CN110236624A - A kind of degradable varus ring pressure type biology pipe stapler - Google Patents
A kind of degradable varus ring pressure type biology pipe stapler Download PDFInfo
- Publication number
- CN110236624A CN110236624A CN201910571789.9A CN201910571789A CN110236624A CN 110236624 A CN110236624 A CN 110236624A CN 201910571789 A CN201910571789 A CN 201910571789A CN 110236624 A CN110236624 A CN 110236624A
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- China
- Prior art keywords
- stapler
- annulus
- metal nail
- degradable
- pipe
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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
- A61B17/1114—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
- A61B2017/00831—Material properties
-
- 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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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Physiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
A kind of degradable varus ring pressure type biology pipe stapler, including stapler bottom, stapler bottom are connected with the threaded one end of stapler guide rail, and hole axle is cooperatively connected at the top of the other end and stapler of stapler guide rail；Stapler bottom includes the first annulus, and the side of the first annulus is connected with tapped the first cylinder, and the other side of the first annulus is provided with uniformly distributed the first metal nail and the first anastomosed aperture, and the first metal nail and the first anastomosed aperture are staggered；It include the second annulus at the top of stapler, the side of the second annulus is connected with internal the second cylinder stupefied with evagination, and the other side of the second annulus is provided with uniformly distributed the second metal nail and the second anastomosed aperture, and the second metal nail and the second anastomosed aperture are staggered；Described stapler guide rail one end is the external thread section with the first cylinder screw-internal thread fit；It is equipped with outside the other end and the groove of the stupefied cooperation of evagination in the second cylinder, inside is equipped with card slot；The present invention makes edge of wound one week while healing, and healing is fast, can the degradation in biology is managed.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of degradable varus ring pressure type biology pipe stapler.
Background technique
Human-body biological pipe reparation is a kind of type of surgery on basis in surgical operation, and the port of biological pipe coincide with port
(end to end anastomosis) occupies the larger proportion of human-body biological pipe prosthesis.During surgery, end to end anastomosis is usually being handled quite
After property management, with absorbable suture, two sides port of having dissociated is stitched together；Or from apart from the closer biological pipe of lesion
Side cuts side port and is placed into disposable stapler, the free upper end notch of one end connection of stapler, and one end connection dissociates
Inferior end notch is slowly reinforced by external mechanical knob, so that free both ends notch is coincide, and follow closely using metal suture；It is more
Row's connection end fit device, principle is similar with stapler, then takes out stapler from side port, and suture side port, realizes mechanical kiss
It closes.
However there is following disadvantages for existing biological pipe methods of anastomosis:
One, the nail of metal suture used by the disposable stapler now having on the market, principle is similar with stapler, and being can not
Degradation Titanium is made, and simplifies operation, suture is rapid, few intercurrent disease.But titanium nail will be permanently residual as foreign matter after coincideing
The diagnostic imaging for staying in the body, and interfering patient later, the rehabilitation postoperative to patient and health care belt carry out certain adverse effect.Together
When, there is the position of growth demand for itself, such as infant's esophagus, enteron aisle, this kind is using the identical mode of titanium nail can not
It uses.
Two, for the various pipelines of human body, such as esophagus, enteron aisle, feature be can be secreted on the inside of tube wall part mucus or
There are liquid flowings, and being turned up using tube wall, (edge of wound two sides tissue is in that the state of turning up protects facings in the lumen being sewn to seam after the meeting
Hold smooth) mode, after coincideing to wound, due to the presence of liquid, can constantly infiltrate wound, slow down healing rate, drop
Low healing effect, or even cause the complication such as inflammation.
Three, either absorbable thread sutures end end notch, or follows closely anastomosis staple using titanium, the mode for the end end notch that coincide,
It is interrupted suture, between stitch and stitch, between nail pin and nail pin, existing is the pressure of point and point, line and line, at 360 ° of wound
One week in, what pressure showed is waveform, has height to have low, pressure etc.；Wavy pressure distribution mode, it is general next
It says, the contact of biggish pressure spot, tube wall is more close, the case where being not in anastomotic leakage, heals at first；And lesser pressure
The contact in force, tube wall is more lax, and anastomotic leakage is easy to appear, indolence.Therefore wavy pressure distribution mode, i.e.,
It is coincide using absorbable thread or titanium nail, anastomotic leakage or the healing time of wound one week inconsistent the phenomenon that causing healing effect to decline
Easily occur.
