CN101856252A - Anastomat for minimally invasive surgery - Google Patents

Anastomat for minimally invasive surgery Download PDF

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Publication number
CN101856252A
CN101856252A CN 201010197189 CN201010197189A CN101856252A CN 101856252 A CN101856252 A CN 101856252A CN 201010197189 CN201010197189 CN 201010197189 CN 201010197189 A CN201010197189 A CN 201010197189A CN 101856252 A CN101856252 A CN 101856252A
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CN
China
Prior art keywords
nail
anvil
minimally invasive
anastomat
invasive surgery
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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
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CN 201010197189
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Chinese (zh)
Inventor
陈望东
孙克展
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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 CN 201010197189 priority Critical patent/CN101856252A/en
Publication of CN101856252A publication Critical patent/CN101856252A/en
Pending legal-status Critical Current

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Abstract

The invention provides an anastomat for minimally invasive surgery, which comprises a body and a working head arranged on the front end of the body, wherein the working head comprises a nail anvil fixing rod fixedly connected with the body, the front end of the nail anvil fixing rod is provided with a nail anvil, a nail molding groove is arranged on the surface of the nail anvil; a nail bin and a trigger plate are pivoted on the nail anvil, and the nail bin is positioned between the trigger plate and the nail anvil; at least one group of nails are arranged in the nail bin; and the trigger plate orderly pushes the step-by-step moving nails out of the nail bin. The working head of the invention can be extended into the body of a patient for minimally invasive anastomosis. The invention is applicable to tissue wounds with relative complicated sewing shape, and overcomes the defect of single use function of the prior anastomat for minimally invasive surgery.

