The longitudinal register structure of surgical linear Endo-GIA
Technical field
This utility model relates to the various longitudinal register structures that are used for replacing surgical operation to adopt the surgical linear Endo-GIA of the free-hand identical operation of needlework.
Background technology
Various surgical linear Endo-GIAs are used to replace adopt in the surgical operation the free-hand identical operation of needlework; Be widely used in operations such as the end end of human body alimentary canal organ, respiratory tract organ and apparatus urogenitalis official rank organ and tissue, distolateral and side to side anastomosis; Form the operation of organ passage and the operation of close incisions; Be specially adapted to appear and the organ of operating difficulties and the anastomosis operation of tissue, can reduce operating time, improve the operation quality.
Like what introduced in United States Patent (USP) publicity 20080116244 and 20090308909: known various surgical linear Endo-GIAs, form by nail bin groupware, nail-anvil assembly and clamp hook.Nail bin is arranged in the nail bin groupware, the nail bin frame of nail bin is installed and is installed in the firing lock in the nail bin frame.It is linear that nail bin is, both can be rectilinear, also can be curved.A plurality of ejector pin pieces and anastomosis staple are installed in nail bin.A plurality of anastomosis staples are staggered in nail bin more than two rows (comprising two rows).On the nail bin frame briquetting is arranged.Firing lock is tiltedly carved with cutter by push button, slide block, push rod, ejector pin and is formed, and wherein cutter can be installed according to the use needs.Nail anvil and nail anvil frame are arranged in the nail-anvil assembly.Nail anvil can be processed one with the nail anvil frame.It is linear that nail anvil is, both can be rectilinear, also can be curved.On the surface of nail anvil, be arranged with nail bin in the corresponding anastomosis staple grooving in anastomosis staple position.A plurality of anastomosis staple groovings are being staggered on the surface of nail anvil more than two rows (comprising two rows).Middle part projection and nearside projection are arranged on the nail anvil frame.Clamp hook and nail bin frame pivotal connection.After nail bin groupware and nail-anvil assembly close up each other; With clamp hook around nail bin frame pivoted; Make clamp hook hook the middle part projection on the nail anvil frame; The briquetting that drives on the nail bin frame is pressed on the nearside projection of nail anvil frame, makes the clamped hook of nail bin groupware and nail-anvil assembly clamp, and will wait to coincide clamp tissue between nail anvil and nail bin.When the push button promotion slide block of firing lock moves forward in the nail bin frame; Slide block promotes push rod and in the nail bin frame, moves forward; Push rod promotes ejector pin again and tiltedly carves with cutter and in the nail bin frame, move forward, and ejector pin is tiltedly carved and promoted each ejector pin piece more successively anastomosis staple is released in nail bin.Anastomosis staple in nail bin takes the shape of the letter U.When the ejector pin piece is released anastomosis staple in nail bin, the nail point of the anastomosis staple of U-shaped is pressed on the grooving of nail anvil, make two nail lower limbs of the anastomosis staple of U-shaped bend to the anastomosis staple of B shape along grooving, reach the operation purpose that tissue is coincide.Bend to the anastomosis staple of correct B shape along corresponding grooving in order to ensure two nail lower limbs of the anastomosis staple of each U-shaped; The surgical linear Endo-GIA adopts transverse location structure and the longitudinal register structure between nail anvil and the nail bin, so that the anastomosis staple grooving of on the surface of nail anvil, arranging is corresponding one by one with the anastomosis staple position in the nail bin.Wherein transverse location structure is made up of between two planes of two lateral bucklings two sides insertion nail bin framves of nail anvil frame, makes to be fixed on the nail anvil on the nail anvil frame and to be installed in located lateral between the nail bin in the nail bin frame.Wherein the longitudinal register structure is made up of the pin or the key of the fork insertion nail anvil frame near-end of nail bin frame near-end, makes to be fixed on the nail anvil on the nail anvil frame and to be installed in longitudinal register between the nail bin in the nail bin frame.The dissatisfied place of making us of the longitudinal register structure of the surgical linear Endo-GIA of this style is: because the surgical linear Endo-GIA before use; Nail bin groupware and nail-anvil assembly are isolating; Again nail bin groupware and nail-anvil assembly are closed up each other in use; With clamp hook nail bin groupware and nail-anvil assembly are clamped, therefore the bigger matched in clearance tolerance of existence between the pin of the fork of nail bin frame near-end and nail anvil frame near-end or key; Owing in each surgical operation, usually need use surgical linear Endo-GIA several times, promptly in use need change nail bin several times again, therefore between nail bin frame and nail bin, also have bigger matched in clearance tolerance; Accumulate above-mentioned two groups of matched in clearance tolerances; Make the longitudinal register that is fixed on the nail anvil on the nail anvil frame and is installed between the nail bin in the nail bin frame produce bigger deviation; Two nail lower limbs that are difficult to guarantee the anastomosis staple of each U-shaped bend to the anastomosis staple of correct B shape along corresponding grooving, thereby are difficult to reach with waiting the correct surgical effect of coincideing of tissue of coincideing.Therefore the longitudinal register structure of surgical linear Endo-GIA also need be improved.
