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CN-115869028-B - Operating handle for suture head for patent foramen ovale operation

CN115869028BCN 115869028 BCN115869028 BCN 115869028BCN-115869028-B

Abstract

The invention provides an operating handle for a suture head for patent foramen ovale operation, and belongs to the technical field of patent foramen ovale suture. At present, the manual operation is not convenient enough. Including shell and control mechanism, the shell front end is provided with the interface that is used for docking the outer tube, the installation cavity has been seted up to the shell inside, control mechanism includes the spanner pole, drive gear train, shift piece, first rack that links to each other with first push rod and the second rack that links to each other with the drive pole, the first end and the drive gear train of spanner pole are connected, thereby the second end of spanner pole stretches out the shell and holds in the palm the people and holds in order to drive gear train work, thereby shift piece is used for supplying the people to stir thereby switch first rack and drive gear train connection to second rack and drive gear train connection and switch second rack and drive gear train connection to first rack and drive gear train connection, anterior one side of shell is provided with the control knob that is used for driving the second push rod to remove. The invention has the advantages of convenient operation and the like.

Inventors

  • XU WEIZE
  • HUANG HANGDONG
  • SHU QIANG
  • ZHAO CHANGLONG

Assignees

  • 浙江大学滨江研究院
  • 浙江大学医学院附属儿童医院

Dates

Publication Date
20260505
Application Date
20221229

Claims (8)

