CN200984209Y - 外科装订仪钉砧成型槽 - Google Patents
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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
- A61B2017/07214—Stapler heads
- A61B2017/07228—Arrangement of the staples
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Abstract
本实用新型涉及一种成型槽,特别是一种用于外科装订仪的钉成型槽。包括若干个钉成型槽组,所有钉成型槽组在钉砧本体上环绕排列,每个钉成型槽组包括一对凹槽,它们分别对应于一个钉的两个钉脚,每个凹槽呈中间内凹逐渐向两端延伸抬升的斜坡状结构,其中:组成一个钉成型槽组的两个凹槽按照轴对称方式排列,该方式不包括两个凹槽处于一条直线、而凹槽的首端相互远离、凹槽用于使钉脚成型的尾端相互靠近这一种轴对称方式。由此,非直线型钉成型时钉脚不会刺出组织,造成手术失败;同时,个别实施方式可以扩大缝合的长度,即实际缝合长度大于钉冠的长度,使整个缝合过程减少用钉量,有利于降低手术成本。
Description
技术领域
本实用新型涉及一种成型槽,特别是一种用于外科装订仪的钉砧成型槽,属于医疗器械领域。
背景技术
外科装订仪是广泛用于食管、胃、肠等消化道组织与其他脏器组织端端吻合、端侧吻合、侧侧吻合的现代医疗器械,因此也根据应用于的组织不同分为:圆管型装订仪、直线型装订仪、侧侧型装订仪、肛痔环切黏膜装订仪、圆弧型的闭合器和圆弧型切割缝合器等。它们的产生,使医生耗费在手术台的时间大大减少,提高了医生的工作效率。更重要的是它带来的是吻合口闭合的一次质的飞跃,不仅使吻合口吻合平整,而且吻合后吻合口很严密,大大提高了吻合质量,降低了由于吻合口闭合不完整,闭合不紧密而产生的一系列并发症,病人恢复的时间也大大缩短,也就是大大减轻了病人的痛苦。外科装订仪采用的是订书机的原理,把钉装入钉头组件内的钉仓,将需要吻合的组织放在钉砧组件与钉头组件之间,调整钉砧组件与钉头组件之间的距离到合适的位置。然后,击发把手组件,钉被推钉片推出钉头组件,穿入待吻合的组织,钉在钉砧的作用下弯曲成型,将组织牢牢地订在一起。理想的实施结果离不开各个部分的良好配合。其中,钉的成型对吻合结果有很重要的影响,而影响钉成型的因素不仅仅与钉本身性质状态有关,也与钉砧的钉成型槽有很大的关系。目前的钉砧的钉成型槽组大多是两个钉成型槽成直线靠近排列,这样的槽组只适用于直线型钉成型,且钉只能向内弯曲成型的凹槽。这种钉成型槽使人们的思维局限于钉只有一种形状,而且钉只有向内弯曲成型一种形式,当用于一些非直线型钉的成型时,则会出现钉脚外露,刺出组织,引起不良后果的弊病。事实上,非直线型钉更适用于人体一些圆管形、弧形组织的结构形状,而且向内弯曲成型装订后的最大长度只是钉冠的长度,所以在缝合过程中,为了确保缝合的长度达到手术的要求,并且为了缝合后的形状能最大限度地符合组织的形状,只能减小直线钉的长度、增加直线钉的数量,这一方面增加了加工难度,另一方面也不利于节省材料,使手术成本增加。
发明内容
本实用新型的目的在于克服现有技术存在的以上问题,提供一种钉成型槽。
