CN106963441A - A kind of enteron aisle cuts off special purpose device - Google Patents
A kind of enteron aisle cuts off special purpose device Download PDFInfo
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- CN106963441A CN106963441A CN201710243586.8A CN201710243586A CN106963441A CN 106963441 A CN106963441 A CN 106963441A CN 201710243586 A CN201710243586 A CN 201710243586A CN 106963441 A CN106963441 A CN 106963441A
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- cutting
- top pressure
- pneumatic
- flexible
- enteron aisle
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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
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
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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
- A61B17/32—Surgical cutting instruments
- A61B17/3209—Incision instruments
-
- 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
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- 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
- A61B2017/1132—End-to-end connections
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Special purpose device is cut off it is an object of the invention to provide a kind of enteron aisle, for the purpose for solving efficiently to treat enteron aisle patient.A kind of enteron aisle cuts off special purpose device, including hollow handle, cutting mechanism, cutting telescoping mechanism；In the telescopic front portion installed in hollow handle of cutting mechanism, including reciprocating cutting cutter mechanism and cutting support frame；Described reciprocating cutting cutter mechanism includes cutting blade and cutting blade drive mechanism；Described cutting telescoping mechanism is for driving cutting mechanism flexible in hollow handle, in the rear portion of hollow handle.The beneficial effects of the invention are as follows：Local intestinal fly-cutting that can not only be to patient, and the enteron aisle two ends after cutting are realized efficiently coincide；Even if the operation skill of healthcare givers is not consummate, operative treatment can also be carried out to patient using the present apparatus.
Description
Technical field
The present invention relates to enteron aisle excision medical apparatus technique field, specifically a kind of enteron aisle excision special purpose device.
Background technology
For the patient with serious intestines problem, the regional area of enteron aisle generally requires to carry out excision treatment.Cure now
Treatment technology, operative treatment is carried out by the doctor of skilful service.And in operative treatment, it is often operation to march into the arena the medical apparatus used
Knife, clamp and sewing needle, this technical requirements often to doctor are higher, and surgical procedure is complicated, efficiency is low.
Accordingly, it is desirable to provide a kind of technical scheme, in the case of skilled practitioners relative shortage, can also be carried out to patient
Preferable operative treatment
The content of the invention
Special purpose device is cut off it is an object of the invention to provide a kind of enteron aisle, for solving what enteron aisle patient was efficiently treated
Purpose.
The technical scheme adopted by the invention to solve the technical problem is that：
A kind of enteron aisle cuts off special purpose device, including hollow handle, cutting mechanism, cutting telescoping mechanism；
In the telescopic front portion installed in hollow handle of described cutting mechanism, including reciprocating cutting and is cut cutter mechanism
Cut branch support；Cutting support frame includes cutting left frame and cutting right shelf, and the rear portion for cutting left frame and cutting right shelf is hinged, and cutting is left
Cutting is respectively equipped with the outside of the rear end of frame and cutting right shelf by compression leg, hollow handle is provided with cutting chute, and cutting can by compression leg
It is slidably mounted in cutting chute；Described reciprocating cutting cutter mechanism includes cutting blade and cutting blade drive mechanism,
The inner side for being arranged on cutting right shelf front end that described cutting blade can be moved forward and backward, one end of cutting blade drive mechanism is with cutting
Cutting blade is hinged, and the other end of cutting blade drive mechanism is connected with cutting blade driving actuating unit；
Described cutting telescoping mechanism is for driving cutting mechanism flexible in hollow handle, installed in hollow handle
In rear portion, including cutting top pressure frame, the flexible back-moving spring of cutting and the flexible actuating unit of cutting；The front end of top pressure frame is cut with cutting
Cut branch support is connected, and the rear end and the flexible back-moving spring of described cutting for cutting top pressure frame are connected, and cut the rear end of adjustable spring
It is fixedly connected with the posterior medial of hollow handle；The front end of the clutch end of the flexible actuating unit of cutting and the cutting
The rear end top pressure contact of top pressure frame.
It is preferred that, described cutting blade drive mechanism includes cutting driving pull bar and cutting driving handle, cutting driving
The front end of pull bar is hinged with described cutting blade, and the rear end of cutting driving pull bar is hinged with cutting the lower end of driving handle, is cut
Cut driving handle and be hinged on the cutting of side by compression leg.
