CN112545600B

CN112545600B - Annular anastomat

Info

Publication number: CN112545600B
Application number: CN202011502491.1A
Authority: CN
Inventors: 徐靖文
Original assignee: Nanjing Halls Biological Technology Co Ltd
Current assignee: Nanjing Halls Biological Technology Co Ltd
Priority date: 2020-12-18
Filing date: 2020-12-18
Publication date: 2022-06-21
Anticipated expiration: 2040-12-18
Also published as: CN112545600A

Abstract

The invention provides an annular anastomat, which comprises a base component, a connecting rod, a connecting seat, a pushing component, a return spring, a nail bin component, an illuminating component, a reinforcing plate, a holding handle, a pushing rod, a guide plate, a clamping component, a buckle component and a limiting plate, wherein the cut tissues are extruded and sutured from two sides of a foreskin tissue through the base component and the nail bin component, sutured suturing nails are parallel to genitals of men and cannot abrade tissues in the foreskin, the tissues at two sides of suturing are not wrapped by the anastomat during suturing, the operation difficulty during anastomosis can be reduced by direct observation, a lighting lamp is also installed, when the visual field is poor, the parts such as the base component and the like can be illuminated after being opened, additional light is not needed for light supplement illumination, and the distance between the base component and the nail bin component during anastomosis is adjusted through the limiting component, can be adjusted according to the tissue thickness of the foreskin during anastomosis.

Description

Annular anastomat

Technical Field

The invention relates to the technical field of medical equipment, in particular to an annular anastomat.

Background

The anastomat is equipment widely used in medicine to replace manual suturing, the titanium nails are used for connecting and suturing tissues, the anastomat is particularly suitable for operations on hollow organs such as esophagus, stomach, small intestine, large intestine and rectum, the operations on the parts can be used for the anastomat, in the operation of a male urinary system, a circle of suture is needed to be wound after cutting when suturing is carried out after cutting of male prepuce, the manual suturing mode is commonly used at present, the labor intensity of suturing is high, the ordinary linear anastomat is adopted, multiple times of suturing are needed, and the multiple times of suturing can influence the attractiveness of an anastomotic orifice.

The publication number is CN209301208U provides a novel foreskin anastomat, when suturing, mainly squeeze and suture inside and outside the foreskin tissue, the foreskin tissue sutured through the anastomat, the direction of suturing nail is perpendicular to the male genital organ, the internal tissue of the foreskin is easy to rub, and the operation is inconvenient, and because the anastomat needs to wholly wrap the foreskin when suturing, when the sight is bad, additional light is needed to illuminate the sutured tissue, the use is troublesome, in addition, the distance between the glans penis cover and the nail bin sleeve of the anastomat can not be adjusted, the independent adjustment can not be carried out according to the thickness of the foreskin tissue, and the application range is narrow.

Disclosure of Invention

The present invention is directed to a circular stapler to solve the above problems of the prior art.

In order to achieve the purpose, the invention provides the following technical scheme:

the utility model provides an annular anastomat, includes base subassembly, connecting rod, connecting seat, promotion subassembly, reset spring and nail storehouse subassembly, wherein:

the base assembly and the nail bin assembly are annular, a connecting rod is fixed on the base assembly, a connecting seat is fixed on the connecting rod, a pushing assembly is mounted on the connecting rod and can freely move on the connecting rod, a return spring is mounted on the connecting rod between the pushing assembly and the base assembly, the movable nail bin assembly is mounted at the lower part of the pushing assembly, and a lighting assembly is mounted on the pushing assembly and used for lighting the bottom area of the pushing assembly;

a holding handle is fixed on the connecting seat, a reinforcing plate is fixed on the holding handle, a pushing rod is fixed on the upper end surface of the pushing assembly, the upper end of the pushing rod penetrates through the reinforcing plate, the pushing rod drives the pushing assembly to move, a clamping assembly is fixed on the upper end of the pushing assembly, the upper end of the clamping assembly penetrates through the connecting seat and is connected to the reinforcing plate, and the upper end of the clamping assembly detachably abuts against the upper end surface of the reinforcing plate;

