Wound tension-reducing suture device and use method

Abstract

The invention discloses a wound tension-reducing suturing device and a using method, the wound tension-reducing suturing device comprises a first sliding frame, a suture line clamping mechanism, a tension detection device, a tension-reducing clamping mechanism and a controller are arranged on the first sliding frame, the suture line clamping mechanism is connected with a first driving mechanism, the tension detection device is connected with a second driving mechanism, and the tension-reducing clamping mechanism is connected with the controller. And the controller is in circuit connection with the first driving mechanism, the tension detection device and the second driving mechanism. The device is simple in structure, low in cost and convenient and efficient to operate, the suture line clamping mechanism, the tension detection device and the tension reduction clamping mechanism are controlled by the controller to be used in cooperation, the tension of a wound can be accurately detected in real time while wound suture is conducted, medical staff are assisted in formulating wound tension reduction measures, and the wound healing efficiency is improved. The tightness of the tension-reducing clamping mechanism can be accurately controlled; the device can improve the suturing efficiency and the suturing quality, guarantees good wound healing, reduces hypertrophic scars of the wound, can guarantee the wearing comfort of the tension-reducing clamping mechanism, and has good economic practicability.

Description

Technical Field

[0001] The invention relates to a wound tension-reducing suturing device and a use method thereof, belonging to the technical field of medical equipment and its application. Background Art

[0002] When the skin wound is large, medical sutures are often used to reduce the tension of the wound to promote wound healing and reduce scars. However, in the current wound suturing process, medical staff judge the tension of the wound based on the length and depth of the wound and their own experience, and then decide whether to use a tension-reducing device to help the wound heal. This method has high requirements for medical staff, and the judgment accuracy is low due to manual experience in judging the tension of the wound, and the tightness of the tension-reducing device cannot be accurately controlled. If the tightness of the tension-reducing device is low, the wound will have a greater tension risk, and the wound is prone to hypertrophic scars, and in severe cases, the wound is prone to cracking. If the tightness of the tension-reducing device is high, the wearing comfort is low, and it affects the blood circulation near the wound, thereby affecting the quality of wound healing. Summary of the invention

[0003] In view of this, an object of the present invention is to provide a wound tension-reducing suturing device and a method of use, so as to at least solve the problems mentioned in the background technology.

[0004] The objective of the present invention is achieved through the following technical solutions: A wound tension-reducing suturing device, comprising: a first slide, on which a suture thread clamping mechanism and a first driving mechanism connected thereto are symmetrically arranged; A tension detection device, which is arranged on the first slide and is used in conjunction with the suture thread clamping mechanism; A second slide, the second slide is arranged on one side of the first slide, and a tension-reducing clamping mechanism and a second driving mechanism connected thereto are symmetrically arranged on the second slide; A controller is connected to the first drive mechanism, the tension detection device and the second drive mechanism circuit.

[0005] Furthermore, the first slide comprises a rectangular frame formed by a lightweight vertical rod and at least two horizontal rods, one of the horizontal rods is provided with a slide groove, and sliders are symmetrically arranged in the slide groove, and the suture clamping mechanism is slidably connected to the slider via the slider.

[0006] Furthermore, the suture thread clamping mechanism is a manual fixed clamp structure or an automatic magnetic clamping structure.

[0007] Furthermore, the second slide includes a slide bar arranged on another cross bar of the rectangular frame, and the tension-reducing clamping mechanism includes telescopic arms symmetrically arranged on the slide bar, the rear ends of the two telescopic arms are slidably connected to the slide bar, and the front ends are detachably connected with two semi-symmetrical arc-shaped clamping plates.

[0008] Furthermore, it also includes a skin stapler used in conjunction with the suture clamping mechanism, wherein the skin stapler is a manual stapler; or the skin stapler includes a manipulator arranged on the second slide and located between two telescopic arms, the manipulator is connected to the controller, and an automatic stapler is provided at the end of the manipulator.

[0009] Furthermore, it also includes a support frame, the first slide frame is connected to the support frame through a lifting mechanism, and the lifting mechanism is connected to the controller.

[0010] Furthermore, it also includes an auxiliary knotting structure used in conjunction with the suture clamping mechanism, wherein the auxiliary knotting structure is a vascular clamp; or, the auxiliary knotting structure includes an adjustment frame that can be adjusted up, down, left, and right relative to the second slide frame, and a comb-shaped clamping structure or an elastic clamping unit is slidably connected to the adjustment frame.

