Device for securing seams

 

(57) Abstract:

Usage: in medicine, for connecting tissues. The inventive device includes movable and stationary elements in the form of tubes through an opening which holds the ends of the ligatures, fixed in shape cutting, when this tube is used as drains with active or passive aspiration and injection of antiseptics in wound. 4 Il.

The invention relates to medicine, namely to devices for connecting tissues.

It is known device, which is used to secure the joints with the ability to regulate their tension containing a base in the form of large and small supporting surfaces connected by a bridge, over which the guide rods by means of cap screws moves the plate attached to it by the seams.

However, the use of the known device, which is used when suturing wounds in the groin, in the treatment of wounds of the abdominal wall other localization sharply limits the motor activity of patients, because of its configuration and dimensions, the device does not allow selective closure of musculoaponeurotic layer with abdominal

The purpose of the invention is the extension of the motor activity of patients, selective repair of musculoaponeurotic layer with the exception of the compression and deformation of the other layers of the abdominal wall, as well as simultaneous drainage of the wound.

The goal is achieved in that the device for fixing seams, containing a stop with a flat working surface and coupled with the focusing mechanism of fixing and tensioning seams, made in the form of related thread rolling and stationary elements, the latter is in the form of a tube with the same inner diameter with threads on the inner and outer surfaces, with emphasis made in the form of curved plates located at the center of the coupling, provided with a locking screw associated internal cavity with a fixed element made with two holes and two symmetrical mechanical dredging, on the movable element is made alcovy the flange with outer ribs and installed movable hollow ring with a transverse mounting bar made with curly tenderloin.

In Fig. 1,2,3 shows a device for fastening joints; Fig.4 - the device is in working condition (transverse incision wounds).

The device is defined by the center of the clutch 3, equipped with locking screw 4 that is associated with a fixed tube 5, is made with two holes 6 and two symmetrical frontal grooves 7, the fixed tube 5 is connected by a thread with a movable tube 8, both tubes have the same inner diameter, the free end of the movable tube 8 installed movable ring 9 with transverse fixing plate 10, made with shaped notch 11, and the annular flange 12 with outer ribs.

The device operates as follows. Before wound closure of the abdominal wall through the musculoaponeurotic layer, 20-30 mm from the edge is a ligature 13 (silk N-6 or N 8), and then sutured to the edges of musculoaponeurotic layer, then the ends of the ligature are conducted through the opening 6, the lumen of the tubes 5 and 8, through the ring 9 on both sides of the transverse straps 10 and fastened over it, while the ligature is located in curly cutting 11. Next stop 1 in the form of curved plates located at the center of the clutch 3 descends on the fixed tube 5 to the skin and fixed locking screw 4. At the same time the tube 5 and 8 are used as drains with active or passive aspiration, as well as for the introduction of antiseptics in wound.

Regulation of the tension sway offset relative to the stationary pulling the ligature, thereby recovering the initial tension of the sutures. When the twisting tube 8 must be fixed movable hollow ring 9 with a transverse mounting plate 10 to prevent twisting of the ends of the ligatures.

The use of the device allows the immobilization of pre-sutured wounds long enough to adapt abdominal wall to the tension caused by elimination of the defect, the device can be applied to wounds of the abdominal wall in any location, the design provides smooth control of the tension of the sutures of the above contributes to the high motor activity of patients in the early postoperative period. Simultaneously, the device performs the function of drainage of the wound.

The design of the device ensures safe use, including in emergency situations.

The device can be applied in the treatment of hernias of various localization, including postoperative and eventrate.

DEVICE FOR SECURING SUTURES, containing a stop with a flat working surface and coupled with the focusing mechanism of fixing and tensioning seams, made in the form of related thread rolling and are all the same inner diameters, threaded on the inner and outer surfaces, with emphasis made in the form of curved plates located at the center of the coupling, provided with a locking screw associated internal cavity with a fixed element made with two holes and two symmetrical end grooves, the movable element is made annular flange with an outer ribs and installed movable hollow ring with a transverse mounting bar made with scalloped trim.

 

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