CN102488540B - High-intensity absorbable stitching nail and nail bin component - Google Patents

High-intensity absorbable stitching nail and nail bin component Download PDF

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Publication number
CN102488540B
CN102488540B CN2011104246473A CN201110424647A CN102488540B CN 102488540 B CN102488540 B CN 102488540B CN 2011104246473 A CN2011104246473 A CN 2011104246473A CN 201110424647 A CN201110424647 A CN 201110424647A CN 102488540 B CN102488540 B CN 102488540B
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nail
suturing
securing member
rivet nut
nail bin
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CN102488540A (en
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李学军
刘青
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BJ ZHF Panther Medical Equipment Co Ltd
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BJ ZHF Panther Medical Equipment Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • A61B17/0643Surgical staples, i.e. penetrating the tissue with separate closing member, e.g. for interlocking with staple
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a high-intensity absorbable stitching nail and a nail bin component thereof. The stitching nail comprises a nail body and a fastener, wherein the nail body comprises a base, more than two nail main bodies fixed on the same base, and mounting holes which are arranged axially on each nail main body and penetrate through the nail body; the fastener is provided with clamping holes the number and positions of which are corresponding to those of the nail main bodies, and is clamped on the top of the nail body through the clamping holes; the nail bin component comprises a nail pushing block, a nail propping base, a nail bin and a stitching nail; the nail pushing block comprises a body and a reinforcing pin, and the reinforcing pin is inserted into the mounting hole of the nail body of the stitching nail; the nail pushing block can be installed in the nail bin in a manner of sliding up and down; and the fastener of the stitching pin is installed on the nail propping base. According to the invention, the nail main bodies are designed to be of hollow structures, and the metal reinforcing pin is fixed on the nail pushing block so as to solve the problem of low intensity of the absorbable stitching nail in use; textures can be stitched smoothly in the using process; and the high-intensity absorbable stitching nail is especially suitable for penetrating through thick textures, and can be flexibly applied to various staplers or stitching devices.

