Needle holder used under laparoscope
阅读说明:本技术 一种腹腔镜下使用的持针器 (Needle holder used under laparoscope ) 是由 胡逸人 于 2020-05-29 设计创作,主要内容包括:本发明公开了一种腹腔镜下使用的持针器,其技术方案要点是包括有持针器本体,持针器本体包括有供使用者手持的手持杆和用于伸入腹腔内的操作杆,操作杆呈柱状结构设置,操作杆的远离手持杆的一端设置有用于夹持缝合针的持针部和用于驱动持针部沿操作杆径向方向转动的驱动件,持针器本体内设置有用于控制持针部启闭的控制件,驱动件包括有设置于操作杆端面上用于供持针部安装的安装块、以及设置于持针器本体内用于驱动持针部移动的驱动部件,安装块呈半球结构设置并且安装块的端面与操作杆的端面重合设置,安装块上沿其弧面周向设置有经过安装块弧面中心供持针部穿过并移动的持针槽,该持针器在腹腔镜下快速调整缝合针的角度。(The invention discloses a needle holder used under a laparoscope, which has the technical scheme that the needle holder comprises a needle holder body, the needle holder body comprises a hand-held rod for being held by a user and an operating rod for extending into an abdominal cavity, the operating rod is arranged in a columnar structure, one end of the operating rod, which is far away from the hand-held rod, is provided with a needle holding part for holding a suture needle and a driving part for driving the needle holding part to rotate along the radial direction of the operating rod, the needle holder body is internally provided with the control part for controlling the opening and closing of the needle holding part, the driving part comprises an installation block arranged on the end surface of the operating rod and used for installing the needle holding part and a driving part arranged in the needle holder body and used for driving the needle holding part to move, the installation block is arranged in a hemispherical structure, the end surface of the installation block is superposed with the end surface of the operating rod, a needle holding groove for allowing the needle holding part to pass through and move is, the needle holder can rapidly adjust the angle of the suture needle under the laparoscope.)
1. A needle holder used under a laparoscope is characterized by comprising a needle holder body (1), wherein the needle holder body (1) comprises a handheld rod (11) for a user to hold and an operating rod (12) for extending into an abdominal cavity, the operating rod (12) is arranged in a columnar structure, one end, far away from the handheld rod (11), of the operating rod (12) is provided with a needle holding part (2) for holding a suture needle and a driving part (3) for driving the needle holding part (2) to rotate along the radial direction of the operating rod (12), and a control part (4) for controlling the opening and closing of the needle holding part (2) is arranged in the needle holder body (1);
the driving piece (3) is including setting up installation piece (31) that is used for supplying to hold needle portion (2) installation on action bars (12) terminal surface and setting up in needle holder body (1) and be used for driving drive part (32) that hold needle portion (2) and remove, installation piece (31) are the setting of hemisphere structure and the terminal surface of installation piece (31) and the terminal surface coincidence setting of action bars (12), be provided with along its cambered surface circumference on installation piece (31) and supply to hold needle groove (311) of holding that needle portion (2) passed and removed through installation piece (31) cambered surface center.
2. The needle holder for laparoscopic use of claim 1, wherein: the driving component (32) comprises a driven gear (321) which is arranged in the mounting block (31) and used for mounting the needle holding part (2), an auxiliary gear (322) which is arranged in the operating rod (12) and used for being meshed with the driven gear (321), a driving gear (323) which is arranged in the handheld rod (11), and a driving rack (324) which is respectively meshed with one side of the auxiliary gear (322) and one side of the driving gear (323), wherein a driving structure used for driving the driving gear (323) to rotate is arranged in the handheld rod (11).
3. The needle holder for laparoscopic use of claim 2, wherein: the driving structure comprises a first driving groove (111) which is formed in the handheld rod (11) and used for allowing a part of driving gears (323) to extend outwards, the other side, corresponding to the driving rack (324), of the driving gears (323) extends outwards from the first driving groove (111), a first anti-skidding piece for preventing the driving gears (323) from rotating artificially is arranged in the first driving groove (111), and a first groove for embedding gear teeth of the driving gears (323) is formed in the first anti-skidding piece.
