CN101721236A - Surgical cutting and binding apparatus - Google Patents

Surgical cutting and binding apparatus Download PDF

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Publication number
CN101721236A
CN101721236A CN 200810234752 CN200810234752A CN101721236A CN 101721236 A CN101721236 A CN 101721236A CN 200810234752 CN200810234752 CN 200810234752 CN 200810234752 A CN200810234752 A CN 200810234752A CN 101721236 A CN101721236 A CN 101721236A
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CN
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Prior art keywords
apparatus
closed
forces
button
clip
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CN 200810234752
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Chinese (zh)
Inventor
丁水澄
陈望东
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苏州天臣国际医疗科技有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/068Surgical staplers, e.g. containing multiple staples or clamps
    • A61B17/072Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
    • A61B17/07207Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially

Abstract

The invention provides a surgical cutting and binding apparatus, comprising an upper closed forces clip, a lower closed forces clip, a closed handle, a pushing button and a releasing button. The upper and lower closed forces clips are matched and connected with a pin on one of the closed forces clips by a hook on the closed handle; the pushing button is arranged at the closer end of the apparatus and can slide relative to the closed forces clip so as to push a cutter and trigger matching pins; the releasing button is arranged at the closer end of the closed handle and opens the apparatus when being pressed; the binding apparatus comprises a locking mechanism, when the pushing button of the apparatus dose not return to the initial position, the locking mechanism enables the apparatus not to be opened. The structure of the invention can ensure that the apparatus cannot be opened accidently to cause serious results during the process of triggering, thereby further improving the safety of the apparatus.

Description

外科切割装订器械 Binding surgical cutting instrument

技术领域 FIELD

[0001] 本发明涉及一种外科装订器械,特别是一种侧侧型外科切割装订器械,属于医疗 [0001] The present invention relates to a surgical stapling instrument, in particular a base side binding type surgical cutting instrument, a medical

器械领域。 Devices sector. 背景技术 Background technique

[0002] 外科装订器械是用于外科手术中进行伤口缝合的重要工具,目前已有淘汰手工缝合的趋势。 [0002] The surgical stapling instrument wound closure is an important tool for the surgery, there are hand-stitched out trends. 其中,侧侧型外科切割装订器械可以在进行伤口闭合的同时进行组织切割。 Wherein the side to side type of surgical cutting instrument stapling tissue cutting may be performed simultaneously wound closure. 这种缝合器可以同时在组织的两侧各击入两排吻合钉,然后用推刀在两侧已缝合好的组织之间进行切割离断。 Such staplers can be simultaneously on both sides of each organization strike into two rows of staples is cut off from between the knife and then push the tissue is sutured at both sides. 目前临床广泛应用这种缝合器进行胃、空肠侧侧吻合,以及胃管的制作、 肺部分切除等手术。 Current clinical use of such staplers are widely gastric, jejunum side to side anastomosis, and the production of the tube, part of the lung resection procedure.

[0003] 美国专利US7055730揭示了一个侧侧型外科切割装订器械,其中该器械的近端有一个释放按钮,当器械的上、下闭合钳夹处于闭合位置时,无论处于准备击发或在击发过程中,都可以按压此释放按钮,随时将器械打开。 [0003] U.S. Patent No. US7055730 discloses a surgical cutting side side stapling instrument type, wherein the proximal end of the instrument has a release button, when the instrument, the lower jaw is in the closed position of the closure, whether in the cocked or firing process in this release button can be pressed at any time the instrument is turned on. 这样的结构存在着安全隐患,因为,如果在器械的击发过程中,医生不小心碰到释放按钮,那器械就会中途打开,此时伤口闭合还未完成,而且有的吻合钉没有闭合完全,不仅对病人造成了伤害,还使医生必须要采取补救措施,延误了手术时间,影响了手术效果。 Such a structure there are security risks, because, if the instrument during firing, the doctor accidentally hit the release button, that instrument will be halfway open, then wound closure has not been completed, and some staples is not closed completely, not only hurt the patient, but also allows doctors must take remedial measures, delayed surgery time, affecting the outcome.

[0004] 本发明将此专利所记载的内容作为现有技术进行引用。 [0004] The present invention will be described by reference the contents of this patent as a prior art. 发明内容 SUMMARY

[0005] 本发明的目的在于解决上述的技术问题,提供一种安全可靠的外科切割装订器械。 [0005] The object of the present invention is to solve the aforementioned technical problems, to provide a safe and reliable cutting of surgical stapling instrument.

