CN105212977A - For the auxiliary device of anastomat, the anastomat applying this auxiliary device and surgical operating instrument - Google Patents
For the auxiliary device of anastomat, the anastomat applying this auxiliary device and surgical operating instrument Download PDFInfo
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- CN105212977A CN105212977A CN201410510192.0A CN201410510192A CN105212977A CN 105212977 A CN105212977 A CN 105212977A CN 201410510192 A CN201410510192 A CN 201410510192A CN 105212977 A CN105212977 A CN 105212977A
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- auxiliary device
- anastomat
- nail bin
- die trial
- jaw
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Abstract
Auxiliary device for anastomat provided by the invention, comprise auxiliary device body, be arranged on described auxiliary device body interior and the thrust unit be connected with described adapter far-end with the adapter that its near-end is connected with anastomat body is connected with described thrust unit far-end and closeable moving jaw and regular jaw, be arranged on nail bin die trial between described moving jaw and described regular jaw, and described moving jaw feeds back material by pressurized makes.This auxiliary device can precisely assess the thickness treating surgical tissue in the preoperative, to select having applicable staple following closely high nail bin.
Description
Technical field
The present invention relates to technical field of medical instruments, in particular to a kind of auxiliary device for anastomat, this is used for the anastomat of the auxiliary device of anastomat and applies this surgical operating instrument for the auxiliary device of anastomat also to relate to a kind of application, and applies the method that this auxiliary device carries out suture operation.
Background technology
In medical surgery operation, since first staple series products appears in the sixties in 20th century, Medical stapler has become the requisite a kind of medical apparatus and instruments aiding in scalpel and sew up.Along with the development of medical science and the research and development of new product, increasing staple series products is applied to clinical.The scope of application has related to the every field such as gastrointestinal surgery, Genneral Surgery, thoracic surgery, Urology Surgery, department of obstetrics and gynecology, becomes one of requisite instrument of doctor.Use anastomat and staple to sew up, have that intraoperative hemorrhage is few, operating time is short, with apparatus replace manual can reduce cause due to manual operations error, reduce the plurality of advantages such as infection rate, post-operative recovery be fast.
When using chamber mirror anastomat in endoscopic surgery, doctor is difficult to the thickness determining the tissue that they will sew up usually, and the thickness of tissue determines required nail bin size (namely staple nail is high), so that precise seal anastomotic stoma.Usually, doctor need determine thickness according to the organization factors that monitor shows.Chinese patent CN101273879B discloses a kind of laparoscopic tissue thickness and clamp load auxiliary device, induction installation can be set on two of a clamp jaw, thus before surgery anticipation is carried out to tissue thickness, but in the arthroscopic diagnosis of chamber, after organizing two jaws being through anastomat to carry out pressure bundle, then carry out staple percussion, now by the tissue thickness of pressure bundle, jaw obviously cannot accurately judge, thus the nail bin size selected (namely staple nail is high) is still accurate not.
Therefore, how before anastomat is sewed up, precisely determining that the thickness of tissue follows closely high nail bin to select the suitable corresponding staple that has, is the problem that those skilled in the art need to solve.
Summary of the invention
The object of this invention is to provide a kind of auxiliary device for anastomat, this auxiliary device being used for anastomat precisely anticipation can treat that the thickness of surgical tissue is to select suitable nail bin, there is provided a kind of in addition to comprise this anastomat for the auxiliary device of anastomat and there is this surgical operating instrument for the auxiliary device of anastomat, and apply the method that this auxiliary device carries out suture operation.
To achieve these goals, the invention provides a kind of auxiliary device for anastomat, comprise auxiliary device body, be arranged on described auxiliary device body interior and the thrust unit be connected with described adapter far-end with the adapter that its near-end is connected with anastomat body is connected with described thrust unit far-end and closeable moving jaw and regular jaw, be arranged on nail bin die trial between described moving jaw and described regular jaw, and described moving jaw feeds back material by pressurized makes.
Preferably, described pressurized feedback material is fragile material.
Preferably, described pressurized feedback material is the elastomeric material with elastic after effect character.
