CN113509227B - Intestinal anastomat under scope - Google Patents

Intestinal anastomat under scope Download PDF

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Publication number
CN113509227B
CN113509227B CN202110642237.XA CN202110642237A CN113509227B CN 113509227 B CN113509227 B CN 113509227B CN 202110642237 A CN202110642237 A CN 202110642237A CN 113509227 B CN113509227 B CN 113509227B
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traction
column
plate
telescopic
chuck
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CN113509227A (en
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徐仲航
徐磊
吴元玉
李春生
房学东
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Jilin University
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Jilin University
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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
    • A61B17/072Surgical 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

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  • 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 intestinal anastomat under an endoscope, and relates to the technical field of anastomats. The multifunctional sewing machine comprises a machine body, a connecting column, a trigger switch and a supporting plate, wherein the connecting column is positioned at one end of the machine body, the supporting plate and the trigger switch are both positioned on the lower surface of the machine body, the other end of the machine body is fixedly connected with an epitaxial plate, a limiting ring plate is arranged on the peripheral side surface of the connecting column, a sliding cylinder is arranged in the epitaxial plate, a lower pressing column is arranged in the sliding cylinder, a rotating handle is arranged on the upper surface of the lower pressing column, a mounting ring is fixedly arranged on the peripheral side surface of the lower pressing column, a traction rod is connected to the peripheral side surface of the mounting ring, a convex block is arranged on the lower surface in the machine body, and a sewing chuck is arranged at one end of the connecting column. According to the invention, the transition shaft fixedly connected with the other end of the pulling rod moves up and down by the lever movement of the pulling rod and the convex block, so that the transition shaft drives the sewing chuck to swing longitudinally through the connecting block, and the whole device is clamped and fixed with a desktop or other devices through the clamping plate with the fixing bolt.

