CN100579480C - Electric thermal non-nail anus piles anastomat and operation method - Google Patents

Electric thermal non-nail anus piles anastomat and operation method Download PDF

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CN100579480C
CN100579480C CN 200810107218 CN200810107218A CN100579480C CN 100579480 C CN100579480 C CN 100579480C CN 200810107218 CN200810107218 CN 200810107218 CN 200810107218 A CN200810107218 A CN 200810107218A CN 100579480 C CN100579480 C CN 100579480C
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CN101366658A (en
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魏文聪
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魏文聪
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Abstract

The invention relates to an electrothermal non-nail hemorrhoid stapler and an operation method thereof. The electrothermal non-nail hemorrhoid stapler comprises a pipe, a rear handle and a front handle. The rear end of the pipe is connected with the rear handle as a whole, the horn-shaped front end of the pipe is in fixed connection with an electrothermal anastomotic heading, and the front handle is hinged with the rear end of the pipe through a pin roll; the front end of a center rod arranged in the pipe is provided with a hemi-pellet which is in fit with the outer diameter of horn-shaped front end of the pipe, and the rear end of the center rod is in threaded connection with an adjusting nut; a wire connected with a socket at the lower end of the rear handle is connected with a heating element arranged on the electrothermal anastomotic heading to form a loop. The electrothermal non-pin hemorrhoid stapler adopts safe minimally invasive technologies of a electrothermal cutting and a electrothermal anastomosis, thereby avoiding the medical risk and post-operation safety problems due to titanium nails in the traditional nail hemorrhoid stapler; ninety-five percent of components are made with plastic, and are light in weight, low in cost, convenient to be destroyed and recycled in the renewable resources and beneficial for environmental protection.

Description

电热能无钉式肛痔吻合器及其搡作方法 No anal electrothermal energy hemorrhoid stapler nail and a method for shoving

技术领域 FIELD

本发明涉及一种外科医疗器械,特别是一种电热能无钉式肛痔吻合器及其搡作方法。 The present invention relates to a surgical instrument, particularly a studless formula electrothermal energy anus hemorrhoid stapler and a method for shoving. 背景技术 Background technique

通常在医院临床进行悬吊式肛痔环切术(简称PPH手术)时广泛采用钉式吻合器,这种器械产品分为一次性使用和反复用两大类。 Nail stapler widely used for the normal overhead anal hemorrhoid circumcision (surgical referred PPH) in Clinical Hospital, this instrument and disposable products are divided into two major categories repeatedly. 其共同特点是根据钉书机类似的作用原理,将26-32枚细小钛钉,通过推钉器按环形交错方式,密密匝匝钉合住要切除的肠壁内膜组织部分(俗称"荷包"),从而起到封闭组织中血管和连接直肠壁悬吊膜的作用。 The common feature is based on the principle similar to the role of the stapler, the small pieces of 26-32 titanium screw, by pushing a staggered manner in an annular staple, the staple Mimizaza excised tissue portions to be shared wall lining (commonly known as "purse") , which play a closed vessel and the tissue suspension action attached to a linear wall film. 封闭之后,推钉器内置的圆简状环切刀将荷包部分全部切除,完成手术。 After blocking, the staple push built circular ring-shaped profile cutter total removal of the pouch portion, to complete the operation.

PPH手术后,钛钉全部或大部分将陆续脱落排出体外。 PPH after surgery, titanium screw will come off all or most of the body. 但也常有钛钉殘留在肠壁上的情形。 But also often in the case of titanium staples remaining intestinal wall. 这样的钛钉是一种隐患和潜在的风险,其锋利的尖端尤其是个麻烦。 Such a titanium screw potential hazards and risks, in particular a sharp tip which is troublesome. 据资料介绍,国外实施PPH手术,必须了解受术者性伴侣的情况, 一般需要配偶签字同意。 According to information on the implementation of foreign PPH surgery, must be informed by the surgeon of sexual partners, generally require the spouse to sign an agreement. 尤其是对同性恋伴侣。 Especially for gay couples. 其次,从治疗效果上,钉式吻合器因各种原因导致的钉合不良,血管和直肠内膜封闭不全,出现淌血、手术失败、 渗血甚至大出血。 Secondly, the treatment effect, the staple anastomosis is due to all causes combined bad, vascular intimal regurgitation and rectum, bleeding occurs, surgical failure, bleeding and even bleeding. 因此,钉式PPH术后必须对患者进行数小时留观,直至医师检查正常。 Therefore, nail PPH surgery patients must be kept under observation for several hours, until a physician examination was normal.