Preferably, described pressurized feedback material is plastic material.
Preferably, the thick plates for assessment of gap closed between described moving jaw and described nail bin die trial is also comprised.
Preferably, described nail bin die trial is dismountable to be arranged on described regular jaw, and the nail bin die trial of different size corresponds to the nail bin of corresponding size and corresponds to the thick plates representing corresponding size nail bin.
Preferably, fixing being arranged on described regular jaw of described nail bin die trial, and at least one side of described thick plates is stepped, no ladder height corresponds to the nail bin of corresponding size.
Preferably, fixing being arranged on described regular jaw of described nail bin die trial, and at least one side of described thick plates is ramped shaped, different ramp height corresponds to the nail bin of corresponding size.
Preferably, the described thrust unit spring that comprises push pedal, pressing plate and be connected between described push pedal and described pressing plate.
Preferably, the maximum compressibility of described spring is greater than the range of described adapter.
Preferably, described thrust unit also comprises the flexible cable be connected between described push pedal and described pressing plate.
Preferably, described flexible cable is hawser.
Preferably, described nail bin die trial is provided with at least one sensor, and described sensor is connected with blood processor and display device.
Preferably, described sensor is pressure transducer or tissue thickness's sensor.
Preferably, described connection is wireless connections or wired connection.
Present invention also offers a kind of anastomat, comprise anastomat body, firing lock, propulsive mechanism, resetting-mechanism, detachable actuating station, also comprise the auxiliary device for anastomat described in above-mentioned any one, the dismountable and described anastomat body of the described auxiliary device for anastomat is connected.
Present invention also offers a kind of surgical operating instrument, comprising: surgical operating instrument body and the auxiliary device for anastomat described in above-mentioned any one be connected with surgical operating instrument body.
Present invention also offers a kind of method of carrying out suture operation described in application for the auxiliary device of anastomat, it is characterized in that comprising the following steps: the thickness treating suture tissue carries out pre-estimation, according to pre-estimation result, the auxiliary device for anastomat with corresponding nail bin die trial is installed to anastomat body; Treat suture tissue and carry out precompressed bundle, be evenly distributed to make tissue thickness and be convenient to operation stitching but not damaged tissue; Nail bin is selected to judge, when tissue thickness is suitable for, do not start feedback and organization protection's function, when tissue thickness is thicker, automatic startup feedback and organization protection's function, again change the auxiliary device for anastomat with new nail bin die trial according to feedback after feedback function starts and again carry out nail bin selection judgement, till feedback and organization protection's function do not start; Operation stitching, when feeding back and organization protection's function does not start, takes off the auxiliary device for anastomat, and the nail bin groupware that replacing has a corresponding nail bin is installed on anastomat body and carries out suture operation.
The invention provides a kind of auxiliary device for anastomat, comprise auxiliary device body, be arranged on described auxiliary device body interior and the thrust unit be connected with described adapter far-end with the adapter that its near-end is connected with anastomat body is connected with described thrust unit far-end and closeable moving jaw and regular jaw, be arranged on nail bin die trial between described moving jaw and described regular jaw, and described moving jaw feeds back material by pressurized makes.Operation consent is being carried out to tissue, the adapter of auxiliary device is connected with anastomat body, the moving jaw of auxiliary device is opened relative to regular jaw, grip tissue, then flexible handle on anastomat body is held, moving jaw closes and applies pressure to tissue, this pressure can make to treat that surgical tissue thickness distribution is more evenly to sew up, moving jaw is that pressurized feedback material is made simultaneously, fracture or deformation can be produced under the counteracting force of tissue, now extract apparatus out, observe moving jaw situation or can tissue thickness be assessed with the gap between thick plates activity of assessment and test jaw and regular jaw, thus precisely tissue thickness can be evaluated and tested in the preoperative, follow closely high nail bin groupware and be installed on anastomat body to select to have suitable staple and carry out hands art, substantially increase success rate of operation.