Description

Intestinal anastomat under scope
Technical Field
The invention belongs to the technical field of anastomats, and particularly relates to an intestinal anastomat under an endoscope.
Background
The anastomat is the first stapler in the world and is used for gastrointestinal anastomosis for nearly a century, and the tube-type anastomat is not widely used for gastrointestinal surgery until 1978. Generally, the anastomat is divided into a disposable anastomat or a multi-use anastomat, an imported anastomat or a domestic anastomat. The anastomat is equipment which is used in medicine to replace the traditional manual suturing, has reliable quality, convenient use, tightness and proper tightness due to the development of modern science and technology and the improvement of manufacturing technology, particularly has the advantages of quick suturing, simple and convenient operation, few side effects, few operation complications and the like, and can excise the focus of a tumor operation which cannot be excised in the past.
The current anastomat needs the handheld handle of user to sew up when using, lacks the holding power and leads to rocking easily in the operation process and influence the operation precision, and traditional anastomat can only support the angle of sewing up of left right direction and adjust, for solving above-mentioned problem existing design intestines and intestines anastomat under scope can effectually solve lack the holding power and lead to rocking easily in traditional anastomat operation process and influence the operation precision to and traditional anastomat can only support the problem of the angle of sewing up of left right direction and adjust.
Disclosure of Invention
The invention aims to provide an endoscopic intestinal stapler, which solves the problems that the traditional stapler is easy to shake due to lack of supporting force in the operation process, so that the operation precision is influenced, and the traditional stapler can only support the adjustment of the suture angle in the left and right directions.
In order to solve the technical problems, the invention is realized by the following technical scheme:
the invention relates to an intestinal stapler under an endoscope, which comprises a machine body, a connecting column, a trigger switch and a supporting plate, wherein the connecting column is positioned at one end of the machine body;
the inside slide cartridge that is provided with of epitaxial wafer, the inside compression leg that is provided with of slide cartridge, the compression leg upper surface is provided with the rotation handle down, compression leg and slide cartridge sliding fit down, compression leg week side fixed mounting has the collar down, collar week side is connected with the traction rod, the inside lower surface of fuselage is provided with the lug, the lug is located the traction rod below, spliced pole one end is provided with sews up the chuck, it is provided with the steering shaft to sew up chuck one end, steering shaft week side is connected with the connecting block, connecting block one end is provided with the transition axle, the transition axle is connected with the traction rod, through setting up the steering shaft sewing up chuck one end, can make the transition axle of traction rod other end fixed connection make up-and-down motion with the compression leg down when the longitudinal angle who sews up the chuck needs to adjust through the lever motion of traction rod with the lug, and then the transition axle drives through the connecting block and sews up chuck longitudinal oscillation.
Preferably, epitaxial plate one end is provided with the spliced pole, the inside bearing that is provided with of fuselage one end, the spliced pole pegs graft with the bearing mutually, through set up the spliced pole in epitaxial plate one side to with spliced pole and bearing installation mutually, user's accessible rotating epitaxial plate drives the sewing chuck of front end and rotates, has improved the flexibility of sewing up the operation.
Preferably, a plurality of rotating steel balls are arranged between the bearing and the insertion column, and the rotating steel balls are in rolling fit with the bearing and the insertion column.
Preferably, the supporting plate lower surface is provided with a rotating disc, the rotating disc lower surface is provided with a telescopic column, and the telescopic column is in running fit with the rotating disc.
Preferably, flexible post lower surface is provided with flexible pump machine, flexible post and flexible pump machine sliding fit, flexible pump machine lower surface is provided with a plurality of regulating plates.
Preferably, the quantity of regulating plate is two, two the inside rotation axis that is provided with of regulating plate, telescopic pump machine lower extreme fixedly connected with turning block, the turning block passes through rotation axis and regulating plate normal running fit, fixed surface installs the grip block under the regulating plate, the grip block lower surface is provided with a plurality of fixing bolt, and it is fixed with whole equipment and desktop or other devices carry out the centre gripping through the grip block that sets up to have fixing bolt, and accessible rotation axis and telescopic pump machine provide vertical rising and turn to the operation simultaneously, prevent that the handheld easy production of people from rocking the influence and sew up the precision.
Preferably, a plurality of second traction rings are arranged on the side face of the periphery of the direction-adjusting shaft, and one end of each second traction ring is provided with a traction steel wire.