[0011] A method for using the wound tension-reducing suturing device comprises the following steps: s1. Mark the suture points on both sides of the wound according to the length of the wound, pass several sutures through the corresponding suture points one by one, reserve tensioning sections at both ends of the sutures, and place them crosswise; s2. The tensioning sections at both ends of all sutures are firmly clamped by corresponding suture clamping mechanisms, and the two suture clamping mechanisms are driven away from each other by a first driving mechanism to tension the sutures, so that the wound is completely closed, and the tension after the wound is completely closed is detected by a tension detection device, and a first tension value is output; s3, collecting the first tension value outputted in step s2 through the controller, and comparing it with the tension threshold reserved in the controller to determine whether a tension-reducing clamping mechanism is needed, No, the wound was closed using a skin stapler or manually knotted sutures; Yes, the second driving mechanism is used to drive the two tension-reducing clamping mechanisms to move closer to each other and clamp them near the wound to reduce the tension on the wound, and then a skin suture device or manually knotted sutures are used to complete the wound suturing.

[0012] Furthermore, in step s2, the specific use steps of the suture clamping mechanism include: (2.1) The controller controls the first driving mechanism to drive the two suture clamping mechanisms to approach the wound, and the tensioning sections reserved at both ends of the suture are placed between the fixed clamping plate and the movable clamping plate of the corresponding suture clamping mechanism. The adsorption electromagnet is energized so that the movable clamping plate is attracted together with the fixed clamping plate under the action of the adsorption electromagnet, thereby firmly clamping the suture; Before operating the suture clamping mechanism, the height of the support frame is adjusted so that the height difference between the suture clamping mechanism and the wound position is no more than ±10 cm; (2.2) The controller controls the first driving mechanism to drive the two suture clamping mechanisms away from each other, and tensions the sutures to completely close the wound. The tension after the wound is completely closed is detected by the tension detection device.

[0013] Furthermore, in step s3, the specific use steps of the tension-reducing clamping mechanism include: (3.1) The controller is connected to the remote control terminal by telecommunication, a wound tension threshold database is set at the remote control terminal, and the controller calls the reserved tension threshold in the wound tension threshold database and compares it with the first tension value outputted in step s2 to determine whether a tension-reducing clamping mechanism needs to be used; (3.2) If the first tension value is less than or equal to the wound tension threshold, there is no need to use the tension-reducing clamping mechanism, and the wound can be sutured using a skin suture device or manually knotted sutures; If the first tension value is greater than the wound tension threshold, the second driving mechanism is used to drive the two tension-reducing clamping mechanisms to move closer to each other, clamp them near the wound, and gradually apply clamping force to reduce the tension of the wound. At the same time, the tension detection device detects the second tension value after the tension-reducing clamping mechanism is added in real time. When the second tension value is less than or equal to the wound tension threshold, the clamping force is stopped, and the arc-shaped clamping plates of the two tension-reducing clamping mechanisms are fixed by an elastic band fixing structure, and the arc-shaped clamping plates are disconnected from the telescopic arm; finally, a skin suture device or an artificial knotted suture thread is used to complete the wound suture; The suturing method of the skin stapler is as follows: using a manual stapler or an automatic stapler to staple the wound one by one at the same or different intervals until the wound is completely closed; The method of manually knotting sutures is as follows: after the suture passes through the suture point, it is tied into a slipknot in advance. After the wound is stretched and closed, an auxiliary knotting structure is used to clamp the slipknot of the suture, and the slipknot of each suture on the entire wound is tied into a fixed knot in an interval knotting manner, and the reserved section of the suture is subtracted.

[0014] Compared with the prior art, the beneficial effects of the present invention are: The present invention has a simple structure, low cost, convenient and efficient operation. It controls the suture clamping mechanism, the tension detection device and the tension-reducing clamping mechanism to cooperate with each other through a controller. It can accurately detect the tension of the wound in real time while suturing the wound, assist medical personnel in formulating measures to reduce the tension of the wound, and accurately control the tightness of the tension-reducing clamping mechanism. In addition, it can not only improve the suturing efficiency and suturing quality, ensure good wound healing, and reduce the occurrence of hypertrophic scars on the wound, but also ensure the wearing comfort of the tension-reducing clamping mechanism, and has good economic and practicality.

