CN111839626A - Suture locking device with improved locking mode and suture lock catch thereof - Google Patents
Suture locking device with improved locking mode and suture lock catch thereof Download PDFInfo
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- CN111839626A CN111839626A CN201910366557.XA CN201910366557A CN111839626A CN 111839626 A CN111839626 A CN 111839626A CN 201910366557 A CN201910366557 A CN 201910366557A CN 111839626 A CN111839626 A CN 111839626A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
- A61B2017/0488—Instruments for applying suture clamps, clips or locks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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Abstract
The invention provides a suture lock catch with an improved locking mode, which comprises a lock body and a locking assembly movably connected in the lock body, wherein the lock body is provided with a threading channel for threading a suture, the locking assembly comprises a pushing piece and a pressing piece, and the pushing piece pushes the pressing piece to press the suture thread which is threaded in the threading channel so as to lock the suture thread on the suture lock catch. The invention also provides a suture locking device provided with the suture lock catch.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a suture lock catch with an improved locking mode and a suture locking device with the suture lock catch.
Background
The operation of knotting and fixing suture is often required in the operation, and the traditional surgical operation is operated under the condition of open vision, and the knotting is usually carried out manually by a doctor. However, with the advance of technology, various minimally invasive and interventional procedures, such as laparoscopic procedures, transcatheter interventional procedures, etc., are becoming more common, which require a small operating window to be cut in the patient's body, whereby an instrument, such as an endoscope or interventional catheter, is inserted into the patient's body to a predetermined site for treatment. In such procedures, tying or securing sutures in the patient's body often requires the operator to remotely manipulate the sutures outside the patient's body through a small manipulation window.
The prior art discloses suture securement devices that secure sutures by applying a compressive force to the suture passing between two cooperatively locking tabs to limit the suture from sliding through an opening in a longitudinal direction. However, when the suture fixing device with the structure is used for fixing a plurality of sutures, the overlapping area exists among the plurality of sutures, so that the effective contact of each suture with the lug cannot be ensured, the slippage is easy to occur, and the locking capability is weak.
Disclosure of Invention
The present invention provides a suture lock with improved locking manner and a suture locking device with the suture lock, aiming at the defects of the prior art.
In order to solve the technical problems, the invention firstly provides a suture lock catch with an improved locking mode, which comprises a lock body and a locking assembly movably connected in the lock body, wherein the lock body is provided with a threading channel for threading a suture, the locking assembly comprises a pushing piece and a pressing piece, and the pushing piece pushes the pressing piece to press the suture threaded in the threading channel so as to lock the suture on the suture lock catch.
The invention also provides a suture locking device, which comprises a suture lock catch and a lock catch pushing mechanism; the suture lock catch comprises a lock body and a locking assembly movably connected in the lock body, the lock body is provided with a threading channel for threading a suture, the locking assembly comprises a pushing piece and a pressing piece, and the pushing piece pushes the pressing piece to press the suture which is threaded in the threading channel so as to lock the suture to the suture lock catch; the suture lock catch is accommodated in the far end of the push rod and is detachably connected with the far end of the core shaft; the handle drives the push rod to move relative to the mandrel, the pushing piece pushes the pressing block to extrude the suture, and the suture is locked on the suture lock catch.
The suture lock catch of the suture locking device comprises a lock body, a pushing piece and a pressing block, wherein the pushing piece and the pressing block are movably arranged in the lock body, the lock body is provided with a threading channel for threading a suture, and the pushing piece can push the pressing block to extrude the suture which is threaded in the threading channel under the action of a mandrel, so that the suture is locked between the pressing block and the lock body. Because the abutting surface between the pressing block and the lock body for locking the suture lines is larger, the overlapping probability of a plurality of suture lines can be reduced, and each suture line is ensured to be subjected to locking force; and the extrusion force of the pressing block on the suture can be adjusted by adjusting the pushing piece, so that each suture can be ensured to be locked on the suture lock, the suture is effectively prevented from being separated from the suture lock, and the locking force of the suture lock is improved.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without creative efforts.
Fig. 1 is a perspective view of a suture locking device according to a first embodiment of the present invention.
Fig. 2 is a sectional view taken along line II-II in fig. 1.
Fig. 3 is an enlarged view of the portion III in fig. 2.
Fig. 4 is a perspective view of the suture catch of the suture locking device of fig. 1.
Fig. 5 is a perspective view of the suture clasp of fig. 3 from another perspective.
Fig. 6 is an exploded perspective view of the suture clasp of fig. 3.
Fig. 7 is a perspective view of another perspective of the lock body of the suture shackle of fig. 6.
Fig. 8 is a sectional view taken along line VIII-VIII in fig. 7.
Fig. 9 is a sectional view taken along line IX-IX in fig. 6.
Fig. 10 is a cross-sectional view taken along line X-X in fig. 4.
Fig. 11 is a perspective view of the suture catch of fig. 4 in a locked position.
Fig. 12-13 are schematic views of the suture locking process of the suture catch of the suture locking device provided in the first embodiment of the present invention.
Fig. 14 is a schematic view of a suture catch of a suture locking device according to a second embodiment of the present invention.
Fig. 15 is a schematic view of the suture catch of fig. 14 in a locked state.
Fig. 16 is a schematic view of a suture catch of a suture locking device according to a third embodiment of the present invention.
Fig. 17 is a schematic view of a suture catch of a suture locking device according to a fourth embodiment of the present invention.
Fig. 18 is a schematic view of a suture catch of a suture knot device according to a fifth embodiment of the present invention.
Fig. 19 is a perspective view of the lock body of the suture shackle of fig. 18.
Fig. 20 is a perspective view of another perspective of the lock body of the suture shackle of fig. 18.
Fig. 21 is a sectional view taken along line XXI-XXI in fig. 20.
FIG. 22 is a perspective view of the lateral slider of the suture clasp of FIG. 18.
Fig. 23 is a perspective view of the vertical block of the suture catch of fig. 18.
Fig. 24 is a sectional view taken along line XXIV-XXIV in fig. 18.
Fig. 25 is a perspective view of the suture catch of fig. 18 in a locked position.
Fig. 26 is a sectional view taken along line XXVI-XXVI in fig. 25.
Fig. 27-28 are schematic views of a suture locking procedure of a suture catch of a suture locking device provided in a fifth embodiment of the present invention.
Fig. 29 is a schematic view of a suture catch of a suture knot device according to a sixth embodiment of the present invention.
Fig. 30 is a diagrammatic view of the locked position of the suture catch of fig. 29.
Fig. 31 is a perspective view of a suture catch of a suture locking device according to a seventh embodiment of the present invention.
