TWI481380B - Minimally invasive tendon suturing surgical kit - Google Patents

Description

Minimally invasive tendon suture surgical set

The present invention relates to a surgical kit, and more particularly to a surgical kit suitable for use in minimally invasive tendon suture surgery.

In the past, the traditional concept of surgery, first to destroy and then reconstruct, the wound is large, although it helps the doctor to solve the problem and solve it, but for the patient, it causes increased pain and the recovery period. In recent years, with the advancement of science and technology, minimally invasive surgery such as endoscopic surgery or laser surgery has been widely used in surgery, and patients have greatly reduced the pain of surgery, which is the current trend of medical science in the world.

What you need to do in minimally invasive surgery is to minimize the damage and wounds of the patient. Because the wound is small, you can naturally heal faster. Use surgical tools to achieve treatment that was completed in the past with large-scale surgery. For example, in the case of the spine, since the purpose is to minimize the damage of normal tissues and organs, the bone part of the spine itself, as well as ligaments, fascia, muscles, blood vessels, etc., are the key to maintaining stable spinal activity, and can be destroyed without destruction. The more damage, the faster the rate of degradation, the worse the stability, the greater the slipping off the line. The spinal joints that could be active will be sacrificed, and the burden of flexion and extension will be provoked by adjacent segments, so a vicious circle. Adjacent segments will also be degraded early due to increased burden, and new problems and new symptoms may occur.

Therefore, the smaller the surgical wound, the better, the spine without nerve compression should not bite off the best. Do not cut off the ligaments best, don't destroy the muscles, don't cut them best. The most common worry after surgery is the problem of nerve embedding caused by scars. The larger the wound, the more the spinal cord is destroyed, and the greater the chance of nerve embedding.

In minimally invasive surgery, surgery with endoscopes is an important part. With the advancement of technology and technology, endoscopic surgery can treat bone spurs, hypertrophy of the ligamentum flavum, hyperplasia of small joints, and cause nerve root compression and nerve hole stenosis. Spinal stenosis causes numbness in the arm, shoulder numbness, neck numbness, lower back pain, hip pain, sore leg pain, sciatica, weakness or inflexibility of the legs and feet, local anesthesia The wound is small, the operation time is about one hour, the blood loss is small, and the hospital stay is short.

Moreover, some patients are old and have chronic diseases such as hypertension, diabetes, arrhythmia, hyperlipidemia, and stroke. These patients undergo traditional or microsurgery and must use systemic inhalation anesthesia. The risk is high, and the trachea is inserted. There may be a chance of sore throat or pneumonia after the tube. In contrast, minimally invasive surgery uses local anesthesia to reduce the risk of anesthesia.

In addition, the patient is awake throughout the operation to avoid nerve damage. In addition, the patient will interact with the doctor during the operation. If there is a threat to the nerve, the numbness will immediately respond and the doctor will make corrections. In addition, whether there are angina pectoris, chest pain, and stroke symptoms during surgery, you can immediately know and respond. It is also immediately known that the decompression is not complete and the effect is good or bad.

Therefore, the biggest advantage of minimally invasive surgery is that it has small wounds, is beautiful, has less damage to the body, and therefore recovers quickly. It can quickly return to normal life, reduce hospital stay, and reduce complications. occur.

In contrast, because the wound is required to be small, it is more difficult for the physician to have higher equipment requirements, and the advantages of minimally invasive surgery can be exerted.

Therefore, the demand for instruments for minimally invasive surgery has also arisen. Currently known, Suture needles and wires suitable for minimally invasive surgery have been slowly developed, and the fineness of the needles and wires is so small that the naked eye is completely invisible. It can not only suture small blood vessels, but also can be used for the suture of tiny skin wounds, so that it will not leave unsightly traces, so it can be "seamless" after surgery. However, "workers must first sharpen their tools when they want to do something good", and it is not yet mature to develop surgical kits that are truly suitable for minimally invasive surgery. Therefore, it has become an urgent issue for the development of surgical kits that are truly suitable for minimally invasive surgery.

The disclosure of the background of the invention is to be understood as merely an understanding of the background of the invention, and therefore, the above descriptions are not intended to constitute a prior art of the present invention and are well known to those skilled in the art.

It is an object of the present invention to provide a minimally invasive tendon suture surgical kit, particularly a surgical kit suitable for use in minimally invasive surgery.

