阅读说明：本技术 伤口闭合装置 (Wound closure devices ) 是由 约纳斯·奥克尔 芒努斯·奥伊德 于 2018-04-23 设计创作，主要内容包括：本发明涉及一种用于闭合组织中的外科伤口(102)的伤口闭合装置(1),其中,所述伤口闭合装置包括第一钳夹(2)、第二钳夹(4)和手柄(6)。第一钳夹(2)布置用于接收第一盒,所述第一盒包括多个用于固持伤口闭合器的槽,并且其中,所述第二钳夹(4)设有多个轨道(10)。所述多个轨道(10)将凸端(8a)中的相应的一个和凹端中的相应的一个朝向彼此引导并且引导到互锁状态,在所述互锁状态下,所述凸端(8a)中的所述相应的一个和所述凹端(8b)中的所述相应的一个彼此互锁。(The Wound closure devices (1) for the surgical wound (102) that the present invention relates to a kind of for being closed in tissue, wherein, the Wound closure devices include the first clamp (2), the second clamp (4) and handle (6).First clamp (2) arrangement includes multiple for holding the slot of wound closure for receiving the first box, first box, and wherein, second clamp (4) is equipped with multiple tracks (10).Corresponding one in nose (8a) is guided toward each other with corresponding one in female end and is directed to interlocking state by the multiple track (10), under the interlocking state, corresponding one in the nose (8a) is interlocked with one another with corresponding one in the female end (8b).)

1. a kind of Wound closure devices (1) of the surgical wound (102) for being closed in tissue, wherein the wound closure dress It sets including the first clamp (2), the second clamp (4) and handle (6)；

Wherein, first clamp (2) is arranged for receiving the first box (12), and wherein, and first clamp is equipped with institute The first box (12) are stated,

Wherein, first box includes multiple slots, and the multiple slot holds wound closure (8), and the slot is along described first The longitudinal of box (12) extends distribution, and wherein, and each of the multiple wound closure includes nose (8a) and female end (8b)；

Wherein, second clamp (4) is equipped with multiple tracks (10)；

Wherein, the track is curved and/or straight line, and wherein, and the track is intersected with each other；

Wherein, first clamp (2) and second clamp (4) are suitable for being disposed in the corresponding side of tissue (100)；

Wherein, in the primary actuating of the handle (6), first clamp (2) forces the nose (8a) and the female end (8b) leaves first box (12), with penetrate the tissue (100) in the corresponding side of the surgical wound (102) and Into the corresponding track in the multiple track (10), wherein the multiple track (10) (4) is arranged to receive The nose (8a) and the female end (8b), and will be in corresponding one in the nose (8a) and the female end (8b) Corresponding one guides toward each other and reaches interlocking state, described in the nose (8a) under the interlocking state Corresponding one interlocked with one another with corresponding one in the female end (8a)；

Or

Wherein, in the primary actuating of the handle, first clamp forces the nose to leave first box, to penetrate The tissue on the side of the surgical wound, it is described to leave into the corresponding track in the multiple track Second clamp, the tissue in opposite side and entrance first box to penetrate the surgical wound；With

Wherein, the multiple track is arranged to receive the nose, and the nose is directed to the surgical wound Tissue in the opposite side；With

Wherein, first box is arranged to receive the nose after the nose passes through the tissue, and will be described convex It holds corresponding one be directed in the female end and enters interlocking state, the institute under the interlocking state, in the nose One stated in one and the female end is interlocked with one another.

2. Wound closure devices according to claim 1 further include power transmission, the power transmission is being grasped The primary actuating of the handle is connected on work, for transferring power to first box.

3. Wound closure devices described in any one of -2 according to claim 1, wherein the track is formed in second pincers In folder.

4. Wound closure devices described in any one of -2 according to claim 1, wherein second clamp is equipped with the second box, And wherein, the track is formed in second box.

5. Wound closure devices according to any one of the preceding claims, wherein the handle includes two handle portions, Wherein, at least one of described handle portion is actuation part.

6. Wound closure devices according to any one of the preceding claims, wherein the interlocking state makes same wound The nose of mouth closer and the nose and female end of female end or two adjacent wound closures are interlocked with one another.

7. Wound closure devices according to any one of the preceding claims, wherein between two adjacent slots along The distance c-c of first clamp longitudinally extended is 1mm-10mm.

8. Wound closure devices according to any one of the preceding claims, wherein the multiple wound closure is can It is adjusting, partially flexible, from locking and/or self-gating.

9. Wound closure devices according to any one of the preceding claims, wherein each wound closure it is described convex End includes one or more protrusions, and the female end of each wound closure includes being configured to receive opening for the nose Mouthful, and wherein, the protrusion of the nose is configured to prevent the nose from skidding off when in the interlocking state The female end.

10. Wound closure devices according to any one of the preceding claims, wherein the track is configured to guide The nose and the female end, so that the nose is entered at track place intersected with each other by the opening of the female end.