本实用新型的目的通过以下技术解决方案来实现:
外科装订仪钉砧成型槽,包括若干个钉成型槽组,所有钉成型槽组在钉砧本体上环绕排列,每个钉成型槽组包括一对凹槽,它们分别对应于一个钉的两个钉脚,每个凹槽呈中间内凹逐渐向两端延伸抬升的斜坡状结构,其中:组成一个钉成型槽组的两个凹槽按照轴对称方式排列,该方式不包括两个凹槽处于一条直线、而凹槽的首端相互远离、凹槽用于使钉脚成型的尾端相互靠近这一种轴对称方式。
本实用新型的目的还可通过以下技术措施来进一步实现:
上述的钉成型槽,其中,所述钉成型槽组的两个凹槽按照具有一定开口角度的非直线方式排列,其首端相互靠近、尾端相互远离,呈“八”字形。
进一步地,上述的钉成型槽,其中,所述钉成型槽组的两个凹槽按照具有一定开口角度的非直线方式排列,其首端相互远离、尾端相互靠近,呈倒“八”字形。
再进一步地,上述的钉成型槽,其中,相邻钉成型槽组的两个凹槽的开口方向相反。
更进一步地,上述的钉成型槽,其中,所述钉成型槽组的两个凹槽,其首端相互靠近、尾端相互远离,两者处于一条直线。
本实用新型的优点在于:通过采用这样的设计,可以用于非直线型钉的成型,钉脚可以成型在钉冠下面,而不会刺出组织,造成手术失败。同时,个别实施方式可以扩大缝合的长度,即实际缝合长度是大于钉冠的长度的,整个缝合就可以减少用钉量,有利于降低手术成本。
本实用新型的目的、优点和特点,将通过下面优先实施例的非限制性说明进行图示和解释,这些实施例是参照附图仅作为例子给出的。
附图说明
图1本实用新型实施例1整体示意图;
图2本实用新型实施例1成型槽排列示意图;
图3本实用新型实施例2整体示意图;
图4本实用新型实施例2成型槽排列示意图;
图5是弧型钉示意图;
图6是弧型钉成型示意图;
图7是实施例2钉的成型示意图。
图中:1-钉砧;2a、2b-凹槽;3a、3b-钉脚;4-钉冠。
具体实施方式
如图1-4所示的外科装订仪钉砧成型槽,包括若干个钉成型槽组,所有钉成型槽组在钉砧1本体上环绕排列,每个钉成型槽组包括一对凹槽2a、2b,它们分别对应于一个钉的两个钉脚3a、3b,每个凹槽2a、2b呈中间内凹逐渐向两端延伸抬升的斜坡状结构,其中:组成一个钉成型槽组的两个凹槽2a、2b按照轴对称方式排列,该方式不包括两个凹槽2a、2b处于一条直线、而凹槽2a、2b的首端相互远离、凹槽2a、2b用于使钉脚成型的尾端相互靠近这一种轴对称方式。并且钉成型槽组的两个凹槽2a、2b按照具有一定开口角度的非直线方式排列,其首端相互靠近、尾端相互远离,呈“八”字形。当然,钉成型槽组的两个凹槽2a、2b也可以按照具有一定开口角度的非直线方式排列,其首端相互远离、尾端相互靠近,呈倒“八”字形。在排列的时候,相邻钉成型槽组的两个凹槽2a、2b的开口方向相反。再者,钉成型槽组的两个凹槽2a、2b,其首端相互靠近、尾端相互远离,两者处于一条直线。
实施例1
