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WO2018155778A1 - Dispositif de suture de plaie ouverte par trocart - Google Patents

Dispositif de suture de plaie ouverte par trocart Download PDF

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Publication number
WO2018155778A1
WO2018155778A1 PCT/KR2017/009996 KR2017009996W WO2018155778A1 WO 2018155778 A1 WO2018155778 A1 WO 2018155778A1 KR 2017009996 W KR2017009996 W KR 2017009996W WO 2018155778 A1 WO2018155778 A1 WO 2018155778A1
Authority
WO
WIPO (PCT)
Prior art keywords
needle
trocar
rotating rod
suture
rotation
Prior art date
Application number
PCT/KR2017/009996
Other languages
English (en)
Korean (ko)
Inventor
박성수
Original Assignee
고려대학교 산학협력단
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 고려대학교 산학협력단 filed Critical 고려대학교 산학협력단
Publication of WO2018155778A1 publication Critical patent/WO2018155778A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0491—Sewing machines for surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0485—Devices or means, e.g. loops, for capturing the suture thread and threading it through an opening of a suturing instrument or needle eyelet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations

Definitions

  • the present invention relates to a laparoscopy technique, and more particularly, to a device for suturing an open window generated by a trocar during a laparoscopy procedure.
  • Laparoscopic surgery unlike the conventional open surgery, incision to the abdomen 0.5cm to 1cm through a plurality of holes and laparoscopic insertion to observe the inside of the abdominal cavity.
  • Trocar is installed through the skin and peritoneum during laparoscopic surgery to guide the laparoscopic and surgical instruments into the laparoscopic.
  • open windows caused by trocars occur on the skin and peritoneum.
  • the open window by the trocar is sutured by suture, which is difficult for the obese patient with a thick fat layer between the peritoneum and the skin layer. Accordingly, there is a need for a technique for easily closing the trocar opening window.
  • Patent Document 1 Republic of Korea Utility Model Registration No. 20-0473904 "Laparoscopy Surgery Trocar” (2014.08.08.)
  • the first rotating rod is formed with a first needle catching hole 125a for catching the head end of the first sewing needle, and the second rotating rod catches the head end of the second sewing needle.
  • the needle catching hole 125b may be formed.
  • a first locking jaw 132a is formed at the head end of the first suture needle, and a second locking jaw 132b is formed at the head end of the second suture needle, and the first needle
  • a first step 126a may be formed in the locking hole
  • the second step 126b may be formed in the second needle locking hole.
  • the first rotating rod is formed with a first needle insertion hole 122a into which the root end of the first suture needle can be inserted, and the root end of the second suture needle is formed in the second rotation rod.
  • a second needle insertion hole 122b that can be inserted can be formed.
  • the center angle of the two suture needles is preferably 180 degrees or more.
  • FIG. 1 is a side view of the trocar opening window closure device according to an embodiment of the present invention, showing the trocar installed in the abdomen together.
  • 3 to 8 are views illustrating a suture process using the trocar open window closure device shown in FIG.
  • FIG. 1 is a side view of the trocar opening window closure device according to an embodiment of the present invention, showing the trocar installed in the abdomen together.
  • the trocar (T) is installed in the abdomen in the state penetrating the skin layer (B), the fat layer (C) and the peritoneum (D) in turn, the laparoscopic or surgical instruments pass through the trocar (T)
  • a trocar opening window closure device 100 may be inserted as shown by a broken arrow through a connecting passage h formed to be possible. Since the trocar T may have a conventional structure, a detailed description of the trocar T is omitted.
  • the open window formed in the abdomen by the trocar T by the trocar opening window closure device 100 can be easily closed.
  • 2 is an enlarged 'A' portion of the trocar opening window closure device 100 shown in FIG. 1 and 2, the detailed configuration of the trocar open window closure device 100 according to an embodiment of the present invention will be described in detail.
  • Body 110 is an elongated rod shape that can pass through the connection passage (h) formed in the trocar (T), the drive motor 170 and the battery 180 is accommodated inside the body (110).
  • One end of the body 110 is exposed to the outside when inserted into the trocar (T), the operation unit 150 is located, the other end located in the abdomen are two rotating rods (120a, 120b), two sewing needles (130a) 130b) and suture 140 are located.
  • the first rotating rod 120a moves the first suture needle 130a, and the second rotating rod 120b rotates the second suture needle 130b.
  • the first needle insertion hole 122a and the first needle engaging hole 125a are provided at both circumferential sides of the first rotating rod 120a, respectively.
  • the root side end of the first suture needle 130a may be inserted into the first needle insertion hole 122a, and the first needle insertion hole 122a may have the root side end of the inserted first suture needle 130a. It has a size that can be easily pulled out.
  • the first needle engaging hole 125a is provided with a first stepped portion 126a facing inward. The head end of the first suture needle 130a is inserted into and caught in the first needle catching hole 125a.
  • the second rotating rod 120b is also provided with a second needle insertion hole 122b and a second needle engaging hole 125b, which are the first needle insertion hole 122a and the first needle of the first rotating rod 120a. It is formed in the same structure as the locking hole 125a, and interacts with the 2nd suture needle 130b.
  • Each of the first suture needle 130a and the second suture needle 130b has a circular arc shape, and the center angle is preferably 180 degrees or more for smooth sealing.
  • the first sewing needle 130a is disposed around the first rotation shaft 121a.
  • the root end of the first sewing needle 130a is inserted into the first needle insertion hole 122a of the first rotating rod 120a before sealing.
  • a first locking step 132a facing the root side is provided at the head end of the first sewing needle 130a.
  • the first catching jaw 132a may be caught by the first stepped jaw 126a formed in the first needle catching hole 125a of the first rotating rod 120a.
  • the second sewing needle 130b is disposed around the second rotation shaft 121b.
  • the root end of the second sewing needle 130b is inserted into the second needle insertion hole 122b of the second rotating rod 120b before sealing.
  • a second locking jaw 132b facing the root side is provided at the head end of the second suture needle 130b.
  • the second catching jaw 132b may be caught by the second stepped jaw 126b formed in the second needle catching hole 125b of the second rotating rod 120b.
  • the suture 140 connects the first suture needle 130a and the second suture needle 130b. Both ends of the suture 140 are coupled to each root side of the two suture needles (130a, 130b).
  • the operation unit 150 is located at an end exposed to the outside when the trocar T is inserted in the body 110.
  • the operation unit 150 is described as a push button type, but the present invention is not limited thereto.
  • the operator operates the driving motor 170 by using the manipulation unit 150 to perform the sealing operation.
  • the two suture needles 130a and 130b are respectively rooted upstream (in the insertion direction upstream). ),
  • the head side is positioned at the lower side (downstream in the insertion direction), the head side is disposed to face outward, and the root end is inserted into the needle insertion holes 122a and 122b of the corresponding rotating rods 120a and 120b. do.
  • the two rotating rods 120a and 120b are arranged to face upwards from the respective rotation shafts 121a and 121b.
  • the suture device 100 enters the abdomen through the connecting passage h of the trocar T with the portion where the two suture needles 130a and 130b are positioned at the head, as shown in FIG. 3. Let's do it.
  • the state of FIG. 3 when the trocar T is removed from the abdomen, the state is as shown in FIG. 4.
  • the peritoneum D is positioned between the head and the root of each of the two suture needles 130a and 130b.
  • the driving motor (170 of FIG. 1) is operated so that the two rotation bars 120a and 120b rotate 180 degrees in the direction of the arrow, so that the two sutures are shown as shown in FIG. 5.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

