Suturing device under hysteroscope

By designing a hysteroscopic suture device including a handle rod, a catheter and a mounting tube, the driven clamp wheel, the active clamp wheel and the control component are used to achieve a large rotation of the suture needle, which solves the problem of operation complexity and difficulty in the hysteroscopic suture process and improves the suture efficiency.

CN119548192APending Publication Date: 2025-03-04TIANJIN MEDICAL UNIVERSITY GENERAL HOSPITAL
View PDF 12 Cites 0 Cited by

Patent Information

Application Number
CN202411750742.6
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-12-02
Publication Date
2025-03-04

AI Technical Summary

Technical Problem

During the hysteroscopic suture process, the suture needle is arc-shaped and has a small operating hole and limited operating space, which makes the suture process complicated and difficult, requiring the operator to consume more time and energy.

Method used

A hysteroscopic suture device is designed, including a handle rod, a catheter and a mounting tube. By setting a driven clamp wheel and a driving clamp wheel in the movable clamp body and the fixed clamp body, and using the control component and the driving component, the suture needle can be rotated significantly, thereby reducing the number of clamping and rotational actions.

Benefits of technology

By reducing the number of clamping and rotational movements of the suture needle, the device improves the suture efficiency of intrauterine tissue, making the suture process more convenient and reducing the complexity and difficulty of operation.

✦ Generated by Eureka AI based on patent content.

Smart Images

  • Figure CN119548192A_ABST
    Figure CN119548192A_ABST
Patent Text Reader

Abstract

The invention discloses a hysteroscope suturing device, and relates to the field of medical instruments, the hysteroscope suturing device comprises a handle rod, a catheter and a mounting tube, the handle rod, the catheter and the mounting tube are fixedly connected in sequence, the end part of the mounting tube is provided with a through groove, and the inner side surface of the through groove is rotatably connected with a movable clamp body; and a fixed clamp body corresponding to the movable clamp body is mounted at the end part of the mounting pipe. According to the suturing device under the hysteroscope, the driven clamping wheel and the driving clamping wheel are arranged in the movable clamp body and the fixed clamp body respectively, and the matched needle clamping grooves are formed in the surfaces of the driven clamping wheel and the driving clamping wheel, so that the suturing device under the hysteroscope is convenient to use under the cooperative use of the control assembly; by means of the structure, the suture needle can be conveniently driven to rotate by a large margin to penetrate through tissue in the suture process, the action times of clamping and rotating of the suture needle can be reduced, and therefore the suture efficiency of the intrauterine tissue is effectively improved, and the suture process is more convenient.
Need to check novelty before this filing date? Find Prior Art

Description

Technical Field

[0001] The invention relates to medical device technology, and in particular to a hysteroscopic suturing device. Background Art

[0002] Hysteroscopic suturing refers to the process of suturing intrauterine tissues under the assistance of hysteroscopy. During intrauterine suturing, the suturing needle is generally clamped by a needle holder and controlled to penetrate the tissue to achieve suturing of the intrauterine tissues.

[0003] However, in the actual suturing process, since the suture needle is arc-shaped and the operating hole is small, the operating space is limited. Therefore, when suturing, the operator is required to constantly re-clamp the suture needle and rotate the suture device slightly to drive the suture needle to rotate and pass through the tissue, which makes the operation in the suturing process more complicated and difficult, and requires the operator to spend more time and energy.

[0004] Therefore, the present application provides a hysteroscopic suturing device to solve the above problems. Summary of the invention

[0005] The purpose of the present invention is to provide a hysteroscopic suturing device to solve the above-mentioned deficiencies in the prior art.

[0006] In order to achieve the above-mentioned object, the present invention provides the following technical solutions: a hysteroscopic suturing device, comprising a handle bar, a catheter and a mounting tube, wherein the handle bar, the catheter and the mounting tube are fixedly connected in sequence, a through groove is provided at the end of the mounting tube, a movable clamp body is rotatably connected to the inner side surface of the through groove, a fixed clamp body corresponding to the movable clamp body is installed at the end of the mounting tube, a driving assembly is arranged outside the movable clamp body, and the driving assembly is used to drive the movable clamp body to rotate forward or reversely;

[0007] The movable jaw body and the fixed jaw body are provided with mounting grooves on the surfaces facing each other. A driven clamping wheel is rotatably connected to the inner side surface of the mounting groove on the movable jaw body, and an active clamping wheel is rotatably connected to the inner side surface of the mounting groove on the fixed jaw body. A plurality of clamping needle grooves are equidistantly provided on the outer surfaces of the driven clamping wheel and the active clamping wheel. A control component is provided on the outside of the active clamping wheel, and the control component is used to control the positive rotation of the active clamping wheel or the reverse rotation of the active clamping wheel.

