SU1333319A2 - Ушиватель полых органов - Google Patents
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- SU1333319A2 SU1333319A2 SU854019897A SU4019897A SU1333319A2 SU 1333319 A2 SU1333319 A2 SU 1333319A2 SU 854019897 A SU854019897 A SU 854019897A SU 4019897 A SU4019897 A SU 4019897A SU 1333319 A2 SU1333319 A2 SU 1333319A2
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Abstract
Изобретение относитс к медицинской технике. Цель изобретени - повьшение герметичности и гемостатич- ности шва. Устройство содержит ско- бочнзто часть 1 с продольньм пазом. , ньй Р 3. - тич- о- . . скобочные гнезда с толкател ми Г-об- разной формы дл внутреннего р да и Т-образной формы дл наружного р да с прорезью, через которую пропущена шпилька. Верхний клин 8 с ножом 9 соединен со стойкой 10, в которой вмонтирован ролик 11 и прикреплены концы троса 12. К нижней части стойки 10 прикреплен клин, 13 с роликами 14, взаимодействующими с желобом . Барабан снабжен штурвалом 18 и регул тором нат жени 19. Упорна часть 20 снабжена лунками дл загиба П-образных скобок. На одном конце аппарата имеетс кремальерный замок 22, а на другом - шарнирный 23. 2 3.п. ф-лы, 6 ил. 23 % (Л 00 00 00 00 N 13
Description
13
Изобретение относитс к медицине., а именно к хирургическим сшивающим аппаратам дл наложени механического шва на органы и ткани с помощью П-образных металлических скобок, и вл етс усовершенствованием изобретени по авт.св.№ 1011116.
Целью изобретени вл етс .повышение герметичности и гемостатич- нести шва с применением меиьшего физического усили .
На фиг.1 изображен ушиватель полых органов (частичный вырыв), вид сбоку; на фиг.2 - то же, вид снизу; на фиг.З - клин с ножом в аппарате;, на фиг.4 - то же, поперечный разрез; не фиг,5 - толкатель П-образных скобок внутреннего р да; на фиг„6 - .то же, наружно го р да.
Ушиватель полых органов содержит скобочную часть 1 с продольным пазом 2, скобочные гнезда 3, расположенные . в шахматном пор дке, с толкателем 4 Г-образной формы дхс внут- реннего р да и 5 Т-образной формы дл наружного р да с проерзью 6, через которую.пропущена шпилька 7, жестко зафиксированна в стенке скобочной части 1 и предупреждающа вы- падение толкател . Внутри скобочной части 1 расположен двухъ русный клин Верхний клин 8 с,ножом 9 соединен со стойкой 10, в которой вмонтирован ролик 11 и прикреплены концы троса 12, К нижней части стойки 10 прик- реплен нижний клин 13 с роликами 14, взаимодействующими с желобом 15, выбранным в основании пйза 2, На свободном конце скобочной части 1 установ- лен ролик 16, через который перекинут трос 12, концы которого прикреплны к барабану 17, снабженному штурвалом 18 и регул тором 19 нат жени .
Упорна часть 20 снабжена лунка- ми 21 дл загиба П-образных скобок . соответственно скобочным гнездам.
На одном конце аппарата имеетс кремальерный замок 22, на другом - шарнирный 23.
Ушиватель работает следующим образом .
Скобочную 1 и упорную 20 части ушивател разъедин ют. Вращением штурвала 18 клинь с ножом устанав- .ливают в исходное положение. Сквозь переднюю и заднюю стенки желудка создают отверстие .в о.бласти дна или в антральном отделе желудка (в зави192
симости от того, какую трубку намечено выкроить - анти- или изоперис- тальтическую ). Конец упорной части 20 провод т сквозь созданные отверсти и части соедин ют шарнирным замком 23.При сближении скобочной 1 и упорной 20 частей ушивател стенки желудка сдавливаютс . Фиксацию частей аппарата осуществл ют затем с помощью кремальерного замка 22.
При вращении штурвала 18 одна ветвь троса 12 наматываетс на барабан 17 и т нет стойку 10 с клинь ми 8 и 13 с ножом. Двига сь по продольному пазу 2 скобочной части 1, клинь через толкатели 4 и 5 производ т поочередное выталкивание ског- бок, которые прошивают стенки желудка в шахматном пор дке с двух сто- рон, а нож 9 рассекают ткани между внутренними р дами скобок.
Взаимодействие клина 13 с желобом 15 через ролики 14, уменьша потери на трение между движущимис част ми, при прочих равных услови х позвол ет увеличить нагрузку на тол катели или уменьшить затрачиваемые физические усили ,
Применение предлагаемого аппарата облегчает труд хирурга при вык- раив.ании из стенок трубчатого трансплантата максимальной длины путем создани герметичного гемостатичес- кого шва с применением меньших фи- аических усилий.
Claims (3)
- Формула изобретени. Ушиватель полых органов по авт.св . № 1 01 1 1 1 6 ,. о т л и ч а ю- щ и и с тем, что, с целью повьш1е- ни герметичности.и гемостатичности шва, в скобочной части устройства, снаружи от первого р да скобочных гнезд, дополнительно выполнен второй р д гнезд, расположенных в шахмат- .ном пор дке по отношению к гнездам первого р да, а в упорной части выбраны соответствующие гнездам дополнительного р да лунки дл загиба скобок, причем с толкател ми второго р да взаимодействует клин, жестко св занный с клином первого р да и расположенный ниже него.
- 2. Ушиватель по п.1, о тли - чающийс тем, что в основании скобочной части выбран желоб длразмещени в нем роликов, закрепленных вертикально в нижней части клина .
- 3. Ушиватель по пп.1 и 2, о т - личающийс тем, что, сцелью предотвращени выпадени толкателей второго р да, в теле толкателей вьшолнена прорезь, через которую проходит шпилька, закрепленна в стенках скобочной части.ISГ9(риг.ЗJff f5/3 фиг. Ц/фи&.5
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SU854019897A SU1333319A2 (ru) | 1985-12-10 | 1985-12-10 | Ушиватель полых органов |
Applications Claiming Priority (1)
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SU854019897A SU1333319A2 (ru) | 1985-12-10 | 1985-12-10 | Ушиватель полых органов |
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SU1011116 Addition |
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SU1333319A2 true SU1333319A2 (ru) | 1987-08-30 |
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SU854019897A SU1333319A2 (ru) | 1985-12-10 | 1985-12-10 | Ушиватель полых органов |
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