Description

High strength can absorb suturing nail and nail bin groupware thereof
Technical field
The present invention relates to a kind of surgical operation medical apparatus and instruments, the high strength that particularly relates to a kind of anastomat or stiching instrument can absorb suturing nail and nail bin groupware thereof.
Background technology
In surgical operation, through anastomat commonly used or stiching instrument, sew up tissue, during use, by pushing device, make pushing slice of nail in the process moved forward, the suturing nail in nail bin is released to the nail bin inner chamber, thereby will need the tissue stitching of sewing up to be connected.
The suturing nail used at present is mainly the nail class of the metal materials such as titanium nail, stainless pin, and after the stitching that completes tissue, suturing nail retains in vivo, non-degradable or absorbed by human body, so that the easy corresponding sequela of generation after operation.
In recent years, research and develop gradually a class and can absorb suturing nail, Chinese patent 200410045451.3 provides a kind of degradability medical tissue stitch, it is divided into degradable stitching female buckle and degradable stitching male buckle by the degradability stitch, during use, adopt the column fastener through after tissue with seat part with holes fastenings of pegging graft, the stitching that realization is organized.This patent has been described the basic fastening principle of this stitch, but do not relate to installation concrete on anastomat or stiching instrument and application structure, also find in actual use simultaneously, material and structural limitations due to this degradability stitch, this stitch insufficient strength, can not pass smoothly tissue, stitch also is difficult to be installed on existing anastomat or stiching instrument commonly used, therefore still has in actual applications very large defect.
As can be seen here, above-mentioned existing stitch, in structure and use, obviously still has inconvenience and defect, and urgently is further improved.How to found a kind of intensity higher, can complete smoothly tissue apposition operation, but and flexible Application can absorb suturing nail and nail bin groupware thereof to the new high strength on various anastomats or stiching instrument, belong to the current industry utmost point and need improved target in fact.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of high strength can absorb suturing nail, makes its intensity higher, can complete smoothly the tissue apposition operation, thereby overcomes the deficiency of existing stitch.
For solving the problems of the technologies described above, a kind of high strength of the present invention can absorb suturing nail, comprise that employing can absorb rivet nut and the securing member of material, described rivet nut comprises base and is fixed on follows closely body more than two on same base, and along the axis direction of each nail body, the installing hole that connects rivet nut is set; Described securing member is provided with the hole clipping corresponding with following closely body quantity, position, and by this hole clipping and the clamping of rivet nut top.
As a modification of the present invention, described nail is as cylinder or conical structure, and it is conical that its ailhead is, and conical bottom surface slightly larger in diameter forms card convex in the diameter of nail body and securing member hole clipping.
Described suturing nail is U-shaped nail, is fixed with two nail bodies on same base.
Described nail is provided with upper and lower two card convexs with it, forms clamping with the above and below of securing member respectively.
The present invention also provides nail bin groupware, makes it comprise that above-mentioned high strength can absorb suturing nail, but and flexible Application on various anastomats or stiching instrument, thereby overcome the deficiency of existing stitch.
For solving the problems of the technologies described above, a kind of nail bin groupware of the present invention, comprise that ejector pin piece, nail supporting base, nail bin and above-mentioned high strength can absorb suturing nail, wherein: the ejector pin piece comprises body and be fixed on the booster injection on body, and described booster injection inserts in the installing hole of described suturing nail rivet nut; The ejector pin piece that is fixed with the suturing nail rivet nut can slide up and down and is arranged in nail bin; The securing member of described suturing nail is arranged on nail supporting base.
As further improvement, on described nail supporting base, flexible fastening has cylindrical bump, and the setting position of projection is corresponding with the position of securing member hole clipping, and diameter is equal to or slightly less than the hole clipping internal diameter of securing member.
Described nail supporting base is provided with circular trough, and described projection is fixed in circular trough by four elastic supporting beams.
Two row's ejector pin piece and suturing nails are installed in described nail bin, and two row's suturing nails are staggered.
Described suturing nail rivet nut base, securing member and ejector pin are block-shaped identical or corresponding, adopt rectangle or crescent with chamfering.
Described booster injection is metal material, and its length is slightly larger than the length of suturing nail rivet nut installing hole.
After adopting such design, the present invention will follow closely body and be designed to hollow-core construction, and on the ejector pin piece fixing metal booster injection, the low problem of intensity when to solve, can absorb suturing nail and use, in use suture tissue smoothly, be particularly useful for penetrating thick large tissue, simultaneously according to absorbing the custom-designed nail bin groupware of suturing nail, be convenient to its installation before use fix and sewed up after exit, but and flexible Application on various anastomats or stiching instrument, be suitable for promoting the use of.
The accompanying drawing explanation
Above-mentioned is only the general introduction of technical solution of the present invention, and in order to better understand technological means of the present invention, below in conjunction with accompanying drawing and the specific embodiment, the present invention is described in further detail.
Fig. 1 is the structural representation that high strength of the present invention can absorb suturing nail.
Fig. 2 is the cross-sectional view of Fig. 1.
Fig. 3 is the rivet nut structural representation that high strength of the present invention can absorb suturing nail.
Fig. 4 is the fastener constructions schematic diagram that high strength of the present invention can absorb suturing nail.
Fig. 5 is the double card male structure schematic diagram of the high strength of the present invention rivet nut that can absorb suturing nail.
Fig. 6 is the crescent structural representation that high strength of the present invention can absorb suturing nail.
Fig. 7 is the combinative structure schematic diagram of Fig. 6.
Fig. 8 is the ejector pin block structure schematic diagram of nail bin groupware of the present invention.
Fig. 9 is the integral type ejector pin block structure schematic diagram of nail bin groupware of the present invention.
Figure 10 is the structural representation that Fig. 9 ejector pin piece is combined with the suturing nail rivet nut.
