CN103800044A - Coincident cutting assembly of cannular anastomat - Google Patents

Coincident cutting assembly of cannular anastomat Download PDF

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Publication number
CN103800044A
CN103800044A CN201410069215.9A CN201410069215A CN103800044A CN 103800044 A CN103800044 A CN 103800044A CN 201410069215 A CN201410069215 A CN 201410069215A CN 103800044 A CN103800044 A CN 103800044A
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China
Prior art keywords
nail
supporting base
pushing slice
nail bin
locating shaft
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Granted
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CN201410069215.9A
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Chinese (zh)
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CN103800044B (en
Inventor
程昌保
杨旭峰
陈斌
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WUXI SHUKANG MEDICAL APPLIANCE Co Ltd
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WUXI SHUKANG MEDICAL APPLIANCE 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
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/1114Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B17/115Staplers for performing anastomosis in a single operation
    • A61B17/1155Circular staplers comprising a plurality of staples
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • A61B90/92Identification means for patients or instruments, e.g. tags coded with colour
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1132End-to-end connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135End-to-side connections, e.g. T- or Y-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/11Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1139Side-to-side connections, e.g. shunt or X-connections
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0807Indication means

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

Abstract

The invention discloses a coincident cutting assembly of a cannular anastomat, and relates to a digestive tract reconstruction operative instrument. The coincident cutting assembly is suitable for being used in cooperation with the cannular anastomat, is used for end-end coinciding, end-side coinciding and side-side coinciding of the digestive tracts in operations for reconstructing the digestive tracts such as the esophagus, the stomach and the intestines, and comprises a nail abutting-against base assembly, a nail bin assembly and a puncturing connecting shaft. When the nail abutting-against base assembly is coincided with the nail bin assembly, the coincided face is a slope, and the slope angle of the coincided face ranges from 10 degrees to 60 degrees. The nail abutting-against base assembly comprises a nail abutting-against base cover, a left clamping reed, a right clamping reed, a positioning shaft, a nail abutting-against base and a cushion cutter ring. The nail bin assembly comprises a nail bin protective cover, a nail bin, an annular cutter, a nail pushing sheet, a nail bin sleeve and coincided nails, the upper portion of the nail bin sleeve is upwards slant by 10 degrees to 60 degrees with the horizontal plane as the standard, installation holes are formed in the lower bottom of the annular cutter, distribution of the installation holes is coincident with that of annular cutter installation bosses on the nail pushing sheet, the top end of the positioning shaft is provided with a clamping reed installation platform, and the left clamping reed and the right clamping reed form a set to be inserted into a clamping reed installation hole of the positioning shaft.

Description

Tube type anastomat anastomosis cut component
Technical field
What tube type anastomat anastomosis cut component of the present invention related to is a kind of surgery reconstruction of digestive tract apparatus, is applicable to support the use with tube type anastomat, for the gastral end end of surgery reconstruction of digestive tract, distolateral and side to side anastomosis such as esophagus, stomach, intestinal.
Background technology
What current surgery reconstruction of digestive tract adopted is Pipy digestive tract stapler, and the staggered titanium nail of two circles by the intestinal tube of needs excision on Pipy digestive tract stapler coincide, and coincide and excises unnecessary tissue by endless knife simultaneously.But general Pipy digestive tract stapler anastomosis cut component part is tack, the metagaster inwall that coincide forms a circle does not have elastic connection cicatrix, causes the narrow of intestinal tube, causes obstructedly, even stops up, and makes troubles to postoperative patient, impact life.
Summary of the invention
The present invention is directed to above-mentioned weak point a kind of tube type anastomat anastomosis cut component is provided, when nail supporting base assembly and nail bin groupware coincide, matching surface is inclined-plane, and described matching surface bevel angle is 10 °~60 °.The nail-arranging slot of nail bin is arranged to two circles and is staggered.Nail-arranging slot on nail groove, nail bin on nail supporting base, the push jack on pushing slice of nail, three's distribution arrangement should be consistent.Locating shaft is provided with and is located by connecting a little with puncture connecting axle.After tube type anastomat anastomosis cut component provided by the invention coincide, matching surface is inclined-plane, and each cross section of intestinal tube only has two cicatrix points, rather than a circle cicatrix, thereby guarantees the original elasticity of intestinal tube, avoids the obstructed of intestinal tube and stops up.