It is preferred that, described cutting blade drive mechanism includes pneumatic cutting driving impeller, pneumatic cutting driving cam, gas
Dynamic cutting impeller cover, the gentle dynamic cutting escape pipe of pneumatic cutting air inlet pipe, the pneumatic driving impeller that cuts earnestly are rotatably pacified
The side of compression leg, pneumatic cutting driving cam and the pneumatic rotating shaft for cutting driving impeller earnestly are pressed in cutting mounted in the cutting right shelf
It is fixedly connected, the outer end of the cutting driving handle is hinged with described pneumatic cutting driving cam；The pneumatic cutting impeller
Cover is arranged on the outside that pneumatic cutting drives impeller, pneumatic cutting air inlet pipe it is gentle it is dynamic cut out tracheae respectively with it is described pneumatic
Cutting impeller cover is connected；The gentle dynamic cutting escape pipe of pneumatic cutting air inlet pipe is connected with external air source.
It is preferred that, described cutting stretches actuating unit including cutting flexible top pressure post, the front end of the flexible top pressure post of cutting
Portion is sleeved on described cutting and stretched in back-moving spring, and the outside at the rear portion of the flexible top pressure post of cutting is provided with top pressure sliding block, described
Handle cavity cylinder rear end side wall is provided with cutting flexible chute, and described top pressure sliding block is slidably mounted on described cut
Cut in flexible chute；Cut Telescopic Fixed groove provided with Telescopic Fixed groove is cut and be located at cutting in the front end of the cutting flexible chute
The side of flexible chute is simultaneously connected with cutting Telescopic Fixed groove.
It is preferred that, the flexible actuating unit of described cutting includes extension airbag and hollow top pressure gas column, extension airbag suit
Stretched in described cutting in back-moving spring, the front end of extension airbag is contacted with the cutting top pressure frame top pressure, extension airbag
Rear end is connected with the hollow top pressure gas column；The rear end and the hollow top pressure gas column front end of the flexible back-moving spring of cutting
Outside is fixedly connected, and hollow top pressure gas column is fixedly mounted in the rear end of handle cavity cylinder, the rear end of hollow top pressure gas column
Connected by pneumatic top pressure tracheae with external air source.
It is preferred that, the inner side of the left frame front end of cutting is provided with cutting by pressure groove, and cutting is by pressure groove and cutting blade
It is correspondingly arranged.
It is preferred that, the front end of the hollow handle is provided with male connection, and the male connection is used to install enteron aisle kiss
Attach together and put, stapling apparatus includes coincide support frame, punching mechanism, male of coincideing and identical female；Described punching mechanism includes
Air pressure circle pipe and pneumatic tube, air pressure circle pipe are separately mounted to the two ends of identical support frame, and air pressure circle pipe passes through pneumatic tube and outside
Source of the gas UNICOM；
Male of coincideing and identical female are set in the outside of air pressure circle pipe；Outside the identical male and identical female
Side, which is respectively equipped with, penetrates thorn, and the outer face for male of coincideing is provided with the thorn that coincide, and the outer face for female of coincideing is provided with anastomosed aperture, and coincide thorn
It is correspondingly arranged with anastomosed aperture；
Biodegradable material is respectively adopted in described identical male and identical female.
The beneficial effects of the invention are as follows：
1st, the present invention is provided with cutting mechanism and fitting mechanism, local intestinal fly-cutting that can not only be to patient, and
Enteron aisle two ends after cutting are realized and efficiently coincide；Even if the operation skill of healthcare givers is not consummate, can also using the present apparatus
Operative treatment is carried out to patient.
2nd, the cutting mechanism in the present invention is provided with reciprocating cutting cutter mechanism, and enteron aisle is not carried out when using crush-cutting mode
During fast shut-off, it can be realized by reciprocating cutting cutter mechanism and cutting is realized to enteron aisle.
3rd, the fitting mechanism in the present invention is easy to connect with enteron aisle using male and the identical female of coincideing；And using life
Biodegradable material, is safe from harm in itself to patient.
