CN103908313A - 外科手术器械 - Google Patents
外科手术器械 Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07221—Stapler heads curved
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07228—Arrangement of the staples
Abstract
本发明公开了一种外科手术器械,包括本体,设于本体远端的钉仓和钉砧,以及枢轴设于本体上的把手,所述钉仓包括钉仓本体,所述钉仓本体包括刀槽、缝合钉放置孔和荷包钉放置孔;所述缝合钉放置孔内设有相互抵接的推钉片和缝合钉;所述荷包钉放置孔内设有相互抵接的推钉片和荷包钉;所述钉仓面上还凹设有置线槽,所述置线槽与至少部分荷包钉放置孔相贯通且成一定角度,该置线槽中设有荷包线,且该荷包线位于至少部分荷包钉的两个钉脚之间。本发明的有益效果在于:适用于低位直肠癌切除术式,配合其他器械能有效地将遗留的病变组织残端完全切除,大大降低医疗事故的产生可能性。
Description
技术领域
本发明涉及一种外科手术器械,属于医疗器械技术领域。
背景技术
在固定切除手术中进行的病理诊断和治疗中通常会使用外科闭合切割器等外科手术器械。在过去的时间里,人们已经开发了外科闭合切割器,特别是可用于较小手术空间的外科器械,例如低位直肠癌的治疗、痔疮的切割等等,而且此类外科器械非常适合进行一些较宽组织的切除和缝合。中国专利CN200410103279及美国专利US6805273、US6817508均揭示了一种外科手术器械,大体包括本体,设于本体远端的钉仓和钉砧,以及设置在本体内的用于驱动钉仓移动的推进机构和用于将钉仓内的钉推出于钉仓的击发机构。钉被推出钉仓后在组织上成型B形后,即为闭合完全。同时,外科闭合切割器具有位于中心的切刀,切刀在其每侧具有至少一排钉。当钉被推出钉仓并成型时,钉仓内的切刀也被推出并将多余的组织切断。
目前的低位直肠癌切除术式中,首先用外科闭合切割器将癌变部位切除,然后再用圆管吻合器械将两残端吻合起来。但是该术式面临一个问题:即用外科闭合切割器将癌变组织切除后,会在残端上留下两个尖角,业界俗称“猫耳朵”,此两个“猫耳朵”很难被完全切除。当用圆管吻合器械进行吻合时,会发生将“猫耳朵”上的吻合钉切断的情况,从而影响切钉部位处吻合钉的成型状况,造成渗血,而且术后排泄物会进入该尖角,容易感染伤口,尖角留在体内也会对其他组织造成一定的伤害。
本发明将此专利所记载的内容作为现有技术进行引用。
发明内容
本发明目的在于解决上述的技术问题,提供一种适用于低位直肠癌切除术式的外科手术器械。
本发明的技术方案是:
一种外科手术器械,包括本体,设于本体远端的钉仓和钉砧,以及枢轴设于本体上的把手,所述钉仓包括钉仓本体,所述钉仓本体包括一个钉仓面;所述钉仓面上凹设有一刀槽,所述刀槽内设有一切刀;所述钉仓面上还凹设有缝合钉放置孔和荷包钉放置孔;所述缝合钉放置孔内设有相互抵接的推钉片和缝合钉,所述推钉片的截面形状与所述缝合钉放置孔的截面形状相匹配;所述荷包钉放置孔内设有相互抵接的推钉片和荷包钉,所述推钉片的截面形状与所述荷包钉放置孔的截面形状相匹配;所述钉仓面上还凹设有置线槽,所述置线槽与至少部分荷包钉放置孔相贯通且成一定角度,该置线槽中设有荷包线,且该荷包线位于至少部分荷包钉的两个钉脚之间。