一次性钉式吻合器产品结构复杂,除了注塑工件以外,还有大量金属部件。 Disposable products anastomosis staple complex structure, in addition to the injection of the workpiece, there are a lot of metal parts. 回收销毁是一大难题,既造成环境污染又不利于节约资源和降低消耗,造价也居高不下。 Recovery and destruction is a major problem, not only cause environmental pollution does not help conserve resources and reduce consumption, cost is also high. 发展中国家往往因费用昂贵而转向使用价格低廉的反复用PPH吻合器,但这显然大大不利于防止交叉感染。 Developing countries often due to the use of expensive and inexpensive turned repeatedly with PPH stapler, but this is clearly not much help prevent cross-infection. 同时,相关的风险也依然存在。 At the same time, the associated risks remain. 发明内容 SUMMARY

本发明要解决的技术问题是提供一种没有钛钉及相关的风险的电热能无钉式肛痔吻合器及其操作方法。 The present invention is to solve the technical problem of providing a titanium screw and no electric energy without the risks associated nail anus hemorrhoid stapler and an operation method.

为解决上述技术问题,本发明的技术方案是: 一种电热能无钉式肛痔吻合装置由电热能无钉式肛痔吻合器和电热能主机组成,两者之间用导线连接。 To solve the above technical problem, the technical solution of the present invention is: A studless formula electrothermal energy anus hemorrhoid stapling device can not staple by the electrothermal formula anal hemorrhoid stapler host component and electric energy, with the wire connected therebetween.

所述的电热能无钉式肛痔吻合器,包括抢管、后手柄和前手柄,抢管的后端与后手柄连为一体,抢管的喇叭形前端与电热能吻合切头的一端固定连接, 电热能吻合切头的另一端设有斜月牙槽边口;抢管的喇叭形前端双侧设有抽线槽孔,抢管的中部设有视窗;前手柄通过顶端的销孔依靠销轴与抢管的后端铰接,内腔设有螺紋的调节螺母位于抢管的后端。 The electrothermal energy studless formula anal hemorrhoid stapler, comprising a fixed pipe grab, front handle and rear handle, and the rear end of the grab handle integrally connected tube, flared distal end of the glow tube can grab the end anastomosis truncated connection, electric cutting head adapted to fit the other end thereof and a helical lip alveolar; grab sided flared distal tube pumping groove is provided with holes, the central tube is provided with a grab window; front handle rely on the pin through the pin hole to the top the rear end of the grab hinge shaft tube lumen threaded adjusting nut at the rear end of the grab tube.

置于抢管内的中心杆与抢管的内腔间隙配合,中心杆的前端设有与抢管喇叭形前端外径相配合的半圆球,中心杆的中部设有标示线,中心杆的后端设有与调节螺母相配合的螺紋,中心杆的后端穿过前手柄的通孔与调节螺母螺紋连 Center rod and the grab space lumen tube placed within the tube to grab the front end of the central rod is provided with an outer diameter of the flared distal tube grab cooperating semi-sphere, the central rod is provided with the central marking line, the rear end of the central rod adjusting nut cooperating with the screw thread is provided, the rear end of the central rod passes through the through hole of the front handle connected with the adjustment nut thread

接,所述的螺紋为矩形螺紋;中心杆半圆球的园形底面设有与电热能吻合切头的斜月牙槽边口相配合的斜月牙槽边口。 Then, the thread is a rectangular thread; circular bottom surface of the hemispherical center rod is provided with oblique electric alveolar lip adapted to fit truncated obliquely alveolar mating lip.

后手柄的下端装有电插座,电开关安装在后手柄的上端,电开关的触头紧靠前手柄;与电插座相连的导线通过电开关与安装在电热能吻合切头上的发热元件连接成回路。 The lower end of the rear handle with an electrical socket, electrical switch mounted on the upper end of the handle, the electrical contacts against the front handle switch; wire and electrically connected to the socket via an electrical switch mounted on the heating element and adapted to fit cut electric connection head to form a loop.