Obviously can find out by above-mentioned; A large amount of not in specie surgical linear Endo-GIAs have been designed now; And the development work of the longitudinal register structure of new surgical linear Endo-GIA is still continuing; So that the surgical linear Endo-GIA that uses in a large number in the world every year is done further to improve, more convenient, more laborsaving when reaching use, more reliable, the surgical doctor of being more convenient for applies active force and does not reduce the surgical effect of the operation subject range of surgical linear Endo-GIA.
The utility model content
The purpose of this utility model is to propose a kind of longitudinal register structure of surgical linear Endo-GIA, and in the time of in nail bin is installed in the nail bin frame, the elastic projection on the nail bin springs in the locating hole on the nail bin frame, tentatively retrains the lengthwise position between nail bin and the nail bin frame.When nail bin groupware and nail-anvil assembly closed up each other, the fork of nail bin frame was inserted on the waist shape key of nail anvil frame, tentatively retrains the lengthwise position between nail bin groupware and the nail-anvil assembly.After clamp hook is with nail bin groupware and nail-anvil assembly clamping; Alignment pin on the nail anvil frame inserts in the locating slot on the nail bin; Further accurately adjust the position of nail bin; Make that the lengthwise position of the anastomosis staple grooving on the surface of nail anvil, arranged is accurately corresponding one by one with the lengthwise position of staggered anastomosis staple in nail bin, two nail lower limbs guaranteeing each anastomosis staple are along the correct bending forming of corresponding grooving, thereby reach waiting the correct identical surgical effect of tissue of coincideing.
At present, known surgical linear Endo-GIA is made up of nail bin groupware, nail-anvil assembly and clamp hook.
Nail bin is arranged in the nail bin groupware, the nail bin frame of nail bin is installed and is installed in the firing lock in the nail bin frame.It is linear that nail bin is, both can be rectilinear, also can be curved.Ejector pin piece and anastomosis staple are installed in nail bin.Anastomosis staple can be different shape.A plurality of anastomosis staples are staggered in nail bin more than two rows (comprising two rows).On the nail bin frame briquetting is arranged.
Nail anvil and nail anvil frame are arranged in the nail-anvil assembly.Nail anvil can be processed one with the nail anvil frame.It is linear that nail anvil is, both can be rectilinear, also can be curved.On the surface of nail anvil, be arranged with nail bin in the corresponding anastomosis staple grooving in anastomosis staple position.A plurality of anastomosis staple groovings are being staggered on the surface of nail anvil more than two rows (comprising two rows).Middle part projection and nearside projection are arranged on the nail anvil frame.
Pivot hole and hook are arranged on the clamp hook.The pivot hole of clamp hook and nail bin frame pivotal connection.
After nail bin groupware and nail-anvil assembly close up each other; With clamp hook around nail bin frame pivoted; Make the middle part projection on the nail anvil frame that hooks on the hook of clamp hook; The briquetting that drives on the nail bin frame is pressed on the nearside projection on the nail anvil frame, makes the clamped hook clamping of nail bin groupware and nail-anvil assembly, and firing lock promotes each ejector pin piece successively each anastomosis staple is released in nail bin then.
