CN112869808B - Skin anastomat with differential structure - Google Patents

Skin anastomat with differential structure Download PDF

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Publication number
CN112869808B
CN112869808B CN202110195436.0A CN202110195436A CN112869808B CN 112869808 B CN112869808 B CN 112869808B CN 202110195436 A CN202110195436 A CN 202110195436A CN 112869808 B CN112869808 B CN 112869808B
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China
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nail
shell
rotating shaft
block
fixed
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CN112869808A (en
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金富康
沈礼宝
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Suzhou Frankenman Medical Equipment Co Ltd
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Suzhou Frankenman Medical Equipment Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/0682Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
    • A61B17/0684Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying above the tissue during stapling
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Portable Nailing Machines And Staplers (AREA)

Abstract

The invention relates to the technical field of skin anastomats, and discloses a skin anastomat with a differential structure, which comprises a shell, wherein a movable handle is arranged in the shell, a nail bin shell is arranged on the lower surface of the shell, a nail pushing sheet is arranged in the nail bin shell, a first rotating shaft penetrates through the nail pushing sheet, one end of the first rotating shaft is rotatably arranged on the inner wall of the nail bin shell, one end of the first rotating shaft, which is close to a contact part with the nail bin shell, is fixedly provided with a gear, spiral teeth are arranged above the gear, the gear and the spiral teeth are mutually matched, the spiral teeth are fixedly arranged on the outer surface of a second rotating shaft, the second rotating shaft penetrates through two sides of the nail bin shell, the second rotating shaft is rotatably connected with second bearings at positions corresponding to the nail bin shell, the second bearings penetrate through two sides of the nail bin shell, a handle is fixedly arranged at the end part of the second rotating shaft, and the anastomat can clamp a wound before suturing, bringing convenience for subsequent sewing.

Description

Skin anastomat with differential structure
Technical Field
The invention relates to the technical field of skin anastomats, in particular to a skin anastomat with a differential structure.
Background
The anastomat is the first stapler in the world, is used for gastrointestinal anastomosis for nearly a century, and is not widely used for gastrointestinal surgery until 1978, and can be mainly divided into a skin anastomat, a circular anastomat for digestive tracts (esophagus, stomach and intestine and the like), a rectal anastomat, a circular hemorrhoid anastomat, a circumcision anastomat, a blood vessel anastomat, a hernia anastomat, a lung cutting stapler and the like. The anastomat is equipment used for replacing the traditional manual suturing in medicine, and due to the development of modern science and technology and the improvement of manufacturing technology, the anastomat used clinically has reliable quality, convenient use, tightness and proper tightness, particularly has the advantages of quick suturing, simple and convenient operation, few side effects, few operation complications and the like, and can also be used for excising the focus of a tumor operation which cannot be excised in the past.
However, the existing skin anastomat needs other operators to cooperate when in use, the forceps are used for helping a doctor to clamp the wound of a patient, and one person cannot operate the skin anastomat. Moreover, some skin staplers may be subject to nail breakage during use, which may adversely affect the suturing process of the surgeon. In addition, the skin stapler may be mishandled, wasting staples, and may be an accident.
Disclosure of Invention
Technical problem to be solved
Aiming at the defects of the prior art, the invention provides the skin anastomat with the differential structure, which has the advantages of clamping a wound in advance, manually controlling the nail to be discharged, preventing the nail from falling, preventing the anastomat from being operated by mistake and the like, and solves the problems that an additional operator is required to clamp the wound during suturing, suturing nails fall out during suturing, the anastomat is operated by mistake and the like.