Tube type anastomat anastomosis cut component is to take following technical scheme to realize:
Tube type anastomat anastomosis cut component comprises nail supporting base assembly, nail bin groupware and puncture connecting axle.
When nail supporting base assembly and nail bin groupware coincide, matching surface is inclined-plane, and described matching surface bevel angle is 10 °~60 °, and nail supporting base assembly comprises nail supporting base block, left Clip Reed, right Clip Reed, locating shaft, nail supporting base and knife washer.Locating shaft is arranged on the centre bore of nail supporting base, nail supporting base and locating shaft form angle of inclination, angle of inclination is 10 °~60 °, left Clip Reed and one assembling of right Clip Reed composition are inserted in locating shaft endoporus, on nail supporting base block, be provided with positioning boss, nail supporting base covers in nail supporting base upper surface, and knife washer is arranged in the endoporus of nail supporting base lower end.
Nail bin groupware comprises nail bin over cap, nail bin, endless knife, pushing slice of nail, nail storehouse sleeve and anastomosis staple.On nail bin, be provided with the staggered anastomosis staple nail-arranging slot of two circles, anastomosis staple is arranged in anastomosis staple nail-arranging slot, pushing slice of nail is arranged on anastomosis staple nail-arranging slot bottom, pushing slice of nail plugs in nail storehouse sleeve endoporus together with nail bin, pushing slice of nail top is provided with the staggered push jack of two circles, push jack is inclined upwardly 10 °~60 °, in pushing slice of nail bottom, endoporus is provided with endless knife installation base, be provided with pushing slice of nail gathering sill at push jack lower outside, be provided with nail storehouse sleeve loose slot in gathering sill bottom, there is reinforcement in nail storehouse sleeve loose slot arranged outside, in pushing slice of nail bottom hole, be provided with buckle slot.Endless knife is arranged on the installation base in pushing slice of nail endoporus.Endless knife cutting edge minimum point should with pushing slice of nail on the shortest push jack in a side.Nail bin over cap is arranged on nail bin top.On puncture connecting axle, be provided with positioning boss, puncture connecting axle is connected with the locating shaft endoporus of nail supporting base assembly by nail bin groupware endoporus.
Each push jack inner side on pushing slice of nail is provided with brace rod, is provided with ejector pin groove on each push jack top, is provided with semicylindrical opening at each ejector pin groove middle part.
Nail storehouse sleeve top is inclined upwardly 10 °~60 ° take horizontal plane as benchmark, in nail storehouse sleeve, be provided with cross bracing frame, in cross bracing frame upper inside wall, be provided with pushing slice of nail guiding rib, pushing slice of nail guiding rib distributes and should distribute consistent with the pushing slice of nail gathering sill on pushing slice of nail.On each pushing slice of nail guiding rib, be provided with nail bin installing hole.Be provided with positioning boss in cross bracing frame bottom.In nail bin trepanning, be provided with some locating shaft gathering sills.
Endless knife cutting edge is inclined upwardly 10 °~60 °, and the lower bottom part of endless knife is provided with installing hole, and installing hole distributes and should distribute consistent with the endless knife installation base on pushing slice of nail.
Nail bin entirety is inclined upwardly 10 °~60 °, be provided with yielding groove in each anastomosis staple nail-arranging slot bottom, nail bin lower outside is provided with nail bin gathering sill, and nail bin gathering sill should be consistent with the pushing slice of nail gathering sill distribution arrangement on pushing slice of nail, on each gathering sill, is provided with locking buckle.
Locating shaft top is provided with Clip Reed mounting platform, is provided with Clip Reed installing hole at Clip Reed mounting platform middle part, is provided with annular installation base in Clip Reed mounting platform bottom.Be symmetrically arranged with Clip Reed movable span at locating shaft axle body, be symmetrically arranged with nail storehouse sleeve guide ledges along locating shaft axle body.Be provided with puncture connecting axle locating slot in locating shaft bottom, the positioning boss on puncture connecting axle is arranged on puncture connecting axle locating slot.Left Clip Reed bottom is provided with puncture connecting axle locking boss, and left and right Clip Reed composition one assembling is inserted in the Clip Reed installing hole of locating shaft.
