CN113509225A - Operation incision anastomosis member, anastomosis assembly and cardiac surgery mechanical suturing device - Google Patents
Operation incision anastomosis member, anastomosis assembly and cardiac surgery mechanical suturing device Download PDFInfo
- Publication number
- CN113509225A CN113509225A CN202110468607.2A CN202110468607A CN113509225A CN 113509225 A CN113509225 A CN 113509225A CN 202110468607 A CN202110468607 A CN 202110468607A CN 113509225 A CN113509225 A CN 113509225A
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- Prior art keywords
- anastomosis
- supporting rod
- surgical incision
- pressing plates
- incision
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- 230000003872 anastomosis Effects 0.000 title claims abstract description 47
- 238000007675 cardiac surgery Methods 0.000 title claims abstract description 12
- 208000002847 Surgical Wound Diseases 0.000 claims abstract description 24
- 230000006835 compression Effects 0.000 claims description 8
- 238000007906 compression Methods 0.000 claims description 8
- 230000000747 cardiac effect Effects 0.000 claims description 3
- 239000000463 material Substances 0.000 claims description 3
- 238000002788 crimping Methods 0.000 claims 1
- 239000008280 blood Substances 0.000 abstract description 5
- 210000004369 blood Anatomy 0.000 abstract description 5
- 230000000903 blocking effect Effects 0.000 abstract 1
- 210000003128 head Anatomy 0.000 description 31
- 210000001519 tissue Anatomy 0.000 description 16
- 210000005003 heart tissue Anatomy 0.000 description 8
- 238000001356 surgical procedure Methods 0.000 description 6
- 230000009471 action Effects 0.000 description 5
- 239000012528 membrane Substances 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 210000003811 finger Anatomy 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 210000003813 thumb Anatomy 0.000 description 3
- 230000003044 adaptive effect Effects 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000002674 endoscopic surgery Methods 0.000 description 2
- 210000000936 intestine Anatomy 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 210000000115 thoracic cavity Anatomy 0.000 description 2
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 235000012149 noodles Nutrition 0.000 description 1
- 230000010349 pulsation Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000009958 sewing Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
Images
Classifications
-
- 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
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- 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
-
- 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
- A61B17/0491—Sewing machines for surgery
Landscapes
- 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 relates to an operation incision anastomosis member, an anastomosis component and a cardiac surgery mechanical suture device, which comprise an arch-shaped support rod, wherein two ends of the arch-shaped support rod are respectively connected with a pressing plate, the two pressing plates are oppositely arranged, the opposite side surfaces of the pressing plates are provided with conical bulges, and the arch-shaped support rod can provide elastic force for blocking movement when the two pressing plates are close to or far away from each other; the arched supporting rod is connected with the lock catch, and the lock catch can lock the arched supporting rod after the two pressing plates press tissues to be sutured so as to limit the deformation of the arched supporting rod. The suture needle can complete the suture of the surgical incision under the condition of not using suture threads and suture nails, and the condition of blood leakage caused by needle eyes can be avoided.
Description
Technical Field
The disclosure belongs to the technical field of surgical instruments, and particularly relates to an operation incision anastomosis member, an anastomosis assembly and a cardiac surgery mechanical suturing device.
Background
The statements herein merely provide background information related to the present disclosure and may not necessarily constitute prior art.
In recent years, open heart surgery has been widely developed in China, and has gradually developed towards minimally invasive surgery, endoscope and robot assistance. At present, in cardiac surgery, manual suture suturing is the most conventional operation, but the manual suture suturing can cause damage to the tissue edge of a cardiac incision and needle eye blood leakage, the tissue has large response to suture, the suturing operation time is long, the quality of the surgery is influenced, particularly, the suturing technology in thoracoscopic minimally invasive cardiac surgery has high requirements, the surgical suturing is time-consuming and difficult, and the development of the thoracoscopic cardiac surgery is seriously influenced due to the lack of a mechanical suturing device.
The existing mechanical anastomosis suturing devices applied to the surgeries of esophagus, lung, stomach and intestine, blood vessels and the like have various varieties and models, have the same principle, and have the advantages of simple, rapid, accurate and reliable operation, simple deep operation, closed or closed suturing or anastomosis and the like compared with manual suturing, and more importantly, the mechanical anastomosis suturing devices enable endoscopic surgery to be possible.