优选的,所述缝合钉放置孔和所述荷包钉放置孔的截面形状相同。
优选的,所述荷包钉放置孔之间的排列为相互平行或呈“八”字形。
优选的,所有的所述荷包钉放置孔均垂直于所述刀槽。
优选的,所述钉仓本体为弧形设置,所述钉砧包括具有与钉仓本体相同弧度的钉砧本体,所述钉砧本体包括一个钉砧面;所述钉砧面上凹设有一具有与钉砧本体相同弧度的刀砧;所述钉砧面上还凹设有缝合钉成型槽和荷包钉成型槽;所述缝合钉成型槽的排列方式与所述缝合钉放置孔的排列方式相对应匹配;所述荷包钉成型槽的排列方式与所述荷包钉放置孔的排列方式相对应匹配。
优选的,所述荷包钉放置孔设为一排,其位于所述刀槽的一侧。
优选的,所述缝合钉放置孔均位于刀槽的另一侧,且设为一排或两排或两排以上。
优选的,缝合钉放置孔设为两排,且分别位于刀槽的两侧;与所述荷包钉放置孔设置在同侧的一排缝合钉放置孔距刀槽的距离大于所述荷包钉放置孔距刀槽的距离。
优选的,缝合钉放置孔设为三排,其中一排与所述荷包钉放置孔设置在所述刀槽同侧;剩余的两排设置在所述刀槽的另一侧,与所述荷包钉放置孔设置在同侧的一排缝合钉放置孔距刀槽的距离大于所述荷包钉放置孔距刀槽的距离。
优选的,所述置线槽与所有荷包钉放置孔相贯通且成一定角度。
本发明的有益效果在于:适用于低位直肠癌切除术式,配合其他器械能有效地将遗留的病变组织残端完全切除,大大降低医疗事故的产生可能性。
附图说明
下面结合附图及实施例对本发明作进一步描述:
图1为本发明的外科手术器械的主视图;
图2为本发明的优选实施例沿图1中A-A的剖视图;
图3为本发明的优选实施例沿图1中B-B的剖视图;
图4为图3中沿C-C的剖视图;
图5为本发明的第二实施例沿图1中A-A的剖视图;
图6为本发明的第三实施例沿图1中A-A的剖视图;
图7为本发明的第四实施例沿图1中A-A的剖视图;
图8为本发明的第四实施例沿图1中B-B的剖视图;
图9为本发明的第五实施例沿图1中A-A的剖视图;
图10为本发明的第六实施例沿图1中A-A的剖视图;
图11为本发明的第七实施例沿图1中A-A的剖视图;
图12为本发明的第七实施例沿图1中B-B的剖视图;
图13为本发明的第八实施例沿图1中A-A的剖视图;
图14为本发明的第九实施例沿图1中A-A的剖视图;
图15为本发明的第十实施例沿图1中A-A的剖视图;
图16为本发明的第十实施例沿图1中B-B的剖视图;
图17为本发明的第十一实施例沿图1中A-A的剖视图;
图18为本发明的第十二实施例沿图1中A-A的剖视图;
图19为本发明的第十三实施例沿图1中A-A的剖视图;
图20为本发明的第十三实施例沿图1中B-B的剖视图;
图21为本发明的第十四实施例沿图1中A-A的剖视图;
图22为本发明的第十四实施例沿图1中B-B的剖视图;
图23为本发明的第十五实施例沿图1中A-A的剖视图;
图24为本发明的第十五实施例沿图1中B-B的剖视图;
图25为本发明的第十六实施例沿图1中A-A的剖视图;
图26为本发明的第十六实施例沿图1中B-B的剖视图。
具体实施方式
参见图1所示,本发明提供了一种外科手术器械,包括本体1,设于本体远端的钉仓3和钉砧2,以及枢轴设于本体1上的把手4,与现有技术一致,设置在本体内的用于驱动钉仓移动的推进机构和用于将钉仓内的钉推出于钉仓的击发机构,均可由该把手4完成驱动。