La présente invention concerne un dispositif de suture d'une plaie ouverte générée dans l'abdomen par un trocart et, plus particulièrement, un dispositif de suture de plaie ouverte par trocart comprenant : un corps (110) inséré à travers le trocart ; une première tige rotative (120a) couplée au corps pour pouvoir tourner de manière bidirectionnelle autour d'un premier axe de rotation ; une seconde tige rotative (120b) couplée au corps pour pouvoir tourner de manière bidirectionnelle autour d'un second axe de rotation ; une première aiguille de suture (130a) déplacée par une rotation de la première tige rotative ; une seconde aiguille de suture (130b) déplacée par une rotation de la seconde tige rotative ; un fil de suture (140) reliant la première aiguille de suture et la seconde aiguille de suture ; et un moteur d'entraînement (170) pour fournir la première tige rotative et la seconde tige rotative à une puissance de rotation, le premier axe de rotation et le second axe de rotation s'étendant perpendiculairement à la direction d'insertion de trocart, la première aiguille de suture ayant une forme d'arc circulaire et étant disposée autour du premier axe de rotation, et la seconde aiguille de suture ayant une forme d'arc circulaire et étant disposée autour du second axe de rotation.
PCT/KR2017/009996 2017-02-27 2017-09-12 Dispositif de suture de plaie ouverte par trocart WO2018155778A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR1020170025213A KR102007308B1 (ko) 2017-02-27 2017-02-27 투관침 개방창 봉합 장치
KR10-2017-0025213 2017-02-27

Publications (1)

Publication Number Publication Date
WO2018155778A1 true WO2018155778A1 (fr) 2018-08-30

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2017/009996 WO2018155778A1 (fr) 2017-02-27 2017-09-12 Dispositif de suture de plaie ouverte par trocart

Country Status (2)

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KR (1) KR102007308B1 (fr)
WO (1) WO2018155778A1 (fr)

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1994005213A1 (fr) * 1992-09-04 1994-03-17 Laurus Medical Corporation Systeme de suture endoscopique
US5527321A (en) * 1993-07-14 1996-06-18 United States Surgical Corporation Instrument for closing trocar puncture wounds
US20030028201A1 (en) * 2001-05-04 2003-02-06 Francis Navarro Instrument for closing, by subcutaneous suturing, an orifice made in the abdominal wall of a patient
US6988987B2 (en) * 2002-03-18 2006-01-24 Olympus Corporation Guide tube
KR20160056897A (ko) * 2013-09-17 2016-05-20 고디안 서지컬 리미티드 트로카 및 상처 폐쇄 장치

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR200473904Y1 (ko) 2013-12-02 2014-08-08 가톨릭대학교 산학협력단 복강경 수술용 투관침

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1994005213A1 (fr) * 1992-09-04 1994-03-17 Laurus Medical Corporation Systeme de suture endoscopique
US5527321A (en) * 1993-07-14 1996-06-18 United States Surgical Corporation Instrument for closing trocar puncture wounds
US20030028201A1 (en) * 2001-05-04 2003-02-06 Francis Navarro Instrument for closing, by subcutaneous suturing, an orifice made in the abdominal wall of a patient
US6988987B2 (en) * 2002-03-18 2006-01-24 Olympus Corporation Guide tube
KR20160056897A (ko) * 2013-09-17 2016-05-20 고디안 서지컬 리미티드 트로카 및 상처 폐쇄 장치

Also Published As

Publication number Publication date
KR20180098739A (ko) 2018-09-05
KR102007308B1 (ko) 2019-08-05

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