Accompanying drawing explanation
Fig. 1 is the structural representation of anastomat body;
Fig. 2 is the structural representation of the auxiliary device for anastomat according to the embodiment of the present invention;
Fig. 3 is the explosive view for the auxiliary device of anastomat shown in Fig. 2;
Fig. 4 is the front view for the moving jaw open mode of the auxiliary device of anastomat shown in Fig. 2;
Fig. 5 is that the shown auxiliary device for anastomat of Fig. 2 is to the front view closing the unchanged state of rear moving jaw compared with thin tissue;
Fig. 6 is that the shown auxiliary device for anastomat of Fig. 2 is to the front view of moving jaw breaking state after thicker tissue closure;
Fig. 7 is that the shown auxiliary device for anastomat of Fig. 2 is to the front view of moving jaw deformation state after thicker tissue closure;
Fig. 8 be shown in Fig. 2 for the auxiliary device of anastomat and thick plates with the use of time schematic diagram;
Fig. 9 be shown in Fig. 2 for the auxiliary device of anastomat and the thick plates with stepped inclined-plane with the use of time schematic diagram.
Detailed description of the invention
Core of the present invention is to provide a kind of auxiliary device for anastomat, and this auxiliary device being used for anastomat may be used for assessment tissue thickness to be stapled to select suitable nail bin.There is provided a kind of in addition to there is this anastomat for the auxiliary device of anastomat and there is this surgical operating instrument for the auxiliary device of anastomat, and apply the method that this auxiliary device carries out suture operation.
In order to make those skilled in the art understand technical scheme of the present invention better, below in conjunction with the drawings and specific embodiments, the present invention is described in further detail.
See Fig. 1 to Fig. 9, according to one embodiment of present invention, provide a kind of auxiliary device for anastomat, comprise auxiliary device body 1, be arranged on this auxiliary device body 1 inner and the adapter 5, the thrust unit be connected with this adapter 5 far-end that are connected with anastomat body with its near-end, be connected and closeable moving jaw 10 and regular jaw 12 with this thrust unit far-end, also comprise the nail bin die trial 11 be arranged between moving jaw 10 and regular jaw 12, and described moving jaw 10 is made up of pressurized feedback material.Nail bin die trial 11 can dismountablely be arranged between moving jaw 10 and regular jaw 12.Before the surgery, first this auxiliary device body 1 is docked with anastomat body, adapter 5 (also can be the connecting devices such as connecting rod) by this auxiliary device is connected with anastomat body, is connected particularly with the trigger shaft 18 in the stock 19 being arranged at anastomat body, secondly, treat surgical tissue and carry out precompressed bundle so that stitching afterwards, but unduly pressure is pricked to prevent tissue injury, particularly the moving jaw 10 of auxiliary device is opened relative to regular jaw 12, grip tissue, holds flexible handle 17 on anastomat body, and moving jaw 10 closes and applies pressure to tissue and continue for some time (preferably, jaw 10 and 12 is closed was continued above for 5 seconds), precompressed bundle can make the thickness of tissue evenly so that sew up, then, assessment treats that the thickness of surgical tissue is to select the having size that suitable staple follows closely high nail bin, such as, staple nail height in green nail bin is 4.8mm, be applicable to thick tissue (as lung), staple nail height in blue nail bin is 3.5mm, be applicable to thicker tissue (as stomach), staple nail height in white nail bin is 2.5mm, be applicable to thinner tissue (as blood vessel) etc., and the nail bin of often kind of color all corresponds to nail bin die trial 11 and the corresponding thick plates 15 of same size, and the material making nail bin die trial 11 is identical with the material making nail bin, particularly while jaw 10 and jaw 12 carry out precompressed bundle to tissue, feed back (namely to the feedback of counteracting force that tissue produces) by the pressure-bearing of moving jaw 10 and judge tissue thickness's situation to select suitable nail bin, the nail bin die trial 11 estimated first is selected to be placed between moving jaw 10 and regular jaw 12, preferably to be fixedly mounted on jaw 12 (during as performed the operation to stomach, can select and be arranged on regular jaw 12 with the blue nail bin die trial of blue nail bin same size), see Fig. 5, if tissue thickness is suitable for, then small counteracting force can not cause moving jaw 10 to produce any feedback change (namely thinner tissue can