install the buckle subassembly on the base subassembly, the buckle subassembly includes rotation axis and buckle, the side of base subassembly is provided with the buckle groove, the rotation axis is installed to the buckle inslot, the buckle is installed on the rotation axis, the buckle can rotate round the rotation axis to the base subassembly outside, install spacing subassembly on base subassembly and the nail storehouse subassembly, spacing subassembly includes spacing seat, adjusting screw and limiting plate, the base subassembly outside is fixed with the spacing seat, install rotatable adjusting screw on the spacing seat, the outside of nail storehouse subassembly is fixed with the limiting plate, the limiting plate is located directly over the spacing seat.

Preferably, the base component comprises a base, fixing lugs and a nail abutting plate, an inwards concave matching groove is formed in the upper end of the base, the nail abutting plate is fixed to the bottom of the matching groove, the fixing lugs are fixed to the outer side of the base, and the connecting rods are fixed to the upper ends of the fixing lugs.

Preferably, the promotion subassembly comprises promotion seat, illumination case, ejector pin board, upper cover and slip ear, install the illumination case of indent in the promotion seat, the lower extreme of promotion seat is fixed with the ejector pin board, the external fixation of promotion seat has the slip ear, the slip ear is installed on the connecting rod, promotion seat upper end is fixed with the upper cover.

Preferably, the nail bin assembly comprises a nail bin and a mounting rod, a nail groove is formed in the nail bin, the mounting rod is fixed to the upper end of the nail bin, the nail groove and the nail pushing plate vertically correspond to each other in position, and the upper end of the mounting rod is clamped in the pushing seat and can move up and down in the pushing seat.

Preferably, lighting assembly includes button switch, battery and light, the lower terminal surface of illumination case is fixed with the light, install the battery between propelling movement seat and the illumination case, the propelling movement seat outside is fixed with button switch, battery and light electric connection, button switch establishes ties on the circuit between battery and light.

Preferably, the connecting seat comprises fixed plate and connecting claw, the one end of connecting claw is fixed on the fixed plate, and the other end is fixed in the connecting rod upper end, fixed plate upper end symmetry is fixed with two grips handles, be fixed with the gusset plate between two grips handles, be provided with the locking hole on the gusset plate, the screens subassembly comprises check lever and screens piece, the check lever lower extreme is fixed on promoting the subassembly, the check lever upper end is passed fixed plate and locking hole and is installed rotatable screens piece, screens piece and locking hole shape are unanimous.

Preferably, a trumpet-shaped guide plate is fixed at the lower end of the base assembly.

Compared with the prior art, the invention has the beneficial effects that:

1. the tissue after cutting is extruded and sutured from two sides of the foreskin tissue through the base component and the nail bin component, the sutured suturing nail is parallel to the male genital organ and cannot abrade the tissue in the foreskin, and the tissue at two sides of the suturing is not wrapped by the anastomat during suturing, so that the suturing nail can be directly observed, and the operation difficulty during anastomosis is reduced;

2. the foreskin anastomosis device is provided with the illuminating lamp, when the vision is poor, the illuminating lamp can illuminate parts such as the base assembly after being opened, light supplement illumination is not needed to be additionally used, the functions are various, and the foreskin anastomosis device is simple to use and convenient to operate when foreskin anastomosis is carried out;

3. the distance between the base assembly and the nail bin assembly can be adjusted through the limiting assembly when the suturing device is anastomosed, the adjustment can be carried out according to the tissue thickness of the foreskin when the suturing device is anastomosed, the suturing tissue can not be excessively clamped when the suturing device is anastomosed, and the suturing tissue is prevented from being extruded and injured.

Drawings

FIG. 1 is a schematic view of the overall structure of the present invention;

FIG. 2 is an exploded view of the overall structure of the present invention;

FIG. 3 is a bottom view of the pushing assembly and the cartridge assembly of the present invention;

FIG. 4 is a schematic structural view of a buckle assembly and a limiting assembly according to the present invention;

FIG. 5 is a schematic view of the locking assembly of the present invention.