  1. 1. An operating handle for a suture head for patent foramen ovale operation is characterized by comprising a suture head (A1) and a handle body (A2), wherein the suture head (A1) comprises an outer tube (1), The utility model discloses a push rod (3) of a needle tube, including pendulum rod (2) and two needle tubing (3), the first end of outer tube (1) is provided with mounting bracket (4), pendulum rod (2) rotate and set up on mounting bracket (4), be provided with actuating lever (5) in outer tube (1), actuating lever (5) are used for supplying the people to keeping away from the one end pulling of pendulum rod (2) thereby rotate pendulum rod (2), two wears to establish passageway (6) have been offered to the both ends symmetry of pendulum rod (2), all are provided with in two wears to establish passageway (6), and two are sewed up and detain (7) and are connected through connecting wire (8) between two sewing up detains (7), and the middle part of connecting wire (8) is connected with acting as go-between (37), and two needle tubing (3) symmetry set up in the both sides of outer tube (1), and the intraductal all is provided with push rod (9) of lumen of two needle tubing (3), and two needle tubing (3) are provided with insert pointed end (10), and two one end that tip (10) were kept away from to insert pointed end (3) is connected with and are used for pushing away from two needle tubing (3) respectively to two and wear to establish passageway (6) first push rod (11) and two needle tubing (3) and two push rod (3) are connected with two needle tubing (12) and push rod (12) and are worn out respectively in the needle tubing (3) and are stretched out, the suture buckle (7) is positioned in the lumen of the needle tube (3), the handle body (A2) comprises a shell (A3) and a control mechanism (A4), the front end of the shell (A3) is provided with a butt joint port for butt joint with the outer tube (1), the interior of the shell (A3) is provided with a mounting cavity (A6), and the control mechanism (A4) comprises a spanner rod (A7), A driving gear set (A8), a gear shifting piece (A9), First rack (A10) and second rack (A11) that link to each other with first push rod (11) and link to each other with actuating lever (5), the first end of spanner pole (A7) is connected with actuating gear group (A8), thereby the second end of spanner pole (A7) stretches out shell (A3) and holds out to drive actuating gear group (A8) work for the people, thereby shift piece (A9) are used for the people stir thereby switch first rack (A10) and actuating gear group (A8) to second rack (A11) be connected with actuating gear group (A8) and switch second rack (A11) and actuating gear group (A8) to first rack (A10) and actuating gear group (A8) be connected, front portion one side of shell (A3) is provided with control knob (A12) that are used for driving second push rod (12) to remove, actuating gear group (A8) include driving gear (A17) that the meshing in proper order is connected, The utility model discloses a push rod, including first driven gear (A18) and second driven gear (A19), driving gear (A17) center is provided with round hole (A20), be provided with a plurality of ratchets (A21) on the lateral wall of round hole (A20), be provided with connecting block (A22) in round hole (A20), be provided with a plurality of pawl (A23) that are used for with ratchet (A21) meshing butt joint on the periphery wall of connecting block (A22), the first end of spanner pole (A7) passes through connecting axle (A24) and connecting block (A22) fixed connection, the middle part rotation of spanner pole (A7) is connected with reset rod (A25), reset rod (A25) keep away from the both sides of one end of spanner pole (A7) all are provided with plug-in axle (A26), all be provided with on the both sides lateral wall of installation cavity (A6) lower part slide groove (A27), two extension spring plug-in axle (A26) are located two and slide groove (A27) respectively, and two plug-in axle (A26) are connected with reset spring (A28) one end (A) and reset rod (A) are provided with on first pivot (A) a first pivot (A) and one end (A) is connected with first pivot (A43) and one end (A) is cup jointed on first pivot (A43), the front end of second rack (A11) is provided with second adapter block (A45), be provided with second socket joint ring (A46) on second adapter block (A45), second socket joint ring (A46) cup joints in actuating lever (5) one end that keeps away from pendulum rod (2) and is fixed with actuating lever (5).
  2. 2. The operating handle for a suture head for patent foramen ovale surgery according to claim 1, wherein the mounting frame (4) comprises two mounting plates (13), one end of the two mounting plates (13) far away from the outer tube (1) is provided with a rotating shaft (14), two sides of the middle part of the swinging rod (2) are provided with a butt joint hole (15) (A5) for butt joint the rotating shaft (14), the butt joint holes (15) (A5) and the rotating shaft (14) are in one-to-one correspondence, two side walls of the swinging rod (2) are provided with limit rods (16), two side walls of the rotating shaft (14) are provided with limit devices (35), one side of each of the two limit devices (35) facing the swinging rod (2) is provided with an annular groove (17) for inserting the limit rods (16), two side walls of the annular groove (17) are provided with protrusions so as to form limit openings (18), one end of the driving rod (5) close to the swinging rod (2) is provided with a rotating block (19), one side of the swinging rod (2) is provided with a wire outlet groove (29), the wire outlet groove (29), one side of the two wire outlet grooves (29) are respectively provided with two wire outlet grooves (30) which are communicated with two wire outlet grooves (30) respectively, and the wire outlet grooves (30) are communicated with one another side of the two wire outlet grooves (30), the second push rod (12) and the track block (22) are respectively penetrated and provided with a wire pulling channel (31) used for being penetrated by a wire pulling wire (37), the two sides of the swing rod (2) are respectively provided with a rotating groove (20) used for accommodating the rotating block (19) close to the perforation (30), the driving rod (5) is provided with an accommodating channel from one end far away from the rotating block (19), the accommodating channel is internally provided with the track block (22) close to the rotating block (19), the track block (22) is penetrated and provided with two movable channels (23), the two movable channels (23) are respectively used for accommodating two needle tubes (3), two sides of the driving rod (5) are respectively provided with a needle outlet opening (24) communicated with the accommodating channel, two sides of the track block (22) are respectively connected in two needle outlet openings (24) in a clamping way, two needle outlet holes (36) are respectively communicated with two movable channels (23), two side walls of the outer