Summary of the invention
In order to overcome the disadvantages of the above prior art, it is an object of the invention to propose that a kind of degradable varus ring pressure type is raw
Property management stapler makes edge of wound one week while healing, and healing is fast, while can the degradation in biology is managed.
In order to achieve the above object, the technical scheme adopted by the invention is as follows:
A kind of degradable varus ring pressure type biology pipe stapler, including stapler bottom 2, stapler bottom 2 and stapler
The threaded one end of guide rail 3 connects, and 4 hole axles are cooperatively connected at the top of the other end and stapler of stapler guide rail 3, stapler guide rail 3
As angle pairing；
The stapler bottom 2 includes the first annulus 24, and the side of the first annulus 24 is connected with tapped first
Cylinder 23, the other side of the first annulus 24 are provided with uniformly distributed the first metal nail 21 and the first anastomosed aperture 22, the first metal nail 21
It is staggered with the first anastomosed aperture 22；
4 include the second annulus 44 at the top of the stapler, and the side of the second annulus 44 is connected with internal stupefied with evagination
The second cylinder 43, the other side of the second annulus 44 are provided with uniformly distributed the second metal nail 41 and the second anastomosed aperture 42, the second metal
Nail 41 and the second anastomosed aperture 42 are staggered；
Described 3 one end of stapler guide rail is the external thread section 32 with 23 screw-internal thread fit of the first cylinder；Outside the other end
Equipped with the groove 31 with the stupefied cooperation of evagination in the second cylinder 43, inside is equipped with card slot 33.
The semi-cutaway of first metal nail 21 and the second metal nail 41 is beam type buckle structure, and anastomosed aperture
When interference fit or transition fit, the company of the free biological pipe in connected two sides is fastened with the frictional force of anastomosed aperture inner wall using metal nail
It connects；When transition fit or clearance fit, company, institute two is fastened with the pressure of anastomosed aperture using the card base of metal nail beam type buckle
Connection of the sidestream from biological pipe.
First metal nail 21, the second metal nail 41 are deposited with the outer circle maximum diameter of the first annulus 24, the second annulus 44
In distance, by the first annulus 24, the second annulus 44 to identical one uniformly distributed pressure of biological pipe.
First metal nail 21 and the second metal nail 41 is made of magnesium base alloy, zinc-containing alloy or ferrous alloy.
In addition to the first metal nail 21 and the second metal nail 41, degradable varus ring pressure type biology pipe stapler remaining part is equal
By degradation material glycolide, lactide, caprolactone, Lanthanum Isopropoxide, trimethylene carbonate homopolymer or above-mentioned list
The copolymer of body is made through 3D printing, injection molding, machine tooling.
The invention has the benefit that
The present invention uses inverting suture (edge of wound two sides tissue is in varus state to keep wound surface smooth to seam after the meeting)
Mode after coincideing to wound, then will not be influenced by the liquid on the inside of tube wall；Meanwhile there is growth on the outside of tube wall, in this way
Coincide wound can be allowed faster to heal, increase healing quality, reduce the appearance of complication.
The present invention use ring pressure type methods of anastomosis, pressure in one week of 360 ° of wound, show be it is linear,
Uniformly distributed.
The present invention is all made of degradation material in addition to metal nail, is the essential trace elements of the human body, can be newly old by human body
Metabolism discharge.
Detailed description of the invention
Fig. 1 is assembling schematic diagram of the invention.
Fig. 2 is 2 schematic diagram of stapler bottom of the present invention.
Fig. 3 is 4 schematic diagrames at the top of stapler of the present invention.
Fig. 4 is 3 schematic diagram of stapler guide rail of the present invention.
Specific embodiment
The present invention is described in detail with reference to the accompanying drawings and examples.
