CN104188703B - A kind of storage bag forming stapler - Google Patents
A kind of storage bag forming stapler Download PDFInfo
- Publication number
- CN104188703B CN104188703B CN201410473742.6A CN201410473742A CN104188703B CN 104188703 B CN104188703 B CN 104188703B CN 201410473742 A CN201410473742 A CN 201410473742A CN 104188703 B CN104188703 B CN 104188703B
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- CN
- China
- Prior art keywords
- main body
- rectangular channel
- shaped main
- ejector pin
- nail
- Prior art date
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- Expired - Fee Related
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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
- 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
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- 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
-
- 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
- A61B2017/07285—Stapler heads characterised by its cutter
-
- 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
- A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
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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)
- Physiology (AREA)
- Portable Nailing Machines And Staplers (AREA)
Abstract
A kind of storage bag forming stapler, comprise rectangular channel-shaped main body (1), rectangular channel-shaped main body (1) one end is working end, and the other end is operating side, and described working end is close ring; Rectangular channel-shaped main body (1) upper operating end be provided with rectangular channel-shaped main body (1) the rear end pressing bar that is connected of rotating shaft (3), rectangular channel-shaped main body (1) bottom is provided with head end pressing assembly, rectangular channel-shaped main body (1) in establish ejector pin cutting assembly and send screw assembly.Its advantage is: preset nail pressing plate above anastomosis staple, and this makes row curvilinear motion in nail pushing device implementation process become possibility; Eliminate the poor to the pressure force organized of traditional line stapler simple near-end pressing and the near-end that produces and far-end; Avoid missing nail latter stage at one-tenth nail, ensure end stitching quality; Two cutting and stitching lines during conventional stapler storage bag forming are reduced to a cutting and stitching line, eliminate storage bag stump, be expected to the generation reducing storage bag complication; Reduce the quantity using stapler in art, Economy type medicine consumptive material expense.
Description
Technical field
The present invention relates to technical field of medical instruments, relate to the stapler with structure Small Intestine storage bag in art specifically, be applicable to the patient that inflammatory intestines disease, familial adenomatous polyposis etc. need to build the functional storage bag of ileum.
Background technology
Full Colon and rectum excision+ileal pouch anal anastomosis is treatment familial adenomatous polyposis and medical treatment, and invalid ulcerative colitis, total colectomy type Crohn disease etc. involves the general modus operandi of full colorectal disease.Though the mode building ileal pouch is numerous, storage bag building mode conventional clinically is at present " J " type storage bag of twofold.Add with terminal ileum constructing function storage bag the time that postoperative patient feces stops at enteral, decrease defecation frequency after operation in patients, improve the quality of life after operation in patients.Its construction method terminal ileum is folded the side to side anastomosis making terminal ileum of two line cutting stitching instruments, closes ileum intestinal tube stump again after having coincide with closer.But this storage bag built by multiple anastomat, stapler also usually faces various post-operative complication, as stored up, bag is scorching, storage bag is hemorrhage, anastomotic stricture, storage bag fistula etc.After line cutting stitching instrument completes the side to side anastomosis of intestinal tube, the ileum broken ends of fractured bone of closing with closer.Exactly because there be the residual of this broken ends of fractured bone, what the comparatively thorny class post-operative complication of itself and ileal pouch stored up bag stump fistula is formed with direct relation.This kind of complication is by organization formation sinus tracts such as ileum stump and pelvic cavity, bladder, vagina, skins, and Chang Jingjiu does not more make patient's body and mind bear great injury, and usually makes clinicist face a severe test to the treatment of this type of complication.
Therefore, be necessary that very much the ileum stump processing mode to storing up bag forming at present improves.Thorough elimination storage bag ileum stump, reduces the incidence rate of storage bag fistula from the dissection aspect of storage bag forming.
Summary of the invention
Object of the present invention mainly for existing storage bag forming leave over technical problem existing for ileum stump, provide a kind of storage bag forming stapler integrating intestinal tube side to side anastomosis and end-to-side anastomosis.
