CN109009490B - Flexible recoverable puncture anchor and fixer thereof - Google Patents
Flexible recoverable puncture anchor and fixer thereof Download PDFInfo
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- CN109009490B CN109009490B CN201811068382.6A CN201811068382A CN109009490B CN 109009490 B CN109009490 B CN 109009490B CN 201811068382 A CN201811068382 A CN 201811068382A CN 109009490 B CN109009490 B CN 109009490B
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- 239000000463 material Substances 0.000 claims description 10
- 238000011084 recovery Methods 0.000 claims description 9
- 238000000034 method Methods 0.000 claims description 6
- 239000011248 coating agent Substances 0.000 claims description 5
- 238000000576 coating method Methods 0.000 claims description 5
- 229910045601 alloy Inorganic materials 0.000 claims description 4
- 239000000956 alloy Substances 0.000 claims description 4
- 229910001000 nickel titanium Inorganic materials 0.000 claims description 4
- 239000000853 adhesive Substances 0.000 claims description 3
- 230000001070 adhesive effect Effects 0.000 claims description 3
- 239000013013 elastic material Substances 0.000 abstract 1
- 230000006378 damage Effects 0.000 description 4
- 210000000232 gallbladder Anatomy 0.000 description 4
- 239000002861 polymer material Substances 0.000 description 4
- 238000005452 bending Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000000452 restraining effect Effects 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
- 206010006987 Calculus bladder Diseases 0.000 description 1
- 208000006568 Urinary Bladder Calculi Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 201000000210 bladder calculus Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 239000012858 resilient material Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Neurosurgery (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a flexible recoverable puncture anchor and a fixer thereof, comprising: the U-shaped structure body and the fixing spring sleeved on the U-shaped structure body. The U-shaped structure body is made of elastic materials suitable for deformation so that the U-shaped structure body is suitable for deformation; one end of the U-shaped structure body is a closed arc end, and the other end is an open end; the fixed spring is sleeved on the periphery of the opening end of the U-shaped structure body so as to fold the opening end of the U-shaped structure body.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a flexible recyclable puncture anchor and a fixer thereof.
Background
Gallbladder protecting and calculus removing under an endoscope is a common operation method in medical means, and can remove gall bladder calculus through the endoscope and preserve the function of the gall bladder. The biggest problem encountered in the current operation is that the gallbladder cannot be fixed, so that the operation time is long, the operation difficulty is high, and the success rate is low.
For the patent with the publication number of CN107714117A, although the patent can connect and fix tissues to be anastomosed or assist to fix the tissues, the fixer is in a vertical state with the pushing wire automatically after being sent into the tissues, the endoscopic puncture needle is withdrawn, the pushing wire is pulled, and the tissues can be pulled to move.
Disclosure of Invention
The invention aims to provide a flexible recyclable puncture anchor fixing device, which aims to solve the technical problem of reducing the injury of a puncture anchor to human tissues in the using process.
A second object of the present invention is to provide a flexible and recyclable piercing anchor to solve the technical problem of reducing the damage to human tissue during use of the piercing anchor.
The flexible recoverable puncture anchor fixing device is realized by the following steps:
a flexible, recyclable anchor holder, comprising:
the U-shaped structure body is made of elastic and deformable materials so that the U-shaped structure body is suitable for deformation; one end of the U-shaped structure body is a closed arc end, and the other end of the U-shaped structure body is an open end;
the fixed spring is sleeved on the outer peripheral side of the opening end of the U-shaped structure body so as to fold the opening end of the U-shaped structure body.
In the preferred embodiment of the invention, the length of the fixing spring accounts for 1/3-1/2 of the whole length of the U-shaped structure body.
In a preferred embodiment of the invention, the fixing spring is riveted with the U-shaped structural body or fixedly connected with the U-shaped structural body through high-viscosity adhesive.
In a preferred embodiment of the present invention, the material of the U-shaped structural body is NiTi alloy.
The flexible retrievable puncture anchor of the present invention is realized as follows:
a flexible retrievable puncture anchor comprising: the device comprises a fixer, a recovery line fixedly connected with the arc-shaped end of the fixer, and a push wire partially fixedly connected inside a U-shaped structure body of the fixer.
