CN205697884U - Chamber mirror puncture stiching instrument - Google Patents

Chamber mirror puncture stiching instrument Download PDF

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Publication number
CN205697884U
CN205697884U CN201620311382.4U CN201620311382U CN205697884U CN 205697884 U CN205697884 U CN 205697884U CN 201620311382 U CN201620311382 U CN 201620311382U CN 205697884 U CN205697884 U CN 205697884U
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CN
China
Prior art keywords
line taking
peritoneum
locating piece
chamber
line
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CN201620311382.4U
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Chinese (zh)
Inventor
高宏
吴登峰
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Individual
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Individual
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Priority to CN201620311382.4U priority Critical patent/CN205697884U/en
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Abstract

The utility model discloses a kind of chamber mirror puncture stiching instrument, including operation core, outer sleeve, operation in-core arranges at least two line taking needle guide hole road, operation core bottom arrange at least two can close and open for the locating piece that peritoneum is positioned, be respectively provided with on locating piece bottom pertusate go out line groove, operation in-core arranges movement joint zygonema in arranging sunken cord hole, hole of sunkening cord, and stitching thread two rear line head is respectively provided with outlet casing tube, and outlet casing tube is movably arranged on out in line groove.This utility model simple in construction, can facilitate and close chamber mirror puncture easily, reduces surgical doctor operation easier, reduces patient's risk, and practicality is extremely strong, can be at clinical expansion.

Description

Chamber mirror puncture stiching instrument
Technical field
This utility model relates to a kind of stiching instrument, especially makes a kind of chamber mirror puncture stiching instrument, belongs to the technology of medical apparatus and instruments Field.
Background technology
After endoscope-assistant surgery completes, bigger chamber mirror puncture need to be closed, be beneficial to later stage healing.Especially at peritoneoscope After having performed the operation, the puncture at navel position need to be carried out perfect Guan Bi, serious concurrent such as the incisional hernia that otherwise may occur together Disease.In the crowd that stomach wall is thicker, manual operations Guan Bi chamber mirror puncture is extremely difficult, even wastes a lot of time and can not reach Satisfied stitching.Chamber mirror puncture Guan Bi has become one tinea scabies of endoscope-assistant surgery, seems minor matter, but brings more tired to operative doctor Disturb.
Clinical urgency needs a kind of operation tool that also can quickly be satisfied with stitching chamber mirror puncture stomach wall plumpness patient.
Utility model content
The purpose of this utility model is to overcome the deficiencies in the prior art, it is provided that a kind of chamber mirror puncture stiching instrument, logical Cross outer sleeve protection operation core and insert in the mirror puncture of chamber, use peritoneum positioner that the peritoneum needing stitching is quickly positioned, By suture guide, default stitching thread two rear line head is drawn in the mirror puncture of chamber through peritoneum afterwards, wipes out end line Head, can carry out knotting and complete peritoneal stitches.This utility model simple in construction, can facilitate and close chamber mirror puncture easily Closing, reduce surgical doctor operation easier, reduce patient's risk, practicality is extremely strong.
The technical scheme provided according to this utility model, described a kind of chamber mirror puncture stiching instrument, including for stabbing chamber mirror Operation core that hole carries out sewing up and for protecting operation core to insert the outer sleeve in the mirror puncture of chamber.
Described operation core is inserted one end of mirror working place, chamber and is provided for the peritoneum location at the mirror puncture internal orifice of chamber Peritoneum positioner.The described operation core movable stitching thread being provided for closing incision peritoneum in the mirror puncture of chamber in advance.Institute State operation core to be provided for the end of a thread at guide slit zygonema two ends and pass outwards through abdomen in mirror puncture internal orifice both sides, chamber from intraperitoneal side Film also enters the interior suture guide operating core of chamber mirror puncture.
Described peritoneum positioner includes that at least one pair of is arranged on operation core and enters the long bulk of one end, mirror working place, chamber Jaw type peritoneum locating piece.Long block jaw type peritoneum locating piece tail end is flexibly connected with operation core bar body lower end by rotating shaft, jaw type When peritoneum locating piece cuts out by rotating shaft, external diameter is not more than operation core bar body diameter, and jaw type peritoneum locating piece is beaten completely by rotating shaft When opening, jaw type peritoneum locating piece major axis is vertical with operation core bar long axis of body, and each jaw type peritoneum locating piece can be supported in the mirror puncture of chamber The external margin of mouth, it is impossible to deviate from through chamber mirror puncture internal orifice.Described operation core is positioned at otch lateral ends and arranges register control, Open or closed operation for the paired jaw type peritoneum locating piece of Synchronization Control.Described register control can be fixed at jaw type peritoneum Position block fully opens the position of the paired jaw type peritoneum locating piece of rear temporary locking.
Described operation in-core is provided for activity and arranges the receiving chamber of stitching thread, and stitching thread is preset in receiving intracavity.Described Accommodating intracavity and arrange the reel that can rotate, described stitching thread is suture, and in the middle part of stitching thread, wire body is wrapped in reel On.The end of a thread at described stitching thread two ends is movably arranged on respectively and accommodates the jaw type abdomen of peritoneum positioner outside the lower end outlet in chamber In film locating piece.
Described suture guide includes: penetrates peritoneum for drawing stitching thread two rear line head and pulls out taking of chamber mirror puncture Line pin, run through operation core tail end end and hypomere sidewall for guide line taking pin trend line taking guide hole road, be fixedly connected on Stitching thread two rear line head penetrates peritoneum for coordinating line taking pin traction stitching thread two rear line head and pulls out the lead collar of chamber mirror puncture Pipe, it is arranged on jaw type peritoneum locating piece and goes out line groove for what activity arranged outlet casing tube.Described go out line groove be set to cylinder Shape groove, tubular bottom portion of groove is positioned at side adjacent to each other during jaw type peritoneum locating piece Guan Bi, and tubular slot opening is positioned at pincers Side away from each other during formula peritoneum locating piece Guan Bi.Described outlet bottom portion of groove arranges cable hole, and stitching thread can pass through cabling Hole is moved.Described outlet casing tube is arranged on out in line groove, and stitching thread two rear line head accommodating intracavity is entered out by cable hole It is connected with fixing bottom outlet casing tube in line groove.After jaw type peritoneum locating piece fully opens, advance line taking pin, lead in line taking Draw guiding after lower line taking pin goes out to operate core hypomere sidewall opening of Kong Lu to puncture direction and be arranged in jaw type peritoneum locating piece The long axis direction of outlet casing tube overlaps.Described line taking needle end can enter and be embedded in the intracavity of outlet casing tube, retires line taking pin Time can pull out thread casing and deviate from out line groove and enter the intracavity on corresponding line taking guide hole road, meanwhile, outlet casing tube can draw seam The end of a thread of zygonema enters the intracavity on corresponding line taking guide hole road by cable hole.