not cause jaw 10 rupture or be out of shape), now the nail bin that this nail bin die trial 11 is replaced by corresponding color can be installed on regular jaw 12 and again suture operation be carried out to tissue, if tissue thickness is blocked up, larger counteracting force due to tissue generation feeds back to moving jaw 10 on moving jaw 10 and is made up of pressurized feedback material, the selection of nail bin then now can be judged by the feedback change of moving jaw 10, see Fig. 6, feedback material be fragile material (such as cast iron, the materials such as pottery, under the External Force Actings such as stretching or impact, only produce very little distortion will destroy fracture) when, the larger counteracting force acted on moving jaw 10 can make moving jaw 10 rupture (shown in the A in Fig. 6), the auxiliary device of this anastomat is extracted out in patient body, operator just can observe pressurized feedback (the namely rupturing) situation of moving jaw 10 by naked eyes, then can judge that the nail bin corresponding with nail bin die trial 11 used herein is not suitable for, the nail bin die trial 11 of other size is then selected to re-start assessment again, further, the feedback material of manufacturing activities jaw 10 be there is elastic after effect character material (such as, rubber) when, due to when being subject to the counteracting force of thicker tissue, moving jaw 10 is out of shape, and after extract auxiliary device out in patient body, the distortion of moving jaw 10 can not recover immediately but could restore to the original state gradually after needing a period of time, thus select have enough recovery times elastic after effect material (as, deformation recovery time is within the scope of 0.5s-600s) carry out creative activity jaw 10, then take out the device of distortion in patient body after, whether doctor has enough time suitable to determine the nail bin die trial 11 whether more renewed to judge the nail bin estimated to the situation of observing moving jaw 10, further, feedback material be plastic material (such as, it can be steel, copper, the plastic deformation materials such as aluminium alloy, also can be non-plastic deformation material) when, after the jaw 10 and 12 grip tissue several seconds, open moving jaw 10, take out auxiliary device, and then closed moving jaw, the trial thick plates 15 corresponding with nail bin die trial 11 inserts the gap location between moving jaw 10 and regular jaw 12, if thick plates 15 can not insert gap, then illustrate that the nail bin of this nail bin die trial 11 correspondence meets the condition sewing up this thickness tissue, then now the nail bin of replaceable respective color carries out actual stitching to tissue, if moving jaw 10 is out of shape larger, thick plates 15 can insert gap, then illustrate that this tissue is too thick, the nail bin corresponding with this nail bin die trial 11 is improper for this tissue, the nail bin die trial 11 changing other size is now needed again to assess tissue thickness.By utilizing this for the auxiliary device of anastomat, can before actual operation, accurate judgement is applicable to the nail bin of tissue thickness, avoid the medical-risk that directly may occur with nail bin suture tissue, as the staple height in the nail bin selected is inadequate, thus can not well oozing of blood or anastomotic stoma be even caused to ftracture etc. by suture tissue.According to still another embodiment of the invention, above-mentioned moving jaw 10 is rigid material, nail bin die trial 11 is by fragile material or elastic after effect material or plastic material manufacture, and the nail bin corresponding respectively with nail bin die trial 11, by rigid material, also can reach same Evaluated effect.
Further, nail bin die trial 11 (as surface or inner) is provided with at least one sensor, and sensor is connected with blood processor and display device, and this connection can be wireless connections, also can be wired connection, sensor can be pressure transducer, tissue thickness's sensor etc.When tissue thickness is assessed, the adapter of auxiliary device is connected with the trigger shaft 18 of anastomat body, the moving jaw 10 of auxiliary device is opened relative to regular jaw 12, clamp tissue, then flexible handle 17 on anastomat body is held, moving jaw 10 closes and applies pressure to tissue, due to nail bin die trial 11 being provided with sensor, when holding firing handle and gradually closing moving jaw 10, the relevant parameter (as pressure, tissue thickness etc.) that also can show on the display apparatus according to sensor measurement, more precisely determines the nail bin be suitable for.Preferably, arranging multiple sensor can make measurement result more accurate.