11. wound closure device according to any one of the preceding claims, wherein first clamp and/or described Second clamp further includes at least one holding pin, for partially or completely penetrating the tissue, wherein at least one described fastening The height of pin is 1mm-15mm.

12. Wound closure devices according to any one of the preceding claims, wherein first clamp and/or described The length of second clamp is 20mm-160mm or 40mm-140mm or 50mm-130mm；And/or

Wherein, when being installed in first box, distance is 3mm- between the nose and female end of same wound closure 35mm or 3mm-25mm or 5mm-20mm.

13. for making together with the Wound closure devices of the surgical wound according to claim 2 for being closed in tissue Box, wherein the box includes:

Attachment device, the attachment device are used to the box being connected to Wound closure devices,

Power reception device, the power reception device are configured to transmit from the power of the Wound closure devices and fill Reception power is set,

Multiple slots, the multiple slot hold wound closure (8), and the slot divides along longitudinal extend of first box (12) Cloth, and wherein, each of the multiple wound closure includes nose (8a) and female end (8b), and

Actuation means, the actuation means are operatively coupled to the power reception device, and are configured to force institute It states nose (8a) and the female end (8b) is left first box (12) and penetrated in the corresponding side of the surgical wound (102) The tissue (100).

14. with the side of the surgical wound in the closure tissue of Wound closure devices described in any one of -12 according to claim 1 Method, wherein the described method comprises the following steps:

First clamp and second clamp are provided in the corresponding side of the tissue；

The handle is activated, to force the nose and/or the female end of the multiple wound closure to leave described first Clamp simultaneously penetrates the tissue on the side of the surgical wound, later, the phase in the multiple track in second clamp The track answered guides the nose towards corresponding female end or the guidance female end towards corresponding nose and enters interlocking State；Or

Actuation handle, to force the nose and the female end of the multiple wound closure to pass through in first clamp The exit opening in corresponding one outlet opening leave, described group in corresponding side to penetrate the surgical wound It knits, and enters the corresponding track in the multiple track, wherein corresponding one in the nose and the female end In corresponding one guided toward each other and enter interlocking state, it is described in the nose under the interlocking state Corresponding one interlocked with one another with corresponding one in the female end.

15. according to the method for claim 14, wherein in the step of activating the handle, the actuating is to hold manually Capable, and/or executed by non-manual power, such as executed by compressed air, carbon box or motor.

16. method described in any one of 4-15 according to claim 1, wherein the method also includes following steps:

By making to include a clamp in the clamp of the box or only making the second box mobile away from tissue, to tighten State wound closure.

Technical field

The present invention relates to Wound closure devices, box, the methods and kit of parts for being closed wound, and the kit of parts is during installation Form Wound closure devices.

Background technique

So far, the recommended technology of the muscular fascia for being closed in surgical wound and/or other tissues is by making With needle and line come manual suture wound, the needle and line are operated using needle stand.

For example, when being closed muscular fascia after midline incision, it is important that suture will be properly completed, because of suture wound Mouthful quality particularly depend on that position a little is stung in suture and suture is stung the distance between a little.This technology time-consuming, but muscle muscle The correct suture of film significantly reduces wound rupture and the risk of incisional hernia occurs later.Many researchs are to this progress Description, such as (the Meta-analysis of techniques for closure of of M van't Riet et al. Midline abdominal incisions, British Journal of Surgery 2002,89,1350 ± 1356) (in The meta analysis of the closure techniques of line abdominal incision, Britain's surgical magazine 2002,89,1350 ± 1356) and from European celology It can recommend (European Hernia Society guidelines on the closure of abdominal wall 2 months incisions, Hernia, 2015 years；19(1)；1-24.doi:10.1007/S10029-014-1342-5) (European celology It can be about incision of abdominal wall, the guide of hernia closure).

In short, the gold standard for being closed abdominal midline incision is, according to stinging size a little about suture and sting a little The distance between well-verified guide, sutured with absorbable suture.Moreover, as described above, this is one time-consuming Process, also, due to same well-verified, operating time increase will increase the risk of various complication, it is therefore desirable for can It is closed surgical wound, the especially muscular fascia of abdominal surgery wound in a more effective manner, is closed quality without reducing.

Summary of the invention

The purpose of the present invention is improve the prior art and mitigate at least some above problems.These and other objects can lead to It crosses according to the Wound closure devices of accompanying independent claim and realizes.