Described line taking backshank end arranges control pin handle, and the movement of line taking pin is controlled or locks by control pin handle capable of being.Institute Stating line taking guide hole road and be set to the tubulose hole that cross sectional shape is consistent, line taking guide hole road internal diameter is more than outside line taking pin posterior segment Footpath, line taking pin can move in line taking guide hole road.Described line taking pin forward end diameter and profile and outlet casing tube internal diameter and Form fit, line taking pin forward end can closely be embedded in outlet casing tube.Described outlet casing tube profile and line taking pin posterior segment And line taking guide hole road inner chamber coupling, outlet casing tube external diameter is not more than line taking pin posterior segment diameter.Outlet casing tube can be embedded in and take Line pin forward end retires entrance line taking guide hole road intracavity with line taking pin.
Described line taking pin forward end can be fixed with outlet casing tube after entering outlet casing tube intracavity temporarily, makes line taking pin retire Time outlet casing tube can guide stitching thread the end of a thread and enter in chamber mirror puncture through peritoneum with line taking pin forward end.Fixed solution bag Including: described line taking pin forward end arranges agnail, line taking pin forward end and outlet casing tube are arranged to attract each other simultaneously Magnetic or metal, outlet casing tube intracavity arranges anti-skidding latch simultaneously.
Described line taking guide hole road is set to the through operation in one end core upper end face other end through operation core hypomere sidewall Tubulose hole.Described line taking guide hole road hypomere is set to linear type hole.After jaw type peritoneum locating piece fully opens, directly Line style hole central longitudinal axis direction overlaps with the central longitudinal axis direction of the outlet casing tube being arranged on out in line groove.
Described register control includes: the symmetry being flexibly connected with portion of closing on outside paired jaw type peritoneum locating piece rotating shaft Draw bar, described draw bar activity is embedded in the pull chamber of corresponding position operation core.Draw bar goes out the tail end of pull chamber and arranges Traction handle, tractive traction handle makes paired jaw type peritoneum locating piece rotate in the opposite direction centered by rotating shaft, makes in pairs Jaw type peritoneum locating piece opens.Described operation core closes on pull chamber outlet and arranges locking fixture block, complete at jaw type peritoneum locating piece Just the position of locking fixture block draw bar is arranged the locking draw-in groove with locking clamp Block-matching after opening.When jaw type peritoneum locating piece is complete After entirely opening, promote locking fixture block to enter in locking draw-in groove, make draw bar temporary locking, thus make the pair of jaw type peritoneum location Block is fixed as full open position temporarily.When reversely promoting outside locking clamp block abjection locking draw-in groove, draw bar is made to loosen, from forming To jaw type peritoneum locating piece loosen.
During described line taking pin resting state, front stage casing is movably arranged on line taking guide hole road, line taking pin forward end is just It is included in the exit of lower end, line taking guide hole road intracavity, the most just to the line taking Aculeata at the upper end open of line taking guide hole road Arranging locating groove, the operation core position that corresponding locating groove closes on line taking guide hole road opening arranges positioning wedged block, and it is fixed to promote When position fixture block is embedded in locating groove, line taking pin is locked.Time reversely in promotion positioning wedged block abjection locating groove, line taking pin Loosened.The length of the control pin handle, at its lower end Distance positioning draw-in groove of described line taking pin takes when fully opening with jaw type peritoneum locating piece Length bottom the needle point distance outlet casing tube of line pin lower end is suitable.After jaw type peritoneum locating piece fully opens, advance line taking pin Making control pin handle contact at line taking guide hole road opening, now, needle point entrance outlet casing tube in line taking pin lower end is interior and is positioned at outlet The bottom of sleeve pipe.
The utility model has the advantages that: outer sleeve protection operation core is inserted in the mirror puncture of chamber, and peritoneum positioner is to needs The peritoneum sewed up quickly positions, and by suture guide, through peritoneum, default stitching thread two rear line head is drawn to chamber mirror and stabs In hole, wipe out end the end of a thread, knotting can be carried out and complete peritoneal stitches.This utility model simple in construction, it is the most right to facilitate Chamber mirror puncture closes, and reduces surgical doctor operation easier, reduces patient's risk, and practicality is extremely strong.
Accompanying drawing explanation
Fig. 1 be this utility model outer sleeve structural representation (Fig. 2-7 does not all have picture outer sleeve, during practical operation operate core All it is nested with in outer sleeve);
Fig. 2 is the structural representation of this utility model operation core;
Fig. 3 is the structural representation of this utility model operation core peritoneum location;
Fig. 4 is that this utility model line taking pin penetrates peritoneum and thrusts the structural representation bottom outlet casing tube;
Fig. 5 is that this utility model line taking pin and outlet casing tube coordinate stitching thread two rear line head by peritoneum tractive to line taking The structural representation of guide hole road intracavity;
Fig. 6 is to be closed into the structural representation to jaw type peritoneum locating piece after this utility model takes out stitching thread the end of a thread;
Fig. 7 is the structural representation after the operation core after line taking is deviate from from the mirror puncture of chamber by this utility model;
Fig. 8 is this utility model structural representation of success peritoneal suture after suture tail wipes out operation core;
Fig. 9 is the structural representation of this utility model line taking Aculeata location structure partial enlargement;
Figure 10 is the structural representation of this utility model draw bar afterbody register control partial enlargement.
Description of symbols: 0-trocar sheath, 1-operation core, 2-peritoneum positioner, 20-rotating shaft, 21-jaw type peritoneum locating piece, 211-draw bar, 212-pull chamber, 213-traction handle, 214-locking fixture block, 215-locking draw-in groove, 3-stitching thread, 31-accommodate Chamber, 32-reel, 4-suture guide, 41-line taking pin, 411-control pin handle, 412-locating groove, 413-positioning wedged block, 42-line taking guide hole road, 43-outlet casing tube, 431-cable hole, 44-go out line groove and 5-peritoneum.
