CN101966093B - Cavity mirror surgical incision anastomat with replaceable nail bin - Google Patents

Cavity mirror surgical incision anastomat with replaceable nail bin Download PDF

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Publication number
CN101966093B
CN101966093B CN2010102936709A CN201010293670A CN101966093B CN 101966093 B CN101966093 B CN 101966093B CN 2010102936709 A CN2010102936709 A CN 2010102936709A CN 201010293670 A CN201010293670 A CN 201010293670A CN 101966093 B CN101966093 B CN 101966093B
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China
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staple
cartridge
arcuate
staple cartridge
cutting blade
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CN2010102936709A
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Chinese (zh)
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CN101966093A (en
Inventor
吉荣
张奕奕
张祖仁
徐维华
戴晓东
蒋震宇
虞国安
袁栋坤
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上海创亿医疗器械技术有限公司
常州市康迪医用吻合器有限公司
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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
    • 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
    • A61B2017/07214Stapler heads
    • A61B2017/07271Stapler heads characterised by its cartridge
    • 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
    • A61B2017/07214Stapler heads
    • A61B2017/07278Stapler heads characterised by its sled or its staple holder
    • 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
    • A61B2017/07214Stapler heads
    • A61B2017/07285Stapler heads characterised by its cutter

Abstract

The invention relates to a cavity mirror surgical incision anastomat with a replaceable nail bin. The cavity mirror surgical incision anastomat comprises an anastomat body, an executing head, an extension pipe connecting the anastomat body and the executing head, and an actuating mechanism for controlling the movement of the executing head, wherein the executing head is composed of an executing frame, a slide bar, a nail bin and an anvil, and the nail bin comprises a nail bin shell, a nail pushing block, a nail pushing sliding plate and anastomosis nails. The nail bin shell is internally provided with a nail slot, a nail pushing hole, a sliding plate groove and a push broach groove, wherein the end surface of the anvil is provided with an anastomosis nail forming slot corresponding to theanastomosis nail position in the nail bin and a cutting slot corresponding to the push broach groove inside the nail bin shell, a cutter is installed in the push broach groove of the nail bin shell, and an arc-shaped chute is arranged on the near end of the nail bin shell. When the nail bin is in use, the slide bar moves from the near end of the nail bin to the far end, and the nail pushing sliding plate can push the anastomosis nail out of the nail slot while pushing the nail pushing block to move in the nail pushing hole by means of the inclined surface of the nail pushing sliding plate. The cavity mirror surgical incision anastomat can be used more conveniently and safely, is more convenient to install and detach the nail bin, and reduces the surgery cost.

Description

带有可更换钉仓的腔镜外科切割吻合器 With replaceable staple cartridge endoscopic surgical cutting stapler

技术领域 FIELD

[0001] 本发明涉及到在胸腔镜外科手术中使用的腔镜外科切割吻合器,具体地说,涉及一种带有可更换钉仓的腔镜外科切割吻合器,属于医疗器械领域。 [0001] The present invention relates to the use of endoscopic surgical thoracoscopic surgical stapler cut, in particular, it relates to one kind of field of medical devices with replaceable staple cartridge endoscopic surgical cutting stapler belongs.

背景技术 Background technique

[0002] 在腔镜外科手术中,腔镜外科切割吻合器通常被用于消化道中食管、胃、十二指肠、小肠、结肠、直肠、阑尾、胆、胰和脾等切割吻合手术,也被用于呼吸道中肺和气管等切割吻合手术,还被用于泌尿生殖系统中膀胱和子宫等切割吻合手术,可以减少手术时间,提高手术质量。 [0002] In endoscopic surgery, endoscopic surgical cutting stapler typically used in gastrointestinal esophagus, stomach, duodenum, small intestine, colon, rectum, appendix, gallbladder, pancreas, and spleen cutting anastomosis, also is used for lung and respiratory tract anastomosis cutting trachea, urogenital system is also used in the bladder and uterus cutting anastomosis can reduce operation time and improve the quality of surgery.

[0003] 现有的腔镜外科切割吻合器有关国专利20080308602、20090206IM和20090206123中介绍的各种腔镜外科切割吻合器。 [0003] The conventional endoscopic surgical cutting various endoscopic surgical stapler about 20080308602,20090206IM Patent 20090206123 and described cutting stapler. 在使用腔镜外科切割吻合器时,先将执行头通过内径为12mm至13mm的穿刺针进入人体内腔,再控制执行头轴向旋转和/或关节转动以便对准待切割吻合组织,即可操作夹持机构,推动滑杆,将待切割吻合组织夹持在执行头的钉砧与钉仓之间。 When using endoscopic surgical cutting stapler, the inner diameter of first end effector enters the body through the lumen of the puncture needle 12mm to 13mm, and then performs control tissue stapling head axial rotation and / or rotation in order to align the joint to be cut can operating clamping mechanism, pushing the slider, to be cut and stapled tissue clamped between the anvil head and performing a staple cartridge. 然后操作击发机构,再推动滑杆:滑杆的两端分别插入执行头的钉砧和钉仓的两端,使钉砧与钉仓之间达到所需的夹紧厚度;滑杆通过推钉滑板推动推钉块,将吻合钉从钉仓内推出穿透被夹紧的待切割吻合组织直抵钉砧上的吻合钉成形槽,使U形吻合钉弯曲成B形,达到将组织吻合的手术目的;滑杆上的切割刀切割被夹紧的待切割吻合组织,达到将组织切割的手术目的。 The firing mechanism is then operated, and then push the slider: the slide bar ends are inserted into both ends of the anvil and the staple cartridge of an end effector, so that the desired thickness of the clamping between the anvil and the staple cartridge; slide bar by pushing the staple staple pushing slide block pushing the staple out of the staple cartridge to penetrate the clamped tissue to be cut and stapled on the straight anvil staple forming grooves, the U-shaped bent into a B-shaped staples, anastomosis surgical tissue reached Objective; slide bar cutting blade on cutting the clamped tissue to be cut and stapled, the tissue to achieve the purpose of cutting operation. 完成切割吻合操作后,操作夹持机构,松开已切割吻合组织,以便退出腔镜外科切割吻合器。 Upon completion of the cutting operation agreement, operating clamping mechanism release has been cut and stapled tissue in order to exit the endoscopic surgical cutting stapler. 腔镜外科切割吻合器的夹持机构和击发机构也可采用其它操作机构。 Endoscopic surgical cutting stapler firing mechanism and the clamping mechanism may also be other operating mechanism. 操作机构还可以有指示机构。 The operating mechanism may further indicating means. 腔镜外科切割吻合器的夹持机构和击发机构等各种操作机构可以是如美国专利20080308602和20090206123的手动的腔镜外科切割吻合器,也可以是如美国专利20090090763和20090095790的电动的腔镜外科切割吻合器, 还可以是如美国专利200701258¾和20080(^9577的流体驱动的腔镜外科切割吻合器。 Endoscopic surgical cutting stapler firing mechanism and the clamping mechanism and other mechanisms may be operating as described in US Patent No. 20080308602 manual endoscopic surgical cutting stapler and 20090206123, may be as described in US Patent 20090090763 and 20090095790 endoscopic electromotive the surgical cutting stapler, and may be as described in U.S. Patent No. 200701258¾ and 20080 (9577 ^ a fluid-driven endoscopic surgical cutting stapler.