所述的发热元件是以镍阻丝等电热工金属线材制成环形发热元件,所述的电热能吻合切头是用电阻材料及硅酮树脂为隔热材料制成的。 The heating element is a nickel resistance wire is made of an annular metal working such as electric wire heating element, adapted to fit into said truncated electrothermal resistive material is a silicone resin and a heat insulating material. 一种使用前述的电热能无钉式肛痔吻合器的搡作方法如下: [1]把中心杆的螺紋后端从抢管前端的电热能吻合切头插入,穿过前手柄的通孔与位于抢管后端的调节螺母松度旋接,将中心杆的半圆球接近肛痔; A method of using the above-described method for electrothermal energy shoving studless anus hemorrhoid stapler formula as follows: [1] the rear end of the central rod threaded from the distal end of the heating tube can grab stapling head inserting cut, through the through holes of the front handle adjusting the rear end of the tube is located grab looseness screwed nut, the ball close to the central rod of semicircular anal hemorrhoids;

[2]用线勾将肛痔荷包缝合线头从电热能吻合切头的双侧抽线槽孔中拉出抽紧; [2] The wire hook hemorrhoids anal pouch anastomosis suture head can be cut from the electric double-sided suction head is pulled out slot tightening hole;

[3]旋紧调节螺母,直至通过抢管的中部的视窗观察位于抢管内腔的中心杆的标示线到位; [3] tighten the adjusting nut until the middle of the observation window by grab grab tube lumen tube positioned in the center of the marking line in place of the rod;

[4]将主机功能指示钮拨至"热吻合"位置,指示灯亮显示主机已通电准备作业;手术医生握持肛痔吻合器的后手柄和前手柄,合理施力于前手柄,触发接通电开关开关,主机功率输出,热吻合程序启动。 [4] The host function allocated to the button indicating "match hot" position, light indicates the host is powered-up job; anal surgeon grasping hemorrhoid stapler front handle and rear handle, a reasonable force on the front handle, the trigger is turned on switching electrical switch, engine power output, heat anastomosis program starts. 选取8(TC-20(TC的温度, 进行0-30秒时间范围内的组织热凝固过程;再次旋紧调节螺母,将中心杆拉向后方,肛痔荷包环周边组织被中心杆半圆球的园形底面的斜月牙槽边口以及电热能吻合切头的斜月牙槽边口的压力均句作用,同时受热凝固结痂,形成1H咖宽度的肠内膜组织蛋白质成份凝结环带,其内膜中血管全部凝固止血,为环带切割做好准备;此时主机将自动或手动定时报警并切断功率输出; Select 8 TC-20 (TC temperature (performed tissue thermal coagulation process within the range 0-30 seconds; re-tighten the adjusting nut, the central rod pulled backward, anal hemorrhoid tissue purse ring surrounding the central rod of the hemisphere circular bottom surface of the lip and ramp alveolar electrothermal energy oblique stapling pressure of alveolar lip sentences are truncated action, while heat coagulation scab formed 1H coffee width intestinal endometrial tissue coagulation protein content annulus, the inner all coagulation hemostasis of vascular membrane, ready to cut the endless belt; the host is manually or automatically cut off the power output and time alarm;

[5]将主机功能指示钮拨至"热切割",选取20(TC-400'C的温度,再次按压前手柄1-5秒时间,直至报警灯亮及鸣笛,示意荷包热切割程序完成;此时, 应稍候l-3分钟,以利于手术部位降温及保护吻合热凝环带;然后松开后调节母,使前端被压紧的吻合热凝环带放松脱开; [5] The host function allocated to the button indicating "hot cut", select 20 (TC-400'C temperature, pressing time of 1-5 seconds before the handle again, until the warning lights and whistle schematically purse thermal cutting process is complete; in this case, you should wait l-3 minutes to facilitate cooling and protection of anastomosis surgical site thermosetting annulus; mother then adjusted after releasing the distal end is compressed anastomotic ring with relaxation thermosetting disengaged;