Brief description of the drawings
Fig. 1 is structural representation when cutting mechanism of the present invention stretches out；
Fig. 2 is Fig. 1 schematic elevation view；
Fig. 3 is partial enlarged drawing at A in Fig. 2；
Fig. 4 is the structural representation that handle cavity cylinder is splitted when cutting mechanism of the present invention stretches out；
Fig. 5 is structural representation when fitting mechanism is installed after cutting mechanism of the present invention is retracted；
Fig. 6 for Fig. 5 handle cavity cylinder split after schematic top plan view；
Fig. 7 is that Fig. 5 installs the structural representation after coincide male and identical female；
Fig. 8 is Fig. 7 elevational schematic view；
Fig. 9 is the close-up schematic view at branch fastener in Fig. 7；
Figure 10 is the structural representation that handle cavity cylinder is splitted when the cutting mechanism of the embodiment of the present invention 2 stretches out；
Figure 11 is partial enlarged drawing at B in Figure 10；
Figure 12 is the structural representation after cutting mechanism retraction in Figure 10 during installation fitting mechanism；
In figure：1. handle mechanism；11. handle cavity cylinder；12. elastic installation set；13. cut chute；14. cutting is stretched
Contracting chute；15. the Telescopic Fixed groove of cutting；16. male connection；2. cutting mechanism；21. cut support frame；22. cutting pressing
Post；23. cut back-moving spring；24. cutting is by pressure groove；25. cutting blade；26. cutting driving pull bar；27. cutting driving hand
Handle；28. the reciprocal chute of cutting；29. cut reciprocating block slider；201. pneumatic cutting driving impellers；202. pneumatic cutting driving cams；
203. pneumatic cutting impeller covers；204. pneumatic cutting air inlet pipe；205. pneumatic cutting escape pipes；3. cut telescoping mechanism；31. cut
Cut top pressure frame；32. the flexible back-moving spring of cutting；33. the flexible top pressure post of cutting；34. top pressure disk；35. annular solid；36. jacking sliding
Block；301. extension airbag；302. hollow top pressure gas columns；4. fitting mechanism；41. coincide support frame；412. fasteners；413. round platform
Body；414. torus；415. stamped recess；416. air pressure circle pipes；417. pneumatic tube；42. male of coincideing；421. male bodies；
422. arc-like sheet；423. penetrate thorn；424. males dock ring flat-plate；425. males are coincide window；426., which coincide, pierces；43. female of coincideing；
431. female bodies；432. females dock ring flat-plate；433. females are coincide window；434. anastomosed aperture；5. detection device；51. pin hole is taken the photograph
As head.
Embodiment
As shown in figure 1, a kind of enteron aisle excision special purpose device, for realizing the cutting to enteron aisle site of disease, and is realized to cutting
Cut coincideing for rear intestinal, including handle mechanism 1, cutting mechanism 2, fitting mechanism 4, detection device 5, display device, clamp and control
System processed.
As depicted in figs. 1 and 2, described handle mechanism 1 primarily serves the other parts of installation and holding effect, including hand
Handle cavity cylinder 11, the front end of the handle cavity cylinder 11 is provided with male connection 16, when needing to carry out anastomosis operation
When, for the described fitting mechanism 4 that is spirally connected；The edge of the front end of male connection 16 sets rounding, and rounding can be prevented
Scratch to human organ when the front end of handle mechanism 1 enters human body；The lateral wall of the handle mechanism 1 is installed provided with elasticity
Set 12, described elastic installation set 12 is used for stationary clamp, and clamp can be using common clamp in prior art operation, in operation
During, clamp is used to play a part of clamping enteron aisle, and cutting and anastomosis procedures of the auxiliary to enteron aisle.