结合图2、图3、图4所示的优选实施例,所述钉仓3包括弧形的钉仓本体30,所述钉仓本体30包括一个钉仓面31;所述钉仓面31上凹设有一具有与钉仓本体30相同弧度的刀槽32,所述刀槽32内设有一切刀;所述钉仓面31上还凹设有两排缝合钉放置孔33和一排荷包钉放置孔34,所述缝合钉放置孔33和荷包钉放置孔34分设于所述刀槽32的两侧。由于本发明中的钉仓3和钉砧2的形状均为弧形,因此本发明中的“一排或两排”也是弧形设置。当然,当钉仓3和钉砧2的形状均为直线形,“一排或两排”也是指直线形设置。
所述缝合钉放置孔33内设有相互抵接的推钉片35和缝合钉,所述推钉片35的截面形状与所述缝合钉放置孔33的截面形状相匹配;所述荷包钉放置孔34内设有相互抵接的推钉片35和荷包钉39,所述推钉片35的截面形状与所述荷包钉放置孔34的截面形状相匹配。所述钉仓面31上还凹设有置线槽311,所述置线槽311与所有荷包钉放置孔34相贯通且成一定角度,该置线槽311中设有荷包线38,且该荷包线38位于至少部分荷包钉39的两个钉脚之间。当然,所述置线槽311也可以与部分荷包钉放置孔34相贯通且成一定角度。与现有技术一致,所述刀槽32的两端还分别设有防溢针孔36和钉砧杆孔37。
所述钉砧2包括具有与钉仓本体30相同弧度的钉砧本体20,所述钉砧本体20包括一个钉砧面21;所述钉砧面21上凹设有一具有与钉砧本体20相同弧度的刀砧22;所述钉砧面21上还凹设有一组缝合钉成型槽23和一组荷包钉成型槽24,所述缝合钉成型槽23和荷包钉成型槽24分设于所述刀砧22的两侧;所述缝合钉成型槽23的排列方式与所述缝合钉放置孔33的排列方式相对应匹配;所述荷包钉成型槽24的排列方式与所述荷包钉放置孔34的排列方式相对应匹配。
下面简单描述一下本发明优选实施例的操作过程。
在进行组装器械时,待缝合钉装配好后,将荷包线压进容纳荷包线的槽;击发器械时,推钉片将吻合钉推出钉仓进行切割缝合,同时将荷包线订合在组织上;使用圆管吻合器械进行残端吻合时,只需用勾线器等辅助器械将残端上的荷包线两个自由端拉进其钉筒内并收紧,即可将残端上的两个尖角即“猫耳朵”全部切除掉。
图5和图6揭示了钉砧的第二、第三实施例。此时,所述荷包钉放置孔34之间的排列为相互平行或呈“八”字形,或者,所有的所述荷包钉放置孔34均垂直于所述刀槽32。相应的,所述荷包钉成型槽24之间的排列为相互平行或呈图5中所揭示的“八”字形。或者,如图6所示,所有的所述荷包钉成型槽24均垂直于所述刀砧22。这样设置的原因是为了使荷包钉39在组织上的抓紧力更大。
图7和图8揭示了本发明的第四实施例,缝合钉放置孔33设为三排,其中一排与所述荷包钉放置孔34设置在所述刀槽32同侧;剩余的两排设置在所述刀槽32的另一侧。所述荷包钉放置孔34的远离所述刀槽32的外侧设有一排缝合钉放置孔33,即与所述荷包钉放置孔34设置在同侧的一排缝合钉放置孔33距刀槽32的距离大于所述荷包钉放置孔34距刀槽32的距离;相应的,与优选实施例相比,所述荷包钉成型槽24的远离所述刀砧22的外侧也多设有一排缝合钉成型槽23。这样,与优选实施例相比就能在组织上多成型一排缝合钉,加强了进行荷包缝合一侧的缝合效果。
本实施例中,在所述荷包钉放置孔34的远离所述刀槽32的外侧设有一排缝合钉放置孔33,同样的,与缝合钉放置孔33位于刀槽32同侧的荷包钉放置孔34还可以是两排或更多。