In order to achieve the above object, a minimally invasive tendon suture surgical kit is provided which may include a hook and a hub. The hook wire can include: a grip member, one end of which extends forward as an extension; the hook portion has one end connected to the extension member, the other end of which is bent inwardly in a G shape, and the outer side of the hook portion has an blunt surface . The hub includes: a base, which can be a frame-shaped structure; the line body can include a plurality of clamping portions, and two ends of the collecting body can be respectively connected to the two sides of the base, and each of the holding portions is connected to each other And form a gap.

Preferably, the extension member and the grip member may have an angle of 5 to 15 degrees.

Preferably, after the hook threader hooks at least one stitch from the tissue, the stitches are collected in the gap of the hub.

Preferably, the extension member has a flat rectangular shape.

Preferably, the distance between the upper and lower sides of the hook portion may be the same as the width of the extension member.

Preferably, the distance between the upper and lower sides of the hook portion and the width of the extension member may each be 0.3 to 0.7 cm.

Preferably, the length of the hook portion may be 0.7 to 1.5 cm.

Preferably, the hook portion further comprises a straight portion, a first bent portion, a first extending portion, a second bent portion and a second extending portion.

Preferably, the straight stem portion may extend linearly from one of the side walls of the extension member.

Preferably, the first bent portion may be coupled to the straight rod portion and may be bent toward the other side wall of the extension member, and may further extend linearly toward the extension member as a first extension portion.

Preferably, the first extension is parallel to the straight portion.

Preferably, the second bent portion is connectable to the first extending portion and bendable toward the straight portion, and may further extend toward the first bent portion as a second extending portion.

Preferably, the second extension is parallel to the straight stem portion and the first extension portion.

Preferably, the straight rod portion, the first bending portion, the first extending portion, the second bending portion and the second extending portion of the hook portion are integrally formed.

Preferably, the hooker can be made of hardened steel, tempered steel, stainless steel, high carbon steel, or a combination thereof.

Preferably, the holding portion of the hub may be in the shape of a dome.

Preferably, the gap between the holding portions may be 0.3 to 0.7 cm.

Preferably, the hub can be made of hardened steel, tempered steel, stainless steel, high carbon steel, or combinations thereof.

As described above, the minimally invasive tendon suture surgical kit according to the present invention may have one or more of the following advantages:

(1) After using the hook threader, the surgical wound can be less than one centimeter.

(2) The hook threader is only used to disengage the tissue rather than cut the tissue, and has little destructive power to the tissue.

(3) Because it has little damage to the wound, it recovers quickly.

(4) The hub can facilitate the centralized sorting of sutures during the operation and the confirmation of the position of multiple sets of sutures at both ends.

100‧‧‧Hooker

101‧‧‧ Holding parts

102‧‧‧Extensions

103‧‧‧ hook

104‧‧‧ blunt face

105‧‧‧ Straight section

106‧‧‧First bend

107‧‧‧First Extension

108‧‧‧Second bend

109‧‧‧Second extension

200‧‧‧ hub

201‧‧‧Base

202‧‧‧Set body

220‧‧‧ stitching

T1‧‧‧ thickness

G1‧‧‧ gap

1 is a side view of the hook of the minimally invasive tendon suture set of the present invention; FIG. 2 is a top view of the hook of the minimally invasive tendon suture set of the present invention; Figure 4 is an enlarged view of the hook portion of the hook of the minimally invasive tendon suture set of the present invention; Figure 4 is a schematic view of the hub of the minimally invasive tendon suture set of the present invention; and the fifth Figure is a schematic diagram of a surgical hook threader used to hook a surgical suture.

Advantages and features of the present invention and methods for achieving the same will be described with reference to the exemplary embodiments and the accompanying drawings. Describe in more detail. However, the invention may be embodied in different forms and should not be construed as limited to the embodiments set forth herein. Rather, the embodiments are provided to provide a more thorough and complete and complete disclosure of the scope of the invention, and the invention The scope is defined. In the figures, the dimensions and relative dimensions of elements and parts are shown in a schematic manner for clarity and clarity.

Embodiments of the present invention will be described with reference to the following drawings, which are illustrative of the preferred embodiments of the invention. As such, for example, it is contemplated that the difference in shape is a result of process technology and/or tolerances. Therefore, the embodiments of the present invention should not be construed as limiting the specific shapes described in the certain embodiments of the invention, but may include variations in the shape resulting from, for example, a process. Therefore, some of the regions shown in the drawings are schematic and are not intended to be in the shape of the actual region, and are not intended to limit the scope of the invention.