[0015] Other advantages, objectives and features of the present invention will be described in the following description to some extent, and to some extent, will be obvious to those skilled in the art based on the following examination and study, or can be taught from the practice of the present invention. The objectives and other advantages of the present invention can be realized and obtained through the following description. BRIEF DESCRIPTION OF THE DRAWINGS

[0016] In order to make the purpose, technical solutions and advantages of the present invention more clear, the present invention will be further described in detail below with reference to the accompanying drawings, in which: Figure 1 Schematic diagram of the structure of the wound tension-reducing suturing device provided in Example 1 of the present invention Figure 1 ; Figure 2 Schematic diagram of the structure of the wound tension-reducing suturing device provided in Example 1 of the present invention Figure 2 ; Figure 3 A schematic structural diagram of a wound tension-reducing suturing device provided in Example 2 of the present invention; Figure 4 A schematic structural diagram of a wound tension-reducing suturing device provided in Example 3 of the present invention; Figure 5 A schematic diagram of the structure of a wound tension-reducing suturing device and a method of use provided in Example 4 of the present invention; Figure 6 for Figure 4 Structural schematic diagram of the auxiliary knotting structure; Figure 7 The state diagram of the auxiliary knotting structure clamping the slipknot (the clamp is open); Figure 8 The state diagram of the auxiliary knotting structure clamping the slipknot (the clamp is closed); Fig. 9 A schematic structural diagram of an auxiliary knotting structure provided in Example 5 of the present invention; Fig.10 Procedure for wound suturing using a wound tension relief suturing device Figure 1 ; Fig.11Procedure for wound suturing using a wound tension relief suturing device Figure 2 ; Fig.12 Procedure for wound suturing using a wound tension relief suturing device Figure 3 .

[0017] In the figure: 1. first slide; 101. slide; 102. slider; 2. suture thread clamping mechanism; 201. fixed clamping plate; 202. movable clamping plate; 203. hinge structure; 204. magnetic attraction mechanism; 205. anti-skid layer; 2051. gap structure; 3. first driving mechanism; 4. tension detection device; 5. second slide; 6. tension-reducing clamping mechanism; 601. telescopic arm; 602. arc-shaped clamping plate; 603. elastic band fixing structure; 7. second driving mechanism; 8. controller; 9. support frame; 10. lifting mechanism ; 11. Auxiliary knotting structure; 1101. Fixed splint; 1102. Clamp; 1103. Movable splint; 1104 Adjusting teeth; 1105. Vertical slide bar; 1106. Longitudinal slide bar; 1107. Telescopic adjustment mechanism; 1108. First elongated adjustment slot; 1109. First adjustment screw; 1110. Second elongated adjustment slot; 1111. Second adjustment screw; 1112. Long strip fixing seat; 1113. Elastic clamping unit; 12. Skin stapler; 1201. Robot; 1202. Automatic stapler stapler. DETAILED DESCRIPTION

[0018] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0019] Example 1 like Figure 1-2 As shown, a wound tension-reducing suturing device comprises: A first slide 1, on which a suture thread clamping mechanism 2 and a first driving mechanism 3 connected thereto are symmetrically arranged; A tension detection device 4, which is disposed on the first carriage 1 and is used in conjunction with the suture thread clamping mechanism 2; A second slide 5, which is arranged on one side of the first slide 1, and on which a tension-reducing clamping mechanism 6 and a second driving mechanism 7 connected thereto are symmetrically arranged; The controller 8 is connected to the first driving mechanism 3 , the tension detection device 4 and the second driving mechanism 7 in an electrical circuit.

[0020] The first slide 1 comprises a rectangular frame formed by a light vertical rod and at least two horizontal rods, one of the horizontal rods is provided with a slide groove 101, and a slider 102 is symmetrically arranged in the slide groove 101, and the suture clamping mechanism 2 is slidably connected to the slide groove 101 through the slider 102. The light vertical rod and the horizontal rod are both made of plastic or aluminum rods.

[0021] The suture clamping mechanism 2 can be a manual fixed clamp structure, which is a common medical clamp on the existing market. A fixing ring can be set on the medical clamp, and the clamp is connected to the first slide 1 through the slider 102. The clamp can be manually controlled to clamp and fix the suture. Specifically, a fixing ring can be added to the jaws of the clamp. After the clamp clamps the suture, the jaws are fixed with the fixing ring to clamp the suture.

