CN113081124B - Anastomat with nail anvil attaching, suturing and nail bending structure - Google Patents

Anastomat with nail anvil attaching, suturing and nail bending structure Download PDF

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Publication number
CN113081124B
CN113081124B CN202110286713.9A CN202110286713A CN113081124B CN 113081124 B CN113081124 B CN 113081124B CN 202110286713 A CN202110286713 A CN 202110286713A CN 113081124 B CN113081124 B CN 113081124B
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nail
wall
suturing
pushing seat
anvil block
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CN113081124A (en
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张紫荆
张帆
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Suzhou Beinuo Medical Instruments Co Ltd
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Suzhou Beinuo Medical Instruments 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
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples

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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)
  • Surgical Instruments (AREA)

Abstract

The invention discloses an anastomat with a nail anvil attaching suturing nail bending structure, which belongs to the technical field of medical instruments, and adopts the technical scheme that the anastomat comprises an anastomat body, a nail bin assembly and a nail anvil block, wherein the nail bin assembly and the nail anvil block are fixedly connected with the left side of the anastomat body, the inner wall of the anastomat body is connected with a guide shaft rod in a sliding mode, the guide shaft rod sequentially penetrates through the anastomat body and the nail bin assembly from right to left and is positioned at the center of the inner wall of the nail anvil block to rotate, the nail bin assembly comprises a nail bin shell, the left side of the nail bin shell is provided with two nail pushing seats, the diameter of the outer ring of the nail pushing seat is larger than that of the inner ring of the nail pushing seat, the width of the inner ring of the nail pushing seat is larger than that of the outer ring of the nail pushing seat, the inner wall of the inner ring of the nail pushing seat is provided with two groups of nail discharging parts, and the invention can prevent the suturing nails from deforming and inclining when suturing nails are sutured at the wound of a patient, the effect on the anastomosis is influenced, and the hemostatic effect of the anastomosis is improved.