[0006] 本发明的目的通过以下技术方案来实现: [0006] The object of the present invention is achieved by the following technical solutions:

[0007] —种外科切割装订器械,包括有:上、下闭合钳夹,以及一个闭合把手,所述的上、 下闭合钳夹有一个近端和一个远端;所述的闭合把手可在打开位置和闭合位置间运动,当闭合把手处于打开位置时,上、下闭合钳夹处于相对打开的位置;当闭合把手处于闭合位置时,上、下闭合钳夹处于充分闭合的位置,所述的上、下闭合钳夹通过闭合把手上的卡钩与其中一个闭合钳夹上的销配合处于充分闭合的位置。 [0007] - binding species surgical cutting instrument, comprising: upper and lower jaw is closed, and a closed handle, on the lower jaw has a closed proximal end and a distal end; said handle may be closed between the open position and a closed position, closed when the handle is in the open position, the upper and lower jaw is closed in a relatively open position; when the closure is in the closed handle position, the upper and lower jaw in the closed position of fully closed, the upper and lower jaw is closed by a closing hook on the handle with a pin on which the jaws in a fully closed with the closed position.

[0008] 在下闭合钳夹的近端侧面设置有一个可相对其滑动的推钮,所述的推钮从位于下闭合钳夹近端的初始位置向前滑动的过程中可驱动切刀和设置在下闭合钳夹远端的吻合钉; [0008] The lower jaw is closed proximal end side is provided with a relative sliding of the push button, the push button during the closing jaws positioned proximal from the initial position of the slide in forward and drivable cutter disposed closing the distal end of the lower jaw of the staple;

[0009] 有一释放按钮设置在闭合把手的近端,所述的释放按钮可与下闭合钳夹配合作用 [0009] There are a release button provided at the proximal end of the handle is closed, said release button cooperates with the closed jaw

使闭合把手被锁定在闭合位置,从而使上、下闭合钳夹处于充分闭合的位置; The closure handle is locked in the closed position, so that the upper and lower jaw is closed in a fully closed position;

[0010] 所述的外科切割装订器械还包括有一个闭锁机构,当推钮处于滑动状态时,所述 The surgical cutting [0010] The binding apparatus further includes a latching mechanism, when the push button is in the slip state, the

的闭锁机构使上、下闭合钳夹始终处于闭合锁定状态;当推钮处于初始位置时,所述的闭锁 On the latch mechanism, the closed jaw is always locked in a closed state; when the push button is in the initial position, the latch

机构打开,使上、下闭合钳夹可以相对打开。 Mechanism opens, the upper and lower jaws can be relatively closed to open.

[0011] 进一步地,所述的闭锁机构包括设置于释放按钮上的弹性体、下闭合钳夹上的开槽、以及可滑动地设于推钮内的定位销,该定位销与推钮间配接有第二弹簧,当推钮处于滑动状态时,弹性体被卡入到开槽内,且两者端面抵接;当推钮处于初始位置时,在第二弹簧的作用下,定位销推动弹性体脱离到开槽外。 [0011] Furthermore, the latching mechanism comprises an elastic member disposed on the release button, the closed grooved on the jaw, and a positioning pin slidably disposed within the push button, between the positioning pin of the push button mating a second spring, when the push button is in the slip state, the elastic body is snapped into the slot, and both end surface abutting; when the push button is in the initial position, under the action of the second spring, the positioning pin departing from the outside to push the elastomeric slot. 所述的释放按钮的远端与闭合把手之间设置 Disposed between the distal end of the release button and closing knob

有第一弹簧。 First spring.

[0012] 再进一步地,所述的弹性体可以与释放按钮一体制造,也可以分体制造后、再固定连接在释放按钮上。 [0012] Still further, the elastomer may be manufactured integrally with the release button, it may be manufactured separately after then fixedly connected to the release button.

[0013] 或者,所述的闭锁机构包括设置在闭合把手上的凸棱和设置在推钮上的卡槽;所述闭合把手包括至少一条凸棱,沿闭合把手的轴线设置在闭合把手的外侧;所述的卡槽与凸棱卡合且可相对滑动。 [0013] Alternatively, the locking mechanism includes a slot disposed in the closing handle ribs provided on the push button; closing said handle comprises at least one rib, along the axis of the handle is closed in a closed outer handle ; said slot engagement with the ribs and may be slidable relative.

[0014] 进一步地,所述的闭合把手外侧设有相对称的两条凸棱,所述的推钮上设有相对应的两个卡槽,操作时可选择地使其中一对卡槽和凸棱卡合。 [0014] Further, the outer side of the closing knob provided two symmetrical ribs, is provided with two slots corresponding to the push button, wherein a pair of selectively making operation and slot ribs engaging.

[0015] 再进一步地,所述推钮包括有个通孔,该推钮通过销孔枢轴连接在下闭合钳夹的 [0015] Still further, the push button comprises a through-hole, and the closed push button coupled to the lower jaw by a pivot pin hole

近端,使所述的推钮既可相对下闭合钳夹转动,又可以沿下闭合钳夹的轴线滑动。 A proximal end, said push button so that either rotates relative to the lower jaw is closed, and can slide along the axis of the closed jaws.

