CN105411639A - Intra-operative rapid blood vessel butt-joint assisting device - Google Patents
Intra-operative rapid blood vessel butt-joint assisting device Download PDFInfo
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- CN105411639A CN105411639A CN201510995899.XA CN201510995899A CN105411639A CN 105411639 A CN105411639 A CN 105411639A CN 201510995899 A CN201510995899 A CN 201510995899A CN 105411639 A CN105411639 A CN 105411639A
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
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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
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/0438—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
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Abstract
The invention relates to an intra-operative rapid blood vessel butt-joint assisting device which comprises a lining ring and long-rod diameter expanding pliers. The lining ring is formed by bending a long-strip-shaped sheet, one end of the long-strip-shaped sheet is provided with a clamp spring, the other end of the long-strip-shaped sheet is provided with multiple clamping holes, and the clamp spring is inserted into the clamping holes to fix the diameter of the lining ring; the outer wall of the lining ring is provided with an upper groove and a lower groove; the head end of the long-rod diameter expanding pliers is provided with two rows of protrusions, and the lining ring is arranged between the two rows of the protrusions to feed the blood vessel and prevent slipping; a plier handle on one side is fixedly provided with a scale metering panel, the corresponding portion of a plier handle on the other side is fixedly provided with diameter reading lines, and the scale metering panel is provided with an anti-slip clamp hoop which can slide along the scale metering panel, so that excessive pressing and holding are prevented. According to the intra-operative rapid blood vessel butt-joint assisting device, butt-joint of the self-blood vessel and the artificial blood vessel can be changed into a binding fixing mode from a suture anastomosing mode, the blood vessel butt-joint operation time and the intra-operative circulatory arrest time can be significantly shortened, the operation difficulty is lowered, anastomotic bleeding and postoperative complications are reduced, and increasing of the survival rate of a patient and improving of the postoperative recovery quality are facilitated.
Description
Technical field
The invention belongs to technical field of medical instruments, particularly a kind of art medium vessels rapid abutting joint auxiliary device.
Background technology
Arotic disease is the cardiovascular disease of one group of serious threat human health, mainly comprises dissection of aorta, aortic aneurysm etc.Wherein dissection of aorta is a kind of catastrophic disease, and if do not treated in time, prognosis is extremely dangerous.According to document announcement, the patient of untreated dissection of aorta Early mortality rate increase by 1%, more than 50% per hour is dead in 1 week.In recent years, aged tendency of population, hypertension, arteriosclerosis sickness rate increase, and along with the progress of non-invasive Medical Imaging Technology, are cumulative year after year trend to the recall rate of this type of disease.But China's medical level development is at present unbalanced, only has several hospitals could carry out the surgical intervention of arotic disease.Especially for StanfordA type dissection of aorta, adopting surgical method to carry out active treatment is the common recognition in the industry reached at present.Surgical operation is adopted mainly to process proximal aorta pathological changes, row false chamber excision and artificial blood vessel's Replacement.At present, standard art formula that treatment involves aortic arch and descending aorta dilatancy pathological changes is known as grandson's krimer operation (Sun ' sProcedure) by international counterparts.
Grandson's krimer operation is taught by Sun Lizhong to found in 2003, and be mainly applicable to thoracic aorta or thoracoabdominal aorta pathological changes patient widely, such pathological changes involves ascending aorta, aortic arch and thoracoabdominal aorta.The aortic arch that grandson's krimer operation Application and Development is new is replaced and the operation of support trunk, descending aorta implant frame type artificial blood vessel, further simplify operation process.Replace artificial blood vessel's far-end, human body descending aorta near-end and implant frame proximal staple edge in art to need to sew up in row art, at present the main connection adopting suture methods of anastomosis to realize three.Adopt this art formula distal anastomosis stomatorrhagia to be serious complication, directly threaten patient vitals.And the aorta of such patient is because of itself pathological changes, blood vessel is embrittlement very easily, causes being easy to tear once again and depart from stitching junction, increases chance hemorrhage further.In art, coincideing of aorta vessel and artificial blood vessel is carried out under Deep Hypothermia Circulatory Arrest condition, in art, identical time and Deep Hypothermia Circulatory Arrest time lengthening will increase the incidence rate of nervous system and internal organs ischemia damage, increase the physiology interference to patient and hematoclasis, cause postoperative coagulation disorders.The existence of above problem, adds the incidence rate of operating difficulty, operation risk and post-operative complication, is also one of difficult point of applying of current grandson's krimer operation.
