CN104188703B - One kind of pouch forming stapler - Google Patents

One kind of pouch forming stapler Download PDF

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Publication number
CN104188703B
CN104188703B CN 201410473742 CN201410473742A CN104188703B CN 104188703 B CN104188703 B CN 104188703B CN 201410473742 CN201410473742 CN 201410473742 CN 201410473742 A CN201410473742 A CN 201410473742A CN 104188703 B CN104188703 B CN 104188703B
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end
staple
body
elongated
stapler
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CN 201410473742
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Chinese (zh)
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CN104188703A (en )
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丁召
钱群
江从庆
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武汉大学
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Abstract

一种储袋成型用切割缝合器,包括长条槽形主体⑴,长条槽形主体⑴一端为工作端,另一端为操作端,所述工作端为闭合圆环;长条槽形主体⑴上部操作端设有与长条槽形主体⑴转轴连接的后端压合杆⑶,长条槽形主体⑴下部设有头端压合组件,长条槽形主体⑴内设推钉切割组件和送钉组件。 One kind of pouch forming stapler, comprising an elongated trough body ⑴, elongated trough body ⑴ end of the working end, the other end of the operating end, the working end is a closed ring; elongate trough body ⑴ the upper end of the operating rod is provided with a rear end pressing ⑶ ⑴ elongated shaft connected to the trough body, an elongated channel-shaped body with a head end lower portion ⑴ nip assembly, the elongated trough body ⑴ cutting assembly and the staple pushing site magazine assembly. 其优点在于:在吻合钉上方预置压钉板,这使得推钉器推行过程中行曲线运动成为可能;消除传统直线切割缝合器单纯近端压合而产生的近端与远端的对组织的压合力差;在成钉末期避免漏钉,保证末端钉合质量;将常用的切割缝合器储袋成型时两条切割缝合线减少为一条切割缝合线,消除储袋残端,有望降低储袋并发症的发生;减少术中使用切割缝合器的数量,节约医疗耗材费用。 The advantages: staple preset pressure above the nail plate, which makes the implementation process of pushing the staple rows curvilinear motion possible; eliminate simple conventional linear stapler generated nip proximal and distal of the proximal end of tissue differential pressure force; prevent leakage at the end of the nail into the nail, to ensure the quality of the end stapling; when used to reduce the stapler pouch forming two cut the suture to a suture cutting, eliminating pouch stump, is expected to reduce pouch complications; reduce the number of intraoperative use of stapler, saving the cost of medical supplies.

Description

一种储袋成型用切割缝合器 One kind of pouch forming stapler

技术领域 FIELD

[0001] 本发明涉及医疗器械技术领域,具体的说是涉及术中用构建小肠功能性储袋的切割缝合器,适用于炎症肠病、家族性腺瘤性息肉病等需要构建回肠功能性储袋的患者。 [0001] The present invention relates to the field of medical devices, specifically relates to intraoperative intestinal functionality pouch constructed of stapler for inflammatory bowel disease, familial adenomatous polyposis and the like need to build a functional ileal pouch patients.