[6]将吻合器滑转退出直肠肛门,电热能无钉式肛痔吻合手术完成。 [6] The stapler anorectal exit slip, electrothermal energy studless formula anal anastomosis is completed hemorrhoids. 本发明运用人体组织热焊接技术,它是根据人或动物体某些部位的血管、腔道、膜组织中所含蛋白质结构成份受热变性的生物化学现象,在外界机械压力作用下,发生蛋白质组份凝固或断裂的现象而发展起来的一种临床外科医学应用技术。 The present invention is the use of human tissue thermal welding technology, which is based on a blood vessel of a human or animal certain parts of the body cavity, heat denatured protein structural components of membrane tissue contained biochemical phenomenon, under external mechanical pressure occurs proteome a clinical medical applications surgical techniques or broken parts coagulation phenomenon and developed. 其分子水平的作用机理可以描述为,当集中于组织局部的高效热能首先使该部位组织中主要结构物质蛋白质发生变性反应时,蛋白质原有的空间三维结构发生改变,各种蛋白质大分子链舒展打开,相邻蛋白原链或肽链通过其大分子链中的氢键相互结合,形成新的交互链接结构。 The mechanism of action can be described as the molecular level, when the local concentration in the tissue so that the first portion and efficient heat tissue structure of the material mainly denatured proteins reaction, the protein structure of the original three-dimensional space is changed, various proteins macromolecular chains stretch open-chain or adjacent fibrinogen binding peptide chain macromolecular chains by hydrogen bonds with each other, forming a new link structure interaction. 在外界压力作用下,蛋白质大分子链重新联接形成新的致密结构组织。 Under ambient pressure, re-coupled protein macromolecular chains dense structure formed new tissue. 如果局部热能较高,蛋白质链打开后随即发生断裂。 If the local high energy, protein chain breaking occurs immediately after opening. 这时,许多蛋白质大分子随着中心高温的梯度变化,在断裂带两侧分别发生变性凝固反应。 In this case, many molecules the protein with a high temperature gradient center, fault sides respectively denaturation coagulation reaction. 温度和压力是蛋白质大分子链发生断裂分开和重组凝结的最主要因素。 Temperature and pressure are the most important factor and breaking apart of recombinant coagulation protein macromolecular chains occur. 生物化学研究表明,蛋白质是动物体组织结抅支架和功能材料的基本组成物质。 Biochemical studies showed that the protein substance is an essential component of animal tissue scaffold junction Ju and functional materials. 分子水平上的蛋白质结构变化与生化反应,直接导致了组织与细胞表观的被切割与热凝结合。 Changes in the protein structure at the molecular and biochemical level, a direct result of tissues and cells is apparent binding cutting and coagulation.

本发明的有益效果是: Advantageous effects of the invention are:

1. 本发明运用人体组织热焊接技术,所采用的电热能吻合方式彻底告别了钛钉和推钉器,取而代之的是"电热切割""电热吻合"的安全微创,纯热能作用方式;受术者也不再被体内殘留金属钉的问题所困扰,避免了由钛钉可能引起的的医疗风险和术后安全问题。 1. The present invention is the use of human tissue thermal welding techniques, the use of electric energy goodbye titanium anastomosis staple and push the staple, is replaced by the "glow cut" the "glow fit" minimally invasive safety, the mode of action of pure thermal energy; by the surgeon is no longer plagued by the problem of residual metal studs in the body, to avoid the health risks and safety issues after a titanium screw may be caused.

2. 电热能无钉式肛痔吻合器不仅重量轻、结构紧凑,而且95Y。 2. electrothermal energy studless formula anal hemorrhoid stapler are lightweight, compact, and 95Y. 的部件均采用塑胶制成,金属和非塑料部件极少。 The parts are made of plastic, metal and non-plastic parts is minimal. 十分便于销毁和回收后再生资源,极大地降低了对环境的污染,实现了资源节约与环境保护的要求。 Regeneration is very easy to destroy and recycle resources, greatly reduce the pollution of the environment, to achieve the requirements of resource conservation and environmental protection.