Nail supporting base entirety is inclined upwardly 10 °~60 °, and nail supporting base top is provided with nail supporting base block installing hole, and the positioning boss on nail supporting base block is fixed in nail supporting base block installing hole.Be provided with locating shaft installing hole at nail supporting base block installing hole middle part, be provided with the staggered nail groove of two circles in nail supporting base lower periphery, be provided with knife washer installing hole in nail groove inboard, be provided with knife washer locating slot in knife washer installing hole inboard.
operation principle
Tube type anastomat anastomosis cut component of the present invention supports the use in surgery reconstruction of digestive tract, first takes out disposal tube type anastomosis, unloads nail bin over cap.Disposal tube type anastomosis is inserted and needed identical organ internal direct to nail supporting base part to expose completely.Be rotated counterclockwise the adjusting nut at apparatus rear portion, open the space between nail supporting base assembly and nail bin groupware, make it be large enough to hold two broken ends of fractured bone of anastomotic position.Tighten up the pocket of nail bin groupware one end, with moderate dynamics, purse wire is bundled on puncture connecting axle simultaneously.Then tighten up the purse wire of locating shaft one end, with moderate dynamics, purse wire is bundled on locating shaft.Rotate afterbody adjusting nut clockwise, two ends tissue is drawn close, until indication arrives in the green area of Pointing sign board.Open stop button, the flexible handle of holding with a firm grip can excite, and represents that percussion completes in the time having clear and melodious click and significantly break through sense.Be rotated counterclockwise adjusting nut, slowly outwards extract disposal tube type anastomosis out.
Tube type anastomat anastomosis cut component of the present invention is reasonable in design, compact conformation, while coincideing due to nail supporting base assembly and nail bin groupware, matching surface is inclined-plane, and described matching surface bevel angle is 10 °~60 °, after tube type anastomat provided by the invention coincide, matching surface is inclined-plane, girth is elongated, and each cross section of intestinal tube only has two cicatrix points, thus solve common Pipy digestive tract stapler coincide after be the problem of a circle cicatrix, guarantee the original elasticity of intestinal tube, avoid the obstructed of intestinal tube and stop up.Solve anastomotic stoma and have fistula, anastomotic stricture and the poor problem of blood fortune.
Accompanying drawing explanation
Below with reference to accompanying drawing, the invention will be further described:
Fig. 1 is tube type anastomat anastomosis cut component using state schematic diagram.
Fig. 2 is tube type anastomat anastomosis cut component schematic diagram.
Fig. 3 is tube type anastomat anastomosis cut component structural representation.
Fig. 4 is the nail supporting base assembly schematic diagram of tube type anastomat anastomosis cut component.
Fig. 5 is the nail supporting base block schematic diagram of tube type anastomat anastomosis cut component.
Fig. 6 is the Clip Reed schematic diagram of tube type anastomat anastomosis cut component.
Fig. 7 is the nail supporting base schematic diagram of tube type anastomat anastomosis cut component.
Fig. 8 is the puncture connecting axle schematic diagram of tube type anastomat anastomosis cut component.
Fig. 9 is the nail bin groupware schematic diagram of tube type anastomat anastomosis cut component.
Figure 10 is the endless knife schematic diagram of tube type anastomat anastomosis cut component.
Figure 11 is the pushing slice of nail schematic diagram of tube type anastomat anastomosis cut component.
Figure 12 is the nail storehouse sleeve schematic diagram of tube type anastomat anastomosis cut component.