Fig. 32 is a schematic cross-sectional perspective view of the suture clasp of fig. 31.
Fig. 33 is a cross-sectional structural view of the lock body of the suture shackle of fig. 32.
Fig. 34 is a perspective view of an alternate angle of the pusher of the suture clasp of fig. 32.
FIG. 35 is a cross-sectional view taken along line XXXV-XXXV in FIG. 34.
FIG. 36 is a perspective view of a suture locking element according to a seventh embodiment of the present invention.
FIG. 37 is a cross-sectional view taken along line XXXVII-XXXVII in FIG. 36.
Fig. 38 is a perspective view from another perspective of the suture catch press of fig. 32.
FIG. 39 is a cross-sectional view of the compact of FIG. 38.
Fig. 40 is a perspective view of a pushing member, a connecting member and a pressing member of a suture lock according to a seventh embodiment of the present invention.
FIG. 41 is a sectional view taken along the line LI-LI in FIG. 40.
Fig. 42-44 are schematic views of a suture locking procedure of a suture catch of a suture locking device provided in accordance with a seventh embodiment of the present invention.
Fig. 45-47 are schematic views of a suture locking device of a seventh embodiment of the present invention used in a valve repair procedure for a diseased mitral valve.
Fig. 48 is an enlarged view of the LVIII portion of fig. 46.
Fig. 49 is an enlarged view of the LIX portion of fig. 47.
FIG. 50 is a schematic representation of a seventh embodiment of the suture locking device of the present invention after implantation of the suture catch.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without any inventive step, are within the scope of the present invention.
Furthermore, the following description of the various embodiments refers to the accompanying drawings, which illustrate specific embodiments in which the invention may be practiced. Directional phrases used in this disclosure, such as, for example, "upper," "lower," "front," "rear," "left," "right," "inner," "outer," "side," and the like, refer only to the orientation of the appended drawings and are, therefore, used herein for better and clearer illustration and understanding of the invention, and do not indicate or imply that the device or element so referred to must have a particular orientation, be constructed and operated in a particular orientation, and are therefore not to be considered limiting of the invention.
Orientation definition: for clarity of description, the end of the surgical procedure that is closer to the operator will be referred to hereinafter as the "proximal end" and the end that is further from the operator will be referred to hereinafter as the "distal end"; the axial direction is parallel to the direction of the connection line of the center of the far end and the center of the near end of the medical instrument; the foregoing definitions are for convenience only and are not to be construed as limiting the present invention.
Referring to fig. 1 to 3, the present invention provides a suture locking device 100, which includes a suture lock 20 with an improved locking manner and a lock pushing mechanism 50; the suture lock 20 comprises a lock body 22 and a locking assembly 21 movably connected in the lock body 22, the lock body 22 is provided with a threading channel 220 for threading a suture, and the locking assembly 21 comprises a pushing member 23 and a pressing block 25. The latch pushing mechanism 50 includes a core shaft 51, a push rod 53 movably sleeved outside the core shaft 51, and a handle 55 connected to a proximal end of the push rod 53. The suture lock 20 is accommodated in the far end of the push rod 53 and is detachably connected with the far end of the mandrel 51; the handle 55 drives the push rod 53 and the spindle 51 to move relatively, i.e. the spindle 51 and the push rod 53 can slide and rotate relatively. Mandrel 51 drives push member 23 to push press block 25 to compress suture threaded through threading channel 220 to lock the suture to suture catch 20.
Specifically, the lock body 22 is detachably connected to the push rod 53, the pushing member 23 is detachably connected to the push rod 51, and the handle 55 can drive the push rod 53 and the core shaft 51 to move relatively, so that the pushing member 23 and the lock body 22 move relatively. When pushing member 53 is moved in a proximal-to-distal direction along lock body 22 to push pressing piece 25 to compress the suture, specifically, when spindle 51 is moved distally to drive pushing member 23 to move distally relative to lock body 22 to push pressing piece 25 to move relative to lock body 22 until pressing piece 25 moves to compress the suture threaded through threading channel 220 to lock the suture between pressing piece 25 and lock body 22.
The suture lock 20 of the suture locking device 100 provided by the invention comprises a lock body 22, a pushing member 23 and a pressing block 25, wherein the pushing member 23 and the pressing block 25 are movably arranged in the lock body 22, the lock body 22 is provided with a threading channel 220 for threading a suture, the pushing member 23 can push the pressing block 25 to extrude the suture which is threaded in the threading channel 220 under the action of a mandrel 51, and the suture is locked between the pressing block 25 and the lock body 22. Because the abutting surface between the pressing block 25 and the lock body 22 for locking the suture lines is larger, the overlapping probability of a plurality of suture lines can be reduced, and each suture line is ensured to be subjected to locking force; and the extrusion force of the pressing block 25 to the suture can be adjusted by adjusting the pushing piece 23, so that each suture can be ensured to be locked on the suture lock 20, the suture can be effectively prevented from being separated from the suture lock 20, and the locking force of the suture lock 20 is improved.
Referring to fig. 4-11, the suture locking device 20 of the first embodiment of the suture locking device 100 of the present invention includes a lock body 22, a pushing member 23 and a pressing member 25, wherein the pushing member 23 and the pressing member 25 are movably disposed on the lock body 22. The lock body 22 is a cylinder with a kidney-shaped cross section (i.e., an oblong shape), the lock body 22 includes a kidney-shaped distal end surface 2201 and a kidney-shaped proximal end surface 2202, and two opposite first side walls 2203 and two opposite second side walls 2204 located between the distal end surface 2201 and the proximal end surface 2202, the outer surfaces of the two first side walls 2203 are parallel and opposite planes, and the outer surfaces of the other two second side walls 2204 are opposite arc surfaces; one end of the threading passageway 220 extends through a distal face 2201 of the lock body 22 and the other end of the threading passageway 220 extends through a proximal face 2202 of the lock body 22.
The threading passage 220 in the lock body 22 in this embodiment includes a threading bore 201 located at the distal end of the lock body 22 and passing through the distal end face 2201, and a connecting bore 203 located at the proximal end of the lock body 22 and passing through the proximal end face 2202; a guide chute 205 is formed between the threading hole 201 and the connecting hole 203 in the lock body 22, the guide chute 205 is communicated with the threading hole 201 and the connecting hole 203, and a propping table 225 is arranged between the guide chute 205 and the threading hole 201 in the lock body 22. The pressing block 25 is slidingly accommodated in the guide chute 205, the pushing member 23 moves along the connecting hole 203 to push the pressing block 25 to slide along the guide chute 205 until the pressing block 25 abuts against the abutting table 225, and the suture thread in the threading channel 220 is locked between the pressing block 25 and the abutting table 225.