[0004] 现有的腔镜外科切割吻合器,其组成部分包括:吻合器身、执行头、连接所述吻合器身和执行头的延伸管、控制执行头动作的操作机构。 [0004] The conventional endoscopic surgical cutting stapler, its components comprising: a stapler body, end effector, and a body connected to the stapler head performs the extension tube, the control means performs an operation of an operation head. 执行头由执行架、滑架、钉仓和钉砧组成。 Execution performed by the first frame, a carriage, staple cartridge and anvil components. 在执行架上安装滑杆、钉仓和钉砧。 Installation slider in the implementation of the shelves, the staple cartridge and anvil. 钉仓由钉仓壳、推钉块、推钉滑板和吻合钉组成。 Staple cartridge housing a staple cartridge, staple pushing block, staples and staple pushing sled composition. 钉仓壳内有钉槽、推钉孔和推刀槽。 Staple cartridge housing groove, and push the staple pushing hole sipe. 吻合钉安装在钉槽内。 Staples installed in the nail groove. 推钉块安装在推钉孔内。 The staple pushing block is mounted in the staple pushing hole. 推钉块可在推钉孔内移动以便将吻合钉从钉槽内推出。 The staple pushing block bore may be moved so as to push the staples out of the staple in the staple slot. 推钉滑板依靠斜面推动推钉块在推钉孔内移动时将吻合钉从钉槽内推出。 Staple pushing sled rely staple slant pushing the push block out of the staple when the staple pushing the staple slots bore movement. 吻合钉呈U形,由两个钉腿、一个钉梁和两个钉尖组成。 U-shaped staples, the two staple legs, and a staple beams composed of two nail tip. 钉腿的一端分别与钉梁连接、另一端分别为钉尖。 One end of the staple legs are connected to the beams staple, the other end of the nail tip. 吻合钉可采用不锈钢丝、钽丝、钛丝或其它具有类似性能的金属丝制造。 Staple wire can be stainless steel, tantalum wire, titanium wire or other metal wire manufactured having similar properties. 吻合钉的两个钉腿插在钉槽内。 The two legs of the staple nail nail inserted in the slot. 吻合钉的钉梁坐在推钉块的上边上。 Staple staple staple pushing beam sitting on the edge of the block. 钉砧的端面上有与钉仓内的吻合钉位置对应的吻合钉成形槽和与钉仓内的推刀槽位置对应的切割槽。 An end face of the anvil and staple positions are within the staple cartridge corresponding staple forming grooves and a staple cartridge pushing cutting position corresponding sipe groove. 钉仓壳的钉槽和推钉孔排列在推刀槽的两侧。 Staple slots and push staple hole of the staple cartridge housing arranged on both sides of the slot to push the knife. 钉砧的吻合钉成形槽相应排列在钉砧的切割槽的两侧。 Anvil staple forming grooves are arranged on both sides of the respective anvil cutting groove. 钉砧的吻合钉成形槽和钉仓的钉槽和推钉孔可以根据外科手术对切割吻合的需要,共排列成两排、三排、四排、五排、六排、七排或八排。 Staple slots and the anvil staple pushing holes staple forming grooves and a staple cartridge may be cut according to the surgical anastomosis were arranged in two rows, three rows, four rows, five rows, six rows, eight rows of seven rows or . 滑杆上有切割刀,可在钉仓的推刀槽和钉砧的切割槽内移动。 With a cutting blade, the movable blade pushing slot in the anvil and staple cartridge slot cutting slide bar. [0005] 腔镜外科切割吻合器每完成一次切割吻合操作后,吻合钉已从钉仓内被推出,需更换新的装有吻合钉的钉仓,以便执行下一次切割吻合操作。 After [0005] endoscopic surgical cutting stapler Each time a cutting stapling operation, the staple is pushed from the staple cartridge, the staple should be replaced with a new staple cartridge in order to perform a cutting operation in the stapling. 如美国专利20090206123中所介绍的腔镜外科切割吻合器,完成切割吻合操作后,更换一次性加载装置以便再次使用。 Such as in endoscopic surgical described in U.S. Patent 20090206123 cutting stapler, stapling to complete the cutting operation, to replace the disposable loading unit for reuse. 一次性加载装置包括新的装有吻合钉的钉仓的执行头和端连接器。 New disposable loading unit includes a staple cartridge with the head and the end connector performed. 这种式样的腔镜外科切割吻合器的令人不满意处是,在同一病人的同一次手术中需要更换几个一次性加载装置, 由于一次性加载装置包括执行头和端连接器,因此其总费用相当高。 This style endoscopic surgical cutting stapler unsatisfactory is that, in the same operation in the same patient several disposable loading unit to be replaced, since the disposable loading unit comprising performing head and an end connector, so that The total cost is quite high. 这种式样的腔镜外科切割吻合器的另一令人不满意处是,如美国专利20090206123中所述,一次性加载装置的端连接器可能无意中从腔镜外科切割吻合器的细长主体脱离,致使腔镜外科切割吻合器发生故障或不能操作,因此美国专利20090206123又提出一次性加载装置可以沿着细长主体轴既不共线、也不平行的方向安装到细长主体上,还提出在一次性加载装置的端连接器中增加螺纹、或棘爪机构、或扣合装置,以保证一次性加载装置能可靠地连接到腔镜外科切割吻合器的细长主体上。 Another unsatisfactory at this style endoscopic surgical cutting stapler is, as described in U.S. Patent No. 20090206123, a disposable loading unit end of the connector body may inadvertently elongated cutter from the endoscopic surgical stapler disengaged, resulting in endoscopic surgical cutting stapler malfunction or can not operate, thus also proposed in U.S. Patent 20090206123 disposable loading unit can not install a direction parallel to the elongate body along an axis of the elongated body is neither collinear, further proposed to increase at the end of disposable loading unit connector threaded, or detent mechanism, or snap means, to ensure that the disposable loading unit on the elongated body can be surely connected to the endoscopic surgical cutting stapler. 由于在腔镜外科手术中,腔镜外科切割吻合器的细长主体的直径为12mm至13mm,因此,如此复杂的一次性加载装置的端连接器的加工和装配的难度高、质量难以保证,手术中反复装拆也很麻烦,其总费用也相当高。 Because endoscopic surgery, endoscopic surgical cutting diameter of the elongated body of the stapling device is 12mm to 13mm, and therefore, the high end of the connector of the disposable loading unit such complex processing and assembly difficult, is difficult to guarantee the quality, surgery repeated assembly and disassembly is very troublesome, the total costs are very high. 因此腔镜外科切割吻合器的一次性加载装置还需改进。 Thus the disposable loading unit of the stapler endoscopic surgical cutting should be improved.

[0006] 由上述显然可以看出,现在已经设计了不同式样的腔镜外科切割吻合器,并且新的腔镜外科切割吻合器的研制工作仍在继续,以便对每年世界上大量使用的腔镜外科切割吻合器作进一步的改进,使得使用时更方便、装拆时更便利,手术费用更低。 [0006] can be apparently seen from the above, have now devised a different style of endoscopic surgical cutting stapler, and a new endoscopic surgical cutting stapler development work continues, so that the world each year for endoscopic use a lot of more convenient surgical cutting stapler for further improvements, making use, when more convenient assembly and disassembly, lower operation costs.

发明内容 SUMMARY

[0007] 本发明的目的是克服现有技术的不足,提供一种使用方便、装拆钉仓便利的带有可更换钉仓的腔镜外科切割吻合器。 Objective [0007] The present invention is to overcome the disadvantages of the prior art, to provide an easy, convenient assembly and disassembly of the cartridge with a replaceable staple cartridge endoscopic surgical cutting stapler.

[0008] 实现上述目的的技术方案是:一种带有可更换钉仓的腔镜外科切割吻合器,包括吻合器身、执行头、连接吻合器身和执行头的延伸管、控制执行头动作的操作机构,执行头由执行架、滑杆、钉仓和钉砧组成,钉仓由钉仓壳、推钉块、推钉滑板和吻合钉组成,钉仓壳内有钉槽、推钉孔、滑板槽和推刀槽,吻合钉安装在钉槽内,推钉块安装在推钉孔内,推钉滑板安装在滑板槽内,钉仓壳的钉槽和推钉孔排列在推刀槽的两侧,钉砧的端面上有与钉仓内的吻合钉位置对应的吻合钉成形槽和与钉仓壳内的推刀槽位置对应的切割槽,钉仓壳的推刀槽内安装有切割刀,钉仓壳的近端处有弧形滑槽,且切割刀上具有弧形凸块,钉仓在使用前,切割刀的弧形凸块插在所述钉仓壳的弧形滑槽内,使切割刀的刀刃位于钉仓壳的推刀槽内;钉仓在使用时,滑杆从钉仓的 [0008] The technical solution to achieve the above object is: A staple cartridge having replaceable cutting endoscopic surgical stapler comprising a stapler body, end effector, and a body connected to a stapler head performs the extension tube, the first operation control execution operation means performs frame performed by the head, the slider, the composition of the anvil and the staple cartridge, the staple cartridge from the cartridge casing, staple pushing block, staples and staple pushing sled composition, the staple cartridge housing staple slot, pushing the nail holes , and push the slide groove sipes, mounted on the staple push sipes staple slots, staple pushing staple pushing block is installed in the hole, it is mounted in the staple pushing sled slide groove, and push the staple slots of the staple cartridge nail holes are arranged in the housing both sides of an end surface of the staple anvil and staple positions corresponding to grooves formed in the staple cartridge and the staple cartridge housing pushing cutting position corresponding to the sipe groove, pushing the staple cartridge housing slot cutter mounted the cutting blade, the proximal end of the staple cartridge housing has an arcuate chute and having a curved bump cutter blade, a staple cartridge prior to use, the cutting blade is inserted in the arcuate projections arcuate sliding the cartridge housing slot, so that the knife blade cutting tool is positioned to push the cartridge housing slot; staple cartridge, in use, from the staple cartridge of the slider 近端处向远端处移动,首先滑杆推动切割刀,并将切割刀的弧形凸块从钉仓壳的弧形滑槽内推出,使切割刀的刀刃从钉仓壳的推刀槽内伸出, 然后滑杆推动切割刀在钉仓壳的推刀槽内移动,推钉滑板依靠其斜面推动推钉块在推钉孔内移动时将吻合钉从钉槽内推出。 At the proximal end moves distally, pushing the slider first cutting blade, the cutting blade and the arcuate projections from the inner arcuate chute Release staple cartridge housing, so that the cutting blade from the blade pushes the staple cartridge housing sipe the extended, then push the slide bar cutting blade in the cartridge housing moved to push the knife slot, relying on its ramp staple pushing slide block when the staple pushing the push hole pushing the staple out of the staple to move the staple slot.

[0009] 所述钉仓壳近端处的弧形滑槽位于钉仓壳近端处的两侧,所述切割刀的弧形凸块位于切割刀的两侧。 [0009] both sides of the arcuate sliding the cartridge housing located at the proximal end of the staple cartridge housing at a proximal end, said cutting blade arcuate projections located on both sides of the cutting blade.

[0010] 所述钉仓壳的弧形滑槽内有弹性挡块;弹性挡块使切割刀的弧形凸块被约束在钉仓壳的弧形滑槽内。 [0010] arcuate sliding within the cartridge housing resilient stopper; elastomeric stopper so that the arcuate lugs cutting blade is constrained to slide within the arcuate staple cartridge housing.

[0011] 所述切割刀的远端处有凹槽,所述推钉滑板的近端处有第一凸块,所述切割刀的凹槽嵌入所述推钉滑板的第一凸块形成局部枢轴连接。 [0011] The distal end of the cutting blade with a recess, the proximal end of the staple push the slide with a first bump, the cutting blade embedded in the groove to push the first bump is formed partially staple sled pivotal connection.

[0012] 所述钉仓壳的近端处嵌有镶块,弧形滑槽位于镶块内。 The [0012] at the proximal end of the staple cartridge housing embedded insert, the insert is located within the arc chute.

[0013] 所述滑杆的远端处有第二凸块,当滑杆从所述钉仓壳的远端处向近端处移动时, 第二凸块将所述切割刀带回钉仓壳的近端处。 [0013] The distal end of the slide bar at a second bump, when the slider moves toward the proximal end from the distal end of the cartridge housing, the second bump cutting blade cartridge back at the proximal end of the housing.

