CN104083187A - Degradable outer buckled type intestine auxiliary anastomotic device - Google Patents
Degradable outer buckled type intestine auxiliary anastomotic device Download PDFInfo
- Publication number
- CN104083187A CN104083187A CN201410264228.1A CN201410264228A CN104083187A CN 104083187 A CN104083187 A CN 104083187A CN 201410264228 A CN201410264228 A CN 201410264228A CN 104083187 A CN104083187 A CN 104083187A
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- CN
- China
- Prior art keywords
- internal ring
- degradable
- outer shroud
- auxiliary
- anastomotic
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00893—Material properties pharmaceutically effective
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B2017/1132—End-to-end connections
Abstract
The invention relates to a degradable outer buckled type intestine auxiliary anastomotic device which comprises an anastomotic buckle and an anastomotic fastener which are made of a macromolecule degradable material polylactic acid. By adopting the intestine auxiliary anastomotic device provided by the invention, the intestine anastomotic speed is remarkably increased, the anastomotic stoma is effectively prevented from being contaminated by intestinal contents, and the anastomotic postoperative complications are reduced.
Description
Technical field:
The invention belongs to surgical medical equipment technical field, be specifically related to the auxiliary stapling apparatus of a kind of degradable outer buckle-type intestinal.
Background technology:
Taking intestinal resection operation as example, surgeon completes after intestinal tube Partial Resection, intestinal tube two broken ends of fractured bone need to be connected, to rebuild the seriality of intestinal tube.Usual way is to use classical anastomosis to carry out craft continuously or interrupted suture with silk thread or catgut; the manual method operation that coincide of this class is relatively time-consuming and complicated; anastomotic stoma mucosa is involutory be difficult for regular; and anastomotic stoma can not get effective protection among being often exposed to enteric cavity, there is the danger that causes postoperative anastomotic stoma seepage.The sixties in last century, surgical stapling device assembly has been invented by USSC company of the U.S., closer, stapler, gastrointestinal tube type anastomat (EEA) etc. have released one after another, tube type anastomat provides double titanium tantalum peg, draw two broken ends of fractured bone cast tissues over to one's side stitching in intracavity, thereby realized the mechanization of gastrointestinal anastomosis.The application of tube type anastomat has further expanded surgical operation scope, has shortened operating time, has reduced tissue injury and hemorrhage, has improved the safety of operation, utilizes tube type anastomat to complete coincideing of cast tissue and in modern surgery practice, popularizes gradually.But in clinical practice, we also find that tube type anastomat exists following some shortcomings: if anastomat is disposable equipment, price is more expensive; Operation sequence is more loaded down with trivial details, and not reproducible operation; Rectum is above cannot complete end to end anastomosis, needs the capable end-to-side anastomosis of closer, and closed rear stump forms blind pipe diverticulum, does not meet digestive tract physiological structure; Foreign body forever retains body and easily forms larger cicatrix; Children operation need be cautious use of or avoid to use; After anastomat coincide, anastomotic stoma still can not get effective protection, still has danger of seepage etc.
Summary of the invention
The object of the invention is to overcome above-mentioned the deficiencies in the prior art; provide one can obviously accelerate the identical speed of intestinal; effectively protection anastomotic stoma is not subject to the pollution of intestinal contents; reduce anastomosis infectious-related complication, reduce the auxiliary stapling apparatus of degradable outer buckle-type intestinal of the residual untoward reaction causing of foreign body in vivo.
Technical scheme of the present invention: the auxiliary stapling apparatus of a kind of degradable outer buckle-type intestinal, comprise identical fastener and the identical latch fitting made by high molecular degradable material polylactic acid, described identical fastener comprises outer shroud and internal ring, described outer shroud and internal ring one end are by circular arc smooth connection, the other end of described internal ring is provided with the rectangular indentation distributing along even circumferential, the described outer through hole that is equipped with, be provided with one at described internal ring and described outer shroud connecting end surface and have annular sealed groove, described identical latch fitting comprises outer shroud and internal ring, described outer shroud and internal ring one end are by circular arc smooth connection, on described outer shroud and described connection circular arc, be equipped with through hole, the other end of described internal ring is provided with equally distributed locking pole, described locking pole upper end is provided with barb-like sealed key, described locking pole is inserted in the internal ring of described identical fastener, by sealed groove and sealed key effect, coincide fastener and identical latch fitting are fastenedly connected.