背景技术 Background technique

[0002] 全结直肠切除+回肠储袋肛管吻合术是治疗家族性腺瘤性息肉病和内科治疗无效的溃疡性结肠炎、全结肠型克罗恩病等累及全结直肠病变的通用手术方式。 [0002] Full + proctocolectomy ileal pouch-anal anastomosis is the therapy of familial adenomatous polyposis and medical treatment of ulcerative colitis, Crohn's disease the whole colonic surgery involving general Full colorectal diseases . 虽构建回肠储袋的方式众多,但目前临床上常用的储袋构建方式为双折叠的“J”型储袋。 Although many ways constructed ileal pouch, the pouch is used but the current clinical embodiment constructed as double-folded "J" type pouch. 用末端回肠构建功能性储袋增加了术后患者粪便在肠内停留的时间,减少了患者术后排便次数,改善了患者术后的生活质量。 Construction of the terminal ileum with functional pouch increased postoperative stay feces in the intestines, reducing the number of patients with defecation and improve the quality of life of patients after surgery. 其构建方法是将末端回肠折叠用两把直线切割缝合器做末端回肠的侧侧吻合,吻合完成后再用关闭器关闭回肠肠管残端。 Which method is constructed by folding the terminal ileum two linear stapler of the make-side terminal ileum side anastomosis after the completion of a shutter closing ileal intestine stump. 但是,这种由多种吻合器、切割缝合器构建的储袋也常常面临各种术后并发症,如储袋炎、储袋出血、吻合口狭窄、储袋瘘等。 However, such a plurality of staplers, stapler constructed pouch often faced postoperative complications, such as pouchitis, pouch bleeding, anastomotic stricture, fistula pouch. 直线切割缝合器完成肠管的侧侧吻合后,用关闭器关闭的回肠断端。 Linear stapler complete side to side anastomosis of bowel, with the shutter closed ends ileum. 正是因为有此断端的残留,其与回肠储袋较为棘手的一类术后并发症储袋残端瘘的形成有直接关系。 It is because of this residual stump, and ileal pouch formed of a more difficult type pouch stump fistula complications are directly related. 该种并发症由回肠残端与盆腔、膀胱、阴道、皮肤等组织形成窦道,常经久不愈使得患者身心承受极大的伤害,而对此类并发症的治疗常常使临床医师面临严峻考验。 This kind of formation of sinus complications of ileal stump and pelvis, bladder, vagina, skin and other tissues, often prolonged healing that the patient under great physical and mental harm, and treatment of such complications often makes clinicians face a severe test .

[0003] 因此,非常有必要对目前储袋成型的回肠残端处理方式进行改良。 [0003] Therefore, it is necessary to ileal pouch stump present embodiment is improved molding. 彻底消除储袋回肠残端,从储袋成型的解剖层面降低储袋瘘的发生率。 Eliminate stump ileum pouch, pouch formed from the anatomical levels reduce the incidence of fistula pouch.

发明内容 SUMMARY

[0004] 本发明的目的主要是针对现有储袋成型所遗留回肠残端所存在的技术问题,提供了一种集肠管侧侧吻合和端侧吻合于一体的储袋成型用切割缝合器。 [0004] The main object of the present invention is directed to the legacy of the prior art problems ileal pouch forming stump is present, there is provided a set of end and side to side anastomosis intestinal side anastomosis in one pouch forming stapler.

[0005] 本发明还有一目的是将原需三把器械才能完成的回肠储袋构建简化为一把切割缝合器即可实现;提供一种效果肯定、成本低的储袋成型用切割缝合器。 [0005] A further object of the present invention is to original equipment required to complete three ileal pouch constructed of a simplified stapler can be realized; to provide a positive effect and low cost of pouch forming stapler.

[0006] —种储袋成型用切割缝合器,包括长条槽形主体1,长条槽形主体1 一端为工作端,另一端为操作端,所述工作端为闭合圆环;长条槽形主体1上部操作端设有与长条槽形主体1转轴连接的后端压合杆3,长条槽形主体1下部设有头端压合组件,长条槽形主体1内设推钉切割组件和送钉组件; [0006] - forming a kind of pouch stapler, comprising an elongated channel-shaped body 1, an elongated body one end of the trough working end, the other end of the operating end, the working end is a closed ring; long grooves 1 is provided with an upper operating end shaped body connected to the rear end of the elongated body trough a nip shaft rod 3, the elongated trough body 1 is provided with a lower end of the pressing head assembly, an elongate trough body site nail-pushing the cutting assembly and the magazine assembly;