[0014] 弧形滑槽内有弹性挡板,所述弹性挡板将弧形滑槽分隔成近端弧形滑槽和远端弧形滑槽;所述钉仓在使用前,所述切割刀的弧形凸块分别插在镶块的近端弧形滑槽内,使切割刀的刀刃位于所述钉仓壳的推刀槽内,镶块的弧形滑槽内的弹性挡板使切割刀的弧形凸块被约束在镶块的近端弧形滑槽内;钉仓在使用时,所述滑杆从钉仓的近端处向远端处移动,首先推动切割刀,在切割刀的弧形凸块的挤压作用下弧形滑槽内的弹性挡板发生弹性变形,以便切割刀的弧形凸块从镶块的近端弧形滑槽内被推出,使切割刀的刀刃从钉仓壳的推刀槽内伸出,然后滑杆推动切割刀在钉仓壳的推刀槽内移动,同时弹性挡板回弹将镶块的近端弧形滑槽封住;当滑杆从钉仓的远端处向近端处移动时,滑杆先将切割刀带回钉仓的近端处,然后在切割刀的弧形凸块的挤压作用 [0014] The resilient arcuate chute baffle plate, said baffle resilient arcuate chute is divided into a proximal end and a distal arc chute the arc chute; the cartridge prior to use, the cutting arcuate projections are respectively inserted into the blade proximal end of the arcuate chute insert the knife blade cutting tool in said slot to push the cartridge housing, the resilient arcuate baffle plate insert so that the chute curved cutting blade protrusion is constrained within the proximal end of the arcuate chute insert; staple cartridge, in use, the movement of the slider from the proximal end to the distal end of the staple cartridge, first push cutter blade, in arc chute elastic baffle plate is elastically deformed under the pressing action of the curved cutting blade of the bump, so that the cutting blade is pushed arcuate projections from the proximal end of the arcuate chute insert, the cutting blade the knife blade from the slot to push the staple cartridge housing protrudes, and then push the slide bar cutting blade in the staple cartridge housing moved to push the knife slot, the proximal end of the arcuate chute while being elastically resilient flap which seals the insert; when the slider is moved proximally from the distal end of the staple cartridge, the cutting blade back to the first slide bar at the proximal end of the staple cartridge, and an arcuate protrusion pressing action of the cutting blade 下弧形滑槽内的弹性挡板发生弹性变形,以便切割刀的弧形凸块进入镶块的远端弧形滑槽内,使切割刀的刀刃位于钉仓壳的推刀槽内,同时弧形滑槽内的弹性挡板回弹将切割刀的弧形凸块约束在镶块的远端弧形滑槽内。 Elastic curved chute in the lower baffle plate is elastically deformed, so that the cutting blade into the arcuate projections insert the distal end of the arc chute, so that the knife blade cutting knife slot is positioned to push the staple cartridge housing, while the flap elastic resilient arcuate chute arcuate cutting blade bumps constrained within the distal end of the arcuate chute insert.

[0015] 当所述切割刀的弧形凸块被约束在所述钉仓壳的远端弧形滑槽内时,切割刀的倾角小于45°。 [0015] When the cutting blade is arcuate projections constrained within the distal end of the cartridge housing an arc chute, the cutting blade angle is less than 45 °.

[0016] 所述钉仓壳的远端处有弹性卡钩和侧面凸块,所述执行架的远端处有侧面凹槽, 所述钉仓壳远端处的弹性卡钩与所述执行架远端处的底部组成可装拆的卡扣结构;当将钉仓安装到执行架上时,钉仓壳远端处的侧面凸块插入执行架远端处的侧面凹槽内,约束钉仓沿执行架前后方向的移动,钉仓壳远端处的弹性卡钩弹性变形后卡接在执行架远端处的底部,约束钉仓沿执行架上下方向的移动;当将钉仓从执行架上拆卸时,钉仓壳远端处的侧面凸块从执行架远端处的侧面凹槽内被抽出,钉仓壳远端处的弹性卡钩弹性变形后脱离执行架远端处的底部,使钉仓脱离执行架。 [0016] The distal end of the staple cartridge housing has elastic hook and side bump, at the distal end of the frame has side grooves execution, the elastic hook staple cartridge at the distal end of the actuator housing at the bottom of the distal end of the frame assembly can be detachably locking structure; when mounted to the cartridge frame when executed, the distal end side of the bump is inserted into the staple cartridge housing at the distal end side grooves perform frame, nail constraint movement along the longitudinal direction of the cartridge holder execution, the elastic hook at the distal end of the cartridge elastically deformed shell in the bottom of the distal end of the snap cage execution, the staple cartridge constraint direction along the rack movement performed; when the cartridge execution when the frame disassembling, at the side surface of the distal end of the staple cartridge housing lug is withdrawn from the inner side surface of the recess at the distal end performs frame, the resilient elastic hook staple cartridge at the distal end of the distal housing from the bottom of the frame is performed after modification the cartridge holder from execution.

[0017] 所述钉仓壳的底部安装有底罩,所述底罩的两侧分别卡接在钉仓壳的两侧上。 Bottom of the [0017] installation of the staple cartridge housing having a bottom cover, the bottom cover both sides of the card are connected to the sides of the staple cartridge housing.

[0018] 采用上述技术方案后,钉仓壳的推刀槽内安装带有凸块的切割刀,钉仓壳的近端处有弧形滑槽,钉仓壳远端处的弹性卡钩与执行架远端处的底部组成可装拆的卡扣结构。 [0018] After the foregoing technical solution, the blade pushing the staple cartridge housing slot cutting blade is mounted with the bumps, the proximal end of the staple cartridge housing arcuate chute elastic hook at the distal end of the staple cartridge housing and at the bottom of the distal end of the frame assembly performs a detachable locking structure. 当将钉仓壳安装到执行架上时,钉仓壳远端处的弹性卡钩弹性变形后卡接在执行架远端处的底部,约束钉仓壳沿执行架上下方向的移动。 When the cartridge housing is mounted to the mobile frame when executed, the elastic engaging hook at the distal end of the staple cartridge shell after deformation at the bottom of the distal end of the snap cage execution, the staple cartridge housing to constrain the direction along the rack performed. 当将钉仓壳从执行架上拆卸时,钉仓壳远端处的弹性卡钩弹性变形后脱离执行架远端处的底部,使钉仓壳脱离执行架。 When the cartridge holder housing detached from the execution, the elastic engaging hook at the distal end of the staple cartridge from the housing after modification execution at the bottom of the distal end of frame, so that the staple cartridge housing from performing frame. 钉仓在使用前, 切割刀的凸块被约束在钉仓壳的弧形滑槽内,并且切割刀的刀刃位于钉仓壳的推刀槽内。 A staple cartridge prior to use, the cutting blade bumps are confined within the arc chute of the staple cartridge housing and the cutting edge of the knife blade positioned to push the cartridge housing slot. 钉仓在使用时,滑杆推动切割刀,使切割刀的刀刃从钉仓壳的推刀槽内伸出。 When using the cartridge, the slider push cutter blade, the cutting blade so that the blade protrudes from the blade pushing the staple cartridge housing slot. 钉仓在使用后,滑杆将切割刀带回使切割刀的凸块重新被约束在钉仓壳的弧形滑槽内,并使切割刀的刀刃重新位于钉仓壳的推刀槽内,此时,切割刀的倾角小于45°,无法在滑杆的推动下从钉仓的近端处向远端处移动,可防止使用过的钉仓被再次使用。 Staple cartridge after use, the slider back to the cutting blade cutting blade bumps re arcuate chute is constrained within the cartridge housing, the knife and the cutting edge of the staple cartridge housing positioned again push knife slot, at this time, the cutting blade angle is less than 45 °, not from the proximal end of the staple cartridge driven slider is moved toward the distal end, prevents the used cartridge is used again. 从而可在同一腔镜外科切割吻合器的执行头上仅更换带有切割刀的钉仓,即可使用同一把腔镜外科切割吻合器执行多次切割吻合的腔镜外科手术,使得使用时更方便安全、装拆钉仓时更便利,手术费用更低。 When so as to be in the same cutter stapler head replacement only perform endoscopic surgical staple cartridge with the cutting blade, the same can be used to perform endoscopic surgical cutting stapler multiple cutting endoscopic surgical stapling, so that the use of more convenient and safe, more convenient when the cartridge assembly and disassembly, lower operation costs.

