METHOD FOR SUTURING ALONG PATH AND APPARATUS THEREOF
20230149012 · 2023-05-18
Inventors
Cpc classification
A61B17/0469
HUMAN NECESSITIES
A61B2017/0479
HUMAN NECESSITIES
A61F2230/0091
HUMAN NECESSITIES
A61F2002/075
HUMAN NECESSITIES
A61B2017/0498
HUMAN NECESSITIES
A61F2/89
HUMAN NECESSITIES
A61B2017/047
HUMAN NECESSITIES
A61B2017/00367
HUMAN NECESSITIES
A61F2002/061
HUMAN NECESSITIES
International classification
Abstract
An apparatus for suturing includes an inner strut, a spiral suturing needle, a driving mechanism, a recovery mechanism, a suture-taking-up mechanism, and a suture-feeding mechanism. Grooves are distributed on periphery with respect to an axial direction of the inner strut, a path of the groove is consistent with a path of a metallic stent to be sutured, and a width of the groove matches an outer diameter of the spiral suturing needle; the spiral suturing needle is an elastic retractable structure and a length of the spiral suturing needle without deformation is longer than a length of the path of the groove, and a suturing needle tip is arranged on a head portion of the spiral suturing needle and a suture-piercing hole is arranged on a tail portion of the spiral suturing needle.
Claims
1-10. (canceled)
11. An apparatus for suturing along a path, comprising: an inner strut, a spiral suturing needle, a driving mechanism, a recovery mechanism, a suture-taking-up mechanism, and a suture-feeding mechanism; wherein the inner strut is sheathed inside the sutured material to be sutured, and a metallic stent to be sutured is arranged in a artificial blood vessel, grooves are distributed on periphery with respect to an axial direction of the inner strut, and a path of the groove is consistent with a path of the metallic stent to be sutured, and a width of the groove matches an outer diameter of the spiral suturing needle; embedded threaded channels are arranged in the grooves, which can constrain the spiral suturing needle to advance forward according to the track of the threaded channels; the spiral suturing needle is an elastic retractable structure and a length of the spiral suturing needle without deformation is longer than a length of the path of the groove, and a suturing needle tip is arranged on a head portion of the spiral suturing needle and a suture-piercing hole is arranged on a tail portion of the spiral suturing needle; the driving mechanism is detachably arranged at a rear end of the spiral suturing needle, the driving mechanism includes a driving wheel, a needle penetration rod and a variable aperture baffle, and an eccentric through hole is arranged on the driving wheel, one end of the needle penetration rod is fixedly connected to a center of the driving wheel, the variable aperture baffle is arranged on one side of the needle penetration rod, a distance between the variable aperture baffle and the driving wheel is equal to a compression length of the spiral suturing needle, the rear end of the spiral suturing needle passes through the eccentric through hole, and the whole of the spiral suturing needle is sheathed on the needle penetration rod, and is compressed behind the variable aperture baffle, and then the front portion of the spiral suturing needle keeps rotating out of the variable aperture baffle with the rotation of the driving wheel; the recovery mechanism is detachably arranged at a front end of the spiral suturing needle, the recovery mechanism includes a recovery wheel on which an eccentric through hole is arranged and a thickness of which is equal to a distance between two adjacent helices of the spiral suturing needle without deformation, the front portion of the spiral suturing needle is passed through the eccentric through hole, the spiral suturing needle constantly pierces out of the eccentric through hole along with the rotation of the recovery wheel, and the rotating direction of the recovery mechanism is the same as the driving mechanism; the suture-taking-up mechanism with a hook-shaped end is arranged along a path direction of the groove; the suture-feeding mechanism is arranged at a tail portion of the spiral suturing needle, the suture-feeding mechanism includes a suture-winding shaft, a spring crimper and a connecting rod, two ends of the connecting rod are connected with the suture-winding shaft and the driving wheel respectively, and the spring crimper is arranged on the connecting rod.
12. The apparatus for suturing along the path according to claim 11, wherein the suture-taking-up mechanism includes a suture-taking-up shaft and a suture-taking-up hook, and a middle portion of the suture-taking-up hook is hinged with the suture-taking-up shaft.
13. The apparatus for suturing along the path according to claim 11, wherein a distance between the center of the driving wheel and the eccentric through hole on the driving wheel is equal to a radius of the spiral suturing needle; and a distance between a center of the recovery wheel and the eccentric through hole on the recovery wheel is equal to the radius of the spiral suturing needle.
14. The apparatus for suturing along the path according to claim 11, wherein a depth of the groove is greater than ⅔ a length of the outer diameter of the spiral suturing needle.
15. The apparatus for suturing along the path according to claim 11, wherein the suture-taking-up mechanism is arranged at an inflection point of the groove.
16. The apparatus for suturing along the path according to claim 11, wherein an inner diameter of the spiral suturing needle is greater than a diameter of the metallic stent.
17. The apparatus for suturing along the path according to claim 11, wherein the apparatus further includes a knotting mechanism configured to knot a suture.