As shown in Figure 3 and Figure 4, described cutting mechanism 2 is used to cut off the local intestinal of disease sites, cutting mechanism 2
Telescopic to be arranged in described handle cavity cylinder 11, cutting mechanism 2 includes reciprocating cutting cutter mechanism, cutting support
Frame 21 and cutting telescoping mechanism 3；Described cutting support frame 21 includes cutting left frame and cutting right shelf, cuts left frame and cutting is right
The middle part of frame is respectively equipped with cutting by compression leg 22, institute by hinge on the outside of the rear end for cutting left frame and cutting right shelf
State and cut between left frame and the rear inside for cutting right shelf provided with cutting back-moving spring 23；Set on the handle cavity cylinder 11
Have with described cutting by the corresponding cutting chute 13 of compression leg 22, the cutting is slidably mounted on by the inner of compression leg 22
Cut in chute 13；The front end of the left frame of cutting and cutting right shelf is flat-shaped using compiling, and is set on the leading inside for cutting left frame
There is cutting by pressure groove 24, the leading inside of cutting right shelf is provided with the upper groove of cutting pressing, and cutting is pressed by pressure groove 24 and cutting
Upper groove is relative to be correspondingly arranged；
As shown in Figure 3 and Figure 4, described reciprocating cutting cutter mechanism is arranged in described cutting right shelf, for cutting off
The enteron aisle of site of disease, including cutting blade 25, cutting driving pull bar 26, cutting driving handle 27；Described cutting blade 25
Outer end is slidably mounted in the described upper groove of cutting pressing, and the lower end of cutting blade 25 is stretched out under the upper groove of cutting pressing
End, the upper end of cutting blade 25 is contacted with the inner tip top pressure of the upper groove of cutting pressing；In the upper groove of cutting pressing
Portion both sides provided with cutting reciprocal chute 28, the top both sides of cutting blade 25 provided with cutting reciprocating block slider 29, it is described cut it is past
Multiple sliding block 29 is slidably mounted in the described reciprocal chute 28 of cutting；Cut with described the front end of the cutting driving pull bar 26
The outside for cutting reciprocating block slider 29 is hinged；In the case that enteron aisle can not directly be cut off by cutting the pressing mode of support frame 21,
Drive cutting blade 25 to move back and forth by cutting driving pull bar 26, using dissection, further cut off enteron aisle；It is described to cut
The inner rear end with the cutting driving pull bar 26 for cutting driving handle 27 is hinged, and cuts middle part and the institute of driving handle 27
The cutting for stating cutting right shelf is hinged by the side of compression leg 22；Stir cutting driving handle 27 and then drive cutting driving pull bar 26 to move
It is dynamic；
Further, the reciprocating cutting cutter mechanism can also be controlled using electric intelligent mode, including cutting driving electricity
Machine and cutting driving cam, cutting motor are arranged on the cutting of cutting right shelf by the side of compression leg 22, cut driving cam
It is fixedly connected with the rotating shaft for cutting motor, the rear end for cutting driving handle 27 is outer with described cutting driving cam
Edge side is hinged, and described cutting motor is provided with the automatically controlled key of cutting driving, and the automatically controlled key of cutting driving is justified installed in handle cavity
It is connected on the outer wall of cylinder 11 and with described control system；Cutting driving handle 27 is driven to swing using motor is cut,
The live load of surgical staff can be mitigated.
As shown in Figure 1 and Figure 4, described cutting telescoping mechanism 3 is used to realize cutting mechanism 2 in handle cavity cylinder 11
Interior is flexible, including cutting top pressure frame 31, the flexible back-moving spring 32 of cutting and the flexible top pressure post 33 of cutting, the cutting top pressure frame
31 front end is respectively equipped with the cutting top pressure arm of force, and left frame and cutting right shelf are cut in the front end of the described cutting top pressure arm of force with described
The bearing pin two ends of hinged place are hinged, and the rear end of cutting top pressure frame 31 is provided with top pressure disk 34, and the rear end of top pressure disk 34 is provided with annular
Top pressure groove；The front end of the flexible back-moving spring 32 of cutting is fixedly connected with described top pressure disk 34, and cutting is flexible to reset bullet
The rear end of spring 32 is fixedly connected with the internal chamber wall of the rear end of handle cavity cylinder 11 by annular solid 35；The flexible top pressure of cutting
The leading section of post 33 is sleeved on described cutting and stretched in back-moving spring 32, the front end and described top of the flexible top pressure post 33 of cutting
The top pressure of platen 34 is contacted, and the front end of top pressure disk 34 is provided with top pressure body, and described top pressure body is correspondingly arranged with top pressure groove, works as cutting
During flexible top pressure 33 top pressure top pressure disk 34 of post, the position-limiting action of top pressure body and top pressure groove can prevent side during top pressure
Sliding；The outside at the rear portion of the flexible top pressure post 33 of cutting is provided with top pressure sliding block 36, the rear end of handle cavity cylinder 11
Side wall is slidably mounted on described cutting flexible chute 14 provided with cutting flexible chute 14, described top pressure sliding block 36
Interior, Telescopic Fixed groove 15 is cut flexible positioned at cutting in the front end of the cutting flexible chute 14 provided with Telescopic Fixed groove 15 is cut
The side of chute 14 is simultaneously connected with cutting Telescopic Fixed groove 15, when top pressure sliding block 36 is moved to the front end of cutting flexible chute 14
When, the flexible top pressure post 33 of rotation cutting makes top pressure sliding block 36, and into cutting, Telescopic Fixed groove 15 is interior to fix top pressure sliding block 36；Institute
The rear end of handle cavity cylinder 11 is stretched out in the rear end for stating the flexible top pressure post 33 of cutting.