In a preferred embodiment of the present invention, the U-shaped structure has a channel formed between the open end and the arcuate end; and
the part of the pushing wire fixedly connected with the U-shaped structure body is accommodated in the channel;
the pushing wire is fixedly connected with the inner side wall of the channel of the U-shaped structure body;
the end part of the connection part of the pushing wire and the U-shaped structure body is near the opening end of the U-shaped structure body.
In a preferred embodiment of the invention, the transition between the portion of the push wire accommodated in the channel and the portion located outside the body of the U-shaped structure corresponds to 1/2 of the length of the body of the U-shaped structure.
In an alternative embodiment of the present invention, the pushing wire is a hard wire, and a high polymer material coating is coated on the surface of the hard wire.
In an alternative embodiment of the invention, the pushing wire is a soft wire and is pushed together with other instruments.
In a preferred embodiment of the present invention, the recovery line is a soft line.
By adopting the technical scheme, the invention has the following beneficial effects: according to the flexible recoverable puncture anchor and the fixer thereof, the fixer is made of elastic and deformable materials so that the U-shaped structural body is suitable for deformation, and the shape of the fixer is suitable for deformation along with the shape of tissues in the pulling process of the pushing wire, so that two end parts of the fixer cannot abut against the human tissues, and the damage degree of the fixer to the human tissues is correspondingly reduced.
Drawings
FIG. 1 is a schematic view of the structure of a flexible retrievable puncture anchor of the present invention;
FIG. 2 is a schematic view of the push wire of the flexible retrievable puncture anchor of the present invention;
FIG. 3 is a schematic view of the flexible retrievable puncture anchor of the present invention penetrating into a puncture needle;
FIG. 4 is a schematic view of the flexible retrievable puncture anchor of the present invention being threaded from a puncture needle;
fig. 5 is a schematic view of the flexible retrievable puncture anchor of the present invention closing tissue a and tissue B.
In the figure: the U-shaped structure body 100, the arc-shaped end 101, the opening end 103, the channel 105, the fixing spring 200, the recovery wire 300, the pushing wire 400, the polymer material coating 402 and the puncture needle 1.
Detailed Description
In order that the invention may be more readily understood, a more particular description of the invention will be rendered by reference to specific embodiments that are illustrated in the appended drawings.
Example 1:
referring to fig. 1, the present embodiment provides a flexible and recyclable anchor fixer, which includes a U-shaped body 100 and a fixing spring 200 sleeved on the U-shaped body 100.
The U-shaped structure body 100 is made of elastic and deformable materials so that the U-shaped structure body 100 is suitable for deformation; the U-shaped structural body 100 has a closed arcuate end 101 at one end and an open end 103 at the other end. The fixing spring 200 is sleeved on the outer circumference side of the opening end 103 of the U-shaped structure body 100 to fold the opening end 103 of the U-shaped structure body 100.
Optionally, the material of the U-shaped structural body 100 is NiTi alloy. The NiTi alloy is a resilient material such that the anchor deforms under the pulling action of the push wire 400.
It should be noted that, the U-shaped structure body 100 of the present embodiment is formed by bending a linear material to form a U-shaped structure, so two ends of the U-shaped structure body 100 formed after bending respectively form a closed arc end 101 and an open end 103, and the fixing spring 200 mainly has a function of restraining and folding the open end 103. The limit length of the fixing spring 200 accounts for 1/3 to 1/2 of the whole length of the U-shaped structure body 100, and the restraint folding effect of the opening end 103 of the U-shaped structure body 100 can be met. The fixing spring 200 itself has elasticity, so that the fixing spring 200 does not affect the deformation of the retainer along with the pulling of the push wire 400, but also can be synchronously and completely deformed along with the deformation of the retainer on the basis of realizing the restraining and folding effect on the opening end 103 of the U-shaped structure body 100.
For the connection between the fixing spring 200 and the U-shaped structural body 100, the fixing spring 200 is riveted with the U-shaped structural body 100 or fixedly connected with the U-shaped structural body 100 through high-viscosity adhesive, and of course, the fixing spring 200 and the U-shaped structural body 100 are also optionally fixedly connected with each other through welding.
