CN101756723A - Stepping type cutting pouch stitching instrument - Google Patents

Stepping type cutting pouch stitching instrument Download PDF

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Publication number
CN101756723A
CN101756723A CN200810235794A CN200810235794A CN101756723A CN 101756723 A CN101756723 A CN 101756723A CN 200810235794 A CN200810235794 A CN 200810235794A CN 200810235794 A CN200810235794 A CN 200810235794A CN 101756723 A CN101756723 A CN 101756723A
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CN
China
Prior art keywords
nail
type cutting
stepping type
stitching instrument
handle holder
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN200810235794A
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Chinese (zh)
Inventor
陈望东
丁水澄
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Touchstone International Medical Science Co Ltd
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Touchstone International Medical Science Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Touchstone International Medical Science Co Ltd filed Critical Touchstone International Medical Science Co Ltd
Priority to CN200810235794A priority Critical patent/CN101756723A/en
Publication of CN101756723A publication Critical patent/CN101756723A/en
Pending legal-status Critical Current

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Abstract

The invention provides a stepping type cutting pouch stitching instrument comprising two handle clip holders which are mutually articulated. The tail parts of the handle clip holders are holding parts, and the front ends of the handle clip holders are stitching parts; the stitching parts are internally provided with nail caskets and nail pushing sheets, wherein the nail caskets are internally provided with nail rows, and pouch threads are arranged between the nail rows and nail pins; one handle clip holder is also provided with a cutting knife, and the other handle clip holder is correspondingly provided with a knife anvil; when the holding parts are tightly held, nails positioned on the nail rows can be sequentially pushed out of the nail caskets by the nail pushing sheets, and the cutting knife and the knife anvil are interact to divide structures positioned between the stitching parts of the handle clip holders. The invention can carry out pouch stitching in corresponding length according to the lengths of the structure and divide the structures when carrying out the pouch stitching, therefore the stepping type cutting pouch stitching instrument is more convenient to use; and besides, the stepping type cutting pouch stitching instrument can be adapted to the structures with different diameters.

