CN2796654Y - 直线型切割缝合器 - Google Patents
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Abstract
本实用新型涉及一种直线型切割缝合器，它包括钉仓部件和钉砧部件两部分。在钉仓部件上设有钉仓板、击发钮、调节锁定杆，钉仓板上设贮钉槽，钉孔等；在钉砧部件上设有钉砧板，钉砧板上设有砧穴。击发钮连接有一根推刀杆和两根推钉杆，钉仓部件与钉砧部件借助销钉和调节锁定杆可以很方便地锁合或拆开。这种直线型切割缝合器能一次完成缝合与切割两种手术，借助设于钉仓部件尾部的凸轮机构和钉仓板端部的组织定位钮使整条缝合线从头至尾的缝钉成形均匀有效，缝合质量高，使手术能安全完成。
Description
技术领域
本实用新型涉及一种医疗器械，尤其涉及一种直线型切割缝合器。
背景技术
在进行胃肠切除或肺叶切除等外科手术后，需马上对切除部分两侧留下的组织进行缝合。以往这种缝合手术均作手工缝合，这是一种费时费力的工作。随着一种直线型切割缝合器的问世，实现了对胃肠道、妇科、胸科方面的直线切割手术，一次完成缝合与切割。此缝合器由一个钉仓部件和一个钉砧部件组成，借助一个设于钉仓部件上的调节锁定杆使钉仓部件和钉砧部件可以像剪刀一样闭合或分开。在钉仓部件的前半段设有钉仓板，钉仓板上设有一条中缝，在中缝的左右两侧各设一条贮钉槽，在钉仓部件的侧面设有一个击发钮，击发钮与设于钉仓部件槽型材中的三根推拉杆相连。其中，中间一根为推刀杆，推刀杆的一端带有手术用的切割刀，切割刀可以沿钉仓的中缝滑移，而两侧两根为推钉杆，推钉杆可以沿钉仓的两条贮钉槽移动。钉砧部件的前半段与钉仓板相对的一面设有钉砧板，其上设有两条与贮钉槽位置相对应的砧穴。在作切割手术时，先打开切割缝合器，把它放置在需切断的组织上，按下调节锁定杆使钉仓部件与钉砧部件对合在一起，然后一次性连续向前推动击发钮。两侧的推钉杆将贮钉槽的缝钉顶出，并在钉砧板上砧穴的作用下，完成似订书机一样的双排缝合手术，与此同时，切割刀完成了切割手术。这种直线型切割缝合器将缝合与切割一次完成，但是由于该切割缝合器的钉仓部件与钉砧部件只用一个销钉来销合，所以在按下调节锁定杆进行手术时，该切割缝合器呈剪刀状的开叉，越往前端开口距离越大，使该缝合器前后部的缝钉成形不一样，出现手术不能安全完成。
发明内容
为解决现有技术所存在的问题，本实用新型提供了一种直线型切割缝合器，它包括钉仓部件和钉砧部件。所述钉仓部件有一个槽型材，所述槽型材由前后两部分组成，在槽型材的前部设有一个可卸式钉仓板，所述钉仓板上设有一条中缝，在钉仓板下部的中缝的左右两侧各设一条贮钉槽，在钉仓板上部的中缝两侧、对应于每一条贮钉槽位置处，各设有一条双排式钉孔，在槽型材后部的外面设有调节锁定杆。在槽型材后部的侧面设有一条缝道，一个击发钮嵌设在缝道中，可作前后滑动。槽型材的后部还设有三根推拉杆，推拉杆都与击发钮相连，中间一根为推刀杆，其一端带有手术切割刀，切割刀可以沿钉仓板的中缝滑动，位于推刀杆两侧的两根推钉杆可在钉仓板下部两侧的贮钉槽内滑动。所述钉砧部件的前段、与钉仓板相对的一面设有钉砧板，在钉砧板上设有两条与钉孔位置相对应的双排式砧穴；钉仓部件和钉砧部件借助设于钉砧部件中部两侧的销钉和调节锁定杆上的锁定钩可以随意锁合在一起或随意分开；其中，在钉仓部件的槽型材的后部尾端部设有一凸轮机构，所述凸轮机构包括一块带有前伸钩的凸轮板和置于槽型材的后部、与击发钮相连的一块倾斜板；在凸轮板的上部开有一圆孔，凸轮板套在一根轴上，该轴固定在槽型材后部的槽壁上，凸轮板可以绕轴自由地转动，凸轮板下部两面对称地各设置一个定位销，在槽型材后部的尾端部、与定位销相对应的位置处设有一对限位柱。在所述钉仓板的中缝的端点，比钉孔的终端位置稍后处设有组织定位钮，所述组织定位钮为一略凸出于钉仓板的小圆柱。
上述的直线型切割缝合器，其中，所述调节锁定杆上设有肩部。