As shown in Figure 5 and Figure 6, described fitting mechanism 4 is used for the end fit by the enteron aisle after finishing is cut, and coincide machine
The removable front end for being screwed onto handle cavity cylinder 11 in the rear end of structure 4, then will kiss after cutting mechanism 2 is shunk first
Mechanism 4 is closed to install, to promote enteron aisle to recover, including the support frame 41 that coincide, punching mechanism, male 42 of coincideing and identical female 43；
The rear end of the identical support frame 41 is screwed onto the outer of the front end of handle cavity cylinder 11 provided with docking screw, docking screw
On nipple 16, the front end for the support frame 41 that coincide is provided with ramus anastomoticus fastener 412, and the ramus anastomoticus fastener 412 is used to install institute
The identical male 42 and identical female 43 stated, the two ends of ramus anastomoticus fastener 412 are round estrade 413, and centre is torus 414, institute
State and left and right on the outer peripheral face of torus 414 be arranged with twice stamped recess 415；
As shown in Figure 7 and Figure 8, described punching mechanism is used for identical male 42 and the punching press of identical female 43 to being cut
Enteron aisle end on, coincide with the docking for realizing enteron aisle, including air pressure circle pipe 416 and pneumatic tube 417；Described air pressure circle pipe 416
Provided with two, it is separately mounted in described stamped recess 415, air pressure circle pipe uses elastomeric material, and such as medical grade rubber material fills
It may expand after gas；Described pneumatic tube 417 is arranged in described identical support frame 41, and the front end of pneumatic tube 417 is stretched into identical
Within branch fastener 412, and connected respectively by branch pipe with the air pressure circle pipe 416 described in two, the rear end of the pneumatic tube 417 leads to
Cross pipeline to connect with external air source, external air source can also use intelligent compressed air source unit of the prior art using syringe,
The tracheae connected with the pneumatic tube 417 is provided with the punching press electrically-controlled valve of coincideing, punching press electrically-controlled valve of coincideing include air intake control valve and
Gas exhausting valve, the identical punching press electrically-controlled valve is connected with described control system；Punching press electrically-controlled valve of coincideing is correspondingly provided with identical
Punching press operating key, the punching press operating key that coincide is arranged on the outer wall of handle cavity cylinder 11；By coincideing, punching press controls keying
Make the inflation and exhaust to air pressure circle pipe 417.
As shown in Fig. 7 to 9, described identical male 42 uses absorbable biological degradable material, such as pure-natural collagen
Material, absorbable biological degradable material PLA etc.；Described identical male 42 includes male body 421, described male sheet
Body 421 uses toroidal cavity structure, and male body 421 has multi-disc arc-like sheet 422 to assemble by degradable suture to form,
In an initial condition by the sticky effect in itself of suture and the material of identical male 42, formula is integral；The male sheet
The circumferential of the outer surface of body 421 provided with barb penetrates thorn 423 provided with multiple, when in use, penetrates thorn 423 and penetrates intestinal walls
On, male body 421 is connected on the inner surface of enteron aisle；The outer face of the male body 421 extends radially outward shape
Docked into male and many places male is uniformly provided with ring flat-plate 424, the circumference of male docking ring flat-plate 424 coincide window 425, male is coincide window
425 contact of the port with the other end for realizing enteron aisle, increase enteron aisle grows efficiency of coincideing naturally；Adjacent male kiss
Multiple identical thorns 426 provided with barb are set on the outer surface for the middle part for closing the docking ring flat-plate 424 of the male between window 425,
Male 42 of coincideing is docked by the thorn 426 that coincide with identical female 43 coincide；
Described identical female 43 uses absorbable biological degradable material, such as pure-natural collagen material, absorbable life
Thing degradable material PLA etc.；Described identical female 43 includes female body 431, and described female body 431 is using annular