Description

Anastomat for minimally invasive surgery
Technical field
The present invention relates to a kind of anastomat for minimally invasive surgery, belong to medical instruments field.
Background technology
Surgical operation develops into now, has more and more tended to Minimally Invasive Surgery.Generalized saying, the operation that can reduce wound all is called Minimally Invasive Surgery, and everybody operation of getting used to carrying out under endoscope now is Minimally Invasive Surgery.The operation of under endoscope, carrying out, need open several very little holes for general on patient's health, the doctor is facing to the computer display screen operation, and Minimally Invasive Surgery is little to the wound that patient brings, patient can get well in a short period of time, so more and more become operating developing direction.
Anastomat for minimally invasive surgery is the apparatus a kind of commonly used in the Minimally Invasive Surgery apparatus, is used for suture tissue wound under endoscope.Present anastomat for minimally invasive surgery has an elongated head, has 4~6 row's nail left and right symmetricallies to be distributed in elongated head, thereby forms 4~6 nail lines; The anastomat for minimally invasive surgery that has also has a cutting knife to be positioned at the middle part of nail line, and when nail passed tissue, cutter passed whole elongate head from the near to the remote at nail line middle part, when tissue wounds is sewn, remaining tissue is excised.It is longer that this apparatus generally is used for wound length, and the straight line opening that is shaped as comparison rule of wound, not too is fit to the tissue wounds of shape more complicated.
Summary of the invention
The objective of the invention is to solve above-mentioned technical problem, the coinciding machine that provides a kind of suitable Minimally Invasive Surgery to use is used to sew up the complicated tissue wounds of shape.
Purpose of the present invention is achieved through the following technical solutions:
A kind of anastomat for minimally invasive surgery comprises that body and is located at the working head of body front end, and described working head comprises the nail anvil fixed bar affixed with described body, and the front end of described nail anvil fixed bar is provided with nail anvil, and the surface of described nail anvil is provided with the nail forming tank; Be connected with nail bin and percussion sheet with described nail anvil pivot, described nail bin is between percussion sheet and nail anvil; Be provided with at least one group of nail in the described nail bin, the nail that described percussion sheet moves stepping is released nail bin successively.
Further, described nail is arranged in the nail group along the nail bin axis, and be arranged in the groove of nail bin inside, what the nail foot of first nail of described nail group was aimed at described nail bin goes out to follow closely the hole, last of described nail group nails on butt has one to press the nail piece, the opposite side butt of described pressure nail piece has one to press the langrage spring, and the other end of described pressure langrage spring is against on the inwall of described nail bin.Described nail bin go out to follow closely the nail forming tank that described nail anvil is aimed in the hole.
The opposite side with respect to the nail foot of first nail of described nail group is provided with a pushing slice of nail, and the opposite side of described pushing slice of nail is connected to described percussion sheet and is used to make described percussion sheet driving pushing slice of nail to move.
The opposite side of described pushing slice of nail is provided with boss, and described boss is connected to described percussion sheet, has at least one pushing slice of nail spring to be located between described boss and the nail bin.
Be provided with torsion spring between described nail bin and the nail anvil.
Again further, be provided with two nail groups in the described nail bin, described two nail groups are along being crisscross arranged perpendicular to the nail bin axis.
Again further, be socketed with a sleeve on the described nail anvil fixed bar, described sleeve can move along the axis of described nail anvil fixed bar, when described percussion sheet is switched to when parallel with described nail anvil, the outermost of described percussion sheet is equal to or slightly less than described telescopic internal diameter to the outermost distance of described nail anvil.
Further, described sleeve is provided with the contraction flow region of a toroidal at the end near described nail anvil.Described sleeve is fixedlyed connected with a sleeve push rod at the end away from described nail anvil, drives described sleeve by described sleeve push rod and moves back and forth along the axis of described nail anvil fixed bar.
Beneficial effect of the present invention is mainly reflected in: working head of the present invention can be deep into and carry out invasive in the patient body and coincide, applicable to sewing up the complicated tissue wounds of shape, solved the single weak point of function of use of present anastomat for minimally invasive surgery.
Description of drawings
Below in conjunction with accompanying drawing technical solution of the present invention is described further:
Fig. 1: the schematic perspective view of the front end working head of the preferred embodiment of the present invention.
Fig. 2: the cutaway view of the front end working head of the preferred embodiment of the present invention.
Fig. 3: the exploded perspective view of the front end working head of the preferred embodiment of the present invention.
Wherein:
11 nail anvil fixed bars, 12 nail anvils, 13 nail forming tank
14 convex shoulders, 21 nail bins, 22 grooves
23 convex shoulders 24 go out to follow closely hole 3 nails
4 press nail piece 5 to press langrage spring 61 pushing slice of nail
62 boss, 63 pushing slice of nail springs, 71 percussion sheets
72 percussion sections, 73 pivot sections, 74 through holes
81 sleeves, 82 contraction flow regions, 83 sleeve push rods
The specific embodiment
The present invention has disclosed a kind of anastomat for minimally invasive surgery, comprise that body and is located at the working head of body front end, as shown in Figure 1 to Figure 3, described working head comprises the nail anvil fixed bar 11 affixed with described body (not shown), and the front end of described nail anvil fixed bar 11 is provided with nail anvil 12.In this preferred embodiment, described nail anvil 12 roughly become one rectangular-shaped, its surface is provided with nail forming tank 13, and is provided with the convex shoulder 14 of band circular hole near an end of nail anvil fixed bar 11.
Be connected with nail bin 21 and percussion sheet 71 with described nail anvil 12 pivots, described nail bin 21 is between percussion sheet 71 and nail anvil 12.
Specifically with reference to Fig. 2, one end of described nail bin is provided with the convex shoulder 23 of band circular hole, with and inner be provided with one around the groove 22 of sealing, be provided with two groups of nails 3 in the groove, described nail is arranged in the nail group along the nail bin axis, these two nail groups are along being crisscross arranged perpendicular to the nail bin axis, promptly in two nail groups separately first nail certain displacement is arranged on the nail bin axis direction.
What the nail foot of first nail of two groups of nail groups was all aimed at described nail bin 21 goes out to follow closely hole 24, last of described nail group nails on butt has one to press nail piece 4, the opposite side butt of described pressure nail piece 4 has one to press langrage spring 5, and the other end of described pressure langrage spring 5 is against on the inwall of described nail bin 21.The nail forming tank 13 that goes out to follow closely the described nail anvil of hole 24 alignings of described nail bin 21.Described nail bin 21 go out to follow closely the middle part that the bottom surface of described nail bin 21 roughly is located in hole 24.