Description

Stepping type cutting pouch stitching instrument
Technical field
The present invention relates to a kind of purse-string suture device, especially a kind of automatic purse-string suture device belongs to medical instruments field.
Background technology
Purse-string device for surgical department is a kind of medical apparatus and instruments that often uses when physiological tissues such as intestinal are carried out surgical operation, and the quality of this instrument performance directly influences the operation process, plays important effect for surgical effect.In the prior art, all to do purse string suture when using Binding Instrument to carry out suture operation, so that firmly ligation after inserting center-pole could be implemented the bookbinding operation then at the organ stump.The method of implementing the purse string suture operation has two kinds: a kind of is manual suture, and not only operation is very wasted time and energy, and inserting needle has and have shallowly deeply, and needle gage is also inconsistent; Another kind is to use the purse string suture pincers, passes the jaw that accompanies tissue together with the pin band wire and carries out purse string suture, and shortcoming is to pass an aperture of jaw, inconvenient operation with pin.
The automatic purse-string suture device that arises at the historic moment, the problems referred to above have been solved largely, Chinese patent ZL200510123051.4 has put down in writing a kind of automatic purse-string suture device, it is made up of handle holder and nail bin groupware, two handle holders intersect forms shears shape structure, and nail, pushing slice of nail and purse wire are arranged in the nail bin groupware.After clamping up and down two handle holders, the nail in the nail bin is just come out by percussion, purse wire is fixed on organizes outer wall, just can tighten up purse wire bundle pocket then.Can see that the process of making pocket is very simple, save time, but, can not adapt to the operation of some specific positions, for example the high-order hands art of esophagus because the head of this purse-string suture device is the length of fixed dimension; Simultaneously can not adapt to the tissue diversity, for example Zu Zhi wall thickness.
The present invention quotes the content that this patent is put down in writing as prior art.
Summary of the invention
The objective of the invention is to solve above-mentioned technical problem, provide a kind of simple in structure and can control the stepping type cutting pouch stitching instrument of stitch length as required.
Purpose of the present invention is achieved through the following technical solutions:
A kind of stepping type cutting pouch stitching instrument, comprise: two handle holders that are hinged, the afterbody of described handle holder is the grip part, front end is a suturing part, be provided with nail casket and pushing slice of nail in the described suturing part, be provided with nail row in this nail casket, be provided with purse wire between nail row's the nail foot, also be provided with a cutting knife on described one of them handle holder, be provided with a cutter anvil on another handle holder accordingly, when holding the grip part with a firm grip, the nail on the described nail row can be pushed out of outside the nail casket in order by pushing slice of nail, and cutting knife and cutter anvil interact from the tissue that breaks between the suturing part of two handle holders simultaneously.
Further, all be provided with two nail caskets on described any handle holder, cutting knife or cutter anvil are arranged between two nail caskets.Be laterally or vertically on described two nail casket leader's holders in office and be provided with.The front end of described nail casket is movably set with nail bin, and nail bin comprises one and goes out nail mouthful, when nail bin when the suturing part of handle holder retreats, the relative nail bin of pushing slice of nail advances, and be pushed out of out the nail mouth being positioned at a nail row nail foremost.Be provided with a back-moving spring between the suturing part of described nail bin and handle holder.
Again further, longitudinally be set with a guide rod in the described nail casket, nail row is arranged on its front end; With nail row near being provided with actuator and driving spring, and be set on the guide rod; Described actuator is located between nail row and the driving spring.Described guide rod is the hollow setting, and purse wire passes from its inside.
Further, described nail casket removably is connected on the handle holder.Described pushing slice of nail is fixed on the handle holder.Described nail row arranges for some nails and forms, the sensing unanimity of its nail foot.
Beneficial effect of the present invention is mainly reflected in: can carry out the purse string suture of respective length according to the length of tissue; And can in purse string suture, organize from disconnected, make instrumentation more convenient; In addition, this apparatus can adapt to the tissue of different-diameter.
Description of drawings
Below in conjunction with accompanying drawing technical solution of the present invention is described further:
Fig. 1: the front view of first embodiment of the invention.
Fig. 2: among Fig. 1 along the cutaway view of A-A.
Fig. 3: the front view of second embodiment of the invention.
Fig. 4: among Fig. 3 along the cutaway view of B-B.
Wherein:
1 handle holder, 2 grip parts, 3 suturing parts
4 pins, 5 nail caskets, 6 nail rows
7 actuators, 8 driving springs, 9 guide rods
10 pushing slice of nail, 11 nail bins 12 go out the nail mouth
13 back-moving springs, 14 purse wires, 15 cutting knifes
16 cutter anvils
The specific embodiment
