CN104127219A - Surgical operating instrument - Google Patents
Surgical operating instrument Download PDFInfo
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- CN104127219A CN104127219A CN201410413882.4A CN201410413882A CN104127219A CN 104127219 A CN104127219 A CN 104127219A CN 201410413882 A CN201410413882 A CN 201410413882A CN 104127219 A CN104127219 A CN 104127219A
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- nail
- arranging slot
- arranging
- slot
- anvil
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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
-
- 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
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- 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
- A61B2017/07242—Stapler heads achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
-
- 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
- A61B2017/0725—Stapler heads with settable gap between anvil and cartridge, e.g. for different staple heights at different shots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a surgical operating instrument which comprises a body, an extending pipe arranged at the far end of the body, a joint arranged at the far end of the extending pipe and an execution head connected to the joint. The execution head comprises a nail anvil and a nail bin which can relatively pivot, the nail anvil is provided with nail anvil forming faces, the nail bin is provided with a nail bin face, a knife push groove penetrating through the nail bin face is formed in the nail bin, a cutting knife is arranged in the knife push groove, the cutting knife can be driven to move from the near end of the knife push groove towards the far end of the knife push groove to cut off physiological tissue between the nail anvil and the nail bin, and inner-row nail grooves, middle-row nail grooves and outer-row nail grooves are formed in the positions, on the two sides of the knife push groove, of the nail bin and are formed from the nail bin face in a concave mode. When the nail anvil and the nail bin pivot to the relative closed state, the distances between the nail bin face and the nail anvil forming faces which correspond to the inner-row nail grooves, the middle-row nail grooves and the outer-row nail grooves respectively are gradually increased. In the suturing operation, suturing nails with the larger nail tightness are applied to the physiological tissue closer to the wound portion, and the hemostatic effect of the suturing nails is optimized.
Description
Technical field
The invention belongs to manufacture technology field of medical appliance, be specifically related to a kind of surgical operating instrument.
Background technology
Anastomat is a kind of medical apparatus and instruments often using when the physiological tissues such as intestinal are carried out to surgical operation, it is the equipment that the alternative traditional-handwork that medically uses is sewed up, due to the development of modern science and technology and the improvement of manufacturing technology, the anastomat reliable in quality using clinically at present, easy to use, tightly, degree of tightness is suitable, especially its stitching is quick, easy and simple to handle and seldom have an advantage such as side effect and postoperative complication, sometimes the tumor operation that cannot excise of also making is over able to lesion resection, is subject to very much the domestic and international doctor's of Clinical Surgery favor and high praise.The difference of this instrument performance plays vital effect for whole surgical effect.
In the mirror surgical operation of chamber, chamber mirror surgical incision anastomat is normally used for the cutting anastomosis operations such as esophagus in digestive tract, Stomach duodenum, small intestinal, colon, rectum, vermiform appendix, gallbladder, pancreas and spleen, also be used to the cutting such as lung and trachea anastomosis operation in respiratory tract, also be used to the cutting such as bladder and uterus anastomosis operation in genitourinary system, can reduce operating time, improve operation quality.
Summary of the invention
The object of the present invention is to provide a kind of surgical operating instrument, it can optimize when operation, in the organizational process of breaking joint symphysis reason, for by the haemostatic effect from disconnected part physiological tissue.
For achieving the above object, the invention provides a kind of surgical operating instrument, comprise body, be arranged at the extension of described body distal end, be arranged at the joint of described extension far-end and be connected in the Executive Head on described joint, described Executive Head comprises nail anvil and nail bin that can be capable of pivoting relative to each other, described nail anvil has nail anvil forming surface, described nail bin has nail bin face, on described nail bin, be formed with the push broach groove that runs through described nail bin face, in described push broach groove, cutter are installed, described cutter can be driven from the near-end of described push broach groove to distal movement with the physiological tissue from breaking between described nail anvil and nail bin, wherein, on described nail bin, the both sides of push broach groove are also respectively equipped with nail-arranging slot in described nail bin face is arranged with formation, middle nail-arranging slot and outer nail-arranging slot, in the time that described nail anvil is switched to relative closure state with nail bin, respectively with described interior nail-arranging slot, distance between the nail bin face that middle nail-arranging slot and outer nail-arranging slot are corresponding and described nail anvil forming surface increases gradually.
As a further improvement on the present invention, the difference of the distance between the described nail anvil forming surface nail bin face corresponding with described interior nail-arranging slot and middle nail-arranging slot is greater than the poor of distance between described nail anvil forming surface and described outer nail-arranging slot and nail bin face corresponding to middle nail-arranging slot.