In the figure: 1 base component, 101 base, 102 fixed lug, 103 nail pushing plate, 111 inosculating groove, 2 connecting rod, 3 connecting seat, 301 fixed plate, 302 connecting claw, 4 pushing component, 401 pushing seat, 402 lighting box, 403 nail pushing plate, 404 upper cover, 405 sliding lug, 5 reset spring, 6 nail bin component, 601 nail bin, 602 mounting rod, 611 nail groove, 7 lighting component, 701 button switch, 702 storage battery, 703 lighting lamp, 8 reinforcing plate, 9 holding handle, 10 pushing rod, 11 guide plate, 12 clamping component, 1201 locking rod, 1202 clamping block, 1211 locking hole, 13 clamping component, 1301 rotating shaft, 1302 buckle, 1311 clamping groove, 14 limiting component, 1401 limiting seat, 1402 adjusting screw rod, 1403 limiting plate.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Example (b):

referring to fig. 1 to 5, the present invention provides a technical solution:

the utility model provides an annular anastomat, includes base subassembly 1, connecting rod 2, connecting seat 3, pushing assembly 4, reset spring 5, nail storehouse subassembly 6, lighting components 7, gusset plate 8, grips handle 9, catch bar 10, deflector 11, screens subassembly 12, buckle subassembly 13 and limiting plate 14, wherein:

the base assembly 1 and the nail bin assembly 6 are annular, the base assembly 1 is fixedly provided with a connecting rod 2, the base assembly 1 is composed of a base 101, a fixing lug 102 and a nail abutting plate 103, the upper end of the base 101 is provided with an inwards concave inosculating groove 111, the nail abutting plate 103 is fixed at the bottom of the inosculating groove 111, the lower part of a suturing nail abuts against the nail abutting plate 103 to complete bending when suturing, the fixing lug 102 is fixed at the outer side of the base 101, the connecting rod 2 is fixed at the upper end of the fixing lug 102, the connecting rod 2 is fixedly provided with a connecting seat 3, the connecting seat 3 is composed of a fixing plate 301 and a connecting claw 302, one end of the connecting claw 302 is fixed on the fixing plate 301, the other end of the connecting rod 2 is fixed at the upper end of the fixing plate 301, two holding handles 9 are symmetrically fixed at the upper end of the fixing plate 301, the holding handles 9 are convenient for a user to operate, and are convenient for exerting force to push the push rod 10, a reinforcing plate 8 is fixed between the two handles 9, the reinforcing plate 8 can be connected and supported between the two handles 9, shaking of the handles 9 is reduced, a push rod 10 is fixed on the upper end face of the push component 4, the reinforcing plate 8 penetrates through the upper end of the push rod 10, the push rod 10 drives the push component 4 to move, and when the push rod 10 is pressed down, the push component 4 can be driven to move downwards.

The improved nail sewing machine is characterized in that the connecting rod 2 is provided with a pushing assembly 4, the pushing assembly 4 is composed of a pushing seat 401, an illuminating box 402, a nail pushing plate 403, an upper cover 404 and sliding lugs 405, the pushing seat 401 is internally provided with the inward concave illuminating box 402, the lower end of the pushing seat 401 is fixed with the nail pushing plate 403, the nail pushing plate 403 is positioned right above a nail groove 611 and can push out sewing nails in the nail groove 611, the outer part of the pushing seat 401 is fixed with the sliding lugs 405, the sliding lugs 405 are arranged on the connecting rod 2, the upper cover 404 is fixed at the upper end of the pushing seat 401, the sliding lugs 405 can drive the pushing assembly 4 to freely move on the connecting rod 2, the connecting rod 2 between the sliding lugs 405 on the pushing assembly 4 and the fixing lugs 102 of the base assembly 1 is provided with the return spring 5, the return spring 5 is compressed when the pushing assembly 4 is pressed downwards, and the elastic force of the return spring 5 can automatically return the pushing assembly 4 after the pushing rod 10 is loosened, three groups of fixing lugs 102, connecting rods 2 and sliding lugs 405 are uniformly arranged.