The task of this utility model realizes through following technical proposals:
Locating slot is arranged on the nail bin.On the nail anvil frame alignment pin is arranged.Alignment pin on locating slot on the nail bin and the nail anvil frame is the ingredient of longitudinal register structure of the surgical linear Endo-GIA of this utility model.After clamp hook is with nail bin groupware and nail-anvil assembly clamping; Alignment pin on the nail anvil frame inserts in the locating slot on the nail bin, makes that the lengthwise position of the anastomosis staple grooving on the surface of nail anvil, arranged is corresponding one by one with the lengthwise position of staggered anastomosis staple in nail bin.
The near-end of nail anvil frame has fan groove.Waist shape key is installed in the fan groove of nail anvil frame.Waist shape key can be swung in fan groove.The near-end of nail bin frame has fork.Waist shape key on fork on the nail bin frame and the nail anvil frame is the ingredient of longitudinal register structure of the surgical linear Endo-GIA of this utility model.When nail bin groupware and nail-anvil assembly closed up each other, the fork of nail bin frame was inserted on the waist shape key of nail anvil frame, tentatively retrains the lengthwise position between nail bin groupware and the nail-anvil assembly.When nail bin groupware and nail-anvil assembly changed between open configuration and clamped condition, the fork that is inserted in the nail bin frame on the waist shape key of nail anvil frame drove waist shape key and in fan groove, swings.
Flexible projection on the nail bin.On the nail bin frame locating hole is arranged.Locating hole on elastic projection on the nail bin and the nail bin frame is the ingredient of longitudinal register structure of the surgical linear Endo-GIA of this utility model.In the time of in nail bin is installed in the nail bin frame, the elastic projection on the nail bin springs in the locating hole on the nail bin frame, tentatively retrains the lengthwise position between nail bin and the nail bin frame.
Description of drawings
Fig. 1 is the outside drawing of surgical linear Endo-GIA when nail bin groupware and nail-anvil assembly are in open configuration of expression this utility model;
Fig. 2 is the outside drawing of surgical linear Endo-GIA when nail bin groupware and nail-anvil assembly are in clamped condition of presentation graphs 1;
Fig. 3 is the front view after the surgical linear Endo-GIA of presentation graphs 1 is removed shell;
Fig. 4 is the front view after the surgical linear Endo-GIA of presentation graphs 2 is removed shell;
Fig. 5 is the outside drawing of nail bin groupware of the surgical linear Endo-GIA of expression this utility model;
Fig. 6 is the outside drawing of the nail bin frame of presentation graphs 5;
Fig. 7 is the amplification outside drawing of the nail bin of presentation graphs 5;
Fig. 8 is the interior ejector pin piece of the nail bin of presentation graphs 7 and the amplification outside drawing of anastomosis staple;
Fig. 9 is the outside drawing after the nail-anvil assembly of the surgical linear Endo-GIA of expression this utility model is removed shell;
Figure 10 is the front view of the nail anvil frame of presentation graphs 9;
Figure 11 is the amplification outside drawing of the waist shape key of presentation graphs 9.
The specific embodiment
Use way of example below, in conjunction with the most preferred embodiment of the longitudinal register structure of the surgical linear Endo-GIA of accompanying drawing statement this utility model.The scope of this utility model will be pointed out in claim.Will be appreciated that some or all accompanying drawing all is the explanation sketch for the most preferred embodiment that this utility model is described, and the full-size(d) of part shown in not depicting.With reference to being described in detail of most preferred embodiment, understand with will be more readily apparent from reach this utility model above-mentioned with other the purpose and the practical ways of advantage.
As shown in Figure 1, direction 1 expression is near, and direction 2 expressions are far away, direction 3 expression left sides, and direction 4 expressions are right, and in direction 5 expressions, direction 6 expressions are down.Direction 1 is vertical with direction 2 composition surgical linear Endo-GIAs 7, and direction 3 is horizontal with direction 4 composition surgical linear Endo-GIAs 7, and direction 5 is formed surgical linear Endo-GIA 7 arrowheads with direction 6.
Below in conjunction with Fig. 1 to Figure 11 the shape and the structure of the longitudinal register structure of the surgical linear Endo-GIA 7 of this utility model are described, the effect of longitudinal register structure is described.