Summary of the invention
Not enough for prior art, the invention provides a kind of art medium vessels rapid abutting joint auxiliary device.
A kind of medium vessels rapid abutting joint auxiliary device, this device comprises inner bushing ring and the expanding pincers of stock;
Described inner bushing ring is 0.3 ~ 1mm by wall thickness, and width is that 10 ~ 30mm strip thin slice bends ring formation, and strip thin slice one end is provided with rectangular preiection, for jump ring 1, the other end is provided with multiple hole clipping 4 from outside to inside, and jump ring 1 inserts in different hole clippings 4, forms the inner bushing ring of different-diameter; Along the circumference of inner bushing ring outer wall, be provided with upper and lower twice groove, twice groove is seriality groove 2, and gained inner bushing ring is seriality groove inner bushing ring 20; Or interval arranges multiple through hole on twice groove, be noncontinuity groove 12, gained inner bushing ring is noncontinuity groove inner bushing ring 22;
The expanding pincers of described stock comprise left and right claw beam 13, the pincers cheek 14 and left and right clamp handle 15, left and right claw beam 13 is semicircle column type, the tail end of left and right claw beam 13 is connected with left and right clamp handle 15 respectively, and left and right claw beam 13 is connected by the pincers cheek 14 near the position of tail end, the head end of left and right claw beam 13, be respectively arranged with two rows along its outer wall semi-circumference protruding, and projection on left and right claw beam 13 is corresponding; Side clamp handle 15 is fixed with cup scale metered dish 16, in opposite side clamp handle 15, correspondence position is provided with diameter and reads line 16-1.
Described strip thin slice is made up of the bio-medical material with certain support strength and elasticity recovery, comprises Ti-Ni alloy, titanium alloy, stainless steel material or macromolecular material.
Described groove, groove width 1 ~ 3mm, groove depth 0.5 ~ 1mm, per pass groove center is apart from the inner bushing ring edge 2 ~ 3mm of its correspondence.
The range of accommodation of described inner bushing ring outside dimension is 0 ~ 10mm.
There are upper and lower both wings one end that strip thin slice is provided with hole clipping 4, and upper and lower both wings are outwards bent to form draw-in groove 3, and the one end being provided with jump ring 1 bends ring formation through draw-in groove 3, and the strip thin slice after draw-in groove 3 pairs of ring formation has the effect of holding.
The edge of the fracture of inner bushing ring, jump ring 1, draw-in groove 3, hole clipping 4, groove, through hole, and the projection on left and right claw beam 13 head end is all through chamfered.
Described cup scale metered dish 16 is provided with the anti-skidding clip 16-2 that can slide along cup scale metered dish 16, the nut on anti-skidding clip 16-2 is fixed its position.
Before inserting blood vessel, the jump ring 1 of inner bushing ring is in free state, and be positioned at the most inboard hole clipping 4 place and make inner bushing ring diameter minimum, external diameter is 10 ~ 30mm, during use, inner bushing ring is placed in the head end of the expanding pincers of stock, inner bushing ring is sent to the expection docking location of artificial blood vessel and autologous vein by the clamp handle 15 of holding the expanding pincers of stock, the expanding pincers of manipulation stock are carried out outside blood vessel, pressure holds left and right clamp handle 15, drive the head end expansion inner bushing ring of claw beam 13, jump ring 1 slides in hole clipping 4 direction laterally from the most inboard hole clipping 4, the diameter of inner bushing ring also becomes large thereupon, the diameter simultaneously observed in the expanding pincers clamp handle 15 of stock reads the scale on the cup scale metered dish 16 corresponding to line 16-1, the clamp handle 15 of holding the expanding pincers of stock when pressure makes inner bushing ring reach expection diameter, now inner bushing ring external diameter and autologous vein internal diameter are fitted, jump ring 1 is embedded in corresponding hole clipping 4, loosen clamp handle 15, the head end of the expanding pincers of stock is made to be recycled to minimum dimension, withdraw from the expanding pincers of stock, for seriality groove inner bushing ring 20, carried out tying up being fixed along groove outside blood vessel by bounding wire 21, or, for noncontinuity groove inner bushing ring 22, pass through hole by stitching thread 23 and carry out stitching vertically across inner bushing ring edge and fix.