Preferably, tractive steel wire one end is provided with first tractive ring, first tractive ring one end is provided with the linking post, link up post and pushing down post fixed connection, the quantity of second tractive ring and tractive steel wire is two, through setting up tractive steel wire and a tractive ring and linking post, when the direction of chuck is sewed up to needs horizontal condition, can twist and move the rotation handle and make the linking post pulling tractive steel wire on the pushing down post, and then the tractive steel wire pulls the second tractive ring and does the horizontal hunting under the effect of tractive force, can realize sewing up the regulation of the horizontal direction of chuck from this.
The invention has the following beneficial effects:
1. according to the invention, the direction-adjusting shaft is arranged at one end of the sewing chuck, when the longitudinal angle of the sewing chuck needs to be adjusted, the lower pressing column can be pressed downwards, and the transition shaft fixedly connected with the other end of the traction rod moves up and down through the lever motion of the traction rod and the convex block, so that the transition shaft drives the sewing chuck to swing longitudinally through the connecting block.
2. According to the invention, the inserting column is arranged on one side of the epitaxial plate, and the inserting column and the bearing are installed, so that a user can drive the front suturing chuck to rotate by rotating the epitaxial plate, and the flexibility of suturing operation is improved.
3. The whole device is clamped and fixed with a desktop or other devices by arranging the clamping plate with the fixing bolt, and meanwhile, longitudinal lifting and steering operation can be provided through the rotating shaft and the telescopic pump, so that the sewing precision is prevented from being influenced by shaking easily caused by hand holding.
4. According to the invention, by arranging the traction steel wire, the traction ring and the connecting column, when the direction of the chuck is sutured under the transverse condition, the rotating handle can be screwed to enable the connecting column on the lower pressing column to pull the traction steel wire, and then the traction steel wire pulls the second traction ring to swing left and right under the action of the traction force, so that the adjustment of the transverse direction of the suturing chuck can be realized.
Of course, it is not necessary for any product in which the invention is practiced to achieve all of the above-described advantages at the same time.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a front perspective view of the present invention;
FIG. 2 is a schematic rear perspective view of the present invention;
FIG. 3 is a schematic bottom perspective view of the present invention;
FIG. 4 is a front view of the present invention;
FIG. 5 is a schematic top view of the interior structure of the fuselage of the present invention;
fig. 6 is a front view of the interior structure of the fuselage of the present invention.
In the drawings, the components represented by the respective reference numerals are listed below: 1. rotating the handle; 2. an epitaxial plate; 3. a sliding cylinder; 4. a support plate; 5. rotating the disc; 6. a telescopic column; 7. a telescopic pump; 8. an adjusting plate; 9. a clamping plate; 10. a trigger switch; 11. pressing the column; 12. a body; 13. a limit ring plate; 14. connecting columns; 15. a suturing chuck; 16. a rotating shaft; 17. fixing the bolt; 18. connecting the column; 19. a first pulling loop; 20. drawing the steel wire; 21. adjusting a direction shaft; 22. a second traction ring; 23. connecting blocks; 24. a transition shaft; 25. a bump; 26. a traction rod; 27. rotating the steel ball; 28. a bearing; 29. inserting the column; 30. and (7) installing a ring.
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.
In the description of the present invention, it is to be understood that the terms "upper", "middle", "outer", "inner", "lower", and the like, indicate orientations or positional relationships, are used for convenience in describing the present invention and simplifying the description, but do not indicate or imply that the referenced components or elements must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
Referring to fig. 1-6, the invention relates to an intestinal anastomat under endoscope, which comprises a machine body 12, a connecting column 14, a trigger switch 10 and a supporting plate 4, wherein the connecting column 14 is positioned at one end of the machine body 12, the supporting plate 4 and the trigger switch 10 are both positioned on the lower surface of the machine body 12, the other end of the machine body 12 is fixedly connected with an extension plate 2, and a limit ring plate 13 is arranged on the peripheral side surface of the connecting column 14;