According to the first aspect of the invention, a kind of wound closure dress of surgical wound for being closed in tissue is provided It sets.Wound closure devices include the first clamp, the second clamp and handle；

Wherein, first clamp is arranged for receiving the first box, and wherein first clamp is equipped with described the One box, wherein first box includes the slot of multiple fixing wound closures, and the slot extends along the longitudinal direction of first box Distribution, and wherein each of the multiple wound closure includes nose and female end；

Wherein, second clamp is equipped with multiple tracks；

Wherein, the track is curved and/or straight line, and wherein the track is intersected with each other；

Wherein, first clamp and second clamp are suitable for being arranged in the corresponding side of tissue；

Wherein, in the primary actuating of the handle, first clamp forces the nose and the female end to leave institute The first box is stated, corresponding one in the tissue in corresponding side to penetrate the surgical wound and the multiple track of entrance A track, wherein the multiple track is arranged to receive the nose and the female end, and by the phase in the nose One answered guides toward each other and is formed interlocking state with corresponding one in the female end, in the interlocking state Under, corresponding one in the nose is interlocked with one another with corresponding one in the female end

Alternatively,

Wherein, in the primary actuating of the handle, first clamp forces the nose to leave first box, with The tissue on the side of the surgical wound is penetrated, with corresponding one entered in the multiple track, to leave The second clamp is stated, the tissue in opposite side to penetrate the surgical wound simultaneously enters first box；

And wherein, the multiple track is arranged to receive the nose, and the nose is directed to outside described Tissue in the opposite side of section's wound；

And wherein, first box is arranged to receive after the nose has already passed through the tissue described convex End, and the nose is directed to corresponding one in the female end and enters interlocking state, under the interlocking state, institute One stated in one and described female end in nose is interlocked with one another.

According to an aspect of the invention, there is provided kit of parts.The kit of parts includes:

The first component comprising first-hand shank and the first clamp；

Second component comprising the second clamp；

Third member comprising the first box；

4th component comprising the second box；

Wherein, the first component and the second component respectively include for locking the first clamp and the second clamp each other Fixed cooperation clamp device；

Wherein, first clamp is arranged for receiving the first box, and first box includes multiple slots, the multiple slot For extending fixing wound closure along the longitudinal of first clamp, wherein each of the multiple wound closure Including nose and female end, and wherein, first clamp includes for the nose of the wound closure and described recessed The exit opening at end；

Wherein, second clamp be arranged for receiving include multiple tracks the second box；

Wherein, first clamp and second clamp are suitable for being disposed in the corresponding side of tissue；With

Wherein, in the primary actuating of the handle portion, first clamp forces the nose and the female end to pass through Corresponding opening in first clamp is left, the tissue in corresponding side to penetrate surgical wound, and enters described the A corresponding track in the multiple track in two boxes,

Wherein, the multiple track in second box is arranged to receive the nose and the female end, and Corresponding one in the nose is guided toward each other and is formed interlocking state with corresponding one in the female end, Under the interlocking state, corresponding one in the nose and corresponding one in the female end are mutually Lock, wherein when being installed using cooperation clamp device, the first component and second component form Wound closure devices, which closes It attaches together to set and is arranged for receiving the first and second boxes.

Hereinbefore, it has been described that include the kit of parts of the first and second boxes.Alternatively, kit of parts can be with Including being configured to only receive the device of the first box, wherein track is formed in the second clamp, such as about of the invention first Described in aspect.

According to the second aspect of the invention, a kind of box for Wound closure devices, the Wound closure devices are provided Surgical wound for being closed in tissue, wherein the box includes the connection for the box to be connected to Wound closure devices Device and power reception device, the power reception device are configured to the power transmission from the Wound closure devices Power is received,

Multiple slots hold wound closure, and the slot extends distribution along the longitudinal of first box, and wherein, described Each of multiple wound closures include nose and female end, and actuation means are operatively coupled to the power reception dress It sets, and is configured to that the nose and the female end is forced to leave first box, and pass through the phase of the surgical wound Answer the tissue on side.

The embodiment of aforementioned aspect of the present invention is described below.Effect and feature in terms of these of present inventive concept is very It is similar in big degree.

Essence of the invention is to provide a kind of Wound closure devices, applies multiple wound closures in primary actuating (for example, suture), the wound closure are preferably self-locking.This provides the quick and safe mode of one kind to be closed surgery Wound, while ensuring to be closed quality.The use of Wound closure devices described herein is all unquestionably saving expense in the whole world Effective means, because the operating time will substantially reduce.

According to an example and as it is known in the art, suture is sufficiently solid will organize to be retained in together, and And smooth enough and tissue it is friendly, to minimize the risk inside undesirable intestinal adhesion to muscular fascia after it has been gathered, (increase The risk of subsequent intestinal obstruction), the inflammation due to caused by foreign body reaction and occur.Using suture, make to stay in wound Foreign matter amount minimize, and due to be usually proposed to be used in closure such as abdominal midline incision type of suture be usually can (i.e. it is finally absorbed by the body) reabsorbed, all foreign matters finally can all disappear.It is minimum due to same as described above Can resorbable material be beneficial.In short, which constitute suture better than such as suturing nail or it is other can not reabsorb or The some reason for the material that can be reabsorbed, wherein the suturing nail or other materials that can not be reabsorbed or can reabsorb are as above It is described, due to harder composition and/or more foreign substances, may have an adverse effect to wound healing process And increase the risk of complication.

Hereinafter, it is integrally formed with clamp to be understood to mean that the second clamp has for the second clamp equipped with multiple tracks Multiple tracks, such as pass through molding or multiple tracks for being formed of the second clamp of milling.Alternatively, equipped with multiple tracks Second clamp can be understood as track be formed in can by the second clamp hold detachable box in, i.e., with box be integrally formed it is multiple Track, for example, the multiple tracks formed by molding or milling box.