[0008] Furthermore, the drive assembly includes a control shaft that passes through the handle rod, the guide tube and the mounting tube in sequence, and the end of the control shaft located inside the through groove is rotatably connected to a linkage rod, and the end of the linkage rod away from the control shaft is rotatably connected to a connecting rod, and the connecting rod is fixedly connected to the movable clamp body.

[0009] Furthermore, when the movable jaw body is horizontal, the end of the connecting rod away from the movable jaw body tilts upward, and the end of the linkage rod away from the connecting rod tilts downward. When the control shaft moves toward the end away from the movable jaw body, the linkage rod drives the movable jaw body to rotate toward the side away from the fixed jaw body.

[0010] Furthermore, a straight groove is provided inside the end of the handle rod away from the fixed clamp body, a baffle is fixedly connected to the outside of the control shaft, the baffle is slidably connected to the inner side surface of the straight groove, a return spring is fixedly connected between the baffle and the inner wall of the straight groove on the side close to the fixed clamp body, and a squeezing ball is fixedly connected to the end of the control shaft away from the fixed clamp body.

[0011] Furthermore, the control component includes a cavity opened in the fixed caliper body, the inner side surface of the cavity is rotatably connected to a winding wheel, the winding wheel is coaxially arranged with the active clamping wheel, the outer surface of the winding wheel is wound with a control rope, the handle rod is fixedly connected to a control plate at one end away from the fixed caliper body, movable grooves are opened at the upper and lower ends of the side surface of the control plate, the inner side surface of the movable groove is slidably connected with a slide plate, the surface of the slide plate is fixedly connected to a control block, a connecting spring is fixedly connected between the surface of the slide plate away from the control block and the inner wall of the movable groove, two wiring grooves are opened inside the fixed caliper body, which sequentially penetrate the mounting tube, the guide tube, the handle rod and extend to the inside of the control plate, and a notch is opened on the side of the slide plate close to the notch of the wiring groove.

[0012] Furthermore, the position of the wiring groove opening on the control board is set on the side close to the inner wall of the movable groove and close to the movable groove opening, and the position of the wiring groove opening corresponds to the notch position.

[0013] Furthermore, the two ends of the control rope pass through two wiring grooves and are fixedly connected to the inner walls of the notches on the two slides. The control block on one side moves toward the inside of the movable groove to pull the end of the control rope on that side, and drives the winding wheel to rotate to wind and pull the other end of the control rope.

[0014] Furthermore, arc-shaped finger grooves are symmetrically provided at upper and lower ends of the control panel away from the squeezing ball.

[0015] Compared with the prior art, the hysteroscopic suturing device provided by the present invention has the following beneficial effects:

[0016] 1. The hysteroscopic suturing device, by respectively arranging a driven clamp wheel and an active clamp wheel in a movable clamp body and a fixed clamp body, and opening matching needle clamping grooves on the surfaces of the driven clamp wheel and the active clamp wheel, can conveniently drive the suturing needle to rotate to a large extent to pass through the tissue during the suturing process under the coordinated use of the control component, and can reduce the number of clamping and rotating actions of the suturing needle, thereby effectively improving the suturing efficiency of the intrauterine tissue and making the suturing process more convenient.

[0017] 2. The hysteroscopic suturing device, through the mutual cooperation between the control panel, the thumb groove and the squeezing ball, makes it convenient to hold the handle bar when it is used by hand by placing the index finger and the middle finger in the two arc-shaped finger grooves respectively, and cooperating with the palm to contact the surface of the squeezing ball. When clamping control is performed, the palm position can be adjusted by bending the fingers to achieve the state adjustment of the movable clamp body. In addition, in this process, the position of the thumb can be well moved to the position corresponding to the two control blocks, so as to facilitate its operation during use. BRIEF DESCRIPTION OF THE DRAWINGS

[0018] In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings required for use in the embodiments will be briefly introduced below. Obviously, the drawings described below are only some embodiments recorded in the present invention. For ordinary technicians in this field, other drawings can also be obtained based on these drawings.

