The suturing nail grooving of surgical stapling device
Technical field
The present invention relates to and be used for replacing surgical operation to adopt suturing nail grooving in the suturing nail builder of surgical stapling device of the free-hand sew application of needlework, particularly relate to the suturing nail grooving in the suturing nail builder of various circular anastomosis devices, linear stiching instrument, linear cut stapler and chamber mirror surgical stapling device.
Background technology
Various surgical stapling devices are used for replacing surgical operation to adopt the free-hand sew application of needlework, just are being widely used in sewing up human body alimentary canal organ, respiratory tract organ and urogenital organ in surgical operation, can reduce operating time, improve the operation quality.They are normally used for end such as esophagus in the digestive tract, stomach, duodenum, small intestinal, colon and rectum end, distolateral and side-to-side neurorrhaphy operation or hemorrhoid excision with the operation that forms passage and the operation of close incisions, also be used to the suture operation of suture operation such as lung and trachea and urogenital organ in the respiratory tract, be specially adapted to appear with the suture operation of the organ of operating difficulties and tissue with at endoscope (for example, various endoscopies such as thoracoscope, peritoneoscope, anus mirror, intestinal mirror, esophagoscope, gastroscope and the tracheascope) suture operation of operation down.
The ingredient of the suturing nail builder of surgical stapling device comprises: nail bin and nail anvil.Ejector pin piece, suturing nail and cutter are installed in the nail bin, and wherein cutter can be according to using needs to install.Be arranged with the suturing nail grooving corresponding on the end face of nail anvil with the suturing nail position in the nail bin.The effect of suturing nail grooving in the use of surgical stapling device in the suturing nail builder of surgical stapling device is: after will treating that suture tissue is clamped between nail anvil and the nail bin, by the ejector pin piece suturing nail is released in nail bin, make the nail point of suturing nail penetrate the clamped suture tissue for the treatment of and direct reach the suturing nail grooving on the nail anvil, the U-shaped suturing nail is bent to B shape, reach operation purpose tissue apposition.
According to the distribution shape of suturing nail on suture tissue, existing various surgical stapling devices are divided into the endoscopic surgery linear stapler of introducing in the linear stapler introduced in the shaped form stapler introduced in the linear stiching instrument introduced in the circular anastomosis device introduced in United States Patent (USP) 7234624 and 7168604, the United States Patent (USP) 6817508 and 5964394, the United States Patent (USP) 7147139 and 7210609, the United States Patent (USP) 7055730 and 7140527 and United States Patent (USP) 7143926 and 7225964.
As introducing in United States Patent (USP) 7234624,6817508,7147139 and 7225964, the suturing nail grooving of existing various surgical stapling devices is rectangular on the surface of nail anvil.The dissatisfied place of making us of the suturing nail grooving of the surgical stapling device of this style is, because sealing and hemostatic requirement to being sewn tissue, the spacing of adjacent two rows or two circle suturing nails is limited in the less size, the spacing of just adjacent two rows or two circle suturing nail groovings is limited in the less size, make that the width of rectangular suturing nail grooving is less, therefore when the processing of the nail bin of the suturing nail builder of surgical stapling device and nail anvil or when assembling the location deviation, or when in the suturing nail builder use of surgical stapling device because stressed when making the skew of nail bin and nail anvil mutual alignment, the nail point of the suturing nail in the nail bin may be against inappropriate position of the suturing nail grooving on the nail anvil, even may be against beyond the suturing nail grooving on the nail anvil, cause suturing nail to be shaped and fail, can not reach operation purpose tissue apposition.It is triangular in shape on the surface of suturing nail grooving at nail anvil of the surgical stapling device of being introduced in Pear-Shaped and the U.S. Patent Publication No. 20070057014 that the suturing nail grooving of the surgical stapling device of being introduced in the United States Patent (USP) 5480089 is on the surface of nail anvil, be against the width at the suturing nail grooving place on the nail anvil with the nail point that strengthens the suturing nail in the nail bin, when making the side direction of the relative suturing nail grooving of suturing