the inner part of the extension plate 2 is provided with a sliding cylinder 3, the inner part of the sliding cylinder 3 is provided with a lower pressing column 11, the upper surface of the lower pressing column 11 is provided with a rotating handle 1, the lower pressing column 11 is in sliding fit with the sliding cylinder 3, the peripheral side surface of the lower pressing column 11 is fixedly provided with an installation ring 30, the peripheral side surface of the installation ring 30 is connected with a traction rod 16, the lower surface of the inner part of the machine body 12 is provided with a lug 25, the lug 25 is positioned below the traction rod 16, one end of the connection column 14 is provided with a sewing chuck 15, one end of the sewing chuck 15 is provided with a direction adjusting shaft 21, the peripheral side surface of the direction adjusting shaft 21 is connected with a connection block 23, one end of the connection block 23 is provided with a transition shaft 24, the transition shaft 24 is connected with the traction rod 16, the direction adjusting shaft 21 is arranged at one end of the sewing chuck 15, when the longitudinal angle of the sewing chuck 15 needs to be adjusted, the lower pressing column 11 can be moved downwards to enable the transition shaft 24 fixedly connected with the other end of the traction rod 16 to move upwards and downwards through the lever movement of the traction rod 16 and the lug 25, and then the transition shaft 24 drives the sewing chuck 15 to swing longitudinally through the connection block 13.
Furthermore, one end of the extension board 2 is provided with a plug-in post 29, a bearing 28 is arranged inside one end of the machine body 12, the plug-in post 29 is plugged in the bearing 28, the plug-in post 29 is arranged on one side of the extension board 2, and the plug-in post 29 and the bearing 28 are installed, so that a user can drive the sewing chuck 15 at the front end to rotate by rotating the extension board 2, and the flexibility of sewing operation is improved.
Furthermore, a plurality of rotating steel balls 27 are arranged between the bearing 28 and the plug column 29, and the rotating steel balls 27, the bearing 28 and the plug column 29 are in rolling fit.
Further, the lower surface of the supporting plate 4 is provided with a rotating disc 5, the lower surface of the rotating disc 5 is provided with a telescopic column 6, the telescopic column 6 is in running fit with the rotating disc 5, and the rotary disc 5 is arranged below the telescopic pump 7, so that the equipment can be fixed and meanwhile the transverse rotation can be provided for adjusting the sewing angle.
Further, the lower surface of the telescopic column 6 is provided with a telescopic pump 7, the telescopic column 6 is in sliding fit with the telescopic pump 7, and the lower surface of the telescopic pump 7 is provided with a plurality of adjusting plates 8.
Further, the quantity of regulating plate 8 is two, two regulating plates 8 are inside to be provided with rotation axis 16, 7 lower extreme fixedly connected with turning block of telescopic pump machine, the turning block passes through rotation axis 16 and 8 normal running fit of regulating plate, 8 lower fixed surface installs grip block 9 in the regulating plate, the grip block 9 lower surface is provided with a plurality of fixing bolt 17, it is fixed with whole equipment and desktop or other devices centre gripping through the grip block 9 that sets up to have fixing bolt 17, accessible rotation axis 16 and telescopic pump machine 7 provide vertical lift and steering operation simultaneously, prevent that the handheld easy production of people from rocking the influence and sew up the precision.
Furthermore, a plurality of second traction rings 22 are arranged on the circumferential side surface of the direction-adjusting shaft 21, one end of each second traction ring 22 is provided with a traction steel wire 20, one end of each traction steel wire 20 is provided with a first traction ring 19, one end of each first traction ring 19 is provided with a connection column 18, the connection columns 18 are fixedly connected with the lower pressing columns 11, the number of the second traction rings 22 and the number of the traction steel wires 20 are two, through arrangement of the traction steel wires 20, the traction rings 19 and the connection columns 18, when the direction of the chuck 15 is sewn under the requirement of a transverse condition, the rotation handle can be screwed to enable the connection columns 18 on the lower pressing columns 11 to pull the traction steel wires 20, and then the traction steel wires 20 pull the second traction rings 22 to swing left and right under the action of traction force, so that the adjustment of the transverse direction of the chuck 15 can be realized.
One specific application of this embodiment is: when the device is used, the connecting column 14 is in inserted fit with a machine body, the position of the limit ring plate 13 is abutted against the puncture needle, when the longitudinal angle of the suture chuck 15 needs to be adjusted, the lower pressing column 11 can be pressed downwards, the transition shaft 24 fixedly connected with the other end of the pulling rod 16 is made to move up and down through the lever motion of the pulling rod 16 and the lug 25, the transition shaft 24 drives the suture chuck 15 to swing longitudinally through the connecting block 13, the whole device can be clamped and fixed with a desktop or other devices through the clamping plate 9 of the fixing bolt 17, meanwhile, the rotating shaft 16 and the telescopic pump 7 can provide longitudinal lifting and steering operation, the phenomenon that the hand is easily shaken to influence suture precision is prevented, further, when the suture chuck 15 needs to be in a transverse condition, the rotating handle can be screwed, the connecting column 18 on the lower pressing column 11 pulls the drawing steel wire 20, and the drawing steel wire 20 pulls the second drawing ring 22 to swing left and right under the drawing force, so that the suture chuck 15 can be adjusted in the transverse direction, wherein the model of the used telescopic pump 7 is ZWB8978 zx8978 zxFt.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.