The present invention has disclosed a kind of automatic purse stitching instrument used for surgery, in conjunction with illustrated in figures 1 and 2, the same with prior art, comprise that similar shears is equally by two hinged handle holders 1 of pin 4, the afterbody of handle holder 1 is grip part 2, front end is to be provided with bumper bar between 3, two handle holders 1 of suturing part.
Be provided with nail casket 5 and pushing slice of nail 10 in the described suturing part 3, described nail casket 5 removably is connected on the handle holder 1, is convenient to change; Described pushing slice of nail 10 is fixed on the handle holder 1.In the present embodiment, all be provided with corresponding two nail caskets 5 on any handle holder 1, this nail casket 5 is transversely arranged on handle holder 1.
Longitudinally be set with a guide rod 9 in the described nail casket 5, this guide rod 9 is the hollow setting, and purse wire 14 can pass from its inside.Be provided with nail row 6, actuator 7 and driving spring 8 from front to back successively along guide rod 9, nail row 6 is arranged on the front end of guide rod 9, and actuator 7 is located between nail row 6 and the driving spring 8, and the three is set on the guide rod 9.Described nail row 6 forms the sensing unanimity of its nail foot for some nails arrangements.One end of described driving spring 8 is against on the actuator 7, and the other end is against on the inwall of nail casket 5, and when original state, driving spring 8 produces a thrust to actuator 7, and nail row 6 is played an effect that promotes forward.
In the present embodiment, nail row 6 nail foremost is against on the nail bin 11, and described nail bin 11 is movably arranged on the front end of nail casket 5, comprises one and goes out nail mouth 12.Nail bin 11 can slide with respect to nail casket 5.Since pushing slice of nail 10, nail row 6 foremost a nail and go out nail mouthfuls 12 and be positioned at same plane, when nail bin 11 when the suturing part 3 of handle holder 1 retreats, pushing slice of nail 10 relative nail bins 11 advance, and be pushed out of out nail mouth 12 being positioned at nail row 6 nail foremost.Be provided with a back-moving spring 13 between the suturing part 3 of described nail bin 11 and handle holder 1.
In the present invention, also be provided with a cutting knife 15 on one of them handle holder 1, be provided with a cutter anvil 16 on another handle holder 1 accordingly, cutting knife 15 or cutter anvil 16 are arranged between two nail caskets 5.When hold with a firm grip constantly, when loosening grip part 2, the nail on the described nail row 6 can be pushed out of outside the nail casket 5 in order by pushing slice of nail 10, is similar to stapler; The tissue that while cutting knife 15 and cutter anvil 16 interact between the suturing part 3 that breaks at two handle holders 1.
Introduce the installation and the using method of present embodiment below.
At the nail purse wire 14 of packing in the casket 5, then at the nail driving spring 8 of packing in the casket 5, one end of spring is fixedlyed connected with nail casket inwall, the other end is against actuator 7, in nail casket 5, put into a nail row 6, make an end of nail row 6 be against the inwall that is arranged on the nail bin 11 of following closely the casket front end, the other end is against on the actuator 7.What at this moment, the nail foot that comes nail was foremost aimed at nail bin 11 goes out nail mouthfuls 12.Identical method installs four nail caskets.The front end suturing part 3 of a handle holder 1 is installed a cutting knife 15 therein then, places a back-moving spring 13 at the front end of handle holder 1 then, and an end of spring is against the suturing part 3 of handle holder 1, and the other end is against on the nail bin 11.To follow closely casket then and pack in twos on the handle holder 1, and cutting knife 15 is installed is between two nail caskets the cutter anvil 16 of on another handle holder 1, packing into then.Then two handle holders, 1 usefulness pin is scissor and couples together, at this moment, pouching device installs.
During use, open handle holder 1, make between the relative up and down nail casket 5 and present certain space, tissue is put into this space, the grip part 2 of holding handle holder 1 near-end then with a firm grip, the casket of nail up and down 5 that be positioned at handle holder 1 far-end this moment pushes mutually, the back-moving spring 13 that is positioned at handle holder 1 front end is compressed, so nail bin 11 is drawn back, and then nail is extruded out from going out nail mouthfuls 12 by pushing slice of nail 10, and orders tissue.Because purse wire 14 is between two nail feet, after nail was shaped, purse wire 14 was enclosed between nail and the tissue; When nail was shaped, the cutting knife 15 that is positioned at handle holder 1 front end separated tissue dissection, opens apparatus then, finishes a stitching, cutting process.The doctor can be on demand the length of purse string suture carry out the action that several times are sewed up cutting.
Fig. 3 and Fig. 4 have disclosed the second embodiment of the present invention, are with first embodiment difference: all be provided with corresponding two nail caskets 5 on any handle holder 1, and this nail casket 5 is vertical arrangement on handle holder 1.The installation of the apparatus of present embodiment is similar to first embodiment with use, and unique difference is that first embodiment is vertical gripping, stitching when in use; And present embodiment is laterally to grip, sew up.
The present invention still has multiple concrete embodiment.All employings are equal to replacement or equivalent transformation and all technical schemes of forming, all drop within the scope of protection of present invention.