3. 采用内置电路和闭合绝缘设计,无电流通过人体,安全性高。 3. The use of built-in circuit design and insulation closed, no current through the human body, highly safe. 输出电压为DC6V-DC12V,无需负极板;电开关与后手柄、前手柄构成双功能联动结构。 Output voltage DC6V-DC12V, without the negative electrode plate; electrical switch and rear handle, a front handle structure constituting a bifunctional linkage.

4. 微量的局部热传导,热损伤范围〈lmm,确保正常组织安全;手术部位外围组织无潜在损伤。 4. Trace local heat conduction, heat injury range <lmm, to ensure safety in normal tissue; surgical site without potentially damaging the surrounding tissue.

5. 基本无烟雾,不粘器械,无炭化和焦痂现象。 5. substantially no smoke, non-stick equipment, without charring and eschar phenomenon.

6. 热能发生器主机具有智能化功率控制,能量输出集中稳定。 6. A heat generator having a master intelligent power control, concentrated stable energy output. 最髙可达32W。 Gao most up to 32W. 可进行凝固,封闭和切断,血管与组织闭合牢固。 Solidification can be closed and cut off, and vascular tissue closure firmly.

7. 术中出血量极少、安全、快速、方便。 7. The blood loss was minimal, safe, fast and convenient. 手术部位形成环状蛋白质结构组织,无钛钉及其它殘留物;术后感染风险小,术后恢复快。 A surgical site to form a cyclic structure tissue protein, no titanium screws and other residue; a small risk of postoperative infection, and rapid recovery.

8. 大大缩短手术时间,操作便捷,减轻患者的心理压力及精神负担。 8. greatly shorten the operation time, easy operation, reduce stress and mental burden of patients.

9. 目前,PPH手术在世界各地曰益普及,全球钉式PPH吻合器的月使用消耗量以达数十万支,仅国内医疗巿场现阶段月消耗量已达上万支,金额以数亿元人民币计。 9. Currently, PPH surgery, saying the benefits popularity around the world, on the world's nail PPH stapler use consumption to hundreds of thousands of sticks, only domestic medical market consumption has reached the stage May million, the amount in the number of one hundred million yuan dollars. 本发明可作为替代传统的钉式PPH吻合器的安全环保产品。 The present invention can be used as an alternative to traditional nail PPH stapler safety and environmental protection products. 附图说明 BRIEF DESCRIPTION

图l是本发明的结构示意图。 Figure l is a schematic structural diagram of the present invention.

图2是前手柄的结构示意图。 FIG 2 is a schematic view of the front handle.

图3是图2的左视图。 FIG 3 is a left side view of Figure 2.

图4是中心杆的结构示意图。 FIG 4 is a schematic view of the central rod.

图5是调节螺母的结构示意图。 FIG 5 is a schematic structural diagram of the adjusting nut.

图6是图1的A部放大图。 FIG 6 is an enlarged view of part A of FIG. 1.

具体实施方式 Detailed ways

下面结合附图和实施例对本发明进一步说明。 The present invention is further described below in conjunction with the accompanying drawings and embodiments.

实施例1如图1-6所示: 一种电热能无钉式肛痔吻合器,包括抢管、后手柄和前手柄。 Example 1 Figure 1-6: one kind of electrothermal energy studless formula anal hemorrhoid stapler, comprising a pipe grab, front handle and rear handle. 抢管5的后端与后手柄IO连为一体,抢管5的喇叭形前端与电热能吻合切头2的一端固定连接,电热能吻合切头2的另一端设有斜月牙槽边口; 抢管5的喇叭形前端双侧设有抽线槽孔3,抢管5的中部设有视窗6;前手柄13通过顶端的销孔15依靠销轴7与抢管5的后端铰接,内腔设有矩形螺紋17 的球面调节螺母8位于抢管5的后端。 The rear end of the rear handle grab IO tube 5 connected integrally, grab flared distal tube 5 can coincide with the electricity cutting head 2 is fixedly connected at one end, the other end of the electrothermal energy cut anastomosis head 2 is provided with a helical lip alveolar; grab flared distal tube sided groove 5 is provided with pumping holes 3, 5 is provided with a central pipe grab window 6; 13 relies on the front handle and the rear end of the hinge pin 7 through the pipe 5 to grab the top of the pin hole 15, the adjusting nut 8 is provided with a spherical cavity is located the rear end of the tube 5 grab thread 17 is rectangular.