The pushing member 23 is detachably connected to the connection hole 203, the connection hole 203 extends from the proximal end to the distal end, an internal thread 2031 is formed on the inner circumferential surface of the connection hole 203, and the pushing member 23 is screwed to the internal thread 2031. The connecting line between the axis of the connecting hole 203 and the axis of the threading hole 201 is not parallel to the axial direction of the lock body 22, specifically, the axis of the connecting hole 203 is parallel to the axial direction of the lock body 22, and the axis of the threading hole 201 is inclined to the axial direction of the lock body 22. Since the threading hole 201 extends in an axial direction oblique to the lock body 22, insertion of a suture is facilitated. The guide chute 205 extends from a proximal end to a distal end along the axial direction of the lock body 22, two opposite ends of the guide chute 205 respectively penetrate through two first side walls 2203 of the lock body 22, the proximal end of the guide chute 205 extends along the axial direction of the lock body 22 and is communicated with the connecting hole 203, the distal end of the guide chute 205 extends along the axial direction of the lock body 22 and is communicated with the threading hole 201, and the abutting table 225 is located at the intersection of the distal end face of the guide chute 205 and the inner surface of the threading hole 201. The radial length of the side surface of the guide chute 205 facing the connecting hole 203 along the lock body 22 is smaller than the diameter of the connecting hole 203, a sunken groove 206 is arranged at one end of the guide chute 205 close to the threading hole 201, and the abutting table 225 is positioned between the sunken groove 206 and the threading hole 201. The sinking groove 206 is communicated with the guiding groove 205, and two opposite ends of the sinking groove 206 respectively penetrate through the two corresponding first side walls 2203, so that the space of the proximal part of the guiding groove 205 is smaller than the space of the distal part, a suture thread penetrates into the sinking groove 206 and the guiding groove 205 from the threading hole 201 of the lock body 22 and penetrates out from the connecting hole 203 of the lock body 22, the suture thread at least partially covers the abutting table 225, and the pressing block 25 can abut against the suture thread covered on the abutting table 225.
The lock body 22 may be made of stainless steel, nickel titanium, pure titanium, or other metal materials, or may be made of ABS, PS, PEEK, or other polymer materials. In this embodiment, the lock body 22 is made of pure titanium.
As shown in fig. 6 and 9, the pushing member 23 is in threaded fit with the connecting hole 203, the pushing member 23 in this embodiment is a hollow cylindrical pushing shaft, the outer surface of the pushing shaft is provided with an external thread 231 matched with the internal thread 2031 of the connecting hole 203, the pushing shaft is provided with a through hole 233 along the axial direction thereof, the proximal end of the suture thread can pass through the through hole 233, the through hole 233 can be used not only as a threading hole of the suture thread, but also for abutting against an external connecting member, the pushing member 23 is remotely driven to rotate in the connecting hole 203 by the external connecting member outside the patient body, so that the pushing member 23 is screwed in to the distal end, and then the pressing block 25 connected with the pushing member 23 is. The cross-section of the through hole 233 may be a regular pattern or an irregular pattern as long as the external connection member is conveniently detachably coupled to the inside of the through hole 233 and the push member 23 can be driven to rotate. In the present embodiment, the cross section of the through hole 233 is square with a chamfer.
The pushing member 23 may be made of metal material such as stainless steel, nickel titanium, pure titanium, etc., or polymer material such as ABS, PS, PEEK, etc. In this embodiment, the pushing member 23 is made of pure titanium.
The pressing block 25 is a cuboid, the pressing block 25 is accommodated in the guide chute 205 of the lock body 22 through interference fit or friction force, the proximal end face of the pressing block 25 is in contact with the distal end face of the pushing member 23, and the distal end of the pressing block 25 is used for extruding a suture line. The length of the pressing block 25 is larger than the diameter of the connecting hole 203, when the pressing block 25 is pushed by the pushing member 23, the pressing block 25 moves unidirectionally from the proximal end to the distal end along the guide chute 205 until the distal end part of the pressing block 25 falls into the sunken groove 206, and the distal end surface of the pressing block 25 presses against the suture thread on the top platform 225, so that the suture thread falling into the sunken groove 206 is deformed and fixed. The briquette 25 is made of metal materials such as stainless steel, nickel titanium, pure titanium, etc., or polymer materials such as ABS, PS, PEEK, etc. This embodiment is preferably made of PEEK polymer material.
When assembling the suture shackle 20 of the first embodiment, the pressing piece 25 is inserted into the guide slot 205 from one of the first side walls 2203 of the lock body 22, so that the two opposite end surfaces of the pressing piece 25 are aligned with the two first side walls 2203 of the lock body 22, and the two opposite side surfaces of the pressing piece 25 are in interference fit or frictional contact with the two opposite side surfaces of the guide slot 205. The distal end of the pusher 23 is threaded into the attachment hole 203 until the distal end of the pusher 23 contacts the press block 25.
Referring to fig. 12 and 13, when the suture fastener 20 of the first embodiment is used to lock the suture 300, the proximal end of the suture 300 is inserted into the guiding groove 205 and the sinking groove 206 from the threading hole 201 of the lock body 22, and then enters the connecting hole 203 and passes out of the through hole 233 of the pushing member 23; the external connecting member drives the pushing member 23 to screw into the connecting hole 203 towards the far end so as to push the pushing member 23 to slide towards the far end until the far end part of the pressing block 25 falls into the sinking groove 206, and the far end surface of the pressing block 25 presses the suture 300 on the abutting table 225, so that the suture is locked between the pressing block 25 and the abutting table 225.
In this embodiment, the pushing member 23 is connected with the connecting hole 203 of the lock body 22 in a screwing manner, and by controlling the screw thread amount of the pushing member 23, the force of the pressing block 25 pressing the suture thread 300 on the abutting table 225 can be controlled, so as to control the locking tightness of the suture thread lock 20; secondly, as the pushing piece 23 is screwed in the lock body 22, the pushing piece 23 can be prevented from loosening, so that the pressing block 25 can be prevented from loosening, and the suture 300 is prevented from being separated from the suture lock catch 20; in addition, the abutting table 225 has a large area, so that the plurality of sewing threads 300 can be dispersed conveniently, the overlapping probability of the sewing threads 300 is reduced, the contact area between the sewing threads 300 and the pressing block 25 is large, each sewing thread 300 can be pressed, and the locking force is improved.