上述的的直线型切割缝合器，其中，所述钉砧部件上设有肩部。
上述的直线型切割缝合器，其中，所述钉砧部件上与击发钮的槽相匹配的位置处设有锁定肋。
采用上述的技术方案，具有下列效果：先借助凸轮机构使钉砧部件的尾部抬起，然后借助组织定位钮，使钉砧部件与钉仓部件在两者的共同作用下基本消除剪刀样的交叉状态而处于平行状态，从而使整条缝合线从头至尾的缝钉成形均匀有效，缝合质量高，使手术能安全完成。
附图的简单说明
图1为本实用新型所述直线型切割缝合器的正视图；
图2为所述直线型切割缝合器的钉仓部件的正视图；
图3为所述直线型切割缝合器的钉仓部件的正视图(带局部剖视)；
图4为所述直线型切割缝合器的钉仓部件的后视图；
图5为所述直线型切割缝合器的钉仓部件的俯视图；
图6为所述直线型切割缝合器的钉仓部件的仰视图(带局部剖视)；
图7为所述直线型切割缝合器的钉仓部件的左视图；
图8为所述直线型切割缝合器的钉仓部件的右视图；
图9为所述直线型切割缝合器的钉砧部件的正视图；
图10为所述直线型切割缝合器的钉砧部件的后视图；
图11为所述直线型切割缝合器的钉砧部件的俯视图；
图12为所述直线型切割缝合器的钉砧部件的仰视图；
图13为所述直线型切割缝合器的钉砧部件的左视图；
图14为所述直线型切割缝合器的钉砧部件的右视图；
图15为所述直线型切割缝合器的调节锁定杆打开状态时的正视图；
图16为所述直线型切割缝合器的凸轮板的正视和俯视图；
图17为所述直线型切割缝合器的凸轮机构和组织定位钮的使用效果示意图。
具体实施方式
现请参阅图1～图17。图中示出了一种直线型切割缝合器的钉仓部件1和钉砧部件2；所述钉仓部件1有一个槽型材11，它由前后两部分组成，在槽型材11的前部设有一个可卸式钉仓板12，钉仓板12上设有一条中缝121，在钉仓板12下部，在中缝121的左右两侧各设一条贮钉槽122，在钉仓板12上部的中缝121两侧，对应于每一条贮钉槽122位置处，各设有一条双排式钉孔123，在槽型材11后部的外面设有调节锁定杆13，在槽型材11的后部的侧面设有一条缝道111，一个击发钮14嵌设在缝道111中，可作前后滑动，在槽型材11的后部还设有三根推拉杆，推拉杆都与击发钮14相连，中间一根为推刀杆15，推刀杆15的一端设有手术切割刀151，切割刀151可以沿钉仓板12的中缝121滑动，位于推刀杆15两侧的两根推钉杆16，可以在钉仓板12下部两侧的贮钉槽122内滑动；所述的钉砧部件2的前段，与钉仓板12相对的一面，设有钉砧板21，在钉砧板21上设有两条与钉孔123位置相对应的双排式砧穴211；钉仓部件1和钉砧部件2借助设于钉砧部件2中部两侧的销钉22和调节锁定杆13上的锁定钩131可以随意锁合在一起或随意分开；其中，在钉仓部件1的槽型材11的后部尾端部设有一凸轮机构3；所述凸轮机构3包括一块带有前伸钩32的凸轮板31和置于槽型材11的后部，与击发钮14相连的一块倾斜板33；在凸轮板31的上部开有一圆孔34，凸轮板31套在一根轴35上，该轴35固定在槽型材11的后部的槽壁上，凸轮板31可以绕轴35自由地转动，凸轮板31下部两面对称地各设置一个定位销36，在槽型材后部的尾端部、与定位销36相对应的位置处设有一对限位柱37；在钉仓板12的中缝121的端点处，比钉孔123的终端位置稍后处，设有组织定位钮4，所述组织定位销为一略凸出于钉仓板12的小圆柱。
本实用新型的具体操作过程是：当需要作切割手术时，只需打开调节锁定杆13，使钉仓部件1和钉砧部件2分开，把它们置于需切断的组织上，按下调节锁定杆13，使钉仓部件1和钉砧部件2对合在一起，向前推动击发钮14，同时向前推动两根推钉杆16，使其沿贮钉槽122向前运动，以将贮钉槽122中的缝钉顶出针孔123，在钉砧板21上的砧穴211的作用下，完成似订书机一样的双排缝合手术，随着缝合手术的进行，推刀杆15在中缝121中向前运动，由此切割刀151完成切割手术。这样就将缝合与切割两个手术步骤一次完成。