[0007] 所述头端压合组件,包括连接杆6、位于操作端的头端压合杆2和位于工作端的弹簧扣件7,所述连接杆6 —端与头端压合杆2铰链链接,另一端设有弹簧扣件7 ;所述弹簧扣件7上设有滑孔17,所述弹簧扣件7与所述长条槽形主体1工作端内的蘑菇头8相扣合,蘑菇头8上开设有带线孔9; [0007] The head end of the nip assembly comprising six connecting rods 6, located in the operating end of the head end of the nip bar 2 and in the working end of the spring fastener 7, the connecting rod - end and the head end of the nip bar and a second hinge link , and the other end provided with a spring clip 7; 17 of the slide hole 7 is provided with a spring catch, the catch spring 7 are engaged with the mushroom head 8 in the main body 1 of the working end of the elongated trough, mushrooms the head 8 defines a hole 9 with a line;

[0008] 所述推钉切割组件,包括推钉件和切割件,所述推钉件包括推钉手柄4和推钉杆10,所述推钉手柄4在长条槽形主体1 一侧滑槽内滑动,所述推钉杆10为两平行金属片,金属片的顶端呈斜口,且倾斜方向交错设置;所述切割件包括切割刀片推柄5和切割刀片11,所述切割刀片推柄5在长条槽形主体1另一侧滑槽内滑动,所述切割刀片11为两平行金属片,金属片的顶端向上方外翻呈“八”字形; [0008] The staple push cutter assembly comprising a cutting member and the staple pushing member, said pushing member comprises a staple pushing a handle 4 and a staple pushing shank 10, the staple push lever 4 elongated trough body 1 a skidding sliding slot, pushing the shank 10 of two parallel metal sheets, the metal sheet was inclined top port and staggered oblique direction; the cutting member comprises a cutting blade 5 and the cutting blade push handle 11, the push cutting blade in a further lever 5 sliding body sliding groove elongate trough, the cutting blade 11 into two parallel metal sheets, the metal sheet was top "eight" shape upwardly out;

[0009] 所述送钉组件,包括位于长条槽形主体1内的钉仓12,钉仓12内均布有多个出钉孔13 ;钉仓12为两平行条状,两平行条之间为与切割刀片11滑动接触的切割导向槽14,两平行条一端相接形成圆环状前端,且该圆环状前端与长条槽形主体1的工作端圆环同心设置;钉仓12沿中心线开设有与推钉杆10滑动接触的推钉导向槽15,推钉导向槽15下端设有预制压钉板16。 [0009] The staple feed assembly 12 includes a staple cartridge positioned within an elongated trough body, the staple cartridge 12 are uniformly distributed within a plurality of staple apertures 13; staple cartridge 12 into two parallel strips, two parallel strips of between a cutting guide groove 11 slides in contact with the cutting blade 14, one end of two parallel strips are formed in contact with an annular front end, and the distal end of the working end of the annular ring body 1 is an elongated trough disposed concentrically; staple cartridge 12 along the center line 10 defines a sliding contact with the push rod pushing the staple staple guide groove 15, the guide groove 15 the lower end of the staple pushing plate 16 is provided with prefabricated press nails.

[0010] 所述头端压合杆2下压时弹簧扣件7沿滑孔17方向运动。 When [0010] the head end 2 at the pressure nip spring catch lever 7 along the direction of the slide hole 17.

[0011 ] 所述长条槽形主体1上还设有限位杆18,所述后端压合杆3上开有卡槽,当后端压合杆3旋转至与长条槽形主体1扣合时,长条槽形主体1上的限位杆18落入卡槽中,防止后端压合杆3转动。 [0011] The elongate channel-shaped body 1 further has a limit on the rod 18, the rear end of the pressing lever slot 3 is opened, when the rotation of 3 to the rear end of the elongated channel-shaped body 1 nip buckle lever engaged, the stopper rod 1 falling into the elongated slot 18 in the trough body, to prevent the rear end of the pressing lever 3 rotates.

