CN103169520A - Surgical cutting suture instrument provided with stroke indication device - Google Patents

Surgical cutting suture instrument provided with stroke indication device Download PDF

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Publication number
CN103169520A
CN103169520A CN2013100890795A CN201310089079A CN103169520A CN 103169520 A CN103169520 A CN 103169520A CN 2013100890795 A CN2013100890795 A CN 2013100890795A CN 201310089079 A CN201310089079 A CN 201310089079A CN 103169520 A CN103169520 A CN 103169520A
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mentioned
indication
stroke
block
drive
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CN103169520B (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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Abstract

The invention provides a surgical cutting suture instrument provided with a stroke indication device. The surgical cutting suture instrument provided with the stroke indication device comprises a transmission component, an indication component and a limitation component. The transmission component comprises a closed clamping plate, a guide strip, a stroke block and a transmission wheel, wherein the guide strip is inserted into the stroke block and is connected with the stroke block through a spring, the guide strip is connected with the closed clamping plate in a sliding mode, and the stroke block is connected with the transmission wheel in a meshed mode. The indication component comprises an indication seat, an indication wheel, an indication disc and a component fixing block, wherein the indication wheel penetrates the component fixing block and is fixedly installed with the indication disc, the indication wheel is connected on the indication seat in a rotary mode, and the component fixing block is fixedly arranged on the indication seat. The limitation component comprises a limitation rope, an indication limitation block, a limitation sliding block and a pushing ring, wherein the indication limitation block is connected with the limitation sliding block in a rotary mode, and two ends of the limitation rope are respectively connected with the limitation sliding block and the pushing ring. The stability of stroke indication is strengthened through the matching of the components, and the surgical operation is more convenient.

Description

A kind of surgical cutting and stapling instrument with stroke indicating device
Technical field
The present invention relates to medical instruments field, particularly a kind of surgical cutting and stapling instrument with stroke indicating device.
Background technology
In medical science applied surgical operation, since the first staple series products of the sixties in 20th century, medical suturing instrument has become the requisite a kind of medical apparatus and instruments that aids in edge of a knife sewing process.Various surgeries just are being widely used in sewing up human body alimentary canal tissue, respiratory tissues and vascular tissue with medical suturing instrument in surgical operation, can reduce operating time, improve the operation quality.They are normally used for the ends such as esophagus in digestive tract, Stomach duodenum, small intestinal, coton and rectal end, distolateral and side-to-side neurorrhaphy operation or hemorrhoid excision stomach function regulating pylorus and the operation that forms passage or close incisions such as make mouthful, also be used to the suture operation of the suture operation such as lung and trachea and vascular tissue in respiratory tract, be specially adapted to appear the suture operation with the Organ and tissue of operating difficulties.
In surgical cutting and stapling instrument, line cutting stitching instrument has to be sewed up and two functions of cutting, when carrying out wound suture, with unnecessary cutting tissue, line cutting stitching instrument has been widely used in operating wound suture, interior tissue stitching and cutting.Existing line cutting stitching instrument generally comprises upper and lower two clamps, and the closed handle that is used for closed upper and lower clamp, be oppositely arranged on nail bin and the nail supporting base of upper and lower clamp front end, be located in nail bin and percussion sheet and the cutting knife that can move with respect to nail bin simultaneously, and be used for driving pushing away that percussion sheet and cutting knife move and turn round.arrange in nail bin and be provided with suturing nail, the percussion sheet promotes successively pushing slice of nail and pushes suturing nail to nail supporting base, described cutting knife cuts off the tissue between nail bin and nail supporting base, in these processes, can better understand the duty of apparatus by stroke indicating device, in the prior art, take line cutting stitching instrument as example, application publication number be CN102813539A public announcement of a patent application a kind of line cutting stitching instrument with stroke indicating device, the defective that operation technique is made troubles although the technical scheme that this application is announced has solved that common line cutting stitching instrument can not clearly show the stroke of cutting knife and percussion sheet, but this technical scheme is Shortcomings still, because the part chute of stroke indicating device is arranged in handle casing, when firmly pressing handle casing, may cause chute that distortion is to a certain degree arranged and cause other parts to be difficult to coordinate, in addition, the part comparison of restriction travelling gear single direction rotation is complicated and cause having relatively high expectations to the fitness of part.Based on above-mentioned deficiency of the prior art, remain to be proposed the technical scheme of new stroke indication.
Summary of the invention
The invention provides a kind of surgical cutting and stapling instrument with stroke indicating device, in prior art, the part chute due to stroke indicating device is arranged in handle casing to solve at least, when firmly pressing handle casing, may cause chute that distortion is to a certain degree arranged and cause other parts to be difficult to coordinate, and due to the complicated technical problem of having relatively high expectations that causes the fitness of part of the part comparison that limits the travelling gear single direction rotation.