Further, see Fig. 2 to Fig. 4, under the original state of the auxiliary device for anastomat, due to the effect of stage clip 8, moving jaw 10 and jaw cover 9 are in open configuration, and auxiliary device body 1 is connected with the trigger shaft 18 of anastomat body by its adapter 5, holds firing handle 17, the trigger shaft 18 being positioned at the stock 19 of anastomat body promotes adapter 5, and adapter 5 promotes connected thrust unit.Thrust unit comprises push pedal 2, pressing plate 6, is connected to spring 3 between push pedal 2 and pressing plate 6 in an embodiment of the present invention, also comprise the flexible cable 4 be connected between push pedal 2 and pressing plate 6 further, and the maximum compressibility of spring 3 is greater than the range of adapter 5, be also namely greater than the range of trigger shaft 18.Push pedal 2 promotes pressing plate 6 by spring 3, now flexible cable 4 is bending does not stress, because the bottom of pressing plate 6 abuts with spacer 13, so pressing plate 6 promotes spacer 13 distal movement to regular jaw 12 in its stroke groove, and in this moving jaw 10, have the passage that supply plate pin 7 and pressing plate 6 move simultaneously, so distally move along with pressing plate 6 and spacer 13, the jaw 10 that can innervate closes with regular jaw 12, nail bin die trial 11 is arranged on regular jaw 12, and the tissue 14 between moving jaw 10 and nail bin die trial 11 is squeezed.When tissue thickness is thinner, spacer 13 can move to distalmost end in its stroke groove, and now moving jaw 10 does not change, when tissue thickness is thicker, if be rigidly connected between push pedal 2 and pressing plate 6, then when percussion force is excessive or mistakenly hit is sent out, spacer 13 continues to be out of shape by promoting by force when then can be caused in its stroke groove to have moved to distalmost end, but in an embodiment of the present invention, be connected by spring 3 between push pedal 2 with pressing plate 6, maximum compressibility due to spring 3 is greater than the range amount of trigger shaft 18, so when spacer 13 is pulled to its stroke groove distalmost end (now spacer 13 is propped up by stroke groove edge), excessive percussion force only can be applied on spring 3, spring 3 is compressed in compressible scope, pressing plate 6 can not be promoted by force and spacer 13 can not be promoted by force to continue motion, thus avoid the parts such as thrust unit to be destroyed, even when organizing very thick, spacer 13 does not also move to its stroke groove distalmost end and is just stuck, now excessive motive force still can be applied on spring 3, pressing plate 6 and spacer 13 can not be promoted by force, thus tissue can be avoided consequently impaired by excessive compression.After percussion, reset button 16 is pulled to drive trigger shaft 18 to withdraw, band movement connector 5, push pedal 2 immediately withdraws, push pedal 2 (is hawser by flexible cable 4 in the present example embodiment, also can be that other has the flexible cable of certain toughness, as plastic optical fibre rope or rope made of hemp rope etc.) be with dynamic pressure plate 6 and spacer 13 proximally to move, pressure plate stud 7 moves to initial position, moving jaw 10 again opens under stage clip 8 acts on, the auxiliary device being used for anastomat is taken out in body, the feedback conditions of observable moving jaw 10 pairs of tissue reaction.
According to another embodiment of the present invention, nail bin die trial for the auxiliary device of anastomat can be the standard die trial that size is fixed, now thick plates at least one side be stair-stepping standard thickness plate, as shown in Figure 9, the thickness of each ladder is all different, no step-thickness indicates different colors, and represent respectively from thinnest part to thickness there is the high nail bin of corresponding nail, namely the color from thinnest part to thickness marks white, blueness, green, black etc. respectively, and namely corresponding respectively have corresponding staple and follow closely high nail bin.Tissue is being clamped and after pulling the trigger flexible handle 17 with the auxiliary device with standard die trial, the gap between standard die trial and moving jaw 10 is inserted with standard thickness plate, as standard thickness plate rest on a certain color ladder can not continue through time, the nail bin of this antialiased color and corresponding respective color, now the nail bin of replaceable respective color is performed the operation.If whole standard thickness plate is all smoothly by gap, then explanation is organized blocked up, can not apply this tool operation, need perform the operation by other operating theater instruments.According to still another embodiment of the invention, at least one side of standard thickness plate can be the smooth ramp with certain slope, the slope of diverse location is high, and to represent different staple nails high, the gap between standard die trial and moving jaw 10 is inserted at it, until when can not continue through, higher position, corresponding slope correspondence has the nail bin of the high staple of corresponding nail, and now replaceable corresponding nail bin is performed the operation.
