CN104939884B - The nail anvil and surgical operating instrument of a kind of surgical operating instrument - Google Patents
The nail anvil and surgical operating instrument of a kind of surgical operating instrument Download PDFInfo
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- CN104939884B CN104939884B CN201410127155.1A CN201410127155A CN104939884B CN 104939884 B CN104939884 B CN 104939884B CN 201410127155 A CN201410127155 A CN 201410127155A CN 104939884 B CN104939884 B CN 104939884B
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- nail anvil
- nail
- anvil
- fan
- pulling plate
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B2017/1157—Staplers for performing anastomosis in a single operation applying the staples radially
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention relates to technical field of medical instruments, the nail anvil and surgical operating instrument of a kind of surgical operating instrument are disclosed, wherein nail anvil includes：Nail anvil rod；Nail-anvil hat, the nail-anvil hat is fanned including at least two nail anvils, and each described nail anvil fan is articulated in the nail anvil rod and can be folded to nail anvil rod direction of axis line；The executing agency for driving each described nail anvil fan to fold or launch when being connected, act with the drive mechanism of the surgical operating instrument.Executing agency can drive each nail anvil to fan and be folded to the direction of axis line of nail anvil rod, and the diameter after nail-anvil hat is folded is smaller, when nail anvil is taken out by suturing mouth for suture mouth or when being put into it is smaller to the wound organized, improve the security of operation.
Description
Technical field
The present invention relates to technical field of medical instruments, the nail anvil and surgical operation device of more particularly to a kind of surgical operating instrument
Tool.
Background technology
When carrying out surgical operation to the tissue such as esophagus, stomach, enteron aisle, more using surgical operating instruments such as circular staplers, seam
Clutch can shorten operating time, improve procedure efficiency.
Circular stapler uses the inside suture way of axle in surgical procedure, and suture ring is formed in two sections of organization internals, can
So that body bleeding produced in operation etc. can together be discharged with content, postoperative body tissue is easier healing.
Circular stapler includes nail anvil and the body with nail kit with nail-anvil hat and nail anvil rod, in surgical procedure,
The nail-anvil hat of nail anvil is located in a cast tissue to be stapled, and nail kit is located in another cast tissue to be stapled；Two
Divide after tissue apposition, suture mouth is located between nail-anvil hat and nail kit, suture needs to take out nail anvil from suture mouth after finishing.
When nail anvil is taken out, nail-anvil hat need to be by suture mouth；But, after staplers, between two parts tissue
The diameter of the diameter less than nail-anvil hat of mouth is sutured, is easy to that the suturing nail that mouth is used to suture will be sutured when nail-anvil hat is by suture mouth
Strut, destruction suture, injury suture tissue causes malpractice.
In addition, for some operations, because particular organization space is smaller, can also cause to damage to tissue when nail anvil is put into
Wound.
Therefore, how to provide it is that a kind of opposite joint when being taken out by suturing mouth heals up or when being put into it is smaller to the wound organized with
The nail anvil and surgical operating instrument for improving operation safety are one of technical problems of those skilled in the art's urgent need to resolve.
The content of the invention
The invention provides the nail anvil and surgical operating instrument of a kind of surgical operating instrument, the surgical operating instrument will followed closely
When anvil is taken out by suturing mouth for suture mouth or when being put into it is smaller to the wound organized, it is possible to increase the security of operation.
To reach above-mentioned purpose, the present invention provides following technical scheme：
A kind of nail anvil of surgical operating instrument, including：
Nail anvil rod；
Nail-anvil hat, the nail-anvil hat includes at least two nail anvils fan, each described nail anvil fan be articulated in the nail anvil rod,
And can be folded to nail anvil rod direction of axis line；
Driven during with the drive connection of the drive mechanism of the surgical operating instrument, action each described nail anvil fan fold or
The executing agency of expansion.
In the nail anvil of the surgical operating instrument that the present invention is provided, drive of the executing agency in the drive mechanism of surgical operating instrument
The dynamic lower each nail anvil that can drive nail-anvil hat fans folding, therefore, after executing agency drives each nail anvil fanning to open, nail-anvil hat is in
Deployed condition, now nail anvil is in umbrella shape, and nail-anvil hat can coordinate with the nail kit of surgical operating instrument realizes cutting suture；Work as needs
When suture mouthful by nail anvil from after suture is taken out, the axial line to nail anvil rod is fanned by each nail anvil of actuating mechanism controls nail-anvil hat
Direction fold, make nail-anvil hat be in folded state, and then reduce nail-anvil hat diameter, by nail anvil by suture mouth take out mistake
Cheng Zhong, reduces the damage that nail-anvil hat opposite joint heals up, and improves the security of operation.
So, it is smaller for suture mouth wound when the nail anvil that the present invention is provided is taken out by suturing mouth, it is possible to increase operation
Security.
Certainly, in above-mentioned nail anvil, fan when that the nail-anvil hat of nail anvil need to be put into tissue each nail anvil of nail-anvil hat
In folded state, after being put into tissue, a nail anvil fanning is driven to open to form the nail-anvil hat of umbrella shape by performs device, can be with
Reduce when nail anvil rod is put into tissue to the wound organized, further improve the security of operation.
Preferably, the nail anvil fan of the nail-anvil hat includes at least two first nail anvils fan and at least two second nail anvils fan,
And first nail anvil fan is identical with the quantity that second nail anvil is fanned；Each first nail anvil fan and the second nail anvil fanning are opened
Afterwards, the first nail anvil fan and second nail anvil fan are alternately distributed, after each first nail anvil fan is folded with the second nail anvil fan,
The first nail anvil fan is located between the second nail anvil fan and nail anvil rod.