As a further improvement on the present invention, the difference in height between the nail bin face corresponding with described interior nail-arranging slot and middle nail-arranging slot is greater than the difference in height between described outer nail-arranging slot and nail bin face corresponding to middle nail-arranging slot.
As a further improvement on the present invention, in described nail anvil forming surface, be formed with and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot corresponding interior nail forming tank, middle nail forming tank and outer nail forming tank respectively, the difference in height between the nail anvil forming surface corresponding with described interior nail forming tank and middle nail forming tank is greater than the difference in height between described outer nail forming tank and nail anvil forming surface corresponding to middle nail forming tank.
As a further improvement on the present invention, the difference of the distance between the described nail anvil forming surface nail bin face corresponding with described interior nail-arranging slot and middle nail-arranging slot is 0.2mm, and the difference of the distance between the described nail anvil forming surface nail bin face corresponding with described outer nail-arranging slot and middle nail-arranging slot is 0.1mm.
As a further improvement on the present invention, the distance between the nail bin face that described nail anvil forming surface and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot are corresponding is respectively 1.3mm, 1.5mm, 1.6mm.
As a further improvement on the present invention, the distance between the nail bin face that described nail anvil forming surface and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot are corresponding is respectively 1.6mm, 1.8mm, 1.9mm.
As a further improvement on the present invention, the distance between the nail bin face that described nail anvil forming surface and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot are corresponding is respectively 1.8mm, 2.0mm, 2.1mm.
Foregoing invention object can realize in the following manner, a kind of surgical operating instrument is provided, comprise body, be arranged at the extension of described body distal end, be arranged at the joint of described extension far-end and be connected in the Executive Head on described joint, described Executive Head comprises nail anvil and nail bin that can be capable of pivoting relative to each other, described nail bin comprises push broach groove and is arranged at respectively the interior nail-arranging slot of described push broach groove both sides, middle nail-arranging slot and outer nail-arranging slot, described interior nail-arranging slot, in middle nail-arranging slot and outer nail-arranging slot, accommodate respectively suturing nail, when described suturing nail is after described nail anvil and nail bin are switched to closure state and are pulled the trigger, from described interior nail-arranging slot, the height that in middle nail-arranging slot and outer nail-arranging slot, the suturing nail of percussion reduces in its percussion direction reduces gradually.
The difference in height that the suturing nail of pulling the trigger in described interior nail-arranging slot and middle nail-arranging slot as a further improvement on the present invention, reduces in its percussion direction is greater than the suturing nail of pulling the trigger in described middle nail-arranging slot and outer nail-arranging slot and pulls the trigger at it difference in height reducing in direction.
As a further improvement on the present invention, the difference in height that the suturing nail of pulling the trigger in described interior nail-arranging slot and middle nail-arranging slot reduces in its percussion direction is 0.2mm, and the difference in height that the suturing nail of pulling the trigger in described middle nail-arranging slot and outer nail-arranging slot reduces in its percussion direction is 0.1mm.
Compared with prior art, surgical operating instrument provided by the invention is set to increase gradually by the distance between nail bin face and the nail anvil forming surface corresponding with interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot, in the time that sew application is carried out in operation, in the physiological tissue of wound part, be applied in the more suturing nail of spike tightness, optimized the haemostatic effect of suturing nail.
Brief description of the drawings
Fig. 1 is the structural representation of surgical operating instrument one embodiment of the present invention;
Fig. 2 is the part perspective view of Fig. 1;
Fig. 3 is the exploded perspective view of steering assembly in surgical operating instrument one embodiment of the present invention;
Fig. 4 is the part enlarged diagram in dotted line frame in Fig. 2;
Fig. 5 is the exploded perspective view of Executive Head in surgical operating instrument one embodiment of the present invention;
Fig. 6 is the structural representation of nail bin in surgical operating instrument one embodiment of the present invention;
Fig. 7 is the part enlarged diagram in dotted line frame in Fig. 6;
Fig. 8 is the part enlarged diagram in dotted line frame in Fig. 5;
Fig. 9 be in surgical operating instrument one embodiment of the present invention nail bin along its axial cutaway view.
Detailed description of the invention
Describe the present invention below with reference to detailed description of the invention shown in the drawings.But these embodiments do not limit the present invention, the conversion in structure, method or function that those of ordinary skill in the art makes according to these embodiments is all included in protection scope of the present invention.