Detailed description of the invention
Below in conjunction with concrete accompanying drawing, the utility model is described in further detail.
As shown in Figures 1 and 2, described a kind of chamber mirror puncture stiching instrument, including the behaviour for sewing up chamber mirror puncture Make core 1 and for protecting operation core 1 to insert the outer sleeve 0 in the mirror puncture of chamber.The one of mirror working place, chamber inserted by described operation core 1 End is provided for the peritoneum positioner 2 positioning the peritoneum at the mirror puncture internal orifice of chamber, and described operation core 1 activity in advance arranges use The stitching thread 3 that incision peritoneum is closed in by chamber mirror puncture, described operation core 1 is provided for the line at guide slit zygonema 3 two ends Head operates the suture of core 1 in intraperitoneal side passes outwards through peritoneum and enters chamber mirror puncture and guides in mirror puncture internal orifice both sides, chamber Device 4.
Described outer sleeve 0 is set to linear type cylinder-like structure, the external diameter phase that its external diameter blocks with the chamber mirror stamp needing to sew up With.The chamber mirror puncture that outer sleeve 0 inserts mirror working place, chamber by chamber mirror stamp card can be inserted in mirror working place, chamber.Described overcoat The internal diameter of cylinder 0 can be nested with move at outer sleeve 0 intracavity more than the external diameter of operation core 1, operation core 1.When being embodied as operation, operation The suture guide 4 of the peritoneum positioner 2 of core 1 head, stitching thread 3 and part can be nested with the intracavity at outer sleeve 0, outside Under the protection of sleeve 0 in chamber mirror puncture enters mirror working place, chamber.The length of outer sleeve 0, less than the length of operation core 1, works as behaviour The suture guide 4 making the peritoneum positioner 2 of core 1 head, stitching thread 3 and part is included in entrance scope in outer sleeve 0 Behind working place, continue along outer sleeve 0 tract forward operation core 1, the operation peritoneum positioner 2 of core 1 head end, stitching thread 3 and The suture guide 4 of part can expose outer sleeve 0, makes the location of operation core 1 head end and sews up complete sudden and violent of functional part It is exposed in endoscopic technic space.Then, the peritoneum positioner 2 the operating core 1 head end peritoneum to side, peritoneoscope space is used Position, after having positioned, use the end of a thread at suture guide 4 guide slit zygonema 3 two ends in mirror puncture internal orifice both sides, chamber Core 1 is operated in intraperitoneal side passes outwards through peritoneum and enters chamber mirror puncture.Retire operation core 1, in the traction of operation core 1 Under, the wire body of stitching thread 3 is deviate from and is retained in inside the mirror puncture of chamber, and two rear line heads of stitching thread 3 are directed to out through peritoneum Chamber mirror puncture.Wiping out and operate the two rear line head ends that core 1 is connected, two rear line heads of line residual only need to be carried out beating by surgical doctor Knot operation can complete the peritoneum closed procedure of chamber mirror puncture.
As shown in Fig. 2, Fig. 3, Fig. 4, Fig. 5 and Fig. 6, described peritoneum positioner 2 includes that at least one pair of is arranged on operation core 1 Enter the long block jaw type peritoneum locating piece 21 of one end, mirror working place, chamber.Long block jaw type peritoneum locating piece 21 tail end is by turning Axle 20 is flexibly connected with operation core 1 body of rod lower end, and when jaw type peritoneum locating piece 21 cuts out by rotating shaft 20, external diameter is not more than operation Core 1 body of rod external diameter, jaw type peritoneum locating piece 21 major axis and operation core when jaw type peritoneum locating piece 21 is fully opened by rotating shaft 20 1 body of rod major axis is vertical, and each jaw type peritoneum locating piece 21 can be supported in the external margin of chamber mirror puncture internal orifice, it is impossible to through chamber mirror puncture Internal orifice is deviate from.Described operation core 1 is positioned at otch lateral ends and arranges register control, for the jaw type peritoneum that Synchronization Control is paired The open or closed operation of locating piece 21.Described register control can after jaw type peritoneum locating piece 21 fully opens temporary locking The position of paired jaw type peritoneum locating piece 21.
Peritoneum positioner 2 described in all diagrams be a pair be arranged on operation core 1 enter one end, mirror working place, chamber Long block jaw type peritoneum locating piece 21, two long block jaw type peritoneum locating pieces 21 are arranged on described operation core 1 kernel of section The position that lower end is symmetrical.Two long block jaw type peritoneum locating piece 21 upper ends are all movable with operation core 1 body of rod lower end by rotating shaft 20 Connecting, two long block jaw type peritoneum locating pieces 21 can be with rotating shaft 20 as axis rotation.Two long block jaw type peritoneum locating pieces 21 Length is all higher than the diameter of chamber mirror puncture, when two long block jaw type peritoneum locating pieces 21 rotate the most in the opposite direction, and class The same motion is opened like two binding clips of pliers.Reach when two jaw type peritoneum locating pieces 21 open the most in the opposite direction Time all vertical with operation core 1 major axis, use register control 22 that the position of two jaw type peritoneum locating pieces 21 is locked, i.e. Reach the optimal morphology needing to sew up mirror puncture peritoneum location, chamber.Now, hand-held core 1 upwards lifts, and opens at two Jaw type peritoneum locating piece 21 supporting role under, the lower edge tissue (including peritoneum) of chamber mirror puncture be close to operate core edge It is positioned in the upper surface of two jaw type peritoneum locating pieces 21 opened.
In order to make the rotation of two jaw type peritoneum locating pieces 21 of register control energy Synchronization Control, can be at two jaw type abdomens The upper end of film locating piece 21 arranges the gear structure of the contact of coupling, and the gear of both sides is staggered, and sets mutually.So, logical Crossing rotating shaft 20 when operating two jaw type peritoneum locating pieces 21, no matter open or closed procedure, two jaw type peritoneum locating pieces 21 are the completeest Full synchronization, it may be assumed that open with angle and same angle closure.Further, can be at two jaw type peritoneum locating pieces 21 respectively to phase Anti-direction is opened the contact site of gear structure when reaching all vertical with operation core 1 major axis and is arranged limited block, then can be to pincers The maximum opening angle of formula peritoneum locating piece 21 is spacing is and operation core 1 major axis vertical angle.When avoiding practical operation, two pincers Formula peritoneum locating piece 21 opening angle is excessive, affects its positioning action to peritoneum on the contrary, makes locating effect decline.