18. A method for suturing along a path by utilizing the apparatus according to claim 11, comprising following steps: S1, embedding the metallic stent to be sutured into the groove, and then sheathing the inner strut inside a sutured material, installing the driving mechanism at the rear end of the spiral suturing needle and compressing the spiral suturing needle; S2, rotating, by the driving mechanism, the spiral suturing needle, to enable the suturing needle tip to repeat a process of piercing into the sutured material, bypassing a metal wire of the metallic stent, and piercing out of the sutured material, so that the compressed spiral suturing needle recoveries elasticity with the rotating action and continuously moving forward along the path of the groove; S3, rotating, after the spiral suturing needle completes the process along the path, the suturing needle tip out of the groove, disabling the action of the driving mechanism, installing the recovery mechanism at the front end of the spiral suturing needle, and providing, by the suture-feeding mechanism, the suture to the suture-piercing hole; S4, rotating, by the recovery mechanism, the spiral suturing needle, so that the spiral suturing needle is rotated out of the groove, and binding, by using the suture at the tail portion of the spiral suturing needle, the metallic stent and the sutured material; S5, taking up, by the suture-taking-up mechanism on the path of the groove, the suture, tightening, by the recovery mechanism and the suture-feeding mechanism, the suture, and repeating the taking-up and tightening operations; and S6, removing, after the rear end of the spiral suturing needle is rotated out of the groove, the spiral suturing needle and the recovery mechanism, knotting two ends of the suture to complete the suturing around the path.
19. The method for suturing along the path according to claim 18, wherein the suture is knotted automatically by the knotting mechanism in S6.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0031]
[0032]
[0033]
[0034]
[0035]
[0036] Description of reference numerals is as follows: 1. Inner Strut; 2. Spiral Suturing Needle; 3. Driving mechanism; 4. Recovery mechanism; 5. Suture-taking-up Mechanism; 6. Suture Feeding Mechanism; 11. Groove; 21. Suturing Needle Tip; 22. Suture-piercing Hole; 31. Driving Wheel; 32. Needle Penetration Rod; 33. Variable Aperture Baffle; 51. Suture-taking-up Shaft; 52. Suture-taking-up Hook; 61. Suture-winding Shaft; 62. Spring Crimper; 63. Connecting Rod.
DETAILED DESCRIPTION OF THE EMBODIMENTS
[0037] The present disclosure will be further described below with reference to the accompanying drawings and the specific embodiments.
Embodiment 1
[0038] As illustrated in
[0039] The inner strut 1 is in a cylindrical shape with a diameter that is slightly less than the inner diameter of the cylindrical sutured materials to be sutured, and configured to stretch the sutured material. According to the distribution requirements for the metallic stent to be sutured, a binding groove 11 is arranged at periphery with respect to an axial direction of the inner strut 1 to accommodate the metallic stent. wherein, the path of the groove 11 is consistent with the path of the metallic stent, the width of the groove 11 matches the outer diameter of the spiral suturing needle 2, and the depth of the groove 11 is greater than ⅔ the length of the outer diameter of the spiral suturing needle 2, the embedded threaded channel is arranged in the groove 11, which can constrain the spiral suturing needle 2 to advance forward according to the track of the threaded channel.
[0040] The spiral suturing needle 2 is an elastic retractable structure and a length of the spiral suturing needle 2 is longer than a length of the path of the groove 11, so that the spiral suturing needle 2 can fill the path of groove 11. The suturing needle tip 21 is arranged on the head portion of the spiral suturing needle 2 and configured to pierce the the sutured material and the suture-piercing hole 22 is arranged on the tail portion of the spiral suturing needle 2 so that the suture can rotate forward with the spiral suturing needle 2 after the suture enters through the suture-piercing hole 22. The inner diameter of the spiral suturing needle 2 is longer than the diameter of a metallic stent and less than the width of the groove 11, so the spiral suturing needle 2 can surround the wire of the metallic stent and advance forward along the threaded channel.
[0041] As illustrated in
[0042] The present disclosure further provides the method for suturing the path by utilizing the apparatus. The apparatus includes the following steps.
[0043] In S1, the metallic stent to be sutured is embedded into the groove 11, such that the metallic stent can be located proximate to the center of the groove 11, and then the inner strut 1 is sheathed inside the sutured material to stretch the sutured material, the driving mechanism 3 is installed at the rear end of the spiral suturing needle 2 and compresses the spiral suturing needle 2.
[0044] In S2, the spiral suturing needle 2 is rotated by the driving mechanism 3, to enable the suturing needle tip 21 to repeat the process of piercing into the sutured material, bypassing the metal wire of the metallic stent, and piercing out of the sutured material; so that the compressed spiral suturing needle 2 recoveries elasticity with the rotating action and continuously moving forward along the path of the groove 11.
[0045] In S3, after the spiral suturing needle 2 completes the process along the path, the suturing needle tip 21 is rotated out of the groove 11, then the action of the driving mechanism 3 is disabled, the recovery mechanism 4 is installed at the front end of the spiral suturing needle, and the suture is provided to suture-piercing hole by the suture-feeding mechanism.
[0046] In S4, the spiral suturing needle 2 is rotated by the recovery mechanism 4 in the same rotating direction as the driving mechanism 3, so that the spiral suturing needle 2 is rotated out of the groove 11 and the metallic stent and the sutured material is bound by using the suture at the tail portion of the spiral suturing needle 2.
[0047] In S5, the suture is taken up by the suture-taking-up mechanism 5 on the path of the groove 11, and then the suture is tightened by the recovery mechanism 4, and the taking-up and tightening operations are repeated to effectively prevent the suture from being stuck or broken due to the increased friction after the continuous entry of the suture.
[0048] In S6, the spiral suturing needle 2 and the recovery mechanism 4 are removed after the rear end of the spiral suturing needle 2 is rotated out of the groove 11. Since the starting end and the tail end of the suture coincide with each other after a circle of suturing, and the two ends of the suture can be knotted through the knotting mechanism by leaving a length of free suture at each of the starting end and the tail end so as to complete the suturing along the path.
[0049] To sum up, the present disclosure can realize the sutures of small-diameter objects prepared by flexible materials along the paths, and solves the problem of difficulties in suturing the artificial blood vessels and similar scenarios along the paths, and the whole process can be automated and unmanned, which solves the most critical technical problems for the subsequent intelligent development.