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CN108618818B - Minimally invasive fascia closer - Google Patents

Minimally invasive fascia closer Download PDF

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Publication number
CN108618818B
CN108618818B CN201810617445.2A CN201810617445A CN108618818B CN 108618818 B CN108618818 B CN 108618818B CN 201810617445 A CN201810617445 A CN 201810617445A CN 108618818 B CN108618818 B CN 108618818B
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CN
China
Prior art keywords
tpu film
suture
piece
grooves
movable wing
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.)
Active
Application number
CN201810617445.2A
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Chinese (zh)
Other versions
CN108618818A (en
Inventor
段宇
苏子炎
孙莉江
杨志元
王德伟
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.)
Anhui Aofo Medical Equipment Tech Corp
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Anhui Aofo Medical Equipment Tech Corp
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Priority to CN201810617445.2A priority Critical patent/CN108618818B/en
Publication of CN108618818A publication Critical patent/CN108618818A/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
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0482Needle or suture guides

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

Abstract

The invention discloses a minimally invasive fascia closer, which comprises an introducer and a suture probe, wherein the introducer comprises a pull rod, the pull rod is hinged with two movable wing plates which are correspondingly matched, and each movable wing plate is internally provided with a TPU film piece; the TPU film pieces in each movable wing plate comprise an upper TPU film piece and a lower TPU film piece, a thread clamping piece is clamped between the upper TPU film piece and the lower TPU film piece, the thread clamping piece is adaptive to the upper TPU film piece and the lower TPU film piece in shape, a pinhole matched with the suture probe is formed in the middle of the thread clamping piece, a group of grooves are formed in the thread clamping piece along the circumferential direction of the pinhole, the grooves are communicated with the pinholes, and the grooves can be matched with the suture thread; the suture probe with the suture thread is inserted into the movable wing plate and penetrates through the needle hole of the thread clamping sheet, when the suture probe is pulled out, the suture thread is clamped by the groove, and even if the abdominal wall of a patient has a thick fat layer, the suture thread can be reliably clamped, so that the success rate of the suture is ensured.