6附图说明 BRIEF DESCRIPTION 6

[0019] 图1是表示本发明实施例的带有可更换钉仓的腔镜外科切割吻合器的关节未转动时钉仓与钉砧之间张开时的外观立体图; [0019] FIG. 1 is an external perspective view of the opening between the staple cartridge and anvil when the joint with replaceable staple cartridge endoscopic surgical cutting stapler embodiment of the present invention does not rotate;

[0020] 图2是表示图1的腔镜外科切割吻合器的关节转动时钉仓与钉砧之间张开时的外观立体图; [0020] FIG. 2 is a diagram of an endoscopic surgical FIG external perspective view of the cutting opening between the staple cartridge and the staple anvil of the stapler when the rotational articulation;

[0021] 图3是表示图1的腔镜外科切割吻合器的吻合器身、延伸管、关节和操作机构被移去后执行头的钉仓与钉砧之间张开处的放大外观立体图; [0021] FIG. 3 is a diagram of FIG. 1 endoscopic surgical cutting stapler stapler body, extension tube, open at an enlarged external perspective view of the end effector between the anvil and the staple cartridge and operation of the joint mechanism is removed;

[0022] 图4是表示图1的腔镜外科切割吻合器的吻合器身、延伸管、关节和操作机构被移去后执行头的钉仓与钉砧之间张开时的放大外观立体图; [0022] FIG. 4 is a diagram of FIG. 1 endoscopic surgical cutting stapler stapler body, extension tube, an enlarged external perspective view when the flare between the end effector and a staple cartridge after the anvil and operation of the joint mechanism is removed;

[0023] 图5是表示图4的执行头的颈圈被移去后钉仓与钉砧之间张开时的放大外观立体图; [0023] FIG. 5 is an external perspective view at an enlarged opening between the staple cartridge and the staple anvil of the end effector of FIG. 4 of the collar is removed;

[0024] 图6是表示图1的腔镜外科切割吻合器的吻合器身、延伸管、关节和操作机构被移去后执行头的钉仓与钉砧之间闭合时的放大外观立体图; [0024] FIG. 6 is a diagram showing an endoscopic surgical cutting stapler stapler body, extension tube, an enlarged external perspective view when the closing between the end effector and staple cartridge after the anvil is removed and the joint operating mechanism;

[0025] 图7是表示图6的执行头的颈圈被移去后钉仓与钉砧之间闭合时的放大外观立体图; [0025] FIG. 7 is an enlarged perspective view showing the appearance when closed between the anvil and the staple cartridge is removed after the first execution of the collar of Figure 6;

[0026] 图8是表示图1的腔镜外科切割吻合器的执行头的背面的放大外观立体图; [0026] FIG. 8 is a diagram of FIG. 1 endoscopic surgical cutting an enlarged rear perspective view of the appearance of the end effector of the stapler;

[0027] 图9是表示图1的腔镜外科切割吻合器的钉仓被取出后的放大外观立体图; [0027] FIG. 9 is a view showing an endoscopic surgical cutter stapler cartridge enlarged perspective appearance after being taken out;

[0028] 图10是表示图1的腔镜外科切割吻合器的钉仓的底罩被移去后的放大外观立体图; [0028] FIG 10 shows an endoscopic surgical FIG enlarged perspective view of the appearance of the cutting stapler is removed under cover of the cartridge;

[0029] 图11是表示图10的钉仓壳的放大外观立体图; [0029] FIG. 11 is an external perspective view showing an enlarged view of the staple cartridge housing 10;

[0030] 图12是表示图1的执行头内的滑杆在推动切割刀、推钉块、推钉滑板和吻合钉之前的放大外观立体图; [0030] FIG. 12 shows the slider of FIG. 1 is performed in the first cutting blade driven, staple pushing block, staple pushing slide and the appearance of an enlarged perspective view of a staple prior to stapling;

[0031] 图13是表示图1的执行头内的滑杆在推动切割刀、推钉块、推钉滑板和吻合钉时的放大外观立体图; [0031] FIG 13 shows the slider of FIG. 1 is performed in the first cutting blade driven, staple pushing block, staple pushing sled and an enlarged external perspective view when a staple;

[0032] 图14是表示图1的钉砧的放大外观立体图; [0032] FIG. 14 is a perspective enlarged view of an anvil;

[0033] 图15是表示图1的执行架的放大外观立体图; [0033] FIG. 15 is an enlarged external perspective view of Figure 1 performing frame;

[0034] 图16是表示图1的钉仓内的切割刀的刀刃位于钉仓壳的推刀槽内时切割刀与带有弧形滑槽的镶块组件的爆炸图; [0034] FIG. 16 is a view showing the inner edges of the cutting blade of FIG. 1 cartridge knife slot positioned to push the staple cartridge shell exploded view of the cutting insert and the blade assembly with a curved chute;

[0035] 图17是表示图1的钉仓内的切割刀的刀刃从钉仓壳的推刀槽内伸出时切割刀与带有弧形滑槽的镶块组件的爆炸图; [0035] FIG. 17 is an exploded view showing the cutting blade and the insert assembly when the chute with a curved edge of the cutting blade within the staple cartridge of FIG. 1 protrudes from the staple cartridge slot to push the knife housing;

[0036] 图18是表示图1的钉仓在使用前,钉仓内的切割刀的刀刃位于钉仓壳的推刀槽内时切割刀与带有弹性挡板的另一种弧形滑槽的镶块组件的放大外观立体图; And another cutting blade having an arcuate chute when the elastic flap [0036] FIG. 18 shows the cartridge of Figure 1 prior to use, the cutting edge of the blade cartridge located within the cartridge slot to push the knife housing an enlarged external perspective view of the insert assembly;

[0037] 图19是表示图1的钉仓在使用时,钉仓内的切割刀的刀刃从钉仓壳的推刀槽内伸出时切割刀与带有弹性挡板的另一种弧形滑槽的镶块组件的放大外观立体图; [0037] FIG. 19 shows a cutting blade with an elastic arc with another staple cartridge when the shutter of Figure 1 in use, the inner edges of the cutting blade protrudes from the blade pushing the cartridge slot of a staple cartridge housing an enlarged external perspective view of the chute assembly of the insert;

[0038] 图20是表示图1的钉仓在完成切割吻合操作后,钉仓内的切割刀的刀刃位于钉仓壳的推刀槽内时切割刀与带有弹性挡板的另一种弧形滑槽的镶块组件的放大外观立体图。 And another cutting blade with an elastic arc when the shutter [0038] FIG. 20 shows a staple cartridge of FIG. 1 after completion of the stapling operation of the cutting, the cutting edge of the blade cartridge located within the cartridge slot to push the knife housing an enlarged external perspective view of the insert assembly shaped chute.

具体实施方式 Detailed ways

[0039] 下面结合附图和实施例对本发明作进一步详细的说明。 Drawings and embodiments of the present invention will be further described in detail [0039] below in conjunction. [0040] 如图1和图2所示,腔镜外科切割吻合器由执行头2、关节3、延伸管4、吻合器身5 和操作机构6组成。 [0040] FIG. 1 and FIG, 2 endoscopic surgical cutting stapler head 2 is performed by the joint 3, the extension tube 4, 5 stapler body 6 and the operating mechanism components. 操作机构6位于吻合器身5处,经过延伸管4内腔控制执行头2动作(在吻合器身5和延伸管4内的部分操作机构6未显示,可参考本说明书中引用的美国专利)。 The operating mechanism 6 is located stapler body 5, through the lumen of the extension tube 4 head 2 performs a control operation (in the stapler body 5 and the extension pipe portion 46 in an operating mechanism not shown, refer to U.S. patent specification cited therein) . 执行头2、关节3、延伸管4、吻合器身5依次顺序相连。 Performing head 2, the joint 3, the extension tube 4, 5 in turn is connected to a stapler body sequentially. 如图4至图13所示,执行头2由执行架7、滑杆8、钉仓9和钉砧10组成。 As shown in FIGS. 4 to 13, performed by the head 2 is performed frame 7, slide bar 8, 9 staple cartridge 10 and anvil components. 在执行架7上安装滑杆8、钉仓9和钉砧10。 Slide bar 8 is mounted on the actuator frame 7, the staple cartridge and the staple anvil 10 9. 钉仓9由钉仓壳11、推钉块12、推钉滑板13和吻合钉14组成。 9 cartridge housing 11 by a staple cartridge, staple pushing block 12 pushing the staple 13 and staple sled 14 composition. 钉仓壳11内有钉槽15、推钉孔16、滑板槽17和推刀槽18。 Staple cartridge housing 11 within the staple channel 15, pushing the nail hole 16, the groove 17 and the slider 18 pushes the sipes. 吻合钉14安装在钉槽15内。 Staple 14 is mounted within the staple slots 15. 推钉块12安装在推钉孔16 内。 The staple pushing block 12 is mounted in the staple pushing hole 16. 推钉滑板13安装在滑板槽17内。 Staple pushing sled 13 mounted in the slide groove 17. 钉仓壳11的钉槽15和推钉孔16排列在推刀槽18 的两侧各排列三排。 Staple cartridge housing 15 and staple slots 11 of staple pushing push holes 16 arrayed on both sides of each of the sipes 18 are arranged in three rows. 钉砧10的端面上有与钉仓9内的吻合钉14位置对应的吻合钉成形槽19和与钉仓壳11内的推刀槽18位置对应的切割槽20。 The end face of the anvil 10 has a staple in the staple cartridge 9 corresponding to position 14 of the forming position pushing sipe 18 in the groove 11 and the staple cartridge housing 19 and corresponding groove 20 cut. 钉砧10的吻合钉成形槽19相应在钉砧10的切割槽20的两侧各排列三排。 10 of the anvil staple forming grooves 19 are arranged corresponding to each of the three rows on both sides of the cut groove 20 of the anvil 10. 钉砧10与执行架7用枢轴连接。 Staple anvil holder 10 and the actuator 7 is pivotally connected.

[0041] 如图4至图13所示,钉仓壳11的推刀槽18内安装有切割刀21。 [0041] As shown in FIG. 4 to FIG. 13, the cutter 21 is attached to push the sipes 18 of the staple cartridge housing 11. 当滑杆8从钉仓壳11的近端处向远端处移动时,滑杆8推动切割刀21和推钉滑板13在钉仓壳11的推刀槽18内移动。 When the slider 8 from the proximal end of cartridge housing 11 is moved distally, the slide bar 8 and the cutter 21 driven staple pushing sled 13 moves within cartridge housing 11 to push the sipes 18. 推钉滑板13依靠斜面推动推钉块12在推钉孔16内移动时将吻合钉14从钉槽15内推出。 Staple pushing sled 13 will depend on the bevel driven out of the staple 14 within the staple channel 15 pushing the staple pushing block 12 moves within the nail hole 16.