Figure 11 is the structural representation of the piece of ejector pin shown in Figure 10, suturing nail rivet nut and nail bin combination.
Figure 12 is the nail supporting base structural representation of nail bin groupware of the present invention.
Figure 13 is the local structure for amplifying schematic diagram at I place in Figure 12.
Figure 14 is the structural representation that nail supporting base shown in Figure 13 is combined with the suturing nail securing member.
Figure 15 is the line cutting stitching instrument structural representation of assembly shown in application Figure 11, Figure 14.
Figure 16 is the crescent ejector pin block structure schematic diagram of nail bin groupware.
Figure 17 is the structural representation that the piece of ejector pin shown in Figure 16 is combined with the suturing nail rivet nut.
Figure 18 is the structural representation of the piece of ejector pin shown in Figure 17, suturing nail and nail bin combination.
Figure 19 is the nail supporting base structural representation corresponding with Figure 18.
Figure 20 is the combination schematic diagram of structure shown in Figure 18,19.
Figure 21 is the circular stapler structural representation of assembly shown in application Figure 18,19.
The specific embodiment
Refer to shown in Fig. 1-7, invention high strength can absorb suturing nail, comprises that employing can absorb rivet nut 1 and the securing member 2 of material.Wherein, rivet nut 1 comprises base 11 and is fixed on the nail body 12 more than two on same base 11, and along the axis direction of each nail body 12, the installing hole 13 that connects rivet nut is set.Securing member 2 is provided with the hole clipping 21 corresponding with following closely body 12 quantity, position, and by this hole clipping 21 and rivet nut 1 top clamping.
Preferably, nail body 12 can adopt column structure as shown in the figure, also can adopt conical structure to penetrate being more conducive to.The ailhead of rivet nut 1 be take taper shape as best, and conical bottom surface slightly larger in diameter is in the diameter of nail body 12 and securing member hole clipping 21, thereby forms card convex 14.In addition, as shown in Figure 5,14, two card convexs 14 of a card convex can be set more below ailhead card convex 14 again and form clamping with the above and below of securing member 2 respectively, syndeton is more firm, stable.
In order to adapt to the requirement reached applicable to various anastomats flexible for installation, the preferred U-shaped pin structure of this utility model suturing nail, be fixed with two nail bodies 12 on same base 11, securing member 2 can adopt the slab construction with two circular holes, the shape of nail body base 11 and securing member 2 is with identical or correspond to suitable, usually can adopt the rectangle with chamfering as Figure 1-5 with for Linear cutting suturing device, also can adopt crescent as shown in Figure 6,7 to be applicable to tube type anastomat.
Refer to shown in Fig. 8-21, nail bin groupware of the present invention comprises that ejector pin piece 3, nail supporting base 4, nail bin 5 and high strength of the present invention can absorb suturing nail.
Wherein, ejector pin piece 3 comprises body 31 and is fixed on the booster injection 32 on body, and the setting position of booster injection 32 is corresponding with suturing nail rivet nut 1 position and insert in the installing hole 13 of rivet nut.Ejector pin piece 3, with suturing nail rivet nut base 11 and securing member 2 shapes are identical or corresponding being advisable, for example adopts the rectangle with chamfering as shown in Fig. 8-11, or adopts the crescent as shown in Figure 16-18.In addition, ejector pin piece 3 both can be made as single structure as shown in Figure 8, also can be made as the integrative-structure as shown in Fig. 9, Figure 11.Booster injection 32 adopts metal material usually, and its length is slightly larger than the length of suturing nail rivet nut installing hole 13.Because nail body 11 is hollow-core construction, the end of metal booster injection 32 stretches out the suturing nail ailhead, when suture tissue, and the effect of can play strength-enhanced, passing smoothly tissue.
The ejector pin piece 3 that is fixed with suturing nail rivet nut 1 can slide up and down and is arranged in nail bin 5.Below nail bin 5 installing holes, be for example a cavity structure, be used for installing ejector pin piece 3, the inner surface structure of nail bin 5 cavitys and the surface texture of ejector pin piece 3 match, and enable to slide up and down in nail bin 5.
The securing member 2 of suturing nail is arranged on nail supporting base 4.As shown in Figure 12-14, cylindrical bump 41 can be set on nail supporting base 4, this projection 41 and nail supporting base 4 flexible fastenings, its setting position is corresponding with the position of securing member hole clipping 21, and diameter is equal to or slightly less than the internal diameter of securing member hole clipping 21.In addition, also can on nail supporting base 4 upper protruding block 41 correspondence positions, circular trough 42 be set, projection 41 is fixed in circular trough 42 by four elastic supporting beams 43 structural elasticities as shown in figure 13.
High strength of the present invention can absorb suturing nail and nail bin groupware thereof, both can be applicable to the Linear cutting suturing device shown in Figure 15, also can be applicable to the tube type anastomat shown in Figure 21, so that being installed in nail bin, two row's ejector pin pieces and suturing nail be advisable, and two row's suturing nails are staggered, and the projection on nail supporting base also respective quadrature replaces spread configuration.
During installation, at first by suturing nail, follow closely body installing hole 13, suturing nail rivet nut 1 is inserted on the booster injection 32 of ejector pin piece 3, be fixed, then whole fixed structure is arranged in nail bin 5, then securing member 2 is arranged on nail supporting base 4, and fix by hole clipping 21 buckles of projection 41 and securing member 2.
During suture tissue, ejector pin piece 3 is tried hard to recommend outside under moving and is moved up with nail bin groupware, and suturing nail rivet nut 1 is slided forward together under the drive of ejector pin piece, and skids off nail bin 5, and nail body 11 is through tissue.The conical ailhead of simultaneously following closely body 11 arrives in the hole clipping 21 of securing member 2, and under the effect of thrust, ailhead acts on the cylindrical bump 41 that is positioned at hole clipping 21, makes securing member 2 break away from projection 41 and nail supporting base 4.When conical ailhead passes completely through securing member 2, form interference fit, connect and fix, rivet nut 1 and securing member 2 tight closure form " mouth " word structure.After stitching completes, apparatus resets, and metal booster injection 32 exits suturing nail nail body installing hole 13 with ejector pin piece 3, and turns back in nail bin 5, and suturing nail breaks away from apparatus with tissue, remains in human body.
The above; it is only preferred embodiment of the present invention; not the present invention is done to any pro forma restriction, those skilled in the art utilize the technology contents of above-mentioned announcement to make a little simple modification, equivalent variations or modification, all drop in protection scope of the present invention.