nail be offset within the specific limits, the nail point of suturing nail also can be against on the suitable position of the suturing nail grooving on the nail anvil.The dissatisfied place of making us of the suturing nail grooving of the surgical stapling device of this style is, be the length that nail point that suturing nail grooving Pear-Shaped and triangular in shape do not strengthen the suturing nail in the nail bin is against the suturing nail grooving place on the nail anvil, when the relative suturing nail grooving of suturing nail produces axial and laterally offset simultaneously, the nail point of suturing nail may be against inappropriate position of the suturing nail grooving on the nail anvil, even may be against beyond the suturing nail grooving on the nail anvil, cause suturing nail to be shaped and fail, can not reach operation purpose tissue apposition.The suturing nail grooving of the surgical stapling device of being introduced in the United States Patent (USP) 6953138 is adjacent two rows' the mutual partly overlapping shape of suturing nail grooving on the surface of nail anvil, be against the width at the suturing nail grooving place on the nail anvil with the nail point that strengthens the suturing nail in the nail bin, when making the side direction of the relative suturing nail grooving of suturing nail be offset within the specific limits, the nail point of suturing nail also can be against on the suitable position of the suturing nail grooving on the nail anvil.The dissatisfied place of making us of the suturing nail grooving of the surgical stapling device of this style is, the nail point that the mutual partly overlapping suturing nail grooving of adjacent two rows does not strengthen the suturing nail in the nail bin is against the length at the suturing nail grooving place on the nail anvil, and the suturing nail grooving that the nail point of the suturing nail in the nail bin is against on the nail anvil needs certain steering level, and adjacent row's suturing nail grooving is overlapped mutually and has been reduced steering level, when the relative suturing nail grooving of suturing nail produces axial and laterally offset simultaneously, the nail point of suturing nail may be against inappropriate position of the suturing nail grooving on the nail anvil, even may be against beyond the suturing nail grooving on the corresponding nail anvil, cause suturing nail to be shaped and fail, can not reach operation purpose tissue apposition.And the shape more complicated of the suturing nail grooving of the surgical stapling device of back three kinds of styles, difficult processing.Therefore the suturing nail grooving of surgical stapling device also need improve.
By above-mentioned obviously as can be seen, a large amount of not in specie surgical stapling devices have been designed now, and the development work of the suturing nail grooving of new surgical stapling device is still continuing, so that the surgical stapling device that uses in a large number in the world every year is done further to improve, make that operation is more laborsaving, use is safer, production cost is lower.
Summary of the invention
The objective of the invention is to propose a kind of suturing nail grooving of surgical stapling device, realize that it is rectangle that the suturing nail grooving is two ends on the surface of nail anvil, the shape of middle indent, the nail point that has strengthened the suturing nail in the nail bin is against the width and the length at the suturing nail grooving place on the nail anvil, when axially and/or during laterally offset of the relative suturing nail grooving of suturing nail, the nail point of suturing nail still can be against the suitable position of the suturing nail grooving on the nail anvil, make suturing nail correctly to be shaped, reach operation purpose with tissue apposition, and the shape of suturing nail grooving is fairly simple, more easily processing.
At present, the ingredient of the suturing nail builder of known surgical stapling device comprises: nail bin and nail anvil.Ejector pin piece, suturing nail and cutter are installed in the nail bin, and wherein cutter can be according to using needs to install.Be arranged with the suturing nail grooving corresponding on the end face of nail anvil with the suturing nail position in the nail bin.The effect of suturing nail grooving in the use of surgical stapling device in the suturing nail builder of surgical stapling device is: after will treating that suture tissue is clamped between nail anvil and the nail bin, by the ejector pin piece suturing nail is released in nail bin, make the nail point of suturing nail penetrate the clamped suture tissue for the treatment of and direct reach the suturing nail grooving on the nail anvil, the U-shaped suturing nail is bent to B shape, reach operation purpose tissue apposition.