In another embodiment of the present invention, provide a kind of anastomat, comprise anastomat body, firing lock, propulsive mechanism, resetting-mechanism, detachable actuating station, also comprise the above-mentioned auxiliary device for anastomat, the auxiliary device for anastomat is dismountable to be connected with anastomat body.
In another embodiment of the invention, provide a kind of surgical operating instrument, the above-mentioned auxiliary device for anastomat comprising surgical operating instrument body and be connected with surgical operating instrument body.
In another embodiment of the invention, provide a kind of method of carrying out tissue apposition operation described in application for the auxiliary device of anastomat, it is characterized in that comprising the following steps: the thickness treating suture tissue carries out pre-estimation, according to pre-estimation result, the auxiliary device for anastomat with corresponding nail bin die trial is installed to anastomat body; Treat suture tissue and carry out precompressed bundle, be evenly distributed to make tissue thickness and be convenient to operation stitching but not damaged tissue; Nail bin is selected to judge, when tissue thickness is suitable for, do not start feedback and organization protection's function, when tissue thickness is thicker, automatic startup feedback and organization protection's function, again change the auxiliary device for anastomat with new nail bin die trial according to feedback after feedback function starts and again carry out nail bin selection judgement, till feedback and organization protection's function do not start; Operation stitching, when feeding back and organization protection's function does not start, takes off the auxiliary device for anastomat, and the nail bin groupware that replacing has a corresponding nail bin is installed on anastomat body and carries out suture operation.
Near-end herein, far-end limited according to industry practice, and be namely near-end from person close to doctor during operation, opposite end is far-end.
Above the auxiliary device for anastomat provided by the present invention is described in detail.Apply concrete example herein to set forth principle of the present invention and embodiment, but the explanation of above embodiment just understands principle of the present invention and core concept thereof for helping, not limiting the scope of the present invention.It should be pointed out that for those skilled in the art, under the premise without departing from the principles of the invention, can also carry out some improvement and modification to the present invention, these improve and modify and also fall in the protection domain of the claims in the present invention.
Claims (18)
1. the auxiliary device for anastomat, it is characterized in that, comprise auxiliary device body (1), be arranged on described auxiliary device body (1) inside and the adapter (5) be connected with anastomat body with its near-end, the thrust unit be connected with described adapter (5) far-end, be connected with described thrust unit far-end and closeable moving jaw (10) and regular jaw (12), be arranged on the nail bin die trial (11) between described moving jaw (10) and described regular jaw (12), and described moving jaw (10) is made up of pressurized feedback material.
2. the auxiliary device for anastomat according to claim 1, is characterized in that, described pressurized feedback material is fragile material.
3. the auxiliary device for anastomat according to claim 1, is characterized in that, described pressurized feedback material is the elastomeric material with elastic after effect character.
4. the auxiliary device for anastomat according to claim 1, is characterized in that, described pressurized feedback material is plastic material.
5. the auxiliary device for anastomat according to claim 1, is characterized in that, also comprises the thick plates (15) for assessment of gap closed between described moving jaw (10) and described nail bin die trial (11).
6. the auxiliary device for anastomat according to claim 5, it is characterized in that, described nail bin die trial (11) is dismountable to be arranged on described regular jaw (12), and the nail bin die trial (11) of different size corresponding to corresponding size nail bin and correspond to the thick plates (15) representing corresponding size nail bin.
7. the auxiliary device for anastomat according to claim 5, it is characterized in that, what described nail bin die trial (11) was fixing is arranged on described regular jaw (12), and at least one side of described thick plates (15) is stepped, no ladder height corresponds to the nail bin of corresponding size.
