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SU1456109A1 - Arrangement for bringing together the wound edges - Google Patents

Arrangement for bringing together the wound edges Download PDF

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Publication number
SU1456109A1
SU1456109A1 SU864096464A SU4096464A SU1456109A1 SU 1456109 A1 SU1456109 A1 SU 1456109A1 SU 864096464 A SU864096464 A SU 864096464A SU 4096464 A SU4096464 A SU 4096464A SU 1456109 A1 SU1456109 A1 SU 1456109A1
Authority
SU
USSR - Soviet Union
Prior art keywords
needles
brackets
wound
approach
tissue
Prior art date
Application number
SU864096464A
Other languages
Russian (ru)
Inventor
Георгий Цыренович Дамбаев
Леонид Абрамович Монасевич
Владимир Александрович Кирш
Константин Анатольевич Гураль
Надежда Николаевна Михалькова
Евгений Сергеевич Зеленов
Виктор Эдуардович Гюнтер
Original Assignee
Сибирский физико-технический институт им.В.Д.Кузнецова при Томском государственном университете
Томский государственный медицинский институт
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Сибирский физико-технический институт им.В.Д.Кузнецова при Томском государственном университете, Томский государственный медицинский институт filed Critical Сибирский физико-технический институт им.В.Д.Кузнецова при Томском государственном университете
Priority to SU864096464A priority Critical patent/SU1456109A1/en
Application granted granted Critical
Publication of SU1456109A1 publication Critical patent/SU1456109A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B2017/081—Tissue approximator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • A61F2210/0019—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol operated at only one temperature whilst inside or touching the human body, e.g. constrained in a non-operative shape during surgery, another temperature only occurring before the operation

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Изобретение относитс  к медицинской технике и может быть использовано при лечении глубоких линейных раневых дефектов. Целью изобретени   вл етс  обеспечение равномерной и посто нной нагрузки на ткани при их сближении. Устройство состоит из двух опорных площадок 2, в каждой из которых в два р да закреплены иглы 1, и механизма сближени  бранш в виде двух и-образных скоб 3 из нике- лида титана. Иглы. 1 ввод т в ткани у краев раны, скобы 3 охлаждают и .разгибают. Отогрева сь, скобы 3 восстанавливают форму, постепенно и равномерно сближа  кра  раны. 2 з.п. ф-лы, 4 ил. J с фиг.1The invention relates to medical technology and can be used in the treatment of deep linear wound defects. The aim of the invention is to provide a uniform and constant load on the tissue as they approach. The device consists of two support sites 2, each of which has needles 1 in two rows, and a mechanism for bringing the branches together in the form of two i-shaped brackets 3 of nickel titanium. Needles. 1 is inserted into the tissue at the edges of the wound, staples 3 are cooled and unbend. When warming up, the brackets 3 restore their shape, gradually and evenly bringing the wound edges together. 2 hp f-ly, 4 ill. J with figure 1

Description

Изобретение относитс  к медицинской технике, а именно к хирургическим инструме гтам, и может быть использовано при лечении глубоких ли- нейных ранеиых дефектов.The invention relates to medical technology, namely to surgical instruments, and can be used in the treatment of deep linear early defects.

Цель изобретени  - обеспечение равномерной и посто нной нагрузки на ткани при их сближении.The purpose of the invention is to provide a uniform and constant load on the tissue when they approach each other.

На фиг.1 изображено устройство дл  сближени  краев раны, общий вид; на фиг.2 - элемент механизма сближени ; на фиг.З - устройство с разогнутыми в охлажденном состо нии и разведенными брашпами; на фиг.4 - то же, с дугообразно изогнутыми иглами.Figure 1 shows a device for bringing the wound edges together, a general view; Fig. 2 shows an element of the approach mechanism; Fig. 3 shows a device with chilled and diluted tail blocks; figure 4 - the same, with arcuately curved needles.

Устройство дл  сближени  краев раны содержит иглы 1, установленные на опорных площадках 2, маханием 3 сближени , который выполнен в виде двух и-образно изогнутых скоб с цангами на торцах 4. Скобы механизма 3 сближени  игл выполнены из материала, обладающего эффектом пам ти формы, а иглы 1 размещены не менее чем в два р да в шахматном пор дке. Иглы 1 могут быть вогнутыми и обращены вогнутост ми навстречу одна другой.The device for bringing the edges of the wound closer together contains needles 1, mounted on support sites 2, waving 3 convergences, which is made in the form of two i-shaped curved brackets with collet ends 4. The brackets of the needle approach mechanism 3 are made of a material with a shape memory effect, The needles 1 are placed in at least two rows in a checkerboard pattern. The needles 1 may be concave and facing one side towards the other.

Устройство работает следующим образом ..The device works as follows.