置于抢管5内的中心杆4与抢管5的内腔间隙配合,中心杆4的前端设有与抢管喇叭形前端外径相配合的半圆球1,中心杆4的中部设有标示线16,中心杆4的后端设有与球面调节螺母8相配合的矩形螺紋17,中心杆4的后端穿过前手柄13的通孔14与调节螺母8螺紋连接;中心杆半圆球1的园形底面设有与电热能吻合切头2的斜月牙槽边口相配合的斜月牙槽边口。 Grab placed in tube 5 and the central rod 4 to grab the gap lumen tube 5 with the front end of the central rod 4 is provided with a flared outer diameter of the distal tube grab cooperating semi-sphere 1, the central rod 4 is provided with a central mark line 16, the rear end of the central rod 4 provided with a rectangular adjusting nut 8 threads cooperating spherical surface 17, the rear end of the central rod 4 through the through hole 13 of the front handle 14 and the adjustment nut threaded connection 8; hemisphere central rod 1 the circular bottom surface and a helical alveolar lip adapted to fit with the electricity cut obliquely head 2 mate alveolar lip.

后手柄10的下端装有电插座12,电开关9安装在后手柄10的上端,电开关9的触头紧靠前手柄13;与电插座12相连的导线11通过电开关9与安装在电热能吻合切头2上的发热元件18连接成回路。 After the lower end 10 of the handle 12 is equipped with an electrical socket, electrical switch 9 is mounted at the upper end of the rear handle 10, the electrical contacts of the switch 9 abuts against the front handle 13; and an electrical socket connected to the wire 12 through the switch 11 and mounted on a hot 9 cut to fit into a heat generating element 18 is connected to the head 2 circuit.

实施例2如图1-6所示: 一种使用实施例1所述的电热能无钉式肛痔吻合器的搡作方法如下: Figure 1-6 shows Example 2: The method of using a electrothermal shoving as described in Example 1 can studless anus hemorrhoid stapler formula as follows:

[1]把中心杆4的螺紋后端从抢管5前端的电热能吻合切头2插入,穿过前手柄13的通孔14与位于抢管5后端的调节螺母8松度旋接,将中心杆4的半圆球1接近肛痔; [1] The central rod 4 from the rear end of the threaded distal end 5 electrothermal grab head 2 cut to fit into a tube inserted through the through hole 13 of the front handle 14 located at the rear end 5 of the pipe grab looseness adjusting nut 8 is screwed, the hemisphere central rod 4 near the anus of a hemorrhoid;

〖2]用线勾将肛痔荷包缝合线头从电热能吻合切头2的双侧抽线槽孔3中拉出抽紧; 〖2] The wire hook hemorrhoids anal pouch anastomosis suture head can be cut from the electric double-sided bore head 2 is pulled pumping groove 3 tightening;

[3]旋紧调节螺母8,直至通过抢管5的中部的视窗6观察位于抢管5内腔的中心杆4的标示线16到位; [3] tighten the adjusting nut 8, observation window 6 through until the middle of the tube 5 located in the center grab grab bar tube 5 lumen 16 in place of the marking line 4;

[4]将主机功能指示钮拨至"热吻合"位置,指示灯亮显示主机已通电准备作业;手术医生握持肛痔吻合器的后手柄10和前手柄13,合理施力于前手柄13,触发接通电开关9开关,主机功率输出,热吻合程序启动。 [4] The host function allocated to the button indicating "match hot" position, light indicates the host is powered-up job; anal surgeon grasping the rear handle hemorrhoid stapler 10 and front handle 13, a reasonable force on the front handle 13, the trigger switch 9 is electrically turned on, engine power output, the thermal switch to start the program anastomosis. 选取8(TC-200 'C的温度,进行0-30秒时间范围内的组织热凝固过程;再次旋紧调节螺母8, 将中心杆5拉向后方,肛痔荷包环周边组织被中心杆半圆球1的园形底面的斜月牙槽边口以及电热能吻合切头2的斜月牙槽边口的压力均匀作用,同时受热凝固结痂,形成l-4mm宽度的肠内膜组织蛋白质成份凝结环带,其内膜中血管全部凝固止血,为环带切割做好准备;此时主机将自动或手动定时报警并切断功率输出; 8 C is selected temperature (TC-200 ', tissue thermal coagulation procedure performed within the range of 0-30 seconds; adjusting nut 8 is screwed again, the center bar 5 is pulled toward the rear of the anal tissue hemorrhoids purse ring surrounding the central rod semicircle a circular bottom surface of the ball ramp lip and alveolar pressure acts evenly electrothermal energy stapling head 2 is cut obliquely alveolar lip while scab solidification heat, formation of intestinal endometrial tissue protein content l-4mm width condensed ring with which all coagulation hemostasis of vascular intima, ready to cut the endless belt; the host is manually or automatically cut off the power output and time alarm;