[0016] 更进一步地,所述的下闭合钳夹的近端有一个挂钩,该挂钩与所述的释放按钮的L [0016] Furthermore, the proximal end of the lower jaw has a closure hook, L the release button of the hook with the

形体配合作用使闭合把手被锁定在闭合位置,使上、下闭合钳夹也处于充分闭合的位置。 The closure body cooperating handle is locked in the closed position, the upper and lower jaw is also closed in a fully closed position.

[0017] 本发明的有益效果主要体现在:通过闭锁机构使推钮处于滑动状态时,上、下闭合 [0017] Advantageous effects of the present invention is mainly embodied in: that the push button when the slip state by a latching mechanism, on the closed

钳夹始终处于闭合锁定状态,保证在器械击发的过程中,器械不会意外打开,造成严重的后 Always lock the jaws in the closed state, to ensure that in the process of firing of the instrument, the instrument can not be accidentally opened, causing serious post

果,进一步提高了器械的安全性。 As a result, further improve the safety of the device.

附图说明[0018] [0019] [0020] [0021] [0022] [0023] [0024] [0025] [0026] [0027] [0028] [0029] [0030] [0031] BRIEF DESCRIPTION [0018] [0019] [0020] [0021] [0022] [0023] [0024] [0025] [0026] [0027] [0028] [0029] [0030] [0031]

I I

31 31

5 5

8 8

II 14 II 14

1是本发明外科切割装订器械优选实施例的主视图。 1 of the present invention is a surgical stapling instrument cutting a front view of the preferred embodiment.

2是本发明外科切割装订器械优选实施例的剖视图,此时推钮处于初始位置: 3是本发明外科切割装订器械优选实施例的剖视图,此时推钮处于滑动位置: 2 is a surgical cutting instrument of the present invention preferably binding sectional view of the embodiment, when the push button is in the initial position: 3 is a sectional view of a preferred embodiment of the stapling instrument of the present invention is surgical cutting, when the push button is in the sliding position:

4是图2中A部分的放大图。 4 is an enlarged view of the portion A 2. 5是图3中B部分的放大图。 5 is an enlarged view of the portion B 3.

6是本发明外科切割装订器械第二实施例的结构示意图。 6 is a schematic view of the surgical cutting of the present invention with a second embodiment of the stapling instrument.

7是本发明外科切割装订器械第二实施例的推钮的结构示意图。 7 is a schematic view of the surgical cutting of the present invention, the push button of the second embodiment of the binding device.

中: in:

2推钮32 L形体6第二弹簧下闭合钳夹10 开槽13 通孔22 2 under the push button 32 is L shaped body 6 of the second jaw 10 is closed spring slot 13 through hole 22

外科切割装订器械弹性体第一弹簧上闭合钳夹闭合把手 The surgical cutting jaws closed staple closing knob on a first elastomeric spring device

3 3

4 4

凸棱 Rib

9 12 21 91221

释放按钮固定座7定位销挂钩 7 the release button holder positioning pin hook

推钉部件卡槽 The staple pushing member slot

具体实施方式 detailed description

[0032] 本发明揭示了一种外科切割装订器械,具体为一种侧侧型外科切割装订器械。 [0032] The present invention discloses a surgical cutting instrument binding, specific binding cutting instrument as a surgical side side type. 下面结合附图对本发明技术方案作进一步说明。 BRIEF further aspect of the invention described below in conjunction.

[0033] 如图1所示,侧侧型外科切割装订器械l,包括有:上、下闭合钳夹8、9和一个闭合把手ll。 [0033] As shown, the side to side type surgical stapling instrument 1 L cutting, comprising: upper and lower jaws 8,9 closed and a closed handle ll. 所述的上、下闭合钳夹8、9有一个近端和一个远端。 The upper and lower jaws 8,9 has a closed proximal end and a distal end. 与现有技术一样,所述的闭合把手11可在打开位置和闭合位置间运动,当闭合把手11处于打开位置时,上、下闭合钳夹8、9处于相对打开的位置,当闭合把手11处于闭合位置时,上、下闭合钳夹8、9处于充分闭合的位置。 As with the prior art, the handle 11 may be closed between the open position and a closed position, the handle 11 when the closure is in the open position, the upper and lower jaws 8,9 closed in a relatively open position, the handle 11 when the closure in the closed position, the upper and lower jaws 8,9 closed in a fully closed position. 所述的上、下闭合钳夹8、9通过闭合把手11上的卡钩与上闭合钳夹8上的销配合处于充分闭合的位置。 The upper and lower jaws 8,9 closed by closing the handle on the hook 11 and the pin on the closing jaws 8 cooperate in a fully closed position.