Example 2:
referring to fig. 1, on the basis of the flexible and recoverable puncture anchor holder according to embodiment 1, this embodiment provides a flexible and recoverable puncture anchor, which specifically includes: the anchor of example 1, a recovery wire 300 attached to the arcuate end 101 of the anchor, and a push wire 400 partially attached to the inside of the U-shaped structural body 100 of the anchor. Wherein the recovery line 300 is a soft line.
Specifically, a channel 105 is formed between the open end 103 and the curved end 101 of the U-shaped structure, and the channel 105 is formed during bending of a linear material to form the U-shaped structure. The part of the pushing wire 400 fixedly connected with the U-shaped structure body 100 is accommodated in the channel 105; the pushing wire 400 is fixedly connected with the inner side wall of the channel 105 of the U-shaped structure body 100; the end of the push wire 400 that is attached to the U-shaped structure body 100 is proximal to the open end 103 of the U-shaped structure body.
Optionally, the push wire 400 is secured to the inner sidewall of the channel 105 by means such as, but not limited to, welding. The end of the push wire 400 may optionally be flush with the open end 103 of the U-shaped structure, or alternatively, the end of the push wire 400 may not be flush with the open end 103 of the U-shaped structure, for example, may be received in the channel 105 at a distance from the open end 103 of the U-shaped structure, and the embodiment is illustrated only in the case where the end of the push wire 400 is flush with the open end 103 of the U-shaped structure.
Optionally, since the pushing wire 400 needs to be pulled to deform the fixer, in order to make the fixer more stable in the deformation process, the turning part between the part of the pushing wire 400 accommodated in the channel 105 and the part located outside the U-shaped structural body 100 corresponds to the 1/2 length of the U-shaped structural body 100, so that after the fixer is sent into human tissue, the pushing wire 400 is pulled to force the middle part of the fixer, so that the whole fixer is bent and deformed from the middle part to two sides, namely, the arc-shaped ends 101 and the opening ends 103 distributed on two sides of the middle part of the fixer are deformed towards one side deviating from the pushing wire 400, so that the arc-shaped ends 101 and the opening ends 103 can be prevented from propping against the human tissue, and the damage of the fixer to the human tissue is reduced. Of course, the turning point between the portion of the pushing wire 400 accommodated in the channel 105 and the portion located outside the U-shaped structural body 100 may also correspond to the length of the U-shaped structural body 100 in other situations, for example, 1/3 of the length, that is, as long as the fastener can be caused to deform by the pulling action of the pushing wire 400 to meet the use requirement of the present embodiment, which is not limited in any way.
Referring to fig. 2, optionally, the pushing wire 400 is a hard wire with a certain pushing strength. And the surface of the hard silk thread is coated with the high polymer material coating 402, and the friction force during pushing can be reduced due to the arrangement of the high polymer material coating 402.
Optionally, the pushing wire 400 is a soft wire, and is pushed together with other instruments, and the pushing together with other instruments in this place belongs to a conventional technical means, which is not described in detail in this embodiment.
The specific embodiment of the flexible and recyclable puncture anchor holder of the present embodiment is as follows:
referring to fig. 3 to 5, under the guidance of an endoscope, an endoscopic puncture needle 1 (or other similar apparatus) punctures a tissue to a target position, then a push wire 400 of a puncture anchor is aligned with a holder, the holder is pushed out of the head end of the endoscopic puncture needle 1 (the end of the holder, which is not connected with a recovery wire 300, is advanced into the inner hole of the puncture needle 1) from the inner hole of the endoscopic puncture needle 1 by the push wire 400), then the holder is automatically in a vertical state with the push wire 400, the endoscopic puncture needle 1 is withdrawn, and the push wire 400 is pulled to pull and move the tissue to achieve the folding effect of the tissue and the tissue, and in this process, the holder is deformed along with the pulling of the push wire 400. Of course, the target tissue can be moved independently, thereby providing a convenient way for surgical treatment. After the operation is completed, the recovery wire 300 is pulled, and the anchor is automatically aligned with the recovery wire 300, thereby withdrawing the puncture anchor.