Description

Anastomat with nail anvil attaching, suturing and nail bending structure
Technical Field
The invention relates to the technical field of medical instruments, in particular to an anastomat with a nail anvil attaching and suturing nail bending structure.
Background
The medical anastomat has the principle that in a surgical operation, a plurality of rows of anastomotic nails are nailed on tissues needing to be sutured through an apparatus with a structure similar to a stapler to replace original suture lines and suture needles, and has the advantages of short suture time, uniform suture, good healing effect and the like.
In the staple forming technology, a staple pusher pushes out a staple formed by a staple on a staple anvil block, the staple may be extruded and rejected by a staple tissue at the beginning of being pushed out of a staple groove to cause deviation, and the locking force of the tissue to be sutured is deficient, which easily causes insufficient blood supply and poor hemostatic effect at the suturing position, therefore, the technical personnel in the field provide an anastomat with a bending structure for attaching the staple anvil to the staple, so as to solve the problems provided in the background technology.
Disclosure of Invention
1. Technical problem to be solved
Aiming at the problems in the prior art, the invention aims to provide the anastomat with the nail anvil attaching suturing nail bending structure, which has the advantages that the suturing nail can be prevented from deforming and inclining when the suturing nail is used for suturing a wound of a patient, the anastomosis effect is influenced, and the hemostasis effect of the anastomosis part is improved.
2. Technical scheme
In order to solve the problems, the invention adopts the following technical scheme: the utility model provides an anastomat with nail anvil laminating closes nail bending structure, includes anastomat body and anastomat body left side fixed connection's nail storehouse subassembly and nail anvil seat, the inner wall sliding connection of anastomat body has the guide shaft pole, the guide shaft pole runs through anastomat body and nail storehouse subassembly and is located the inner wall center of nail anvil seat from right to left in proper order, the nail anvil seat wind the guide shaft pole rotates, the nail storehouse subassembly is connected with the nail of sewing up, sew up the nail including sewing up nail foot and nail pole, the nail portion of rolling over that quantity is three groups is seted up to the inner wall of nail anvil seat.
Further, the nail storehouse subassembly is including the nail storehouse shell, the left side of nail storehouse shell is provided with the nail seat that pushes away that quantity is two, the outer lane the diameter that pushes away the nail seat is greater than the diameter that the inner circle pushed away the nail seat, the width that the inner circle pushed away the nail seat is good at the outer lane the width that pushes away the nail seat, the inner circle the inner wall that pushes away the nail seat is provided with quantity and is two sets of play nail portion, outer lane the play nail portion that the nail seat inner wall was seted up is a set of, every group play nail portion comprises the play nail hole that lies in nail seat left side annular distribution, the inner wall sliding connection in play nail hole has the sewing nail.
Furthermore, each group of the nail bending parts comprises bending grooves, the bending grooves are distributed on the right side of the inner wall of the nail anvil block in an annular mode, side plates located on the inner wall of the nail anvil block and capable of sliding are arranged on the two sides of the bending grooves, and the side plates are arranged on the two sides of the bending grooves in a staggered mode.
Furthermore, the inner wall of the nail anvil block is provided with a sliding groove matched with the side plate, a spring is fixedly connected between the left side of the inner wall of the sliding groove and the side plate, and the right side of the side plate is contacted with the nail pushing seat.
Furthermore, the inner wall of the nail anvil block is provided with a limiting groove communicated with the sliding groove, and the top and the bottom of the side plate are fixedly connected with limiting blocks matched with the limiting groove.
Furthermore, the bending groove is internally provided with two guide blocks which are distributed in the bending groove in a staggered manner.
Furthermore, the surface of the guide shaft rod is fixedly connected with protruding blocks which are distributed in an annular mode, the protruding blocks are arc-shaped, and concave grooves which are distributed in an annular mode and matched with the protruding blocks are formed in the center position of the inner wall of the nail anvil block.
Furthermore, the depth of the inner edge of the nail anvil block is the same as the width of the nail pushing seat at the inner ring, and the nail pushing seat at the outer ring can be contacted with the outer edge of the nail anvil block.
3. Advantageous effects
Compared with the prior art, the invention has the advantages that:
(1) according to the scheme, the side plates are arranged, so that medical personnel can use the anastomat body to perform anastomosis on the wound, when the suturing nails extend out of the nail outlet holes and extend into the bending groove through the nail bin assembly, the side plates arranged on two sides of the bending groove can block the anastomotic suturing nails, the suturing nails are prevented from inclining and deforming in the process of forming the inside of the bending groove, and the stability during suturing is improved;
(2) by arranging the sliding chute, when the nail anvil block and the nail bin assembly are matched and contacted with the wound, the side plate retracts towards the inside of the sliding chute under the action of the pressure of the nail pushing seat and slides in the sliding chute through the spring, so that the purpose of blocking the sewing nails all the time in the matching process is achieved, and the inclination of the sewing nails is avoided;
(3) by arranging the guide blocks, when suturing nails extend out and are inosculated on the wound at the inner wall of the bending groove, the suturing nail feet can be staggered through the guide blocks distributed in a staggered mode, and the wound suturing range and the hemostatic effect during suturing are improved;
(4) when the wound of a patient is anastomosed, the staggered anastomosis can be implemented on the wound by matching the nail anvil block with the high outer ring and the low inner ring with the two nail pushing seats with the high outer ring bottom and the high inner ring matched with the nail anvil seat, so that the effect of stopping bleeding and supplying blood to the wound anastomosis position can be achieved, the pain of the patient is reduced, and the healing speed of the wound of the patient is accelerated;
(5) through setting up the spacing groove, when the curb plate when the identical in-process is to the inside indentation of spout, through with stopper assorted spacing groove, can carry on spacingly to the curb plate of indentation, avoid the curb plate at the in-process of indentation, the curb plate inclines in the inside of spout, the influence is to the protection effect of sewing nail.
Drawings
FIG. 1 is a perspective view of the present invention;
FIG. 2 is a right side view of the anvil base of the present invention;
FIG. 3 is an enlarged view taken at A of FIG. 2 in accordance with the present invention;
FIG. 4 is a top cross-sectional view of an anvil base of the present invention;
FIG. 5 is an enlarged view of the invention at B of FIG. 4;
FIG. 6 is a schematic view of staple formation of the present invention;
FIG. 7 is a schematic view of staple formation of the present invention.
The reference numbers in the figures illustrate:
1. a stapler body; 2. a staple cartridge assembly; 201. a nail bin housing; 202. a nail pushing seat; 3. a staple anvil block; 4. sewing the nail feet; 5. sewing the nail rod; 6. a guide shaft lever; 7. a concave groove; 8. a raised block; 9. a nail folding part; 901. a side plate; 902. bending the groove; 903. a spring; 904. a guide block; 10. a limiting block; 11. a limiting groove.
Detailed Description
The technical solution in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention; it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by those skilled in the art without any inventive work are within the scope of the present invention.
Referring to fig. 1-7, in the embodiment of the present invention, an anastomat with a bending structure for attaching a nail anvil to a nail comprises an anastomat body 1, a nail bin assembly 2 and a nail anvil block 3 fixedly connected to the left side of the anastomat body 1, a guide shaft rod 6 is slidably connected to the inner wall of the anastomat body 1, the guide shaft rod 6 sequentially penetrates through the anastomat body 1 and the nail bin assembly 2 from right to left and is located at the center of the inner wall of the nail anvil block 3, the nail anvil block 3 rotates around the guide shaft rod 6, the nail bin assembly 2 comprises a nail bin housing 201, two nail pushing seats 202 are arranged on the left side of the nail bin housing 201, the diameter of the outer ring nail pushing seat 202 is larger than that of the inner ring nail pushing seat 202, the width of the inner ring nail pushing seat 202 is larger than that of the outer ring nail pushing seat 202, two groups of nail ejecting portions are arranged on the inner wall of the inner ring nail pushing seat 202, one group of nail ejecting portions arranged on the inner wall of the outer ring nail pushing seat 202, each group of nail outlet parts are formed by nail outlet holes which are annularly distributed on the left side of the nail pushing seat 202, the inner walls of the nail outlet holes are connected with suturing nails in a sliding mode, the suturing nails comprise suturing nail feet 4 and suturing nail rods 5, and the inner walls of the nail anvil seats 3 are provided with the nail folding parts 9 which are three groups in number.
Referring to fig. 3 and 4, each group of staple bending portions 9 includes a bending groove 902, the bending grooves 902 are annularly distributed on the right side of the inner wall of the staple anvil block 3, side plates 901 located on the inner wall of the staple anvil block 3 and sliding are arranged on both sides of the bending grooves 902, the side plates 901 are arranged on both sides of the bending grooves 902 in a staggered manner, when a medical worker uses the stapler body 1 and anastomoses a wound, the staple cartridge assembly 2 enables the staple to extend out from the inside of the staple outlet hole and extend into the bending grooves 902, the side plates 901 arranged on both sides of the bending grooves 902 can block the anastomotic staple, so as to prevent the staple from inclining and deforming in the process of forming inside the bending grooves 902, and to increase the stability during suturing.