Further, described locking pole is four.
Further, be provided with medication coat at the outer surface of described identical part.
Further, described medication coat comprises the medicine that develops under infection, promoting healing, antitumor and x-ray.
Beneficial effect of the present invention: 1. utilize compressed anastomosis principle to carry out intestinal wireless stitching, shortened operating time.2. can complete complete end to end anastomosis, keep the normal physiological structure of intestinal.3. before anastomotic healing, support plays and supports enteric cavity effect, has reduced the generation of anastomotic stricture.4. support has been isolated intestinal contents and anastomotic stoma, has avoided the direct effect of intestinal contents to anastomotic stoma, has reduced the generation of anastomotic leakage.5. be conducive to intestinal contents and freely pass through anastomotic stoma, shortened postoperative fasting time, be beneficial to function of intestinal canal and recover; 6. the auxiliary stapling apparatus of outer buckle-type intestinal is prepared by degradable high polymer material, and the vivo degradation time is controlled, can not be detained in vivo and cause foreign body remaining; 7. be convenient to drain, make slough be beneficial to discharge.
Brief description of the drawings
The identical fastener longitudinal sectional view of the auxiliary stapling apparatus of the degradable outer buckle-type intestinal of Fig. 1;
The identical latch fitting longitudinal sectional view of the auxiliary stapling apparatus of the degradable outer buckle-type intestinal of Fig. 2;
The auxiliary stapling apparatus combination of the degradable outer buckle-type intestinal of Fig. 3 schematic diagram.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention is described in detail.
As Fig. 1, Fig. 2, shown in Fig. 3, the auxiliary stapling apparatus of a kind of degradable outer buckle-type intestinal, comprise identical fastener 1 and the identical latch fitting 2 made by high molecular degradable material polylactic acid, described identical fastener 1 comprises outer shroud 11 and internal ring 12, described outer shroud 11 and internal ring 12 one end are by circular arc 13 smooth connections, the other end of described internal ring 11 is provided with the rectangular indentation 14 distributing along even circumferential, described outer shroud 12 is provided with through hole, be provided with one at described internal ring 11 and described outer shroud 12 connecting end surfaces and have annular sealed groove 15, described identical latch fitting 2 comprises outer shroud 21 and internal ring 22, described outer shroud 21 and internal ring 22 one end are by circular arc 23 smooth connections, on described outer shroud 21 and described connection circular arc 23, be equipped with through hole, the other end of described internal ring 21 is provided with equally distributed locking pole 24, described locking pole upper end is provided with barb-like sealed key 25, described locking pole 25 is inserted in the internal ring 11 of described identical fastener 1, act on by sealed groove 15 and sealed key 25, coincide fastener 1 and identical latch fitting 2 are fastenedly connected, described locking pole 24 is four, outer surface at described identical part is provided with medication coat, described medication coat comprises the medicine that develops under infection, promoting healing, antitumor and x-ray.
To select corresponding intestinal to assist stapling apparatus according to intestinal tube diameter before use.Before intestinal canal anastomosis, intestinal tube two broken ends of fractured bone are made to purse string suture with absorbable thread respectively, to coincide latch fitting 1 and identical fastener 2 all imbedded and waited to coincide in intestinal tube, drawing pocket knotting in is fixed on locking pole 24, two devices are drawn close, locking pole 24 inserts in the internal ring 12 of the fastener 2 that coincide, and locking pole 24 is subject to receive in thrust, until sealed groove 25 holds together with sealed key 15 buttons, two ends intestinal tube is drawn close at assembly junction surface and the effect of being stressed is combined closely, and has coincide.If desired, intestinal tube placenta percreta does to reinforce and sews up.
The space that has certain width after the auxiliary stapling apparatus complete combination of intestinal between each locking pole, the latch fitting that coincide is provided with through hole, falls into enteric cavity excretion in order to slough.Due to the anastomotic stoma complete embedding of device that coincide, cut off contacting of anastomotic stoma and intestinal contents, form the effect as enteral " short circuit ", intestinal contents can not pollute anastomotic stoma, thereby has effectively protected anastomotic stoma.In addition, this auxiliary device that coincide can be made different model, and the intestinal that meets all ages and classes patient, different parts coincide.