The foregoing embodiments have been provided for the purpose of illustrating the general principles of the present invention, and are more fully described herein with reference to the accompanying drawings, in which the principles of the present invention are shown and described, and in which the general principles of the invention are defined by the appended claims.
In the description of the present invention, it should be understood that the terms "orientation" or "positional relationship" are based on the orientation or positional relationship shown in the drawings, and are merely for convenience of description and to simplify the description, rather than to indicate or imply that the apparatus or elements referred to must have a particular orientation, be constructed and operate in a particular orientation, and therefore should not be construed as limiting the invention.
In the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," "secured," and the like are to be construed broadly, and may be, for example, fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communicated with the inside of two elements or the interaction relationship of the two elements. The specific meaning of the above terms in the present invention can be understood by those of ordinary skill in the art according to the specific circumstances.
In the description of the present invention, it should be noted that, directions or positional relationships indicated by terms such as "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., are directions or positional relationships based on those shown in the drawings, or are directions or positional relationships conventionally put in use of the inventive product, are merely for convenience of describing the present invention and simplifying the description, and are not indicative or implying that the apparatus or element to be referred to must have a specific direction, be constructed and operated in a specific direction, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used merely to distinguish between descriptions and should not be construed as indicating or implying relative importance.
Furthermore, the terms "horizontal," "vertical," "overhang," and the like do not denote a requirement that the component be absolutely horizontal or overhang, but rather may be slightly inclined. As "horizontal" merely means that its direction is more horizontal than "vertical", and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the present invention, unless expressly stated or limited otherwise, a first feature may include first and second features directly contacting each other, either above or below a second feature, or through additional features contacting each other, rather than directly contacting each other. Moreover, the first feature being above, over, and on the second feature includes the first feature being directly above and obliquely above the second feature, or simply indicating that the first feature is higher in level than the second feature. The first feature being below, beneath, and beneath the second feature includes the first feature being directly below and obliquely below the second feature, or simply indicates that the first feature is less level than the second feature.
Claims (7)
1. A flexible, recyclable piercing anchor, comprising: a holder, a recovery wire (300) fixedly connected with the arc-shaped end (101) of the holder, and a pushing wire (400) partially fixedly connected inside the U-shaped structural body (100) of the holder; wherein the method comprises the steps of
The holder includes:
the U-shaped structure body (100), wherein the U-shaped structure body (100) is made of elastic and deformable materials so as to enable the U-shaped structure body (100) to be suitable for deformation; the U-shaped structure body (100) is bent by adopting linear materials to form a U-shaped structure;
one end of the U-shaped structure body (100) is a closed arc-shaped end (101), and the other end is an open end (103);
the fixing spring (200) is sleeved on the outer periphery of the opening end (103) of the U-shaped structure body (100) so as to fold the opening end (103) of the U-shaped structure body (100);
the U-shaped structure body (100) is provided with a channel (105) between the opening end (103) and the arc-shaped end (101); and a part of the pushing wire (400) fixedly connected with the U-shaped structure body (100) is accommodated in the channel (105); the pushing wire (400) is fixedly connected with the inner side wall of the channel (105) of the U-shaped structure body (100); the end part of the connecting part of the pushing wire (400) and the U-shaped structural body (100) is close to the opening end (103) of the U-shaped structural body (100);
the turning point between the part of the pushing wire (400) accommodated in the channel (105) and the part positioned outside the U-shaped structure body (100) corresponds to 1/2 length of the U-shaped structure body (100).
2. The flexible recoverable puncture anchor according to claim 1, wherein the length of said retaining spring (200) is 1/3 to 1/2 of the overall length of the U-shaped structural body (100).
3. The flexible recoverable puncture anchor according to claim 1, characterized in that the fixing spring (200) is riveted to the U-shaped structural body (100) or fastened by means of a high-viscosity adhesive.
4. A flexible recoverable puncture anchor according to any of claims 1 or 3, characterized in that the U-shaped structural body (100) is made of NiTi alloy.