In figure: 1, nail supporting base block; 2, left Clip Reed; 3, right Clip Reed; 4, locating shaft; 5, nail supporting base; 6, knife washer; 7, nail bin over cap; 8, nail bin; 9, puncture connecting axle; 10, endless knife; 11, pushing slice of nail; 12, nail storehouse sleeve; 13, anastomosis staple; 14, bend pipe; 15, fixed handle; 16, adjusting nut; 17, stop button; 18, flexible handle;
1-1, positioning boss; 2-1, puncture locking boss; 4-1, Clip Reed mounting platform; 4-2, Clip Reed installing hole; 4-3, annular installation base; 4-4, nail storehouse sleeve guide ledges; 4-5, Clip Reed movable span; 4-6, puncture connecting axle locating slot; 5-1, nail supporting base block installing hole; 5-2, locating shaft installing hole; 5-3, nail groove; 5-4, knife washer installing hole; 5-5, knife washer locating slot; 8-1, anastomosis staple nail-arranging slot; 8-2, yielding groove; 8-3, nail bin gathering sill; 8-4, locking buckle; 9-1, positioning boss; 10-1, installing hole; 11-1, push jack; 11-2; Brace rod; 11-3, ejector pin groove; 11-4, semicylindrical opening; 11-5, endless knife installation base; 11-6, pushing slice of nail gathering sill; 11-7, nail bin loose slot; 11-8, reinforcement; 11-9, buckle slot; 12-1, cross bracing frame; 12-2, pushing slice of nail guiding rib; 12-3, nail bin installing hole; 12-4, positioning boss; 12-5, locating shaft gathering sill.
The specific embodiment
With reference to accompanying drawing 1 ~ 12, tube type anastomat anastomosis cut component comprises nail supporting base assembly, nail bin groupware and puncture connecting axle.
When nail supporting base assembly and nail bin groupware coincide, matching surface is inclined-plane, and described matching surface bevel angle is 10 °~60 °, and nail supporting base assembly comprises nail supporting base block 1, left Clip Reed 2, right Clip Reed 3, locating shaft 4, nail supporting base 5 and knife washer 6.Locating shaft 4 is arranged on the centre bore of nail supporting base 5, nail supporting base 5 forms angle of inclination with locating shaft 4, angle of inclination is 10 °~60 °, left and right Clip Reed 2,3 forms an assembling and is inserted in locating shaft 4 endoporus, on nail supporting base block 1, be provided with positioning boss 1-1, nail supporting base block 1 covers in nail supporting base 5 upper surfaces, and knife washer 6 is arranged in nail supporting base 5 lower end endoporus.
Nail bin groupware comprises nail bin over cap 7, nail bin 8, endless knife 10, pushing slice of nail 11, nail storehouse sleeve 12 and anastomosis staple 13.On nail bin 8, be provided with the staggered anastomosis staple nail-arranging slot of two circles 8-1, anastomosis staple 13 is arranged in anastomosis staple nail-arranging slot 8-1, pushing slice of nail 11 is arranged on anastomosis staple nail-arranging slot 8-1 bottom, pushing slice of nail 11 plugs in nail storehouse sleeve 12 endoporus together with nail bin 8, pushing slice of nail 11 tops are provided with the staggered push jack 11-1 of two circles, push jack 11-1 is inclined upwardly 10 °~60 °, be provided with endless knife installation base 11-5 at pushing slice of nail 11 bottom endoporus, be provided with pushing slice of nail gathering sill 11-6 at push jack lower outside, be provided with nail storehouse sleeve loose slot 11-7 in gathering sill bottom, there is reinforcement 11-8 in nail storehouse sleeve loose slot arranged outside, in pushing slice of nail 11 bottom holes, be provided with buckle slot 11-9.Endless knife 10 is arranged on the installation base 11-5 in pushing slice of nail 11 endoporus.Endless knife cutting edge minimum point should with pushing slice of nail on the shortest push jack in a side.Nail bin over cap 7 is arranged on nail bin 8 tops.On puncture connecting axle 9, be provided with positioning boss 9-1, puncture connecting axle 9 is connected with locating shaft 4 endoporus of nail supporting base assembly by nail bin groupware endoporus.
Each push jack inner side on pushing slice of nail 11 is provided with brace rod 11-2, is provided with ejector pin groove 11-3 on each push jack top, is provided with semicylindrical opening 11-4 at each ejector pin groove middle part.