[0042] 如图4至图17所示,钉仓壳11的近端处嵌有镶块22。 [0042] As shown in FIG. 4 to FIG. 17, the staple cartridge housing 11 at the proximal end of the insert 22 are embedded. 镶块22内有弧形滑槽23。 Insert 22 has an arcuate chute 23. 弧形滑槽23内有挡块M。 An arc chute 23 within the stoppers M. 切割刀21有弧形凸块25,切割刀21的远端处有凹槽沈。 Cutter 21 has an arcuate protrusion 25, the distal end of cutter 21 is formed with a recess sink. 推钉滑板13的近端处有第一凸块27。 Staple pushing sled 13 at the proximal end 27 of the first bump. 钉仓壳11的滑板槽17内有挡块观。 Staple cartridge housing 17 within the concept of a stopper groove 11 of the slide plate. 钉仓9在使用前, 当切割刀21的弧形凸块25插在钉仓壳11的镶块22的弧形滑槽23内、切割刀21的凹槽26嵌入推钉滑板13的第一凸块27形成局部枢轴连接时,弧形滑槽23内的挡块M使切割刀21的弧形凸块25被约束在钉仓壳11的镶块22的弧形滑槽23内,钉仓壳11的滑板槽17内的挡块观使推钉滑板13被约束在钉仓壳11的滑板槽17内,从而使切割刀21和推钉滑板13被约束在钉仓壳11内,此时,切割刀21的倾角大于45°,并且使切割刀21的刀刃29位于钉仓壳11的推刀槽18内钉仓9在使用时,当滑杆8从钉仓壳11的近端处向远端处移动时,滑杆8首先推动切割刀21,在切割刀21的弧形凸块25的挤压作用下弧形滑槽23 内的挡块M发生弹性变形后脱离约束,以便切割刀21的弧形凸块25从钉仓壳11的弧形滑槽23内被推出,同时,使切割刀21的凹槽沈绕推钉滑板13的第一凸块27枢轴转动,使切割刀21的刀刃四 9 cartridge before use, when the arcuate projections 25 of the cutter 21 inserted in 23, the recess 26 of cutter 21 is fitted staple pushing sled 13 insert the staple cartridge housing 11 of the first arc chute 22 when the bump 27 is formed partially pivotally connected to, the arcuate chute 23 M in the stopper so that the cutting blade 25 is arcuate projections confined within an arcuate sliding insert the staple cartridge housing 11 22 23 21 staple a stopper within the concept of the 17 slide groove cartridge housing 11 so that the staple pushing the slide plate 13 is constrained within the slide groove staple cartridge housing 11 and 17, so that the cutting blade 21 and the staple pushing sled 13 is restrained within the cartridge housing 11, this when the angle of inclination of the cutting blade 21 is greater than 45 °, the cutting edge 21 and the cutting blade 29 is positioned to push the staple cartridge housing 11 of the sipe 18 of the cartridge 9, in use, when the slider 8 from the proximal end of the staple cartridge housing 11 moved distally, the slide bar 8 is first driven cutter 21, the pressing action of the arcuate projections 25 of the cutter 21 from the constraint of the arc chute 23 M in the stopper is elastically deformed so as to cut knife arcuate projections 21 of the arcuate chute 25 from the staple cartridge housing 11 is pushed out 23, while the recess of the cutter 21 about the staple pushing sled Shen first bump 27 of the pivot 13, the cutting four knives of the cutting edge 21 从钉仓壳11的推刀槽18内伸出,然后,滑杆8推动切割刀21以推动推钉滑板13,使推钉滑板13发生弹性变形后脱离滑板槽17内的挡块观的约束,以便滑杆8推动切割刀21和推钉滑板13从钉仓壳11的近端处向远端处移动。 Projecting from the inner sipe 18 pushing the staple cartridge housing 11, then pushing the slide bar 8 cutter 21 to drive staple pushing sled 13, staple pushing sled 13 so that elastic deformation occurs after the stopper departing from the concept of restraint 17 slide within grooves so that the slide bar 8 and the cutter 21 driven staple pushing sled 13 from the proximal end of the staple cartridge housing 11 moves distally.

[0043] 如图10至图17所示,滑杆8的远端处有第二凸块30。 [0043] Figures 10 to 17, at the distal end of the slide bar 8 has a second bump 30. 当滑杆8从钉仓壳11的远端处向近端处移动时,滑杆8远端处的凸块30先将切割刀21带回钉仓壳11的近端处,然后在切割刀21的弧形凸块25的挤压作用下弧形滑槽23内的挡块M发生弹性变形,以便切割刀21的弧形凸块25进入钉仓壳11的镶块22的弧形滑槽23的深处,使切割刀21的刀刃四位于钉仓壳11的推刀槽18内。 When the slider 8 from the distal end of the staple cartridge housing 11 is moved proximally, the first protrusion 30 at the distal end of the cutting blade 8 slide bar 21 back to the proximal end of the staple cartridge housing 11, and the cutting blade M arc chute stopper 23 is elastically deformed in the pressing action of the arcuate projections 21 of the block 25, so that the cutting blade 25 of arcuate projections 21 insert into the arc chute 11 of the staple cartridge housing 22 23 deep, so that the cutting blade edge 21 is located within the four sipes 11 push the staple cartridge housing 18.

[0044] 如图3至图8、图11和图15所示,钉仓壳11的远端处有弹性卡钩31和侧面凸块32。 [0044] As shown in FIG. 3 to FIG. 8, FIG. 11 and FIG. 15, at the distal end of the staple cartridge housing 11 is provided with elastic hook 31 and the bump 32 side. 执行架7的远端处有侧面凹槽33。 7 is performed with a holder at the distal end side grooves 33. 钉仓壳11远端处的弹性卡钩31与执行架7远端处的底部34组成可装拆的卡扣结构。 Elastic hook 11 at the distal end of the staple cartridge housing 31 at the distal end of the bottom frame 734 composed of performing a detachable locking structure. 当将钉仓9安装到执行架7上时,钉仓壳11远端处的侧面凸块32插入执行架7远端处的侧面凹槽33内,约束钉仓9沿执行架7前后方向的移动,同时,钉仓壳11远端处的弹性卡钩31弹性变形后卡接在执行架7远端处的底部34,约束钉仓9沿执行架7上下方向的移动。 When the cartridge 9 is mounted to the upper bracket performed 7, 11 at the distal end side of the staple cartridge housing projection 32 is inserted into the inner side grooves 33 perform frame 7 at the distal end, cartridge constraint performs frame 9 along the longitudinal direction 7 while moving, the elastic hook 11 at the distal end of the staple cartridge housing 31 snap elastically deformed at the bottom portion 347 performs frame at the distal end constraints 7 moves in the vertical direction along the staple cartridge 9 performs frame. 当将钉仓9从执行架7上拆卸时,钉仓壳11远端处的侧面凸块32从执行架7远端处的侧面凹槽33内被抽出,同时,钉仓壳11远端处的弹性卡钩31弹性变形后脱离执行架7远端处的底部34,使钉仓9脱离执行架7。 When the cartridge side bump 0900 performs frame 7 detached from the cartridge case 11 at the distal end 32 is withdrawn from the recess inner surface 337 at the distal end performs frame, while the distal end of the staple cartridge housing 11 the elastic hook 31 is elastically deformed from the distal end of the bottom portion 347 performs frame, so that the cartridge holder 9 from 7 performed. 如图9所示, 钉仓壳11的底部安装有底罩35。 9, mounted at the bottom of the staple cartridge housing 11 having a bottom cover 35. 底罩35的两侧分别卡接在钉仓壳11的两侧上。 A bottom cover 35 connected to both sides of each card on both sides of the staple cartridge housing 11.

[0045] 如图18至图20所示,本发明的腔镜外科切割吻合器的钉仓壳11的近端处嵌有的另一种镶块22,镶块22内有弧形滑槽23,镶块22的弧形滑槽23内有弹性挡板36,弹性挡板36将镶块22的弧形滑槽23分隔成近端弧形滑槽23-1和远端弧形滑槽23_2。 [0045] As shown in FIG. 18 to FIG., The present invention is the endoscopic surgical cutter stapler 20 at the proximal end of the staple cartridge housing 11 there is fitted a further insert 22, insert 23 has an arcuate chute 22 there arc chute 23 within the insert 22 of the resilient flap 36, the resilient flap 36 to insert the arcuate chute block 22 arc chute 23 is divided into a proximal end and a distal arc chute 23_2 23-1 . 钉仓9在使用前,切割刀21的弧形凸块25插在镶块22的近端弧形滑槽23-1内,使切割刀21的刀刃29位于钉仓壳11的推刀槽18内,镶块22的弧形滑槽23内的弹性挡板36使切割刀21的弧形凸块25被约束在镶块22的近端弧形滑槽23-1内,此时,切割刀21的倾角大于45°。 9 staple cartridge prior to use, the cutting blade 25 of the arcuate projections 21 arc inserted into the proximal end 22 of the chute 23-1 insert, the cutting knife edge 2921 is positioned to push the staple cartridge housing 11, sipes 18 the arcuate chute flap elastic insert 22 within the cutter blade 2336 arcuate projections 25 of the block 21 is constrained to slide within the proximal end of the insert 22 is arcuate 23-1, at this time, the cutting blade 21 is greater than the angle of inclination 45 °. 钉仓9在使用时,滑杆8从钉仓9的近端处向远端处移动,首先推动切割刀21,在切割刀21 的弧形凸块25的挤压作用下弧形滑槽23内的弹性挡板36发生弹性变形,以便切割刀21 的弧形凸块25从镶块22的近端弧形滑槽23-1内被推出,使切割刀21的刀刃四从钉仓壳11的推刀槽18内伸出,然后推动切割刀21在钉仓壳11的推刀槽18内移动,同时弹性挡板36回弹将镶块22的近端弧形滑槽23-1封住。 Cartridge 9, the slide bar 8 from the proximal end of the cartridge 9 moves distally during use, the cutter 21 is first driven, the pressing action of the arcuate projections 25 of the cutter 21 of the arcuate chute 23 the elastic baffle plate 36 is elastically deformed, so that the cutting blade 25 of the arcuate projections 21 from the proximal end of the arcuate chute insert 22 is pushed within 23-1, the cutter blade edge 21 of the housing 11 from the staple cartridge four projecting push sipe 18, push cutter 21 is then moved within the staple cartridge housing 18 to push the sipes 11, the shutter 36 while the elastic resilient insert the proximal end of the arcuate sliding block 22 is sealed 23-1 . 完成切割吻合操作后,滑杆8从钉仓9的远端处向近端处移动,滑杆8远端处的第二凸块30先将切割刀21带回钉仓9的近端处,然后在切割刀21的弧形凸块25的挤压作用下弧形滑槽23内的弹性挡板36发生弹性变形,以便切割刀21的弧形凸块25进入镶块22的远端弧形滑槽23-2内,使切割刀21的刀刃四位于钉仓壳11的推刀槽18内,同时弧形滑槽23内的弹性挡板36回弹将切割刀21的弧形凸块25约束在镶块22的远端弧形滑槽23-2内。 After completion of the cutting stapling operation, the slide bar 8 from the distal end of the staple cartridge 9 is moved to the proximal end of the second protrusion 30 at the distal end of the first cutting blade 8 back to sliders 21 of the cartridge 9 at the proximal end, Flexible baffles in the arcuate chute 2336 and elastically deformed under the pressing action of the arcuate projections 25 of the cutter 21, the cutting blade so that the arcuate projections 21 of the insert 25 into the distal end 22 of the arcuate 23-2 in the chute, the cutter blade edge 21 is located within the four push the staple cartridge housing 11 and sipes 18, while the shutter 36 elastically resilient arc chute 23 within the arcuate projections 25 of the cutting blade 21 constrained within the distal end 22 of the arcuate chute insert 23-2. 当切割刀21的弧形凸块25被约束在镶块22的远端弧形滑槽23-2内时,切割刀21的倾角小于45°。 When the arcuate projections 25 of the cutter 21 is constrained within the distal end of the insert 23-2 arcuate chute 22, cutter 21 is smaller than the angle 45 °.

