Surgical lead device and suture fixing system thereof for closing gap

Abstract

A surgical lead device, comprising an outer tube having a distal end formed with a needle tip, and a lead needle movably disposed in the outer tube, wherein a needle eye structure is formed at a proximal end of the lead needle; and during use, a suture thread passes through the needle eye structure, and the lead needle moves out from the outer tube toward the distal end, such that the needle eye structure together with the suture thread passes through the outer tube. Further provided in the present invention is a suture fixing system.

Description

Ki Ming Yan Dui Ming Hai

[0001] - T-weight hand-held measuring device, especially - T-weight hand-held device. [Previous skills were very D]

[0002] Most surgical techniques involving Fu and Chong require creating an incision on the patient's skin surface to facilitate the insertion of instruments into the affected area for surgical procedures and suturing. ZK The size of the incision in patients with short hands (W) is too small, and the micro-accessory hand is too small for suture tools to reach deeply for proper suturing. Therefore, there is an urgent need for a hand-operated device that can assist with micro-accessory hand surgery. [Dengming Content]

[0003] The present invention provides a novel hand-held device, comprising a hollow outer tube extending in a certain direction, the ends of which define a front end and a rear end. ■Proximal end, the outer tube of the mouth has a pointed end, and a peak that can be flexibly inserted into the outer tube of the mouth. The mouth has a hollowed-out gold eye at the proximal end of the mouth. Among them, the hand palm device is used before use. The mouth eye protrudes horizontally from the proximal end of the mouth of the mouth. When the hand is placed in the use area, the mouth eye is inserted through a hole. The mouth eye moves out of the mouth of the mouth towards the end of the mouth of the mouth. The mouth eye is controlled by a speed belt to vibrate through the mouth eye in the outer tube.

[0004] Among them, step A includes a WW' including a fixed part at the proximal end of the outer tube or the outer tube of the outer tube, and a WW part including a pendant, the WW' being placed at the proximal end of the outer tube, at least a portion of the fixed part and the WW's pendant ...

[0005] The present invention provides a suture fixation system including the aforementioned hand-held device for overlapping and closing the suture gap formed by at least one affected part, wherein the use steps include: piercing the affected part with the inclined tip end of the outer tube; placing a suture and a spring into the penetration hole; moving the outer tube towards the end until the spring is separated from the outer tube, at which time the suture penetrates the outer tube; moving the outer tube relative to the affected part until the outer tube is separated from the affected part and the suture gap; and binding the two ends of the suture to close the affected part.

[0006] Further, it includes a spring device including a long tube part with two ends respectively connected to a handle part and a clamping part. The clamping part includes a hook member, and the end of the hook member extends concave towards the handle part to form a hooking part. A spring cavity is formed between the hooking part and the hook member. A sealing member can move relative to the hook member to seal or release the spring cavity. The clamping part of the spring device is inserted under the body surface at a wound, and on one side of one of the wound parts, it moves towards the body surface relative to the outer tube; and pulling the suture with the spring device so that the suture passes through the wound part and its two ends come out of the wound.

[0007] The hand-held device provided by the present invention can help lead a suture to an affected part (such as tendon or ligament rupture) located inside the body or an area near the affected part, and can assist in suturing the affected part while avoiding large incisions of the device.

Diagrammatic Explanation

[0008] FIG. 1 is a schematic three-dimensional diagram of the first preferred embodiment of the hand-held suture device of the present invention; FIG. 2A is an exploded view of the first preferred embodiment of the hand-held device of the present invention; FIG. 2B is another implementation state diagram of the first preferred embodiment of the present invention; FIGS. 3A and 3B are partial working state diagrams of the second preferred embodiment of the hand-held suture device of the present invention; FIG. 4; Figures 6A to 6D show the use of the suture fixation system of the fourth embodiment of the application; H Mode of application

[0009] Figures 1 and 2A show the suture fixation system of the first embodiment of the application, which comprises an outer tube 10 and a suture 30. The outer tube 10 is a hollow tube material extending in a longitudinal direction, which has a distal end 11 and a proximal end 12 defined thereon, respectively. The outer tube 10 is formed at the distal end 11 with a sharp tip 13. 11 sharp tip

[0010] In one embodiment, the outer tube 10 can be formed of a metal material.