(II) technical scheme
In order to solve the technical problems that an additional operator is required to clamp the wound during suturing, suturing nails fall out during suturing, the anastomat is mistakenly operated and the like, the invention provides the following technical scheme: a skin anastomat with a differential structure comprises a shell, wherein a fixed shaft is fixedly arranged in the shell, a movable handle is rotatably arranged on the outer side of the fixed shaft, a first clamping groove is formed in the lower surface of one end of the shell, a first clamping block is clamped in the first clamping groove and fixedly arranged on the upper surface of a nail bin shell, a base station is fixedly arranged in the middle of the lower surface in the nail bin shell, a workbench is fixedly arranged on the upper surface of the base station, the length of the workbench is larger than that of the base station, a nail pushing plate is sleeved on the workbench, two ends of the nail pushing plate are respectively contacted with two sides in the nail bin shell but are not fixed, a first rotating shaft penetrates through the nail pushing plate, one end of the first rotating shaft is rotatably arranged on the inner wall of the nail bin shell, and one end of the first rotating shaft, which is close to a contact part with the nail bin shell, is fixedly provided with a gear, the improved nail magazine is characterized in that spiral teeth are arranged above the gear, the gear is matched with the spiral teeth, the spiral teeth are fixedly arranged on the outer surface of the second rotating shaft, the second rotating shaft penetrates through the two sides of the nail magazine shell, a second bearing is rotatably connected to the corresponding position of the second rotating shaft and the nail magazine shell, the second bearing penetrates through the two sides of the nail magazine shell, and a handle is fixedly arranged at the end of the second rotating shaft.
Preferably, the ejector pin piece slides and has cup jointed first guide bar, first guide bar one end is rotated and is connected with the fixed block, the fixed block lower surface contacts with the inside lower surface of nail storehouse shell, fixed block one end rotation connection is kept away from to first guide bar in nail storehouse shell inner wall, the workstation is located the ejector pin piece and keeps away from gear one side upper surface and evenly is provided with and sews up the nail.
Preferably, the nail cabin shell and the corresponding end portion both sides of sewing up the nail are all fixedly provided with the connecting block, the relative side of two connecting blocks is fixedly provided with the separation blade, the separation blade is kept away from the connecting block tip and is located between foremost end seam nail and the second sewing up the nail.
Preferably, the second rotating shaft is arranged between the second bearing and the handle, threads are arranged on the side face of the second rotating shaft, connecting rods are connected to the two ends of the second rotating shaft close to the handles in a threaded mode, a second guide rod is sleeved on the vertical portion of each connecting rod in a rotating mode, and one end of each second guide rod is fixedly connected with the nail bin shell.
Preferably, the two connecting rods are fixedly connected with clamping pieces on opposite sides far away from the end parts of the second guide rods, and the clamping pieces are thinner far away from the end parts of the connecting rods and are similar to the end parts of the tweezers.
Preferably, the movable handle and the lower surface of the corresponding end part of the nail bin shell are fixedly provided with a magnet piece, the magnet piece and the magnet block are mutually attracted, and the lower surface of the magnet block is fixedly provided with a nail pushing plate.
Preferably, the ejector pin plate is including upper plate and hypoplastron, magnet piece lower fixed surface is connected with the upper plate, the fixed hypoplastron that is provided with of upper plate lower extreme, set up in the middle of the hypoplastron and sew up the extrusion groove that the nail size corresponds, the fixed second fixture block that is provided with in ejector pin plate side, the second fixture block joint is in the second draw-in groove, the second draw-in groove is fixed to be set up in the shell inner wall side and the corresponding position of second fixture block.
Preferably, the movable handle is fixedly provided with a boss on the opposite side of the magnet sheet, the upper surface of the boss is rotatably provided with a third rotating shaft, the outer surface of the third rotating shaft is rotatably provided with a first bearing, the position of the first bearing corresponds to that of the shell, and the first bearing is fixedly arranged on the shell.
Preferably, a spring is arranged on the outer side of the rod body between the boss and the first bearing of the third rotating shaft, a safety block is fixedly arranged on the side face of the spring, the safety block is clamped in a third clamping groove, the third clamping groove is fixedly formed in the inner wall of the shell and corresponds to the safety block, and the length of the third clamping groove is larger than that of the safety block.
(III) advantageous effects
Compared with the prior art, the invention provides the skin anastomat with the differential structure, which has the following beneficial effects:
1. this skin anastomat with differential structure, through setting up differential mechanism, the handle rotates, the handle drives the second axis of rotation and rotates, the second axis of rotation drives the helical tooth and rotates, because the helical tooth is the complex with below gear, so the helical tooth can drive below gear and rotate, the gear drives first axis of rotation and rotates, because first axis of rotation is threaded connection with the ejector pin piece, so first axis of rotation drives the ejector pin piece and pushes up the nail along the screw thread direction and sews up and go out the nail, utilize differential mechanism convenient manual control to go out the nail.