8. the auxiliary device for anastomat according to claim 5, it is characterized in that, what described nail bin die trial (11) was fixing is arranged on described regular jaw (12), and at least one side of described thick plates (15) is ramped shaped, different ramp height corresponds to the nail bin of corresponding size.
9. the auxiliary device for anastomat according to any one of claim 1 to 8, it is characterized in that, the spring (3) that described thrust unit comprises push pedal (2), pressing plate (6) and is connected between described push pedal (2) and described pressing plate (6).
10. the auxiliary device for anastomat according to claim 9, is characterized in that, the maximum compressibility of described spring (3) is greater than the range of described adapter (5).
11. auxiliary device for anastomat according to claim 10, is characterized in that, described thrust unit also comprises the flexible cable (4) be connected between described push pedal (2) and described pressing plate (6).
12. auxiliary device for anastomat according to claim 11, is characterized in that, described flexible cable (4) is hawser.
13. auxiliary device for anastomat according to claim 12, is characterized in that, described nail bin die trial (11) is provided with at least one sensor, and described sensor is connected with blood processor and display device.
14. auxiliary device for anastomat according to claim 13, is characterized in that, described sensor is pressure transducer or tissue thickness's sensor.
15. auxiliary device for anastomat according to claim 14, is characterized in that, described connection is wireless connections or wired connection.
16. 1 kinds of anastomats, comprise anastomat body, firing lock, propulsive mechanism, resetting-mechanism, detachable actuating station, characterized by further comprising as claimed in claim 15 for the auxiliary device of anastomat, the dismountable and described anastomat body of the described auxiliary device for anastomat is connected.
17. 1 kinds of surgical operating instruments, is characterized in that comprising: surgical operating instrument body and the auxiliary device for anastomat as claimed in claim 15 removably connected with described surgical operating instrument body.
18. 1 kinds of application auxiliary device for anastomat as claimed in claim 15 carry out the method for suture operation, it is characterized in that comprising the following steps:
The thickness treating suture tissue carries out pre-estimation, according to pre-estimation result, the auxiliary device for anastomat with corresponding nail bin die trial is installed to anastomat body;
Treat suture tissue and carry out precompressed bundle, be evenly distributed to make tissue thickness and be convenient to operation stitching but not damaged tissue;
Nail bin is selected to judge, when tissue thickness is suitable for, do not start feedback and organization protection's function, when tissue thickness is thicker, automatic startup feedback and organization protection's function, again change the auxiliary device for anastomat with new nail bin die trial according to feedback after feedback function starts and again carry out nail bin selection judgement, till feedback and organization protection's function do not start;
Operation stitching, when feeding back and organization protection's function does not start, takes off the auxiliary device for anastomat, and the nail bin groupware that replacing has a corresponding nail bin is installed on anastomat body and carries out suture operation.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410510192.0A CN105212977B (en) | 2014-09-29 | 2014-09-29 | Servicing unit for stapler, stapler and surgical operating instrument using the servicing unit |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410510192.0A CN105212977B (en) | 2014-09-29 | 2014-09-29 | Servicing unit for stapler, stapler and surgical operating instrument using the servicing unit |
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| CN105212977A true CN105212977A (en) | 2016-01-06 |
| CN105212977B CN105212977B (en) | 2018-04-03 |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113995457A (en) * | 2021-12-10 | 2022-02-01 | 苏州法兰克曼医疗器械有限公司 | Electric skin anastomat with high stability |
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| CN103083054A (en) * | 2011-10-27 | 2013-05-08 | 柯惠Lp公司 | System And Method Of Using Simulation Reload To Optimize Staple Formation |
| CN103987329A (en) * | 2011-12-07 | 2014-08-13 | 伊西康内外科公司 | Reusable linear stapler cartridge device for tissue thickness measurement |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN113995457A (en) * | 2021-12-10 | 2022-02-01 | 苏州法兰克曼医疗器械有限公司 | Electric skin anastomat with high stability |
| CN113995457B (en) * | 2021-12-10 | 2024-01-16 | 苏州法兰克曼医疗器械有限公司 | Electric skin anastomat with high stability |
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| CN105212977B (en) | 2018-04-03 |
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