Surgical linear Endo-GIA 7 is made up of nail bin groupware 8, nail-anvil assembly 9 and clamp hook 10.As shown in figures 1 and 3, surgical linear Endo-GIA 7 is in open configuration.Like Fig. 2 and shown in Figure 4, surgical linear Endo-GIA 7 is in clamped condition.
, nail bin 11 is arranged in the nail bin groupware 8, the nail bin frame 12 of nail bin 11 is installed and is installed in the firing lock 13 in the nail bin frame 12 to shown in Figure 8 like Fig. 5.Ejector pin piece 14 and anastomosis staple 15 are installed in nail bin 11.A plurality of anastomosis staples 15 respectively are staggered to two rows in the both sides of nail bin cutter groove 16.Briquetting 17 is arranged on the nail bin frame 12.
Like Fig. 9 and shown in Figure 10, nail anvil 18 and nail anvil frame 19 are arranged in the nail-anvil assembly 9.On the surface of nail anvil 18, be arranged with nail bin 11 in the corresponding anastomosis staple grooving 20 in anastomosis staple 15 positions.A plurality of anastomosis staple groovings 20 respectively are staggered to two rows on the both side surface of nail anvil cutter groove 21.Middle part projection 22 and nearside projection 23 are arranged on the nail anvil frame 19.
Like Fig. 3 and shown in Figure 4, pivot hole 24 and hook 25 are arranged on the clamp hook 10.The pivot hole 24 of clamp hook 10 is connected with the pivot 26 of nail bin frame 12.
Extremely shown in Figure 4 like Fig. 1; After nail bin groupware 8 and nail-anvil assembly 9 close up each other; The pivot 26 of clamp hook 10 around nail bin frame 12 rotated, make that the hook 25 on the clamp hook 10 hooks the middle part projection 22 on the nail anvil frame 19, the briquetting 17 that drives on the nail bin frame 12 is pressed on the nearside projection 23 of nail anvil frame 19; Make nail bin groupware 8 and nail-anvil assembly 9 clamped hooks 10 clamp, firing lock 13 promotes each ejector pin piece 14 successively each anastomosis staple 15 is released in nail bin 11 then.
To shown in Figure 10, locating slot 27 is arranged on the nail bin 11 like Fig. 5.Alignment pin 28 is arranged on the nail anvil frame 19.Locating slot 27 on the nail bin 11 and alignment pin 27 on the nail anvil frame 10 are the ingredient of longitudinal register structure of the surgical linear Endo-GIA 7 of this utility model.After clamp hook 10 clamps nail bin groupware 8 and nail-anvil assembly 9; In the locating slot 27 that alignment pin 28 on the nail anvil frame 19 inserts on the nail bin 11, make in the lengthwise position of the anastomosis staple grooving of arranging on the surface of nail anvil 18 20 corresponding one by one with the lengthwise position of staggered anastomosis staple 15 in nail bin 11.
To shown in Figure 11, the near-end of nail anvil frame 19 has fan groove 29 like Fig. 5.Waist shape key 30 is installed in the fan groove 29 of nail anvil frame 19.Waist shape key 30 can be swung in fan groove 29.The near-end of nail bin frame 12 has fork 31.Fork 31 on the nail bin frame 12 and waist shape key 30 on the nail anvil frame 19 are the ingredient of longitudinal register structure of the surgical linear Endo-GIA 7 of this utility model.When nail bin groupware 8 and nail-anvil assembly 9 closed up each other, the fork 31 of nail bin frame 12 was inserted on the waist shape key 30 of nail anvil frame 19, tentatively retrains the lengthwise position between nail bin groupware 8 and the nail-anvil assembly 9.When nail bin groupware 8 and nail-anvil assembly 9 changed between open configuration and clamped condition, the fork 31 that is inserted in the nail bin frame 12 on the waist shape key 30 of nail anvil frame 19 drove waist shape keys 30 and in fan groove 29, swings.
Extremely shown in Figure 10 like Fig. 5, flexible projection 32 on the nail bin 11.Locating hole 33 is arranged on the nail bin frame 12.Elastic projection 32 on the nail bin 11 and locating hole 33 on the nail bin frame 12 are the ingredient of longitudinal register structure of the surgical linear Endo-GIA 7 of this utility model.In the time of in nail bin 11 is installed in nail bin frame 12, the elastic projection 32 on the nail bin 11 springs in the locating hole 33 on the nail bin frame 12, tentatively retrains the lengthwise position between nail bin 11 and the nail bin frame 12.