Cavity structure, female body 431 has multi-disc arc-like sheet 422 to assemble by degradable suture to form, in an initial condition
By the sticky effect in itself of suture and the material of identical female 43, formula is integral；The outer surface of the female body 431
It is circumferential provided with barb penetrate thorn 423 provided with multiple, when in use, penetrate thorn 423 and penetrate in intestinal walls, make female body
431 are connected on the inner surface of enteron aisle；The outer face of the female body 431 extends radially outward to form female docking ring flat-plate
432, female is docked and female identical window 433 in many places is uniformly provided with the circumference of ring flat-plate 432, and the identical window 433 of female coincide with male
Window 425 is relative to be correspondingly arranged, and the identical window 433 of female is used for contact of the port with the other end for realizing enteron aisle, and increase enteron aisle is natural
The identical efficiency of growth；The middle part of female docking ring flat-plate 432 between the identical window 433 of the adjacent female sets multiple kisses
Hole 434 is closed, described anastomosed aperture 434 is correspondingly arranged with described identical thorn 426；When identical male 42 and identical female 43 are coincide
During docking, in the described insertion anastomosed aperture 434 of identical thorn 426, both be fixedly connected is realized；
In surgical procedure, the docking that clamp is used to aid in realizing coincide male 42 and identical female 43 coincide, and clamp can
To use common operation clamping structure；The elastic installation set 12 set on the lateral surface of the handle cavity cylinder 11, it is medical
Elastic rubber ring, when without using clamp, clamp is fixed in described elastic installation set 12；
As shown in Fig. 7 to 9, when handling bowel anastomosis, described identical male 42 and identical female 43 is respectively fitted over
On the two ends torus 414 of ramus anastomoticus fastener 412, and male body 421 and female body 431 are covered in described air pressure
Enclose on pipe 416；Enteron aisle is handled by clamp, using ramus anastomoticus fastener 412 respectively by described male body 421 and female body
In 431 feeding enteron aisles, the two ends of ramus anastomoticus fastener 412 are easy to stretch into enteron aisle in round table-like；Then air pressure circle pipe 416 is filled
Gas, air pressure circle pipe 416 heaves expansion, and male body 421 and female body 431 are extended using gas pressure, its outer surface
Penetrating thorn 423 can penetrate in intestinal walls, realize the connection of male body 421 and female body 431 respectively with enteron aisle；Connect
Air pressure circle pipe 416 is vented after finishing, ramus anastomoticus fastener 412 is separated with male body 421 and female body 431, then will kiss
Close branch fastener 412 and withdraw from enteron aisle；Are docked into ring flat-plate 424 by male for clamp and female docking ring flat-plate 432 docks pressing, and coincide thorn 426
Insert in anastomosed aperture 434, realize both docking；Because biodegradable material is respectively adopted in identical male 42 and identical female 43
Material, therefore after bowel anastomosis grows, male 42 of coincideing and identical female 43 are also gradually degraded, and are absorbed by the body.
During described detection device 5 is used for operation, enteron aisle excision and anastomosis procedures are monitored in real time, and will monitor number
According to control system is transferred to, detection device 5 is arranged on the front end of handle cavity cylinder 11, including pinhole cameras 51；Detection
Device 5 also can be using enteron aisle probe；Described detection device 5 is connected with control system.
Described control system includes controller and display, and described display can be placed in the side of operating table, side
Just the position that doctor observes, described controller is arranged on the side of display, the signal input part of controller by control cabinet
Electrically connected with the detection device 5 described in difference, described cutting drives automatically controlled key, coincide the electrical connection of punching press operating key, controller
Signal output part electrically connected respectively with described cutting motor, the punching press electrically-controlled valve of coincideing electrical connection.