2. This skin anastomat with differential structure, through rotating the handle, the handle drives the second axis of rotation and rotates, because second axis of rotation and connecting rod are threaded connection, so the second axis of rotation drives the connecting rod and removes along the screw thread direction, and then makes the holding piece at connecting rod both ends can grasp the wound both sides before the nail is sewed up in the extrusion for clip patient's wound before nail is sewed up in the extrusion of ejector pin board, be convenient for carry out follow-up stitching to patient's wound.
3. The skin anastomat with the differential structure is provided with the magnet piece and the magnet block through the lower surface of the movable handle, and the nail pushing plate is connected with the movable handle by utilizing the principle that the magnet attracts, so that the movable handle does not obstruct when the nail pushing plate is pressed downwards around the fixed shaft and can move smoothly, and after the movable handle is released, the magnet attracts to lift the nail pushing plate, so that the next suturing process is carried out.
4. This skin anastomat with differential structure resets movable handle through setting up the spring, presses movable handle after, and the spring atress produces deformation, and length shortens, produces reaction force to movable handle and shell, treats to release movable handle, and the spring does not receive the exogenic action, will resume the original state, then bounces movable handle, resumes primary position.
5. This skin anastomat with differential structure, through setting up safeties, when not using this anastomat, the third axis of rotation card is in the third draw-in groove, at this moment, can't make its rotation when pressing movable handle, if need use this anastomat, rotate the third axis of rotation, the third axis of rotation drives the safety block and rotates, removes the safety block from the third draw-in groove then, at this moment, the safety block can't block its motion when pressing movable handle, prevents this anastomat by the maloperation.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a first schematic view of the internal structure of the staple cartridge of the present invention;
FIG. 3 is a second schematic view of the internal structure of the staple cartridge of the present invention;
FIG. 4 is a schematic diagram of the differential structure of the present invention;
FIG. 5 is an enlarged view of the invention at A;
FIG. 6 is a schematic view of the push pin structure of the present invention;
FIG. 7 is a schematic view of the safety structure of the present invention;
fig. 8 is a schematic view of the internal structure of the housing of the present invention.
In the figure: 1. a housing; 2. a fixed shaft; 3. a movable handle; 4. a first card slot; 5. a first clamping block; 6. a nail bin housing; 7. a base station; 8. a work table; 9. a nail pushing sheet; 10. a first rotating shaft; 11. a gear; 12. helical teeth; 13. a second rotating shaft; 14. a second bearing; 15. a handle; 16. a first guide bar; 17. a fixed block; 18. suturing nails; 19. connecting blocks; 20. a baffle plate; 21. a connecting rod; 22. a second guide bar; 23. a clamping piece; 24. a magnet piece; 25. a magnet block; 26. a nail pushing plate; 27. an upper plate; 28. a lower plate; 29. a second fixture block; 30. a second card slot; 31. a boss; 32. a third rotating shaft; 33. a first bearing; 34. a spring; 35. a safety block; 36. and a third card slot.
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.
Referring to fig. 1-8, a skin anastomat with a differential structure comprises a housing 1, a fixed shaft 2 is fixedly arranged inside the housing 1, a movable handle 3 is rotatably arranged outside the fixed shaft 2, a first clamping groove 4 is formed in the lower surface of one end of the housing 1, a first clamping block 5 is clamped in the first clamping groove 4, the first clamping block 5 is fixedly arranged on the upper surface of a nail bin housing 6, a base 7 is fixedly arranged in the middle of the lower surface inside the nail bin housing 6, a working table 8 is fixedly arranged on the upper surface of the base 7, the length of the working table 8 is larger than that of the base 7, a nail pushing sheet 9 is sleeved on the working table 8, two ends of the nail pushing sheet 9 are respectively contacted with and unfixed on two sides inside the nail bin housing 6, a first rotating shaft 10 is arranged in the nail pushing sheet 9 in a penetrating manner, one end of the first rotating shaft 10 is rotatably arranged on the inner wall of the nail bin housing 6, a gear 11 is fixedly arranged at one end of the first rotating shaft 10, which is close to the contact part with the nail bin housing 6, gear 11 top is provided with helical tooth 12, and gear 11 and helical tooth 12 mutually support, and helical tooth 12 is fixed to be set up in the surface department of second axis of rotation 13, and second axis of rotation 13 runs through the setting in 6 both sides of nail storehouse shell, and second axis of rotation 13 is connected with second bearing 14 with the corresponding position rotation of nail storehouse shell 6, and second bearing 14 runs through the setting in 6 both sides of nail storehouse shell, and 13 end fixing of second axis of rotation are provided with handle 15.