As shown in Figure 1, a kind of degradable varus ring pressure type biology pipe stapler, including stapler bottom 2, stapler bottom
2 connect with the threaded one end of stapler guide rail 3, and 4 hole axles are cooperatively connected at the top of the other end and stapler of stapler guide rail 3, kiss
Clutch guide rail 3 is used as angle pairing.
As shown in Fig. 2, the stapler bottom 2 includes the first annulus 24, the side of the first annulus 24 is connected in band
The first cylinder 23 of screw thread, the other side of the first annulus 24 are provided with uniformly distributed the first metal nail 21 and the first anastomosed aperture 22, the
One metal nail 21 and the first anastomosed aperture 22 are staggered；
The first annulus of the present embodiment 24 is equipped with 6 mutual 60 ° of angle of the first metal nail 21, the first metal nail 21
Effect be to pierce through tube wall, fasten one the week of tube wall at the top of stapler 4 the second anastomosed aperture 42 progress shaft hole matching connection；Together
When, have 6 mutual 60 ° of angle of the first anastomosed aperture 22 on the first annulus 24, it acts as at the top of same stapler 4 second
Metal nail 41 carries out shaft hole matching connection, the free biology pipe in connection two sides；Meanwhile first metal nail 21 and the first anastomosed aperture 22
Between angle be 30 °, around one week of the first annulus 24, be staggered；
As shown in figure 3, the stapler top 4 includes the second annulus 44, the side of the second annulus 44 is connected with inside
With the second cylinder 43 that evagination is stupefied, the other side of the second annulus 44 is provided with uniformly distributed the second metal nail 41 and the second anastomosed aperture
42, the second metal nail 41 and the second anastomosed aperture 42 are staggered；
The second annulus of the present embodiment 44 is equipped with 6 mutual 60 ° of angle of the second metal nail 41, the second metal nail 41
Effect be to pierce through tube wall, fasten the first anastomosed aperture 22 progress shaft hole matching connection with stapler bottom 2 in one week of tube wall；Together
When, there is 6 mutual 60 ° of angle of the second anastomosed aperture 42 on the second annulus 44, it acts as the first of same stapler bottom 2
Metal nail 21 carries out shaft hole matching, the free biology pipe in connection two sides；Meanwhile second between metal nail 41 and the second anastomosed aperture 42
Angle be 30 °, around one week of the second annulus 44, be staggered；
As shown in figure 4, described 3 one end of stapler guide rail is the external thread section 32 with 23 screw-internal thread fit of the first cylinder；
It is equipped with outside the other end and the groove 31 of the stupefied cooperation of evagination in the second cylinder 43, inside is equipped with card slot 33.
There are 4 folders on the circumference of 4 inner hole at the top of the stapler bottom 2 of the present embodiment, stapler guide rail 3 and stapler
The card slot 33 that 90 ° of angle, used in the clamping as external clamping devices.
The semi-cutaway of first metal nail 21 and the second metal nail 41 is beam type buckle structure, and anastomosed aperture
When interference fit or transition fit, the company of the free biological pipe in connected two sides is fastened with the frictional force of anastomosed aperture inner wall using metal nail
It connects；When transition fit or clearance fit, company, institute two is fastened with the pressure of anastomosed aperture using the card base of metal nail beam type buckle
Connection of the sidestream from biological pipe.
First metal nail 21, the second metal nail 41 are deposited with the outer circle maximum diameter of the first annulus 24, the second annulus 44
In a certain proportion of distance, this partial distance it is suitable to biological pipe one to coincide by the first annulus 24, the second annulus 44,
Uniformly distributed pressure, such ring press methods of anastomosis, reduce anastomotic leakage, make one week of biological tube wall while healing, promotion is cured
Close quality.
First metal nail 21 and the second metal nail 41 is made of magnesium base alloy, zinc-containing alloy or ferrous alloy.
In addition to the first metal nail 21 and the second metal nail 41, degradable varus ring pressure type biology pipe stapler remaining part is equal
By degradation material glycolide, lactide, caprolactone, Lanthanum Isopropoxide, trimethylene carbonate homopolymer or above-mentioned list
The copolymer of body through 3D printing (increasing material manufacturing), injection molding, machine tooling is made, be the essential trace elements of the human body, can be by people
Body metabolism discharge.