The invention provides a kind of surgical cutting and stapling instrument with stroke indicating device, comprise transmission component, indication component and limit assembly, above-mentioned transmission component comprises closed clamping plate, sliver, stroke piece and drive, above-mentioned sliver inserts above-mentioned stroke piece, and be connected by spring with above-mentioned stroke piece, above-mentioned sliver and above-mentioned closed clamping plate are slidably connected, and above-mentioned stroke piece and above-mentioned drive are connected with a joggle; Above-mentioned indication component comprises indication seat, indicator wheel, indicating dial and assembly fixed block, above-mentioned indicator wheel passes said modules fixed block and the fixed installation of above-mentioned indicating dial, above-mentioned indicator wheel is rotatably connected on above-mentioned indication seat, and the said modules fixed block is fixedly mounted on above-mentioned indication seat; Above-mentioned limit assembly comprises limit rope, indication limited block, position limiting slide block and throw-out collar, and above-mentioned indication limited block is rotatably connected on above-mentioned position limiting slide block, and the two ends of above-mentioned limit rope are connected on above-mentioned position limiting slide block and above-mentioned throw-out collar; Above-mentioned transmission component drives above-mentioned indication component and shows indication information, and above-mentioned limit assembly coordinates with transmission component and prevents that above-mentioned indicator wheel is rotated in a clockwise direction.
Preferably, above-mentioned transmission component drives above-mentioned indication component demonstration indication information and refers to that above-mentioned stroke piece drives the above-mentioned drive above-mentioned indicator wheel of driving and the rotation of above-mentioned indicating dial makes above-mentioned indicating dial show indication information; Above-mentioned limit assembly coordinates with transmission component and prevents that above-mentioned indicator wheel is rotated in a clockwise direction and refer to that above-mentioned indication limited block is engaged in above-mentioned drive and prevents that above-mentioned drive from driving above-mentioned indicator wheel and being rotated in a clockwise direction.
Preferably, above-mentioned drive is provided with pinion, ratchet gear and gear wheel, above-mentioned ratchet gear is arranged between above-mentioned pinion and above-mentioned gear wheel, above-mentioned pinion, above-mentioned ratchet gear and above-mentioned gear wheel are connected as a single entity, thereby above-mentioned stroke piece drives above-mentioned gear wheel rotation makes above-mentioned pinion drive above-mentioned indicator wheel and the rotation of above-mentioned indicating dial, and the above-mentioned ratchet gear that above-mentioned indication limited block is engaged on above-mentioned drive prevents that the above-mentioned indicator wheel of above-mentioned pinion driving on above-mentioned drive is rotated in a clockwise direction.
Preferably, be fixedly connected with stroke block reset elastomeric element on above-mentioned closed clamping plate, above-mentioned indication seat is provided with lower bullet elastomeric element.
Preferably, above-mentioned stroke block reset elastomeric element is stroke block reset spring, and above-mentioned lower bullet elastomeric element is lower diving board spring, and being fixedly connected with stroke block reset elastomeric element on above-mentioned closed clamping plate is welding stroke block reset spring on above-mentioned closed clamping plate.
Preferably, above-mentioned surgical cutting and stapling instrument satisfies with the next item down or several:
A. above-mentioned sliver is provided with inserted sheet, and above-mentioned inserted sheet inserts above-mentioned stroke piece, above-mentioned sliver be connected the stroke piece and connect by the first extension spring;
B. above-mentioned sliver is provided with sliding pin, and above-mentioned closed clamping plate are provided with gathering sill, and above-mentioned sliding pin can slide in above-mentioned gathering sill;
C. above-mentioned indication seat be connected indicator wheel and connect by the first torsion spring;
D. above-mentioned indication limited block is provided with limiting stand;
E. above-mentioned position limiting slide block is provided with the ladder bearing pin, and above-mentioned indication limited block rotates and is installed on above-mentioned ladder bearing pin;
F. above-mentioned indication limited block be connected position limiting slide block and connect by the second torsion spring.
Preferably, above-mentioned surgical cutting and stapling instrument also comprises strap, the rotational pin that above-mentioned strap coordinates with above-mentioned closed clamping plate, an end of above-mentioned limit rope is connected in above-mentioned throw-out collar, and the other end of above-mentioned limit rope is walked around above-mentioned rotational pin and is connected in above-mentioned position limiting slide block.
Preferably, above-mentioned throw-out collar is enclosed within on above-mentioned strap, above-mentioned indication seat is fixedly mounted on above-mentioned closed clamping plate, above-mentioned position limiting slide block and above-mentioned indication seat are slidably connected, above-mentioned stroke piece is slidably connected to above-mentioned indication seat, one end of above-mentioned drive is rotatably connected on above-mentioned indication seat, and the other end of above-mentioned drive is rotatably connected on the said modules fixed block.
Preferably, above-mentioned surgical cutting and stapling instrument satisfies with the next item down or several:
I. above-mentioned indication seat is provided with the position limiting slide block chute, and above-mentioned position limiting slide block is provided with the position limiting slide block track, and above-mentioned position limiting slide block track slides in above-mentioned position limiting slide block chute;
II. above-mentioned stroke piece is provided with sliding axle, and above-mentioned indication seat is provided with stroke piece guide rail, and above-mentioned sliding axle slides in above-mentioned stroke piece guide rail;
III. the middle part of said modules fixed block is provided with the drive cotter way, and above-mentioned drive is provided with the drive pin, and above-mentioned drive cotter way is inserted in the upper end of above-mentioned drive pin.