[0011] In one embodiment, the outer tube 10 comprises a first outer tube 14 and a second outer tube 15. The first outer tube 14 is disposed at the distal end 11 of the second outer tube 15, and the first outer tube 14 is formed at the distal end 11 with the sharp tip 13. The proximal end 12 of the first outer tube 14 is detachably coupled to the distal end 11 of the second outer tube 15. 11 detachable coupling

[0012] A suture 20 can be threaded through the outer tube 10, which is formed at the proximal end 12 with an eyelet 21. 12 eyelet

[0013] In particular, the suture 20 has a strong and flexible shape, and the hole formed by the eyelet 21 is larger than the diameter of the outer tube 10, so that the suture 20 can be threaded through the outer tube 10 without being deformed. In one embodiment, the eyelet 21 can be disposed outside the proximal end 12 of the outer tube 10, and the suture 20 can be threaded through the outer tube 10 from the proximal end 12 to the distal end 11. In one embodiment, the eyelet 21 can be formed by deforming the suture 20 against the inner wall of the outer tube 10.

[0014] More preferably, the guide 20 is formed from a material that is secondarily formed from gold

[0015] The guide 30, which is detachably attached to the proximal end 12 of the outer tube 10 and the guide 20, includes a fixed portion 31 and a guide portion 32. The fixed portion 31 of the guide 30 is expanded to detachably attach to the outer tube 10 or the guide 20. The guide portion 32 of the guide 30, which is disposed on the proximal end 12 of the outer tube 10 and the guide 20, includes a through hole 21. At least a portion of the guide portion 32 of the guide 30 is disposed on the proximal end 12 of the outer tube 10 and the guide 20, and at least a portion of the through hole 21 of the guide portion 32 of the guide 30 penetrates the inclined surface 21.

[0016] In one embodiment, the fixed portion 31 of the guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10. The guide portion 32 of the guide 30 is disposed on the proximal end 12 of the fixed portion 31 of the guide 30, and the through hole 21 of the guide portion 32 of the guide 30 protrudes in a radial direction. The end surface of the through hole 21 of the guide portion 32 of the guide 30 forms a gap 322. The guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10, and at least a portion of the through hole 21 of the guide portion 32 of the guide 30 and the gap 322 penetrate the inclined surface 21.

[0017] In one embodiment, the fixed portion 31 of the guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10. The guide portion 32 of the guide 30 is disposed on the proximal end 12 of the fixed portion 31 of the guide 30, and the through hole 21 of the guide portion 32 of the guide 30 protrudes in a radial direction. The end surface of the through hole 21 of the guide portion 32 of the guide 30 forms a gap 322. The guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10, and at least a portion of the through hole 21 of the guide portion 32 of the guide 30 and the gap 322 penetrate the inclined surface 21. ®E@

[0018] In one embodiment, the fixed portion 31 of the guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10. The guide portion 32 of the guide 30 is disposed on the proximal end 12 of the fixed portion 31 of the guide 30, and the through hole 21 of the guide portion 32 of the guide 30 protrudes in a radial direction. The end surface of the through hole 21 of the guide portion 32 of the guide 30 forms a gap 322. The guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10, and at least a portion of the through hole 21 of the guide portion 32 of the guide 30 and the gap 322 penetrate the inclined surface 21. In one embodiment, the fixed portion 31 of the guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10. The guide portion 32 of the guide 30 is disposed on the proximal end 12 of the fixed portion 31 of the guide 30, and the through hole 21 of the guide portion 32 of the guide 30 protrudes in a radial direction. The end surface of the through hole 21 of the guide portion 32 of the guide 30 forms a gap 322. The guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10, and at least a portion of the through hole 21 of the guide portion 32 of the guide 30 and the gap 322 penetrate the inclined surface 21.