The inventors believe that existing mechanical stapling devices, while replacing the suture with absorbable staples, still result in the formation of staple eyes at the incised tissue. The heart surgery has the particularity of itself, the heart tissue is uneven, is comb-shaped mostly, and the thickness is inhomogeneous, and the incision is mostly straight line, and its content is blood to there is continuous pulsation, and it is difficult to get effects to look after moving or imitate the mechanical suturing device of intestines and stomach or lung, and the nail eye department easily takes place the blood leakage.
Disclosure of Invention
The present disclosure is directed to a surgical incision anastomosis member and a mechanical cardiac surgical suturing device, which can solve at least one of the above problems.
In order to achieve the above object, a first aspect of the present disclosure provides a surgical incision anastomosis member, including an arcuate support bar, two ends of the arcuate support bar are respectively connected with a pressing plate, the two pressing plates are oppositely disposed, opposite side surfaces of the pressing plates have conical protrusions, the arcuate support bar can provide an elastic force for hindering movement when the two pressing plates approach or depart from each other;
the arched supporting rod is connected with the lock catch, and the lock catch can lock the arched supporting rod after the two pressing plates press tissues to be sutured so as to limit the deformation of the arched supporting rod.
A second aspect of the present disclosure provides a cardiac surgery mechanical suturing device, including a plurality of surgical incision anastomosis members, which are arranged side by side and end-face-fitted, and fixedly connected.
A third aspect of the present disclosure provides a mechanical suture apparatus for cardiac surgery, including an operation incision anastomosis member and an acting member, the acting member has two headrests, the two headrests are respectively inserted into the fastening edges on the outer sides of the pressing plates, and the headrests can transmit the driving force of the acting member to drive the pressing plates to open and close.
The beneficial effects of one or more of the above technical solutions are as follows:
the combination of two pressing plates, an arched supporting rod and a lock catch is adopted in the heart surgery operation, the pressing plates can be used for pressing two incision inner membrane surfaces to be sutured, the inner membrane surfaces at two ends of an incision are matched, the pressing plates can be kept in a pressing state for a long time by matching of the arched supporting rods and the lock catch until tissue at an operation incision grows and heals into a whole, when the suturing effect is achieved, a suture line and a suture nail are not used, and the condition that blood leaks from a needle eye or a nail eye after the incision is sutured is avoided in the heart surgery operation.
The condition that the incision inner membrane surface is directly compressed by the compression plate and the conical protrusions is adopted, the length of an incision can be adjusted through the number of the surgical incision anastomosis pieces arranged side by side, the complex process of suture suturing is avoided, and the method is suitable for incision suturing operations with different lengths.
The cooperation of acting part and operation incision anastomosis spare is adopted, and the cephalic handle in the acting part inserts in the hem in the pressure strip outside, and this makes, after acting part drive pressure strip compresses tightly and accomplishes the locking, the separation that can and operation incision anastomosis spare of acting part, and the acting part need not remain in suture positions such as heart tissue.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the application and, together with the description, serve to explain the application and are not intended to limit the application.
Fig. 1 is an isometric view of the overall structure in example 1 of the present disclosure;
fig. 2 is a front view of the overall structure in embodiment 1 of the present disclosure;
FIG. 3 is a schematic view of the latch of embodiment 1 of the present disclosure when locking is completed;
FIG. 4 is a schematic representation of the tissue side pressing against the inner membrane side of an incision to be sutured in example 1 of the present disclosure;
FIG. 5 is a schematic view of two compression plates used side by side in example 2 of the present disclosure;
fig. 6 is a schematic view of the overall structure in embodiment 3 of the present disclosure.
In the figure, 1, an arch-shaped support rod; 2. locking; 3. organizing the noodles; 4. buckling edges; 4A, a compression plate; 5. a ring handle; 6. a force arm lever; 7. hinging a shaft; 8. a head-arm lever; 9. a head handle; 10. heart tissue.
Detailed Description
It should be noted that the following detailed description is exemplary and is intended to provide further explanation of the disclosure. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this application belongs.
It is noted that the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of example embodiments according to the present application. As used herein, the singular forms "a", "an" and "the" are intended to include the plural forms as well, and it should be understood that when the terms "comprises" and/or "comprising" are used in this specification, they specify the presence of stated features, steps, operations, devices, components, and/or combinations thereof, unless the context clearly indicates otherwise.