Task of the present invention is achieved through the following technical solutions:
The suturing nail grooving is the shape that two ends are rectangle, middle indent on the surface of nail anvil.The suturing nail grooving is the shape that connects the indent broken line between rectangle, the two ends rectangle being two ends on the surface of nail anvil; The suturing nail grooving is the shape that connects inner concave curve between rectangle, the two ends rectangle also being two ends on the surface of nail anvil.And a plurality of suturing nail groovings can be staggered to number and arrange or a few by the shape of straight line, curve or circle on the surface of nail anvil, make the rectangle of suturing nail grooving broad be positioned at the narrower recess of suturing nail grooving of adjacent row or adjacent turn, under the spacings of adjacent two rows or two circle suturing nail groovings are limited in condition in the less size, strengthened the orthogonal width in suturing nail grooving two ends, the nail point that has promptly strengthened the suturing nail in the nail bin is against the width and the length at the suturing nail grooving place on the nail anvil.When axially and/or during laterally offset of the relative suturing nail grooving of suturing nail, the nail point of suturing nail still can be against the suitable position of the suturing nail grooving on the nail anvil, makes suturing nail correctly to be shaped, and reaches the operation purpose with tissue apposition.The shape of suturing nail grooving is ruled surface except the fillet of edge, shape is fairly simple, more easily processing.
Specific implementation method and description of drawings thereof
Use way of example below, state the most preferred embodiment of the suturing nail grooving of surgical stapling device of the present invention in conjunction with the accompanying drawings.Scope of the present invention will be pointed out in the claims.Will be appreciated that some or all accompanying drawing all is for the explanation sketch of most preferred embodiment of the present invention 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 the present invention above-mentioned with other the purpose and the practical ways of advantage.
Fig. 1 is that the suturing nail grooving of the surgical stapling device of the expression first embodiment of the present invention is distributed in the outside drawing on the straight staple anvil;
Fig. 2 is that suturing nail grooving that the edge of presentation graphs 1 has a fillet is distributed in the outside drawing on the straight staple anvil;
Fig. 3 is that the suturing nail grooving of the surgical stapling device of the expression first embodiment of the present invention is distributed in the outside drawing on the circular nail anvil;
Fig. 4 is that the suturing nail grooving of the surgical stapling device of the expression second embodiment of the present invention is distributed in the outside drawing on the straight staple anvil;
Fig. 5 is that the suturing nail grooving of the surgical stapling device of the expression second embodiment of the present invention is distributed in the outside drawing on the circular nail anvil.
Below in conjunction with Fig. 1 to Fig. 5 the shape and the distribution of the suturing nail grooving of the surgical stapling device of the embodiment of the invention are described, the different shape of suturing nail grooving and the effect of distribution are described.
Suturing nail grooving 1 shown in Figure 1 is two ends on the surface 3 of straight staple anvil 2 be the shape that connects indent broken line 6 and 7 between rectangle 4 and 5, the two ends rectangle 4 and 5, and wherein the rectangle 4 at two ends and 5 width 8 are greater than the width 9 of middle indent broken line 6 and 7.A plurality of suturing nail groovings 1 and 10 major axis along straight staple anvil 2 respectively are staggered to two rows (row's number can be determined as required) on the surface 3 of cutter groove 11 both sides, make the rectangle 4 and 5 of suturing nail grooving 1 broad be positioned at adjacent row's narrower indent broken line 12 and 13 places of suturing nail grooving 10, suturing nail grooving 1 narrower indent broken line 6 and 7 is positioned at the rectangle 14 and 15 places of adjacent row's suturing nail grooving 10 broads.
Edge in suturing nail grooving 1 and 10 can have fillet 16 (see figure 2)s.The shape of suturing nail grooving except the fillet of edge, is ruled surface, and shape is fairly simple, more easily processing.