Во врем  операции охлаждают скобы хладогеном (например, в парах хлор- этила или азота), развод т и разворачивают опорные площадки 2 так, чтобы угол между иглами 1 соседних бранш соответствовал углу между стенками раны, а рассто ние между верхними кра ми игл 1 бьшо на 1-3 см больше рассто ни  между верхними кра ми раны . Затем удал ют скобы и помещаютDuring the operation, the brackets are cooled with coolant (for example, in chlorine-ethyl or nitrogen vapor), the support platforms 2 are separated and unfolded so that the angle between the needles 1 of the neighboring branches corresponds to the angle between the wound walls, and the distance between the upper edges of the needles 1 1-3 cm longer distance between the upper edges of the wound. The brackets are then removed and placed

их в хлаДоген. После этого ввод т иглы , отступив от верхнего кра  раны на 0,5-1,5 см в ткани с двух сторон раны, под углом, соответствующим углу между стенками раны. Если используетс  устройство с изогнутыми игла- I ми 1, то опорные площадки 2 с иглами 1 при введении их в ткани перемещают по окружности, образуемой радиусом изгиба игл. После установки устройства в тело сжимают расщепленные концы и-образных скоб и вставл ют их в отверсти  в опорных площадках 2, и-образные скобы, отогрева сь, начинают принимать заданную им форму, сближа  и разворачива  стенки ран, постепенно приближа  их, начина  с нижнего кра , одну к другой.them in hlaDogen. After that, the needles are inserted, departing from the upper edge of the wound by 0.5-1.5 cm in the fabric on both sides of the wound, at an angle corresponding to the angle between the walls of the wound. If a device with curved needles I is used, 1, the support sites 2 with needles 1, when inserted into the fabric, are moved around a circle formed by the bending radius of the needles. After the device is inserted into the body, the split ends of the I-shaped brackets are compressed and inserted into the holes in the support sites 2, and the I-shaped brackets, warming up, begin to take on the shape given to them, bringing them closer and turning the walls of the wounds, Kra, one to another.

Claims (2)

1. Устройство дп  сближени  краев раны, содержащее иглы, установленные на опорных площадках, механизм сближени  опорных площадок, отличающеес  тем, что, с целью обеспечени  равномерной и посто нной нагрузки на ткани при их сближении, механизм сближени  выполнен в виде двух и-образных скоб с цангами на торцах, установленных в опорных площадках , скобы выполнены из материала обладающего эффектом пам ти формы, а иглы размещены не менее чем в два р да в шахматном пор дке.1. Device dp of approaching wound edges, containing needles mounted on support sites, mechanism of approaching support sites, characterized in that, in order to ensure a uniform and constant load on the tissue as they approach, the approach mechanism is made in the form of two i-shaped brackets with the collets at the ends installed in the bearing pads, the brackets are made of a material with a shape memory effect, and the needles are placed at least two rows in a checkerboard pattern. 2. Устройство по п.1, о т л и - чающеес  тем, что иглы дугообразно изогнуты, а скобы расположены так, что иглы обращены одна к другой вогнутост ми.2. The device according to claim 1, wherein the needles are arcuately curved, and the brackets are arranged so that the needles face each other by concavities. Фиг. 2FIG. 2 77 Фиг. 2FIG. 2 фиг Лfig L Редактор Н.ТупицаEditor N. Tupitsa Составитель В.Баганов Техред М.Дидык Compiled by V. Baganov Tehred M. Didyk Заказ 7504/5Order 7504/5 Тираж 644Circulation 644 ВНИИПИ Государственного комитета по изобретени м и открыти м при ГКНТ СССР 113035, Москва, Ж-35, Раушска  наб., д. 4/5VNIIPI State Committee for Inventions and Discoveries at the State Committee on Science and Technology of the USSR 113035, Moscow, Zh-35, Raushsk nab. 4/5 Производственно-полиграфическое предпри тие, г. Ужгород, ул. Проектна , 4Production and printing company, Uzhgorod, st. Project, 4 Фиг.зFig.z ЫS Корректор М.ДемчикProofreader M. Demchik ПодписноеSubscription
SU864096464A 1986-07-23 1986-07-23 Arrangement for bringing together the wound edges SU1456109A1 (en)

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SU864096464A SU1456109A1 (en) 1986-07-23 1986-07-23 Arrangement for bringing together the wound edges

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Cited By (151)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0740530A4 (en) * 1994-01-21 1998-01-28 Progressive Surgical Products Tissue expansion and approximation device
DE4416777A1 (en) * 1994-05-09 1995-11-16 Aerztliche Mechanik Udo Lindek Surgical instrument for gripping and joining organic tissues
US6945980B2 (en) 1998-06-03 2005-09-20 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
US7763040B2 (en) 1998-06-03 2010-07-27 Medtronic, Inc. Tissue connector apparatus and methods
US6607541B1 (en) 1998-06-03 2003-08-19 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US7547313B2 (en) 1998-06-03 2009-06-16 Medtronic, Inc. Tissue connector apparatus and methods
US6641593B1 (en) 1998-06-03 2003-11-04 Coalescent Surgical, Inc. Tissue connector apparatus and methods
US7963973B2 (en) 1998-06-03 2011-06-21 Medtronic, Inc. Multiple loop tissue connector apparatus and methods
RU2153299C1 (en) * 1998-12-24 2000-07-27 Винокур Алексей Анатольевич Device for closing wound edges
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