The lower part of the pushing component 4 is provided with a movable nail bin component 6, the nail bin component 6 comprises a nail bin 601 and a mounting rod 602, the nail bin 601 is provided with a nail groove 611, a suturing nail is placed in the nail groove 611, the mounting rod 602 is fixed at the upper end of the nail bin 601, the nail groove 611 corresponds to the nail pushing plate 403 up and down, the upper end of the mounting rod 602 is clamped in the pushing seat 401, a mounting groove for accommodating and holding the mounting rod 602 is formed in the pushing seat 401, the nail bin 601 is connected to the pushing seat 401, the mounting rod 602 can move up and down in the pushing seat 401, when the nail bin 601 is contacted with a tissue to be sutured, the pushing component 4 can continuously move down, the mounting rod 602 moves up in the pushing seat 401 at the moment, when the suturing is carried out, two layers of foreskin tissues are clamped between the base component 1 and the nail bin component 6, when the suturing is carried out, the cut tissues are squeezed and sutured from two sides of the foreskin tissues, the sutured suturing nail is parallel to the male genitals, tissues in the foreskin cannot be abraded, tissues on two sides of the sutured suturing nail cannot be wrapped by the anastomat during suturing, the suturing nail can be directly observed, the operation difficulty during anastomosis is reduced, and the shape of the lower portion of the nail bin 601 is matched with the shape of the anastomosis groove 111.

The push assembly 4 is provided with an illuminating assembly 7, the illuminating assembly 7 comprises a button switch 701, a storage battery 702 and an illuminating lamp 703, the illuminating lamp 703 is fixed on the lower end face of the illuminating box 402, the storage battery 702 is installed between the push seat 401 and the illuminating box 402, the button switch 701 is fixed on the outer side of the push seat 401, the storage battery 702 is electrically connected with the illuminating lamp 703, the storage battery 702 is a rechargeable lithium battery and provides a power supply for the illuminating lamp 703, the button switch 701 is connected in series on a circuit between the storage battery 702 and the illuminating lamp 703, the button switch 701 controls the switch of the illuminating lamp 703 to illuminate the bottom area of the push assembly 4, when the visual field is poor, the illuminating lamp 703 is turned on to illuminate parts such as the base assembly 1, the light supplement and illumination are not required to be additionally used, the functions are various, and when the wrapping is fitted, the use is simple, the operation is convenient.

A flared guide plate 11 is fixed at the lower end of the base component 1, the guide plate 11 is cylindrical, one end of the guide plate has a large diameter, the other end of the guide plate has a small diameter, the base component 1 is conveniently sleeved around foreskin tissues, a buckle component 13 is installed on the base component 1, the buckle component 13 comprises a rotating shaft 1301 and a buckle 1302, a buckle groove 1311 is arranged on the side surface of the base component 1, the rotating shaft 1301 is installed in the buckle groove 1311, the buckle 1302 is installed on the rotating shaft 1301, the buckle 1302 can rotate towards the outer side of the base component 1 around the rotating shaft 1301, the outer end of the buckle 1302 is in a hook shape, when the buckle 1302 is turned outwards, a layer of foreskin tissues can be fixed on the hook 1302, the sewing operation in the later period is convenient, when the buckle 1302 is not used, the buckle 1302 can be rotatably retracted into the buckle groove 1311, and the base component 1 and the nail bin component 6 are provided with a limiting component 14, the limiting component 14 comprises a limiting seat 1401, an adjusting screw 1402 and a limiting plate 1403, the limiting seat 1401 is fixed on the outer side of the base component 1, the limiting seat 1401 is provided with the rotatable adjusting screw 1402, the height of the upper end of the adjusting screw 1402 can be adjusted by rotating the adjusting screw 1402, the limiting plate 1403 is fixed on the outer side of the nail bin component 6, the limiting plate 1403 is located right above the limiting seat 1401 and moves downwards on the nail bin component 6, the limiting plate can abut against the upper end of the adjusting screw 1402, the nail bin component 6 cannot move downwards continuously, the distance between the base component 1 and the nail bin component 6 can be adjusted by rotating the adjusting screw 1402 when anastomosis is achieved, the adjustment can be performed according to the tissue thickness of a foreskin when anastomosis is performed, the suture tissue cannot be excessively clamped, and the sutured tissue is prevented from being extruded.