Claims (8)

1. a nail bin groupware, is characterized in that comprising that ejector pin piece, nail supporting base, nail bin and high strength can absorb suturing nail, wherein:
High strength can absorb suturing nail and comprise that employing can absorb rivet nut and the securing member of material,
Described rivet nut comprises base and is fixed on follows closely body more than two on same base, and along the axis direction of each nail body, the installing hole that connects rivet nut is set,
Described securing member is provided with the hole clipping corresponding with following closely body quantity, position, and by this hole clipping and the clamping of rivet nut top;
The ejector pin piece comprises body and be fixed on the booster injection on body, and described booster injection inserts in the installing hole of described suturing nail rivet nut;
The ejector pin piece that is fixed with the suturing nail rivet nut can slide up and down and is arranged in nail bin;
The securing member of described suturing nail is arranged on nail supporting base;
On nail supporting base, flexible fastening has cylindrical bump, and the setting position of projection is corresponding with the position of securing member hole clipping, and diameter is equal to or slightly less than the hole clipping internal diameter of securing member.
2. nail bin groupware according to claim 1, is characterized in that described nail supporting base is provided with circular trough, and described projection is fixed in circular trough by four elastic supporting beams.
3. nail bin groupware according to claim 1, is characterized in that in described nail bin two row's ejector pin piece and suturing nails are installed, and two row's suturing nails are staggered.
4. nail bin groupware according to claim 1, is characterized in that described suturing nail rivet nut base, securing member and ejector pin are block-shaped identical or corresponding, adopts rectangle or crescent with chamfering.
5. nail bin groupware according to claim 1, is characterized in that described booster injection is metal material, and its length is slightly larger than the length of suturing nail rivet nut installing hole.
6. nail bin groupware according to claim 1, is characterized in that described nail is as cylinder or conical structure, and it is conical that its ailhead is, and conical bottom surface slightly larger in diameter forms card convex in the diameter of nail body and securing member hole clipping.
7. nail bin groupware according to claim 1, is characterized in that described suturing nail is U-shaped nail, is fixed with two nail bodies on same base.
8. nail bin groupware according to claim 1, is characterized in that described nail is provided with upper and lower two card convexs with it, forms clamping with the above and below of securing member respectively.
CN2011104246473A 2011-12-16 2011-12-16 High-intensity absorbable stitching nail and nail bin component Active CN102488540B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
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WO2023052897A1 (en) * 2021-09-29 2023-04-06 Covidien Lp Surgical fastening instrument with two-part surgical fasteners

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CN102824201B (en) * 2012-09-17 2014-12-03 北京中法派尔特医疗设备有限公司 Circular purse-string forceps capable of automatically sewing in purse way
CN103126737B (en) * 2013-03-22 2015-12-02 常州华森医疗器械有限公司 Split type absorbable biological nail band pin anorectal, gastrointestinal anastomosis device
CN103126738B (en) * 2013-03-22 2015-07-15 常州华森医疗器械有限公司 With-needle anorectum stomach-intestine anastomat with movable head capable of absorbing biological nails
CN103230289B (en) * 2013-05-10 2014-04-02 杭州铭众生物科技有限公司 Gastrointestinal tract anastomat and application method thereof
CN113648009A (en) * 2021-09-02 2021-11-16 常州威克医疗器械有限公司 Suturing nail, nail bin assembly and anastomat
CN115474979A (en) * 2022-10-20 2022-12-16 大瓷生物医疗科技(江苏)有限公司 Nail plate type anastomosis structure

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CN102204835A (en) * 2010-06-24 2011-10-05 北京中法派尔特医疗设备有限公司 Nail cartridge and stapler adopting same
CN202365838U (en) * 2011-12-14 2012-08-08 北京中法派尔特医疗设备有限公司 Absorbable suturing nail and suturing instrument applying same
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