CN104783852A - Tendon auxiliary suture forceps jaw and tendon auxiliary suture forceps - Google Patents
Tendon auxiliary suture forceps jaw and tendon auxiliary suture forceps Download PDFInfo
- Publication number
- CN104783852A CN104783852A CN201510219076.8A CN201510219076A CN104783852A CN 104783852 A CN104783852 A CN 104783852A CN 201510219076 A CN201510219076 A CN 201510219076A CN 104783852 A CN104783852 A CN 104783852A
- Authority
- CN
- China
- Prior art keywords
- tong arm
- tendon
- seam assist
- toe
- pincers
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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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
- A61B17/0487—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2804—Surgical forceps with two or more pivotal connections
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0042—Surgical instruments, devices or methods, e.g. tourniquets with special provisions for gripping
Abstract
The invention creatively discloses a tendon auxiliary suture forceps jaw and corresponding tendon auxiliary suture forceps. The tendon auxiliary suture forceps jaw is provided with claw toes. The claw toes comprise the upper claw toes and the lower claw toes, wherein claw toe gaps are formed between the upper claw toes and the lower claw toes, the upper claw toes and the lower claw toes are matched through the claw toe gaps to form clamping channels, and the claw toes are provided with blades. A tendon suture operation can be simply and efficiently assisted, and meanwhile tendon injuries are reduced to the maximum degree.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, a kind of tendon seam assist jaw particularly relating to auxiliary tendon suture in tendon suture operation and the tendon seam assist pincers with this jaw.
Background technology
For many years, the surgical operation repairing human body tendon rupture and defect is in the mode of pure manual suture always, and operation is difficulty comparatively.This is owing to can shrink and diverge after tendon rupture, and tendon surface unusual light, not easily hold, and the broken ends of fractured bone is very soft, fixing and lower pin is difficult to take into account simultaneously, must spatially dodge to some extent.In addition, the operation technique level of doctor is very different, neat, the standardized degree of the cabling after stitching differ, the operational approach of a kind of reliable authority is not had in stitching means common in the industry at present, fiber all likely occurs after surgery again and the accident surgery such as to tear, this proposes higher requirement to the operant skill of doctor and experience.The device being applicable to the operation of auxiliary tendon suture is urgently developed and promotes.
Summary of the invention
The present invention is directed to above-mentioned technical problem, provide one can assist tendon suture simply efficiently, the tendon seam assist jaw of tendon injury can also be reduced simultaneously to greatest extent, and there are the tendon seam assist pincers of this jaw.
The present invention solves the problems of the technologies described above adopted technical scheme:
Tendon seam assist jaw, has pawl toe, and pawl toe comprises multiple the dewclaw toe and the lower claw toe that are formed with pawl interdigit, and dewclaw toe and lower claw toe have complemented each other to form gripping channel by pawl interdigit, and pawl toe has cutting edge.
For optimizing technique scheme, the concrete measure taked also comprises:
Have the tendon seam assist pincers of above-mentioned tendon seam assist jaw, have two tong arms cooperatively interacted, tong arm to be cooperatively interacted connection by middle axis.
Above-mentioned middle axis cooperatively interacts multiple tendon seam assist to be clamped with merging axle and fixes.
Above-mentioned tong arm includes interconnective main tong arm and secondary tong arm, main tong arm comprises the first main tong arm and the second main tong arm, secondary tong arm is at least 2, each secondary tong arm includes the first secondary tong arm and the second secondary tong arm, first secondary tong arm and the second secondary tong arm are cooperatively interacted by middle axis and are connected, and middle axis cooperatively interacts multiple tendon auxiliary sewing device can be fixed with merging axle.
The connected mode of above-mentioned main tong arm and secondary tong arm for being fixedly connected with, screw is connected, hinged or riveted joint.
Above-mentioned first secondary tong arm and the second secondary tong arm with middle axis for axle center is hinged.
Above-mentioned tendon seam assist pincers, also include fixing and locking mechanism, fixing and locking mechanism comprises spacing tooth bar, positioning handle, shell fragment, positioning handle rivet and mistake proofing bit slice.
It is in mating connection that above-mentioned positioning handle and tong arm pass through positioning handle rivet.
Above-mentioned spacing tooth bar is connected in tong arm or with tong arm and is integrated part.