Preferably, the executing agency includes：
The first pulling plate and the second pulling plate that coordinate, can be moved along the nail anvil rod length direction with nail anvil rod activity；
One-to-one first pull bar is fanned with first nail anvil, one end of each first pull bar is articulated in described
First pulling plate, the other end is articulated in its corresponding first nail anvil fan, and first pulling plate is moved along the nail anvil rod length direction
When, control each first nail anvil to fan by the first pull bar and fold or launch；
One-to-one second pull bar is fanned with second nail anvil, one end of each second pull bar is articulated in described
Second pulling plate, the other end is articulated in its corresponding second nail anvil fan, and second pulling plate is moved along the nail anvil rod length direction
When, control each second nail anvil to fan by the second pull bar and fold or launch.
Preferably, the nail anvil rod has hollow structure to form inner chamber, and first pulling plate and second pulling plate are equal
It is arranged in the inner chamber of the nail anvil rod；And the side wall of the inner chamber is provided with and first pull bar and second pull bar one
One correspondence, the fluting passed through for first pull bar and the second pull bar.
Preferably, the side wall of the inner chamber is additionally provided with gathering sill, and first pulling plate is provided with to be slided with the gathering sill matches somebody with somebody
The sliding block of conjunction, and/or, second pulling plate is provided with the sliding block being slidably matched with the gathering sill.
Preferably, first pulling plate is located at side of second pulling plate away from the nail anvil rod distal end, described first
Central spring is provided between pulling plate and second pulling plate；It is described after the first nail anvil fan and the second nail anvil fanning are opened
Central spring is in compress energy storage state.
Preferably, first pulling plate and second pulling plate are equipped with through hole, and the executing agency also includes being located at institute
State the center-pole of the drive mechanism drive connection in inner chamber and in the operation handle of the surgical operating instrument, the center-pole
With the pushing surface towards nail anvil rod distal end, and towards the face of pulling back of the nail anvil rod near-end, the center-pole runs through described first
The through hole of pulling plate and second pulling plate, first pulling plate and second pulling plate be located at the pushing surface and it is described pull back face it
Between；
When the center-pole is moved under drive mechanism driving to the nail anvil rod distal direction：
The pushing surface of the center-pole promotes first pulling plate to be moved to the nail anvil rod distal direction, so that described first
Pulling plate drives each first nail anvil fanning to open by first pull bar；Thrust of second pulling plate in the central spring
Moved to the nail anvil rod distal direction under effect, so that second pulling plate drives each described second by second pull bar
Nail anvil fanning is opened；
When the center-pole is moved under drive mechanism driving to the nail anvil rod proximal direction：
First pulling plate is moved under the central spring thrust to the nail anvil rod proximal direction, so that described
First pulling plate drives each first nail anvil to fan and folds by first pull bar；The face of pulling back of the center-pole pulls described the
Two pulling plates are moved to the nail anvil rod proximal direction, so that second pulling plate drives each described second by second pull bar
Nail anvil fan is folded.
Preferably, the executing agency also includes：
The spring card of the side wall of the inner chamber is arranged at, after the first nail anvil fan and the second nail anvil fanning are opened,
The spring card is locked with by the center-pole with center-pole cooperation with the side wall of the inner chamber；
The release button that the intracavity sidewall, the other end are connected with the spring card, the surgical operation are stretched out in one end
The trigger shaft of apparatus carries out touching the release button during firing action, the release button so that drive the spring card with
The spring card is discharged to the locking between center-pole and nail anvil bar side wall.
On the other hand, the invention provides a kind of surgical operating instrument, including body, be installed on the body nail kit,
The drive mechanism for being arranged at the body is, the trigger shaft for being arranged at the body；Also include appointing as provided in above-mentioned technical scheme
A kind of nail anvil, the nail anvil is installed on the body, and the executing agency of the nail anvil is connected with the drive mechanism.
Preferably, when the executing agency includes the spring card and release button, the drive mechanism also includes：
Opening and closing mechanism, is installed on the body；
Drive link, is relatively fixed with the nail anvil rod, and is connected with the opening and closing mechanism driving；
Spring, the distal end of the spring is connected with the near-end of the center-pole, the near-end of the spring and the drive link
Distal end connection, and the nail-anvil hat be in deployed condition when the spring be in stretching energy accumulating state.
Preferably, the drive mechanism also includes：
It is installed on the adjusting knob of body；
The drive rod of nail anvil rod is installed on, the near-end of the drive rod coordinates with the adjusting knob screw thread, the driving
When bar is moved relative to the nail anvil rod under adjusting knob driving to the nail anvil rod distal direction, the drive rod
Distal end can offset to drive the center-pole along the nail anvil rod length direction to the nail anvil rod with the near-end of the center-pole
Move distal end.
Preferably, the surgical operating instrument is circular stapler.
Brief description of the drawings
Fig. 1 is that the configuration state after the nail-anvil hat expansion of nail anvil in surgical operating instrument provided in an embodiment of the present invention is illustrated
Figure；
Fig. 2 is that the configuration state after the nail-anvil hat folding of nail anvil in surgical operating instrument provided in an embodiment of the present invention is illustrated
Figure；
Fig. 3 is the configuration state schematic diagram after nail-anvil hat launches in nail anvil provided in an embodiment of the present invention；
Fig. 4 is the configuration state schematic diagram after nail-anvil hat is folded in nail anvil provided in an embodiment of the present invention；
Fig. 5 is the sectional view after nail-anvil hat launches in nail anvil provided in an embodiment of the present invention；
Fig. 6 is the sectional view after nail-anvil hat is folded in nail anvil provided in an embodiment of the present invention；
Fig. 7 is the sectional view after center-pole first pulling plate of release of nail anvil provided in an embodiment of the present invention；
Fig. 8 is nail-anvil hat expansion rear center's bar and the first pulling plate and the second pulling plate in nail anvil provided in an embodiment of the present invention
Fit structure schematic diagram；
Fig. 9 a~Fig. 9 c are tune when drive device includes drive rod in surgical operating instrument provided in an embodiment of the present invention
Section view.