4. The needle holder for laparoscopic use of claim 1, wherein: the needle holding part (2) comprises a needle holding shell (21) arranged on the driven gear (321) and a locking mechanism (22) arranged in the needle holding shell (21) and used for clamping the suture needle, wherein a needle holding hole (211) for the locking mechanism (22) to extend out is formed in one side, away from the driven gear (321), of the needle holding shell (21).
5. The needle holder for laparoscopic use of claim 4, wherein: locking mechanical system (22) including sliding connection in hold first latch fitting (221) of the inner wall of pinhole (211), with fixed connection with hold second latch fitting (222) on needle shell (21) lateral wall and be used for driving first latch fitting (221) to holding pinhole (211) and move outward until control (4) with second latch fitting (222) butt, second latch fitting (222) are rectangular platelike structure and set up, and be used for supplying to sew up the preliminary butt of needle, first latch fitting (221) are right angled triangle platelike structure and set up, it is provided with direction boss (212) in pinhole (211), should lead boss (212) along holding needle shell (21) length direction from inside to holding pinhole (211) direction bellied inclined plane gradually, the inclined plane of first latch fitting (221) and the butt inclined plane setting of direction boss (212), when control (4) drive first latch fitting (221) move towards holding pinhole (211) direction this first latch fitting (221) along the oblique inclined plane of direction boss (212) The surface movement engages the second lock (222) to hold the needle.
6. The needle holder for laparoscopic use of claim 5, wherein: control piece (4) are including setting up in first latch fitting (221) keep away from holding pinhole (211) one end connecting block (41) and with connecting block (41) spiro union drive screw (42) and be used for controlling drive screw (42) pivoted screw control part (43), be provided with the groove that slides that supplies first latch fitting (221) to slide to connect along its direction of height on connecting block (41), drive screw (42) forward rotation in-process first latch fitting (221) move gradually and move gradually along the groove length direction that slides.
7. The needle holder for laparoscopic use of claim 6, wherein: the screw control component (43) comprises a screw gear (44) arranged on the driving screw (42), a control gear (45) arranged in the handheld rod (11), and a control rack (46) meshed with one side of the screw gear (44) and one side of the control gear (45), a second driving groove (112) for the control gear (45) to extend outwards is arranged on the hand-held rod (11), the other side of the control gear (45) corresponding to the control rack (46) extends outwards from the second driving groove (112), a second anti-slip sheet for preventing the control gear (45) from non-artificial rotation is arranged in the second driving groove (112), a second groove for embedding the gear teeth of the control gear (45) is arranged on the second antiskid sheet, and a rack control part (5) for controlling the control rack (46) to be far away from or close to the screw gear (44) and the control gear (45) is arranged in the needle holder body (1).
8. The needle holder for laparoscopic use of claim 7, wherein: the rack control part (5) comprises a mounting shell (51) for mounting the control rack (46), a rack groove (52) for controlling the sliding of the rack (46) is arranged in the mounting shell (51), a convex strip (53) which plays a role of guiding the control rack (46) is convexly arranged on the inner side wall of the mounting shell (51), the convex strip (53) comprises a straight strip part positioned in the operating rod (12) and the handheld rod (11) and an arc part positioned in the mounting block (31), an extension part (54) extending to the outside of the needle holder body (1) is arranged on the mounting shell (51), the hand-held rod (11) is provided with a working groove (113) for the extension part (54) to slide along the height direction of the needle holder body (1), the minimum row spacing for driving the needle holding part (2) to rotate by the driving part (32) is the same as the tooth spacing of the control rack (46).
9. The needle holder for laparoscopic use of claim 8, wherein: a control spring (6) which drives a control rack (46) to be meshed with the screw gear (44) and the control gear (45) is arranged in the needle holder body (1), one end of the spring is connected with the outer side wall of the mounting shell (51), and the other end of the spring is connected with the inner side wall of the needle holder body (1).
Technical Field
The invention relates to the technical field of medical instruments, in particular to a needle holder used under a laparoscope.