而后，将击发钮14退回起始位置，打开调节锁定杆13，移去缝合器，检查缝合情况，在下次手术之前，需作更换钉仓板12，清洁钉砧板21。在击发钮14向前推进时，凸轮板31上的前伸钩32与倾斜板33相接触呈顶压状态，继续用力推进击发钮14时，凸轮板31被拉着绕轴35转动，当定位销36挤过限位柱37，使凸轮板31处于直立状态，此时在倾斜板33斜面的作用下，前伸钩32滑出倾斜板33，不再相互钩住。击发钮14继续向前推进时，凸轮板31并不随之转动。因凸轮板31不继续转动，又由于限位柱37阻挡其向后转动，处于直立状态，这样就把钉砧部件2的尾部抬起，再借助组织定位钮4，使钉砧部件2与钉仓部件1在两者的共同作用下基本处于平行状态，而不是先前如剪刀那样的交叉状态。从而使整条缝合线的质量保持良好。当手术完毕后，击发钮14向后退，三根推拉杆也向后退，切割刀151也退出钉仓板12，倾斜板33顶推凸轮板33，定位销36挤过限位柱37，凸轮板31向后转动，前伸钩32重又与倾斜板33的斜面抵触。
为使这种直线型缝合器便于使用，使击发钮14的推拉过程更顺畅，在钉砧部件2上与击发钮14相匹配的位置处设置一条锁定肋24。为防止握住切割缝合器的手打滑，在调节锁定杆13上加设肩部132，在钉砧部件2上加设肩部23。
Claims (4)
1.一种直线型切割缝合器，包括钉仓部件(1)和钉砧部件(2)；所述钉仓部件(1)有一个槽型材(11)，所述槽型材(11)由前后两部分组成，在槽型材(11)的前部设有一个可卸式钉仓板(12)，所述钉仓板(12)上设有一条中缝(121)，在钉仓板(12)下部的中缝(121)的左右两侧各设一条贮钉槽(122)，在钉仓板(12)上部的中缝(121)两侧、对应于每一条贮钉槽(122)位置处，各设有一条双排式钉孔(123)，在槽型材(11)后部的外面设有调节锁定杆(13)；在槽型材(11)后部的侧面设有一条缝道(111)，一个击发钮(14)嵌设在缝道(111)中，可作前后滑动；槽型材(11)的后部还设有三根推拉杆，推拉杆都与击发钮(14)相连，中间一根为推刀杆(15)，推刀杆(15)的一端带有手术切割刀(151)，切割刀(151)可以沿钉仓板(12)的中缝(121)滑动，位于推刀杆(15)两侧的两根推钉杆(16)可在钉仓板(12)下部两侧的贮钉槽(122)内滑动；所述钉砧部件(2)的前段，与钉仓板(12)相对的一面设有钉砧板(21)，在钉砧板(21)上设有两条与钉孔(123)位置相对应的双排式砧穴(211)；钉仓部件(1)和钉砧部件(2)借助设于钉砧部件(2)中部两侧的销钉(22)和调节锁定杆(13)上的锁定钩(131)可以随意锁合在一起或随意分开；其特征在于，在钉仓部件(1)的槽型材(11)的后部尾端部设有一凸轮机构(3)，所述凸轮机构(3)包括一块带有前伸钩(32)的凸轮板(31)和置于槽型材(11)的后部、与击发钮(14)相连的一块倾斜板(33)；在凸轮板(31)的上部开有一圆孔(34)，凸轮板(31)套在一根轴(35)上，该轴(35)固定在槽型材(11)后部的槽壁上，凸轮板(31)可以绕轴(35)自由地转动，凸轮板(31)下部两面对称地各设置一个定位销(36)，在槽型材(11)后部的尾端部、与定位销(36)相对应的位置处设有一对限位柱(37)；在所述钉仓板(12)的中缝(121)的端点，比钉孔(123)的终端位置稍后处设有组织定位钮(4)，所述组织定位钮(4)为一略凸出于钉仓板(12)的小圆柱。
2.如权利要求1所述的直线型切割缝合器，其特征在于，所述调节锁定杆(13)上设有肩部(132)。
3.如权利要求1所述的直线型切割缝合器，其特征在于，所述钉砧部件(2)上设有肩部(23)。
4.如权利要求1所述的直线型切割缝合器，其特征在于，所述钉砧部件(2)上与击发钮(14)的槽相匹配的位置处设有锁定肋(24)。
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