[0019] Figure 1 A schematic diagram of the overall structure provided by an embodiment of the present invention;

[0020] Figure 2 A schematic diagram of a partial cross-sectional structure of a movable clamp body, a fixed clamp body and a mounting tube provided in an embodiment of the present invention;

[0021] Figure 3 A schematic diagram of the internal structure of a fixed jaw body and a movable jaw body provided in an embodiment of the present invention;

[0022] Figure 4 The embodiment of the present invention provides Figure 3 The enlarged structural diagram at A in the middle;

[0023] Figure 5 The embodiment of the present invention provides Figure 3 The enlarged structural diagram at B in the middle;

[0024] Figure 6 A schematic diagram of the internal structure of a fixed clamp body, a mounting tube and a conduit provided in an embodiment of the present invention;

[0025] Figure 7 The embodiment of the present invention provides Figure 6The enlarged structural diagram at C in the middle;

[0026] Figure 8 A schematic diagram of a partial cross-sectional structure of a handle bar provided in an embodiment of the present invention;

[0027] Fig. 9 A schematic diagram of a partial cross-sectional structure of a control panel provided in an embodiment of the present invention;

[0028] Fig.10 The embodiment of the present invention provides Fig. 9 Enlarged structural diagram at point D in the middle.

[0029] Description of reference numerals:

[0030] 1. Handle bar; 2. Guide tube; 3. Mounting tube; 4. Movable clamp body; 5. Fixed clamp body; 6. Driven clamp wheel; 61. Active clamp wheel; 62. Clamp needle groove; 63. Control assembly; 631. Winding wheel; 632. Control rope; 633. Control board; 634. Movable groove; 635. Slide plate; 636. Control block; 637. Connecting spring; 638. Notch; 7. Drive assembly; 71. Control shaft; 72. Linkage rod; 73. Connecting rod; 74. Straight groove; 75. Blocking piece; 76. Reset spring; 77. Extrusion ball; 8. Arc finger groove. DETAILED DESCRIPTION

[0031] In order to enable those skilled in the art to better understand the technical solution of the present invention, the present invention will be further described in detail below with reference to the accompanying drawings.

[0032] Example:

[0033] See also Figure 1-Figure 10 A hysteroscopic suturing device comprises a handle bar 1, a catheter 2 and a mounting tube 3, wherein the handle bar 1, the catheter 2 and the mounting tube 3 are fixedly connected in sequence, a through groove is provided at the end of the mounting tube 3, a movable clamp body 4 is rotatably connected to the inner side surface of the through groove, a fixed clamp body 5 corresponding to the movable clamp body 4 is installed at the end of the mounting tube 3, a driving assembly 7 is arranged outside the movable clamp body 4, and the driving assembly 7 is used to drive the movable clamp body 4 to rotate forward or reversely;

[0034] The surfaces of the movable jaw body 4 and the fixed jaw body 5 facing each other are provided with mounting grooves, the inner side surface of the mounting groove on the movable jaw body 4 is rotatably connected to a driven clamping wheel 6, the inner side surface of the mounting groove on the fixed jaw body 5 is rotatably connected to an active clamping wheel 61, the outer surfaces of the driven clamping wheel 6 and the outer surfaces of the active clamping wheel 61 are both provided with a plurality of clamping needle grooves 62 equidistantly in sequence, and a control component 63 is arranged on the outside of the active clamping wheel 61, and the control component 63 is used to control the active clamping wheel 61 to rotate forward or reverse.

[0035] In this embodiment, the driving assembly 7 includes a control shaft 71 that passes through the handle rod 1, the guide tube 2 and the mounting tube 3 in sequence. One end of the control shaft 71 located inside the through groove is rotatably connected to a linkage rod 72. The end of the linkage rod 72 away from the control shaft 71 is rotatably connected to a connecting rod 73. The connecting rod 73 is fixedly connected to the movable clamp body 4.