Suturing nail grooving 17 shown in Figure 3 is the shape that connects indent broken line 22 and 23 between rectangle 20 and 21, the two ends rectangle 20 and 21 being two ends on the surface 19 of circular nail anvil 18, and wherein the rectangle 20 at two ends and 21 width 24 are greater than the width 25 of middle indent broken line 22 and 23.A plurality of suturing nail groovings 17 and 26 concentric circumferences along circular nail anvil 18 are staggered to two circles (number of turns can be determined as required) on surface 19, make the rectangle 20 and 21 of suturing nail grooving 17 broads be positioned at the narrower indent broken line 27 and 28 places of suturing nail grooving 26 of adjacent turn, suturing nail grooving 17 narrower indent broken lines 22 and 23 are positioned at the rectangle 29 and 30 places of suturing nail grooving 26 broads of adjacent turn.
Suturing nail grooving 31 shown in Figure 4 is two ends on the surface 33 of straight staple anvil 32 be the shape that connects inner concave curve 36 between rectangle 34 and 35, the two ends rectangle 34 and 35.A plurality of suturing nail groovings 31 and 37 major axis along straight staple anvil 32 respectively are staggered to two rows on the surface 33 of cutter groove 38 both sides, make the rectangle 34 and 35 of suturing nail grooving 31 broads be positioned at adjacent row's narrower inner concave curve 39 places of suturing nail grooving 37, suturing nail grooving 31 narrower inner concave curves 36 are positioned at the rectangle 40 and 41 places of adjacent row's suturing nail grooving 37 broads.
Suturing nail grooving 42 shown in Figure 5 is the shape that connects inner concave curve 47 between rectangle 45 and 46, the two ends rectangle 45 and 46 being two ends on the surface 44 of circular nail anvil 43.A plurality of suturing nail groovings 42 and 48 concentric circumferences along circular nail anvil 43 are staggered to two circles on surface 44, make the rectangle 45 and 46 of suturing nail grooving 42 broads be positioned at narrower inner concave curve 49 places of suturing nail grooving 48 of adjacent turn, suturing nail grooving 42 narrower inner concave curves 47 are positioned at the rectangle 50 and 51 places of suturing nail grooving 48 broads of adjacent turn.
According to above-mentioned detailed introduction as can be known, the suturing nail grooving of surgical stapling device of the present invention has following characteristics:
The suturing nail grooving is two ends on the surface of nail anvil be rectangle, the shape of middle indent, and a plurality of suturing nail groovings can be by straight line on the surface of nail anvil, the shape of curve or circle is staggered to number and arranges or a few, make the rectangle of suturing nail grooving broad be positioned at adjacent row's the narrower recess of suturing nail grooving, under the spacings of adjacent two rows or two circle suturing nail groovings are limited in condition in the less size, strengthened the orthogonal width in suturing nail grooving two ends, the nail point that has promptly strengthened the suturing nail in the nail bin is against the width and the length at the suturing nail grooving place on the nail anvil.When axially and/or during laterally offset of the relative suturing nail grooving of suturing nail, the nail point of suturing nail still can be against the suitable position of the suturing nail grooving on the nail anvil, makes suturing nail correctly to be shaped, and reaches the operation purpose with tissue apposition.And the shape of suturing nail grooving is fairly simple, more easily processing.Compare with the suturing nail grooving of existing various surgical stapling devices, the shape of the suturing nail grooving of surgical stapling device of the present invention is fairly simple, more easily processing, and use safer.
So as can be seen, the above-mentioned target of stating comprises by front those shown targets of explanation having been reached effectively.Described here only is the typical best form of implementation of the present patent application, can do some to said structure and change also without prejudice to the spirit and scope of the present invention.The present invention does not limit to or is placed restrictions on the detail of being stated in here, and state in should qualification as claim to keep affiliated field secondary technology personnel be conspicuous any improvement or remodeling.