Above-mentioned shell fragment is configured on tong arm also can provide oppressive force for positioning handle.
The present invention invented in a creative way a kind of tendon seam assist jaw and correspondingly tendon seam assist pincers, can tendon suture be assisted simply efficiently to perform the operation, have simultaneously and decrease tendon injury to greatest extent, compared with prior art, there is many advantages.First, the cutting edge of the pawl toe of apparatus of the present invention effectively can firmly grasp smooth tendon tissue, prevents slippage; The second, because pawl toe cutting edge adds the stress point of frictional force, increasing lifting surface area, having disperseed local pressure can fix tendon when not damaging tendon; 3rd, the present invention can also draw the tissue of tendon broken ends of fractured bone damage fork effectively in temporarily, can assist and reach best operation stitching effect; 4th, auxiliary sewing device of the present invention can adapt to the broken ends of fractured bone docking of different-diameter tendon and fix; Finally, apparatus of the present invention patient sew application difficulty, improves the standardization level of tendon suture operation technique, also correspondingly reduces the requirement for patient's tendon suture skilled operation degree.
Accompanying drawing explanation
Fig. 1 is the side view of a kind of embodiment of tendon seam assist jaw of the present invention;
Fig. 2 is the schematic diagram that the tendon seam assist with tendon seam assist jaw clamps a kind of embodiment;
Fig. 3 is the schematic diagram that the tendon seam assist with tendon seam assist jaw clamps another kind of embodiment;
Fig. 4 is the side view that the tendon seam assist with tendon seam assist jaw clamps another kind of embodiment;
Fig. 5 is the schematic diagram of the another kind of embodiment of tendon seam assist jaw of the present invention;
Fig. 6 is the schematic diagram that two tendon seam assist clamp the fixing tendon that matches.
Detailed description of the invention
In order to make the object, technical solutions and advantages of the present invention clearly, below with reference to accompanying drawing, technical scheme of the present invention is further elaborated.
Fig. 1 is to Figure 6 shows that structural representation of the present invention.
Reference numeral is wherein: pawl toe 1, pawl interdigit 2, dewclaw toe 11, lower claw toe 12, gripping channel 3, cutting edge 4, main tong arm 5, the secondary tong arm 62 of secondary tong arm 6, first main tong arm 51, second main tong arm the 52, first secondary tong arm 61, second, middle axis 7, merging axle 8, fixing and locking mechanism 9, spacing tooth bar 91, positioning handle 92, shell fragment 93, positioning handle rivet 94, mistake proofing bit slice 95.
As shown in Figures 1 and 5, tendon seam assist jaw of the present invention, has pawl toe 1, and pawl toe 1 comprises multiple the dewclaw toe 11 and the lower claw toe 12 that are formed with pawl interdigit 2, dewclaw toe 11 and lower claw toe 12 have complemented each other to form gripping channel 3 by pawl interdigit 2, and pawl toe has cutting edge 4.
Fig. 2 to Fig. 4 illustrates the tendon seam assist pincers with tendon seam assist jaw, and they all have two tong arms cooperatively interacted, and tong arm to be cooperatively interacted connection by middle axis 7.
In the embodiment of tendon suture pincers, middle axis 7 cooperatively interacts multiple tendon seam assist to be clamped with merging axle 8 and fixes.
In another embodiment of the present invention (as Fig. 3, Fig. 4), tong arm includes interconnective main tong arm 5 and secondary tong arm 6, main tong arm 5 comprises the first main tong arm 51 and the second main tong arm 52, secondary tong arm 6 is at least 2, each secondary tong arm 6 includes the first secondary tong arm 61 and the second secondary tong arm 62, first secondary tong arm 61 and the second secondary tong arm 62 are cooperatively interacted by middle axis 7 and are connected, and middle axis 7 cooperatively interacts multiple tendon auxiliary sewing device can be fixed with merging axle 8.
In the above-described embodiments, main tong arm 5 and the connected mode of secondary tong arm 6 for being fixedly connected with, screw is connected, hinged or riveted joint.
In the above-described embodiments, the first secondary tong arm 61 and the second secondary tong arm 61 are that axle center is hinged with middle axis 7.