The minimally invasive tendon suture surgical kit of the present invention can include a hooker 100 and a hub 200, the features of which will be described later. Please refer to Fig. 1, which is a side view of the hook of the minimally invasive tendon suture surgical kit of the present invention. As shown in FIG. 1, the surgical hook keeper 100 can include a grip 101, an extension 102, and a hook 103.

The surgical hook threader 100 described above is suitable for removing the tissue to take out the surgical suture, which may include a gripping member 101, one end of which may extend forwardly as an extension member 102; the hook portion 103 may have one end and the extension member 102 The other end of the hook may be bent inwardly in a G shape, and the outer side of the hook portion has a blunt surface 104.

In addition, the extension member 102 and the grip member 101 may have an angle of 5 to 15 degrees.

As is apparent from Fig. 1, the distance between the upper and lower sides of the hook portion 103 and the extension member 102 The width is the same, this design is convenient for the user to pull the hook threader out of the tissue and cooperate with the endoscope to smoothly take the surgical suture into the tissue. Wherein, the distance may be 0.3 to 0.7 cm, and the length of the hook portion may be 0.7 to 1.5 cm.

Please refer to Fig. 2, which is a top view of the surgical hook of the present invention. As shown in FIG. 2, the grip portion 101 can be designed to be user-friendly and convenient for the user to hold, and the extension member 102 can be extended by the grip portion 101 in a flat rectangular shape. In addition, the maximum thickness T1 of the surgical hooker can be only 0.7 cm.

Further, the hook wire can be made of hardened steel, tempered steel, stainless steel, high carbon steel, or a combination thereof.

Please refer to Fig. 3, which is an enlarged view of the hook portion of the surgical hook of the present invention. As shown in FIG. 3 , the hook portion 103 may further include a straight rod portion 105 , a first bent portion 106 , a first extended portion 107 , a second bent portion 108 , and a second extended portion 109 .

Further, as shown in FIG. 3, the straight portion 105 in the hook portion 103 may be linearly extended by one side wall of the extension member 102 and then connected to the first bent portion 106; then, the first bent portion 106 It may be bent toward the other side wall of the extension member 102 and then linearly extended to the first extension portion 107 further toward the direction of the extension member 102. The first extension portion 107 may be parallel to the straight rod portion 105.

Then, the first extending portion 107 can be coupled to the second bent portion 108, and the second bent portion 108 can be bent toward the straight portion 105, and then further extended toward the first bent portion 106. Two extensions 109. The second extension portion 109 may be parallel to the straight rod portion 105 and the first extension portion 107. Therefore, it can be clearly seen from Fig. 3 that the hook portion 103 composed of the straight rod portion 105, the first bent portion 106, the first extending portion 107, the second bent portion 108, and the second extending portion 109 is G shape.

Further, the hook portion 103 composed of the straight rod portion 105, the first bent portion 106, the first extended portion 107, the second bent portion 108, and the second extended portion 109 may be integrally formed.

Please refer to Fig. 4, which is a schematic view of the hub of the minimally invasive tendon suture surgical kit of the present invention. As shown in FIG. 4, the hub 200 can include a base 201 and a hub 202.

The above-described hub 200 can be applied to the confirmation that the hook threader 100 takes out at least one suture from the tissue, concentrates the sutures, and facilitates suture position and suture stitching. It may include a base 201, which may be a hollow frame structure; a line body 202, which may include a plurality of clamping portions, and two ends of the collecting body 202 may be respectively connected to both sides of the base 201, and each holding portion They are connected to each other to form a gap G1.

After the hooker 100 hooks at least one stitch 220 from a tissue, the stitches 220 are collected and placed in the gap G1 of the hub 200 (as shown in FIG. 5).

Each of the holding portions is connected to each other in a shape of a dome, and the gap G1 between them may be 0.3 to 0.7 cm, preferably 0.45 to 0.55 cm, and the gap G1 can be placed in a concentrated manner after the suture is hooked during the operation to Conducive to the position of the suture and the confirmation of the suture of the wound.

Further, the hub 200 can be made of hardened steel, tempered steel, stainless steel, high carbon steel, or a combination thereof.