Nail storehouse sleeve 12 tops are inclined upwardly 10 °~60 ° take horizontal plane as benchmark, in nail storehouse sleeve 12, be provided with cross bracing frame 12-1, in cross bracing frame upper inside wall, be provided with pushing slice of nail guiding rib 12-2, pushing slice of nail guiding rib distributes and should distribute consistent with the pushing slice of nail gathering sill 11-6 on pushing slice of nail 11.On each pushing slice of nail guiding rib 12-2, be provided with nail bin installing hole 12-3.Be provided with positioning boss 12-4 in cross bracing frame bottom.In nail bin trepanning, be provided with some locating shaft gathering sill 12-5.
Endless knife 10 cutting edges are inclined upwardly 10 °~60 °, and the lower bottom part of endless knife 10 is provided with installing hole 10-1, and installing hole distributes and should distribute consistent with the endless knife installation base 11-5 on pushing slice of nail 11.
Nail bin 8 entirety are inclined upwardly 10 °~60 °, be provided with in each anastomosis staple nail-arranging slot bottom and make a concession groove 8-2, nail bin 8 lower outsides are provided with nail bin gathering sill 8-3, nail bin gathering sill 8-3 should be consistent with the pushing slice of nail gathering sill 11-6 distribution arrangement on pushing slice of nail 11, is provided with locking buckle 8-4 on each gathering sill.
Locating shaft 4 tops are provided with Clip Reed mounting platform 4-1, are provided with Clip Reed installing hole 4-2 at Clip Reed mounting platform middle part, are provided with annular installation base 4-3 in Clip Reed mounting platform bottom.Be symmetrically arranged with Clip Reed movable span 4-5 at locating shaft axle body, be symmetrically arranged with nail storehouse sleeve guide ledges 4-4 along locating shaft axle body.Be provided with puncture connecting axle locating slot 4-6 in locating shaft 4 bottoms, the positioning boss 9-1 on puncture connecting axle 9 is arranged on puncture connecting axle locating slot 4-6.Left Clip Reed 2 bottoms are provided with puncture connecting axle locking boss 2-1, and Clip Reed 2,3 composition one assemblings in left and right are inserted in the Clip Reed installing hole 4-2 of locating shaft 4.
Nail supporting base 5 entirety are inclined upwardly 10 °~60 °, and nail supporting base 5 tops are provided with nail supporting base block installing hole 5-1, and the positioning boss 1-1 on nail supporting base block 1 is fixed in nail supporting base block installing hole 5-1.Be provided with locating shaft installing hole 5-2 at nail supporting base block installing hole middle part, be provided with the staggered nail groove of two circles 5-3 in nail supporting base 5 lower periphery, be provided with knife washer installing hole 5-4 in nail groove inner side, be provided with knife washer locating slot 5-5 in knife washer installing hole inboard.
When tube type anastomat anastomosis cut component of the present invention and disposal tube type anastomosis support the use, anastomat anastomosis cut component is fixed on the bend pipe of disposal tube type anastomosis, puncture connecting axle 9 is fixed on disposal tube type anastomosis movable part, and nail supporting base assembly interts on puncture connecting axle 9 by locating shaft 4.In the time of operation, first take out disposal tube type anastomosis, unload nail bin over cap 7.Disposal tube type anastomosis is inserted and needed identical organ internal direct to nail supporting base part to expose completely.Be rotated counterclockwise the adjusting nut 16 at apparatus rear portion, open the space between nail supporting base assembly and nail bin groupware, make it be large enough to hold two broken ends of fractured bone of anastomotic position.Tighten up the pocket of nail bin groupware one end, with moderate dynamics, purse wire is bundled on puncture connecting axle 9 simultaneously.Then tighten up the purse wire of locating shaft 4 one end, with moderate dynamics, purse wire is bundled on locating shaft 4.Rotate afterbody adjusting nut 16 clockwise, two ends tissue is drawn close, until indication arrives in the green area of Pointing sign board.Open stop button 17, the flexible handle 18 of holding with a firm grip can excite, and represents that percussion completes in the time having clear and melodious click and significantly break through sense.Be rotated counterclockwise adjusting nut 16, slowly outwards extract disposal tube type anastomosis out.