Description

Minimally invasive fascia closer
Technical Field
The invention relates to the technical field of medical instruments, in particular to a minimally invasive fascia closer.
Background
In recent years, minimally invasive surgery with the advantages of small wound, quick recovery, high cure rate and the like has been developed rapidly, and laparoscopic surgery is used as a representative of minimally invasive surgery, and is widely applied to the field of surgical operations, involving a plurality of diseases and operations.
To accommodate closure of the incision at the abdominal wall puncture site in this field, surgical incisions have been sutured using fascia sealers. When the suture needle is used, the suture needle with the suture thread passes through the TPU film sheet, and when the suture needle is pulled out, the suture thread is extruded by the elastic liner layer, so that one end of the suture thread is limited on one wing plate, the suture thread can not exit along with the suture needle, and after the other end of the suture thread is led out of the body, the suture thread can be knotted under direct vision.
However, in clinical practice it has been found that often due to the thicker fat layer on the patient's abdominal wall, the greasy grease prevents the suture from being pinched by the TPU film sheet when the suture probe is pulled out, often resulting in suture failure.
Disclosure of Invention
The invention aims to provide a minimally invasive fascia closer which can be suitable for patients of various sizes, avoid the condition that suture lines cannot be clamped due to the fat layers of the abdominal walls of the patients, and improve the success rate of suture.
The technical scheme adopted for solving the technical problems is as follows:
The minimally invasive fascia closer comprises an introducer and a suture probe, wherein the introducer comprises a pull rod, the pull rod is hinged with two movable wing plates which are correspondingly matched, and each movable wing plate is internally provided with a TPU film piece; TPU film piece in every activity pterygoid lamina all includes TPU film piece and lower TPU film piece, goes up TPU film piece and presss from both sides between the TPU film piece down and is equipped with the clamp line piece, presss from both sides line piece middle part and is equipped with and sews up the probe and form complex pinhole, presss from both sides line piece along pinhole circumferencial direction and is equipped with a set of slot, and the slot is linked together with the pinhole, and the slot can form the cooperation with the seam.
The invention can also have another scheme:
the minimally invasive fascia closer comprises an introducer and a suture probe, wherein the introducer comprises a pull rod, the pull rod is hinged with two movable wing plates which are correspondingly matched, and each movable wing plate is internally provided with a TPU film piece; the TPU film piece in every activity pterygoid lamina all is equipped with the recess along transversely, and the recess is embedded to be equipped with presss from both sides the line piece, presss from both sides the line piece middle part and is equipped with and form complex pinhole with the suture probe, presss from both sides the line piece and is equipped with a set of slot along pinhole circumferencial direction, and the slot is linked together with the pinhole, and the slot can form the cooperation with the suture line.
Preferably, the wire clamping sheet in the two schemes adopts stainless steel or titanium alloy materials.
The invention has the beneficial effects that the suture probe with the suture thread is inserted into the movable wing plate and passes through the needle hole of the thread clamping piece, when the suture probe is pulled out, the suture thread is clamped by the groove, and even if the abdominal wall of a patient has a thick fat layer, the suture thread can be reliably clamped, thereby ensuring the success rate of the suture.
Drawings
The invention is further illustrated by the following examples in conjunction with the accompanying drawings:
FIG. 1 is a schematic diagram of the structure of the present invention;
FIG. 2 is an enlarged partial schematic view of a movable wing panel according to an embodiment of the present invention;
FIG. 3 is an enlarged schematic view of the grip of the present invention;
FIG. 4 is an enlarged partial schematic view of a second embodiment of the invention;
Fig. 5 is a schematic view of fig. 4 omitting a clip.
Detailed Description
Example 1
As shown in fig. 1, the invention provides a minimally invasive fascia closer, which comprises an introducer 1 and a suture probe 2, wherein the introducer 1 comprises a pull rod 3, the end part of the pull rod 3 is hinged with two movable wing plates 4 which are correspondingly matched, and each movable wing plate 4 is internally provided with a TPU film piece; referring to fig. 2, the TPU film sheet in each movable wing panel includes an upper TPU film sheet 5a and a lower TPU film sheet 5b; as shown in fig. 3, a wire clamping piece 6 is clamped between the upper TPU film piece 5a and the lower TPU film piece 5b, the shape of the wire clamping piece 6 is adapted to that of the upper TPU film piece and the lower TPU film piece, the wire clamping piece can also be in a round, rectangular, diamond-shaped or other conventional shape, and the upper TPU film piece 5a and the wire clamping piece 6 are bonded with the lower TPU film piece 5b; the middle part of the thread clamping piece 6 is provided with a pinhole 6a which is matched with the suture probe 2, the thread clamping piece 6 is provided with a group of grooves 6b along the circumferential direction of the pinhole, the grooves 6b are communicated with the pinhole 6a, and the grooves 6b can be matched with the suture thread. Preferably, the wire clip 6 is made of stainless steel or titanium alloy material.
The suture probe 2 with the suture thread is inserted into the movable wing plate 4, passes through the needle hole 6a of the thread clamping piece 6, and is clamped by the groove 6b when the suture probe 2 is pulled out, so that the suture thread can be reliably clamped even if the abdominal wall of a patient has a thick fat layer, thereby ensuring the success rate of the suture. The original TPU film sheet is divided into an upper TPU film sheet and a lower TPU film sheet, and a thread clamping sheet is arranged in the upper TPU film sheet and the lower TPU film sheet, so that the condition that a suture thread caused by an abdominal wall fat layer of a patient cannot be clamped is avoided through a simple structure.
Example two
The invention can also have another scheme, as shown in figure 1, the embodiment provides a minimally invasive fascia closer, which comprises an introducer 1 and a suture probe 2, wherein the introducer 1 comprises a pull rod 3, and two movable wing plates 4 which are correspondingly matched are hinged at the end part of the pull rod 3; as shown in fig. 4 and 5, a TPU film piece 5 is arranged in each movable wing plate 4; the TPU film pieces 5 in each movable wing plate are transversely provided with grooves 7, the grooves 7 are internally provided with wire clamping pieces 6, the shapes of the wire clamping pieces 6 are matched with the TPU film pieces 5, the wire clamping pieces can be round, rectangular, diamond-shaped and other conventional shapes, the structure of the wire clamping pieces 6 is the same as that of the first embodiment, the middle part of each wire clamping piece 6 is provided with a pinhole 6a matched with the suture probe 2, the middle part of each wire clamping piece 6 is provided with a group of grooves 6b along the circumferential direction of the pinholes, the grooves 6b are communicated with the pinholes 6a, and the grooves 6b can be matched with sutures. Preferably, the wire clip 6 is made of stainless steel or titanium alloy material.
The use method of the embodiment is the same as that of the first embodiment, the groove is formed in the original TPU film piece, the thread clamping piece is embedded in the groove, and the condition that the suture thread caused by the abdominal fat layer of a patient cannot be clamped is avoided through a simple structure.
The above description is only of the preferred embodiments of the present invention and is not intended to limit the present invention in any way; any person skilled in the art can make many possible variations and modifications to the technical solution of the present invention or modifications to equivalent embodiments using the methods and technical contents disclosed above, without departing from the scope of the technical solution of the present invention. Therefore, any simple modification, equivalent substitution, equivalent variation and modification of the above embodiments according to the technical substance of the present invention, which do not depart from the technical solution of the present invention, still fall within the scope of the technical solution of the present invention.