Claims (4)
1. the auxiliary stapling apparatus of degradable outer buckle-type intestinal, it is characterized in that: comprise identical fastener and the identical latch fitting made by high molecular degradable material, described identical fastener comprises outer shroud and internal ring, described outer shroud and internal ring one end are by circular arc smooth connection, the other end of described internal ring is provided with the rectangular indentation distributing along even circumferential, the described outer through hole that is equipped with, be provided with one at described internal ring and described outer shroud connecting end surface and have annular sealed groove, described identical latch fitting comprises outer shroud and internal ring, described outer shroud and internal ring one end are by circular arc smooth connection, on described outer shroud and described connection circular arc, be equipped with through hole, the other end of described internal ring is provided with equally distributed locking pole, described locking pole upper end is provided with barb-like sealed key, described locking pole is inserted in the internal ring of described identical fastener, by sealed groove and sealed key effect, coincide fastener and identical latch fitting are fastenedly connected.
2. the auxiliary stapling apparatus of degradable outer buckle-type intestinal according to claim 1, is characterized in that: described locking pole is four.
3. the auxiliary stapling apparatus of degradable outer buckle-type intestinal according to claim 2, is characterized in that: the outer surface at described identical part is provided with medication coat.
4. the auxiliary stapling apparatus of degradable outer buckle-type intestinal according to claim 3, is characterized in that: described medication coat comprises the medicine that develops under infection, promoting healing, antitumor and x-ray.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201410264228.1A CN104083187A (en) | 2014-06-16 | 2014-06-16 | Degradable outer buckled type intestine auxiliary anastomotic device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201410264228.1A CN104083187A (en) | 2014-06-16 | 2014-06-16 | Degradable outer buckled type intestine auxiliary anastomotic device |
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CN104083187A true CN104083187A (en) | 2014-10-08 |
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Family Applications (1)
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CN201410264228.1A Pending CN104083187A (en) | 2014-06-16 | 2014-06-16 | Degradable outer buckled type intestine auxiliary anastomotic device |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108095789A (en) * | 2018-02-05 | 2018-06-01 | 赵舒 | A kind of degradable anastomotic component and the stapler with the degradable anastomotic component |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3974835A (en) * | 1972-11-30 | 1976-08-17 | Hardy Jr Thomas G | Anastomotic apparatus and method |
CN101904762A (en) * | 2009-06-03 | 2010-12-08 | 苏州天臣国际医疗科技有限公司 | Coinciding machine |
CN103239265A (en) * | 2013-05-10 | 2013-08-14 | 杭州铭众生物科技有限公司 | Anastomat for gastrointestinal tract anastomosis surgery and production method thereof |
CN203506814U (en) * | 2013-10-25 | 2014-04-02 | 杭州铭众生物科技有限公司 | Gastrointestinal tract anastomat |
CN203970465U (en) * | 2014-06-16 | 2014-12-03 | 禹正杨 | The auxiliary stapling apparatus of a kind of degradable outer buckle-type intestinal |
-
2014
- 2014-06-16 CN CN201410264228.1A patent/CN104083187A/en active Pending
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3974835A (en) * | 1972-11-30 | 1976-08-17 | Hardy Jr Thomas G | Anastomotic apparatus and method |
CN101904762A (en) * | 2009-06-03 | 2010-12-08 | 苏州天臣国际医疗科技有限公司 | Coinciding machine |
CN103239265A (en) * | 2013-05-10 | 2013-08-14 | 杭州铭众生物科技有限公司 | Anastomat for gastrointestinal tract anastomosis surgery and production method thereof |
CN203506814U (en) * | 2013-10-25 | 2014-04-02 | 杭州铭众生物科技有限公司 | Gastrointestinal tract anastomat |
CN203970465U (en) * | 2014-06-16 | 2014-12-03 | 禹正杨 | The auxiliary stapling apparatus of a kind of degradable outer buckle-type intestinal |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108095789A (en) * | 2018-02-05 | 2018-06-01 | 赵舒 | A kind of degradable anastomotic component and the stapler with the degradable anastomotic component |
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Application publication date: 20141008 |