tube (1) are respectively provided with two needle outlet openings (25) respectively, two needle outlet openings (25) are respectively arranged on two needle outlet openings (25) are respectively exposed out of the two needle tubes (2) and are respectively provided with two needle outlet openings (36) respectively exposed out of two needle tubes (9), the utility model discloses a needle tube (3) is used for sewing up, including holding passageway, needle tube (3), first push rod (11), second push rod (12), needle tube (6) are worn to establish on the lateral wall of passageway (6), first push rod (11) are located hold the passageway and keep away from the one end of inserting pointed end (10) with needle tube (3) and fix, first push rod (11) runs through be provided with installation passageway (28) that are used for holding second push rod (12), the one end that second push rod (12) is close to needle tube (3) is provided with two push posts (27), two push posts (27) respectively with two push rod (9) fixed connection, two all be provided with two butt joint pieces (32) on the lateral wall of wearing to establish passageway (6), two butt joint groove (33) have all been seted up on the lateral wall of sewing up on the lateral wall of needle tube (3) with the lumen intercommunication of needle tube (3), leave the clearance that is used for supplying needle tube (3) to pass between the lateral wall of sewing up the passageway (7) and wearing.
  3. 3. The operating handle for a suturing head for patent foramen ovale surgery according to claim 1, characterized in that a pulling hole (a 13) for connecting a mounting cavity (A6) is formed in the rear end of the housing (A3), the pulling hole (a 13) is used for a pulling wire (37) to penetrate, the housing (A3) comprises a main body (a 14) and a grip (a 15), a movable opening (a 16) for connecting the mounting cavity (A6) is formed in one side of the grip (a 15), and the second end of the wrench rod (A7) extends out of the movable opening (a 16).
  4. 4. The operating handle for a suture head for patent foramen ovale surgery according to claim 1, wherein the first rack (A10) and the second rack (A11) are respectively positioned at two sides above the driving gear set (A8), two sides of the shell (A3) are respectively provided with a gear shifting hole (A29) communicated with a mounting cavity (A6), the gear shifting piece (A9) comprises a shifting rod (A63) and a gear shifting gear (A30) arranged in the middle of the shifting rod (A63), the lower part of the gear shifting gear (A30) is used for being meshed with the driving gear set (A8), the upper part of the gear shifting gear (A30) is used for being meshed with the first rack (A10) or the second rack (A11), the gear shifting gear (A30) and the shifting rod (A63) are respectively connected through ball bearings, two ends of the shifting rod (A63) are respectively extended from the two gear shifting holes (A29), two side walls of the mounting cavity (A6) are respectively provided with a gear shifting rod (A63), two ends (A31) are respectively provided with a gear shifting groove (A32) which is respectively arranged at two ends of the gear shifting rod (A32), the two ends (A32) are respectively provided with a gear shifting rod (A32), the shifting plate (A34) is used for being pressed by a person to enable the shifting rod (A63) to move along the length direction of the shifting rod (A63) so as to drive the shifting gear (A30) to move along the length direction of the shifting rod (A63).
  5. 5. The operating handle for a suture head for patent foramen ovale surgery according to claim 1, characterized in that, drive gear set (A8) is connected with triangle connecting rack (a 35), triangle connecting rack (a 35) includes two triangle boards (a 36) that are located drive gear set (A8) both sides respectively, two all be provided with rotation hole (a 37) on three angles of triangle board (a 36), three rotation hole (a 37) are used for supplying pivot (14) of driving gear (a 17), first driven gear (a 18) and second driven gear (a 19) to insert respectively, the both sides of shell (A3) all are provided with switching handle (a 38), triangle board (a 36) and switching handle (a 38) are connected through spliced pole (a 42), both sides of triangle connecting rack (a 36) all are provided with regulating plate (a 39), and second sliding groove (a) and second arc-shaped groove (a) that can be located in the arc-shaped groove (a 40) of second sliding groove (a 40) are located along first sliding groove (a 40) and second arc-shaped groove (a 40) of sliding groove (a 40).
  6. 6. An operating handle for a suturing head for patent foramen ovale surgery according to claim 5, wherein a first guide block (a 47) is arranged on one side of the first adapter block (a 43), a second guide block (a 48) is arranged on one side of the second adapter block (a 45), guide grooves (a 49) are formed in both side walls of the mounting cavity (A6), and the first guide block (a 47) and the second guide block (a 48) are respectively located in the two guide grooves (a 49).
  7. 7. The operating handle for a suturing head for patent foramen ovale surgery according to claim 1, characterized in that a butt joint shaft (a 50) is arranged on one surface, close to the shell (A3), of the control knob (a 12), an incomplete gear (a 51) is arranged at one end, far away from the control knob (a 12), of the butt joint shaft (a 50), a translation block (a 52) is arranged in the installation cavity (A6), a rectangular opening (a 53) is formed in the translation block (a 52), a plurality of meshing teeth (a 54) used for meshing with the incomplete gear (a 51) are arranged on the top wall and the bottom wall of the rectangular opening (a 53), a moving bar (a 55) is connected to one side of the translation block (a 52), a sleeve (a 56) is connected to one end, far away from the translation block (a 52), of the second push rod (12) far away from the needle tube (3) through the butt joint bar (a 64), and the sleeve (a 56) is sleeved on one end, far away from the needle tube (3), and fixed with the second push rod (12).
  8. 8. The operating handle for a suture head for patent foramen ovale surgery according to claim 7, characterized in that guide rail grooves (a 57) are provided on both side walls of the mounting cavity (A6), guide rail blocks (a 58) are provided on both sides of the translation block (a 52), the two guide rail blocks (a 58) are respectively located in the two guide rail grooves (a 57), a guide rail pipe (a 59) is inserted into the outer shell (A3) from the pulling hole (a 13), an extension strip (a 60) is provided at the front end of the guide rail pipe (a 59), a guide moving groove (a 61) is provided along the length direction of the extension strip (a 60), the sleeve (a 56) is located in the guide moving groove (a 61) and can move along the length direction of the guide moving groove (a 61), and the guide moving groove (a 61) is communicated with the pipe cavity of the guide rail pipe (a 59).