[0022] Alternatively, the suture clamping mechanism 2 is an automatic magnetic clamping structure, which includes a fixed clamping plate 201 fixedly connected to the slider 102, and a movable clamping plate 202 is provided on the bottom surface of the fixed clamping plate 201 in a position opposite thereto, and the rear end of the movable clamping plate 202 is rotatably connected to the fixed clamping plate 201 through a hinge structure 203, and the front end is magnetically connected to the fixed clamping plate 201 through a magnetic mechanism 204. The magnetic mechanism 204 is an adsorption electromagnet fixed to the front end of the fixed clamping plate, and the adsorption electromagnet is connected to the controller 8 circuit through a cable. It is designed based on the principle of battery iron attracting iron plate. After the adsorption electromagnet is energized, the movable clamping plate 202 can be attracted together with the fixed clamping plate 201 under the action of the adsorption electromagnet, and then the suture placed between the two clamps can be pressed. When the adsorption electromagnet is powered off, the movable clamping plate 202 can be opened. Then, the controller can control the fixed clamping plate 201 and the movable clamping plate 202 to clamp the suture. An anti-skid layer 205 is provided on the opposite surfaces of the fixed clamping plate 201 and the movable clamping plate 202 to prevent the suture from sliding after clamping. The anti-skid layer 205 is an anti-skid rubber soft layer, and a row of slit structures 2051 are arranged on the anti-skid rubber soft layer of the fixed clamping plate 201. The intervals of adjacent slit structures 2051 are the same or different. Specifically, the intervals of adjacent slit structures 2051 correspond to the suture spacing of the wound. In use, the sutures are first inserted into the slit structures 2051 one by one, and then the movable clamping plate 202 is sucked together with the fixed clamping plate 201 under the action of the adsorption electromagnet, so that the anti-skid rubber soft layers of the fixed clamping plate 201 and the movable clamping plate 202 can be squeezed against each other, thereby causing the slit structure 2051 to be squeezed and deformed, ensuring that the suture is clamped more securely. The hinge structure 203 includes a hinge shaft, on which a torsion spring is mounted.

[0023] The first driving mechanism 3 is any driving device such as an electric telescopic rod, a linear motor, etc., which can drive the two suture thread clamping mechanisms 2 to move closer to or away from each other.

[0024] The tension detection device 4 is a common tension detection instrument in the existing market, such as a tension meter, a pressure sensor, etc. The tension detection instrument can detect the force used to completely close the wound when the first driving mechanism 3 drives the two suture clamping mechanisms 2 to move closer to each other, that is, the tension of the wound.

[0025] The second slide 5 includes a slide bar arranged on another cross bar of the rectangular frame, and the tension-reducing clamping mechanism 6 includes a telescopic arm 601 symmetrically arranged on the slide bar. The rear ends of the two telescopic arms 601 are slidably connected to the slide bar, and the front ends are detachably connected with two semi-symmetrical arc-shaped clamping plates 602. The detachable connection structure can be a snap-on screw connection, etc.

[0026] The two half arc-shaped clamping plates 602 are provided with an elastic band fixing structure 603 for use with them. Specifically, the elastic band fixing structure 603 is an elastic Velcro adhesive tape structure or an elastic buckle band structure. The elastic buckle band structure includes an elastic band arranged at both ends of one half arc-shaped clamping plate, a plug is arranged at the end of the elastic band, and buckle seats adapted to the plug are arranged at both ends of the other half arc-shaped clamping plate, so that the two half arc-shaped clamping plates can be connected to each other through the buckle structure. Specifically, the buckle structure can be an existing buckle for backpacks. When in use, the second driving mechanism 7 drives the two telescopic arms 601 to move closer to each other, and the two semi-arc clamping plates 602 move accordingly. At the same time, the clamping force of the two semi-arc clamping plates 602 is adjusted according to the wound tension value detected by the tension detection device 4. When the clamping force of the two semi-arc clamping plates 602 is reached, the two semi-arc clamping plates can be connected to each other through the elastic band fixing structure 603, and then the connection between the telescopic arm 601 and the arc clamping plate 602 can be released. The wearing time of the arc clamping plate 602 can be considered later according to the wound healing condition.

[0027] The arc-shaped clamping plate 602 is an elastic arc-shaped plate made of resin, plastic, etc. A cushion layer is provided inside the arc-shaped clamping plate 602 to ensure wearing comfort.

[0028] The second driving mechanism 7 is any driving device such as an electric telescopic rod, a linear motor, etc., which can drive the two tension-reducing clamping mechanisms 6 to move closer to or away from each other.

[0029] The controller 8 comprises a control box fixedly connected to a rectangular frame, a display screen and operation buttons are arranged on the upper surface of the control box, and a PLC control unit and a rechargeable battery module connected to the control box are arranged in the control box.

[0030] Example 2 like Figure 3 As shown, the wound tension-reducing suturing device further includes a support frame 9, which is connected to the first slide frame 1. The support frame 9 can be detachably fixed to the operating table, making it easier to operate the device.