Claims (6)

1. An intestinal anastomosis instrument under endoscope comprises an instrument body (12), a connecting column (14), a trigger switch (10) and a supporting plate (4), and is characterized in that the connecting column (14) is located at one end of the instrument body (12), the supporting plate (4) and the trigger switch (10) are both located on the lower surface of the instrument body (12), the other end of the instrument body (12) is fixedly connected with an extension plate (2), and a limit ring plate (13) is arranged on the peripheral side surface of the connecting column (14);
the novel traction device is characterized in that a sliding barrel (3) is arranged inside the extension plate (2), a lower compression leg (11) is arranged inside the sliding barrel (3), a rotating handle (1) is arranged on the upper surface of the lower compression leg (11), the lower compression leg (11) is in sliding fit with the sliding barrel (3), a mounting ring (30) is fixedly arranged on the circumferential side of the lower compression leg (11), a traction rod (26) is connected to the circumferential side of the mounting ring (30), a lug (25) is arranged on the inner lower surface of the machine body (12), the lug (25) is located below the traction rod (26), a sewing chuck (15) is arranged at one end of the connecting column (14), a steering shaft (21) is arranged at one end of the sewing chuck (15), a connecting block (23) is connected to the circumferential side of the steering shaft (21), a transition shaft (24) is connected with the traction rod (26), a plurality of second traction rings (22) are arranged on the circumferential side of the steering shaft (21), a traction steel wire (20) is arranged at one end of the second traction ring (22), a first traction ring (20) is arranged at one end of the first traction ring (18), and a first traction ring (18) is connected with the traction rod (18), the number of the second traction rings (22) and the number of the traction steel wires (20) are two.
2. The endoscopic enteroenterostomy device according to claim 1, characterized in that: one end of the extension plate (2) is provided with a plug column (29), a bearing (28) is arranged inside one end of the machine body (12), and the plug column (29) is plugged with the bearing (28).
3. An endoscopic enterostomy device according to claim 2, characterized in that: a plurality of rotating steel balls (27) are arranged between the bearing (28) and the insertion column (29), and the rotating steel balls (27) are in rolling fit with the bearing (28) and the insertion column (29).
4. The endoscopic enteroenterostomy device according to claim 1, characterized in that: the lower surface of the supporting plate (4) is provided with a rotating disc (5), the lower surface of the rotating disc (5) is provided with a telescopic column (6), and the telescopic column (6) is in running fit with the rotating disc (5).
5. The endoscopic enteroenterostomy device according to claim 4, characterized in that: the telescopic pump is characterized in that a telescopic pump machine (7) is arranged on the lower surface of the telescopic column (6), the telescopic column (6) is in sliding fit with the telescopic pump machine (7), and a plurality of adjusting plates (8) are arranged on the lower surface of the telescopic pump machine (7).
6. An endoscopic enterostomy device according to claim 5, characterized in that: the quantity of regulating plate (8) is two, two regulating plate (8) inside is provided with rotation axis (16), telescopic pump machine (7) lower extreme fixedly connected with turning block, the turning block passes through rotation axis (16) and regulating plate (8) normal running fit, regulating plate (8) lower fixed surface installs grip block (9), grip block (9) lower surface is provided with a plurality of fixing bolt (17).
CN202110642237.XA 2021-06-09 2021-06-09 Intestinal anastomat under scope Active CN113509227B (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
CN202110642237.XA CN113509227B (en) 2021-06-09 2021-06-09 Intestinal anastomat under scope

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CN113509227B true CN113509227B (en) 2022-12-13

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CN112754562A (en) * 2021-01-18 2021-05-07 常州安康医疗器械有限公司 Electric endoscope anastomat with monitoring function
CN112914645A (en) * 2021-03-09 2021-06-08 常州安康医疗器械有限公司 Disposable endoscope linear cutting anastomat

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JP2002085415A (en) * 2000-09-19 2002-03-26 Inprest Co Ltd Surgical stapler
CN208541351U (en) * 2017-12-04 2019-02-26 吉林大学 Stapler and identical device assembly for nasal septum correction
CN112754562A (en) * 2021-01-18 2021-05-07 常州安康医疗器械有限公司 Electric endoscope anastomat with monitoring function
CN112914645A (en) * 2021-03-09 2021-06-08 常州安康医疗器械有限公司 Disposable endoscope linear cutting anastomat

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