Description

Operating handle for suture head for patent foramen ovale operation Technical Field The invention belongs to the technical field of patent foramen ovale suturing, and particularly relates to an operating handle of a suturing head for patent foramen ovale operation. Background The patent foramen ovale is generally closed in 1 st year after birth, if the patent foramen ovale of the infant older than 3 years is still not closed, the patent foramen ovale is not closed, and 20% -25% of the adult foramen ovale is not fully closed. Patent foramen ovale is the most common congenital heart abnormality in adults today. Many researches in recent years show that close connection exists between patent foramen ovale and cerebral apoplexy patients with unknown causes, and aiming at etiology treatment, the patent foramen ovale of high-risk groups is closed, so that the incidence rate of patients is expected to be reduced. In addition, patent foramen ovale has also been found to be associated with the onset of decompression sickness, migraine, and the like, and closure of the foramen ovale may be beneficial to such patients. The applicant has developed a suture head for patent foramen ovale suturing at present, replaces the traditional plugging operation, and needs to be operated by means of a tool to carry out operations such as pulling wires outside during operation, so that the applicant designs a convenient and practical operation handle for convenient operation. Disclosure of Invention The present invention has been made keeping in mind the above problems occurring in the prior art, and an object of the present invention is to provide an operating handle for a suture head for patent foramen ovale operation. The invention can be realized by the following technical scheme that the operating handle for the suture head for patent foramen ovale operation is characterized by comprising a suture head and a handle body, wherein the suture head comprises an outer tube, a swinging rod and two needle tubes, a first end of the outer tube is provided with a mounting frame, the swinging rod is rotatably arranged on the mounting frame, a driving rod is arranged in the outer tube, the driving rod is used for enabling a person to pull one end far away from the swinging rod so as to rotate the swinging rod, two penetrating channels are symmetrically arranged at two ends of the swinging rod, suture buckles are respectively arranged in the two penetrating channels, the two suture buckles are connected through connecting wires, the middle part of the connecting wires is connected with a pull wire, the two needle tubes are symmetrically arranged at two sides in the outer tube, pushing rods are respectively arranged in tube cavities of the two needle tubes, one ends of the two needle tubes far away from the insertion tips are connected with first pushing rods for pushing the two needle tubes into the two penetrating channels respectively, the two pushing rods are connected with second pushing rods for driving the two pushing rods to extend out of the two pushing rods respectively, when the two pulling rods are symmetrically arranged at two ends of the swinging rod, the two pulling rods penetrate through the two pulling rods, the two pulling rods are connected with a control rod, a gear set through the first pushing rod and a control gear set and a shell, the control rod is arranged in the outer tube is connected with a shell, and is connected with a shell through the driving gear set, and is connected with the outer shell through the driving rod through the first needle tube, the gear shifting piece is used for being used for a person to stir and switch first rack and drive gear group to be connected with the drive gear group and switch second rack and drive gear group to be connected with the first rack and drive gear group, front portion one side of shell is provided with the control knob that is used for driving the second push rod and removes, thereby drive gear group is including driving gear, first driven gear and the second driven gear that the meshing is connected in proper order, driving gear center is provided with the round hole, be provided with a plurality of ratchets on the lateral wall of round hole, be provided with the connecting block in the round hole, be provided with a plurality of pawls that are used for with the meshing butt joint of ratchet on the peripheral wall of connecting block, the first end of pull rod is connected with connecting block fixed connection through connecting axle and connecting block, the middle part rotation of pull rod is connected with the reset lever, the both sides that the one end of pull rod was kept away from to the reset lever all are provided with the plug axle, all be provided with on the lateral wall of the both sides of installation chamber lower part and slide groove, two plug axle are located two and slide groove respectively, two plug axle all are connected with reset extension spr