[0031] Specifically, the support frame 9 is symmetrically arranged on both sides of the first slide 1, and the first slide 1 is connected to the support frame 9 through a lifting mechanism 10, and the lifting mechanism 10 is connected to the controller 8. The lifting mechanism 10 can be an electric telescopic rod, a cylinder structure or a cam mechanism, etc. The height of the first slide 1 can be adjusted by the support frame 9 to meet the suturing operation of wounds in different parts.

[0032] Example 3 like Figure 4 As shown, on the basis of embodiments 1 and 2, the wound tension relief suturing device further includes a skin stapler 12 used in conjunction with the suture clamping mechanism 2. The skin stapler 12 can be a manual stapler commonly found on the market. Alternatively, the skin stapler 12 includes a manipulator 1201 disposed on the second slide 5 and located between the two telescopic arms 601, an automatic stapler 1202 is disposed at the end of the manipulator 1201, and the manipulator 1201 is connected to the controller 8, which can imitate the movement functions of human hands and arms, and automatically operate the automatic stapler 1202 to suture the wound according to a fixed program.

[0033] Example 4 like Figure 5-Figure 8 As shown, on the basis of embodiments 1 and 2, the wound tension-reducing suturing device further includes an auxiliary knotting structure 11 used in conjunction with the suture thread clamping mechanism 2 .

[0034] The auxiliary knotting structure 11 can be a vascular clamp commonly used in the market.

[0035] Alternatively, the auxiliary knotting structure 11 includes an adjustment frame that can be adjusted up, down, left, and right relative to the second slide 5, and a comb-tooth clamping structure is provided on the adjustment frame and is arranged parallel to the fixed clamping plate 201. The comb-tooth clamping structure includes a long strip of fixed clamping plate 1101, and a plurality of clamping openings 1102 are provided at the bottom of the fixed clamping plate 1101 along its length direction, and a movable clamping plate 1103 with teeth of a comb is slidably connected in the fixed clamping plate 1102, and a plurality of adjusting teeth 1104 corresponding to the clamping opening position are provided at the bottom of the movable clamping plate 1103. By moving the movable clamping plate 1103, the opening size of the clamping opening 1102 can be adjusted by adjusting the teeth 1104.

[0036] The adjustment frame includes a vertical slide bar 1105 vertically arranged relative to the second slide 5 and slidably connected to the second slide 5, a longitudinal slide bar 1106 arranged parallel to the fixed clamping plate 201 is arranged on the vertical slide bar 1105, and the longitudinal slide bar 1106 is slidably connected to the vertical slide bar 1105 through a telescopic adjustment mechanism 1107. The telescopic adjustment mechanism 1107 can be an electric telescopic rod, a cylinder structure, etc.

[0037] The long strip fixed clamping plate 1101 is arranged at the bottom of the longitudinal sliding rod 1106 and is slidably connected thereto. A first long adjustment slot 1108 arranged along the length direction of the longitudinal sliding rod 1106 is provided on one side of the longitudinal sliding rod 1106. A first adjustment screw 1109 for sliding and limiting the long strip fixed clamping plate 1101 is provided in the first long adjustment slot 1108. The long strip fixed clamping plate 1101 can slide along the longitudinal sliding rod 1106 to achieve longitudinal adjustment, and can be adjusted up and down by adjusting the height of the longitudinal sliding rod 1106, and can be adjusted left and right by moving the vertical sliding rod 1105 left and right along the second slide 5. A through slot is provided along the length direction of the long strip fixed splint 1101, the movable splint 1103 is arranged in the through slot, and the adjustment teeth 1104 of the movable splint 1103 are arranged one by one in each clamping opening 1102, and a second long adjustment slot 1110 penetrating through the movable splint 1103 is provided on the top of the longitudinal sliding rod 1106, and a second adjustment screw 1111 for sliding limiting of the movable splint 1103 is provided in the second long adjustment slot 1110.

[0038] The specific operation method of the auxiliary knotting structure 11 described in this embodiment is: by operating the adjustment frame of the auxiliary knotting structure 11, the fixed splint 1101 is moved to the position just above the wound; then the fixed splint 1101 is moved downward and the clamping opening 1102 at the bottom thereof corresponds to the slipknot of each suture line one by one, and the slipknot is placed in the corresponding clamping opening 1102, and the movable splint 1103 is adjusted, and the opening of the clamping opening 1102 is adjusted by the adjustment teeth 1104 at the bottom thereof, and then the slipknot of the suture line is clamped, and the slipknot can be tied into a fixed knot. Generally, the auxiliary knotting structure 11 described in this embodiment is suitable for the case where the wound is relatively straight and the spacing between each suture line is the same, and it can complete the slipknot clamping of multiple suture lines at one time, and the operation efficiency is high.