[0012] 本发明一种储袋成型用切割缝合器的优点是: [0012] The advantages of the present invention, one kind of pouch formed by a cutter stapler is:

[0013] 1、在传统的直线切割缝合器的基础上,增加了切割缝合器前端的弧形切割;在吻合钉上方预置压钉板,这使得推钉器推行过程中行曲线运动成为可能; [0013] 1, in the traditional linear cutter stapler, the stapler increases distal arcuate cutting; preset pressure above the staple nail plate, which makes the implementation process of pushing the staple rows curvilinear motion possible;

[0014] 2、在切割缝合器的远端增加压合装置,消除传统直线切割缝合器单纯近端压合而产生的近端与远端的对组织的压合力差; The force of the pressure difference between the organization of the proximal and distal ends [0014] 2, the distal end of the stapler to increase nip means eliminating simple conventional linear stapler proximal nip generated;

[0015] 3、双侧推钉器的前端在推钉完成后呈交错咬合状,使得在成钉末期避免漏钉,保证末端钉合质量; [0015] 3, the distal end of the staple push bilateral occlusion zigzag shape after completion of pushing the staple, so as to avoid missing nails into the nail at the end to ensure the quality of the end stapling;

[0016] 4、本发明将常用的切割缝合器储袋成型时两条切割缝合线减少为一条切割缝合线,消除储袋残端,有望降低储袋并发症的发生;并且减少术中使用切割缝合器的数量,节约医疗耗材费用。 [0016] 4, the present invention will be used when the stapler pouch forming two cut sutures reduced to a suture cutting, eliminating pouch stump, is expected to reduce the incidence of complications pouch; and reduce intraoperative use of a cutting number stapler, saving the cost of medical supplies.

附图说明 BRIEF DESCRIPTION

[0017] 图1为本发明的整体结构示意图。 [0017] Fig 1 a schematic view of an overall configuration of the present invention.

[0018] 图2为长条槽形主体上部的结构示意图。 [0018] FIG. 2 is a schematic view of an upper portion of an elongated trough body.

[0019] 图3为头端压合组件的结构示意图。 [0019] FIG. 3 is a schematic view of the head end of the nip assembly.

[0020] 图4为弹簧扣件的局部放大图。 [0020] FIG. 4 is a partially enlarged view of the spring fastener.

[0021] 图5为长条槽形主体下部的结构示意图。 [0021] FIG. 5 is a schematic view of a lower portion of the elongated trough body.

[0022] 图6为推钉切割组件的局部放大图。 [0022] FIG. 6 is a partial enlarged staple pushing cutting assembly of FIG.

[0023] 图7为推钉切割组件的结构示意图。 [0023] FIG. 7 is a schematic structural diagram of staple pushing cutting assembly.

[0024] 图8为推钉切割组件顶端的局部放大图。 [0024] FIG. 8 is a top staple pushing cutting assembly partially enlarged view.

[0025] 图9为后端压合杆的局部放大图。 [0025] FIG. 9 is a partial enlarged view of the rear end engagement pressure lever.

[0026] 图10为钉仓的结构示意图。 [0026] FIG. 10 is a schematic view of the staple cartridge.

[0027] 图11为钉仓末端的局部放大图。 [0027] FIG. 11 is a partially enlarged view of the end of the staple cartridge.

[0028] 图中,1为长条槽形主体,2为头端压合杆,3为后端压合杆,4为推钉手柄,5为切割刀片推柄,6为连接杆,7为弹簧扣件,8为蘑菇头,9为带线孔,10为推钉杆,11为切割刀片,12为钉仓,13为出钉孔,14为切割导向槽,15为推钉导向槽,16为预制压钉板,17为滑孔,18为限位杆。 [0028] FIG, 1 is a long trough body, 2 is a nip rod head end, a rear end pressing lever 3, a handle 4 for the staple pushing, cutting blade push handle 5, a connecting rod 6, 7 spring fasteners, mushroom head 8, a belt line hole 9, to push the shank 10, cutting blade 11, a staple cartridge 12, the nail holes 13, 14 of the cutting guide groove, the guide groove 15 to push the staple, prefabricated plate press nails 16, slide hole 17, the stopper 18 is a rod.