The operation principle of the present invention is that:
By in the merging of stapler the bottom 2 biological pipe of separate out, after merging, the tube wall of biological pipe nozzle is picked up,
It hangs in any one the first metal nail 21 on stapler bottom 2, and successively all hung over the first metal for one week of tube wall
It on nail 21, and compresses tube wall and is in close contact with the inner side plane (close to the one side of the first metal nail 21) of the first annulus 24, make to swim
The a port of the biological pipe come is separated out with 2 good connection of stapler bottom；To the biological pipe port that another has dissociated, set
Enter 4 at the top of stapler, as the operation that step is placed in stapler bottom 2.
As shown in figure 4, the screw thread 32 of guide rail 3 from the direction of metal nail 21, is placed in the inner hole of bottom 2, in bottom 2
Screw thread 23 on hole, is attached, and tighten.At this point, guide rail 3 is connected to one with bottom 2, and one end that biology pipe dissociates
It rises.The concave inward structure 31 of guide rail 3 is exposed to outer.
After stapler guide rail 3 to be exposed to the outer adjustment angle of groove 31,4 inner hole at the top of merging stapler, with convex stupefied
Cooperated；At this point, the first metal nail 21 of stapler bottom 2 has been folded at the top of stapler 4 the second anastomosed aperture 42
Angle；4 the second metal nail 41 has also been folded angle with the first anastomosed aperture 22 of stapler bottom 2 at the top of stapler
Degree.
By biological tube wall, lesser identical power is applied to the medial plane of the first annulus 24 and the second annulus 44, and
Vernier angle makes the first metal nail 21 and the second metal nail 41 puncture the biological tube wall of opposite side, and enters the second kiss of opposite side
Close hole 42 and the first anastomosed aperture 22；Later, biggish power is applied to annulus medial plane by biological tube wall, completes to coincide；
It completes after coincideing, stapler is integrally fully recessed into inside the biological pipe sutured, and there is permissible fluid to pass through for inside
The edge of wound two sides tissue in gap, biological pipe is in varus state, and wound surface is smooth.
Claims (5)
1. a kind of degradable varus ring pressure type biology pipe stapler, including stapler bottom (2), it is characterised in that: stapler bottom
Portion (2) is connected with the threaded one end of stapler guide rail (3), and (4) hole axle is matched at the top of the other end and stapler of stapler guide rail (3)
Connection is closed, stapler guide rail (3) is used as angle pairing；
The stapler bottom (2) includes the first annulus (24), and the side of the first annulus (24) is connected with tapped the
One cylinder (23), the other side of the first annulus (24) are provided with uniformly distributed the first metal nail (21) and the first anastomosed aperture (22), the
One metal nail (21) and the first anastomosed aperture (22) are staggered；
(4) include the second annulus (44) at the top of the stapler, and it is stupefied that the side of the second annulus (44) is connected with internal band evagination
The second cylinder (43), the other side of the second annulus (44) is provided with uniformly distributed the second metal nail (41) and the second anastomosed aperture
(42), the second metal nail (41) and the second anastomosed aperture (42) are staggered；
Described stapler guide rail (3) one end is the external thread section (32) with the first cylinder (23) screw-internal thread fit；Outside the other end
Portion is equipped with and the groove (31) of the stupefied cooperation of evagination in the second cylinder (43), is equipped with card slot (33) inside stapler guide rail (3).
2. a kind of degradable varus ring pressure type biology pipe stapler according to claim 1, it is characterised in that: described
The semi-cutaway of one metal nail (21) and the second metal nail (41) is beam type buckle structure, and anastomosed aperture interference fit or mistake
When crossing cooperation, the connection of the free biological pipe in connected two sides is fastened with the frictional force of anastomosed aperture inner wall using metal nail；Transition fit
Or when clearance fit, the free biology pipe in connected two sides is fastened with the pressure of anastomosed aperture using the card base of metal nail beam type buckle
Connection.