Referring to fig. 5, the inner wall of the nail anvil base 3 is provided with a sliding groove matched with the side plate 901, a spring 903 is fixedly connected between the left side of the inner wall of the sliding groove and the side plate 901, and the right side of the side plate 901 contacts with the nail pushing base 202, when the nail anvil base 3 and the nail bin assembly 2 are anastomotic and contact with the wound, the side plate 901 retracts into the sliding groove under the pressure of the nail pushing base 202 and slides in the sliding groove through the spring 903, so that the purpose of blocking the suturing nails all the time in the anastomotic process is achieved, and the oblique suturing nails are avoided.
Referring to fig. 5, the inner wall of the nail anvil seat 3 is provided with a limiting groove 11 communicated with the sliding groove, the top and the bottom of the side plate 901 are fixedly connected with a limiting block 10 matched with the limiting groove 11, when the side plate 901 retracts to the inside of the sliding groove in the matching process, the side plate 901 can be limited by the limiting groove 11 matched with the limiting block 10, the side plate 901 is prevented from being tilted in the retracting process, and the side plate 901 is prevented from being tilted in the sliding groove, so that the protection effect of the sewing nail is influenced.
Referring to fig. 3 and 5, two guide blocks 904 are arranged inside the bending groove 902, and the guide blocks 904 are distributed inside the bending groove 902 in a staggered manner, so that when the suturing nail extends out and is inosculated on the wound at the inner wall of the bending groove 902, the suturing nail feet 4 can be staggered with each other through the guide blocks 904 distributed in the staggered manner, and the suturing range and the hemostatic effect on the wound during suturing are improved.
Referring to fig. 2, the surface of the guiding shaft lever 6 is fixedly connected with the protruding blocks 8 which are distributed in an annular shape, the protruding blocks 8 are arc-shaped, the center position of the inner wall of the nail anvil base 3 is provided with the concave grooves 7 which are distributed in an annular shape and matched with the protruding blocks 8, and medical staff can rotate the nail anvil base 3 on the surface of the guiding shaft lever 6 through the concave grooves 7 which are matched with the protruding blocks 8 so as to adjust the nail anvil base 3, and the abrasion to the nail anvil base 3 during the anastomosis can be reduced.
Referring to fig. 4, the depth of the inner edge of the nail anvil base 3 is the same as the width of the inner ring nail pushing base 202, the outer ring nail pushing base 202 can contact with the outer edge of the nail anvil base 3, and the staggered anastomosis can be performed on the wound of the patient by the nail anvil base 3 with the outer edge higher than the inner edge and the two nail pushing bases 202 with the outer ring bottom and the inner ring higher matched with the nail anvil base 3, so that the effect of fast blood supply to the wound anastomosis site is achieved, and the pain of the patient is reduced.
The working principle of the invention is as follows: firstly, when a medical worker uses the anastomat body 1 to perform anastomosis on a wound of a patient, the staple cartridge assembly 2 enables staples to extend out of the staple outlet hole and extend into the bending groove 902, the side plates 901 arranged on two sides of the bending groove 902 can block the anastomotic staples to prevent the staples from inclining and deforming in the process of forming in the bending groove 902 and increase the stability during the anastomosis, when the anastomosis is performed, the side plates 901 can retract into the sliding groove under the pressure of the staple pushing seat 202 and slide in the sliding groove through the spring 903, so as to block the staples all the time in the anastomosis process, avoid the staples from inclining, then the staple legs 904 can extend into the bending groove to form and can be mutually staggered when the staples are anastomosed on the wound through the guide blocks distributed in a staggered mode, and the suture range and the hemostatic effect on the wound during the suturing are improved, the nail anvil base 3 with the outer edge higher than the inner edge bottom is matched with the two nail pushing bases 202 with the outer edge bottom higher than the inner edge, so that the effect of stopping bleeding and supplying blood to the wound anastomosis part is achieved when the wound of a patient is anastomosed, and the pain of the patient is reduced.
The foregoing is only a preferred embodiment of the present invention; the scope of the invention is not limited thereto. Any person skilled in the art should be able to cover the technical scope of the present invention by equivalent or modified solutions and modifications within the technical scope of the present invention.