[0019] In one embodiment, the fixed portion 31 of the guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10. The guide portion 32 of the guide 30 is disposed on the proximal end 12 of the fixed portion 31 of the guide 30, and the through hole 21 of the guide portion 32 of the guide 30 protrudes in a radial direction. The end surface of the through hole 21 of the guide portion 32 of the guide 30 forms a gap 322. The guide 30 is detachably attached to the outer surface of the proximal end 12 of the outer tube 10, and at least a portion of the through hole 21 of the guide portion 32 of the guide 30 and the gap 322 penetrate the inclined surface 21. The position of the middle holding claw 311 and the other two first holding claws 311 on the outer surface of the outer tube 10 allows the middle holding claw 311 to be positioned along the longitudinal direction and the radial direction of the outer tube 10, so that the fixed part 31 of the guide 30 can be combined with the outer tube 10 to achieve a more stable combination effect

[0020] In one embodiment, the fixed part 31 of the guide 30 and the guide part 32 of the guide 30 32 can be combined in a detachable manner. In this embodiment, the fixed part 31 of the guide 30 extends to a combination part 33 at the proximal end of the guide 30. The combination part 33 has a plurality of combination holes 331, each of which is at least partially recessed on the outer surface of the guide 32, and the guide part 32 of the guide 30 is combined with the fixed part 31 by penetrating the combination holes 331 and protruding from the end of the outer surface of the guide 32. The guide 30 and the outer tube 10 are combined by penetrating the end of the outer surface of the guide 32 that protrudes from the combination holes 331 and the gap 322 of the outer tube 21.

[0021] With reference to Figures 3A to 3B and 4A to 4B, in the second and third embodiments provided by the present disclosure, the guide 30 is generally formed by a flexible element formed by a curved section 34 and two end sections 35 respectively extending from the proximal and distal ends of the curved section 34. 35 The width of the guide 30 is adjusted by applying a force to the distal end of the curved section 34 of the guide 30.

[0022] The two fixed portions 31 of the guide portion 30 are located at the distal end 35 and the proximal end 35 of the curved section 34, respectively. The width of the guide portion 31 formed by the two fixed portions 31 is smaller than the width of the guide portion 31 formed by any of the distal end 35 and the proximal end 35. The two fixed portions 31 of the guide portion 30 are located at the distal end 11 and the proximal end 12 of the slanted section 21, respectively. The two fixed portions 31 of the guide portion 30 are arranged to provide a biasing force to the slanted section 21 to direct the slanted section 21 to be located at the distal end 11 and the proximal end 12, respectively. The guide portion 30 can guide the slanted section 21 to be located at the distal end 11 and the proximal end 12, respectively, by the biasing force provided by the two fixed portions 31. The distance between the distal end 11 and the proximal end 12 of the slanted section 21 is determined based on the maximum width of the guide portion 31 formed by the two fixed portions 31 of the guide portion 30.

[0023] The guide portion 32 is formed at one side of the section 312. The guide portion 32 passes through the slanted section 21. The maximum width of the slanted section 321 is smaller than the maximum width of the guide portion 31 formed by the two fixed portions 31 of the guide portion 30.

[0024] In one example as shown in FIGS. 3A and 3B, the maximum width of the guide portion 32 formed by the curved section 34 is larger than the maximum width of the guide portion 31 formed by the two fixed ends 35. In another example as shown in FIG. 4A, the maximum width of the guide portion 32 formed by the curved section 34 is smaller than the maximum width of the guide portion 31 formed by the two fixed ends 35.

[0025] In another example as shown in FIG. 4A, the maximum width of the guide portion 32 formed by the curved section 34 is smaller than the maximum width of the guide portion 31 formed by the two fixed ends 35.

[0026] ​Step by step, the handle 30 may further include a handle assembly 36 designed for the handle 30 to grip and penetrate the penetration and fixation device 321, which is another part of the penetration and fixation device 21. That is, the handle assembly 36 is respectively used for the penetration part 321 that penetrates and is exposed outside to avoid operating errors.

[0027] In the provided embodiments in conjunction with FIGS. 3A and 3B, the handle assembly 36 is in a shape to accommodate the concave curved section 34 therein. The handle assembly 36 includes an assembly opening 361, and the assembly... The opening 361 is aligned with two fixing parts 31. Among them, the two ends 35 of the penetration member respectively face the concave fold of the assembly... opening 361 to form two second concave curved sections 341 as two penetration member accommodating parts 321...

[0028] In the provided embodiments as shown in FIGS. 4A to 4C, the handle assembly 36 includes two handle rods... 362 and a deformation element 363 connected to the two handle rods 362. The two handle rods 362 can respectively accommodate the two ends 35 of the penetration member therein. When the two handle rods 362 are subjected to pressure, the deformation element... 363 can deform in a synchronous manner.