[0034] 在下闭合钳夹9的近端侧面设置有一个可相对其滑动的推钮2。 [0034] The lower jaw is closed proximal end side 9 is provided with a relative sliding of the push button 2. 如图1中所示,此时推钮2位于下闭合钳夹9近端的初始位置,所述的推钮2通过固定座4图2中所示连接有切刀及推钉部件13。 As shown in FIG. 1, when the push button 2 is in the closed initial position of the proximal end of the jaws 9, the push button 2 is connected by fixing seat 4 as shown in FIG. 2 the cutting blade and the staple pushing member 13. 当该推钮2向远端滑动的过程中可推动切刀和击发设置在下闭合钳夹9远端的吻合钉,从而同时实现手术中的切割和装订步骤。 Process 2 When the push button distally slides the blade can push firing and close the jaw 9 provided on the lower distal end of the staple, thereby simultaneously achieve surgical cutting and stapling steps.

[0035] 有一释放按钮3设置在闭合把手11的近端,所述的释放按钮3可与下闭合钳夹9 配合作用使闭合把手11被锁定在闭合位置,而当其被按下时可以使闭合把手11从闭合位置运动到打开位置,这样就可使上、下闭合钳夹8、9处于相对打开的位置。 [0035] The release button has a grip 3 provided at the proximal end 11 of the closure 3 may be 9 cooperating with the release button so that the closed jaw closing knob 11 is locked in the closed position, whereas when it is pressed can be made closing knob 11 from the closed position to the open position, so you can make the upper and lower jaws 8,9 closed in a relatively open position. [0036] 所述的外科切割装订器械1还包括有一个闭锁机构,当推钮2处于滑动状态时,所述的闭锁机构使释放按钮3始终处于锁定状态;当推钮2处于初始位置时,所述的闭锁机构打开,使释放按钮3能被按压从而与下闭合钳夹9脱离。 Surgery [0036] The dicing stapling instrument 1 further comprises a latching mechanism, when the push button 2 is in the slip state, the latching mechanism release button 3 is always in a locked state; 2 when the push button is in the initial position, the latching mechanism is opened to allow the release button 3 can be pressed by the lower jaw 9 is closed off.

[0037] 结合图2至图5所示,本发明的优选实施例,所述的闭锁机构包括设置于释放按钮3上的弹性体31、下闭合钳夹9上的开槽12、以及可滑动地设于推钮2内的定位销7,该定位销7与推钮2间配接有第二弹簧6。 [0037] in conjunction with FIGS. 2 to 5, a preferred embodiment of the present invention, the mechanism comprises a resilient latch disposed on a release button 3 on the body 31, the closed slot 12 on jaw 9, and slidably be provided within the positioning pin 7 of the push button 2, the positioning pin of the push button 7 is connected with two second spring 6. 所述的弹性体31可以与释放按钮3 —体制造,也可以分体制造后、再固定连接在释放按钮3上。 3 with the release button 31 may be said elastomer - manufacturing a rear body, may be manufactured separately and then fixedly connected to the release button 3.

[0038] 释放按钮3可与下闭合钳夹9配合作用使闭合把手11被锁定在闭合位置的具体结构为:所述的下闭合钳夹9的近端有一个挂钩IO,该挂钩10与所述的释放按钮3的L形体32卡接可以使闭合把手11被锁定在闭合位置,使上、下闭合钳夹8、9也处于充分闭合的位置。 9 cooperates with [0038] the release button 3 so that the lower jaw closable closing knob 11 is locked in the closed position of the specific structure of: closing the proximal end of said lower jaw 9 has a hook IO, the hook 10 and the L-shaped body of said release button 32 can access the card 3 the closure handle 11 is locked in the closed position, the upper and lower jaws 8,9 is also closed in a fully closed position. 所述的释放按钮3的远端与闭合把手11之间设置有第一弹簧5。 The release button 5 is provided with a spring between a first and a closed distal end 113 of the handle. 当释放按钮3被按下后,第一弹簧5对释放按钮3有一反作用力用于将释放按钮3复位。 When the release button 3 is pressed, a first spring 5 3 a release button for releasing the reaction force of the reset button 3. [0039] 如图2和图4所示,此时推钮2处于初始位置,在第二弹簧6的作用下,定位销7 向下移动,推动弹性体31变形并脱离到开槽12外。 [0039] As shown in FIG. 2 and FIG. 4, when the push button 2 is in an initial position, under the action of the second spring 6, the positioning pin 7 is moved downwardly, the elastic body 31 is deformed and pushed out to the outer slot 12. 此时,释放按钮3将被允许按压,使其L形体32与挂钩10脱离。 At this time, the release button 3 is pressed to be allowed to make L shaped body 32 from the hook 10.