Referring to fig. 14 and 15, the structure of the suture lock according to the second embodiment of the present invention is similar to that of the first embodiment, except that: in the second embodiment, the structure of the lock body 22a of the suture shackle is slightly different from the structure of the lock body 22 in the first embodiment. In the second embodiment, the lock body 22a is provided with an outlet hole 207 adjacent to the abutting table 225, one end of the outlet hole 207 is communicated with the guide chute 205 and the threading hole 201, the other end of the outlet hole 207 penetrates through the second side wall 2204 of the lock body 22a far away from the entrance of the threading hole 201, a suture thread can be threaded through the threading hole 201 and the guide chute 205 and penetrates out of the outlet hole 207, and the suture thread partially covers the abutting table 225. Specifically, one end of the wire outlet 207 is communicated with the sinking groove 206 corresponding to the threading hole 201, and the other end of the wire outlet 207 penetrates through the second side wall 2204 of the lock body 22 a; the outlet hole 207 may extend along the radial direction of the lock body 22a, or may extend obliquely to the radial direction of the lock body 22a, and the through hole 233 of the push member 23 may not need to pass through the distal end surface of the push member 23.
When the suture catch 300 of the second embodiment is used to lock the suture 300, the proximal end of the suture 300 is passed through the threading hole 201 of the lock body 22, into the guiding groove 205 and the sinking groove 206, then into the outlet hole 207, and then out of the outlet hole 207; the external connecting piece drives the pushing piece 23 to screw into the connecting hole 203 to the far end so as to push the pressing piece 25 to slide towards the far end until the far end part of the pressing piece 25 sinks into the sunken groove 206 and the far end face of the pressing piece 25 presses the suture 300 on the abutting table 225, so that the suture 300 is locked between the pressing piece 25 and the abutting table 225.
As shown in FIG. 16, a third embodiment of the present invention provides a suture catch having a structure similar to that of the first embodiment, except that: in the third embodiment, the structure of the lock body 22b of the suture shackle is slightly different from the structure of the lock body 22 in the first embodiment. In the third embodiment, the threading hole 201 extends in the axial direction parallel to the lock body 22b, the threading hole 201 communicates with the guide chute 205, the threading hole 201 is located on the side away from the sunken groove 206, and the diameter of the threading hole 201 is smaller than the length of the guide chute 205 in the radial direction of the lock body 22b, so that the abutting table 225 is formed on the side, close to the sunken groove 206, of the intersection of the inner surface of the threading hole 201 and the inner surface of the guide chute 205. The suture can be locked between the press block 25 and the abutment 225.
As shown in fig. 17, a fourth embodiment of the present invention provides a suture catch having a structure similar to that of the first embodiment, except that: in the fourth embodiment, the lock 22c of the suture shackle is coupled to the pusher member 23a in a manner that is slightly different from the manner in which the lock 22 is coupled to the pusher member 23 of the first embodiment. In the fourth embodiment, the pushing member 23a is a pushing rod slidably inserted into the connecting hole 203, the pushing rod can be clamped in the connecting hole 203, when the pushing rod is clamped in the connecting hole 203, the distal end surface of the pushing rod abuts against the pressing block 25 to abut against the abutting table 225, so as to lock the suture between the abutting table 225 and the pressing block 25. The pushing member 23a and the connecting hole 203 of the lock body 22c are fixed in a clamping manner through an elastic clamping piece and a clamping groove, in this embodiment, at least one elastic clamping piece 235 is arranged on the outer wall of the pushing member 23a, at least one clamping hole 226 is formed on the inner surface of the connecting hole 203 of the lock body 22c corresponding to the elastic clamping piece 235, and the elastic clamping piece 235 is an elastic clamping block of a hemisphere. The pushing piece 23a slides to the far end along the connecting hole 203, when the elastic clamping piece 235 is clamped in the clamping hole 226, the pushing piece 23a presses the pressing piece 25 to squeeze the suture 300 on the abutting table 225, and therefore the suture 300 is locked between the pressing piece 25 and the abutting table 225.
Referring to fig. 18 to 26, a fifth embodiment of the present invention provides a suture fastener structure similar to that of the first embodiment, except that: in the fifth embodiment, the sliding guide slot 220 includes a transverse sliding slot section 221 extending along the axial direction of the lock body 22d and a vertical sliding slot section 223 extending along the radial direction of the lock body 22d, the transverse sliding slot section 221 communicates with the connection hole 203, the vertical sliding slot section 223 communicates with the threading hole 201 and the distal end close to the transverse sliding slot section 221, and the vertical sliding slot section 223 forms a locking slot 224 in the lock body 22d after passing through the threading hole 201. Opposite ends of the transverse chute section 221, the vertical chute section 223 and the wire locking slot 224 pass through the corresponding first sidewall 2203 of the lock body 22 d. The threading hole 201 extends along the axial direction of the lock body 22d and is parallel to the transverse sliding groove section 221, the proximal end of the threading hole 201 is communicated with the connecting hole 203, and the distal end of the threading hole 201 penetrates through the distal end face of the lock body 22 d. The locking assembly 21 further comprises a sliding block 26 slidingly accommodated in the transverse sliding groove section 221, the pressing block 25a is slidingly accommodated in the vertical sliding groove section 223, the pushing member 23 moves along the connecting hole 203 and pushes the sliding block 26 to slide along the transverse sliding groove section 221, the sliding block 26 pushes the pressing block 25a to slide along the vertical sliding groove section 223 and push against the inner surface of the vertical sliding groove section 223, and the suture thread in the threading channel is locked between the pressing block 25a and the inner surface of the vertical sliding groove section 223.
The slider 26 has a first guide surface 261 inclined toward the side of the slider 25a, the slider 25a has a second guide surface 251 inclined toward the side of the slider 26, and the first guide surface 261 is fitted to the second guide surface 251, that is, the first guide surface 261 and the second guide surface 251 are slidably attached to each other. When the slide block 26 slides distally along the transverse chute section 221, the first slide guiding surface 261 slidingly pushes against the second slide guiding surface 251, so that the pressing block 25a slides along the vertical chute section 223.
An included angle between the first sliding guide surface 261 and the lock body 22d in the axial direction is greater than 0 degree and smaller than 90 degrees, and preferably, the included angle between the first sliding guide surface 261 and the lock body 22d in the axial direction is equal to 45 degrees; the angle between the second sliding guide surface 251 and the axial direction of the lock body 22d is greater than 0 degree and less than 90 degrees, and preferably, the angle between the second sliding guide surface 251 and the axial direction of the lock body 22d is equal to 45 degrees.
As shown in fig. 23, two opposite threading grooves 253 are formed on two opposite side surfaces of the pressing block 25a on the second sliding guide surface 251, and two opposite ends of each threading groove 253 penetrate through the corresponding side surface of the pressing block 25 a. When the pressing block 25a is installed in the vertical sliding groove section 223 of the lock body 22d, the threading groove 253 corresponds to the threading hole 201, and the threading groove 253 is used for threading a suture, namely, the suture bypasses the pressing block 25a through the two threading grooves 253 and faces back to the side face of the sliding block 26.