The opposite side with respect to the nail foot of first nail of two groups of nail groups respectively is provided with a pushing slice of nail 61, the opposite side of described pushing slice of nail 61 is provided with boss 62, described boss 62 is connected to described percussion sheet 71, respectively has two pushing slice of nail springs 63 to be located between described boss 62 and the nail bin 21.
Described percussion sheet 71 comprises a percussion section 72 and at an angle pivot section 73 with it, and the boss 62 of described pushing slice of nail 61 is connected on the percussion section 72 of described percussion sheet 71, and an end of described pivot section 73 is provided with a through hole 74.Convex shoulder 23 and the pin-and-hole between the convex shoulder 14 on the nail anvil 12 by described through hole 74, band circular hole connect, and described nail bin 21, percussion sheet 71 all can rotate with respect to described nail anvil 12 pivots.In the present embodiment, also be provided with the torsion spring (not shown) between described nail bin and the nail anvil.
Again further, be socketed with a sleeve 81 on the described nail anvil fixed bar 11, described sleeve 81 can move along the axis of described nail anvil fixed bar 11, when described percussion sheet 71 is switched to when parallel with described nail anvil 12, the outermost of described percussion sheet 71 equals the internal diameter of described sleeve 81 to the outermost distance of described nail anvil 12.
Described sleeve 81 is provided with the contraction flow region 82 of a toroidal at the end near described nail anvil 12.Described sleeve 81 is fixedlyed connected with a sleeve push rod 83 at the end away from described nail anvil 12, is moved back and forth by the axis of the described sleeve 81 of described sleeve push rod 83 drives along described nail anvil fixed bar 11.
Simply introduce the operating process of this preferred embodiment below.
During use, at first the nail anvil 12 and the nail bin 21 of working head are aimed at tissue.Then, sleeve push rod 83 promotes sleeve 81 and advances, and sleeve 81 compressing nail bins 21 and nail anvil 12 close up grasping tissue; Continue to promote sleeve 81 and advances, percussion sheet 71 can drive pushing slice of nail 61 and move then first nail 3 of nail group is released nail bins 21, and this moment, nail 3 molding organizationally reached identical effect under the mating reaction of nail anvil 12.In this example, apparatus is pulled the trigger two interlaced nails at every turn.
Drive sleeve push rod 83 retreats sleeve 81 then, and under the effect of pushing slice of nail spring 63, percussion sheet 71 pivotally opens, and pushing slice of nail 61 retreats; And under the effect of torsion spring, nail bin 21 also pivotally opens; And the nail group moves under the effect of pressing langrage spring 5, makes the nail that is positioned at the second position originally advance to primary importance, and what make that its nail foot aims at nail bin 21 goes out to follow closely hole 24, similar existing stapler principle.
After ready, move percussion again by the apparatus afterbody, moving can be any direction, come according to the position that will sew up and shape, each distance that moves also can be certain, will guarantee that promptly the nail of per twice percussion is all interlaced, to guarantee that tissue is by effectively closed.The afterbody of apparatus is connected on the reference platform by precision gear or accurate cylinder, with the accuracy that guarantees to move.
The nail that the percussion sheet moves stepping among the present invention is released nail bin successively, therefore user can be regulated the rare close degree of nail and the route that nail coincide arbitrarily, reach and sew up the purpose of complicated tissue wounds of shape, solved the single weak point of function of use of present anastomat for minimally invasive surgery.
The present invention still has multiple concrete embodiment, and 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. anastomat for minimally invasive surgery, comprise that body and is located at the working head of body front end, it is characterized in that: described working head comprises the nail anvil fixed bar affixed with described body, and the front end of described nail anvil fixed bar is provided with nail anvil, and the surface of described nail anvil is provided with the nail forming tank; Be connected with nail bin and percussion sheet with described nail anvil pivot, described nail bin is between percussion sheet and nail anvil; Be provided with at least one group of nail in the described nail bin, the nail that described percussion sheet moves stepping is released nail bin successively.
2. anastomat for minimally invasive surgery according to claim 1, it is characterized in that: described nail is arranged in the nail group along the nail bin axis, and be arranged in the groove of nail bin inside, what the nail foot of first nail of described nail group was aimed at described nail bin goes out to follow closely the hole, last of described nail group nails on butt has one to press the nail piece, the opposite side butt of described pressure nail piece has one to press the langrage spring, and the other end of described pressure langrage spring is against on the inwall of described nail bin.
3. anastomat for minimally invasive surgery according to claim 2 is characterized in that: described nail bin go out to follow closely the nail forming tank that described nail anvil is aimed in the hole.
4. anastomat for minimally invasive surgery according to claim 2, it is characterized in that: the opposite side with respect to the nail foot of first nail of described nail group is provided with a pushing slice of nail, and the opposite side of described pushing slice of nail is connected to described percussion sheet and is used to make described percussion sheet driving pushing slice of nail to move.
5. anastomat for minimally invasive surgery according to claim 4 is characterized in that: the opposite side of described pushing slice of nail is provided with boss, and described boss is connected to described percussion sheet, has at least one pushing slice of nail spring to be located between described boss and the nail bin.
6. anastomat for minimally invasive surgery according to claim 1 is characterized in that: be provided with torsion spring between described nail bin and the nail anvil.
7. according to described any one anastomat for minimally invasive surgery of claim 2 to 6, it is characterized in that: be provided with two nail groups in the described nail bin, described two nail groups are along being crisscross arranged perpendicular to the nail bin axis.
8. anastomat for minimally invasive surgery according to claim 7, it is characterized in that: be socketed with a sleeve on the described nail anvil fixed bar, described sleeve can move along the axis of described nail anvil fixed bar, when described percussion sheet is switched to when parallel with described nail anvil, the outermost of described percussion sheet is equal to or less than described telescopic internal diameter to the outermost distance of described nail anvil.
9. anastomat for minimally invasive surgery according to claim 8 is characterized in that: described sleeve is provided with the contraction flow region of a toroidal at the end near described nail anvil.
10. anastomat for minimally invasive surgery according to claim 9, it is characterized in that: described sleeve is fixedlyed connected with a sleeve push rod at the end away from described nail anvil, drives described sleeve by described sleeve push rod and moves back and forth along the axis of described nail anvil fixed bar.
CN 201010197189 2010-06-10 2010-06-10 Anastomat for minimally invasive surgery Pending CN101856252A (en)