[0036] Specifically, when the movable jaw body 4 is horizontal, the end of the connecting rod 73 away from the movable jaw body 4 tilts upward, and the end of the linkage rod 72 away from the connecting rod 73 tilts downward. When the control shaft 71 moves toward the end away from the movable jaw body 4, the linkage rod 72 drives the movable jaw body 4 to rotate toward the side away from the fixed jaw body 5.

[0037] In this embodiment, a straight groove 74 is formed inside the end of the handle rod 1 away from the fixed clamp body 5, a baffle 75 is fixedly connected to the outside of the control shaft 71, the baffle 75 is slidably connected to the inner side surface of the straight groove 74, a return spring 76 is fixedly connected between the baffle 75 and the inner wall of the straight groove 74 on the side close to the fixed clamp body 5, and a squeezing ball 77 is fixedly connected to the end of the control shaft 71 away from the fixed clamp body 5.

[0038] It should be noted that when the control shaft 71 is squeezed by external force and moves toward the side close to the fixed clamp body 5, the baffle 75 will move accordingly and compress the return spring 76 in the straight groove 74. When the control shaft 71 moves to this side, under the cooperative squeezing of the linkage rod 72, the end of the connecting rod 73 connected to the linkage rod 72 rotates upward, thereby driving the movable clamp body 4 to rotate downward close to the fixed clamp body 5, so as to clamp and fix the suture needle; when the control shaft 71 is no longer subjected to external force, under the action of the rebound force of the return spring 76, the control shaft 71 moves in the opposite direction and resets, so that under the cooperative traction of the linkage rod 72, the movable clamp body 4 can be driven to rotate toward the end away from the fixed clamp body 5, thereby releasing the clamping of the suture needle.

[0039] In this embodiment, the control component 63 includes a cavity opened inside the fixed clamp body 5, and the inner side surface of the cavity is rotatably connected to a winding wheel 631, which is coaxially arranged with the active clamping wheel 61, and the outer surface of the winding wheel 631 is wound with a control rope 632, and the end of the handle rod 1 away from the fixed clamp body 5 is fixedly connected to a control plate 633, and movable grooves 634 are opened at the upper and lower ends of the side of the control plate 633, and a slide plate 635 is slidably connected to the inner side surface of the movable groove 634, and the surface of the slide plate 635 is fixedly connected to a control block 636, and a connecting spring 637 is fixedly connected between the surface of the slide plate 635 away from the control block 636 and the inner wall of the movable groove 634, and two wiring grooves are opened inside the fixed clamp body 5, which pass through the mounting tube 3, the guide tube 2, and the handle rod 1 in sequence and extend to the inside of the control plate 633, and a notch 638 is opened on the side of the slide plate 635 close to the notch of the wiring groove.

[0040] Specifically, the opening of the wiring groove on the control board 633 is arranged on the inner wall of the movable groove 634 and close to the side of the opening of the movable groove 634 , and the opening of the wiring groove corresponds to the position of the notch 638 .

[0041] It should be noted that the position of the wiring groove slot on the control board 633 is set on the inner wall of the movable groove 634 and close to the side of the movable groove 634 slot, so that when the control block 636 on one side is pressed toward the inside of the movable groove 634, the end of the control rope 632 on this side will move synchronously with the slide plate 635 on this side, so that this end of the control rope 632 can drive the winding wheel 631 to rotate and relax this end of the control rope 632. While this end is being relaxed, the winding wheel 631 rotates to reel in the other end of the control rope 632, so that the other end of the control rope 632 is subjected to traction. At this time, under the guidance of the wiring groove corresponding to the other end of the control rope 632, the control rope 632 at this end can pull the slide plate 635 connected to it to move, and drive the side control block 636 to move outward.

[0042] In this embodiment, the two ends of the control rope 632 pass through two wiring grooves and are fixedly connected to the inner walls of the notches 638 on the two slides 635. The control block 636 on one side moves toward the movable groove 634 to pull the end of the control rope 632 on that side, and drives the winding wheel 631 to rotate to wind and pull the other end of the control rope 632.

[0043] In this embodiment, arc-shaped finger grooves 8 are symmetrically formed at the upper and lower ends of the control plate 633 away from the squeezing ball 77 .