Of the present invention have in the tendon seam assist pincers embodiment of tendon seam assist jaw, and all can also include fixing and locking mechanism 9, fixing and locking mechanism 9 comprises spacing tooth bar 91, positioning handle 92, shell fragment 93, positioning handle rivet 94 and mistake proofing bit slice 95.
In the above-described embodiments, positioning handle 92 is in mating connection by positioning handle rivet 94 with tong arm.
In the above-described embodiments, spacing tooth bar 91 is connected in tong arm or with tong arm and is integrated part.
In the above-described embodiments, shell fragment 93 is configured on tong arm and also can provides oppressive force for positioning handle 92.
Tendon seam assist jaw of the present invention, dewclaw toe 11 and lower claw toe 12 clamp the tendinous end face of cylinder in the mode be engaged up and down, cutting edge 4 can provide enough clamping friction power, it is tight that this mode is conducive to dealing with stinging of different-diameter tendon, even if the docking between different-diameter tendon, and the tendon fibrous tissue diverged can be drawn to a certain extent in.There are the tendon suture pincers of this jaw, two tong arms cooperatively interacted (or first main tong arm 51 and second main tong arm 52 in another embodiment) can be rotated for hinged axle center with middle axis 7, and have certain scope, the amplitude of stroke to two tong arms cooperatively interacted (or the first main tong arm 51 in another embodiment and the second main tong arm 52) relative opening and closing as whole action is carried out spacing by spacing tooth bar 91.When the finger grip end of tong arm closes up, the tiger's jaw performing end is also closed up simultaneously, completes promptly action.After stitching completes, also unclamp when unclamping simultaneously.
Opening and closing action between two tong arms cooperatively interacted (or first main tong arm 51 and second main tong arm 52 in another embodiment) does not have elastic potential energy, nonelastic device, the full patient's finger movement that leans on completes opening and closing, but when stinging tight tendon tissue due to the elasticity of tissue and counteracting force, actuating station tiger's jaw movement tendency opened will be given, also pass to finger grip end movement tendency opened simultaneously, now stop this trend by the mode of buckle teeth engagement, actuating station is forced to restrain this tissue reaction, thus sting tight tendon tissue, its occlusion dynamics need be controlled voluntarily by operator, positioning handle is sent out again after selected degree of engagement and dynamics, positioning handle then engages with spacing tooth bar tightly, until sewed up.
Give tacit consent to without positioning handle during External Force Acting 92 and spacing tooth bar 91 and keep tooth engagement, the oppressive force providing tooth to engage by shell fragment 93, ensure the rotation of positioning handle by positioning handle rivet 94 and shift the direction of oppressive force, the pressure given by shell fragment 93 rotates about degree and passes to engagement place, when operator uses this tendon suture to clamp, first must press positioning handle 92 before opening and closing tong arm makes it be separated with the engagement of spacing tooth bar 91, has located until sting tight tendon.
In another kind of embodiment, secondary tong arm 6 is respectively in the first main tong arm 51 and the second main tong arm 52 both sides superposition, be actually the general purpose accessory as main tong arm 5, superposition quantity adjusts according to concrete service condition, but the secondary tong arm quantity in same main tong arm both sides generally should be kept consistent, and spacing is consistent, the secondary tong arm 6 being individually fixed in the first main tong arm 51 and the second main tong arm 52 can superpose mutually.On same main tong arm 5, the rivet clasp end of all secondary tong arms 6 is all fixed through a rivet, makes them maintain static relative to main tong arm 5 affiliated separately, reaches the effect that institute owner tong arm 5 respective with it is synchronized with the movement.
The present invention, when specifically using, first wants chorista to find two broken ends of fractured bone of tendon, is clamped in gripping channel 3, carries out spacing with spacing tooth bar 91 after tong arm opens suitable amplitude by tendon broken ends of fractured bone tendon auxiliary sewing device of the present invention.The critical subsides broken ends of fractured bone in clamping position; Then another tendon auxiliary sewing device of the present invention is used to adopt to use the same method and clamp another broken ends of fractured bone of tendon, two tendon auxiliary sewing devices are merged, tendon two broken ends of fractured bone is fitted, with merge axle 8 insert axis 7 in two tendon auxiliary sewing devices fix two tendon auxiliary sewing devices (this step operation also can not need merging axle assistance, directly hand-held two stitching clamps carry out the docking of tendon), the operation of tendon suture operation can be carried out.Inserting needle direction is the axial direction of tendon.