[0029] Specifically, the end of the handle rod 362 located at the distal end is sleeved on the outer tube 10. The end of the outer tube 10 includes two clamping claws 311, so that the proximal end of the outer tube 10 can be disposed between the two clamping claws 311, which can optimize the connection relationship between the handle assembly 36, the outer tube 10, and the penetration and fixation device 20.

[0030] The hand placement provided by the present invention can help introduce a suture into a wound site B (such as a tendon, a fissure) located inside or outside the body or an area near the wound site B, and can close a gap D formed by the wound site B on the premise of avoiding large incisions.

[0031] Next, please refer to FIGS. 5A to 5E. The present invention then takes the hand device provided in FIG. 5B as one of the use embodiments, and provides a suture fixing system for closing the gap. Among them, the wound site B can be a wound to be sutured formed on the body surface, and the gap D is formed at the...

[0032] The device is positioned with the hand attached to the anterior end of the suture, including the external tube 10, the anterior tube 20, and the anterior tube 30. The external tube 1 is then inserted through the hand. The pointed end 13 of the external tube is punctured at the anterior end of the anterior end of the suturing area on the side of the anterior end of the suturing area. ^Hai Fengmingquan A 'Place in Yan Hai Chuanming, Quan Jie Cai Lei 322

[0033] For example, if the card leads to the spring section 32, then the card leads to the spring section 32, and the spring section 322 moves quickly, causing the spring section A to shift, so that the spring section A passes through the spring section 21. If the card leads to the spring section 32, then the card leads to the spring section 32, and the spring section 32 is positioned at the waist, then the card leads to the spring section 30 can be removed from the spring section 10 or the spring section 21.

[0034] For example, the fixing part 31 can be removed from the outer tube 10. Alternatively, the fixing part 31 can remain on the outer tube 10, allowing it to provide a gripping area for the user, or it can be fixed in place by a positioning device such as a positioning frame or clamp, to avoid unnecessary contact with the user's hand or direct removal of the outer tube 10 from the user's hand, thus preventing unnecessary injury.

[0035] It is worth noting that, in addition to being used to assist in the construction of the spring A through the Yan Hai gold ten eye village auspicious horizontal 21, it can also ensure that the Yan Hai oblique eye bag W21 is placed outside the proximal end 12 of the Yan Hai outer tube 10, which helps to avoid unnecessary collisions that cause the oblique eye W auspicious 21 to shift into the Yan Hai outer tube io, thus avoiding difficulties in use.

[0036] If placed at |5D, then the outer tube 10 of the outer tube 10 is displaced until the outer tube 10 is detached from the outer tube To. At this point, the outer tube 1 is displaced along the direction of the outer tube 1. It is worth noting that the outer tube 1 is displaced. 21, the displacement of the gold ball 21 in the outer tube 10 is strongly formed due to the friction provided by the wall of the outer tube 10A, which helps to hold the gold ball 21 in the outer tube 10 and avoid the displacement of the gold ball 21 in the outer tube 10

[0037] If the outer tube 10 comprises a first outer tube 14 and a second outer tube 15 which are mutually connectable, the outer tube 10 can be pierced at the two sides of the joint portion B to be connected, and then the first outer tube 14 can be completely protruded from one side of the joint portion B, and then the second outer tube 15 can be removed, so that the gold ball 21 can be displaced towards the transparent end H of the outer tube 10 (as shown in Fig. 15E) to quickly and conveniently pierce the outer tube 10 14, the second outer tube 15 can be removed, so that the gold ball 21 can be displaced towards the transparent end H of the outer tube 10 (as shown in Fig. 15E) to quickly and conveniently pierce the outer tube 10

[0038] Finally, the second outer tube can be displaced along the joint portion B in the direction shown by the arrow to completely pierce the joint portion B, so that the gold ball 21 can be left in the joint portion B. The size of the gap D can be determined according to the amount of the joint portion B to be pierced on each side, so that the gold ball 21 can be effectively fixed in the joint portion B

[0039] Referring to Figs. 8A to 8E, a second embodiment of the suture fixation system is provided for use in connecting a gap D formed between two joint portions B of a tendon or a ligament which are to be connected, wherein the two joint portions B are formed on the surface of a tendon or a ligament B1