Reference：
1, nail anvil rod 11, inner chamber 12, fluting
2, nail-anvil hat 21, the first nail anvil fan 22, the second nail anvil fan
31, the first pull bar 32, the second pull bar 33, central spring
34, the first pulling plate 35, the second pulling plate 36, center-pole
361, pushing surface 362, pull back face 37, release button
38, spring card 41, trigger shaft 42, spring
43, drive link 44, drive rod
Specific embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete
Site preparation is described, it is clear that described embodiment is only a part of embodiment of the invention, rather than whole embodiments.It is based on
Embodiment in the present invention, it is every other that those of ordinary skill in the art are obtained under the premise of creative work is not made
Embodiment, belongs to the scope of protection of the invention.
The embodiment of the invention provides the nail anvil and a kind of surgical operation with above-mentioned nail anvil of a kind of surgical operating instrument
Apparatus.
Refer to Fig. 1 and the nail-anvil hat that Fig. 2, Fig. 1 are nail anvil in surgical operating instrument provided in an embodiment of the present invention launches
Configuration state schematic diagram afterwards；Fig. 2 be nail anvil in surgical operating instrument provided in an embodiment of the present invention nail-anvil hat fold after
Configuration state schematic diagram.
In surgical operating instrument provided in an embodiment of the present invention, the driving of executing agency in nail anvil in surgical operating instrument
Acted under the driving of mechanism, executing agency can drive each nail anvil fanning of the nail-anvil hat 2 of nail anvil to open or fold when acting, follow closely
The nail-anvil hat 2 of anvil can coordinate with the nail kit for being arranged at surgical operating instrument body after deployment, as shown in Figure 1；The folding of nail-anvil hat 2
The state of poststack is as shown in Fig. 2 reduce the diameter of the nail-anvil hat 2 of nail anvil, and then nail anvil is being taken out in reduction by suturing mouth
When nail-anvil hat opposite joint heal up damage causing or when being put into organizing, improve security when surgical operating instrument is performed the operation.
It is described for ease of the course of work and operation principle to nail anvil, nail anvil is described in the present embodiment
During introduce related notion to surgical operating instrument, therefore, no longer individually to the surgery hand with above-mentioned nail anvil in text
The operation principle of art apparatus is described.
Wherein, " near-end " mentioned in the embodiment of the present invention refers to close operation during above-mentioned surgical operating instrument use
One end of person, i.e. away from one end of the nail-anvil hat 2 after expansion, the as shown in fig. 1 upper end in orientation；" distal end " refers to above-mentioned outer
Away from one end of operator during section's operating theater instruments use, i.e. one end of the nail-anvil hat 2 after launching, as shown in fig. 1
The lower end in orientation.
Fig. 1~4 are refer to, wherein, Fig. 3 is the configuration state after nail-anvil hat launches in nail anvil provided in an embodiment of the present invention
Schematic diagram；Fig. 4 is the configuration state schematic diagram after nail-anvil hat is folded in nail anvil provided in an embodiment of the present invention.
As shown in Figure 3 and Figure 4, the nail anvil of surgical operating instrument provided in an embodiment of the present invention, including：
Nail anvil rod 1；
Nail-anvil hat 2, nail-anvil hat 2 includes at least two nail anvils fan, and each nail anvil fan is articulated in the nail anvil rod 1 and can
Folded to the direction of axis line of nail anvil rod 1, each nail anvil fan makes nail-anvil hat 2 be in deployed condition after deployment, and nail anvil is in umbrella shape, respectively
Nail anvil is fanned after being folded to the direction of axis line of nail anvil rod 1 makes nail-anvil hat 2 be in folded state；
The execution machine of the folding of nail anvil fan or expansion is driven when being connected, act with the drive mechanism of surgical operating instrument
Structure.
In the nail anvil of the surgical operating instrument that the present invention is provided, drive of the executing agency in the drive mechanism of surgical operating instrument
The dynamic lower each nail anvil that can drive nail-anvil hat 2 is fanned folding or is launched, so that nail-anvil hat 2 is between folded state and deployed condition
Conversion, after executing agency drives each nail anvil fanning to open, nail-anvil hat 2 is in deployed condition, and now nail anvil is in umbrella shape, nail-anvil hat 2
Can coordinate with the nail kit of surgical operating instrument and realize cutting suture, when executing agency drives each nail anvil to fan the axle to nail anvil rod 1
After heart line direction folds, nail-anvil hat 2 is in folded state, and diameter is smaller；Therefore, suture mouthful after needing nail anvil from suture
During taking-up or when being put into nail anvil, nail-anvil hat 2 is in folded state, during nail anvil is taken out by suturing mouth or is put into nail
During anvil, the damage that the opposite joint of nail-anvil hat 2 heals up or organizes is reduced, improve the security of operation.
So, the present invention provide nail anvil by when being removed or placed into for suture mouth or tissue injury it is smaller, can
Improve the security of operation.
In the nail-anvil hat 2 provided in above-mentioned implementation method, nail anvil fan can be folded in several ways, e.g., nail anvil
In at least two nail anvils fan of cap 2, a part of nail anvil fan can be made near around itself and pivot axial direction nail anvil rod 1 between nail anvil rod 1
The direction at end rotates realization and folds, and another part nail anvil fans the far end party of the axial nail anvil rod 1 of pivot around it between nail anvil rod 1
Realize folding to rotation, finally realize the folding of nail-anvil hat 2；Can also be the direction rotary folding all towards the near-end of nail anvil rod 1
It is folded, realize the folding of nail-anvil hat 2.
Such as, the nail anvil fan of above-mentioned nail-anvil hat 2 can be two, during folding, make a nail anvil fan around it between nail anvil rod 1
The direction of the axial near-end of nail anvil rod 1 of pivot rotate realization and fold, another nail anvil is fanned around itself and the pivot between nail anvil rod 1
The distal direction rotation of axial nail anvil rod 1 is realized folding, and finally realizes the folding of nail-anvil hat 2.
The nail anvil fan of above-mentioned nail-anvil hat 2 can also be three, during folding, make one of nail anvil fan around itself and nail anvil rod 1
Between the direction of the axial near-end of nail anvil rod 1 of pivot rotate realization and fold, two other nail anvil is fanned around it between nail anvil rod 1
The distal direction rotation of the axial nail anvil rod 1 of pivot realize folding, finally realize the folding of nail-anvil hat 2.