Beneficial effect of the present invention is:
(1) by a kind of art medium vessels of the present invention rapid abutting joint auxiliary device, can by the docking of autologous vein in aortic surgery and artificial blood vessel by suture coincide change into tie up fixing, significantly can shorten in blood vessel docking operating time and art and stop circulation time, expection can shorten more than 50% by stopping in art circulation time, reduce operating difficulty, reduce Anastomotic bleeding and post-operative complication, be conducive to the survival rate and the post-operative recovery quality that promote patient;
(2) inner bushing ring dimension adjustable, inserts front jump ring and is free state and inner bushing ring size is minimum, be beneficial to and insert, and is placed to the expansion after desired location and is adjusted to target size; Inner bushing ring arranged outside has groove along the circumferential direction, in art, suture can be replaced and ties up along groove, and prevent displacement, groove is divided into seriality and noncontinuity, discontinuous grooves there is the through hole be intervally arranged, can be fixed through carrying out stitching by suture during use;
(3) the expanding pincers of stock can operate outside blood vessel, and effective fed distance is 0 ~ 20cm.Pressure holds the expanded in diameter that clamp handle can realize clamp headend inner bushing ring, and by the cup scale metered dish in clamp handle, directly reads the expansion diameter of inner bushing ring, while scale metering disk on the anti-skidding clip that arranges, slidably lock to target location, prevent pressure from holding excessively.
Accompanying drawing explanation
Fig. 1 is the structural representation before seriality groove inner bushing ring bending and forming;
Fig. 2 is the structural representation before noncontinuity groove inner bushing ring bending and forming;
Fig. 3 is seriality groove inner bushing ring shaping schematic diagram;
Fig. 4 is noncontinuity groove inner bushing ring shaping schematic diagram;
Fig. 5 a is the expanding pincers of stock (containing cup scale metered dish) schematic diagram; Fig. 5 b is the partial enlarged drawing of cup scale metered dish;
Fig. 6 is that inner bushing ring assembles schematic diagram on the expanding pincers of stock; Wherein a is the assembling of seriality groove inner bushing ring, and b is the assembling of noncontinuity groove inner bushing ring;
Fig. 7 is that seriality groove inner bushing ring is to artificial blood vessel, art medium-height trestle and autologous vein connection diagram;
Fig. 8 is that noncontinuity groove inner bushing ring is to artificial blood vessel, art medium-height trestle and autologous vein connection diagram.
Label declaration: 1-jump ring, 2-seriality groove, 3-draw-in groove, 4-hole clipping, 12-noncontinuity groove, 13-claw beam, 14-clamps the cheek, 15-clamp handle, 16-cup scale metered dish, 16-1-diameter reads line, the anti-skidding clip of 16-2-, 17-artificial blood vessel, 18-art medium-height trestle, 19-descending thoracic aorta blood vessel, 20-seriality groove inner bushing ring, 21-bounding wire, 22-noncontinuity groove inner bushing ring, 23-stitching thread, 24-expects docking location.
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, the present invention will be further described.It is emphasized that following explanation is only exemplary, instead of in order to limit the scope of the invention and apply.
A kind of art medium vessels of the present invention rapid abutting joint auxiliary device, comprises inner bushing ring and the expanding pincers of stock.