When the suture lock of the fifth embodiment is assembled, the pressing block 25a is inserted into the vertical sliding groove section 223 from one of the first side walls 2203 of the lock body 22d, so that the two opposite end faces of the pressing block 25a are aligned with the two first side walls 2203 of the lock body 22d, the two opposite side faces of the pressing block 25a are in interference fit or friction contact with the two opposite side faces of the vertical sliding groove section 223, the pressing block 25a is located at one end far away from the locking groove 224, and the threading groove 253 of the pressing block 25a corresponds to the threading hole 201; inserting sliding block 26 into transverse sliding groove section 221 from one of first side walls 2203 of lock body 22d, so that two opposite end faces of sliding block 26 are aligned with two first side walls 2203 of lock body 22d, and first sliding guide face 261 of sliding block 26 corresponds to second sliding guide face 251 of pressing block 25 a; the distal end of the pusher 23 is threaded into the coupling hole 203 until the distal end of the pusher 23 contacts the slide block 26.
Referring to fig. 27 and 28, when the suture catch 300 of the fifth embodiment is used to lock the suture 300, the proximal end of the suture 300 is inserted into the vertical chute section 223 from the threading hole 201 of the lock body 22d and the connecting hole 203 is extended out from the through hole 233 of the pushing member 23; the external connecting piece drives the pushing piece 23 to rotate in the connecting hole 203 so as to push the sliding block 26 to slide towards the far end, the first sliding guide surface 261 pushes the second sliding guide surface 251 to slide the pressing piece 25a along the vertical sliding groove section 223 towards the suture locking groove 224, the pressing piece 25a is inserted into the suture locking groove 224 and drives the suture 300 to bend into a U shape towards the suture locking groove 224, and the suture 300 is pressed and locked in the suture locking groove 224. At this time, the suture thread 300 is locked between the side of the pressing piece 25a facing away from the slide block 26 and the inner surface of the suture locking groove 224, and the suture thread 300 is threaded into the two thread passing grooves 253 of the pressing piece 25 a.
In this embodiment, the pushing member 23 is connected with the connecting hole 203 of the lock body 22d by a screw, and by controlling the screw thread amount of the pushing member 23, the sliding block 26 can be controlled to press the pressing block 25a against the force of the suture thread 300 in the thread locking groove 224, so as to control the locking degree of the pressing block 25a to the suture thread 300; secondly, after the pressing block 25a is inserted into the suture groove 224, the suture 300 positioned in the suture groove 224 forms a U-shaped bending effect, and the suture 300 is extruded by two contact points in total, so that the locking force of the suture lock on the suture 300 can be improved; thirdly, as the pushing piece 23 is screwed in the lock body 22, the pushing piece 23 can be prevented from loosening, so that the pressing block 25a can be prevented from loosening, and the suture 300 is prevented from being separated from the suture lock catch 20; in addition, the width of the threading groove 253 is large, so that the suture lines 300 can be dispersed conveniently, the probability of overlapping of a plurality of suture lines 300 is reduced, the contact area between the suture lines 300 and the pressing block 25a is large, each suture line 300 can be pressed, and the locking force of the suture line lock catch is improved.
In other embodiments, the first sliding guide surface 261 of the sliding block 26 may be omitted, and only the inclined second sliding guide surface 251 is required to be disposed on the pressing block 25a, and the distal end of the sliding block 26 slidably pushes the second sliding guide surface 251 to slide the pressing block 25a along the vertical sliding groove section 223.
In other embodiments, the second sliding guide surface 251 of the pressing piece 25a may be omitted, and only the inclined first sliding guide surface 261 is required to be provided on the sliding block 26, and the first sliding guide surface 261 of the sliding block 26 slidably pushes the pressing piece 25a to slide the pressing piece 25a along the vertical sliding groove section 223.
Referring to fig. 29 and 30, a suture fastener according to a sixth embodiment of the present invention is similar to the suture fastener of the fifth embodiment, except that: in the sixth embodiment, the structure of the suture shackle's lock 22e is slightly different from the lock 22d in the fifth embodiment. In the sixth embodiment, the inner surface of the wire-locking groove 224 of the lock body 22e is provided with a wire-outlet hole 227 at a side far from the wire-threading hole 201, one end of the wire-outlet hole 227 is communicated with the wire-locking groove 224, and the other end of the wire-outlet hole 227 penetrates through the second side wall 2204 of the lock body 22a far from the transverse chute section 221. Preferably, the wire outlet hole 227 corresponds to the wire threading hole 201. The suture thread is threaded through the threading hole 201 and the locking thread groove 224 and is threaded out of the thread outlet hole 227.
When the suture catch 300 of the sixth embodiment is used for locking, the proximal end of the suture 300 is passed through the threading hole 201 of the lock body 22e into the vertical chute section 223 and the locking groove 224 and out of the outlet hole 227; the external connecting member drives the pushing member 23 to rotate in the connecting hole 203 to push the sliding block 26 to slide towards the distal end, the first sliding guide surface 261 slidably pushes the second sliding guide surface 251 to enable the pressing block 25a to slide towards the suture locking groove 224 along the vertical sliding groove section 223, the pressing block 25a is inserted into the suture locking groove 224 and drives the suture 300 to bend towards the suture locking groove 224 to be in an L shape until the suture 300 is pressed and locked in the suture locking groove 224. At this time, suture 300 is pressed between lock 25a and lock 22e near exit hole 201. Specifically, the suture thread 300 is locked between the side of the pressing piece 25a facing away from the slide block 26 and the inner surface of the thread locking groove 224, and the suture thread 300 is threaded into the thread passing groove 253 of the pressing piece 25a facing the thread passing hole 201. After the pressing block 25a is inserted into the suture groove 224, the suture 300 positioned in the suture groove 224 forms an L-shaped bend, a contact point and a stress point of a contact surface are provided for the suture 300, and the locking force of the suture lock catch on the suture 300 can be improved.