具体实施方式 detailed description

[0029] 下面结合附图,对本发明进行进一步说明:如图1-11所示,一种储袋成型用切割缝合器,包括长条槽形主体1,长条槽形主体1 一端为工作端,另一端为操作端,所述工作端为闭合圆环;长条槽形主体1上部操作端设有与长条槽形主体1转轴连接的后端压合杆3,长条槽形主体1下部设有头端压合组件,长条槽形主体1内设推钉切割组件和送钉组件; [0029] DRAWINGS The present invention is further illustrated: FIG. 1-11 A pouch forming stapler, 1, elongated trough body is a working end comprising an end of an elongate channel-shaped body the other end of the operating end, the working end is a closed ring; an upper operating end of the elongated channel-shaped rear end of the body 1 is provided with an elongated shaft connecting trough body pressing lever 3, elongated trough body 1 with a lower end of the head assembly nip, equipped with a long trough body pushes the staple magazine assembly and the cutting assembly;

[0030] 所述头端压合组件,包括连接杆6、位于操作端的头端压合杆2和位于工作端的弹簧扣件7,所述连接杆6 —端与头端压合杆2铰链链接,另一端设有弹簧扣件7 ;所述弹簧扣件7上设有滑孔17,所述弹簧扣件7与所述长条槽形主体1工作端内的蘑菇头8相扣合,蘑菇头8上开设有带线孔9; [0030] The head end of the nip assembly comprising six connecting rods 6, located in the operating end of the head end of the nip bar 2 and in the working end of the spring fastener 7, the connecting rod - end and the head end of the nip bar and a second hinge link , and the other end provided with a spring clip 7; 17 of the slide hole 7 is provided with a spring catch, the catch spring 7 are engaged with the mushroom head 8 in the main body 1 of the working end of the elongated trough, mushrooms the head 8 defines a hole 9 with a line;

[0031] 所述推钉切割组件,包括推钉件和切割件,所述推钉件包括推钉手柄4和推钉杆10,所述推钉手柄4在长条槽形主体1 一侧滑槽内滑动,所述推钉杆10为两平行金属片,金属片的顶端呈斜口,且倾斜方向交错设置;所述切割件包括切割刀片推柄5和切割刀片11,所述切割刀片推柄5在长条槽形主体1另一侧滑槽内滑动,所述切割刀片11为两平行金属片,金属片的顶端向上方外翻呈“八”字形; [0031] The staple push cutter assembly comprising a cutting member and the staple pushing member, said pushing member comprises a staple pushing a handle 4 and a staple pushing shank 10, the staple push lever 4 elongated trough body 1 a skidding sliding slot, pushing the shank 10 of two parallel metal sheets, the metal sheet was inclined top port and staggered oblique direction; the cutting member comprises a cutting blade 5 and the cutting blade push handle 11, the push cutting blade in a further lever 5 sliding body sliding groove elongate trough, the cutting blade 11 into two parallel metal sheets, the metal sheet was top "eight" shape upwardly out;

[0032] 所述送钉组件,包括位于长条槽形主体1内的钉仓12,钉仓12内均布有多个出钉孔13 ;钉仓12为两平行条状,两平行条之间为与切割刀片11滑动接触的切割导向槽14,两平行条一端相接形成圆环状前端,且该圆环状前端与长条槽形主体1的工作端圆环同心设置;钉仓12沿中心线开设有与推钉杆10滑动接触的推钉导向槽15,推钉导向槽15下端设有预制压钉板16。 [0032] The staple feed assembly 12 includes a staple cartridge positioned within an elongated trough body, the staple cartridge 12 are uniformly distributed within a plurality of staple apertures 13; staple cartridge 12 into two parallel strips, two parallel strips of between a cutting guide groove 11 slides in contact with the cutting blade 14, one end of two parallel strips are formed in contact with an annular front end, and the distal end of the working end of the annular ring body 1 is an elongated trough disposed concentrically; staple cartridge 12 along the center line 10 defines a sliding contact with the push rod pushing the staple staple guide groove 15, the guide groove 15 the lower end of the staple pushing plate 16 is provided with prefabricated press nails.

[0033] 所述头端压合杆2下压时弹簧扣件7沿滑孔17方向运动。 When [0033] the head end 2 at the pressure nip spring catch lever 7 along the direction of the slide hole 17.