Further, the ejector pin piece 9 is sleeved with a first guide rod 16 in a sliding mode, one end of the first guide rod 16 is connected with a fixing block 17 in a rotating mode, the lower surface of the fixing block 17 is in contact with the inner lower surface of the nail bin shell 6, one end of the first guide rod 16, far away from the fixing block 17, is connected to the inner wall of the nail bin shell 6 in a rotating mode, and the workbench 8 is located on the upper surface of the ejector pin piece 9, far away from the gear 11 side, and is evenly provided with stitching nails 18. One end of the first guide rod 16 is provided with a fixing block 17, and the other end of the first guide rod is arranged inside the nail bin shell, so that the position of the first guide rod 16 is fixed, the nail pushing sheet 9 is more stable when moving towards the nail ejecting direction, and the nail ejecting process of the anastomat is more stable.
Furthermore, connecting blocks 19 are fixedly arranged on two sides of the end portion of the cartridge housing 6 corresponding to the suturing nails 18, blocking pieces 20 are fixedly arranged on opposite sides of the two connecting blocks 19, and the blocking pieces 20 are far away from the end portion of the connecting blocks 19 and are positioned between the foremost suturing nail 18 and the second suturing nail 18. By placing the stop tab 20 between the first two staples 18, the stapler does not have the following staple 18 falling out during staple ejection. In addition, in concrete application, the material of separation blade 20 is similar to the material of duplicating the board on the market, has certain toughness, when nail pushing sheet 9 moves to the nail ejection direction, when exerting oneself to separation blade 20 one side, the effect of separation blade 20 atress appears crooked, continues exerting oneself, the separation blade degree of curvature increase, when the certain degree of increase, sew up the position that a previous sewing nail 18 can be replaced to sewing nail 18, then separation blade 20 reconversion, continue to keep out next sewing nail 18 for the condition that the nail can not appear falling appears.
Further, the second rotating shaft 13 is arranged between the second bearing 14 and the handle 15, threads are arranged on the side face of the second rotating shaft, connecting rods 21 are connected to the two ends of the second rotating shaft 13 close to the handles 15 through threads, the vertical portion of each connecting rod 21 is rotatably sleeved with a second guide rod 22, and one end of each second guide rod 22 is fixedly connected with the nail bin shell 6. Through setting up second guide bar 22 for connecting rod 21 is more stable at the removal in-process, and in addition, rotates handle 15, and handle 15 drives second axis of rotation 13 and rotates, because second axis of rotation 13 is threaded connection with connecting rod 21, so second axis of rotation 13 drives connecting rod 21 and removes along the screw thread direction, and then makes the holding piece 23 at connecting rod 21 both ends can grasp the wound both sides.
Further, the opposite sides of the ends of the two connecting rods 21 far away from the second guide rod 22 are fixedly connected with clamping pieces 23, and the ends of the clamping pieces 23 far away from the connecting rods 21 are thinner, similar to the ends of the tweezers. The end parts of the clamping pieces 23 are arranged to be thin layers similar to the end parts of tweezers, so that the clamping pieces 23 can better clamp two sides of a wound in the moving process, and convenience is brought to the subsequent sewing process.