Shown in as shown in Figure 2, Figure 3 and Figure 4, the activity that is provided in described operation core 1 arranges the receiving chamber 31 of stitching thread 3, seam Zygonema 3 is preset in receiving chamber 31.Arranging the reel 32 that can rotate in described receiving chamber 31, described stitching thread 3 is medical seam Zygonema, in the middle part of stitching thread 3, wire body is wrapped on reel 32.The end of a thread at described stitching thread 3 two ends is movably arranged on receiving respectively Outside the lower end outlet in chamber 31 in the jaw type peritoneum locating piece 21 of peritoneum positioner 2.
The centre that described receiving chamber 31 is arranged on operation core 1 is optimal, and operation core 1 bottom is provided with receiving chamber 31 Outlet.Top, described receiving chamber 31 can be arranged expands position, arranges the reel 32 that can rotate in the space expanded.Described Be wrapped on reel 32 after wire body doubling in the middle part of stitching thread 3, and the end of a thread at two ends downwardly extend after by operation core 1 bottom Receiving chamber 31 export out receiving chamber 31 and be movably arranged in jaw type peritoneum locating piece 21.The aperture in described receiving chamber 31 is more than double The cross section of stock stitching thread, makes bifilar stitching thread can be drawn out receiving chamber 31 smoothly.And the end of a thread activity at stitching thread 3 two ends sets Put and be in resting state in jaw type peritoneum locating piece 21, peritoneum can be penetrated by suture guide 4 when needing and take out.
As shown in Figures 2 and 3, described suture guide 4 includes: is used for drawing 3 liang of rear line heads of stitching thread and penetrates peritoneum And pull out the line taking pin 41 of chamber mirror puncture, run through operation core 1 tail end end and hypomere sidewall for guiding line taking pin 41 trend Line taking guide hole road 42, it is fixedly connected on 3 liang of rear line heads of stitching thread and wears for coordinating line taking pin 41 to draw 3 liang of rear line heads of stitching thread Thoroughly peritoneum pull out the outlet casing tube 43 of chamber mirror puncture, be arranged on jaw type peritoneum locating piece 21 outlet casing tube is set for activity 43 go out line groove 44.Described go out line groove 44 be set to tubular groove, go out line groove 44 tubular bottom portion of groove and be positioned at jaw type abdomen The side that film locating piece 21 is adjacent to each other when closing, goes out line groove 44 tubular slot opening and is positioned at jaw type peritoneum locating piece 21 and closes Time side away from each other.Described going out to arrange cable hole 431 bottom line groove 44, stitching thread 3 can be moved by cable hole 431. Described outlet casing tube 43 is arranged on out in line groove 44, and the 3 liang of rear line heads of stitching thread accommodated in chamber 31 are entered by cable hole 431 It is connected with fixing bottom outlet casing tube 43 in going out line groove 44.After jaw type peritoneum locating piece 21 fully opens, advance line taking pin 41, puncture direction after line taking pin 41 goes out to operate core 1 hypomere sidewall opening under the guiding on line taking guide hole road 42 and be arranged on pincers The long axis direction of the outlet casing tube 43 in formula peritoneum locating piece 21 overlaps.Described line taking pin 41 head end can enter and be embedded in outlet The intracavity of sleeve pipe 43, can pull out thread casing 43 and deviate from out line groove 44 and enter corresponding line taking guide hole road when retiring line taking pin 41 The intracavity of 42, meanwhile, outlet casing tube 43 can draw the end of a thread of stitching thread 3 and enter corresponding line taking guide hole road by cable hole 431 The intracavity of 42.
Described outlet casing tube 43 includes that one end is set to the tubular structure that the sealed end other end is opening, outlet casing tube 43 Sealed end is fixing with two the end of a thread of stitching thread 3 respectively to be connected.Tubular groove topography go out line groove 44 cavity shape and outlet Sleeve pipe 43 profile and length coupling, but outlet casing tube 43 external diameter is little compared with going out line groove 44 inner chamber, outlet casing tube 43 length relatively outlet Groove 44 is short, and outlet casing tube 43 mass activity can be embedded in out line groove 44 inner chamber, can export by going out line groove 44 when needing Abjection.The end of a thread of the stitching thread 3 that outlet casing tube 43 sealed end connects is by going out the cable hole 431 bottom line groove 44 and stitching thread The main line body of 3 connects.Go out the transverse diameter less than outlet casing tube 43 of cable hole 431 aperture bottom line groove 44, can be to inserting outlet 43 position-limiting actions of outlet casing tube in groove 44, make outlet casing tube 43 will not be deviate from by cable hole 431.
Described go out line groove 44 function be to accommodate the outlet casing tube 43 being connected with stitching thread 3 the end of a thread, outlet casing tube temporarily 43 the end of a thread that can be understood as stitching thread 3 take out accessory, and coordinating with other assembly of the suture guide 4 of coupling can be by the end of a thread Send to after going out line groove 44 to take out and penetrates peritoneum in the mirror puncture cavity of chamber.
Described line taking guide hole road 42 is to be arranged on to run through operation core 1 tail end end and the round and smooth thickness of inwall of hypomere sidewall The hole of uniform mitigation out of shape, hole cross-sectional circular, it is possible to include other shape, as square, oval etc..Line taking is led The preferred linear type hole in Yin Kong road 42, it is possible to be set to relax round and smooth arc hole.Described line taking guide hole road 42 guides and buries Put the movement of line taking pin 41 wherein, the moving direction of line taking pin 41 is play the guiding role.Line taking guide hole road 42 is the most straight Line style hole, meanwhile, the preferred hard puncture needle of line taking pin 41, so, line taking pin 41 occurs after going out line taking guide hole road 42 Skew less, operation controllability is higher.When line taking guide hole road 42 is set to circular arc hole, line taking guide hole road 42 Lower end preferred linear hole, and line taking pin 41 can only select certain elasticity, can be by the line taking guide hole of circular arc hole The puncture needle of the highest hard out of shape in road 42.Certain elastic line taking pin 41 is had to go out behind line taking guide hole road 42 peritoneum and group Being bound to occur a range of skew after knitting puncture stress, elastic line taking pin 41 hard is the highest, offsets less, is more conducive to make With.