Example 1
The embodiment provides an anastomosis member for surgical incision, which comprises an arched supporting rod 1, wherein two ends of the arched supporting rod 1 are respectively connected with a pressing plate 4A, the two pressing plates 4A are oppositely arranged, the opposite side surfaces of the pressing plates 4A are provided with conical bulges, and the arched supporting rod can provide elastic force for hindering movement when the two pressing plates 4A are close to or far away from each other; the arched supporting rod 1 is connected with the lock catch 2, and the lock catch 2 can lock the arched supporting rod 1 after the two pressing plates 4A press tissues to be sutured, so as to limit the deformation of the arched supporting rod 1.
In this embodiment, the arch-shaped support rod 1, the pressing plate 4A and the lock catch are made of degradable materials. Therefore, in the endoscopic surgery, after the surgical incision anastomosis member in the embodiment is extended into the abdominal cavity or the thoracic cavity from the endoscopic incision, the surgical incision anastomosis member can be placed in the thoracic cavity until the surgical incision anastomosis member is degraded and absorbed by tissue cells.
The bow-shaped support rod is made of elastic materials, the bow-shaped support rod 1 is bent and enclosed to form an annular space with a notch, and the lock catch 2 is installed in the annular space.
It should be understood that, in this embodiment, the profile of the arch support is not necessarily a standard arch, i.e. the profile of the arch support is not necessarily a circular arc, as long as it is similar to the arch profile, and it is ensured that the two ends of the arch support are blocked by the elastic force when moving towards or away from each other.
The lock catch 2 comprises lock pull rods which are oppositely arranged, and the heads of the lock pull rods are provided with wedge-shaped locking heads.
It can be understood that, as shown in fig. 1, two lock pull rods are arranged in a staggered mode, two wedge-shaped surfaces of the wedge-shaped lock heads are arranged oppositely, and after the two pressing plates drive the end portions of the bow-shaped support rods to move oppositely to a certain degree, the two wedge-shaped lock heads can be buckled together to complete locking operation.
The opposite side of the pressing plate 4A forms a tissue surface 3, the tissue surface 3 is provided with the conical bulges, and grooves are formed between the adjacent conical bulges.
The side of the pressure plate 4A facing away from the tissue surface 3 has a fastening edge 4, which fastening edge 4 is used for connecting an external drive.
Example 2
The embodiment provides an anastomotic assembly, which comprises the surgical incision anastomotic members in embodiment 1, wherein a plurality of surgical incision anastomotic members are arranged side by side and are attached to the end surfaces, and the surgical incision anastomotic members are fixedly connected.
Example 3
The present embodiment provides a mechanical suture apparatus for cardiac surgery, comprising the surgical incision anastomosis member and the acting member as described in embodiment 1, wherein the acting member has two head handles 9, the two head handles are respectively inserted into the fastening edges 4 at the outer sides of the pressing plates 4A, and the head handles 9 can transmit the driving force of the acting member to drive the pressing plates 4A to open and close.
The head handle 9 is respectively fixedly connected with the arm rods, and the middle parts of the arm rods are hinged with each other.
The utility model discloses a first arm pole, arm pole and first arm pole 8, the arm pole middle part is provided with the hinge hole, and the one end that the arm pole is close to head handle 9 is head arm pole 8, and the other end is arm pole 6, and arm pole 6 separates through the hinge hole with head arm pole 8.
It will be appreciated that in this embodiment the acting element is in the form of an operating tong comprising a ring handle 5, a force arm lever 6, an articulated shaft 7, a head arm lever 8 and a head handle 9. The operating pliers are made of stainless steel materials; the head handle 9 of the operating forceps is adapted to the buckling edge 4 of the surgical incision anastomosis part, the head arm rod 8 is adapted to the two sides of the middle arched supporting rod 1 of the surgical incision anastomosis part, and the force is transmitted to the head arm rod 8 through the arm-force rod 6 and the articulated shaft 7 by utilizing the opening and closing actions of the ring handle 5, and finally to the middle arched supporting rod 1 and the head handle 9.
When the closing state is performed, the opposite surfaces of the lock catches 2 are touched to form a locking state. The operating forceps are also made into head handles 9 with different lengths according to the length of the operation incision anastomosis part.