Claims (5)

1. The utility model provides an anastomat with nail anvil laminating closes nail bending structure, includes anastomat body (1) and anastomat body (1) left side fixed connection's nail storehouse subassembly (2) and nail anvil base (3), its characterized in that: the inner wall of the anastomat body (1) is connected with a guide shaft rod (6) in a sliding mode, the guide shaft rod (6) sequentially penetrates through the anastomat body (1) and the nail bin assembly (2) from right to left and is located in the center of the inner wall of the nail anvil block (3), the nail anvil block (3) rotates around the guide shaft rod (6), the nail bin assembly (2) is connected with suturing nails, each suturing nail comprises a suturing nail foot (4) and a suturing nail rod (5), and the inner wall of the nail anvil block (3) is provided with three groups of nail folding parts (9); the nail bin assembly (2) comprises a nail bin shell (201), two nail pushing seats (202) are arranged on the left side of the nail bin shell (201), the diameter of each outer nail pushing seat (202) is larger than that of each inner nail pushing seat (202), the width of each inner nail pushing seat (202) is longer than that of each outer nail pushing seat (202), two groups of nail discharging parts are arranged on the inner wall of each inner nail pushing seat (202), one group of nail discharging parts are arranged on the inner wall of each outer nail pushing seat (202), each group of nail discharging parts consists of nail discharging holes which are annularly distributed on the left side of each nail pushing seat (202), and the inner walls of the nail discharging holes are connected with sewing nails in a sliding mode; each group of the nail bending parts (9) comprises bending grooves (902), the bending grooves (902) are annularly distributed on the right side of the inner wall of the nail anvil block (3), side plates (901) which are positioned on the inner wall of the nail anvil block (3) to slide are arranged on two sides of each bending groove (902), and the side plates (901) are arranged on two sides of each bending groove (902) in a staggered mode; the nail anvil block is characterized in that a sliding groove matched with the side plate (901) is formed in the inner wall of the nail anvil block (3), a spring (903) is fixedly connected between the left side of the inner wall of the sliding groove and the side plate (901), and the right side of the side plate (901) is in contact with the nail pushing seat (202).
2. The stapler with the anvil attaching and suturing nail bending structure according to claim 1, wherein: the inner wall of the nail anvil block (3) is provided with a limiting groove (11) communicated with the sliding groove, and the top and the bottom of the side plate (901) are fixedly connected with a limiting block (10) matched with the limiting groove (11).
3. The stapler with the anvil attaching and suturing nail bending structure according to claim 1, wherein: the bending groove (902) is internally provided with two guide blocks (904), and the guide blocks (904) are distributed in the bending groove (902) in a staggered manner.
4. The stapler with the anvil attaching and suturing nail bending structure according to claim 1, wherein: the surface of the guide shaft lever (6) is fixedly connected with protruding blocks (8) which are distributed in an annular shape, the protruding blocks (8) are arc-shaped, and concave grooves (7) which are distributed in an annular shape and matched with the protruding blocks (8) are formed in the center position of the inner wall of the nail anvil block (3).
5. The stapler with the anvil attaching and suturing nail bending structure according to claim 1, wherein: the depth of the inner edge of the nail anvil block (3) is the same as the width of the nail pushing seat (202) at the inner ring, and the nail pushing seat (202) at the outer ring can be contacted with the outer edge of the nail anvil block (3).
CN202110286713.9A 2021-03-17 2021-03-17 Anastomat with nail anvil attaching, suturing and nail bending structure Active CN113081124B (en)

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CN113081124B true CN113081124B (en) 2022-04-12

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113476093B (en) * 2021-08-13 2022-10-14 苏州优脉瑞医疗科技有限公司 Anastomat with adjustable power handle

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103239264A (en) * 2013-05-28 2013-08-14 上海创亿医疗器械技术有限公司 Anastomotic nail of surgical anastomat and combined forming groove
CN106108965A (en) * 2016-07-28 2016-11-16 上海逸思医疗科技有限公司 The suturing nail of a kind of anastomat becomes staple top adjustment mechanism and includes the anastomat of this governor motion
CN109419543A (en) * 2017-08-31 2019-03-05 江苏风和医疗器材股份有限公司 A kind of end effector and its surgical instruments
CN211560213U (en) * 2019-12-27 2020-09-25 苏州朗特斯医疗科技有限公司 Disposable low-position rectal anastomat
CN212592266U (en) * 2020-02-25 2021-02-26 江苏集萃微纳自动化系统与装备技术研究所有限公司 Prevent nail storehouse subassembly and anastomat that tissue slided
CN112426193A (en) * 2020-12-30 2021-03-02 宝玛医疗科技(无锡)有限公司 Nail bin assembly with split nail pushing sheet and anastomat

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103239264A (en) * 2013-05-28 2013-08-14 上海创亿医疗器械技术有限公司 Anastomotic nail of surgical anastomat and combined forming groove
CN106108965A (en) * 2016-07-28 2016-11-16 上海逸思医疗科技有限公司 The suturing nail of a kind of anastomat becomes staple top adjustment mechanism and includes the anastomat of this governor motion
WO2018019072A1 (en) * 2016-07-28 2018-02-01 上海逸思医疗科技有限公司 Closed staple height adjusting mechanism for stapler and stapler comprising said adjusting mechanism
CN109419543A (en) * 2017-08-31 2019-03-05 江苏风和医疗器材股份有限公司 A kind of end effector and its surgical instruments
CN211560213U (en) * 2019-12-27 2020-09-25 苏州朗特斯医疗科技有限公司 Disposable low-position rectal anastomat
CN212592266U (en) * 2020-02-25 2021-02-26 江苏集萃微纳自动化系统与装备技术研究所有限公司 Prevent nail storehouse subassembly and anastomat that tissue slided
CN112426193A (en) * 2020-12-30 2021-03-02 宝玛医疗科技(无锡)有限公司 Nail bin assembly with split nail pushing sheet and anastomat

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