Preferably, above-mentioned surgical cutting and stapling instrument is line cutting stitching instrument.
In the present invention, the part of stroke indicating device no longer coordinates with chute in handle casing, when firmly pressing handle casing, the part of stroke indicating device no longer is difficult to because distortion to a certain degree may be arranged the chute in handle casing coordinate, and has strengthened the stability of stroke indication.In addition, the present invention has simplified the part of restriction drive single direction rotation, has further strengthened the stability of stroke indication.Reached the technique effect of the stability of improved stroke indication.The display window of indicating dial is placed in the apparatus upper surface, no longer is placed in the both sides of apparatus, and the form visual field is openr, makes the operator more easily observe the information that stroke is indicated, the more convenient operation technique of the stroke indicating device of surgical cutting and stapling instrument of the present invention.
Description of drawings
Above-mentioned is only the general introduction of technical solution of the present invention, and for can clearer understanding technological means of the present invention, the present invention is described in further detail below in conjunction with accompanying drawing and the specific embodiment, the present invention includes but be not limited to the following drawings and embodiment.
Fig. 1 is the schematic diagram of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Fig. 2 is the exploded perspective view of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Fig. 3 is the closed clamping plate schematic diagram of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Fig. 4 is the schematic diagram of sliver of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Fig. 5-1st, the toothrow of the stroke piece of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention stroke piece schematic diagram up.
Fig. 5-2nd, the toothrow of the stroke piece of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention stroke piece schematic diagram down.
Fig. 5-3rd, the schematic perspective view of the stroke piece of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Fig. 6 is that stroke piece and the sliver of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention coordinates the schematic diagram of installing.
Fig. 7 is the drive of line cutting stitching instrument of a kind of preferred embodiment provided by the invention and the schematic diagram of drive pin.
Fig. 8-1st, the reduction torsion spring hook indicator wheel schematic diagram outwardly of the indicator wheel of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Fig. 8-2nd, the polygon boss of the indicator wheel of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention indicator wheel schematic diagram outwardly.
Fig. 9-1st, the indicating dial schematic diagram of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Fig. 9-2nd, the indicating dial of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention and indicator wheel coordinate the schematic diagram of installing.
Figure 10 is the schematic diagram of indication limited block of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 11 is the schematic diagram of position limiting slide block of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 12 is that indication limited block and the position limiting slide block of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention coordinates the schematic diagram of installing.
Figure 13-1st, the elevational schematic view of the assembly fixed block of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 13-2nd, the master of the assembly fixed block of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention looks schematic diagram.
Figure 14-1st, the schematic perspective view of the indication seat of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 14-2nd, the elevational schematic view of the indication seat of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 14-3rd, the indication seat schematic diagram of the demonstration guide rail lower surface of the indication seat of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 15 is that indication seat, indicating dial, indicator wheel and the assembly fixed block of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention coordinates the schematic diagram of installing.
Figure 16 is the limit rope schematic diagram of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 17 is the schematic diagram of throw-out collar of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 18 is the line cutting stitching instrument schematic diagram of demonstration limit rope of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 19 is that the master of original state of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention looks schematic diagram.
Figure 20 is the schematic perspective view of original state of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 21 is the partial schematic diagram of Figure 20.
Figure 22-1st, the master of the closure state of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention looks schematic diagram.
Figure 22-2nd, the schematic diagram of the part matching relationship of the closure state of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
Figure 23 is the schematic perspective view that the line cutting stitching instrument original state of a kind of preferred embodiment provided by the invention shows the push broach connecting rod.
Figure 24-1st, the master of the stroke BOB(beginning of block) rollback of the closure state of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention looks schematic diagram.
Figure 24-2nd, the schematic diagram of the part matching relationship of the stroke BOB(beginning of block) rollback of the closure state of the line cutting stitching instrument of a kind of preferred embodiment provided by the invention.
The specific embodiment
The present embodiment provides a kind of preferred surgical cutting and stapling instrument, take line cutting stitching instrument as example, comprise transmission component, indication component and limit assembly, as shown in Figures 1 and 2, transmission component comprises closed clamping plate 11, sliver 12, stroke piece 13, drive 14, support link 15 and push broach connecting rod 16, indication component comprises indication seat 21, indicator wheel 22, indicating dial 23 and assembly fixed block 24, and limit assembly comprises limit rope 31, indication limited block 32, position limiting slide block 33 and throw-out collar 34.
As shown in Figure 3, above-mentioned closed clamping plate 11 1 sides offer gathering sill 111, and the upper surface of above-mentioned closed clamping plate 11 is provided with installing hole 112 and draw-in groove 113, is used for installing indication component.
As shown in Figure 4, above-mentioned sliver 12 1 sides are provided with pin-and-hole 121, in pin-and-hole 121, sliding pin 125 can be set, above-mentioned gathering sill 111 on this above-mentioned sliding pin 125 and above-mentioned closed clamping plate 11 matches, can be in the interior slip of above-mentioned gathering sill 111, above-mentioned sliver 12 front ends are two inserted sheets 123, above-mentioned inserted sheet 123 near-ends are provided with the first extension spring fixed axis 122, the remainder of above-mentioned inserted sheet 123 and above-mentioned sliver 12 can be structure as a whole, and also can be Split type structure.