Inner bushing ring is as Figure 1-Figure 4 the not closed collar that a size is less.It is 0.3 ~ 1mm by wall thickness, width is that 10 ~ 30mm strip thin slice bends ring formation, strip thin slice is made up of the bio-medical material with certain support strength and elasticity recovery, comprise Ti-Ni alloy, titanium alloy, stainless steel material or macromolecular material, its one end is provided with rectangular preiection, for jump ring 1, the other end is provided with hole clipping 4, jump ring 1 inserts in hole clipping 4, under radial pressure, the diameter of inner bushing ring is incompressible, thus the size of secure liner ring, this end sets gradually 8 hole clippings 4 from outside to inside, make the outside dimension scalable of inner bushing ring, range of accommodation is 0 ~ 10mm.There are upper and lower both wings one end that strip thin slice is provided with hole clipping 4, and upper and lower both wings are outwards bent to form draw-in groove 3, has to the strip thin slice after ring formation the effect of holding.Along the circumference of inner bushing ring outer wall, be provided with upper and lower twice groove, groove width 1 ~ 3mm, groove depth 0.5 ~ 1mm, per pass groove center is apart from inner bushing ring edge 2 ~ 3mm.As shown in Figure 1, Figure 3, twice groove is seriality groove 2, and gained inner bushing ring is seriality groove inner bushing ring 20; As shown in Figure 2, Figure 4 shows, on twice groove, interval is provided with multiple through hole, and be noncontinuity groove 12, gained inner bushing ring is noncontinuity groove inner bushing ring 22.The fracture of inner bushing ring, jump ring 1, draw-in groove 3, hole clipping 4, groove, and the edge of through hole is all through chamfered.
The expanding pincers of a kind of stock comprise left and right claw beam 13, the pincers cheek 14 and left and right clamp handle 15 as shown in Figure 5.Left and right claw beam 13 is semicircle column type, long 20cm, therefore effective fed distance of the expanding pincers of stock is 0 ~ 20cm, the tail end of left and right claw beam 13 is connected with left and right clamp handle 15 respectively, and left and right claw beam 13 is connected by the pincers cheek 14 near the position of tail end, the head end of left and right claw beam 13, two rows are respectively arranged with protruding along outer wall semi-circumference, and projection on left and right claw beam 13 is corresponding, during use, inner bushing ring is placed between two row's projections and inserts blood vessel, preventing inner bushing ring slippage in course of conveying.The clamp handle 15 in left side is fixed with cup scale metered dish 16, and in the clamp handle 15 on right side, correspondence position is provided with diameter and reads line 16-1, and during use, pressure holds left and right clamp handle 15, and the head end of left and right claw beam 13 expands outwardly, and reads line read head end expansion diameter by diameter.Be provided with the anti-skidding clip 16-2 that can slide along cup scale metered dish 16 in the middle part of scale metering disk 16, the anti-skidding clip 16-2 of nut check during use on turn anti-skidding clip 16-2, can prevent pressure from holding excessively simultaneously.
Inner bushing ring shown in Fig. 3, Fig. 4 is supplied to Clinical practice, and before inserting blood vessel, the jump ring 1 of inner bushing ring is in free state, and is positioned at the most inboard hole clipping 4 place, and now inner bushing ring diameter is minimum, and external diameter is 10 ~ 30mm.Inner bushing ring is placed in stock expanding clamp headend during use, the anti-skidding clip 16-2 on slippage cup scale metered dish 16 is to target location and lock, and inner bushing ring is sent to the expection docking location of artificial blood vessel and autologous vein by the clamp handle 15 of holding the expanding pincers of stock.Outside blood vessel, carry out the expanding pincers of manipulation stock, pressure holds left and right clamp handle 15, drives head end expansion inner bushing ring to target size, is of a size of 10 ~ 40mm after inner bushing ring expansion.Expanding complete after loosen clamp handle 15, make head end be recycled to minimum dimension, withdraw from the expanding pincers of stock.For seriality groove inner bushing ring 20, carried out tying up being fixed along groove outside blood vessel by bounding wire 21.For noncontinuity groove inner bushing ring 22, can sew up fixing through through hole by stitching thread 23.
