The present disclosure claims priority to Chinese patent application CN202311025032.2, titled “SINGLE-ANCHOR MECHANISM AND SUTURING DEVICE”, filed on Aug. 15, 2023, the entire contents of which are incorporated herein by reference as part of the present disclosure.
The present disclosure relates to the technology field of medical suturing, and in particular to a single-anchor mechanism and a suturing device.
When using a helical anchor to connect the traction wire, it is typically necessary to use a spring tube to drive the anchor to rotate, thereby allowing the helical anchor to engage and drill into the tissue to be sutured. In the prior art, to ensure the transmission between the spring tube and the anchor, it is necessary to connect the anchor to the spring tube and use a key or pin for circumferential limitation. After the anchor is fixed, to facilitate the operation of the traction wire, the spring tube needs to be withdrawn, which requires disengaging the spring tube from the anchor. The operator needs to apply external force to bend or damage the key or pin to cause it to fail. This not only makes the instrument structure difficult to process and assemble, leading to high manufacturing costs of the device, but also requires significant operating force to separate the helical anchor from the spring tube, making the withdrawal of the spring tube inconvenient.
The objective of the present disclosure is to provide a single-anchor mechanism and a suturing device to solve the technical problems of high assembly difficulty in the single-anchor mechanism and inconvenient withdrawal of transmission tubes in the prior art.
In a first aspect, the single-anchor mechanism provided in the present disclosure includes: an anchor, a transmission tube, a traction wire, and a limiting element;
In one optional embodiment, the limiting element includes a polymer elastic component, and the polymer elastic component is provided with a wire-clamping portion.
The traction wire is interference-fitted into the wire-clamping portion.
The polymer elastic component abuts against the end portion of the transmission tube away from the anchor.
In one optional embodiment, the transmission tube includes a spring tube and an engaging member, wherein the engaging member is connected to the spring tube.
In one optional embodiment, the engaging portion includes a first insertion portion provided on the engaging member, and the first insertion portion is adapted to a proximal end of the anchor.
In one optional embodiment, the single-anchor mechanism further comprises a handle and a rotating wheel.
The transmission tube passes through the handle, the transmission tube is connected to the rotating wheel, and the rotating wheel is coaxial with the transmission tube.
In one optional embodiment, the handle is provided with a stopping and limiting element, and the stopping and limiting element abuts against a circumferential surface of the rotating wheel.
In one optional embodiment, the circumferential surface of the rotating wheel is provided with locking portions fitting with the stopping and limiting element.
Multiple locking portions are arranged at intervals along a circumference of the rotating wheel, or
In one optional embodiment, an outer tube is mounted on a distal end of the handle, and both the anchor and the transmission tube are inserted into the outer tube.
In one optional embodiment, the handle is provided with a hollow limiting slot, and the hollow limiting slot extends along an axial direction of the outer tube.
The rotating wheel is located inside the hollow limiting slot. The rotating wheel moves along the hollow limiting slot, with a forward stop position and a backward stop position.
In the forward stop position, the rotating wheel moves to the distal end of the hollow limiting slot, with the anchor extending out of the outer tube.
In the backward stop position, the rotating wheel moves to the proximal end of the hollow limiting slot, with the anchor retracting into the outer tube.
In one optional embodiment, an end surface of the distal end of the outer tube is provided with teeth.
In one optional embodiment, the handle is provided with an enclosed chamber, with the limiting element located inside the enclosed chamber.
An unlocking element is mounted between the rotating wheel and the limiting element, wherein the unlocking element is slidingly fitted to the handle along an axial direction of the transmission tube.
When the rotating wheel is screwed and pushed toward the distal end, the transmission tube drives the anchor to rotate and move toward the distal end, and the anchor pulls the traction wire so that the limiting element pushes against the unlocking element to move toward the distal end.
When fixing the rotating wheel and pulling back the unlocking element toward the proximal end, the unlocking element pushes against the limiting element so as to disengage the limiting element from the traction wire.
In one optional embodiment, the unlocking element includes a touch wheel and a tube body connected to the touch wheel.
In an initial state, a distal end of the touch wheel abuts against the rotating wheel, the tube body is inserted into the handle in a sliding manner and sleeved over the transmission tube, and a proximal end of the tube body abuts against the limiting element.
In one optional embodiment, the anchor includes an anchor-head tube, and the traction wire is connected to the anchor-head tube.