In the present invention, the word of described expression position and direction, is all using exercises on apparatus author as reference, is near-end near one end of operator, is far-end away from one end of operator.In addition, surgical operating instrument described below is chamber mirror surgical incision anastomat.
In embodiments of the present invention, as an example of chamber mirror surgical incision anastomat example, anastomat of the present invention is done to concrete explaination, but should be noted that, skill spirit related in following embodiment can be replaced on the anastomat that uses other form, exemplarily, for example straight cuts type anastomat.
Ginseng Fig. 1 and Fig. 2, chamber mirror surgical incision anastomat 100, for multiple suturing nails being applied to the physiological tissue of human body, is implemented cutting to physiological tissue simultaneously accordingly.This chamber mirror surgical incision anastomat 100 comprises body 10, is arranged at the rotary handle 20 of body 10 far-ends, be arranged at the extension 30 of rotary handle far-end, the Executive Head 70 that is arranged at the joint 40 of extension 30 far-ends and is connected with joint 40, chamber mirror surgical incision anastomat 100 also comprises the steering assembly 50 being equipped with rotary handle 20, and the firing handle 60 of setting and body 10 near-ends.Accordingly, be also provided with the connecting rod 11 being connected with steering assembly 50, joint 40 respectively in body 10, steering assembly 50 is by driving connecting rod 11 to control rotation direction and the rotational angle in joint 30.
In conjunction with reference to shown in Fig. 3 to Fig. 4.
Rotary handle 20 comprises: lower swivelling cover 21, and agree with the upper swivelling cover 23 of setting with lower swivelling cover 21.Lower swivelling cover 21 and upper swivelling cover 23 agree with and form a hollow housing, body 10 far-ends through this hollow housing lower swivelling cover 21 and upper swivelling cover 23 are removably connected to the far-end of body 10.
On upper swivelling cover 23, offer the first through hole 231 that is communicated with body 10, the first through hole 23 footpaths upwards offer several retaining grooves 2311, run through by the first through hole 231 and along the connecting axle radially setting gradually from the bottom to top 52 of this first through hole 231, turn to tabletting 55 in locating rod 53, rotating down pressing sheet 54, rotation, elastic component 56, plain cushion 57, rotation fixed cap 58, and steering tiller 59, the pin 591 coordinating with steering tiller 59 is also set on steering tiller 59.Wherein, one end of connecting axle 52 is connected with connecting rod 11, and the other end is pegged graft into the lower end that turns to locating rod 53.
The base 531 that turns to locating rod 53 to comprise to be arranged on body 10, and from the base 531 extended columns 533 in top.In rotating down pressing sheet 54, rotation, tabletting 55, elastic component 56, plain cushion 57, rotation fixed cap 58 are sheathed on successively outside column 533 and place, and steering tiller 59 is removably connected away from one end of base 531 with column 533.Concrete, column 533 be one from base 531 extended cylinder, and on column 533, also offer at least two detents 5331, detent 5331 is axially offered along column 533, and detent 5331 is divided equally and is opened on column 533.In a preferred embodiment, the quantity of detent 5331 is two, offers along the axial symmetry of column 533.
The lower surface of rotating down pressing sheet 54 is resisted against on base 531, and the upper surface of rotating down pressing sheet 54 is resisted against on the lower surface of the upper tabletting 55 of rotation.On the upper surface of rotating down pressing sheet 54, be provided with limited impression 541, in rotation, on the lower surface of tabletting 55, be provided with the positive stop lug boss 555 being used in conjunction with described limited impression 541.On the sidewall of rotating down pressing sheet 54, be also provided with the first through hole 231 on suitable the first clamping boss 543 of the retaining groove 2311 offered, follow column 533 with tabletting 55 in rotation and be synchronized with the movement in process, remain that rotating down pressing sheet 54 is in original position.Accordingly, the quantity of limited impression 541 is at least two, the quantity of positive stop lug boss 555 is not specifically limited, as long as limited impression 541 and positive stop lug boss 555 meet following corresponding relation: limited impression 541 and positive stop lug boss 555 meet man-to-man relation, or meet many-to-one relation, also or meet the relation of multi-to-multi.After in rotation, tabletting 55 rotates with respect to rotating down pressing sheet 54, all positive stop lug boss 555 are all built in corresponding limited impression 541 so that the lower surface of the upper surface of rotating down pressing sheet 54 and the upper tabletting 55 of rotation completely against.