It is thin that described line taking pin 41 head end puncturing head is set to relatively line taking pin 41 body of rod, can enter by going out the oral area of line groove 44 Enter the intracavity of outlet casing tube 43.Meanwhile, the line taking pin 41 head end length of thin rod shape preferably with the cavity length of outlet casing tube 43 Joining, described line taking pin 41 head end thin rod part can produce with outlet casing tube 43 when entering the intracavity of outlet casing tube 43 and the most firmly connect Connect.So, after line taking pin 41 head end enters outlet casing tube 43, retiring line taking pin 41 can carry out out outlet casing tube 43 simultaneously Line groove 44, and then the end of a thread of stitching thread 3 is taken out of.Outside the external diameter of described outlet casing tube 43 is preferably with line taking pin 41 posterior segment Footpath coupling and profile similar, so, line taking pin 41 retreat enter line taking guide hole road 42 time, outlet casing tube 43 can also follow into Enter line taking guide hole road 42, so that the end of a thread of stitching thread 3 is drawn in line taking guide hole road 42.
In order to make the accurate line taking of line taking pin 41, described line taking guide hole road 42 move towards particularly important.Described line taking guides Hole road 42 is set to the tubulose hole of the through operation in one end core 1 upper end face other end through operation core 1 hypomere sidewall.Line taking is led The correct trend in Yin Kong road 42 is: after jaw type peritoneum locating piece 21 fully opens and locks, line taking guide hole road 42 open section The central axis going out line groove 44 arranged in the out of shape and jaw type peritoneum locating piece 21 of linear type hole central axis and setting The central axis of the outlet casing tube 43 in going out line groove 44 is completely superposed.So, fully open when jaw type peritoneum locating piece 21 After, advance line taking pin 41, puncture side after line taking pin 41 goes out to operate core 1 hypomere sidewall opening under the guiding on line taking guide hole road 42 To the long axis direction for outlet casing tube 43, continuing to advance line taking pin 41, line taking pin 41 head end thin rod part enters outlet casing tube 43 Intracavity produces and the most firmly connects.When retiring line taking pin 41, the end of a thread of stitching thread 3 with outlet casing tube 43 and line taking pin 41 by It is pulled in line taking guide hole road 42.
Described line taking pin 41 tail end arranges control pin handle 411, and the movement of line taking pin 41 can be controlled by control pin handle 411 Or locking.Described line taking guide hole road 42 is set to the tubulose hole that cross sectional shape is consistent, and line taking guide hole road 42 internal diameter is more than Line taking pin 41 posterior segment external diameter, line taking pin 41 can move in line taking guide hole road 42.Described line taking pin 41 forward end diameter And profile and outlet casing tube 43 internal diameter and form fit, line taking pin 41 forward end can closely be embedded in outlet casing tube 43.Institute Stating outlet casing tube 43 profile to mate with line taking pin 41 posterior segment and line taking guide hole road 42 inner chamber, outlet casing tube 43 external diameter is not more than Line taking pin 41 posterior segment diameter.Outlet casing tube 43 can be embedded in line taking pin 41 forward end and retire entrance line taking with line taking pin 41 Guide hole road 42 intracavity.
Described line taking pin 41 forward end can be fixed with outlet casing tube 43 after entering outlet casing tube 43 intracavity temporarily, makes line taking When pin 41 is retired, outlet casing tube 43 can guide stitching thread 3 the end of a thread and enter chamber mirror puncture with line taking pin 41 forward end through peritoneum In.Fixed solution includes: described line taking pin 41 forward end arranges agnail, simultaneously line taking pin 41 forward end and outlet casing tube 43 Being arranged to magnetic or the metal attracted each other, outlet casing tube 43 intracavity arranges anti-skidding latch simultaneously.Various interim fixing sides As case essence, it is simply that increase line taking pin 41 forward end enter after outlet casing tube 43 intracavity with being connected firmly of outlet casing tube 43 Degree, it is to avoid when retiring line taking pin 41, outlet casing tube 43 comes off and causes line taking failure.
As shown in Fig. 2, Fig. 3 Fig. 4, figure and Fig. 6, described register control includes: with paired jaw type peritoneum locating piece 21 turns Closing on the draw bar 211 that portion is flexibly connected outside axle 20, the activity of described draw bar 211 is embedded in leading of corresponding position operation core 1 Draw in chamber 212.Draw bar 211 goes out the tail end of pull chamber 212 and arranges traction handle 213, and tractive traction handle 213 makes paired jaw type Peritoneum locating piece 21 rotates centered by rotating shaft 20 in the opposite direction, makes paired jaw type peritoneum locating piece 21 open.This is simply Illustration to described register control, specific embodiments is the most common, especially at peritoneoscope various operation apparatus such as: Pincers, shears, bipolar coagulation, ultrasound knife etc., do not doing too much explanation.
As shown in Figure 10, described operation core 1 closes on pull chamber 212 outlet and arranges locking fixture block 214, positions at jaw type peritoneum The locking draw-in groove that position setting and the locking fixture block 214 of locking fixture block 214 draw bar 211 are just being mated after opening completely by block 21 215.After jaw type peritoneum locating piece 21 opens completely, promote locking fixture block 214 to enter in locking draw-in groove 215, make draw bar 211 Temporary locking, thus make the pair of jaw type peritoneum locating piece 21 and be fixed as full open position temporarily.When reversely promoting locking clamp Outside block 214 abjection locking draw-in groove 215, make draw bar 211 loosen, thus paired jaw type peritoneum locating piece 21 is loosened.Described pincers The locking scheme of formula peritoneum locating piece 21 also has many kinds, a kind of citing of a kind of latch-type locking, it is also possible to adopt With rotary, pull-type etc. locking scheme.But the locking meaning of described jaw type peritoneum locating piece 21 is the most great: work as jaw type After peritoneum locating piece 21 opens completely, the position of locking jaw type peritoneum locating piece 21, make the major axis of jaw type peritoneum locating piece 21 with The major axis of operation core 1 is locked as plumbness, now lifting operation core 1, edge of opening peritoneum and tissue quilt inside the mirror puncture of chamber Lifting the upper surface at jaw type peritoneum locating piece 21, peritoneum is in directly over jaw type peritoneum locating piece 21, and position extremely determines.Lock Fixed jaw type peritoneum locating piece 21 will not occur angle to change, and when upwards firmly lifting operation core 1, angle skew will not occur, Thus have influence on the locating effect to peritoneum.