[0040] The suture fixation system 6A to 6D comprises a hand-held device and a needle device 40, wherein the needle device 40 comprises a handle 41, a tube 42 and a holding portion 43. The handle 41 can be held by an operator. The tube 42 extends along a direction and is connected to the handle 41 and the holding portion 43. The holding portion 43 comprises a member 432 and a cover 431 ^ Part 434, the end of the strip part 432 extends concave and curved towards the grip part 410 to form a strip part 431, and a containing cavity 433 is formed between the strip part 431 and the strip part 432. The movable part 434 can move relative to the strip part 432 to block or release the containing cavity 433

[0041] Referring to FIGS. 5A to 5D, in this embodiment, when the handpiece is in use, similarly, the tip end 13 of the outer tube 10 of the handpiece pierces one of the diseased parts on the body surface B, until the lead wire A penetrates into the outer tube 10 after the outer tube 10 of the handpiece is moved out of the guide groove. At this time, the fixing device 40 holds the holding part 430 into the incision B, and when one of the diseased parts B on the body surface is facing the outer tube 10, the strip part 432 hooks the outer tube 10, so that the outer tube 10 is positioned in the containing cavity 433. Then, the outer tube 10 is displaced in a direction opposite to the direction of the fixing device 40 of the lead wire, away from the incision B. At this time, the operator can clearly feel the moment when the outer tube 10 moves relative to the strip part 432 and disengages from the containing cavity 433. At this time, the containing cavity 433 remains the lead wire A positioned therein, and the fixing device 40 of the lead wire can be pulled and tilted obliquely towards the incision B1 to move out, so as to change the distribution path of the lead wire in the body

[0042] Please refer to FIG. 8E. Similarly, the same steps are performed on the other side of one of the diseased parts B, so that after passing through one of the diseased parts B, both ends can穿出 from the incision B1. Please refer to FIGS. 8F to 8G. Similarly, the above steps are repeated on the other two sides of another diseased part B, so that after another lead wire A passes through another diseased part B, both ends穿出 from the incision B1. Finally, the two lead wires A that have passed through the two diseased parts B are tightly tied at the incision B1, and the effect of the spleen curvature gap D can be achieved

[0043] Among them, the present invention does not limit the bundling method. It can be to bundle the two ends of the two lead wires into each other's opposite ends, or directly bundle the two ends together The control member 44 is movably disposed in the handle portion 41 and extends through the pipe portion 42 to the sealing member 43 to control the sealing member 434 relative to the sealing member 432, so as to change or seal the space 433, thereby releasing or clamping the liquid. The control member 44 includes a fastener 444 and a fastener 446, which are movably disposed in the handle portion 41. The fastener 444 is movably disposed in the handle portion 41 and has a first slot 4442 disposed near one end of the fastener 444. The fastener 446 is movably disposed in the pipe portion 42 and has a second slot 4442 disposed near one end of the fastener 446. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 444 has a first slot 4442 disposed near one end of the fastener 444. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 444 has a first slot 4442 disposed near one end of the fastener 444. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 444 has a first slot 4442 disposed near one end of the fastener 444. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 444 has a first slot 4442 disposed near one end of the fastener 444. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446. The fastener 446 has a second slot 4442 disposed near one end of the fastener 446.​​

[0047] ^ The control lever 44 is disposed on the grip portion 41 and extends through the long tube portion 42 to be connected to the mating member 43, so as to control the mating member 43 to abut against the finger member 432, and cause the mating member 434 to abut against ^ the accommodation space 433, thereby closing or releasing the nozzle disposed in the accommodation space 433 . Or the nozzle, so as to close or release the nozzle disposed in the accommodation space 433 A. °

[0048] Wherein, the control lever 44 includes a drive member 442, a connecting member 444 and a tension spring 446. The drive member 442 is movably disposed in the grip portion 41, and a drive ball 4422 exposed outside the grip portion 41 is disposed on the drive member 442. The connecting member 444 is movably disposed in the grip portion 41, and the connecting member 444 is sleeved with a spring, and two ends of the spring respectively abut against the drive member 442 and the tension spring 446. The tension spring 446 is movably disposed in the flexible long tube portion 42, and one end of the tension spring 446 is fixedly connected to the mating member 434. Thus, by pulling the drive ball 4422 outside the grip portion 41, the drive member 442 can be driven to cause the mating member 434 to abut against the finger member 432 for rotation, and the spring can achieve the reset effect [[ID=1,6]]

[0049] Furthermore, the distal end of the nozzle 20 and / or the distal end of the outer tube 10 includes a deformable member, wherein the deformable member can be designed by means of peripheral control, material or structure, etc.