图9和图10揭示钉砧的第五、第六实施例。与第四实施例的区别在于,所述荷包钉放置孔34之间的排列为相互平行或呈“八”字形,或者,所有的所述荷包钉放置孔34均垂直于所述刀槽32。相应的,所述荷包钉成型槽24之间的排列为相互平行或呈图9中所揭示的“八”字形。或者,如图10所示,所有的所述荷包钉成型槽24均垂直于所述刀砧22。
图11和图12揭示了本发明的第七实施例,与第一实施例相比,缝合钉放置孔33设为一排,所述荷包钉放置孔34设为一排,分设在刀槽32的两侧,相应的,缝合钉成型槽23和荷包钉成型槽24也均为一排,分设在刀砧22的两侧。本实施例简化了生产工艺,成本降低,且能达到同样的手术效果。
图13和图14揭示了钉砧的第八、第九实施例。与第七实施例的区别在于,所述荷包钉放置孔34之间的排列为相互平行或呈“八”字形,或者,所有的所述荷包钉放置孔34均垂直于所述刀槽32。相应的,所述荷包钉成型槽24之间的排列为相互平行或呈图9中所揭示的“八”字形。或者,如图10所示,所有的所述荷包钉成型槽24均垂直于所述刀砧22。
图15和图16揭示了本发明的第十实施例,缝合钉放置孔33设为两排,其中一排与所述荷包钉放置孔34设置在所述刀槽32同侧;另一排设置在所述刀槽32的另一侧。其中,与所述荷包钉放置孔34设置在同侧的一排缝合钉放置孔33距刀槽32的距离大于所述荷包钉放置孔34距刀槽32的距离。
相应的,与第七实施例相比,所述荷包钉成型槽24的远离所述刀砧22的外侧也多设有一排缝合钉成型槽23。这样,与第七实施例相比就能在组织上多成型一排缝合钉,加强了进行荷包缝合一侧的缝合效果。
图17和图18揭示钉砧的第十一、第十二实施例。与第十实施例的区别在于,所述荷包钉放置孔34之间的排列为相互平行或呈“八”字形,或者,所有的所述荷包钉放置孔34均垂直于所述刀槽32。相应的,所述荷包钉成型槽24之间的排列为相互平行或呈图17中所揭示的“八”字形。或者,如图18所示,所有的所述荷包钉成型槽24均垂直于所述刀砧22。
图19和图20揭示钉砧的第十三实施例。与第一实施例的区别在于:荷包钉放置孔34和荷包钉成型槽24分别位于所述弧形钉仓3和弧形钉砧2的内弧面一侧。
图21和图22揭示钉砧的第十四实施例。与第四实施例的区别在于:荷包钉放置孔34和荷包钉成型槽24分别位于所述弧形钉仓3和弧形钉砧2的内弧面一侧。
图23和图24揭示钉砧的第十五实施例。与第七实施例的区别在于:荷包钉放置孔34和荷包钉成型槽24分别位于所述弧形钉仓3和弧形钉砧2的内弧面一侧。
图25和图26揭示钉砧的第十六实施例。与第十实施例的区别在于:荷包钉放置孔34和荷包钉成型槽24分别位于所述弧形钉仓3和弧形钉砧2的内弧面一侧。
上述的第十三实施例至第十六实施例的设置,是为了反向吻合。
以上所有实施例中针对荷包钉放置孔34、缝合钉放置孔33,以及荷包钉成型槽24、缝合钉成型槽23的排列方式并未穷举,因其还可以自由多种组合,因此在此不再赘述。
本发明中,所述缝合钉放置孔33和所述荷包钉放置孔34的截面形状相同。所述缝合钉成型槽23和所述荷包钉成型槽24的截面形状相同。这样设置的原因是为了降低成本,制造方便。
本发明中的远端是指操作时远离医生的一侧,近端是指操作时靠近医生的一侧。