Limited impression 541 can be arranged on rotating down pressing sheet 54 according to the order of sequence, for example, limited impression 541 is evenly arranged on rotating down pressing sheet 54, or is symmetrical arranged along the axis direction of rotating down pressing sheet 5011, certainly, limited impression 541 also can unorderedly be arranged on rotating down pressing sheet 54.Accordingly, the shape of offering of limited impression 541 does not also specifically limit, and can be prismatic, four prismatics etc.Be understandable that, positive stop lug boss 555 meets above-mentioned relation, and setting corresponding to limited impression 541, therefore positive stop lug boss 555 repeats no more with the position relationship of the upper tabletting 55 of rotation.
Limited impression 541 is along the radial direction setting of rotating down pressing sheet 54; Positive stop lug boss 555 is along the radial direction setting of the upper tabletting 55 of rotation; The quantity of the quantity of limited impression 541 and positive stop lug boss 555 equates, and goes up on tabletting 55 with rotation along the being distributed in rotating down pressing sheet 54 at its corresponding radial direction interval respectively.
Be understandable that, the position of limited impression 541 and positive stop lug boss 555 can exchange, be that limited impression 541 is arranged on the lower surface of the upper tabletting 55 of rotation, positive stop lug boss 555 is arranged on the upper surface of rotating down pressing sheet 54, does not repeat at this in this corresponding embodiment.
Further, in rotation, tabletting 55 comprises the base plate 551 leaning with rotating down pressing sheet 54, and the stop collar 553 extending upward from base plate 551, stop collar 553 is resisted against on rotation fixed cap 58 away from the end of base plate 551, and rotation fixed cap 58 is connected on steering tiller 59 away from the one side of stop collar 553.On the sidewall of rotation fixed cap 58, be also provided with the first through hole 231 on the second clamping boss 581 of agreeing with mutually of the retaining groove 2311 offered, so that rotation fixed cap 58 is fixed on upper swivelling cover 23.
Accordingly, in rotation, on tabletting 55, offer the second through hole 557 of the described column of coupling, on the second through hole 557, be provided with positioning boss 543, positioning boss 543 mates the detent 5331 of column 533, so that upper tabletting 55 fixed covers of rotation are located on column 533, and in column 533 motor processs, keep the upper tabletting 55 of rotation to be synchronized with the movement with column 533.
Elastic component 56 and plain cushion 57 are set on stop collar 553, and plain cushion 57 is away from base plate 551 1 side settings, and an one end face is resisted against on rotation fixed cap 58, and other end is connected on elastic parts 56, to compress better this elastic component 56.Certainly, plain cushion 57 also can be set in steering assembly 50, corresponding, one end of elastic component 56 is resisted against on base plate 551, and the other end is resisted against on rotation fixed cap 58, does not repeat at this in this corresponding embodiment.
In operating process, in the time steering assembly 50 not being operated, elastic parts 56 is not subject to External Force Acting, and positive stop lug boss 555 agrees with in limited impression 541; Steering assembly 50 by external force rotation process in, elastic parts 56 is subject to External Force Acting generation deformation, the elastic parts 56 occurring after deformation rotates the thrust of tabletting 55 1 to the 54 direction motions of rotating down pressing sheet all the time, impel positive stop lug boss 555 to depart from from limited impression 541 simultaneously, and and then slide into the interval region between adjacent two limited impressions 541; Meanwhile, steering assembly 50 drives connecting rod 11 to move, and adjusts rotation direction and the rotational angle in joint 30 by connecting rod 11.In the time that the rotation direction in joint 30 and rotational angle are transferred to correct position, positive stop lug boss 555 in rotation on tabletting 55 moves to the top of another one limited impression 541 corresponding on rotating down pressing sheet 54 simultaneously, simultaneously, in rotation, tabletting 55 can be under the restoring force effect of elastic component 56, tabletting 55 in this rotation is moved to rotating down pressing sheet 54, and then positive stop lug boss 555 is connected in corresponding limited impression 541 again, corresponding, elastic component 56 also returns to the initial state that do not stress again.
In scope disclosed by the invention, Executive Head 70 by joint 40 can pivotable, can operate or integrally permanent and be directly connected to the far-end of the extension 30 of anastomat.Or, as known as such, use or can be from reusing or the extension 30 of disposable anastomat is removed with the Executive Head 70 of crossing, and be replaced with original disposable Executive Head.The near-end in joint 40 can forever or removably be connected with above-mentioned connecting rod 11, and the far-end in joint 40 is operably connected to Executive Head 70.When above-mentioned steering assembly 50 turns to joint 40 after suitable angle and position, Executive Head 70 is also correspondingly adjusted to corresponding operating position, and to carry out follow-up cutting and sew application, this partial content will describe in detail below.