Furthermore, a magnet piece 24 is fixedly arranged on the lower surface of the end part of the movable handle 3 corresponding to the nail bin shell 6, the magnet piece 24 and the magnet block 25 are attracted, and a nail pushing plate 26 is fixedly arranged on the lower surface of the magnet block 25. The movable handle 3 is provided with the magnet piece 24 and the magnet block 25 on the lower surface thereof, and the nail pushing plate 26 is connected with the movable handle 3 by the principle that the magnets attract each other, so that the movable handle 3 can be smoothly moved without being obstructed when the nail pushing plate 26 is pushed down around the fixed shaft 2, and further, after the movable handle 3 is released, the magnets attract each other to lift the nail pushing plate 26 for the next suturing process.
Further, the nail pushing plate 26 comprises an upper plate 27 and a lower plate 28, the lower surface of the magnet block 25 is fixedly connected with the upper plate 27, the lower plate 28 is fixedly arranged at the lower end of the upper plate 27, an extrusion groove corresponding to the size of the suturing nail 18 is formed in the middle of the lower plate 28, a second clamping block 29 is fixedly arranged on the side surface of the nail pushing plate 26, the second clamping block 29 is clamped in a second clamping groove 30, and the second clamping groove 30 is fixedly arranged on the side surface of the inner wall of the shell 1 and corresponds to the second clamping block 29. By fixedly providing a pressing groove at the lower end of the lower plate 28, which is matched with the size of the suturing nail 18, the foremost suturing nail 18 is pressed during the downward movement of the pressing groove, both ends of the suturing nail 18 are pressed into the skin of the patient, and then the wound of the patient is sutured. In addition, through set up second draw-in groove 30 at the shell 1 inner wall, with ejector pin board 26 joint in second draw-in groove 30 for ejector pin board 26 moves along the direction of second draw-in groove 30 in the in-process that moves down, and then can extrude the sewing nail 18 at forefront.
Furthermore, a boss 31 is fixedly arranged on the side surface of the movable handle 3 opposite to the magnet piece 24, a third rotating shaft 32 is rotatably arranged on the upper surface of the boss 31, a first bearing 33 is rotatably arranged on the outer surface of the third rotating shaft 32, the position of the first bearing 33 corresponds to the housing 1, and the first bearing 33 is fixedly arranged on the housing 1. The third rotating shaft 32 is vertically fixed on the boss 31 by the first bearing 33, which is more convenient when the stapler is secured.
Further, a spring 34 is arranged on the third rotating shaft 32 and located on the outer side of the rod body between the boss 31 and the first bearing 33, a safety block 35 is fixedly arranged on the side face of the spring 34, the safety block 35 is clamped in a third clamping groove 36, the third clamping groove 36 is fixedly arranged on the inner wall of the shell 1 and corresponds to the safety block 35, and the length of the third clamping groove 36 is greater than that of the safety block 35. This anastomat is insured through setting up insurance block 35, be located third draw-in groove 36 at insurance block 35, movable handle 3 can't be pressed, this anastomat can't play a role, if need use this anastomat, need rotate third axis of rotation 32 earlier, third axis of rotation 32 drives insurance block 35 and rotates, remove insurance block 35 from third draw-in groove 36 then, at this moment, insurance block 35 can't block its motion when pressing movable handle 3, movable handle 3 can drive front end nail pushing plate 26 and press the nail, sew up patient's wound then. In addition, reset movable handle 3 through setting up spring 34, press movable handle 3 after, spring 34 atress produces deformation, and length shortens, produces reaction force to movable handle 3 and shell 1, treats to release movable handle 3, and spring 34 does not receive the exogenic action, will resume the original state, then bounces movable handle 3, resumes primary position.
The working principle is as follows: before use, the safety device is opened, the third rotating shaft 32 is rotated, the third rotating shaft 32 drives the safety block 35 to rotate, then the safety block 35 is removed from the third clamping groove 36, and the movement of the safety block 35 cannot be blocked when the movable handle 3 is pressed.