[0039] Example 5 like Fig. 9 As shown, on the basis of Example 4, the auxiliary knotting structure 11 includes a long strip fixing seat 1112 arranged at the bottom of the longitudinal sliding rod 1106 of the adjustment frame and slidably connected thereto. Specifically, a first long adjustment groove 1108 arranged along the length direction of the longitudinal sliding rod 1106 is provided on one side of the longitudinal sliding rod 1106, and a first adjustment screw 1109 for sliding limit of the long strip fixing seat 1112 is provided in the first long adjustment groove 1108. The long strip fixing seat 1112 is arranged parallel to the fixed clamping plate 201, and a sliding groove is provided at the bottom of the long strip fixing seat 1112 along its length direction. The sliding groove is slidably connected by a plurality of elastic clamping units 1113, and the elastic clamping unit 1113 includes a spring clip, and the spring clip is connected to a slider arranged in the sliding groove through an elastic rope.

[0040] The specific operation method of the auxiliary knotting structure 11 described in this embodiment is: by operating the adjustment frame of the auxiliary knotting structure 11, the long strip fixing seat 1112 is moved to the top of the wound and as close to the wound as possible; the elastic clamping units 1113 are moved one by one to the corresponding suture slipknots, the elastic line is pulled and the spring clamp is opened to clamp the slipknot, and then the slipknot is tied into a fixed knot. Generally, the auxiliary knotting structure 11 described in this embodiment is suitable for wounds of any shape, and the spacing between each suture is different, and the application range is wide.

[0041] like Figure 10-12 As shown, the method for using the wound tension-reducing suturing device comprises the following steps: s1. Mark the suture points on both sides of the wound according to the length of the wound, pass several sutures through the corresponding suture points one by one, reserve tensioning sections at both ends of the sutures, and place them crosswise; s2. The tensioning sections at both ends of all sutures are firmly clamped by the corresponding suture clamping mechanisms 2, and the first driving mechanism 3 is used to drive the two suture clamping mechanisms 2 to move away from each other to tension the sutures, so that the wound is completely closed, and the tension after the wound is completely closed is detected by the tension detection device 4, and a first tension value is output; s3, collecting the first tension value outputted in step s2 through the controller 8, and comparing it with the tension threshold value reserved in the controller 8, to determine whether the tension-reducing clamping mechanism 6 needs to be used, No, the wound is closed by using a skin stapler 12 or manually tying sutures; Yes, the second driving mechanism 7 is used to drive the two tension-reducing clamping mechanisms 6 to move closer to each other and clamp them near the wound to reduce the tension on the wound, and then the skin suture device 12 or the manual knotting of the suture thread is used to complete the wound suturing.

[0042] In step s2, the specific use steps of the suture clamping mechanism 2 include: (2.1) The controller 8 controls the first driving mechanism 3 to drive the two suture clamping mechanisms 2 to approach the wound, and the tensioning sections reserved at both ends of the suture are placed between the fixed clamping plate 201 and the movable clamping plate 202 of the corresponding suture clamping mechanism 2. The adsorption electromagnet is energized so that the movable clamping plate 202 is attracted to the fixed clamping plate 201 under the action of the adsorption electromagnet, thereby firmly clamping the suture; Before operating the suture thread clamping mechanism 2, the height of the support frame 9 is adjusted so that the height difference between the suture thread clamping mechanism 2 and the wound position is no more than ±10 cm.

[0043] (2.2) The controller 8 controls the first driving mechanism 3 to drive the two suture clamping mechanisms 2 to move away from each other, and tension the sutures to completely close the wound. The tension after the wound is completely closed is detected by the tension detection device 4.

[0044] In step s3, the specific use steps of the tension-reducing clamping mechanism 6 include: (3.1) The controller 8 is connected to the remote control terminal by telecommunication, and a wound tension threshold database is set up at the remote control terminal. The controller 8 calls the reserved tension threshold in the wound tension threshold database and compares it with the first tension value outputted in step s2 to determine whether the tension-reducing clamping mechanism 6 needs to be used.

[0045] The wound tension threshold database is based on relevant clinical diagnosis data and experts' statistics based on wound factors, including but not limited to patient age, wound location, wound length, wound depth, etc.