As shown in Fig. 5-1, Fig. 5-2 and Fig. 5-3, be groove 131 in the middle of above-mentioned stroke piece 13, above-mentioned groove 131 is divided into upper and lower two parts with above-mentioned stroke piece 13, one side of nearly above-mentioned closed clamping plate 11 also is provided with a toothrow 135, also be provided with the second extension spring fixed axis 134 in the above-mentioned groove 131 of above-mentioned stroke piece 13, above-mentioned groove 131 bottoms of above-mentioned stroke piece 13 and nearly above-mentioned closed clamping plate 11 1 sides are provided with installation step 132, be used for and above-mentioned sliver 12 on above-mentioned inserted sheet 123 coordinate and install, above-mentioned stroke piece 13 upper ends are provided with a sliding axle 133.
As shown in Figure 6, above-mentioned sliver 12 and above-mentioned stroke piece 13 coordinate to be installed, as shown in Fig. 4, Fig. 5-1 and Fig. 5-2, above-mentioned two inserted sheets 123 of above-mentioned sliver 12 and the above-mentioned installation step of above-mentioned stroke piece 13 132 coordinate insertion, the first extension spring 124 is installed on the above-mentioned second extension spring fixed axis 134 of the above-mentioned first extension spring fixed axis 122 of above-mentioned sliver 12 and above-mentioned stroke piece 13, and above-mentioned the first extension spring 124 can realize that above-mentioned sliver 12 and above-mentioned stroke piece 13 have relative displacement to produce.
As shown in Figure 7, above-mentioned drive 14 comprises three parts, formed by three groups of the upper, middle and lower gear teeth respectively, be respectively the pinion 141 of upper end, the ratchet gear 142 of centre and the gear wheel 143 of lower end, above-mentioned gear wheel 143 diameters are large than the epimere gear diameter, drive pin 144 passes above-mentioned pinion 141, the ratchet gear 142 of centre and the gear wheel 143 of lower end, above-mentioned ratchet gear 142 is used for unidirectional spacing, and above-mentioned gear wheel 143 is used for coordinating with the above-mentioned toothrow 135 of above-mentioned stroke piece 13.
As shown in Fig. 8-1 and Fig. 8-2, above-mentioned indicator wheel 22 comprises polygon boss 221, the gear teeth 222, rotating shaft mounting groove 223 and reduction torsion spring hook 224.Above-mentioned indicator wheel 22 is arranged on above-mentioned indication seat 21 by above-mentioned indication seat 21 bearing pins, also is provided with the first torsion spring 225 between above-mentioned indicator wheel 22 and above-mentioned indication seat 21 surfaces, and as shown in Figure 2, above-mentioned the first torsion spring 225 is used for resetting above-mentioned indicator wheel 22.Above-mentioned pinion 141 coordinates with the above-mentioned gear teeth 222 of above-mentioned indicator wheel 22.
As shown in Fig. 9-1 and Fig. 9-2, above-mentioned indicator wheel 22 coordinates installation with above-mentioned indicating dial 23, above-mentioned indicator wheel 22 fastens by the above-mentioned polygon boss 221 on the above-mentioned indicator wheel 22 as shown in Fig. 8-2 with above-mentioned indicating dial 23 and installs, above-mentioned indicating dial 23 together rotates under the drive of above-mentioned indicator wheel 22, above-mentioned indicating dial 23 can arrange different colours or shape area, as the stroke sign.
As shown in figure 10, above-mentioned indication limited block 32 upper ends are provided with limiting stand 321, be used for limiting the rotational angle of above-mentioned limited block 32, above-mentioned indication limited block 32 contains pin-and-hole 322, above-mentioned indication limited block 32 can be installed on above-mentioned position limiting slide block 33, and above-mentioned indication limited block 32 lower ends are provided with hook 323, are used for coordinating with above-mentioned position limiting slide block 33, ratchet 324 as shown in figure 10 is meshed with the tooth of above-mentioned ratchet gear 142 as shown in Figure 7, makes above-mentioned drive 14 single direction rotations.
As Figure 11 and shown in Figure 12, there is ladder bearing pin 331 above-mentioned position limiting slide block 33 upper ends, the turned position of above-mentioned ladder bearing pin 331 and the above-mentioned limiting stand 321 above-mentioned indication limited blocks 32 of engagement limits, above-mentioned pin-and-hole 322 makes above-mentioned indication limited block 32 can be installed on above-mentioned ladder bearing pin 331 upper ends of above-mentioned position limiting slide block 33, and above-mentioned indication limited block 32 is rotated around above-mentioned position limiting slide block 33; Above-mentioned position limiting slide block 33 is provided with the second torsion spring hook 332, and above-mentioned hook 323 is used for coordinating with the second torsion spring 336 on above-mentioned position limiting slide block 33.Above-mentioned position limiting slide block 33 edges are provided with limit rope hook 333, and above-mentioned position limiting slide block 33 middle parts are provided with extension spring hook 334, and afterbody is sliding rail 335, and above-mentioned sliding rail 335 can be free to slide above-mentioned position limiting slide block 33 in above-mentioned indication seat 21.