Referring to fig. 31 to 41, a suture lock according to a seventh embodiment of the present invention is similar to the suture lock of the first embodiment, except that: in the seventh embodiment, the proximal end of the threading hole 201 obliquely communicates with the guiding slot 205 and then passes through one of the second side walls 2204 of the lock body 22f, and the side of the guiding slot 205 away from the connecting hole 203 passes through the threading hole 201 and then forms the wire-locking groove 228 in the lock body 22 f. The threading bore 201 includes an entry section 2011 extending from a distal end surface 2201 of the lock body 22f in an axial direction of the lock body 22f and a threading section 2013 extending obliquely from a proximal end of the entry section 2011 toward a side of the guide slot 205 and penetrating through the lock body 22f away from a second side wall 2204 of the entry section 2011, the threading section 2013 penetrating through the guide slot 205. Opposite ends of the guiding slot 205 and the slot 228 are inserted through the corresponding first sidewall 2203 of the lock body 22 f. The locking assembly further comprises a connecting shaft 27 located between the pushing piece 23a and the pressing piece 25b, the pushing piece 23a pushes the pressing piece 25b to slide along the guide sliding groove 205 through the connecting shaft 27, and the pressing piece 25b is enabled to abut against and push the suture to be clamped in the wire clamping groove 228.
In this embodiment, the pushing member 23a is a hollow cylindrical pushing rod, the outer wall of the pushing rod is connected to the inner wall of the connecting hole 203 by screwing, and specifically, the outer surface of the proximal end of the pushing rod is provided with an external thread 231 matched with the internal thread 2031 of the connecting hole 203. The middle part of the far end surface of the push rod is convexly provided with a hollow round connecting rod 236 along the axial direction. The connecting rod 236 is provided with a shaft hole 2351 along the axial direction, and the proximal end of the shaft hole 2351 is communicated with the through hole 233. The cross section of the shaft hole 2351 is circular, the cross section of the through hole 233 is larger than the cross section of the shaft hole 2351, and a connection table 2353 is formed at the intersection of the through hole 233 and the shaft hole 2351 in the pushing member 23 a.
The connecting shaft 27 comprises a cylindrical rotating shaft 271, a butting block 273 arranged at the near end of the rotating shaft 271 and a connecting column 275 convexly arranged at the far end of the rotating shaft 271, the rotating shaft 271 can be rotatably inserted into the shaft hole 2351, the butting block 273 is butted against the connecting table surface 2353, and the connecting column 275 is connected to the pressing block 25 b.
The pressing block 25b is a rod with a rectangular section, a hemispherical gap 255 is formed in the middle of one side, facing the wire clamping groove 228, of the pressing block 25b, and the gap 255 is used for accommodating a suture. The pressing block 25b is provided with a butting hole 256 along the axial direction of the lock body 22f, and the butting hole 256 corresponds to the notch 255.
When assembling the suture lock of the seventh embodiment, the pressing piece 25b is inserted into the guiding slot 205 from one of the first sidewalls 2203 of the lock body 22f, so that the two opposite end surfaces of the pressing piece 25b are aligned with the two first sidewalls 2203 of the lock body 22f, the gap 255 of the pressing piece 25b faces the slot 228, and the abutting hole 256 of the pressing piece 25b faces the connecting hole 203; the connecting column 275 of the connecting shaft 27 is inserted into the through hole 233 from the proximal end of the pushing member 23a until the rotating shaft 271 of the connecting shaft 27 is accommodated in the shaft hole 2351, the abutting block 273 abuts against the connecting table surface 2353, and the connecting column 275 extends out of the shaft hole 2351; the connecting rod 236 of the pushing member 23a is inserted into the connecting hole 203 and the pushing member 23a is screwed into the connecting hole 203, and the connecting post 275 is connected to the abutting hole 256 of the pressing piece 25 b. The connecting posts 275 may be fixedly attached to the mating holes 256 by riveting, bonding, snapping, welding, or the like. At this time, the connecting shaft 27 can rotate relative to the pushing member 23a, and the pushing member 23a rotating in the abutting hole 256 can drive the connecting shaft 27 to abut against the pressing block 25b to slide along the sliding slot 205.
Referring to fig. 42-44, when the suture catch 300 of the seventh embodiment is used to lock the suture 300, the proximal end of the suture 300 is inserted through the threading hole 201 from the entrance section 2011 and then exits from the threading section 2013; the external connecting piece drives the pushing piece 23a to be screwed into the connecting hole 203, the connecting shaft 27 slides along the guiding groove 205 to push the pressing piece 25b to slide towards the far end, the pressing piece 25b is inserted into the wire clamping groove 228 and drives the suture 300 to bend towards the wire clamping groove 228 into a U shape until the suture 300 is pressed and locked in the wire clamping groove 228. At this time, the suture thread 300 is held and locked between the pressing piece 25b and the thread locking groove 228, specifically, the suture thread 300 is held between the opposite side surfaces of the pressing piece 25b and the corresponding side surfaces of the thread locking groove 228, and the suture thread 300 is inserted into the notch 255 of the pressing piece 25 b.
In this embodiment, the pushing member 23a is connected with the connecting hole 203 of the lock body 22f in a threaded manner, and by controlling the thread advance amount of the pushing member 23a, the force of the connecting shaft 27 pressing the pressing block 25b to press the suture 300 in the thread clamping groove 228 can be controlled, so as to control the locking tightness of the pressing block 25b on the suture 300; secondly, after the pressing block 25b is inserted into the wire clamping groove 228, the suture 300 positioned in the wire clamping groove 228 forms a U-shaped bending effect, and the suture 300 is extruded by two contact points in total, so that the locking force of the suture lock on the suture 300 can be improved; thirdly, as the pushing piece 23a is screwed in the lock body 22f, the pushing piece 23a can be prevented from loosening, so that the pressing block 25b can be prevented from loosening, and the suture 300 is prevented from being separated from the suture lock catch; in addition, the width of the gap 255 is larger, so that the suture lines 300 can be dispersed conveniently, the overlapping probability of the suture lines 300 is reduced, the contact area of the suture lines 300 and the pressing block 25b is larger, each suture line 300 can be pressed, and the locking of the suture line lock catch is improved.
In other embodiments, the connecting shaft 27 may be fixed to the pushing member 23a, that is, when the pushing member 23a rotates along the connecting hole 203, the connecting shaft 27 rotates together with the pushing member 23a, and the connecting post 275 of the connecting shaft 27 is rotatably connected to the abutting hole 256 of the pressing piece 25 b. Specifically, the axial hole 2351 of the pushing member 23a may be a rectangular hole, and the connecting column 275 of the connecting shaft 27 is a rectangular column fitted in the rectangular hole; or the pusher 23a is integrally formed with the connecting shaft 27.
In other embodiments, the connecting shaft 27 is rotatably connected to the pushing member 23a, and the connecting shaft 27 and the pressing piece 25b are also rotatably connected, i.e., the connecting column 275 of the connecting shaft 27 is rotatably connected to the abutting hole 256 of the pressing piece 25 b; the rotating shaft 271 of the connecting shaft 27 is rotatably connected to the shaft hole 2351.
Referring to fig. 45-50, the use of the suture locking device 100 of the present invention is described below by taking a mitral valve repair of a heart as an example.