As it is shown in figure 9, in during described line taking pin 41 resting state, front stage casing is movably arranged on line taking guide hole road 42, line taking Pin 41 forward end is just included in the exit of lower end, line taking guide hole road 42 intracavity, the most just on line taking guide hole road 42 Line taking pin 41 afterbody at end opening arranges locating groove 412, and corresponding locating groove 412 closes on line taking guide hole road 42 opening Operation core 1 position arranges positioning wedged block 413, and when promoting positioning wedged block 413 to be embedded in locating groove 412, line taking pin 41 is locked Fixed.Time in reversely promotion positioning wedged block 413 deviates from locating groove 412, line taking pin 41 is loosened.As shown in Figure 4, described line taking pin Line taking pin 41 when the length of the control pin handle 411 lower end Distance positioning draw-in groove 412 of 41 fully opens with jaw type peritoneum locating piece 21 Length bottom the needle point distance outlet casing tube 43 of lower end is suitable.After jaw type peritoneum locating piece 21 fully opens, advance line taking pin 41 make control pin handle 411 contact at line taking guide hole road 42 opening, and now, line taking pin 41 lower end needle point enters in outlet casing tube 43 And it is positioned at the bottom of outlet casing tube 43.In like manner, the locking scheme of line taking pin 41 also differs a citing, but the locking of line taking pin 41 Meaning is the most particularly significant.Before this utility model uses, locking line taking pin 41 prevents operating front line taking pin 41 head exposure and goes out Lower end, line taking guide hole road 42 exports, it is to avoid adjacent tissue is caused damage by line taking pin 41 head.Meanwhile, if line taking pin 41 head After exposing the outlet of lower end, line taking guide hole road 42, owing to the direction of line taking pin 41 acutangulates with operation core 1, will be to operation core 1 The operation inserting chamber mirror puncture forms agnail effect, makes operation core 1 insert the operation of chamber mirror puncture extremely difficult.At line taking pin 41 In thrusting outlet casing tube 43 and when being positioned at the bottom of outlet casing tube 43, line taking guide hole road 42 opening limit to control pin handle 411 It is just right that position effect makes line taking pin 41 thrust operation, it is to avoid after the thinner head end of line taking pin 41 is completely into outlet casing tube 43 Continuing to forcibly drive line taking pin 41 causes line taking pin 41 needle body bending even to fracture, thus subsequent operation is caused obstruction.And After line taking success, retire line taking pin 41 and make thinner head end carry out thread casing 43 together to fully enter line taking guide hole road 42 and open Oral area intracavity, now locking line taking pin 41 can avoid line taking pin 41 to move at operation core 1 when operation extracted by subsequent operation core 1 Hypomere sidewall exposes syringe needle, thus causes damage the sidewall of chamber mirror puncture.
Below in conjunction with diagram, this utility model concrete operations are done elaboration:
1, before Fig. 2 operates core 1 use, line taking pin 41 afterbody location structure is in the lock state, and line taking pin 41 encompasses completely In line taking guide hole road 42, the jaw type peritoneum locating piece 21 of operation core 1 front end is in fully closed condition.By the overcoat of Fig. 1 Cylinder 0 is nested with the front end at the operation core 1 of Fig. 2, and the operating side of protection operation core 1 front portion passes through chamber mirror puncture and enters peritoneoscope In working place.Continuing forward operation core 1, the outlet making the operating side of operation core 1 front portion go out outer sleeve 0 is fully exposed to chamber mirror Working place in, now, outer sleeve 0 be nested with operation core 1 back segment bar wall outside.
2 make the jaw type peritoneum locating piece 21 of operation core 1 front end open completely as it is shown on figure 3, upwards carry draw bar 211, lock The position of clencher formula peritoneum locating piece 21 is vertical with the major axis of operation core 1.Then, upwards lifting operation core 1, in the mirror puncture of chamber Flank film and tissue, are positioned clearly at the upper surface of jaw type peritoneum locating piece 21 by lifting.
3, as shown in Figure 4, holding carries operation core 1 state, opens the location structure of line taking pin 41 afterbody, advance line taking pin 41.Under the guiding on line taking guide hole road 42, line taking pin 41 goes out line taking guide hole road 42 and wears in the outlet of operation core 1 hypomere sidewall Peritoneum and portion of tissue go out in the outlet casing tube 43 encompassed in line groove 44 in entering and being arranged on jaw type peritoneum locating piece 21 thoroughly.When Control pin handle 411 is when contacting line taking guide hole road 42 opening part, line taking pin 41 head end completely in outlet casing tube 43 and and Outlet casing tube 43 compact siro spinning technology.
4, as it is shown in figure 5, put forward operation core 1 state on Bao Chiing, retire line taking pin 41.Now, outlet casing tube 43 follows line taking Pin 41 is retired together, and when line taking pin 41 returns to locked position, line taking pin 41 head end and outlet casing tube 43 are completely into line taking Guide hole road 42 intracavity.Now, at line taking pin 41 under the traction of outlet casing tube 43, reel 32 rotates and makes stitching thread 3 get loose, Stitching thread 3 wire body goes out to accommodate chamber 31 through cable hole 431 and follows the end of a thread and line taking pin 41 and enter through peritoneum and portion of tissue and take Line guide hole road 42 hypomere.
5, as shown in Figure 6, lock line taking pin 41 afterbody location structure, loosen on carry operation core 1.Open draw bar 211 tail Portion's register control 22, advances draw bar 211 to make jaw type peritoneum locating piece 21 of completely closed.The end of a thread due to stitching thread 3 two ends It is fixed on line taking pin 41 head end of line taking guide hole road 42 intracavity by outlet casing tube 43, during stitching thread 3 stress, accommodates in chamber 31 Reel 32 rotates, and part stitching thread 3 continues to be drawn out.
6 as it is shown in fig. 7, persistently retire operation core 1 by chamber mirror puncture together with outer sleeve 0, due to the two ends of stitching thread 3 The end of a thread is fixed on the outlet casing tube 43 in line taking guide hole road 42, during stitching thread 3 stress, accommodates the reel 32 in chamber 31 Rotating, stitching thread 3 continues to be drawn out, until all of stitching thread 3 wire body is all released.Now, stitching thread 3 center section part code insurance stays In the mirror puncture otch of chamber, its both sides wire body penetrates the peritoneum of mirror puncture otch both sides, chamber and portion of tissue is drawn out chamber mirror stamp Hole.That is: the peritoneal stitches of chamber mirror puncture is completed by stitching thread 3.