Embodiment 1
Relate to aorta replace add artificial blood vessel implant surgical operation, as in grandson's krimer operation, adopt artificial blood vessel 17 replace thoracic aorta bow, be implanted into art medium-height trestle 18 at descending thoracic aorta blood vessel 19.Next step, artificial blood vessel 17 far-end, art medium-height trestle 18 proximal staple edge, descending thoracic aorta blood vessel 19 near-end need carry out the docking that coincide.First by three's overlap 10 ~ 20mm, then apply described art medium vessels rapid abutting joint auxiliary device and carry out above-mentioned three's connection.Described inner bushing ring should support the use with the expanding pincers of the stock of dimension, first clinical operation doctor selects according to patient vessel's diameter the inner bushing ring specification being applicable to patient, inner bushing ring is placed on the expanding clamp headend of stock, now inner bushing ring jump ring 1 is placed in hole clipping 4 place of innermost end, and be in free state, making inner bushing ring is now original minimum diameter.Anti-skidding clip on slippage cup scale metered dish 16 is to target location and lock, hold the expection docking location 24 that inner bushing ring is delivered to artificial blood vessel 17, art medium-height trestle 18 and descending thoracic aorta blood vessel 19 by the expanding pincers clamp handle 15 of stock, clinician is according to expection docking blood vessel size, pressure holds the expanding pincers clamp handle 15 of stock, make head end drive inner bushing ring to expand outwardly, observe the scale on the clamp handle 15 place cup scale metered dish 16 on the expanding pincers right side of stock simultaneously.Along with clamp handle 15 is held to intrinsic pressure, slide in hole clipping 4 direction laterally from the hole clipping 4 of innermost end in jump ring 1 position, inner bushing ring diameter also becomes large thereupon gradually, the clamp handle 15 of holding the expanding pincers of stock when pressure reaches inner bushing ring expection diameter, namely when inner bushing ring external diameter and the perfection of descending thoracic aorta blood vessel 19 internal diameter are fitted, embedded by jump ring 1 in corresponding hole clipping 4, when now applying radial pressure to inner bushing ring, its diameter is incompressible.Loosen the expanding pincers clamp handle 15 of stock, its head end returns to minimum expanded dimension, withdraws from the expanding pincers of stock.Clinician is fixed inner bushing ring afterwards, for seriality groove inner bushing ring 20, as shown in Figure 7, is carried out tying up being fixed outside blood vessel by bounding wire 21 along groove; For noncontinuity groove inner bushing ring 22, as shown in Figure 8, adopt stitching thread 23 through through hole and carry out stitching vertically across inner bushing ring edge and fix, ensure the fastness of docking.After fixedly completing, clinician can carry out next step operation technique.
For selection and the concrete operation method of inner bushing ring diameter, exemplifying applicable patient chest aorta anastomotic stoma place diameter is 24mm explanation.Target blood diameter 24mm, under the inner bushing ring free state that selection is inserted, minimum outer diameter is 16mm, and distensible maximum outside diameter is 26mm.Preoperatively press shown in Fig. 6, inner bushing ring being placed in the expanding clamp headend two of stock arranges between projection, anti-skidding clip 16-2 to 24mm on slippage cup scale metered dish 16 locates, turn anti-skidding clip 16-2 bottom nut locks anti-skidding clip 16-2, holds clamp handle 15, from aortic arch replacement artificial blood vessel 17 proximal part, inner bushing ring is sent to expection docking location 24.Slow pressure holds the clamp handle 15 of the expanding pincers of stock, observe the cup scale metered dish 16 of clamp handle 15 position simultaneously, until by inner bushing ring external diameter expansion to 24mm, realize inner bushing ring, artificial blood vessel 17, art medium-height trestle 18 and descending thoracic aorta blood vessel 19 fitting tightly at docking location 24.In addition, according to the concrete condition of blood vessel, as the elasticity of descending thoracic aorta blood vessel 19 and the size matching with artificial blood vessel 17, inner bushing ring enlarged outside diameter can be fitted effect to 24mm ~ 26mm to promote and tie up fastness by clinician.