At least one example embodiment according to the present invention, tissue are muscular fascias.Therefore, Wound closure devices can be used In the muscular fascia of closure surgical wound.

At least one example embodiment according to the present invention, Wound closure devices can be used for closing in the surgery of abdomen Separated muscular fascia during line notch.

At least one example embodiment according to the present invention, wound closure subsequently or simultaneously penetrate group in primary actuating It knits.In other words, single actuation can make wound closure while penetrate tissue or single actuation that wound closure can be made Tissue is successively penetrated in succession.When successively penetrating tissue in succession, the power applied to the organization when wound closure penetrates tissue Organizationally spread at any time.

In other words, in the single actuation of handle, more than one wound closure is (for example, at least 5 or 10 or 15 or 20 A wound closure) tissue will be penetrated and be forced into interlocking state.It therefore, there is no need to each wound closure to carry out Primary actuating, but may need to activate more than once to be closed entire wound, according to an example, Wound closure devices are two It is moved between secondary actuating, alternatively or additionally, wound actuation means do not move between actuating twice, but the first actuating (single actuation) operates on first group/set Wound closure devices, and activate next time (single actuation) with described first group/ It is operated on the different another group/set Wound closure devices of set Wound closure devices.

At least one example embodiment according to the present invention, single actuation are movement of the handle along path；Shown according to one Example, the movement of handle start in original position, and terminate when handle reaches the final position for being different from initial position, In At the final position, the interlocking of closure member is had been realized in；According to another example, handle starts and passes through in original position The final position is crossed, initial position is then returned to.Path can be it is straight or curved, or both combination.Straight line Path, which can be, to be for example parallel to, or is extended transverse to the longest of the first and/or second clamp, and crooked route can have Any shape, for example, being round or part circular or ellipse or part-elliptical.Alternatively or additionally, handle is mobile Direction can be the first and/or second clamp longest extend continuity.The direction in path can be it is scheduled, i.e., for hand Each single actuation of handle can be that identical or substantially the same or it can be controlled by the people of operation handle, therefore The path of handle can according at hand the case where change between the different single actuations of handle.

At least one example embodiment according to the present invention, handle can be drawn relative to the other parts of Wound closure devices Dynamic or promotion.For example, single actuation, which can be, pulls handle along the first and/or second clamp.

At least one example embodiment according to the present invention, single actuation may include one or more son actuatings.For example, One son actuating can make nose penetrate the tissue on the side of surgical wound, and the actuating of another height can make female end perforating wound Tissue on the mouth other side.Alternatively or additionally, the first son actuating can be such that the first clamp and the second clamp physically connects Touch tissue corresponding side on tissue, and second or later son actuating wound closure can be made to penetrate tissue.For all Son actuating, the moving direction of handle can be identical or different.

At least one example embodiment according to the present invention, first clamp are fixedly attached or are detachably attached to Head, and wherein, second clamp is fixedly attached or is detachably attached to the head.

At least one example embodiment according to the present invention, by the way that the first-hand shank is attached to second handle portion, First clamp and second clamp are disposed in first state.

At least one example embodiment according to the present invention, clamp can be straight or they can be it is curved or Slight curving.

At least one example embodiment according to the present invention, at least one of clamp may include arch front.Arch Front is that clamp is disposed in the end farthest from handle or handle portion.Arch front facilitates fixed before being closed surgical wound Position clamp.

At least one example embodiment according to the present invention, the track of the second clamp can be it is curved so that they can With intersected with each other.At least one example embodiment according to the present invention, track can start in a linear fashion, then curved at end Song, so that they are intersected with each other.

At least one example embodiment according to the present invention, the distance between the first clamp and the second clamp can be adjustable Section.This allows to use Wound closure devices on the tissue (for example, muscular fascia) of different-thickness.Of the invention at least one In a example embodiment, when the first clamp and the second clamp are installed together, the distance between the first clamp and the second clamp It is adjustable, for example, cooperation clamp device can provide the first clamp and the second clamp may be mounted at several shapes together State, wherein the different state provides the different distances between clamp.First clamp and the second clamp can divide each other It is arranged in the corresponding side of tissue when opening, is then installed together at a certain distance, which is adjusted to the group that be closed It knits, for example, the adjustable distance, so that clamp is configured to be physically contacted with tissue.

At least one example embodiment according to the present invention, Wound closure devices further include one or more combs or pectination knot Structure is arranged in the first clamp, wherein the comb includes tooth, the tooth is arranged in the primary actuating of the handle Push nose and/or female end.

At least one example embodiment according to the present invention, tooth can be metal or they can be by plastic material Or currently any other material used in surgical operation is made.Tooth can be straight or curved, and they can be with It is rigid or flexible.

According at least one example embodiment, Wound closure devices further include power transmission, are operationally coupled To the primary actuating of the handle, to transfer power to first box.