At this time, the movable handle 3 is pressed, the spring 34 is stressed to deform, the length is shortened, reaction force is generated on the movable handle 3 and the shell 1, according to the lever principle, after the lower end of the movable handle 3 is pressed, the front end of the movable handle 3 moves downwards, the front end of the movable handle 3 pushes the nail pushing plate 26 to press nails downwards, in the downward movement process of the nail pushing plate 26, the nail pushing plate 26 is connected with the movable handle 3 by utilizing the principle that the magnet attracts, so that the movable handle 3 does not block when the nail pushing plate 26 is pressed downwards around the fixed shaft 2 and can move smoothly, in addition, in the downward movement process of the nail pushing plate 26, the second clamping block 29 is clamped in the second clamping groove 30, the nail pushing plate 26 moves along the direction of the second clamping groove 30 in the downward movement process, and the suturing nail 18 at the forefront end is extruded when the nail pushing plate 26 moves to the lower side.
During the downward movement of the nail pushing plate 26, namely before the movable handle 3 is pressed but the suturing nail 18 is not extruded, the handle 15 is pressed to rotate, the handle 15 drives the second rotating shaft 13 to rotate, the second rotating shaft 13 drives the helical teeth 12 to rotate, the helical teeth 12 are matched with the lower gear 11, the lower gear 11 can be driven to rotate by the helical teeth 12, the gear 11 drives the first rotating shaft 10 to rotate, the first rotating shaft 10 is in threaded connection with the nail pushing plate 9, the nail pushing plate 9 is driven to move along the thread in the nail-out direction by the first rotating shaft 10, when the nail pushing plate 9 moves in the nail-out direction, when one side of the blocking plate 20 is forced, the blocking plate 20 is stressed to bend, the force is continuously exerted, the bending degree of the blocking plate is increased, when the suturing nail 18 can replace the position of the previous suturing nail 18, and then the blocking plate 20 is restored to the original shape, the next suturing nail 18 is continuously resisted, and meanwhile, the first guide rod 16 penetrates through the nail pushing sheet 9, so that the movement process of the nail pushing sheet 9 is more stable. At rotation handle 15 in-process, handle 15 drives second axis of rotation 13 and rotates, because second axis of rotation 13 is threaded connection with connecting rod 21, so second axis of rotation 13 drives connecting rod 21 and removes along the screw thread direction, and then makes the holding piece 23 at connecting rod 21 both ends can grasp the wound both sides before extrusion sewing nail 18, is convenient for sew up patient's wound.
After the holding pieces 23 hold the wound, the staple pushing plate 26 presses the staple 18 at the foremost end, and presses both ends of the staple 18 into the skin of the patient to sew the skin of the patient.
After the sewing is completed, the movable handle 3 is released, the spring 34 is not affected by external force and is restored to the original state, and then the movable handle 3 is bounced to be restored to the original position. After the spring 34 returns to the original position, the third rotating shaft 32 is rotated, and the safety block 35 is clamped into the third clamping groove 36, so that the anastomat can be protected.
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 (9)

1. A skin stapler with differential structure, comprising a casing (1), characterized in that: the improved nail magazine is characterized in that a nail magazine shell (6) is arranged below one end of the shell (1), a base table (7) is fixedly arranged in the middle of the lower surface inside the nail magazine shell (6), a workbench (8) is fixedly arranged on the upper surface of the base table (7), a nail pushing sheet (9) is sleeved on the workbench (8), two ends of the nail pushing sheet (9) are respectively in contact with two sides inside the nail magazine shell (6) but are not fixed, a first rotating shaft (10) penetrates through the nail pushing sheet (9), one end of the first rotating shaft (10) is rotatably arranged on the inner wall of the nail magazine shell (6), one end, close to the contact part with the nail magazine shell (6), of the first rotating shaft (10) is fixedly provided with a gear (11), spiral teeth (12) are arranged above the gear (11), the gear (11) and the spiral teeth (12) are matched with each other, the spiral teeth (12) are fixedly arranged on the outer surface of a second rotating shaft (13), the second rotating shafts (13) penetrate through the two sides of the nail bin shell (6), the second rotating shafts (13) are rotatably connected with second bearings (14) at positions corresponding to the nail bin shell (6), the second bearings (14) are arranged at two sides of the nail bin shell (6) in a penetrating way, a handle (15) is fixedly arranged at the end part of the second rotating shaft (13), the second rotating shaft (13) is positioned between the second bearing (14) and the handle (15) and is provided with threads on the side surface, the two ends of the second rotating shaft (13) close to the handle (15) are both connected with a connecting rod (21) in a threaded manner, the vertical part of the connecting rod (21) is rotatably sleeved with a second guide rod (22), one end of each second guide rod (22) is fixedly connected with the nail bin shell (6), and the opposite side surfaces of the end parts, far away from the second guide rods (22), of the two connecting rods (21) are fixedly connected with clamping pieces (23).