The working principle is as follows: in the initial state, according to the length of the sutured heart tissue 10, the operation incision anastomosis member with the corresponding specification is selected, and meanwhile, the operation forceps with the head handles 9 with the corresponding size are selected.
Firstly, the operation incision anastomosis piece is arranged at the head end of an operation clamp, a head handle 9 of the operation clamp is adaptive to a buckling edge 4 of the operation incision anastomosis piece, force is transmitted to a head arm rod 8 through a force arm rod 6 and a hinge shaft 7 by utilizing the opening action of a ring handle 5, and finally reaches the head handle 9, so that the head handle 9 is in the opening action, the buckling edge 4 of the operation incision anastomosis piece adaptive to the head handle 9 is further in the opening state, then, the incision edge of cardiac tissue 1010 to be sutured is aligned in an intima-to-intima mode and is placed into a tissue surface 3 of the operation incision anastomosis piece in the opening state.
And then, by utilizing the closing action of the ring handle 5, the force is transmitted to the head arm rod 8 through the force arm rod 6 and the articulated shaft 7, so that the head arm rod 8 is in the closing action, and further, the two side surfaces of the arched supporting rod 1 in the operation incision anastomosis piece matched with the head arm rod 8 are enabled to be in the closing state, and when the closing state is carried out, the opposite surfaces of the lock catch 2 are touched to be in the locking state, thereby completing the mechanical tissue suturing process.
In the following description, the right hand of the operator is taken as the operating hand, and if the hand used by the operator is the left hand, the right hand in the corresponding content may be replaced by the left hand. The thumb and ring finger of the right hand are respectively sleeved into the ring handle 5, the operation incision anastomosis piece is arranged at the head end of the operation forceps, the head handle 9 drives the buckling edge 4 of the operation incision anastomosis piece matched with the thumb and ring finger to be in an open state, the left hand and the right hand of an operation assistant respectively hold the atraumatic forceps to add two ends of the incision of the cardiac tissue 10 and draw the atraumatic forceps to the two ends, an operator holds the atraumatic forceps by the left hand to heal the incision and aligns the incision in an inner membrane-to-inner membrane mode, then the incision edge is placed into the tissue surface 3 of the operation incision anastomosis piece in the open state, and the head arm rod 8 extrudes two side surfaces of the arch-shaped supporting rod 1 in the operation incision anastomosis piece matched with the head handle through the thumb and ring finger to enable the tissue 10 edge to be extruded by the tissue surface 3 in a facing mode until the lock catch 2 is in a locking state, so that the suturing process of the cardiac tissue 10 is completed.
The mechanical suturing device for the heart tissue 10 of the embodiment can realize uniform force at the anastomotic position, reliable anastomosis, high pressure bearing capacity and no sewing needle hole.
Although the present disclosure has been described with reference to specific embodiments, it should be understood that the scope of the present disclosure is not limited thereto, and those skilled in the art will appreciate that various modifications and changes can be made without departing from the spirit and scope of the present disclosure.
Claims (10)
1. An anastomosis member for surgical incision is characterized by comprising an arched supporting rod, wherein two ends of the arched supporting rod are respectively connected with a pressing plate, the two pressing plates are oppositely arranged, the opposite side surfaces of the pressing plates are provided with conical bulges, and the arched supporting rod can provide elastic force for hindering movement when the two pressing plates are close to or far away from each other;
the arched supporting rod is connected with the lock catch, and the lock catch can lock the arched supporting rod after the two pressing plates press tissues to be sutured so as to limit the deformation of the arched supporting rod.
2. The surgical incision anastomosis member of claim 1, wherein said arcuate support strut, compression plate and locking device are all degradable materials.
3. The surgical incision anastomosis member of claim 1, wherein said arcuate support strut is resilient and is curved to enclose an annular space having a gap, said locking device being disposed in said annular space.
4. The surgical incision anastomosis of claim 3, wherein said locking clasps comprise oppositely disposed locking levers, the heads of which have wedge-shaped locking heads.
5. The surgical incision anastomosis of claim 1, wherein an opposite side of said compression plate defines a tissue surface having said tapered projections formed thereon, and wherein said tapered projections define recesses therebetween.