According at least one example embodiment, Wound closure devices further include power transmission, are operationally coupled To the primary actuating of the handle, to transfer power to first box, and it is transmitted to and is retained on from first box At least one of the wound closure in first box.

According at least one example embodiment, track is formed in second clamp.

According at least one example embodiment, the second clamp is equipped with the second box, and wherein, the track is formed in described In second box.

At least one example embodiment according to the present invention, the handle include two handle portions, wherein the handle portion At least one of be actuation part.

At least one example embodiment according to the present invention, handle include first-hand shank and second handle portion, wherein the One or two of proficiency shank and second handle portion are actuation parts.Actuation part is connected to first including wound closure Box, so that the movement of actuation part causes wound closure to penetrate tissue and hereafter reaches connected condition.Implement in an example In example, this is realized by Wound closure devices, which is equipped with the power for transferring power to the first box Transfer device, and the first box is equipped with the power reception device for receiving transmitted power.

At least one example embodiment according to the present invention, actuation part can be movable part, and handle is any other Part can be fixed part.For example, the user of Wound closure devices can hold two handle portions with a hand, and can be with Such as push actuation part to another part on the direction transverse to the longest extending direction of the first and/or second clamp.In In at least another embodiment of the invention, two handle portions are all movable parts, but mobile another part not will lead to wound Mouth closer penetrates tissue.For example, the distance between the first clamp and the second clamp can be by making first-hand shank and second Handle portion moves towards each other to adjust, for example, Wound closure devices can be scissor-shaped, and the first clamp and the second pincers The distance between folder can be adjusted by moving towards each other two handle portions.At least one example according to the present invention is real Example is applied, actuation part can be knob, can be rotated to just inducing wound closer and penetrate tissue.

At least one example embodiment according to the present invention, first clamp be configured to be arranged in the lower section of tissue or It is arranged on the inside of tissue, and wherein, second clamp is configured to be arranged in the top of the tissue or be arranged in On the outside of the tissue.In other words, in use, the first clamp is arranged to and the tissue surface phase towards body interior Contact is close with the tissue surface towards body interior, and the second clamp is arranged to the tissue with the peripherad environment in face Surface is in contact or is close with the tissue surface of the peripherad environment in face.

At least one example embodiment according to the present invention, interlocking state make end interlocked with one another be that same wound closes The nose and female end of clutch or the nose and female end of two adjacent wound closures.

At least one example embodiment according to the present invention, when the nose and female end of same wound closure are interlocked with one another When, it is formed and interrupts suture.

At least one example embodiment according to the present invention, when two adjacent wound closures nose and female end each other When interlocking, continuous suture is formed.

At least one example embodiment according to the present invention, between two adjacent slots along the vertical of first clamp It is 1mm-10mm to the distance c-c of extension.The distance between two adjacent slots determine two adjacent wound closures it Between distance.Small distance reduces the risk of wound rupture and the incisional hernia occurred later.

At least one example embodiment according to the present invention, the multiple wound closure are adjustable, partially flexibles , from locking and/or self-gating.

At least one example embodiment according to the present invention, the nose of each wound closure include one or more Protrusion, and the female end of each wound closure includes being configured to receive the opening of the nose, and wherein, institute The protrusion for stating nose is configured to prevent nose from skidding off female end when in the interlocking state.

According at least one example embodiment, suture can be for example including bead (bead) or groove, the bead or recessed Slot play with the identical function of function present on pearl or flat locking strip, to prevent nose from skidding off female end.Suture Line may, for example, be band or Flat belt with pearl.

At least one example embodiment according to the present invention, suture may include one or more anchoring pieces, the anchor Firmware is disposed at least part of the suture of nose.Anchoring piece can be flexible anchor firmware, be suitable for permitting Permitted to slide into female end, for example, flexible anchor firmware is pressed towards suture when sliding into female end.Sliding through suture Later, flexible anchor firmware will return to its normal unbiased state, this prevents nose from skidding off from female end.

At least one example embodiment according to the present invention, suture can be monofilament linea suturalis or it can be it is more Silk suture, for example, braided suture.

At least one example embodiment according to the present invention, suture can be absorbable suture or nonabsorable suture Line.

At least one example embodiment according to the present invention, suture can be both arms.Therefore, nose and female end are all wrapped Needle is included, which is pushed through tissue in the single actuation of handle.It is recessed in terms of from the middle part of suture towards the female end of suture Opening in end can be disposed in front of needle.

At least one example embodiment according to the present invention, suture can be single armed.In this case, by curved Bent comb pushes the needle of nose across tissue, so that needle is pushed through the tissue of wound side first, across the other side Then box passes through the tissue of the wound other side from opposite direction.Therefore, the needle of nose back to the first box and with recessed locking structure Part interlocking.

The track of at least one example embodiment according to the present invention, second clamp is arch, and institute It is intersected with each other to state track.It should be understood that arch refers to that track is bent to form elliptical a part.

At least one example embodiment according to the present invention, the track are formed in second clamp.