The mitral valve is a one-way "valve" between the Left Atrium (LA) and the Left Ventricle (LV), which ensures blood flow from the left atrium to the left ventricle. A normal, healthy mitral valve has a plurality of chordae tendineae, and when the left ventricle is in a diastolic state, the leaflets of the mitral valve are in an open state, and blood flows from the left atrium to the left ventricle; when the left ventricle is in a contracted state, the chordae tendineae are stretched to ensure that the leaflets are not flushed to the atrial side by blood flow, and the leaflets of the mitral valve close well, thereby ensuring that blood flows from the left ventricle to the aorta via the Aortic Valve (AV). Referring to fig. 45, the leaflets of the mitral valve are divided into an anterior leaflet 401 and a posterior leaflet 403, and if the mitral valve is diseased, when the left ventricle is in a contracted state, the anterior leaflet 401 and the posterior leaflet 403 cannot return to a closed state as in a normal state, and the impulse of blood further causes the anterior leaflet 401 and the posterior leaflet 403 to fall off into the left atrium, resulting in blood backflow.
The suture locking device 100 provided in the seventh embodiment of the present invention is used in the edge-to-edge repair of a valve as follows:
the first step is as follows: as shown in fig. 45, firstly, a plurality of sutures 300 with elastic gaskets 301 are respectively implanted into the anterior leaflet 401 and the posterior leaflet 403 of the mitral valve, and the point contact between the sutures 300 and the leaflets is converted into the surface contact between the elastic gaskets 301 and the leaflets, so that the risk of tearing the leaflets can be effectively reduced;
the second step is that: as shown in fig. 46 and 48, a plurality of sutures 300 implanted in the anterior leaflet 401 and the posterior leaflet 403 are respectively threaded into the threading passages of the suture lock of the suture locking and knotting device 100 outside the patient, specifically, the proximal end of each suture 300 is inserted from the inlet section 2011 of the threading hole 201 and is threaded out from the threading section 2013; the mandrel 51 and the push rod 53 are pushed into the heart through the heart apex at the far end, and move towards the valve leaflets of the mitral valve to be close, and meanwhile, the suture line 300 is pulled; when the valve leaflets are closed to a required degree, the handle 55 drives the distal end of the mandrel 51 to be inserted into the through hole 233 of the pushing element 23a and rotates relative to the push rod 52 to drive the pushing element 23a to rotate towards the distal end in the connecting hole 203, so as to further push the connecting shaft 27 to move towards the distal end and push the pressing block 25b to move towards the distal end, the pressing block 25b is inserted into the wire clamping groove 228 and drives the suture thread 300 to bend towards the wire clamping groove 228 to form a U shape, and the suture thread 300 is pressed and fixed; when the press piece 25b cannot move further, indicating that the suture catch has locked the suture 300, the plurality of sutures 300 are firmly secured in the suture catch.
The third step: as shown in fig. 47 and 49, withdrawing the push rod 53 and the stem 51, releasing the connection between the stem 51 and the pushing member 23a and the connection between the push rod 53 and the lock body 22f, releasing the suture lock from the distal opening of the push rod 53, and withdrawing the handle 55 to withdraw the stem 51 and the push rod 53 out of the body;
the fourth step: the appropriate suture length is adjusted, the excess suture is cut off, and the suture catch 20 and the remaining suture are left in the patient, at which point the anterior leaflet 401 and posterior leaflet 403 of the mitral valve are drawn toward each other by the plurality of sutures, forming a "bi-porous structure" with two pores G, completing the edge-to-edge repair.
It will be appreciated that, as shown in fig. 50, after the suture 300 is adjusted to a suitable length, the excess suture 300 may not be cut off, but all the ends of the suture 300 may be directly fixed to the apex, papillary muscles or ventricular wall. The ends of the suture 300 may be secured by a conventional spacer or patch, or the ends of the suture 300 may be secured by a suture locking device, specifically, the ends of the suture 300 are passed out of the heart incision, passed into another suture lock 20, the mandrel 51 and push rod 53 are pushed distally until they reach the vicinity of the outer surface of the heart, the suture 300 is locked, and then the excess suture 300 is cut, with one suture lock 20 in the heart, forming the two leaflets into a "bi-porous structure" under the leaflets, and the other suture lock 20 remaining on the outer surface of the heart to secure the ends of the suture 300.
It should be understood that the above description only illustrates the use of the present invention in the case of a suture catch and suture locking device for mitral valve repair procedures, and that the suture catch and suture locking device of the present invention can also be used for locking and securing sutures in other procedures. The foregoing is illustrative of embodiments of the present invention, and it should be noted that modifications and adaptations to those skilled in the art may be made without departing from the principles of the embodiments of the present invention and are intended to be within the scope of the present invention.
Claims (23)
1. The utility model provides an improve stylolite hasp of locking mode which characterized in that, including the lock body and movably connect in the locking Assembly in the lock body, the threading passageway that is used for wearing the stylolite is seted up to the lock body, locking Assembly includes pushing member and briquetting, pushing member promotes the briquetting extrusion wear dress in the stylolite in the threading passageway is in order to lock the stylolite in the stylolite hasp.
2. The suture catch of claim 1, wherein the pusher member moves in a proximal to distal direction of the lock body to push the press block against the suture.
3. The suture shackle of claim 1, wherein one end of the threading channel passes through a distal face of the lock body and the other end of the threading channel passes through a proximal face or side wall of the lock body.
4. The suture shackle of any one of claims 1 to 3, wherein the threading channel includes a threading hole located at a distal end of the lock body and penetrating through a distal end face of the lock body, and a connection hole located at a proximal end of the lock body and penetrating through a proximal end face of the lock body, the lock body is provided with a guide chute between the threading hole and the connection hole, the guide chute communicates with the threading hole and the connection hole, the pressing block is slidingly received in the guide chute, the pushing member moves along the connection hole to push the pressing block to slide along the guide chute until the pressing block abuts against a suture thread inserted in the threading channel.
5. The suture catch of claim 4, wherein a support platform is disposed between the guide chute and the threading hole, a suture is threaded into the threading channel and at least partially covers the support platform, and at least a portion of the suture is secured between the pressing block and the support platform.
6. The suture shackle of claim 5, wherein the guide chute is provided with a sunken groove at a side close to the threading hole, the abutting table is located between the sunken groove and the threading hole, a suture passes through the sunken groove and the guide chute from the threading hole and passes through the connecting hole, and at least part of the suture is covered on the abutting table.
7. The suture shackle of claim 5, wherein the threading bore extends obliquely to an axial direction of the lock body and communicates with the guide slot, and the abutment is located at an intersection of a distal end surface of the guide slot and an inner surface of the threading bore.