Claims (8)
1. a medium vessels rapid abutting joint auxiliary device, is characterized in that, this device comprises inner bushing ring and the expanding pincers of stock;
Described inner bushing ring is 0.3 ~ 1mm by wall thickness, width is that 10 ~ 30mm strip thin slice bends ring formation, strip thin slice one end is provided with rectangular preiection, for jump ring (1), the other end is provided with multiple hole clipping (4) from outside to inside, jump ring (1) inserts in different hole clippings (4), forms the inner bushing ring of different-diameter; Along the circumference of inner bushing ring outer wall, be provided with upper and lower twice groove, twice groove is seriality groove (2), and gained inner bushing ring is seriality groove inner bushing ring (20); Or interval arranges multiple through hole on twice groove, be noncontinuity groove (12), gained inner bushing ring is noncontinuity groove inner bushing ring (22);
The expanding pincers of described stock comprise left and right claw beam (12), the pincers cheek (14) and left and right clamp handle (15), left and right claw beam (12) is semicircle column type, the tail end of left and right claw beam (12) is connected with left and right clamp handle (15) respectively, and left and right claw beam (12) is connected by the pincers cheek (14) near the position of tail end, the head end of left and right claw beam (12), be respectively arranged with two rows along its outer wall semi-circumference protruding, and projection on left and right claw beam (12) is corresponding; Side clamp handle (15) is fixed with cup scale metered dish (16), the upper correspondence position of opposite side clamp handle (15) is provided with diameter and reads line (16-1).
2. a kind of medium vessels rapid abutting joint auxiliary device according to claim 1, it is characterized in that, described strip thin slice is made up of the bio-medical material with certain support strength and elasticity recovery, comprises Ti-Ni alloy, titanium alloy, stainless steel material or macromolecular material.
3. a kind of medium vessels rapid abutting joint auxiliary device according to claim 1, it is characterized in that, described groove, groove width 1 ~ 3mm, groove depth 0.5 ~ 1mm, per pass groove center is apart from the inner bushing ring edge 2 ~ 3mm of its correspondence.
4. a kind of medium vessels rapid abutting joint auxiliary device according to claim 1, it is characterized in that, the range of accommodation of described inner bushing ring outside dimension is 0 ~ 10mm.
5. a kind of medium vessels rapid abutting joint auxiliary device according to claim 1, it is characterized in that, there are upper and lower both wings one end that strip thin slice is provided with hole clipping (4), upper and lower both wings are outwards bent to form draw-in groove (3), the one end being provided with jump ring (1) bends ring formation through draw-in groove (3), and draw-in groove (3) has to the strip thin slice after ring formation the effect of holding.
6. a kind of medium vessels rapid abutting joint auxiliary device according to claim 1, it is characterized in that, the edge of the fracture of inner bushing ring, jump ring (1), draw-in groove (3), hole clipping (4), groove, through hole, and the projection on left and right claw beam (12) head end is all through chamfered.
7. a kind of medium vessels rapid abutting joint auxiliary device according to claim 1, it is characterized in that, described cup scale metered dish (16) is provided with the anti-skidding clip (16-2) that can slide along cup scale metered dish (16), the nut on anti-skidding clip (16-2) is fixed its position.