[0040] 如图3和图5所示,此时推钮2处于滑动状态,由于定位销7随着推钮2 —起向远端滑动,弹性体31就能向上复位,并卡入到开槽12内,且两者端面相抵接,使释放按钮3将不能被按压,从而能防止L形体32与挂钩10脱离,即能使上、下闭合钳夹8、9不被打开。 [0040] As shown in FIG. 3 and FIG 5, when the push button 2 is in the slip state, since the positioning pins 7 with the push button 2 - slid distally from the elastic body 31 can be reset upwardly open and snaps into the groove 12, and both end faces abuts the release button can not be pressed 3, L shaped body 32 can be prevented from the hook 10, i.e. to make the upper and lower jaws 8,9 closed is not opened. [0041] 下面介绍本发明优选实施例的具体操作方式: [0041] The following describes the specific mode of operation of the preferred embodiment of the present invention:

[0042] 将组织放置在上、下闭合钳夹8、9远端的装订区域,然后按压闭合把手ll,使闭合把手11远端的卡钩与上闭合钳夹8的销配合,然后将闭合把手11按压到底,使其与上、下闭合钳夹8、9大致平行,此时挂钩10实现了与释放按钮3的配合,使闭合把手11紧紧地与下闭合钳夹9连在一起。 [0042] The tissue is placed on the closed distal end of the binding region of the jaws 8,9, and press closing knob ll, the closure of the handle 11 and the distal end of the hook pin with the closing jaws 8, and the closure pressing in the end of the handle 11, so that the upper and lower jaws 8,9 closed substantially parallel to the hook 10 at this time achieved with the release button 3, the closure 11 tightly grip the lower jaw 9 is closed together. 然后用力推推钮2,推钮2在上、下闭合钳夹8、9之间向其远端滑动,当滑动到底时,外科装订器械的吻合钉被击发完毕,组织开口被闭合,并且切割组织使其从闭合线的中间分离。 2 and then forced pushing the button, the push button 2, the sliding jaw is closed between its distal 8,9, when the sliding in the end, a surgical stapling instrument the staples fired finished tissue opening is closed, and cut tissue to separate from the middle line of the closure. 然后牵拉推钮2,使其退回到初始位置,此时推钮2内的定位销7 正对下闭合钳夹9上的开槽12,推钮2与定位销7之间的第二弹簧6压迫定位销7出位, 从而抵住弹性体31,弹性体31受压回弹,从而脱离下闭合钳夹9的开槽12,此时释放按钮 Then pull the push button 2, so as to return to the initial position where the positioning pins in the push button 27 facing the slot 12 on the lower jaw 9 is closed, the push button 2 and a second spring positioned between the pin 7 6-bit compression positioning pin 7, so that the elastic member 31 against, 31 the elastomeric compression rebound, thereby closing off the lower jaw 12 of the slotted 9, when the release button

53就可以被推动了,按压释放按钮3,释放按钮3向远端运动,从而使其L形体32脱离挂钩10,从而使闭合把手11被打开,上、下闭合钳夹8、9也可被分离,从而释放组织,拿出整个器械,完成伤口闭合。 53 can be pushed up, the release button 3 is pressed, the release button 3 to the distal movement, so that it L shaped body 32 from the hook 10, thereby closing knob 11 is turned, the upper and lower jaws 8,9 can be closed separation, thereby releasing the tissue, the entire device out to complete wound closure.

[0043] 图6和图7揭示了本发明的第二实施例。 [0043] Figures 6 and 7 discloses a second embodiment of the present invention. 所述的闭锁机构包括设置在闭合把手11 上的凸棱14和设置在推钮2上的卡槽22 ;所述闭合把手11包括至少一条凸棱14,沿闭合把手11的轴线设置在闭合把手11的外侧;所述的卡槽22与凸棱14卡合且可相对滑动。 The locking mechanism comprises a handle disposed in a closed ribs 14 and 11 provided on the slot 22 of the push button 2; the handle 11 comprises at least one closure rib 14, 11 along the axis of the handle is closed in the closed handle the outer side 11; 22 of the slot 14 with the ribs engaging and slidable relative. [0044] 本实施例中,闭合把手11外侧设有相对称的两条凸棱14,所述的推钮2上设有相对应的两个卡槽22,操作时可选择地使其中一对卡槽22和凸棱14卡合。 [0044] In this embodiment, the closing handle 11 is provided outside of said two opposing ribs 14, provided with two corresponding slots 22, selectively cause operation of the push button 2 on which a pair of slots 22 and the ribs 14 engage. 结合图7所示,推钮2包括有个通孔21,该推钮2通过销孔枢轴连接在下闭合钳夹9的近端,使所述的推钮2 既可相对下闭合钳夹9转动,又可以沿下闭合钳夹9的轴线滑动。 In conjunction with FIG. 7, the push button 2 comprises a through-hole 21 of the push button 2 is pivotally connected by a pin hole 9 of the proximal end of the lower jaw is closed, so that the push button 2, both relative to the lower jaw 9 is closed rotation, and can slide along the axis of the lower jaw 9 is closed. 而无论推钮2转动到任何一侧,有且只有一对卡槽22和凸棱14卡合。 Regardless of the push button 2 is rotated to either side, and there is only one pair of slots 22 and the ribs 14 engage. [0045] 下面介绍本发明优选实施例的具体操作方式: [0045] The following describes the specific mode of operation of the preferred embodiment of the present invention:

[0046] 将组织放置在上、下闭合钳夹8、9远端的装订区域,然后按压闭合把手ll,使闭合把手11远端的卡钩与上闭合钳夹8的销配合,然后将闭合把手11按压到底,使其与上、下闭合钳夹8、9大致平行,此时挂钩10实现了与释放按钮3的配合,使闭合把手11紧紧地与下闭合钳夹9连在一起。 [0046] The tissue is placed on the closed distal end of the binding region of the jaws 8,9, and press closing knob ll, the closure of the handle 11 and the distal end of the hook pin with the closing jaws 8, and the closure pressing in the end of the handle 11, so that the upper and lower jaws 8,9 closed substantially parallel to the hook 10 at this time achieved with the release button 3, the closure 11 tightly grip the lower jaw 9 is closed together. 由于在初始状态时,推钮2与闭合把手11的凸棱14脱离,因而推钮2可以绕轴转动,供医生选择合适的一侧进行推动。 Since in the initial state, the push button 2 and the rib 11 of the handle 14 is closed off, and thus the push button 2 can be rotated about an axis, for the physician in selecting the appropriate side for pushing.

[0047] 然后用力推推钮2,推钮2在上、下闭合钳夹8、9之间向其远端滑动,当滑动到底时,外科装订器械的吻合钉被击发完毕,组织开口被闭合,并且切割组织使其从闭合线的中间分离。 [0047] and firmly pushing the button 2, the push button 2, the sliding jaw is closed between its distal 8,9, when the sliding in the end, a surgical stapling instrument the staples fired is completed, the tissue opening closed, allowed to separate and cut tissue from the middle line of the closure. 在此过程中,器械由于闭锁机构的存在无法被中途打开,即由于闭合把手11上的凸棱14和设置在推钮2上的卡槽22卡合导致闭合把手11无法打开,保证器械不会被意外打开。 In this process, the instrument due to the presence of the locking mechanism can not be opened halfway, i.e., since the closing knob ribs 14 and 11 provided on the card slot 22 on the push button 2 closing engagement results in handle 11 can not be opened, the devices are not It is opened accidentally.

[0048] 然后牵拉推钮2,使其退回到初始位置,推钮2上的卡槽22脱离闭合把手11上的凸棱14,闭锁机构被解除,将闭合把手11打开,上、下闭合钳夹8、9也可分离,从而释放组织,拿出整个器械,完成伤口闭合。 [0048] and then pulling the push button 2, so as to return to the initial position, the slot 22 in the push button 2 from the closing knob 11 on the rib 14, the latch mechanism is released, handle 11 to open the closure, on the closed 8,9 jaw may also be separated, thereby releasing the tissue, the entire device out to complete wound closure.

[0049] 当然,本发明尚有多种具体的实施方式,凡采用等同替换或者等效变换而形成的所有技术方案,均落在本发明要求保护的范围之内。 [0049] Of course, the present invention is still more specific embodiment, where the use of all technical equivalents or equivalent transformation programs and the formation of the present invention all fall within the scope of the claims.

Claims (8)