A circumferential surface of the anchor-head tube is provided with a helical groove, a helical barb is formed along a circumference of the anchor-head tube, and a distal end of the helical barb is provided with a pointed tip.
In one optional embodiment, the helical barb is provided with a reverse barb directed towards the helical groove and inclined along the helical groove away from the pointed tip.
In one optional embodiment, the anchor further includes a connector, and the connector is connected to the anchor-head tube.
The engaging portion includes a second insertion portion provided on the connector, and the second insertion portion is adapted to the transmission tube.
The connector is provided with an axial through-hole, wherein the traction wire passes through the axial through-hole. A distal end of the traction wire is provided with a protruding head, wherein a protruding head abuts against a distal end of the connector.
In one optional embodiment, a proximal end of the anchor-head tube is provided with a second insertion portion adapted to the transmission tube.
In one optional embodiment, the anchor includes an anchor base and a helical component.
A proximal end of the anchor base is connected to the transmission tube, and a distal end of the anchor base is provided with a pointed tip.
The helical component is connected to the anchor base and extends along a circumference of the anchor base.
In one optional embodiment, the helical component is provided with multiple stopping notches, and the multiple stopping notches are arranged at intervals along a helical direction of the helical component.
In a second aspect, the suturing device provided in the present disclosure includes a winding mechanism, a locking-and-cutting mechanism, and the single-anchor mechanism described in the first aspect.
The traction wire passes through the locking-and-cutting mechanism, and the locking-and-cutting mechanism is configured to lock the traction wire and cut off any excess traction wire.
The embodiments of the present disclosure offer beneficial effects as follows. One end of the traction wire is connected to the anchor, and the traction wire passes through the transmission tube. An end portion of the anchor opposite to the transmission tube is provided with an engaging portion adapted. The limiting element is connected to the traction wire, and the limiting element abuts against an end portion of the transmission tube away from the anchor. By fixing the traction wire by the limiting element and tensioning the traction wire, the anchor and the transmission tube can be maintained in a tight fit through the engaging portion without the need for a key or pin structure, thus making assembly easier. Moreover, by removing the limiting element, the transmission tube can be detached from the traction wire, making the operation more convenient.
To make the above objectives, features, and advantages of the present disclosure more evident and comprehensible, the following preferred embodiments are described in detail with the drawings.
In order to more clearly illustrate the specific embodiments of the present disclosure or the technical solution in the relevant art, the drawings required to be used in the description of the specific embodiment or relevant art will be briefly introduced as follows. Obviously, the drawings described below are some embodiments of the present disclosure, for those of ordinary skill in the art, without paying inventive labor, may also obtain other drawings according to these drawings.
A clear and complete description of the technical solutions of the present disclosure will be given below in connection with the drawings. Obviously, the described embodiments are a portion of the embodiments of the present disclosure and not all of the embodiments. Based on the embodiments of the present disclosure, all other embodiments obtained by those skilled in the art without inventive effort shall fall within the protection scope of the present disclosure. Without conflict, embodiments and features of embodiments of the present disclosure may be combined with each other.
In the text, “proximal end” and “distal end” are referenced from the perspective of the product operator. The end located outside the body and hand held by the operator is the proximal end; the end that can be implanted into the body of the patient and is away from the operator is the distal end. For those skilled in the art, the specific meanings of the above positional terms in the present disclosure can be understood based on the context.
As shown in
The position of the anchor 100 is used as the distal end of the transmission tube 200, and the position of the limiting element 400 is used as the proximal end of the transmission tube 200. By pulling the traction wire 300 towards the proximal end and locking the limiting element 400 onto the traction wire 300, the traction wire 300 inside the transmission tube 200 can be kept in a tensioned state. Under the tensioning force of the traction wire 300, the anchor 100 and the transmission tube 200 can be maintained in an engaged state through the engaging portion 500. There is no need to arrange key or pin structures to connect the anchor 100 and the transmission tube 200, thus facilitating the assembly of a single-anchor mechanism. In addition, after the anchor 100 is anchored to the tissue to be sutured, removing the limiting element 400 can allow the transmission tube 200 to be detached from the traction wire 300, thus facilitating subsequent tightening operations of the traction wire 300.