As shown in Figure 13-1 and Figure 13-2, said modules fixed block 24 middle parts are provided with drive cotter way 241, be used for the entering of above-mentioned drive pin 144 upper ends as shown in Figure 7, as shown in Figure 2, simultaneously above-mentioned drive 14 is played position-limiting action in the bearing pin direction, said modules fixed block 24 crossbeam places are provided with indicator wheel resigning hole 242, the installation of convenient above-mentioned indicator wheel 22, as shown in Figure 2, above-mentioned indicator wheel 22 passes said modules fixed block 24 and above-mentioned indicating dial 23 fixed installations.There is fixed supporting leg 243 at said modules fixed block 24 two ends, and said modules fixed block 24 is fixedly installed on above-mentioned indication seat 21, complete the location to assembly.
As Figure 14-1, Figure 14-2 and shown in Figure 15, on above-mentioned indication seat 21, two installing holes 211 are used for coordinating with the above-mentioned fixed supporting leg 243 of combinations thereof fixed block 24 as shown in Figure 13-2.Indicator wheel pin 212 on above-mentioned indication seat 21 is used for the insertion of above-mentioned indicator wheel 22, in the above-mentioned rotating shaft mounting groove 223 that namely above-mentioned indicator wheel pin 212 inserts as shown in Fig. 8-1.Above-mentioned indication seat 21 is useful on the pin-and-hole 213 of installation above-mentioned drive pin 144 as shown in Figure 7, as shown in Figure 2.Above-mentioned indication seat 21 is useful on the guide rail 214 that above-mentioned stroke piece 13 slides, and above-mentioned sliding axle 133 outstanding on above-mentioned stroke piece 13 slides in above-mentioned guide rail 214.Above-mentioned indication seat 21 is provided with position limiting slide block chute 215, and above-mentioned sliding rail 335 as shown in figure 11 can be free to slide above-mentioned position limiting slide block 33 in the above-mentioned position limiting slide block chute 215 of above-mentioned indication seat 21.Above-mentioned position limiting slide block chute 215 rear ends on above-mentioned indication seat 21 are provided with hook 216, with as Fig. 2 and reset tension spring 2161 as shown in figure 23 coordinate and retract above-mentioned position limiting slide block 33, the above-mentioned extension spring that above-mentioned reset tension spring 2161 hangs over is as shown in figure 11 linked up with on 334.Above-mentioned indication seat 21 two ends are provided with binding block 217, coordinate installation with as shown in Figure 3 above-mentioned draw-in groove 113, make stable being fixed on above-mentioned closed clamping plate 11, as shown in Figure 2 of whole above-mentioned indication seat 21.Above-mentioned indication seat 21 is provided with lower diving board spring slot 218, and lower diving board spring 2181 as shown in figure 15 be used for to be installed, make above-mentioned stroke piece 13 after release by bullet downwards.Above-mentioned indication seat 21 also is provided with the first torsion spring hook 219, interlocks with above-mentioned the first torsion spring 225 that is arranged on above-mentioned indicator wheel 22 belows as shown in figure 15, and above-mentioned the first torsion spring 225 hangs on above-mentioned reduction torsion spring hook 224 as shown in Fig. 8-1.Above-mentioned indication seat 21 belows are provided with two locating shafts 2110, insert in above-mentioned installing hole 112 as shown in Figure 3, for the location of above-mentioned indication seat 21 on above-mentioned closed clamping plate 11.
Above-mentioned limit rope 31 1 ends as shown in figure 16 are fixed in the hole 341 of above-mentioned throw-out collar 34 sides as shown in figure 17, the other end is walked around the rotational pin 114 that above-mentioned strap 17 as shown in figure 18 coordinates with above-mentioned closed clamping plate 11, be connected on the above-mentioned limit rope hook 333 of above-mentioned position limiting slide block 33 as shown in figure 11, above-mentioned limit rope 31 is responsible for controlling the sliding distance of above-mentioned position limiting slide block 33.
As shown in figure 19, the above-mentioned support link 15 that above-mentioned sliver 12 and transmission component comprise and above-mentioned push broach connecting rod 16 are flexibly connected by same sliding pin 125, and sliver 12 is identical with 16 actions of push broach connecting rod.
Annexation between all parts described in the present embodiment is only a kind of example, and the present invention can also adopt the annexation that is equal to above-mentioned annexation to be connected.