Ginseng Fig. 5, Executive Head 70 can comprise assembly frame 73, nail anvil 72 and nail bin 71 conventionally, this assembly frame 73 defines a support passage, so that nail bin 71 can be installed and is contained in wherein.Manufacture or assembling process in, nail bin 71 can be assembled and be arranged in assembly frame 73, selectively, nail bin 71 can be installed on assembly frame 73 and be replaced separately or use by selectivity.
Nail bin 71 and nail anvil 72 are set to relatively pivotable, in the time that both are switched to open mode, operated target physiological tissue can be placed between the two, subsequently, by both are switched to closure state, be positioned at target physiological tissue between the two clamped, to carry out follow-up cutting and sew application.
Coordinate with reference to Fig. 6 to Fig. 9, nail bin 71 has nail bin face 713, on this nail bin face, be formed with the push broach groove 711 that runs through it, this push broach groove 711 preferably extends lengthwise into its far-end from the near-end of nail bin 71, one cutter 75 are installed in this push broach groove 711, the slide bar that these cutter 75 can be connected to its near-end drives, and then from the near-end of push broach groove 711 to distal movement with the physiological tissue from breaking between nail anvil 72 and nail bin 71, push broach groove 711 provides motion path and it is led simultaneously cutter 75 in this process.
On nail bin face 713, the both sides of push broach groove 711 are concaved with respectively interior nail-arranging slot 7121, middle nail-arranging slot 7122 and outer nail-arranging slot 7123, correspondingly, interior nail-arranging slot 7121, middle nail-arranging slot 7122 and outer nail-arranging slot 7123 are arranged successively in the direction away from push broach groove 711.In above-mentioned nail groove, all accommodate respectively suturing nail 741,742,743 and be positioned at the ejector pin piece 76 of suturing nail 741,742,743 bottoms.In nail bin 71, there is the cutter slide block 79 of a wedge shape, when slide bar drives cutter 75 to move, this cutter slide block 79 also driven from the near-end of push broach groove 711 to distal movement, in this process, the end face of its wedge shape promotes ejector pin piece 76 and moves in nail groove, and completes thus the percussion operation to suturing nail.
It should be noted that, although the nail groove in anastomat 100 of the present invention is explained in the mode of " interior nail-arranging slot 7121 ", " middle nail-arranging slot 7122 ", " outer nail-arranging slot 7123 " here, but should be understood that, " interior row, middle row, the outer row " of the expression position relationship is here relative property, but not critical; For example: mutually internally nail-arranging slot 7121 more close on the nail bin face of push broach groove 711 positions, can also be provided with other nail groove, in like manner, mutually externally nail-arranging slot 7123 on the nail bin face of push broach groove 711 positions, can be provided with equally other nail groove, the embodiment of these expansions is not done more specifically bright at this yet.Simultaneously, " interior nail-arranging slot 7121 ", " middle nail-arranging slot 7122 ", " the outer nail-arranging slot 7123 " in present embodiment, mentioned not only can comprise to being defined property single nail groove, on the contrary, " interior nail-arranging slot 7121 ", " middle nail-arranging slot 7122 ", " outer nail-arranging slot 7123 " can be the nail grooves that includes respectively two rows and even more rows, and these can be allowed to be applied in the embodiments of the present invention.
Nail anvil 72 has nail anvil forming surface 722, in this nail anvil forming surface 722, be formed with the cutting groove 721 corresponding with push broach groove 711 positions, the both sides of this cutting groove 721 have interior nail forming tank 7221, middle nail forming tank 7222 and the outer nail forming tank 7223 corresponding with interior nail-arranging slot 7121, middle nail-arranging slot 7122 and outer nail-arranging slot 7123 difference.In the process of being pulled the trigger by ejector pin piece 76 in nail groove at suturing nail, two nail feet of suturing nail and above-mentioned nail forming tank are inconsistent, and are little by little forced to bending, and the physiological tissue of contact portion compresses the most at last.
In the present embodiment, in the time that nail anvil 72 is switched to relative closure state with nail bin 71, the distance between nail bin face 7131,7132,7133 and the nail anvil forming surface 722 corresponding with interior nail-arranging slot 7121, middle nail-arranging slot 7122 and outer nail-arranging slot 7123 increases gradually respectively.Thus, after suturing nail is clenched in physiological tissue, the clench degree of suturing nail 741,742,743 in interior nail-arranging slot 7121, middle nail-arranging slot 7122 and outer nail-arranging slot 7123 in physiological tissue reduces gradually, also be, after suturing nail puts in physiological tissue, in the direction away from physiological tissue's wound, it clenches degree and reduces gradually.