[0044] It should be noted that, during hand-held use, the index finger and the middle finger are placed in the two arc-shaped finger grooves 8 respectively, and the palm is in contact with the surface of the squeezing ball 77, so that when clamping control is performed, the palm position can be adjusted by bending the fingers to achieve the state adjustment of the movable clamp body 4, and in this process, the position of the thumb can be well moved to the position corresponding to the two control blocks 636, so as to facilitate its operation during use.

[0045] During use, the handle bar 1 can be stably held by placing the index finger and the middle finger in the two arc-shaped finger grooves 8 respectively, and the palm of the hand contacts the surface of the squeezing ball 77;

[0046] During the suturing process, the palm position is first adjusted by bending the fingers so that the palm can squeeze the squeezing ball 77 and drive the control shaft 71 to move toward the side close to the fixed clamp body 5. When the control shaft 71 moves toward the side close to the fixed clamp body 5, the baffle 75 will move accordingly and compress the return spring 76 in the straight groove 74. At the same time, when the control shaft 71 moves toward this side, under the cooperative squeezing of the linkage rod 72, the end of the connecting rod 73 connected to the linkage rod 72 can also be driven to rotate upward, so that the movable clamp body 4 can be driven to rotate downward and close to the fixed clamp body 5, so that the driven clamp wheel 6 and the active clamp wheel 61 gradually approach each other, and under the cooperation of the needle clamping groove 62 on the surfaces of both, the suture needle can be stably clamped;

[0047] After the suture needle is clamped, the needle head of the suture needle is placed on the tissue to be punctured, and then the upper control block 636 or the lower control block 636 is pressed by the thumb as needed. When the control block 636 on one side is pressed to move toward the inside of the movable groove 634, the end of the control rope 632 on this side will move synchronously with the slide plate 635 on this side, so that the end of the control rope 632 can drive the winding wheel 631 to rotate and relax the end of the control rope 632. While the end is being relaxed, the rotation of the winding wheel 631 will reel in the other end of the control rope 632, so that the other end of the control rope 632 is subjected to traction. At this time, under the guidance of the wiring groove corresponding to the other end of the control rope 632, the control rope 632 at this end can be pulled The sliding plate 635 connected thereto is pulled to move, and the side control block 636 is driven to move outward, and the winding wheel 631 will drive the active clamping wheel 61 to rotate when rotating, and the active clamping wheel 61 can drive the suture needle to move when rotating. Since the suture needle itself is arc-shaped, when the rotating rod of the active clamping wheel 61 cooperates with the driven clamping wheel 6 to transport it, the suture needle rotates as a whole and can pass through the tissue. After the end of the suture needle passes through the tissue, by reducing the squeezing of the squeezing ball 77 by the palm, the control shaft 71 can move in the reverse direction and reset under the action of the rebound force of the reset spring 76, so that the movable clamp body 4 can be pulled to rotate in the reverse direction and separate from the fixed clamp body 5. At this time, the operator can repeat the above process to clamp the end of the suture needle again;

[0048] After the control shaft 71 is reset in the reverse direction to release the clamp on the suture needle, the operator releases the squeeze on the control block 636, so that under the action of the rebound force of the connecting spring 637, the control block 636 can also move in the reverse direction and reset, to ensure that the suture needle can be moved again by controlling the rotation of the active clamping wheel 61.

[0049] The above description is only by way of illustration of certain exemplary embodiments of the present invention. It is undoubted that those skilled in the art can modify the described embodiments in various ways without departing from the spirit and scope of the present invention. Therefore, the above drawings and descriptions are illustrative in nature and should not be construed as limiting the scope of protection of the claims of the present invention.

Claims

1. A hysteroscopic suturing device, comprising a handle bar (1), a catheter (2) and a mounting tube (3), wherein the handle bar (1), the catheter (2) and the mounting tube (3) are fixedly connected in sequence, a through groove is provided at the end of the mounting tube (3), a movable clamp body (4) is rotatably connected to the inner side surface of the through groove, and a fixed clamp body (5) corresponding to the movable clamp body (4) is installed at the end of the mounting tube (3), characterized in that: A driving assembly (7) is arranged outside the movable jaw body (4), and the driving assembly (7) is used to drive the movable jaw body (4) to rotate forward or reverse; The surfaces of the movable clamp body (4) and the fixed clamp body (5) facing each other are both provided with mounting grooves, the inner side surface of the mounting groove on the movable clamp body (4) is rotatably connected to a driven clamp wheel (6), and the inner side surface of the mounting groove on the fixed clamp body (5) is rotatably connected to an active clamp wheel (61), the outer surface of the driven clamp wheel (6) and the outer surface of the active clamp wheel (61) are both provided with a plurality of clamping needle grooves (62) at equal intervals in sequence, and a control component (63) is arranged outside the active clamp wheel (61), and the control component (63) is used to control the active clamp wheel (61) to rotate forward or reverse.