8. a kind of medium vessels rapid abutting joint auxiliary device according to claim 1, it is characterized in that, before inserting blood vessel, the jump ring (1) of inner bushing ring is in free state, and be positioned at the most inboard hole clipping (4) place and make inner bushing ring diameter minimum, external diameter is 10 ~ 30mm, during use, inner bushing ring is placed in the head end of the expanding pincers of stock, inner bushing ring is sent to the expection docking location of artificial blood vessel and autologous vein by the clamp handle (15) of holding the expanding pincers of stock, the expanding pincers of manipulation stock are carried out outside blood vessel, pressure holds left and right clamp handle (15), drive the head end expansion inner bushing ring of claw beam (12), jump ring (1) slides in hole clipping (4) direction laterally from the most inboard hole clipping (4), the diameter of inner bushing ring also becomes large thereupon, the diameter simultaneously observed on the expanding pincers clamp handle (15) of stock reads the scale on the cup scale metered dish (16) corresponding to line (16-1), the clamp handle (15) of holding the expanding pincers of stock when pressure makes inner bushing ring reach expection diameter, now inner bushing ring external diameter and autologous vein internal diameter are fitted, jump ring (1) is embedded in corresponding hole clipping (4), loosen clamp handle (15), the head end of the expanding pincers of stock is made to be recycled to minimum dimension, withdraw from the expanding pincers of stock, for seriality groove inner bushing ring (20), carried out tying up being fixed along groove outside blood vessel by bounding wire (21), or, for noncontinuity groove inner bushing ring (22), by stitching thread (23) through through hole and across inner bushing ring edge carry out vertically stitching fix.
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| CN105769270A (en) * | 2016-03-28 | 2016-07-20 | 苏州瑞华医院有限公司 | Blood vessel traction instrument for microsurgical department |
| CN106725682A (en) * | 2017-01-06 | 2017-05-31 | 北京华脉泰科医疗器械有限公司 | Main artery is with identical clasp and applies its artificial blood vessel's component |
| CN107976226A (en) * | 2018-01-08 | 2018-05-01 | 中山厨之乐卫厨制品有限公司 | A kind of amount face device |
| CN110074896A (en) * | 2018-06-28 | 2019-08-02 | 高峰 | The identical support ring of aorta |
| WO2020001453A1 (en) * | 2018-06-28 | 2020-01-02 | 高峰 | Support ring for aortic anastomosis |
| CN113892997A (en) * | 2021-10-19 | 2022-01-07 | 中国人民解放军南部战区总医院 | Adjustable excessive constriction is from fixed rat left kidney vein C clamp |
| CN114668439A (en) * | 2022-03-17 | 2022-06-28 | 庞晓阳 | Peripheral nerve anastomosis device |
| CN117503113A (en) * | 2024-01-04 | 2024-02-06 | 泓欣科创生物科技(北京)有限公司 | Vascular measurer |
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| CN105769270A (en) * | 2016-03-28 | 2016-07-20 | 苏州瑞华医院有限公司 | Blood vessel traction instrument for microsurgical department |
| CN105769270B (en) * | 2016-03-28 | 2018-06-26 | 海门市彼维知识产权服务有限公司 | A kind of micro-vascular surgery tractor |
| CN106725682A (en) * | 2017-01-06 | 2017-05-31 | 北京华脉泰科医疗器械有限公司 | Main artery is with identical clasp and applies its artificial blood vessel's component |
| CN106725682B (en) * | 2017-01-06 | 2022-04-26 | 北京华脉泰科医疗器械股份有限公司 | Anastomosis buckle ring for aorta and artificial blood vessel assembly using same |
| CN107976226A (en) * | 2018-01-08 | 2018-05-01 | 中山厨之乐卫厨制品有限公司 | A kind of amount face device |
| CN107976226B (en) * | 2018-01-08 | 2024-03-22 | 中山厨之乐卫厨制品有限公司 | Dough measuring device |
| CN110074896A (en) * | 2018-06-28 | 2019-08-02 | 高峰 | The identical support ring of aorta |
| WO2020001453A1 (en) * | 2018-06-28 | 2020-01-02 | 高峰 | Support ring for aortic anastomosis |
| CN113892997A (en) * | 2021-10-19 | 2022-01-07 | 中国人民解放军南部战区总医院 | Adjustable excessive constriction is from fixed rat left kidney vein C clamp |
| CN114668439A (en) * | 2022-03-17 | 2022-06-28 | 庞晓阳 | Peripheral nerve anastomosis device |
| CN117503113A (en) * | 2024-01-04 | 2024-02-06 | 泓欣科创生物科技(北京)有限公司 | Vascular measurer |
| CN117503113B (en) * | 2024-01-04 | 2024-04-16 | 泓欣科创生物科技(北京)有限公司 | Vascular measurer |
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