The traction wire 300 can be configured in at least two colors, thus allowing for tightening operations to be performed according to the color. When using multiple sets of single-anchor mechanisms simultaneously, the traction wires 300 with different colors can be configured for multiple anchors 100. During the tightening of the traction wire 300, each anchor 100 corresponds to a specific color of the traction wire 300, thus allowing the operator to easily identify which anchor 100 corresponds to the tightened traction wire 300.
In the embodiment, the limiting element 400 includes a polymer elastic component, wherein the polymer elastic component can be made of materials such as silicone or rubber. The polymer elastic component is provided with a wire-clamping portion, wherein the wire-clamping portion is configured as a wire hole or wire groove. The traction wire 300 passes through the wire-clamping portion and is in interference fit with the wire-clamping portion. The polymer elastic component abuts against the end portion of the transmission tube 200 away from the anchor 100.
When pulling the traction wire 300 towards the proximal end, an external force applied keeps the polymer elastic component abutting the end portion of the transmission tube 200 away from the anchor 100. The wire-clamping portion of the polymer elastic component contracts to clamp and fix the traction wire 300, thereby keeping the traction wire 300 inside the transmission tube 200 tensioned.
In other optional embodiments, the limiting element 400 can be a wire clip or similar device. The limiting element 400 can be detachably connected to the traction wire 300. The limiting element 400 can abut against the end portion of the transmission tube 200 away from the anchor 100, thereby keeping the traction wire 300 inside the transmission tube 200 tensioned.
As shown in
Specifically, the first insertion portion 501 is configured as a protrusion or slot. By matching the first insertion portion 501 with the anchor 100, a circumferential limitation between the transmission tube 200 and the anchor 100 can be achieved, thus allowing the transmission tube 200 to drive the anchor 100 to rotate synchronously.
As shown in
Specifically, the spring tube 210 can be made of a wire structure, with the sheath 600 covering the end of the spring tube 210 away from the engaging member 220. The sheath 600 provides protection to the spring tube 210, thus preventing the wire material from becoming disordered when the limiting element 400 pushes against the spring tube 210. Therefore, the structural stability of the spring tube 210 can be maintained.
As shown in
By rotating the rotating wheel 800, the transmission tube 200 can be driven to rotate. When the transmission tube 200 and the anchor 100 are engaged, the transmission tube 200 drives the anchor 100 to rotate synchronously, which allows the anchor 100 to screw into the tissue to be sutured, thereby achieving anchoring.
Referring to
Further, the circumferential surface of the rotating wheel 800 is provided with locking portions 801 fitting with the stopping and limiting element 710.
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During the anchoring operation, first, the distal end of the outer tube 900 is placed against the edge of the wound to be sutured. The handle 700 is held, and the rotating wheel 800 is pushed toward the distal end until the anchor 100 contacts the tissue to be sutured. Then, the rotating wheel 800 is rotated, driving the anchor 100 to rotate synchronously via the transmission tube 200. The anchor 100 can screw into the tissue to be sutured. After anchoring, the handle 700 can be lifted to drive the outer tube 900 away from the wound to be sutured, thus allowing for observation of the depth at which the anchor 100 has entered the tissue to be sutured. The operator uses one hand to keep the rotating wheel 800 and the transmission tube 200 stationary while removing the limiting element 400 with the other hand. This allows for the simultaneous removal of the transmission tube 200, the sheath 600, the handle 700, the rotating wheel 800, and the outer tube 900.
Further, the handle 700 is provided with a hollow limiting slot 701, and the hollow limiting slot 701 extends along an axial direction of the outer tube 900. The rotating wheel 800 is located inside the hollow limiting slot 701. The rotating wheel 800 moves along the hollow limiting slot 701, with a forward stop position and a backward stop position.
In the forward stop position, the rotating wheel 800 moves to the distal end of the hollow limiting slot 701, with the anchor 100 extending out of the outer tube 900. In the backward stop position, the rotating wheel 800 moves to the proximal end of the hollow limiting slot 701, with the anchor 100 retracting into the outer tube 900. The hollow limiting slot 701 restricts the travel of the rotating wheel 800 moving in the axial direction of the transmission tube 200. This can not only limit the penetration depth of the anchor 100 into the tissue to be sutured but also prevent the rotating wheel 800 and the transmission tube 200 from detaching from the handle 700, thereby enhancing structural compactness.