Claims (5)

1. a tube type anastomat anastomosis cut component, is characterized in that: comprise nail supporting base assembly, nail bin groupware and puncture connecting axle;
When nail supporting base assembly and nail bin groupware coincide, matching surface is inclined-plane, and described matching surface bevel angle is 10 °~60 °, and nail supporting base assembly comprises nail supporting base block, left Clip Reed, right Clip Reed, locating shaft, nail supporting base and knife washer; Locating shaft is arranged on the centre bore of nail supporting base, nail supporting base and locating shaft form angle of inclination, left Clip Reed and one assembling of right Clip Reed composition are inserted in locating shaft endoporus, on nail supporting base block, be provided with positioning boss, nail supporting base covers in nail supporting base upper surface, and knife washer is arranged in the endoporus of nail supporting base lower end;
Nail bin groupware comprises nail bin over cap, nail bin, endless knife, pushing slice of nail, nail storehouse sleeve and anastomosis staple; On nail bin, be provided with the staggered anastomosis staple nail-arranging slot of two circles, anastomosis staple is arranged in anastomosis staple nail-arranging slot, pushing slice of nail is arranged on anastomosis staple nail-arranging slot bottom, pushing slice of nail plugs in nail storehouse sleeve endoporus together with nail bin, pushing slice of nail top is provided with the staggered push jack of two circles, and push jack is inclined upwardly 10 °~60 °, and in pushing slice of nail bottom, endoporus is provided with endless knife installation base, be provided with pushing slice of nail gathering sill at push jack lower outside, be provided with nail storehouse sleeve loose slot in gathering sill bottom; Endless knife is arranged on the installation base in pushing slice of nail endoporus; Nail bin over cap is arranged on nail bin top, on puncture connecting axle, is provided with positioning boss, and puncture connecting axle is connected with the locating shaft endoporus of nail supporting base assembly by nail bin groupware endoporus;
Nail storehouse sleeve top is inclined upwardly 10 °~60 ° take horizontal plane as benchmark, in nail storehouse sleeve, be provided with cross bracing frame, in cross bracing frame upper inside wall, be provided with pushing slice of nail guiding rib, pushing slice of nail guiding rib distributes and should distribute consistent with the pushing slice of nail gathering sill on pushing slice of nail; On each pushing slice of nail guiding rib, be provided with nail bin installing hole; Be provided with positioning boss in cross bracing frame bottom, in nail bin trepanning, be provided with some locating shaft gathering sills;
Endless knife cutting edge is inclined upwardly 10 °~60 °, and the lower bottom part of endless knife is provided with installing hole, and installing hole distributes and should distribute consistent with the endless knife installation base on pushing slice of nail;
Nail bin entirety is inclined upwardly 10 °~60 °, be provided with yielding groove in each anastomosis staple nail-arranging slot bottom, nail bin lower outside is provided with nail bin gathering sill, and nail bin gathering sill should be consistent with the pushing slice of nail gathering sill distribution arrangement on pushing slice of nail, on each gathering sill, is provided with locking buckle;
Locating shaft top is provided with Clip Reed mounting platform, be provided with Clip Reed installing hole at Clip Reed mounting platform middle part, be provided with annular installation base in Clip Reed mounting platform bottom, be symmetrically arranged with Clip Reed movable span at locating shaft axle body, be symmetrically arranged with nail storehouse sleeve guide ledges along locating shaft axle body, be provided with puncture connecting axle locating slot in locating shaft bottom, positioning boss on puncture connecting axle is arranged on puncture connecting axle locating slot, left Clip Reed bottom is provided with puncture connecting axle locking boss, left, right Clip Reed composition one assembling is inserted in the Clip Reed installing hole of locating shaft,
Nail supporting base entirety is inclined upwardly 10 °~60 °, nail supporting base top is provided with nail supporting base block installing hole, positioning boss on nail supporting base block is fixed in nail supporting base block installing hole, be provided with locating shaft installing hole at nail supporting base block installing hole middle part, be provided with the staggered nail groove of two circles in nail supporting base lower periphery, be provided with knife washer installing hole in nail groove inboard, be provided with knife washer locating slot in knife washer installing hole inner side.
2. tube type anastomat anastomosis cut component according to claim 1, is characterized in that: it is 10 °~60 ° that nail supporting base and locating shaft form angle of inclination.