Background
Laparoscopic surgery is a newly developed minimally invasive method and is a necessary trend for the development of surgical methods. With the rapid advance of industrial manufacturing technology and the fusion of related subjects, a firm foundation is laid for the development of new technology and new method, and more skillful operation of doctors is added, so that many past open operations are replaced by intracavity operations, and the operation trauma is greatly reduced.
However, laparoscopic suturing has a problem of difficulty in comparison with open surgery, and the greatest difficulty is in adjusting the angle of the needle. In the existing suture needles (including suture needles with threads), due to the limited observation angle and operation space, an operator has difficulty in adjusting the suture needle to the best angle with the suture position. Therefore, only skilled abdominocentesis surgeons can carry out laparoscopic suturing clinically, and the suturing needle can be clamped to a proper position by repeatedly adjusting the left hand and the right hand in the suturing process, so that the difficulty of laparoscopic surgery is increased, and the admission threshold of the laparoscopic suturing technology is invisibly improved.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a needle holder used under a laparoscope, which can quickly adjust the angle of a suture needle under the laparoscope.
In order to achieve the purpose, the invention provides the following technical scheme: a needle holder used under a laparoscope comprises a needle holder body, wherein the needle holder body comprises a handheld rod for being held by a user and an operating rod for extending into an abdominal cavity, the operating rod is arranged in a columnar structure, a needle holding part for holding a suture needle and a driving part for driving the needle holding part to rotate along the radial direction of the operating rod are arranged at one end, far away from the handheld rod, of the operating rod, and a control part for controlling the opening and closing of the needle holding part is arranged in the needle holder body;
the driving piece is including setting up the installation piece that is used for supplying to hold the installation of needle portion on the action bars terminal surface and setting up in this internal driver part that is used for driving to hold needle portion and removes of needle holder, the installation piece is the setting of hemisphere structure and the terminal surface of installation piece and the terminal surface coincidence setting of action bars, be provided with along its cambered surface circumference on the installation piece and supply to hold the needle groove of holding that needle portion passed and remove through installation piece cambered surface center.
The invention is further configured to: the driving component comprises a driven gear, an auxiliary gear, a driving gear and a driving rack, wherein the driven gear is arranged in the mounting block and used for mounting the needle holding part, the auxiliary gear is arranged in the operating rod and used for being meshed with the driven gear, the driving gear is arranged in the handheld rod, the driving rack is respectively meshed with one side of the auxiliary gear and one side of the driving gear, and a driving structure used for driving the driving gear to rotate is arranged in the handheld rod.
The invention is further configured to: the driving structure comprises a first driving groove which is arranged on the handheld rod and is used for allowing part of driving gears to extend outwards, the other side, corresponding to the driving rack, of the driving gear extends outwards from the first driving groove, a first anti-slip sheet for preventing the driving gears from rotating artificially is arranged in the first driving groove, and a first groove for embedding the gear teeth of the driving gears is formed in the first anti-slip sheet.
The invention is further configured to: the needle holding part comprises a needle holding shell arranged on the driven gear and a locking mechanism arranged in the needle holding shell and used for clamping the suture needle, and a needle holding hole for the locking mechanism to extend out is formed in one side, far away from the driven gear, of the needle holding shell.
The invention is further configured to: locking mechanical system including sliding connection in the first latch fitting of the inner wall of holding the pinhole and fixed connection with hold the second latch fitting on the needle shell lateral wall and be used for driving first latch fitting to holding the control of the outer removal of pinhole until with the butt of second latch fitting, the second latch fitting is rectangular platelike structure and sets up for supplying the preliminary butt of sewing needle, first latch fitting is right triangle platelike structure and sets up, hold the downthehole direction boss that is provided with of pinhole, should lead the boss and follow and hold the downthehole bellied inclined plane gradually of pinhole direction along holding needle shell length direction, the inclined plane of first latch fitting sets up with the inclined plane butt of direction boss, and this first latch fitting moves cooperation second latch fitting centre gripping sewing needle along the inclined plane of direction boss when control drive first latch fitting moves towards holding pinhole direction.