7, as shown in Figure 8, wiping out stitching thread 3 two ends excessive thread ends, surgical doctor is by stitching thread 3 two ends remnants' The end of a thread carries out surgery knotting can complete the operation to chamber mirror puncture internal layer Guan Bi.
8, the outer layer Guan Bi of chamber mirror puncture is the easiest, it is not necessary to special device can be easily accomplished.
In a word: this utility model simple in construction, the deficiencies in the prior art are overcome, it is provided that a kind of chamber mirror puncture is sewed up Device, the operation of this device is the most convenient, extremely practical, can help the chamber mirror puncture Guan Bi completing difficulty that surgical doctor is easily guaranteed the quality Operation, saves operating time, reduces operation risk.

Claims (9)

1. a chamber mirror puncture stiching instrument, including the operation core (1) for sewing up chamber mirror puncture be used for protecting operation The outer sleeve (0) in the mirror puncture of chamber inserted by core (1), it is characterized in that: one end that described operation core (1) inserts mirror working place, chamber sets Put the peritoneum positioner (2) for the peritoneum at the mirror puncture internal orifice of chamber is positioned;The activity in advance of described operation core (1) arranges use The stitching thread (3) that incision peritoneum is closed in by chamber mirror puncture;Described operation core (1) is provided for guide slit zygonema (3) two The end of a thread of end operates core (1) in intraperitoneal side passes outwards through peritoneum and enters chamber mirror puncture in mirror puncture internal orifice both sides, chamber Suture guide (4).
The most according to claim 1, chamber mirror puncture stiching instrument, is characterized in that: described peritoneum positioner (2) includes at least one Block jaw type peritoneum locating piece (21) is grown to being arranged on operation core (1) entrance one end, mirror working place, chamber;Long block jaw type abdomen Film locating piece (21) tail end is flexibly connected with operation core (1) body of rod lower end by rotating shaft (20), and jaw type peritoneum locating piece (21) leads to Crossing external diameter when rotating shaft (20) is closed and no more than operate core (1) body of rod external diameter, jaw type peritoneum locating piece (21) is complete by rotating shaft (20) When entirely opening, jaw type peritoneum locating piece (21) major axis is vertical with operation core (1) body of rod major axis, each jaw type peritoneum locating piece (21) energy It is supported in the external margin of chamber mirror puncture internal orifice, it is impossible to deviate from through chamber mirror puncture internal orifice;Described operation core (1) is positioned at outside otch One end arranges register control, for the open or closed operation of paired jaw type peritoneum locating piece (21) of Synchronization Control;Described Register control can fully open paired jaw type peritoneum locating piece (21) of rear temporary locking at jaw type peritoneum locating piece (21) Position.
3. according to mirror puncture stiching instrument in chamber described in claim 1 or claim 2, it is characterized in that: arrange in described operation core (1) Arrange the receiving chamber (31) of stitching thread (3) for activity, stitching thread (3) is preset in receiving chamber (31);Described receiving chamber (31) Inside arranging the reel (32) that can rotate, described stitching thread (3) is suture, stitching thread (3) middle part wire body be wrapped in around On line wheel (32);The end of a thread at described stitching thread (3) two ends is movably arranged on respectively and accommodates peritoneum outside the lower end outlet in chamber (31) In jaw type peritoneum locating piece (21) of positioner (2).
4. according to mirror puncture stiching instrument in chamber described in claim 1 or claim 2, it is characterized in that: described suture guide (4) Including: it is used for drawing stitching thread (3) two rear line head and penetrates peritoneum the line taking pin (41) pulling out chamber mirror puncture, run through operation core (1) tail end end and hypomere sidewall are used for guiding line taking guide hole road (42) that line taking pin (41) moves towards, are fixedly connected on stitching Line (3) two rear line head is used for coordinating line taking pin (41) traction stitching thread (3) two rear line head penetrate peritoneum and pull out chamber mirror puncture Outlet casing tube (43), it is arranged on that jaw type peritoneum locating piece (21) is upper goes out line groove for what activity arranged outlet casing tube (43) (44);Described go out line groove (44) be set to tubular groove, tubular bottom portion of groove be positioned at jaw type peritoneum locating piece (21) Guan Bi time Side adjacent to each other, side away from each other when tubular slot opening is positioned at jaw type peritoneum locating piece (21) Guan Bi;Described go out Line groove (44) bottom arranges cable hole (431), and it is mobile that stitching thread (3) can pass through cable hole (431);Described outlet casing tube (43) It is arranged on out in line groove (44), accommodates stitching thread (3) two rear line head in chamber (31) recessed by cable hole (431) entrance outlet Fix with outlet casing tube (43) bottom in groove (44) and be connected;After jaw type peritoneum locating piece (21) fully opens, advance line taking pin (41) after, under the guiding on line taking guide hole road (42), line taking pin (41) goes out to operate core (1) hypomere sidewall opening puncture direction with The long axis direction of the outlet casing tube (43) being arranged in jaw type peritoneum locating piece (21) overlaps;Described line taking pin (41) head end can enter Enter and be embedded in the intracavity of outlet casing tube (43), thread casing (43) can be pulled out when retiring line taking pin (41) and deviate from out line groove (44) entering the intracavity of corresponding line taking guide hole road (42), meanwhile, outlet casing tube (43) can draw the end of a thread of stitching thread (3) to be passed through Cable hole (431) enters the intracavity of corresponding line taking guide hole road (42).
The most according to claim 4, chamber mirror puncture stiching instrument, is characterized in that: described line taking pin (41) tail end arranges control pin handle (411), the movement of line taking pin (41) can be controlled or lock by control pin handle (411);Described line taking guide hole road (42) sets Being set to the tubulose hole that cross sectional shape is consistent, line taking guide hole road (42) internal diameter is more than line taking pin (41) posterior segment external diameter, line taking Pin (41) can move in line taking guide hole road (42);Described line taking pin (41) forward end diameter and profile and outlet casing tube (43) internal diameter and form fit, line taking pin (41) forward end can closely be embedded in outlet casing tube (43);Described outlet casing tube (43) profile is mated with line taking pin (41) posterior segment and line taking guide hole road (42) inner chamber, and outlet casing tube (43) external diameter no more than takes Line pin (41) posterior segment diameter;Outlet casing tube (43) can be embedded in line taking pin (41) forward end with line taking pin (41) retire into Enter line taking guide hole road (42) intracavity.