[0046] (3.2) If the first tension value is less than or equal to the wound tension threshold value, there is no need to use the tension-reducing clamping mechanism 6, and the wound is sutured by using an automatic stapler 1202 or a manual knotting method; If the first tension value is greater than the wound tension threshold, the second driving mechanism 7 is used to drive the two tension-reducing clamping mechanisms 6 to move closer to each other and clamp them near the wound, and gradually apply clamping force to reduce the tension of the wound. At the same time, the tension detection device 4 detects the second tension value after the tension-reducing clamping mechanism 6 is added in real time. When the second tension value is less than or equal to the wound tension threshold, the clamping force is stopped, and the elastic band fixing structure 603 is used to fix the arc-shaped clamping plates 602 of the two tension-reducing clamping mechanisms 6, and the arc-shaped clamping plates 602 are disconnected from the telescopic arm 601; finally, the skin stapler 12 or the manual knotting of sutures is used to complete the wound suturing.

[0047] The suturing method of the skin stapler 12 is: manually operate the manual stapler to staple the sutures one by one at the same or different intervals until the wound is completely closed. Alternatively, the controller 8 controls the manipulator 1201 to automatically operate the automatic stapler 1202 to staple the sutures one by one at the same or different intervals until the wound is completely closed. Preferably, starting from one end of the wound, staples can be stapled one by one along the suture line, and then the suture line is removed to reduce skin suture damage.

[0048] The method of manually knotting the suture is as follows: after the suture passes through the suture point, it is pre-tied into a slipknot, and after the wound is stretched and closed, the auxiliary knotting structure 11 is clamped at the slipknot of the suture, and the slipknot of each suture on the entire wound is tied into a fixed knot in an interval knotting manner, and the reserved section of the suture is subtracted. Specifically, starting from one end of the wound, the odd-numbered sutures are knotted first, and then the even-numbered sutures are knotted.

[0049] In addition, wound suturing can also be performed by using suture staples in combination with suture threads. Specifically, the suture threads are passed through the suture points one by one in odd or even positions and are pre-tied into slipknots. After the wound is stretched to close, a skin suturer 12 is first used to suture the suture points where no suture threads are passed through, and then the suture threads are knotted by manually knotting the suture threads.

[0050] The above description is only a preferred embodiment of the present invention and does not constitute any form of confidentiality restriction on the present invention. Any simple modification, equivalent change and modification made to the above embodiment based on the technical essence of the present invention without departing from the technical solution of the present invention still falls within the scope of the technical solution of the present invention.

Claims

1. A wound tension-reducing suturing device, characterized in that: include: A first slide (1), on which a suture thread clamping mechanism (2) and a first driving mechanism (3) connected thereto are symmetrically arranged; A tension detection device (4), the tension detection device (4) being arranged on the first slide (1) and used in conjunction with the suture thread clamping mechanism (2); A second slide (5), the second slide (5) being arranged on one side of the first slide (1), and a tension-reducing clamping mechanism (6) and a second driving mechanism (7) connected thereto being symmetrically arranged on the second slide (5); A controller (8), wherein the controller (8) is connected to the first drive mechanism (3), the tension detection device (4) and the second drive mechanism (7) in an electrical circuit.

2. The wound tension-reducing suturing device according to claim 1, characterized in that: The first slide frame (1) comprises a rectangular frame formed by light vertical bars and at least two horizontal bars, one of the horizontal bars being provided with a slide groove (101), and slide blocks (102) being symmetrically arranged in the slide groove (101), and the suture clamping mechanism (2) being slidably connected to the slide block (102) via the slide block (102).

3. The wound tension-reducing suturing device according to claim 2, characterized in that: The suture thread clamping mechanism (2) is a manual fixed clamping structure or an automatic magnetic clamping structure.

4. The wound tension-reducing suturing device according to claim 2, characterized in that: The second slide (5) comprises a slide bar arranged on another cross bar of the rectangular frame, and the tension-reducing clamping mechanism (6) comprises telescopic arms (601) symmetrically arranged on the slide bar, the rear ends of the two telescopic arms (601) are slidably connected to the slide bar, and the front ends are detachably connected with two semi-symmetrical arc-shaped clamping plates (602).

5. The wound tension-reducing suturing device according to claim 1, characterized in that: It also comprises a support frame (9), wherein the first slide frame (1) is connected to the support frame (9) via a lifting mechanism (10), and the lifting mechanism (10) is connected to the controller (8).

6. The wound tension-reducing suturing device according to any one of claims 1 to 5, characterized in that: It also includes a skin stapler (12) for use in conjunction with the suture clamping mechanism (2), wherein the skin stapler (12) is a manual stapler; or the skin stapler (12) includes a manipulator (1201) disposed on the second slide (5) and located between the two telescopic arms (601), the manipulator (1201) being connected to the controller (8), and an automatic stapler (1202) being provided at the end of the manipulator (1201).