It should be noted that, " clenching degree " of mentioning in the each embodiment of this description is after being clenched in physiological tissue with suturing nail, the maximum height value that this suturing nail limits along its percussion direction defines, maximum height value is larger, show that it clenches degree less, otherwise, show that it clenches degree larger.
In one embodiment, the difference of the distance between the nail anvil forming surface 722 nail bin face 7131,7132 corresponding with interior nail-arranging slot 7121 and middle nail-arranging slot 7122 is greater than the poor of distance between nail anvil forming surface 722 and outer nail-arranging slot 7123 and nail bin face 7133,7132 corresponding to middle nail-arranging slot 7122.Also, after suturing nail puts in physiological tissue, outer nail 743 with respect to middle nail 742 to physiological tissue clench degree reduce value than in nail 742 with respect to interior nail 741 to physiological tissue clench degree reduce be worth little.
In one embodiment, the difference in height between the nail bin face 7131,7132 corresponding with interior nail-arranging slot 7121 and middle nail-arranging slot 7122 is greater than the difference in height between outer nail-arranging slot 7123 and nail bin face 7133,7132 corresponding to middle nail-arranging slot 7122.
In one embodiment, the difference in height between the nail anvil forming surface 7231,7232 corresponding with interior nail forming tank 7221 and middle nail forming tank 7222 is greater than the difference in height between outer nail forming tank 7223 and nail anvil forming surface 7233,7232 corresponding to middle nail forming tank 7222.
Preferred embodiment, the difference of the distance between the nail anvil forming surface 722 nail bin face 7131,7132 corresponding with interior nail-arranging slot 7121 and middle nail-arranging slot 7122 is 0.2mm, and the difference of the distance between the nail anvil forming surface 722 nail bin face 7133,7132 corresponding with outer nail-arranging slot 7123 and middle nail-arranging slot 7122 is 0.1mm.
In above-mentioned each embodiment, distance drop between nail anvil forming surface 722 and nail bin face 713 is set to the mode on the rank such as non-, needed stressed value and the corresponding setting of relation apart from distance between physiological tissue's wound from the wound of having no progeny according to physiological tissue, ensured the best haemostatic effect of suturing nail to physiological tissue's wound.
Below provide three exemplary embodiment:
Embodiment mono-
Distance between nail bin face and the nail anvil forming surface of interior nail-arranging slot 7121 correspondences is 1.3mm;
Distance between nail bin face and the nail anvil forming surface of middle nail-arranging slot 7122 correspondences is 1.5mm;
Distance between nail bin face and the nail anvil forming surface of outer nail-arranging slot 7123 correspondences is 1.6mm.
Embodiment bis-
Distance between nail bin face and the nail anvil forming surface of interior nail-arranging slot 7121 correspondences is 1.6mm;
Distance between nail bin face and the nail anvil forming surface of middle nail-arranging slot 7122 correspondences is 1.8mm;
Distance between nail bin face and the nail anvil forming surface of outer nail-arranging slot 7123 correspondences is 1.9mm.
Embodiment tri-
Distance between nail bin face and the nail anvil forming surface of interior nail-arranging slot 7121 correspondences is 1.8mm;
Distance between nail bin face and the nail anvil forming surface of middle nail-arranging slot 7122 correspondences is 2.0mm;
Distance between nail bin face and the nail anvil forming surface of outer nail-arranging slot 7123 correspondences is 2.1mm.
In the another embodiment of anastomat provided by the invention, this anastomat is so constructed so that when suturing nail is after nail anvil and nail bin are switched to closure state and are pulled the trigger, from interior nail-arranging slot 7121, middle nail-arranging slot 7122 and outside the height that reduces in its percussion direction of the suturing nail 741,742,743 of nail-arranging slot 7123 interior percussions reduce gradually.Accordingly the anastomat of principle manufacture similarly can ensure physiological tissue more cut cutter from having no progeny, clench degree the closer to the suturing nail of the position of physiological tissue's wound larger, ensure preferably haemostatic effect.