[0050] For example, the distal end of the nozzle 1 is of a curved deformable member, and the distal end of the outer tube 10 is of a straight nozzle structure. When the distal end of the nozzle 1 is disposed in the outer tube 10, the inner wall of the outer tube 10 provides friction force to deform the deformable member 20 elastically, and the distal end of the nozzle 1 protruding outside the outer tube 10 forms a curved deformable member due to the elastic restoring force, so that the handpiece can be designed according to requirements and the shape of the affected part of the patient, so as to exhibit various functions

Reference Numeral Explanation

[0051] 10 Outer tube distal end 12 Proximal end 13 Tip end of the needle 14 first outer tube 15 second outer tube 21 inclined eyelet 30 lead-in 31 fixing portion 311 clamping jaw 312 gM portion 32 lead-in portion 321 through hole 322 gap 33 joining portion 33 joining hole 34 concave curved section 341 first concave curved section 35 W-shaped end 36 handle assembly 361 assembly opening 362 handle portion 363 shaped element 40 hooking device 41 gripping portion 42 tube portion 43 clamping portion 43 clamping portion 432 element 433 container 434 closure 4341 gap 4342 second groove 435 opening 44 control element 442 weight element 4422 weight element 4424 first portion 4425 second portion 444 snap element 4442 first groove 446 weight element A element B opening portion BID gap

Claims

【Claims of the Invention】

1. A surgical stapling device, comprising an outer tube that is hollow and extends along an axis, with two ends respectively defining a distal end and a proximal end. The outer tube forms a beveled sharp tip at the distal end, and a push rod is movably inserted into the outer tube. The push rod forms a cavity-shaped staple knot at the proximal end. Before use, the staple knot protrudes from the proximal end of the outer tube. When the surgical stapling device is in use, the staple knot penetrates a suture. When the staple knot moves out of the outer tube towards the distal end of the outer tube, the staple knot penetrates the outer tube.

2. The surgical stapling device according to Claim 1, wherein the outer tube comprises a first outer tube and a second outer tube disposed at the proximal end of the first outer tube. The first outer tube forms the beveled sharp tip at the distal end, and the first outer tube is detachably coupled to the second outer tube.

3. The surgical stapling device according to Claim 1, wherein the aperture formed by at least a part of the staple knot is larger than the inner diameter of the outer tube. When the staple knot moves within the outer tube, a wall force provided by the inner wall of the outer tube causes the staple knot to deform.

4. The surgical stapling device according to Claim 3, comprising a guide member, including a fixing portion detachably coupled to the outer tube at the proximal end, and a guiding portion including a through-hole tube. When the guiding member is disposed at the proximal end.

5. The surgical stapling device according to Claim 1, wherein the fixing portion is detachably disposed on the outer surface of the outer tube at the proximal end, and the through-hole tube protrudes radially from the guiding portion. A gap is formed on the surface of the end of the through-hole tube. When the guiding member is coupled to the outer tube, at least a part of the guiding portion and the through-hole tube penetrate the staple knot.

6. The surgical stapling device according to Claim 5, wherein the fixing portion extends radially at the distal end to form two clamping claws. The two clamping claws are spaced apart along the radial direction. When the guiding member is coupled to the outer tube, the outer tube is disposed between the two clamping claws and is clamped by the two clamping claws on a corresponding position of the outer surface of the outer tube.

7. The surgical stapling device according to Claim 1, wherein the fixing portion extends radially towards the distal end to form three clamping claws. The three clamping claws are alternately disposed along the axial direction and are located in the middle. The clamping jaws of the ^ are opposite to the other two ■ (the clamping jaws are arranged at intervals along the ^ direction, when the ^ guiding spring sleeve is combined with the outer tube, the clamping jaws located in the middle and the other two clamping jaws clamp the outer surface of the outer tube in a manner that is in contact with each other).

8. The device provided in Claim 5, the fixing part 5 and the guiding spring part are detachable , the '□□, where the fixing part extends towards the proximal end of the ^ - a combining part, a combining hole is radially penetrated through the combining part, the combining hole is in concave-convex contact with at least a part of the outer surface of the guiding spring part, when the guiding spring sleeve is combined with the outer tube, the free end of the guiding spring part and the through spring hole sequentially penetrate and protrude through the combining hole and the MMBBfiW.