Please refer to Figure 5, which is a schematic diagram of the hook threader and hub used to hook the surgical suture. As shown in Fig. 5, the hooker 100 is used in a minimally invasive procedure, since it is only used to disengage the wound rather than cut the wound, and causes only minor damage to the wound, and the hooker 100 will have at least one suture 220. After hooking, the suture 220 can be concentrated by the hub 200. Since there are many strips of the suture 220 which are simultaneously sutured, this facilitates the finishing of the position of the suture 220, avoids the entanglement of the suture and facilitates the confirmation of the wiring sleeve to be knotted at both ends. Confirmation of group and wound suture to improve the efficiency of surgery. In addition, the advantage of the hooker 100 and the hub 200 is that it can be easily used by a single person at the same time, which saves space requirements during the operation, and does not require multiple people to individually control the hooker 100 and the hub 200; Can not be used alone, must use more labor costs, and easily complicate the surgical process. Therefore, the minimally invasive tendon suture surgical kit of the present invention can simplify the surgical procedure and is therefore widely used in this field.

As described above, the minimally invasive tendon suture surgical kit according to the present invention may have one or more of the following advantages:

(1) The hook thread can make the surgical wound less than one centimeter.

(2) The hook threader is used to pry open the tissue instead of cutting the tissue, and has little destructive power to the tissue.

(3) Because the hook wire has less damage to the wound, it recovers quickly and is convenient for surgery.

(4) The hub can facilitate the concentration of the suture during the operation and the confirmation of the position to improve the efficiency of the operation.

(5) The single-person can use the minimally invasive tendon suture surgical set of the present invention to simplify the surgical procedure.

(6) Minimally invasive tendon suture surgical set is easy to clean and autoclave disinfection.

The above is merely illustrative and not limiting. Any equivalent modifications or alterations to the spirit and scope of the invention are intended to be included in the scope of the appended claims.

100‧‧‧Hooker

101‧‧‧ Holding parts

102‧‧‧Extensions

103‧‧‧ hook

104‧‧‧ blunt face

Claims (12)

A minimally invasive tendon suture surgical kit comprising: a hook device comprising: a grip member, one end of which extends forwardly as an extension member, and the extension member and the grip member are at an angle of 5 to 15 degrees a hook portion having one end connected to the extension member, the other end bent inwardly in a G shape to hook at least one suture, and the hook portion has a blunt surface on the outer side; and a hub including The first set of wire body includes a plurality of clamping portions, and one of the bottom ends of each of the clamping portions is closely connected to each other, and a gap is formed between each of the clamping portions and the adjacent one of the clamping portions. a pedestal having two sides coupled to the concentrating body; wherein, after the slinger hooks the at least one suture by a tissue, the width of the slit is reduced toward the pedestal to at least one slit Line collection is placed in the gap. The minimally invasive tendon suture surgical kit of claim 1, wherein the extension member has a flat rectangular shape. The minimally invasive tendon suture surgical kit of claim 1, wherein a distance between the upper and lower sides of the hook portion is the same as a width of one of the extension members. The minimally invasive tendon suture surgical kit of claim 3, wherein the distance between the upper and lower sides of the hook portion and the width of the extension member are each 0.3 to 0.7 cm. The minimally invasive tendon suture surgical kit as described in claim 1, wherein the hook The portion further includes a straight rod portion, a first bent portion, a first extending portion, a second bent portion and a second extending portion, and the straight portion extends linearly from a side wall of the extending member. The minimally invasive tendon suture surgical kit of claim 5, wherein the first bending portion is coupled to the straight portion and bent toward the other side wall of the extension member and faces the extension The direction of the piece extends linearly into the first extension. The minimally invasive tendon suture surgical kit of claim 6, wherein the first extension is parallel to the straight portion. The minimally invasive tendon suture surgical kit of claim 5, wherein the second bending portion is coupled to the first extension portion and bent toward the straight portion toward the first bend The direction of the fold extends as the second extension. The minimally invasive tendon suture surgical kit of claim 8, wherein the second extension is parallel to the straight portion and the first extension. The minimally invasive tendon suture surgical kit of claim 5, wherein the straight portion, the first bent portion, the first extending portion, the second bent portion, and the second extending portion are One piece is formed. The minimally invasive tendon suture surgical kit of claim 1, wherein the hook and the hub are made of hardened steel, tempered steel, stainless steel, high carbon steel, or a combination thereof. The minimally invasive tendon suture surgical kit of claim 1, wherein each of the gripping portions is in a shape of a scorpion.