7. The wound tension-reducing suturing device according to any one of claims 1 to 5, characterized in that: It also includes an auxiliary knotting structure (11) used in conjunction with the suture thread clamping mechanism (2), wherein the auxiliary knotting structure (11) is a vascular clamp; Alternatively, the auxiliary knotting structure (11) comprises an adjustment frame that can be adjusted up, down, left, and right relative to the second slide frame (5), and a comb-shaped clamping structure or an elastic clamping unit is slidably connected to the adjustment frame.

8. A method for using the wound tension-reducing suturing device according to claim 1, characterized in that: The following steps are involved: s1. Mark the suture points on both sides of the wound according to the length of the wound, pass several sutures through the corresponding suture points one by one, reserve tensioning sections at both ends of the sutures, and place them crosswise; s2. The tensioning sections at both ends of all sutures are firmly clamped by corresponding suture clamping mechanisms (2), and the two suture clamping mechanisms (2) are driven away from each other by a first driving mechanism (3) to tension the sutures so that the wound is completely closed. The tension after the wound is completely closed is detected by a tension detection device (4), and a first tension value is output; s3, collecting the first tension value outputted in step s2 through the controller (8), comparing it with the tension threshold value reserved in the controller (8), and determining whether the tension-reducing clamping mechanism (6) needs to be used, No, the wound was closed using a skin stapler (12) or manually knotted sutures; The second driving mechanism (7) is used to drive the two tension-reducing clamping mechanisms (6) to move closer to each other and clamp them near the wound to reduce the tension on the wound, and then a skin suture device (12) or a manual knotting method of the suture thread is used to complete the wound suturing.

9. The method of use according to claim 8, characterized in that: In step s2, the specific steps of using the suture clamping mechanism (2) include: (2.1) The controller (8) controls the first driving mechanism (3) to drive the two suture clamping mechanisms (2) to approach the wound, and the tensioning sections reserved at both ends of the suture are placed between the fixed clamping plate (201) and the movable clamping plate (202) of the corresponding suture clamping mechanism (2). The adsorption electromagnet is energized so that the movable clamping plate (202) is attracted to the fixed clamping plate (201) under the action of the adsorption electromagnet, thereby firmly clamping the suture; Before operating the suture thread clamping mechanism (2), the height of the support frame (9) is adjusted so that the height difference between the suture thread clamping mechanism (2) and the wound position is no more than ±10 cm; (2.2) The controller (8) controls the first driving mechanism (3) to drive the two suture clamping mechanisms (2) to move away from each other, thereby tensioning the sutures to completely close the wound, and the tension after the wound is completely closed is detected by the tension detection device (4).

10. The method of use according to claim 8, characterized in that: In step s3, the specific steps of using the tension-reducing clamping mechanism (6) include: (3.1) connecting the controller (8) to the remote control terminal by telecommunication, setting a wound tension threshold database at the remote control terminal, and the controller (8) calling a reserved tension threshold in the wound tension threshold database to compare with the first tension value outputted in step s2 to determine whether the tension-reducing clamping mechanism (6) needs to be used; (3.2) If the first tension value is less than or equal to the wound tension threshold value, the tension-reducing clamping mechanism (6) does not need to be used, and the skin suture device (12) or manually knotted sutures are used to complete the wound suturing; If the first tension value is greater than the wound tension threshold, the second driving mechanism (7) is used to drive the two tension-reducing clamping mechanisms (6) to move closer to each other and clamp them near the wound, and gradually apply a clamping force to reduce the tension of the wound. At the same time, the tension detection device (4) detects in real time the second tension value after the tension-reducing clamping mechanism (6) is added. When the second tension value is less than or equal to the wound tension threshold, the clamping force is stopped from being applied, and the arc-shaped clamping plates (602) of the two tension-reducing clamping mechanisms (6) are fixed by an elastic band fixing structure (603), and the arc-shaped clamping plates (602) are disconnected from the telescopic arm (601); finally, a skin suture device (12) or a method of manually knotting sutures is used to complete wound suturing; The suturing method of the self-skin suturing device (12) is: using a manual stapler suturing device or an automatic stapler suturing device (1202) to staple sutures one by one at the same or different intervals until the wound is completely closed; The method of manually knotting the suture is as follows: after the suture passes through the suture point, it is pre-tied into a slipknot, and after the wound is stretched and closed, an auxiliary knotting structure (11) is used to clamp the slipknot of the suture, and the slipknot of each suture on the entire wound is tied into a fixed knot in an interval knotting manner, and the reserved section of the suture is deducted.

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