At least one example embodiment according to the present invention, second clamp are equipped with the second box, and the track shape At in second box.

At least one example embodiment according to the present invention, first box and/or second box are to be intended for single use And/or it is disposable.

At least one example embodiment according to the present invention, the track are configured to guide the nose and described recessed End, so that the nose enters in the opening that track place intersected with each other passes through the female end.Nose will be handed over each other in track The opening of female end is guided through at fork.

At least one example embodiment according to the present invention, first clamp and/or second clamp further include to A few holding pin, for partially or completely penetrating tissue, wherein the height of at least one holding pin is 1mm-15mm. Tissue for being located between the first clamp and the second clamp by holding pin before being closed wound.For example, holding pin can be used In making the tissue on two sides in close proximity to each other, so that group does not move when being woven in actuation handle.

At least one example embodiment according to the present invention, the height of at least one holding pin are at least 1mm or at least 3mm, or at least 5mm.Alternatively or additionally, the height of at least one holding pin can be less than 15mm or be less than 12mm Or it is less than 10mm, or be less than 7mm.For example, the height of at least one holding pin can in 1mm-15mm or 1mm-12mm, or Any height in the range of 3mm-10mm, or between these ranges.

At least one example embodiment according to the present invention, the length of the first and/or second clamp be 20mm-160mm or 40mm-140mm or 50mm-130mm.

At least one example embodiment according to the present invention, when being mounted in first box, same wound closure Nose and the distance between female end be 3mm-35mm, 3mm-25mm or 5mm-20mm, such as 32mm.

At least one example embodiment according to the present invention, the length of the first and/or second clamp can be at least 20mm, Or at least 30mm or at least 40mm, or at least 50mm.Additionally or alternatively, the length of the first and/or second clamp can be shorter than 160mm or 140mm or 120mm or 100mm.For example, the length of the first and/or second clamp can in 20mm-140mm or In the range of 40mm-120mm or 50mm-160mm or the length can be any length within the scope of these.

At least one example embodiment according to the present invention, when being mounted in the first box, between nose or female end away from From can be at least 3mm or at least 5mm or at least 7mm, or at least 10mm.Alternatively or additionally.Between exit opening Distance can be no longer than 25mm or 20mm or 15mm or 10mm.For example, the distance between exit opening can be in 3mm- Any distance in the range of 25mm or 5mm-20mm or 7mm-15mm, or within the scope of these.

At least one example embodiment according to the present invention, the first box may include the nose for wound closure And/or the exit opening of female end.The distance between exit opening can be at least 3mm or at least 5mm or at least 7mm, or extremely Few 10mm.Alternatively or additionally.The distance between exit opening can be no longer than 25mm or 20mm or 15mm, or 10mm.For example, the distance between exit opening can in the range of 3mm-25mm or 5mm-20mm or 7mm-15mm, or Any distance within the scope of these.

At least one example embodiment according to the present invention, nose and/or female end can away from surgical wound edge at least Tissue is penetrated at 3mm.It can penetrate group at away from surgical wound edge for example, at least 5mm or at least 7mm, or at least 10mm It knits.Alternatively or additionally, nose and/or female end can be no more than 15mm or 10mm or 7mm away from surgical wound edge Place penetrates tissue.For example, nose and/or female end can in the range of 3mm-10mm or 5mm-15mm or 5mm-10mm or Tissue is penetrated at any other distance within the scope of those.

At least one example embodiment according to the present invention, the cooperation clamp device include locking pin and receiving opening, Each locking pin and receiving opening are disposed in corresponding one in first clamp and second clamp, for locking The fixed position of first clamp and the second clamp relative to each other；And/or, wherein the second component of the kit of parts is also Including second handle portion；And wherein, cooperation clamp device is suitable for for first-hand shank and second handle portion being locked to each other；With/ Or, wherein first clamp is arranged for receiving first box and/or second clamp is arranged for receiving Second box.

At least one example embodiment according to the present invention, the locking pin may be used as holding pin, for described the The tissue is arranged between one clamp and second clamp.In other words, if holding pin can penetrate tissue, they can To be a part for cooperating clamp device, i.e., they can be the locking pin for cooperating clamp device.

According to the third aspect of the invention we, a kind of surgical wound being closed in tissue with Wound closure devices is provided Method.Method includes the following steps:

First clamp and second clamp, first clamp and institute are provided in the corresponding side of the tissue Stating each of second clamp includes a box；

Actuation handle, to force the nose and/or the female end of the multiple wound closure to leave described first Clamp simultaneously penetrates the tissue on the side of the surgical wound, later, the phase in the multiple track in second clamp The track answered guides the nose towards corresponding female end or the guidance female end towards corresponding nose and enters interlocking State；Or

Actuation handle, to force the nose and the female end of the multiple wound closure to pass through described first and clamp Corresponding one in the exit opening in folder is left, and the tissue in corresponding side to penetrate the surgical wound is gone forward side by side Enter the corresponding track in the multiple track, wherein corresponding one in the nose and the phase in the female end One answered is guided toward each other and is entered interlocking state, corresponding in the nose under the interlocking state One interlocked with one another with corresponding one in the female end.