[0034] 所述长条槽形主体1上还设有限位杆18,所述后端压合杆3上开有卡槽,当后端压合杆3旋转至与长条槽形主体1扣合时,长条槽形主体1上的限位杆18落入卡槽中,防止后端压合杆3转动。 [0034] The elongate channel-shaped body 1 further has a limit on the rod 18, the rear end of the pressing lever slot 3 is opened, when the rotation of 3 to the rear end of the elongated channel-shaped body 1 nip buckle lever engaged, the stopper rod 1 falling into the elongated slot 18 in the trough body, to prevent the rear end of the pressing lever 3 rotates.

[0035] 本发明的工作原理如下:在手术中储袋成型的过程中,选定拟行回肠储袋的末端回肠并将两肠管对折靠拢。 Working Principle [0035] The present invention is as follows: during a surgical bag forming the reservoir, the selected terminal undergoing ileal pouch ileal intestine and two fold approach. 将肠管对折处开窗,通过开窗处向肠管近端放置切割缝合器下部的工作端,向肠管远端放置切割缝合器上部的工作端。 The intestine fold window was made at a lower portion disposed cutter stapler to the working end of the proximal intestine through the window at the upper portion of the cutter placed in the working end of the stapler to the distal intestine. 末端肠管做荷包缝合固定于切割缝合器上部的工作端蘑菇头上;将前、后端压合组件对合扣紧,按下压合杆。 End of the purse string suture is fixed to the intestine do cutter stapler upper working end of the mushroom head; the front and rear nip assembly for fastening engagement, press nip bar. 推动推钉切割组件完成肠管的缝合切割、一次成型肠管的侧侧及端侧吻合。 Pushing the push staple stapling intestinal complete cutting assembly cutting, forming side and the side end of the bowel anastomosis.

[0036] 本发明是这样实现的: [0036] The present invention is implemented as follows:

[0037] ⑴选定储袋成型肠管,对肠管末端进行适当修整(对系膜缘向肠管近端侧偏移超过45度,使得肠管断端成斜面,并沿切缘用荷包线做荷包缝合备用)。 [0037] ⑴ selected intestinal pouch forming, on intestinal appropriately trimmed end (offset mesangial intestine proximal to the side edges of more than 45 degrees, so that the bevelled ends intestine, and along the cutting edge made with pouch suture line purse spare). 选距远端约125mm处为对折点并开窗;然后,经过开窗处向远端肠管置入已经放置好钉仓12的长条槽形主体1上部的工作端,将肠管断端荷包线收紧并结扎于头端压合组件的蘑菇头8下端的带线孔9内。 Selected from about 125mm from the distal end of the window and for the vertices; then, after the window has been placed into the distal bowel good working end of the elongated staple cartridge 1 upper portion of the trough body 12, the ends of the intestine purse line 8 with the lower end of the bore to tighten the line and ligation of the head end of the nip mushroom head assembly 9. 经开窗处向近端肠腔置入长条槽形主体1下部的工作端,选取合适位置(肠管开窗近端约12.5cm对系膜侧)开窗。 Windowed at the working end into a lower portion of the elongate body proximally trough intestine, select the appropriate position (about 12.5cm proximal intestine window based on the film side) window. 将弹簧扣件7和蘑菇头8对合,后端的压合杆3对接后,压下前端压合杆2、后端压合杆3,将对折的肠管压合。 7 and the spring catch mushroom head 8 on the joint, the rear end of the pressing lever 3 after mating, front end of the nip pressure 2 bar, pressing the rear end of the rod 3, will be pressed off the intestine.

