Reduce tension is sewed up silica gel pipelineTechnical field
The present invention relates to medical instruments field, particularly relate to surgery instrument, more specifically relate to Reduce tension and sew up silica gel pipeline.
Background technology
In surgical operation, often there is skin tissue defects, or because limds edema causes wound suture tension force higher after injuring operation outward, be difficult to the closed even directly situation of closure of wound.Conventionally adopt in this case tension suture method dwindle as far as possible wound surface or reduce skin and shrink back.
So-called tension suture is to be used in the wound suture of both sides skin tension when too large, and object is to prevent wound dehiscence, or by stitching, reduces as far as possible the exposure of deep tissue.Take limbs operation as example, normally without tension force otch, can adopt the common silk suture of 3-0 or 4-0, to reach the object of closure of wound.Small size skin injury still can reach disposable closure in skin nature tension range.But as run into limbs serious swelling after wound, cut after skin because skin bounces back to both sides naturally, can cause wound to sew up, thereby the muscle, nerve, blood vessel that cause deep even skeleton expose.Certainly, the skin injury that area is larger also can cause directly closure of wound.For above-mentioned situation, adopt clinically at present thicker stitching thread to sew up more temporarily, drawing wound, reduces wound surface as far as possible, waits for that limb swelling disappears, and after traumatic infection control, row is finally sewed up or is carried out closed wound surface by skin grafting again.But its physics anti-tensile of the suture of current clinical use is limited in one's ability, lacks flexibility, for the wound of serious edema, even causes local compression and cause cutaneous necrosis.
Summary of the invention
While the present invention is directed to current tension suture, particularly in the face of the excessive situation of wound both sides skin tension, general stitching thread pulling force is inadequate, and after sewing up, easily causes the problem of skin compressing, necrosis, creatively provides a kind of brand-new Reduce tension to sew up silica gel pipeline.
It is that the puncture needle being fixedly connected with respectively by silica gel pipeline and two ends thereof combines that Reduce tension disclosed in this invention is sewed up silica gel pipeline.
Medical silicone tube adopts extrusion molding continuous sulfurizing, extruding, forming and vulcanization tank sulfuration method or molded vulcanization method to make, be generally used for food medical apparatus and instruments, on the equipment such as respirator, medical water conservancy diversion or medical analytical instrument, hemostasis instrument, effect concentrates on conduction, the circulation of liquid or class I liquid I.
In the present invention, creatively utilize it as tension suture line, to use, but we find because it is generally to make land used as carrier pipe, so in its structure not as sutural speciality, need to use the aids such as scalpel, form puncture duct, operation inconvenience, and wound is larger.
In order to address this problem, we have quoted this structure of puncture needle, and by puncture needle and silica gel pipeline effectively together with secure bond.Without by other operation tools, just can realize stitching, guarantee in sewing process that the stationarity between silica gel pipeline and puncture needle improves operation safety simultaneously.
Due to silica gel tube and puncture needle material totally different, cannot be integrally formed, we further disclose a kind of fixed structure substantially similar to integrative-structure stability, the link of described puncture needle and silica gel pipeline is inverted trapezoidal platform structure, the base angle of described inverted trapezoidal platform is 120 ° ~ 130 °, and the upper bottom surface of described inverted trapezoidal platform is circle.
Here so-called inverted trapezoidal platform structure, refer to that its one end of comparatively expanding is near free end, comparatively little one end is near silica gel pipeline, thereby both facilitated the property easy for installation of silica gel pipeline and puncture needle, can guarantee again silica gel pipeline after fixing and stability that puncture needle structure is fixing.
Further, the link that the present invention also further discloses described puncture needle is three grades of inverted trapezoidal platform structures, by three identical inverted trapezoidal platforms of size, is formed by stacking.Namely form three grades of inverted trapezoidal platform structures.Thereby can better guarantee to install the stability between rear silica gel pipeline and puncture needle.
Here so-called superimposed be superimposed in moulding, it is all for being formed by puncture needle direct forming.
Further, we also disclose described inverted trapezoidal platform for height 0.4mm, lower surface diameter 0.2cm, 0.25cm, 0.3cm, 0.35cm, and upper surface diameter 0.15cm, 0.20cm, 0.25cm, 0.30cm, lower surface diameter is corresponding with puncture needle diameter.Certainly this inverted trapezoidal platform can be used separately, and use also can a plurality ofly gather into folds.
Further, the free end of described puncture needle is angle knife-edge puncture needle.Avoiding simple sharp metal needle point is the potential risk that surgeon produces to operation operator.So-called puncture needle itself is the needle structure having in general sense, and its one end is stiff end, is cylindric, and the other end is contracted to tip-shape gradually, in order to puncture.