9. The device provided in Claim 4, the guiding spring sleeve is an elastic element in a U shape formed by bending a rigid spring material, the rigid spring material includes a concave bending section and two spring material ends respectively extending at both ends of the concave bending section, where - at least a part of the guiding spring sleeve penetrates through the inclined ■ eye when the guiding spring sleeve is combined with the ^, the guiding spring part is formed on one side of the inclined ■ eye, and the maximum width formed by the guiding spring part is smaller than the maximum width formed by the guiding spring sleeve on the other side of the inclined ■ eye; and the two fixing parts of the ^ are respectively located at the two ends of the concave bending section and the connection parts of the two spring material ends, the width formed by the two fixing parts of the ^ is smaller than the width formed by the two sides of the fixing part, when at least a part of the guiding spring sleeve penetrates through the inclined ■ eye, the two fixing parts of the ^ are located inside the inclined ■ eye, and respectively abut against the distal end and the proximal end of the inclined ■ eye, and the two fixing parts of the ^ respectively provide biasing forces for the inclined ■ eye towards the distal end and the proximal end 【Claim TI10】 A device, including an outer tube that is hollow and extends along a certain direction, its two ends are respectively defined as a distal end and a proximal end 3 the outer tube forms an inclined ■ sharp end at the distal end; a flexible spring inclined ■ is movably penetrated into the outer tube, the flexible spring inclined ■ forms a hollow inclined ■ eye structure at the proximal end «; and a guiding spring I - including a fixing part that is fixedly combined with the outer tube at the proximal end or is detachable, and a guiding spring part including a through spring hole, when the guiding spring sleeve is arranged at the proximal end, at least a part of the fixing part and the through spring hole penetrate through the new ■ eye. As provided by HO, the detachable fixing part of the hai is placed on the outer surface of the hai near the end of the hai, and the hai protruding part of the hai in the direction of 81 is pierced, and a gap is formed on the surface of the end of the hai piercing knot, the outer tube of the hai is pierced, at least a part of the hai piercing knot and the hai piercing knot are pierced. [Yan Qingqiu JI12] As provided in item 9, the fixed part and the nameplate part are detachable. &The combination of the two, wherein the fixed part of the mouth extends to the proximal end of the mouth, the mouth is radially perforated by the mouth, the mouth W is at least...part of the mouth ^perforated by the outer surface of the mouth, the mouth is located at the free end of the mouth proximal end of the mouth, and the mouth passes through the protruding mouth and the mouth in sequence. 【Request W13】 As requested: The hand device provided by W11, the fixing part of the hand device has two clamping claws extending radially from the end of the hand device. The two clamping claws are spaced apart along the radial direction of the hand device. The hand device has an outer tube, which is placed between the two clamping claws. The outer tube clamps one side of the outer surface of the outer tube through the two clamping claws. 【Request 14】 As requested: The hand device provided by W11, the fixing part of the hand device has three clamping claws extending radially from the end of the hand device. The three clamping claws are intersecting along the radial direction of the hand device. The clamping claw in the middle position is spaced apart from the other two clamping claws radially. Yan Hai Yin & Quan Xi Xu Yu Yan Hai Wai Guan & Ji He Ri Si, located in the middle fW of the holding claw and other two fixed Yan Hai clamp holding claw clamp holding Yan Hai Wai Guan outer surface - phase. 【Yanqingqiu TI15】 As provided in item 10 of Yanqingqiu, the handpiece is a U-shaped rigid element formed by a concave curved waste of a toilet-type hot spring material. The hot spring material includes a concave segment and two fixed hot spring material ends extending from the rain end of the concave segment, wherein: At least a part of the suture guiding channel i passes through the suture inclined eye. When the suture guiding channel is formed on one side of the suture inclined eye and the suture guiding channel, the maximum width formed thereby is less than the maximum width of the suture formed by the other concave curved segment located in the suture inclined eye; and two suture fixing parts are respectively located at the two ends of the suture concave curved segment and the connection parts of the two suture material ends. The suture width formed by the two suture fixing parts is less than the suture width formed by the suture on any two sides of the suture fixing parts. When at least a part of the suture inclined eye passes through the suture inclined eye, the two fixing parts are located inside the suture inclined eye and respectively abut against the suture distal end of the suture inclined eye and the suture proximal end of the suture inclined eye. The two suture fixing parts respectively and continuously provide the biasing force of the suture structure towards the suture distal end and the suture proximal end