3. a kind of degradable varus ring pressure type biology pipe stapler according to claim 1, it is characterised in that: described
One metal nail (21), the second metal nail (41) with the first annulus (24), the second annulus (44) outer circle maximum diameter there are distances, be
First annulus (24), the second annulus (44) give the one uniformly distributed pressure of biological pipe coincideing.
4. a kind of degradable varus ring pressure type biology pipe stapler according to claim 1, it is characterised in that: described
One metal nail (21) and the second metal nail (41) are made of magnesium base alloy, zinc-containing alloy or ferrous alloy.
5. a kind of degradable varus ring pressure type biology pipe stapler according to claim 1, it is characterised in that: remove the first gold medal
Belong to nail (21) and the second metal nail (41) outside, degradable varus ring pressure type biology pipe stapler remaining part is by degradation material
Glycolide, lactide, caprolactone, Lanthanum Isopropoxide, the homopolymer of trimethylene carbonate or above-mentioned monomer copolymer warp
3D printing, injection molding, machine tooling are made.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910571789.9A CN110236624A (en) | 2019-06-28 | 2019-06-28 | A kind of degradable varus ring pressure type biology pipe stapler |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910571789.9A CN110236624A (en) | 2019-06-28 | 2019-06-28 | A kind of degradable varus ring pressure type biology pipe stapler |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110236624A true CN110236624A (en) | 2019-09-17 |
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ID=67890057
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910571789.9A Pending CN110236624A (en) | 2019-06-28 | 2019-06-28 | A kind of degradable varus ring pressure type biology pipe stapler |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN110236624A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113069164A (en) * | 2021-03-18 | 2021-07-06 | 王亚朋 | Detachable reusable micro-vessel anastomat and using method thereof |
| CN113143372A (en) * | 2021-05-20 | 2021-07-23 | 上海理工大学 | Degradable pressurized lumen tissue anastomosis stent |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN85106639A (en) * | 1985-09-03 | 1987-03-25 | 第三军医大学野战外科研究所 | blood vessel anastomat |
| US5336233A (en) * | 1989-01-26 | 1994-08-09 | Chen Fusen H | Anastomotic device |
| WO2002015796A2 (en) * | 2000-08-24 | 2002-02-28 | Surgical Connections, Inc. | Surgical stabilizer devices |
| CN1764416A (en) * | 2002-01-09 | 2006-04-26 | 新引导系统公司 | Apparatus and method for endoscopic colectomy |
| CN101384221A (en) * | 2006-01-16 | 2009-03-11 | 伊西康内外科公司 | Anastomotic device |
| CN106308866A (en) * | 2016-09-29 | 2017-01-11 | 浙江大学 | Absorbable one-way compression type intestine-intestine anastomat |
| CN207886229U (en) * | 2017-06-23 | 2018-09-21 | 韩培 | Degradable blood vessel anastomosis device |
-
2019
- 2019-06-28 CN CN201910571789.9A patent/CN110236624A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN85106639A (en) * | 1985-09-03 | 1987-03-25 | 第三军医大学野战外科研究所 | blood vessel anastomat |
| US5336233A (en) * | 1989-01-26 | 1994-08-09 | Chen Fusen H | Anastomotic device |
| WO2002015796A2 (en) * | 2000-08-24 | 2002-02-28 | Surgical Connections, Inc. | Surgical stabilizer devices |
| CN1764416A (en) * | 2002-01-09 | 2006-04-26 | 新引导系统公司 | Apparatus and method for endoscopic colectomy |
| CN101384221A (en) * | 2006-01-16 | 2009-03-11 | 伊西康内外科公司 | Anastomotic device |
| CN106308866A (en) * | 2016-09-29 | 2017-01-11 | 浙江大学 | Absorbable one-way compression type intestine-intestine anastomat |
| CN207886229U (en) * | 2017-06-23 | 2018-09-21 | 韩培 | Degradable blood vessel anastomosis device |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113069164A (en) * | 2021-03-18 | 2021-07-06 | 王亚朋 | Detachable reusable micro-vessel anastomat and using method thereof |
| CN113143372A (en) * | 2021-05-20 | 2021-07-23 | 上海理工大学 | Degradable pressurized lumen tissue anastomosis stent |
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Application publication date: 20190917 |