Further, we are on the technical scheme basis of angle knife-edge puncture needle, and further disclosing described puncture needle is by 6cm needle body, 6cm pin end, and the oblique 3cm blade that is opened in 6cm pin end tip forms.
As another kind, improve, the diameter that we disclose described puncture needle is 0.2cm, 0.25cm, 0.3cm, 0.35cm.
Adopt technical scheme disclosed in this invention, can realize the tension suture of hightension wound, simultaneously without by other assisted surgery instruments, cut off unnecessary silica gel pipeline after stitching, knotting is fixing.And connective stability is good between silica gel pipeline and puncture needle, the safety problems such as difficult generation comes off, slippage; This mode interface smooth, realizes smoothness and the stability similar to integral structure.
Accompanying drawing explanation
Fig. 1 is that Reduce tension is sewed up silica gel pipeline schematic diagram;
Fig. 2 is that the most advanced and sophisticated termination of puncture needle is A part enlarged diagram in Fig. 1;
Fig. 3 is that puncture needle stiff end is B part enlarged diagram in Fig. 1.
The specific embodiment
Below in conjunction with the drawings and specific embodiments, further illustrate the present invention, should understand the following specific embodiment and only for the present invention is described, be not used in restriction scope of the present utility model.It should be noted that, word 'fornt', 'back', " left side ", " right side ", "up" and "down" that use is described below refer to the direction in width figure, and word " interior " and " outward " refer to respectively the direction towards or away from specific features geometric center.
Embodiment 1
As shown in Figure 1, Reduce tension is sewed up silica gel pipeline, and the puncture needle 2 being fixedly connected with respectively by silica gel pipeline 1 and two ends thereof combines.Can to choose length be 30cm ~ 60cm to silica gel pipeline in the present embodiment, and diameter is 0.2cm, 0.25cm, 0.3cm, and two ends are fixing puncture needle 2 respectively.
Especially, also preferred described puncture needle 2 is inverted trapezoidal platform 21 structures with the link of silica gel pipeline 1 in the present embodiment, and as shown in Figure 3, the base angle of described inverted trapezoidal platform 21 is 120 ° ~ 130 °, and the upper bottom surface of described inverted trapezoidal platform 21 is circle.The link of described puncture needle 2 is three grades of inverted trapezoidal platform structures, by three identical inverted trapezoidal platforms of size, is formed by stacking.
Referring to Fig. 1 and Fig. 2, during installation, silica gel pipeline 1, along inverted trapezoidal platform 21, is packed into by less one end especially.After packing into, between silica gel pipeline 1 and inverted trapezoidal platform 21, form spacingly, form the combination of puncture needle-silica gel tube, stable fixing.
Especially, described inverted trapezoidal platform is height 4cm in the present embodiment, lower surface diameter 0.2cm, 0.25cm, 0.3cm, 0.35cm, upper surface diameter 0.15cm, 0.20cm, 0.25cm, 0.30cm.The diameter of the diameter of upper surface and puncture needle needle body part matches.
During use, adopt single puncture needle stitching or the symmetrical puncture stitching of practical two puncture needles continuously.After stitching, can cut off puncture needle tail end silica gel pipeline 1, knotting is fixing.
Embodiment 2
On the basis of embodiment 1, the free end of described puncture needle 2 is angle knife-edge puncture needle.As shown in Figure 2.Described puncture needle is by6cm needle body 22,6cm pin end 23, and theoblique 3cm blade 231 that is opened in 6cm pin end tip forms.
Concrete sees in Fig. 1, and the pin end of puncture needle has the long knife-edge structure of a 3cm, and this knife-edge structure, to a lateral buckling, forms certain angle with needle body simultaneously, and this angle is 20 ° in the present embodiment.
When needs puncture,blade 231 has played the effect of scratching, and has avoided simple aciculiform structure passivity puncture, can reduce patient's wound, the potential risk of also having avoided traditional aciculiform perforator to produce surgical staff simultaneously.
According to different positions and wound tension force needs, can select diameter is puncture needle-silica gel tube combination of 0.2cm, 0.25cm, 0.3cm.Or according to concrete service condition, select the silica gel pipeline of different length, such as 30cm, 40cm, 50cm or 60cm.
Its using method is identical with embodiment 2 with embodiment 1, in this no longer burden narration.
Technical scheme disclosed in this invention is not limited only to the disclosed technical scheme of above-described embodiment, also comprises the technical scheme being comprised of above technical characterictic combination in any.