[5] 将主机功能指示钮拔至"热切割",选取200。 [5] The host instruction button functions to pull the "hot cut", select 200. C-40(TC的温度,再次按压前手柄13 U-5)秒时间,直至报警灯亮及鸣笛,示意荷包热切割程序完成; 此时,应稍候1-3分钟,以利于手术部位降温及保护吻合热凝环带;然后松开后调节母,使前端被压紧的吻合热凝环带放松脱开; C-40 (TC temperature, once again pressing the front handle 13 U-5) seconds, until the warning lights and whistle schematically purse thermal cutting process is complete; should wait 1-3 minutes, cool in order to facilitate the surgical site protection and anastomotic thermosetting annulus; mother then adjusted after releasing the distal end is compressed anastomotic ring with relaxation thermosetting disengaged;

[6]将吻合器滑转退出直肠肛门,电热能无钉式肛痔吻合手术完成。 [6] The stapler anorectal exit slip, electrothermal energy studless formula anal anastomosis is completed hemorrhoids.

电热能无钉式肛痔吻合装置由电热能无钉式肛痔吻合器和电热能主机组 Staple-type electrothermal energy anus hemorrhoid stapling device can not staple by the electrothermal formula anal hemorrhoid stapler host groups and electric energy

成,两者之间用导线连接。 Into, with the wire connected therebetween. 主机参数为: Host parameters are:

输入电压220V/110V AC ; 主机功率50-100W Input voltage 220V / 110V AC; host power 50-100W

输出电压6-24V DC ; 输出功率5-40W The output voltage of 6-24V DC; output power of 5-40W

主机显示界面包括: Host display interface include:

1、 热吻合与热切除控制键。 1, consistent with heat removal heat control key.

2、 自动时间报警与自动限时断电保护。 2, automatic time limit alarm and automatic power-off protection.

3、 实时电压与功率输出显示。 3, real-time voltage and power output display.

4、 模拟过程温度显示。 4, the simulation temperature display.

Claims (3)