The operation principle of the preferred line cutting stitching instrument of the present embodiment is as follows:
The original state of the present embodiment line cutting stitching instrument as shown in figure 19, the initial position of above-mentioned limit rope 31 as shown in figure 20, at this moment, as shown in figure 21, above-mentioned indication limited block 32 separates with above-mentioned drive 14.
as shown in Figure 22-1, when jaw is closed, press close handles, above-mentioned support link 15 promotes to be arranged on sliding to above-mentioned closed clamp plate 11 near-ends as Figure 19 and above-mentioned push broach connecting rod 16 and above-mentioned sliver 12 shown in Figure 23 on above-mentioned closed clamping plate 11, and the above-mentioned stroke piece 13 that band is installed movingly slides to above-mentioned closed clamp plate 11 near-ends, as shown in Figure 22-2, because nearly above-mentioned closed clamping plate 11 1 sides of above-mentioned stroke piece 13 are provided with toothrow 135 as shown in Fig. 5-3, and and the gear wheel in large diameter 143 of as shown in Figure 7 above-mentioned drive 14 on tooth be meshed, above-mentioned stroke piece 13 drives above-mentioned drive 14 and clockwise rotates, and then be rotated counterclockwise by the above-mentioned pinion 141 drives above-mentioned indicator wheel 22 above-mentioned indicating dials 23 of drive as shown in figure 15 as shown in Figure 7, the variation of color or pattern can occur in the display window of apparatus.In this process, due to the supporting role that is welded in the above-mentioned stroke block reset spring 136 on above-mentioned closed clamping plate 11, the direction of motion of above-mentioned sliver 12 is parallel with above-mentioned closed clamping plate 11 upper surfaces.Simultaneously, the above-mentioned sliding axle 133 that coordinates the above-mentioned stroke piece 13 of installing with above-mentioned sliver 12 also smoothly above-mentioned stroke piece guide rail 214 surfaces from the above-mentioned indication seat 21 slip over.
After the apparatus closure, as shown in Figure 24-1, above-mentioned stroke piece 13 segment distance of advancing, and eject certain angle downwards under lower diving board spring 2181 effects of above-mentioned indication seat 21, as shown in Figure 24-2, the toothrow 135 of above-mentioned stroke piece 13 breaks away from the canine tooth of drive 14 143, this moment is under the drive of transmission component, above-mentioned indicator wheel 22 has rotated to an angle, simultaneously, as shown in Figure 2, carry out one-way stop by the above-mentioned indication limited block 32 that is arranged in above-mentioned indication seat 21, prevent that namely above-mentioned indicator wheel 22 is rotated in a clockwise direction.
Insurance stop, safety structure and fit system:
In the jaw closing course, as shown in Figure 22-1 and Figure 22-2, above-mentioned throw-out collar 34 moves ahead under the effect of as shown in figure 19 push broach connecting rod 16, as shown in figure 20, the above-mentioned limit rope 31 that above-mentioned throw-out collar 34 sides are fixed in drive pulls above-mentioned position limiting slide block 33 to move ahead, the above-mentioned indication limited block 32 and the 14 middle above-mentioned ratchet gears 142 of above-mentioned drive as shown in Figure 7 that are positioned on above-mentioned position limiting slide block 33 are meshed, and in the percussion process, can prevent the drive rollback.
When jaw is fully not closed, if unclamping close handles resets, due to above-mentioned indication limited block 32 and above-mentioned drive 14 engagements, make the above-mentioned stroke piece 13 can not rollback in above-mentioned closed clamping plate 11 reseting procedures, above-mentioned indicator wheel 22 stops operating, and above-mentioned sliver 12 is moved with respect to above-mentioned stroke piece 13, return back to initial position, and above-mentioned the first extension spring 124 as described in Figure 6 between above-mentioned stroke piece 13 and above-mentioned sliver 12 is stretched.Close handles again, again drives above-mentioned stroke piece 13 and advances when contacting with above-mentioned stroke piece 13 when above-mentioned sliver 12 action, and the above-mentioned indicator wheel 22 of stall before this just is rotated further till the complete closure of handle.
after closure, handle is being opened fully, as shown in figure 19, above-mentioned sliver 12 drives above-mentioned stroke piece 13 and withdraws under above-mentioned support link 15 and 125 effects of above-mentioned bearing pin, because above-mentioned stroke piece 13 is pressed on the below by above-mentioned lower diving board spring 2181, therefore the above-mentioned sliding axle 133 as shown in Fig. 5-1 of above-mentioned stroke piece 13 slides via above-mentioned stroke piece guide rail 214 lower surfaces of the above-mentioned indication seat 21 as shown in Figure 14-3, when the above-mentioned sliding axle 133 of stroke piece breaks away from above-mentioned stroke piece guide rail 214 lower surfaces, above-mentioned stroke piece 13 bounces back into initial position under the effect of above-mentioned stroke block reset spring 136.
Again press close handles, pull the trigger, as shown in Figure 22-1, above-mentioned sliver 12 drives above-mentioned stroke piece 13, repeat same action, as shown in Figure 22-2, tooth on above-mentioned stroke piece 13 and the tooth on above-mentioned drive 14 are meshed, driving above-mentioned drive 14 continues to turn clockwise, above-mentioned drive 14 further drives above-mentioned indicator wheel 22 and rotates counterclockwise, and then drive above-mentioned indicating dial 23 and rotate counterclockwise, see color lump on the above-mentioned indicating dial 23 acquisition indication information that changes by being fixed in indicating window on apparatus.