Claims (3)

1. The minimally invasive fascia closer comprises an introducer and a suture probe, wherein the introducer comprises a pull rod, the pull rod is hinged with two movable wing plates which are correspondingly matched, TPU film pieces are arranged in each movable wing plate, and the minimally invasive fascia closer is characterized in that each TPU film piece in each movable wing plate comprises an upper TPU film piece and a lower TPU film piece, a thread clamping piece is clamped between the upper TPU film piece and the lower TPU film piece, a pinhole which is matched with the suture probe is formed in the middle of the thread clamping piece, a group of grooves are formed in the thread clamping piece along the circumferential direction of the pinhole, the grooves are communicated with the pinholes, and the grooves can be matched with the suture.
2. The minimally invasive fascia closer comprises an introducer and a suture probe, wherein the introducer comprises a pull rod, the pull rod is hinged with two movable wing plates which are correspondingly matched, TPU film pieces are arranged in each movable wing plate, and the minimally invasive fascia closer is characterized in that TPU film pieces in each movable wing plate are transversely provided with grooves, wire clamping pieces are embedded in the grooves, pinholes which are matched with the suture probe are formed in the middle of the wire clamping pieces, a group of grooves are formed in the wire clamping pieces along the circumferential direction of the pinholes, the grooves are communicated with the pinholes, and the grooves can be matched with the suture lines.
3. The minimally invasive fascia closer of claim 1 or 2, wherein the wire clamping sheet is a stainless steel or titanium alloy material.
CN201810617445.2A 2018-06-15 2018-06-15 Minimally invasive fascia closer Active CN108618818B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201810617445.2A CN108618818B (en) 2018-06-15 2018-06-15 Minimally invasive fascia closer

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810617445.2A CN108618818B (en) 2018-06-15 2018-06-15 Minimally invasive fascia closer

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CN108618818A CN108618818A (en) 2018-10-09
CN108618818B true CN108618818B (en) 2024-07-02

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109567887B (en) * 2019-01-25 2024-07-30 山东贝诺斯医疗器械有限公司 Minimally invasive fascia stitching instrument

Citations (2)

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CN204797922U (en) * 2015-06-10 2015-11-25 常州健瑞宝医疗器械有限公司 Ware is sewed up to zhan yi and manadesma that has this exhibition wing
CN209091485U (en) * 2018-06-15 2019-07-12 安徽奥弗医疗设备科技股份有限公司 Minimally invasive fascia closer

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DE7106079U (en) * 1971-02-18 1971-05-27 Braun B THREAD CARRIER FOR SURGICAL SUTURE MATERIAL
US8992549B2 (en) * 2004-08-05 2015-03-31 Teleflex Medical Incorporated Laparoscopic port site closure tool
WO2013062933A1 (en) * 2011-10-24 2013-05-02 C.R. Bard, Inc. Instruments for delivering transfascial sutures, transfascial suture assemblies and methods of transfascial suturing
CN105848591B (en) * 2013-12-09 2019-08-06 泰利福医疗公司 Laparoscope fascia closed system
CN103860231B (en) * 2014-03-26 2016-03-30 中国人民解放军第三军医大学第二附属医院 Under the mirror of chamber cutting closer Executive Head and apply the straight cuts closer of this Executive Head
KR101594082B1 (en) * 2014-11-21 2016-02-15 김기성 Laparoscopic port site closure device
CN104434238B (en) * 2014-12-20 2017-01-11 安徽奥弗医疗设备科技股份有限公司 Laparoscope suture knot pushing and suturing device
CN105193460A (en) * 2015-10-21 2015-12-30 安徽奥弗医疗设备科技股份有限公司 Novel endoscope specimen fetching bag

Patent Citations (2)

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Publication number Priority date Publication date Assignee Title
CN204797922U (en) * 2015-06-10 2015-11-25 常州健瑞宝医疗器械有限公司 Ware is sewed up to zhan yi and manadesma that has this exhibition wing
CN209091485U (en) * 2018-06-15 2019-07-12 安徽奥弗医疗设备科技股份有限公司 Minimally invasive fascia closer

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