The utility model discloses a staple cartridge, including promotion subassembly 4, reinforcing plate 8, locking hole 1211, screens subassembly 12, locking rod 1201 and screens piece 1202, locking rod 1201 fixes on promotion subassembly 4 in the upper end, locking rod 1201 passes fixed plate 301 and locking hole 1211 in the upper end and installs screens piece 1202, screens piece 1202 can rotate round locking rod 1201, screens piece 1202 and locking hole 1211 shape are unanimous, and when the direction of screens piece 1201 and the direction of locking hole 1211 are parallel, screens piece 1201 can pass locking hole 1211 and along with promoting subassembly 4 downstream, and when the direction of screens piece 1201 and the direction of locking hole 1211 are perpendicular, when promoting subassembly 4 downstream, screens piece 1201 can block at reinforcing plate 8, hinders promotion subassembly 4 downstream, prevents that the mistake from promoting the staple and cause the maloperation, causes danger.

The use principle of the invention is as follows: before use, when the clamping block 1201 is rotated to enable the direction of the clamping block to be perpendicular to that of the locking hole 1211, the pushing assembly 4 is locked to prevent misoperation caused by downward movement of the pushing assembly 4, then the adjusting screw 1402 is rotated according to the thickness of tissue to be sutured, the adjusting screw 1402 is adjusted to be a proper height, then suturing nails are installed inside the nail groove 611, then the button switch 701 is operated, the illuminating lamp 703 is turned on to perform auxiliary illumination, then the buckle 1302 is turned outwards, and the buckle 1302 is perpendicular to the outer side face of the base 101;

during anastomosis, the base component 1 is sleeved on the male genitalia through the guide plate 11, then a layer of foreskin tissue far away from the push rod 10 is clamped and fixed on the buckle 1302, then another layer of foreskin tissue is uniformly covered on the base 101, two layers of foreskin tissues are stacked together, then the clamping block 1201 is rotated to enable the direction of the clamping block to be parallel to the direction of the locking hole 1211, finally the holding handle 9 is held, then the push rod 10 is pushed downwards, at the moment, the base component 1 and the nail bin component 6 move downwards together, the nail bin component 6 firstly contacts with the tissue, the base component 1 continuously moves downwards, the mounting rod 602 moves upwards in the push seat 401, the nail pushing plate 403 is inserted into the nail groove 611 to push the stitching nails to move downwards to penetrate through the tissue to be stitched, the stitching nails are contacted with the nail abutting plate 103 and are obliquely extruded into a B shape, two layers of tissues are stitched together, then the push rod 10 is loosened, under the action of the return spring 5, the base assembly 1 and the nail bin assembly 6 automatically return, so that the next use is facilitated.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. The utility model provides an annular anastomat, includes base subassembly (1), connecting rod (2), connecting seat (3), promotion subassembly (4), reset spring (5) and nail storehouse subassembly (6), its characterized in that:

the nail bin comprises a base assembly (1) and a nail bin assembly (6), wherein the base assembly (1) and the nail bin assembly (6) are annular, a connecting rod (2) is fixed on the base assembly (1), a connecting seat (3) is fixed on the connecting rod (2), a pushing assembly (4) is installed on the connecting rod (2), the pushing assembly (4) can freely move on the connecting rod (2), a reset spring (5) is installed on the connecting rod (2) between the pushing assembly (4) and the base assembly (1), a movable nail bin assembly (6) is installed on the lower portion of the pushing assembly (4), and a lighting assembly (7) is installed on the pushing assembly (4) and used for lighting the bottom area of the pushing assembly (4);