Can know that according to above-mentioned detailed introduction compare with existing various surgical linear Endo-GIAs, the longitudinal register structure of the surgical linear Endo-GIA of this utility model has following technique effect:
The longitudinal register structure of existing surgical linear Endo-GIA; First; Because the surgical linear Endo-GIA before use, nail bin groupware and nail-anvil assembly are isolating, nail bin groupware and nail-anvil assembly are closed up each other in use again; With clamp hook nail bin groupware and nail-anvil assembly are clamped, therefore the bigger matched in clearance tolerance of existence between the pin of the fork of nail bin frame near-end and nail anvil frame near-end or key; The second, owing in each surgical operation, usually need use surgical linear Endo-GIA several times, promptly in use need change nail bin several times, therefore between nail bin frame and nail bin, also there is bigger matched in clearance tolerance; Accumulate above-mentioned two groups of matched in clearance tolerances; Make the longitudinal register that is fixed on the nail anvil on the nail anvil frame and is installed between the nail bin in the nail bin frame produce bigger deviation; Two nail lower limbs that are difficult to guarantee the anastomosis staple of each U-shaped bend to the anastomosis staple of correct B shape along corresponding grooving, thereby are difficult to reach with waiting the correct surgical effect of coincideing of tissue of coincideing.Therefore the longitudinal register structure of surgical linear Endo-GIA also need be improved.
The longitudinal register structure of the surgical linear Endo-GIA of this utility model, the locating hole on elastic projection on the nail bin and the nail bin frame are first ingredient of longitudinal register structure of the surgical linear Endo-GIA of this utility model.In the time of in nail bin is installed in the nail bin frame or when changing the nail bin in the nail bin frame, the elastic projection on the nail bin springs in the locating hole on the nail bin frame, tentatively retrains the lengthwise position between nail bin and the nail bin frame, allows the bigger matched in clearance tolerance of existence.Waist shape key on fork on the nail bin frame and the nail anvil frame is second ingredient of longitudinal register structure of the surgical linear Endo-GIA of this utility model.When nail bin groupware and nail-anvil assembly closed up each other, the fork of nail bin frame was inserted on the waist shape key of nail anvil frame, tentatively retrains the lengthwise position between nail bin groupware and the nail-anvil assembly, also allowed to exist bigger matched in clearance tolerance.Alignment pin on locating slot on the nail bin and the nail anvil frame is the 3rd ingredient of longitudinal register structure of the surgical linear Endo-GIA of this utility model.Locating slot on the nail bin of the 3rd ingredient of the longitudinal register structure of the surgical linear Endo-GIA of this utility model and in nail bin the lengthwise position between the staggered anastomosis staple produce by integral body processing; Alignment pin on the nail anvil frame and the lengthwise position between the anastomosis staple grooving of arranging on the surface of nail anvil are also produced by integral body processing, and the both can reach very high precision.After clamp hook is with nail bin groupware and nail-anvil assembly clamping; Alignment pin on the nail anvil frame inserts in the locating slot on the nail bin; Further accurately adjust the position of nail bin; The bigger matched in clearance tolerance that first ingredient of the longitudinal register structure of the surgical linear Endo-GIA of elimination this utility model and second ingredient of longitudinal register structure exist; Make that the lengthwise position of the anastomosis staple grooving on the surface of nail anvil, arranged is accurately corresponding one by one with the lengthwise position of staggered anastomosis staple in nail bin; Follow closely lower limbs along the correct bending forming of corresponding grooving for two that guarantee each anastomosis staple, thereby reach waiting the correct surgical effect of coincideing of tissue of coincideing.
So can find out that the above-mentioned target of stating comprises that those targets that shown by the front explanation have been reached effectively.Described here only is the typical best form of implementation of this utility model application, can do some to said structure and change also spirit and scope without prejudice to this utility model.This utility model does not limit to or is placed restrictions on the detail of being stated in here, and that kind of stating in should qualification as claim to keep affiliated field secondary technology personnel be conspicuous any improvement or remodeling.