3. tube type anastomat anastomosis cut component according to claim 1, is characterized in that: have reinforcement in nail storehouse sleeve loose slot arranged outside, in pushing slice of nail bottom hole, be provided with buckle slot.
4. tube type anastomat anastomosis cut component according to claim 1, is characterized in that: endless knife cutting edge minimum point should with pushing slice of nail on the shortest push jack in a side.
5. tube type anastomat anastomosis cut component according to claim 1, is characterized in that: the each push jack inner side on pushing slice of nail is provided with brace rod, is provided with ejector pin groove on each push jack top, is provided with semicylindrical opening at each ejector pin groove middle part.
CN201410069215.9A 2014-02-28 2014-02-28 Tube type anastomat anastomosis cut component Active CN103800044B (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
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CN104257408A (en) * 2014-09-29 2015-01-07 北京中法派尔特医疗设备有限公司 Tube stapler
CN104287802A (en) * 2014-11-07 2015-01-21 常州威克医疗器械有限公司 Replaceable staple cartridge subassembly for disposable round anastomat
CN108143458A (en) * 2017-12-26 2018-06-12 施爱德(厦门)医疗器材有限公司 The convertible stapler of abnormity
CN108992119A (en) * 2018-08-26 2018-12-14 江苏孜航精密五金有限公司 Disposable rotation cast Endo-GIA
CN108992118A (en) * 2018-08-26 2018-12-14 江苏孜航精密五金有限公司 The resist-nailed seat regulating device of disposable rotation cast Endo-GIA
CN109009289A (en) * 2018-08-26 2018-12-18 江苏孜航精密五金有限公司 The push jack driving device of disposable rotation cast Endo-GIA
CN110742665A (en) * 2019-08-02 2020-02-04 常州海尔斯医疗器械科技有限公司 Anorectal anastomat for preventing anastomotic stenosis

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CN2500264Y (en) * 2001-05-14 2002-07-17 冒巍巍 Flexible digestive tract anastomat
CN2762762Y (en) * 2004-06-04 2006-03-08 许建衡 Oblique section anastomat
CN101011277A (en) * 2006-02-01 2007-08-08 伊西康内外科公司 Elliptical intraluminal surgical stapler for anastomosis
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CN104257408A (en) * 2014-09-29 2015-01-07 北京中法派尔特医疗设备有限公司 Tube stapler
CN104257408B (en) * 2014-09-29 2017-08-25 北京派尔特医疗科技股份有限公司 A kind of tube type anastomat
CN104287802A (en) * 2014-11-07 2015-01-21 常州威克医疗器械有限公司 Replaceable staple cartridge subassembly for disposable round anastomat
CN108143458A (en) * 2017-12-26 2018-06-12 施爱德(厦门)医疗器材有限公司 The convertible stapler of abnormity
CN108143458B (en) * 2017-12-26 2024-04-30 施爱德(厦门)医疗器材有限公司 Special-shaped overturning type anastomat
CN108992119A (en) * 2018-08-26 2018-12-14 江苏孜航精密五金有限公司 Disposable rotation cast Endo-GIA
CN108992118A (en) * 2018-08-26 2018-12-14 江苏孜航精密五金有限公司 The resist-nailed seat regulating device of disposable rotation cast Endo-GIA
CN109009289A (en) * 2018-08-26 2018-12-18 江苏孜航精密五金有限公司 The push jack driving device of disposable rotation cast Endo-GIA
CN108992119B (en) * 2018-08-26 2023-08-01 江苏孜航精密五金有限公司 Disposable rotary tubular cutting anastomat
CN109009289B (en) * 2018-08-26 2023-10-27 江苏孜航精密五金有限公司 Pushing piece driving device of disposable rotary tube type cutting anastomat
CN108992118B (en) * 2018-08-26 2023-10-27 江苏孜航精密五金有限公司 Nail supporting seat adjusting device of disposable rotary tubular cutting anastomat
CN110742665A (en) * 2019-08-02 2020-02-04 常州海尔斯医疗器械科技有限公司 Anorectal anastomat for preventing anastomotic stenosis

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