如图2所示:外科装订仪钉砧成型槽,包括若干个钉成型槽组,所有钉成型槽组在钉砧1本体上环绕排列,每个钉成型槽组包括一对凹槽2a、2b,它们分别对应于一个钉的两个钉脚3a、3b,每个凹槽2a、2b呈中间内凹逐渐向两端延伸抬升的斜坡状结构,其中:组成一个钉成型槽组的两个凹槽2a、2b按照轴对称方式排列,该方式不包括两个凹槽2a、2b处于一条直线、而凹槽2a、2b的首端相互远离、凹槽2a、2b用于使钉脚成型的尾端相互靠近这一种轴对称方式。并且钉成型槽组的两个凹槽2a、2b按照具有一定开口角度的非直线方式排列,其首端相互靠近、尾端相互远离,呈“八”字形。在手术的缝合过程中,采用如图5所示的弧型钉,通过装订仪内的推钉片将弧型钉推出钉头组件,使弧型钉穿入待吻合的组织。随后弧型钉触到钉砧1,且每个槽组配合一个弧型钉。伴随着推钉片的位移,弧型钉的两个钉脚3a、3b分别开始接触钉成型槽,通过其凹槽2a、2b引导后,呈现出如图6中所示:钉脚3a、3b向内弯曲,最后钉脚3a、3b全部成型在钉冠2之下,同时将组织牢牢地订在一起。通过这样的钉成型槽2a、2b,不会出现在缝合过程中钉脚3a、3b刺出组织,导致手术失败的隐患。
实施例2
如图4所示:外科装订仪钉砧成型槽,包括若干个钉成型槽组,所有钉成型槽组在钉砧1本体上环绕排列,每个钉成型槽组包括一对凹槽2a、2b,它们分别对应于一个钉的两个钉脚3a、3b,每个凹槽2a、2b呈中间内凹逐渐向两端延伸抬升的斜坡状结构,其中:组成一个钉成型槽组的两个凹槽2a、2b按照轴对称方式排列,该方式不包括两个凹槽2a、2b处于一条直线、而凹槽2a、2b的首端相互远离、凹槽2a、2b用于使钉脚成型的尾端相互靠近这一种轴对称方式。相邻钉成型槽组的两个凹槽2a、2b的开口方向相反。其首端相互靠近、尾端相互远离,两者处于一条直线。通过装订仪内的推钉片将钉推出钉头组件,使钉穿入待吻合的组织,随后钉触到钉砧1。由于单个钉成型槽其构造方式为中间内凹逐渐向两端延伸抬升的斜坡状凹槽2a、2b,因此钉在被其挤压后钉脚3a、3b延槽逐渐向外移动,最后如图7所示:钉脚3a、3b分布在钉冠4的两边,类似两个圆环,同时完成了对组织的缝合过程。由于钉脚3a、3b的尖端向内弯曲,极大程度避免了钉脚外露,刺出组织的缺陷。并且这样的成型可以加大缝合的长度,即实际缝合长度是大于钉冠4的长度的,整个缝合就可以减少的钉的数量,利于降低整个手术的成本。
除上述实施例外,本实用新型还可以有其它实施方式。凡采用等同替换或等效变换形成的技术方案,均落在本实用新型所要求保护的范围内。
Claims (5)
1、外科装订仪钉砧成型槽,包括若干个钉成型槽组,所有钉成型槽组在钉砧本体上环绕排列,每个钉成型槽组包括一对凹槽,它们分别对应于一个钉的两个钉脚,每个凹槽呈中间内凹逐渐向两端延伸抬升的斜坡状结构,其特征在于:组成一个钉成型槽组的两个凹槽按照轴对称方式排列,该方式不包括两个凹槽处于一条直线、而凹槽的首端相互远离、凹槽用于使钉脚成型的尾端相互靠近这一种轴对称方式。
2、根据权利要求1所述的外科装订仪钉砧成型槽,其特征在于:所述钉成型槽组的两个凹槽按照具有一定开口角度的非直线方式排列,其首端相互靠近、尾端相互远离,呈“八”字形。
3、根据权利要求1所述的外科装订仪钉砧成型槽,其特征在于:所述钉成型槽组的两个凹槽按照具有一定开口角度的非直线方式排列,其首端相互远离、尾端相互靠近,呈倒“八”字形。
4、根据权利要求2或3所述的外科装订仪钉砧成型槽,其特征在于:相邻钉成型槽组的两个凹槽的开口方向相反。
5、根据权利要求1所述的外科装订仪钉砧成型槽,其特征在于:所述钉成型槽组的两个凹槽,其首端相互靠近、尾端相互远离,两者处于一条直线。
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