1.一种电热能无钉式肛痔吻合器,包括枪管、后手柄和前手柄,其特征在于:枪管(5)的后端与后手柄(10)连为一体,枪管(5)的喇叭形前端与电热能吻合切头(2)的一端固定连接,电热能吻合切头(2)的另一端设有斜月牙槽边口;枪管(5)的喇叭形前端双侧设有抽线槽孔(3),枪管(5)的中部设有视窗(6);前手柄(13)通过顶端的销孔(15)依靠销轴(7)与枪管(5)的后端铰接,内腔设有螺纹(17)的球面调节螺母(8)位于枪管(5)的后端;置于枪管(5)内的中心杆(4)与枪管(5)的内腔间隙配合,中心杆(4)的前端设有与枪管喇叭形前端外径相配合的半圆球(1),中心杆(4)的中部设有标示线(16),中心杆(4)的后端设有与球面调节螺母(8)相配合的螺纹(17),中心杆(4)的后端穿过前手柄(13)的通孔(14)与调节螺母(8)螺纹连接;中心杆半圆球(1)的圆形底面设有与电热能吻合切头(2)的斜月牙槽边口相配合的 An electrothermal energy studless formula anal hemorrhoid stapler, comprising a barrel, a front handle and rear handle, wherein: the barrel (5) and the rear end of the rear handle (10) is integral, the barrel (5 the other end) of the flared distal end adapted to fit with the electricity cutting head (2) is fixedly connected at one end, adapted to fit into an electric cutting head (2) provided with oblique edge alveolar opening; barrel (5) is provided double-sided flared distal front handle (13) relies on the pin (7) and the barrel (5) through a pin hole (15) of the tip; pumping groove has a hole (3), the middle barrel (5) is provided with a window (6) hinged end, the threaded rear end is provided with a lumen (17) of the spherical adjusting nut (8) located in the barrel (5); a central rod placed within the inner barrel (5) (4) and the barrel (5) cavity clearance fit, the front end of the central rod (4) is provided with an outer diameter of the front end of the barrel flared mating hemispherical (1), the central rod (4) is provided with a central marking line (16), the central rod (4) the rear end of the adjusting nut is provided with a spherical surface (8) cooperating threaded rear end (17), the central rod (4) passes through the front handle (13) through hole (14) (8) screwed with the adjustment nut; a circular base hemispherical central rod (1) is provided with electrothermal energy anastomosis cutting head (2) of the oblique lip cooperating alveolar 斜月牙槽边口;后手柄(10)的下端装有电插座(12),电开关(9)安装在后手柄(10)的上端,电开关(9)的触头紧靠前手柄(13);与电插座(12)相连的导线(11)通过电开关(9)与安装在电热能吻合切头(2)上的发热元件(18)连接成回路。 Swash alveolar lip; the lower end of the rear handle (10) is provided with an electrical socket (12), an electrical switch (9) mounted on the rear handle (10) upper end, an electrical switch (9) in contact against the front handle (13 ); a heating element (18) and the electrical socket (12) is connected to the wire (11) through the switch (9) mounted on the cut end anastomotic electrothermal energy (2) connected in a loop.
2. 根据权利要求1所述的电热能无钉式肛痔吻合器,其特征在于: 所述的螺紋(17)为矩形螺紋。 The glow of the formula 1 can studless anus hemorrhoid stapler, as claimed in claim wherein: said screw (17) is a rectangular thread.
3. 根据权利要求1所述的电热能无钉式肛痔吻合器,其特征在于: 所述的发热元件(18)是以电热工金属线材制成环形发热元件,所述的电热能吻合切头(2)是用电阻材料及硅酮树脂为隔热材料制成的。 The glow of the formula 1 can studless anus hemorrhoid stapler, as claimed in claim wherein: the heating element (18) of the metal wire is made of an annular work electrothermal heat-generating element, the electrothermal energy consistent cut head (2) is a silicone resin with a resistance material and a heat insulating material.
CN 200810107218 2008-09-23 2008-09-23 Electric thermal non-nail anus piles anastomat and operation method CN100579480C (en)

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CN103829986A (en) * 2012-11-27 2014-06-04 上海众仁生物医药科技有限公司 Nail-free anastomat
CN103222886B (en) * 2013-03-28 2015-01-07 中国人民解放军第三军医大学第一附属医院 Patch type constant-temperature bleeding stopping gun
CN106214251A (en) * 2016-08-31 2016-12-14 胡晓予 Temperature-sensing type electric coagulation forceps with power supply switching button

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6024742A (en) 1998-08-22 2000-02-15 Tu; Lily Chen Ablation apparatus for treating hemorrhoids
US6346105B1 (en) 1998-07-27 2002-02-12 Quantum Cor Incorporated Device for treating tissue and methods thereof
EP1614392A1 (en) 2004-07-09 2006-01-11 Tyco Healthcare Group Lp Electrosurgical partially circumferential hemorrhoid repair device
CN201248764Y (en) 2008-09-23 2009-06-03 魏文聪 Electric-thermal and non-nail anal hemorrhoid anastomat

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6346105B1 (en) 1998-07-27 2002-02-12 Quantum Cor Incorporated Device for treating tissue and methods thereof
US6024742A (en) 1998-08-22 2000-02-15 Tu; Lily Chen Ablation apparatus for treating hemorrhoids
EP1614392A1 (en) 2004-07-09 2006-01-11 Tyco Healthcare Group Lp Electrosurgical partially circumferential hemorrhoid repair device
CN201248764Y (en) 2008-09-23 2009-06-03 魏文聪 Electric-thermal and non-nail anal hemorrhoid anastomat

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