Claims (10)

1. stepping type cutting pouch stitching instrument, comprise: two the handle holders (1) that are hinged, the afterbody of described handle holder (1) is grip part (2), front end is suturing part (3), it is characterized in that: be provided with nail casket (5) and pushing slice of nail (10) in the described suturing part (3), be provided with nail row (6) in this nail casket (5), be provided with purse wire (14) between nail row's (6) the nail foot, also be provided with a cutting knife (15) on described one of them handle holder (1), be provided with a cutter anvil (16) on another handle holder (1) accordingly, when the grip part of holding with a firm grip (2), nail on the described nail row (6) can be pushed out of outside the nail casket (5) in order by pushing slice of nail (10), and cutting knife (15) and cutter anvil (16) interact from the tissue that breaks between the suturing part (3) that is positioned at two handle holders (1) simultaneously.
2. stepping type cutting pouch stitching instrument according to claim 1 is characterized in that: all be provided with two nail caskets (5) on described any handle holder (1), cutting knife (15) or cutter anvil (16) are arranged between two nail caskets (5).
3. stepping type cutting pouch stitching instrument according to claim 2 is characterized in that: be on described two nail casket (5) leader's holders in office (1) laterally or vertically setting.
4. stepping type cutting pouch stitching instrument according to claim 3, it is characterized in that: the front end of described nail casket (5) is movably set with nail bin (11), nail bin (11) comprises one and goes out nail mouthful (12), when nail bin (11) to the suturing part (3) of handle holder (1) when retreating, pushing slice of nail (10) nail bin (11) relatively advances, and is pushed out of out nail mouth (12) being positioned at nail row (6) nail foremost.
5. stepping type cutting pouch stitching instrument according to claim 4 is characterized in that: be provided with a back-moving spring (13) between the suturing part (3) of described nail bin (11) and handle holder (1).
6. stepping type cutting pouch stitching instrument according to claim 3 is characterized in that: longitudinally be set with a guide rod (9) in the described nail casket (5), nail row (6) is arranged on its front end; With nail row (6) near being provided with actuator (7) and driving spring (8), and be set on the guide rod (9); Described actuator (7) is located between nail row (6) and the driving spring (8).
7. stepping type cutting pouch stitching instrument according to claim 6 is characterized in that: described guide rod (9) is the hollow setting, and purse wire (14) passes from its inside.
8. stepping type cutting pouch stitching instrument according to claim 1 is characterized in that: described nail casket (5) removably is connected on the handle holder (1).
9. stepping type cutting pouch stitching instrument according to claim 1 is characterized in that: described pushing slice of nail (10) is fixed on the handle holder (1).
10. stepping type cutting pouch stitching instrument according to claim 1 is characterized in that: described nail row (6) arranges for some nails and forms, the sensing unanimity of its nail foot.
CN200810235794A 2008-11-27 2008-11-27 Stepping type cutting pouch stitching instrument Pending CN101756723A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN200810235794A CN101756723A (en) 2008-11-27 2008-11-27 Stepping type cutting pouch stitching instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN200810235794A CN101756723A (en) 2008-11-27 2008-11-27 Stepping type cutting pouch stitching instrument

Publications (1)

Publication Number Publication Date
CN101756723A true CN101756723A (en) 2010-06-30

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ID=42488214

Family Applications (1)

Application Number Title Priority Date Filing Date
CN200810235794A Pending CN101756723A (en) 2008-11-27 2008-11-27 Stepping type cutting pouch stitching instrument

Country Status (1)

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CN (1) CN101756723A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108078604A (en) * 2018-01-23 2018-05-29 四川大学华西第二医院 A kind of fallopian tubal stitching clamp

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108078604A (en) * 2018-01-23 2018-05-29 四川大学华西第二医院 A kind of fallopian tubal stitching clamp
CN108078604B (en) * 2018-01-23 2023-10-03 四川大学华西第二医院 Oviduct suture forceps

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Open date: 20100630