The present invention also has an object to be former need three are reduced to a stapler the ileal pouch structure that apparatus just can complete can realize; A kind of effect affirmative, the storage bag forming stapler that cost is low are provided.
A kind of storage bag forming stapler, comprise rectangular channel-shaped main body 1, rectangular channel-shaped main body 1 one end is working end, and the other end is operating side, and described working end is close ring; Rectangular channel-shaped main body 1 upper operating end is provided with the rear end pressing bar 3 be connected with the rotating shaft of rectangular channel-shaped main body 1, and rectangular channel-shaped main body 1 bottom is provided with head end pressing assembly, establishes ejector pin cutting assembly and send screw assembly in rectangular channel-shaped main body 1;
Described head end pressing assembly, comprise connecting rod 6, be positioned at the head end pressing bar 2 of operating side and be positioned at the spring fastener 7 of working end, described connecting rod 6 one end and head end pressing bar 2 hinge links, the other end is provided with spring fastener 7; Described spring fastener 7 is provided with slide opening 17, and described spring fastener 7 is interlocked with the mushroom head 8 in described rectangular channel-shaped main body 1 working end, mushroom head 8 offers band string holes 9;
Described ejector pin cutting assembly, comprises nail-pushing part and cutting member, and described nail-pushing part comprises ejector pin handle 4 and ejector pin bar 10, described ejector pin handle 4 slides in the chute of rectangular channel-shaped main body 1 side, described ejector pin bar 10 is two parallel metal sheets, and the top of sheet metal is angle, and incline direction is crisscross arranged; Described cutting member comprises cutting blade and pushes away handle 5 and cutting blade 11, and described cutting blade pushes away handle 5 and slides in rectangular channel-shaped main body 1 opposite side chute, and described cutting blade 11 is two parallel metal sheets, turns up upward in "eight" shape in the top of sheet metal;
Describedly send screw assembly, comprise the nail bin 12 being positioned at rectangular channel-shaped main body 1, be evenly equipped with in nail bin 12 multiple go out nail 13; Nail bin 12 is two parallel strips, and cutting gathering sill 14, the two parallel strip one end for slidingly contacting with cutting blade 11 between two parallel strips connects and forms circular front end, and this circular front end is arranged with the working end annulus of rectangular channel-shaped main body 1 is concentric; Nail bin 12 centrally line offers the ejector pin gathering sill 15 slidingly contacted with ejector pin bar 10, and ejector pin gathering sill 15 lower end is provided with prefabricated nail pressing plate 16.
When described head end pressing bar 2 presses down, spring fastener 7 moves along slide opening 17 direction.
Described rectangular channel-shaped main body 1 is also provided with gag lever post 18, described rear end pressing bar 3 has draw-in groove, when pressing bar 3 in rear end rotates to when fastening with rectangular channel-shaped main body 1, the gag lever post 18 on rectangular channel-shaped main body 1 falls into draw-in groove, prevents rear end pressing bar 3 from rotating.
A kind of advantage of storing up bag forming stapler of the present invention is:
1, on the basis of traditional line cutting stitching instrument, the arc cutting of stapler front end is added; Preset nail pressing plate above anastomosis staple, this makes row curvilinear motion in nail pushing device implementation process become possibility;
2, increase press fit device at the far-end of stapler, eliminate the poor to the pressure force organized of traditional line stapler simple near-end pressing and the near-end that produces and far-end;
3, error articulation shape is submitted in the front end of bilateral nail pushing device after ejector pin completes, and makes to avoid missing nail latter stage at one-tenth nail, ensures end stitching quality;
4, two cutting and stitching lines during conventional stapler storage bag forming are reduced to a cutting and stitching line by the present invention, eliminate storage bag stump, are expected to the generation reducing storage bag complication; And reduce in art the quantity using stapler, Economy type medicine consumptive material expense.
Accompanying drawing explanation
Fig. 1 is overall structure schematic diagram of the present invention.