16. For the device provided in Claim 10, the maximum suture width formed by the suture concave curved segment is greater than the maximum suture width formed by the two suture material ends, and one of the suture material ends is concave-folded to form a suture through hole

17. For the device provided in Claim 10, the maximum suture width formed by the suture concave curved segment is less than the maximum suture width formed by the two suture material ends, and a through hole defined by the suture concave curved segment is

18. For the device provided in Claim 11, it includes a hollow handle - a glove member, the inside of which accommodates the suture concave curved segment. A member through hole is formed on the outer wall of the suture handle glove member, and the member through hole is positioned opposite to the two suture fixing parts. When the two suture material ends are respectively concave-folded towards the member through hole to form two suture through hole structures.

19. For the device provided in Claim 17, it includes a glove member, the glove member includes two hollow handle rods and a deformation element connected between the two handle rods. The two suture handle rods respectively penetrate the two suture material ends therein When a frictional force is applied between the two handle rods to make the deformation element simultaneously and circularly deform elastically due to the frictional force

20. For the device provided in Claim 19, the end of the outer tube of the handle rod located at the distal end includes two clamping claws, and the proximal end of the outer tube is arranged between the two suture clamping claws

21. A double - overlapping suture fixing system for suturing a suture to form on a diseased part The slit includes: a hollow outer tube extending in a certain direction, with a fixed end and a proximal end, the outer tube forming a pointed tip at the fixed end, and a flexible slit inserted into the outer tube, the proximal end forming a hollow oblique eye and a horizontal joint, wherein, before use, the eye protrudes from the proximal end of the outer tube, and the steps of using the slit-containing fixation system include: piercing the side of the slit with the pointed tip of the outer tube; placing a slit in the eye joint; displacing the outer tube toward the fixed end until it detaches from the outer tube, at which point the slit is inserted through the outer tube; The outer tube is displaced by the gap, until the outer tube is removed from the gap and the gap is curved and named; and the rain ends of each spring are mutually restrained, ifi merged ^ ^ gap. Junqing seeks WJ … Pepper^ Suture^ Fixation System for Ifl forming a gap in the two affected areas below - … Lizhi surface, comprising: a manual labeling device, comprising a hollow outer tube extending in one direction, the ends of which define an upper end and a proximal end, the outer tube forming a pointed tip at the upper end, and a flexible metal tube inserted into the outer tube, forming a hollow metal bud at the proximal end, wherein, Before use, the handle protrudes from the proximal end of the outer tube of the device; and a hook device includes a tube portion with a handle portion and a clamping portion connected to its end. The clamping portion includes a component, the end of which extends concavely toward the handle portion to form a ferrule. A vent is formed between the ferrule and the ferrule component, allowing the component to flexibly move relative to the ferrule component to seal. ^ or ^ let loose ^ empty, among which the steps of using the suture name spring fixation system w filling include: The ten-pointed end of the needle is used to pierce the affected area of ​​the mouth; the needle is placed in the mouth; the outer tube of the needle is moved towards the tip until it detaches from the outer tube, at which point the needle is pierced through the outer tube; an opening is placed on the surface of the mouth, and the clamping part of the hook device is inserted into the opening below the mouth, and one of the openings of the affected area is moved towards the outer tube; the hook is used to hook the outer tube, so that the outer tube is positioned within the mouth; the outer tube is moved towards the opening of the mouth until it detaches from the mouth and remains in the mouth. ; and the hook and spring device pulls the heavy seat seam spring opposite to one of the fixed seam springs, with the free end of the seam spring protruding towards the seam spring; the heavy seat pulls the hook and spring device's seam clamping part into the seam spring below the seam spring surface, and on the other side of one of the seam springs, the hook is shifted to half of the seam spring outer tube; the seam spring outer tube is shifted relative to the seam spring... until the seam spring is dislodged from the seam spring cavity, and the seam spring remains in the seam spring cavity; The free end of one of the fixed parts of the affected area protrudes towards the opening of the affected area; the same method is repeated at the other affected area, where the other fixed part of the affected area is inserted through the outer tube, and the free end of the other fixed part is displaced and protrudes towards the opening of the affected area; the two fixed parts of the affected area are then connected by a binding device.

Images