Certainly, please continue to refer to Fig. 3 and Fig. 4, the nail anvil fan that nail-anvil hat 2 has can also include at least two first nail anvils
The nail anvil fan 22 of fan 21 and at least two second, and the first nail anvil fan 21 is identical with the quantity of the second nail anvil fan 22；Each first nail anvil
After the expansion of 21 and second nail anvil fan of fan 22, as shown in figure 3, mutually splicing and friendship between the first nail anvil fan 21 and the second nail anvil fan 22
For distribution, nail-anvil hat 2 is in umbrella shape；After each first nail anvil fan 21 and the second nail anvil fan 22 are folded, as shown in figure 4, the first nail anvil is fanned
21 are located between the second nail anvil fan 22 and nail anvil rod 1.That is, each first nail anvil fan 21 and the second nail anvil fan 22 are to the same of nail anvil rod 1
One extreme direction is folded, and is easy to drive, and then simplify the structure of executing agency.
Preferably, in the nail anvil fan that above-mentioned nail-anvil hat 2 has：
First nail anvil fan 21 and the second nail anvil fan 22 are two；Or,
First nail anvil fan 21 and the second nail anvil fan 22 are three；Or,
As shown in figure 3, the first nail anvil fan 21 and the second nail anvil fan 22 are four.
Certainly, the quantity of the first nail anvil fan 21 and the second nail anvil fan 22 can also be other selection modes, as long as can protect
Demonstrate,prove the normal folding of the first nail anvil fan 21 and the second nail anvil fan 22 and launch.
In above-mentioned preferred embodiment, it is preferable that as shown in figure 3, above-mentioned first nail anvil fan 21 is along the circumferential of nail-anvil hat 2
Width is less than width of the first nail anvil fan 21 along the circumference of nail-anvil hat 2.
Fig. 5 and Fig. 6 is referred to incorporated by reference to Fig. 3, wherein, after Fig. 5 is for nail-anvil hat launches in nail anvil provided in an embodiment of the present invention
Sectional view；Fig. 6 is the sectional view after nail-anvil hat is folded in nail anvil provided in an embodiment of the present invention.
In a kind of preferred embodiment, the executing agency in nail anvil can include：
The first pulling plate 34 and the second pulling plate 35 that coordinate, can be moved along the length direction of nail anvil rod 1 with the activity of nail anvil rod 1；
21 one-to-one first pull bars 31 are fanned with the first nail anvil, one end of each the first pull bar 31 is articulated in the first drawing
Disk 34, the other end is articulated in its corresponding first nail anvil fan 21, when the first pulling plate 34 is moved along the length direction of nail anvil rod 1, passes through
First pull bar 31 controls each first nail anvil fan 21 to fold or launch；Under state as shown in Figure 5, the first pulling plate 34 is relative along a directions
When nail anvil rod 1 is moved, the first nail anvil can be driven to fan 21 by the first pull bar 31 and folded；Under state as shown in Figure 6, first draws
When disk 34 is moved along b directions relative to nail anvil rod 1, the first nail anvil can be driven to fan 21 by the first pull bar 31 and launched.
22 one-to-one second pull bars 32 are fanned with the second nail anvil, one end of each the second pull bar 32 is articulated in the second drawing
Disk 35, the other end is articulated in its corresponding second nail anvil fan 22, when the second pulling plate 35 is moved along the length direction of nail anvil rod 1, passes through
Second pull bar 32 controls each second nail anvil fan 22 to fold or launch；Under state as shown in Figure 5, the second pulling plate 35 is relative along a directions
When nail anvil rod 1 is moved, the second nail anvil can be driven to fan 22 by the second pull bar 32 and folded；Under state as shown in Figure 6, second draws
When disk 35 is moved along b directions relative to nail anvil rod 1, the second nail anvil can be driven to fan 22 by the second pull bar 32 and launched.
First pulling plate 34 and the second pulling plate 35 are flexibly connected, so the first pulling plate 34 and the second pulling plate 35 and nail anvil rod 1 it
Between can produce relative motion, when the executing agency of said structure specifically acts, state shown in original state as Fig. 5 follows closely
As a example by when anvil cap 2 is in deployed condition, the first pulling plate 34 is driven to be moved relative to nail anvil rod 1 along a directions first, and then first draws
Disk 34 drives the first nail anvil to fan 21 and folds, then drive the second pulling plate 35 along a directions relative to nail anvil rod 1 by the first pull bar 31
Mobile, the second pulling plate 35 drives the second nail anvil to fan 22 foldings, the first nail anvil fan 21 and the second nail anvil fan 22 by the second pull bar 32
State after folding is as shown in fig. 6, the first nail anvil fan 21 is located between the second nail anvil fan 22 and nail anvil rod 1.
Therefore, above-mentioned executing agency can drive each first nail anvil fan 21 and the second nail anvil fan 22 to fold.
Please continue to refer to Fig. 5, in a kind of preferred embodiment, there is nail anvil rod 1 hollow structure to form inner chamber 11, first
The pulling plate 35 of pulling plate 34 and second may be contained within the inner chamber 11 of nail anvil rod 1, and the side wall of inner chamber 11 is provided with and the first pull bar 31
With the one-to-one fluting 12 of the second pull bar 32.Each first pull bar 31 through its corresponding fluting 12, one end with one the
One nail anvil fan 21 is pivotally connected, and the other end is pivotally connected with the first pulling plate 34；Each second pull bar 32 passes through its corresponding fluting 12, one end
It is pivotally connected with the second nail anvil fan 22, the other end is pivotally connected with the second pulling plate 35.