a holding handle (9) is fixed on the connecting seat (3), a reinforcing plate (8) is fixed on the holding handle (9), a push rod (10) is fixed on the upper end face of the push component (4), the reinforcing plate (8) penetrates through the upper end of the push rod (10), the push rod (10) drives the push component (4) to move, a clamping component (12) is fixed on the upper end of the push component (4), the upper end of the clamping component (12) penetrates through the connecting seat (3) and is connected onto the reinforcing plate (8), and the upper end of the clamping component (12) detachably abuts against the upper end face of the reinforcing plate (8);

the base assembly (1) is provided with a buckle assembly (13), the buckle assembly (13) comprises a rotating shaft (1301) and a buckle (1302), a buckle groove (1311) is formed in the side face of the base assembly (1), the rotating shaft (1301) is installed in the buckle groove (1311), the buckle (1302) is installed on the rotating shaft (1301), and the buckle (1302) can rotate towards the outer side of the base assembly (1) around the rotating shaft (1301);

install spacing subassembly (14) on base subassembly (1) and nail storehouse subassembly (6), spacing subassembly (14) are including spacing seat (1401), adjusting screw (1402) and limiting plate (1403), base subassembly (1) outside is fixed with spacing seat (1401), install rotatable adjusting screw (1402) on spacing seat (1401), the outside of nail storehouse subassembly (6) is fixed with limiting plate (1403), limiting plate (1403) are located directly over spacing seat (1401).

2. The circular stapler according to claim 1, wherein: the base component (1) is composed of a base (101), fixing lugs (102) and a nail abutting plate (103), an inwards concave anastomosis groove (111) is formed in the upper end of the base (101), the nail abutting plate (103) is fixed to the bottom of the anastomosis groove (111), the fixing lugs (102) are fixed to the outer side of the base (101), and the connecting rod (2) is fixed to the upper end of the fixing lugs (102).

3. The circular stapler according to claim 2, wherein: promote subassembly (4) and constitute by push seat (401), illumination case (402), ejector pin board (403), upper cover (404) and slip ear (405), install illumination case (402) of indent in push seat (401), the lower extreme of push seat (401) is fixed with ejector pin board (403), the external fixation of push seat (401) has slip ear (405), install on connecting rod (2) slip ear (405), push seat (401) upper end is fixed with upper cover (404).

4. The circular stapler of claim 3, wherein: the nail bin assembly (6) comprises a nail bin (601) and a mounting rod (602), a nail groove (611) is formed in the nail bin (601), the mounting rod (602) is fixed to the upper end of the nail bin (601), the positions of the nail groove (611) and the position of a nail pushing plate (403) correspond to each other up and down, and the upper end of the mounting rod (602) is clamped in the pushing seat (401) and can move up and down in the pushing seat (401).

5. The circular stapler according to claim 3, wherein: illumination subassembly (7) are including button switch (701), battery (702) and light (703), the lower terminal surface of illumination case (402) is fixed with light (703), install battery (702) between promotion seat (401) and illumination case (402), it is fixed with button switch (701) to promote the seat (401) outside, battery (702) and light (703) electric connection, button switch (701) are established ties on the circuit between battery (702) and light (703).

6. The circular stapler of claim 1, wherein: the connecting seat (3) is composed of a fixing plate (301) and a connecting claw (302), one end of the connecting claw (302) is fixed on the fixing plate (301), the other end of the connecting claw is fixed at the upper end of the connecting rod (2), two holding handles (9) are symmetrically fixed at the upper end of the fixing plate (301), a reinforcing plate (8) is fixed between the two holding handles (9), a locking hole (1211) is formed in the reinforcing plate (8), the clamping component (12) is composed of a locking rod (1201) and a clamping block (1202), the lower end of the locking rod (1201) is fixed on the pushing component (4), the upper end of the locking rod (1201) penetrates through the fixing plate (301) and the locking hole (1211) to be provided with a rotatable clamping block (1202), and the clamping block (1202) and the locking hole (1211) are consistent in shape.

7. The circular stapler according to claim 1, wherein: and a horn-shaped guide plate (11) is fixed at the lower end of the base component (1).