本发明尚有多种实施方式,凡采用等同替换或者等效变换而形成的所有技术方案,均落在本发明要求保护的范围之内。
Claims (10)
1.一种外科手术器械,包括本体(1),设于本体远端的钉仓(3)和钉砧(2),以及枢轴设于本体(1)上的把手(4),其特征在于:
所述钉仓(3)包括钉仓本体(30),所述钉仓本体(30)包括一个钉仓面(31);
所述钉仓面(31)上凹设有一刀槽(32),所述刀槽(32)内设有一切刀;
所述钉仓面(31)上还凹设有缝合钉放置孔(33)和荷包钉放置孔(34);
所述缝合钉放置孔(33)内设有相互抵接的推钉片(35)和缝合钉,所述推钉片(35)的截面形状与所述缝合钉放置孔(33)的截面形状相匹配;
所述荷包钉放置孔(34)内设有相互抵接的推钉片(35)和荷包钉(39),所述推钉片(35)的截面形状与所述荷包钉放置孔(34)的截面形状相匹配;
所述钉仓面(31)上还凹设有置线槽(311),所述置线槽(311)与至少部分荷包钉放置孔(34)相贯通且成一定角度,该置线槽(311)中设有荷包线(38),且该荷包线(38)位于至少部分荷包钉(39)的两个钉脚之间。
2.根据权利要求1所述的外科手术器械,其特征在于:所述缝合钉放置孔(33)和所述荷包钉放置孔(34)的截面形状相同。
3.根据权利要求1所述的外科手术器械,其特征在于:所述荷包钉放置孔(34)之间的排列为相互平行或呈“八”字形。
4.根据权利要求3所述的外科手术器械,其特征在于:所有的所述荷包钉放置孔(34)均垂直于所述刀槽(32)。
5.根据权利要求1所述的外科手术器械,其特征在于:所述钉仓本体(30)为弧形设置,所述钉砧(2)包括具有与钉仓本体(30)相同弧度的钉砧本体(20),所述钉砧本体(20)包括一个钉砧面(21);
所述钉砧面(21)上凹设有一具有与钉砧本体(20)相同弧度的刀砧(22);
所述钉砧面(21)上还凹设有缝合钉成型槽(23)和荷包钉成型槽(24);
所述缝合钉成型槽(23)的排列方式与所述缝合钉放置孔(33)的排列方式相对应匹配;
所述荷包钉成型槽(24)的排列方式与所述荷包钉放置孔(34)的排列方式相对应匹配。
6.根据权利要求1所述的外科手术器械,其特征在于:所述荷包钉放置孔(34)设为一排,其位于所述刀槽(32)的一侧。
7.根据权利要求6所述的外科手术器械,其特征在于:所述缝合钉放置孔(33)均位于刀槽(32)的另一侧,且设为一排或两排或两排以上。
8.根据权利要求6所述的外科手术器械,其特征在于:缝合钉放置孔(33)设为两排,且分别位于刀槽(32)的两侧;与所述荷包钉放置孔(34)设置在同侧的一排缝合钉放置孔(33)距刀槽(32)的距离大于所述荷包钉放置孔(34)距刀槽(32)的距离。
9.根据权利要求6所述的外科手术器械,其特征在于:缝合钉放置孔(33)设为三排,其中一排与所述荷包钉放置孔(34)设置在所述刀槽(32)同侧;剩余的两排设置在所述刀槽(32)的另一侧,与所述荷包钉放置孔(34)设置在同侧的一排缝合钉放置孔(33)距刀槽(32)的距离大于所述荷包钉放置孔(34)距刀槽(32)的距离。
10.根据权利要求1至9任一项所述的外科手术器械,其特征在于:所述置线槽(311)与所有荷包钉放置孔(34)相贯通且成一定角度。
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