The invention is further configured to: the control piece is including setting up in first lock keep away from holding pinhole one end connecting block and with the drive screw of connecting block spiro union and be used for controlling drive screw pivoted screw control part, be provided with the groove that slides that supplies first lock to slide to connect along its direction of height on the connecting block, drive screw forward rotates in-process first lock and moves gradually towards holding pinhole direction and move gradually along groove length direction that slides.
The invention is further configured to: the screw control component comprises a screw gear arranged on the driving screw, a control gear arranged in the handheld rod and a control rack meshed with one side of the screw gear and one side of the control gear, a second driving groove for the control gear to extend outwards is formed in the handheld rod, the other side, corresponding to the control rack, of the control gear extends outwards from the second driving groove, a second anti-slip sheet for preventing the control gear from rotating artificially is arranged in the second driving groove, a second groove for embedding the gear teeth of the control gear is formed in the second anti-slip sheet, and a rack control component for controlling the control rack to be far away from or close to the screw gear and the control gear is arranged in the needle holder body.
The invention is further configured to: the rack control part is including the installation casing that supplies the installation of control rack, be provided with the rack groove that supplies the control rack to slide in the installation casing, the inside wall epirelief of installation casing is equipped with the sand grip that plays the guide effect to the control rack, the sand grip is including the straight bar portion that is located action bars and handheld pole and the arc portion that is located the installation piece, be provided with on the installation casing and extend to this external extension of needle holder, be provided with the work groove that supplies the extension to slide along needle holder body direction of height on the handheld pole, drive part drives the minimum row spacing of needle holder pivoted and the tooth pitch of control rack the same.
The invention is further configured to: the needle holder is characterized in that a control spring which drives the control rack to be meshed with the screw gear and the control gear is arranged in the needle holder body, one end of the spring is connected with the outer side wall of the mounting shell, and the other end of the spring is connected with the inner side wall of the needle holder body.
In conclusion, the invention has the following beneficial effects: the handheld rod is thicker than the operating rod, is convenient for a user to hold, is thinner and is convenient to insert into an abdominal cavity, the user enables the needle holding part to clamp the suture needle through the control part at first, then enables the needle to rotate around the radial direction of the operating rod through the driving part until the suture needle on the needle holding part is perpendicular to a suture position, and then swings the handheld rod to enable the suture needle to penetrate through the suture position to carry out suture operation.
Drawings
FIG. 1 is a schematic front view of a needle holder;
FIG. 2 is a schematic diagram of the structure of the needle holder viewed from the right;
FIG. 3 is a schematic view of the driving member;
FIG. 4 is a schematic structural view of the needle holder;
fig. 5 is a perspective view of the rack control part.
Reference numerals: 1. a needle holder body; 11. a hand-held wand; 111. a first active slot; 112. a second active slot; 113. a working groove; 12. an operating lever; 2. a needle holding portion; 21. a needle holding housing; 211. a needle holding hole; 212. a guide boss; 22. a locking mechanism; 221. a first locking member; 222. a second lock; 3. a drive member; 31. mounting blocks; 311. a needle holding groove; 32. a drive member; 321. a driven gear; 322. an auxiliary gear; 323. a driving gear; 324. a drive rack; 4. a control member; 41. connecting blocks; 42. a drive screw; 43. a screw control part; 44. a screw gear; 45. a control gear; 46. a control rack; 5. a rack control part; 51. installing a shell; 52. a rack slot; 53. a convex strip; 54. an extension portion; 6. the spring is controlled.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings and examples. In which like parts are designated by like reference numerals. It is noted that the words "front", "rear" and "front" used in the following description,
"left," "right," "upper," and "lower" refer to directions in the drawings, and the words "bottom" and "top," "inner," and "outer" refer to directions toward and away from, respectively, the geometric center of a particular component.
Referring to fig. 1 to 5, in order to achieve the above object, the present invention provides the following technical solutions: a needle holder used under a laparoscope comprises a needle holder body 1, wherein the needle holder body 1 comprises a
The operating
The driving member 3 includes an
The driving member 32 includes a driven gear 321 provided in the mounting
The driving structure comprises a first driving groove 111 arranged on the hand-held
The
Locking
The
The
The rack control part 5 comprises a mounting shell 51 for mounting the
A
The above is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above-mentioned embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.
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