On the basis of above-mentioned preferred embodiment, the side wall of the inner chamber 11 of above-mentioned nail anvil rod 1 can also be provided with gathering sill, the
One pulling plate 34 can be provided with the sliding block being slidably matched with gathering sill, and/or, second pulling plate 35 can be provided with and is slidably matched with gathering sill
Sliding block.The side wall of the inner chamber 11 of above-mentioned nail anvil rod 1 is provided with gathering sill, and the first pulling plate 34 can be provided with the cunning being slidably matched with gathering sill
Block, improves stability when the first pulling plate 34 is moved in inner chamber 11, and the second pulling plate 35 can be provided with and is slidably matched with gathering sill
Sliding block, it is possible to increase stability when the second pulling plate 35 is moved in inner chamber 11.
Fig. 5, Fig. 6 and Fig. 7 are refer to, wherein Fig. 7 is that the center-pole release first of nail anvil provided in an embodiment of the present invention is drawn
Sectional view after disk.
On the basis of above-mentioned each preferred embodiment, as shown in Fig. 5, Fig. 6 and Fig. 7, in above-mentioned nail anvil, executing agency
The first pulling plate 34 be located at the second pulling plate 35 away from the side of the distal end of nail anvil rod 1, set between the first pulling plate 34 and the second pulling plate 35
After having central spring 33, the first nail anvil fan 21 and the second nail anvil fan 22 to launch, central spring 33 is in compress energy storage state, such as schemes
Shown in 5.
In above-mentioned preferred embodiment, the nail-anvil hat 2 of nail anvil is in shown in Fig. 5 during state, and central spring 33 is in compression
Energy accumulating state, accordingly, it would be desirable to when nail-anvil hat 2 is folded, after the first pulling plate 34 of release, central spring 33 releases power stretching, extension, makes
First pulling plate 34 is moved relative to the second pulling plate 35 to the proximal direction of nail anvil rod 1, the first pushing away in central spring 33 of pulling plate 34
It is dynamic lower to be moved in inner chamber 11 relative to nail anvil rod 1 along a directions prior to the second pulling plate 35, so make the first nail anvil fan 21 prior to
Second nail anvil fan 22 is folded, it is ensured that the first nail anvil fan 21 is located at the after the first nail anvil fan 21 and the second nail anvil fan 22 are folded
Between two nail anvils fan 22 and nail anvil rod 1, the folding of nail-anvil hat 2 is realized.
Certainly, in above-mentioned preferred embodiment, the nail-anvil hat 2 of nail anvil is in shown in Fig. 6 during state, and central spring 33 is same
In compress energy storage state, therefore, when expansion action is carried out to nail-anvil hat 2, after the second pulling plate 35 of release, central spring 33 releases power
Stretch, the second pulling plate 35 first central spring 33 promotion under prior to the first pulling plate 34 along b directions relative to nail anvil rod 1 in inner chamber
Moved in 11, and then the second nail anvil is fanned 22 and launched prior to the first nail anvil fan 21, it is ensured that the first pulling plate 34 is along b directions to nail
The distal end of anvil bar 1 can drive the first nail anvil to fan 21 expansion when moving, realize the expansion of nail-anvil hat 2.
Refer to Fig. 8 incorporated by reference to Fig. 1 and Fig. 2, wherein Fig. 8 be after nail-anvil hat launches in nail anvil provided in an embodiment of the present invention in
Core bar and the first pulling plate and the second pulling plate fit structure schematic diagram.
On the basis of above-mentioned preferred embodiment, it is preferable that the pulling plate 35 of above-mentioned first pulling plate 34 and second is equipped with logical
Hole, it is preferable that the axial line of the through hole that the first pulling plate 34 and the second pulling plate 35 are provided with overlaps with the axial line of nail anvil rod 1；Perform
Mechanism also includes the center-pole of the drive mechanism drive connection in inner chamber 11 and in the operation handle of surgical operating instrument
36, center-pole 36 has the pushing surface 361 towards the distal end of nail anvil rod 1, and the face 362 of pulling back towards the near-end of nail anvil rod 1, center-pole 36
Through the first pulling plate 34 and the through hole of the second pulling plate 35, the first pulling plate 34 and the second pulling plate 35 are located at pushing surface 361 and face 362 of pulling back
Between；
When center-pole 36 drive mechanism driving under to the proximal direction of nail anvil rod 1 movement, with drive nail-anvil hat 2 each first
When nail anvil fan 21 and each second nail anvil fan 22 are rotated to folded state by deployed condition：
The pushing surface 361 of center-pole 36 is moved to the proximal direction of nail anvil rod 1, and central spring 33 releases power stretching, extension, the first pulling plate 34
Moved to the proximal direction of nail anvil rod 1 under the thrust of central spring 33, and then make the first pulling plate 34 by each first pull bar 31
Drive each first nail anvil fan 21 carries out jackknife action prior to each second nail anvil fan 22；When the face 362 and second of pulling back of center-pole 36
When the one side that pulling plate 35 deviates from the first pulling plate 34 offsets, center-pole 36 drives the second pulling plate 35 to be moved to the proximal direction of nail anvil rod 1,
So that the second pulling plate 35 drives each second nail anvil to fan 22 by each second pull bar 32 carries out jackknife action, meanwhile, the first pulling plate 34
Continue to be moved to the proximal direction of nail anvil rod 1 under the driving of central spring 33, finally realize that each first nail anvil fans 21 and Ge
The folding of two nail anvils fan 22, makes the first nail anvil fan 21 and is located between the second nail anvil fan 22 and nail anvil rod 1.
Center-pole 36 is under drive mechanism driving to the movement of the distal direction of nail anvil rod 1, each first nail to drive nail-anvil hat 2
When anvil fan 21 and each second nail anvil fan 22 are rotated to deployed condition by folded state：
The face 362 of pulling back of center-pole 36 is moved to the distal direction of nail anvil rod 1, and central spring 33 releases power stretching, extension, the second pulling plate
35 move under the thrust of central spring 33 to the distal direction of nail anvil rod 1, so that the second pulling plate 35 is by second drawing
Bar 32 drives each second nail anvil fan 22 to fan 21 prior to each first nail anvil and carries out expansion action；When the pushing surface 361 of center-pole 36 and
When the one side that one pulling plate 34 deviates from the second pulling plate 35 offsets, center-pole 36 drives the first pulling plate 34 to be moved to the distal end of nail anvil rod 1, with
Making the first pulling plate 34 drive each first nail anvil to fan 21 by each first pull bar 31 carries out expansion action, while the second pulling plate 35 is in
Continue to be moved to the distal direction of nail anvil rod 1 under the active force of heart spring 33, finally realize each first nail anvil fan 21 and each second nail
After the expansion of anvil fan 22, each first nail anvil fan 21 and the second nail anvil fan 22 launch, the pulling plate 34 of pushing surface 361 and first of center-pole 36
One side away from the second pulling plate 35 offsets, the one side of the pulling plate 35 of face 362 and second away from the first pulling plate 34 of pulling back of center-pole 36
Between have setting gap, and central spring 33 be in compress energy storage state.