[0038] ⑵将切割缝合器内的肠管组织压合60秒后,推动推钉手柄4,推钉杆10在钉仓12内沿推钉导向槽15在预制压钉板16上方推进,此时预制压钉板16将钛合金钉通过出钉孔13压入肠管组织内完成钉合。 After [0038] ⑵ intestine tissue in the cutting nip 60 seconds stapler, the staple pushing the push lever 4, pushing the shank 10 within the magazine 12 along the guide groove 15 to push the staple advancing plate above the preform pressure screw 16, at this time the prefabricated titanium plate 16 press nails staples through the staple is pressed into the hole 13 to complete the stapling intestinal tissue. 推钉杆10头端相互咬合,保证在推钉末端彻底完成推钉。 Push the shank ends 10 engage with each other, to ensure fully completed at the staple pushing end to push the staples.

[0039] ⑶推钉切割刀片推柄5在长条槽形主体1另一侧滑槽内滑动,切割刀片11在钉仓12组件内沿切割导向槽14推进,切割刀片11头端为相互咬合,保证在切割末端彻底完成对肠管组织的切割。 [0039] ⑶ cutting blade pushes the staple push lever 5 further elongate channel-shaped main body 1 sliding grooves to slide the cutting blade 11 within the cartridge assembly 12 along the cutting guide groove 14 advancing the cutting end of the blade 11 is in engagement with each other to ensure a thorough complete the cutting of intestinal tissue in the cutting tip.

[0040] ⑷最后打开后端压合杆3,将切割缝合器连同切下的肠管组织一并通过开窗孔退出,完成储袋构建。 [0040] ⑷ open rear end of the last nip rod 3, together with the stapler intestinal tissue excised exit together through fenestration completed pouch constructed.

[0041] 以上所述为本发明的最佳实施例,并非对本发明作任何形式上的限制,凡是依据本发明的技术实质对以上实例所作的任何简单修改、等同变化与修饰,均仍落入本发明的保护范围内。 [0041] The above embodiments of the present invention, preferred embodiment, not form any limitation on the present invention, any simple modification according to all the technical spirit of the present invention to the above example, equivalent variations and modifications are still fall within the scope of the present invention.

Claims (3)