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CN 201010197189 CN101856252A (en) 2010-06-10 2010-06-10 Anastomat for minimally invasive surgery

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Application Number Priority Date Filing Date Title
CN 201010197189 CN101856252A (en) 2010-06-10 2010-06-10 Anastomat for minimally invasive surgery

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CN101856252A true CN101856252A (en) 2010-10-13

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107981904A (en) * 2018-01-23 2018-05-04 四川大学华西第二医院 A kind of fallopian tubal stitching clamp
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
CN112353446A (en) * 2020-11-03 2021-02-12 宝玛医疗科技(无锡)有限公司 Tissue clamping piece for anastomat capable of stably clamping tissue
CN112353447A (en) * 2020-11-03 2021-02-12 宝玛医疗科技(无锡)有限公司 Handheld type of being convenient for cutting anastomat suitable for minimal access surgery
CN113229875A (en) * 2021-04-02 2021-08-10 苏州贝诺医疗器械有限公司 Multi-angle bent linear anastomat

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2470116Y (en) * 2001-02-28 2002-01-09 深圳市龙岗区龙岗南约旗标实业厂 Upper nail-feeding type heavy stapler
CN2794838Y (en) * 2005-06-16 2006-07-12 易爽 Integrated stapler for punching and binding
CN2808067Y (en) * 2005-05-24 2006-08-23 苏州天臣国际医疗科技有限公司 Round tube type outer bookbinding instrument
CN101292888A (en) * 2006-10-03 2008-10-29 伊西康内外科公司 Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
CN201719301U (en) * 2010-06-10 2011-01-26 苏州天臣国际医疗科技有限公司 Anastomosis instrument for minimally invasive surgery

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2470116Y (en) * 2001-02-28 2002-01-09 深圳市龙岗区龙岗南约旗标实业厂 Upper nail-feeding type heavy stapler
CN2808067Y (en) * 2005-05-24 2006-08-23 苏州天臣国际医疗科技有限公司 Round tube type outer bookbinding instrument
CN2794838Y (en) * 2005-06-16 2006-07-12 易爽 Integrated stapler for punching and binding
CN101292888A (en) * 2006-10-03 2008-10-29 伊西康内外科公司 Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism
CN201719301U (en) * 2010-06-10 2011-01-26 苏州天臣国际医疗科技有限公司 Anastomosis instrument for minimally invasive surgery

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107981904A (en) * 2018-01-23 2018-05-04 四川大学华西第二医院 A kind of fallopian tubal stitching clamp
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
CN107981904B (en) * 2018-01-23 2023-07-25 四川大学华西第二医院 Oviduct suture forceps
CN108078604B (en) * 2018-01-23 2023-10-03 四川大学华西第二医院 Oviduct suture forceps
CN112353446A (en) * 2020-11-03 2021-02-12 宝玛医疗科技(无锡)有限公司 Tissue clamping piece for anastomat capable of stably clamping tissue
CN112353447A (en) * 2020-11-03 2021-02-12 宝玛医疗科技(无锡)有限公司 Handheld type of being convenient for cutting anastomat suitable for minimal access surgery
CN113229875A (en) * 2021-04-02 2021-08-10 苏州贝诺医疗器械有限公司 Multi-angle bent linear anastomat
CN113229875B (en) * 2021-04-02 2022-04-12 苏州贝诺医疗器械有限公司 Multi-angle bent linear anastomat

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Open date: 20101013