8. The suture shackle of claim 5, wherein the pushing member is a pushing rod slidably inserted into the connecting hole, the pushing rod is capable of being fastened in the connecting hole, and when the pushing rod is fastened in the connecting hole, the pushing rod pushes the pressing block against the abutting table.
9. The suture catch of claim 5, wherein the lock body is provided with a wire hole adjacent to the abutment, one end of the wire hole is connected to the guide chute and the threading hole, the other end of the wire hole penetrates through a side wall of the lock body, and the suture is threaded through the threading hole and the guide chute and extends from the wire hole.
10. The suture shackle of claim 4, wherein the guide slot extends axially of the lock body from a proximal end to a distal end, and opposite ends of the guide slot each extend through a side wall of the lock body.
11. The suture catch according to claim 4, wherein the pushing member is a pushing shaft, the pushing shaft is in threaded engagement with the connecting hole, the pushing shaft is provided with a through hole along an axial direction thereof, and a proximal end of the suture passes through the through hole.
12. The suture shackle of claim 4, wherein the guide slot includes a transverse slot section extending in an axial direction of the lock body and a vertical slot section extending in a radial direction of the lock body, the transverse sliding chute section is communicated with the connecting hole, the vertical sliding chute section is communicated with the far end close to the transverse sliding chute section and the threading hole, the vertical sliding groove section passes through the threading hole to form a locking wire groove in the lock body, the locking assembly further comprises a sliding block which is slidingly accommodated in the transverse sliding groove section, the pressing block is accommodated in the vertical sliding groove section in a sliding manner, the pushing piece moves along the connecting hole to push the sliding block to slide along the transverse sliding groove section, the sliding block pushes the pressing block to slide along the vertical sliding groove section to be inserted into the wire locking groove and drive the suture line to bend into a U shape towards the inside of the wire locking groove so as to lock the suture line in the wire locking groove.
13. The suture clasp of claim 12, wherein the sliding block is provided with a first inclined sliding guide surface facing the side of the pressing block and/or the pressing block is provided with a second inclined sliding guide surface facing the side of the sliding block, the first sliding guide surface slidably pushing the pressing block to slide or the sliding block slidably pushing the pressing block to slide along the second sliding guide surface.
14. The suture catch of claim 13, wherein the first and second guide-slide surfaces slidingly engage.
15. The suture catch according to claim 13, wherein an angle between the first sliding guide surface and an axis of the connecting hole is greater than 0 degrees and less than 90 degrees; and the included angle between the second guide sliding surface and the axial lead of the connecting hole is more than 0 degree and less than 90 degrees.
16. The suture catch according to claim 15, wherein the angle between the first sliding guide surface and the axis of the connecting hole and the angle between the second sliding guide surface and the axis of the connecting hole are both 45 degrees.
17. The suture catch according to claim 12, wherein the two opposite sides of the pressing block are in interference fit or friction contact with the two opposite sides of the vertical sliding block section, the two opposite sides of the pressing block are respectively provided with a threading slot corresponding to the threading hole, and the suture thread passes through the two threading slots and bypasses the side of the pressing block back to the sliding block.
18. The suture shackle of claim 12, wherein a wire hole is formed in a side of the vertical chute section facing the side of the pressing block, the side of the vertical chute section is far away from the threading hole, one end of the wire hole is communicated with the vertical chute section, the other end of the wire hole penetrates through the side wall of the lock body, the suture passes through the threading hole and the vertical chute section and then extends out of the wire hole, and the pressing block is inserted into the lock groove to enable the suture in the lock groove to be bent in an L shape.
19. The suture lock catch according to claim 4, wherein the proximal end of the threading hole is communicated with the guide chute and then penetrates through the side wall of the lock body, a thread clamping groove is formed in the lock body after one side of the guide chute, which is far away from the connecting hole, penetrates through the threading hole, the suture is threaded in the threading hole, the locking assembly further comprises a connecting shaft positioned between the pushing piece and the pressing piece, the pushing piece pushes the pressing piece to slide towards the distal end along the guide chute through the connecting shaft, and the pressing piece is inserted into the thread clamping groove and drives the suture to bend into a U shape towards the thread clamping groove, so that the suture is pressed and locked in the thread clamping groove.
20. The suture shackle of claim 19, wherein the outer wall of the pushing shaft is in threaded connection with the inner wall of the connecting hole, the connecting shaft is rotatably connected to the pushing member and/or the pressing block, and the pushing shaft is screwed in towards the distal end of the lock body to drive the connecting shaft to push the pressing block to be inserted into the wire clamping groove.
21. The suture catch according to claim 19, wherein the pressing piece has a notch formed in a side thereof facing the thread-retaining groove, the suture thread is inserted into the notch, and when the pressing piece is inserted into the thread-retaining groove, the suture thread is held between two opposite sides of the pressing piece and the corresponding sides of the thread-retaining groove.
22. A suture knot device comprising the suture catch of any one of claims 1-21, and a catch advancing mechanism; the suture lock catch is accommodated in the far end of the push rod and is detachably connected with the far end of the core shaft; the handle drives the push rod and the mandrel to move relatively.
23. The suture locking device of claim 22, wherein the lock is removably coupled to a push rod, the pusher is removably coupled to the push rod, and the push rod drives the pusher to move distally to push the press block to move relative to the lock until the press block moves to compress a suture threaded through the suture passage, the suture being locked between the press block and the lock.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910366557.XA CN111839626A (en) | 2019-04-30 | 2019-04-30 | Suture locking device with improved locking mode and suture lock catch thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910366557.XA CN111839626A (en) | 2019-04-30 | 2019-04-30 | Suture locking device with improved locking mode and suture lock catch thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN111839626A true CN111839626A (en) | 2020-10-30 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910366557.XA Pending CN111839626A (en) | 2019-04-30 | 2019-04-30 | Suture locking device with improved locking mode and suture lock catch thereof |
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| CN (1) | CN111839626A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112674819A (en) * | 2021-01-15 | 2021-04-20 | 上海汇禾医疗科技有限公司 | Suture auxiliary operation instrument and operation method thereof |
| WO2022068202A1 (en) * | 2020-09-30 | 2022-04-07 | 杭州德晋医疗科技有限公司 | Medical lock catch and medical locking device |
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| WO2022068202A1 (en) * | 2020-09-30 | 2022-04-07 | 杭州德晋医疗科技有限公司 | Medical lock catch and medical locking device |
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| CN112674819B (en) * | 2021-01-15 | 2022-04-19 | 上海汇禾医疗科技有限公司 | Suture auxiliary operation instrument and operation method thereof |
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