At least one example embodiment according to the present invention provides first clamp and described in said first condition The step of second clamp, includes the steps that for the first clamp and second clamp being attached.It is attached that cooperation clamp device can be used Connect the first clamp and the second clamp.

At least one example embodiment according to the present invention, the actuation handle the step of in, actuating manually performs, And/or executed by non-manual power, for example, compressed air, carbon box (carbonic cartridge) or motor.It is non-manual Power can be used for promoting to activate, especially when the tissue is thick tissue and needs to measure one's own ability greatly.

At least one example embodiment according to the present invention, the method also includes following steps:

The wound closure is tightened by the way that a clamp is moved away from tissue.

At least one example embodiment according to the present invention, the second clamp can be torn open before being moved away from tissue from the first clamp It unloads.

Detailed description of the invention

When read in conjunction with the accompanying drawings, by reference to the illustrative and non-limiting detailed description of the embodiment of the present invention, inciting somebody to action below Above-mentioned purpose and other objects, features and advantages of the invention is more fully understood, in which:

Fig. 1 shows the schematic diagram of the Wound closure devices of at least one embodiment according to the present invention；

Fig. 2 shows the schematic diagrames of the Wound closure devices of at least one embodiment according to the present invention；

Fig. 3 shows the Wound closure devices section in use of Fig. 1 of at least one embodiment according to the present invention Figure；

Fig. 4 shows the Wound closure devices section in use of Fig. 1 of at least one embodiment according to the present invention Figure；

Fig. 5 shows the Wound closure devices of at least one embodiment according to the present invention when in use；

Fig. 6 shows the closer of the tightening of at least one embodiment according to the present invention；

Fig. 7 shows the sectional view of the Wound closure devices of at least one embodiment of the present invention；

Fig. 8 shows the sectional view of a part of the Wound closure devices of at least one embodiment of the present invention；

Fig. 9 shows the perspective view of the Wound closure devices of at least one embodiment according to the present invention；

Figure 10 shows the box for being used together with the Wound closure devices of at least one embodiment according to the present invention Top view, side view and front view；

Figure 11 shows the perspective view of the second clamp of the Wound closure devices of at least one embodiment of the present invention；

Figure 12 shows the sectional view of the Wound closure devices of at least one embodiment of the present invention；

Figure 13 shows the sectional view of a part of the Wound closure devices of at least one embodiment of the present invention；

Figure 14 shows the sectional view of a part of the Wound closure devices of at least one embodiment of the present invention；

Figure 15 shows the perspective view of the Wound closure devices of at least one embodiment according to the present invention；

Figure 16 shows the box for being used together with the Wound closure devices of at least one embodiment according to the present invention Top view, side view and front view；

Figure 17 shows the perspective views of the second clamp of the Wound closure devices of at least one embodiment of the present invention.

The clause list of embodiment

A kind of clause 1: Wound closure devices of the surgical wound for being closed in tissue, wherein the wound closure dress It sets including the first clamp, the second clamp and handle；

Wherein, first clamp is arranged to accommodating case, and the box includes multiple slots, the multiple slot be used for along The longitudinal of first clamp extends fixing wound closure, wherein the multiple closer each of includes nose and recessed End；

Wherein, second clamp includes multiple tracks；

Wherein, first clamp and second clamp are suitable for being disposed in the corresponding side of tissue；

Wherein, in the primary actuating of the handle, first clamp forces the nose and the female end to leave institute The first clamp is stated, the tissue in corresponding side to penetrate the surgical wound, and enter the institute in second clamp Corresponding one for stating multiple tracks, wherein the multiple track in second clamp is arranged to receive the nose With the female end, and corresponding one in corresponding one in the nose and the female end is guided simultaneously toward each other And interlocking state is formed, it is described in corresponding one in the nose and the female end under the interlocking state Corresponding one is interlocked with one another, or

Wherein, in the primary actuating of the handle, first clamp forces the nose to leave first clamp, To penetrate the tissue of the surgical wound side, into the multiple track in second clamp corresponding one A, to leave second clamp, to penetrate the surgical wound the tissue in opposite side and entrance first pincers Folder；With

Wherein, the multiple track in second clamp is arranged to receive the nose, and by the nose The tissue being directed in the opposite side of the surgical wound；With

Wherein, first clamp is arranged to receive the nose after the nose passes through the tissue, and will The nose is directed to corresponding one in the female end and enters interlocking state, under the interlocking state, the nose In one and described female end in one it is interlocked with one another.

Clause 2: according to Wound closure devices described in clause 1, wherein the handle includes two handle portions, wherein institute Stating at least one of handle portion is actuation part.

Clause 3: the Wound closure devices surgical stapling device according to any one of aforementioned clause, wherein described first Clamp is disposed in the lower section of the tissue or is disposed on the inside of the tissue, and wherein, the second clamp quilt It is arranged in the top of the tissue or is disposed on the outside of the tissue.