  1. 一种外科切割装订器械,包括有:上、下闭合钳夹(8、9),所述的上、下闭合钳夹(8、9)有一个近端和一个远端;以及一个闭合把手(11),所述的闭合把手(11)可在打开位置和闭合位置间运动,当闭合把手(11)处于打开位置时,上、下闭合钳夹(8、9)处于相对打开的位置,当闭合把手(11)处于闭合位置时,上、下闭合钳夹(8、9)处于充分闭合的位置;在下闭合钳夹(9)的近端侧面设置有一个可相对其滑动的推钮(2),所述的推钮(2)从位于下闭合钳夹(9)近端的初始位置向前滑动的过程中可驱动切刀和设置在下闭合钳夹(9)远端的吻合钉;有一释放按钮(3)设置在闭合把手(11)的近端,所述的释放按钮(3)可与下闭合钳夹(9)配合作用使闭合把手(11)被锁定在闭合位置,从而使上、下闭合钳夹(8、9)处于充分闭合的位置,其特征在于:所述的外科切割装订器械(1)还包括有一个闭锁 A surgical stapling cutting instrument, comprising: upper and lower closure jaw (8,9) on said lower closing jaw (8,9) has a proximal end and a distal end; and a closing knob ( 11), said closing handle (11) between an open position and a closed position, when the closure handle (11) is in the open position, the upper and lower jaw closure (8,9) in a relatively open position, when when closing the handle (11) is in the closed position, the upper and lower jaw closure (8,9) in a fully closed position; closing the lower jaw (9) is provided with a proximal end side relative sliding of the push button (2 ), during the initial position of the push button (2) located on the lower jaw from the closed (9) in the proximal end slides forward and drivable cutter disposed lower closure jaws (9) distal staple; a a release button (3) disposed in a closed handle (11) proximal end, said release button (3) can grip the closure (11) closing under the action of the mating jaw (9) is locked in the closed position, so that the upper , the closed jaws (8,9) in a fully closed position, wherein: said cutting surgical stapling instrument (1) further comprises a latch 构,当推钮(2)处于滑动状态时,所述的闭锁机构使上、下闭合钳夹(8、9)始终处于闭合锁定状态;当推钮(2)处于初始位置时,所述的闭锁机构打开,使上、下闭合钳夹(8、9)可以相对打开。 Configuration, when the push button (2) is in the slip state, the locking mechanism of the lower jaw closure (8,9) is always locked in a closed state; when the push button (2) in the initial position, the latching mechanism is opened, the upper and lower jaw closure (8,9) may be relatively open.
  2. 2. 根据权利要求1所述的外科切割装订器械,其特征在于:所述的闭锁机构包括设置于释放按钮(3)上的弹性体(31)、下闭合钳夹(9)上的开槽(12)、以及可滑动地设于推钮(2)内的定位销(7),该定位销(7)与推钮(2)间配接有第二弹簧(6),当推钮(2)处于滑动状态时,弹性体(31)被卡入到开槽(12)内,且两者端面抵接;当推钮(2)处于初始位置时,在第二弹簧(6)的作用下,定位销(7)推动弹性体(31)脱离到开槽(12)夕卜。 Slot on the latching mechanism comprises an elastic member disposed in the release button (31) (3), the closed jaw (9): 1, 2. The surgical stapling instrument according to claim cutting, characterized in that (12), and a push button slidably disposed in a positioning pin (7) (2) and connected with a second spring (6) between the retaining pin (7) with the push button (2), when the push button ( 2) when the slip state, the elastic member (31) is snapped into the slot) (12, and both end surface abutting; when the push button (2) in an initial position, acts on the second spring (6) the positioning pin (7) pushes the elastic body (31) from the slot (12) Xi Bu.
  3. 3. 根据权利要求2所述的外科切割装订器械,其特征在于:所述的释放按钮(3)的远端与闭合把手(11)之间设置有第一弹簧(5)。 3. The surgical stapler of claim 2, wherein the cutting instrument, comprising: a first spring (5) between the distal end of the release button (3) and the closing handle (11) is provided.
  4. 4. 根据权利要求3所述的外科切割装订器械,其特征在于:所述的弹性体(31)可以与释放按钮(3) —体制造,也可以分体制造后、再固定连接在释放按钮(3)上。 4. The surgical stapler of claim 3, wherein the cutting instrument, wherein: said elastic member (31) may be associated with a release button (3) - body production, may also be separately manufactured after then fixedly connected to the release button (3) on.
  5. 5. 根据权利要求1所述的外科切割装订器械,其特征在于:所述的闭锁机构包括设置在闭合把手(11)上的凸棱(14)和设置在推钮(2)上的卡槽(22);所述闭合把手(11)包括至少一条凸棱(14),沿闭合把手(11)的轴线设置在闭合把手(11)的外侧;所述的卡槽(22)与凸棱(14)卡合且可相对滑动。 1 to 5. The surgical stapling instrument according to claim cutting, wherein: said latching means comprises a slot disposed in a closed handle ribs (14) (11) and disposed on the push button (2) (22); said closing handle (11) comprises at least one rib (14), along the axis of the closing handle (11) in the closed outer side of the handle (11); said slot (22) and the ribs ( 14) engaging and slidable relative.
  6. 6. 根据权利要求5所述的外科切割装订器械,其特征在于:所述的闭合把手(11)外侧设有相对称的两条凸棱(14),所述的推钮(2)上设有相对应的两个卡槽(22),操作时可选择地使其中一对卡槽(22)和凸棱(14)卡合。 5 6. The surgical cutting stapling instrument according to claim, wherein: said closing handle (11) provided on the outside of said two opposing ribs (14), disposed on said push button (2) there are two corresponding slots (22), wherein a pair of selectively move the slot (22) and ribs (14) engaging operation.
  7. 7. 根据权利要求6所述的外科切割装订器械,其特征在于:所述推钮(2)包括有个通孔(21),该推钮(2)通过销孔枢轴连接在下闭合钳夹(9)的近端,使所述的推钮(2)即可相对下闭合钳夹(9)转动,又可以沿下闭合钳夹(9)的轴线滑动。 6, 7. The surgical stapling instrument according to claim cutting, characterized in that: said push button (2) comprises a through-hole (21), the push button (2) connected to the lower jaw is closed by a pivot pin hole (9) proximal end, so that the push button (2) can be closed relative to the lower jaw (9) is rotated, and can slide along the axis of the closed jaw (9).
  8. 8. 根据权利要求l所述的外科切割装订器械,其特征在于:所述的下闭合钳夹(9)的近端有一个挂钩(IO),该挂钩(10)与所述的释放按钮(3)的L形体(32)配合作用使闭合把手(11)被锁定在闭合位置,使上、下闭合钳夹(8、9)也处于充分闭合的位置。 L 8. The surgical stapling instrument of the cutting, characterized in that: the proximal end of said lower jaw closure (9) has a hook (the IO), the hook (10) and said release button ( 3) L-shaped body (32) cooperates with the closure handle (11) is locked in the closed position, the upper and lower jaw closure (8,9) is also in a fully closed position.
CN 200810234752 2008-10-29 2008-10-29 Surgical cutting and binding apparatus CN101721236A (en)