Fig. 2 is the structural representation on rectangular channel-shaped main body top.
Fig. 3 is the structural representation of head end pressing assembly.
Fig. 4 is the partial enlarged drawing of spring fastener.
Fig. 5 is the structural representation of rectangular channel-shaped main body bottom.
Fig. 6 is the partial enlarged drawing of ejector pin cutting assembly.
Fig. 7 is the structural representation of ejector pin cutting assembly.
Fig. 8 is the partial enlarged drawing on ejector pin cutting assembly top.
Fig. 9 is the partial enlarged drawing of rear end pressing bar.
Figure 10 is the structural representation of nail bin.
Figure 11 is the partial enlarged drawing of nail bin end.
In figure, 1 is rectangular channel-shaped main body, and 2 is head end pressing bar, and 3 is rear end pressing bar, 4 is ejector pin handle, and 5 push away handle for cutting blade, and 6 is connecting rod, 7 is spring fastener, and 8 is mushroom head, and 9 is band string holes, 10 is ejector pin bar, and 11 is cutting blade, and 12 is nail bin, 13 for going out nail, and 14 is cutting gathering sill, and 15 is ejector pin gathering sill, 16 is prefabricated nail pressing plate, and 17 is slide opening, and 18 is gag lever post.
Detailed description of the invention
Below in conjunction with accompanying drawing, be further described the present invention: as shown in figs. 1-11, a kind of storage bag forming stapler, comprise rectangular channel-shaped main body 1, rectangular channel-shaped main body 1 one end is working end, and the other end is operating side, and described working end is close ring; Rectangular channel-shaped main body 1 upper operating end is provided with the rear end pressing bar 3 be connected with the rotating shaft of rectangular channel-shaped main body 1, and rectangular channel-shaped main body 1 bottom is provided with head end pressing assembly, establishes ejector pin cutting assembly and send screw assembly in rectangular channel-shaped main body 1;
Described head end pressing assembly, comprise connecting rod 6, be positioned at the head end pressing bar 2 of operating side and be positioned at the spring fastener 7 of working end, described connecting rod 6 one end and head end pressing bar 2 hinge links, the other end is provided with spring fastener 7; Described spring fastener 7 is provided with slide opening 17, and described spring fastener 7 is interlocked with the mushroom head 8 in described rectangular channel-shaped main body 1 working end, mushroom head 8 offers band string holes 9;
Described ejector pin cutting assembly, comprises nail-pushing part and cutting member, and described nail-pushing part comprises ejector pin handle 4 and ejector pin bar 10, described ejector pin handle 4 slides in the chute of rectangular channel-shaped main body 1 side, described ejector pin bar 10 is two parallel metal sheets, and the top of sheet metal is angle, and incline direction is crisscross arranged; Described cutting member comprises cutting blade and pushes away handle 5 and cutting blade 11, and described cutting blade pushes away handle 5 and slides in rectangular channel-shaped main body 1 opposite side chute, and described cutting blade 11 is two parallel metal sheets, turns up upward in "eight" shape in the top of sheet metal;
Describedly send screw assembly, comprise the nail bin 12 being positioned at rectangular channel-shaped main body 1, be evenly equipped with in nail bin 12 multiple go out nail 13; Nail bin 12 is two parallel strips, and cutting gathering sill 14, the two parallel strip one end for slidingly contacting with cutting blade 11 between two parallel strips connects and forms circular front end, and this circular front end is arranged with the working end annulus of rectangular channel-shaped main body 1 is concentric; Nail bin 12 centrally line offers the ejector pin gathering sill 15 slidingly contacted with ejector pin bar 10, and ejector pin gathering sill 15 lower end is provided with prefabricated nail pressing plate 16.
When described head end pressing bar 2 presses down, spring fastener 7 moves along slide opening 17 direction.
Described rectangular channel-shaped main body 1 is also provided with gag lever post 18, described rear end pressing bar 3 has draw-in groove, when pressing bar 3 in rear end rotates to when fastening with rectangular channel-shaped main body 1, the gag lever post 18 on rectangular channel-shaped main body 1 falls into draw-in groove, prevents rear end pressing bar 3 from rotating.