Preferably, the difference in height reducing in its percussion direction from the suturing nail 741,742 of interior nail-arranging slot 7121 and the 7122 interior percussions of middle nail-arranging slot is greater than the difference in height reducing in its percussion direction from the suturing nail 742,743 of middle nail-arranging slot 7122 and the 7123 interior percussions of outer nail-arranging slot.In one embodiment, the difference in height reducing in its percussion direction from the suturing nail 741,742 of interior nail-arranging slot 7121 and the 7122 interior percussions of middle nail-arranging slot is 0.2mm, and the difference in height reducing in its percussion direction from the suturing nail 742,743 of middle nail-arranging slot 7122 and the 7123 interior percussions of outer nail-arranging slot is 0.1mm.
The present invention is by above-mentioned embodiment, there is following beneficial effect: surgical operating instrument provided by the invention is set to increase gradually by the distance between nail bin face and the nail anvil forming surface corresponding with interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot, in the time that sew application is carried out in operation, in the physiological tissue of wound part, be applied in the more suturing nail of spike tightness, optimized the haemostatic effect of suturing nail.
Be to be understood that, although this description is described according to embodiment, but be not that each embodiment only comprises an independently technical scheme, this narrating mode of description is only for clarity sake, those skilled in the art should make description as a whole, technical scheme in each embodiment also can, through appropriately combined, form other embodiments that it will be appreciated by those skilled in the art that.
Listed a series of detailed description is above only illustrating for feasibility embodiment of the present invention; they are not in order to limit the scope of the invention, all do not depart from the equivalent embodiment that skill spirit of the present invention does or change and all should be included in protection scope of the present invention within.
Claims (10)
1. a surgical operating instrument, comprise body, be arranged at the extension of described body distal end, be arranged at the joint of described extension far-end and be connected in the Executive Head on described joint, described Executive Head comprises nail anvil and nail bin that can be capable of pivoting relative to each other, described nail anvil has nail anvil forming surface, described nail bin has nail bin face, on described nail bin, be formed with the push broach groove that runs through described nail bin face, in described push broach groove, cutter are installed, described cutter can be driven from the near-end of described push broach groove to distal movement with the physiological tissue from breaking between described nail anvil and nail bin, wherein, on described nail bin, the both sides of push broach groove are also respectively equipped with the interior nail-arranging slot that is arranged with formation from described nail bin face, middle nail-arranging slot and outer nail-arranging slot, it is characterized in that, in the time that described nail anvil is switched to relative closure state with nail bin, respectively with described interior nail-arranging slot, distance between the nail bin face that middle nail-arranging slot and outer nail-arranging slot are corresponding and described nail anvil forming surface increases gradually.
2. surgical operating instrument according to claim 1, it is characterized in that, the difference of the distance between the described nail anvil forming surface nail bin face corresponding with described interior nail-arranging slot and middle nail-arranging slot is greater than the poor of distance between described nail anvil forming surface and described outer nail-arranging slot and nail bin face corresponding to middle nail-arranging slot.
3. surgical operating instrument according to claim 2, is characterized in that, the difference in height between the nail bin face corresponding with described interior nail-arranging slot and middle nail-arranging slot is greater than the difference in height between described outer nail-arranging slot and nail bin face corresponding to middle nail-arranging slot.
4. surgical operating instrument according to claim 2, it is characterized in that, in described nail anvil forming surface, be formed with and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot corresponding interior nail forming tank, middle nail forming tank and outer nail forming tank respectively, the difference in height between the nail anvil forming surface corresponding with described interior nail forming tank and middle nail forming tank is greater than the difference in height between described outer nail forming tank and nail anvil forming surface corresponding to middle nail forming tank.
5. surgical operating instrument according to claim 2, it is characterized in that, the difference of the distance between the described nail anvil forming surface nail bin face corresponding with described interior nail-arranging slot and middle nail-arranging slot is 0.2mm, and the difference of the distance between the described nail anvil forming surface nail bin face corresponding with described outer nail-arranging slot and middle nail-arranging slot is 0.1mm.
6. surgical operating instrument according to claim 5, is characterized in that, the distance between nail bin face corresponding to described nail anvil forming surface and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot is respectively 1.3mm, 1.5mm, 1.6mm.
7. surgical operating instrument according to claim 5, is characterized in that, the distance between nail bin face corresponding to described nail anvil forming surface and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot is respectively 1.6mm, 1.8mm, 1.9mm.
8. surgical operating instrument according to claim 5, is characterized in that, the distance between nail bin face corresponding to described nail anvil forming surface and described interior nail-arranging slot, middle nail-arranging slot and outer nail-arranging slot is respectively 1.8mm, 2.0mm, 2.1mm.
