceable conduit
CN108542441A (en) * 2018-04-16 2018-09-18 汕头大学 A kind of umbrella-type laparoscope pneumoperitoneum-free support device
CN108742782A (en) * 2018-04-09 2018-11-06 李益香 Laparoscope multifunction surgical nipper
CN108814680A (en) * 2018-04-10 2018-11-16 中国人民解放军陆军军医大学第二附属医院 Purse-string forceps for single-hole laparoscopic surgery
CN109938789A (en) * 2019-02-01 2019-06-28 汕头大学 A kind of pushing device of minimally invasive abdominal operation equipment
CN111281456A (en) * 2018-12-08 2020-06-16 江苏风和医疗器材股份有限公司 Recovery method for transmission mechanism after being stuck

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1163558A (en) * 1994-10-11 1997-10-29 查尔斯·H·克利曼 Endoscopic instrument with detachable end effector
CN203379164U (en) * 2013-07-05 2014-01-08 常州市微凯医疗科技有限公司 Anorectal linear cutting anastomat
CN203634257U (en) * 2013-12-18 2014-06-11 重庆联佰博超医疗器械有限公司 Clamping self-locking mechanism and circumcision suturing instrument capable of being adjusted bi-directionally
CN104367354A (en) * 2014-11-20 2015-02-25 纪勇 Rib opening closer
CN205834658U (en) * 2016-05-15 2016-12-28 邵阳学院 A kind of semi-automatic lens lock is paid and is torn lock pair device open
CN207613830U (en) * 2017-05-25 2018-07-17 汕头大学医学院第一附属医院 Laparoscope purse-string suture device closing device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1163558A (en) * 1994-10-11 1997-10-29 查尔斯·H·克利曼 Endoscopic instrument with detachable end effector
CN203379164U (en) * 2013-07-05 2014-01-08 常州市微凯医疗科技有限公司 Anorectal linear cutting anastomat
CN203634257U (en) * 2013-12-18 2014-06-11 重庆联佰博超医疗器械有限公司 Clamping self-locking mechanism and circumcision suturing instrument capable of being adjusted bi-directionally
CN104367354A (en) * 2014-11-20 2015-02-25 纪勇 Rib opening closer
CN205834658U (en) * 2016-05-15 2016-12-28 邵阳学院 A kind of semi-automatic lens lock is paid and is torn lock pair device open
CN207613830U (en) * 2017-05-25 2018-07-17 汕头大学医学院第一附属医院 Laparoscope purse-string suture device closing device

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108420506A (en) * 2018-03-21 2018-08-21 汕头大学 A kind of abdominal cavity pincers of flushable attraction and quick-replaceable conduit
CN108420506B (en) * 2018-03-21 2023-11-24 汕头大学 But washing attracts and quick replacement catheter's abdominal cavity pincers
CN108742782A (en) * 2018-04-09 2018-11-06 李益香 Laparoscope multifunction surgical nipper
CN108814680A (en) * 2018-04-10 2018-11-16 中国人民解放军陆军军医大学第二附属医院 Purse-string forceps for single-hole laparoscopic surgery
CN108814680B (en) * 2018-04-10 2019-06-25 中国人民解放军陆军军医大学第二附属医院 Purse-string forceps for single-hole laparoscopic surgery
CN108542441A (en) * 2018-04-16 2018-09-18 汕头大学 A kind of umbrella-type laparoscope pneumoperitoneum-free support device
CN108542441B (en) * 2018-04-16 2023-11-03 汕头大学 Umbrella-type laparoscope pneumoperitoneum-free supporting device
CN111281456A (en) * 2018-12-08 2020-06-16 江苏风和医疗器材股份有限公司 Recovery method for transmission mechanism after being stuck
CN109938789A (en) * 2019-02-01 2019-06-28 汕头大学 A kind of pushing device of minimally invasive abdominal operation equipment
CN109938789B (en) * 2019-02-01 2024-03-26 汕头大学 Nail pushing device of minimally invasive abdominal cavity surgical equipment

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