2. A skin stapler with differential structure according to claim 1, characterized in that: the utility model discloses a nail magazine, including shell (1), fixed axle (2) outside rotation is provided with movable handle (3), first draw-in groove (4) have been seted up to shell (1) one end lower surface, first draw-in groove (4) joint has first fixture block (5), first fixture block (5) are fixed to be set up at nail storehouse shell (6) upper surface, workstation (8) length is greater than the length of base station (7).
3. A skin stapler with differential structure according to claim 2, characterized in that: ejector pin piece (9) slip has cup jointed first guide bar (16), first guide bar (16) one end is rotated and is connected with fixed block (17), fixed block (17) lower surface contacts with the inside lower surface of nail storehouse shell (6), fixed block (17) one end rotation connection is kept away from in nail storehouse shell (6) inner wall in first guide bar (16), workstation (8) are located ejector pin piece (9) and keep away from gear (11) one side upper surface and evenly are provided with sews up nail (18).
4. A skin stapler with differential structure according to claim 3, characterized in that: the nail bin shell (6) and the corresponding tip both sides of sewing up nail (18) all fixedly are provided with connecting block (19), two the relative side of connecting block (19) is fixed and is provided with separation blade (20), separation blade (20) are kept away from connecting block (19) tip and are located between foremost end sewing up nail (18) and second sewing up nail (18).
5. A skin stapler with differential structure according to claim 4, characterized in that: the end part of the clamping sheet (23) far away from the connecting rod (21) is thinner, and is similar to the end part of the tweezers.
6. A skin stapler with differential structure, according to claim 5, characterized in that: the lower surface of the corresponding end part of the movable handle (3) and the nail bin shell (6) is fixedly provided with a magnet piece (24), the magnet piece (24) and a magnet block (25) are attracted, and the lower surface of the magnet block (25) is fixedly provided with a nail pushing plate (26).
7. A skin stapler with differential structure according to claim 6, characterized in that: ejector pin board (26) is including upper plate (27) and hypoplastron (28), magnet piece (25) lower surface fixed connection has upper plate (27), upper plate (27) lower extreme is fixed and is provided with hypoplastron (28), offer the extrusion groove that corresponds with sewing nail (18) size in the middle of hypoplastron (28), ejector pin board (26) side is fixed and is provided with second fixture block (29), second fixture block (29) joint is in second draw-in groove (30), second draw-in groove (30) are fixed to be set up in shell (1) inner wall side and the corresponding position of second fixture block (29).
8. A skin stapler with differential structure according to claim 7, characterized in that: the movable handle (3) is provided with boss (31) with the fixed boss that is provided with of opposite side of magnet piece (24), boss (31) upper surface rotates and is provided with third axis of rotation (32), the surface department of third axis of rotation (32) rotates and is provided with first bearing (33), the position and the shell (1) of first bearing (33) are corresponding, first bearing (33) are fixed to be set up on shell (1).
9. A skin stapler with differential structure according to claim 8, characterized in that: third axis of rotation (32) are located body of rod outside between boss (31) and first bearing (33) and are provided with spring (34), spring (34) side is fixed and is provided with insurance block (35), insurance block (35) joint is in third draw-in groove (36), third draw-in groove (36) are fixed to be set up in shell (1) inner wall and insurance block (35) corresponding position, third draw-in groove (36) length is greater than insurance block (35) length.
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CN113558692B (en) * 2021-07-16 2022-08-05 山东第一医科大学附属省立医院(山东省立医院) Surgical stapler with staple spacing adjusting device
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