[0046] 使用过的钉仓9内已无吻合钉14,再次执行切割吻合的腔镜外科手术必将造成手术失败,必须更换成新的带有切割刀的钉仓才可再次使用。 [0046] The used cartridge 14 within the staple 9 is no longer performing endoscopic surgical cutting stapler will again cause operation failure, it must be replaced with a new staple cartridge with the cutting blade before reuse. 由于当切割刀21的弧形凸块25 被约束在钉仓壳11的镶块22的远端弧形滑槽23-2内时,切割刀21的倾角小于45°,因此当使用过的钉仓9仍在执行架7上时,如果腔镜外科切割吻合器1再次执行切割吻合的腔镜外科手术,将滑杆8从钉仓9的近端处向远端处移动,则滑杆8推动切割刀21使切割刀21的弧形凸块25抵压在钉仓壳11的镶块22的远端弧形滑槽23-2上,防止滑杆8进一步从钉仓9的近端处向远端处移动,既可防止使用过的钉仓9被再次使用而造成的手术失败, 又可及时提醒腔镜外科切割吻合器的使用者应该更换成新的钉仓。 When the cutting blade due to the arcuate projections 25 of the block 21 is constrained within the insert 11 of the staple cartridge housing 22 of the distal end of the arcuate chute 23-2, cutter 21 is smaller than angle 45 °, and therefore when used staple 9 is still running when the cartridge holder 7, if an endoscopic surgical cutting stapler performs cutting endoscopic surgical stapling again, the slider 8 moves from the proximal end to the distal end of the staple cartridge 9, the slide bar 8 push cutter blade 21 cutter blade 25 of the arcuate projections 21 pressed against the distal end of the arcuate chute 23-2 insert the staple cartridge housing 11 22, preventing further proximal end of the slider 8 from the staple cartridge 9 moves toward the distal end, surgery can prevent the used cartridge is again used 9 caused the failure, but also to promptly alert the user of the endoscopic surgical cutting stapler should be replaced with a new staple cartridge.

[0047] 与现有的各种腔镜外科切割吻合器相比较,本发明的带有可更换钉仓的腔镜外科切割吻合器可在同一腔镜外科切割吻合器的执行头上仅更换带有新的吻合钉和切割刀的钉仓,即可使用同一把腔镜外科切割吻合器执行多次切割吻合的腔镜外科手术,使得使用时更方便安全、装拆钉仓时更便利,手术费用更低。 [0047] various conventional endoscopic surgical cutting stapler compared stapler with replaceable cutting endoscopic surgical staple cartridge of the present invention may be in the same cutting stapler head only perform endoscopic surgical replacement with more convenient when there are new staples and cutting blade cartridge, you can use the same endoscopic surgical cutting stapler to perform endoscopic surgical cutting stapler several times, making the use of safer, more convenient when the staple cartridge assembly and disassembly, surgery lower costs.

[0048] 这里所述的仅仅是本发明申请的典型的最佳实施形式,可以对上述结构作某些变化也不违背本发明的精神和范围。 [0048] herein are merely exemplary of the preferred embodiment of the present invention disclosure, certain changes may be made in the above constructions do not depart from the spirit and scope of the invention. 本发明不局限或被限止于这里所陈述的具体细节,而应保留对所属领域中等技术人员来说是显而易见的任何改进或改型。 Or limiting, the present invention is not limited to the specific details set forth herein, but should retain any improvements or modifications of ordinary skill in the art medium is obvious.

[0049] 需要补充说明的是:本文中的术语“近端”是指腔镜外科切割吻合器靠近操作者的一端,而术语“远端”是指腔镜外科切割吻合器远离操作者的一端。 [0049] It should be added that: herein the term "proximal" refers to endoscopic surgical cutting stapler near one end of the operator, while the term "distal" refers to endoscopic surgical cutting stapler end remote from the operator .

Claims (10)