Further, an end surface of the distal end of the outer tube 900 is provided with teeth 901, wherein the multiple teeth 901 are arranged at intervals along the circumference of the outer tube 900. The teeth 901 abuts against the surface of the tissue to be sutured. As the anchor 100 rotates and penetrates the tissue to be sutured, the teeth 901 prevent the tissue to be sutured from rotating with the anchor 100, thereby avoiding the entanglement of mucosal tissue on the anchor 100. Preferably, the teeth 901 can be configured as ratchet teeth, wherein the rotating direction of the ratchet teeth is opposite to the spiral direction of the anchor 100. In other words, the reverse ratchet teeth rotating along the anchor 100 form a pointed tip. Therefore, the ratchet teeth can prevent mucosal tissue from wrapping around the anchor 100.
In one optional embodiment, with reference to
The unlocking element 810 can be detachably connected to the rotating wheel 800. When the rotating wheel 800 is screwed and pushed towards the distal end, the transmission tube 200 drives the anchor 100 to penetrate the tissue to be sutured, and the unlocking element 810 moves synchronously towards the distal end with the rotating wheel 800. When it is necessary to withdraw the handle 700, the connection between the unlocking element 810 and the rotating wheel 800, which can be magnetic or snap-fit, is disengaged. The unlocking element 810 is then slid toward the proximal end relative to the handle 700. By the unlocking element 810 pushing the limiting element 400, the limiting element 400 is disengaged from the traction wire 300. At this point, the transmission tube 200, handle 700, rotating wheel 800, unlocking element 810, and outer tube 900 can be removed toward the proximal end along the traction wire 300. Additionally, the unlocking element 810 and the rotating wheel 800 can also be made independent of each other. When the rotating wheel 800 is screwed and pushed towards the distal end, the unlocking element 810 only moves towards the distal end due to the push from the limiting element 400. When the rotating wheel 800 is fixed relative to the handle 700, the unlocking element 810 can be pulled back toward the proximal end, and the limiting element 400 is disengaged by the unlocking element 810.
It should be noted that the limiting element 400 can also be configured to fix the proximal end of the traction wire 300 relative to the limiting element 400 in the form of a knot or a snap-fit. When the unlocking element 810 is pulled back to act on the proximal end of the traction wire 300, the limiting function of the limiting element 400 can be released by cutting off the traction wire 300 or by peeling off the snap-fit.
In one optional embodiment, with reference to
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Further, the helical barb 111 is provided with a reverse barb 102 directed towards the helical groove and inclined along the helical groove away from the pointed tip 101. By the reverse barb 102, the anchor 100 can be hindered from rotating backward. Therefore, this prevents the tissue to be sutured from creeping, which may cause the anchor 100 to come loose.
As shown in
The distal end of the traction wire 300 can be bonded to the protruding head 301, or the protruding head 301 can be formed at the distal end of the traction wire 300 in a knotting manner. The diameter of the axial through-hole 121 is smaller than the diameter of the protruding head 301. The connector 120 is welded or bonded to the anchor-head tube 110. When the traction wire 300 is pulled toward the proximal end, the protruding head 301 pushes the connector 120 toward the proximal end and keeps the second insertion portion 502 engaged with the first insertion portion 501.
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In embodiments of the present disclosure, the clamping structure of the locking-and-cutting mechanism clamps and fixes the traction wire 300, thereby enabling the locking of the traction wire 300. In addition, the excess traction wire 300 is cut off by cutting. The use of the above-described single-anchor mechanism facilitates the assembly of the single-anchor mechanism and facilitates the anchoring operation of the traction wire 300. The suturing device has the technical effect of the above-described single-anchor mechanism, which will not be repeated herein. Additionally, the suturing device can further include a winding mechanism, wherein the winding mechanism is connected to the traction wire 300. The winding mechanism is configured to pull and tighten the traction wire 300. The winding mechanism employs a winding wheel to rotate so as to wrap the traction wire 300 around the winding wheel, thereby tightening the traction wire 300.
Finally, it should be noted that the above embodiments are intended only to illustrate the technical solutions of the present disclosure and are not intended to be a limitation thereof. Notwithstanding the detailed description of the present disclosure with reference to the foregoing embodiments, it should be understood by those of ordinary skill in the art that one may still modify the technical solution described in the preceding embodiments, or replace some or all of the technical features equally. These modifications or substitutions do not depart the essence of the corresponding technical solution from the scope of the technical solution of the embodiments of the present disclosure.
Number | Date | Country | Kind |
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2023110250322 | Aug 2023 | CN | national |