Preferably, center-pole 36 can have barb structure, and face 362 of pulling back is for one side of the barb structure towards pushing surface.
Refer to Fig. 1 and Fig. 2, it is preferable that above-mentioned executing agency also includes：
The spring card 38 of the side wall of inner chamber 11 is arranged at, after the first nail anvil fan 21 and the second nail anvil fan 22 launch, spring
Card 38 coordinates the side wall locking by center-pole 36 and inner chamber 11 with center-pole 36, the nail-anvil hat 2 of nail anvil is locked in expansion shape
State；
The release button 37 of the side wall of inner chamber 11, the other end and spring card 38 connection is stretched out in one end, surgical operating instrument
Touch release button 37 when trigger shaft 41 carries out firing action, the driving spring card 38 of release button 37 discharge to center-pole 36 with
Locking between the side wall of nail anvil rod 1, and then center-pole 36 is acted during the driving of drive mechanism in surgical operating instrument,
Perform the drive actions to the first nail anvil fan 21 and the second nail anvil fan 22.
On the other hand, the embodiment of the present invention additionally provides a kind of surgical operating instrument, including body, is installed on the nail of body
Casket, the drive mechanism for being arranged at body, the trigger shaft 41 for being arranged at body；Also including appointing for being provided in each implementation method as described above
A kind of nail anvil, nail anvil is installed on body, and the executing agency of nail anvil is connected with drive mechanism.
Surgical operating instrument pass through drive mechanism drive nail anvil executing agency act, and then drive the first nail anvil fan 21 with
And the folding of the second nail anvil fan 22 or expansion, when the first nail anvil fan 21 and the second nail anvil fan 22 are folded, the diameter of nail-anvil hat 2 of nail anvil
Reduce, the wound that the opposite joint of nail-anvil hat 2 heals up when taking out nail anvil by suturing mouth, or wound when being put into nail anvil to organizing can be reduced
Wound, improves security when surgical operating instrument is performed the operation.
Refer to Fig. 1 and Fig. 2, it is preferable that when the executing agency of nail anvil includes spring card 38 and release button 37, drive
Motivation structure also includes：
Opening and closing mechanism, is installed on body；Preferably, above-mentioned opening and closing mechanism can be the empennage for being installed in body
Knob, and pivotal axis is parallel with the length direction of nail anvil rod 1；
Drive link 43, is relatively fixed with nail anvil rod 1, and is connected with above-mentioned opening and closing mechanism driving；
Spring 42, the distal end of spring 42 is connected with the near-end of center-pole 36, the near-end of spring 42 and the distal end of drive link 43
Connection, and nail-anvil hat 2 be in deployed condition when spring 42 be in stretching energy accumulating state.
Incorporated by reference to shown in Fig. 1, Fig. 2, Fig. 5, Fig. 6 and Fig. 7, in specific operation process, above-mentioned center-pole 36 passes through spring
Card 38 is locked with the side wall of inner chamber 11, and spring 42 is in stretching energy accumulating state；Regulation empennage knob is driven by drive link 43
Nail anvil rod 1 is acted, and is made closure between the nail-anvil hat 2 of nail anvil and nail kit and by clamp tissue, is then controlled trigger shaft 41 to be hit
Start to make, coordinating nail-anvil hat 2 and nail kit carries out tissue suture cutting, and trigger shaft 41 touches release button 37, by release
The driving spring card 38 of button 37 is discharged to the locking between center-pole 36 and the side wall of inner chamber 11, and center-pole 36 is multiple in spring 42
Moved to the direction of the near-end of nail anvil rod 1 in the presence of the pulling force of position, between the pulling plate 34 of pushing surface 361 and first of release center-pole 36
Conflict relation, and make the one side of the face 362 with the second pulling plate 35 away from the first pulling plate 34 of pulling back of center-pole 36 offset, now first
Nail anvil fan 21 and the second nail anvil fan 22 keep deployed condition under its active force with nail kit；When the trigger shaft of surgical operating instrument
41 when resetting and the tissue after suture discharged between nail-anvil hat 2 and nail kit, and central spring 33 releases power stretching, extension, and the first pulling plate 34 exists
Moved in inner chamber 11 relative to nail anvil rod 1 to the proximal direction of nail anvil rod 1 prior to the second pulling plate 35 under the promotion of central spring 33,
And then the first nail anvil is fanned 21 prior to the folding of the second nail anvil fan 22, and, center-pole 36 is under the reset force effect of spring 42 to nail
The near-end of anvil bar 1 direction movement, center-pole 36 pull back face 362 drive the second pulling plate 35 to the proximal direction of nail anvil rod 1 relative to
Nail anvil rod 1 is moved in inner chamber 11, and then the second nail anvil is fanned 22 foldings, it is ensured that the first nail anvil fan 21 and the second nail anvil fan 22 foldings
First nail anvil fan 21 is located between the second nail anvil fan 22 and nail anvil rod 1 after folded, realizes the folding of nail-anvil hat 2.