2. A hysteroscopic suturing device according to claim 1, characterized in that: The driving assembly (7) comprises a control shaft (71) which passes through the handle rod (1), the guide tube (2) and the mounting tube (3) in sequence; one end of the control shaft (71) located inside the through groove is rotatably connected to a linkage rod (72); one end of the linkage rod (72) away from the control shaft (71) is rotatably connected to a connecting rod (73); and the connecting rod (73) is fixedly connected to the movable caliper body (4).

3. A hysteroscopic suturing device according to claim 2, characterized in that: When the movable jaw body (4) is horizontal, the end of the connecting rod (73) away from the movable jaw body (4) tilts upward, and the end of the linkage rod (72) away from the connecting rod (73) tilts downward. When the control shaft (71) moves toward the end away from the movable jaw body (4), the linkage rod (72) drives the movable jaw body (4) to rotate toward the side away from the fixed jaw body (5).

4. A hysteroscopic suturing device according to claim 3, characterized in that: A straight groove (74) is provided inside the end of the handle bar (1) away from the fixed caliper body (5); a baffle (75) is fixedly connected to the outside of the control shaft (71); the baffle (75) is slidably connected to the inner side surface of the straight groove (74); a return spring (76) is fixedly connected between the baffle (75) and the inner wall of the straight groove (74) on the side close to the fixed caliper body (5); and a squeezing ball (77) is fixedly connected to the end of the control shaft (71) away from the fixed caliper body (5).

5. A hysteroscopic suturing device according to claim 4, characterized in that: The control assembly (63) comprises a cavity provided inside the fixed clamp body (5), the inner side surface of the cavity is rotatably connected to a reel (631), the reel (631) is coaxially arranged with the active clamp wheel (61), the outer surface of the reel (631) is reeled with a control rope (632), the end of the handle bar (1) away from the fixed clamp body (5) is fixedly connected to a control plate (633), the upper and lower ends of the side surface of the control plate (633) are provided with movable grooves (634), the inner side surface of the movable groove (634) is A slide plate (635) is slidably connected, a control block (636) is fixedly connected to the surface of the slide plate (635), a connecting spring (637) is fixedly connected between the surface of the slide plate (635) away from the control block (636) and the inner wall of the movable groove (634), two wiring grooves are provided inside the fixed clamp body (5) and pass through the mounting tube (3), the guide tube (2), the handle rod (1) in sequence and extend to the inside of the control board (633), and a notch (638) is provided on the side of the slide plate (635) close to the notch of the wiring groove.

6. A hysteroscopic suturing device according to claim 5, characterized in that: The wiring slot opening on the control panel (633) is arranged on the inner wall of the movable slot (634) and close to the side of the movable slot (634), and the wiring slot opening corresponds to the position of the notch (638).

7. A hysteroscopic suturing device according to claim 6, characterized in that: The two ends of the control rope (632) pass through two routing grooves and are fixedly connected to the inner walls of the notches (638) on the two slide plates (635). The control block (636) on one side moves into the movable groove (634) to pull the end of the control rope (632) on that side, and drives the winding wheel (631) to rotate to wind up and pull the other end of the control rope (632).

8. A hysteroscopic suturing device according to claim 7, characterized in that: The control plate (633) is symmetrically provided with arc-shaped finger grooves (8) at the upper and lower ends of the side away from the squeezing ball (77).

Citation Information

Patent Citations

  • Circular needle applier

    CN104936534A

  • Laparoscope clamping and sucking multifunctional composite forceps and using method thereof

    CN116746983A

  • Squeezing rotation type bidirectional adjustable needle inserting needle forceps

    CN118105117A

  • Needle forceps for suturing

    CN118303939A

  • Stitching instrument for endoscopic skull base dura mater

    CN118633979A