  1. 1.一种储袋成型用切割缝合器,包括长条槽形主体⑴,其特征在于:长条槽形主体⑴一端为工作端,另一端为操作端,所述工作端为闭合圆环;长条槽形主体⑴上部操作端设有与长条槽形主体⑴转轴连接的后端压合杆⑶,长条槽形主体⑴下部设有头端压合组件,长条槽形主体⑴内设推钉切割组件和送钉组件; 所述头端压合组件,包括连接杆(6)、位于操作端的头端压合杆⑵和位于工作端的弹簧扣件(7),所述连接杆(6)—端与头端压合杆⑵铰链链接,另一端设有弹簧扣件(7);所述弹簧扣件(7)上设有滑孔(17),所述弹簧扣件(7)与所述长条槽形主体(1)工作端内的蘑菇头(8)相扣合,蘑菇头⑶上开设有带线孔(9); 所述推钉切割组件,包括推钉件和切割件,所述推钉件包括推钉手柄⑷和推钉杆(抑,所述推钉手柄⑷在长条槽形主体⑴一侧滑槽内滑动,所述推钉杆(1Φ为两平 A pouch forming stapler, comprising an elongated trough ⑴ body, wherein: an end of an elongated trough body ⑴ work end and the other end of the operating end, the working end is a closed ring; ⑴ long trough body is provided with an upper end of the rear end of the operating nip is connected to the elongated rod ⑶ ⑴ shaft trough body, an elongated channel-shaped body with a head end lower portion ⑴ nip assembly, the elongated trough body ⑴ the cutting assembly and arranged to push the staple magazine assembly; head end of the nip assembly comprising a connecting rod (6), located at the head end of the operating end of the lever ⑵ nip and a spring clip (7) located at the working end of the connecting rod ( 6) - the head end and the rod end of the nip ⑵ link hinge, and the other end provided with a spring clip (7); provided with a slide hole (17) on said spring clip (7), said spring clip (7) said elongated channel-shaped mushroom head body (8) within (1) the working end are engaged, with a line defines a hole (9) on the mushroom head ⑶; push the staple cutter assembly comprising a cutting member and the staple pushing member, said push member comprises a staple and pushes the staple push lever ⑷ shank (suppression, the staple pushing handle to the elongated trough ⑷ ⑴ a sliding body sliding slot, pushing the shank (1Φ two flat 行金属片,推钉杆(10)的金属片的顶端呈斜口,且倾斜方向交错设置;所述切割件包括切割刀片推柄(5)和切割刀片(11),所述切割刀片推柄(5)在长条槽形主体⑴另一侧滑槽内滑动,所述切割刀片(11)为两平行金属片,切割刀片(11)的金属片的顶端向上方外翻呈“八”字形; 所述送钉组件,包括位于长条槽形主体⑴内的钉仓(12),钉仓(12)内均布有多个出钉孔(13);钉仓(12)为两平行条状,两平行条之间为与切割刀片(11)滑动接触的切割导向槽(14),两平行条一端相接形成圆环状前端,且该圆环状前端与长条槽形主体⑴的工作端圆环同心设置;钉仓(12)沿中心线开设有与推钉杆(1Φ滑动接触的推钉导向槽(15),推钉导向槽(15)下端设有预制压钉板(16)。 OK sheet metal, the top push the shank (10) in the form of a metal sheet bevel, the inclination direction and staggered; the cutting member comprises a cutting blade push handle (5) and the cutting blade (11), the cutting blade push handle to the top (5) ⑴ further sliding grooves to slide long trough body, the cutting blade (11) of two parallel metal sheets, the cutting blade (11) of sheet metal was "eight" shape upwardly eversion ; said magazine assembly including a staple cartridge (12) positioned within the elongated trough body ⑴, the staples are uniformly distributed plurality of apertures (13) within the cartridge (12); a staple cartridge (12) into two parallel strips shape, between two parallel strips of a cutting guide groove (14) in sliding contact with the cutting blade (11), two parallel strips are formed in contact with one end of an annular front end, and the distal end of the elongated annular trough body of ⑴ working end ring disposed concentrically; staple cartridge (12) along the centerline defines a shank with push (push the staple guide groove 1Φ sliding contact (15), pushing the staple guide groove (15) is provided with a lower end of the press nails prefabricated plate (16 ).
  2. 2.如权利要求1所述的储袋成型用切割缝合器,其特征在于:所述头端压合杆⑵下压时弹簧扣件(7)沿滑孔(17)方向运动。 The pouch as claimed in claim 1 for molding stapler, wherein: said head end when press nip ⑵ lower rod spring clip (7) (17) moved in the direction of the slide hole.
  3. 3.如权利要求1所述的储袋成型用切割缝合器,其特征在于:所述长条槽形主体⑴上还设有限位杆卿,所述后端压合杆⑶上开有卡槽,当后端压合杆⑶旋转至与长条槽形主体⑴扣合时,长条槽形主体⑴上的限位杆(18)落入卡槽中。 As claimed in claim 1, the pouch forming stapler, wherein: said upper elongate trough provided ⑴ body further limiting rod Qing, the nip is opened rear slot rod ⑶ , when the rear end of the pressing lever is rotated to the elongated ⑶ trough body ⑴ button engaged, the stopper rod body elongated trough (18) falls on ⑴ slot.
CN 201410473742 2014-09-17 2014-09-17 One kind of pouch forming stapler CN104188703B (en)

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DE19509115C2 (en) * 1995-03-16 1997-11-27 Deutsche Forsch Luft Raumfahrt A surgical device for preparing an anastomosis in minimally invasive surgical technique
JP2951659B1 (en) * 1998-10-07 1999-09-20 素子 岩渕 Biological tissue ablation stapler
US20080169332A1 (en) * 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
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
US8833629B2 (en) * 2011-05-19 2014-09-16 Ethicon Endo-Surgery, Inc. Reusable circular stapler handle with open assembly architecture
CN202740059U (en) * 2012-06-15 2013-02-20 北京中法派尔特医疗设备有限公司 Linear incising stiching instrument by adopting novel jaw occlusion mechanism
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