Fig. 9 a~Fig. 9 c are refer to, it is highly preferred that above-mentioned drive mechanism also includes：
It is installed on the adjusting knob of body；
The drive rod 44 of nail anvil rod 1 is installed on, near-end and the adjusting knob screw thread of drive rod 44 coordinate, and drive rod 44 is being adjusted
When being moved to the distal direction of nail anvil rod 1 relative to nail anvil rod 1 under the driving of section knob, the distal end of drive rod 44 can be with center-pole
36 offset, and to drive center-pole 36 to be moved to the distal direction of nail anvil rod 1 along the length direction of nail anvil rod 1, and then drive the
One pulling plate 34 and the second pulling plate 35 are moved to the distal direction of nail anvil rod 1, realize the first nail anvil fan 21 in nail-anvil hat 2 and the
Two nail anvils fan 22 is acted from folded state to deployed condition.
As illustrated in fig. 9, when the first nail anvil fan 21 and the second nail anvil fan 22 in nail-anvil hat 2 are in folded state, can be with
The distal end for controlling drive rod 44 by rotation of adjustment knob offsets with the near-end of center-pole 36, continues rotation of adjustment knob, makes drive
Lever 44 continue relative to distal direction from nail anvil rod 1 to nail anvil rod 1 move, finally make nail-anvil hat 2 the first nail anvil fan 21 with
And the expansion of the second nail anvil fan 22, as shown in figure 9b；By reversely rotating adjusting knob, the distal end off center of drive rod 44 can be made
The near-end of bar 36 and reset, as is shown in fig. 9 c.And then, above-mentioned surgical operating instrument can be by above-mentioned adjusting knob and drive rod
44 cooperation realize nail-anvil hat 2 from driving from folded state to deployed condition.
Certainly, above-mentioned nail-anvil hat 2 is identical with a upper implementation method to the implementation process of folded state from deployed condition, here
Repeat no more.
Preferably, above-mentioned surgical operating instrument is circular stapler.
Obviously, those skilled in the art can carry out various changes and modification without deviating from this hair to the embodiment of the present invention
Bright spirit and scope.So, if these modifications of the invention and modification belong to the claims in the present invention and its equivalent technologies
Within the scope of, then the present invention is also intended to comprising these changes and modification.
Claims (11)
1. a kind of nail anvil of surgical operating instrument, it is characterised in that including：
Nail anvil rod；
Nail-anvil hat, the nail-anvil hat includes at least two nail anvils fan, and each described nail anvil fan is articulated in the nail anvil rod and can
Folded to nail anvil rod direction of axis line；
Each described nail anvil fan is driven to fold or launch when being connected, act with the drive mechanism of the surgical operating instrument
Executing agency；
The nail anvil fan of the nail-anvil hat includes at least two first nail anvils fan and at least two second nail anvils fan, and first nail
The quantity that anvil is fanned with second nail anvil is fanned is identical；After each first nail anvil fan and the second nail anvil fanning are opened, first nail
Anvil is fanned and second nail anvil fan is alternately distributed, after each first nail anvil fan is folded with the second nail anvil fan, first nail anvil
Fan is located between the second nail anvil fan and nail anvil rod.
2. nail anvil according to claim 1, it is characterised in that the executing agency includes：
The first pulling plate and the second pulling plate that coordinate, can be moved along the nail anvil rod length direction with nail anvil rod activity；
One-to-one first pull bar is fanned with first nail anvil, one end of each first pull bar is articulated in described first
Pulling plate, the other end is articulated in its corresponding first nail anvil fan, when first pulling plate is moved along the nail anvil rod length direction, leads to
Each first nail anvil fan of the first pull bar control is crossed to fold or launch；
One-to-one second pull bar is fanned with second nail anvil, one end of each second pull bar is articulated in described second
Pulling plate, the other end is articulated in its corresponding second nail anvil fan, when second pulling plate is moved along the nail anvil rod length direction, leads to
Each second nail anvil fan of the second pull bar control is crossed to fold or launch.
3. nail anvil according to claim 2, it is characterised in that the nail anvil rod has hollow structure to form inner chamber, institute
State the first pulling plate and second pulling plate may be contained within the inner chamber of the nail anvil rod；And the side wall of the inner chamber is provided with and institute
State the fluting that the first pull bar and second pull bar are corresponded, passed through for first pull bar and second pull bar.
4. nail anvil according to claim 3, it is characterised in that the side wall of the inner chamber is additionally provided with gathering sill, described first
Pulling plate is provided with the sliding block being slidably matched with the gathering sill, and/or, second pulling plate is provided with and is slidably matched with the gathering sill
Sliding block.
5. nail anvil according to claim 3, it is characterised in that first pulling plate is located at second pulling plate away from described
The side of nail anvil rod distal end, central spring is provided between first pulling plate and second pulling plate；First nail anvil fan and
After the second nail anvil fanning is opened, the central spring is in compress energy storage state.
6. nail anvil according to claim 5, it is characterised in that first pulling plate and second pulling plate are equipped with logical
Hole, the executing agency also includes the drive mechanism in the inner chamber and in the operation handle of the surgical operating instrument
The center-pole of drive connection, the center-pole has the pushing surface towards nail anvil rod distal end, and returning towards the nail anvil rod near-end
Hand-pulled noodles, the center-pole draws through first pulling plate and the through hole of second pulling plate, first pulling plate and described second
Disk is located between the pushing surface and the face of pulling back；
When the center-pole is moved under drive mechanism driving to the nail anvil rod distal direction：
The pushing surface of the center-pole promotes first pulling plate to be moved to the nail anvil rod distal direction, so that first pulling plate
Each first nail anvil fanning is driven to open by first pull bar；Thrust of second pulling plate in the central spring
It is lower to be moved to the nail anvil rod distal direction, so that second pulling plate drives each second nail anvil by second pull bar
Fanning is opened；
When the center-pole is moved under drive mechanism driving to the nail anvil rod proximal direction：
First pulling plate is moved under the central spring thrust to the nail anvil rod proximal direction, so that described first
Pulling plate drives each first nail anvil to fan and folds by first pull bar；The face of pulling back of the center-pole pulls described second to draw
Disk is moved to the nail anvil rod proximal direction, so that second pulling plate drives each second nail anvil by second pull bar
Fan is folded.