Repeatedly press handle three times, complete the percussion stroke, apparatus is closed and locked.
after line cutting stitching instrument is completed and is coincide, carrying out jaw resets, above-mentioned limit rope 31 as shown in figure 20 is loosening, as shown in figure 21, the resilience under above-mentioned reset tension spring 2161 effects of above-mentioned position limiting slide block 33, the tooth that is positioned at above-mentioned indication limited block 32 and above-mentioned drive 14 on above-mentioned position limiting slide block 33 breaks away from, indication component resets under above-mentioned the first torsion spring 225 effects as shown in figure 15 that are positioned at above-mentioned indicator wheel 22 lower ends, above-mentioned indicator wheel 22 drives above-mentioned drive 14 and rotates counterclockwise, the above-mentioned indicator wheel 22 above-mentioned indicating dials 23 of drive clockwise rotate gets back to initial position.
Illustrate, during the apparatus original state, the color in indicating window is white, when jaw is closed, the cooperation of above-mentioned stroke piece 13 and above-mentioned drive 14 drives above-mentioned indicator wheel 22 75 degree rotations occurs, and occurs the fraction green in indicating window, percussion for the first time, in form, green increases, until complete percussion for the third time, is filled by green fully in indicating window, after indicator collet resets, get back to white displays in indicating window.
Above-mentioned reset mode is original state or initial position, namely as Fig. 1, Figure 19 and state shown in Figure 23.As shown in figure 23, reset above-mentioned indicator wheel 22 and above-mentioned closed clamping plate 11 are to original state, and as shown in figure 19, above-mentioned sliver 12 return back to initial position after being moved with respect to above-mentioned stroke piece 13.
Preventing that above-mentioned indicator wheel 22 is rotated in a clockwise direction refers to prevent that above-mentioned indicator wheel 22 is along the rotation of the clockwise directions as shown in Figure 22-2, above-mentioned drive 14 turns clockwise and refers to that the direction of rotation of above-mentioned indicator wheel 22, above-mentioned indicating dial 23 and above-mentioned drive 14 is the direction as shown in Figure 22-2 along the rotation of the clockwise direction as shown in Figure 22-2.
The line cutting stitching instrument that the present invention addresses is sometimes also referred to as similar title, such as linear incision stiching instrument, linear cutting anastomat, open line cutting stitching instrument etc., and what its structure was identical with function all falls within the scope of protection of the present invention.

Claims (10)

1. the surgical cutting and stapling instrument with stroke indicating device, comprise transmission component, indication component and limit assembly, it is characterized in that:
Described transmission component comprises closed clamping plate (11), sliver (12), stroke piece (13) and drive (14), described sliver (12) inserts described stroke piece (13), and be connected by spring with described stroke piece (13), described sliver (12) is slidably connected with described closed clamping plate (11), and described stroke piece (13) is connected with a joggle with described drive (14);
Described indication component comprises indication seat (21), indicator wheel (22), indicating dial (23) and assembly fixed block (24), described indicator wheel (22) passes described assembly fixed block (24) and described indicating dial (23) fixed installation, described indicator wheel (22) is rotatably connected on described indication seat (21), and described assembly fixed block (24) is fixedly mounted on described indication seat (21);
Described limit assembly comprises limit rope (31), indication limited block (32), position limiting slide block (33) and throw-out collar (34), described indication limited block (32) is rotatably connected on described position limiting slide block (33), and the two ends of described limit rope (31) are connected on described position limiting slide block (33) and described throw-out collar (34);
Described transmission component drives described indication component and shows indication information, and described limit assembly coordinates with transmission component and prevents that described indicator wheel (22) is rotated in a clockwise direction.
2. surgical cutting and stapling instrument as claimed in claim 1 is characterized in that:
Described transmission component drives described indication component and shows that indication information refers to that described stroke piece (13) drives that described drive (14) drives described indicator wheel (22) and described indicating dial (23) rotation makes described indicating dial (23) show indication information;
Described limit assembly coordinates with transmission component and prevents that described indicator wheel (22) is rotated in a clockwise direction and refer to that described indication limited block (32) is engaged in described drive (14) and prevents that described drive (14) from driving described indicator wheel (22) and being rotated in a clockwise direction.
3. surgical cutting and stapling instrument as claimed in claim 2 is characterized in that:
described drive (14) is provided with pinion (141), ratchet gear (142) and gear wheel (143), described ratchet gear (142) is arranged between described pinion (141) and described gear wheel (143), described pinion (141), described ratchet gear (142) and described gear wheel (143) are connected as a single entity, described stroke piece (13) drives described gear wheel (143) thereby rotates and makes described pinion (141) drive described indicator wheel (22) and described indicating dial (23) rotation, described indication limited block (32) is engaged in described ratchet gear (142) on described drive (14) and prevents that described pinion (141) on described drive (14) from driving described indicator wheel (22) and being rotated in a clockwise direction.
4. surgical cutting and stapling instrument as claimed in claim 1 is characterized in that: be fixedly connected with stroke block reset elastomeric element (136) on described closed clamping plate (11), described indication seat (21) is provided with lower bullet elastomeric element (2181).