6. The surgical incision anastomosis of claim 1, wherein a side of said compression plate facing away from said tissue surface has a crimping edge for connection to an external drive member.
7. An anastomosis assembly, comprising a plurality of surgical incision anastomoses as claimed in any one of claims 1 to 6, arranged side by side and end-wise abutting, the plurality of surgical incision anastomoses being fixedly connected.
8. A mechanical suture device for cardiac surgery, comprising the surgical incision anastomosis member of any one of claims 1 to 6, further comprising an acting member having two shanks inserted into the respective margins of the outer side of the compression plate, the shanks being capable of transmitting a driving force of the acting member to drive the compression plate to open and close.
9. The cardiac mechanical surgical suturing device of claim 8, wherein the head and handle are fixedly connected to arm levers, respectively, and the arm levers are hinged to each other at the middle portions thereof.
10. The mechanical suturing device for cardiac surgery according to claim 9, wherein the arm lever is provided with a hinge hole in the middle, one end of the arm lever close to the head handle is a head arm lever, the other end of the arm lever is a force arm lever, and the force arm lever and the head arm lever are separated by the hinge hole.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110468607.2A CN113509225A (en) | 2021-04-28 | 2021-04-28 | Operation incision anastomosis member, anastomosis assembly and cardiac surgery mechanical suturing device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110468607.2A CN113509225A (en) | 2021-04-28 | 2021-04-28 | Operation incision anastomosis member, anastomosis assembly and cardiac surgery mechanical suturing device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113509225A true CN113509225A (en) | 2021-10-19 |
Family
ID=78064001
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110468607.2A Pending CN113509225A (en) | 2021-04-28 | 2021-04-28 | Operation incision anastomosis member, anastomosis assembly and cardiac surgery mechanical suturing device |
Country Status (1)
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| CN (1) | CN113509225A (en) |
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|---|---|---|---|---|
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| US4834096A (en) * | 1987-10-26 | 1989-05-30 | Edward Weck Incorporated | Plastic ligating clips |
| US6193732B1 (en) * | 1999-01-08 | 2001-02-27 | Cardiothoracic System | Surgical clips and apparatus and method for clip placement |
| CN2447356Y (en) * | 2000-10-15 | 2001-09-12 | 庞辉 | Plastic clothes-peg |
| JP2012232066A (en) * | 2011-05-09 | 2012-11-29 | Nition:Kk | Forceps for clip operation, forceps for clip attachment/detachment and clip, and endoscopic surgical instrument set including them |
| US20130289586A1 (en) * | 2012-04-30 | 2013-10-31 | Zsx Medical, Llc | Surgical device |
| CN203263468U (en) * | 2013-05-17 | 2013-11-06 | 深圳市第二人民医院 | Disposable laparoscope skin incision clamp |
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| WO2016017663A1 (en) * | 2014-07-30 | 2016-02-04 | 株式会社シャルマン | Surgical clip |
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-
2021
- 2021-04-28 CN CN202110468607.2A patent/CN113509225A/en active Pending
Patent Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB1350100A (en) * | 1971-12-29 | 1974-04-18 | Ici Ltd | Wound closure clip removal device |
| US4834096A (en) * | 1987-10-26 | 1989-05-30 | Edward Weck Incorporated | Plastic ligating clips |
| US6193732B1 (en) * | 1999-01-08 | 2001-02-27 | Cardiothoracic System | Surgical clips and apparatus and method for clip placement |
| CN2447356Y (en) * | 2000-10-15 | 2001-09-12 | 庞辉 | Plastic clothes-peg |
| JP2012232066A (en) * | 2011-05-09 | 2012-11-29 | Nition:Kk | Forceps for clip operation, forceps for clip attachment/detachment and clip, and endoscopic surgical instrument set including them |
| EP2760351A1 (en) * | 2011-09-28 | 2014-08-06 | Mitracore Technologies Inc. | Apparatuses and methods for cutting a tissue bridge and/or removing a heart valve clip or suture |
| US20130289586A1 (en) * | 2012-04-30 | 2013-10-31 | Zsx Medical, Llc | Surgical device |
| US9220507B1 (en) * | 2012-10-14 | 2015-12-29 | Manoj B. Patel | Tissue spreading vascular clips with locking mechanism and non-slip clamping surfaces |
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