Clause 4: the Wound closure devices according to any one of aforementioned clause, wherein same wound closure it is convex The nose and female end of end and female end or the adjacent wound closure of two of them are interlocked with one another.

Clause 5: the Wound closure devices according to any one of aforementioned clause, wherein between two adjacent slots The distance c-c longitudinally extended along first clamp is 1mm-10mm.

Clause 6: the Wound closure devices according to any one of aforementioned clause, wherein the multiple for receiving wound The slot of mouth closer is multiple for receiving the slot of clip, suturing nail and/or suture, such as single armed suture or double-armed suture Line；And/or

Wherein, the nose of each wound closure includes one or more protrusions, and each wound closure The female end includes being configured to receive the opening of the nose, and wherein, described convex when being in the interlocking state The protrusion at end is configured to prevent nose from skidding off the female end.

Clause 7: the Wound closure devices according to any one of aforementioned clause, wherein the institute in second clamp Stating track is arch, and wherein, and the track is intersected with each other.

Clause 8: the Wound closure devices described in when being subordinated to clause 5 according to clause 6, wherein the track is constructed use To guide the nose and the female end so that the nose track place intersected with each other by the opening of the female end into Enter.

Clause 9: the Wound closure devices according to any one of aforementioned clause, wherein first clamp and/or institute Stating the second clamp further includes at least one holding pin, for partially or completely penetrating the tissue, wherein described at least one is tight Admittedly the height sold is 1mm-15mm.

Clause 10: the Wound closure devices according to any one of aforementioned clause, wherein first clamp and/or The length of second clamp is 20mm-160mm or 40mm-140mm or 50mm-130mm；And/or

Wherein, when being installed in the box, the distance between the nose of same wound closure and female end are 3mm- 25mm or 5mm-20mm.

Clause 11: kit of parts comprising:

The first component, the first component include first-hand shank (6a) and the first clamp (2)；

Second component, the second component include the second clamp (4)；

Wherein, the first component and the second component respectively include for clamping first clamp and described second Press from both sides the cooperation clamp device being locked to each other；

Wherein, first clamp (2) is arranged to accommodating case, and the box includes multiple slots, and the multiple slot is used for Longitudinal along first clamp (2) extends fixing wound closure (8), wherein each of the multiple closer (8) It include: nose (8a) and female end (8b), and wherein, first clamp (2) includes the institute for the wound closure (8) State the exit opening of nose (8a) and the female end (8b)；

Wherein, second clamp (4) includes multiple tracks (10)；

Wherein, first clamp (2) and second clamp (4) are suitable for being disposed in the corresponding side of tissue (100)； With

Wherein, in the primary actuating of the handle portion (6a), first clamp (2) forces the nose (8a) and institute It states female end (8b) to leave by the corresponding opening in first clamp (2), to penetrate in the corresponding side of surgical wound (102) The tissue (100), and enter second clamp (4) in the multiple track (10) in corresponding one, In, the multiple track (10) in second clamp (4) is arranged to receive the nose (8a) and the female end (8b), and corresponding one in the nose (8a) is guided toward each other with corresponding one in the female end (8b) And interlocking state is reached, under the interlocking state, corresponding one in the nose (8a) and the female end Corresponding one in (8a) is interlocked with one another,

Wherein, when being installed using the cooperation clamp device, the first component and the second component form wound Closing device.

Clause 12: according to kit of parts described in clause 11, wherein the cooperation clamp device includes locking pin and reception Opening, each of the locking pin and the receiving opening are disposed in the phase in first clamp and second clamp In one answered, for the position relative to each other of first clamp and second clamp to be locked；And/or

Wherein, the second component further includes second handle portion；And wherein, be suitable for will be described for the cooperation clamp device First-hand shank and the second handle portion are locked to each other.

Clause 13: the surgical wound in tissue is closed with according to Wound closure devices described in any one of clause 1-12 Method, wherein the described method comprises the following steps:

First clamp and second clamp are provided in the corresponding side of the tissue；

Activate the handle, with force the multiple wound closure the nose and/or the female end leave it is described First clamp, and the tissue on the side of the surgical wound is penetrated, later, in the multiple track in second clamp A corresponding track guide the nose towards corresponding female end or the guidance female end towards corresponding nose and enter Interlocking state；Or

Activate the handle, with force the multiple wound closure the nose and the female end by described the Corresponding one in the exit opening in one clamp is left, the tissue in corresponding side to penetrate the surgical wound, And enter the corresponding track in the multiple track, wherein in corresponding one in the nose and the female end Corresponding one guided toward each other and enter interlocking state, the phase under the interlocking state, in the nose Answer corresponding one in one and the female end it is interlocked with one another.

Clause 14: the method according to any one of clause 12-13, wherein in the step of activating the handle, institute It states actuating to manually perform, and/or is executed by non-manual power, for example, compressed air, carbon box or motor.

Clause 15: the method according to any one of clause 12-14, wherein the method also includes following steps:

By the way that one in the clamp is moved away from tissue, to tighten the wound closure.