Operation principle of the present invention is as follows: store up in the process of bag forming in operation, selected plan to implement the terminal ileum of ileal pouch and two intestinal tube doublings is drawn close.Is windowed in intestinal tube fold position, placed the working end of stapler bottom by place of windowing to intestinal tube near-end, place the working end on stapler top to intestinal tube far-end.End intestinal tube does purse string suture and is fixed on the working end mushroom head on stapler top; By the involutory fastening of front and back ends pressing assembly, press pressing bar.Promote ejector pin cutting assembly and complete the stitching cutting of intestinal tube, the side, side of one-shot forming intestinal tube and end-to-side anastomosis.
The present invention is achieved in that
(1) selected storage bag forming intestinal tube, suitably repairs (offset more than 45 degree to intestinal tube proximal lateral mesentery edge, make the intestinal tube broken ends of fractured bone become inclined-plane, and it is for subsequent use to do purse string suture along incisxal edge purse wire) intestinal tube end.Choosing is about 125mm place apart from far-end and is fold point and windows; Then, through the place of windowing, distally intestinal tube inserts the working end on rectangular channel-shaped main body 1 top placing nail bin 12, intestinal tube broken ends of fractured bone purse wire is tightened up also ligation in the band string holes 9 of mushroom head 8 lower end of head end pressing assembly.Through the place of windowing, proximally enteric cavity inserts the working end of rectangular channel-shaped main body 1 bottom, chooses correct position (intestinal tube window near-end be about 12.5cm to mesentery side) and windows.By spring fastener 7 and mushroom head 8 involutory, after the pressing bar 3 of rear end docks, pressure front end pressing bar 2, rear end pressing bar 3, by the intestinal tube pressing of doubling.
(2) organize pressing after 60 seconds the intestinal tube in stapler, promote ejector pin handle 4, ejector pin bar 10 advances above prefabricated nail pressing plate 16 along ejector pin gathering sill 15 in nail bin 12, and now titanium alloy nail is pressed in intestinal tube tissue completes stitching by going out nail 13 by prefabricated nail pressing plate 16.Ejector pin bar 10 head end is engaged mutually, ensures thoroughly to complete ejector pin at ejector pin end.
(3) ejector pin cutting blade pushes away handle 5 and slides in rectangular channel-shaped main body 1 opposite side chute, and cutting blade 11 advances along cutting gathering sill 14 in nail bin 12 assembly, and cutting blade 11 head end be mutually engaged, and ensures thoroughly to complete cutting to intestinal tube tissue in incision tip.
(4) finally open rear end pressing bar 3, stapler is organized together with the intestinal tube cut and is exited by opening in the lump, complete storage bag and build.
The above is most preferred embodiment of the present invention, not does any pro forma restriction to the present invention, every above example is done according to technical spirit of the present invention any simple modification, equivalent variations and modification, all still fall within the scope of protection of the present invention.