The most according to claim 5, chamber mirror puncture stiching instrument, is characterized in that: described line taking pin (41) forward end enters outlet Can fix with outlet casing tube (43) after sleeve pipe (43) intracavity, when making line taking pin (41) retire, outlet casing tube (43) can guide seam temporarily Zygonema (3) the end of a thread enters in the mirror puncture of chamber through peritoneum with line taking pin (41) forward end;Fixed solution includes: described line taking Pin (41) forward end arranges agnail, and line taking pin (41) forward end and outlet casing tube (43) are arranged to attract each other simultaneously Magnetic or metal, outlet casing tube (43) intracavity arranges anti-skidding latch simultaneously.
The most according to claim 4, chamber mirror puncture stiching instrument, is characterized in that: described line taking guide hole road (42) is set to one end The tubulose hole of through operation core (1) the upper end face other end through operation core (1) hypomere sidewall;Described line taking guide hole road (42) hypomere is set to linear type hole;After jaw type peritoneum locating piece (21) fully opens, linear type hole central longitudinal axis side Overlap to the central longitudinal axis direction with the outlet casing tube (43) being arranged on out in line groove (44).
The most according to claim 2, chamber mirror puncture stiching instrument, is characterized in that: described register control includes: with paired jaw type The draw bar (211) that portion is flexibly connected is closed in peritoneum locating piece (21) rotating shaft (20) outside, and described draw bar (211) activity is buried underground In the pull chamber (212) of corresponding position operation core (1);Draw bar (211) goes out the tail end of pull chamber (212) and arranges traction handle (213), tractive traction handle (213) makes paired jaw type peritoneum locating piece (21) turn in the opposite direction centered by rotating shaft (20) Dynamic, make paired jaw type peritoneum locating piece (21) open;Described operation core (1) is closed on pull chamber (212) outlet and is arranged locking fixture block (214), after jaw type peritoneum locating piece (21) opens completely just to locking fixture block (214) draw bar (211) position arrange with The locking draw-in groove (215) that locking fixture block (214) is mated;After jaw type peritoneum locating piece (21) opens completely, promote locking fixture block (214) enter in locking draw-in groove (215), make draw bar (211) temporary locking, thus make the pair of jaw type peritoneum locating piece (21) It is fixed as full open position temporarily;When reversely promoting locking clamp block (214) abjection locking draw-in groove (215) outward, make draw bar (211) loosen, thus paired jaw type peritoneum locating piece (21) is loosened.
The most according to claim 5, chamber mirror puncture stiching instrument, is characterized in that: front stage casing during described line taking pin (41) resting state Being movably arranged in line taking guide hole road (42), line taking pin (41) forward end is just included in line taking guide hole road (42) lower end The exit of intracavity, the most just arranges locating groove to line taking pin (41) afterbody at line taking guide hole road (42) upper end open (412) operation core (1) position that, corresponding locating groove (412) closes on line taking guide hole road (42) opening arranges positioning wedged block (413), promote positioning wedged block (413) be embedded in locating groove (412) interior time, line taking pin (41) be locked;Reversely promote location When fixture block (413) abjection locating groove (412) is interior, line taking pin (41) is loosened;Control pin handle (411) of described line taking pin (41) When the length of lower end Distance positioning draw-in groove (412) and jaw type peritoneum locating piece (21) fully open line taking pin (41) lower end needle point away from The length separating out thread casing (43) bottom is suitable;After jaw type peritoneum locating piece (21) fully opens, line taking pin (41) is advanced to make Control pin handle (411) contacts at line taking guide hole road (42) opening, and now, line taking pin (41) lower end needle point enters outlet casing tube (43) in and be positioned at the bottom of outlet casing tube (43).
CN201620311382.4U 2016-04-14 2016-04-14 Chamber mirror puncture stiching instrument Expired - Fee Related CN205697884U (en)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105748121A (en) * 2016-04-14 2016-07-13 高宏 Endoscope puncturing hole stitching instrument
CN106974706A (en) * 2017-03-30 2017-07-25 盛君玉 Puncture sheath with suture function
CN108065990A (en) * 2017-12-28 2018-05-25 盛君玉 A kind of puncture sheath
CN109717917A (en) * 2019-03-10 2019-05-07 孙奇勋 Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument
CN110859649A (en) * 2018-07-26 2020-03-06 中国人民解放军西部战区总医院 Continuous stitching instrument for endoscope
CN113171146A (en) * 2021-03-23 2021-07-27 中国人民解放军陆军军医大学第一附属医院 Temporary abdominal cavity closing device capable of controlling pressure and measuring pressure

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105748121A (en) * 2016-04-14 2016-07-13 高宏 Endoscope puncturing hole stitching instrument
CN105748121B (en) * 2016-04-14 2020-06-23 青岛市妇女儿童医院 Endoscope puncture stitching instrument
CN106974706A (en) * 2017-03-30 2017-07-25 盛君玉 Puncture sheath with suture function
CN108065990A (en) * 2017-12-28 2018-05-25 盛君玉 A kind of puncture sheath
CN110859649A (en) * 2018-07-26 2020-03-06 中国人民解放军西部战区总医院 Continuous stitching instrument for endoscope
CN110859649B (en) * 2018-07-26 2020-11-24 中国人民解放军西部战区总医院 Continuous stitching instrument for endoscope
CN109717917A (en) * 2019-03-10 2019-05-07 孙奇勋 Suture with dual non-slip release mechanism, which declines, creates fascia stitching unstrument
CN109717917B (en) * 2019-03-10 2024-05-28 蔡陆兵 Suture type minimally invasive fascia suture with dual anti-slip mechanism
CN113171146A (en) * 2021-03-23 2021-07-27 中国人民解放军陆军军医大学第一附属医院 Temporary abdominal cavity closing device capable of controlling pressure and measuring pressure
CN113171146B (en) * 2021-03-23 2022-08-02 中国人民解放军陆军军医大学第一附属医院 Temporary abdominal cavity closing device capable of controlling pressure and measuring pressure

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