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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101869497A (en) * 2010-06-10 2010-10-27 苏州天臣国际医疗科技有限公司 Sewing and cutting machine
CN103083051A (en) * 2011-10-27 2013-05-08 北京中法派尔特医疗设备有限公司 Feeding mechanism of medical linear cutter stapler
CN103140182A (en) * 2010-09-30 2013-06-05 伊西康内外科公司 Implantable fastener cartridge comprising multiple layers
CN103169516A (en) * 2011-12-22 2013-06-26 苏州天臣国际医疗科技有限公司 Linear type suturing and cutting instrument used for surgery
CN103169515A (en) * 2011-12-21 2013-06-26 常州市康迪医用吻合器有限公司 Triggering mechanism of surgery linear cutting anastomat
CN103181803A (en) * 2011-12-30 2013-07-03 苏州天臣国际医疗科技有限公司 Suturing and cutting instrument
CN103222885A (en) * 2013-04-23 2013-07-31 北京中法派尔特医疗设备有限公司 Laparoscopic cutting stapler and safety device thereof
CN103750872A (en) * 2013-12-31 2014-04-30 苏州天臣国际医疗科技有限公司 Linear suturing and cutting device
CN104321026A (en) * 2012-03-28 2015-01-28 伊西康内外科公司 Tissue thickness compensators
CN105025814A (en) * 2013-02-08 2015-11-04 伊西康内外科公司 Implantable arrangements for surgical staple cartridges
CN102755179B (en) * 2011-04-27 2016-06-01 柯惠Lp公司 Circular stapler and staple line reinforcement material

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101869497A (en) * 2010-06-10 2010-10-27 苏州天臣国际医疗科技有限公司 Sewing and cutting machine
CN103140182B (en) * 2010-09-30 2015-10-07 伊西康内外科公司 Comprising a plurality of layers of the implantable fastener cartridge
CN103140182A (en) * 2010-09-30 2013-06-05 伊西康内外科公司 Implantable fastener cartridge comprising multiple layers
CN102755179B (en) * 2011-04-27 2016-06-01 柯惠Lp公司 Circular stapler and staple line reinforcement material
CN103083051A (en) * 2011-10-27 2013-05-08 北京中法派尔特医疗设备有限公司 Feeding mechanism of medical linear cutter stapler
CN103083051B (en) * 2011-10-27 2015-05-27 北京中法派尔特医疗设备有限公司 Feeding mechanism of medical linear cutter stapler
CN103169515A (en) * 2011-12-21 2013-06-26 常州市康迪医用吻合器有限公司 Triggering mechanism of surgery linear cutting anastomat
CN103169515B (en) * 2011-12-21 2016-05-04 常州市康迪医用吻合器有限公司 Linear cutter surgical stapler firing mechanism
CN103169516A (en) * 2011-12-22 2013-06-26 苏州天臣国际医疗科技有限公司 Linear type suturing and cutting instrument used for surgery
CN103181803A (en) * 2011-12-30 2013-07-03 苏州天臣国际医疗科技有限公司 Suturing and cutting instrument
CN104321026A (en) * 2012-03-28 2015-01-28 伊西康内外科公司 Tissue thickness compensators
CN105025814A (en) * 2013-02-08 2015-11-04 伊西康内外科公司 Implantable arrangements for surgical staple cartridges
CN105025814B (en) * 2013-02-08 2018-05-11 伊西康内外科公司 For implantable surgical staple cartridge arrangement
CN103222885B (en) * 2013-04-23 2015-09-16 北京中法派尔特医疗设备有限公司 Endoscopic stapler and safety device
CN103222885A (en) * 2013-04-23 2013-07-31 北京中法派尔特医疗设备有限公司 Laparoscopic cutting stapler and safety device thereof
CN103750872A (en) * 2013-12-31 2014-04-30 苏州天臣国际医疗科技有限公司 Linear suturing and cutting device

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