Claims (3)
1. store up a bag forming stapler, comprise rectangular channel-shaped main body (1), it is characterized in that: rectangular channel-shaped main body (1) one end is working end, and the other end is operating side, and described working end is close ring; Rectangular channel-shaped main body (1) upper operating end be provided with rectangular channel-shaped main body (1) the rear end pressing bar that is connected of rotating shaft (3), rectangular channel-shaped main body (1) bottom is provided with head end pressing assembly, rectangular channel-shaped main body (1) in establish ejector pin cutting assembly and send screw assembly;
Described head end pressing assembly, comprise connecting rod (6), the head end pressing bar that is positioned at operating side (2) and the spring fastener being positioned at working end (7), described connecting rod is one end and head end pressing bar (2) hinge links (6), and (7) the other end is provided with spring fastener; (17) (7) described spring fastener be provided with slide opening, and (8) (7) described spring fastener be interlocked with the mushroom head in described rectangular channel-shaped main body (1) working end, mushroom head (8) on offer band string holes (9);
Described ejector pin cutting assembly, comprise nail-pushing part and cutting member, described nail-pushing part comprise ejector pin handle (4) with ejector pin bar (10), (4) described ejector pin handle slides in rectangular channel-shaped main body (1) side chute, (10) described ejector pin bar is two parallel metal sheets, the top of ejector pin bar sheet metal is (10) angle, and incline direction is crisscross arranged; Described cutting member comprise cutting blade push away handle (5) with cutting blade (11), described cutting blade pushes away handle and (5) slides in rectangular channel-shaped main body (1) opposite side chute, (11) described cutting blade is two parallel metal sheets, turns up upward in "eight" shape in the top of cutting blade sheet metal (11);
Describedly send screw assembly, comprise and be positioned at rectangular channel-shaped main body nail bin (1) (12), nail bin (12) in be evenly equipped with multiple go out nail (13); (12) nail bin is two parallel strips, between two parallel strips for the cutting gathering sill that (11) slidingly contacts with cutting blade (14), two parallel strip one end connect and form circular front end, and this circular front end and rectangular channel-shaped main body working end annulus is (1) concentric arranges; Nail bin (12) centrally line offer the ejector pin gathering sill that (10) slidingly contacts with ejector pin bar (15), (16) ejector pin gathering sill (15) lower end is provided with prefabricated nail pressing plate.
2. storage bag forming stapler as claimed in claim 1, is characterized in that: when (2) described head end pressing bar presses down, (17) (7) spring fastener move in direction along slide opening.
3. storage bag forming stapler as claimed in claim 1, it is characterized in that: (1) described rectangular channel-shaped main body is gone up and be also provided with gag lever post (18), described rear end pressing bar (3) on have draw-in groove, when (3) pressing bar in rear end rotates to when (1) fastening with rectangular channel-shaped main body, (18) the gag lever post that (1) rectangular channel-shaped main body is gone up falls into draw-in groove.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410473742.6A CN104188703B (en) | 2014-09-17 | 2014-09-17 | A kind of storage bag forming stapler |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410473742.6A CN104188703B (en) | 2014-09-17 | 2014-09-17 | A kind of storage bag forming stapler |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104188703A CN104188703A (en) | 2014-12-10 |
| CN104188703B true CN104188703B (en) | 2016-01-27 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410473742.6A Expired - Fee Related CN104188703B (en) | 2014-09-17 | 2014-09-17 | A kind of storage bag forming stapler |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104188703B (en) |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE19509115C2 (en) * | 1995-03-16 | 1997-11-27 | Deutsche Forsch Luft Raumfahrt | Surgical device for preparing an anastomosis using minimally invasive surgical techniques |
| JP2951659B1 (en) * | 1998-10-07 | 1999-09-20 | 素子 岩渕 | Automatic suture device for biological tissue resection |
| US8827133B2 (en) * | 2007-01-11 | 2014-09-09 | Ethicon Endo-Surgery, Inc. | Surgical stapling device having supports for a flexible drive mechanism |
| US8899466B2 (en) * | 2009-11-19 | 2014-12-02 | Ethicon Endo-Surgery, Inc. | Devices and methods for introducing a surgical circular stapling instrument into a patient |
| US8746532B2 (en) * | 2011-05-19 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Anvil and cartridge alignment configuration for a circular stapler |
| CN102727268B (en) * | 2012-06-15 | 2014-11-05 | 北京中法派尔特医疗设备有限公司 | Linear cutting and sewing device employing novel cutter reset mechanism |
| CN202950705U (en) * | 2012-11-02 | 2013-05-29 | 北京中法派尔特医疗设备有限公司 | Arc-shaped cutting and suturing instrument |
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2014
- 2014-09-17 CN CN201410473742.6A patent/CN104188703B/en not_active Expired - Fee Related
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| Publication number | Publication date |
|---|---|
| CN104188703A (en) | 2014-12-10 |
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