7. nail anvil according to claim 6, it is characterised in that the executing agency also includes：
The spring card of the side wall of the inner chamber is arranged at, it is described after the first nail anvil fan and the second nail anvil fanning are opened
Spring card is locked with by the center-pole with center-pole cooperation with the side wall of the inner chamber；
The release button that the intracavity sidewall, the other end are connected with the spring card, the surgical operating instrument are stretched out in one end
Trigger shaft carry out touching the release button during firing action, the release button and then drive the spring card to discharge
The spring card is to the locking between center-pole and nail anvil bar side wall.
8. a kind of surgical operating instrument, including body, the nail kit for being installed on the body, the driving machine for being arranged at the body
Structure, the trigger shaft for being arranged at the body；Characterized in that, also including the nail anvil as described in any one of claim 1~7, institute
State nail anvil and be installed on the body, and the executing agency of the nail anvil is connected with the drive mechanism.
9. surgical operating instrument according to claim 8, it is characterised in that the executing agency includes spring card and releases
When putting button, the drive mechanism also includes：
Opening and closing mechanism, is installed on the body；
Drive link, is relatively fixed with the nail anvil rod, and is connected with the opening and closing mechanism driving；
Spring, the distal end of the spring is connected with the near-end of center-pole, and the near-end of the spring connects with the distal end of the drive link
Connect, and the nail-anvil hat be in deployed condition when the spring be in stretching energy accumulating state.
10. surgical operating instrument according to claim 9, it is characterised in that the drive mechanism also includes：
It is installed on the adjusting knob of the body；
The drive rod of nail anvil rod is installed on, the near-end of the drive rod coordinates with the adjusting knob screw thread, and the drive rod exists
When the adjusting knob is moved relative to the nail anvil rod under driving to the nail anvil rod distal direction, the distal end of the drive rod
Can offset to drive the center-pole along the nail anvil rod length direction to the nail anvil rod distal end with the near-end of the center-pole
It is mobile.
11. surgical operating instrument according to any one of claim 8~10, it is characterised in that the surgical operating instrument
It is circular stapler.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410127155.1A CN104939884B (en) | 2014-03-31 | 2014-03-31 | The nail anvil and surgical operating instrument of a kind of surgical operating instrument |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410127155.1A CN104939884B (en) | 2014-03-31 | 2014-03-31 | The nail anvil and surgical operating instrument of a kind of surgical operating instrument |
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| CN104939884A CN104939884A (en) | 2015-09-30 |
| CN104939884B true CN104939884B (en) | 2017-06-23 |
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Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11020119B2 (en) * | 2015-12-07 | 2021-06-01 | Covidien Lp | Anvil assembly and delivery system |
| CN109953778B (en) * | 2017-12-26 | 2022-02-22 | 先健科技(深圳)有限公司 | Clamping device and system for fixing tissue |
| CN112089465B (en) * | 2019-12-09 | 2022-01-04 | 杭州市第一人民医院 | Nail anvil seat of folding tubular anastomat placed through oral cavity |
| CN111407347B (en) * | 2020-03-31 | 2021-03-19 | 杭州乐守科技有限公司 | Nail anvil seat of folding anastomat |
| CN113425355A (en) * | 2021-06-11 | 2021-09-24 | 象山县第一人民医院医疗健康集团 | Nail anvil of surgical operation instrument and surgical operation instrument |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4893622A (en) * | 1986-10-17 | 1990-01-16 | United States Surgical Corporation | Method of stapling tubular body organs |
| EP0267202B1 (en) * | 1986-04-21 | 1993-11-03 | Globe Control Finanz Aktiengesellschaft | Anastomosis device |
| WO2001066020A2 (en) * | 2000-03-06 | 2001-09-13 | United States Surgical | Apparatus and method for performing a bypass procedure in a digestive system |
| US20060201989A1 (en) * | 2005-03-11 | 2006-09-14 | Ojeda Herminio F | Surgical anvil and system for deploying the same |
| WO2008089404A2 (en) * | 2007-01-19 | 2008-07-24 | Synovis Life Technologies, Inc. | Circular stapler anvil introducer |
| CN103476348A (en) * | 2011-03-14 | 2013-12-25 | 伊西康内外科公司 | Surgical stapling instruments |
| CN203789974U (en) * | 2014-03-31 | 2014-08-27 | 瑞奇外科器械(中国)有限公司 | Anvil of surgical instrument and surgical instrument |
-
2014
- 2014-03-31 CN CN201410127155.1A patent/CN104939884B/en active Active
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0267202B1 (en) * | 1986-04-21 | 1993-11-03 | Globe Control Finanz Aktiengesellschaft | Anastomosis device |
| US4893622A (en) * | 1986-10-17 | 1990-01-16 | United States Surgical Corporation | Method of stapling tubular body organs |
| WO2001066020A2 (en) * | 2000-03-06 | 2001-09-13 | United States Surgical | Apparatus and method for performing a bypass procedure in a digestive system |
| US20060201989A1 (en) * | 2005-03-11 | 2006-09-14 | Ojeda Herminio F | Surgical anvil and system for deploying the same |
| WO2008089404A2 (en) * | 2007-01-19 | 2008-07-24 | Synovis Life Technologies, Inc. | Circular stapler anvil introducer |
| CN103476348A (en) * | 2011-03-14 | 2013-12-25 | 伊西康内外科公司 | Surgical stapling instruments |
| CN203789974U (en) * | 2014-03-31 | 2014-08-27 | 瑞奇外科器械(中国)有限公司 | Anvil of surgical instrument and surgical instrument |
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|---|---|
| CN104939884A (en) | 2015-09-30 |
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Address after: 300457 Tianjin Binhai New Area Economic and Technological Development Zone, Fourth Street, No. 5, block B, floor 4 Patentee after: Tianjin Ricky surgical instruments Limited by Share Ltd Address before: 300457 Tianjin Binhai New Area Economic and Technological Development Zone, Fourth Street, No. 5, block B, floor 4 Patentee before: Reach Surgical Instrument (China) Co.,Ltd. |