1. 一种带有可更换钉仓的腔镜外科切割吻合器,包括吻合器身(5)、执行头O)、连接吻合器身(5)和执行头(2)的延伸管G)、控制执行头(2)动作的操作机构(6),执行头(2) 由执行架(7)、滑杆(8)、钉仓(9)和钉砧(10)组成,钉仓(9)由钉仓壳(11)、推钉块(12)、 推钉滑板(13)和吻合钉(14)组成,钉仓壳(11)内有钉槽(15)、推钉孔(16)、滑板槽(17) 和推刀槽(18),吻合钉(14)安装在所述钉槽(1¾内,所述推钉块(1¾安装在所述推钉孔(16)内,所述推钉滑板(1¾安装在所述滑板槽(17)内,钉仓壳(11)的钉槽(1¾和推钉孔(16)排列在推刀槽(18)的两侧,所述钉砧(10)的端面上有与钉仓(9)内的吻合钉(14)位置对应的吻合钉成形槽(19)和与钉仓壳(11)内的推刀槽(18)位置对应的切割槽(20),其特征在于:钉仓壳(11)的推刀槽(18)内安装有切割刀(21),钉仓壳(11)的近端处有 A staple cartridge having replaceable cutting endoscopic surgical stapler comprising a stapler body (5), end effector O), connected to a stapler body (5) and the end effector (2) of the extension tube G), execution control head (2) the operation of the operating mechanism (6), end effector (2) performed by the frame (7), the slide bar (8), the cartridge (9) and the anvil (10), with a staple cartridge (9) a cartridge housing (11), staple pushing block (12), pushing the staple slide (13) and a staple (14) composition, there are (15), pushing the nail holes (16) of the staple slot within the staple cartridge housing (11), slide groove (17) and the push sipes (18), staple (14) mounted within the staple slots (1¾, the staple pushing block (1¾ mounted on the staple push hole (16), said push staple sled (1¾ mounted in said slide groove (17), the staple cartridge housing (11) of the staple slots (1¾ and push nail holes (16) arranged on both sides of the blade pushing slot (18), said anvil ( 10) an end face of the staple (14) within the cartridge (9) a position corresponding staple forming grooves (19) push the sipes (18) and a staple cartridge housing (11) position corresponding to the cutting groove (20), wherein: the cartridge case (11) is pushed sipes (18) is attached to the cutting blade (21), the staple cartridge housing (11) has a proximal end 弧形滑槽(23),且切割刀上具有弧形凸块(25),所述钉仓(9)在使用前,切割刀的弧形凸块05)插在所述钉仓壳(11)的弧形滑槽03)内,使切割刀的刀刃09)位于所述钉仓壳(11)的推刀槽(18)内;钉仓(9)在使用时,所述滑杆⑶从钉仓(9)的近端处向远端处移动,首先滑杆(8)推动切割刀(21),并将切割刀的弧形凸块05)从钉仓壳(11)的弧形滑槽03)内推出,使切割刀的刀刃09)从钉仓壳(11)的推刀槽(18)内伸出,然后滑杆⑶推动切割刀在钉仓壳(11)的推刀槽(18)内移动,推钉滑板(13) 依靠其斜面推动推钉块(1¾在推钉孔(16)内移动时将吻合钉(14)从钉槽(1¾内推出。 An arc chute (23), and having an arcuate protrusion (25) on the cutting blade, the cartridge (9) prior to use, the arcuate projections 05 of the cutting blade) is inserted in the cartridge housing (11 )) within the arcuate chute 03, the cutter blade edge 09) located in said cartridge housing (11) is pushed sipes (18); cartridge (9), in use, from the slider ⑶ the proximal end of the staple cartridge (9) at the distal end of the movement, the first slide bar (8) pushing the cutting blade (21), the arcuate projections 05 and the cutting knife) from the arcuate staple cartridge housing (11) slide groove 03) introduced inside the edges of the cutting blade 09) extends from within the cartridge casing (11) is pushed sipes (18), and then push the cutting blade to push the slide bar ⑶ sipe in the staple cartridge housing (11) ( mobile) 18, push the staple slide (13) by virtue of its inclined surfaces push the staple pushing block (1¾ pushing the nail holes (16) moves within the staple (14) from the staple slot (within 1¾ Release.
2.根据权利要求1所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:所述钉仓壳(11)近端处的弧形滑槽03)位于钉仓壳(11)近端处的两侧,所述切割刀的弧形凸块05)位于切割刀的两侧。 According to claim replaceable staple cartridge with endoscopic surgical cutting stapler, characterized in that said 1: the cartridge case (11) at the proximal end of the arcuate chute 03) located in the staple cartridge housing ( 11) on both sides at the proximal end, said arcuate cutting blade protrusion 05) located on both sides of the cutting blade.
3.根据权利要求2所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:所述钉仓壳(11)的弧形滑槽03)内有弹性挡块04);弹性挡块04)使切割刀的弧形凸块0¾被约束在钉仓壳(11)的弧形滑槽内。 According to claim 2 with the replaceable staple cartridge endoscopic surgical cutting stapler, wherein: the cartridge case (11) of the arc chute 03) within the elastic stopper 04); the resilient stopper 04) so ​​that the cutting blade is arcuate bumps 0¾ arcuate chute is constrained within the cartridge housing (11).
4.根据权利要求1所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:所述切割刀的远端处有凹槽(沈),所述推钉滑板(13)的近端处有第一凸块(27),所述切割刀的凹槽06)嵌入所述推钉滑板(1¾的第一凸块(XT)形成局部枢轴连接。 According to claim 1 having a replaceable staple cartridge endoscopic surgical cutting stapler, wherein: the distal end of said cutting blade with a recess (sink), the staple pushing slide (13) the proximal end of the first projection (27), said cutting blade groove 06) embedded in the staple pushing sled (1¾ a first bump (XT) formed partially pivotal connection.
5.根据权利要求1所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:所述钉仓壳(11)的近端处嵌有镶块(22),弧形滑槽位于镶块0¾内。 According to claim 1 having a replaceable staple cartridge endoscopic surgical cutting stapler, wherein: the cartridge case (11) embedded at the proximal end of the insert (22), arc-shaped slide located within the insert groove block 0¾.
6.根据权利要求1或3或4所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:所述滑杆(8)的远端处有第二凸块(30),当滑杆(8)从所述钉仓壳(11)的远端处向近端处移动时,第二凸块(30)将所述切割刀带回钉仓壳(11)的近端处。 The cutter stapler with replaceable staple cartridge endoscopic surgical 1 or 3 or claim 4, wherein: the slide bar (8) at the distal end of the second bump (30) a proximal end, when the slide bar (8) moves at a distal end to the proximal end of the cartridge from the housing (11), the second bump (30) back to the cutting blade cartridge housing (11) place.
7.根据权利要求5所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:弧形滑槽内有弹性挡板(36),所述弹性挡板(36)将弧形滑槽分隔成近端弧形滑槽(23-1)和远端弧形滑槽03-¾ ;所述钉仓在使用前,所述切割刀的弧形凸块05)分别插在镶块0¾的近端弧形滑槽03-1)内,使切割刀的刀刃09)位于所述钉仓壳(11)的推刀槽(18)内,镶块02)的弧形滑槽03)内的弹性挡板(36)使切割刀的弧形凸块0¾被约束在镶块0¾的近端弧形滑槽03-1)内;钉仓(9)在使用时,所述滑杆(8)从钉仓(9)的近端处向远端处移动,首先推动切割刀(21),在切割刀的弧形凸块(25)的挤压作用下弧形滑槽03)内的弹性挡板(36)发生弹性变形,以便切割刀的弧形凸块05)从镶块02)的近端弧形滑槽03-1)内被推出,使切割刀的刀刃09)从钉仓壳(11)的推刀槽(18)内伸出,然后滑杆⑶推动切割刀在钉仓壳(11)的 According to claim 5, wherein the staple cartridge with replaceable cutting endoscopic surgical stapler, comprising: a resilient flap (36), said resilient flap (36) within the arcuate arc chute a proximal end formed into an arc chute chute partition (23-1) and a distal arcuate chutes 03-¾; the cartridge prior to use, the cutting blade arcuate projections 05) are inserted in the insert the proximal end of the arcuate sliding block 0¾) of 03-1, that the edges of the cutting blade 09) located in said cartridge housing (11) is pushed sipes (18), the insert 02) of the arcuate chute 03 an elastic flap (36)) of the cutting blade within the arcuate projections are constrained 0¾) insert the proximal end of the arcuate chute 0¾ 03-1; cartridge (9) in use, said slider (8) at the proximal end of the cartridge (9) is moved distally, the first push cutter blade (21), the arc chute under the pressing action of the curved projection (25) of the cutting blade 03) within resilient flap (36) is elastically deformed, so that the cutting blade is pushed inside the arcuate projections 05) from the proximal end of the arcuate chute insert 02) 03-1) the edges of the cutting blade 09) from the staple projecting the cartridge housing (11) is pushed sipes (18), and then push the cutting blade slider ⑶ staple cartridge housing (11) 刀槽(18)内移动,同时弹性挡板(36)回弹将镶块0¾的近端弧形滑槽03-1)封住;当滑杆⑶从钉仓(9)的远端处向近端处移动时,滑杆⑶先将切割刀带回钉仓(9)的近端处,然后在切割刀的弧形凸块05)的挤压作用下弧形滑槽03)内的弹性挡板(36)发生弹性变形,以便切割刀的弧形凸块05)进入镶块的远端弧形滑槽03-2)内,使切割刀的刀刃09)位于钉仓壳(11)的推刀槽(18)内,同时弧形滑槽03)内的弹性挡板(36)回弹将切割刀的弧形凸块05)约束在镶块02)的远端弧形滑槽03-2)内。 Moving the sipes (18), while the elastic baffle (36) inserts the proximal end of the resilient piece arcuate chute 0¾ 03-1) sealed; ⑶ slide bar when the distal end of the staple cartridge (9) at the moving the proximal end, the first cutting blade back to sliders ⑶ cartridge (9) at the proximal end, and an arcuate cutting blade in the bumps 05) of the elastic pressing action in the arc chute 03) baffle (36) is elastically deformed, so that the cutting blade arcuate projections 05) enters) the 03-2 insert the distal end of the chute is arcuate, so that the edges of the cutting blade 09) located at the staple cartridge housing (11) push the sipes (18), while the arcuate projections 05 arc chute resilient flap (36) 03) the resilient cutting blade) constrained insert 02) distal arcuate chute 03- 2).
8.根据权利要求7所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:当所述切割刀的弧形凸块05)被约束在所述钉仓壳(11)的远端弧形滑槽03-2)内时, 切割刀的倾角小于45°。 According to claim endoscopic surgical staple cartridge with replaceable cutting stapler of claim 7, wherein: when said cutting blade is arcuate projections 05) are constrained in the cartridge case (11) time) within the distal end of the arcuate chute 03-2, the cutting blade angle is less than 45 °.
9.根据权利要求1所述的带有可更换钉仓的腔镜外科切割吻合器,其特征在于:所述钉仓壳(11)的远端处有弹性卡钩(31)和侧面凸块(32),所述执行架(7)的远端处有侧面凹槽(33),所述钉仓壳(11)远端处的弹性卡钩(31)与所述执行架(7)远端处的底部组成可装拆的卡扣结构;当将钉仓(9)安装到执行架(7)上时,钉仓壳(11)远端处的侧面凸块(32)插入执行架(7)远端处的侧面凹槽(3¾内,约束钉仓沿执行架(7)前后方向的移动, 钉仓壳(11)远端处的弹性卡钩(31)弹性变形后卡接在执行架(7)远端处的底部,约束钉仓沿执行架(7)上下方向的移动;当将钉仓(9)从执行架(7)上拆卸时,钉仓壳(11)远端处的侧面凸块(3¾从执行架(7)远端处的侧面凹槽(3¾内被抽出,钉仓壳(11)远端处的弹性卡钩(31)弹性变形后脱离执行架(7)远端处的底部,使钉仓(8)脱离执 According to claim 1 with the replaceable staple cartridge endoscopic surgical cutting stapler, wherein: the distal end of the cartridge housing (11) has a resilient hook (31) and the side projections (32), performing the frame (7) at the distal end side has a recess (33), the cartridge housing (11) an elastic hook (31) at the distal end of the actuator frame (7) away composition at the bottom end of a detachable locking structure; when the cartridge (9) is mounted to execute bracket (7) on the staple cartridge housing (11) at the distal end side projection (32) into the carrier execution ( 7) at the distal end side grooves (within 3¾, staple cartridge constraint in the implementation of frame (7) after the moving back and forth direction, the staple cartridge housing (11) an elastic hook (31) at the distal end of the elastically deformable snap performed the bottom bracket at the distal end (7), the staple cartridge constraint performs carriage moving direction (7) in the vertical direction; and when the cartridge (9) detached from the actuator frame (7), the staple cartridge housing (11) at the distal end the side projections (3¾ performed from frame (7) at the distal end side grooves (to be drawn within 3¾, the staple cartridge housing (11) an elastic hook (31) at the distal end of the elastic deformation performed after departing frame (7) at the bottom of the distal end of the cartridge (8) performed from 行架(7)。 Walking frame (7).
10.根据权利要求1所述的带有可更换钉仓的腔镜外科切割吻合器,其特征是:所述钉仓壳(11)的底部安装有底罩(35),所述底罩(35)的两侧分别卡接在钉仓壳(11)的两侧上。 With replaceable staple cartridge endoscopic surgical cutting stapler, wherein according to claim 1: mounting a bottom of the cartridge housing (11) having a bottom cover (35), said bottom cover ( 35) on both sides on both sides of each snap staple cartridge housing (11).
CN2010102936709A 2010-09-28 2010-09-28 Cavity mirror surgical incision anastomat with replaceable nail bin CN101966093B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3058882A1 (en) * 2015-02-19 2016-08-24 Covidien LP Circular knife blade for linear staplers
CN104605908B (en) * 2015-02-15 2016-08-24 江苏孜航精密五金有限公司 Knife cutting assembly for a steering mechanism of a surgical stapler