Embodiment 2
As shown in Figure 10 to Figure 12, the reciprocating cutting cutter mechanism can also be controlled using aptitude manner is started, including gas
Dynamic cutting driving impeller 201, pneumatic cutting driving cam 202, pneumatic cutting impeller cover 203, pneumatic cutting air inlet pipe 204 are gentle
Dynamic cutting escape pipe 205, the pneumatic driving impeller that cuts earnestly is rotatably arranged on the cutting of the cutting right shelf by compression leg
22 side, pneumatic cutting driving cam 202 is fixedly connected with the pneumatic rotating shaft for cutting driving impeller earnestly, and the cutting is driven
The rear end of fixed handle 27 and the outer edge side of described pneumatic cutting driving cam 202 are hinged；Described pneumatic cutting impeller cover 203
Installed in pneumatic cutting drive impeller 201 outside, pneumatic cutting air inlet pipe 204 and it is pneumatic cut out tracheae 205 with it is described
Pneumatic cutting impeller cover 203 is connected, and the pneumatic cutting air inlet pipe 204 and the pneumatic tracheae 205 that cuts out are connected with external air source,
The pneumatic cutting air inlet pipe 204 is provided with pneumatic cut-sytle pollination valve, the pneumatic cut-sytle pollination valve and described control system
Electrical connection；Pneumatic cut-sytle pollination valve is correspondingly arranged the automatically controlled key of pneumatic cutting, and the pneumatic automatically controlled key of cutting is arranged on handle cavity cylinder
On body 11 and it is electrically connected with the controller.
As shown in Figure 10 and Figure 11, cutting telescoping mechanism 3 can also use pneumatic mode, compared with structure in implementing 1, no longer
The flexible top pressure post 33 of cutting is set, and including extension airbag 301 and hollow top pressure gas column 302, described extension airbag 301 is set with
Stretched in described cutting in back-moving spring 32, the front end of extension airbag 301 is contacted with the described top pressure of top pressure disk 34, stretch gas
The rear end of capsule 301 is connected with the hollow top pressure gas column 302；The rear end and the hollow top of the flexible back-moving spring 32 of cutting
Calm the anger and be fixedly connected on the outside of the front end of post 302, hollow top pressure gas column 302 is fixedly mounted on the rear end of handle cavity cylinder 11
Interior, the rear end of hollow top pressure gas column 302 is connected by pneumatic top pressure tracheae with external air source, and pneumatic top pressure tracheae is provided with cutting
Flexible electrically-controlled valve, the flexible electrically-controlled valve of cutting is electrically connected with described control system；The flexible electrically-controlled valve of cutting is correspondingly arranged cutting and stretched
Contract automatically controlled key, and the flexible automatically controlled key of cutting is arranged on handle cavity cylinder 11 and is electrically connected with the controller.
It is the known technology of those skilled in the art in addition to the technical characteristic described in specification.
Although above-mentioned the embodiment of the present invention is described with reference to accompanying drawing, not to present invention protection model
The limitation enclosed, on the basis of technical solution of the present invention, those skilled in the art, which would not require any inventive effort, to be done
The various modifications or deformation gone out are still within the scope of the present invention.
Claims (7)
1. a kind of enteron aisle cuts off special purpose device, it is characterised in that including hollow handle, cutting mechanism, cutting telescoping mechanism；
In the telescopic front portion installed in hollow handle of described cutting mechanism, including reciprocating cutting cutter mechanism and cutting branch
Support；Cutting support frame includes cutting left frame and cutting right shelf, and the rear portion for cutting left frame and cutting right shelf is hinged, cut left frame and
The rear end outside for cutting right shelf is respectively equipped with cutting by compression leg, and hollow handle presses compression leg slidably provided with cutting chute, cutting
Be arranged on cutting chute in；Described reciprocating cutting cutter mechanism includes cutting blade and cutting blade drive mechanism, described
The inner side for being arranged on cutting right shelf front end that can move forward and backward of cutting blade, one end of cutting blade drive mechanism and cutter
Piece is hinged, and the other end of cutting blade drive mechanism is connected with cutting blade driving actuating unit；
Described cutting telescoping mechanism is for driving cutting mechanism flexible in hollow handle, installed in the rear portion of hollow handle
It is interior, including cutting top pressure frame, the flexible back-moving spring of cutting and the flexible actuating unit of cutting；Cut front end and the cutting branch of top pressure frame
Support connection, the rear end and the flexible back-moving spring of described cutting for cutting top pressure frame is connected, and cuts rear end and the sky of adjustable spring
The posterior medial of heart handle is fixedly connected；The front end of the clutch end of the flexible actuating unit of cutting and the cutting top pressure
The rear end top pressure contact of frame.
2. a kind of enteron aisle excision special purpose device according to claim 1, it is characterized in that, described cutting blade drive mechanism
Including cutting driving pull bar and cutting driving handle, the front end of cutting driving pull bar is hinged with described cutting blade, and cutting is driven
The rear end of dynamic pull bar is hinged with cutting the lower end of driving handle, and cutting driving handle is hinged on the cutting of side by compression leg
On.