9. a surgical operating instrument, comprise body, be arranged at the extension of described body distal end, be arranged at the joint of described extension far-end and be connected in the Executive Head on described joint, described Executive Head comprises nail anvil and nail bin that can be capable of pivoting relative to each other, described nail bin comprises push broach groove and is arranged at respectively the interior nail-arranging slot of described push broach groove both sides, middle nail-arranging slot and outer nail-arranging slot, described interior nail-arranging slot, in middle nail-arranging slot and outer nail-arranging slot, accommodate respectively suturing nail, it is characterized in that, when described suturing nail is after described nail anvil and nail bin are switched to closure state and are pulled the trigger, from described interior nail-arranging slot, the height that in middle nail-arranging slot and outer nail-arranging slot, the suturing nail of percussion reduces in its percussion direction reduces gradually.
10. surgical operating instrument according to claim 9, it is characterized in that, the difference in height that the suturing nail of pulling the trigger in described interior nail-arranging slot and middle nail-arranging slot reduces in its percussion direction is greater than the suturing nail of pulling the trigger in described middle nail-arranging slot and outer nail-arranging slot and pulls the trigger at it difference in height reducing in direction.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410413882.4A CN104127219A (en) | 2014-08-21 | 2014-08-21 | Surgical operating instrument |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410413882.4A CN104127219A (en) | 2014-08-21 | 2014-08-21 | Surgical operating instrument |
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| CN104127219A true CN104127219A (en) | 2014-11-05 |
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| CN201410413882.4A Pending CN104127219A (en) | 2014-08-21 | 2014-08-21 | Surgical operating instrument |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114403963A (en) * | 2021-12-30 | 2022-04-29 | 苏州英途康医疗科技有限公司 | Driving device for suturing nail and surgical suturing instrument |
| WO2023138124A1 (en) * | 2022-01-20 | 2023-07-27 | 薛建新 | Actuating mechanism for everting stapling device, stapling device, and stapling device quality inspection method |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040050393A1 (en) * | 2002-09-12 | 2004-03-18 | Steve Golden | Anastomosis apparatus and methods |
| CN101756739A (en) * | 2008-12-02 | 2010-06-30 | 苏州天臣国际医疗科技有限公司 | Binding cutting tool in surgery |
| CN101756727A (en) * | 2008-11-27 | 2010-06-30 | 苏州天臣国际医疗科技有限公司 | Nail barn of linear type cutting closer |
| US20110184443A1 (en) * | 2010-01-26 | 2011-07-28 | Andreas Tzakis | Stapling apparatus for performing anastomosis on hollow organs |
| CN103405256A (en) * | 2008-05-09 | 2013-11-27 | 柯惠Lp公司 | Variable tissue compression using take-up component |
| CN204049749U (en) * | 2014-08-21 | 2014-12-31 | 常州健瑞宝医疗器械有限公司 | Surgical operating instrument |
-
2014
- 2014-08-21 CN CN201410413882.4A patent/CN104127219A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040050393A1 (en) * | 2002-09-12 | 2004-03-18 | Steve Golden | Anastomosis apparatus and methods |
| CN103405256A (en) * | 2008-05-09 | 2013-11-27 | 柯惠Lp公司 | Variable tissue compression using take-up component |
| CN101756727A (en) * | 2008-11-27 | 2010-06-30 | 苏州天臣国际医疗科技有限公司 | Nail barn of linear type cutting closer |
| CN101756739A (en) * | 2008-12-02 | 2010-06-30 | 苏州天臣国际医疗科技有限公司 | Binding cutting tool in surgery |
| US20110184443A1 (en) * | 2010-01-26 | 2011-07-28 | Andreas Tzakis | Stapling apparatus for performing anastomosis on hollow organs |
| CN204049749U (en) * | 2014-08-21 | 2014-12-31 | 常州健瑞宝医疗器械有限公司 | Surgical operating instrument |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114403963A (en) * | 2021-12-30 | 2022-04-29 | 苏州英途康医疗科技有限公司 | Driving device for suturing nail and surgical suturing instrument |
| CN114403963B (en) * | 2021-12-30 | 2023-09-05 | 苏州英途康医疗科技有限公司 | Staple driving device and surgical stapler |
| WO2023138124A1 (en) * | 2022-01-20 | 2023-07-27 | 薛建新 | Actuating mechanism for everting stapling device, stapling device, and stapling device quality inspection method |
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Application publication date: 20141105 |