Families Citing this family (64)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7464847B2 (en) 2005-06-03 2008-12-16 Tyco Healthcare Group Lp Surgical stapler with timer and feedback display
US9055943B2 (en) 2007-09-21 2015-06-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US9023014B2 (en) 2007-09-21 2015-05-05 Covidien Lp Quick connect assembly for use between surgical handle assembly and surgical accessories
US8968276B2 (en) 2007-09-21 2015-03-03 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10041822B2 (en) 2007-10-05 2018-08-07 Covidien Lp Methods to shorten calibration times for powered devices
US10105140B2 (en) 2009-11-20 2018-10-23 Covidien Lp Surgical console and hand-held surgical device
US8517241B2 (en) 2010-04-16 2013-08-27 Covidien Lp Hand-held surgical devices
US8292150B2 (en) 2010-11-02 2012-10-23 Tyco Healthcare Group Lp Adapter for powered surgical devices
US9089326B2 (en) * 2011-10-07 2015-07-28 Ethicon Endo-Surgery, Inc. Dual staple cartridge for surgical stapler
US8657177B2 (en) * 2011-10-25 2014-02-25 Covidien Lp Surgical apparatus and method for endoscopic surgery
US9492146B2 (en) 2011-10-25 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9480492B2 (en) 2011-10-25 2016-11-01 Covidien Lp Apparatus for endoscopic procedures
US8672206B2 (en) 2011-10-25 2014-03-18 Covidien Lp Apparatus for endoscopic procedures
JP6210994B2 (en) 2011-10-26 2017-10-11 インテュイティブ サージカル オペレーションズ, インコーポレイテッド Surgical instrument having an integral knife blade
JP6230541B2 (en) * 2011-11-15 2017-11-15 インテュイティブ サージカル オペレーションズ, インコーポレイテッド Surgical instrument with a knife blade to put it away
US9597104B2 (en) 2012-06-01 2017-03-21 Covidien Lp Handheld surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical end effectors, and methods of use
US10080563B2 (en) 2012-06-01 2018-09-25 Covidien Lp Loading unit detection assembly and surgical device for use therewith
US9868198B2 (en) 2012-06-01 2018-01-16 Covidien Lp Hand held surgical handle assembly, surgical adapters for use between surgical handle assembly and surgical loading units, and methods of use
US9364220B2 (en) 2012-06-19 2016-06-14 Covidien Lp Apparatus for endoscopic procedures
US10022123B2 (en) 2012-07-09 2018-07-17 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US9839480B2 (en) 2012-07-09 2017-12-12 Covidien Lp Surgical adapter assemblies for use between surgical handle assembly and surgical end effectors
US9402604B2 (en) 2012-07-20 2016-08-02 Covidien Lp Apparatus for endoscopic procedures
US9421014B2 (en) 2012-10-18 2016-08-23 Covidien Lp Loading unit velocity and position feedback
CN104902826B (en) 2012-12-31 2017-10-27 直观外科手术操作公司 Knife gap with increased surgical staple cartridge
US9782187B2 (en) 2013-01-18 2017-10-10 Covidien Lp Adapter load button lockout
US9216013B2 (en) 2013-02-18 2015-12-22 Covidien Lp Apparatus for endoscopic procedures
US9421003B2 (en) 2013-02-18 2016-08-23 Covidien Lp Apparatus for endoscopic procedures
US9492189B2 (en) 2013-03-13 2016-11-15 Covidien Lp Apparatus for endoscopic procedures
US9700318B2 (en) 2013-04-09 2017-07-11 Covidien Lp Apparatus for endoscopic procedures
US9775610B2 (en) 2013-04-09 2017-10-03 Covidien Lp Apparatus for endoscopic procedures
US9801646B2 (en) 2013-05-30 2017-10-31 Covidien Lp Adapter load button decoupled from loading unit sensor
US9797486B2 (en) 2013-06-20 2017-10-24 Covidien Lp Adapter direct drive with manual retraction, lockout and connection mechanisms
US9955966B2 (en) 2013-09-17 2018-05-01 Covidien Lp Adapter direct drive with manual retraction, lockout, and connection mechanisms for improper use prevention
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US9295522B2 (en) 2013-11-08 2016-03-29 Covidien Lp Medical device adapter with wrist mechanism
US10236616B2 (en) 2013-12-04 2019-03-19 Covidien Lp Adapter assembly for interconnecting surgical devices and surgical attachments, and surgical systems thereof
US20150157321A1 (en) 2013-12-09 2015-06-11 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
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US9808245B2 (en) 2013-12-13 2017-11-07 Covidien Lp Coupling assembly for interconnecting an adapter assembly and a surgical device, and surgical systems thereof
EP3090689A4 (en) * 2013-12-31 2017-08-30 Suzhou Touchstone International Medical Science Co., Ltd. Linear suturing and cutting device
CN103690213B (en) * 2013-12-31 2015-09-09 上海创亿医疗器械技术有限公司 Self-loading staple having a function of a surgical linear stapler
US9700312B2 (en) 2014-01-28 2017-07-11 Covidien Lp Surgical apparatus
US10226305B2 (en) 2014-02-12 2019-03-12 Covidien Lp Surgical end effectors and pulley assemblies thereof
US9301691B2 (en) 2014-02-21 2016-04-05 Covidien Lp Instrument for optically detecting tissue attributes
US10164466B2 (en) 2014-04-17 2018-12-25 Covidien Lp Non-contact surgical adapter electrical interface
US10080552B2 (en) 2014-04-21 2018-09-25 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US9987095B2 (en) 2014-06-26 2018-06-05 Covidien Lp Adapter assemblies for interconnecting electromechanical handle assemblies and surgical loading units
US9839425B2 (en) 2014-06-26 2017-12-12 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
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US9763661B2 (en) 2014-06-26 2017-09-19 Covidien Lp Adapter assembly for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10226254B2 (en) 2014-10-21 2019-03-12 Covidien Lp Adapter, extension, and connector assemblies for surgical devices
US10085750B2 (en) 2014-10-22 2018-10-02 Covidien Lp Adapter with fire rod J-hook lockout
US9949737B2 (en) 2014-10-22 2018-04-24 Covidien Lp Adapter assemblies for interconnecting surgical loading units and handle assemblies
CN104434250B (en) * 2014-12-30 2017-01-18 苏州天臣国际医疗科技有限公司 The staple cartridge assembly and use of the cartridge assembly of the medical stapler
CN104586453B (en) * 2015-02-15 2017-02-01 江苏孜航精密五金有限公司 For a surgical stapler apparatus of an interchangeable cartridge
US10111665B2 (en) 2015-02-19 2018-10-30 Covidien Lp Electromechanical surgical systems
US10190888B2 (en) 2015-03-11 2019-01-29 Covidien Lp Surgical stapling instruments with linear position assembly
US10226239B2 (en) 2015-04-10 2019-03-12 Covidien Lp Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof
US10143474B2 (en) * 2015-05-08 2018-12-04 Just Right Surgical, Llc Surgical stapler
CN106308873B (en) * 2015-06-18 2019-01-22 北京派尔特医疗科技股份有限公司 A kind of titanium clamp pincers
US10253847B2 (en) 2015-12-22 2019-04-09 Covidien Lp Electromechanical surgical devices with single motor drives and adapter assemblies therfor
CN106108968B (en) * 2016-08-31 2018-11-20 苏州天臣国际医疗科技有限公司 Tissue closure device and medical equipment

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101133972A (en) 2006-01-31 2008-03-05 伊西康内外科公司 Electronic lockouts and surgical instrument including same
CN101224124A (en) 2007-01-11 2008-07-23 伊西康内外科公司 Surgical stapling device having supports for a flexible drive mechanism
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

Family Cites Families (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7448525B2 (en) * 2006-08-02 2008-11-11 Ethicon Endo-Surgery, Inc. Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus
US7753246B2 (en) * 2007-01-31 2010-07-13 Tyco Healthcare Group Lp Surgical instrument with replaceable loading unit
US7731072B2 (en) * 2007-06-18 2010-06-08 Ethicon Endo-Surgery, Inc. Surgical stapling and cutting instrument with improved anvil opening features
US20090090763A1 (en) * 2007-10-05 2009-04-09 Tyco Healthcare Group Lp Powered surgical stapling device
US7819298B2 (en) * 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8636736B2 (en) * 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
CN201227304Y (en) * 2008-06-20 2009-04-29 华外医疗器械(上海)有限公司 Effective forming-force conduction and step type cutting and stitching device
CN101779977B (en) * 2010-02-25 2011-12-14 上海创亿医疗器械技术有限公司 Linear cutter surgical stapler the staple cartridge

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101133972A (en) 2006-01-31 2008-03-05 伊西康内外科公司 Electronic lockouts and surgical instrument including same
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
CN101224124A (en) 2007-01-11 2008-07-23 伊西康内外科公司 Surgical stapling device having supports for a flexible drive mechanism

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104605908B (en) * 2015-02-15 2016-08-24 江苏孜航精密五金有限公司 Knife cutting assembly for a steering mechanism of a surgical stapler
EP3058882A1 (en) * 2015-02-19 2016-08-24 Covidien LP Circular knife blade for linear staplers

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