5. surgical cutting and stapling instrument as claimed in claim 4, it is characterized in that: described stroke block reset elastomeric element (136) is stroke block reset spring (136), described lower bullet elastomeric element (2181) is lower diving board spring (2181), is fixedly connected with stroke block reset elastomeric element (136) on described closed clamping plate (11) and is the upper welding of described closed clamping plate (11) stroke block reset spring (136).
6. surgical cutting and stapling instrument as claimed in claim 1 is characterized in that satisfying with the next item down or several:
A. described sliver (12) is provided with inserted sheet (123), and described inserted sheet (123) inserts described stroke piece (13), described sliver (12) and be connected stroke piece (13) by the first extension spring (124) connection;
B. described sliver (12) is provided with sliding pin (125), and described closed clamping plate (11) are provided with gathering sill (111), and described sliding pin (125) can slide in described gathering sill (111);
C. described indication seat (21) and be connected indicator wheel (22) by the first torsion spring (225) connection;
D. described indication limited block (32) is provided with limiting stand (321);
E. described position limiting slide block (33) is provided with ladder bearing pin (331), and described indication limited block (32) rotates and is installed on described ladder bearing pin (331);
F. described indication limited block (32) be connected position limiting slide block (33) and connect by the second torsion spring (336).
7. surgical cutting and stapling instrument as claimed in claim 1, also comprise strap (17), the rotational pin (114) that described strap (17) coordinates with described closed clamping plate (11), it is characterized in that: an end of described limit rope (31) is connected in described throw-out collar (34), and the other end of described limit rope (31) is walked around described rotational pin (114) and is connected in described position limiting slide block (33).
8. surgical cutting and stapling instrument as claimed in claim 7, it is characterized in that: described throw-out collar (34) is enclosed within on described strap (17), described indication seat (21) is fixedly mounted on described closed clamping plate (11), described position limiting slide block (33) is slidably connected with described indication seat (21), described stroke piece (13) is slidably connected to described indication seat (21), one end of described drive (14) is rotatably connected on described indication seat (21), the other end of described drive (14) is rotatably connected on described assembly fixed block (24).
9. surgical cutting and stapling instrument as claimed in claim 8 is characterized in that satisfying with the next item down or several:
I. described indication seat (21) is provided with position limiting slide block chute (215), described position limiting slide block (33) is provided with position limiting slide block track (335), and described position limiting slide block track (335) slides in described position limiting slide block chute (215);
II. described stroke piece (13) is provided with sliding axle (133), and described indication seat (21) is provided with stroke piece guide rail (214), and described sliding axle (133) slides in described stroke piece guide rail (214);
III. the middle part of described assembly fixed block (24) is provided with drive cotter way (241), and described drive (14) is provided with drive pin (144), and described drive cotter way (241) is inserted in the upper end of described drive pin (144).
10. described surgical cutting and stapling instrument as arbitrary in claim 1-9, it is characterized in that: described surgical cutting and stapling instrument is line cutting stitching instrument.
CN201310089079.5A 2013-03-20 2013-03-20 Surgical cutting suture instrument provided with stroke indication device Active CN103169520B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106419983A (en) * 2015-12-22 2017-02-22 北京派尔特医疗科技股份有限公司 Endoscope anastomat and staple cartridge assembly thereof
CN106706455A (en) * 2017-03-01 2017-05-24 扬州金威环保科技有限公司 Sweeping brush wear degree monitoring system of movable type sweeping machine
CN111759385A (en) * 2020-07-17 2020-10-13 天津瑞奇外科器械股份有限公司 Electric anastomat and loading unit thereof

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Publication number Priority date Publication date Assignee Title
CN102813539A (en) * 2012-09-17 2012-12-12 北京中法派尔特医疗设备有限公司 Linear cutting stitching instrument with travel indicating device
CN102908177A (en) * 2012-11-09 2013-02-06 北京中法派尔特医疗设备有限公司 Indicator as well as stitching instrument and surgical operating instrument employing same
CN203138588U (en) * 2013-03-20 2013-08-21 北京中法派尔特医疗设备有限公司 Surgical incising suturing instrument with travel indicating device

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102813539A (en) * 2012-09-17 2012-12-12 北京中法派尔特医疗设备有限公司 Linear cutting stitching instrument with travel indicating device
CN102908177A (en) * 2012-11-09 2013-02-06 北京中法派尔特医疗设备有限公司 Indicator as well as stitching instrument and surgical operating instrument employing same
CN203138588U (en) * 2013-03-20 2013-08-21 北京中法派尔特医疗设备有限公司 Surgical incising suturing instrument with travel indicating device

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106419983A (en) * 2015-12-22 2017-02-22 北京派尔特医疗科技股份有限公司 Endoscope anastomat and staple cartridge assembly thereof
CN106706455A (en) * 2017-03-01 2017-05-24 扬州金威环保科技有限公司 Sweeping brush wear degree monitoring system of movable type sweeping machine
CN111759385A (en) * 2020-07-17 2020-10-13 天津瑞奇外科器械股份有限公司 Electric anastomat and loading unit thereof
CN111759385B (en) * 2020-07-17 2021-11-30 天津瑞奇外科器械股份有限公司 Electric anastomat and loading unit thereof

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