5. The flexible retrievable puncture anchor according to claim 1, wherein the push wire (400) is a stiff wire and the surface of the stiff wire is coated with a coating (402) of a polymeric material.
6. The flexible retrievable puncture anchor according to claim 1, wherein the pushing wire (400) is a soft wire that is pushed in cooperation with other instruments.
7. The flexible retrievable puncture anchor according to claim 1, wherein the retrieval line (300) is a soft line.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201811068382.6A CN109009490B (en) | 2018-09-13 | 2018-09-13 | Flexible recoverable puncture anchor and fixer thereof |
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CN201811068382.6A CN109009490B (en) | 2018-09-13 | 2018-09-13 | Flexible recoverable puncture anchor and fixer thereof |
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CN109009490B true CN109009490B (en) | 2023-11-24 |
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Citations (12)
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US5411520A (en) * | 1991-11-08 | 1995-05-02 | Kensey Nash Corporation | Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use |
JPH08215199A (en) * | 1995-02-09 | 1996-08-27 | Terumo Corp | Suture and tie-up instrument |
CN102462519A (en) * | 2011-10-25 | 2012-05-23 | 张石江 | Rake type pull hook for continuous sewing |
CN103565485A (en) * | 2013-10-23 | 2014-02-12 | 孙思予 | Suture puncturing device, suture folding device, tissue perforation anastomat and anastomosis method thereof |
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CN204671203U (en) * | 2015-04-14 | 2015-09-30 | 中国人民解放军第二军医大学 | Telescopic fit-type drag hook in a kind of lacunula endoscopic surgery |
CN106344129A (en) * | 2016-10-26 | 2017-01-25 | 胡鸿涛 | Disposable sterile percutaneous jejunostomy device |
CN206852109U (en) * | 2017-06-10 | 2018-01-09 | 上海诚格安全防护用品有限公司 | A kind of ultra-thin insulating glove |
CN107714117A (en) * | 2017-11-09 | 2018-02-23 | 中国医科大学附属盛京医院 | A kind of recyclable puncture anchor |
CN107837105A (en) * | 2016-09-18 | 2018-03-27 | 先健科技(深圳)有限公司 | Puncture conduit and tissue deflation system |
CN108289662A (en) * | 2015-10-21 | 2018-07-17 | 核心医疗股份公司 | Medical instrument and method for heart valve repair |
CN209122480U (en) * | 2018-09-13 | 2019-07-19 | 江苏唯德康医疗科技有限公司 | Flexibility is recyclable to puncture anchor and its fixator |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
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EP3284412A1 (en) * | 2014-12-02 | 2018-02-21 | 4Tech Inc. | Off-center tissue anchors |
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2018
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US5411520A (en) * | 1991-11-08 | 1995-05-02 | Kensey Nash Corporation | Hemostatic vessel puncture closure system utilizing a plug located within the puncture tract spaced from the vessel, and method of use |
JPH08215199A (en) * | 1995-02-09 | 1996-08-27 | Terumo Corp | Suture and tie-up instrument |
CN102462519A (en) * | 2011-10-25 | 2012-05-23 | 张石江 | Rake type pull hook for continuous sewing |
CN103565485A (en) * | 2013-10-23 | 2014-02-12 | 孙思予 | Suture puncturing device, suture folding device, tissue perforation anastomat and anastomosis method thereof |
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CN204671203U (en) * | 2015-04-14 | 2015-09-30 | 中国人民解放军第二军医大学 | Telescopic fit-type drag hook in a kind of lacunula endoscopic surgery |
CN108289662A (en) * | 2015-10-21 | 2018-07-17 | 核心医疗股份公司 | Medical instrument and method for heart valve repair |
CN107837105A (en) * | 2016-09-18 | 2018-03-27 | 先健科技(深圳)有限公司 | Puncture conduit and tissue deflation system |
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CN206852109U (en) * | 2017-06-10 | 2018-01-09 | 上海诚格安全防护用品有限公司 | A kind of ultra-thin insulating glove |
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CN209122480U (en) * | 2018-09-13 | 2019-07-19 | 江苏唯德康医疗科技有限公司 | Flexibility is recyclable to puncture anchor and its fixator |
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