3. a kind of enteron aisle excision special purpose device according to claim 2, it is characterized in that, described cutting blade drive mechanism
Including pneumatic cutting driving impeller, pneumatic cutting driving cam, pneumatic cutting impeller cover, the gentle dynamic cutting of pneumatic cutting air inlet pipe
Escape pipe, the pneumatic driving impeller that cuts earnestly is rotatably arranged on the cutting of the cutting right shelf by the side of compression leg, gas
Dynamic cutting driving cam is fixedly connected with the pneumatic rotating shaft for cutting driving impeller earnestly, the outer end for cutting driving handle with it is described
Pneumatic cutting driving cam be hinged；The pneumatic cutting impeller cover is arranged on the outside that pneumatic cutting drives impeller, pneumatic to cut
Undercutting tracheae and the pneumatic tracheae that cuts out are connected with described pneumatic cutting impeller cover respectively；The pneumatic cutting air inlet pipe is gentle
Dynamic cutting escape pipe is connected with external air source.
4. a kind of enteron aisle excision special purpose device according to claim any one of 1-3, it is characterized in that, described cutting is stretched
Actuating unit includes cutting flexible top pressure post, and the leading section of the flexible top pressure post of cutting is sleeved on the flexible back-moving spring of described cutting
Interior, the outside at the rear portion of the flexible top pressure post of cutting is provided with top pressure sliding block, and the handle cavity cylinder rear end side wall is provided with and cut
Flexible chute is cut, described top pressure sliding block is slidably mounted in described cutting flexible chute；The cutting flexible chute
Front end provided with Telescopic Fixed groove is cut, cut Telescopic Fixed groove and be located at the side of cutting flexible chute and Telescopic Fixed with cutting
Groove is connected.
5. a kind of enteron aisle excision special purpose device according to claim any one of 1-3, it is characterized in that, described cutting is stretched
Actuating unit includes extension airbag and hollow top pressure gas column, and extension airbag is sleeved on described cutting and stretched in back-moving spring, stretches
The front end of contracting air bag is contacted with the cutting top pressure frame top pressure, and the rear end of extension airbag is connected with the hollow top pressure gas column；Institute
The rear end of the flexible back-moving spring of cutting is stated with being fixedly connected on the outside of the hollow top pressure gas column front end, hollow top pressure gas column is fixed
In the rear end of handle cavity cylinder, the rear end of hollow top pressure gas column is connected by pneumatic top pressure tracheae and external air source
It is logical.
6. a kind of enteron aisle excision special purpose device according to claim any one of 1-3, it is characterized in that, before the left frame of cutting
The inner side at end is provided with cutting by pressure groove, and cutting is correspondingly arranged by pressure groove and cutting blade.
7. a kind of enteron aisle excision special purpose device according to claim any one of 1-3, it is characterized in that, the hollow handle
Front end is provided with male connection, and the male connection is used to install bowel anastomosis device, stapling apparatus include coincideing support frame,
Punching mechanism, male of coincideing and identical female；Described punching mechanism includes air pressure circle pipe and pneumatic tube, and air pressure circle pipe is pacified respectively
Mounted in the two ends of identical support frame, air pressure circle pipe passes through pneumatic tube and external air source UNICOM；
Male of coincideing and identical female are set in the outside of air pressure circle pipe；The outside of the identical male and identical female point
Thorn She You not be penetrated, the outer face for male of coincideing is pierced provided with coincideing, and the outer face for female of coincideing is provided with anastomosed aperture, the thorn that coincide and kiss
Hole is closed to be correspondingly arranged；
Biodegradable material is respectively adopted in described identical male and identical female.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710243586.8A CN106963441A (en) | 2017-04-14 | 2017-04-14 | A kind of enteron aisle cuts off special purpose device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710243586.8A CN106963441A (en) | 2017-04-14 | 2017-04-14 | A kind of enteron aisle cuts off special purpose device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106963441A true CN106963441A (en) | 2017-07-21 |
Family
ID=59332318
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710243586.8A Pending CN106963441A (en) | 2017-04-14 | 2017-04-14 | A kind of enteron aisle cuts off special purpose device |
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| Country | Link |
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| CN (1) | CN106963441A (en) |
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Effective date of abandoning: 20200110 |