Be described in detail specific embodiments of the invention above, but it is just as example, the present invention is not restricted to specific embodiment described above.To those skilled in the art, any equivalent modifications that the present invention is carried out and substituting also all among category of the present invention.Therefore, equalization conversion done without departing from the spirit and scope of the invention and amendment, all should contain within the scope of the invention.
Claims (10)
1. tendon seam assist jaw, it is characterized in that, there is pawl toe (1), described pawl toe (1) comprises multiple the dewclaw toe (11) and the lower claw toe (12) that are formed with pawl interdigit (2), described dewclaw toe (11) and lower claw toe (12) have complemented each other to form gripping channel (3) by pawl interdigit (2), and described pawl toe has cutting edge (4).
2. have the tendon seam assist pincers of tendon seam assist jaw as claimed in claim 1, have two tong arms cooperatively interacted, it is characterized in that, described tong arm to be cooperatively interacted connection by middle axis (7).
3. tendon seam assist pincers according to claim 2, is characterized in that, described middle axis (7) cooperatively interacts multiple tendon seam assist to be clamped with merging axle (8) and fixes.
4. tendon seam assist pincers according to claim 3, it is characterized in that, described tong arm includes interconnective main tong arm (5) and secondary tong arm (6), described main tong arm (5) comprises the first main tong arm (51) and the second main tong arm (52), described secondary tong arm (6) is at least 2, each described secondary tong arm (6) includes the first secondary tong arm (61) and the second secondary tong arm (62), described first secondary tong arm (61) and described second secondary tong arm (62) are cooperatively interacted by middle axis (7) and are connected, described middle axis (7) cooperatively interacts multiple tendon auxiliary sewing device can be fixed with merging axle (8).
5. tendon seam assist according to claim 4 pincers, is characterized in that, the connected mode of described main tong arm (5) and secondary tong arm (6) for being fixedly connected with, screw is connected, hinged or rivet.
6. tendon seam assist according to claim 4 pincers, is characterized in that, described first secondary tong arm (61) and the second secondary tong arm (61) with middle axis (7) for axle center is hinged.
7. the tendon seam assist pincers according to claim 2-6 any one, it is characterized in that, also include fixing and locking mechanism (9), described fixing and locking mechanism (9) comprises spacing tooth bar (91), positioning handle (92), shell fragment (93), positioning handle rivet (94) and mistake proofing bit slice (95).
8. tendon seam assist pincers according to claim 7, it is characterized in that, described positioning handle (92) is in mating connection by described positioning handle rivet (94) with tong arm.
9. tendon seam assist pincers according to claim 7, it is characterized in that, described spacing tooth bar (91) is connected in tong arm or with tong arm and is integrated part.
10. tendon seam assist pincers according to claim 7, is characterized in that, described shell fragment (93) is configured on tong arm also can provide oppressive force for described positioning handle (92).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201510219076.8A CN104783852B (en) | 2015-04-30 | 2015-04-30 | Tendon auxiliary suture jaw and tendon auxiliary stitching clamp |
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CN201510219076.8A CN104783852B (en) | 2015-04-30 | 2015-04-30 | Tendon auxiliary suture jaw and tendon auxiliary stitching clamp |
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CN104783852A true CN104783852A (en) | 2015-07-22 |
CN104783852B CN104783852B (en) | 2017-11-07 |
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CN201510219076.8A Expired - Fee Related CN104783852B (en) | 2015-04-30 | 2015-04-30 | Tendon auxiliary suture jaw and tendon auxiliary stitching clamp |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111166443A (en) * | 2020-01-06 | 2020-05-19 | 青岛市妇女儿童医院(青岛市妇幼保健院、青岛市残疾儿童医疗康复中心、青岛市新生儿疾病筛查中心) | Special operation pincers of gynaecology |
CN113693660A (en) * | 2021-09-01 | 2021-11-26 | 青岛市市立医院(青岛市临床医学研究所、青岛市医学影像中心) | Tendon positioning anastomat |
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CN113693660A (en) * | 2021-09-01 | 2021-11-26 | 青岛市市立医院(青岛市临床医学研究所、青岛市医学影像中心) | Tendon positioning anastomat |
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